ʻO Choking - pēpē ma lalo o 1 makahiki

ʻO Choking ke hiki ʻole i kekahi ke hanu no ka mea ʻo ka meaʻai, kahi mea pāʻani, a i ʻole nā ​​mea ʻē aʻe e ālai ana i ka puʻu a i ʻole ka puhi makani (ala ea).

Kūkākūkā kēia ʻatikala i ke kāwili ʻana i nā pēpē.

ʻO ke ʻūlū ʻia ʻana o nā pēpē ka mea maʻamau e ka hanu ʻana i kahi mea liʻiliʻi a ka pēpē i waiho ai i loko o kā lākou waha, e like me ke pihi, ke kālā, ka pāluna, nā mea pāʻani, a i ʻole nā ​​uila uila

ʻO Choking ka hopena ma muli o kahi paʻa āpau a hapa paha o ke alaloa.

• ʻO kahi paʻa paʻa kahi pilikia olakino.
• Hiki i ka palaka hapa ke lilo i mea hoʻoweliweli ke ola inā ʻaʻole hiki i ka pēpē ke lawa ka ea.

Ke lawa ʻole ka ea o ke kanaka, hiki ke hana i ka pōʻino o ka lolo paʻa ma kahi o 4 mau minuke. Hiki i ke kōkua mua wikiwiki no ka choking ke hoʻopakele i kahi ola.

ʻO nā hōʻailona weliweli o ke kuke ʻana:

• Waihoʻoluʻu ʻōniʻoniʻo
• Hīnaʻi paʻakikī - huki nā iwi ʻaoʻao a me ka umauma i loko
• Ka nalowale o ka ʻike (unresponsiveness) inā ʻaʻole holoi ʻia ka palaka
• ʻAʻole hiki ke uē a hana i ke kani nui
• Nawaliwali, miko maikaʻi ʻole
• Kani nā leo palupalu a kiʻekiʻe paha i ka wā e hanu ana

MAI hana i kēia mau kaʻina hana inā ka puʻu ʻana o ka pēpē a i ʻole ka uē ikaika. Hiki i nā ʻūhā ikaika a me nā uē ke kōkua i ka pahu ʻana i ka mea mai ke alaloa.

Inā ʻaʻole e kahe ana kāu keiki me ka ikaika ʻole a i ʻole ka uē ikaika, e hāhai i kēia mau kaʻina hana.

1. E hoʻomoe i ke alo o ke pēpē, ma kou forearm. E hoʻohana i kāu ʻūhā a ʻūhā paha no ke kākoʻo. E hoʻopaʻa i ka umauma o ke pēpē i kou lima a me ka iwi ā me kou mau manamana lima. Kuhi i ke poʻo o ke pēpē i lalo, i lalo o ke kino.
2. Hāʻawi i 5 mau wikiwiki, ikaika i waena o nā piko poʻohiwi o ke pēpē. E hoʻohana i ka poho o kou lima manuahi.

Inā ʻaʻole e puka ka mea i waho o ke alaloa ma hope o 5 mau pā.

1. E huli ke alo o ke pēpē. E hoʻohana i kāu ʻūhā a ʻūhā paha no ke kākoʻo. Kākoʻo i ke poʻo.
2. E kau i 2 mau manamana ma ka waena o ka umauma ma lalo pono o nā nipples.
3. Hāʻawi i 5 mau wikiwiki i lalo, kaomi ʻana i ka pahu i hoʻokahi hapakolu a i hoʻokahi hapalua o ka hohonu o ka umauma.
4. E hoʻomau i 5 mau kuʻi hope i ukali ʻia e nā pahu pahu 5 a hiki i ka wā e hemo ai ka mea a i ʻole e nalo ke keiki (makaʻala ʻole).

Inā NALOHE KA MAKAʻI

Inā lilo i pane ʻole ke keiki, kū i ka hanu ʻana, a i ʻole uliuli ka poli:

• Uwa no ke kōkua.
• E hāʻawi iā CPR pēpē. Kāhea iā 911 ma hope o 1 mau minuke o CPR.
• Inā hiki iā ʻoe ke ʻike i ka mea e ālai ana i ke alaloa, e hoʻāʻo e hemo me kou manamana lima. E hoʻāʻo e hemo i kahi mea inā hiki iā ʻoe ke ʻike.

• Mai hana i ke kōkua mua ʻana inā ʻeha ka pēpē i ka ikaika, uē ikaika ʻo ia, a i ʻole lawa ka hanu ʻana. Eia naʻe, mākaukau e hana inā hele a maikaʻi nā ʻōuli.
• Mai hoʻāʻo e hopu a huki i ka mea inā makaʻala ke keiki.
• MAI hana hou i nā pā a hoʻi i ka umauma inā kū ka pēpē i ka hanu ʻana no nā kumu ʻē aʻe, e like me ka hānō, ka maʻi, ka pehu ʻana, a i ʻole ke kuʻi i ke poʻo. E hāʻawi i ka CPR pēpē i kēia mau hihia.

Inā ʻeha ka pēpē:

• E haʻi i kekahi e kāhea iā 911 ʻoiai ʻoe e hoʻomaka ai i ke kōkua mua.
• Inā ʻo ʻoe wale nō, e walaʻau no ke kōkua a hoʻomaka i ke kōkua mua.

Kāhea mau i kāu kauka ma hope o ke kākae ʻana o kahi keiki, ʻoiai ʻoe e lawe maikaʻi i ka mea mai ke ala ea a maikaʻi ke pēpē.

E pale aku ai i ka ʻānai ʻana i loko o kahi pēpē.

• Mai hāʻawi i nā keiki ma lalo o 3 mau makahiki baluna a me nā mea pāʻani me nā ʻāpana liʻiliʻi e hiki ke haki.
• E mālama i nā pēpē mai nā pihi, popcorn, moni, grapes, nut, a me nā mea liʻiliʻi ʻē aʻe.
• E nānā i nā pēpē a me nā kamaliʻi ke ʻai nei lākou. Mai ʻae i kahi keiki e kolo a puni i ka wā e ʻai ana.
• ʻO ka haʻawina palekana mua loa ʻo "ʻAʻole!"

• Kokoke kōkua mua - pēpē ma lalo o 1 makahiki - moʻo

Atkins DL, Berger S, Duff JP, et al. Mahele 11: Kākoʻo ola ola pilikino Pediatric a me ka maikaʻi o ka hoʻōla cardiopulmonary: 2015 Alakaʻi ʻAmelika Hui Pū ʻIa i hoʻohou no ka resuscitation cardiopulmonary a me ka mālama maʻi maʻi maʻi maʻi. Kaapuni. 2015; 132 (18 Hōʻuluʻulu 2): S519-S525. PMID: 26472999 www.ncbi.nlm.nih.gov/pubmed/26472999.

ʻO Rose E. Pediatric respiratory respiratory emergency: ʻo ke alalai ākea o luna a me nā maʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 167.

ʻO Thomas SH, Goodloe JM. Nā kino haole. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 53.