One of the issues that families worry about before sending their babies to nurseries and their young children to kindergartens is how this environment outside the home will affect their children's health.
Our children are less likely to get sick in a home environment where they spend time alone and have limited person contact. , we keep them in a glass bowl.
If we have a sick visitor, for example, we can easily offer to host them later.
From the sheltered environment at home, suddenly it becomes crowded and due to the small age group (those who still put toys in their mouths, A child who uses a pacifier, likes to clean his nose with his hand, comes together with children who cannot pay attention to his hygiene, encounters a new family of germs for himself.
Sharing common items with many of his peers even in the cleanest, most cared for environment. It is unthinkable that children sleeping in the same environment do not exchange microbes.
While some children adapt to this situation immediately, some have difficulty and try to adapt to the environment by getting sick longer and even more frequently.
Personal differences between children. (respiratory tract allergies, an anatomical structure prone to otitis media, atopies, smoking in the home environment, etc.) also cause one of two children starting the same class at the same time to be more affected than the other.
Although rare, some children have this condition. illnesses become so frequent that the family even considers taking the child from nursery; because the child spends most of his time at home trying to recover.
The child, who was said to have not even given him any medicine until he sent him to school, now takes antibiotics every month.
Then, to sum up the subject, take a look at the questions and answers below. Let's take a look so that we have a health plan for our child in nursery/kindergarten. Let's not have fears, let's have realistic expectations.
Question: Are children starting nursery at risk for diseases?
Answer: Yes, the child who lives more isolated in his own environment will encounter microbes that are new to him, along with his circle of friends.
This increases the risk of our child getting sick compared to the past.
Question: Will every child who starts kindergarten be sick frequently? Is it?
Answer: No. Some of the children will be as ill as seasonal diseases visit other individuals in the house.
However, if they cannot rest at home and have to go to nursery, the time it takes to recover from the illness may be longer.
Question: > Your child has always had a stuffy nose and a cough since he started kindergarten; He gets fever from time to time, is this a nursery disease?
Answer:Actually, we do not have a medical diagnosis as nursery disease, but such a definition comes from families who frequently get sick because of nursery school.
It would be good for children who have always been uncomfortable in terms of health since they started kindergarten, but who do not show signs of illness such as the classic childhood fever, to be evaluated by their doctor.
Sometimes, our children have an allergic nature and this is visible to the family in the nursery environment. Negative changes may occur in health status.
Infectious diseases do not always cause this situation.
Question: Is it normal for your child to be sick every month? Or is there a disorder in your child's immune system?
Answer: We must say that viral upper respiratory tract infections are common, especially in autumn-winter and spring.
So much so that we can say it is normal if young children going to school get sick every month.
I should also make a note here; The child may get sick every month, but treatment should not be sought in antibiotics every time he gets sick.
Sometimes, families do not want their children to get sick frequently, they use them frequently, they think it will affect their liver, kidneys and teeth, they frequently deal with side effects such as rash or allergy-diarrhea, or they worry more about the use of antibiotics. The antibiotic prescriptions they try to give to their children if they refuse to drink the medicine make them even more tiring.
Please do not be inclined to use antibiotics unless necessary, believe me, it is more difficult for your doctor not to prescribe antibiotics, do not insist on having your doctor prescribe antibiotics.
If 2 or more of the following 10 items are present, you can consult your pediatrician to see if there is a disorder in the immune system.
- 1–4 per year times or more new otitis,
- 2– Severe sinusitis 2 times or more per year,
- 3– 2 poor response to antibiotic treatment used for months or longer,
- 4– 2 per year strong> pneumonia times or more,
- 5– Falling below normal annual growth rate,
- 6– Recurrent deep skin abscesses or abscesses in internal organs,
- 7– Fungus that does not go away in the mouth or on the skin,
- 8– Infections can only be treated with intravenous antibiotics. ability to recover,
- 9– More than 2severe infections such as septicemia,
- 10– In the family presence of a history of immunodeficiency.
Question:
My child is sick, but there is no one to care for him at home and it is very difficult for me to arrange things, should I take him to the nursery? Or does he/she have to stay at home?
Answer: If the child's health is a priority for us, we should stay sick for the sake of both our own child and his/her friends who are likely to catch the disease from our child. Children should stay at home.
In addition, when children are sick, they need more coyness and morale, and getting this from their mother or the person who cares for them (minister aunt, grandmother, etc.) are factors that accelerate the healing process.
Monitoring your child's temperature, feeding him according to his vomiting and diarrhea, bathing him when necessary, preparing and giving appropriate foods, and supporting them with motherly compassion in the home environment where he feels safest will of course accelerate the response to treatment.
Question. : For which diseases and how much time should we not send the child to school?
1– If the disease prevents the child from participating in activities,
2 -If the child needs more care than the caregiver can provide,
3-If there are symptoms that suggest serious illness such as fever, lethargy, irritability, shortness of breath,
4-If there is stool containing blood or sputum,
5-Diarrhea is good in Shiga toxin-producing E. Coli and Shigella infection. until the results are complete and two cultures remain sterile,
6- In case of vomiting more than twice in the last 24 hours, until the danger of dehydration is eliminated and it is determined that the vomiting is not due to an infectious disease,
>7- In the presence of mouth sores with flowing saliva, until it is proven that the patient is noninfectious,
8– With fever or behavioral changes. In the presence of rash, until it is determined that the disease is not contagious,
9-Until the physician gives permission in purulent conjunctivitis,
10-Tuberculosis, non-infectious (until tuberculosis stops being contagious),
11- Impetigo, until 24 hours have passed after starting treatment,
12-Streptococcal pharyngitis (beta-induced tonsillitis), until 24 hours after the start of treatment,
13-Lice, until after the first treatment,
14-Scabies, after treatment has been given,
15-Chickenpox, until all the rash has dried and crusted (usually up to 10 days after onset)
16-Whooping cough, 5 days after starting appropriate treatment,
17-Mumps, 9 days after swelling,
>18-Measles, 4 days after the rash appears,
19-Hepatitis A infection (in those with mild symptoms), jaundice or after the disease begins then 1 week
MUST BE REMOVED FROM THE NURSERY.
Question: Which diseases should I inform the nursery about? , should the nursery share this with us to keep track of our child's classmates?
Answer:Of course, you do not have to report every illness of your child to the school, but those who are diagnosed with the diseases in the list above It is very appropriate to report it so that the nursery can act protectively and informatively regarding this.
For example:Beta caused tonsillitis,flu (influenza), I wish you and your children happy and healthy school years..
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