- Abameli bezomthetho (njengabameli bokutholwa kwezingane).
- Izinhlangano zezenhlalakahle zezingane kanye/noma zokutholwa (uMnyango Wokuhlola eSri Lanka).
- Izisebenzi zezenhlalakahle.
- Odokotela bezingane.
Kungani kubalulekile ukucabanga ngempilo yezingane ezitholwe ngabanye?
Manje ungase uzibuze, ‘Kungani kunezinkinga eziningi kangaka zezokwelapha ngabantwana abatholwe?’ Eqinisweni, laba bantwana bangahlakulela noma yiziphi izifo eziningi, njenganoma yimuphi omunye umntwana. Kodwa-ke, ezinye izifundo zibonise ukuthi izingane ezitholwe zingase zibe sengozini enkulu yokuthola izinkinga ezithile zomzimba, zokukhula, nezengqondo kunezinye izingane. Lezi zingozi zingokoqobo. Kodwa ngothando, ukunakekelwa, izinsiza kanye nokusekelwa okunikezayo, ungasiza ingane yakho ichume futhi ijabule, ngisho nalezi zimo zempilo.Kungani izingane zokutholwa zisengozini enkulu yezinkinga zempilo?
Kungaba nezizathu eziningana zalokhu. Cabanga ukuthi ezinye izingane kungenzeka azizange zithole lezi zinto eminyakeni yazo yokuqala, kungakhathaliseki ukuthi zisesibelethweni noma ngemva nje kokuzalwa:- Izinsizakalo zezempilo zangaphambi kokubeletha kanye nangemuva kokubeletha.
- Ukudla okunempilo.
- Izidingo zomzimba noma ezingokomzwelo (isikhuthazo sentuthuko).
- Ukuvikelwa ebuthi noma izifo ezithathelwanayo (isib. izifo ezithathelwanayo ), ngaphambi noma ngemva kokuzalwa.
- Ukuhlukunyezwa nokunganakwa kwengane ngokomzimba, ngokomzwelo, noma ngokocansi.
- Udlame lwasekhaya, ukuchayeka ebudloveni emphakathini.
- Ukulahlekelwa yindlu ehlala njalo, ukufuduka njalo, noma indawo yokuhlala engazinzile.
- Abanakekeli bashintsha njalo, baba nabanakekeli abaningi, noma abazali bahlukanisa.
- Ukubhekana nezinhlekelele zemvelo.
- Ukushona kwelungu lomndeni noma othandekayo.
- Ukuxhashazwa ngabanye.
Izinkinga zempilo ezingase zivele ezinganeni ezitholwe
Manje ake sibone ukuthi yiziphi izinkinga zempilo ezahlukene laba bantwana abangaba nazo.Izimo zempilo yomzimba
Phakathi kuka-30% no-80% wezingane ezinakekelwa izingane zabanye abantu zinesimo sempilo esisodwa okungenani. Cishe u-33% wazo unesimo sempilo esingamahlalakhona. Ezinye zezifo zempilo zomzimba ezivame kakhulu zifaka:- Ukwehluleka kokukhula kanye nokuntuleka kokudla okunempilo .
- Isifuba somoya .
- Ukukhuluphala ngokweqile .
- Izinkinga zokubona.
- Ukukhubazeka kokuzwa.
- Izimo ze-neurological .
- Izifo Ezithathelwana Ngocansi (ama-STI).
- Izimo ezingamahlalakhona eziyinkimbinkimbi.
Izinkinga ezingokomzwelo
Ukuhlukanisa ingane nomndeni wayo wokuqala nendawo eyijwayele kuyayishaqisa ngempela. Izingane ebezinakekelwa izingane ezingabazali bazo, ebezinakekelwa njalo, futhi ezishintshe indawo yazo, zingase zibhekane nalezi zinkinga ezingokomzwelo nakakhulu. Kubalulekile ukuqonda izinselele ezihambisana nokwengezwa okusha ekhaya lakho nomndeni wakho njengoba zijwayela indawo yazo entsha. Ingane yakho ingabonisa okulandelayo:- Ukuzama ukuhlala kude nabanye nokuba wedwa.
- Ukuqhuma kwentukuthelo okungazelelwe kanye nokumemeza okukhulu (ukucasuka kwentukuthelo).
