Treatment me te āwhina tuatahi mō ngā epistaxis

I roto i te ora ia rā, e kore e nohinohi te nosebleeds me taea tupu hei pakeke, me te tamaiti. I para tuatahi, ko reira tītohunga tino te kinokore, engari i roto i te meka kia taea te ongo'i he māuiuitanga nui. He fehangahangai ki tenei āhuatanga, he nui te reira ki te mohio he aha e āwhina tuatahi mō epistaxis kia hoatu ki te manawanui, no te mea he tino kino tenei ahua, a i roto i ētahi wā te ora-te whakawehi.

Overview

He huru pathological i roto i e tu i roto i te toto whitinga nasal, ka karanga epitaksisom. He āhuatanga noa nui, ka taea e tupu te reira i i tetahi tau.

Ki te he onge patua, tūroro tata kore e haere ki te tākuta me te aukati i te tikanga improvised nosebleeds. Nga take, āwhina tuatahi, ka rerekē ngā tikanga maimoatanga ka puta pinepine relapses ki te pakaruhanga toto nui, me te meinga ino o te hauora.

Take o epistaxis

Tohatoha take rohe, me te whānui o nosebleeds.

Ko te take rohe ngā:

• whētuki o te ihu (whati, whara).
• Neoplasms i roto i te kōhao nasal (polyps, pukupuku).
• huringa Dystrophic (curvature pātaki, ma'i taahiraa Rhinitis atrophic).
• Burns nasal kōhao o ngā etiology.
• Ko te maroke o te kiriuhi nasal.
• mate Tuhinga (adenoids i roto i ngā tamariki, pakohu kakā).

take Common:

• Ko te hua koi (takawhita) me te tukupu pēhanga toto (hypotension).
• Pukā o te tinana, rangiroro i te rā.
• mate Cardiovascular, ngā pūnaha haematopoietic.
• tākihi māuiuitanga me te ate.
• huringa hormonal (hapūtanga, tīmatanga o te waipara i roto i ngā kōtiro).
• mahi tinana.
• Anemia.
• Whiwhi i te tinana ke i roto i te ihu (ina koa i roto i te kōhungahunga).

Ahakoa te meka i te māuiuitanga, ko te nuinga o veteki runga ona ake (ki te awhina o whawhe motuhake), kia hoatu āwhina tuatahi mō epistaxis i roto i tetahi take. He mea tika ki te rave i te reira, no te taea ki te mate toto kihai i meinga ino o te āhua whānui o te hauora.

Nosebleeds: Momo

I roto i te mahi hauora, wehewehe nosebleeds i te wahi o te wāhi, kaha me te roanga. I roto i te 90% o te wā kiia hoki māuiuitanga rohe Kisselbaha (pātaki mārōrō ki plexus iaia). I tenei wāhi, e tata ki te mata nga oko. e kore he tino taua toto, me te, notemea kahore ati ki te ora.

I e pakaru te hoki o te localization o oko nui, tukua he nui nui o te toto e. kia tonu, me te kawea ki waho e te tohunga āwhina Tuatahi mō epistaxis i roto i tenei take. toto mutu kaha i runga i to ratou ake ko tata e taea.

E ai ki te kaha, me te rōrahi o te mate toto e he nunui:

• nosebleeds iti - haere ki waho i te ino korerotia i roto i te āhua o te manawanui o ngā tohu hauora. ngaro te reira ki te torutoru milliliters o toto, e kore te mea e te ora whakawehi.
• Toharite (āhua) nosebleeds - te manawanui kia ite ahuatanga, te putanga o te tinnitus, puta kiri koma. ngaro te reira e pā ana ki 15% o te toto (300 ml).
• Kaha (kaha) nosebleeds - āwhina tuatahi ki te manawanui i roto i tenei take, kia whakaratohia tonu. Ka taea e te toto mate e ki runga ki te 1 rita. Ko reira mahi wehe, ki hemorrhagic ru, mate o mahara, he hekenga koi i roto i te pēhanga toto.

tātaringa

A, no te tono mo te mātanga takuta e tauturu i te rangahau tuatahi me ngā uiuinga ki te tūroro. I te tahi taime te whakaputa i te tātaritanga rerekëtanga i roto i te tikanga ki te wehewehe i te epistaxis pūkahukahu pekitīlia ranei.

Hei whakatau i te momo o te māuiuitanga tākuta whakatakoto rhinoscopy (endoscopy nasal). ka tirotiro tukanga te puna o te toto, te tango i te rauemi ki te tātari, te whakaputa wawaotanga microsurgical. he tika X-ray i roto i te wā o te whati whakapae.

He aha te toto i te ihu i roto i ngā tamariki?

Ko te take tino noa o nosebleeds i roto i ngā tamariki - kino ki te kōhao nasal. puta tino maha, ka kato tona ihu tenei, engari ka taea e hoki puta i muri i te kupu ahanoa ke (wahi iti o taonga tākaro, pātene). kia āwhina Tuatahi mo te nosebleed kia whakaratohia ki te tamaiti i roto i te wā.

I roto i te taiohitanga, kua waiho i raro i te tinana ki te pikaunga teitei (mātauranga, ā-tinana, psycho-aronganui) huringa me hormonal, e taea meinga hoki te whanaketanga o te māuiuitanga.

