Autisme sensory meltdown de-escalation and wandering (elopement) emergencies¶

Bilumbu bibidi bia lukasa bitu bikuata bana, bansonga ne bantu bakole badi ne disama dia autisme: dipanga dia lungenyi anyi dia mu lungenyi (mudi kabidi dipanga dia lungenyi) ne diendakana anyi dinyema, dinyema anyi dinyema mu nzubu muimpe, mu kalasa anyi muaba wa bantu bonso. Mu tshikondo tshia disama dia autisme, tshitupa tshia mubidi tshia muntu tshidi tshipita bukole bua bungi bua malu adiye umvua anyi adiye umvua, ne tshidi tshijula ​​diandamuna dia mubidi didi kadiyi disua dia kuluangana anyi kunyema. Kuenza mudimu ne dibungama bu tshiji tshia tshikadilu tshia budisuile, pa kuela mbila, kutshinyisha bua kumunyoka, kukumbaja muntu, anyi kuenza mudimu ne tshintu tshidi tshimupangisha bua kuenza malu kampanda, kudi kuvudija kanyinganyinga kakole ne kudi ne njiwu mikole ya disama dia mubidi anyi dia dipanga dia mupuya.

Tshidi tshitamba kuikala ne lukasa ntshia se: dienda dia bantu badi ne disama dia autisme (dinyema), didi dikuata pabuipi ne tshitupa tshia bana badi ne disama dia autisme nansha musangu umue panyima pa bidimu 4. Bilondeshile makebulula a mushinga mukole a lufu lua kudi National Autism Association ne bibambalu bia dikeba ne dipandisha bia pa buloba bujima, **difua dia mu mâyi dia mpukapuka didi difikisha ku 71 too ne ku 91 pa lukama ya bana ba bungi badi ne disama dia autisme badi bafua bualu bantu ba bungi badi ne disama dia autisme badi bafua bantu batu bakokibua bikole kudi tshimuenekelu tshia mema ne diandamuna dia lungenyi lua mayi eku kabayi bamanye bunene, mashika, anyi njiwu. Shi muntu udi ne disama dia autisme anyi udi kayi wakula mujimine, mayi onso adi mu bule bua metre 800 too ne ku 1600 (0,5 too ne ku 1 mile) adi ne bua kuanji kukebulula eku ubikila 911 / 112 / 999 musangu umue.

Enza nunku mpindieu¶

1. Bikala muana anyi muntu mukulumpe udi ne disama dia autisme mujimine (kunyema), bikila 911 / 112 / 999 diakamue ne ukebe kumpala njiwu yonso ya mu mayi: Kuindidi minite 15 bua kukeba nzubu nkayebe to. Bikila nimero ya njiwu ya muaba unudi diakamue (911 mu États-Unis ne mu Canada, 112 mu UE, 999 mu Grande-Bretagne; tangila nomba ya tshimpitshimpi].
2. Mu tshikondo tshia dipanga dia lungenyi, umbusha muaba ne uleke kuakula: Upingaje bantu badi pabuipi, upuekeshe miendu ya fluorescence idi ikenka, ujimije televizion idi ne dîyi dikole, mizike anyi alarme, ne kepesha mêyi ebe audi wamba ne bia pa lukama 90. Padi muntu mu lutatu lua bungi, nkonko ya mukana ("Bua tshinyi udi wenza nunku? Ikala ne ditalala ne wenze mudimu ne mêyi ebe") idi yumvuika bu mutoyi udi kayi ushintuluka ne idi ikolesha lutatu.
3. Lama mutu ne mubidi wa muntu ku diambuluisha dia bintu bipepele pamutu pa kubikuata panshi: Shi muntu udi ukuma mutu ku tshisasa anyi ku tshimanu tshikole, ela tshilamba tshia kulala, tshilamba tshia kulala, tshilamba tshia kulala, anyi tshilamba tshia manaya pankatshi pa mutu wende ne tshintu tshikole, ne ela bintu bia mu nzubu bidi ne mishiku kule nende.
4. Kuena ne tshia kuenza mudimu ne tshiamu tshia kukanga natshi muntu anyi kuteka bujitu pa mukolo, pa tshiadi anyi pa nshingu: Kuela muana anyi muntu mukulumpe udi uluangana ne mpala panshi kudi kupangisha dienda dia diaphragme ne kudi kufikisha ku asphyxie positionnelle ne kuimana kua muoyo mu tshimpitshimpi mu minite mikese.
5. Ufila bintu bia mudimu bia kulongolola nabi mutoyi bidi mua kuikala ne bukole bua bungi mu tshimpitshimpi: Teka biamu bia ku matshi bidi bipangisha mutoyi, makalashi a dîba, tshilamba tshia bujitu anyi tshilamba tshia kulala tshikole, anyi muaba wa ntenta/tshilamba tshikole udi mufiike, mutoke udi pabuipi ne tshianza tshiebe kuyi wenzeja muntu bua kubilenga, ne ikala mupuwe mutantshi wa metre 1.5 too ne ku 26 anyi kuinshi anyi kuinshi kua metre. tshibandilu tshia mêsu abu nunku tshienzelu tshiebe tshia mubidi tshidi tshileja ne: udi mu bukubi.
6. Bikala bena mudimu ba lupitadi anyi bampulushi bafika mu tshikondo tshia tshipupu, nubasangane pambelu kumpala kua kubuelabu mu nzubu: Ambila bampulushi ku tshiibi tshia kumpala ne ditalala dionso ne: "Muananyi/muena mu dîku dianyi udi ne disama dia autisme ne udi ne disama dia tshimpitshimpi didi kadiyi ne tshikisu. Dikuma dia sirene, diela mbila, anyi dikuata ku bianza biabu nebijule dîyi dikole, tuasakidila, ujimije ditalala. mpulushi ubuele bitekete bitekete, ne ubapeshe muaba wa kulongolola."

