He paʻakikī anei i kāu keiki ke noho mālie a aʻo? A i ʻole he mea maʻalahi ke hoʻohuli ʻia ʻo ia? Ke hoʻopilikia nei kēia i nā hana kula a me nā hana o kēlā me kēia lā? He ʻano kēia i kapa ʻia ʻo ADHD (Attention-Deficit Hyperactivity Disorder). ʻAʻole wale kēia no nā keiki, akā i kekahi manawa no nā mākua pū kekahi. ʻO Methylphenidate kahi lāʻau lapaʻau kūikawā i kuhikuhi ʻia e mālama i kēia ʻano. No laila, inā ua kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou a i ʻole kāu keiki, he mea maʻamau ke loaʻa kekahi mau nīnau a me nā hopohopo e pili ana i ia mea. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me ka maopopo a me ka maʻalahi.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, ʻo Methylphenidate kahi lāʻau lapaʻau e kōkua ai i ka hoʻomaikaʻi ʻana i ka nānā a me ka kaohi ʻana i ka hana impulsive . No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia he stimulants. Akā, mai makaʻu e ʻōlelo "stimulants." ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui iki ʻana i ka hana o nā ʻāpana o ka lolo e kaohi ana i ka nānā a me ke ʻano, a laila e hōʻoluʻolu ai i ka noʻonoʻo a hoʻonui i ka hiki ke kālele i hoʻokahi mea.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, ʻaʻole wale no ADHD. No laila, inā he mau nīnau kāu, e kamaʻilio mau me kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kāu mōʻaukala olakino a kāu keiki paha, ʻoiai inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kūlana olakino a i ʻole mōʻaukala | Wehewehena |
|---|---|
| Nā pilikia olakino noʻonoʻo | Hopohopo nui a i ʻole nā hoʻouka kaua panic, maʻi noʻonoʻo, nā manaʻo pepehi kanaka a i ʻole nā hoʻāʻo pepehi kanaka (i loko ou a i ʻole kekahi o kou ʻohana) |
| Maʻi puʻuwai a me ke koko | Inā he koko kiʻekiʻe kou, maʻi puʻuwai a i ʻole nā kīnā puʻuwai hānau, ka ʻūlū ʻana a i ʻole ka paʻa ʻana o nā aʻa, a i ʻole ka mōʻaukala o ka hahau ʻana |
| Nā kūlana olakino ʻē aʻe | ʻO Glaucoma, maʻi akepaʻa, maʻi thyroid, nā hopu ʻana, nā pilikia kahe koko ma nā lālā a me nā manamana lima |
| Nā hana maʻamau a me nā maʻi allergies | He moʻolelo o ka lāʻau lapaʻau a i ʻole ka waiʻona, he moʻolelo ʻohana o nā tics a i ʻole ka maʻi Tourette, nā maʻi allergies i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea hoʻoluʻu |
| Nā hanana kūikawā | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, a inā he makuahine hānai ʻoe |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
ʻAʻole like kēia me ka pila maʻamau. He pila hoʻoheheʻe kēia e hoʻoheheʻe ana i loko o kou waha . No laila, ʻaʻole pono ʻoe i ka wai. ʻO ke ala kūpono kēia e hoʻohana ai.
1. E hoʻomaloʻo pono i kou mau lima: Ma mua o ka lawe ʻana i ka pila, e holoi i kou mau lima me ke kopa, e hoʻomaloʻo maikaʻi iā lākou, a e pā maloʻo iā lākou. Inā ʻoe e hoʻopā i ka pila me nā lima pulu, hiki ke hoʻoheheʻe ʻia.
2. E lawe i ka pila: E lawe i ka pila mai loko mai o ka ʻeke i hoʻopaʻa ʻia me ka lāʻau lapaʻau. Pono e hana pono ʻia kēia. Inā ua haki a ua ʻūlū ʻia paha ka pila, e hoʻolei aku a kūʻai i mea hou.
3. E mālama i loko o ka waha: E kau i ka papa ma kou alelo a hoʻoheheʻe. A laila e ale.
4. ʻO ka mea nui loa: Mai ʻoki, wili, a nau paha i kēia papa.
5. Ma mua a ma hope paha o ka ʻai ʻana: Hiki iā ʻoe ke lawe i kēia me ka ʻai a me ka ʻole. Akā e like me ka ʻōlelo a ke kauka, ʻoi aku ka maikaʻi o ka lawe ʻana iā ia ma ke ʻano like i kēlā me kēia lā.
6. I ka manawa kūpono: ʻO ka lawe ʻana i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e kōkua iā ʻoe e loaʻa nā hopena maikaʻi loa.