- Ukuba nolaka, ukungalaleli.
- Ukukhala kakhulu kangangokuthi awukwazi ukuyeka.
- Ukungakwazi ukwenza izinto ezazifundwa ngaphambilini (isib. ukudla wedwa, ukuqoqa amathoyizi) futhi.
- Izinkinga zokungalali.
- Ukulahlekelwa isithakazelo ezintweni owawuzijabulela.
Izimo zempilo yengqondo
Emazweni afana ne-United States, izingane eziningi eziye zadlula ekunakekelweni komntwana ongesiye owakho ziye zabhekana nokulimala kwengqondo. Lokhu kuzibeka engcupheni enkulu yokuthola izimo zempilo yengqondo. Izimo zempilo yengqondo ezivamile zifaka:- Izinkinga zokukhathazeka.
- Izinkinga zokudla.
- Izinkinga zemizwa, njengokucindezeleka kwengqondo kanye nokuhlanya.
- Isifo sokucindezeleka ngemva kokucindezeleka (PTSD).
Izimo zokuziphatha
Phakathi kuka-50% no-75% wezingane ezinakekelwa izingane ezingabazali bazo zinezinkinga zokuziphatha noma amakhono okuxhumana nabantu ezidinga ukunakekelwa kwezokwelapha. Izimo ezivame ukutholakala ziyisifo esiphikisanayo kanye nesifo sokuziphatha. Ukulimala ebuntwaneni, okuhlangenwe nakho okubi, kanye nokucindezeleka okunobuthi kungahlotshaniswa nokuziphatha okulandelayo:- Ubuthakathaka ekulawuleni imizwa.
- Ulaka.
- Ukungakhathali.
- Ukunganakwa.
- Ukungakhethi.
Izimo zentuthuko
Phakathi kuka-46% no-60% wezingane ezinakekelwa izingane ezingaphansi kweminyaka eyisithupha ubudala zinohlobo oluthile lokukhubazeka kokukhula. Lokhu kungafaka:- Ukulibaziseka kwenkulumo.
- Ukubambezeleka kwenjini okuncane (isb., ubunzima bokuchofoza izinkinobho, ukubamba ipensela).
- Ukulibaziseka okukhulu kwemisipha (isib., ubunzima bokugijima, ukugxuma, ukubamba ibhola).
- Ukukhubazeka kokufunda noma ukukhubazeka kwengqondo.
- Ukuphazamiseka kokuziphatha kahle kwezenhlalo nemizwa.
- Inkinga yokucubungula izindlebe (APD) (ubunzima bokuqonda okuzwayo).
- I-Aphasia (ubunzima bokusebenzisa noma ukuqonda ulimi).
- I-apraxia yobuntwana yokukhuluma (inkinga ngokuxhumana kwemisipha okudingekayo ukuze kukhulunywe).
- I-Dysarthria (ukungakwazi ukuphimisela amagama ngokucacile ngenxa yobuthakathaka bemisipha ngesikhathi sokukhuluma).
Izinto okufanele uzicabangele ngezempilo ekuthathweni kwezingane kwamanye amazwe
Uma ingane ithathwe kwelinye izwe (ukutholwa kwamanye amazwe), ingane inamathuba amaningi okuba nezinkinga zempilo zomzimba kanye nokubambezeleka kokukhula. Izifo ezithelelanayo kanye nokuntuleka kokudla okunempilo ngokuvamile yizinto eziyinhloko odokotela abazitholayo lapho ingane ifika ezweni. Izingane ezithathwe kwamanye amazwe cishe zihlala ziba nokubambezeleka okungenani endaweni eyodwa yokukhula, futhi cishe ingxenye yezingane ingaba nokubambezeleka kuzo zonke izindawo (ukubambezeleka komhlaba). Ukuthola amarekhodi ezokwelapha ezingane kwamanye amazwe ngezinye izikhathi kungaba nzima kakhulu. Futhi, lawo marekhodi angase angaphelele noma aqukethe ulwazi olungalungile. Amazwe amaningi alandela amashejuli ahlukene okugoma. Ngakho-ke, uma ingane evela kwelinye izwe igonyiwe, kubaluleke kakhulu ukubukeza lawo marekhodi nodokotela wezingane ukuze uqiniseke ukuthi ayiphuthelwanga yimiphi imijovo enconyiwe. Uma uhlela ukwamukela ingane evela kwelinye izwe, buza ochwepheshe ngezidingo zezempilo ingane engase ibe nazo kuye ngezwe evela kulo nokuthi ungazilungiselela kanjani.Cabanga nangempilo yamanye amalungu omndeni.
