Ke paʻakikī nei ʻoe a i ʻole kāu keiki e noho kālele ana? Ke hoʻohuli maʻalahi nei ʻoe? A i ʻole he ʻano kolohe a hoʻomakeʻaka iki paha ʻoe? He mau hōʻailona paha kēia o kahi maʻi a mākou e kapa nei i ka lāʻau lapaʻau ʻo Attention-Deficit Hyperactivity Disorder (ADHD). I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau me kahi inoa lōʻihi i hoʻohana ʻia e mālama i kēia maʻi.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Serdexmethylphenidate; Dexmethylphenidate?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i ka ADHD. Ma ko mākou ʻāina, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo AZSTARYS . No loko kēia o ka papa o nā lāʻau lapaʻau i kapa ʻia he stimulants . E noʻonoʻo ʻoe ua like kou lolo me ke alanui hana nui. Aia nā kaʻa e hele mai ana a hele aku ana mai nā wahi a pau, a ua like ia. Hana kēia lāʻau lapaʻau e like me ke kau ʻana i kekahi mau kukui kaʻa ma kēlā alanui a me ka hoʻouna ʻana i nā kaʻa i ke kauoha. ʻO ia hoʻi, hoʻāla ia i kekahi mau kemika i loko o ka lolo e kōkua i ka nānā ʻana a me ka kaohi ʻana i ka hana impulsive. No laila, kōkua nui ia i ka mālama ʻana i ka nānā ʻana ma kahi hoʻokahi a me ka hōʻemi ʻana i ka impulsiveness .
ʻAʻole wale kēia no ka ADHD, akā hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau nou a i ʻole kāu keiki, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻAʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o kēia mau mea, e hōʻoia e haʻi iā lākou e pili ana.
- Nā pilikia o ka puʻuwai: Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua, he mau maʻi puʻuwai ʻē aʻe a i ʻole nā kīnā puʻuwai hānau ʻia , he koko kiʻekiʻe , a he puʻuwai kūpono ʻole paha , pono ʻoe e haʻi i kāu kauka.
- Nā pilikia kahe koko: ʻO ke ʻano kahi e mae ai nā manamana lima a me nā manamana wāwae i ke anu, e mae ke keʻokeʻo, e polū, a laila e ʻulaʻula hou, e like me ka hanana ʻo Raynaud .
- Nā pilikia olakino noʻonoʻo: Inā ua loaʻa iā ʻoe kahi maʻi noʻonoʻo ma mua, nā manaʻo e hōʻeha iā ʻoe iho , a i ʻole nā hoʻāʻo e hana pēlā (ʻo ʻoe iho a i ʻole kekahi lālā o ka ʻohana), e haʻi i kāu kauka.
- Nā kūlana olakino ʻē aʻe: Inā ua loaʻa iā ʻoe ka hahau , inā he anorexia kou, inā he mōʻaukala kou o ka ʻona lāʻau a i ʻole ka waiʻona.
- ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe: ʻO ʻoeE hōʻoia e haʻi i kāu kauka inā ua hoʻohana ʻoe i kahi ʻano MAOI (Monoamine Oxidase Inhibitors) (e.g. Marplan, Nardil, Parnate) i nā lā 14 i hala . Hiki ke hoʻoweliweli ka lawe pū ʻana i kēia mau lāʻau ʻelua.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau (serdexmethylphenidate, dexmethylphenidate, methylphenidate) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea mālama paha.
- Hāpai a me ka hānai waiū: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai , a i ʻole e hānai waiū ana .
Ma ka hāʻawi ʻana i kēia ʻike i kāu kauka, hiki iā ia ke hoʻoholo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a he aha ka nui o ka lāʻau e pono ai.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa nō hoʻi kēia. I mea e loaʻa ai ka pono nui o ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
1. Pehea e lawe ai: Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha me ke aniani wai. E hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia lā. E lawe e like me ka ʻōlelo a kāu kauka.
