Ubisi okanye ukuhlanza kunokubangela ubunzima bokuphefumula nokukhahlela umntwana omncinci. Nangona kunjalo, ngaba nayiphi nayiphi na inkqubo efunekayo yokukhutshwa kwendlela yokukhusela umoya?

Kukho abathile "abangeke bazame ukuqhubela phambili iinkqubo zokususwa kweenqwelo zangaphandle kwimeko yokusetyenziswa kwamanzi okanye i-liquids-liquids", kwaye abo bathi "balandela izikhokelo, benze le nkqubo nangona kwenzeka i-liquids okanye i-liquids-liquids ".

Njengoko sonke sisazi, ukususwa kwendlela yokukhusela umoya yindlela yokwelapha eyenze ukuba ukwazi ukugcina ubomi beeninzi, ukuba kungengamakhulu, iintsana eziye zaphazamiseka ngomoya wezizwe zangaphandle kwiminyaka.

Kodwa nini ukususwa kwe-airway yokukhutshwa kwe-airway kubanjwe?

Impendulo yalo mbuzo ibonakala ilula ngokucacileyo kuba yile ndlela ifanele ibe ngayo: iqondakala ngabani na. Ingaba ungumama-mama, amafama, amagqwetha okanye abadibanisi, izikhokelo zibhalwa ukuba ziqondwe, nokuba ngaba ufunde iyeza okanye awuyi kuphazamiseka ngokufunda incwadi ye-360 malunga nokukhutshwa kwendlela yokukhutshwa kwamanzi kunye ukuvuselelwa komzimba. Impendulo yalo mbuzo kukuba: Ukukhutshwa kwendlela yokukhutshwa kwamanzi kufuneka kuqhutywe xa izithuthi zithintela.

Kodwa yintoni na umntu athi umntu osebenza ngeenqwelo zomoya unqandekile?

Ndiya kuthatha nini isigqibo sokuba i-airways ivalwe? Ndiya kufuneka ndiqale nini ukucinga ngako ukukhintela kwamanzi? Ngakolunye uhlangothi, kukho abo bacinga ukuba zomoya ivalwe kuphela ukuba umzimba wangaphandle uginyiwe okanye uhanjiswe. Ngoko ke, Ukubuyiswa kwakhona akukwazi ukuphazamisa umoya-moya ngenxa yokuba akusiyo umzimba ongaphandle kwaye ayinamandla, kodwa i-semi-liquid. Ngakolunye uhlangothi, kukho abo bathi amabiliquids nawo anokukhusela umoya ngendlela ebulalayo kwaye kufuneka usebenze nantoni na. Umbutho ophezulu wesayensi kwi ukuvuselelwa komzimba kunye nendawo yokukhusela, ILCOR, bathi into ehluke kakhulu kwaye ininzi, isebenze ngakumbi, ehambelana neparameter ehlukileyo ngokupheleleyo: ukukhwehlela.

Kwaye kungenxa yokuba ukukhwehlela kuku ngokuzenzekelayo yomzimba wethu xa into yangaphandle ikhusela i-airways yethu. Kwaye ke yintoni? Ufuna nje ukukhohlela? Ngamanye amawe, ewe, kwaye kula maxesha, sithetha ngomkhuhlane osebenzayo. Kwezinye iimeko, ngelanga, akwanele. Nazi izifundo zesayensi ozama ukuqonda ukuba kutheni ukukhwehlela - ngamanye amaxesha - akusebenzi. Kungenxa yesi sizathu sokuba xa izifundo zokukhutshwa komoya zibanjwe kukho intetho eninzi malunga SIDS, a isifo esixhomekeke ekubuyiseni ubisi kwaye oko kunokukhokelela i-asphyxiation. Ngaphandle kokufumana ubuchwepheshe obuninzi, ukugcina ugxininiso kwisihloko esithi "ukukhutshwa kwendlela yokukhutshwa kwindlela yokuhamba emzimbeni ewe ewe / hayi", sibone oko kubhaliweyo IBhunga laseYurophu yokuPhakamisa izikhokelo:

• Ukuvavanya ubunzima beli gama (ixesha elide lithintela ngayo umntwana? Uhlala ekhwehlela ixesha elingakanani?
• Ukuba ukukhwehlela kungasebenzi kwaye umntwana uyazibonela ukuphawula kwe-5 kunye ne-5 thorax.
• Ukuba ukukhwehlela kungasebenzi kwaye umntwana akanako kwaye akaphefumli, vula i-airways, uqhubeke ne-5 ventilations uze uqale iCPR
• Ukuba umntwana uqhubeka ekhwehlela kwaye uqaphela ukuba unokuphefumula phakathi kokukhwehlela, umkhuthaze ukuba aqhubeke ekhwehlela kwaye aqhubeke ehlola ukuba kukho na uphawu lobunqabileyo obonakalayo, kwaye nokuba ukukhwehlela kuyaba yinto engasebenziyo okanye ukuba ukukhutshwa kukuziphendulela.

Ingaba kukho ukucaca?

Ewe, i iinkqubo kufuneka zenziwe ngokupheliswa ngokupheleleyo xa umntwana engakwazi ukukhwehlela, ukhale okanye ukhulume, kodwa usayazi. Ukuba uyazi, uyaqhubeka kunye ukuvuselelwa komzimba. Akukho bubungqina bokukwenza ngaphandle koko.