Uma ufaka ilungu elisha emndenini wakho, udinga futhi ukucabangela impilo kanye nenhlalakahle yomndeni wakho okhona. Khuluma nochwepheshe bokutholwa kwengane mayelana nendlela yokusiza umndeni wakho ukuthi uvumelane kahle nalolu shintsho olukhulu. Babuze ukuthi yiziphi izimpawu okufanele baziqaphele, njengokuncintisana kwezelamani kanye nomona. Nikeza amalungu omndeni wakho akhona ukunaka futhi uchithe isikhathi nawo ubuso nobuso noma nini lapho kungenzeka. Futhi, abazali bangathola isimo esibizwa ngokuthi ukukhathala komnakekeli ngenkathi bedlula enkambisweni yokutholwa kwengane. Kalula nje, lokhu ukukhathala ngokomzimba, ngokomzwelo, nangokwengqondo okuvela ekunikeleni isikhathi nomzamo empilweni nasekuphepheni komunye umuntu. Cabanga ngokujoyina iqembu lokusekela noma ukubona umeluleki wezempilo yengqondo ukuze akusize wena nomndeni wakho nidlule kulesi sikhathi esinzima. Kubalulekile futhi ukufuna usizo kwabathandekayo obathembayo.Yini okufanele uyazi ngempilo yengane ngaphambi kokuyithatha njengeyakho?
Ngaphambi kokuba uthathe ingane – noma ngokushesha ngangokunokwenzeka ngemva kokuthatha ingane – zama ukuqoqa ulwazi oluningi lwezempilo ngayo ngangokunokwenzeka. Kuzodingeka usebenze nabantu abaningi ukuze uthole lolu lwazi:- I-ejensi yokwamukela noma uhlelo lokunakekela izingane ezingezona ezakho (eSri Lanka, uMnyango Wokuhlola).
- Ummeli wakho wokutholwa kwengane.
- Abazali bomntwana kanye/noma umndeni wakhe (uma kungenzeka).
- Izinhlelo zesibhedlela kanye nabahlinzeki bezempilo bangaphambilini noma bamanje bengane.
- Isikole sangaphambilini kanye/noma samanje sengane.
- Thola ulwazi nganoma yiziphi izimo zomzimba, zengqondo, zokukhula, noma zokuziphatha ingane eye yaba nazo noma eyake yaba nazo esikhathini esidlule, kanye nanoma yikuphi ukulaliswa esibhedlela noma ukuhlinzwa.
- Ulwazi lwerekhodi lokuzalwa, isibonelo, iminyaka yokukhulelwa, isisindo sokuzalwa, ubude, usayizi wekhanda, kanye nezinkinga ngesikhathi sokukhulelwa noma sokuzalwa.
- Ishadi lokukhula kwengane (isisindo, ukuphakama, umjikelezo wekhanda).
- Ukubhalwa kwemininingwane yezinyathelo ezibalulekile zentuthuko.
- Ukungezwani komzimba okwaziwayo.
- Imithi yamanje.
- Amarekhodi okugoma.
- Ukuchayeka ezifweni ezithelelanayo.
- Imibiko ngamehlo namazinyo.
- Umlando wokungondleki kahle noma izinkinga zokudla.
- Imiphumela yokuhlolwa kwezokwelapha okwenziwe (isib. ukuhlolwa kwezithombe, ukuhlolwa kwegazi).
- Imibiko yokuhlukunyezwa ngokomzimba, ngokocansi, noma ngokomzwelo noma ukunganakwa kwengane.
- Umlando wesikole kanye namakhono.
- Umlando wobudlelwano, okusho ukubaluleka, ubudlelwano obuqhubekayo (nabazali bemvelo, abazali bokukhulisa izingane, abangane) kanye nokulahlekelwa ubudlelwano obubalulekile.
