Ua kuhikuhi ʻia anei kēia lāʻau lapaʻau wai no kāu keiki no ADHD? (Methylphenidate) E ʻike kākou i ke ʻano maoli.

Ua haʻi ʻia kāu keiki e ke kauka he maʻi Attention-Deficit Hyperactivity Disorder (ADHD) kona? Inā pēlā, ua kuhikuhi ʻia paha ʻoe i kahi lāʻau wai i kapa ʻia ʻo Methylphenidate ma ke ʻano he lāʻau lapaʻau. Ke lohe ʻoe e pili ana i kēia lāʻau lapaʻau, hopohopo iki paha ʻoe a hoihoi. Nui paha kāu mau nīnau i loko o kou manaʻo, e like me "He maikaʻi anei kēia no kaʻu keiki?" a "E loaʻa anei kekahi mau hopena ʻaoʻao?" He mea maʻamau kēlā. ʻO ia ke kumu e kamaʻilio ai mākou i kēia lā e pili ana i kēia lāʻau lapaʻau me ka maʻalahi, me ka maopopo, a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka mea e hana maoli me kēia lāʻau lapaʻau?

I ka ʻōlelo maʻalahi, he mea hoʻoulu ka Methylphenidate. Mai makaʻu i ka inoa. Hana ia ma ka hoʻonui iki ʻana i ka hana o kekahi mau neurotransmitters i loko o ka lolo. Kōkua kēia i ke keiki e kālele i hoʻokahi mea a kāohi i nā hoʻoholo wikiwiki a wikiwiki . Ua like ia me ke kau ʻana i nā aniani e ʻike maopopo i nā mea. Kōkua kēia lāʻau lapaʻau i ka lolo o ke keiki e hoʻokele maikaʻi i kā lākou ʻano a me ka nānā ʻana.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau

He mea nui loa kēia. Ma mua o ka hoʻomaka ʻana o kāu keiki e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o kēia mau kūlana. E kōkua kēia ʻike i kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau no kāu keiki a ʻaʻole paha.

• Nā pilikia olakino noʻonoʻo: hopohopo, hoʻouka kaua panic, nā maʻi noʻonoʻo ʻē aʻe, nā manaʻo a i ʻole nā ​​​​hoʻāʻo pepehi kanaka.
• Maʻi puʻuwai: ʻO kēlā me kēia ʻano maʻi puʻuwai, nā kīnā puʻuwai hānau ʻia, ke koko kiʻekiʻe, nā ālai ʻana a i ʻole ka mānoanoa o ka puʻuwai a i ʻole nā ​​​​​​kīʻaha koko.
• Nā pilikia kahe koko: Inā he pilikia kou me ke kahe koko ma kou mau manamana lima a me kou mau manamana wāwae.
• Nā pilikia maka: He maʻi maka ka glaucoma.
• Maʻi akepaʻa: ʻO kēlā me kēia ʻano maʻi akepaʻa.
• Nā kūlana neurological ʻē aʻe: nā hopu ʻana, nā tics motor, a i ʻole ka mōʻaukala ʻohana o ka Tourette's syndrome.
• Nā pilikia i hala: Inā he moʻolelo kou o ka ʻona lāʻau a i ʻole ka waiʻona, inā ua loaʻa iā ʻoe kahi hahau.
• Maʻi thyroid: Kekahi maʻi e pili ana i ka ʻōpū thyroid.
• Nā Allergies: Inā he allergy kou i ka methylphenidate a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
• Hāpai a me ka hānai waiū: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.

He mea nui loa ia no ka palekana o kāu keiki e haʻi aku i ke kauka me ka hūnā ʻole i kēia mau mea.

Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?

Pono e hāʻawi ʻia kēia lāʻau lapaʻau i ke keiki e like me ke kauoha a ke kauka, ma ka nui i kuhikuhi ʻia.

1. E lulu maikaʻi: Pono e lulu maikaʻi ʻia ka ʻōmole ma mua o ka hāʻawi ʻana i ka lāʻau. No ka mea he wai kēia, hiki i nā ʻāpana o ka lāʻau ke noho ma lalo o ka ʻōmole.

2. Ana pololei: E hoʻohana i ka puna plastik kūikawā a i ʻole ke kīʻaha i hele mai me ka lāʻau lapaʻau e ana. Mai hoʻohana i nā punetēpuni hale , no ka mea, ʻaʻole pololei lākou.

3. Manawa: Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i ke kakahiaka no ka mea hiki ke hoʻopilikia i ka hiamoe o ke keiki i ka pō. E hāʻawi iā ia i kēlā me kēia lā i ka manawa a ke kauka e ʻōlelo ai iā ʻoe.

