Choking - wamkulu kapena mwana wopitilira chaka chimodzi

Kutsamwa ndi pamene wina akuvutika kwambiri kupuma chifukwa chakudya, choseweretsa, kapena chinthu china chikulepheretsa pakhosi kapena mphepo.

Njira yapaulendo yothinana ingathe kutsekedwa kotero kuti mpweya wosakwanira usafike pamapapu. Popanda mpweya, kuwonongeka kwaubongo kumatha kuchitika mumphindi 4 mpaka 6 zokha. Chithandizo choyamba chothinana chingathe kupulumutsa moyo wa munthu.

Kukoka kungayambitsidwe ndi izi:

• Kudya mofulumira kwambiri, osatafuna chakudya bwino, kapena kudya ndi mano opangira mano osakwanira bwino
• Kumwa mowa (ngakhale mowa pang'ono kumakhudza kuzindikira)
• Kukhala chikomokere ndikupumira m'masanzi
• Kupuma m'zinthu zazing'ono (ana aang'ono)
• Kuvulaza mutu ndi nkhope (mwachitsanzo, kutupa, kutuluka magazi, kapena kupunduka kumatha kuyambitsa kutsamwa)
• Kumeza mavuto pambuyo sitiroko
• Kukulitsa matumbo kapena zotupa za khosi ndi mmero
• Mavuto ndi kholingo (chitoliro cha chakudya kapena chubu chomeza)

Mwana wamkulu kapena wamkulu akamakankha, nthawi zambiri amamugwira pakhosi ndi dzanja. Ngati munthuyo sachita izi, yang'anani zikwangwani izi:

• Kulephera kuyankhula
• Kuvuta kupuma
• Kupuma kaphokoso kapena mawu okwera kwambiri kwinaku mukupuma
• Ofooka, osagwira ntchito
• Mtundu wabuluu wabuluu
• Kutaya chidziwitso (kusayankha) ngati kutchinga sikuchotsedwe
  

Choyamba funsani, "Mukutsamwa? Kodi mungayankhule?" MUSAMAPE chithandizo choyamba ngati munthuyo akutsokomola mwamphamvu ndipo akutha kuyankhula. Chifuwa cholimba chimatha kuchotsa chinthucho. Limbikitsani munthuyo kuti apitirize kutsokomola kuti atulutse chinthucho.

Ngati munthuyo sangathe kulankhula kapena akuvutika kupuma, muyenera kuchitapo kanthu mwachangu kuti mumuthandize. Mutha kuponya m'mimba, kubwerera kumbuyo, kapena zonse ziwiri.

Kuchita zipsinjo m'mimba (Heimlich maneuver):

1. Imani kumbuyo kwa munthuyo ndikukulunga m'manja mchiuno mwa munthuyo. Kwa mwana, mungafunikire kugwada.
2. Pangani chibakera ndi dzanja limodzi. Ikani chala chanu chachikulu cha nkhonya pamwamba pamchombo wa munthuyo, pansi pamunsi pa fupa la pachifuwa.
3. Gwirani mwamphamvu nkhonya ndi dzanja lanu.
4. Pangani msanga, kukwera ndi kulowa mkati ndi nkhonya yanu.
5. Onani ngati chinthucho chatulutsidwa.
6. Pitilizani izi mpaka chinthucho chitachotsedwa kapena munthuyo atakomoka (onani pansipa).

Kuti mumenyetse kumbuyo:

1. Imani kumbuyo kwa munthuyo. Kwa mwana, mungafunikire kugwada.
2. Kukutira mkono umodzi kuti muthandizire kumtunda kwa munthuyo. Onetsetsani munthuyo kutsogolo mpaka chifuwa chili pafupi kufanana ndi nthaka.
3. Gwiritsani ntchito chidendene cha dzanja lanu lina kupulumutsa mwamphamvu pakati pamapewa amunthuyo.
4. Onani ngati chinthucho chatulutsidwa.
5. Pitirizani kumenyanso kumbuyo mpaka chinthucho chitachotsedwa kapena munthuyo atakomoka (onani pansipa).

Kuchita zipsinjo m'mimba NDI kumenyedwa kumbuyo (njira 5 ndi 5):

1. Ikani mikwingwirima isanu, monga tafotokozera pamwambapa.
2. Ngati chinthucho sichimasulidwe, perekani ma 5 m'mimba.
3. Pitirizani kuchita 5-ndi-5 mpaka chinthucho chitachotsedwa kapena munthuyo atakomoka (onani pansipa).

