Senior with Dementia Swallowed a Hearing Aid Battery, Denture, or Non-Food Item¶

Older adults living with Alzheimer's disease, vascular dementia, frontotemporal dementia, or impaired vision frequently mistake shiny coin-shaped hearing aid button batteries or entire behind-the-ear hearing aids for daily pills or hard candies, or drink liquid dish soap, denture cleanser tablets, or laundry pods due to visual agnosia and hyperorality (pica). Similarly, household dogs are irresistibly drawn to the salty earwax scent on dropped hearing aids and chew or swallow the device along with the battery inside.

A swallowed button battery or whole hearing aid is a time-critical surgical emergency. When a flat disc battery (especially a 20-millimeter lithium coin cell from an assistive remote or a zinc-air cell from a hearing aid) lodges in the moist lining of the esophagus, saliva completes an external electrical circuit between the positive and negative terminals. This generates an intense alkaline hydroxide current that begins liquefying and burning through the esophageal wall into the trachea or aorta within 15 to 120 minutes, long before the battery ever leaks internal chemicals. Never wait for symptoms to appear, never induce vomiting, and follow the immediate emergency room and mucosal-protection steps below.

Chitani izi tsopano¶

1. Check for choking or airway obstruction immediately. If the person cannot speak, cannot cough forcefully, clutches their throat, or makes a high-pitched whistling sound (stridor), call your local emergency number (911 in the United States and Canada, 112 across the European Union, 999 in the United Kingdom; see manambala angozi) and perform 5 back blows and 5 abdominal thrusts using our choking first aid guide.
2. Go straight to the nearest Hospital Emergency Department if a button battery, entire hearing aid, partial denture, or magnet was swallowed. Even if the senior looks completely normal and has zero pain, every suspected button battery or hearing aid ingestion requires an immediate neck, chest, and abdominal X-ray to verify that the battery is not lodged in the esophagus. Call the US National Battery Ingestion Hotline at 1-800-498-8666 or US Poison Control at 1-800-222-1222 (or NHS 111 / 999 in the UK) while on your way to the hospital.
3. Give 10 milliliters (2 teaspoons) of pure honey every 10 minutes on the way to the ER ONLY if a button battery was swallowed within the last 12 hours and the patient can swallow safely. Clinical toxicology guidelines show that viscous pure honey (or pharmacy Carafate / sucralfate suspension) coats a battery lodged in the esophagus and buffers the alkaline electrical burn during transport. Stop and do NOT give honey if the battery was swallowed more than 12 hours ago, if the senior has severe swallowing difficulty (dysphagia) or choking, if they are diabetic with uncontrolled hyperglycemia, or if you see signs of esophageal perforation (chest pain, fever, vomiting blood).
4. Never induce vomiting, never do a blind finger sweep, and keep the patient strictly nil by mouth (NPO) except for the honey protocol. Forcing a patient to vomit can drive a sharp partial denture clasp or caustic battery back into the upper esophagus or airway, and eating solid food delays emergency anesthesia for endoscopic removal.
5. Bring the spare battery packaging, the matching second hearing aid, or the chemical container to the ER. Identifying the exact battery imprint code (such as CR2032 3V Lithium vs. Size 10 / 312 / 13 / 675 1.45V Zinc-Air or Lithium-Ion Rechargeable) tells the gastroenterologist the exact diameter and voltage within seconds.
6. If a dog or cat chewed or swallowed a hearing aid or button battery, go to an Emergency Veterinary Hospital immediately. Never induce vomiting in a pet that swallowed a punctured battery or sharp plastic hearing aid shell, as alkaline battery paste causes severe esophageal ulceration on the way back up.

