Izimpikiswano Nokunqabela Ukuqeda Amanqamu Kusuka Izikole
Ingabe kufanele kube khona amantongomane ezikoleni? Kungenzeka ukuthi uzwile abantu beveza lokhu ukukhathazeka ngemizwa eqinile ezinhlangothini zombili, kodwa yini impendulo?
Ake sibheke ukukhishwa kwe-peanut, umvuthwandaba wale nkinga, ukungathí sina kokuchayeka kwabantwana abasengozini, bese-ke izimpikiswano zombili ziphikisana nokuvumela amantongomane ezikoleni.
I-Issue Of Peanuts Ezikoleni
Ukwelashwa kwe-Peanut ukuvame ukuvame kakhulu kule minyaka eminingi edlule, futhi yiyona ndlela evame kakhulu yokudla kwezifo ezinganeni ezikhulile esikoleni.
Ukusabela okwe-allergen kuya emanzini kungaba nzima kakhulu, ngisho nokuphila okuyosongela. Ngeshwa, ukuvezwa ngengozi emanzini kungavamile, ikakhulukazi esikoleni. Ngenxa yalezi zizathu, abazali be-peanut-izingane ezikhukhumezekile baye bakugqugquzela umqondo wokuvinjelwa amantongomane nokudla okuqukethe i-peanut ezikoleni.
Kwenzeka Kanjani Ukuqeda Amagciwane E-Peanut?
Abantu abangamaphesenti angu-1 kuya kwangu-2 ngokujwayelekile kanye namaphesenti ayisishiyagalombili esikoleni esikoleni esikoleni esikoleni esikoleni esikoleni esikoleni esikoleni basuke benomthelela emanzini, futhi baneminyaka engama-9 ubudala. Cishe ingxenye yesihlanu yezingane ezinomdlavuza we-peanut izokhipha lezi zikhathi ngesikhathi sezifunda esikoleni. Kuvame kakhulu emazweni athuthukile kunamazwe asathuthuka, futhi uye wanda kakhulu eminyakeni embalwa edlule. Cishe ingxenye yesithathu yabantwana abanomdlavuza we-peanut nayo ibuyele emantongeni emithi .
Ziyingozi Kangakanani Ama-Peanut Allergies?
Ukuphendula okukhulu kwezilonda kumanci, cishe amaphesenti angama-90, kugcinwe esikhumbeni, ngokubomvu, ukuhlambalaza kanye nemifantu .
Kodwa ngamaphesenti angama-10 abantu, lezi zifo zingaba yingozi kakhulu (ukusabela kwe-anaphylactic,) nokuvuvukala kwezingxenye zokuphefumula, ukuphefumula kanzima, ukuqhuma, nokuningi. Ngokuvamile, ukungezwani kwe-peanut yiyona imbangela ehamba phambili yokufa okuhlobene nokudla e-United States.
Inombolo yangempela yokushona ngenxa yokungabi nesikhuhlane se-peanut ayiziwa.
Ngesikhathi samanje kucatshangwa ukuthi kunabantu abangaba ngu-150 abafa ngonyaka ngamunye ngenxa yokungabi nesifo sofuba.
Njengomzali, noma yini enokubangela ukufa ekubuntwaneni iyesabeka, kodwa ingasiza ukuqhathanisa le nombolo kwezinye zezimbangela zokufa ebuntwaneni. Kuyiqiniso ukuthi lokhu kuqhathaniswa akukhathaleki futhi akusho lutho kumzali olahlekelwe ingane ekudleni komzimba, kodwa ehlobene nezinye izingozi eziningi ezinganeni, ama-peanuts aphansi.
Lokho kusho ukuthi ukutholakala ngesikhumba ngokungahambi kahle kujwayelekile ekuhlelweni kwesikole, futhi ngezinye izindlela kubonakala sengathi kufanele kuvinjelwe.
Izifundo Nge-Peanut Ukuzivocavoca Ezikoleni
Kuze kube yimanje, kunezifundo ezimbalwa eziye zabuka ukutholakala kwezimpikiswano zokuphefumula kwezikhumba ezikoleni ezivimbele amantongomane uma kuqhathaniswa nalawo angazange avimbele amantongomane. Ngenkathi omunye engase acabange ukuthi izinga lokuphendula kulokho okubizwa ngokuthi "izikole ezingenasipuni" kuzoba ngaphansi kunezikole ezingavimanga amantongomane, lokhu akulona iqiniso.
Ucwaningo lwango-2017 lubukeze ezikoleni ezazikhethiwe nge-peanut kanye nezikole ezavimbela amantongomane ekukhonzeni noma ezivela ekhaya. Lezi zinqubomgomo azizange zishintshe isilinganiso se-epinephrin injection (izibhamu ezinikezwe ukusabela okukhulu kwe-allergen.) Izikole ezinezintafula zamahhala, kodwa, zinezinga eliphansi lokuphathwa kwe-epinephrine.
Iziphakamiso Zokuvinjelwa Amanoni Ezikoleni
Ngokuqinisekile kunezimpikiswano zokuvimbela amantongomane ezikoleni, enye yazo ezoba ukuthula kwengqondo yabazali. Ngokwemvelo, ukungabi khona kwamandla okusabela, uma ekugcineni kuboniswa ukuthi ukuvinjelwa amantongomane kwenza umehluko, kunganciphisa ingozi yokuphendula, ngisho nokubulawa kokufa. Ngomzwelo, abazali abanabantwana abanomdlavuza we-peanut bangase bahlale bekwazi kangcono ukuthi ingane yabo ingase ibe yilapho ingaba khona emanzini.
Ukuze ingane enesifo esinzima sokudla isikhukhunathi, ukuhlala endaweni lapho izikhukhula zikhona khona kuphakamisa lokhu kwesaba.
