Causes And Solutions For Choking In The Elderly

According to statistics, the rate of death due to choking in the elderly (NCT) is quite high and up to 1/3 of deaths due to choking and "unjust death" because of misdiagnosis is acute myocardial infarction !
While the magnitude and frequency of this functional impairment is common in almost all older persons, studies in this area are few and for delicate reasons, are rarely mentioned. in the community.
Impaired swallowing ability in the elderly
In NCT's complaints about health, it is mostly related to the function of the digestive system - from appetite, absorption and digestion to excretion.
But in terms of functional devices and danger level, it is difficult to swallow and choke in the elderly is a serious concern and should be widespread. Along with aging, the narrowing of the mucosa of the gastrointestinal tract increases, leading to a decrease in most of the reception functions of the digestive organs

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The epithelial wall of the oral mucosa becomes thinner as you age. NCT's gums shrink, increasing the ability of the tooth to change. NCT's chewing ability is worse, even when their teeth are still intact
Therefore, the EL kept the liquid and solid foods in the mouth longer and they swallowed larger pieces of food.



The coordination of swallowing activities of the elderly is poor, increasing the risk of mistakenly swallowing sugar, especially with older persons fitted dentures or when eating fast, inattention.
Swallowing and choking movements
Swallowing begins with an arbitrary phase (mouth phase), the food ball is pushed back to the throat. The tablet stimulates sensory receptors: the mouth - throat triggers an involuntary phase (pharyngeal phase and esophagus), also known as swallowing reflex.
The swallowing reflex is a complex of actions that both push food through the throat to the esophagus and prevent food from falling into the airway. Choking is a symptom that occurs when swallowing, food is blocked in the throat or esophagus, manifested by difficulty swallowing or sudden shortness of breath, severe coughing.
Choking can occur at any age, but is most common in older persons. When swallowing food, the coordination of NCT's throat functions often loses its rhythmic control, making the food easily fall into the windpipe causing coughing and choking
On the other hand, the swallowing reflex of the esophageal sphincter in NCT is very slow, even 'inert'.



They are just a little absent-minded, thinking or eating fast, eat quickly, swallow large pieces of food will be very easy to block food in the narrow segment of the esophagus due to physiology or pathology.
The symptoms
Choking food can cause a blockage in the throat, esophagus, trachea or both. If food clogs the esophagus, eating suddenly feels hard to swallow, tries to swallow, hiccups stop vomiting.
The piece of food will move into the trachea by reflex, the glottis opening. At this time, people choking or choking, speechless, difficult breathing depending on the level, may choke.
If food obstructs the airway, the choking person suddenly has difficulty breathing, his face is purple and purple, he is lethargic and hiccup. If not managed promptly and satisfactorily, in just a few minutes, this serious, acute hypoxia will lead to death.
The emergency management methods
Because the airway is blocked, breathing oxygen through the nose and throat is not helpful.



Need emergency on the spot, enlist every moment, clear the airway, and call everyone, the doctor to help.
Where choking still awake. Let the victim sit down, leaning slightly forward. Encourage them to cough hard. When coughing, it creates airflow that pushes food out of the airway or at least creates an opening for breathing. The rescuers stood at the back, banging hard on the back with four elbows between the shoulder blades.
If the situation allows, the ambulance standing behind, let the victim slightly bent forward, hugging the victim's abdomen, hands locked tightly, using his thumb to squeeze the abdomen more than 4 times in the direction up to the victim's mouth. Do several times to push the food through the trachea, the glottis, or make an opening to restore respiratory function.




If the victim is unconscious. Lie on your side. The emergency respondent put down the victim's face with one finger, on the one hand, hit the elbow with four fingers on the back between the shoulder blades.
The second way, for the victim to lie on his back, with his head tilted back, the emergency responders tighten his elbows (possibly with his hands intertwined) into the victim's abdomen, pushing 4 inwards and upwards. The goal is still to create airflow from the lungs, pushing out the blockage, creating airway.
The victim choked on solid, sticky, sticky food. Choking of solid, sticky food such as drift cakes, cakes ..



. in addition to the above-mentioned emergency methods, the victim must lie on his side, using two fingers to hook or clamp the stuck food. Just spleen the gap can hold the victim's life.
I have tried everything but still cannot save the victim
The chest must be actively pressed for artificial respiration: let the victim lie on his back on the floor (on a hard floor), the ambulance kneels down, hold the victim's hands on the victim's chest and lift up over the shoulder, doing continuity.
When the congestion cannot be solved, a large needle must be inserted into the trachea, about 1cm above the neck, to open the airway and maintain..

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