āwhina Tuatahi hoki te nosebleed: he hātepe o ngā mahi

I roto i te āwhina i te manawanui ki epistaxis me piri ki te ture e whai ake nei:

• kia fakapapau'i te manawanui. te oaoa aronganui, manukanuka hua auau ngakau, i roto i te tahuri faarahi mate toto. He mea nui ki te manawa te taurite me te hohonu.
• Hei hoatu i te tūranga tika. Ko te manawanui ko te torona e minaminatia, paku tahoro i tou matenga mua. Kei te tino riria ana te reira ki te maka hoki tona matenga hoki! I roto i tenei tūranga, ka taka te toto ki roto ki te kopu, e taea meinga ruaki. piko atu Head, ka taea e koe te aroturuki i te nui o toto ngaro.
• Neke i te taha o te ihu ki o koutou maihao. Te reira e tauturu ki te rawhi oko.
• Āpiti te rohe makariri i runga i te ihu (hukapapa haurangi papanga i roto i te te wai matao).
• Maturuturu ki te mau irava nasal pata vasoconstrictive ( "Naphthyzinum", "Farmazolin").
• E tomo swabs miro i roto i te ihu. meatia tenei i roto i te wā o te toto whakapae ranei hoki, ki te kahore koutou e tono i te mehua runga ake. No te hua pai, nana swabs ki te otinga o te hauwai.

he tika āwhina tuatahi motuhake, ki te mutu koe i te reira e koe mo te 20 meneti e kore e taea ki te epistaxis. I roto i tenei take, kia karanga te manawanui (whakahauanga) mo te waka tūroro.

mehua whakatūpato

Manawanui ki te epistaxis kore e taea te whakatakotoria. Ka whakanui i anake tenei āhuatanga i te rere o te toto e taea te tomo i te pūkahukahu pū kai ranei. Kei te araia ano te reira ki te whakatangi i tana ihu ki te wewete i te whitinga nasal i clots toto. Tenei ka arahi ki te matao o te thrombus me rebleeding.

e kore he rerekē i taua o ngā pakeke āwhina Tuatahi mō epistaxis i roto i ngā tamariki, engari e hiahia ana ngā mātua ki te fakafekau'aki te mahi o te tamaiti. Ki te te take o te māuiuitanga, ko te ki te patua te ahanoa ke, kua rāhuitia te reira ki te tiki i runga i to ratou ake. atu i taea e tetahi taua whawhe tūkino te mata mucosal me te whakapiki ake i toto.

A, no te whakamahia ki te mutu toto whakapuru, kia nana te reira ki te hauwai, i mua i te tango i i te ihu. Toia te ūkuia maroke kia tūkino i te katinga toto, a ka haere ano te toto.

kia tukinotia tohutohu Medical ki auau auau o nasal toto. Hoki tohu he emesis ki te toto i roto i te manawanui, te pēhanga toto tiketike, aroaro o pathologies pa ana te hanganga me te upoo- toto, whētuki o te ihu, he nui mate toto.

Me pēhea te ki te hamani?

I roto i ngā take kino, whakaatu reira he āwhina tuatahi motuhake. A, no te nasal toto e pumau neke atu i te 20 meneti, titau hohipera te manawanui. Ka Drug therapy e whiriwhiri e te rata rite ki te momo o te māuiuitanga. kia whakahaerea e te werohia intramuscular (i.v.) ranei waha āpiha Hemostatic.

Whakanuia upoo- toto :

• "Dicynonum" (konutai etamzilat) - tangohia i roto i te puka o papa e whakahaeretia ana e werohia ranei. hua te reira i pānga hemostatic tere, me te e kore e meinga nui ake upoo-, e hanga ana e ia taea ki te whakamahi i te reira mo te wa roa (whakaritea e te tākuta).
• Konupūmā pūhaumāota - whakaritea te ki te whakarei ake i te mahi o te raau taero hemostatic. whai wāhi te reira ki te whakapai ake o te contractility iaia.
• waikawa Aminokopronovaya - te whakaiti i te uruhanga iaia, me te ārai i te tukanga o thinners toto. Pâmuhia, engari te mea etahi contraindications.
• "Vikasol" - he tairitenga o te huaora K, kua tohua hoki te raruraru o te upoo- toto.

Ka taea e koe te mahi i runga i te raruraru ki te awhina o tohutao rongoā tuku iho. Plants pērā i putea, Ongaonga, yarrow o hepara i āhuatanga hemostatic.

tikanga hāparapara

I roto i te wā onge, ka kore e hoatu e hua pai, pokanga kua whakaatatia te āwhina tuatahi mō epistaxis me therapy tarukino. Ko te tohanga māmā hāparapara mutu toto i te kōhao nasal he mata moxibustion mucosal (coagulation) taiaho, hiko, ultrasound, wai hauota matū motuhake (hiriwa pākawa otinga, ranei waikawa trichloroacetic).

Tei runga i te pakeke me te auau o te epistaxis hohokitanga kia tautapa he werohanga i raro i te nasal mucosal mata "Lidocaine" ranei "Novocain" ligation o oko toto.