4. Me ka meaʻai a me ka ʻole paha: Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau me ka meaʻai a me ka ʻole paha. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana ma hope o ka ʻai ʻana.

5. Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.

6. Mai pāpālua i ka lāʻau lapaʻau: Inā poina iā ʻoe ke hāʻawi i kahi lāʻau lapaʻau, e hāʻawi koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no ka lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a hāʻawi i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai hāʻawi pālua i ka lāʻau.

7. Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua hāʻawi ʻia kāu keiki i nā lāʻau lapaʻau he nui ma mua o kou manaʻo, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e lawe i ke keiki i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.

He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau?

• Nā nānā maʻamau: E hōʻoia e lawe i kāu keiki i ke keʻena lapaʻau i nā lā a ke kauka e haʻi aku ai iā ʻoe. E nānā mau ke kauka i nā mea e like me ke kaumaha o kāu keiki, ke kiʻekiʻe, a me ke koko.
• Ka nalowale o ka makemake: Hiki i kāu keiki ke nalowale iki i ka makemake i ka wā e hoʻomaka ai i kēia lāʻau lapaʻau. He mea maʻamau kēia. Ma kahi o ka hānai ʻana iā lākou i nā meaʻai nui i ka manawa hoʻokahi, hiki iā ʻoe ke hoʻāʻo e hānai iā lākou i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā . Inā hoʻomau kēia, e haʻi i kāu kauka.
• Ka nānā kūikawā no nā keikikāne: Inā he ʻeha a lōʻihi paha ke kūkulu ʻana o ke keikikāne ma mua o 4 mau hola, he maʻi koʻikoʻi paha ia. E ʻimi koke i ke kōkua lapaʻau.
• Nā loli o ka manamana lima:Inā ʻike ʻoe i nā ʻeha koke, ka mae ʻana, ka ʻeha, a i ʻole ke kala ʻana o ka ʻili (keʻokeʻo, polū, a ʻulaʻula paha) ma kou mau manamana lima a me kou mau manamana wāwae paha, e haʻi koke aku i kāu kauka.
• Hopena o ka Lāʻau Lapaʻau: Inā manaʻo ʻoe e nalowale ana ka pono o ka lāʻau lapaʻau i ka hala ʻana o ka manawa, a inā manaʻo ʻoe ʻaʻole lawa ka nui i kuhikuhi ʻia no kāu keiki, mai hoʻololi i ka nui o ka lāʻau lapaʻau e like me kou manaʻo. E kamaʻilio me kāu kauka e pili ana i ia mea.

Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Akā, he mea nui e makaʻala iā lākou.

Nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau

Inā ke lawe nei kāu keiki i nā lāʻau lapaʻau ʻē aʻe (me nā huaora a me nā lāʻau lapaʻau), pono ʻoe e haʻi i kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka methylphenidate. E hōʻoia e haʻi i kāu kauka inā ke lawe nei kāu keiki i kekahi o kēia mau lāʻau lapaʻau:

• ʻO nā MAOI he mau lāʻau antidepressants (e.g. Carbex, Eldepryl, Marplan).
• ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai.
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy (e like me carbamazepine, phenobarbital, phenytoin).
• Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, e like me Warfarin.
• Kekahi mau lāʻau lapaʻau no ke anu a me nā maʻi ʻaleka.
• Nā mea inu a me nā lāʻau lapaʻau i loaʻa ka caffeine.
• Nā lāʻau lapaʻau ʻē aʻe no ADHD, e like me ka atomoxetine.

Pehea e mālama pono ai i ka lāʻau lapaʻau?

• E mālama ʻia mai nā keiki: ʻOi aku ka maikaʻi o ka laka ʻana, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
• E pale aku i ka ʻaihue: E mālama i kēia lāʻau lapaʻau ma kahi palekana no ka mea hiki ke ʻaihue ʻia a hoʻohana ʻia e nā malihini.
• Ka Hoʻolei ʻana: Mai hoʻolei wale i ke koena o ka lāʻau lapaʻau i loko o ka ʻōpala. E kāwili iā ia me kahi mea e like me ke kope kope i hoʻohana ʻia a i ʻole ka ʻōpala pōpoki, e waiho i loko o kahi pahu a i ʻole ʻeke i hoʻopaʻa pono ʻia, a e hoʻolei aku. E pale kēia i kekahi a i ʻole holoholona mai ka ʻohi ʻana a me ka ʻai ʻana.
• Lā pau: Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā.