ʻO ka maʻi pīhoihoi nui i nā keiki

ʻO ka maʻi maʻi maʻamau (GAD) kahi maʻi noʻonoʻo kahi e hopohopo ai a hopohopo ai paha kahi keiki i nā mea he nui a paʻakikī e kaohi i kēia hopohopo.

ʻAʻole ʻike ʻia ke kumu o GAD. He pāʻani paha kā Genes. ʻO nā keiki me nā lālā o ka ʻohana i loaʻa i kahi maʻi pīhoihoi e loaʻa paha iā lākou kekahi. ʻO ke koʻikoʻi paha kekahi mea i ka hoʻomohala ʻana iā GAD.

Nā mea i ke ola o ke keiki e hiki ai ke hoʻonāukiuki a me ka hopohopo pū kekahi:

• Loss, e like me ka make ʻana o ka mea i aloha ʻia a i ʻole ka hemo o nā mākua
• Hoʻololi ke ola nui, e like me ka neʻe ʻana i kahi kūlanakauhale hou
• He mōʻaukala hoʻomāinoino
• Noho me ka ʻohana me nā lālā hopohopo, hopohopo, a kolohe paha

ʻO GAD kahi ʻano maʻamau, e hoʻopili ana ma kahi o 2% a i 6% o nā keiki. ʻAʻole hana ʻo GAD a hiki i ka wā ʻōpio. ʻIke pinepine ʻia i nā kaikamahine ma mua o nā keikikāne.

ʻO ka ʻōuli nui ka hopohopo pinepine a i ʻole ke kūpikipiki ma ka liʻiliʻi ma 6 mau mahina, ʻoiai me ke kumu liʻiliʻi a ʻaʻohe kumu maopopo. Me he mea lā e lana ana nā pōpilikia mai kekahi pilikia a i kekahi pilikia ʻē aʻe. Hoʻomaopopo pinepine nā keiki me ka hopohopo i kā lākou hopohopo iā:

• Hana maikaʻi ʻana ma ke kula a me nā haʻuki. Loaʻa paha iā lākou ka manaʻo e pono lākou e hana kūpono a i ʻole ʻano manaʻo ʻaʻole maikaʻi lākou.
• ʻO ka palekana o lākou iho a i ʻole ko lākou ʻohana. ʻIke paha lākou i ka makaʻu nui i nā pōʻino kūlohelohe e like me nā ōlaʻi, tornados, a i ʻole home break-ins.
• ʻO ka maʻi i loko o lākou iho a i ʻole ko lākou ʻohana. Hopohopo nui paha lākou i nā maʻi liʻiliʻi i loaʻa iā lākou a makaʻu paha i ka hoʻomohala ʻana i nā maʻi hou.

ʻOiai ke ʻike ke keiki he nui nā hopohopo a makaʻu paha, paʻakikī kahi keiki me GAD e kaohi iā lākou. Pono pinepine ke keiki i ka hōʻoia.

ʻO nā ʻōuli ʻē aʻe o GAD:

• Hoʻopilikia i nā pilikia, a i ʻole noʻonoʻo ka hele ʻana
• Ka luhi
• Huhū
• Nā pilikia e hāʻule ana a hiamoe paha, a hiamoe ʻole ʻole a ʻoluʻolu ʻole paha
• Hoʻomaha ʻole ke ala aʻe
• ʻAʻole ʻai lawa a ʻai nui paha
• Hū ka huhū
• ʻO kahi kumu o ka hoʻokuli, ʻenemi, a me nā kūpina

Ke manaʻo nei i ka mea ʻoi loa, ʻoiai ʻaʻohe kumu e hopohopo ai.

Loaʻa paha i kāu keiki nā ʻōuli kino ʻē aʻe e like me:

• ʻUme mākala ʻaʻano
• Opu hoʻowahāwahā
• Hoʻoulu
• Hanu paʻakikī
• Poʻo poʻo poʻo

Hiki i nā ʻōuli hōʻino ke hoʻololi i ke ola o kēlā me kēia lā o ke keiki. Hiki iā lākou ke hana paʻakikī i ka hiamoe o ke keiki, ʻai, a hana maikaʻi i ke kula.