7. I ka hāʻawi ʻana i nā keiki: ʻOiai ua ʻōlelo ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 6 mau makahiki, aia kekahi mau mea e makaʻala nui ai. E nānā mau ke kauka i ke kaumaha a me ke kiʻekiʻe o ke keiki.
Ka nui o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
Nā mea ʻē aʻe e launa pū me ka lāʻau lapaʻau
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā huahana lāʻau lapaʻau āu e lawe nei. No laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei, ʻoiai hoʻi kēia mau mea.
| E hōʻalo i ka lawe ʻana iā Methylphenidate me kēia mau mea | |
|---|---|
| MAOIs (he papa kahiko o nā antidepressants) | Litiuma, Procarbazine |
| Nā lāʻau hoʻoulu ʻē aʻe | Nā lāʻau lapaʻau ʻē aʻe e hoʻonui i ka makaʻala, hoʻemi i ke kaumaha, a hōʻoluʻolu paha i ka hiamoe |
| No ka mea e launa pū paha kēia mau mea me kekahi, e hoʻomaopopo i kāu kauka. | |
| Nā lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai | ʻO Atomoxetine, Warfarin (mea hoʻokahe koko) |
| Maʻi noʻonoʻo, lāʻau lapaʻau hopu | ʻO nā lāʻau lapaʻau e like me Carbamazepine, Phenobarbital, Phenytoin |
| Nā mea ʻē aʻe | Nā mea inu i loaʻa ka caffeine, kekahi mau lāʻau lapaʻau no ke anu a i ʻole nā mea maʻi ʻaleka |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe, no laila mai lawe kokoke i ka wā moe . Manaʻo pinepine ʻia e lawe i ke kakahiaka.
- Makemake nui:Hiki paha iā ʻoe ke nalowale i ka makemake i ka hoʻomaka ʻana o ka lāʻau lapaʻau. He mea maʻamau kēia. Hiki i ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine ke kōkua. E nānā pinepine ke kauka i ka inoa, ke kaumaha, a me ke kiʻekiʻe o kāu keiki.
- Hoʻomaopopo kūikawā no nā kāne: Inā ʻoi aku ka lōʻihi o ke kūkulu ʻana ma mua o 4 mau hola me ka ʻole o ka hoʻoulu ʻana i ka moekolohe a i ʻole e lilo i mea ʻeha, he maʻi koʻikoʻi paha ia (priapism) . E ʻimi koke i ke kōkua lapaʻau e pale aku i ka hōʻino mau loa.
- Nā pilikia me kou mau lima a me kou mau wāwae: Inā loaʻa iā ʻoe kekahi ʻano ʻano ʻē, ka ʻeha, ka ʻeha, nā loli o ke kala o ka ʻili (pale, uliuli, ʻulaʻula) ma kou mau lima a me kou mau wāwae i ka wā e lawe ana i kēia lāʻau lapaʻau, e haʻi koke i kāu kauka. He ʻano paha kēia i kapa ʻia ʻo Raynaud's.
- Nā nānā maʻamau: E nānā pinepine me kāu kauka e ʻike inā e hana ana ka lāʻau lapaʻau a inā he mau pilikia. Mai hoʻololi i ka nui o ka lāʻau a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke noi ʻana i kāu kauka.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā pilikia o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo nui, hoʻonāukiuki, hallucinations, ʻenemi, manaʻo pepehi kanaka. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Hoʻonui ʻia ke koko, ʻeha ke kūkulu ʻana i ke kino ma mua o 4 mau hola, nā hōʻailona o ka hahau ʻana (hanu koke, paʻakikī ke ʻōlelo, paʻakikī ke hele). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo (ʻeha poʻo) | Makemake nui |
| Ka paʻakikī e hiamoe ana | Ka emi ʻana o ke kaumaha |
| Hopohopo, hoʻomaha ʻole | Ka luaʻi, ka ʻike maka pōwehiwehi |
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ka nui kūpono a i ka manawa kūpono. Mai hoʻololi i ka nui nou iho.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino a pau a kāu keiki a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He lāʻau lapaʻau i kāohi ʻia kēia, no laila, mai kaʻana like me kekahi. He mea kū ʻole i ke kānāwai a he mea weliweli loa ia.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena koʻikoʻi e like me nā loli o ka puʻuwai puʻuwai, nā loli koʻikoʻi o ka noʻonoʻo, a i ʻole nā kūlana ʻeha e mau ana ma mua o 4 mau hola.
- He mea nui loa e ʻike pinepine i kāu kauka e nānā i ka holomua o kāu lāʻau lapaʻau.
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