ʻAʻole hiki i kāu keiki ke noho mālie? ʻAʻole anei ʻo ia e hoʻolohe ana i ka papa? A i ʻole ua ʻike ʻoe iā ia e ʻā ana i kekahi manawa, e hoʻomaʻemaʻe ana i kona puʻu, a i ʻole e hana ana i nā walaʻau? He mea maʻamau loa ia no ka makuahine a makua paha ke makaʻu a hopohopo ke ʻike ʻo ia i nā mea e like me kēia. "He aha ka pilikia o kaʻu keiki?" Ke noʻonoʻo nei paha ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i ʻelua mau kūlana a ka poʻe he nui e huikau ai me kēia mau hōʻailona. ʻO lākou ʻo ADHD a me Tourette's Syndrome .
He aha nā ʻano like ma waena o kēia mau kūlana ʻelua?
ʻOiai ʻelua mau maʻi like ʻole ʻo ADHD (Attention-Deficit/Hyperactivity Disorder) a me Tourette's Syndrome, he nui nā ʻano like o lāua. ʻO ia ke kumu i kekahi manawa ʻaʻole wale nā mākua, akā hiki i nā kauka ke huikau i nā mea ʻelua.
- Makahiki o ka hoʻomaka ʻana: Hoʻomaka pinepine nā hōʻailona o nā kūlana ʻelua i ka makahiki like. Hoʻomaka pinepine nā hōʻailona ADHD ma waena o nā makahiki 3 a me 6. Hoʻomaopopo pinepine ʻia i ka wā kula. Hoʻomaka pinepine nā hōʻailona o ka Tourette's Syndrome ma kahi o 7 makahiki.
- Nā hōʻailona e like me ka Tic: ʻO ka hōʻailona nui o ka Tourette's Syndrome he mau neʻe hana hou ʻole a i ʻole nā leo i kapa ʻia he tics . Hiki i nā laʻana ke lilo i mau mea maʻalahi e like me ka ʻālohilohi ʻana i kou mau maka , ka hana ʻana i nā leo e like me ke kohi ʻana i kou ihu, ka hoʻomaʻemaʻe ʻana i kou puʻu, a i ʻole ke ʻū ʻana. I kekahi manawa hiki iā lākou ke paʻakikī, e like me ka hāpai ʻana i kou mau poʻohiwi, ka hoʻololi ʻana i nā ʻano helehelena, ka lulu ʻana i kou poʻo, a i ʻole ka hana hou ʻana i nā huaʻōlelo a i ʻole nā mālamalama.
I kēia manawa, e noʻonoʻo, ʻaʻole noho kahi keiki me ADHD ma kahi hoʻokahi. Ke neʻe mau nei ʻo ia, e neʻe ana a puni, a i kekahi manawa e hana ana i nā leo ʻakaʻaka. Hiki ke like kēia me nā tics i ka nānā mua ʻana. Akā aia kahi ʻokoʻa ma waena o nā mea ʻelua, a e kamaʻilio mākou e pili ana i kēlā ma hope.
- ʻO ka hanana like ʻana o nā maʻi ʻelua: Loaʻa paha i kekahi mau keiki nā maʻi ʻelua. ʻO ka ʻoiaʻiʻo, ua ʻike ʻia e ka noiʻi he ʻoi aku ma mua o 60% o nā keiki me ka Tourette's Syndrome he ADHD. ʻOi aku ka nui o ka loaʻa ʻana o kēia mau keiki i nā maʻi ʻē aʻe, e like me ka maʻi obsessive-compulsive (OCD) , nā pilikia aʻo, a me ke kaumaha.
- Pilina hoʻoilina: Ua ʻike nā kānaka noiʻi aia paha kahi pilina hoʻoilina ma waena o ka Tourette 's Syndrome a me nā maʻi e like me ADHD a me OCD. I ka ʻōlelo maʻalahi, ʻo ke kumu olaola e hana pū ai kēia mau maʻi ua like like.
No laila he aha nā ʻokoʻa maopopo ma waena o nā mea ʻelua?
ʻOiai aia nā ʻano like ma waena o kēia mau kūlana ʻelua, aia kekahi mau ʻokoʻa maopopo. He mea nui e ʻike i kēia mau ʻokoʻa e ʻike pololei ai i ke ʻano o kāu keiki.
He mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei, no ka mea, e hoʻoholo ai i nā koho lapaʻau maikaʻi loa no kāu keiki.
E hoʻomaopopo kākou i kēia mau ʻokoʻa me kahi papa.
