Ke paʻakikī nei hoʻi iā ʻoe ke hoʻopau i kahi hana? Ke manaʻo nei ʻoe he hoʻomaha ʻole, hoʻomaha ʻole, a he ʻano hana wikiwiki paha kāu keiki? A i ʻole ke manaʻo nei ʻoe he hyperactive a impulsive kāu keiki? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo ADHD ( Attention-Deficit/Hyperactivity Disorder ). No laila, ʻo kekahi o nā lāʻau lapaʻau nui a hoʻohana pinepine ʻia no kēia, ʻo ia nā lāʻau hoʻoulu. Hiki i kēia mau lāʻau ke kōkua iā ʻoe e kaohi i kāu mau hōʻailona. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
He aha kēia mau lāʻau hoʻoulu?
I ka ʻōlelo maʻalahi, kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i nā hōʻailona nui o ADHD. ʻO ia hoʻi:
- Ka paʻakikī i ka mālama ʻana i ka nānā (manawa pōkole)
- Hana hoʻohihi
- Hana nui
I kekahi manawa hāʻawi wale ʻia kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau. I kekahi manawa, e aʻo paha kāu kauka e hoʻohana i kēia lāʻau lapaʻau me ka behavioral therapy.
Ma kahi o 70% o nā mākua a me 70% a 80% o nā keiki e lawe ana i kēia mau lāʻau lapaʻau he kaohi maikaʻi ko lākou i ko lākou mau hōʻailona. Hoʻemi nui lākou i ka hyperactivity , ka hoʻopilikia, a me ka hoʻomaha ʻole. Kōkua pū lākou iā ʻoe e hoʻopau i nā hana a mālama i nā pilina me nā poʻe ʻē aʻe.
ʻO ka mea nui loa, inā lākou e hoʻohana i kēia lāʻau lapaʻau, hiki i nā mea maʻi ke mālama i ko lākou nānā a me kā lākou ʻano ma kahi pae maikaʻi aʻe.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
E noʻonoʻo i kēia ʻano: loaʻa i ko kākou lolo nā kemika i kapa ʻia ʻo 'postmen' e lawe ana i nā leka ma waena o nā hunaola nerve. Loaʻa i ka poʻe me ADHD nā pae haʻahaʻa iki o ʻelua o kēia mau 'postmen', ʻo dopamine a me norepinephrine.
ʻO ka hana a kēia mau mea hoʻoulu, ʻo ia ka hoʻonui ʻana i nā pae o kēlā mau kemika . Hoʻopuka maoli ʻia kēia mau kemika ke hana mākou i kahi mea e hauʻoli ai mākou. ʻO ka hana a kēia mau lāʻau lapaʻau, e like me kēlā kaʻina hana kūlohelohe, e hoʻokuʻu mālie a mau i kēia mau kemika i loko o ka lolo. Hoʻonui kēia i kou ikehu, kōkua iā ʻoe e kālele, a mālama iā ʻoe i ka makaʻala.
ʻO nā ʻano nui o nā lāʻau hoʻouluulu i hoʻohana ʻia no ADHD
Hiki ke puʻunaue ʻia nā lāʻau hoʻoulu no ka ADHD i ʻekolu mau ʻano nui: hana pōkole, hana waena, a me ka hana lōʻihi.
- Nā lāʻau lapaʻau hana pōkole: Lawe ʻia kēia mau mea i ʻelua a ʻekolu paha manawa i ka lā. ʻO ka pōmaikaʻi, hiki iā ʻoe ke kāohi i ka lōʻihi o ka lāʻau lapaʻau i loko o kou kino. ʻO ka hemahema, pono ʻoe e hoʻomanaʻo e lawe pinepine i ka lāʻau lapaʻau.
