Izimbangela, Ukuvimbela Nokunakekelwa Kokukhethwa
Ukukhethwa kwenzeka lapho into ebanjwe ngemuva komphimbo. Uma into (noma ukudla) ivimbela phezulu kwe-trachea umuntu angase angakwazi ukuphefumula. Lokhu kuyiphuthumayo. Kungenzeka futhi ukuthi ukudla noma ezinye izinto zingagcinwa kulesisindo; kuyilapho ebuhlungu, lokhu akubanga ukuthi umuntu ayeke ukuphefumula. Lesi sihloko sizohlanganisa izimbangela, ukuvimbela kanye nokwelashwa kokuchofoza.
Izimbangela
Izimo ezithile zezokwelapha noma izimo zingenza umuntu angene kakhulu. Izici zengozi zihlanganisa (kepha azikhawulelwe):
- izingane ezingaphansi kweminyaka emihlanu
- asebekhulile
- abantu abanezifo ze-neurological
- abantu abanezifo ezibangela ukuguquka kwemisipha, njenge-multiple sclerosis
- ukuphazamiseka kwesifo njengesifo esincane ngenxa ye-reflux engavamile (i- GERD )
- abantu abanokukhubazeka okwenziwe ngezakhi zofuzo ezithinta inqubo yokugwinya (isibonelo somlomo )
- abantu abanokulimala okuthinta inqubo yokugwinya
Ukwengeza, imisebenzi ethile noma imikhuba ingakwandisa ingozi yokuchofoza:
- bedla masinyane kakhulu
- hhayi ukuhlala phansi ngenkathi bedla
- hhayi ukufuna ukudla ngendlela efanele
- bedla ngenkathi belele phansi
Ukuvimbela
Izingane ezineminyaka engaphansi kwengu-5 zinengozini yokukhulelwa. Kokubili ukuthuthukiswa kwengqondo nokuhlukana kwe-anatomic ezinganeni kubangela ingozi eyengeziwe kule nkathi yobudala. Izingane ezincane azikwazi ukuhlukanisa ukuthi yiziphi izinto ezingabanjwa emikhanda yabo.
Lokhu kuvamise ngesikhathi sesimlomo sokuthuthukiswa lapho bebeka konke emilonyeni yabo.
Njengoba ingane yakho ikhula, ihlala isengozini ngenxa yomoya wayo omncane. Kodwa-ke, ingozi iyancipha ngenxa yokuthi iyakwazi ukuqonda ukuthi yiziphi izinto eziphephile zokufaka emlonyeni wazo. Nakuba ukuqinisekiswa kwengane yakho kuseduze, akunakwenzeka ukugcina izinto ezithile kude nezingane ezincane zingakwazi ukuvimbela ukuchofoza.
Izingozi Zokukhetha Okuvamile
- amabhaluni e-latex - okubangela imbangela yokufa ezinganeni ezingaphansi kweminyaka engu-6
- amabhola
- amamabula
- izinhlamvu zemali (ukuvakashelwa kwe-ED okuhlobene no-18% kwezingane ezineminyaka engu-1 kuya kwemi-4 ubudala)
- i-disc amabhethri (futhi abizwa ngokuthi amabhethri ebhethri futhi ayingozi kakhulu ngoba uma egwinya kukhona kungenzeka ukuthi bazovuza okuqukethwe okune-alkali enobuthi ku-digestive tract)
- amathoyizi amancane - abanye bathi uma into ingakwazi ukulingana ngaphakathi komqulu wephepha langasese ingane yakho ingayithinta
- ama-caps (ipeni noma ama-caps marker ikakhulukazi)
- izikhonkwane zokuphepha
Ukudla okuphezulu kakhulu
- izinja ezishisayo - ingozi ehlobene nokudla okubi kakhulu
- i-candy enzima - (ukuvakashelwa kwamakamelo okuphuthumayo okuhlobene no-19%)
- amagilebhisi
- amantongomane
- izaqathe ezihlaza
- ama-apula
- ama-marshmallows
- I-Popcorn
- Ibhitela lamantongomane
Cishe amaphesenti angama-60 wezingozi ezingenabungozi ezibangelwa yizinto zokudla. Ukudla okuyizinto eziyingozi kungukudla okungacindezelwa ukulingana nobukhulu bomoya. Ngaphandle kokudla okubalulwe ngenhla akufanele unike ingane encane, umuntu osekhulile noma noma ubani onenkinga yokugwinya , ukudla okunzima ukuhlafuna noma ubukhulu noma ukuma okuzocindezelwa kalula emoyeni.
