帮助患有身体和心理健康状况的孩子充分利用学校的生活

肾脏状况

一些孩子天生患有肾功能衰竭,而其他孩子则在童年时期患上肾脏疾病。

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肾移植

Children and young people awaiting a kidney transplant may have to attend hospital regularly for Dialysis treatment.等待肾脏移植的儿童和年轻人可能必须定期去医院接受透析治疗。 This may take them out of school for several days each week and they may have a long wait for a transplant.这可能会使他们每周离开学校几天,并且他们可能需要很长的等待移植的时间。 Following a transplant, a child will require lifelong medication and frequent outpatient visits to the transplant clinic.移植后,孩子将需要终身服药并需要经常去移植诊所就诊。

回到学校

Children who have had a kidney transplant should be a encouraged to return to their school routine as soon as they feel able.应当鼓励已经进行肾脏移植的儿童在感觉有能力的情况下尽快返回学校。 On return to school children may find the combination of surgery, medication and disruption to their routine will leave them tired and less able to concentrate.返校后,孩子可能会发现外科手术,药物治疗和日常活动受干扰,会导致他们疲倦且注意力不集中。 However, over a period of time they will have more energy and interest in physical activity as the tiredness and anaemia associated with kidney failure disappears.但是,随着时间的推移,随着与肾功能衰竭相关的疲倦和贫血的消失,他们将对体育活动有更多的精力和兴趣。

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感染风险

  • Anti-rejection drugs are required to suppress the immune system and prevent rejection of the transplanted kidney.需要抗排斥药来抑制免疫系统并防止移植肾的排斥。 These medicines reduce the ability to fight infection.这些药物降低了抵抗感染的能力。
  • 如果在学校爆发传染病,请立即通知父母/看护人,因为对于免疫抑制的孩子来说,这可能更为严重。
  • 麻疹和水痘特别严重,可能会危及生命。

帮助补液

  • Fluid intake is important to avoid dehydration, a minimum fluid target may be set.液体摄入对于避免脱水很重要,可以设置最低液体目标。 Some children and young people may need encouragement to reach this.一些儿童和年轻人可能需要鼓励才能实现这一目标。 
  • In hot weather fluid intake will need to be higher than usual.在炎热的天气中,液体摄入量需要比平时更高。 Access to a toilet is important to prevent infection from occurring.上厕所很重要,以防止发生感染。 

PE和休息时间

  • 移植的肾脏位于腹部表面附近,在诸如橄榄球或舍入器之类的接触运动过程中有受损的危险,在接触运动活动中佩戴肾脏保护器很重要。 
  • 如果过度暴露在阳光下,移植患者患皮肤癌的风险会增加,应鼓励他们戴太阳帽并使用防晒霜。

欺凌

  • Changes in appearance due to side effects of medication may leave children and young people vulnerable to teasing or bullying.由于药物副作用而导致的外观变化可能使儿童和年轻人容易受到戏弄或欺凌。 Be vigilant to changes in mood or behaviour.警惕情绪或行为的变化。 

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