Ke pilikia nei kāu keiki i ka noho ʻana i ka noʻonoʻo pono? Ke hoʻomau nei ʻo ia i ka neʻe ʻana a me ka neʻe ʻana? He mau hōʻailona paha kēia o kahi maʻi a mākou e kapa nei he ADHD ( Attention-Deficit/Hyperactivity Disorder ). Ma ke ʻano he makua o kahi keiki e like me kēia, hoʻokahi mea āu e noʻonoʻo pinepine ai, "ʻAʻohe anei he hopena no kēia ma waho aʻe o ka lāʻau lapaʻau?" No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau hou e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona ADHD me ka hoʻohana ʻole ʻana i ka lāʻau lapaʻau.
He aha ka hoʻoulu ʻana o ke aʻalolo trigeminal (TNS)?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e hoʻomaikaʻi iki i ka hana o ko kākou lolo. Aia kahi ʻōnaehana aʻalolo i loko o ko kākou poʻo e pili pono ana i ka lolo. Kāhea mākou i kēia ʻo ke aʻalolo trigeminal. Manaʻo nā kānaka ʻepekema ma ka hoʻoulu ʻana i kēia aʻalolo, hiki iā mākou ke hoʻonui i ka hana o nā ʻāpana o ka lolo e kaohi ana i ka nānā ʻana, ke ʻano, a me nā manaʻo.
Hoʻohana kēia lāʻau lapaʻau i kahi mea liʻiliʻi i hoʻohana ʻia e ka pila i kapa ʻia ʻo External Trigeminal Nerve Stimulation, a i ʻole eTNS no ka pōkole. Hoʻohana ʻia nā lāʻau lapaʻau like no nā kūlana ʻē aʻe, e like me ke kaumaha a me ka hopohopo.
ʻO ka mea nui, i ka makahiki 2019, ua ʻāpono ka US Food and Drug Administration (FDA) i kēia lāʻau lapaʻau no nā keiki ma waena o 7 a me 12 mau makahiki ʻaʻole e lawe nei i nā lāʻau lapaʻau ʻē aʻe no ADHD. ʻO ia nō hoʻi ka lāʻau lapaʻau mua ʻole i ʻāpono ʻia no ADHD. Eia naʻe, ʻaʻole hiki iā ʻoe ke kūʻai i kēia mea hana ma kahi hale kūʻai lāʻau. No ka loaʻa ʻana, pono ʻoe i kahi palapala kauoha mai ke kauka. Manaʻo pinepine ʻia no nā keiki me nā hōʻailona ADHD akahai a kaulike.
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia. Na nā mākua a i ʻole kekahi mea nāna e mālama i ke keiki e hana i kēia.
1. Ma mua o ka hiamoe ʻana o ke keiki i ka pō , pono e kau ʻia kahi ʻāpana liʻiliʻi ma ka lae o ke keiki, ma luna pono o nā kuʻemaka. He mau electrodes liʻiliʻi kēia ʻāpana.
2. Hoʻopili ʻia kēia ʻāpana i ka hāmeʻa eTNS a mākou i ʻōlelo ai ma mua me kahi uea. ʻO ka nui o kēia hāmeʻa e like me ke kelepona paʻalima.
3. Ke hoʻāla ʻia ka hāmeʻa, hele nā pulse uila haʻahaʻa loa ma o ka ʻāpana i kau ʻia ma ka lae a hoʻoulu i ke aʻalolo trigeminal.
4. I kēia manawa, hiki i ka pēpē ke manaʻo i kahi ʻano ʻūlū iki ma lalo o ka ʻili. He mea maʻamau kēia.
5. Hana kēia lāʻau no nā hola 8 holoʻokoʻa e hiamoe ana ke keiki .
ʻO ka maʻamau, ma hope o 4 mau pule o ka hoʻomau ʻana o ka mālama ʻana ma kēia ʻano, e nānā hou ke kauka i ke keiki e ʻike i ka holomua o kēia a inā paha he loli i nā hōʻailona o ke keiki.
