Ka pilina ma waena o ADHD a me Autism

Anter
- Hōʻike Overview
- ADHD me ka autism
- Nā ʻōuli o ADHD a me autism
- Ke hui pū lākou
- Ka hoʻomaopopo ʻana i ka hoʻohuihui
- Ke kiʻi ʻana i ka lāʻau kūpono
- Outlook
Hōʻike Overview
Ke hiki ʻole i kahi keiki kula ke nānā nui i nā hana a i ʻole i ke kula, manaʻo paha nā mākua i ka loaʻa ʻana o ka maʻi hyperactivity deficit hyperactivity (ADHD) e kā lākou keiki. Paʻa ka noʻonoʻo ʻana i ka hana home? Fidgeting a paʻakikī e noho mālie? ʻAʻole hiki ke hana a mālama i ka maka maka?
ʻO kēia mau hōʻailona āpau o ADHD.
Kūlike kēia mau ʻōuli i ka mea a ka poʻe e maopopo ai e pili ana i ka maʻi neurodevelopmental maʻamau. ʻOi aku paha nā kauka he nui i kēlā ʻike. Eia naʻe, ʻaʻole ʻo ADHD wale nō ka pane.
Ma mua o ka hana ʻia ʻana o kahi hōʻailona ADHD, he mea pono e hoʻomaopopo pehea e huikau ai ka ADHD a me ka autism, a hoʻomaopopo i ka wā e hoʻopili ai lākou.
ADHD me ka autism
ʻO ADHD kahi maʻi neurodevelopmental maʻamau i loaʻa pinepine ʻia i nā keiki. Ma kahi o 9.4 pākēneka o nā keiki U.S. ma waena o nā makahiki o 2 a me 17 i loaʻa me ADHD.
ʻEkolu ʻano o ADHD:
- ʻoi loa hyperactive-impulsive
- nānā nui ʻole
- hoʻohuihui
ʻO ka ADHD i hui pū ʻia, kahi e ʻike ai ʻoe i nā hōʻailona inattitive a me hyperactive-impulsive, ka mea maʻamau.
ʻO ka makahiki maʻamau o ka diagnose he 7 mau makahiki a ʻoi aku paha ka ʻike ʻia o nā keikikāne me ADHD ma mua o nā kaikamahine, ʻoiai no ka ʻokoʻa paha o ka hōʻike.
ʻO ka maʻi maʻi Autism (ASD), kahi ʻano kamaliʻi ʻē aʻe, pili pū kekahi i ka hoʻonui ʻana o nā keiki.
ʻO ASD kahi hui o nā maʻi paʻakikī. Hoʻopili kēia mau maʻi i ka lawena, ka hoʻomohala ʻana, a me ke kamaʻilio. Ma kahi o 1 ma 68 mau keiki U.S. i ʻike ʻia me ka ASD. ʻO nā keikikāne ʻehā a me ka hapalua manawa e ʻike ʻia me ka autism ma mua o nā kaikamahine.
Nā ʻōuli o ADHD a me autism
I nā wā mua loa, ʻaʻole ia he mea maʻamau no ke kuhi hewa ʻana o ADHD a me ASD no kekahi. Hiki i nā keiki me nā ʻano ʻelua ke loaʻa i ka pilikia ke kamaʻilio a me ka nānā ʻana. ʻOiai he mau ʻano like ko lākou, ʻelua mau ʻano ʻokoʻa.
Eia ka hoʻohālikelike o nā kūlana ʻelua a me kā lākou mau ʻōuli.
