Lapaau a me ka mua kōkua no epistaxis

I ka maʻamau o ke ola, nosebleeds i ole uncommon a me ka hiki ke hana me ka makua a me ke keiki. Ma mua kilohi, ia mea loa hewa ole kŰia, akā, ma ka mea e pono e ikeia mea pathology. ʻalo i keia kulana, ia mea nui i ka ike i ka mua kōkua no epistaxis e e haawiia i ke ahonui, no ka mea, kēia moku'āina mea pilikia loa, a ma kekahi hihia ke ola-na olelo hooweliweli au.

Overview

A pathological ano ma i ku mai, mai ka nasal ala koko, i kapaia o epitaksisom. A kŰia, he pono ole lawa, ka mea hiki ke hana ma kekahi mau makahiki.

Inā ho'āhewa wale i pohihihi keia, e hoomanawanui i aneane mai e hele i ke kauka, a improvised mea ana nosebleeds. Ke kumu, mua kōkua, lapaʻau epekema E oko a ka wā relapses me ka hemorrhage nui i hoʻomaka ai pinepine, a i mea hōʻemi o ke ola.

Kumu o epistaxis

Līkaia kūloko a mau kumu o nosebleeds.

Ka i nā kumu loaʻa:

• trauma o ka ihu (fracture, eha).
• Neoplasms ma ka nasal lua (polyps, hikoko).
• Dystrophic loli (curvature septum, maʻi atrophic rhinitis anu u).
• Burns nasal lua o na etiology.
• Ke dryness o ka nasal membranes.
• ENT maʻi (adenoids i loko o na keiki, sinusitis).

Common kumu:

• I ka oi mahuahua (hypertension) a hakumakuma ke koko, (hypotension).
• Overheating o ke kino, sunstroke.
• Mea'ōnaehana mānowai koko maʻi, haematopoietic nenoai.
• Pathology hakuʻala a me ka akepaʻa.
• Hormonal loli (hāpai keiki, hookahi o menses ma kaikamahine).
• Helu ha awina.
• Anemia.
• Kaniak kekahi haole kino i loko o ka ihu (oi loa aku hoi ma ka kamaliʻi).

I loko nō o ka mea i ka pathology mea IeAUPIIe, IAa IO ka noonoo ana ma luna o kona iho (me ke kōkua o kekahi manipulation), mua kōkua no epistaxis e e haawiia ma kekahi hihia. He kupono e hana ia e like me ka hikiwawe e loaa ana i ke koko poho i ole i mea hōʻemi o ka mau moku'āina o ke ola.

Nosebleeds: Kind

I ka 'inikua hana, maopopo nosebleeds ma ka wahi o ka wahi, pinepine' a me ka lōʻihi like 'ole. I ka 90% o ka hihia hoike no ka pathology Kisselbaha ciia (anterior septum me vascular plexus). Ma kēia wahi, i nā kīʻaha e kokoke ana i ka ili honua. Oia kahe ana ke koko mea e mālama nui, a posesʻaʻohe pilikia i ke ola.

Ma ke kua o ka IIeEeAIEUAA o ka moku nui i poino, he nui nui o ke koko e hookuu. First kōkua no ka epistaxis ma keia hihia e e koke, a lawe mai ma ka hoʻomalu. Mālama nui ana, kahe ana ke koko ma luna o ko lākou mau meaʻaneʻane hikiʻole.

E like me ka nui a me ka leo o ke koko poho e kilakila:

• Hōʻemi iki nosebleeds - hele me ka haʻi mea hōʻemi i loko o ke ahonui o ka moku'āina o ke ola kino symptoms. Ua lilo i kekahi mau pono o ke koko, i mea ole ke ola mau olelo hooweliweli.
• Ka (lōpū) nosebleeds - ka hoʻomanawanui i haha malaise, i ka muli o tinnitus, akaka haikea ili. Ua nalowale ma kahi o 15% o ke koko (300 ml).
• Ikaika (mālama nui) nosebleeds - mua kōkua i ka hoʻomanawanui i loko o keia hihia, e hāʻawi koke. Koko poho hiki e mai ai i 1 hano. He fraught me hemorrhagic kŰia, lilo o ka ike paka i, he nihinihi emi i loko o ke koko,.

lapaʻau '

I ka wa ana no ka palapala hōʻoia no 'inikua hoʻomalu, e kōkua iniiaiie anamanaʻo a me ka ninaninau' ana a me nā mea maʻi. I kekahi manawa, paka i ka differentiatedʻike, ma ka mea iʻike mai pulmonary epistaxis paha gastric.

E kau i ke 'ano o ka pathology kauka prescribes rhinoscopy (nasal endoscopy). Ke Kaʻina Hana, e noiʻi ana i ka kumu o ke kahe ana ke koko, lawe i ka mea e kālailai, paka microsurgical uao ai '. X-Ray mea pono ma ka hihia o kēia fracture.

No ke aha la e kahe ana ke koko mai ka ihu i loko o nā keiki?

Ka loa, he pono ole kumu o nosebleeds i keiki - pōʻino i ka nasal lua. Keia ia lŘlŘ loa ka wā lalau aku i kona ihu pinepine, akā, hiki no hoi i hoʻomaka ai ma hope o ka haole mea ka hili (māhele uuku o toys, pihi). First kōkua no ka nosebleed E e hāʻawi i ke keiki i ka manawa.

Ma adolescence, i ke kino ua hoolilo i ka kiʻekiʻe wahie, (hoʻonaʻauao, physical, psycho-mea naʻau) a me ka hormonal loli, a hiki no hoi i ka ulu ana o ka pathology.

First kōkua no ka nosebleed: he algorithm o ka hana

I kōkua i ka hoʻomanawanui me epistaxis e hoopili aku i ka keia mau rula:

• Ke hoomanawanui E e reassured. Mea naʻau pīhoihoi, uunu nui māhuahua naʻau ana, a ma ka huli maoli he koko me keia poho. ʻO lawa e hanu kōā kaulike, a nui iho la ia.
• E haawi aku i ka pololei kulana. Ke hoomanawanui mea kupono e noho ai, iki ek'ki i kou poo i mua. Ua Ua pololei papaia e hoʻolei hoʻi i kona poʻo hoʻi! Ma keia kulana, e haule iho i ke koko i loko o ka'ōpū, a hiki i ka luaʻi. Head hoolena aku, e ke kanaka hoʻoponopono i ke dala o ke koko nalowale.
• Pahu i ka aoao o ka ihu a me ko oukou mau manamanalima. Kēia, e kōkua i ka mea'ūmiʻi moku.
• Hoʻopili aku i ka anu māhele'āina ma luna o ka ihu (hauʻona nō lole i ka wai huihui).
• Drip i loko o ka nasal ala vasoconstrictive kulu ( "Naphthyzinum", "Farmazolin").
• E komo ae pulupulu swabs i loko o ka ihu. He ua hana ia ma na hihia o kēia kahe ana ke koko 'ole hoʻi, ināʻoe e ole pili i ka luna ana. No ka pane pololei, swabs pulu loa i ka pāʻoihana o ka hydrogen peroxide.

Hana kūikawā mua kōkua mea pono, ina e hooki ia e oe no 20 minuke mea,ʻaʻole e hiki i epistaxis. Ma keia hihia, ke hoʻomanawanui e kahea (OAXA) no ka ambulance.

precautionary ana

Hoomanawanui me ka epistaxis hiki ole e waiho. Kēia kahua e wale hoʻonui i ka hookuuia ana o ke koko i ke komo i ka ia maʻiʻaʻai a esophagus. Ua ua i papaia e puhi i kona ihu e noa ai ka nasal āhua ma ke koko clots. Kēia, e alakai i ka anaʻe o ka thrombus a me ka rebleeding.

First kōkua no ka epistaxis i keiki mea i okoa mai ia o nā mākua, akā, na makua pono, e i kahi kūlike i ka hana o ke keiki. Inā i ke kumu o ka pathology mea e ku i ka haole e hoopii mai ai, ka mea, ua papa ia e kiʻi ma luna o lākou iho. I kekahi o ia manipulation hiki no hoi hanaʻino i ka mucosal 'ilikai a me ka hoonui kahe ana ke koko.

Wā hoʻohana kahe ana ke koko tampon e ana, ka mea e e pulu loa me ka hydrogen peroxide, ma mua wehe mai o nā puka ihu. Huki i ka swab maloo e hanaʻino i ke koko clot a me ke koko, e hele hou.

Lapaʻau aʻo E e hana me ka pinepine recurrences o nasal kahe ana ke koko. I nāʻikepili i emesis me ke koko i loko o ka hoomanawanui, kiʻekiʻe ke koko, imua o pathologies ka heluna i ke kahua a me ke koko clotting, trauma o ka ihu, he nui ke koko me keia poho.

Pehea e hana?

I loa hoopii, e hōʻike i ka hana kūikawā mua kōkua. I ka nasal kahe ana ke koko i mau oi ma mua o 20 minuke, i ka hoʻomanawanui pono hospitalization. Uluwehi O Inc e e koho ia e ke kahuna lapaau e like me ke 'ano o ka pathology. Hemostatic konohiki paha e lawelawe ma ka intramuscular ka pahu kui (i.v.) a hōʻike waha.

E hoomahuahua oe i ke koko clotting :

• "Dicynonum" (paʻakai etamzilat) - ia i loko o ka palapala o ka papa a lawelawe ma ka pahu kui. Ua produces kokololio hemostatic keia, a 'aʻole i loa clotting, aʻo ka mea e hiki ai ke hana ia no ka lōʻihi manawa (i hoakaka ia ma kekahi kauka).
• Kalipuna koloriside - ua hoonohoia e ka hōʻoi 'i ka hana o hemostatic ai'. Ua ka poʻea pau i ka hana o vascular contractility.
• Aminokopronovayaʻakika - ho'ēmi i kā ka vascular permeability a me ka paleʻana i ke kaʻina o ke koko thinners. Intravenously, akā, e loaʻa kekahi contraindications.
• "Vikasol" - he Analog o ka wikamina K, ua hōʻike no nā pilikia o ke koko clotting.

Oe ke hana ma luna o ka pilikia a me ke kōkua o nā loina lapaau ideas. Mea kanu e like me ke kahu hipa i ka aa kala, paʻapū, yarrow i hemostatic waiwai.

ʻoki lāʻau lapaʻau ki ina hana like

Ma pohihihi keia hihia, i ka wa a ka mea mua kōkua no nā epistaxis a me ka lāʻau Inc 'aʻole e hāʻawi' oluʻolu hualoaʻa, kahaki ii kaʻoki kino. Ke simplest e auaaeaiea surgically hooki ke koko mai ka lua nasal mea moxibustion mucosal 'ilikai (coagulation) kukuna, uila, ultrasound, kinowai naikokene a kūikawā' ona (kālā nitrate pāʻoihana, trichloroaceticʻakika).

Ke kaumaha ma muli o ka oolea a me ka alapine (frequency) o epistaxis recurrence i hoʻokohu 'ia i ka pahu kui ma lalo o ka nasal mucosal' ilikai "Lidocaine" a me "Novocain" ligation o na moku koko.