He pono maoli anei kēia? He aha nā hōʻike e loaʻa ana?
Ma kahi noiʻi i mālama ʻia ma kēia kumuhana, ua hoʻohana ʻia he 62 mau keiki ma waena o 8 a me 12 mau makahiki. Ua māhele ʻia lākou i ʻelua mau pūʻulu.
- ʻO ka hui mua: ua hāʻawi ʻia i ka hāmeʻa eTNS i hana maoli.
- ʻO ka lua o ka hui: Ua hāʻawi ʻia iā lākou kahi mea hoʻopunipuni i like ke ʻano akā ʻaʻole i hoʻoulu i kekahi mea ( kahi placebo ). Ua kapa ʻia kēia he 'placebo'. Hana ʻia kēia e ana pololei i ka hopena maoli o ka lāʻau.
I loko o nā pule ʻehā, ua nānā nā mākua a me nā mea noiʻi i ke ʻano a me nā hōʻailona ADHD o kēia mau keiki. He mea hoihoi loa nā hopena.
ʻO nā keiki i hoʻohana i ka hāmeʻa eTNS maoli he emi awelika o nā hōʻailona ADHD o 31% . I kēia manawa, ʻo nā keiki i hoʻohana i ka hāmeʻa placebo he emi awelika o nā hōʻailona o 18% wale nō.
Akā, aia kekahi mea nui e hoʻomaopopo ai ma ʻaneʻi. ʻAʻohe ona hopena koke e like me kekahi mau lāʻau hoʻoulu no ka ADHD. Hiki i kēlā mau lāʻau ke hoʻomaka e hana i kahi ʻokoʻa i kāu keiki i loko o kekahi mau hola. Hiki ke hala a hiki i 4 mau pule e ʻike i nā hopena me ka mālama ʻana o eTNS. Eia kekahi, ʻaʻole paha e like ka nui o nā hoʻomaikaʻi ʻana me kēlā mau lāʻau. Wahi a nā kānaka noiʻi, ua like nā hopena me nā lāʻau ADHD ʻaʻole hoʻoulu.
Eia kekahi, ua hōʻike ʻia nā scan lolo o nā keiki ma mua a ma hope o ke aʻo ʻana ua hoʻonui ʻia ka hana o nā keiki i loaʻa ka mālama ʻana me ka eTNS ma nā wahi o ka lolo i hoʻopilikia ʻia e ADHD.
Nā mea e ʻimi hou aku ai
ʻOiai he mea hoʻohiki kēia mau hopena, nui nō nā mea e ʻike ʻia e pili ana i kēia lāʻau lapaʻau. ʻOi aku hoʻi,
- Pehea ka lōʻihi o ka hopena o kēia lāʻau lapaʻau?
- Pehea e hoʻohālikelike ai kēia me nā lāʻau lapaʻau ʻē aʻe a me ka psychotherapy?
- He mea pono anei kēia no nā keiki ma lalo o 8 a ʻoi aku ma mua o 12 mau makahiki?
- Ke hoʻomaikaʻi maoli nei kēia i nā hana kula, nā pilina pilikanaka, a me ke ʻano?
- He aha nā hopena lōʻihi o kēia?
Pono ka noiʻi hohonu aʻe e loaʻa ai nā pane i kēia mau nīnau.
Hiki i kēia ke hana i nā hopena ʻaoʻao?
ʻAe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao liʻiliʻi i hōʻike ʻia. Eia naʻe, ʻaʻole koʻikoʻi kēia mau mea e like me nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau no ADHD. Hiki iā ʻoe ke hoʻohālikelike i kēia mau mea ma ka papa ma lalo nei.
| Nā hopena ʻaoʻao o ka mālama ʻana o eTNS | Nā hopena ʻaoʻao o nā lāʻau hoʻoulu | Nā hopena ʻaoʻao o nā lāʻau hoʻoulu ʻole |
|---|---|---|
| Hiamoe | Makemake nui | ʻŌpū ʻeha (nausea) |
| ʻEha poʻo | ʻAʻole hiki ke hiamoe | ʻEha poʻo |
| Luhi | Hoʻomaha ʻole | Hiamoe |
| Nā pilikia hiamoe | Ka emi ʻana o ke kaumaha | ʻAʻole hiki ke hiamoe |
| Ke wili ʻana i nā niho | - | - |
| Hoʻonui ʻia ka makemake | - | - |
He kūpono anei kēia lāʻau lapaʻau no kaʻu keiki?
