Ke luhi nei ʻoe i kekahi manawa, hiki ʻole ke noʻonoʻo i hoʻokahi hana, a i ʻole e poina mau i kekahi mea? Manaʻo ka poʻe he nui he mau mea maʻamau kēia. Akā, he hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo ADHD ( Attention Deficit Hyperactivity Disorder) , ʻaʻole i kamaʻilio nui ʻia akā he mea maʻamau i waena o nā pākeke. I ka hapanui o nā hihia, ua loaʻa kēia maʻi mai ka wā kamaliʻi, akā ua loaʻa paha a hiki i ka wā makua me ka ʻike ʻole ʻia.
He ʻokoʻa anei ka ADHD o nā mākua mai ka ADHD o nā kamaliʻi?
ʻAe, hiki ke loli i kekahi ʻano. Hiki ke emi iho ka hyperactivity i ʻike ʻia i ka wā kamaliʻi i kou lilo ʻana i kanaka makua. Akā, hiki ke kū mai nā pilikia ʻē aʻe.
E noʻonoʻo i kēia ʻano. He pilikia kou i ka noʻonoʻo ʻana i ka hana ma ke keʻena, ke auwana mau nei kou manaʻo. Ke hakakā nei ʻoe e hoʻopau i kahi hana koʻikoʻi me kahi lā palena. A i ʻole poina mau ʻoe i kahi āu i waiho ai i kāu mau kī a i ʻole ʻeke kālā ma ka home. He pilikia kou i ka mālama ʻana i nā mea i maʻemaʻe a hoʻonohonoho pono ʻia. ʻŌlelo ʻoe a hana i nā mea ma ka wikiwiki o ka manawa (impulsivity). Hiki i kēia mau mea ke loaʻa ka hopena nui i kāu hana, ke ola ʻohana, nā pilina aloha, a me kou hilinaʻi iā ʻoe iho.
ʻO ka mea nui, ʻaʻole ʻo ADHD kou hewa a i ʻole kou palaualelo. He maʻi lapaʻau ia e hiki ke mālama ʻia i hoʻokumu ʻia e kahi loli i ka hana o ka lolo.
ʻO ka lāʻau like nō ia e hāʻawi ʻia i nā mākua e like me nā keiki ʻōpio. Eia nō naʻe, pono e hoʻopilikino ʻia i kou makahiki, nā hōʻailona, a me ke ʻano o ka nohona. ʻO ka maʻamau, pili kēia i ka hui pū ʻana o kekahi mau ʻano lapaʻau (lāʻau multimodal). ʻO ia hoʻi nā mea e like me nā lāʻau lapaʻau, nā ʻano hana hoʻololi ʻano, ke aʻo ʻana i nā mākau ola, a me ke aʻo ʻana.
He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana?
ʻO ka lāʻau lapaʻau ke kumu nui o ka mālama ʻana iā ADHD. Akā hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono a me ka nui nou. He mea ia e pono ai ʻoe e hana pū me kāu kauka a hoʻāʻo iki.
Nā ʻano lāʻau lapaʻau nui
ʻO kēia nā lāʻau lapaʻau maʻamau a me ka laina mua i hoʻohana ʻia no ka ADHD. Hana kēia mau lāʻau lapaʻau i kekahi ʻano ma ka hoʻoponopono ʻana i ka hana o nā kemika (neurotransmitters) i loko o ka lolo e pili ana i ka nānā ʻana a me ka kaohi.
- Methylphenidate
- ʻAmphetamine
- ʻO ka Dextroamphetamine
- ʻO Lisdexamfetamine
ʻO ka maʻamau, ʻo ke kaukaE hoʻomaka ʻoe me kahi mahele haʻahaʻa loa o kēia lāʻau lapaʻau. A laila hoʻoponopono ʻia ka mahele i kēlā me kēia 7 lā a hiki i ka liʻiliʻi o nā hopena ʻaoʻao akā ua kāohi maikaʻi ʻia nā hōʻailona. No nā pākeke, ʻo nā lāʻau lapaʻau hana lōʻihi ka koho maikaʻi loa. No ka mea hana lākou no kahi o 10-14 mau hola, hiki ke lawe ʻia i hoʻokahi manawa i ka lā.
| Nā hopena ʻaoʻao a me nā pilikia o nā lāʻau hoʻoulu | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao maʻamau | Ka nalowale ʻana o ka makemake, ka emi ʻana o ke kaumaha, ka hiamoe ʻole, ka ʻeha poʻo, ka waha maloʻo, kekahi haʻalulu, ka hopohopo, a me ka piʻi iki ʻana o ke koko a me ka puʻuwai. Hiki ke hoʻomalu ʻia kēia mau mea he nui ma ka hoʻoponopono ʻana i ka nui o ka lāʻau. |
| ʻAʻole kūpono no kēlā poʻe | ʻAʻole hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau i nā poʻe me nā maʻi e like me ka maʻi puʻuwai, ke koko kiʻekiʻe i kāohi ʻole ʻia, ka maʻi bipolar, ka hopohopo, ka mōʻaukala o ka hoʻohui lāʻau lapaʻau, a me ka Tourette's syndrome. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi ʻē aʻe , pono ʻoe e haʻi i kāu kauka. |
2. Nā mea hoʻoulu ʻole
Inā ʻaʻole hana nā lāʻau hoʻoulu iā ʻoe, e ʻōlelo paha kāu kauka i kēia ʻano lāʻau. ʻO kahi laʻana ʻo Atomoxetine (Strattera). He manawa iki kēia e hana ai, akā hana maikaʻi lākou no kekahi poʻe.
