Choking - wachikulire wosazindikira kapena mwana wopitilira chaka chimodzi

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

Nkhaniyi ikufotokoza kutsamwa kwa akulu kapena ana azaka zopitilira 1 omwe ataya chidwi (sakudziwa kanthu).

Kukoka kungayambitsidwe ndi:

• Kudya mofulumira kwambiri, osatafuna chakudya bwino, kapena kudya ndi mano opangira mano osakwanira bwino
• Zakudya monga zidutswa za chakudya, agalu otentha, ma popcorn, batala wa kirimba, chakudya chomata kapena chotsekemera (marshmallows, gummy bears, mtanda)
  
• Kumwa mowa (ngakhale mowa pang'ono kumakhudza kuzindikira)
• Kukhala chikomokere ndikupumira m'masanzi
• Kupumira kapena kumeza zinthu zazing'ono (ana aang'ono)
• Kuvulaza mutu ndi nkhope (mwachitsanzo, kutupa, kutuluka magazi, kapena kupunduka kumatha kuyambitsa kutsamwa)
• Kumeza mavuto obwera chifukwa cha sitiroko kapena zovuta zina zamaubongo
• Kukulitsa matumbo kapena zotupa za khosi ndi mmero
• Mavuto ndi kholingo (chitoliro cha chakudya kapena chubu chomeza)

Zizindikiro zakutsamwa munthu akakomoka ndi monga:

• Mtundu wabuluu kumilomo ndi misomali
• Kulephera kupuma

Uzani wina kuti ayimbire 911 kapena nambala yadzidzidzi yakomweko mukayamba thandizo loyamba ndi CPR.

Ngati muli nokha, fuulani thandizo ndikuyamba thandizo loyamba ndi CPR.

1. Pindutsani munthuyo kumbuyo kwawo pamalo olimba, osunga kumbuyo kwake molunjika kwinaku mukuchirikiza mwamphamvu mutu ndi khosi. Vumbula chifuwa cha munthuyo.
2. Tsegulani pakamwa pa munthuyo ndi chala chanu chachikulu ndi cholozera, ndikuyika chala chanu chachikulu pa lilime ndi chala chanu pansi pa chibwano. Ngati mukutha kuwona chinthu ndikumasulidwa, chotsani.
3. Ngati simukuwona chinthu, tsegulani mayendedwe ake mwa kukweza chibwano kwinaku mukupendeketsa mutu.
4. Ikani khutu lanu pafupi ndi pakamwa pa munthuyo ndikuyang'anitsitsa kuyenda kwa chifuwa. Onani, mverani, ndikumva kupuma kwa masekondi 5.
5. Ngati munthuyo akupuma, perekani chithandizo choyamba kwa iye atakomoka.
6. Ngati munthuyo sakupuma, yambani kupulumutsa kupuma. Sungani mutu, tsekani mphuno za munthuyo pomutsinira ndi chala chanu chachikulu ndi cholozera, ndikuphimba pakamwa pa munthuyo mwamphamvu ndi pakamwa panu. Apatseni mpweya pang'ono pang'onopang'ono, mopumira pakati.
7. Ngati chifuwa cha munthuyo sichikukwera, ikani mutu wake ndikupatsanso mpweya wina kawiri.
8. Ngati chifuwa sichikukwera, ndiye kuti njira yapaulendo ndiyotsekedwa, ndipo muyenera kuyambitsa CPR ndikumangika pachifuwa. Kuponderezana kungathandize kuthetsa kutseka.
9. Chitani zopindika 30 pachifuwa, tsegulani pakamwa pa munthu kuti mufufuze chinthu. Ngati muwona chinthucho ndikumasulidwa, chotsani.
10. Ngati chinthucho chichotsedwa, koma munthuyo alibe pulse, yambani CPR ndikumangika pachifuwa.
11. Ngati simukuwona chinthu, perekani mpweya wina wopulumutsa. Ngati chifuwa cha munthuyo sichikukwera, pitirizani kuyenda ndi zipsinjo m'chifuwa, kuyang'ana chinthu, ndikupulumutsa mpweya mpaka chithandizo chamankhwala chifike kapena munthuyo ayambe kupuma yekha.

Ngati munthu wayamba kugwidwa (kugwedezeka), perekani chithandizo choyamba cha vutoli.

Mukachotsa chinthu chomwe chidakupangitsani kutsamwa, khalani chete munthuyo ndikupeza chithandizo chamankhwala. Aliyense amene akutsamwa ayenera kukayezetsa kuchipatala. Izi ndichifukwa choti munthuyo amatha kukhala ndi zovuta osati kungotsamwa, komanso kuchokera pazithandizo zoyambirira zomwe zidatengedwa.

MUSAYESERE kumvetsetsa chinthu chomwe chili pakhosi la munthuyo. Izi zitha kuyikankhira patali pang'ono ndi njira yampweya. Ngati mutha kuwona chinthucho mkamwa, chimatha kuchotsedwa.

Pitani kuchipatala nthawi yomweyo ngati wina apezeka atakomoka.

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
• Kuvulala kwa mawu (larynx)

Pofuna kupewa kutsamwa:

• Idyani pang’onopang’ono ndi kutafuna chakudya kotheratu.
• Dulani zidutswa zikuluzikulu za chakudya mumitundu yosavuta kudya.
  
• Musamwe mowa wambiri musanadye kapena mukamadya.
• Sungani zinthu zazing'ono kutali ndi ana aang'ono.
• Onetsetsani kuti mano ovekera akukwanira bwino.

Choking - wachikulire wosazindikira kapena mwana wopitilira chaka chimodzi; Chithandizo choyamba - kutsamwa - wachikulire wosazindikira kapena mwana woposa chaka chimodzi; CPR - kutsamwa - wachikulire wopanda chidziwitso kapena mwana woposa chaka chimodzi

• Chithandizo Choyamba Choking - Wamkulu Wopanda Chidziwitso

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: chithandizo chofunikira cha ana ndi kuwatsitsimutsa kwamtima: 2015 malangizo a American Heart Association amasinthira kukonzanso kwa mtima ndi chisamaliro chamwadzidzidzi 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 la 5: chithandizo chofunikira cha moyo wachikulire komanso kuyambiranso kwa mtima: 2015 malangizo a American Heart Association amasinthira kukonzanso kwa mtima ndi chisamaliro chamtima 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.