- Umlando wezokwelapha wezihlobo eziseduze zengane (abazali bayo kanye nezingane zakubo).
- Izifo ezidluliselwa ngofuzo emndenini wengane.
- Ingabe umama wayesebenzisa izidakamizwa ngesikhathi sokukhulelwa, isibonelo, utshwala, ugwayi, insangu, noma ama-opioid?
- Ingabe usebenzise noma yimiphi imithi kadokotela noma etholakala ngaphandle kwemvume kadokotela ngesikhathi sokukhulelwa?
- Ingabe wake waba nezifo ezithathelwana ngocansi (STI) noma ezinye izifo ezithelelanayo ngesikhathi sokukhulelwa?
- Ingabe kube nezinkinga ngesikhathi sokukhulelwa, ukubeletha, noma ukubeletha?
Iyini indima yodokotela bezingane enqubweni yokutholwa kwengane?
Odokotela bezingane badlala indima ebaluleke kakhulu enkambisweni yokutholwa kwengane. Bazosebenzisana nawe ukukusiza ukuthi uqonde izidingo zezempilo zengane yakho. Bangaphinde banikeze ukwesekwa ngokomzwelo emindenini edlula enkambisweni yokutholwa kwengane. Imithi yokutholwa kanye nokunakekelwa kwengane ekhuliswe ngabanye abantu iyinto ekhethekile ekhulayo ngaphakathi kwezokwelapha izingane. Ungacela isisebenzi sakho sezenhlalakahle noma udokotela wezingane ukuthi akuthumelele i-doctor wezingane onolwazi kulo mkhakha. Imisebenzi yodokotela bezingane ihlanganisa:- Ukusiza ukuthola amarekhodi ezokwelapha kanye nomlando wengane.
- Ukunikeza ukuhlolwa okuphelele kwezokwelapha, ukunakekelwa kwengane kahle, kanye nokuvakasha okulandelayo.
- Ukunikeza ukunakekelwa okuqhubekayo kwengane kanye nezidingo zayo zempilo.
- Ukudluliselwa kochwepheshe bezokwelapha, isibonelo, odokotela bezengqondo zezingane, odokotela benhliziyo bezingane, noma odokotela bezifo zolimi lokukhuluma.
- Ukuncoma izinsiza ezingasiza ingane nomndeni esikhathini eside.
- Ukweluleka imindeni ngezinkinga zokulungisa isimo ezingase zivele ngemva kokutholwa.
- Ncoma amasu okuthuthukisa izibopho eziqinile nezinempilo emndenini wakho.
- Uma kudingeka, siza ekulungiseleleni amadokhumenti oHlelo Lwezemfundo Lomuntu Ngamunye (i-IEP) lomntwana kanye/noma Uhlelo lwe-504 lwesikole.
Yini ongayilindela ekuhlolweni kokuqala kodokotela wengane yakho yokutholwa?
Lapho nje ingane yakho ifika emndenini wakho nasekhaya (kungcono zingakapheli izinsuku ezingu-30), kufanele uyiyise kudokotela wezingane ukuze ihlolwe impilo ephelele. Lokhu kuhlolwa kungakusiza ukuthi uqale ukwelapha izinkinga zempilo ezaziwayo futhi uthole noma yiziphi ezintsha. Lokhu "kuvakasha kokuqala kokuhlolwa" kujule kakhulu kunokuvakasha okuvamile "komntwana ophilile." Udokotela wezingane wengane yakho uzofuna ukukunikeza umlando wezokwelapha omningi ngangokunokwenzeka (njengamarekhodi ezokwelapha). Kuye ngempilo nobudala bengane yakho iyonke, ukuvakasha okukodwa kungadingeka, noma ukuvakasha okuningi kunganconywa ukuze kuhlolwe impilo ephelele. Lokhu "kuhlola" kuzovame ukufaka:- Ukuqinisekisa nokucacisa ukuxilongwa kwezokwelapha okukhona.
- Ukuhlolwa okuphelele komzimba.
- Ukuhlolwa kwezinzwa.
- Ukuhlolwa okuhambisana nobudala, isibonelo, amaphaneli okuhlola izingane ezisanda kuzalwa, ukuhlolwa kokuzwa, ukubona, amazinyo, kanye nokuziphatha kanye/noma ukukhula.
