ʻO ke kōkua mua i ka hoʻohemo ʻana o nā keiki, nā ʻōnaehana hoʻohālikelike hou
He manaʻo kōkua ma ke kōkua mua i ka pau ʻana o nā keiki. Ua kākau ʻo Dr Carlo Cianchetti, mai Italia, i kāna hōʻike hihia i ka Wilderness Medical Society ma kahi kūlana hoʻokahi i ʻike ʻo ia e wehewehe i kāna ʻikeʻike i ka mālama pono ʻana i nā mea maʻi liʻiliʻi me ka wai i nā ala huakaʻi.
Hōʻike ka Wilderness Medical Society i nā alakaʻi hoʻomaʻamaʻa no ka mālama ʻana i nā poʻe maʻi e hāʻule ana i ka wai, me ka nānā pono ʻana i ka make ʻana i nā keiki. ʻO kahi leka hou i ka hui, mai ke Kulanui o Cagliari, Medicine and Surgery Department (Italia), hāʻawi i kahi manaʻo hou e pili ana i ka hāʻawi ʻana. kōkua mua i na keiki lumo.
Palapala i ka mea hoʻoponopono, ka ʻōlelo manaʻo hou e pili ana i ke kōkua mua o ka maloo ʻana i nā keiki mai Italia mai
Ua haʻi ʻo Dr Carlo Cianchetti i kona ʻike ponoʻī i kahi leka i hoʻouna ʻia ma Nowemapa 2019 - loiloi ʻia ma Pepeluali 2020 a paʻi ʻia ma ka lā 5th o Iune 2020 -, a ke makemake nei e lilo kāna ʻōlelo hoʻopuka i mea pono e hoʻonui i nā maneuvers a me nā hana hoʻopakele i ka poʻe maʻi make, ʻo ia hoʻi nā keiki. Hiki ke ʻike ʻia nā kūmole kūhelu a me nā kumuwaiwai ma ka hope o ka ʻatikala.
ʻO ka ʻike ʻo Dr Cianchetti e pili ana i ka hihia o kahi keiki i loaʻa i loko o ka wai kai, e kahe ana e neʻe ana, ʻaʻohe ʻūhā o luna, ma hope o ke alo o ka wai, ka maka o ka waha me ka maka o ka wai.
ʻO ke kōkua mua i ka lawe ʻana i nā keiki: nā palu ʻana o ke hoʻopakele ʻana i kahi keiki i ʻike ʻole ʻia i loko o ka wai ʻauʻau
“Ua wehe koke ʻia ʻo ia mai ka wai. Ua lilo ʻo ia i atonic, unconscious, a me ka apneic (ʻaʻole i nānā ʻia nā puʻupuʻu i kēlā manawa). ʻAʻole hiki ke hoʻoholo i ka lōʻihi o kona noho ʻana i ka wai. Hōʻike nā ʻikepili a pau i ka hāʻule ʻana i loko o ka loko wai. Ua hoʻokiʻekiʻe koke ʻia ʻo ia i luna e nā kuʻekuʻe wāwae a paʻa i kēlā ala. Ua hoʻokuʻu koke ʻo ia i ka wai, a ua pau ma hope o kekahi mau kekona. Ua ola koke ke keiki (4.5 y, kaumaha 19 kg): ua hoʻomaka ʻo ia e hanu, ʻoiai ʻo ka dyspneic a me ka ʻuʻu no kekahi mau kekona. ʻAʻohe luaʻi.
Akā, ua kala mau ia, akā me ka puʻuwai maʻamau, ua kau ʻia ʻo ia ma kahi moena o kahi hoʻomoana. Hoʻihoʻi hou ʻo ia i ke hoʻomaopopo, ʻoiai ʻo ia he hyporesponsive a hāneʻa pinepine i kekahi mau minuke. ʻAʻohe manu hoʻoku ʻē aʻe e pono ai. He hana hou ʻana o ka manuū e hōʻino ana i lalo o ka minu ma lalo o ka 2 min ma hope o ka mea i hana mua ʻole ai kahi mea i hāʻawi ʻia kahi mea hou aku.
