Puas muaj tej lub sij hawm koj xav tias koj tus menyuam txoj kev ua phem ntau dhau lawm? Lawv tsis nyob twj ywm, lawv tsis mloog lus, lawv sib ntaus sib tua tas li, lawv tawv ncauj heev... Cov no puas yog cov cwj pwm thaum yau ib txwm muaj, lossis puas muaj qee yam uas peb yuav tsum tau ua tib zoo saib xyuas? Yog tias koj tus menyuam muaj teeb meem mloog lus, uas yog, ADHD, muaj feem ntau lawv kuj muaj lwm yam mob. Peb hu cov no ua comorbidities. Ib qho ntawm cov no feem ntau yog ODD, uas sawv cev rau kev tsis sib haum xeeb. Qhov tseeb, cov kws tshaj lij ntseeg tias plaub ntawm kaum tus menyuam uas muaj ADHD kuj tseem yuav muaj ODD. Yog li cia peb tham txog qhov no kom meej me ntsis.
ADHD thiab ODD yog dab tsi?
Hais yooj yim xwb, cov no yog ob hom mob sib txawv uas pom muaj nyob rau hauv cov menyuam yaus.
ADHD (Kev Mob Siab Tsis Txawj Ua Haujlwm) yog ib qho teeb meem ntawm lub hlwb uas tuaj yeem kav ntev mus txog thaum laus. Ib tug menyuam uas muaj ADHD tuaj yeem muaj ntau yam teeb meem tseem ceeb.
- Tsis muaj kev tsom ntsoov : Tsis muaj peev xwm tsom ntsoov rau ib yam ntev.
- Hyperactivity: Ib tug neeg feem ntau tsis so thiab khiav ib ncig tas li.
- Kev coj cwj pwm tsis xav ua ntej: Ua tej yam raws li lub sijhawm xav tau, tsis xav txog qhov tshwm sim.
ODD ( Oppositional Defiant Disorder ) yog ib qho teeb meem kev coj cwj pwm uas feem ntau kuaj pom thaum yau. Ib tug me nyuam uas muaj ODD feem ntau:
- Tsis koom tes ua haujlwm (Uncooperative).
- Tawv ncauj, tsis mloog lus.
- Ua nruj ua tsiv (Aggr ESS ive).
Nws yooj yim rau kev tsis meej pem ob yam mob no vim qee qhov ntawm lawv cov tsos mob zoo sib xws. Tab sis cov ua rau feem ntau txawv . Piv txwv li, ADHD feem ntau yog ib qho mob caj ces . Qhov no txhais tau tias yog tias ib tug neeg hauv tsev neeg muaj nws, koj tus menyuam yuav muaj nws thiab. Cov menyuam yaus uas muaj ADHD muaj teeb meem heev rau kev tswj hwm lawv tus cwj pwm.
Tiam sis ODD feem ntau yog teeb meem kawm lossis kev loj hlob . Yog tias ib tug me nyuam npau taws tas li, sib cav nrog cov neeg laus, rhuav tshem cov khoom, lossis txhob txwm ua rau lwm tus mob, nws yuav muaj feem cuam tshuam nrog tus cwj pwm tsis sib raug zoo.
Kev zoo sib xws thiab cov tsos mob ntawm ob qho mob no
Hauv ob qho xwm txheej no, kev hloov pauv tshuaj lom neeg hauv lub hlwbQhov no tuaj yeem ua rau muaj tus cwj pwm tsis tuaj yeem tswj tau, ua siab xav ua ntej, lossis ua phem. Ob qho mob no feem ntau tshwm sim rau cov tub hluas dua li cov ntxhais.
Qhov tseem ceeb tshaj plaws yog tias tus kws kho mob thiaj li kuaj tau ib qho ntawm cov mob no, tus menyuam yuav tsum muaj cov tsos mob tseem ceeb tsawg kawg yog 6 lub hlis txuas ntxiv mus .