flowchart TD
    A["Disama dia tshimpitshimpi dia autisme dimanyike"] --> B{"Muntu udi mujimine (Elopement) anyi udi ne dibungama?"}
    B -- "Mujimine / Mupangile (Elopement)" --> C["Bikila 911 / 112 / 999 diakamue: Leja 'Muntu udi ne disama dia autisme mujimine: Keba mayi kumpala'"]
    C --> D["Tuma bantu bakulumpe bua kutangila tshina tshionso, tshina, musulu, tshina tshia mâyi ne njila idi mutantshi wa 800m (0.5 mi)"]
    D --> E["Tangila miaba ya kusokomena (mu tshibombi tshia mashinyi, nzubu ya tshilala benyi, bintu bia mudimu) ne enza mudimu ne GPS / Radio Tracker"]
    B -- "Dinyanguka anyi dijika dia lungenyi" --> F["Umbusha bantu badi pabuipi, umbusha bintu bidi ne njiwu, ne ubuikila miaba mikole ne bilamba bia kulala nabi"]
    F --> G["Kupuekesha muakulu wa kuakula ku Zero anyi 2-Word Assurances & Kupuekesha butoke / mutoyi"]
    G --> H{"Kudiku diditapa anyi njiwu idi mua kushipa muntu diakamue anyi?"}
    H -- "To" --> I["Pesha 2 Metres (6 Feet) ya muaba wa muntu nkayende, somba muinshi mua mesu, ne ufila bintu bia mudimu mu tshimpitshimpi"]
    H -- "Eyowa" --> J["Enza mudimu ne bintu bipepele bua kupangisha dikuma; Kuena ne tshia kuenza mudimu ne tshintu tshidi tshitangile ku mpala panshi to"]

Tshitupa 1: Kujingulula malu adi atatshisha bantu ne tshiji tshikole ne malu adi atatshisha bantu badi ne disama dia autisme¶

Tshilema tshitambe bunene tshidi muledi, mulongeshi, muntu udi pabuipi, anyi mpulushi mua kuenza ntshia kuamba bibi ne: disama dia autisme ndinyanguke anyi dibenga kuitaba dia budisuile. Bu mudi tshidi tshikebesha disama dia mitu tshishilangane bikole, mishindu ya dikolesha bana idibu benza nayi mudimu bua tshiji (bu mudi: kunyoka bikole, kulomba bua kumutangila mu mêsu, malu adi mua kumufikila anyi kulengulula majinga a muana) idi yenza bua disama dia autisme dikale dibi menemene.