2. Kāpule: Mai uhaʻi, kuʻi, a nau paha i ke kāpule. E ale holoʻokoʻa.
3. Inā pilikia ʻoe i ka moni ʻana: He paʻakikī i kekahi poʻe ke moni i nā capsules. I kēlā hihia, hiki iā ʻoe ke wehe mālie i ka capsule, kāwili i ka pauka lāʻau lapaʻau i loko me kahi teaspoon o ka applesauce, a moni koke . Akā e hoʻomanaʻo, mai nau i ka applesauce lāʻau lapaʻau.
4. Me ka meaʻai a i ʻole me ka ʻole o ka meaʻai?: Hiki ke lawe ʻia kēia me ka meaʻai a i ʻole me ka ʻole o ka meaʻai. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me kekahi meaʻai.
Ke hāʻawi ʻia i nā keiki liʻiliʻi
Ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 6 mau makahiki. Eia nō naʻe, aia kekahi mau hana palekana kūikawā e pono e mālama ʻia i ka wā e hāʻawi ai i nā keiki. Na kāu kauka e wehewehe i kēia mau mea iā ʻoe.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Mai noʻonoʻo iki i ia mea, akā inā lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi. He mea weliweli paha ia a kū ʻole i ke kānāwai.
He aha kāu e hana ai inā e hala ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.Mai hele i waho e kūʻai i ʻelua mau pāʻina i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā huahana lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
Aia kekahi mau lāʻau lapaʻau i ʻōlelo ʻole ʻia e lawe pū me kēia lāʻau lapaʻau:
- ʻO nā MAOI (e like me Marplan, Nardil, a me Parnate)
- ʻOzanimod
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i nā pilikia :
- ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai
- Nā lāʻau lapaʻau no nā kūlana e like me ke kaumaha a me ka hopohopo
- ʻO kekahi mau lāʻau ʻeha (Opioids)
- Nā lāʻau lapaʻau e like me Linezolid, Methylene blue, Risperidone, St. John's wort
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai. Eia kekahi, e haʻi iā ia inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā mau kāu kauka iā ʻoe i kou wā e lawe ana i kēia lāʻau lapaʻau, no laila mai poina e hele i ke keʻena lapaʻau i kāu mau lā i hoʻonohonoho ʻia.
- Ka pilikia o ka ʻona: Ke hoʻohana ʻia kēia lāʻau lapaʻau no ka manawa lōʻihi, ʻoiai ma nā nui kiʻekiʻe, hiki i ke kino a me ka lolo ke hilinaʻi iā ia. No laila, mai lawe ʻoe ma mua o ka nui a kāu kauka e ʻōlelo ai.
- Ke hoʻomaha nei mai ka lāʻau lapaʻau: I kekahi manawa e haʻi aku kāu kauka iā ʻoe e hoʻomaha mai kēia lāʻau lapaʻau i nā hopena pule a me nā lā hoʻomaha. Hiki i kēia ke hōʻemi i ka pilikia o ka hilinaʻi ʻana. Akā, pono ʻoe e hana i kēia ma ke ʻōlelo aʻo a kāu kauka wale nō.
- Nā hopena i ka hiamoe: Hiki i kēia lāʻau lapaʻau ke paʻakikī i ka hiamoe inā lawe ʻia i ka pō. No laila, e lawe iā ia i ka manawa a kāu kauka e ʻōlelo ai iā ʻoe.
- Ka nalowale o ka makemake: Hiki paha iā ʻoe ke nalowale i ka makemake ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau. ʻO ke ala maikaʻi loa e hoʻoponopono ai i kēia, ʻo ia ka ʻai ʻana i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā , ma mua o ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi. Inā hoʻomau kēia, e haʻi i kāu kauka. Pono e nānā mau ʻia ke kiʻekiʻe a me ke kaumaha o nā keiki.
- ʻOki kino: Inā e hana ʻia ʻoe i ke ʻoki kino, he MRI, a i ʻole he CT scan, e haʻi i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ma mua o ke kaʻina hana .
E aʻo kākou e pili ana i nā hopena ʻaoʻao.
