Ke hana mau nei kāu keiki i nā mea like? E aʻo kākou e pili ana i ka (Stereotypic Movement Disorder)!

Ua ʻike paha ʻoe i nā kamaliʻi ʻōpio, malia paha ʻo kāu keiki ponoʻī, e hoʻolele ana i ko lākou mau lima, e lulu ana i ko lākou mau poʻo, a e hoʻoluliluli ana paha i ko lākou kino ma ke ʻano like. He mau mea pāʻani wale nō anei kēia, a he hōʻailona paha ia o kahi mea e pono ai kākou e hopohopo? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau neʻe hou ʻana, ʻo ia hoʻi kahi kūlana i kapa ʻia ʻo Stereotypic Movement Disorder (SMD) . Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka `(Stereotypic Movement Disorder)`?

I ka ʻōlelo maʻalahi, ʻo ka Stereotypic Movement Disorder kahi kūlana kahi e hana ai ke keiki i nā neʻe hou, hana hou me ka ʻole o kahi kumu maopopo . E noʻonoʻo i ke kuʻi ʻana i ke poʻo, ka lulu ʻana i ke kino, a pēlā aku. Hiki i kēia mau neʻe ke hoʻopilikia i nā hana maʻamau a ke keiki a i kekahi manawa hiki ke hoʻopōʻino i ke kino.

Wahi a nā alakaʻi i hoʻohana ʻia e nā kauka e ʻike i kēia kūlana, ʻo ia hoʻi ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5), ua kapa ʻia kēia mau neʻe ʻana he "SMD" inā ʻaʻole hiki ke wehewehe ʻia e kekahi ʻano olakino ʻē aʻe a i ʻole lāʻau lapaʻau.

Hoʻomaka pinepine kēia ʻano ma mua o 3 mau makahiki , a hiki i kekahi manawa ke hoʻomau a hiki i ka wā makua.

He aha ke ʻano o ka `(Motor Stereotypies)`? He ʻokoʻa anei kēia mai ka `(SMD)`?

ʻAe, aia kahi ʻokoʻa iki ma waena o nā mea ʻelua. Ma mua o ko kākou hiki ʻana i ka `(SMD)`, e hoʻomaopopo kākou i ke ʻano o `(Motor Stereotypies)`. ʻO `(Motor Stereotypies)` e pili ana i kēlā mau neʻe ʻana, ʻo ia hoʻi, nā hōʻailona. ʻO `(Stereotypic Movement Disorder)` e pili ana i kēlā kūlana, ʻo ia hoʻi, ka maʻi.

Ua hoʻokaʻawale nā ​​kauka i nā "Motor Stereotypies" i ʻelua ʻano:

• Nā ʻAno Hoʻohālikelike Motika Maʻalahi: He mea maʻamau loa kēia. Hiki ke ʻike ʻia i nā keiki ʻōpio a me nā pākeke. Eia kekahi laʻana, ka omo ʻana i ka manamana nui, ke kīkē ʻana i nā wāwae, ka wili ʻana i ka lauoho, a me ke nahu ʻana i nā kui. ʻAʻole pinepine kēia mau neʻe maʻalahi e hoʻopilikia i nā hana o kēlā me kēia lā a i ʻole e hoʻopilikia nui. ʻAʻole wale kēia nā mea a mākou e hana ai i ko mākou wā ʻōpiopio, akā i kekahi manawa i ko mākou wā ʻelemakule.

• Nā ʻAno Hoʻohālikelike Motika Paʻakikī: He mau ʻano neʻe paʻakikī a hana hou ʻia kēia. No ka laʻana, ka pā ʻana o ka lima, ka lūlū ʻana o ke kino, a me nā neʻe waha a me ka helehelena hana hou. Hoʻomaka pinepine kēia mau neʻe paʻakikī ma mua o 3 mau makahiki , i kekahi manawa e mau ana a hiki i ka wā ʻōpio, a hiki ke mau a hiki i ka wā makua. Hiki iā lākou ke hoʻopilikia i nā hana o kēlā me kēia lā a hiki ke hōʻino kino. ʻIke pinepine ʻia kēia mau ʻano hoʻohālikelike motika paʻakikī ma SMD.

A laila, ua māhele hou ʻia kēia mau ʻano ʻelua o nā "Motor Stereotypies" i ʻelua ʻano:

• Nā Stereotypies Motor Primary: Hana ʻia kēia mau mea me ke kumu ʻole, ʻo ia hoʻi, me ka ʻole o kahi maʻi neurodevelopmental ʻē aʻe.

• Nā ʻano hoʻohālikelike lua o ka motika:Hiki i kēia mau mea ke hana ma ke ʻano he ʻāpana o kekahi maʻi olakino ʻē aʻe. No ka laʻana, hiki i kahi keiki me ke ʻano i kapa ʻia ʻo "Autism Spectrum Disorder (ASD)" a i ʻole "Developmental Delay" ke loaʻa kēia mau neʻe ʻana.

I ka ʻōlelo maʻalahi, inā hana kekahi keiki me `(ASD)` i kēia ʻano neʻe ʻana, manaʻo nā kauka he ʻāpana ia o `(ASD)` ponoʻī. Kapa pū kekahi iā ia he `(stimming)`. I kapa ʻia ʻo `(SMD)`, ʻaʻohe kumu maopopo ʻē aʻe (kekahi kūlana olakino ʻē aʻe) no kēia mau neʻe ʻana.

Pehea ka maʻamau o ka Stereotypic Movement Disorder?

ʻAʻole maopopo i nā kānaka noiʻi pehea ka maʻamau o ka SMD, akā ua manaʻo ʻia he kūlana kakaikahi ia . Eia nō naʻe, aia kekahi ʻikepili e pili ana i nā Motor Stereotypies.

He mea kākaʻikahi nā ʻano hoʻohālikelike ʻano neʻe paʻakikī. Hōʻike nā noiʻi e pili ana lākou ma waena o 3% a me 4% o nā keiki. Eia nō naʻe, ʻoi aku ke kiʻekiʻe o kēia helu i nā keiki me kekahi mau maʻi olakino. No ka laʻana, 61% o nā keiki me nā kīnā ulu a me 88% o nā keiki me ka maʻi autism spectrum (ASD) paha e loaʻa kēia mau neʻe paʻakikī.

Eia nō naʻe, he mea maʻamau loa nā ʻano hoʻohālikelike maʻalahi o ka neʻe ʻana. Hiki iā lākou ke hoʻopilikia ma waena o 20% a me 70% o nā keiki e ulu maʻamau ana. ʻO ke ʻano kēia, ʻaʻole lākou e weliweli e like me kou manaʻo.

He aha nā hōʻailona o ka `(Stereotypic Movement Disorder)`?

Hiki i ke keiki me SMD ke ʻike i nā ʻano hoʻohālikelike neʻe e hoʻopilikia ai i nā hana o kēlā me kēia lā a i ʻole e hōʻeha kino. Eia kekahi mau laʻana:

• Ke kīkēkē ʻana o ka lima
• Ke lūlū kino
• Kuʻi poʻo
• Ka neʻe mau ʻana o ka manamana lima a i ʻole ka lima
• Ke hana ʻana i ke ʻano like o ka neʻe ʻana o ka waha a me ka maka (nā neʻe orofacial)
• Ke kuʻi ʻana iā ʻoe iho, ke kohi ʻana iā ʻoe iho, ke nahu ʻana iā ʻoe iho.
• Nahu nui i nā kui

ʻO ka hapa nui o kēia mau ʻano hana ka wā e like me kēia:

• Ke piʻi aʻe ke kaumaha
• Ke hiki mai ka hopohopo
• Ke hauʻoli nui ʻoe (pīhoihoi)
• Ke kau nui nei ʻoe i ka manaʻo ma kekahi mea (ka noʻonoʻo nui ʻana)
• Ke manaʻo ʻoe ua luhi `(luhi)`

Eia nō naʻe, inā hoʻohuli ʻia ka manaʻo, e emi pinepine ana kēia mau ʻano a nalo paha.

ʻŌlelo pinepine nā keiki me SMD ua hauʻoli lākou a "maikaʻi" ke hana lākou i kēia mau neʻe ʻana. He ʻokoʻa kēia mai kahi kūlana e like me Obsessive-Compulsive Disorder (OCD). I ka OCD, hana ʻia nā neʻe ʻana e hoʻohuli iā lākou iho mai nā manaʻo hoʻopilikia. Eia nō naʻe, inā ʻoe e hoʻāʻo e hoʻōki i kahi keiki me SMD mai ka hana ʻana i kēia mau neʻe ʻana, hiki iā lākou ke huhū, hoʻonāukiuki, a hoʻonāukiuki paha .

He aha nā kumu o ka `(Stereotypic Movement Disorder)`?

ʻAʻole i ʻike ʻia e nā kānaka noiʻi ke kumu pololei o ka Stereotypic Movement Disorder. ʻAʻole pili kēia mau neʻe hou i kekahi maʻi neurological ʻē aʻe a i ʻole ka maʻi neurodevelopmental.

Akā ma ke ʻano laulā, manaʻo nā kānaka noiʻi ua hiki ke hana ʻia kēia mau "Motor Stereotypies" e kahi loli i ke kaulike o kekahi mau kemika i loko o ka lolo, a mākou e kapa nei he "neurotransmitters", no ka laʻana "dopamine", "acetylcholine" a me "GABA" .

Me he mea lā he pilina hoʻoilina i nā `(Motor Stereotypies)` paʻakikī. ʻO ke ʻano kēia, ʻoi aku ka nui o ka loaʻa ʻana o kahi lālā ʻohana pili (kaikuaʻana, kaikuahine, a makua paha) me ke ʻano o ke keiki me kēia mau neʻe ʻana. Eia naʻe, ʻaʻohe gene kikoʻī i ʻike ʻia.

Pehea e ʻike ai i ka `(Stereotypic Movement Disorder)`?

I mea e hiki ai i ke kauka ke nānā i kāu keiki me ka Stereotypic Movement Disorder (SMD), pono e hoʻokō ʻia kēia mau kūlana āpau :

• Pono kēia mau neʻe hana hou e mau ma ka liʻiliʻi he ʻehā pule .
• Pono kēia mau neʻe ʻana e hoʻopilikia i nā pilina pilikanaka o ke keiki, nā hana kula, a me nā hana o kēlā me kēia lā, a i ʻole pono ke keiki e hōʻeha iā ia iho.
• ʻAʻohe kumu lapaʻau ʻē aʻe no kēia mau neʻe ʻana.

ʻO ka mea mua, e hana ke kauka o kāu keiki i kahi hoʻokolokolo kino a nīnau iā ʻoe e pili ana i ka mōʻaukala olakino o kāu keiki. E nīnau pū lākou e pili ana i nā hōʻailona o kāu keiki, no ka laʻana:

• I ka manawa hea i hoʻomaka ai kēia neʻe ʻana?
• ʻEhia pinepine ka hana ʻana o kēia mau mea?
• Ua hoʻonui ʻia kēia mau mea ma muli o kekahi mau kūlana a i ʻole nā ​​​​​​wahi e pili ana?
• Pehea e pili ai kēia i nā hana o kēlā me kēia lā a ke keiki?

He mea nui hoʻi e kāpae i nā kūlana maʻamau ʻē aʻe e hiki ai ke hoʻoulu i kēia mau ʻano hoʻohālikelike paʻakikī, e like me ka Autism Spectrum Disorder (ASD). Pono paha kēia i nā ʻano loiloi a me nā hoʻokolohua like ʻole.

Hiki paha i ke kauka o kāu keiki ke ʻōlelo i kekahi mau hoʻokolohua, e like me nā hoʻokolohua koko, e ʻike ai inā he kumu kino no kēia mau neʻe ʻana.

He aha nā lāʻau lapaʻau no ka `(Stereotypic Movement Disorder)`?

ʻO ka hapa nui o ka manawa, ʻaʻohe lāʻau lapaʻau kikoʻī e pono ai no ka Stereotypic Movement Disorder. Eia nō naʻe, inā pono kāu keiki i ke kōkua e hōʻemi i kēia mau neʻe ʻana, a inā paha e hōʻeha ana lākou iā lākou iho ma muli o kēia mau ʻano, hiki ke lilo i mea kūpono loa kahi lāʻau lapaʻau i kapa ʻia ʻo Habit Reversal Training (HRT) . Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ikaika o nā neʻe ʻana a me ke alapine o ko lākou hana ʻana.

Ma ke ʻano i kapa ʻia ʻo `(HRT)`, ua aʻo ʻia ke keiki e ʻike i nā hōʻailona i ka wā e hoʻomaka ai kēia mau neʻe ʻana a e hana i nā ʻano hana ʻē aʻe. Aʻo ke keiki e kāohi i kāna ʻano me ka hoʻohana ʻana i kēia mau ʻano hana. Ma ka lumi papa a ma ka home, hiki i ke kumu o ke keiki a me ʻoe ke hoʻōki i kēia mau ʻano hana a hoʻohuli i ke keiki i ka wā e ʻike ai lākou iā lākou.

Inā hōʻeha kāu keiki iā ia iho (no ka laʻana, ke kuʻi ʻana i ko lākou poʻo a i ʻole ke koʻi ʻana iā lākou iho) ma muli o kēia mau "ʻano hana hoʻohālikelike", pono paha e hana ʻia nā hana kūikawā e pale aku iā lākou. Hiki i kēia ke komo pū me lākou i ka "mahiole" a i ʻole ke komo ʻana i nā mīkina lima e hōʻemi i ke koʻi ʻana. Hiki iā ʻoe ke nīnau i ke kauka o kāu keiki a i ʻole kahi "Occupational Therapist" no ka ʻōlelo aʻo no nā ʻano hana kikoʻī e kūpono i ke ʻano o kāu keiki.

