Zimayambitsa, Kupewa ndi Chithandizo cha Choking
Kugwedeza kumachitika pamene chinachake chimagwidwa kumbuyo kwa mmero. Ngati chinthucho (kapena chakudya) chimasunga pamwamba pa tsache munthu sangathe kupuma. Izi ndizidzidzidzi. N'zotheka kuti chakudya kapena zinthu zina zingagwiritsidwe ntchito m'mimba; ngakhale zopweteka, izi sizimapangitsa munthu kusiya kupuma. Nkhaniyi idzabweretsa zowononga, kupewa ndi kuchiza.
Zimayambitsa
Zochitika zina zachipatala kapena zochitika zingapangitse munthu kuti asokonezeke. Zinthu zoopsa zimaphatikizapo (koma sizingatheke):
- ana osapitirira zaka zisanu
- okalamba
- anthu omwe ali ndi matenda a ubongo
- anthu omwe ali ndi matenda omwe amachititsa kuti thupi lisamafe, monga multiple sclerosis
- matenda osokoneza bongo omwe amachititsa kuti magazi asapitirire chifukwa cha matenda a asidi osakaniza ( GERD )
- Anthu omwe ali ndi vuto lachibadwa limene limakhudza njira yowononga (chitsanzo chakumveka )
- Anthu omwe ali ndi zovulazidwa zomwe zimakhudza njira yomeza
Kuonjezerapo, zochitika zina kapena zizoloŵezi zingakhalenso kuonjezera mwayi wanu wokugwedeza:
- kudya mofulumira kwambiri
- osati kukhala pansi pamene akudya
- Osakafuna chakudya moyenera
- kudya pamene akugona
Kupewa
Ana osapitirira zaka zisanu ali ndi chiopsezo chowonjezeka chokingidwa. Kukula kwa chidziwitso komanso kusiyana kwa ana kwa ana kumayambitsa chiopsezo chachikulu m'zaka izi. Ana ang'onoang'ono sangathe kusiyanitsa zinthu zomwe zingakanike m'mero mwawo.
Izi nthawi zambiri zimakhala zochitika pakamwa pokhapokha atayika zonse pakamwa pawo.
Pamene mwana wanu akukula, adakali pangozi chifukwa cha ulendo wawo waung'ono. Zowopsya, komabe, zimachepa chifukwa chodziŵa, amadziŵa bwino kuti ndi zinthu zotani zomwe zimakhala zotetezeka pakamwa pawo. Ngakhale kutsimikizira kuti nyumba yanu ili pafupi kwambiri, kusungira zinthu zina kuchoka kwa ana aang'ono kungapite kutali kuti mutetezedwe.
Zowopsa Zowonongeka
- mapulogalamu a latex - omwe amachititsa kuti imfa ikhale ndi ana osakwana zaka 6
- mipira
- miyala
- ndalama (18% za ma ED owonetseredwa ndi ana omwe ali ndi zaka 1 mpaka 4)
- mabatire amtundu (omwe amatchedwanso mabakiteriya a batani ndipo ndi owopsa kwambiri chifukwa pamene atamezedwa apo ndizotheka iwo adzathamangitsa zakumwa zamchere zamkati mu chigawo cha m'mimba)
- zidole zazing'ono - ena amanena kuti ngati chinthu chingagwirizane mkati mwa mpukutu wa pepala la chimbudzi mwana wanu akhoza kuigwedeza
- zikhomo (cholembera kapena cholembera makapu makamaka)
- zotetezera
Zakudya Zapamwamba
- agalu otentha - owopsa kwambiri okhudzana ndi chakudya
- zovuta zowonjezera - (19% za maulendo obwera mofulumira)
- mphesa
- mtedza
- kaloti zakuda
- maapulo
- chimanga
- Mbuliwuli
- chikasu batala
Pafupifupi 60 peresenti ya ngozi zosavulaza zomwe zimafa chifukwa cha zakudya. Zakudya zomwe zimapweteka kwambiri ndi zakudya zomwe zingapangidwe kuti zigwirizane ndi kukula kwa msewu. Kuwonjezera pa zakudya zomwe tazitchula pamwambazi musapereke mwana wamng'ono, munthu wachikulire kapena munthu aliyense amene akuvutika kumeza , zakudya zomwe zimavuta kuti azikuta kapena kukula kapena mawonekedwe omwe angapangidwe mosavuta.
