Nosebleed i ke keiki

He aha ke koko ihu o ke keiki

ʻO ka nosebleeds ke kahe ʻana o ke koko mai ka ihu, kahi i hana ʻia i ka wā i poino ai ka paia vascular. I kēia hihia, he ʻulaʻula ke koko a kahe i waho i nā kulu a i ʻole ke kahawai. Hiki ke hoʻoweliweli ʻia ke koko nui. 

ʻElua ʻano o ka nosebleeds i nā keiki: 

• Front. Mai ka mua o ka ihu, ma ka ʻaoʻao hoʻokahi wale nō. I ka manawa pinepine, kahe ka ihu o ke keiki ma muli o ke ea maloʻo o ka lumi. ʻO ka hopena, ʻike ʻia ka dehydration o ka mucosa a ʻike ʻia nā māwae i ka membrane nasal.

• Back. ʻO ia ka mea pōʻino loa, no ka mea, ʻike ʻia ma muli o ka uhaki ʻana i ka pono o nā moku nui. He mea paʻakikī loa ke hoʻōki i ke koko, pono koke ʻoe e kāhea i kahi ambulance. Loaʻa me ka piʻi nui ʻana a i ʻole ka ʻeha. ʻO kēia ʻano koko ihu o nā keiki he pilikia nui ia i ka ʻōpū hanu, no ka mea hiki ke hoʻoulu i ka manaʻo a me ka make koke.

Nā kumu o ka ihu koko i nā keiki

Kauka Elena Pisareva E hōʻike ana i kekahi mau kumu o ka nosebleeds i loko o kahi keiki: 

• ʻO ka nāwaliwali a me kaʻeha i nā moku o ka nasal mucosa. ʻO kēia ka 90% o nā kahe koko a pau i nā keiki. Mai ka puka ihu hoʻokahi, ʻaʻole ikaika, hiki ke kū iā ia iho a ʻaʻole pilikia.
• ʻO nā ʻano maʻi ENT like ʻole: mucosal polyps, deviated septum, anomalies o nā moku mucosa nasal, nā loli atrophic i ka mucosa ma muli o ka pathology maʻi a i ʻole ka hoʻohana lōʻihi ʻana o nā hāʻule vasoconstrictor.
• Trauma - mai ka ʻohi ʻana i ka ihu a i ka haʻi ʻana o nā iwi o ka ihu; 
• Kino haole - mea pāʻani liʻiliʻi, ʻeke, etc.
• Hoʻonui ke koko.
• Hematological pathologies (hoʻemi i ka helu o nā platelets, nele i nā kumu coagulation, etc.).

Ka mālama ʻana i nā koko ihu i nā keiki

E like me ka mea i ʻōlelo ʻia ma luna, ʻo ke koko i nā keiki i ka hapa nui o nā hihia e hoʻōki koke a ʻaʻole koi i ke kōkua olakino. Akā i ka 10% o nā hihia, ʻaʻole hiki ke hoʻopau i ke koko ma kāna iho. Pono e kāhea koke ʻia nā kauka inā loaʻa ʻole ke keiki i ke koko koko (hemophilia); nalo ke keiki, maule, ua haawiia ke keiki i na laau e hoemi ke koko. Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe: 

• ka hooweliweli o ka nui o ke koko;
• ka manaʻo kānalua no ka haki ʻana o ka iwi poʻo (ke kahe ka wai maʻemaʻe me ke koko);
• ka luaʻi ʻana me ke koko (e pōʻino paha i ka esophagus, ventricle) a i ʻole ke kahe ʻana o ke koko me ka huʻa. 

Ma hope o ka hoʻokolokolo a me nā haʻawina, e kuhikuhi ke kauka i ka mālama ʻana i ke koko mai ka ihu o ke keiki. 

lapaʻau '

ʻAʻole paʻakikī ka ʻike ʻana i ka nosebleed i ke keiki. Hana ʻia ka ʻike ma ke kumu o nā hoʻopiʻi a me kahi hoʻokolokolo maʻamau e hoʻohana ana i ka pharyngoscopy a i ʻole rhinoscopy. 

- Inā hele mau ke koko, a laila pono ke nānā ʻia. E hele i kahi ho'āʻo koko maʻi, kahi coagulogram, e kipa i ka pediatrician a me ke kauka ENT, wahi a Elena Pisareva.

No ka ʻike ʻana i ke kumu kūpono o ka nosebleeds i loko o kahi keiki, nā kauka, i ka hoʻohui ʻana i ke koko maʻamau a me nā hōʻike mimi, coagulograms, kuhikuhi i nā ʻano noiʻi hou aʻe: 

• nā diagnostics ultrasound o nā kino o loko;
• electrocardiography;
• ka nānā ʻana i ka x-ray o ka nasal sinuses a me ka cranial cavity;
• ʻO ka helu helu helu a me ke kiʻi hoʻohālikelike magnetic o nā sinuses. 

Nā hoʻoponopono

ʻO kekahi o nā ala kūpono o ka mālama ʻana мlāʻau lapaʻau. I kēia hihia, kuhikuhi ka pediatrician i nā lāʻau e kōkua i ka hōʻemi ʻana i ka fragility a me ka permeability. I ka hihia o ke koko nui e hoʻi hou i kēlā me kēia manawa, hiki i ke kauka ke kuhikuhi i nā huahana koko - platelet mass a me ka plasma hau hou. 

Conservative ano puke: 

• ka hana ʻana i ka tamponade mua - ʻo ke ʻano o ka hoʻokomo ʻana i kahi gauze swab i hoʻomaʻemaʻe ʻia me ka hydrogen peroxide a i ʻole hemostatics i loko o ka lua ihu.
• ke alakaʻi ʻana i ka tamponade hope - huki ʻia ka tampon me ka catheter rubber mai ka ihu a i ka choanae a hoʻopaʻa ʻia me nā kaula i wehe ʻia mai ka ihu a me ka waha.
• i ka like me ka tamponade, ua kuhikuhi ʻia ka hoʻohana ʻana i nā lāʻau hemostatic. 

Inā ʻaʻole i loaʻa nā hopena conservative, hiki ke hoʻohana i nā ʻano hana o ka mālama ʻana - electrocoagulation, cryocoagulation, radio wave method, laser coagulation. 

Ka pale ʻana i ke koko mai ka ihu i ke keiki ma ka home

I ʻole e kahe ke koko mai ka ihu o ke keiki, he mea nui e lawe i kekahi mau mea pale e kōkua ai i ka hoʻoikaika ʻana i nā kīʻaha koko: 

• humidification o ka ea i loko o ka lumi. Pono nā mākua e kūʻai i kahi humidifier i loko o ka nursery a i loko o ka lumi kahi e noho pinepine ai ke keiki. 
• lawe ʻana i nā mea hoʻohui huaora. ʻAʻole pono ʻoe e koho a kūʻai i nā huaora iā ʻoe iho, e ʻae ka pediatrician e kuhikuhi i nā lāʻau lapaʻau.
• ka hoʻohana ʻana i nā mea kanu hou, nā huaʻai, nā iʻa, nā huahana waiu, nā hua citrus. Pono ke keiki i ka ʻai kaulike a me ke olakino; 
• ka pale ʻana i nā ʻeha o ka ihu a me ke poʻo.
• pale i ka ʻai ʻana i nā meaʻai hiki ke hoʻoheheʻe ʻia ke koko: nā ʻāpala, nā tōmato, nā kukama, nā strawberries, nā currants. ʻO kēia mea nui no nā keiki e kū nei i ka maʻi.
• ʻO ka lawe ʻana i nā lāʻau lapaʻau e hiki ai ke hoʻoikaika i ka pale ʻana o ke keiki a hoʻomaʻemaʻe i ka mucosa ihu, pili pono kēia i nā keiki maʻi i nā allergies a me ke anu pinepine. Eia hou, pono ʻoe e nīnau i ke kauka ma mua o ka lawe ʻana.
• ʻO ke keiki, ʻoi aku ka mea e ʻike pinepine i ka ihu, pono e pale i nā haʻuki koʻikoʻi, a me ke koʻikoʻi koʻikoʻi. 

Nā nīnau a me nā pane kaulana

pane keiki keiki ʻo Elena Pisareva.