3. Nā lāʻau hoʻohaʻahaʻa kaumaha
ʻAʻole kēia nā koho mua no ka ADHD. Eia nō naʻe, ua ʻike ʻia kekahi mau antidepressants, ʻoiai ʻo Bupropion (Wellbutrin), e kōkua i ka kaohi ʻana i nā hōʻailona ADHD. Hiki i kāu kauka ke noʻonoʻo i kēia mau lāʻau lapaʻau, ʻoiai inā loaʻa iā ʻoe ke kaumaha a hopohopo paha me kāu ADHD.
Pehea ke koʻikoʻi o ka talk therapy?
He mea nui loa! ʻO ke aʻo maikaʻi i hui pū ʻia me ka lāʻau lapaʻau kūpono he hui ikaika loa ia. E kōkua kēia ʻaʻole wale iā ʻoe, akā, i kou ʻohana hoʻi e hoʻomaopopo i ka ADHD a hoʻoponopono i nā pilikia e lawe mai ana.
Nā ʻano kūkākūkā nui
- ʻO ka Cognitive Behavioral Therapy (CBT): I ka ʻōlelo maʻalahi, aʻo ia iā ʻoe pehea e hoʻololi ai i kou manaʻo a me kāu hana, a loaʻa ka mana ma luna o kou ola. Hiki ke kōkua nui no nā pilikia ma ka hana, ma nā pilina, ma ka hoʻokele manawa, a me ka hoʻonohonoho ʻana i nā mea.
- ʻO ka Lapaʻau Male a me ka ʻOhana: Hiki i kēia ke kōkua i kou ʻohana e hoʻomaopopo ʻaʻole ʻoe e hana nei i kēia mau mea no ka luhi a i ʻole ke kuleana ʻole, akā he maʻi olakino kēia. Hiki iā ia ke kōkua iā ʻoe e kamaʻilio maikaʻi aku kekahi me kekahi a ʻike i nā ʻano e hoʻoulu ai i nā pilikia.
- Kumu Aʻo ADHD: He mea hou kēia. Kōkua kēia kumu aʻo iā ʻoe me nā mea kūpono. ʻO ia hoʻi, hāʻawi lākou iā ʻoe i nā ʻōlelo aʻoaʻo a me nā manaʻo no ka hana ʻana i nā hoʻolālā, hoʻonohonoho i nā pahuhopu, hoʻokele manawa, a hoʻonohonoho i nā mea.
He aha inā he mau pilikia olakino ʻē aʻe kāu e pili ana i ka ADHD?
He mea nui loa nō hoʻi kēia. ʻOi aku ka nui o ka poʻe me ADHD e hoʻomohala i nā pilikia olakino noʻonoʻo ʻē aʻe, e like me ka hopohopo, ke kaumaha, a me nā maʻi hoʻohana ʻona.
No laila, i ka wā e mālama ai iā ʻoe, pono kāu kauka e noʻonoʻo i kēia mau mea āpau, no ka mea, hiki i ka lāʻau lapaʻau no kekahi maʻi ke hoʻopilikia i kekahi.
Eia kekahi laʻana, hiki i kekahi mau lāʻau hoʻoulu no ka ADHD ke hoʻonui i ka hopohopo. No laila, inā loaʻa iā ʻoe nā kūlana ʻelua, e hoʻolālā kāu kauka i kāu lāʻau lapaʻau e pili ana i ke kūlana e hoʻoulu ai i ka nui o nā pilikia. Eia kekahi, ua hōʻike nā haʻawina e hiki i ka mālama pono ʻana i ka ADHD ke kōkua iā ʻoe e lanakila i ka hoʻohui lāʻau.
No laila, inā ʻike ʻoe i kekahi mau loli a i ʻole nā hōʻailona hou, he mea nui loa ia e kamaʻilio ākea me kāu kauka e pili ana iā lākou. ʻO ka nui o ka ʻike āu e hāʻawi ai i kāu kauka, ʻo ka maʻalahi hoʻi iā ia ke hāʻawi iā ʻoe i ka lāʻau kūpono loa.
Leka Lawe-Home
- ʻAʻole wale ka ADHD kahi mea e hoʻopilikia ai i nā keiki. Hiki i nā pākeke ke loaʻa i kēia maʻi, a ʻaʻole paha lākou e ʻike.
- ʻAʻole kēia he palaualelo a he kuhihewa paha. He maʻi lapaʻau ia e hiki ke mālama ʻia.
- ʻAʻole wale ka lāʻau lapaʻau e pili ana i ka lāʻau lapaʻau. Ke hui pū ʻia ka lāʻau lapaʻau, ke aʻo ʻana (therapy), a me ke aʻo ʻana i nā mākau ola, he holomua loa nā hopena.
- He lōʻihi paha ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono a me ka nui o nā lāʻau nou. E hoʻomanawanui a e hana pū me kāu kauka e ʻike i ka mea kūpono.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei (e like me ka maʻi puʻuwai, ke koko kiʻekiʻe, ke kaumaha) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻAʻole ʻoe hoʻokahi. Nui ka poʻe e ola kūleʻa ana me kēia maʻi. ʻO ka ʻimi ʻana i ke kōkua kūpono ke kaʻina mua.
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