Nā hanana hōʻeha a me nā keiki

Hoʻokahi o ʻehā mau keiki e ʻike i kahi hanana traumatic e ka makahiki 18. Hiki ke hoʻoweliweli i nā hanana traumatic a ʻoi aku ka nui ma mua o ka ʻike o kāu keiki.

E aʻo i ka mea e nānā ai i kāu keiki a pehea e mālama ai i kāu keiki ma hope o kahi hanana traumatic. E kiʻi i ke kōkua ʻoihana inā ʻaʻole e ola ana kāu keiki.

Hiki i kāu keiki ke ʻike i kahi hanana traumatic hoʻokahi manawa a i ʻole trauma ʻeha e hana pinepine ʻia.

ʻO nā laʻana o nā hanana traumatic hoʻokahi manawa:

• Nā pōpilikia kūlohelohe, e like me ka puahiohio, makani pāhū, ahi, a i ʻole ka wai hālana
• Ka hoʻouka kolohe
• Hoʻouka kino
• Ke kī ʻana i ka pana a i ʻole kuʻi ʻana i ke kanaka
• Ka make koke ʻana o kahi makua a mea kahu hilinaʻi paha
• Halemai

Nā laʻana o nā hanana traumatic i ʻike pinepine ʻia e kāu keiki:

• Hana hoʻomāinoino kino a ʻino paha
• Hana hoʻomāinoino i ka moekolohe
• Kolohe ʻino
• Kaua
• Nā hanana hoʻoweliweli

Loaʻa paha i kāu keiki kahi naʻau a me ka naʻau:

• Weliweli.
• Hopohopo e pili ana i ka palekana.
• Hoʻonāukiuki.
• Haʻalele.
• Kaumaha.
• Makaʻu i ka hiamoe hoʻokahi i ka pō.
• Hoʻopilikia wela.
• Hoʻokaʻawale ʻia, kahi hopena koʻikoʻi a maʻamau i kahi hanana traumatic. Kōkua kāu keiki i ka ʻeha ma ka haʻalele ʻana mai ka honua. Hoʻonohonoho lākou i kahi kaʻawale a ʻike i nā mea e hana nei a puni lākou me he mea lā ʻaʻole maoli.

E pilikia paha i kāu keiki e like me:

• ʻŌpū ʻōpū
• Poʻo poʻo poʻo
• ʻO Nusea a me ka luaʻi
• Pilikia i ka hiamoe a me ka hiamoe

E hoʻomanaʻo hou ana paha kāu keiki i ka hanana.

• Ke ʻike nei i nā kiʻi
• Ke hoʻomanaʻo nei i kēlā me kēia kikoʻī o ka mea i hana a me nā mea a lākou i hana ai
• Pono e haʻi hou i ka moʻolelo

ʻO ka hapalua o nā keiki e ola i nā hanana traumatic e hōʻike i nā hōʻailona o PTSD. ʻOkoʻa nā hōʻailona o kēlā me kēia keiki. Ma ka laulaha, loaʻa i kāu keiki:

• Makaʻu nui
• Nā manaʻo o ka kōkua ʻole
• Nā manaʻo o ka hoʻonāukiuki a me ka hoʻonohonoho ʻole
• Pilikia hiamoe
• Ka nānā ʻana pilikia
• Loaʻa ka ʻai ʻole
• ʻO nā loli i kā lākou launa pū ʻana me nā poʻe ʻē aʻe, e komo pū ana me ka ʻoi aku o ka hakakā a i ʻole ka huki hou ʻana

E hoʻi paha kāu keiki i nā ʻano hana a lākou i ulu nui ai:

• Moe moe
• Pili ʻana
• Ke omo nei i ko lākou manamana nui
• Numb-Emotion, hopohopo, a kaumaha paha
• Hopohopo hoʻokaʻawale

E hoʻomaopopo i kāu keiki ua palekana lākou a aia ʻoe i ka kaohi.

• E ʻike e lawe ana kāu keiki i nā ʻōuli mai iā ʻoe e pili ana i ka hopena i ka hanana traumatic. He OK na oukou e kaumaha a eha paha.
• Akā pono e ʻike kāu keiki aia ʻoe ke kaohi a ke pale nei iā lākou.

E hoʻomaopopo i kāu keiki aia ʻoe ma laila no lākou.

• E hoʻi i kahi hana maʻamau i kēlā me kēia lā ke hiki iā ʻoe. E hana i kahi papahana no ka ʻai ʻana, ka hiamoe ʻana, ke kula, a me ka pāʻani ʻana. Kōkua nā hana o kēlā me kēia lā i nā keiki e ʻike i ka mea e manaʻo ai a palekana iā lākou.
• E kamaʻilio me kāu keiki. E hoʻomaopopo iā lākou i kāu hana e palekana ai. Pane i kā lākou nīnau i kahi ala e hiki ai iā lākou ke hoʻomaopopo.
• Noho kokoke i kāu keiki. E noho lākou ma kahi kokoke iā ʻoe a paʻa paha i kou lima.
• E ʻae a hana pū me kāu keiki i ka hana i regressed.

Nānā i ka ʻike e loaʻa ana i kāu keiki e pili ana i kahi hanana. E hoʻopau i ka nūhou TV a palena i kāu kamaʻilio e pili ana i nā hanana i mua o nā keiki ʻōpio.

ʻAʻohe ala hoʻokahi e ola ai nā keiki ma hope o nā hanana traumatic. Lana ka manaʻo e hoʻi i kāu keiki i kā lākou hana maʻamau i ka manawa.

Inā loaʻa ka pilikia o kāu keiki ma hope o hoʻokahi mahina, e kiʻi i ke kōkua ʻoihana. E aʻo kāu keiki pehea:

• E kamaʻilio e pili ana i ka mea i hana ʻia. E haʻi lākou i kā lākou mau moʻolelo me nā huaʻōlelo, kiʻi, a pāʻani paha. Kōkua kēia iā lākou e ʻike he maʻamau ka hopena i ka trauma.
• E hoʻomohala i nā hoʻolālā e kōkua i ka makaʻu a me ka hopohopo.

E hoʻomaopopo i nā kumu e pili ana i nā hanana traumatic i ke ola o kāu keiki. E hoʻomau i ka kamaʻilio hāmama e pili ana i nā loli i ka hana a kāu keiki.

Kaumaha - nā hanana traumatic i nā keiki

ʻO Augustyn MC, Zukerman BS. Ka hopena o ka hana ʻino i nā keiki. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap14.

ʻO Peinado J, Leiner M. ʻO ka ʻeha pili i ka ʻino ma waena o nā keiki. I: Fuhrman BP, Zimmerman JJ, eds. ʻO Fuhrman lāua ʻo Zimmerman's Pediatric Critical Care. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 123.

• ʻO ke olakino noʻonoʻo keiki
• ʻO ka maʻi pilikia post-traumatic