- Nā lāʻau lapaʻau hana lōʻihi: Lawe pinepine ʻia kēia mau mea i hoʻokahi manawa i ka lā, pinepine i ke kakahiaka. ʻO ka pōmaikaʻi, ʻaʻole pono ʻoe e hoʻomanaʻo e lawe pinepine i kāu lāʻau lapaʻau. Hiki i kēia ke hōʻemi i kekahi o nā hopena ʻaoʻao. ʻO ka hemahema, a hiki i kou loaʻa ʻana o ka nui a me ka manawa kūpono o ka lāʻau lapaʻau, hiki iā ʻoe ke pilikia i ka hiamoe ʻana i ka pō.
Hiki ke hele mai kēia mau lāʻau lapaʻau ma ke ʻano he mau pila, nā ʻāpana, nā wai, a i ʻole nā papa nau. Na kāu kauka e hoʻoholo i ke ʻano a me ka nui o ka lāʻau kūpono loa iā ʻoe a i ʻole kāu keiki.
| Ka manawa hana | Ka inoa laulā o ka lāʻau lapaʻau | Nā Laʻana Inoa Lama |
|---|---|---|
| Hana Pōkole | Methylphenidate, Dextroamphetamine, Amphetamine/dextroamphetamine, Dexmethylphenidate | ʻO Ritalin, Dexedrine, Adderall, Focalin |
| Hana Waena | Methylphenidate, ʻAmphetamine sulfate | Ritalin SR, Metadate ER, Evekeo |
| Hana Lōʻihi | Methylphenidate, Lisdexamfetamine, Amphetamine/Dextroamphetamine, Dexmethylphenidate | Concerta, Ritalin LA, Vyvanse, Adderall XR, Focalin XR, Daytrana (patch) |
ʻO wai ka mea pono ʻole e hoʻohana i kēia lāʻau lapaʻau?
Inā loaʻa iā ʻoe kekahi o kēia mau maʻi olakino , ʻaʻole pono ʻoe e hoʻohana i kēia mau mea hoʻoulu. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia.
- Inā he maʻi puʻuwai kou a i ʻole kekahi nāwaliwali i loko o kou puʻuwai
- Inā loaʻa iā ʻoe ka glaucoma (hoʻonui ʻia ke kaomi i loko o nā maka)
- Inā loaʻa iā ʻoe ka hopohopo nui, ka hoʻomaha ʻole, a i ʻole ka huhū
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo tics (nā neʻe ʻana o nā ʻāpana kino i kāohi ʻole ʻia)
- Inā loaʻa iā ʻoe ka maʻi Tourette, a inā loaʻa i kekahi o kou ʻohana
- Inā he moʻolelo o ka psychosis
- Inā ua hoʻohana ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo 'Monoamine oxidase inhibitor' (MAOI) i loko o nā pule ʻelua i hala.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, ʻo ka hapa nui o ka manawa he manawa pōkole kēia. E nalo aku lākou i loko o kekahi mau pule ke maʻa kou kino i ka lāʻau lapaʻau.
| Hopena ʻaoʻao | Ka Wehewehena a me nā mea hiki iā ʻoe ke hana |
|---|---|
| ʻEha poʻo, ʻeha ʻōpū | ʻIke pinepine ʻia kēia mau mea a nalowale i loko o nā pule mua. |
| Hoʻonui ʻia ke koko | E nānā pinepine ke kauka i kou koko. |
| Ka nalowale o ka makemake/ka emi ʻana o ke kaumaha | Hiki ke pale ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau ma hope o ka ʻai ʻana. E hoʻokomo i nā meaʻai māmā calorie kiʻekiʻe i kāu mau meaʻai. |
| Hoʻomaha ʻole, hiamoe ʻole | Hiki ke pale ʻia kēia ma ka hoʻololi ʻana i ka nui o ka lāʻau a i ʻole ke ʻano o ka lāʻau. E kamaʻilio me kāu kauka. |
| Nā Tics | Hiki ke hoʻomalu ʻia kēia ma ka hoʻololi ʻana i ka dosage o ka lāʻau lapaʻau. |
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki, hiki i kekahi mau keiki ke ulu lohi iki ma mua o nā keiki i lawe ʻole i kēia lāʻau lapaʻau. Akā, ʻaʻole kēia e hoʻopilikia i ko lākou kiʻekiʻe hope loa. E nānā mau ana kāu kauka i ke kiʻekiʻe a me ke kaumaha o kāu keiki.
ʻO ka mea nui loa: Inā hoʻomau nā hopena ʻaoʻao, a inā paha e kū mai kekahi mau hōʻailona hou ʻē aʻe, e hoʻomaopopo koke i kāu kauka.
Hiki iā ʻoe ke lilo i mea hoʻopilikia i kēia mau lāʻau lapaʻau?
He pilikia kēia no nā kānaka he nui. ʻOiaʻiʻo, ke hāʻawi ʻia i nā keiki a me nā ʻōpio ma ka nui i ʻōlelo ʻia no ka ADHD, ʻaʻole kēia mau lāʻau lapaʻau e hoʻoulu i ka ʻona. ʻAʻohe hōʻike e hōʻike ana ka lawe ʻana i kēia mau lāʻau lapaʻau e hoʻoulu ai i ka ʻona lāʻau ma hope. ʻOiaʻiʻo, ua hōʻike nā haʻawina he haʻahaʻa ka nui o ka hoʻohana ʻana i ka lāʻau i ka poʻe e lawe ana i nā lāʻau ADHD ma mua o ka poʻe me ADHD ʻaʻole lawe i ka lāʻau.
Eia nō naʻe, aia kahi hiki ke loaʻa ka maʻi ʻona inā hoʻohana hewa ʻia kekahi mea hoʻoulu. He mea nui loa kēia inā he mōʻaukala kou o ka maʻi ʻona i ka lāʻau lapaʻau a i ʻole ka waiʻona.
ʻO kekahi mau ʻōlelo aʻoaʻo koʻikoʻi no nā mākua
Inā ʻoe e noʻonoʻo ana e hoʻomaka i kāu keiki i ka lāʻau hoʻoulu no ADHD, e hoʻomanaʻo i kēia mau mea.
- E lawe mau i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano kūpono, a i ka manawa kūpono. Inā he mau nīnau kāu, e kamaʻilio me kāu kauka.
- I ka hoʻomaka mua ʻana i ka lāʻau lapaʻau , e hoʻomaka i ka lā hopena pule. Ma kēlā ala, hiki iā ʻoe ke nānā pono i ke ʻano o ka hopena o ka lāʻau lapaʻau i ke keiki.
- Hoʻomaka pinepine ke kauka me kahi mahele haʻahaʻa a hoʻonui mālie i ka mahele.
- E hoʻomaʻamaʻa i ka hāʻawi ʻana i kāu keiki i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Pono paha ʻoe i ke kōkua o ke kumu a kahu maʻi paha e hāʻawi i ka lāʻau lapaʻau ma ke kula.
- Inā poina iā ʻoe ke hāʻawi i kahi lāʻau, e lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai hāʻawi i nā lāʻau keu e hoʻopiha ai i kahi lāʻau i hala. Mai hāʻawi i ka lāʻau i ka wā lohi loa.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa nā lāʻau hoʻoulu no ka ADHD, akā, ʻaʻole kūpono ia no nā mea a pau.
- Hana kēia mau lāʻau lapaʻau ma ke kaulike ʻana i nā neurochemicals i loko o ka lolo.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā ʻo ka hapa nui o lākou he manawa pōkole a hiki ke mālama ʻia.
- ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka. ʻAʻole loa ʻoe e hoʻololi i ka nui o ka lāʻau a hoʻōki paha i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana mai ke kauka.
- He haʻahaʻa loa ka pilikia o ka hoʻopili ʻana ke lawe ʻia ma ka nui i ʻōlelo ʻia, akā e makaʻala i ka hiki ke hoʻomāinoino ʻia.
- Inā he mau hopohopo kāu a kāu keiki paha, mai kānalua e kūkākūkā me kāu kauka.
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