ʻO Choking - makua makua ʻole a keiki paha ma mua 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).

Hiki ke ālai ʻia ke ala ʻāpana o ke kanaka choking i lawa ʻole ka oxygen i loko o nā akemāmā. Me ka ʻole o oxygen, hiki i ka lolo ke hana ma kahi o 4 a 6 mau minuke. Hiki i ke kōkua mua wikiwiki no ka choking ke hoʻopakele i ke ola o ke kanaka.

Kūkākūkā kēia ʻatikala i ka ʻakaʻaka ʻana i nā mākua a i ʻole nā ​​keiki ma mua o nā makahiki 1 i nalowale ka makaʻala (ʻike ʻole).

ʻO Choking ke kumu o:

• ʻO ka wikiwiki o ka ʻai ʻana, ʻaʻole nū maikaʻi ʻana i ka meaʻai, a i ʻole ka ʻai ʻana me nā niho pono ʻole ʻole
• Nā meaʻai e like me nā ʻāpana meaʻai, nā ʻīlio wela, popcorn, pata pīnī, pālolo a i ʻole gooey meaʻai (marshmallow, gummy bear, palaoa)
  
• ʻO ka inu ʻana i ka waiʻona (ʻoiai ka ʻāpana liʻiliʻi o ka waiʻona e pili ana i ka ʻike)
• Ka noʻonoʻo ʻole a me ka hanu ʻana i ka luaʻi
• Ka hanu ʻana a i ʻole ke ale ʻana i nā mea liʻiliʻi (keiki ʻōpio)
• ʻO ka hōʻeha i ke poʻo a me ka maka (e laʻa me ka pehu ʻana, ke kahe ʻana o ke koko, a i ʻole ke deformity hiki ke hoʻoʻauʻa ʻia)
• ʻO nā pilikia e ale ʻia ana e ka maʻi hahau a i ʻole nā ​​maʻi lolo
• Ke hoʻonui nei i nā tonsil a i ʻole nā ​​tumors o ka ʻāʻī a me ka puʻu
• Nā pilikia me ka esophagus (ka paipu ʻai a i ʻole ka ʻānai moni)

Nā ʻōuli o ke kuke ʻana ke ʻike ʻole ke kanaka:

• ʻO kaʻulaʻula Bluish i nā lehelehe a me nā kui
• Hiki ʻole ke hanu

E haʻi i kekahi e kāhea iā 911 a i ʻole ka helu kūloko kūloko ʻoiai ʻoe e hoʻomaka ai i ke kōkua mua a me ka CPR.

Inā ʻo ʻoe wale nō, e walaʻau no ke kōkua a hoʻomaka i ke kōkua mua a me ka CPR.

1. E ʻōwili i ke kanaka ma hope o lākou ma kahi paʻakikī, e mālama ana i ke kua i kahi laina pololei ke kākoʻo paʻa nei i ke poʻo a me ka ʻāʻī. Hōʻike i ka umauma o ke kanaka.
2. E wehe i ka waha o ke kanaka me kou manamana nui a me ka manamana lima, e kau ana i kou manamana nui ma luna o ke alelo a me kou manamana lima ma lalo o ka auwae. Inā hiki iā ʻoe ke ʻike i kahi mea a he leʻaleʻa ia, hemo ia.
3. Inā ʻaʻole ʻoe e ʻike i kahi mea, wehe i ke ala ʻāpana o ke kanaka ma ka hāpai ʻana i ka auwae i ke kiki ʻana i ke poʻo i hope.
4. E kau i kou pepeiao kokoke i ka waha o ke kanaka a kiaʻi no ka neʻe ʻana o ka umauma. Nānā, hoʻolohe, a haha ​​no ka hanu ʻana no 5 kekona.
5. Inā he hanu ke kanaka, hāʻawi i ke kōkua mua no ka noʻonoʻo ʻole.
6. Inā ʻaʻole hanu ke kanaka, e hoʻomaka i ka hanu hoʻopakele. Mālama i ke kūlana poʻo, pani i nā puka ihu o ke kanaka ma ke ʻoki ʻana iā lākou me kou manamana nui a me ka manamana lima, a uhi paʻa i ka waha o ke kanaka me kou waha. E hāʻawi i ʻelua mālie, piha i ka hanu me ka hoʻomaha ma waena.
7. Inā piʻi ʻole ka umauma o ke kanaka, hoʻonohonoho hou i ke poʻo a hāʻawi i ʻelua hanu hou.
8. Inā piʻi ʻole ka umauma, ua ālai ʻia paha ke alaloa, a pono ʻoe e hoʻomaka i ka CPR me nā kaomi o ka umauma. Hiki i nā kaomi ke kōkua i ka hoʻopau ʻana i ka poloka.
9. Hana i nā kaomi o ka pahu 30, wehe i ka waha o ke kanaka e nānā i kahi mea. Inā ʻike ʻoe i ka mea a he leʻaleʻa ia, hemo ia.
10. Inā hemo ka mea, akā ʻaʻohe pulse o ke kanaka, e hoʻomaka i ka CPR me nā kaomi ʻana o ka umauma.
11. Inā ʻaʻole ʻoe ʻike i kahi mea, hāʻawi hou i ʻelua hanu hoʻopakele. Inā piʻi ʻole ka umauma o ke kanaka, e hoʻomau me ka pōʻaiapuni o ka poli o ka umauma, e nānā ana i kahi mea, a me nā hanu hoʻopakele a hiki i ka hōʻea ʻana o ke kōkua olakino a i ʻole hoʻomaka paha ke kanaka e hanu iā lākou iho.