Difuanyikija dia malu a luondapu: tshiji tshia bikadilu ne dinyanguka dia disama dia autisme ne dijika dia disama dia autisme¶

Tshitupa 2: Dipuekesha dia tshisumi tshikese mu tshikondo tshia dinyanguka dikole¶

Mulongeshi Bo Hejlskov Elvén mumanyi wa malu a lungenyi ne muanyishibue kudi National Autistic Society (UK) ne bamanyi ba malu a autisme pa buloba bujima, Low-Arousal Approach udi utamba kuimanyina pa dilongolola mubidi webe ne bintu bidi bimunyunguluke bua se: tshitupa tshia mubidi tshia muntu udi ne disama dia autisme tshipatuke mu ndeke mu bukubi.

Tshitupa 1: Kuata "Tshitupa tshia mutoyi" kumpala kua tshikondo tshia dishintuluka¶

Dinyanguka dia bintu ditu dienzeka anu patupu; bidi bifumina ku trigger stacking ("tshibombi tshia tunyinganyinga" tshidi tshiuwula mu mêba a bungi bua bilamba bidi binyanguka, mutoyi wa fluorescence, dishintuluka dia programe, njila miule tente ne bantu, nzala anyi dibuikila dia mpala). Paudi umona bimanyinu bia mutoyi, kubuikila matshi, kuela nkonko misangu ne misangu, kuenda lubilu, kunyunguluka lukasa, anyi kuikala ne tshiji tshia tshimpitshimpi, lekela malu onso adi kaayi ne mushinga diakamue ne uya ne muntu au muaba wa kupatuka udi kayi ne mutoyi anyi muaba wa dikisha kumpala kua tshibombi kuwula.

Tshitupa 2: Enza "Low-Arousal Protocol" pikala dinyanguka dimane kutuadija¶

Dîba didi dinyanguka dituadija, tshipatshila tshiebe tshimuepele ntshia bukubi bua mubidi ne dilongolola dia lungenyi, dilongesha anyi difila dia miyuki didi 100 pa lukama pambelu pa mesa:

1. Enza tshijengu tshia 2-Meter (6-Foot) ne umbusha bateleji:
2. Umbusha bintu bidi mua kuela anyi kulenduka (bintu bia makala, nkuasa, bintu bia kunaya nabi bikole) muaba udi muntu mua kufika.
3. Shi udi mu tshisalu tshia bintu bia kudia, ku tshipalu tshia ndeke, anyi mu nseke ya njila ne bantu baudi kuyi mumanye badi bakutangila anyi bakupesha mibelu ya baledi idi kayiyi mimpe, kuenzeji muntu udi ne disama dia autisme bua kuenda padiye mu tshikondo tshia dikenga dia bungi to, anu padi muaba au muikale ne njiwu ku mubidi (bu mudi muaba udi bantu basabuka mu njila). Pamutu pa nanku, ikala utangila tshisumbu tshia bantu bua kukuba malu a muntu wa mu dîku dienu, anyi upeshe muntu udi utangila Autism Information Card ("Muena mu dîku dianyi udi ne disama dia autisme ne udi ne disama dia nsukadi. Mushindu muimpe uudi mua kutuambuluisha nkutupesha muaba wa ditalala ne kutungunuka ne kuenda. Tuasakidila.").
4. Kuenzeja "Mukenji wa ditalala" (Kakuena nkonko, Kakuyi mêyi a kulonda):
5. Mu tshikondo tshia dinyanguka, bitupa bia muakulu bia Broca ne Wernicke mu buongo bidi kabiyi pa mudimu bua tshitupa tshîpi. Kuebeja ne: "Ntshinyi tshidi tshienzeke?", "Udi musue mayi anyi?", anyi "Tangila ne upuekeshe luya lukole" kudi kuenzeja buongo bua muntu budi ne bujitu bua bungi bua kumvua miaku mikole ya kuteleja, ne kujula tshiji anyi buôwa diakamue.
6. Ikala mupuwe, anyi wenze mudimu ne mêyi 2 anyi 3 a bitekete bitekete adibu bamba ne dîyi dimpe ne dia panshi kunyima kua minite mikese: "Udi mu bukubi." "Ndi muaba eu." "Angata dîba diebe."
7. Ikala ne mubidi udi kauyi utshinyisha:
8. Kuimana nansha kakese pa mutu pa muntu udi mu tshinyongopelu ne maboko makuate, bianza pa tshimono, anyi makaya malongolola kumpala; ku buongo budi mu mvita anyi mu lubilu, diimana dia kumpala didi dimueneka bu dibunda dia mubidi didi pabuipi.
9. Imana anyi somba mu tshitupa tshia 45-degree (ku luseke) pamutu pa kuikala mpala ne mpala, puekesha muinshi mua mêsu abu (somba panshi anyi mu nkuasa mupuekele mutantshi wa metre 2), ikala ne bianza biunzulula ne bimueneka mu tshiadi tshiebe, ne epuka kutangila mêsu buludiludi, mutantshi mule.
10. Kukuba ku malu adi mua kudienzela bibi (SIB) ku diambuluisha dia tshiamu tshia bukubi tshipepele:
11. Shi muana anyi muntu mukulumpe udi ne disama dia autisme muele mutu wende panshi, ku tshimanu anyi ku bintu bia mu nzubu, kumukuatshi ku bianza anyi kumuela mutu panshi ne bianza biebe patupu. Kukuata bitupa bia mubidi bia muntu mu tshikondo tshia lutatu lua lungenyi kudi kujula mvita ya buôwa bua kupatuka, ne kunutapa nuenu bonso babidi.
12. Pamutu pa nanku, kukuba tshintu tshidi pa mutu, ki muntu to: ela tshilamba tshia kulala tshinene, tshilamba tshia yoga, tshilamba tshia kulala tshia memory-foam, anyi tshilamba tshia mu muvu wa mashika tshidibu bafunde pankatshi pa mutu/bianza ne tshimanu anyi panshi. Shi badi badisuma ku bianza anyi ku bianza, ufila bitekete bitekete tshiamu tshia silicone tshidi mua kudia, tshilamba tshia kusukula natshi tshikezuke, anyi tshilamba tshia kulala tshimpe.

