Nasal septal hematoma

ʻO ka nasal septal hematoma kahi hōʻiliʻili o ke koko ma loko o ka septum o ka ihu. ʻO ka septum ka ʻāpana o ka ihu ma waena o nā puka ihu. Hoʻopilikia kahi ʻeha i nā kīʻaha koko i hiki i ka wai a me ke koko ke ʻohi ma lalo o ka uhi.

Hiki ke kumu ʻia ka hematoma septal e:

• He ihu haʻihaʻi
• ʻO ka hōʻeha i nā mea palupalu o kahi
• ʻOki kino
• Lawe i nā lāʻau lahilahi i ke koko

ʻOi aku ka pilikia o nā keiki ma muli o ka mānoanoa o kā lākou septum a ʻoi ka ʻili o ka hiki ke maʻalahi.

Pākuʻi ʻia paha nā ʻōuli:

• Pākuʻi i ka hanu ʻana
• ʻAsalhaʻi ihu
• ʻEha ʻeha o ka septum nasal
• Hoʻololi i ke kinona o ka ihu
• Fiva

E nānā kāu mea olakino i kou ihu e ʻike inā he pehu o ka mea ma waena o nā piko. E hoʻopili ka mea hāʻawi i ka wahi me kahi mea hoʻopili a i ʻole ka pulupulu. Inā he hematoma, e palupalu ka wahi a hiki ke kaomi ʻia i lalo. Lahilahi a paʻa ka nasal septum.

E ʻoki liʻiliʻi kāu mea hāʻawi e kahe i ke koko. E hoʻokau ʻia ka Gauze a i ʻole ka pulupulu i loko o ka ihu ma hope o ka hemo ʻana o ke koko.

E hoʻōla pono ʻoe inā mālama koke ʻia ka ʻeha.

Inā loaʻa iā ʻoe ka hematoma no ka manawa lōʻihi, hele a maʻi a ʻehaʻeha nō ia. Hiki paha iā ʻoe ke hoʻomohala i kahi abscess septal a me ke kuni.

Hiki i kahi hematoma septal i hana ʻole ʻia ke alakaʻi i kahi puka ma kahi e hoʻokaʻawale ana i nā piko, i kapa ʻia he septal perforation. Hiki i kēia ke hoʻonāukiuki i ka ihu. A i ʻole, hina paha ia wahi, a hiki i kahi hemahema o ka ihu o waho i kapa ʻia he deformity ihu noho noho.

Kāhea i kāu mea hāʻawi mai no nā ʻeha ihal e hopena ai i ka ihu a i ʻole ʻeha. E kiʻi ʻia ʻoe i ka loea, ka ihu, a me ka ʻāʻī (ENT) loea.

ʻO ka hoʻomaopopo ʻana a me ka mālama ʻana i ka pilikia ma mua e pale i nā pilikia a ʻae i ka septum e hoʻōla.

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Chiang T, Chan KH. Nā haki maka pediatric. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 190.

Haddad J, Dodhia SN. Loaʻa nā maʻi o ka ihu. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 405.

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