Inā hoʻomaka ke kanaka i ka hopu ʻana i ka hopu (convulsions), hāʻawi i ke kōkua mua no kēia pilikia.

Ma hope o ka hemo ʻana o ka mea i kumu mai ai ke choking, e hoʻomau i ke kanaka a loaʻa ke kōkua lapaʻau. ʻO kēlā me kēia mea ʻāʻā e pono ke nānā kino. ʻO kēia no ka mea hiki i ke kanaka ke loaʻa nā pilikia ʻaʻole wale mai ke kolohe ʻana, akā mai nā hana kōkua mua i lawe ʻia.

Mai hoʻāʻo e hopu i kahi mea i waiho ʻia i ka ʻāʻī o ke kanaka. E hoʻokau paha kēia iā ia i lalo loa o ke alaloa. Inā hiki iā ʻoe ke ʻike i ka mea i ka waha, hemo paha ia.

E ʻimi koke i ke kōkua olakino inā ʻike ʻole ʻia kekahi.

I nā lā ma hope o kahi ʻāpala choking, e hoʻopili koke i ke kauka inā ulu ke kanaka.

• He puʻu hele ʻole
• Fiva
• Pilikia i ka ale ʻana a i ʻole ka ʻōlelo ʻana
• Pokole o ka hanu
• ʻUhihi

Hōʻike paha nā hōʻailona ma luna:

• Ua komo ka mea i ka lung ma kahi o ka kipaku ʻia
• E hōʻeha i ka voicebox (larynx)

I pale aku choking:

• ʻAi mālie a nau pono i ka meaʻai.
• E ʻokiʻoki i nā ʻāpana nui o ka meaʻai i nā nui maʻalahi.
  
• Mai inu i ka waiʻona nui ma mua a i ʻole ma ka wā e ʻai ai.
• E mālama i nā mea liʻiliʻi mai nā keiki ʻōpio.
• E nānā pono i nā niho pono.

ʻO Choking - makua makua ʻole a keiki paha ma mua o 1 makahiki; Kōkua mua - ʻokiʻoki - makua makua ʻole a keiki paha ma mua o 1 makahiki; CPR - ʻokiʻoki - makua ʻole a keiki paha ma mua o 1 makahiki

• ʻO ke kōkua mua no ka choking - makua makua ʻole

Keʻa ʻĀina ʻAmelika. ʻO ka papa kuhikuhi mua o ka mea kōkua / CPR / AED. ʻElua ed. Dallas, TX: Ke Kaiʻulaʻula ʻAmelika; 2016.

Atkins DL, Berger S, Duff JP, et al. Mahele 11: ke kākoʻo ola ola pediatric a me ka maikaʻi o ka resuscitation 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.

Easter JS, Scott HF. Hoola hou keiki. 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 163.

Kleinman ME, Brennan EE, Goldberger ZD, et al. Mahele 5: ke ola maʻamau o ke ola makua a me ka maikaʻi o ka resuscitation cardiopulmonary: 2015 Alakaʻi ʻAmelika Hui Pū ʻIa alakaʻi no ka hoʻōla hou ʻana i ka cardiopulmonary a me ka mālama maʻi maʻi maʻi maʻi. Kaapuni. 2015; 132 (18 Hōʻuluʻulu 2): S414-S435. PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

Kurz MC, Neumar RW. Hoola hou makua. 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 8.

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.