Ke haʻi aku ke kauka iā ʻoe ua loaʻa i kāu keiki ka ADHD ( Attention Deficit Hyperactivity Disorder) a haʻi iā ʻoe e hoʻomaka i ka lāʻau lapaʻau no ia mea, he mea maʻamau iā ʻoe ma ke ʻano he makua ke manaʻo i kahi kaumaha nui ma kou puʻuwai. "He aha ka mea e hana ʻia inā hāʻawi wau i kaʻu keiki liʻiliʻi i ka lāʻau?", "E hōʻeha anei kēia iā ia?", a pēlā aku. Nui paha nā nīnau e hiki mai ana i ka noʻonoʻo. Akā, mai hopohopo. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia ma nā ʻōlelo maʻalahi e pane i kāu mau nīnau. E wehewehe mākou i kēia mau mea pākahi, e like me kāu e kamaʻilio ai me kāu hoaaloha ponoʻī.
Ke hana like nei anei ka hana like no kēlā me kēia keiki?
ʻAʻole. ʻO kēia ka mea mua e pono ai mākou e hoʻomaopopo. ʻOkoʻa ke ʻano o ka mālama ʻana iā ADHD mai kekahi keiki a i kekahi. E noʻonoʻo, inā he ʻumi mau keiki ma ka papa hoʻokahi i loaʻa iā lākou ka ADHD, ʻokoʻa paha ka hoʻolālā lapaʻau i hāʻawi ʻia iā lākou he ʻumi. ʻO ke kumu o kēia, ʻokoʻa nā hōʻailona o kēlā me kēia keiki, ko lākou hopena, a me ko lākou mau pono.
Hoʻolālā pinepine nā kauka i ka lāʻau lapaʻau penei:
- No nā keiki ma lalo o 6 mau makahiki: Manaʻo pinepine nā loea e hoʻomaka me ka behavioral therapy ma mua o ka hāʻawi ʻana i ka lāʻau lapaʻau.
- No nā keiki ma luna o 6 mau makahiki: No nā keiki o kēia makahiki, ʻo ka hui pū ʻana o nā lāʻau lapaʻau a me ka hoʻoponopono ʻana i ka hana ka mea kūpono loa.
Na ke kauka e mālama ana i kāu keiki e koho i ka mea kūpono loa i kāu keiki mai kēia mau koho.
- Malia paha hoʻokahi wale nō ʻano lāʻau lapaʻau i hāʻawi ʻia.
- A i ʻole, hiki ke hāʻawi ʻia kahi hui pū ʻana o kekahi mau lāʻau lapaʻau (kapa mākou i kēia lāʻau lapaʻau adjunctive).
- Hoʻokomo pinepine ʻia ka Behavioral therapy me ka lāʻau lapaʻau.
ʻO ka mea nui, hiki i ke kauka ke hoʻololi i ke ʻano o ka lāʻau lapaʻau a i ʻole ka nui a hiki i kona loaʻa ʻana o ka lāʻau lapaʻau e kūpono loa ana no kāu keiki. No laila, mai hopohopo.
He aha nā lāʻau lapaʻau nui i hoʻohana ʻia no ka ADHD?
ʻEkolu mau ʻano lāʻau lapaʻau nui i hoʻohana ʻia e mālama ai i ka ADHD. E nānā kākou i ko lākou ʻano.
1. Nā mea hoʻoulu
3. Nā lāʻau hoʻohaʻahaʻa kaumaha
I kēia manawa, e kamaʻilio kākou e pili ana i kēlā me kēia ʻano, ma ke ʻano kikoʻī.
E kamaʻilio mua kākou e pili ana i nā mea hoʻoulu.
I ka manawa pinepine, e hoʻomaka kāu kauka i kāu keiki me kahi mahele haʻahaʻa o kēia ʻano lāʻau. He mau lāʻau lapaʻau lōʻihi kēia mau lāʻau lapaʻau, i hoʻāʻo maikaʻi ʻia no ka ADHD. Hiki iā lākou ke kōkua nui no nā keiki i pilikia i ka hana kula, ka hana home, a i ʻole ka launa pū ʻana.
ʻOiai ua kapa ʻia kēia mau mea he "stimulants," ʻaʻole e hoʻonui ka lawe ʻana iā lākou i ke kolohe o ke keiki. ʻO ka ʻoiaʻiʻo, ʻo ka mea ʻē aʻe ka mea e hana nei. Kōkua kēia mau lāʻau lapaʻau i ka mālama ʻana i ka manaʻo o ke keiki a pale iā lākou mai ka hoʻohuli ʻia e nā mea pono ʻole .