flowchart TD
    A["Senior with dementia (or pet) swallowed a non-food object"] --> B{"Is the person choking, gasping, or unable to speak/cough?"}
    B -->|"Yes: Airway blocked"| C["Call 911/112/999 immediately: perform 5 back blows and 5 abdominal thrusts"]
    B -->|"No: Breathing normally"| D{"What object or substance was swallowed?"}
    D -->|"Button battery or whole hearing aid"| E["Go to Hospital ER immediately for emergency X-ray; call Poison Control (1-800-222-1222)"]
    D -->|"Denture cleanser tablet, laundry pod, or bleach"| F["Do NOT induce vomiting; rinse mouth with water; call Poison Control immediately"]
    D -->|"Paketi ya silika gel, lipstick, kapena ndalama yaying'ono yosalala"| G["Kawopsedwe wochepa: onetsetsani kuti palibe kumamatira kwa esophageal / kudontha ndikuyitanitsa Poison Control"]
    E --> H{"Kumezedwa <maola 12 apitawo, kutha kumeza mosatekeseka, palibe zizindikiro zoboola?"}
    H -->|"Inde"| I["Perekani 10 mL (2 tsp) uchi weniweni mphindi 10 zilizonse (mpaka milingo 6) popita ku ER."]
    H -->|"Ayi:> 12 hrs, dysphagia, kapena kupweteka pachifuwa"| J["Sungani mosamalitsa Nil By Mouth (NPO) kuti muchotse endoscopic nthawi yomweyo"]

Chifukwa chiyani batire yomezedwa imayaka minofu mkati mwa maola awiri¶

Achibale ambiri amaganiza kuti batire yomwe yamezedwa ndi yowopsa ngati chitsulocho chawonongeka ndikutulutsa asidi wa batri pambuyo pake. Limenelo ndi lingaliro lolakwika lakupha. Battery ya batani imayambitsa kuwonongeka kwa minofu kudzera ** electrolytic hydrolysis yakunja **, osati kutayikira:

1. Saliva Electrical Bridge: Pa batani lathyathyathya kapena batire yandalama, pamwamba pachitsulo chafulati ndi mkombero wakunja amapanga positive (+) anode, pomwe chozungulira chopapatiza chimapanga negative (-) cathode, yolekanitsidwa ndi mphete yopyapyala ya pulasitiki ya millimeter imodzi. Batire likakakamira mu chubu cholimba cham'mero, nembanemba yamadzi yonyowa imakhudza ma terminal onse nthawi imodzi ndikumaliza kuzungulira kwamagetsi.
2. Hydroxide Ion Generation (Caustic Liquefaction Necrosis): Ngakhale batire "yakufa" kapena "yowonongeka" yomwe singathenso mphamvu yakutali kapena chothandizira kumva imakhalabe ndi mphamvu yotsalira yotsalira (1.2 mpaka 1.5+ volts) kuti igawanize mamolekyu amadzi m'malovu pamtengo woipa kukhala hydrogen\text*_H .
3. Kuboola Kwa Minofu Mwachangu: Mkati mwa 15 mpaka 30 mphindi, minofu yapafupi ya pH pamtengo woipa wa batri imakwera mpaka pH 12 mpaka 13 (yofanana ndi chotsukira madzi). M'kati mwa ** 2 maola **, kutentha kwa magetsi a alkaline kumeneku kumayambitsa kwambiri ** liquefaction necrosis **, kusungunuka molunjika kupyolera mu khoma la esophageal kupita ku mphepo yamkuntho (**tracheoesophageal fistula **), mitsempha ya mawu, kapena thoracic aorta (**aorto-esophageal fistula) yomwe imayambitsa magazi mkati mwa masabata kapena masabata a fatal.

Kuyerekeza mitundu 3 ya batri yomwe imapezeka pafupi ndi achikulire¶

Akuluakulu okalamba azunguliridwa ndi ma chemistry atatu osiyana m'zipinda zawo zogona ndi zimbudzi. Ngakhale **20-millimeter 3-volt lithiamu coin cell ** imayambitsa chiopsezo chachikulu cha kugunda kwa esophageal ndi kuphulika mofulumira, **mabatire onse ** omwe amezedwa amafunikira kuwunika kwadzidzidzi kwachipatala ndi kutsimikiziridwa kwa X-ray.

