Nosebleed

ʻO ka nosebleed ka nalowale o ke koko mai ka nāʻaʻa e uhi ana i ka ihu. Kū pinepine ke kahe ʻana i hoʻokahi puka ihu wale nō.

Kūleʻa nui nā nosebleeds. Loaʻa ka hapa nui o nā nosebleed ma muli o nā hoʻonāukiuki liʻiliʻi a i ʻole ke anuanu.

Loaʻa i ka ihu nā kīʻaha koko liʻiliʻi i kahe maʻalahi. Hiki i ka ea e neʻe ana i ka ihu ke hoʻomaloʻo a hoʻonāukiuki i nā membrane e uhi ana i ka loko o ka ihu. Hiki i nā pāpaʻi ke hana i ke kahe ke hoʻonāukiuki ʻia. Kū pinepine nā Nosebleeds i ka hoʻoilo, ke maʻa mau nā anuanu anuanu a maloʻo ka ea o loko.

ʻO ka hapa nui o nā nosebleeds ma mua o ka nasal septum. ʻO kēia ka ʻāpana o ka mea i hoʻokaʻawale i nā ʻaoʻao ʻelua o ka ihu. Hiki ke maʻalahi kēia ʻano nosebleed no kahi ʻoihana hoʻomaʻamaʻa e kū. ʻOi aku ka pinepine, hiki i nā nosebleeds ke kiʻekiʻe ma luna o ka septum a hohonu paha i ka ihu e like me nā sinus a i ʻole ke kumu o ka iwi poʻo. ʻOi aku ka paʻakikī o ka mālama ʻana o nā ihu. Eia nō naʻe, ʻaʻohe hiki ke hoʻoweliweli i ka ihu.

Hiki ke kumu ʻia ʻo Nosebleed e:

• ʻO ka huhū ma muli o nā maʻi āpau, ke anuanu, ka ʻū ʻana a i ʻole nā ​​pilikia sinus
• He anu anuanu a maloʻo paha
• Pā ikaika loa i ka ihu, a ʻohiʻohi paha i ka ihu
• Ka hōʻeha i ka ihu, me ka ihu haki, a i ʻole kekahi mea i paʻa i ka ihu
• Sinus a pituitary ʻoki kino (transsphenoidal)
• Septum Deviated
• Nā mea hoʻowahāwahā kemika me nā lāʻau a i ʻole nā ​​lāʻau i pīpī ʻia a i ʻū ʻia paha
• Overuse o decongestant nasal sprays
• ʻO ka mālama ʻana i ka oxygen ma o nā canal nasal

ʻO nā ihu ihu hou he hōʻailona paha o kekahi maʻi ʻē aʻe e like me ke koko kiʻekiʻe, kahi maʻi koko, a me kahi tumo o ka ihu a me nā lawehala. ʻO nā mea lahilahi o ke koko, e like me warfarin (Coumadin), clopidogrel (Plavix), a i ʻole aspirin, ke kumu a hoʻomake paha i nā nosebleeds.

E hoʻokū i kahi nosebleed:

• Noho i lalo a ʻūlū mālie i ka ʻāpana palupalu o ka ihu ma waena o kou manamana nui a me kou manamana lima (i pani ʻia nā puka ihu) no 10 mau minuke piha.
• Lean i mua e hōʻole i ke ale ʻana i ke koko a hanu i loko o kou waha.
• E kali ma kahi o 10 mau minuke ma mua o ka nānā ʻana inā ua kū ke kahe. E ʻae e hāʻawi i ka manawa kūpono no ka pau ʻana o ke kahe.

Hiki ke kōkua i ka hoʻopili ʻana i nā kaomi anuanu a i ʻole ka hau ma ke alahaka o ka ihu. Mai ʻūlū i ka ʻaoʻao o ka ihu me ka ʻeka.

