Ke huhū nui nei kāu keiki liʻiliʻi i nā mea liʻiliʻi loa? Ke huhū nei ʻo ia ke ʻauʻau ʻoe, ke kahili i kona lauoho, a i ʻole e hoʻāʻo e kau i ke kaʻa kula? ʻAʻole paha kēia he kolohe wale nō a he paʻakikī paha. ʻO ka ʻoiaʻiʻo, aia paha kahi maʻi olakino noʻonoʻo hohonu ma hope o kēia ʻano. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano maʻi, ʻo ia hoʻi ʻo Disruptive Mood Dysregulation Disorder, a i ʻole DMDD no ka pōkole.
He aha ka DMDD?
I ka ʻōlelo maʻalahi, ʻo DMDD kahi maʻi olakino noʻonoʻo kahi i hiki ʻole ai i nā keiki ke kāohi i ko lākou mau manaʻo, ʻoi aku ka huhū. ʻO ka hopena, loaʻa pinepine iā lākou nā pahū ʻino loa, a mākou e kapa nei he "temper tantrums," a ʻo ia ka mea a lākou e kapa ai. Hana pinepine ʻia kēia mau pahū ke pono lākou e hana i kahi mea a lākou e makemake ʻole ai e hana.
ʻO ka mea nui, ʻaʻole kēia he ʻano maikaʻi ʻole wale nō. ʻO ka maʻamau, e nalowale ke ʻano maikaʻi ʻole o ke keiki ma hope o kekahi manawa. Akā, ʻaʻole hana maʻalahi ke keiki me DMDD i kēlā. Ke hoʻomau nei ko lākou huhū a me ka hopohopo.
Ua hoʻokomo kūhelu ʻia kēia kūlana i loko o ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5) i ka makahiki 2013. Ma mua, ua kuhi hewa ʻia nā keiki me kēia mau hōʻailona he maʻi bipolar pediatric. Ua hoʻolauna ʻia ka DMDD e pale aku i kēia a hāʻawi i kahi hōʻailona pololei. Hiki i kēia ke hana i nā pilikia koʻikoʻi no ke keiki ma ka home, ma ke kula, a ma nā pilina pilikanaka, e like me nā hoaaloha.
He aha nā hōʻailona o DMDD?
ʻO kēia nā hōʻailona nui e ʻike ʻia i kahi keiki me DMDD.
- Ka Huhū ʻana o ka Inaina Nui: ʻAʻole kēia he huhū wale nō. Hoʻokomo pū ia i nā hana ʻino e hiki ke komo pū me ka hōʻino waha, ka uwē ʻana, ka hoʻolei ʻana i nā mea, a i ʻole ka hoʻouka kino ʻana i kekahi.
- Nā huhū pinepine: Hana ʻia kēia mau huhū nui i ʻekolu a ʻoi aku paha manawa i ka pule.
- Hopohopo ʻoiai ʻaʻole huhū: ʻOiai inā ʻaʻole nui ka huhū o ke keiki, hiki iā ia ke hoʻolilo i ka hapa nui o ka lā me ka huhū, ka hopohopo, a i ʻole ka huhū . He mea maopopo loa kēia i ka ʻohana a me nā kumu.
- Nā pane kūpono ʻole i ka pilikia: Ke nānā ʻoe i ke kumu o ka huhū o ke keiki, ʻaʻole kūpono loa ka pane āna e hōʻike ai. Pahū ʻo ia ma luna o ka mea liʻiliʻi loa.
- Paʻakikī i ka noʻonoʻo ʻana ma ka home a me ke kula: ʻO kēia kūlana noʻonoʻo e paʻakikī ai i ke keiki ke noʻonoʻo i ka hana kula a me ka hana home.
Nā Hōʻailona DMDD a me nā Kumu
ʻAʻole i ʻike maopopo ʻia e ka noiʻi ʻana ʻo ia ke kumu o DMDD. No laila, ma ke ʻano he makua, mai manaʻo hewa no kēia.
Inā kānalua ʻoe he DMDD kāu keiki, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me ke kauka o kāu keiki . E nīnau nui ke kauka iā ʻoe e pili ana i ke ʻano o kāu keiki. E hōʻoia e wehewehe i ke ʻano o kāu keiki ma ka home, ma ke kula, a i ka wā e hele ai lākou i waho. A laila e nānā ke kauka i kāu keiki e ʻike inā he mau kumu kino ʻē aʻe e hiki ke kōkua i kēia mau hōʻailona.
