Treatment uye rwekutanga epistaxis

Muupenyu hwezuva nezuva, nosebleeds vari zvakajairika uye zvinogona kuitika sezvo akura uye mwana. Pakutanga, zviri zvachose chisingakuvadzi chakajairika, asi chaizvoizvo zvakanaka vanogona akanzwa zvakakomba zvokurwara. Atarisana nemamiriro ezvinhu, zvakakosha kuziva kuti chii rubatsiro kuti epistaxis wokutanga kunofanira kupiwa murwere, nekuti mamiriro ichi ngozi chaizvo, uye dzimwe nguva upenyu pangozi.

tsananguro

A pathological ezvinhu umo inomira kubva nasal ndima ropa, inonzi epitaksisom. A Chiitiko zvakajairika zvakakwana, rinogona kuitika chero zera.

Kana kurwiswa hadziwanzowaniki, varwere vanenge regai kuenda chiremba uye kugadzirwa zvinoreva kurega nosebleeds. Zvikonzero, rubatsiro rwekutanga, kurapwa nzira achasiyana kana zvazvo huru ropa kuitika kakawanda uye kukonzera kuderera utano.

Zvinokonzera epistaxis

Govera omunharaunda uye mukuru zvinokonzera nosebleeds.

The vemo zvinokonzera dzinosanganisira:

• kunotevera mhino (nokutyora, kukuvara).
• