ÇOCUKLARDA YABANCI CİSİM YUTULMASINDA BÜYÜK TEHLİKE: PİLLER

Yıl 2020, Cilt: 29 Sayı: 2, 144 - 148, 25.09.2020

Sebahat Altundağ , Zehra Çalışkan

https://doi.org/10.34108/eujhs.641121

Öz

Çocuklar gelişim özellikleri ve merakları nedeniyle yabancı cisimleri ve oyuncakları ağızlarına götürmeye eğilimlidirler ve bazen onları yutabilirler. Teknolojik aletlerin ve oyuncakların artması ile birlikte pillerin çocuklar tarafından yutulma sıklığının da arttığı bildirilmektedir. Bu derlemede amaç, çocuklarda yabancı cisim yutulmasında büyük bir tehlike olarak görülen pillerin yutulmasının çocukların sağlığı üzerine olumsuz etkilerini incelemek, eğitim/danışmanlık ile gerekli önlemlerin alınabileceğini ve kaza sıklığının azalabileceğine dikkat çekmektir. Yapılan çalışmalarda kaza ile yutulan pillerin; özofagustan trakea ve aorta kadar uzanan yaralanmalara, kanamalara neden olduğu, kostik özofageal yaralanma, mediastinit, trakeoözofagial fistül, özofagusperforasyonu, özofagus darlığı, trakealstenoz gibi komplikasyonlara hatta ölüme neden olduğu bildirilmiştir. Sonuç olarak, çocukların kaza ile pil yutmasının acil müdahale gerektirdiği aksi halde ölümcül komplikasyonlara yol açabildiği görülmektedir. Çocukların pil yutmasına karşı önlem almak için, ebeveynler ve çocuğa bakan kişiler, pil yutulması sonucu gelişebilen tehlikeler hakkında bilgilendirilmeli, yapılacak ev ziyaretleri ile ev ortamını kazalara karşı güvenli hale getirebilmeleri konusunda farkındalıklarının arttırılması gerekmektedir. 

Anahtar Kelimeler

çocuk, ev kazaları, yabancı cisim yutma, alkalin pil, disk pil

BIG DANGEROUS FOR FOREIGN BODY INGESTION IN CHILDREN: BATTERIES

Öz

Children tend to take foreign objects and toys in their mouths and could swallow them because of their developmental characteristics and curiosity. The frequency of children’s swallowing battery is said to have increased in parallel to increasing technological materials and toys. Objective of this review is to investigate negative effects of swallowing batteries as big dangerous in children, emphasize that required measures could be taken by education/consultation and frequency of this accident could decrease. It is suggested that swallowed batteries could cause injuries from esophagus to trachea and aorta, and some complications such as bleeding, caustic esophageal injuries, mediastinitis, trachea-esophageal fistula, esophagus perforation, esophageal stenos and tracheal stenos even deaths. It is seen that an intense follow-up and emergency intervention are needed for children swallowing battery accidently Otherwise, it could cause fatal complications. For taking measures, parents and other caregivers for children should be educated about hazards of swallowing batteries and their awareness of safe home environment for home accident should be raised. 

Anahtar Kelimeler

Child, home accidents, foreign body, ingestion, alkali battery, disk battery

Kaynakça

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