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魚刺卡喉喝醋塞饅頭?錯啦!


www.erchengauto.com 來源:北京青年報  日期:2019-06-12

  親朋好友聚餐,免不得邊吃邊談開懷暢飲。這時,一根兒魚刺就有可能讓談笑聲戛然而止。吃口饅頭噎一下,喝口醋泡一下,用手摳嗓子,把魚刺吐出來……飯桌上“熱心群眾”貢獻的偏方兒、高招兒,往往適得其反。
 
  大家知道如鯁在喉是很痛苦的,怎么做才是正確的呢?下面介紹9個魚刺卡喉的小知識。
 
  1.首先吃飯時要細嚼慢咽,避免談笑,尤其是小孩子,不要邊吃邊玩。
 
  2.萬一魚刺卡喉了,饅頭噎、醋泡、手摳都是不正確的,應該立即停止進食,可以頭后仰,含口水在喉嚨深部咕嚕含漱幾次或者刺激咽后壁引起嘔吐,可以將扎得不牢的魚刺吐出。
 
  3.盡量及早就醫,詳細描述魚刺扎后的感覺和部位,比如是吞咽時疼痛,還是吞咽時異物感,似針扎一樣,再比如魚刺扎的位置在喉嚨的左側、右側,還是舌頭后面正中的位置;還可以在頸部指出魚刺的位置高低,協助醫生判斷有無魚刺及魚刺的位置。
 
  4.大家注意就診科室是耳鼻咽喉科。醫生會首先檢查口咽部,看魚刺是否刺入扁桃體,這時可以深吸氣,盡量張大口,發“啊”的聲音,充分暴露咽腔,配合醫生檢查。如果惡心得明顯,可以按摩合谷穴。
 
  5.如果魚刺扎得比較深,醫生先會拉出舌頭,用間接喉鏡檢查喉咽部,這時盡量把舌頭向前下伸出,同時發“衣”的聲音。
 
  6.如果間接喉鏡檢查不滿意的時候,醫生會噴一些麻醉藥在咽喉部,然后經鼻腔或口腔導入多功能喉鏡檢查,喉鏡靈活,視野好,痛苦小,不用緊張,盡量放輕松,而且外用的麻藥劑量少,人體吸收比較少,不用擔心麻藥的毒副作用。
 
  7.如果喉鏡檢查沒看見明顯的魚刺,這時就有兩種可能,一種是沒有魚刺,僅是黏膜劃傷后出現咽部異物感、疼痛,在噴了麻藥后癥狀會消失,可以觀察,近兩日吃一些軟飯;一種是魚刺扎得比較深,可能在食道,就要進一步檢查了。
 
  8.如果喉鏡檢查未見魚刺,但吞咽時疼痛明顯,尤其是胸骨后疼痛明顯,伴有吞咽困難,就要考慮魚刺是否扎在了食道,醫生會進一步食道造影或食道鏡檢查。食道有魚刺往往都是咽喉部魚刺不當處理或延誤治療導致的為多,所以建議大家魚刺卡喉后及早就醫,不要盲目自行處理,更不要拖延就醫。
 
  9.最后強調一點就是,不管是魚刺劃傷黏膜還是魚刺卡喉取出后,近2-3天都要進食軟飯,淡鹽水漱口。
 
  文/劉芳(北京康復醫院
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