- Ukuhlola izinkinga zezokwelapha ezazingatholakali ngaphambilini.
- Ukuxoxa nganoma yiziphi izinkinga zokukhula kanye nokuziphatha.
- Ukuhlola isimo somntwana sokugonywa.
- Ukudluliselwa kwabanye abahlinzeki bezempilo kanye nochwepheshe.
Ukuhlolwa
Udokotela wezingane wengane yakho angase ancome ukuhlolwa kokuxilonga okusekelwe ekuhlolweni kwayo. Lokhu kungafaka ukuhlolwa kwegazi, ukuhlolwa komchamo, kanye/noma ukuhlolwa kwezithombe. Udokotela wezingane angase ancome nokuhlolwa kwegazi ukuhlola ukuthi ingane yakho ithole yini imijovo efanele yobudala bayo.Ukuhlolwa kwempilo yengqondo
Ochwepheshe batusa ukuthi ingane enakekelwayo ithole ukuhlolwa kwempilo yengqondo zingakapheli izinsuku ezingu-30 ijoyine umndeni wakho. Kungcono ukwenza lokhu nomeluleki wezempilo yengqondo yengane oqeqeshwe ekunakekelweni okusekelwe ekuhlukumezekeni.Ungalungiselela kanjani ukwamukelwa?
Inqubo yokutholwa idinga ukulungiselela okuningi kanye nezinyathelo eziningi. Ngaphambi kokuba unqume ukwamukela ingane, kubalulekile ukuqonda ukuthi kusho ukuthini ngempela ukwengeza ingane emndenini wakho, ikakhulukazi okufanele ukucabangele uma kukhulunywa ngempilo nenhlalakahle yayo. Nansi eminye imibuzo okufanele uzibuze yona:- Yiziphi izizathu zakho zokwamukela ingane? Ingabe usukulungele ngempela lesi sinqumo nokuzibophezela kwakho konke?
- Ungakwazi yini ukunikeza ingane indawo enothando, enakekelayo, nezinzile?
- Ingabe unakho ukufinyelela ezinsizakalweni zokusekela ezanele kanye nezinsizakalo zezempilo ingane engase izidinge?
- Ingabe uzimisele ukulwela impilo nenhlalakahle yezingane ezindaweni ezahlukene (njengezikole, izinhlelo zezibhedlela)?
- Ingabe wena nomndeni wakho ningathanda ukwazi ngangokunokwenzeka ngezidingo ezikhethekile zomzimba, zengqondo, zokukhula, kanye nempilo yengane yakho?
- Ingabe unesistimu yokusekela eqinile yabangane nezihlobo ongazethemba futhi ozimisele ukusiza?
Yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?
Ukwamukela ingane kuyisibopho esihloniphekile nesibalulekile ngempela. Kubalulekile ukunaka impilo yengane phakathi nalolu hambo.- Qaphela: Yiba nolwazi oluphelele ngezinkinga ezithile zempilo, ingqondo, ukuziphatha, kanye nokukhula ezingase zivele ezinganeni ezitholwe.
- Qoqa ulwazi: Qoqa ulwazi oluningi ngangokunokwenzeka mayelana nomlando wezokwelapha wengane kanye nesizinda somndeni.
- Ukusekelwa ngudokotela wezingane: Thola ukwesekwa ngudokotela wezingane onekhono nonolwazi kusukela ekuqaleni. Uzoba umsekeli wakho omkhulu.
- Isineke nothando: Nika ingane yakho isikhathi sokujwayela indawo entsha nomndeni omusha. Yiba nesineke, uthando, nokuqonda.
- Cabanga ngawe futhi: Nakekela impilo yakho yengqondo neyomzimba phakathi nalolu hambo. Thola usizo uma uludinga.
Khumbula, uthando, ukunakekelwa, kanye nokusekelwa okunikezayo okuzophulukisa izimpilo zalaba bantwana futhi kubasize bakhe ikusasa elihle.
Ukutholwa , ukutholwa, impilo yengane, izinkinga zezokwelapha, impilo yengane, impilo yengqondo, izinkinga zentuthuko

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