Ndondomeko ya pang'onopang'ono pamene wamkulu akumeza batire la batani kapena chothandizira kumva¶

Khwerero 1: Chifukwa chiyani makonzedwe a mapiritsi amachititsa kuti batire ilowe (komanso momwe mungatsimikizire mkati mwa masekondi 60)¶

Kulowetsedwa kwa batri yayikulu kwambiri kumachitika m'njira ziwiri: 1. Mkuluyo amatenga zida zawo zomvetsera usiku, amachotsa batire laling'ono lozungulira kuti awumitse chipangizocho, amaika batire pa malo ogona usiku pafupi ndi mapiritsi awo am'mawa, ndipo ** amameza batire ndi galasi lamadzi pa 7: 00 AM ** kuganiza kuti ndi aspirin kapena piritsi ya magazi. 2. Mkulu yemwe ali ndi matenda a maganizo apakati kapena ovuta kwambiri amachotsa chithandizo chonse cha kuseri kwa khutu (kapena kupeza batire yogwetsedwa) ndikuyika mkamwa mwawo.

Yang'anani Zowoneka Kwa masekondi 30: - Yang'anani makutu onse a wamkulu ndi dock yawo yolipirira kapena chosungira usiku. Kodi chothandizira kumva kapena batire lasowa? - Yang'anani m'kamwa mwa mkuluyo ndi tochi (osati ** musasese mwakhungu pakhosi). Nthawi zina munthu wamkulu yemwe ali ndi dementia akuyamwabe batire kapena atanyamula chothandizira kumva m'thumba la masaya ngati maswiti olimba; ngati muwona bwino kutsogolo kwa kamwa, afunseni kuti alavulire m'manja mwanu.

Khwerero 2: Yang'anirani Pre-Hospital Honey kapena Sucralfate Protocol (Ngati ikuyenera)¶

Kutsatira kafukufuku wodziwika bwino wa National Capital Poison Center ndi mabungwe a ana/akuluakulu a otolaryngology, malangizo azachipatala amalimbikitsa kupereka **uchi wapakhomo wapakhomo ** (kapena mankhwala **sucralfate / Carafate kuyimitsidwa **, 1 gramu / 10 milliliters) potengera wodwalayo ku dipatimenti yadzidzidzi:

• Mmene Imagwirira Ntchito: Uchi weniweni ndi madzi owoneka bwino, osalimba acidic omwe amakwirira chipolopolo cha batri, amatchinga malovu kuti asatseke malo abwino kapena oyipa, komanso amalepheretsa ma ayoni a hydroxide okwera kwambiri pamakina a minofu, amachepetsa kwambiri kuyaka kwa mawotchi am'mitsero asanafike endoscopy.
• Njira Yeniyeni Yomwe Mungapitire Kuchipatala:
• Perekani mamililita 10 (masupuni 2) a uchi wamadzimadzi pakamwa pa mphindi 10 zilizonse (mpaka milingo 6) popita ku Dipatimenti Yangozi.
• OSATI kuchedwa kupita kuchipatala kukasaka uchi. Ngati muli ndi uchi mu kabati yakukhitchini, gwirani botolo ndi supuni ndipo perekani mlingo woyamba m'galimoto.
• ** Nthawi Yomwe Mungadumphe Uchi (Zotsutsana Zolimba):**
• Osa** kupereka uchi ngati maola opitilira 12 adutsa kuchokera pomwe batire idamezedwa (chifukwa chiopsezo cha kutulutsa kwam'mero ​​komwe kulipo ndikwambiri, ndipo uchi womwe umatuluka pobowola pachifuwa umayambitsa mediastinitis).
• Musati* perekani uchi ngati wamkulu akutsamwitsidwa, malovu akumezera osatha kumeza, akutsokomola mwamphamvu, kapena ali ndi vuto loyambitsa dysphagia.
• Gwiritsani ntchito mosamala ndikudziwitsa namwino wa ER nthawi yomweyo ngati wamkulu ali ndi matenda a shuga omwe amadalira insulini (kutsika kwa shuga m'magazi kuchokera ku uchi ndikosavuta kwambiri kuti ER ichiritse ndi insulin kuposa kum'mero, ndipo dokotala wa ER adzayang'anira shuga akafika).