NGATI MUNTHU ACHEPETSA KAPENA ACHULUKA CHIKUMBUTSO

• Tsitsani munthuyo pansi.
• Imbani 911 kapena nambala yadzidzidzi yakomweko kapena uzani wina kuti atero.
• Yambani CPR. Kupanikizika pachifuwa kumatha kuthandiza kuchotsa chinthucho.
• Ngati muwona china chake chikutchinga njira yapaulendo ndipo ndiyotayirira, yesani kuchichotsa. Ngati chinthucho chili pakhosi la munthuyo, MUSAYESE kuchimvetsa. Izi zitha kukankhira chinthucho kumtunda.

KWA OTHANDIZA KAPENA ANTHU OTETEZA

1. Lembani mikono yanu pa CHIFUWA cha munthuyo.
2. Ikani nkhonya yanu PAKATI pa bere la pakati pa mawere.
3. Pangani zolimba, kubwerera kumbuyo.

Mukachotsa chinthu chomwe chidakupangitsani kutsamwa, khalani chete munthuyo ndikupeza chithandizo chamankhwala. Aliyense amene akutsamwa ayenera kukayezetsa kuchipatala. Zovuta zimatha kubwera osati kungotsamwitsa kokha, komanso kuchokera pazithandizo zoyambirira zomwe zidatengedwa.

• Musasokoneze ngati munthu akutsokomola mwamphamvu, amatha kuyankhula, kapena amatha kupumira mokwanira ndi kutuluka mokwanira. Koma, khalani okonzeka kuchitapo kanthu nthawi yomweyo ngati zizindikiro za munthuyo zikuipiraipira.
• MUSAMAKakamize kutsegula pakamwa pa munthuyo kuti ayese kumvetsetsa ndi kutulutsa chinthucho ngati munthuyo ali wozindikira. Ponyani m'mimba ndi / kapena kumbuyo kuti muyesere kutulutsa chinthucho.

Pitani kuchipatala nthawi yomweyo mukapeza munthu wakomoka.

Pamene munthuyo akutsamwa:

• Uzani wina kuti ayimbire 911 kapena nambala yadzidzidzi yakomweko mukayamba thandizo loyamba / CPR.
• Ngati muli nokha, fuulani thandizo ndikuyamba thandizo / CPR.

Chinthucho chikachotsedwa bwinobwino, munthuyo ayenera kukaonana ndi dokotala chifukwa mavuto angabuke.

M'masiku otsatira kutsatira gawo lomwe likutsamwa, kambiranani ndi dokotala nthawi yomweyo ngati munthuyo akukula:

• Chifuwa chomwe sichitha
• Malungo
• Zovuta kumeza kapena kuyankhula
• Kupuma pang'ono
• Kutentha

Zizindikiro pamwambapa zitha kuwonetsa:

• Chinthucho chinalowa m'mapapo m'malo mothamangitsidwa
• Kuvulaza bokosi lamawu (kholingo)

Pofuna kupewa kutsamwa:

• Idyani pang’onopang’ono ndi kutafuna chakudya bwinobwino.
• Onetsetsani kuti mano ovekera akukwanira bwino.
• Musamwe mowa wambiri musanadye kapena mukamadya.
• Sungani zinthu zazing'ono kutali ndi ana aang'ono.

Kutupa m'mimba - wamkulu kapena mwana wopitilira chaka chimodzi; Kuyendetsa kwa Heimlich - wamkulu kapena mwana wopitilira chaka chimodzi; Kukumenya - kubwerera kumbuyo - wamkulu kapena mwana wopitilira chaka chimodzi

• Choking chithandizo choyamba - wamkulu kapena mwana wopitilira chaka chimodzi - mndandanda

American Red Cross. Buku Loyamba la Wophunzira / CPR / AED. Wachiwiri ed. Dallas, TX: American Red Cross; 2016.

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.

Isitala JS, Scott HF. Kubwezeretsa ana. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 163.

[Nkhani yaulere ya PMC] [Adasankhidwa] Kleinman ME, Brennan EE, Goldberger ZD, et al. Gawo 5: Chithandizo chamoyo wachikulire komanso kupulumutsanso mtima: 2015 Malangizo a American Heart Association amasinthira kukonzanso kwa mtima ndi chisamaliro chamwadzidzidzi cha mtima. Kuzungulira. 2015; 132 (18 Suppl 2): ​​S414-S435. PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

Kurz MC, Neumar RW. Kubwezeretsa achikulire. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 8.

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.