Ingxaki yokwenene iyatshitshiswa kummeli, nokuba ngaba umphenduli wokuqala okanye umhlanguli. Ngoba?

Ukuze siphumelele kangcono imbambano, sacela abaninzi a bantwana, ukuze sikwazi ukunikela umfanekiso opheleleyo ngakumbi kunye neyona nyaniso. Njenganamhlanje, kuyinyaniso ukuba ukunyanzelisa ukuphucula ubomi uye wakwenza ukuphepha iingxaki ezininzi, kodwa kwezinye iimeko - xa izixhobo zifundiswa kakubi okanye indlela yokuthintela ukukrakra ayichazwa - ukugqithisa kwenzeka okwenzeke iingxaki zeklinikhi. Enyanisweni, idatha ehlinzekwe nguNgqongqoshe yongeza ekufeni kwabantu okubangelwa ukuvinjelwa kwamanzi, nazo zibangelwa yi-asphyxiation, i-meconium ukungenisa or zokusondeza ijezi. Oku kuye kwagqithisa inani lokukhutshwa kwemali-ngaphandle kwelungelo kunye nokugcinwa kwexesha elifanelekileyo-ukwethuka kwakhona, amaninzi amaxesha ngenxa yeenkcukacha eziphosakeleyo. Idatha kuphela efumanekayo kwizinto zangasese ezingaphandle kwamanye amazwe - e-Itali - yilezo ezinikezelwa yi-ISTAT, kwaye zichazwe kwiithebhile ezingezantsi.

Ngubani olungile, ngoko?

Ukulandela izikhokelo ze-ILCOR, akukho ndlela yokuxelela ukuba ngubani ochanileyo kwaye ngubani ongalunganga ngokuhlukileyo phakathi kokumanzi / okuqinileyo, kuba izikhokelo zikwahlula phakathi kokukhutshwa kunye nokungabikho komqobo. Naluphina ugqirha (kwaye sadibana no-5 kubo ngaphambi kokubhala le nqaku) baya kukuxelela ukuba bphambi kokuba kuqhutywe nayiphi na inkqubo yokukhutshwa komqobo, kuyimfuneko ukuhlalutya kakuhle imeko, kuba ipesenteji yelwelo okanye ukubuyiswa kwempahla kubangele ukukhutshwa ngokuzibonga ngenxa yokuziphendulela ngokuzenzekelayo ukuba imizimba yethu isetyenziswe kakhulu. Kuhluke, ngakolunye uhlangothi, ukukhutshwa komzimba wangaphandle (jonga amabhetri, iminquma, njl.). Nangona kunjalo, izikhokelo, kwiphepha le-117, zitsho ukuba izizathu zokhuselo lwangaphandle zi:

“Ukuvalwa kwendlela yomoya kusenokuba yinxalenye okanye kuphelele. Ingenzeka nakweliphi na inqanaba, ukusuka empumlweni ukuya emlonyeni, ukuya kuqhoqhoqho. Kwisigulana esingekho zingqondweni, ezona ndawo zixhaphakileyo zokuthintela umgaqo womoya yinkalakahla ethambileyo kunye ne-epiglottis. Umqobo unokubangelwa ukugabha okanye igazi (i-gastric regurgitation okanye trauma) okanye ngamaqumrhu angaphandle. I-larynx obstruction inokuba yinto yesibini yokutshisa i-edema, ukuvutha okanye i-anaphylaxis. Ukuvuselela imijelo yomoya ephezulu kunokubangela i-laryngeal spasm. Ukuvaleka kweendlela zomoya ezingaphantsi komphimbo akuxhaphakanga, kodwa kunokuvela kwimeko yokuphuma kwebronchi, i-edema ye-mucosal, i-bronchospasm, i-pulmonary edema okanye ukufunxa isiqulatho sesisu.

Ngoko, kufuneka ndizame nayiphi na indlela yokukhusela umoya okanye ungenzi

Ewe, ukukhutshwa komoya kuqhuba kufuneka uyenze xa unesiqinisekiso sokuthi umntwana akaphefumli kwaye akayi kukhwehlela ngendlela efanelekileyo yokuphelisa ukuphazamiseka kwakhe, ukunika izibonakaliso ezicacileyo zokuxhatshazwa. Kwaye kufuneka kwenziwe ngaphandle kokungena u koyika, owona oyinyaniso oyinyaniso ngamnye umphenduli wokuqala. Xa ujongana nomntwana onomqobo okanye onqamlekileyo umqobo, into ebalulekileyo kukuba uhlale uzolile, ulinde impawu ecacileyo yokukhutshwa okuvumela ukuqala kweenkqubo ezingavumelekanga, kwaye okwangoku ukhuthaze ixhoba ukuba likhwehle. Inkxalabo kunye nokungenelela kokungenelela yimiba engeyiyo imfuneko yokukhutshwa kwezithintelo. Kwaye banako ukwenza ukuba sinike izipho ezinzima ezingadingekile emhlane, ezingaphazamisa ukukhwehlela okanye zenze i-traumas umntwana, kubangele enye imeko eyingozi kakhulu; okuthiwa baby syndrome. Njalo uqaphele kwaye ungadideki: landela izikhokelo uze ungalahlekelwa ngumsindo wakho.