Kuyang'anira ndi chimodzi mwa zinthu zofunika kwambiri zothandizira kupewa choking. Kusamalidwa kwa zana pa zana sizingatheke koma kuyenera kuyesetsedweratu monga momwe zingathere pamene ana oposa asanu, okalamba kapena munthu amene ali ndi mbiri yakumeza mavuto akudya.
Kusunga zinthu zing'onozing'ono popanda kugula ndi kugula zidole zoyenera za msinkhu kungathandizenso kuteteza kusagwirizana komwe kulibe chakudya. Ndiponso, kulola ana kuti azithamanga ndi kusewera pamene akudya chakudya kapena maswiti angathandize kuteteza kudya.
Nsonga zina zabwino zothandizira ndizo:
- kudya chakudya patebulo pokha
- kuphika masamba mpaka atakhala ofewa
- kudula zotentha ndi zakudya zina mu zidutswa zosachepera 1/2 masentimita ndikupewa kudula mu maonekedwe ozungulira
- kukulimbikitsani kutafuna - izi sizingakhale bwino mpaka mwana wanu ali ndi zaka 4
- kuchepetsa zododometsa pamene mukudya
- Kukhala ndi zakumwa pamene mukudya - Pezani kumeza chakudya ndi madzi nthawi yomweyo
- Anthu ena omwe ali ndi vuto lomeza ( dysphagia ) ayenera kumwa zakumwa zokha
Kodi Ndiyenera Kuchitanji Ngati Wina Wosankha?
Ngati wina akugwedeza, muyenera kudziwa ngati sangathe kuyankhula kapena ayi. Ngati atha kuyankhula, kukhwima kapena kupanga phokoso lina lomwe limasonyeza mpweya, aloleni kuti afotokoze panjira pawokha. Kuchitapo kanthu panthawiyi kungapangitse malo okhalamo kuti agwire.
Ngati munthu ali ndi chinachake chogwidwa pamutu iwo adzalankhula ndi kupuma koma zingakhale zopweteka, makamaka pakumeza. Angathenso kuthira. Muyenera kupita kuchipatala kuti chinthucho chikhoze kubwezeretsedwa kapena kuponyedwa mmimba / m'matumbo pogwiritsa ntchito chiwerengero ( EGD ).
Ngati choking munthu sangathe kulankhula kapena kupanga phokoso lina, sangathe kupuma. Chizindikiro chakuti munthu sapuma ndi cyanosis . Izi ndizidzidzidzi. Muyenera kuyambitsa ziwalo za m'mimba, zomwe zimatchedwanso kuti Heimlich. Ngati munthuyo nthawi zonse samvera (muyenera kudziwa), muyenera kuyamba CPR . Ngati simuli nokha, khalani ndi wina wotcha 9-1-1. Ngati muli nokha moni 911 mwamsanga ndipo (ngati n'kotheka) khalani pa mzere pamene mukuchita CPR.
Kupewa ndizofunikira pakugwedeza. Kudziphunzitsa nokha pazifukwa zomwe zimayambitsa choking kungathandize kupewa zovuta kuti zisachitike ndikusunga okondedwa anu.
> Zotsatira:
> American Academy of Otolaryngology - Mutu ndi Opaleshoni Yopsa. (2011). Kuchepetsa Kuopsa kwa Choking: Malangizo a Maphunziro Oyambirira ndi Mapulani a Ana.
> American Academy of Pediatrics. (2010). Kupewa Kusankha Ana. PEDIATRICS Vol. 125 No. 3 March 2010, masamba 601-607 (onaninso: 10.1542 / peds.2009-2862).
> Walner, D., & Wei, J. (2011). Kuletsa Choking mwa Ana. / AAP News / 2011; 32; 16. DOI: 10.1542 / aapnews.2011324-16.