Nā hōʻailona ADHD | Nā ʻōuli Autism | |
hoʻolalau maʻalahi | ✓ | |
lele lele pinepine ana mai kahi hana a i kekahi hana a i ʻole e ulu wikiwiki ʻana me nā hana | ✓ | |
pane ʻole i nā stimulus maʻamau | ✓ | |
pilikia i ka nānā ʻana, a i ʻole ka noʻonoʻo ʻana a me ka hoʻopili ʻana i ka nānā i hoʻokahi hana | ✓ | |
ka nānā nui a me ka noʻonoʻo ʻana i ka mea hoʻokahi | ✓ | |
e kamaʻilio nonstop a i ʻole e hoʻomālamalama i nā mea i waho | ✓ | |
hyperactivity | ✓ | |
pilikia noho malie | ✓ | |
keʻakeʻa i nā kamaʻilio a hana paha | ✓ | |
ka nele o ka hopohopo a i ʻole hiki ʻole ke hana i nā manaʻo a i ʻole nā manaʻo o nā poʻe ʻē aʻe | ✓ | ✓ |
neʻe hou ʻana, e like me ka luliluli ʻana a wili paha | ✓ | |
ka hōʻalo ʻana i ka pili maka | ✓ | |
nā hana i kāpae ʻia | ✓ | |
hoʻohaunaele ka pilina kanaka | ✓ | |
nā milestones hoʻolālā lohi | ✓ |
Ke hui pū lākou
Aia paha he kumu no ka paʻakikī e hoʻokaʻawale ʻia nā ʻōuli o ADHD a me ASD. Hiki i nā mea ʻelua ke hana i ka manawa like.
ʻAʻole hiki ke ʻike maopopo ʻia i kēlā me kēia keiki. E hoʻoholo paha ke kauka i hoʻokahi o nā maʻi ke kuleana no nā ʻōuli o kāu keiki. I nā hihia ʻē aʻe, loaʻa i nā keiki ʻelua kūlana.
Wahi a nā Centers for Disease Control and Prevention (CDC), o nā keiki me ADHD he ASD kekahi. I hoʻokahi noi mai ka 2013, ʻo nā keiki me nā kūlana ʻelua i loaʻa i nā ʻōuli hoʻonāwaliwali ma mua o nā keiki i hōʻike ʻole i nā ʻano ASD.
I nā huaʻōlelo ʻē aʻe, ʻoi aku ka nui o ka pilikia o ke aʻo ʻana a nā keiki me nā hōʻailona ADHD a me ASD ma mua o nā keiki i loaʻa kekahi o nā kūlana.
Ka hoʻomaopopo ʻana i ka hoʻohuihui
No nā makahiki he nui, ua kānalua nā kauka e kuhikuhi i kahi keiki me ADHD a me ASD. No kēlā kumu, he kakaikahi loa nā noiʻi olakino i nānā i ka hopena o ka hui ʻana o nā kūlana i nā keiki a me nā mākua.
Ua haʻi ka ʻAmelika Psychiatric Association (APA) no nā makahiki ʻaʻole hiki ke ʻike ʻia nā kūlana ʻelua i ka mea like. I ka 2013, ka APA. Me ka hoʻokuʻu ʻia ʻana o ka Diagnostic and Statistics Manual of Mental Disorder, Fifth Edition (DSM-5), ʻōlelo ka APA hiki i nā kūlana ʻelua ke hui pū ʻia.
Ma ka loiloi 2014 o nā noiʻi e nānā nei i ka hui pū ʻana o ADHD a me ASD, ua ʻike nā kānaka noiʻi aia ma waena o 30 a 50 mau pākēneka o ka poʻe me ASD he mau ʻōuli ko ADHD. ʻAʻole maopopo piha ka poʻe noiʻi i ke kumu no nā kūlana ʻelua, a no ke aha e hui pinepine ai lākou.
Pili paha nā kūlana ʻelua i nā genetics. Hoʻokahi o nā noi i hōʻike ʻia i kahi moʻomeheu laha ʻole e hoʻopili ʻia i nā kūlana ʻelua. Hiki i kēia loaʻa ke wehewehe i ke kumu e hana pinepine ai kēia mau ʻano i ka mea like.
Pono hou ʻia ka noiʻi hou e hoʻomaopopo pono i ka pilina ma waena o ADHD a me ASD.