Khwerero 3: Zomwe mungafune pa Emergency Department Triage Desk¶

Zipinda zodikirira zangozi zili zotanganidwa, ndipo wamkulu yemwe ali ndi vuto la dementia yemwe adameza batire mphindi 30 zapitazo amatha kukhala chete panjinga ya olumala akuwonetsa ziro zowawa, kudontha kwa zero, komanso kugunda kwamtima komanso kuthamanga kwa magazi pomwe batire imayaka mwakachetechete kummero.

Yendani molunjika kwa Namwino wa Triage ndipo nenani liwu ndi liwu:

*"Makolo anga ali ndi vuto la maganizo ndipo anameza [batani la batri / chithandizo chonse chakumva chokhala ndi batire] pafupifupi mphindi [X] zapitazo pa [Nthawi]. Pansi pa National Capital Poison Center Button Battery Guidelines, iyi ndi Time-Critical Level-1 Esophageal Triage yomwe imafuna kuyang'ana nthawi yomweyo (anteroposterior ndi lateral) mkati mwa khosi la X XMUMX, chifuwa cha X ndi ray. impaction

Zomwe ER X-ray Imawonetsa ("Double-Ring / Halo Sign" ndi "Step-Off Sign"): - Pa X-ray yakutsogolo ndi kumbuyo (anteroposterior) batire ya batani imasiyanitsidwa ndi ndalama wamba yachitsulo ndi yosiyana ** mphete ziwiri kapena mthunzi wa halo ** kuzungulira mkombero wakunja (pomwe mphete ya insulator ya pulasitiki imalekanitsa anode ndi cathode). - Kumbali (yotsatira) X-ray, yopapatiza yoipa (-) mzati ikuwonetsa "pang'ono" bevel. Mzati woipa ndi mbali yomwe magetsi amawotcha kwambiri amchere amapezeka; katswiri wa radiologist ndi endoscopist ayang'ane mbali yomwe mtengo woipa ukuyang'ana (kutsogolo kwa trachea / aorta, kapena kumbuyo kwa msana). - Ngati batire ili paliponse pakhosi: Iyenera kuchotsedwa nthawi yomweyo (moyenera mkati mwa maola 2) kudzera kusinthika kwadzidzidzi kapena kolimba esophagoscopy pansi pa anesthesia, kutsatiridwa ndi kuyang'anitsitsa kwachindunji ndi kuthirira kofooka kwa asidi (monga 0.25% wosabala acetic acid kuthirira ngati palibe kulowetsedwa kwa minofu ya perizedu) alkaline. - Ngati batire yadutsa kale m'mimba: Kuwongolera kumadalira mtundu wa batire, kukula kwake, kaya ndi mkati mwa chida chonse chothandizira kumva, ndi zizindikiro zake. Batire yaing'ono ya zinc-mpweya m'mimba mwa munthu wamkulu wopanda zizindikiro nthawi zambiri imadutsa mu thirakiti la GI pansi pa kuwunika kwa X-ray, pomwe batri yayikulu ya \(\ge\)20-mm ya lifiyamu, yothandizira kumva yonse yopitilira 20 mpaka 25 mm, batire yokhazikika m'mimba kwa > maola 48, kapena ** wodwala aliyense wakuda, wopweteka m'mimba kapena m'mimba * kubweza.