Nā lāʻau lapaʻau ʻano hoʻoulu
Eia kekahi mau laʻana o kēia ʻano lāʻau lapaʻau. Hiki i kāu kauka ke kuhikuhi i kekahi o kēia mau mea. (ʻAʻole paha e loaʻa kēia mau lama āpau ma Sri Lanka, akā ʻo ia nā lāʻau lapaʻau nui i hoʻohana ʻia ma ka honua holoʻokoʻa.)
| Inoa Lapaʻau | Nā Inoa Lama |
|---|---|
| ʻAmphetamine | ʻAdderall, Adderall XR, Adzenys XR-ODT |
| ʻO Dexmethylphenidate | Focalin, Focalin XR |
| ʻO Lisdexamfetamine | ʻO Vyvanse |
| Methylphenidate | ʻAha Mele, Daytrana, Jornay, Ritalin |
| serdexmethylphenidate/ dexmethylphenidate | ʻAzstarys |
ʻOkoʻa nō hoʻi ka lōʻihi o ka hana o kēia lāʻau lapaʻau.
Ua māhele ʻia kēia mau lāʻau hoʻoulu i kekahi mau ʻano e pili ana i ka lōʻihi o ka hana.
- Hana pōkole:Hana koke kēia mau mea a hoʻopau koke ʻia mai ke kino. No laila, pono ʻoe e lawe iā lākou i nā manawa he nui i ka lā. ʻO ka maʻamau, he 4 hola ka lōʻihi o ko lākou ola ʻana.
- Hana waena: Hana kēia no kekahi mau hola ma mua o nā mea hana pōkole.
- Hana lōʻihi: Lawe pinepine ʻia kēia ʻano lāʻau i hoʻokahi manawa i ka lā. Hiki ke mau no kahi o 8-12 mau hola. He mea kūpono loa kēia no nā keiki kula no ka mea hiki ke hāʻawi ʻia iā lākou i hoʻokahi i ke kakahiaka e uhi i ka lā holoʻokoʻa.
He mea nui loa: Inā loaʻa i kāu keiki nā maʻi ʻē aʻe (e like me ka maʻi puʻuwai), a inā he moʻolelo ko kekahi o kou ʻohana no ia mau maʻi, pono ʻoe e haʻi i kāu kauka i nā kikoʻī āpau ma mua o ka hāʻawi ʻana i kēia lāʻau.
I kēia manawa, e nānā kākou i nā mea non-stimulants.
He mau lāʻau lapaʻau hoʻoulu ʻole kēia. Hiki iā lākou ke kōkua i ka noʻonoʻo ʻana o kāu keiki a me ka kaohi ʻana i ka impulse. Inā ʻaʻole hana nā lāʻau lapaʻau hoʻoulu no kāu keiki, a inā paha e hoʻoulu lākou i nā hopena ʻino, hiki i kāu kauka ke ʻōlelo aku i kahi lāʻau lapaʻau hoʻoulu ʻole.
I kekahi manawa hāʻawi ʻia kēia ʻano lāʻau lapaʻau ma waho aʻe o kahi lāʻau hoʻoulu. Ua hōʻike ʻia nā noiʻi i ka wā e hāʻawi ʻia ai ma kēia ʻano, ʻoi aku ka nui o ka holomua o ka lāʻau.
| Nā lāʻau lapaʻau ʻaʻole hoʻoulu i ʻae ʻia no ADHD | |
|---|---|
| ʻAtomoxetine | (Strattera) |
| ʻO Clonidine hydrochloride ER | (Kapvay) |
| ʻO Guanfacine ER | (ʻIke Loa) |
| Viloxazine | (Qelbree) |
- ʻAtomoxetine (Strattera):Hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i ka nui o kahi kemika i kapa ʻia ʻo norepinephrine i loko o ka lolo. Kōkua kēia i ka hōʻemi ʻana i ka hyperactivity a me ke ʻano impulsive o ke keiki.