Tshitupa 3: Kukuatshisha "Tshikondo tshia diondopangana / tshia dipanga dia makanda"¶

Padi mbila, kudila, anyi kukuma bijika, dinyanguka kadiena dijika to. Muntu udi anu mupeta dikola dia bungi dia adrenaline ne cortisol, bimushiya mu tshitupa tshia "autistic hangover" (tshikondo tshia ditshioka) mudi nansha dilomba dikese mua kupingaja dinyanguka dibidi mu tusekonde tukese:

• Ubapeshe dikopo dia mayi ne tshisuku, nzubu mutoke, ne tshintu tshiabu tshia busambi tshidibu banange anyi filme wa pa buawu udibu bapingaja.
• Kubalombi bua kulomba luse, kulongolola tshinyangu diakamue, anyi kuakula bua "tshivua tshienzeke" nansha bua mêba a bungi (anyi too ne dituku didi dilonda). Bantu ba bungi badi ne disama dia autisme batu bapeta dipanga dia lungenyi mu tshikondo tshia dikenga dia bungi ne bumvua bundu bua bungi pashishe; usambakena nabu ne dinanga ne dishindika didi kadiyi ne mikalu.

Tshitupa 3: Autism Wandering and Elopement (Water-First Search Emergency)¶

Mu miaku ya luondapu, elopement (kuendakana anyi kuela mbila) kudi kuenzeka padi muntu udi ne disama dia autisme umbuka muaba udibu balama, udi kayi ne dimanya dia muntu udi umulama. Bishilangane na disama dia dipanga dia lungenyi mu bantu bakulumpe, didi difumina ku dijimija dia lungenyi ne dipanga dia lungenyi, diendakana dia autisme didi difumina ku tshipatshila anyi ku lungenyi: kunyema mutangile ku tshintu kampanda tshidi tshisankisha (dijiba didi dikenka, kawulu kadi kapita, parc udi munange) anyi kunyema mutoyi mukole, tunyinganyinga anyi malu adibu balomba.

