ʻO Choking ma nā lawaiʻa a me nā hana ʻana
Anter
- He aha nā hōʻailona?
- Nā kumu maʻamau
- 1. ʻO ka reflux ʻakika
- 2. Ke ale pono ʻole ʻana i ka hiamoe
- 3. Nā liona a i ʻole nā tumors i ka ʻāʻī
- 4. Nā niho ʻeleu maikaʻi ʻole
- 5. Nā maʻi Neurological
- 6. Ka hoʻohana nui ʻana i ka waiʻona
- 7. Ke kamaʻilio nui ʻana
- 8. Nā maʻi āpau a i ʻole nā pilikia hanu
- 9. Hypersalivation i ka wā hāpai
- 10. ʻO hypersalivation i hoʻokomo ʻia i ka lāʻau
- Kaʻi ʻana i ka lihi i nā pēpē
- ʻLelo aʻoaʻo pale
- Ka wā e ʻike ai i ke kauka
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
Hōʻike Overview
ʻO ka saliva kahi wai mālamalama i hana ʻia e nā salivary glands. Kōkua ia i ka digestion a hāʻawi i ke olakino waha ma ka holoi ʻana i nā bacteria a me nā meaʻai mai ka waha. Hoʻopuka ke kino ma kahi o 1 a 2 liters o ka lawā i kēlā me kēia lā, a ka poʻe e ale wale me ka ʻike ʻole. Akā i kekahi manawa ʻaʻole kahe kahe o ka lawai i lalo o ka puʻu a hiki ke hana i ke kolo.
ʻOiai ʻo ke ʻūlū ʻana i ka lihi e loaʻa i kēlā me kēia manawa mai kēlā manawa kēia manawa, ʻokiʻoki pinepine ʻana i ka lihi hiki ke hōʻike i kahi pilikia o ke olakino a i ʻole kahi ʻano maikaʻi ʻole. Eia ka mea e pono ai ʻoe e ʻike e pili ana i ka choking ma lawai, me nā kumu a me ka pale ʻana.
He aha nā hōʻailona?
Hiki ke ʻalalā i ka lihi inā pili nā mākala i ka ale ʻana i ka nāwaliwali a i ʻole hoʻopau i ka hana kūpono ma muli o nā pilikia olakino ʻē aʻe. ʻO ke kaniʻuhū a me ka puʻu ke ʻaʻole ʻoe e inu a ʻai ʻole paha kahi hōʻailona o ka ʻūlū ʻana i ka lawā. E ʻike paha ʻoe i kēia:
- hanu i ka ea
- hiki ʻole ke hanu a kamaʻilio paha
- ke ala ala a i ʻole ka gagging ʻana
Nā kumu maʻamau
ʻO ke kuke ʻana i ka lawā ʻaʻole paha he kumu e hopohopo ai. Akā inā pinepine ia e hana, ʻike i ke kumu i hiki ke pale i nā hanana e hiki mai ana. ʻO nā kumu kūpono o ke kuke ʻana i ka lawai pū:
1. ʻO ka reflux ʻakika
ʻO ka reflux waikawa ke kahe hou ka waikawa ʻōpū i loko o ka esophagus a me ka waha. I ke kahe ʻana o ka ʻōpū i loko o ka waha, hoʻonui paha ka hana lawaie e holoi i ka waikawa.
Hiki i ka reflux waikawa ke hoʻonāukiuki hoʻi i ka uhi o ka esophagus. Hiki i kēia ke hana i ka ale ʻana i ka paʻakikī a ʻae i ka lawai i loko o ka hope o kou waha, a ʻānai ʻia.
ʻO nā ʻōuli ʻē aʻe o ka reflux acid ka:
- puʻuwai puʻuwai
- ʻeha ka umauma
- regurgitation
- nausea
Hiki i kāu kauka ke hōʻoia i ka maʻi acid reflux e kekahi endoscopy a i ʻole ʻano ʻano X-ray. Hiki i ka mālama ʻana ke komo pū me ka-counter-counter a i ʻole nā kuhikuhi antacids e hōʻemi i ka waikawa ʻōpū.
2. Ke ale pono ʻole ʻana i ka hiamoe
ʻO kēia kahi maʻi kahi e ʻohi ai ka lihi i ka waha i ka wā e hiamoe ana a laila kahe i loko o nā akemāmā, e hiki ai i ka ʻiʻini a me ke kolo ʻana. Hiki paha iā ʻoe ke ala aʻe i ka hanu no ka ea a ʻūʻū i kou lawai.
ʻO kahi loiloi e aʻo ʻia ana aia paha he loulou ma waena o ka ale ʻole ʻana a me ka mea hiamoe hiamoe ʻaʻa. ʻO ka apnea hiamoe keu ke hoʻomaha iki ka hanu i ka hiamoe ʻana ma muli o ke alaloa e hāiki a paʻa paha.
Hiki i kahi hoʻāʻo ʻana o ka hiamoe ke kōkua i kāu kauka e hōʻoia i ka maʻi hiamoe ākea a me ka ale ʻole ʻana. Hoʻomanaʻo pū kekahi me ka hoʻohana ʻana i ka mīkini CPAP. Hāʻawi kēia mīkini i ka ea mau i ka hiamoe ʻana. ʻO kekahi koho lapaʻau he kiaʻi waha waha. Hōʻaʻahu ʻia ke kiaʻi i ka wā e hiamoe ana e hāmama ka ʻāʻī.
3. Nā liona a i ʻole nā tumors i ka ʻāʻī
Hiki i nā lehelehe benign a i ʻole nā tumors i loko o ka puʻu ke hōʻemi i ka esophagus a paʻakikī e ale i ka lawaiʻa, e hoʻonāukiuki ana i ka ʻeha.
Hiki i kāu kauka ke hoʻohana i kahi hoʻokolohua kiʻi, e like me ka scan MRI a i ʻole CT scan, e nānā ai no nā lehelehe a i ʻole nā tumors i kou ʻāʻī. Hoʻopili paha ka mālama ʻana me ka wehe ʻana i kahi tumo, a i ʻole radiation a chemotherapy e hōʻemi i nā ulu maʻi ʻaʻai. Hiki i nā ʻōuli ʻē aʻe o kahi tumo ke hoʻopili pū me:
- puʻupuʻu ʻike ʻia i ka ʻāʻī
- hulahula
- eha ka 'ā'ī
4. Nā niho ʻeleu maikaʻi ʻole
Hoʻopuka nā ʻōpala salivary i ke kohu hou ke ʻike nā aʻa i ka waha i kahi mea haole e like me ka meaʻai. Inā komo ʻoe i nā niho ʻeleʻele, kuhi hewa paha kou lolo i kāu mau niho no ka meaʻai a hoʻonui i ka hana lawaiʻa. Hiki ke lawaiʻa ka nui o ka lawaiʻa i kou waha i kekahi manawa.
E lohi paha ka hana saliva i ka hoʻololi ʻana o kou kino i nā niho niho. Inā ʻaʻole, e ʻike i kāu kauka. ʻOi aku ka lōʻihi o kāu mau niho no kou waha a ʻaʻole i kūpono i kāu nahu.
5. Nā maʻi Neurological
ʻO nā maʻi Neurological, e like me ka maʻi ʻo Lou Gehrig a me ka maʻi ʻo Parkinson, hiki ke hōʻino i nā aʻa ma ke kua o ka ʻāʻī. Hiki i kēia ke alakaʻi i ka paʻakikī ke ale a me ka choking ma ka lihi. ʻO nā ʻōuli ʻē aʻe o kahi pilikia neurological e hoʻopili pū paha:
- nāwaliwali o nā mākala
- spasms Muscle i nā ʻāpana ʻē aʻe o ke kino
- paʻakikī e ʻōlelo
- leo hoʻohaʻahaʻa
Hoʻohana nā kauka i nā ʻano hoʻokolohua like ʻole e nānā no nā maʻi neurological. Hoʻopili kēia i nā hoʻokolohua kiʻi, e like me ka CT scan a me MRI, a me nā hoʻāʻo nerve, e like me ka electromyography. Nānā kahi electromyography i ka pane o ka mākala i ka stimulate nerve.
Pili ka mālama ʻana i ka maʻi neurological. Kau kauka paha i kāu kauka e hōʻemi i ka hana lawaiʻa a aʻo i nā ʻenehana e hoʻomaikaʻi i ka ale ʻana. ʻO nā lāʻau e hoʻoliʻiliʻi i ka huna kuha e pili ana i ka glycopyrrolate (Robinul) a me ka scopolamine, a i ʻike ʻia he hyoscine.
