Choking - khanda osakwana chaka chimodzi

Kutsamwa ndi pamene wina sangathe kupuma chifukwa chakudya, choseweretsa, kapena chinthu china chikutchinga pakhosi kapena pa mphepo.

Nkhaniyi ikufotokoza kutsamwa kwa makanda.

Kutsamwitsa makanda nthawi zambiri kumachitika chifukwa chopumira kanthu kakang'ono kamene kamayi kamene kamayika mkamwa mwawo, monga batani, ndalama, zibaluni, gawo la choseweretsa, kapena batri loyang'anira.

Kukokomeza kumatha chifukwa cha kutseka kwathunthu kapena pang'ono kwa njira yapaulendo.

• Kutsekeka kwathunthu ndi vuto lazachipatala.
• Kutsekeka pang'ono kungayambitse moyo ngati mwana sangapeze mpweya wokwanira.

Munthu akapanda mpweya wokwanira, kuwonongeka kwaubongo kwanthawi zonse kumatha kuchitika pakangopita mphindi 4. Chithandizo choyamba chothinana chingathe kupulumutsa moyo.

Zizindikiro zowopsa zakutsamwa ndi izi:

• Mtundu wabuluu wabuluu
• Kuvuta kupuma - nthiti ndi chifuwa zimakokera mkati
• Kutaya chidziwitso (kusayankha) ngati kutchinga sikuchotsedwe
• Kulephera kulira kapena kupanga mawu ambiri
• Ofooka, osagwira ntchito
• Phokoso lofewa kapena lolira kwambiri mukamakoka mpweya

Musachite izi ngati khanda likutsokomola kapena likulira kwambiri. Kutsokomola kwamphamvu ndi kulira kumatha kuthandiza kukankhira chinthucho panja.

Ngati mwana wanu sakutsokomola mwamphamvu kapena samalira kwambiri, tsatirani izi:

1. Ikani khanda pansi, patsogolo panu. Gwiritsani ntchito ntchafu yanu kapena chilolo kuti muthandizidwe. Gwirani chifuwa cha khanda m'manja mwanu ndi nsagwada ndi zala zanu. Loza mutu wa khanda m'munsi, wotsika kuposa thupi.
2. Perekani zipolopolo zisanu mwachangu, mwamphamvu pakati pamapewa amwana. Gwiritsani ntchito chikhatho cha dzanja lanu laulere.

Ngati chinthucho sichichoka panja pambuyo pomenyera kasanu:

1. Tembenuzani khanda. Gwiritsani ntchito ntchafu yanu kapena chilolo kuti muthandizidwe. Kuthandiza mutu.
2. Ikani zala ziwiri pakati pa mafupa apansi pamunsi pa mawere.
3. Perekani maulendo asanu mofulumira, kupondereza chifuwa chimodzi mwazitali mpaka theka la chifuwa.
4. Pitilizani kumenya kumbuyo kasanu ndikutsatiridwa ndi chifuwa 5 mpaka chinthucho chituluke kapena khanda litasiya kukhala tcheru (atakomoka).

NGATI MWANA wakhanda atayika

Ngati mwanayo sakumvera, asiya kupuma, kapena atakhala wabuluu:

• Fuulani thandizo.
• Apatseni CPR wakhanda. Imbani 911 pakadutsa mphindi 1 ya CPR.
• Ngati mutha kuwona chinthu chikulepheretsa kuyenda, yesetsani kuchichotsa ndi chala chanu. Yesetsani kuchotsa chinthu pokhapokha mutachiwona.

• Osachotsa chithandizo choyamba ngati mwana akutsokomola mwamphamvu, akulira kwambiri, kapena akupuma mokwanira. Komabe, khalani okonzeka kuchitapo kanthu ngati zizindikiro zikuipiraipira.
• Osayesa kugwira ndikutulutsa chinthucho ngati khanda lakhala tcheru (lachidziwitso).
• Osamenyetsa kumbuyo ndi chifuwa ngati khanda lasiya kupuma pazifukwa zina, monga mphumu, matenda, kutupa, kapena kugunda kumutu. Apatseni khanda CPR pazochitikazi.

Ngati khanda likutsamwa:

• Uzani wina kuti ayimbire 911 mukayamba thandizo loyamba.
• Ngati muli nokha, fuulani thandizo ndikuyamba thandizo loyamba.

Nthawi zonse muziyitanitsa dokotala wanu mwana atatsamwa, ngakhale mutachotsa chinthucho mumsewu ndipo khanda likuwoneka bwino.

Kupewa kutsamwa mwa khanda:

• Osapatsa ana ochepera zaka zitatu zakubaluni kapena zoseweretsa zokhala ndi tizigawo ting'onoting'ono tomwe titha kutha.
• Sungani makanda kutali ndi mabatani, popcorn, ndalama, mphesa, mtedza, ndi zina zazing'ono.
• Onaninso ana ndi ana akudya. Musalole mwana kukwawa mozungulira akamadya.
• Phunziro loyambirira lachitetezo ndi "Ayi!"

• Choking chithandizo choyamba - khanda osakwana chaka chimodzi - mndandanda

Atkins DL, Berger S, Duff JP, ndi al. Gawo 11: Thandizo lothandizira paumoyo wamankhwala ndi kupulumutsiranso mtima kwa mitsempha: 2015 malangizo a American Heart Association amasinthira kukonzanso kwa mtima ndi chisamaliro chamtima cha mtima. Kuzungulira. 2015; 132 (18 Suppl 2): ​​S519-S525. PMID: 26472999 www.ncbi.nlm.nih.gov/pubmed/26472999.

Zadzidzidzi za kupuma kwa Rose E. Ana: kutsekeka kwapansi panjira ndi matenda. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 167.

Thomas SH, Goodloe JM. Matupi akunja. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 53.