Ingane ingaphelela ekuzizwa ilahlwe futhi ihlukaniswe. Ngaphezu kwalokho, ibeka ingcindezi enkulu enganeni encane ukubuza imibuzo yabalingani nabo ekilasini ngokuthi ubani onamanqamu noma imikhiqizo enomuncu njengesithako ekudleni kwabo kwasemini.
Izimpikiswano Zokuvimbela Ukuvinjelwa Kwezinkukhu Ezivela Ezikoleni
Enye ingxabano ngokumelene nokuvinjelwa izinkukhu ukuthi ingaba isidlo esihle kakhulu. Amantongomane athwala i-punch enomsoco futhi ephezulu amaprotheni, ama-fibre, amafutha anempilo, amavithamini namaminerali. Akukhona kuphela ukuthi banekhwalithi elikhulu, kepha inani lokudla okunomsoco wezinhlobo eziningi (ama-chips nama-cookies) azifani uma kuqhathaniswa. Ekuvinjeni amantongomane ukusiza izingane ezinezifo ezinzima, izikole zibeka ingozi ekunciphiseni izinga lokudla komsoco ezinganeni eziningi ezingaphezulu.
Kungaba nzima, uma kungenakwenzeka, ukuphoqelela ukuvinjelwa okunjalo-futhi izingane ezincane azikwazanga ukuziphendulela ngenxa yokuvinjelwa okunjalo kokudla. Ukuvinjelwa amantongomane kuzobe sekunikeza umqondo wokuphepha wamanga ongaholela iziphathimandla zesikole ukuba "ziqaphele" ngokulungele ukubhekana nokusabela okukhulu kwe-allergen ngenxa yohlu lwezilonda ezincelisayo.
Futhi-ke, ukuvinjelwa amantongomane kungabangela ukuvinjelwa kokunye ukudla noma imisebenzi-kungani ungavumeli ubisi futhi, okuwukudla okuvamile kokungezwani komzimba? Noma uvimbele izingane ezinamakati ekhaya, ngubani ongase athathe isilwane senyamazane ezembatho zabo? Lokhu kuthiwa yi-"impikiswano ehambayo": Uma kutholakala ukudla okukodwa ukuphepha nokuzuza kwezingane ezimbalwa, siyayeka kuphi? Kuthiwani ngamalungelo angewona unesikantanisi aphikisayo abantwana ukuba badle amantongomane?
Izikole eziningi ezingavumeli izimbali zihlukanise ngqo ukudla-izingane eziqeda ukudla ngesikhathi sokudla, njengokungathi "netafula elingenayo i-peanut" ngesidlo sasemini. Nakuba leli chinga liphumelela kangcono kunokuba ivinjelwe i-peanut (nezifundo kuze kube yimanje zisekela lokhu,) isikole sidinga ukulungele ukubhekana nomqondo wokuthi lezi zingane zingabanjiswa noma zingase zihlukumezwe yizingane ezingezona ukudla.
Ngezansi Kuncike Kungakhathaliseki ukuthi ama-Peanuts kufanele avunyelwe ezikoleni
Ngalesi sikhathi, ukuhlolwa akukaze kusitshele ukuthi umthelela wokuvinjelwa kwezinkukhu ezikoleni ungaba nawo. Noma kunjalo, asikwazi ukulinda izifundo ezengeziwe ezizogcwaliswa. Kukhona izingane ezibhekana nalezi zingozi zangempela namuhla.
Kungakhathaliseki ukuthi ama-peanut ekugcineni avinjelwe, kufanele sikhumbule ukuthi kunezinye izindlela esingazixazulula ngayo inkinga. Okokuqala futhi okubaluleke kakhulu ukuthi izingane ezinomdlavuza we-peanut ezingase zikwazi ukuthola ukutholakala kwe-peanut okutholakele kahle. Ukubona i-allergen, futhi ukufundisa indlela yokugwema ama-peanut ekudleni (kunzima kunokuba kubonakale) kubalulekile kunoma yimuphi ingane, njengoba ingane ingase ibonakale emanzini amaningi, njengamakhaya omngane. U-Epinephrine kufanele atholakale esikoleni nganoma yimuphi umntwana othola ukuxilongwa kwe-peanut allerergy.
Isikole kufanele sibe nekhophi yokuxilongwa, kanye nesimo esicacile sokuthi ukusabela kufanele kuthathwe kanjani uma ingane isabela. Izikole kudingeka ziqinisekise ukuthi zinezisebenzi eziqeqeshwe kokubili ukuthi zingabonakala kanjani nokuthi zingaphatha kanjani ukusabela okunjalo ( indlela yokusebenzisa i-Epi-Pen .) Ngeshwa, sinezifundo ezibonisa ukuthi ezikoleni azilungiselelwa kahle njalo umcimbi we-peanut allerergy.
> Imithombo:
> Bartnikas, L., Huffaker, M., Sheehan, W. et al. Impact yezinqubomgomo ze-Peanut-Free ku-Epinephrine Administration. I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha . 2017 Mashi 25. (Epub ngaphambi kokuphrinta).
> Umculi, S., uSampson, H., Eichenfield, L., noD. Rotrosen. Izinzuzo Zemihlahlandlela Entsha Yokuvimbela Ukunciphisa I-Peanut. Izingane zokwelapha . 2017 Meyi 2. (Epub ngaphambi kokuphrinta).
> Stukus, D. Izikole Zase-Peanut Free: Kusho ukuthini Ngempela, Futhi Kuyadingeka Yini? . I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha . 2017 Apr 25. (Epub ngaphambi kokuphrinta).
> Wang, J., noD. D. Fleischer. Kufanele I-Peanut Ivinjwe Ezikoleni? . I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha. Ku-Practice . 2017. 5 (2): 290-294.