ʻO ke kahe ʻana mai ka ihu, a i ʻole epistaxis, kahi hana maʻamau a maʻalahi pinepine hoʻi. Eia nō naʻe, i kekahi mau hihia, hiki i ka ihu kahe ke hōʻailona i kahi pilikia olakino koʻikoʻi. Kūkākūkā pono ʻia kahi kūkākūkā kūkākūkā i ka hihia o nā ihu ihu mau a hoʻomau paha.

Pepeiao ihu: he aha ka epistaxis?

ʻO Epistaxis ka wā olakino no ka nosebleed. Hoʻohālikelike ʻia ia e ke kahe o ke koko mai nā ihu ihu.

I nā hihia hea ʻoe e hopohopo?

I ka hapanui o nā hihia, loaʻa i ka ihu kahe ʻana he mea maikaʻi a ʻano pōkole hoʻi. Eia nō naʻe, i kekahi mau hihia, hiki i ka epistaxis ke hōʻailona o kahi pilikia olakino koʻikoʻi. Hiki i kekahi o nā hōʻailona ke makaʻala, e like me ka hoʻomau a i ʻole nā ​​ihu ihu hou.

Pono epistaxis, ka hihia maʻamau o nā nosebleeds

Ma 60% o nā hihia, ʻōlelo ʻia ka epistaxis he mea nui. ʻO ka Benign a me ka manawa kuʻuna, ʻo ka nosebleed ma muli o ka haki o nā capillaries o ke koko ma ka pae o ka vascular spot, kahi o ka hoʻololi ʻana o nā ʻōnaehana arterial o ka nasal fossa.

Hoʻokumu pinepine ʻia ka epistaxis nui e ka fragility vascular i hiki ke hoʻokumu ʻia a hoʻokūkū ʻia paha e:

• wehe lā ;
• he hooikaika kino ;
• ʻōniu kau ʻole.

Kūleʻa kēia mau kumu i nā keiki me nā ihu ihu. Loaʻa lākou i nā ʻōpio a me nā ʻōpio makua. Hiki i kahi nosebleed ke hana i nā poʻe ʻelemākule.

Pepeiao ihu: he aha nā kumu kūpono ʻē aʻe?

ʻOiai ʻo ka epistaxis nui ka ʻano maʻamau o ka nosebleed, aia kekahi me nā kumu like ʻole. I kēia hihia, ʻo ke kahe ka hopena o ka hopena ma ke ʻano o ka maʻi a i ʻole ka maʻi. Hiki i ka epistaxis ke loaʻa i kahi kumu kūloko a i ʻole laulā ʻia.

Hiki i kahi nosebleed ke loaʻa i kahi kumu kūloko ke pili ia:

• he hōʻeha ;
• aat i, e like me ka rhinitis a i ʻole sinusitis, i hiki ke hopena ʻia e kahi maʻi ENT;
• he tumo, benign a malignant paha, i hiki ke localized i nā wahi like ʻole o ka nasal cavities.

Hiki i kahi nosebleed ke loaʻa kahi kumu ākea ke hopena ia o kahi maʻi maʻi e like me:

• kahypertension ;
• a maʻi hemorrhagic i hoʻokumu ʻia e thrombositopenia a thrombopathy paha, e lawe ana i kekahi mau lāʻau, haemophilia, a i ʻole kekahi ʻano purpura;
• a maʻi kīnā e like me Rendu-Osler maʻi a i ʻole ruptured intracavernous carotid aneurysm.

Hiki i kahi nosebleed ke hōʻike iā ia iho i nā ʻano like ʻole. Hiki iā ia ke:

• ʻoi aku a ʻoi paha ka nui, mai ke kulu maʻalahi i ka kahe lohi;
• unilateral a bilateral paha, ke hana 'ana ma ka puka ihu hoʻokahi a i' ole nā ​​puka ihu 'elua i ka manawa like;
• i kekahi manawa a i ʻole pinepine ;
• kuewa a mau paha.

