校方經常會遇到的健康問題/其他問題
Commonly Encountered Health Problem in School Setting/Adolescents/Miscellaneous

校方經常會遇到的健康問題/其他問題 Commonly Encountered Health Problem in School Setting/Adolescents/Miscellaneous
  1. 選擇書包的建議
  2. 經期問題 (經痛)
  3. 包皮過長
  4. 蕁痲疹
  1. Advice on School Bag
  2. Menstrual Problem (Dysmenorrhoea)
  3. Phimosis
  4. Urticaria

選擇書包的建議

建議
  • 學童的書包重量不應重過學童身體體重的 10%
相關網址

經期問題 (經痛)

經痛
  • 經痛或週期痛不是一種疾病,差不多所有有生殖能力的女仕,都會在某個時期受此困擾,缺乏運動及精神緊張都會令情況更加嚴重。
  • 痛楚通常只會影響女仕的經期開始之前或剛剛開始的時候及維持一日。 在嚴重的情況下,會持續數天。
  • 痛楚通常會在下腹部出現, 但下腰部及腿部都可能會有不舒服的情況出現。
  • 在某些情況下, 可能有頭痛、反胃、嘔吐、頭暈、腸胃不適等等
經痛通常有兩種類型
  1. 沒有明顯的原因
  2. 子宮有某些問題,例如:子宮內膜異位,纖維瘤
學校處理方法
  1. 令女孩知道經痛是一種普通現象及可以治療的問題,告訴女孩大部份婦女對簡單治療反應良好以平息焦慮。
  2. 在急性情況出現時,請協助女孩躺在床上上休息。
  3. 如女孩沒有反胃及嘔吐的情況出現,可以給予女孩熱飲。
  4. 可以放一個熱水袋或水樽到女孩的下腹部或腰部。
  5. 如可以,可讓女孩沖一個熱水浴。
  6. 放鬆運動: 深呼吸運動。
  7. 如女孩有帶著由醫生處方的止痛藥 Panadol 或 Ponston,可容許她服用。
  8. 如女孩想回家休息,請通知她的家長接她回家。
  9. 如有持續性的嚴重痛楚,就要尋求醫生協助。

包皮過長

割包皮之後的常見問題
  • 傷口變紅
  • 傷口有流血
  • 傷口滲膿
處理方法
  • 安慰男孩
  • 男教師可以請該同學到醫療室或洗手間檢查傷口
  • 如男孩的傷口轉紅,可以通知家長提早覆診
  • 如有傷口流血的情況出現,可以用消毒紗布止血
  • 如有流膿的情況出現,可以用消毒紗布覆蓋傷口
  • 可以讓男孩平躺及避免轉來轉去
  • 通知家長及請他們帶男孩去看醫生
  • 如不能成功替傷口止血,就要立刻送男孩到急症室

蕁痲疹

一般稱蕁痲疹/風疹塊。大多數是急性,持續數小時至少於六星期。有些是慢性,持續多於六星期。

成因
  • 多數未能找出原因
  • 引發原因包括傳染、藥物、食物及附加劑、寒冷、曝曬於陽光下、昆虫刺傷、火酒、運動、內分泌失調及情緒不穩定
徵狀
  • 皮膚出現痕癢,及後發出紅色的風塊 (呈粉紅色小點而中間較淡色)
  • 嚴重的痕癢會影響學習及睡眠
  • 損害程度由少許的紅腫至極度痕癢的風塊
預防
  • 避免將曝露過敏原子
  • 遵照醫囑服藥
  • 避免熱水浴及沐浴
如有下列情況,可作求助
  • 學童呼吸困難
  • 學童感覺不適

Advice on School Bag

Maximum Weight of Student's School Bag
  • The weight of the school bag should not be exceeded 10% of the student's own body weight.
Useful website

Menstrual Problem (Dysmenorrhoea)

Brief Information about Dysmenorrhoea
  • Dysmenorrhoea, or period pains is not a disease, it is a condition that affects almost all women at some point in their reproductive lives. Factors such as a lack of exercise or emotional stress may aggravate the problem.
  • Pain usually affects the woman just before or after the onset of the periods and usually lasts a day. In the severe form, it may last several days.
  • The pain may be felt low down in the abdomen, but there may also be discomfort in the lower back, legs, etc.
  • In some instances, there may also be a headache, a bout of nausea, vomiting, dizziness, upset in bowel function, etc.
Dysmenorrhoea may be of two varieties
  • Primary, where there is no apparent cause for pain.
  • Secondary, where the uterus is affected by common problems like endometriosis, fibroids, etc.
Management in school
  1. Reassure the girl that dysmenorrhoea is a common and an eminently treatable problem. Tell the girl that most of the women will responds well to simple treatment in order to allay her anxiety.
  2. Help the girl to lie down in a bed to take a rest in an acute phase.
  3. Offer some hot drink to the girl if she has no complaint of nausea or vomiting.
  4. Hot pad or water bottle place to lower abdominal region or lower back.
  5. Hot bath if available.
  6. Relaxation exercise: deep breathing exercise.
  7. If the girl brings along her doctor's prescribed mild analgesic, such as Panadol or Ponston, allow her to take the medication.
  8. Call the parents to bring the girl home if she wants to rest at home.
  9. Call for emergency help if the pain is persistently severe in order to rule out other causes.

Phimosis

Common problems found in school after circumcision
  1. Redness over the wound
  2. Bleeding over the wound
  3. Pus discharge over the wound
Management
  • Reassure the student who had complained wound pain
  • Male teacher can ask the student to go to the medical room or toilet to examine the wound
  • Inform the parents to take the student for early follow up if only redness was noted
  • If bleeding is notified, use sterile gauze to stop bleeding.
  • If pus is observed, use sterile gauze to cover the wound.
  • Let the student to lie flat and avoid moving around
  • Inform the parents and bring the student to consult his doctor
  • If bleeding cannot be stopped, take the student to A&E immediately.

Urticaria

  • Commonly known as hives.
  • Most cases are acute, lasting from a few hours to less than six weeks.
  • Some cases are chronic, may last for more than six weeks.
Causes
  • Often no cause can be found.
  • Triggering factors include infections, drugs, foods and additives, cold, sun exposure, insect stings, alcohol, exercise, endocrine disorders and emotional stress.
Sign and symptoms
  • The skin itches first and then it erupts into red weal (raised pink spots with pale centers).
  • The itchiness may be severe enough to affect studying and sleeping.
  • Lesions vary from mild redness with little swelling to elevated, intensely itching, massive wheals.
Prevention
  • Avoid exposure to known allergen.
  • Take prescribed medications only.
  • Avoid hot baths or showers after an episode of urticaria.
Call for emergency assistance if
  • Student is having difficulty in breathing.
  • Student looks sick.