A laila, e kuhikuhi pinepine ke kauka i ke keiki i kahi loea olakino noʻonoʻo, no ka mea, hiki ke huikau ʻia ka DMDD me nā kūlana olakino noʻonoʻo ʻē aʻe. Eia kekahi laʻana:
- Ka maʻi hoʻolohe-nele/hyperactivity (ADHD)
- Ka Maʻi Kūʻē Kūʻē (ODD)
- Nā maʻi hopohopo
I mea e ʻike ʻia ai ke keiki me DMDD, pono e hoʻokō ʻia nā kūlana ma lalo nei. E nānā kākou i kēia ma kahi papa.
| Nā pae hoʻohālikelike no ka hōʻoia ʻana | Wehewehena |
|---|---|
| Nā huhū nui | Ka pahū ʻana o ka ʻōlelo a i ʻole ka hana ʻino i kūpono ʻole i ke kūlana. |
| Alapine (frequency) | ʻEkolu manawa a ʻoi aku paha i ka pule . |
| Manaʻo ke huhū ʻole | Ke huhū nei a hopohopo paha i ka hapa nui o ka lā, ʻoiai i ka wā e huhū ana. |
| Palena manawa | Pono nā hōʻailona e mau no ka liʻiliʻi he 12 mau mahina (hoʻokahi makahiki). |
| Makahiki | Pono e hoʻomaka nā hōʻailona ma mua o ka piha ʻana o 10 mau makahiki. Hāʻawi wale ʻia ka hōʻailona i nā keiki ma waena o 6 a me 18 mau makahiki . |
He aha nā lāʻau lapaʻau no DMDD?
No ka mea, he hōʻailona hou ka DMDD, ke noiʻi nei nā kauka i nā lāʻau lapaʻau maikaʻi loa. Akā, aia nō nā lāʻau lapaʻau i hōʻike i nā hopena holomua. Hoʻohana ʻia ʻelua ʻano lāʻau lapaʻau nui.
1. Lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā hōʻailona o DMDD, ʻoiai ka huhū a me nā loli o ka naʻau. Pono e hāʻawi ʻia kēia mau mea ma lalo o ke ʻōlelo aʻoaʻo a me ka nānā ʻana a ke kauka.
- Nā mea hoʻonāukiuki: Hoʻohana pinepine ʻia kēia mau mea no ka ADHD a kōkua i ka hoʻēmi ʻana i ka huhū i ʻike ʻia ma DMDD.
- Nā Antidepressants: Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻoluʻolu i ka huhū a me nā pilikia o ka naʻau.
- Nā Antipsychotics Atypical: Hoʻohana ʻia kēia ʻano lāʻau lapaʻau i kekahi manawa no nā keiki huhū loa, ʻoiai ka poʻe me nā ʻano hana e hōʻino kino i nā poʻe ʻē aʻe.
2. Nā Lapaʻau Noʻonoʻo
He mea nui ka mālama ʻana i ka noʻonoʻo e like me ka lāʻau lapaʻau, inā ʻaʻole ʻoi aku.
- Hoʻomaʻamaʻa Makua: He mea nui loa kēia. Pono e aʻo ʻia nā mākua i ke ʻano e hana ai me kahi keiki me DMDD. Pono nā mākua e aʻo e ʻike i nā mea hoʻonāukiuki no ka huhū o kā lākou keiki, e pane kūpono i ka wā e kū mai ai, a hoʻomaikaʻi i kā lākou keiki no ke ʻano maikaʻi.
- ʻO ka lāʻau lapaʻau no ke keiki: He mea nui loa ka lāʻau lapaʻau pololei no ke keiki. He kūpono loa ka Cognitive Behavioral Therapy (CBT) ma ʻaneʻi. Kōkua kēia i ke keiki e aʻo e ʻike i ko lākou huhū, e aʻo i nā ala e kāohi ai, e kamaʻilio maikaʻi me nā poʻe ʻē aʻe, a e hoʻoponopono i nā kūlana pilikia.
Leka Lawe-Home
- ʻAʻole ka DMDD he paʻakikī a he ʻano maikaʻi ʻole paha o ke keiki. He kūlana olakino maoli ia e pono ai ka mālama ʻana.
- ʻO nā hōʻailona nui, he pinepine ka pahū ʻana o ka huhū nui a me ka manaʻo hopohopo mau.
- Inā loaʻa i kāu keiki kēia mau hōʻailona, e ʻoluʻolu e nīnau i ke kauka no ka ʻōlelo aʻo.
- Hiki ke mālama pono ʻia kēia kūlana me ka lāʻau lapaʻau a me ka mālama ʻana i ka noʻonoʻo (ʻoi aku ka hoʻomaʻamaʻa makua a me ka hoʻoponopono ʻana i ka hana no ke keiki).
- Ma ke ʻano he mau mākua, ʻo ko ʻoukou aloha, ke ahonui, a me ka hoʻomaopopo ʻana he ikaika nui ia no kāu keiki e hoʻōla koke ai.
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