Kudya kwa Pica komanso osadya mu dementia: Kuyesa zinthu wamba zapakhomo¶

Pang'onopang'ono mpaka mochedwa matenda a Alzheimer's, vascular dementia, makamaka Frontotemporal Dementia (FTD / Pick's disease), kuwonongeka kwa lobes kutsogolo ndi temporal lobes kumayambitsa hyperorality ndi **agnosia yowoneka **: ubongo umataya mphamvu yosiyanitsa chakudya chodyedwa kuchokera ku zinthu zomwe si chakudya chotengera mawonekedwe kapena mtundu. Chovala chabuluu chochapira chimawoneka chofanana ndi maswiti olimba; piritsi loyeretsa mano limawoneka ngati antacid; botolo loyera loyera limawoneka ngati yoghurt.

Gwiritsani ntchito tebulo lazadzidzidzi la toxicology kuti muyese zinthu 8 zomwe sizili zakudya zomwe zimamezedwa ndi achikulire omwe ali ndi vuto la dementia:

Emergency Protocol 2: Zoyenera kuchita ngati galu kapena mphaka wanu atatafuna kapena kumeza chothandizira kumva kapena batire¶

Zipatala zamwadzidzidzi zimathandizira agalu zikwizikwi chaka chilichonse chifukwa chotafuna ndi kumeza zida zothandizira kumva za eni ake. Agalu amakopeka kwambiri ndi cerumen (khutu la munthu) pamakutu apulasitiki ndi machubu omveka, ndipo nthawi zambiri amalanda zothandizira kumva zokwana $3,000 pamalo ogona usiku, tebulo la khofi, kapena bedi mumasekondi.

flowchart TD
    A["Galu kapena mphaka amatafuna kapena kumeza chothandizira kumva kapena batire la batani"] --> B["Yang'anani pansi ndi pakamwa pa pet nthawi yomweyo (yang'anani zala)"]
    B --> C{"Kodi mwapeza batire ili pansi?"}
    C -->|"Inde: Battery ili pansi, zidutswa zapulasitiki zokha zikusowa"| D["Yang'anani lilime la pet / m'kamwa kuti muwone mabala; itanani Vet ponena za zidutswa zakuthwa za pulasitiki"]
    C -->|"Ayi: Battery ikusowa, kubowoka, kapena kumeza kwathunthu"| E["OSATI kulimbikitsa kusanza kunyumba (palibe hydrogen peroxide)"]
    E --> F["Yang'anani lilime la pet ndi m'kamwa kuti muwonetsetse kuti alkaline imvi kapena yoyera yapsa kapena akudontha"]
    F --> G{"Kodi chiweto chinatafuna/kubobolera kabomba ka batire mkamwa mwake?"}
    G -->|"Inde: Batire yoboola kapena kuyaka pakamwa"| H["Tsukani mkamwa mwa chiweto pang'onopang'ono ndi madzi apompo ofunda (kupendekera pansi) ndikupita kwa Emergency Vet."]
    G -->|"Ayi: Kumeza kwathunthu"| I["Pitani kwa Emergency Vet nthawi yomweyo kuti mupeze X-ray ndi endoscopic kuchotsa mkati mwa ola limodzi kapena awiri"]