Feem ntau, cov niam txiv yuav tsis quav ntsej txog cov cwj pwm no ua "kev ua phem thaum yau." Txawm li cas los xij, cov menyuam yaus uas muaj cov mob no tsis zoo los ntawm "lub sijhawm" no yooj yim npaum li lwm tus menyuam. Qee zaum, cov tsos mob yuav txo qis thaum lawv loj hlob tuaj, tshwj xeeb tshaj yog tias qhov mob tsis hnyav heev. Txawm li cas los xij, rau qee tus menyuam yaus, cov cwj pwm no yeej tsis ploj mus.
Saib daim ntawv teev lus hauv qab no kom paub meej thiab nkag siab txog cov tsos mob ntawm ob yam mob no.
| Cov tsos mob ntawm ADHD | Cov tsos mob ntawm ODD |
|---|---|
| Tsis muaj peev xwm tsom ntsoov rau ib yam | Ib txwm ua rau chim siab heev |
| Yooj yim cuam tshuam | Sib cav sib ceg nrog cov neeg laus ntau zaus |
| Ua yuam kev tsis saib xyuas | Tsis kam ua raws li cov neeg laus hais |
| Tsis nco qab tej yam | Tsis tu ncua nug thiab tsis lees txais cov cai thiab kev cai lij choj |
| Kev nyuaj siab rau kev npaj ua haujlwm | Ua tej yam kom chim siab lossis ua rau lwm tus chim siab |
| Tsis muaj peev xwm zaum twj ywm, txav mus los tas li | Kev liam lwm tus rau ib tus neeg qhov yuam kev |
| Cuam tshuam lwm tus thaum lawv tab tom tham, tham ntau dhau | Yooj yim npau taws vim yog lwm tus |
| Ua yam tsis xav txog qhov tshwm sim | Npau taws, hais lus phem lossis ua phem, sim ua pauj |
Cov tsos mob no tuaj yeem ua rau tsis muaj kev ntseeg tus kheej , nyuaj rau kev nrhiav thiab tswj cov phooj ywg, thiab ua tsis tau zoo hauv tsev kawm ntawv.
Yog li ntawd, qhov sib txawv tseem ceeb ntawm ob qho no yog dab tsi?
Qhov txawv tseem ceeb yog tias hauv ADHD, tus menyuam muaj teeb meem mloog thiab hyperactive . Hauv ODD, tus menyuam tawv ncauj, npau taws, thiab txhob txwm ua .
Muaj ob peb qhov kev hloov pauv ntxiv:
- Hnub nyoog: Cov tsos mob ntawm ADHD feem ntau tshwm sim ua ntej tus menyuam muaj 12 xyoos . Ib txhia menyuam tuaj yeem pib thaum ntxov li 3 xyoos. Txawm li cas los xij, cov tsos mob ODD tuaj yeem tshwm sim ua ntej, feem ntau ua ntej hnub nyoog 8 xyoos , thiab qee zaum txawm tias thaum ntxov li menyuam yaus.
- Vim li cas: ADHD feem ntau yog los ntawm noob caj noob ces . Qhov ntawd yog, nws yog ib yam dab tsi uas khiav hauv tsev neeg. Nco ntsoov tias, ADHD tsis yog los ntawm kev ua niam txiv tsis zoo lossis siv TV/xov tooj ntau dhau. Tab sis cov kws tshaj lij ntseeg tias ODD yog teeb meem kev loj hlob lossis ib yam dab tsi uas tau kawm . Qhov ntawd yog, ib tug me nyuam yuav ua raws li tus cwj pwm tsis zoo, xws li kev qhuab ntuas tsis sib xws lossis kev qhuab ntuas hnyav los ntawm lwm tus, xws li niam txiv lossis cov xib fwb. Qee zaum, lawv yuav ua li ntawd kom tau koj mloog.
Yuav kuaj mob thiab kho cov mob no li cas?
