~~ CPT untuk kanak2 & bayi ~~

Jika anda ragu2 dan tidak pernah melihat cara ia dilakukan, sila rujuk dengan doktor anda terlebih dahulu ye.

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Getting Started

Chest Physical Therapy (CPT) uses a technique called percussion to loosen mucus so the patient can get it out by coughing. To avoid injury, the technique is done with a cupped hand, never a flat hand. People often think that they must hit the chest hard to loosen mucus, but this is not true. The air that is trapped in the cupped hand is what hits the chest wall and shakes the mucus loose.

Before you begin doing percussions, there are a few ground rules you should know:

• Never percuss over bare skin. Have the patient wear a t-shirt or place a thin piece of cloth between his or her skin and your hand.
• Never percuss directly over the shoulder blade, collar bone, spine, breast bone, or breasts.
• Place a towel under the child's face to protect your clothing from any mucus coughed up during the treatment.
• Chest percussion should not hurt. If it does, you are not doing it correctly and should stop and reposition to avoid injury.

When performing percussion, the following technique should be used:

• Place the cupped hand in the proper section of the patient's chest.
• Keep the wrist anchored on the chest. Bend at the wrist as you move the hand quickly and firmly up and down in a tapping motion. This should make a loud hollow sound, not a slapping sound.
• Continue for 3 to 5 minutes, then have the patient breathe deeply and cough for a minute or two before moving to the next section. The child hould always be sitting upright during the coughing and deep breathing portion of CPT.

Clearing the Back Of the Right Upper Lobe

The first thing you need to do is clear the mucus out of the upper lobes of the lungs to make room for mucus in the lower lobes to pass through. It doesn't really matter which side you do first, but for the purposes of these instructions we will start with the right upper lobe.

• Place the child facing you on your lap, resting his or her head on your right shoulder as if giving you a hug.
• Place your cupped hand on the right side of the child's bacnnnh between the shoulder blade and the top of the shoulder. Begin percussions as described in step one.
• Sit the child upright and ask him or her to cough and deep breathe.

Clearing the Back Of the Left Upper Lobe

Now move the child to your left shoulder and repeat the percussions on the left side of his or her back.

Sit the child upright and ask him or her to cough and deep breathe.

Clearing the Front Of the Right Upper Lobe

Next, turn the child around on your lap so he or she is facing away from you with arms above his or her head.

• Place cupped hand on the right side of the child's chest, between the collar bone and nipple.
• Begin percussions, then sit the child upright and ask him or her to cough and deep breathe.

Clearing the Front Of the Left Upper Lobe

Reposition your child as you did in the previous step and repeat the percussions on the left side of the chest between the collar bone and nipple.

Again, sit the child up and ask him or her to deep breathe and cough.

Clearing the Side Of the Right Lower Lobes

Now that you have made some space in the upper lobes of the lungs, it is time to start clearing out the lower lobes. In this example, we will begin with the right side.

• Lay the child facing you across your lap on his or her left side.
• Place your cupped hand on the side of the child's ribcage below his or her underarm
• Percuss, then sit the child upright and ask him or her to deep breathe and cough. 

Clearing the Side Of the Left Lower Lobe

Turn the child around on your lap so he or she is still facing you, but laying on his or her right side.

• Percuss on the left side of the ribcage just as you did on the right side.
• Remember to sit the child upright and ask him or her to deep breathe and cough. 

Clearing the Back Of the Lower Lobes

Turn the child so he or she is laying face down horizontally across your lap.

• Place your cupped hand on one side of the child's back, toward the bottom of the ribcage.
• Percuss and allow the child to cough if needed.
• Keeping the child in the same position, repeat percussions on the other side of his or her back

·         Once again, sit the child upright and ask him or her to cough and deep breathe.

Clearing the Front Of the Lower Lobes

The last section of the lungs to be cleared is the front of the lower lobes.

• Place the child on his or her back lengthwise on your lap, feet toward you and head at your knees. His or her head should hang slightly over the edge but remain fully supported.
• Place your cupped hand on one side of the child's chest just below the nipple area.
• Percuss, sit the child up and allow him or her to cough and deep breathe. 
• Resume the same position and repeat on the other side of his or her chest.

Clearing It All Out

Over the last 30 minutes or so, you have hopefully loosened up a lot of mucus with CPT. You've been having the child bring some of it up by coughing and deep breathing after each lung section percussed. Now, the final step is to try to get rid of the rest of the loosened mucus that may be lurking around.

• Sit the child up at a 90 degree angle on your lap.
• Put your arm around the child's chest and have him or her lean over it slightly.
• Ask the child to deep breathe and cough until no more mucus comes up

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Elakkan melakukan CPT selepas makan atau menyusu. Seeloknya ia dilakukan di awal pagi dan sebelum tidur. Moga perkongsian ini memberi manfaat.  

Sumber : http://ummitiqah.blogspot.com/search/label/Chest%20Physical%20Therapy%20Untuk%20Kanak-Kanak%20dan%20Bayi%20Bawah%205%20Tahun