Ua ʻike anei ʻoe i kahi loli nui i ke ʻano o kāu keiki? Ke ʻike ʻia nei kāu keiki he hauʻoli loa a ʻeleu i kekahi mau lā, a laila kaumaha loa, huhū, a hoʻowahāwahā i ka lā aʻe? He mea maʻamau iā ʻoe ma ke ʻano he makua ke manaʻo nui i ka hopohopo ke ʻike ʻoe i nā loli nui e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i ka maʻi bipolar, kahi maʻi olakino noʻonoʻo hiki ke ʻike ʻia i nā keiki, akā ʻaʻole ʻike ka poʻe he nui.
He aha ka maʻi Bipolar?
I ka ʻōlelo maʻalahi, ʻo ka bipolar kahi kūlana e loli koke ai ke ʻano o ke kanaka, ka pae hana, a me nā manaʻo i ʻelua ʻaoʻao. Ma kekahi ʻaoʻao, hiki ke loaʻa ka hauʻoli nui, ka pīhoihoi, a me ka hana (kapa mākou i kēia he 'manic episode'). Ma kekahi ʻaoʻao, hiki ke loaʻa ke kaumaha nui, ka hopohopo, a me ka manaʻo o ka manaʻolana ʻole (kapa mākou i kēia he 'depressive episode').
ʻOiai ʻike pinepine ʻia kēia maʻi i nā ʻōpio a me nā pākeke, hiki ke loaʻa i kekahi manawa i nā keiki i piha i ka 6 mau makahiki. Eia nō naʻe, hiki ke paʻakikī ke ʻike i kahi keiki me kēia maʻi. ʻO kēia no ka mea hiki i nā hōʻailona ke like me nā kūlana ʻē aʻe, e like me ka maʻi hyperactivity deficit attention (ADHD), a i ʻole ke ʻano maʻamau o ke keiki.
No laila, inā he kānalua kou e pili ana i ke ʻano o kāu keiki , mai lele koke i nā hopena. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kūkākūkā me kahi loea i ʻike maikaʻi i kāu keiki. Inā pono, pono e ʻimi i kahi manaʻo ʻelua mai kekahi kauka ʻē aʻe.
He aha ka ʻokoʻa ma waena o nā keiki ʻōpio a me nā mākua?
Ke hoʻopilikia ka maʻi bipolar i kahi keiki ʻōpio, ʻokoʻa iki paha nā hōʻailona ma mua o ka mea i loko o kahi pākeke. E nānā kākou i nā ʻokoʻa nui.
| ʻAno | Ke kūlana o nā mākua | Ke kūlana o nā keiki liʻiliʻi |
|---|---|---|
| Pae Manic | Ka hauʻoli nui, ka hoihoi, ka ikaika. | Ma kahi o ka hauʻoli nui, hiki iā ʻoe ke hōʻike i ka huhū nui a me ka hoʻomaha ʻole . |
| Pae Kaumaha | ʻO ke kaumaha nui, ka luhi me ke ola, ka emi ʻana o ka hana. | Hiki paha iā ʻoe ke hoʻopiʻi e pili ana i nā hōʻailona kino (e like me ka ʻeha ʻōpū, ke poʻo hina) ma mua o ka pilikia noʻonoʻo. |
| Nā Hōʻailona Psychotic | Hiki ke hana, akā he mea kakaikahi ia i nā keiki. | ʻOi aku ka nui o ko lākou ʻike ʻana a lohe ʻana paha i nā mea i ʻike ʻole ʻia ma mua o nā pākeke. |
| Ka wikiwiki o ke kaʻina hana o ka maʻi | Aia paha he wahi o nā pule, nā mahina, a i ʻole nā makahiki ma waena o nā hanana o ka mania a me ke kaumaha. | Hiki ke loli koke. Hiki iā ʻoe ke hoʻololi ma waena o nā hōʻailona manic a me depressive i loko o ka lā hoʻokahi . |
ʻO kekahi kūlana olakino ʻē aʻe: DMDD
I kēia mau lā iho nei, ua ʻike ʻia kekahi ʻano like me ka bipolar, akā he ʻokoʻa. Ua kapa ʻia ʻo ia ʻo Disruptive Mood Dysregulation Disorder (DMDD). He ʻano kēia e hoʻopilikia ai i nā keiki ma waena o nā makahiki 6 a me 18, a ua hōʻailona ʻia e nā hanana lōʻihi o ka huhū nui a me nā ʻano hana pinepine. ʻAʻole ia he bipolar. No laila, he mea nui e loaʻa kahi hōʻailona pololei.
Pehea ʻoe e kōkua ai ma ke ʻano he makua?
Inā ua ʻike ʻia kāu keiki me ka maʻi bipolar , nui nā mea hiki iā ʻoe ke hana e kōkua iā lākou e noho olakino. Eia kekahi mau ʻōlelo aʻoaʻo.
- E hāʻawi i kāu keiki i ka lāʻau i ka manawa kūpono: ʻO kēia ka mea nui loa. Pono ʻoe e hāʻawi i kāu keiki i ka lāʻau i kuhikuhi ʻia e ke kauka (e like me nā `mood-stabilizers`, `antipsychotic medications`) i ka manawa kūpono. Inā pilikia ʻoe i ka hoʻomanaʻo ʻana, e hoʻonohonoho i kahi hoʻomanaʻo ma kāu kelepona, e hoʻohana i kahi pahu pill, a i ʻole e kākau i lalo ma kekahi wahi. Inā pono kāu keiki e lawe i ka lāʻau i ko lākou wā ma ke kula, e kamaʻilio me ke kumu a i ʻole ke kahu maʻi kula e pili ana i ia mea a hana i kahi hoʻolālā.