Ua hōʻike ʻia nā haʻawina e hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā stereotypies motor paʻakikī i nā keiki me ka autism a me nā maʻi neurodevelopmental ʻē aʻe. Eia nō naʻe, ʻaʻohe haʻawina e hōʻike ana e kōkua ana kēia mau lāʻau lapaʻau me ka Stereotypic Movement Disorder.

Inā loaʻa i kaʻu keiki ka `(Stereotypic Movement Disorder)`, he aha kaʻu e manaʻo ai?

Hiki i nā ʻano o `(SMD)` ke hoʻomau a hiki i ka wā ʻōpio a me ka wā makua. E hoʻomanaʻo, inā ʻaʻole ke keiki e hōʻeha iā lākou iho, ʻaʻole ia he mea ʻino. Malia paha ʻo kēia wale nō ko lākou ʻano hana ponoʻī me ke ao nei. ʻAe, he ʻokoʻa paha ia mai nā poʻe ʻē aʻe. Akā, ʻaʻole ia he 'hewa'.

Inā pono kāu keiki i ke kōkua me kēia mau neʻe ʻana, e ʻike i kā lākou kauka a i ʻole kekahi mea lapaʻau hana. ʻO ka hāʻawi ʻana i kāu keiki i kekahi manaʻo i nā hoʻoholo e pili ana i kā lākou mālama ʻana hiki ke kōkua iā lākou e manaʻo i ka mana o ko lākou kino a hiki ke loaʻa ka hopena maikaʻi i ko lākou olakino noʻonoʻo.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka o kaʻu keiki?

Inā loaʻa i kāu keiki ka Stereotypic Movement Disorder, he mea kōkua paha ke nīnau i ke kauka i nā nīnau e like me kēia:

• "No ke aha, e Kauka/Miss, i loaʻa ai i kaʻu keiki kēia `(Stereotypic Movement Disorder)`?"
• "Pehea lā e hiki ai iā kākou ke ʻike pono ua loaʻa i kaʻu keiki kēia maʻi a ʻaʻole kekahi maʻi ʻē aʻe?"
• "Aia kekahi mau hōʻailona ʻē aʻe e pono iaʻu e makaʻala?"
• "Pehea e hiki ai iaʻu ke kōkua i kaʻu keiki me ka Stereotypic Movement Disorder?"
• "He aha ke ʻano o nā loea e hiki ke kōkua i kaʻu keiki?"

Hiki ke pale ʻia ka maʻi neʻe stereotypic?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka Stereotypic Movement Disorder, ʻaʻole hiki ke pale ʻia.

Ma ke ʻano he makua, he mea maʻamau ke hopohopo ke ʻike ʻoe i kahi loli iki i ke ʻano o kāu keiki. ʻO 'SMD' he ala wale nō ia e hoʻokaʻawale ai i nā neʻe hana hou a me ke kumu ʻole e like me kēia. Pono paha kāu keiki i ke kōkua me kēia a ʻaʻole paha. Eia naʻe, ʻo ka mea nui loa, ʻo ia ke kākoʻo i kāu keiki. Hiki iā ʻoe ke loaʻa ke kōkua mai ke kauka o kāu keiki. Mai makaʻu e nīnau a kaʻana like i kou mau manaʻo. Aia lākou ma laila e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, eia kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Stereotypic Movement Disorder (SMD) kahi kūlana kahi e loaʻa ai nā neʻe hana hou ʻia e hana like ana me ka ʻole o kahi kumu maopopo.
• ʻAʻole koʻikoʻi kēia mau neʻe a pau. He mea maʻamau nā "ʻano hoʻohālikelike motor" maʻalahi loa.
• Inā hoʻopilikia kēia mau neʻe ʻana i ke ola o ke keiki i kēlā me kēia lā, inā hōʻeha lākou iā lākou iho, a inā ʻeha ke keiki i kēia, e ʻimi i ke kōkua lapaʻau.
• Hiki i nā lāʻau lapaʻau hana e like me ka "Habit Reversal Training (HRT)" ke kōkua i ka kaohi ʻana i kēia maʻi.
• ʻO ka mea nui e hoʻomaopopo i ke keiki, hāʻawi iā ia i ke aloha a me ke kākoʻo, a ʻae i kēia mau neʻe ʻana ma ke ʻano he ʻāpana ona.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka ʻohana a i ʻole ke kauka pediatrician.

ʻO ka maʻi neʻe stereotypic, nā neʻe hou ʻana, nā stereotypies motor, autism, ASD, nā pilikia ʻano, ke olakino noʻonoʻo o ke keiki, ka hōʻeha ʻana iā ia iho