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[title] => Liječnici spasili 14-godišnjaka koji se gušio zbog kikirikija. Kako reagirati u takvim situacijama? Splitska liječnica objasnila nam je što je od presudne važnosti
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Samo zahvaljujući brzoj intervenciji liječnika, 14-godišnjak koji je jeo kikiriki i pritom ga slučajno udahnuo, spašen je, piše RTL.
Komad veličine jednog centimetra ušao mu je kroz dušnik u pluća, izazvao probleme s disanjem i ugrozio život. Sve se dobro završilo jer su u osječkoj bolnici spremni za ovakve slučajeve.
"U području glasnica gdje imate suženje – ili će tu ispasti to strano tijelo ili ćete ga elegantno izvući van. Kod nas se dogodilo to da je sve bilo čvrsto i stabilno i na kraju smo ga izvukli van", kaže Matej Šapina, zamjenik predstojnika Klinike za pedijatriju KBC-a Osijek za RTL.
"Promptno rješavamo takve slučajeve, naravno u suradnji s našim pedijatrima radiolozima, anesteziolozima", kaže Hrvoje Mihalj, pročelnik Klinike za ORL i kirurgiju glave i vrata KBC Osijek.
"Treba raditi takozvani Heimlichov hvat, prije toga lupiti dijete više puta po leđima. Ako se ne dogodi da dođe do ekstrakcije stranog tijela, onda što prije doći u bolnicu", kaže Mihalj.
Najbolje je ovakve situacije u potpunosti izbjegavati, povećati oprez tijekom jela, posebno hranjenja manje djece, no ako do nje ipak dođe Heimlichov zahvat jedna je od akcija, kojom možete pružiti pomoć sebi ili drugima.
Slučaj trogodišnje djevojčice s Pala koja se ugušila košticom trešnje šokirala javnost. Liječnica savjetuje kako u sličnim situacijama pomoći djetetu
---
S liječnicom Željkom Roje razgovarali smo o gušenju kod djece i kako reagirati.
Potrebno je osvijestiti u glavama roditelja i skrbnika da se pred malom djecom ne smiju ostavljati sitne igračke, perlice, igle, pribadače, kikiriki, orasi, bajami, lješnjaci, koštunjičavo voće (višnje, trešnje..)..., kaže.
Nemojte hraniti svoje dijete dok hoda i trči, dok se smije i priča, dok ga vozite u kolicima i automobilu, jer na taj način dijete nije koncentrirano na gutanje već na disanje i otvara dišni put te će zalogaj umjesto u jednjaku završiti u grkljanu, dušniku ili bronhima što može dovesti do prekida disanja i fatalnog ishoda.
Naime, zbog posebnosti građe i položaja najviše stranih tijela bit će u glavnom desnom bronhu (on je gotovo pa nastavak dušnika i širi je od lijevog), potom u lijevom, zatim u dušniku, a jako malo u grkljanu (to su velika strana tijela koja zatvore dišni put u cijelosti) ili u oba bronha istovremeno.
Što će se dogoditi akutno ovisi o veličini stranog tijela. Što je strano tijelo veće zaustavit će se na višoj razini dišnog puta. Ako se strano tijelo zaustavi u grkljanu nastupa trenutna smrt, ako je ono u dušniku prisutno je čujno disanje u udisaju i izdisaju, ako je u brohu klinička slika može biti vrlo raznolika.
Stoga, savjet roditeljima - ako ste nazočni događaju i vidite da se dijete guši, postaje plavo (cijanotično) i ne može doći do zraka morate napraviti Heimlichov hvat. Njegova primjena razlikuje se u beba do godinu dana i starije djece. Bebu treba okrenuti na prsa, licem prema dolje i napraviti pritisak ili nekoliko udaraca dlanom između lopatica. Kod djece starije od godinu dana Heimlichov hvat provodi se na isti način kao i kod odraslih.
Djetetu treba stati iza leđa, obgrliti ga rukama i napraviti nagli pritisak na gornji dio trbuha. To bi trebalo izbaciti zrak iz pluća, a time i strano tijelo. Svakako je najvažnije sačuvati hladnokrvnost i prisebnost, jer je brza reakcija nužna pošto djetetov mozak bez kisika može izdržati samo nekoliko minuta (2 – 5 minuta).