Malamulo ovuta a Chowona Zanyama akamameza chothandizira kumva kapena batire¶

1. Werengani Zidutswa Pa Kapeti Choyamba: Musanachite mantha, fufuzani mosamala pa kapeti, zotsamira za sofa, ndi bedi la agalu. Nthawi zambiri, galu amaphwanya chigoba cha pulasitiki cha chipangizo chothandizira kumva kuti anyambire phula la m'khutu ndi kulavulira batire lachitsulo losalala pa kapeti. Ngati muwona batire yachitsulo ilibe mphamvu popanda mano oboola pansi, ngozi yowopsa yamagetsi / caustic imathetsedwa, ndipo muyenera kungofunsana ndi veterinarian wanu za chipolopolo cha pulasitiki chomezedwa ndi waya woonda wolandila.
2. Ngati Battery Ikusowa Kapena Kuphwanyidwa, MUSATSOGOLE KUSANZIRA Kunyumba:
3. Osatsanulira 3% ya hydrogen peroxide, mchere, kapena mpiru pammero pa galu wanu kuti asanze batire yomeza kapena chothandizira kumva.
4. Galu akamatafuna batri ya zinc-mpweya kapena alkaline, mano ake a canine nthawi zambiri ** amaboola chitsulo chachitsulo **, kutulutsa phulusa ** potaziyamu hydroxide kapena sodium hydroxide paste ** (pH 13), kapena batire yomwe ili bwino imapangitsa kuyaka kwamagetsi pakhosi. Kuchititsa kusanza kumapangitsa phala la caustic ndi mawaya akuthwa apulasitiki kubwereranso kumero ndi m'phuno, zomwe zimayambitsa kufa kwapakhosi kapena chibayo.
5. Sungani Pakamwa pa Pet Ngati Battery Yatafunidwa:
6. Yang'anani m'kamwa mwa galu wanu lilime, mkamwa, ndi denga la mkamwa. Kuyaka kwa batire yamchere koyambirira kumawoneka ngati ** imvi yotuwa, yoyera, kapena zofiira zowoneka bwino ** pa lilime limodzi ndi kudontha koopsa, kugwada pakamwa, kapena kubwebweta.
7. Ngati batire laboola mkamwa, gwiritsani ntchito baster yakukhitchini, shawa yopopera, kapena kapu kutsuka pakamwa ndi lilime la galu pang’onopang’ono ndi madzi apampopi ofunda kapena mkaka kwa mphindi 5 mpaka 10, kugwira mphuno ya galu italoza pang’ono kumunsi kuti asakomere madzi otsuka.
8. Pitani ku Chipatala Chowona Zadzidzidzi cha Maola 24 Chokhala ndi Endoscopy:
9. Imbani ASPCA Animal Poison Control Center pa 1-888-426-4435 kapena Pet Poison Helpline pa 1-855-764-7661 (ku UK, Veterinary Poisons Information Service kudzera mwa vet) mukuyendetsa ku chipatala chodzidzimutsa chowona zanyama chomwe chili ndi *flexible gastrointe.
10. Monga momwe anthu amachitira, batire yokhazikika kapena yoboola pakhosi kapena m'mimba mwa galu imafunikira ma X-ray mwachangu komanso **endoscopic retrieval pansi pa anesthesia wamba ** isanaphulike m'mimba kapena kum'mero, ndikutsatiridwa ndi veterinary sucralfate slurry, proton-pump inhibitors (omeprazole), komanso kusamalira ululu.

Momwe mungagwiritsire ntchito zothandizira kumva, mabatire, ndi mankhwala apakhomo¶

Vuto ladzidzidzi likangothetsedwa, gwiritsani ntchito njira zisanu zowongolera zakuthupi kuti munthu wamkulu yemwe ali ndi vuto la dementia (kapena chiweto chapakhomo) asathenso kupeza mabatani kapena zinthu zapoizoni:

• 1. Sinthani ku Zithandizo Zomveka Zosindikizidwanso Zosindikizidwa kapena Zitseko Za Battery Zosagwira Ntchito:
• Ngati kholo lanu likugwiritsabe ntchito mabatire a zinki-mpweya wotayidwa, imbani foni kwa dokotala wawo wa makutu lero ndikufunsani kuti abwezerenso zothandizira kumva ndi Tamper-Resistant / Childproof Locking Battery Doors (yomwe ikupezeka ku Phonak, Oticon, Starkey, Signia, ndi ReSound; amafuna chida chapadera cha pini kuti atsegule kuti wamkulu wosokonezeka kapena batire asatuluke).
• Mukasintha zida zomvera, sankhani zosindikizidwa zosindikizidwa za lithiamu-ion rechargeable zomwe zimakhala pamalo othamangitsira okhoma kunja kwa chipinda chogona cha wamkulu usiku, ndikuchotsa mapaketi otayirira a mabatani 40 m'madirowa ausiku.
• 2. Osasunga Zothandizira Kumva Kapena Mabatire Otayikira Pafupi ndi Okonza Mapiritsi:
• Sungani mabatire onse otsalira otsekeredwa mkati mwa chitetezo chamankhwala (onani wothandizira zaumoyo wapakhomo osawonetsa, kusiyidwa, kapena kuba). Osayika chothandizira kumva chochotsedwa kapena batire pa cholandirira usiku, mbale ya chakudya chamadzulo, minofu, kapena kauntala ya bafa pafupi ndi magalasi akumwera.
• 3. Zothandizira Kumva za Anchor ku Magalasi kapena Zovala Zokhala Ndi Chingwe Chosunga ("Otoclip"):
• Ikani chopepuka chidutswa chothandizira kumva ndi lanyard ya nayiloni (monga SafeNSound, Otoclip, kapena Ear Gear tether) yomwe imagwira kumbuyo kwa kolala ya malaya a wamkulu kapena mkono wapakachisi wagalasi. Ngati wamkulu atulutsa chothandizira kumva m'makutu mwawo, chimalendewera bwino kumbuyo kwa malaya awo m'malo molowa mkamwa mwawo kapena kugwera pansi kuti galu adye.
• 4. Bwezerani Zovala Zochapira ndi Ma Tablet A Denture ndi Mapampu Amadzi Otsekedwa:
• Chotsani zochapira zamitundu yonyezimira, zotsuka mbale, ndi mapiritsi otsukira mano a effervescent kubanja la dementia nthawi yomweyo. Sinthani ku chotsukira chochapira chamadzimadzi ndi sopo wa mano wamadzimadzi wosungidwa mkati mwa makabati otsekedwa ndi ana pansi pa sinki.
• 5. Zamadzi Zam'Bafa Zosungunuka Zosungunuka M'zidulo Zing'onozing'ono:
• Ngati wamkulu yemwe ali ndi vuto loyambitsa matenda a 'dementia' akaumirira kutsuka m'mano ndi kusamba m'manja mwawo pawokha, musasiye botolo la 1 lita imodzi lachabechabe kapena chotsukira m'manja pachabechabe. Siyani kabotolo laling'ono la mamililita 60 (2-ounce) lokhala ndi mutsuko wopanda mowa wa fluoride ndi sopo wa m'manja wa thovu, womwe sungayambitse poyizoni wa mowa ngati umezwa.

Mafunso omwe amafunsidwa pafupipafupi¶

Chifukwa chiyani ndiyenera kupereka uchi panjira yopita ku ER ngati wamkulu adameza batire ya batani, ndipo ndi liti pamene uchi uli wosatetezeka?¶

Uchi weniweni wamadzimadzi ndi wandiweyani komanso wopanda acidic, kotero kumeza mamililita 10 (supuni 2) mphindi 10 zilizonse kumavala batani la batri lomwe limamatira kummero, kumalepheretsa malovu kuti amalize kuzungulira kwamagetsi mokwanira, ndikuletsa caustic hydroxide kuyaka mpaka madotolo atha kuchotsa batire endoscopically. Komabe, musamapatse uchi ngati padutsa maola opitilira 12 kuchokera pamene batire linamezedwa, ngati wamkulu akutsamwa kapena akulephera kumeza bwinobwino, kapena ngati akupweteka kwambiri pachifuwa kapena kusanza magazi kusonyeza kuti kummero kwake kwabowoka kale.