ʻO kēia ka nīnau koʻikoʻi loa. ʻAʻole like ka hana o nā lāʻau lapaʻau ADHD no kēlā me kēia keiki. Hana maikaʻi ka lāʻau lapaʻau no kekahi mau keiki, a ʻoi aku ka maikaʻi o ka hoʻōla ʻana i nā ʻano hana no nā poʻe ʻē aʻe. No laila he mea nui e ʻimi i ka lāʻau lapaʻau e kūpono loa ana no kāu keiki.
He koho maikaʻi paha ka lāʻau lapaʻau eTNS i nā hihia e like me kēia:
- Inā ʻaʻole loaʻa i kāu keiki nā hopena maikaʻi mai ka lāʻau lapaʻau ADHD.
- Inā hoʻoulu kēlā mau lāʻau i nā hopena ʻaoʻao koʻikoʻi .
- Inā, ma ke ʻano he makua , ʻaʻole ʻoe makemake e hāʻawi i kāu keiki i ka lāʻau lapaʻau.
Akā, ʻaʻole kūpono kēia i nā kānaka a pau.
He mea nui: ʻAʻole kūpono ka lāʻau lapaʻau eTNS no kēia mau keiki:
* Nā keiki me nā mea hana puʻuwai e like me nā pacemakers.
* Nā keiki e hoʻohana ana i nā mea lapaʻau ʻē aʻe i hoʻokomo ʻia i loko o ke kino, e like me nā pamu insulin.
* Eia kekahi, mai kau i nā kelepona paʻalima kokoke i kēia hāmeʻa i ka wā e hoʻohana ai, no ka mea, hiki i nā hōʻailona mai ke kelepona ke hoʻopilikia i ka mālama ʻana.
ʻO kekahi mea ʻē aʻe, ua hoʻāʻo wale ʻia kēia mea hana ma ke ʻano he lāʻau hoʻokahi a hiki i kēia manawa. No laila, inā e lawe ana kāu keiki i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, ʻaʻole mākou i ʻike i ka palekana o ka hoʻohana ʻana i kēia lāʻau lapaʻau me kēlā mau lāʻau lapaʻau. Eia kekahi, ʻaʻohe ʻikepili i kēia manawa e pili ana i nā hopena o ka hoʻohana ʻana i kēia lāʻau lapaʻau me nā lāʻau lapaʻau i hoʻohana ʻia no ADHD.
ʻO ka mea hope loa, ʻoiai he ʻenehana hou kēia, ʻaʻole paha e uhi kāu ʻinikua olakino i ke kumukūʻai. ʻO ke kumukūʻai o kēia hāmeʻa ma kahi o $1,000 (ʻaneʻane 300,000 rupees Sri Lanka).
Leka Lawe-Home
- He lāʻau lapaʻau hou ʻo eTNS i ʻāpono ʻia no nā keiki 7-12 makahiki me ADHD.
- Hiki i kēia ke hala i kekahi mau pule e ʻike i nā hopena, a ʻaʻole paha e ikaika nā hopena e like me nā lāʻau hoʻoulu.
- Hiki paha i kēia ke hana i nā hopena ʻaoʻao liʻiliʻi e like me ka hiamoe a me ka ʻeha poʻo.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā keiki me nā mea hana e like me nā pacemakers.
- ʻO ka mea nui loa: Pono ʻoe e hoʻoholo inā kūpono kēia lāʻau lapaʻau no kāu keiki ma hope o ke kūkākūkā pono ʻana me kāu kauka. Mai hoʻāʻo i kēia mau mea me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
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