As if we tried to protect the baby from danger, no one is insured against accidents. Therefore, all parents should know how to provide a prefigure help to the child. After all, the life of the baby may depend on the actions of loved ones, especially since there is sometimes expenses in emergency situations for moments.
Content
Foreign body
According to statistics, millions of foreign bodies fall into the gastrointestinal tract of children. This happens as a result of careless handling of small objects and toasting parents. How not to be confused in such a situation?
Most often diagnosed «Foreign body» Exhibited in early childhood. As soon as the kids begin to crawl, and then walk, they quickly master the territories inaccessible to them earlier and objects, and some of them strictly must be in an inadequate place for children. Acquaintance with new objects occurs in the most detailed way through all the available senses. Child need to turn and consider «toy» from all sides, be sure to sniff, and most importantly — determine the degree of its edibility. The result of such curiosity is that items fall into the mouth and then — In the gastrointestinal tract or the kid's respiratory tract.
If you witness such a situation, urgently call «ambulance». Kroch must be under medical control, even if there are no symptoms in the first hours and he feels well. Foreign body with sharp edges (needles, pins, badges and t.NS.) can be stuck in various departments of the gastrointestinal tract, which increases the risk of puncture of its walls. Large and heavy foreign bodies (for example, a metal ball), which do not independently leave and are long in the intestines, can cause significant damage to the wall with bleeding or its vessel (integrity disorder). Therefore, when a foreign body gets into the gastrointestinal tract, it is necessary to make sure that it came out, for which the child's chair carefully examines.
If the child was not in the field of your vision, when everything happened, to identify the presence of a foreign body in the gastrointestinal tract will be much more complicated. In addition, often children, afraid of punishment, hide this fact from parents.
Usually kids swallow small things — toys or their details, coins, buttons, bones from fruit. As a rule, the child does not feel any unpleasant sensations, with the exception of fright. In the future, the kid may not be complaints, since in most cases small items go out within 2-3 days on their own.
If the subject of considerable sizes and overlaps the clearance of the esophagus, then immediately appear, abundant salivament, can be a horn, belching, nausea, vomiting. Any food eaten and water goes back.
What to do
As you can see, the behavior of the baby and the symptoms will depend on the size, forms, the material of the subject that the child swallowed. In the event that you suspect the presence of a foreign body in the gastrointestinal tract, first of all, the question of the speedy delivery of the baby to the hospital should be resolved. It is necessary to urgently call «ambulance» and take the child to the hospital, preferably in a multidiscipline, in which there is surgical, radiological, endoscopic, ultrasound compartment available around the clock. In Moscow, this is the Izmailovskaya DGKB, Filatovskaya DGKB, Hospital of St. Vladimir, and others.
Before arrival «Emergency» parents do not need to take any attempt to pull out, shaken or «Poll» The foreign body further in the stomach (for example, giving a baby bread). With your actions you can only harm. It is impossible to feed and drink a child, including breast milk. You can moisten the water lips if they dry. It is necessary to try, if possible, calm the baby and collect the necessary documents to the hospital: the medical policy of the child and the mother.
If the crumb coughs, gives, suffocating, you can knock the edge of the palm or fingers along his back between the blades, directing the blows from the bottom up, throwing the baby through the knee so that the upper part of the body is omitted. Child up to 1 year old to face down face down, head slightly lowered, index or middle finger «reference» Hands put on a child in her mouth, opening it, free hand patted on the back. This should not be done if the baby can breathe, as harsh patters can shift the subject in such a way that he will block the respiratory tract or cause their swelling, seriously difficulty breathing. Do not forget that the main task of the Action — This is a relief of breathing (if it is difficult). If there is no difficulty breathing, then you should wait for the arrival «Ambulance».
In the receiving department of the child, the pediatrician and surgeon inspect, if necessary, additional examinations are carried out: X-ray, endoscopic or ultrasound. It should be remembered that only metallic foreign bodies, stones and some types of glass are visible on the X-ray — Plastic and wooden items are not determined due to material texture. Based on the inspection and these research methods, the diagnosis is made and the level of the location of the foreign body is determined. The child is left in the hospital and in most cases are observed until the subject disabled independently (usually 2-3 days), appointing a laxative.
If the urgent removal of the foreign body is necessary or its promotion is difficult through the gastrointestinal tract, then in 99% of cases an endoscopic treatment method is helped. This is possible when the foreign body is not lower than the 12-point intestine where the fibroezophageastrodenoscope can get (an endoscope, with which you can remove a foreign body from the upper gastrointestinal tract: esophagus, stomach, the initial departments of the small intestine). Extraction of the foreign body occurs with the help of endoscopic loop, baskets or clamps conducted through an endoscope that is entered through the mouth.
Sometimes a foreign body can be pounded with the device, and later when taking a laxative, this will help him quickly leave the body naturally. If endoscopically remove the foreign body failed, laparoscopic or honey surgical intervention is performed, which is always traumatic for the body and is associated with a much large number of probable complications. Laparoscopic surgical intervention differs from the long-term surgery on the front abdominal wall, and laparoscope and special surgical tools that surgery work are introduced through small holes in the abdominal cavity. The surgical intervention method chooses a surgeon depending on where the foreign body is located, what is its shape and dimensions, taking into account the state of the child.
Do not leave the crumb one unattended. It is necessary to remove the small dangerous items to the baby. It is most closely worth approaching the choice of toys: they must correspond to the age of the baby and not have small and easily labeled parts.