6. Ka hoʻohana nui ʻana i ka waiʻona
ʻO ke kuke ʻana i ka luha hiki ke hana ma hope o ka hoʻohana ʻana i ka wai ʻona. ʻO ka waiʻona ka mea kaumaha. ʻO ka ʻai nui ʻana i ka waiʻona hiki ke hoʻolohi i ka pane o nā mākala. ʻO ka makaʻu ʻole a i ʻole hiki ʻole i ka lawe ʻana i ka waiʻona nui ke kumu i ka lawai ʻana i ka hope o ka waha ma kahi o ka kahe ʻana i ka ʻāʻī. Hiki i ka hiamoe ʻana me kou poʻo ke hoʻokiʻekiʻe i hiki ke hoʻomaikaʻi i ke kahe saliva a pale i ke kolo.
7. Ke kamaʻilio nui ʻana
Ke hoʻomau nei ka hana saliva ke kamaʻilio ʻoe. Inā ʻoe e ʻōlelo nui a mai paʻa i ka ale ʻana, hiki i ka lawehala ke hele i lalo i kāu puka makani i loko o kāu ʻōnaehana hanu a hoʻonāukiuki i ka choking. I mea e pale aku ai i ka choking, e ʻōlelo lohi a ale i waena o nā māmalaʻōlelo a i ʻole nā ʻōlelo.
8. Nā maʻi āpau a i ʻole nā pilikia hanu
Hiki ke kahe ʻia ka mucus mānoanoa a lawai ʻole paha e nā maʻi āpau a i ʻole nā pilikia hanu i kou puʻu. ʻOiai e hiamoe ana, hiki i ka mucus a me ka lawaiʻa ke ʻohiʻohi i kou waha a alakaʻi i ke kolo.
ʻO nā ʻōuli ʻē aʻe o nā maʻi āpau a i ʻole kahi hopena hanu e komo pū ana:
- eha ka 'ā'ī
- ʻūlū
- ʻūhā
- ihu ihope
E lawe i kahi antihistamine a i ʻole lāʻau anuanu e hōʻemi i ka hana mucus a me ka lawaiʻa lahilahi lahilahi. E ʻike i kāu kauka inā loaʻa ʻoe i ke kuni, a i ʻole inā hōʻeha kāu mau ʻōuli. Hiki i kahi maʻi hanu ke koi aku i nā antibiotic.
Kūʻai i kēia manawa no ka maʻi ʻaʻai a i ʻole ke anu.
9. Hypersalivation i ka wā hāpai
Hoʻololi nā Hormonal i ka wā hāpai e hoʻonāukiuki i ka maʻi nui a me ke kakahiaka i kekahi mau wahine. ʻO ka hypersalivation kekahi manawa me ka nausea, a ʻo kekahi mau wahine hāpai e ale iki i ka wā nauseous. Hāʻawi nā kumu ʻelua i ka nui o ka lawaiʻa i ka waha a me ka ʻūlū.
E hoʻomaikaʻi mālie paha kēia pilikia. ʻAʻohe lāʻau hoʻōla, akā hiki i ka wai inu ke kōkua i ka holoi ʻana i ka saliva nui mai ka waha.
10. ʻO hypersalivation i hoʻokomo ʻia i ka lāʻau
Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka hoʻonui ʻana i ka lawaiʻa. Pākuʻi ʻia kēia mau mea:
- clozapine (Clozaril)
- aripiprazole (Abilify)
- ketamine (Ketalar)
ʻIke paha ʻoe i ka drooling, paʻakikī i ka ale ʻana, a me ka makemake e kuha.
E kamaʻilio me kāu kauka inā ʻo ka nui o ka lawaiu e hoʻonāukiuki iā ʻoe. Hiki i kāu kauka ke hoʻololi i kāu lāʻau, hoʻololi i kāu mea hana, a i ʻole kuhikuhi i kahi lāʻau e hōʻemi ai i ka hana lawaiʻa.
