Qiniseka ukuthi unakho konke okuhlanganisiwe
Ukuvakashela kahle izingane zakho kubalulekile empilweni yengane yakho nganoma yisiphi isikhathi. Funda ukwenza okuningi kokuvakashelwa! Njengoba okuningi kuqhubeka ngesikhathi sokuvakasha, ikakhulukazi kubazali abasha, sihlanganisa izihloko okufanele ukhulume ngakho ukuze ungakhohlwa ngabo.
Nini Ukuhlela Ukuvakashelwa
Ngaphandle kwalokho abanye abakubheka ngokuzikhethela ukuvakashelwa ukuvakasha ngenyanga kanye nezinyanga ezingu-30, kufanele ubone udokotela wezingane kulesi simiso esilandelayo:
- Izinsana Nezinsana: emva kokuvakashela okokuqala kudokotela wezingane zabo ezinsukwini ezingu-3-5 ngemuva kokuzalwa, ukuvakashela udokotela wezingane kuyaqhubeka emasontweni amabili bese kuthi 2, 4, 6, nezinyanga ezingu-9
- Izingane: ukuvakashela udokotela wezingane kuqala ukukhala isikhashana ngalesi sikhathi, ngokuqokwa kahle kuma-12, 15, 18, nasezinyangeni ezingu-24
- Abasenkulisa: ngaphambi kwenkulisa, kukhona ukuvakashelwa eminyakeni engu-3 no-4
- Ubuntwana obuphakathi: ngeminyaka eyi-5 ubudala, ukuvakashelwa kahle kwezingane kuhambela esimweni sonyaka
- Tweens and Teens: izingane ezindala zingaqhubeka nokuya kudokotela wezingane zabo unyaka ngamunye kuze kube yiminyaka engu-21
Lezi ukuvakashelwa okujwayelekile okuvimbela ukuvimbela izingane lapho zilinganiswa khona, zibe nokuhlolwa kokuthuthukiswa, ukuhlolwa ngokomzimba, ukuthola imithi, futhi banikwe isiqondiso sokulindela mayelana nokuphepha, ukudla okunempilo, ukulala, nokuziphatha, njll.
Qiniseka ukubhekana nalezi zindaba ezingu-7 ezibalulekile.
1) Imiphumela yezinkomba zokuhlola
Kunconywa ukuthi izingane zivame ukuhlolelwa:
- i-autism ezinyangeni ezingu-18 neminyaka engu-2 (thatha ukuhlolwa kwe-M-CHAT ku-intanethi)
- ukucindezeleka ngonyaka kusukela ekuqaleni kweminyaka engu-11 (thatha i-PHQ-9 kanye namanye ama-Questionnaires ezempilo e-Patient)
- izinkinga zentuthuko ngo-9, 18, nezinyanga ezingu-24 noma ezingu-30
- ukusetshenziswa kwezidakamizwa nokuphuza utshwala ngonyaka uneminyaka engu-11 (uthathe ukuhlola ukuhlolwa kwe-CRAFFT ku-intanethi)
- Ukukhuluphala ngokweqile ngenani lomzimba wonyaka kusukela ekuqaleni kwezinyanga ezingu-24 (ukubala i-BMI yengane yakho ku-intanethi)
- kuholele ukuhlolisisa ingozi engama-6, 9, 12, 18, nezinyanga ezingu-24 futhi ngonyaka phakathi kweminyaka emi-3 kuya kwengu-6
- ukuhlolwa kwesifo sofuba ekuqaphelisweni kwezinto eziphezulu ezingozini ngezinyanga ezingu-1 nasezinyangeni ezingu-6 bese kuqala ngonyaka ngezinyanga ezingu-12
Esikhundleni sokumangazwa ngefomu lokuhlola noma imibuzo ekubukeni kwengane yakho, cabanga ukugcwalisa ngaphambi kokuvakashelwa nokuletha ifomu noma imiphumela nawe.
Noma uhlele ukuqokwa okuhlukile, okukhethekile ukukhuluma ngemibuzo emihle yokuhlola ukucindezeleka kwentsha noma ukusebenzisa izidakamizwa noma uma ucabanga ukuthi ingane yakho ine-autism.
2) Izinguquko Zesimo Sezenhlalo
Ingabe kube khona izinguquko ekhaya zakamuva?
Qiniseka ukuthi utshele ingane yakho nganoma yiziphi izinguquko, ngoba lezi zingathinta indlela ingane yakho ecabanga ngayo futhi uzizwa ngayo.
Ukuhlukana, isehlukaniso, noma ngisho nomshado omusha yizinto zonke izingane zakho okufanele zikwazi ngazo.
Udokotela wakho wezingane uzokwazi ukuthi unomntwana omusha , kodwa kungenzeka angazi ngokuzenzakalelayo uma uphinde washada futhi ingane yakho inabantwana abathathu abathathu ekhaya.
Vumela udokotela wezingane zakho wazi ngalezi zinhlobo zezinguquko, kufaka phakathi noma yikuphi ukufa emndenini, ikakhulukazi uma ucabanga ukuthi ingane yakho ingase ibe nenkinga yokulungisa futhi idinga usizo olwengeziwe.