E nīnau aku ke kahu mālama ola o kāu keiki e pili ana i nā hōʻailona o kāu keiki. Kuhi ʻia ʻo GAD ma muli o kāu a me kāu keiki e pane ai i kēia mau nīnau.

E nīnau ʻia ʻoe me kāu keiki e pili ana i kona olakino a me ke olakino, nā pilikia ma ke kula, a i ʻole ka lawena me nā hoaaloha a me ka ʻohana. E hana ʻia kahi hoʻokolohua kino a i ʻole nā ​​hoʻokolohua lab e hoʻokau i nā kūlana ʻē aʻe i hiki ke kumu i nā ʻōuli like.

ʻO ka pahuhopu o ka mālama ʻana e kōkua i kāu keiki e ʻoi aku ka maikaʻi a me ka hana maikaʻi i ke ola o kēlā me kēia lā. I nā hihia ʻoi aku ka paʻakikī, hiki ke kōkua i ke olakino kamaʻilio a lāʻau lāʻau paha. I nā hihia ʻoi loa, ʻoi aku ka maikaʻi o ka hui ʻana o kēia mau mea.

KALAPALAI ANA

Hiki ke kōkua i nā ʻano ʻano ʻōlelo kamaʻilio no GAD. ʻO kekahi ʻano maʻamau a me ke ʻano kūpono o ke kamaʻilio ʻana o ka haʻiʻōlelo ʻo ia ka cognitive-behavioral therapy (CBT). Hiki i ka CBT ke kōkua i kāu keiki e hoʻomaopopo i ka pilina ma waena o kona mau manaʻo, ʻano, a me nā ʻōuli. Pili pinepine ʻo CBT i kahi helu o nā kipa. Ma CBT, hiki i kāu keiki ke aʻo pehea e:

• Hoʻomaopopo a loaʻa ka mālama ʻana i nā manaʻo kekeʻe o nā stressors, e like me nā hanana ola a i ʻole ka lawena a nā poʻe ʻē aʻe
• ʻIke a hoʻololi i nā manaʻo panic-e kōkua iā ia e noʻonoʻo hou i ka kaohi
• Hoʻoponopono i ka hoʻoluhi a me ka hoʻomaha ke kū nā ʻōuli
• Hōʻalo i ka noʻonoʻo ʻana e ulu ana nā pilikia liʻiliʻi i loko o nā mea weliweli

NA LAAU LAPAAU

I kekahi manawa, hoʻohana ʻia nā lāʻau e kōkua i ke kaohi i ka hopohopo i nā keiki. ʻO nā lāʻau i kauoha pinepine ʻia no GAD me nā antidepressants a me nā mea hoʻohiamoe. Hiki ke hoʻohana ʻia kēia mau mea i ka wā pōkole a lōʻihi paha. E kamaʻilio me ka mea hoʻolako e aʻo e pili ana i ka lāʻau a kāu keiki, me nā hopena a me nā launa pū ʻana paha. E mālama pono i kāu keiki i nā lāʻau i kuhikuhi ʻia.

Aia ka maikaʻi o ke keiki ma muli o ke ʻano o ke ʻano. I kekahi mau hihia, lōʻihi ʻo GAD a paʻakikī e mālama. Eia nō naʻe, ʻoi aku ka maikaʻi o ka hapanui o nā keiki me ka lāʻau, talk therapy, a i ʻole ʻelua paha.

ʻO ka loaʻa ʻana o kahi maʻi pīhoihoi hiki ke waiho i kahi keiki i ka makaʻu no ke kaumaha a me ka hōʻino ʻana i ka lāʻau.

Kāhea i ka mea hāʻawi i kāu keiki inā hopohopo pinepine kāu keiki a hopohopo paha, a hoʻopilikia ia i kāna hana i kēlā me kēia lā.

GAD - keiki; ʻO ka maʻi pīhoihoi - keiki

• Kākoʻo pūʻulu aʻoaʻo

ʻO kertic JQ, Prince JB, Buxton DC. Nā maʻi psychiatric keiki a ʻōpio. 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 69.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Nā pilikia kūpilikiʻi. 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 32.

Rosenberg DR, Chiriboga JA. Nā pilikia kūpilikiʻi. 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 38.