ʻOiai maʻa mau ka nosebleed, aia kekahi mau hōʻailona e pono e makaʻala iā ʻoe e kaupalena i ka pilikia o kahi pilikia. Paipai ʻia nā ʻōlelo aʻoaʻo lapaʻau inā kahe nui ka ihu, hoʻomau a pinepine pinepine paha. Pēlā nō ia inā pili ka nosebleed me nā ʻōuli ʻē aʻe e like me pallor, nāwaliwali a i ʻole tachycardia.

Pepeiao ihu: he aha ka hana inā he ihu kou?

I ka hanana o ka nosebleed, pono ia e:

• E noho, inā hiki, ma kahi noho mālie;
• mai hoʻoluli i kou poʻo i hope e pale aku i ke kahe o ke koko i ka ʻāʻī;
• puhi i kou ihu e pakele i ke koko (s) i hana paha i loko o nā ihu;
• palena i ke kahe o ke koko ma o ka ihu me ka hoʻohana ʻana i ka hainaka a i ʻole ka pulupulu, no ka laʻana;
• kaomi i ka ʻeheu o ka ihu no 10 mau minuke e hoʻōki i ke kahe ʻana o ke koko.

Ma waho aʻe o kēia mau ana, hiki ke hoʻohana ʻia kekahi mau huahana, e like me nā pad hemostatic, e kōkua i ka hoʻōki ʻana i ke koko.

Kaheʻe ihu: i ka manawa e nīnau ai?

Inā, me nā ana āpau e kāohi ai i ke kahe ʻana, hoʻomau ka hoʻokuʻu ʻana, pono ka ʻōlelo aʻoaʻo lapaʻau. Paipai ʻia kahi kūkākūkā kūkā inā he nui loa ke kahe ʻana o ke kahe, hana hou ʻia a hele pū ʻia me nā ʻōuli ʻē aʻe.

Ma hope o ka pau ʻana o ke kahe ʻana o ke koko, hana ʻia paha kekahi mau loiloi lāʻau e hoʻomaopopo ai i ke kumu o ka epistaxis. I ka manaʻo mua, a hōʻike ORL hana ʻia e ʻike ai i kahi kumu kūloko. Kaukaʻi ʻia i nā hopena i loaʻa, pono paha kahi loiloi olakino laulā.

ʻO ka mālama ʻana no glomerulonephritis hilinaʻi ʻia i kona kumu a me kāna papa.

Ma ke ʻano he lālani mua, kau pinepine ʻia ka lāʻau lāʻau i wahi e hōʻemi ai i nā hōʻailona a me ka palena o ka pilikia o nā pilikia. Kauoha pinepine kahi ʻoihana mālama ola:

• antihypertensives e kaohi i ke kahe o ke koko a me ka palena i ke kiʻekiʻe o ke koko, kahi hōʻailona maʻamau o glomerulonephritis;
• nā diuretics e hoʻonui i ka puka mimi a me ke alapine o ka urination.

Hiki ke kuhikuhi ʻia nā lāʻau ʻē aʻe e mālama i ke kumu o ka glomerulonephritis. Kaukaʻi ʻia i ka ʻike, hiki i ka ʻoihana olakino, ʻo kahi laʻana, kuhikuhi:

• antibiotics, ʻoi loa i nā hihia o ka glomerulonephritis post-streptococcal, e hoʻōki i kahi maʻi i nā puʻupaʻa;
• ʻO nā corticosteroids a me nā immunosuppressants, keu hoʻi i nā hihia o ka lupus glomerulonephritis, e hoʻēmi i ka pane pale.

Ma waho o ka lāʻau lapaʻau, hiki ke hoʻokō ʻia kahi papaʻai kikoʻī i ka hihia o glomerulonephritis. Pau kēia papaʻai i ka protein a me ka sodium, a hele pū me ka kaohi o ka nui o ka wai i lawe ʻia.

Ke kiʻekiʻe ka hopena o ke kōpaʻa ʻole, hoʻohana ʻia paha ka dialysis e hōʻoia i ka hana kānana o nā puʻupaʻa. I nā ʻano koʻikoʻi loa, e noʻonoʻo ʻia kahi transplant kidney.