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[cleanTitle] => Liječnici spasili 14-godišnjaka koji se gušio zbog kikirikija. Kako reagirati u takvim situacijama? Splitska liječnica objasnila nam je što je od presudne važnosti
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Samo zahvaljujući brzoj intervenciji liječnika, 14-godišnjak koji je jeo kikiriki i pritom ga slučajno udahnuo, spašen je, piše RTL.
Komad veličine jednog centimetra ušao mu je kroz dušnik u pluća, izazvao probleme s disanjem i ugrozio život. Sve se dobro završilo jer su u osječkoj bolnici spremni za ovakve slučajeve.
"U području glasnica gdje imate suženje – ili će tu ispasti to strano tijelo ili ćete ga elegantno izvući van. Kod nas se dogodilo to da je sve bilo čvrsto i stabilno i na kraju smo ga izvukli van", kaže Matej Šapina, zamjenik predstojnika Klinike za pedijatriju KBC-a Osijek za RTL.
"Promptno rješavamo takve slučajeve, naravno u suradnji s našim pedijatrima radiolozima, anesteziolozima", kaže Hrvoje Mihalj, pročelnik Klinike za ORL i kirurgiju glave i vrata KBC Osijek.
"Treba raditi takozvani Heimlichov hvat, prije toga lupiti dijete više puta po leđima. Ako se ne dogodi da dođe do ekstrakcije stranog tijela, onda što prije doći u bolnicu", kaže Mihalj.
Najbolje je ovakve situacije u potpunosti izbjegavati, povećati oprez tijekom jela, posebno hranjenja manje djece, no ako do nje ipak dođe Heimlichov zahvat jedna je od akcija, kojom možete pružiti pomoć sebi ili drugima.
Slučaj trogodišnje djevojčice s Pala koja se ugušila košticom trešnje šokirala javnost. Liječnica savjetuje kako u sličnim situacijama pomoći djetetu
---
S liječnicom Željkom Roje razgovarali smo o gušenju kod djece i kako reagirati.
Potrebno je osvijestiti u glavama roditelja i skrbnika da se pred malom djecom ne smiju ostavljati sitne igračke, perlice, igle, pribadače, kikiriki, orasi, bajami, lješnjaci, koštunjičavo voće (višnje, trešnje..)..., kaže.
Nemojte hraniti svoje dijete dok hoda i trči, dok se smije i priča, dok ga vozite u kolicima i automobilu, jer na taj način dijete nije koncentrirano na gutanje već na disanje i otvara dišni put te će zalogaj umjesto u jednjaku završiti u grkljanu, dušniku ili bronhima što može dovesti do prekida disanja i fatalnog ishoda.
Naime, zbog posebnosti građe i položaja najviše stranih tijela bit će u glavnom desnom bronhu (on je gotovo pa nastavak dušnika i širi je od lijevog), potom u lijevom, zatim u dušniku, a jako malo u grkljanu (to su velika strana tijela koja zatvore dišni put u cijelosti) ili u oba bronha istovremeno.
Što će se dogoditi akutno ovisi o veličini stranog tijela. Što je strano tijelo veće zaustavit će se na višoj razini dišnog puta. Ako se strano tijelo zaustavi u grkljanu nastupa trenutna smrt, ako je ono u dušniku prisutno je čujno disanje u udisaju i izdisaju, ako je u brohu klinička slika može biti vrlo raznolika.
Stoga, savjet roditeljima - ako ste nazočni događaju i vidite da se dijete guši, postaje plavo (cijanotično) i ne može doći do zraka morate napraviti Heimlichov hvat. Njegova primjena razlikuje se u beba do godinu dana i starije djece. Bebu treba okrenuti na prsa, licem prema dolje i napraviti pritisak ili nekoliko udaraca dlanom između lopatica. Kod djece starije od godinu dana Heimlichov hvat provodi se na isti način kao i kod odraslih.
Djetetu treba stati iza leđa, obgrliti ga rukama i napraviti nagli pritisak na gornji dio trbuha. To bi trebalo izbaciti zrak iz pluća, a time i strano tijelo. Svakako je najvažnije sačuvati hladnokrvnost i prisebnost, jer je brza reakcija nužna pošto djetetov mozak bez kisika može izdržati samo nekoliko minuta (2 – 5 minuta).
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10. svibanj 2024 22:04