Kodi mabatire ang'onoang'ono othandizira kumva a zinki ndi owopsa ngati mabatire a lifiyamu akuluakulu a 20-millimeter akamezedwa?¶

Ngakhale mabatire a lithiamu coin 20-millimeter 3-volt (monga ma cell a CR2032) ndi omwe amatha kulowa kummero ndikuwotcha minofu mkati mwa maola awiri, mabatire ang'onoang'ono a 1.45-volt zinki-mpweya wothandiza kumva akadali azachipatala kwa okalamba. Okalamba nthawi zambiri amakhala ndi mikwingwirima yokhudzana ndi ukalamba, zikwama (Zenker's diverticulum), kapena kumeza kusuntha komwe ngakhale batire laling'ono lothandizira kumva kapena chothandizira kumva chomezedwa chikhoza kutsekeka ndikuyambitsa necrosis yamagetsi amchere, motero dipatimenti Yadzidzidzi X-ray ndiyofunikira pa batire iliyonse yomwe yamezedwa.

Kodi ndingatani ngati munthu wamkulu yemwe ali ndi vuto la dementia amwa madzi oyeretsera mano osungunuka kapena akutafuna piritsi la mano?¶

Osayambitsa kusanza. Nthawi yomweyo pukutani mapiritsi aliwonse otsala m'kamwa mwa mkuluyo ndi nsalu yonyowa, nadzatsuka pakamwa pawo ndi madzi, ndipo ngati ali tcheru ndipo amatha kumeza popanda kutsokomola, amwetseni mamililita 60 mpaka 120 (2 mpaka 4 ounces) amadzi kapena mkaka kuti asungunuke ndi alkaline persulfate ndi perborate mankhwala. Imbani Poyizoni Control (1-800-222-1222 ku US, 111 ku UK) nthawi yomweyo, ndikupita ku Dipatimenti Yadzidzidzi ngati ameza piritsi losasungunuka kapena kukhala ndi ululu wapakhosi, kudontha, kutupa, kapena kusanza.

Kodi ndipatse galu wanga wa hydrogen peroxide kuti awapangitse kutaya chida chomeza kapena batire?¶

Ayi, musayambe kusanza ndi hydrogen peroxide kapena mchere ngati galu kapena mphaka atatafuna kapena kumeza chothandizira kumva kapena batire. Agalu nthawi zambiri amaboola botolo lachitsulo ndi mano, kutulutsa phala la potaziyamu hydroxide, komanso zipolopolo zapulasitiki zomwe amatafunidwa komanso mawaya olandirira amatha kung'amba kapena kuwotcha kummero pobwerera. Tsukani mkamwa mwa chiweto pang'onopang'ono ndi madzi ofunda ngati batire latafunidwa ndipo pitani kuchipatala chadzidzidzi cha maola 24 kuti mukawone ma X-ray ndi kuchotsa endoscopic.

Magwero afufuzidwa¶

• National Capital Poison Center (United States): * National Button Battery Ingestion Triage and Treatment Guideline (Pre-Hospital Honey and In-Hospital Sucralfate / Acetic Acid Irrigation Protocol) *.
• American Society for Gastrointestinal Endoscopy (ASGE) ndi European Society of Gastrointestinal Endoscopy (ESGE): Clinical Practice Guidelines on Management of Ingested Foreign Bodies, Button Batteries, Magnets, and Dental Prostheses.
• America's Poison Centers (United States, 1-800-222-1222) ndi UK National Poisons Information Service (NPIS / TOXBASE): Kusamalira Denture Cleanser, Laundry Pod, ndi Hand Sanitizer Ingestion in Older Adults.
• ASPCA Animal Poison Control Center ndi Pet Poison Helpline: Veterinary Toxicology Management of Dry Cell ndi Button Battery Ingestion in Companion Animals.

Maupangiri ogwirizana¶

• Magalasi othyoka, kutaya zothandizira kumva, kapena kumeza mano
• Kutsekereza thandizo loyamba ndi kutsekereza mpweya
• Poizoni thandizo loyamba ndi kumwa mankhwala
• Polypharmacy, medication overdose, missed doses, and pill organizer errors
• Nambala zadzidzidzi zapadziko lonse lapansi