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, he mea maʻamau kekahi. E wehewehe kākou iā lākou.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| 🚨 Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā hōʻailona o ka puʻuwai | ʻEha ka umauma, ʻūmiʻi, paʻakikī ka hanu ʻana, puʻuwai wikiwiki a ʻano ʻole paha, maule. |
| Hoʻonui ʻia ke koko | ʻEha poʻo nui, poniuniu. |
| Nā loli noʻonoʻo a me ke ʻano | Ka huhū maʻamau ʻole, ka hoʻonāukiuki, ka huikau noʻonoʻo, nā hallucinations, nā manaʻo pepehi kanaka. |
| Nā hōʻailona o ka maʻi Raynaud | Anuanu, mae wale, ʻeha, hoʻololi kala (keʻokeʻo, polū, ʻulaʻula) ma nā manamana lima a me nā manamana wāwae. |
| Nā Hōʻailona o ka Stroke | Ka mae koke ʻana o kekahi ʻaoʻao o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka paʻakikī i ka hele ʻana, ka ʻeha poʻo nui. |
| He kūkulu lōʻihi a ʻeha hoʻi | He kūkulu ʻeha e mau ana ma mua o 4 mau hola (kūkulu lōʻihi). He pilikia kēia. |
| 🙂 ʻAʻole maʻamau ka maʻamau koʻikoʻi, akā inā hoʻomau, e ʻike i ke kauka.Nā mea e ʻōlelo ai | |
| Waha maloʻo | E inu iki i ka wai a nau i ka gum me ke kō ʻole. |
| ʻEha poʻo | E nīnau i kāu kauka e pili ana i kahi lāʻau hoʻopau ʻeha maʻamau. |
| Ka nalowale o ka makemake a me ka pohō kaumaha | E ʻai i nā meaʻai liʻiliʻi. Inā hoʻomau ia, e haʻi i ke kauka . |
| ʻEha ʻōpū, nausea | E ho'āʻo e lawe i ka lāʻau me ka meaʻai. |
| ʻAʻole hiki ke hiamoe | E lawe i ka lāʻau lapaʻau i ke kakahiaka. Mai lawe i ka pō. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki: E hoʻopaʻa i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona . E pale iā ia mai ka ʻaihue ʻia no ka mea he lāʻau lapaʻau kēia e hiki ke hoʻohana hewa ʻia.
- Ka Mālama ʻana: E mālama ma ka mahana o ka lumi (20-25 kekelē Celsius). E pale mai ka mālamalama a me ka makū. E pani paʻa i ka ʻōmole.
- Lāʻau lapaʻau i pau ka lāʻau: Mai hoʻohana no kekahi kumu ma hope o ka lā pau.
- Ka Hoʻolei ʻana: He mea nui e hoʻolei palekana i nā lāʻau lapaʻau i koe a i ʻole nā lāʻau lapaʻau i pau ka manawa. Hiki i kēia ke lilo i mea weliweli inā hāʻule lākou i nā lima hewa. E noi i kāu kauka no ka ʻōlelo aʻo no ke ala kūpono e hoʻolei aku ai i kāu mau lāʻau lapaʻau. ʻAe kekahi mau papahana i nā lāʻau lapaʻau i hoʻohana ʻole ʻia. Inā ʻaʻole, e wehe i ka lāʻau lapaʻau mai ka pahu, e kāwili iā ia me kahi mea e like me ke kope kope i hoʻohana ʻia a i ʻole ka lepo, e hoʻopaʻa pono iā ia i loko o kahi ʻeke a pahu paha, a e waiho i loko o ka ʻōpala.
Leka Lawe-Home
- Pono e hoʻohana ʻia kēia lāʻau lapaʻau e like me ke kauoha a ke kauka. E hahai pono i ka nui a me nā kuhikuhi i hāʻawi ʻia e ke kauka.
- Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu e loaʻa nei.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, nā loli koʻikoʻi o ka noʻonoʻo) , e ʻimi koke i ke kōkua lapaʻau.
- Mai hāʻawi aku i kēia lāʻau lapaʻau i kekahi. Hiki ke lilo i mea weliweli loa no lākou.
- E mālama i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.
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