- E makaʻala i nā hopena ʻaoʻao:Ua hoʻāʻo mua ʻia nā lāʻau lapaʻau he nui no kēia ʻano ma nā pākeke. No laila, hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i nā poʻe ʻōpio (e like me ka piʻi ʻana o ke kaumaha, nā loli i ke kō koko a me nā pae cholesterol). E nīnau i kāu kauka i nā hōʻailona e makaʻala ai. Pono paha ʻoe e hana i nā hoʻāʻo koko maʻamau.
- E kamaʻilio me nā kumu ma ke kula: Pono paha ke keiki me ka maʻi bipolar i ke kākoʻo kūikawā ma ke kula. Hiki i kēia ke komo pū me nā hoʻomaha keu i nā manawa paʻakikī, ka hoʻemi ʻia ʻana o ka hana home, a pēlā aku. No laila e kamaʻilio me nā kumu a e hana i kahi hoʻolālā e kōkua i kāu keiki. I kekahi manawa, pono paha e mālama i kāu keiki mai ke kula no kekahi manawa a hiki i ka paʻa ʻana o nā hōʻailona .
- E hoʻokumu i kahi hana maʻamau: Hiki i kahi keiki e like me kēia ke pōmaikaʻi nui mai ka loaʻa ʻana o kahi hana maʻamau. E ala, e ʻai, e hoʻoikaika kino, a e moe i ka manawa like i kēlā me kēia lā. E ho'āʻo e hōʻemi i ke kaumaha ma ka home e like me ka hiki.
- E noʻonoʻo i ka hoʻōla ʻohana: Hiki i ke kūlana o ke keiki ke hoʻopilikia i ka ʻohana holoʻokoʻa. Hiki iā ia ke kau i kahi pilikia ma kāu male ʻana. ʻAʻole maopopo paha i nā keiki ʻē aʻe ka mea e hana nei me ko lākou kaikaina, a huhū paha lākou no ka nānā ʻana iā lākou. Hiki i ka hoʻōla ʻohana ke kōkua i nā mea āpau e ʻike a hoʻoponopono i kēia mau pilikia.
- Mai lawe māmā i nā hoʻoweliweli e hoʻoweliweli ana i ke ola: ʻAʻohe makua e makemake e noʻonoʻo e pili ana i kā lākou keiki e hōʻeha ana iā lākou iho. ʻO ka mea pōʻino, hiki ke hana ʻia kēlā mau mea i waena o nā keiki liʻiliʻi. No laila, inā ʻōlelo kāu keiki makemake lākou e make a hana paha i nā mea e hoʻoweliweli ai i ko lākou ola, mai lawe māmā. E wehe koke i nā mea kaua, nā lāʻau lapaʻau weliweli, a pēlā aku mai ka hale aku. Eia kekahi, e ʻimi koke i ke kōkua lapaʻau. Inā pono, e lawe iā lākou i ka haukapila kokoke loa i ka Emergency Department (ETU).
He aha inā he ʻōpiopio kāu keiki?
Ke hiki ke keiki i ka wā ʻōpio, ua like loa nā hōʻailona a me ka mālama ʻana i ka maʻi bipolar me nā mea o nā pākeke. Eia nō naʻe, hiki ke loaʻa nā pilikia kūikawā i ka wā e hana ai me kahi keiki o kēia makahiki.
I ko lākou ʻelemakule ʻana, manaʻo paha lākou e koi ana ʻoe iā lākou e lawe i ka lāʻau lapaʻau. No laila, he mea nui loa ia e hoʻokomo iā lākou i kēia mau kamaʻilio a me nā hoʻoholo. Me ke kauka, e kamaʻilio ākea me kāu keiki e pili ana i nā koho lapaʻau.
E like me nā mākua, he mea nui i kēia mau keiki ke noho mamao loa mai ka waiʻona a me nā lāʻau lapaʻau, no ka mea hiki iā lākou ke launa pū me nā lāʻau lapaʻau a i ʻole e hoʻonui i ke ʻano. Eia kekahi, ʻo ka hiamoe ʻana a me ke ala ʻana i ka manawa kūpono, ke kaumahaHe mea nui loa nō hoʻi ke aʻo ʻana pehea e kaohi ai iā ʻoe iho.
Leka Lawe-Home
- He paʻakikī ka ʻike ʻana i ka maʻi bipolar i nā keiki. No laila, ma kahi o ka lele ʻana i nā hopena, e ʻike i kahi loea. E kiʻi i ka manaʻo ʻelua inā pono.
- He mea nui e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono a me ka nui kūpono . E makaʻala i nā hopena ʻaoʻao.
- E hoʻokumu i kahi hana maʻamau no kāu keiki. E kōkua nui kēia i ka mālama ʻana i ko lākou ʻano.
- E hoʻomaopopo i nā kumu kula a me nā ʻohana ʻē aʻe e pili ana i kēia kūlana a e kiʻi i ke kākoʻo o nā mea a pau .
- Inā ʻōlelo a hana paha kāu keiki ma ke ʻano e hōʻino ana iā ia iho, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.
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