ʻO Munchausen Syndrome e ke koho

ʻO ka maʻi ʻo Munchausen e ka mea pani, he maʻi noʻonoʻo a me kahi ʻano o ka hoʻomāinoino keiki. ʻO ke kahu o kahi keiki, ʻo ka manawa pinepine he makuahine, hana paha i nā ʻōuli hoʻopuni a i ʻole ke kumu o nā hōʻailona maoli e like me ka maʻi o ke keiki.

ʻAʻohe mea i maopopo i ke kumu o ka maʻi ʻo Munchausen e ka mea koho. I kekahi manawa, hoʻomāinoino ʻia ke kanaka ma ke ʻano kamaliʻi a i ʻole Munchausen Syndrome (maʻi maʻi na lākou iho).

Hiki i ke kahu ke hana i nā mea nui loa i nā hōʻailona wahaheʻe o ka maʻi i ke keiki. ʻO kahi laʻana, hiki i ka mea mālama ke:

• Hoʻohui i ke koko i ka mimi o ke keiki a i ʻole ka noho
• Kāohi i ka meaʻai no laila ke nānā aku ke keiki ʻaʻole hiki ke loaʻa ka paona
• Wela i nā thermometers no laila ke kuni nei ke keiki
• Hana i nā hopena lab
• E hāʻawi i ke keiki i nā lāʻau e hoʻolei ai i ke keiki a i ʻole he diarrhea paha
• Hoʻopili i kahi laina intravenous (IV) e maʻi ai ke keiki

He aha nā hōʻailona i ka mea mālama?

• ʻO ka hapa nui o ka poʻe me kēia pilikia he mau makuahine me nā keiki liʻiliʻi. ʻO kekahi poʻe keiki makua e mālama nei i kahi makua makua.
• Hana pinepine ka poʻe mālama i ka mālama olakino a ʻike nui e pili ana i ka mālama olakino. Hiki iā lākou ke wehewehe i nā hōʻailona o ke keiki i ke kikoʻī olakino nui. Makemake lākou e pili pū me ka hui mālama ola a makemake ʻia e nā limahana no ka mālama a lākou e hāʻawi ai i ke keiki.
• Pili pū kēia mau kahu me kā lākou poʻe keiki. Kūleʻa lākou i ke keiki. He mea paʻakikī kēia i nā ʻoihana olakino e ʻike i kahi hōʻailona o ka maʻi ʻo Munchausen e ka mea koho.

He aha nā hōʻailona i ke keiki?

• ʻIke ke keiki i nā mea lawelawe olakino a nui loa i ka haukapila.
• Ua loaʻa pinepine i ke keiki nā hoʻokolohua, nā ʻoki ʻana, a i ʻole nā ​​kaʻina hana ʻē aʻe.
• He mau ʻōuli ʻē kā ke keiki i kū ʻole me kekahi maʻi. Kūlike ʻole nā ​​ʻōuli i nā hopena hōʻike.
• Hōʻike ʻia nā hōʻailona o ke keiki e ke kahu. ʻAʻole lākou i ʻike ʻia e nā ʻoihana mālama ola. Ua hala nā ʻōuli i ka haukapila, akā hoʻomaka hou i ka wā e hoʻi ai ke keiki i ka hale.
• ʻAʻole kūlike nā laʻana koko i ke ʻano koko o ke keiki.
• Loaʻa nā lāʻau a i ʻole nā ​​kemika i ka mimi o ke keiki, ke koko, a i ʻole ka noho.

No ke kuhikuhi ʻana i ka maʻi maʻi ʻo Munchausen e ka mea pani, pono e ʻike nā mea hoʻolako i nā hōʻailona. Pono lākou e loiloi i ka moʻolelo olakino o ke keiki e ʻike i nā mea i hana ʻia me ke keiki i ka hala ʻana o ka manawa. ʻO ka pinepine, ʻike ʻole ʻia ka maʻi ʻo Munchausen e ka mea koho.

Pono e pale i ke keiki. Pono paha lākou e hemo mai ka mālama pololei o ka luna mālama i nīnau ʻia.

Pono nā keiki i ka mālama olakino e mālama i nā pilikia mai nā ʻeha, nā maʻi, nā lāʻau, nā ʻoki, a me nā hoʻokolohua. Pono lākou i ka mālama psychiatric e hana i ke kaumaha, ka hopohopo, a me ka maʻi post-traumatic stress e hiki ke hana ʻia me ka hōʻino keiki.

Hoʻopili pinepine ka mālama ʻana i ka hoʻomaʻamaʻa pākahi a me ka ʻohana. Ma muli o kēia ʻano hana hoʻomāinoino keiki, pono e hōʻike ʻia ka maʻi maʻi i nā luna.

Inā manaʻo ʻoe e hoʻomāinoino ʻia kahi keiki, e hoʻopili aku i kahi mea hoʻolako, nā mākaʻi, a i ʻole nā ​​lawelawe pale keiki.

Kāhea iā 911 no nā keiki i kahi pōpilikia koke ma muli o ka hōʻino a mālama ʻole paha.

Hiki iā ʻoe ke kāhea i kēia laina laina aupuni. Loaʻa nā kākā'ōlelo pilikia no 24/7. Loaʻa nā mea unuhi manaʻo e kōkua ma nā ʻōlelo 170. Hiki i ke kākāʻōlelo ma ke kelepona ke kōkua iā ʻoe e noʻonoʻo i nā kaʻi e hiki mai ana. Kāhea inoa ʻole ʻia nā kelepona āpau. Kāhea iā Childhelp National Child Abuse Hotline 1-800-4-A-CHILD (1-800-422-4453).

ʻO ka hoʻomaopopo ʻana i ka maʻi ʻo Munchausen e ka mea pani ma ka pilina keiki a makua hiki ke pale i ka hoʻomau hoʻomāinoino a pono ʻole, pipiʻi, a me nā hoʻokolohua olakino weliweli paha.

ʻO ka maʻi kūpono ʻole e ka mea pani; Hana hoʻomāinoino keiki - Munchausen

ʻO Carrasco MM, Wolford JE. Hana hoʻomāinoino keiki a mālama ʻole. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 6.

ʻO Dubowitz H, Lane WG. Hana ʻino a mālama ʻole ʻia 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: chap 16.

Shapiro R, Farst K, Chervenak CL. Hana hoʻomāinoino keiki. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 24.