ʻAʻole e koi ʻia ka moe ʻana i lalo me ka nosebleed. Pono ʻoe e hōʻalo i ka honi ʻana a i ʻole ka puhi ʻana i kou ihu no mau hola ma hope o ka nosebleed. Inā mau ke kahe ʻana, hiki ke hoʻohana ʻia kahi decongestant ʻehu nasal (Afrin, Neo-Synephrine) i kekahi manawa e pani i nā moku liʻiliʻi a kāohi i ke kahe.

Nā mea hiki iā ʻoe ke pale aku i nā nosebleeds pinepine:

• E mālama i ka home me ke anuanu a hoʻohana i kahi vaporizer e hoʻohui i ka wai i loko o ka ea.
• E hoʻohana i ka ʻehu saline ihu a me ka jelly hiki ke hoʻoheheʻe ʻia e ka wai (e like me ka Ayr gel) e pale ai i ka uhi ʻana o ka ihu i ka hoʻoilo.

E mālama i nā pilikia pilikia inā:

• ʻAʻole kū ka holo ʻana ma hope o 20 mau minuke.
• Kū ka ihu ihu ma hope o ka hōʻeha poʻo. Hōʻike paha kēia i ka haʻi iwi poʻo, a lawe ʻia nā kukuna x.
• Ua haki paha kou ihu (ʻo kahi laʻana, kekeke ke nānā aku ma hope o kahi kuʻi i ka ihu a i ʻole nā ​​ʻeha ʻē aʻe).
• Ke lawe nei ʻoe i nā lāʻau e pale aku ai i kou koko mai ka hoʻopili ʻana (nā mea lahilahi o ke koko).
• He mau ihu kou i ka wā i hala e pono ai ka mālama loea e mālama ai.

Kāhea i kāu kahu mālama ola inā:

• Loaʻa iā ʻoe a ʻo kāu keiki paha nā ihu ihu pinepine
• ʻAʻole pili nā Nosebleeds me ke anuanu a i ʻole nā ​​mea hoʻonāukiuki liʻiliʻi ʻē aʻe
• Hana nā Nosebleeds ma hope o ka sinus a me nā ʻoki ʻē aʻe

E hana ka mea hāʻawi i kahi hoʻokolohua kino. I kekahi mau hihia, e nānā ʻia ʻoe no nā ʻōuli a me nā ʻōuli o ke kaomi haʻahaʻa o ka nalowale ʻana o ke koko, i kapa ʻia hoʻi me ka haʻalulu hypovolemic (kākaʻikahi kēia).

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• Helu piha koko
• Nasal endoscopy (ninaninau ʻana o ka ihu me ka hoʻohana ʻana i ka pahupaʻikiʻi)
• Nā ana manawa thromboplastin hapa
• Ka manawa Prothrombin (PT)
• CT scan o ka ihu a me nā sinus

E hoʻokumu ʻia ke ʻano o ka lāʻau i ke kumu o ka nosebleed. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Ka mālama ʻana i ke kaomi koko
• ʻO ka pani ʻana i ka ipu koko me ka hoʻohana ʻana i ka lāʻau, ka uila, a i ʻole nā ​​koʻokoʻo nitrate kālā
• Pahu ihu
• Ke hōʻemi nei i ka ihu haʻihaʻi a i ʻole ka wehe ʻana i kahi kino haole
• ʻO ka hōʻemi ʻana i ka nui o nā lāʻau ʻoi aku ke koko a i ʻole ke kū ʻana i ka aspirin
• Mālama i nā pilikia e mālama i kou koko mai ka hoʻopili ʻana maʻamau

Pono paha ʻoe e ʻike i ka pepeiao, ihu, a me ka puʻu (ENT, otolaryngologist) loea no nā hoʻokolohua hou a me ka mālama ʻana.

Kahe mai ka ihu; Epistaxis

• Nosebleed
• Nosebleed

ʻO Pfaff JA, Moore GP. ʻĀtolaryngology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 62.

Kahu S.Ka mālama ʻana i ka epistaxis. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 205.

Simmen DB, Jones NS. Epistaxis. 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 42.