flowchart TD
    A["Muana anyi muntu mukulumpe udi ne disama dia autisme mujimine"] --> B["MINUTE 0: Bikila 911 / 112 / 999 diakamue (Kakuyi tshikondo tshia kuindila)"]
    B --> C["Ambila mutumibue ne: 'Muntu udi mujimine udi ne disama dia autisme: kena wakula / udi ne majinga a lungenyi: KEBA MAYI ONSO KUMPALA'"]
    C --> D["MUNITE 1 TO KU 10: Dikomba dia lukasa dia 360-Degree ne dikomba dia njiwu"]
    D --> E["Tshia kumpala: Mashinyi a kunyima kua nzubu ne a pabuipi (nansha mabuikila), Maziba, Misulu, Mishimi ya dilama, Mishimi ya mâyi a mvula"]
    D --> F["Tshia kumpala 2: Njila ya lubilu lua bungi, Njila ya mashinyi anyi ya muinshi mua buloba, ne miaba ya luibaku"]
    D --> G["Tshia kumpala 3: Miaba mikanga (Mashinyi adi ne kapia, Mashinyi a kusukula nawu bilamba, Nzubu ya tshilala benyi, Mashinyi a mashika)"]
    E --> H["Kutuma didimuija dia muena mutumba: Lomba muena mutumba yonso udi mutantshi wa 800m (0.5 mi) bua kutangila tshina tshia mâyi ne lupangu luabu diakamue"]
    F --> H
    G --> H
    H --> I{"Muntu mupeta mu mayi anyi kayi wandamuna?"}
    I -- "Eyowa" --> J["Kusungila mu bukubi ne kutuadija diakamue kusungila mupuya + dikuma dia tshiadi (CPR)"]
    I -- "To" --> K["Pesha bampulushi foto ya lelu, bilamba bia bushuwa, bintu bidi bikoka bantu ne mêyi adi alenga"]

Bua tshinyi dienda dia bantu badi ne disama dia autisme ndilumbulula dia lukasa dia 911 dia kumpala dia mayi¶

Malu adibu balonge kudi tshilongelu tshia bena Amerike tshia malu a bana (AAP) ne tshisumbu tshia ditunga tshia disama dia autisme (NAA) adi aleja malu anayi a mushinga adi muledi yonso ne muntu udi wandamuna kumpala ne bua kumanya:

1. Bana 49 pa lukama badi ne disama dia autisme batu bateta bua kunyema nansha musangu umua kunyima kua bidimu 4, ne pa mutu pa tshia bisatu tshia aba badi bendakana kabatu nansha kakese anyi kabatu batamba kumanyisha dîna diabu, adrese wabu anyi nimero yabu ya telefone ku mêyi to.
2. Kudina mu mayi kudi kufikisha ku 71 too ne ku 91 pa lukama ya bipeta bionso bia lufu: Bana ne bantu bakole badi ne disama dia autisme badi banyema batu bakokibua bikole kudi mâyi, ku nzubu ya kuowa mâyi ya panyima pa nzubu, ku maziba adi alama mâyi a mvula, ku misulu ya mâyi, ku misulu ne ku muelelu wa mâyi, misangu ya bungi batu babuela mu mâyi bavuale bilamba bionso kabayi belakana to.
3. Bantu ba bungi badi ne disama dia autisme kabena mua kuandamuna padi bakebuludi bela mbila bua dina diabu to: kabidi, bikala bakebuludi benda banyema mu mpata bela mbila ne dîyi dikole, bela mbila, benda banyema mbwa idi ikuma, anyi batemesha miendu idi ikenka, muntu udi ne disama dia autisme udi ne buôwa anyi udi ne lutatu lua bungi utu misangu ya bungi **musokome munda mua miaba mikole, mifiike (mashinyi, matempu, bipese bia mashinyi) bisonsa, anyi bitanda) bua kunyema mutoyi wa buôwa.
4. Disama dikole ne dijingulula dia mashika: Bantu ba bungi badi ne disama dia autisme badi ne tshipiminu tshia kanyinganyinga tshikole anyi interoception mushintuluke (bukokeshi bua kumvua bimanyinu bia munda mua mubidi bu mudi mashika, kapia kakole, anyi dipanga dia mâyi mu mubidi), bidi biumvuija ne: badi mua kushala mu mâyi a mashika anyi kubanda mu mashinyi adi mashika mashika kabayi bela mbila.