Kaʻi ʻana i ka lihi i nā pēpē
Hiki i nā pēpē ke ʻeke ma kā lākou lawā. E kamaʻilio me kāu kauka inā hele pinepine kēia. Hiki i nā kumu ke komo pū i nā tonsil pehu e ālai ana i ke kahe o ka lawaiʻa a i ʻole ka reflux pēpē. E hoʻāʻo i kēia e hōʻemi i ka reflux pēpē i kāu keiki:
- E kū pololei i kāu pēpē no 30 mau minuke ma hope o ka ʻai ʻana.
- Inā inu lākou i ka haʻina, e hoʻāʻo e hoʻololi i ka mana.
- Hāʻawi i nā hānai liʻiliʻi akā ʻoi aku ka pinepine.
Inā pono, hiki i ke kauka o kāu keiki ke ʻōlelo i kahi tonsillectomy.
Hoʻohui ʻia, hiki i kahi allergy a i ʻole ke anuanu ke paʻakikī i kāu pēpē e ale i ka lawehala mānoanoa a me ka muʻa. Hiki i kāu kauka ke koi aku i nā lāʻau i ka mucus lahilahi, e like me nā kulu paʻakai a i ʻole kahi vaporizer.
Hoʻopuka kekahi mau pēpē i ka nui o ka lawai i ka wā e niho ana. Hiki i kēia ke alakaʻi i ka ʻakaʻaka. ʻO ka maʻa mau a me ka gag i kēlā me kēia manawa ʻaʻole ia he mea e hopohopo ai, akā e nīnau aku i kāu kauka inā ʻaʻole hoʻomaikaʻi ʻia ke kolo a inā e ʻino ia.
ʻLelo aʻoaʻo pale
Hoʻopili ka mālama ʻana i ka hoʻoliʻiliʻi ʻana i ka hana lawaiʻa, hoʻomaikaʻi i ke kahe o ka lawā i lalo o ka ʻāʻī, a me ka mālama ʻana i nā pilikia olakino i loaʻa. ʻO nā ʻōlelo aʻoaʻo kōkua e pili pū ana:
- E hoʻolohi a ale i ke kamaʻilio ʻana.
- E hiamoe me kou poʻo i hāpai ʻia i hiki i ka lawai ke kahe i ka puʻu.
- E hiamoe ma kou ʻaoʻao ma kahi o kou kua.
- E hoʻokiʻekiʻe i ke poʻo o kou wahi moe i kahi mau ʻīniha e mālama i ka waikawa ʻōpū i kou ʻōpū.
- Inu ʻalekohola i ke kaulike.
- ʻAi i nā meaʻai liʻiliʻi.
- E lawe i nā lāʻau lapaʻau ma ka mea kūʻai mua i ka hōʻailona mua o ke anuanu, nā maʻi āpau, a me nā pilikia sinus.
- Holo i ka wai i ka lā holoʻokoʻa e kōkua i ka hoʻomaʻemaʻe ʻana i ka lawā mai kou waha.
- Hōʻalo i ka omo ʻana i ke kanakē, kahi e hoʻonui ai i ka hue.
- E nau i ke kāpili kō ʻole e pale aku i ka nausea i ka wā hāpai.
Inā ʻokiʻoki kāu pēpē i ka lihi i ka wā e hiamoe ana ma ko lākou kua, e kamaʻilio me kā lākou kauka e ʻike inā palekana lākou e hiamoe ai ma ko lākou ʻōpū. ʻAe kēia i ka lawaiwai nui e kahe mai ko lākou waha. ʻO ka ʻōpū a i ʻole ka hiamoe ʻaoʻao paha e hoʻonui i ka makaʻu o ka maʻi make koke o ka pēpē (SIDS), no laila he mea nui e nānā me ke kauka o kāu keiki.
Ka wā e ʻike ai i ke kauka
ʻO ka ʻūlū ʻana i ka lawā ʻaʻole paha e hōʻike i kahi pilikia koʻikoʻi. Hana ʻia i kēlā me kēia manawa i kekahi manawa. ʻOiai nō naʻe, mai nānā ʻole i ke choking mau. Hiki i kēia ke hōʻike i kahi pilikia olakino i hōʻike ʻole ʻia, e like me ka reflux acid a i ʻole kahi maʻi neurological. ʻO ka loaʻa ʻana o kahi hōʻailona mua a me ka mālama ʻana hiki ke pale i nā pilikia ʻē aʻe mai ka hoʻomohala ʻana.