Ke kiʻi ʻana i ka lāʻau kūpono
ʻO ka hana mua i ke kōkua ʻana i kāu keiki e loaʻa ka lāʻau kūpono e loaʻa ana kahi hōʻailona pono. Pono ʻoe e ʻimi i kahi loea no ke ʻano maʻi keiki.
ʻAʻole i loaʻa i ka nui o nā pediatric a me nā loea maʻamau ka hoʻomaʻamaʻa loea e hoʻomaopopo i ka hoʻohui o nā ʻōuli. Hiki paha i nā pediatric a me nā loea maʻamau ke haʻalele i kahi ʻano paʻa e hoʻopīhoihoi i nā hoʻolālā lapaʻau.
Hiki ke kōkua i ka mālama ʻana i nā ʻōuli o ADHD i kāu keiki e mālama i nā ʻōuli o ASD. ʻO ke ʻano hana e aʻo ai kāu keiki e kōkua ai e hōʻemi i nā ʻōuli o ASD. ʻO ia ke kumu o ka loaʻa ʻana o ka hōʻailona kūpono a me ka lapaʻau kūpono he mea nui loa.
He kūpono kūpono ka behavioral therapy no ADHD, a paipai ʻia e like me ka lālani mua o ka hoʻomaʻamaʻa ʻana no nā keiki ma lalo o ka makahiki 6. No nā keiki i piha i nā makahiki he 6, paipai ʻia ka lāʻau lapaʻau me ka lāʻau.
Hoʻohana ʻia kekahi mau lāʻau e mālama iā ADHD:
- methylphenidate (Ritalin, Metadate, Concerta, Methylin, Focalin, Daytrana)
- nā paʻakai amphetamine kāwili ʻia (Adderall)
- dextroamphetamine (Zenzedi, Dexedrine)
- lisdexamfetamine (Vyvanse)
- guanfacine (Tenex, Intuniv)
- clonidine (Catapres, Catapres TTS, Kapvay)
Hoʻohana pinepine ʻia ʻo ka behavioral therapy ma ke ʻano he lapaʻau no ASD. Kau kuhikuhi ʻia ka lāʻau e mālama ai i nā ʻōuli. I ka poʻe i ʻike ʻia me ka ASD a me ka ADHD, hiki i ka lāʻau i kuhikuhi ʻia no nā ʻōuli o ADHD ke kōkua pū kekahi i kekahi mau ʻōuli o ASD.
Pono paha ke kauka o kāu keiki e hoʻāʻo i kekahi mau ʻano lapaʻau ma mua o ka loaʻa ʻana o kahi e hoʻokele i nā hōʻailona, a i ʻole he nui nā ʻano hana e hoʻohana ʻia i ka manawa like.
Outlook
ʻO ADHD a me ASD nā kūlana ola āpau i hiki ke mālama ʻia me nā ʻano kūpono kūpono no kēlā me kēia. E hoʻomanawanui a hāmama i ka hoʻāʻo ʻana i nā ʻano lāʻau like ʻole. Pono paha ʻoe e neʻe i nā hana hou i ka wā e nui ai kāu keiki a ulu nā ʻōuli.
Ke hoʻomau nei ka ʻepekema i ka noiʻi ʻana i ka pilina ma waena o kēia mau ʻano ʻelua. Hōʻike paha ka noiʻi i ka ʻike hou aku e pili ana i nā kumu a loaʻa i nā koho lapaʻau hou aʻe.
E kamaʻilio me kāu kauka e pili ana i nā lapaʻau hou a i ʻole nā hoʻokolohua hoʻokolohua. Inā ua kuhi ʻia kāu keiki me ADHD a ASD paha a manaʻo ʻoe he ʻano ʻelua kā lākou, e kamaʻilio me kāu kauka. Kūkākūkā i nā ʻōuli a kāu keiki a inā paha i manaʻo kāu kauka e hoʻoponopono pono ka ʻike. Pono kahi kuhi kūpono i ka loaʻa ʻana o ka lāʻau maikaʻi.