Minite 15 ya kumpala: Liste wa tshikebelu tshia dinyema¶

Wewe mupingane kumbelu, mu parc, muaba wa tshitudilu, anyi mu tshisalu ne muanebe udi ne disama dia autisme anyi muntu mukulumpe wa mu dîku kayiku, enza malu aa musangu umue:

• 1. Bikila ku nimero 911 / 112 / 999 ku minite zero: Kokumvua bundu nansha kakese bua kubikila bena mudimu ba tshimpitshimpi pikala muanebe kayi umueneka anu mu minite 2 to. Bijila bia mbulamatadi mu États-Unis (Suzanne's Law, 34 U.S.C. § 41307, ne National Child Search Assistance Act) bidi bikandika bibambalu bia dilama dia mikenji bua kuenza mudimu ne tshikondo tshionso tshia kuindila kumpala kua kuangata luapolo lua muana udi mujimine anyi muntu udi mu njiwu ne kumubueja mu tshilaminu tshia malu a FBI (NC FRIME) tshia ditunga.
• 2. Pesha 911 Dispatcher "4 Critical Autism Facts":
• "Muana wanyi wa [bidimu]/muena mu dîku [Dîna] mmujimine ne udi ne disama dia autisme."
• "Badi [kabayi bakula / bakula kakese] ne kabena mua kuandamuna paudi ubikila dina diabu to ne badi mua kunyema anyi kusokoma kudi biamu bia dîyi dikole anyi kudi bilamba bia mudimu."
• "Badi bakokibua bikole kudi [mayi / mashinyi / mashinyi / mbua / ascenseur]. Tudi tunulomba bua kulomba bampulushi badi balonda bua kukeba tshina tshionso tshia mâyi, tshina tshionso, ne mâyi adi mu bule bua metre 800 (0.5 miles) kumpala."
• "Badi bavuale [mabala/nsapatu] ne badi ne [GPS / Project Lifesaver radio transmitter / AirTag]."
• 3. Keba tshitupa tshionso tshia mayi tshidi mu bule bua metre 800 (0.5 miles) ku mubidi:
• Tangila kumpala tshina tshiebe tshia mâyi, tshina tshia mâyi a kapia, tshina tshia mâyi tshia kuowa mâyi, ne tshina tshia mâyi tshia dilengeja, nansha bikala tshibuikidiji tshia dîba tshia tshina tshia mâyi anyi tshibuikidiji tshia bukubi tshiteka (muana udi mua kusesuka muinshi mua tshibuikidiji tshidi tshienda pa mâyi ne kulua kayi umueneka pa mutu pa mâyi). Koka tshibuikidiji tshijima panyima bua wewe kumona nseke yonso ya kuinshi kua tshina tshia mâyi.
• Nyema mu lupangu lua bena mutumba nebe: Kukokoki anu ku tshiibi tshia kumpala ne kupatuka pikala muntu kayi ukuandamuna to; tuluka anyi kangula tshiibi bua kutangila tshina tshia mâyi tshia muena mutumba yonso, trampoline, ne tshikuku, ne wela mbila kudi bena mutumba badi pambelu ne: "Muananyi udi ne disama dia autisme mmujimine, nudi mua kutangila tshina tshienu tshia panyima ne tshikuku mpindieu."
• Tangila maziba a kulama, misulu, milonda ya mâyi, ne misulu ya mvula: Enda ku muelelu wa mâyi ukeba bimanyinu bia makasa mu bitotshi, mu bilamba bidi bienda pa mâyi anyi mu bilamba.
• 4. Keba "miaba ya kusokomena" munda ne pabuipi ne nzubu:
• Bana badi ne disama dia autisme badi bakeba lungenyi lua bukole anyi mîdima mitalala batu misangu ya bungi babanda mu miaba mikese mikanga mudi tshikebelu tshia pa tshibidilu tshipita pa mutu pabu: **munda mua mashinyi adi mashika ne mu bibombi bia mashinyi (tangila mashinyi ebe nkayebe adi makanga ne mashinyi a bena mutumba adi kaayi makanga diakamue bua kuepuka luya lua lufu) **, munda mua mashinyi a kusukula nawu bilamba - ne kukanga bilamba biamu bia kuowela nabi bilamba, munda mua sanduku mile anyi mu bibombi, muinshi mua malalu panyima pa bibombi bia kulamina bintu, munda mua milondo ya bilamba bia mu tshilaminu, munda mua nzubu ya tshilala benyi, anyi muinshi mua bitanda bia ku tshisasa.
• 5. Mu tshisalu tshia bintu, mu tshisalu, mu tshipalu tshia ndeke, anyi mu parc wa manaya, lomba diakamue "Code Adam" wa dikanga dia tshijengu:
• Kuendakana mu njila nkayebe to. Angata muena mudimu udi pabuipi nebe anyi mulami wa bukubi ne umuambile ne: "Bikila Code Adam (muana udi mujimine udi ne disama dia autisme) ne ukanga tshiibi tshionso tshia kupatuka ne tshia kupatuka tshia muaba wa kutekela mashinyi mpindieu." Enza bua balami batangile diakamue biamu bia kubandisha nabi mashinyi, bia kubandisha nabi, bia ku mishimi, bia kuela nabi bintu, ne bia kuowa mâyi.