3) Ubuhlobo
Ingane yakho yenza kahle kangakanani abangane ?
Ingabe unomngane omkhulu?
Nakuba zonke izinyane ezingadingeki zibe yi-butterflies yenhlalo futhi zibe abangane nabo bonke esikoleni, ukungabi nabangane ifulege elibomvu ukuthi unenkinga.
Ingabe uke wahlukunyezwa?
Wenzani ukuze ajabule? Ingabe uhileleke kunoma yikuphi ngemuva kwemisebenzi yesikole?
Futhi umbuzo obalulekile abantu abambalwa abacabanga ukuwubuza - ingabe uyamhlukumeza noma ubani?
Khuluma nabantwana bakho mayelana nabangane babo (noma ukungabi nabangane) bese utshela ingane yakho uma ukhathazekile.
4) Umlando wezokwelapha wakamuva
Ingabe ingane yakho inenkinga enkulu yokwelapha kusukela ekuhlolweni kwayo kokugcina?
Nakuba ihhovisi lezingane zakho kufanele libe yindlu yakho yezokwelapha, okusho ukuthi udokotela wakho wezingane uyazi zonke izinkinga zezokwelapha ingane yakho njengoba kwenzeka, akuhlali njalo kwenzeka ngaleyo ndlela.
Ingabe kwadingeka uye esikhungweni sokunakekelwa okuphuthumayo ebusuku noma ngempelasonto?
Ingabe ukulimala kwezemidlalo esikoleni kwathumela ingane yakho ku-ER ngenkinga?
Ingabe ingane yakho ikhona noma yimuphi ukwelashwa kwezinkinga ezingapheli noma ezizelelwe ngumchwepheshe?
Qinisekisa ukuthi ubuyekeze ingane yakho ngezokwelapha, kuhlanganise nanoma imiphi imithi ingane yakho enqunyelwe.
Futhi njengoba nje ungathanda ukuvakasha, qiniseka ukuthi utshele ingane yakho mayelana nanoma imiphi imithi engaphezu kwe-counter ukuthi ingane yakho ithatha.
5) Ukwelapha okunye
Kufanele futhi utshele ingane yakho ngezinye izindlela zokwelapha ozama ngazo noma ukucabanga ngokuzama.
Ingabe uthatha ingane yakho ku-chiropractor noma ukukhishwa kwesikhumba?
Uyamnika ama-mega-doses amavithamini noma asebenzise amafutha abalulekile?
Ufuna ukuthatha amaprotheni aphezulu ayenamahlombe ngoba ecabanga ukuthi izomnika imisipha emikhulu?
6) Uhambo Lwakamuva Nezinhlelo Zokuhamba Zesikhathi Esizayo
Nakuba ukwazi ngohambo oluthile kubaluleke kakhulu uma ingane yakho igula, qiniseka ukuthi utshele ingane yakho ngezinhlelo zokuhamba ezizayo ongase ube nazo.
Ingabe uzobe usuka kuleli zwe kungekudala, okungase kusho ukuthi ingane yakho idinga imishanguzo ekhethekile yokuhamba?
Ezinye izinyawo zingase zisho nokuthi udinga imithi yokuvimbela amaphilisi okuvimbela i-malariya.
7) Izinhlelo Zesikhathi Esizayo Nokuguqula Kudokotela Omdala
Ngivame ukutshela izingane ezindala ukuthi ziqhubeke ziza zingibona uma nje zikhona esikoleni, zicabanga ukuthi zizoqhubeka lapho ziqedile ekolishi. Lokho kuvame ukusebenza kahle, ngaphandle kwalabo abaya esikoleni ukugcina isiqu futhi baqhubeke beza ehhovisi.
Lokhu kuhluke kakhulu kunabasha abasebasha abangezinye izikhathi bacabanga ukuthi bakhulu kakhulu ukuthi bangaqhubeka nokuya kudokotela wezingane.
Ngaphansi
Ukuhlola akuzona nje izingane zakho ezingangena futhi zithole isibhamu. Yenza okungcono kakhulu ukuqinisekisa ukuthi ingane yakho ikhula futhi ikhula kahle, kokubili ngokomzimba nangokwengqondo.
Imithombo:
Isitatimende senqubomgomo ye-AAP. Izincomo ze-2016 zokuNakekelwa kwezeMpilo eziPhezulu. I-PEDIATRICS Umqulu 137, inombolo 1, uJanuwari 2016
Umbiko wezokwelapha we-AAP: Ukukhomba nokuhlolwa kwezingane ezine-Autism Spectrum Disorders. Izingane zokwelapha. 2007; 120 (5): 1183-1215. Iqinisekisiwe ngo-Agasti 2014
I-CDC Impendulo KuKomidi Eluleka Ngezingane Ukuhola Ukuvimbela Ukushisa Ukunciphisa Izincomo "Ezinganeni Eziphansi Ezisezingeni Eliphansi Lokuzibonisa Ngamafutha: Ikholi Evuselelwe Ukuvimbela Okuyisisekelo"