Archive for April, 2011

posted by April 30th, 2011.No Comments

 

Because the esophagus and trachea in the throat is connected, when suddenly spits most fear is the inversive milk from the esophagus to the throat when inhale moment, strayed into the trachea, so-called choking.

If in large amount, it will result in tracheal blockage, can not breathing,  hypoxia may cause immediately life-threatening.

Less amount, may be directly inhaled into the deep lungs and causing aspiration pneumonia.

Slight spits up, usually the baby will adjust their breathing and swallowing, so there is no risk of inhalation of the trachea, parents mush close observation thier baby breathing and skin colour.

If baby in the situation vomiting a lot, please according to the following approach:

1. Lateral a side
If vomiting occurs when lying down: rapidly lateral the baby face a side, so as not to vomit due to gravity and back into the throat and trachea.

2. Finger with a handkerchief or towel inserted into the mouth
Fast and roughly cleared the throat to keep the airway smooth, so that doesn’t hinder breathing. At this point, clear the mouth are most important than the nose! So usually bring around a small handkerchief or towel at any time to prepare for contingencies (nose can use a small cotton swab to clean).

3. Beat Back
If you find that your baby is not breathing or his face becomes dark, that vomit may have entered the trachea, immediately face down on adult lap or bed (hard bed), beat four to five times at the back, to make them to cough up .

4. Kneading feet
If these steps are done, but the baby is still no response, immediately forced to stimulate the soles of the feet (or folder or pinch), aims to make the baby feel pain and to breathing, the most important thing at this time is to let the baby inhale, oxygen can into the lungs, in order to avoid hypoxia. In the suffocation, the most important thing is time to send air (oxygen) into the lungs, rather than wasting time thinking about how to remove the things, this concept is very important.

In the above process, the baby should also be transferred to the hospital or clinic, and let the professional pediatrician do further processing or inspection then only can be rest assured.

If after choking the baby breathing very smooth, it is best to find a ways to force him to cry (cry make a lot of breathing), observe the baby crying and the breathing movements, to see whether any abnormalities (such as voice modulation weak, breathing difficulties, severe concave chest … and so on), if yes send to the hospital immediately. If your baby is crying loud and clear, full of air, face rosy, that means alright, can be observed for a while. Sometimes, the chest X-ray examination is necessary.

posted by April 15th, 2011.No Comments

 

因为食道的开口与气管的开口在咽喉部是相通的,吐奶时最怕的,就是奶水由食道突然反逆到咽喉部时,刚好于吸气的当儿,误入气管,即所谓的呛奶。

量大时,将造成气管堵塞,呼吸不能进行,马上会缺氧危及生命。量少时,可直接吸入肺部深处造成吸入性肺炎。

轻微的溢、吐奶,通常宝宝自己会调适呼吸及吞嚥的动作,所以较没有吸入气管的危险,父母只要密切观察他的呼吸状况及肤色即可。

如果宝宝有大量呕吐的情形发生,请照以下方法处理:

1. 侧向一边
如果平躺时发生呕吐:迅速将宝宝脸侧向一边,以免吐出物因重力而向后流入咽喉及气管。

2. 用手帕、毛巾捲在手指上伸入口腔内
甚至咽喉处,将吐、溢出的奶水食物大略及快速的清理出来,以保持呼吸道顺畅,免得阻碍呼吸。此时,清除口腔要比鼻腔重要!所以平常身边随时要配置小手帕、小毛巾,以备不时之需(鼻孔则可用小棉花棒来清理)。

3. 拍打背部
如果发现宝宝憋气不呼吸或脸色变暗时,表示吐出物可能已进入气管了,马上使其俯卧在大人膝上或床上(硬质床),用力拍打其背部四至五次,使其能咳出。

4. 捏脚底板
如果这些步骤都做了,但宝宝还是无反应,即刻用力刺激其脚底板(或夹或捏),目的在使宝宝因感觉疼痛而呼吸,此时最重要的是让宝宝能吸气,氧气能进入肺部,以免缺氧。在窒息救命时刻,最重要的是争取时间把空气(氧)送入肺中,而不是在浪费时间的想如何把异物取出,这点观念非常重要。

在以上处理过程中,宝宝应同时的向医院或诊所转送,让专业的儿科医师再做进一步处理或检查才能完全放心。

如果呛奶后宝宝呼吸很顺畅,最好还是想办法让他再用力哭泣(哭泣即是大量的呼吸)一下,藉以观察宝宝哭泣时的吸气及吐气动作,看有无任何异常(如声音变调微弱、吸气困难、严重凹胸...等),如有则即刻送医。如果宝宝哭声宏亮、中气十足、脸色红润,则表示一时并无大碍,可再观察一阵子。有时,胸部的X光检查也是必要的。