Tshitupa 4: Dikuba, mishindu ya kuvuala, ne difunda dia kumpala dia diandamuna¶

Bualu diendakana ne bilumbu bia lungenyi bidi bienzeka mu masekonde makese, kuibaka tshiamu tshia bukubi tshia ku mubidi ne tshia bena mu tshisumbu kumpala kua dîba kudi kukepesha njiwu bikole.

Mulongo wa malu a bukubi a mu nzubu ne a kuvuala¶

1. Teka makunji a ku tshiibi ne bia kumanyisha nabi dîyi dikole:
2. Ela bikunyibua bikuabu, bikunyibua bia kukanga nabi, anyi bikunyibua bia kukanga nabi ku ku mutu menemene kua biibi bia pambelu (1,8 metre / 6 feet kuulu kua tshisasa, pa mutu pa muaba udi muana mua kufika), bikala muntu mukulumpe yonso ne muanabu ne muanabu mukulumpe mu nzubu mumanye mua kubikangula diakamue padi kapia ka mu nzubu.
3. Lamakaja mashinyi a tshiibi ne madidishi a tshiamu tshia magnétique (mateka ku 90 too ne ku 120 dB) ku tshiibi tshionso tshia pambelu ne ku dididishi dia kuinshi bua wewe kumvua didimuija dia lukasa dîba didi tshiibi tshiunzuluka munya anyi butuku.
4. Shi udi na tshina tshia mayi tshia kunyima kua nzubu, unyunguluka tshina tshia mayi nkayatshi ne 4-sided, 1.2-metre (4-foot) minimum self-closing, self-latching isolation fence ne tshiamu tshia kumanyisha natshi mayi tshidi tshienda pa mâyi.
5. Wenza mudimu ne tshiamu tshia kulonda natshi bintu (Radio Frequency vs GPS vs Bluetooth):
6. Biamu bia radio (RF) (Project Lifesaver / Care Trak): Mulombodibua kudi binunu ne binunu bia bibambalu bia sheriff ne bibambalu bia bampulushi mu États-Unis, Canada, ne mu matunga makuabu, Projet Lifesaver udi uteka tshilamba tshia ku tshianza anyi tshia ku makasa tshidi katshiyi tshinyanguka kudi muntu tshidi tshipatula tshimanyishilu tshia ku nzembu. Bishilangane na GPS wa ku telefone, bimanyinu bia RF bidi bienza mudimu munda mua nzubu, muitu mikole, ne mu njila kayiyi dijinga ne bibumba bia ku telefone, bienza bua bibambalu bilongesha bipete muana udi mujimine mu minite 30.
7. GPS + LTE Trackers (AngelSense, Jiobit, Gabb, anyi LTE Smartwatches): Ufila dilonda dia GPS mu tshikondo tshia bushuwa pa telefone wa muledi, mamanyisha a mikalu ya tshilongelu/nzubu adibu mua kuenza bilondeshile majinga ebe, ne tshiamu tshia "Sensory-Friendly Speakerphone" tshidi tshiambuluisha muledi bua kuakula mêyi adi alenga muana ku bule anyi kuenza mudimu ne tshiamu tshia kuteleja natshi dîyi tshidi pabuipi bobu.
8. Bluetooth Item Trackers (Apple AirTag, Tile, Samsung SmartTag): Udi ne mushinga bu tshintu tshia mushinga mukesa tshibidi tshisonga mu ludimi lua sapatu, mu tshilamba tshia ku tshianza, anyi mu tshilamba tshia kuenza natshi mudimu, kadi kueyemenyi anu AirTag nkayende pabuipi ne mâyi anyi miaba ya mu misoko, bualu biamu bia kulonda nabi Bluetooth kabiena ne GPS nansha umue ne bidi anu bimanyisha muaba udibi padi iPhone anyi Android udi kayi mumanye wenda mu 130 metre too ne ku 1300 to makasa) a muana.
9. Dianjila kudifundija ku 911 Center ne ku tshibambalu tshia bampulushi tshia muaba unudi:
10. Misoko ya bungi itu ifila tshianana 911 Disability / Special Needs Premise Alert Registry (bu mudi Smart911 mu États-Unis, Herbert Protocol / Pegasus Card / Safe & Found mu UK, anyi municipal Vulnerable Person Registries mu Canada ne Australie). Udi uteka tshimfuanyi tshia muena mu dîku diebe tshia matuku mashale aa, tshimuenekelu tshia mubidi wende, nsombelu wende udi kayi wakula, malu adi akusaka bua kumvua, bintu biudi munange bia mâyi anyi bia mashinyi, ne plan wa dijikija lutetuku bua bimueneke nkayabi pa tshiamu tshia ordinatere tshia muena mudimu wa bampulushi dîba didi muntu yonso ubikila 911 ku adrese webe.
11. Difunda mu malongesha a kuowa mâyi ne a kushala mu mayi:
12. Tshilongelu tshia bena Amerike tshia malu a bana tshidi tshilomba bikole bua bana badi ne disama dia autisme balongeshe bana badi ne disama dia autisme mushindu wa kuikala ne muoyo mu mayi ne wa kuowa mâyi kumpala kua dîba (adibu balongesha kudi balongeshi ba malu a mu mayi badi ne mikanda ya dianyisha badi benza mudimu ne ndongamu ya kumona ne ya dikola dia malu adi atangila lungenyi) bua se: muana yeye mukuluke mu mâyi, udi mua kudikunguluka pa mukolo wende bua kuela mâyi ne kupuyakana.