Tsis muaj kev kuaj mob tshwj xeeb los kuaj xyuas ob qho mob no. Yog tias koj tus menyuam muaj cov tsos mob no ntau tshaj 6 lub hlis, nco ntsoov nrog koj tus menyuam tus kws kho mob tham .
Tus kws kho mob yuav kuaj ua ntej seb cov tsos mob puas yog los ntawm lwm yam kab mob ntawm lub cev, kev sib tsoo, lossis kev phiv tshuaj. Yog tias tsis pom qhov ua rau lub cev, tus menyuam yuav raug xa mus rau tus kws kho mob hlwb lossis tus kws kho mob hlwb uas tshwj xeeb hauv kev noj qab haus huv ntawm lub hlwb rau menyuam yaus thiab cov hluas.
Lawv yuav soj ntsuam tus menyuam tus cwj pwm los ntawm kev xam phaj tshwj xeeb thiab cov lus nug thiab muab kev kuaj mob tseeb.
Cov kev xaiv kho mob yog dab tsi?
Yog tias koj tus menyuam raug kuaj pom tias muaj ob yam mob no, koj tus kws kho mob yuav pom zoo kom siv ntau yam kev kho mob ua ke.
- Kev cob qhia rau cov niam txiv: Cov niam txiv tau kawm txog yuav ua li cas txhawb lawv txoj kev sib raug zoo nrog lawv tus menyuam thiab yuav ua li cas tswj hwm tus cwj pwm ntawm lawv tus menyuam. Qhov no yog thawj kab kev kho mob. Nws qhia lawv yuav ua li cas qhuas tus cwj pwm zoo ntawm lawv tus menyuam thiab yuav ua li cas tsis quav ntsej txog tus cwj pwm phem.
- Kev Kho Mob Tsev Neeg: Vim tias tus menyuam tus mob cuam tshuam rau tag nrho tsev neeg, txhua tus neeg hauv tsev neeg tuaj yeem txhawb nqa ib leeg los ntawm kev koom nrog kev sab laj ua ke.
- Kev txhawb nqa hauv tsev kawm ntawv: Koj tuaj yeem tham nrog tsev kawm ntawv thiab tau txais kev txhawb nqa uas koj tus menyuam xav tau. Qhov no suav nrog cov cai meej thiab cov khoom plig rau tus cwj pwm zoo.
- Tshuaj: Cov kev tshawb fawb tau qhia tias cov tshuaj rau ADHD (xws li 'psychostimulants') muaj txiaj ntsig zoo heev rau kev tswj cov tsos mob thaum ob yam mob no ua ke. Cov no tuaj yeem ua rau tus menyuam lub sijhawm mloog ntxiv thiab txo qis kev coj cwj pwm tsis zoo thiab kev ua phem. Tshuaj tsis yog kev kho, tab sis nws tuaj yeem pab ua rau tus menyuam lub neej txhua hnub yooj yim dua. Yog tias koj pom muaj kev phiv, qhia rau koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog tias koj tus menyuam muaj cov tsos mob ntawm ADHD thiab ODD, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai li sai tau . Tsis txhob ncua sijhawm nrhiav kev pab.
- Txawm hais tias cov mob no yuav kav ntev mus txog thaum laus, kev kho mob kom zoo tuaj yeem tswj tau cov tsos mob thiab pab tus menyuam kom muaj lub neej vam meej.
- Ua niam txiv, yuav tsum paub txog qhov no kom ntau li ntau tau. Qhov no yuav pab txhim kho koj tus menyuam lub neej thiab kev sib raug zoo ntawm koj thiab koj tus menyuam.
- Yog koj xav tias koj kho siab lossis ntxhov siab thaum lub sijhawm no, koom nrog cov pab pawg txhawb nqa ntawm cov niam txiv uas tau muaj kev paub zoo sib xws . Nws yuav muab lub zog loj rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus