ʻO ka maʻi hoʻopili hou o ka wā kamaliʻi a i ʻole ke keiki kamaliʻi

ʻO ka maʻi hoʻopili hoʻopili he pilikia kahi i hiki ʻole i kahi keiki ke hana maʻalahi i kahi pilina maʻamau a aloha paha me nā poʻe ʻē aʻe. Manaʻo ʻia he hopena ia mai ka hoʻokumu ʻole ʻana i kahi hoʻopili i kekahi kahu mālama kikoʻī ke ʻōpio loa.

Hoʻokumu ʻia ka maʻi hoʻopili pilikino e ka hoʻomāinoino a mālama ʻole paha i nā pono o kahi pēpē no:

• Nā pilina paʻa me kahi kahu mua a kula ʻelua paha
• Mea ʻai
• Pakele kino
• Ka hoʻopā ʻana

E mālama ʻole ʻia kahi pēpē a keiki paha i ka wā a ka:

• Ua kīnā ʻole ka mālama mālama
• ʻAʻohe o ka mākua mālama mākua
• Hoʻokaʻawale ʻia nā mākua
• He ʻōpio nā mākua

Hoʻololi pinepine i nā mea mālama (e laʻa me nā keiki makua ʻole a hānai hānai) kahi kumu ʻē aʻe o ka maʻi hoʻopili hou.

I ke keiki, pili pū paha nā hōʻailona:

• Hōʻalo i ka mea mālama
• Hōʻalo i ka pili kino
• Hōʻoluʻolu ʻia ka paʻakikī
• ʻAʻole e hoʻokaʻawale i ka launa ʻana me nā malihini
• Ke makemake nei e noho hoʻokahi ma mua o ka launa ʻana me nā poʻe ʻē aʻe

E mālama pinepine ka mea mālama i ke keiki:

• Pono no ka hōʻoluʻolu, hoʻonāukiuki, a me ke aloha
• Nā makemake e like me ka meaʻai, kaukau, a me ka pāʻani

Kuhi ʻia kēia maʻi me ka:

• Piha mōʻaukala
• Ninaninau kino
• Loiloi psychiatric

He ʻelua ʻāpana ka mālama ʻana. ʻO ka pahuhopu mua e hōʻoia i ka noho ʻana o ke keiki i kahi ʻano palekana kahi e hoʻokō ʻia ai ka pono a me ke kino.

Ke hoʻokau ʻia kēlā, ʻo ka hana hou e hoʻololi i ka pilina ma waena o ka mea mālama a me ke keiki, inā ʻo ka mea mālama ka pilikia. Hiki i nā papa makua ke kōkua i ka mea mālama e kō i nā pono o ke keiki a me ka hoʻopaʻa me ke keiki.

Kōkua paha ka ʻōlelo aʻoaʻo i ka mea mālama i ka hana i nā pilikia, e like me ka hōʻino ʻana i ka lāʻau a i ʻole ka hana ʻino a ka ʻohana. Pono nā lawelawe kaiāulu e ukali i ka ʻohana e hōʻoia i ka noho ʻana o ke keiki i kahi palekana, kūpaʻa.

Hiki i ke kōkua kūpono ke hoʻomaikaʻi i ka hopena.

Inā mālama ʻole ʻia, hiki i kēia ʻano ke hoʻololi mau i ka hiki i ke keiki ke launa pū me nā poʻe ʻē aʻe. Hiki ke hoʻohui ʻia me:

• Hopohopo
• Kaumaha
• Nā pilikia psychological
• Maʻi maʻi Post-traumatic

Hoʻomaopopo pinepine ʻia kēia maʻi i ka wā e makaʻu nui ana ka makua (a i ʻole ka makua prospective) no ka mālama ʻole ʻana a i ʻole ke pilikia paha i kahi makua hānai i kahi keiki hānai hou.

Inā ua hānai ʻoe i kahi keiki mai kahi keiki makua ʻole a i ʻole kahi kūlana ʻē aʻe i hiki ai ke mālama ʻole a hōʻike kāu keiki i kēia mau hōʻailona, ​​e ʻike i kāu mea mālama ola.

He mea nui ka hoʻomaopopo mua ʻana no ke keiki. ʻO nā mākua e makaʻu nui nei no ka hoʻowahāwahā e aʻo ʻia i nā mākua mākua. E ukali ʻia ka ʻohana e kekahi limahana kaiaulu a kauka paha e ʻike pono e hoʻokō ʻia nā pono o ke keiki.

Pūnaewele ʻAmelika Psychiatric Association. Maʻi maʻi hoʻopili. I: ʻAmelika Psychiatric Association, ed. Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 265-268.

ʻO Milosavljevic N, ʻo Taylor JB, ʻo Brendel RW. Hoʻopili ka psychiatric a me nā hopena o ka hōʻino a me ka mālama ʻole. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 84.

Zeanah CH, Chesher T, Boris NW; Ke Kōmike ʻAmelika Hui Pū ʻIa a me nā Haumāna ʻōpio (AACAP) Kōmike e pili ana i nā pilikia e like me (CQI). Hoʻomaʻamaʻa kūpono no ka loiloi a me ka mālama ʻana i nā keiki a me nā ʻōpio me ka maʻi hoʻopili hou ʻole a me ka disinhibited social engagement maʻi. ʻO J Am Acad Adolesc Psychiatry. 2016; 55 (11): 990-1003. PMID: 27806867 pubmed.ncbi.nlm.nih.gov/27806867/.