Nkonko itubu bela misangu ya bungi¶

Miaba mifumina¶

• Tshilongelu tshia bena Amerike tshia malu a bana (AAP, États-Unis): Luapolo lua luondapu: Diendakana/dinyema dia bana badi ne disama dia autisme ne buludiki bua kudikuba ku dibuela mu mâyi.
• Tshisumbu tshia ditunga tshia disama dia autisme (NAA Big Red Safety Box ne AWAARE Coalition, États-Unis): Bipeta bibi bia disama dia autisme Spectrum Disorder Wandering/Elopement ne First-Responder Water-First Search Protocols.
• Tshisumbu tshia ditunga tshia bena disama dia autisme (NAS, Royaume-Uni): Meltdowns and Shutdowns: Supporting Autistic Children and Adults Using Low-Arousal De-Escalation.
• Tshilongelu tshia ditunga tshia malu a bukola bua mubidi ne a dilama dia bantu (NICE Guideline CG142 ne CG170, Royaume-Uni): Disama dia autisme mu bana ba muinshi mua bidimu 19 ne bakulumpe: Dilama dia bikadilu bidi bifila ntatu ne diepuka dia dienza dia malu a mubidi adi kaayi makane.
• Bo Hejlskov Elvén (Studio 3 Clinical Low-Arousal Training Framework, International): Management Crisis Behavior in Autism and Intellectual Disabilities Without Restraint.
• Tshisumbu tshia bamfumu ba bampulushi ba pa buloba bujima (IACP) ne Tshibambalu tshia malu a mikenji tshia mu États-Unis Tshibambalu tshia diambuluisha dia malu a mikenji: Diandamuna dia bena mudimu ba mikenji kudi bantu badi bajimine badi ne disama dia autisme ne dia Alzheimer (Projet Lifesaver ne CIT De-Escalation Standards).

Bikala muntu mujimine mupatuka mu mayi kayi wandamuna, CPR wa lukasa ne mupuya wa disungila udi uvudija mushindu wa kupanduka misangu isatu. Tudi tukulomba bikole bua kulonga CPR ne diambuluisha dia kumpala dia bantu bakole ne bana kudi Croix-Rouge, St John Ambulance, anyi kudi munganga wa muaba unudi.

Malu adi apetangana¶

• Kuambuluisha muena mu dîku udi ne lutatu lua lungenyi
• Muana mujimine
• Disama dia lungenyi didi diendakana ne mukulumpe udi mujimine
• Bulema ne majinga a luondapu