| ʻAno | I ke ʻano o ADHD | I ke ʻano o ka Tourette's Syndrome |
|---|---|---|
| Pilikia nui | Ka paʻakikī i ka noʻonoʻo ʻana, ka hyperactivity, a me ka hana impulsive. | Nā neʻe kino a i ʻole nā leo i hana hou ʻia (tics) i hiki ʻole ke kāohi ʻia. |
| ʻAno o nā neʻe ʻana | ʻO ka maʻamau he ʻano hoʻoluhi a hoʻomaha ʻole. Paʻakikī ke noho ma kahi hoʻokahi. ʻAʻole kēia mau mea e hana ʻia ma ke ʻano kikoʻī. | Nā neʻe wikiwiki a hana hou ʻia ma ke ʻano kikoʻī (e laʻa, ke ʻimo ʻana, ka hāpai ʻana i nā poʻohiwi). ʻAʻole hiki ke kāohi ʻia kēia mau mea. |
| Ka paʻa | Hoʻomau pinepine nā hōʻailona a hiki i ka wā makua. | Hoʻemi pinepine ʻia a nalo loa paha nā Tics i ka hopena o nā makahiki ʻōpio a i ʻole ka wā makua. |
| Ka laha ʻana | He ʻano maʻamau i ʻike ʻia i waena o nā kānaka he nui. | He maʻi kakaikahi loa i ka hoʻohālikelike ʻia me ADHD. |
Nā kumu ʻē aʻe
ʻOiai he mea maʻamau nā mana hoʻoilina i nā kūlana ʻelua, hiki i nā kumu ʻē aʻe ke kōkua i ka ADHD. No ka laʻana, ʻo ka ʻeha o ka lolo, ke kaumaha haʻahaʻa i ka wā hānau, a i ʻole ka puhipaka a me ka inu ʻona a ka makuahine i ka wā hāpai hiki ke hoʻonui i ka pilikia o ka ADHD.
Pehea e loaʻa ai ka hōʻoia kūpono a me ka lāʻau lapaʻau?
ʻO kāu kauka wale nō ke ʻike maopopo inā he ADHD, Tourette's Syndrome, nā mea ʻelua, a i ʻole kekahi maʻi ʻē aʻe nā hōʻailona o kāu keiki. ʻAʻohe hoʻāʻo kūikawā e ʻike ai i kekahi o nā maʻi.
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i nā hōʻailona o kāu keiki, e like me ka wā i hoʻomaka ai lākou. I kekahi manawa, hiki ke hana ʻia nā hoʻāʻo koko a i ʻole nā hoʻokolohua lapaʻau ʻē aʻe e nānā i nā kūlana olakino ʻē aʻe.
Lapaʻau no ka ADHD
I ka mālama ʻana i kahi keiki me ADHD, hoʻohana pinepine ʻia ka hui pū ʻana o nā lāʻau lapaʻau a me ka behavioral therapy .
- Nā lāʻau lapaʻau: ʻO nā mea hoʻoulu ka ʻano lāʻau lapaʻau i hoʻohana nui ʻia. Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e like me atomoxetine, guanfacine, a me clonidine.
- Lapaʻau Hana : Pili kēia i ke kōkua ʻana i ke keiki e hoʻomohala i nā ʻano maikaʻi ma kahi o nā ʻano pilikia. I ka ʻōlelo maʻalahi, aʻo ia i ke keiki e kāohi i nā ʻano pilikia ma ka hoʻomaikaʻi ʻana i nā ʻano maikaʻi.
Lapaʻau no ka Tourette's Syndrome
Inā loaʻa i kāu keiki ʻo Tourette, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā tics. He mea kūpono loa hoʻi ka behavioral therapy no kēia.
- Nā lāʻau lapaʻau: Hoʻohana ʻia kekahi mau lāʻau ADHD, nā lāʻau epilepsy, nā antidepressants, a me nā lāʻau lapaʻau e kāohi ana i ka kemika dopamine o ka lolo no kēia kumu. ʻOiai ʻaʻole hiki i nā lāʻau lapaʻau ke hoʻōki loa i nā tics, hiki iā lākou ke kōkua i ka kaohi ʻana iā lākou.
- Lapaʻau Hana: ʻO ka Hoʻohuli Hana kekahi ʻano hana kūpono i hoʻohana ʻia no kēia. Maanei, ʻike ka mea lapaʻau e kokoke ana kahi tic a aʻo i ka mea maʻi e hana i kahi ʻano hana a neʻe paha e pani iā ia i kēlā manawa. ʻO ka Comprehensive Behavioral Intervention for Tics (CBIT) kekahi ʻano lapaʻau.
He aha inā loaʻa i ke keiki nā maʻi ʻelua?
Inā loaʻa i ke keiki ka ADHD a me ka Tourette's, e hoʻowalewale ʻia paha ke kauka e mālama mua i ke kūlana ADHD . ʻO kēia no ka mea ke kāohi ʻia ke kūlana ADHD, e emi ana ke kaumaha o ka noʻonoʻo o ke keiki a e hoʻomaikaʻi ka nānā ʻana. ʻO ka hopena, hiki i ka hiki o ke keiki ke kāohi i kā lākou tics ke hoʻomaikaʻi i kekahi manawa.
Leka Lawe-Home
- ʻElua mau kūlana like ʻole ka ADHD a me ka Tourette's Syndrome, akā hiki i kekahi mau keiki ke loaʻa i nā mea ʻelua i ka manawa like.
- ʻO ke ʻano nui o ka ADHD nā pilikia me ka nānā ʻana a me ka hyperactivity, ʻoiai ʻo ke ʻano nui o Tourette ʻo ia nā tics hiki ʻole ke kaohi.
- Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, mai hoʻoholo ma muli o kāu mea i heluhelu ai ma ka pūnaewele a i ʻole e lohe ai mai nā poʻe ʻē aʻe. E hōʻoia e ʻike i kahi kauka kūpono.
- Aia nā lāʻau lapaʻau kūpono loa no kēia mau kūlana ʻelua. Me ka ʻike kūpono a me ka lāʻau lapaʻau kūpono, hiki i kāu keiki ke ola i kahi ola maʻamau a hauʻoli.
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