- ʻO Clonidine lāua ʻo Guanfacine: Ua hoʻomohala mua ʻia kēia mau lāʻau lapaʻau e mālama i ke koko kiʻekiʻe, akā hoʻopilikia pū lākou i kekahi mau mea loaʻa kemika i loko o ka lolo, e kōkua ana i ka hoʻomalu ʻana i ka hoʻomanaʻo o ke keiki, ka nānā, ka impulsivity, a me ka hyperactivity.
I loko o nā kūlana hea e hāʻawi ʻia ai nā antidepressants?
Hiki i kekahi mau keiki me ADHD ke loaʻa i nā maʻi olakino noʻonoʻo ʻē aʻe, e like me ke kaumaha. I kēia mau hihia, hiki i ke kauka ke kuhikuhi i kahi antidepressant me kahi lāʻau hoʻoulu.
ʻAʻole i ʻae pono ʻia kēia mau lāʻau lapaʻau no ADHD, akā ua hōʻike nā haʻawina e hiki iā lākou ke kōkua i ka kaohi ʻana i nā hōʻailona e like me ka hyperactivity a me ka aggression.
- Bupropion (Wellbutrin): Kōkua kēia i ka hoʻomaikaʻi ʻana i ke ʻano o nā keiki me ADHD a me ke kaumaha.
- ʻImipramine (Tofranil) a me Nortriptyline (Pamelor): He mau lāʻau antidepressants kahiko kēia. Hoʻopilikia lākou i nā neurotransmitters i loko o ka lolo. Eia nō naʻe, ʻaʻole i hoʻohana pinepine ʻia i kēia manawa ma muli o nā hopena ʻaoʻao.
- Venlafaxine (Effexor): Hiki ke hoʻohana ʻia kēia no nā keiki i loaʻa i ka hopohopo a i ʻole nā pilikia noʻonoʻo me ADHD.
E makaʻala i nā hopena ʻaoʻao o nā lāʻau lapaʻau.
Hiki i nā lāʻau lapaʻau he nui no ka ADHD ke loaʻa nā hopena ʻaoʻao, no laila ma mua o ka hoʻomaka ʻana o kāu keiki i kekahi lāʻau lapaʻau, e nīnau i kāu kauka e pili ana i nā hopena ʻaoʻao a me nā mea āu e makaʻala ai.
Inā ʻike ʻoe i kekahi mau loli ʻē i ke ʻano o kāu keiki i ka wā e lawe ana i ka lāʻau lapaʻau, e haʻi koke aku i kāu kauka. Eia kekahi, e haʻi aku i kāu kauka inā ʻaʻole like ka hana pono ʻana o ka lāʻau lapaʻau a inā paha he nui loa nā hopena ʻaoʻao.
Mai hoʻōki i ka lāʻau lapaʻau a kāu keiki me ke kamaʻilio ʻole ʻana me kāu kauka. He mea nui loa kēia.
Nā kūlana ʻē aʻe e hiki ke noho pū me ADHD
He nui nā keiki me ka ADHD i loaʻa i hoʻokahi a ʻoi aku paha nā maʻi ʻē aʻe, e like me ke kaumaha a i ʻole ka hopohopo. ʻO ka mea maikaʻi loa, hiki i nā kauka ke mālama i nā maʻi ʻelua i ka manawa like. I kekahi manawa, hiki i ka lāʻau lapaʻau like ke kāohi i nā maʻi ʻelua. No laila e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i nā loli āu e ʻike ai i ke ʻano o kāu keiki.
Leka Lawe-Home
- He kū hoʻokahi ka mālama ʻana iā ADHD a pili pono i kēlā me kēia keiki. ʻO ka mea e pono ai no kekahi keiki, ʻaʻole paha e pono no kekahi.
- Hoʻokahi wale nō ʻāpana o ka hoʻolālā lapaʻau ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka hoʻohana ʻana me ka behavioral therapy.
- ʻEkolu mau ʻano lāʻau lapaʻau nui i hoʻohana ʻia (Stimulants, Non-stimulants, Antidepressants). Na kāu kauka e koho i ka mea kūpono loa no kāu keiki.
- E kamaʻilio mau me ke kauka o kāu keiki e pili ana i ka hana ʻana o kā lākou lāʻau lapaʻau a inā he mau hopena ʻaoʻao. He mea nui loa ka mea āu e ʻike ai i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau.
- Mai hoʻololi a hoʻōki paha i ka nui o ka lāʻau lapaʻau a kāu keiki me ka ʻole o ke aʻo ʻana a ke kauka.











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