ʻAʻohe hopena i hōʻike ʻia, me kahi maʻamau maʻamau a me nā nīnau neurological. Ua hōʻoia ʻia ʻaʻole ona pathologies ma mua. ʻO ke ana wela o ka wai ʻauʻau i koho ʻia ma mua o 20 kekelē kekelē. Aia kahi puddle ma ka papahele no laila ʻaʻole hiki iā mākou ke hana i kahi loiloi kūpono o ka nui o ka wai i amitted akā ʻoiaʻiʻo ua kipaku ʻo ia ma mua o 50 ml o ia. "
Ka huki ʻana o ka lewa me ka wai i loko o nā ala lewa: nā pilikia o nā kōkua mua i ka lawe ʻana i nā keiki
Ua hōʻike ʻo Dr Cianchetti, e like me Rosen P, Stoto M, Harley J. ma 'Ka hoʻohana ʻana i ka maneuver Heimlich i ka make kokoke ʻana: Institute of Medicine report', "aia he hōʻike ʻaʻole hiki i ka wai ke keakea i ka ea ... ʻoiai ke nui ka nui aia ka wai ma loko o ka trachea a me ka bronchi, hiki i ka oxygenate nā mea maʻi. "(loulou i ka hopena o ka ʻatikala).
Eia nō naʻe, e like me Dr Cianchetti, paʻakikī ke noʻonoʻo he hiki ke hele i ka lewa me ka pilikia ʻole ma ka trachea a me ka bronchi i piha i ka wai, a ma kēia kūlana e hoʻoiho ai ka lewa i ka wai i ka ʻōpala, hoʻokaʻawale i ke kumukūʻai hoʻoneʻe.
I nā hopena mai nā hoʻokolohua, 1 a 3 mL o ka wai i kēlā me kēia kilokilo o ke kaumaha o ke kino e lawa pono i kahi 'hāʻule nui a me ke kaumaha lōʻihi o ka saturation oxygen arterial.'
Ma ka ʻaoʻao ʻē aʻe, ua hōʻoia ʻia ʻo ka hoʻokomo ʻana o ka ea i loko o nā akemāmā ma o ka waha a he waha a i ʻole nā ʻano hana ʻē aʻe o ka resuscitation e alakaʻi ai i ka oxygenation maikaʻi. "ʻO ka manaʻo o kēia ma ka liʻiliʻi o ka ʻāpana alveoli e holo nei no ka mea ʻaʻole i hoʻopiha mua ʻia me ka wai a i ʻole hiki i ka ea puhi ke hoʻoliʻiliʻi hapa i ka hana alveolar."
ʻO ke ʻano hana manu ʻana e like me ke kōkua mua i ka malulu ʻana i nā keiki
“I ke keiki ʻaʻohe iwi liona, palekana nō ia. Ke waiho nei i kahi keiki i lalo e hoʻopaneʻe i ka hanu ʻana o ka waha-a-waha no kekahi mau kekona, kahi lohi a pili ʻole paha. He hana nontraumatic ia, e ʻimi ana e hoʻopau i ka nui o ka wai e hiki mai nā alaloa.
E like me ka ʻōlelo a Kauka Cianchetti, hiki i ka maneuver upwardown ke manaʻo ʻia he wahi maikaʻi maikaʻi loa i ka ʻōpū o ka ʻōpū (Heimlich maneuver), ʻaʻohe mea i kauoha ʻia, e like me ka mea i hōʻike ʻia ma nā kulekele o Schmidt (pili ma lalo). No ke aha ʻaʻole i ʻae ʻia? ʻO ka mea mua, no ka manawa e koi a hā ʻia ka lua, no kona ʻili a me nā hopena maikaʻi aʻe e like me ka loiloi a me ka pupuhi gastric acid.
Hōʻoia ʻo Dr Cianchetti he mea ʻoi aku ka maikaʻi ma mua o ka hoʻohana ʻana i ka ikaika maʻalahi o ka umekaumaha. "ʻIke nō, hiki ke hoʻohana kūpono ʻia ka maneuver i luna i lalo e pili ana i ke kaupaona a me ka nui o ke keiki, ʻoi aku paha ka nui inā ʻoi aku ma mua o 1 ka mea lawelawe e hāʻawi ana i ke kōkua."
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ʻO Dr Carlo Cianchetti leka kākau