Ukwengamela kungenye yezinto ezibaluleke kakhulu zokusiza ukuvimbela ukuchofoza. Ukulawulwa kwamaphesenti ayikhulu ngokuvamile akunakwenzeka kodwa kumele kwenziwe kabanzi ngangokunokwenzeka lapho izingane ezingaphansi kweminyaka engu-5, abantu asebekhulile noma umuntu onomlando wokugwinya ubunzima uyadla.
Ukugcina izinto ezincane ezingafinyeleleki futhi ukuthenga amathoyizi ezingeni elifanele ubudala kungasiza ekuvimbeleni ukuxoshwa okuhlobene nokudla okungewona ukudla. Futhi, ukuvumela izingane ukuba zigijime futhi zidlale ngenkathi zidla ukudla noma i-candy zingasiza ekuvimbeleni ukuchofoza ukudla.
Amanye amathiphu okuvimbela okuhle afaka:
- bedla ukudla kuphela etafuleni
- ukupheka imifino kuze kube lula
- ukusika ama-hotdog nezinye izinto zokudla zibe yizicucu ezingaphansi kwe-1/2 intshi futhi ugweme ukusika zibe yizimo ezizungezile
- ukukhuthaza ukuhlafuna okwanele - lokhu kungase kungabi kahle kuze kube yilapho ingane yakho ineminyaka engama-4 ubudala
- ukunciphisa iziphazamiso ngenkathi bedla
- ukuphuza isiphuzo lapho udla - ugweme ukugwinya ukudla kanye ne-liquid ngesikhathi esifanayo
- Abanye abantu abanezinkinga zokugwinya ( dysphagia ) kufanele baphuze kuphela uketshezi oluqinile
Yini Okufanele Ngiyenze Uma Omunye Ukuchofoza?
Uma othile echofoza, kufanele unqume ukuthi noma angakwazi yini ukukhuluma noma cha. Uma bekwazi ukukhuluma, ukukhwehlela noma ukwenza ezinye izikhala ezibonisa umoya womoya, zivumele ukuthi zicacise umoya wazo ngokwazo. Ukungenelela ngalokhu kungaholela ekufakeni okunye kwalokhu into ukuba kwenzeke.
Uma umuntu enokuthile okubanjwe esigxotsheni bazokwazi ukukhuluma nokuphefumula kodwa kungase kube buhlungu, ikakhulukazi uma kugwinya. Bangase futhi badonsa. Kufanele ufune ukunakekelwa kwezokwelapha ukuze into ikwazi ukubuyiswa noma igxilwe ngaphakathi esiswini / emathumbu besebenzisa ububanzi ( EGD ).
Uma umuntu ochofoza engakwazi ukukhuluma noma enze ezinye izikhala, ngeke bakwazi ukuphefumula noma. Isibonakaliso sokuthi umuntu akaphefumulanga yisicanosis . Lokhu kuyiphuthumayo. Kufanele uqale izimpungushe zesisu, owaziwa nangokuthi i-Heimlich maneuver. Uma lo muntu nganoma yisiphi isikhathi engaphenduli (engazi lutho), kufanele uqale i- CPR . Uma ungenaye wedwa, faka omunye umuntu abize u-9-1-1. Uma wedwa ubiza 911 ngokushesha futhi (uma kungenzeka) uhlale emgqeni ngenkathi wenza i-CPR.
Ukuvimbela kuyisihluthulelo uma kuziwa ngokuchofoza. Ukuzifundisa ngezimbangela ezivamile zokukhahla kungasiza ekuvimbeleni izinkinga ukuba zenzeke futhi ugcine othandekayo bakho bephephile.
> Imithombo:
> I-American Academy ye-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. (2011). Ukunciphisa Izingozi Zokukhetha: Amathiphu EzeMfundo Zokuqala Nezilungiselelo Zokunakekela Abantwana.
> I-American Academy of Pediatrics. (2010). Ukuvimbela Ukukhethwa Phakathi Kwezingane. I-PEDIATRICS Vol. 125 No. 3 Mashi 2010, iphe. 601-607 (i-doi: 10.1542 / imigqa.2009-2862).
> Walner, D., & Wei, J. (2011). Ukuvimbela ukukhethwa kwabantwana. Izindaba ze-AAP / 2011; 32; 16. I-DOI: 10.1542 / aapnews.2011324-16.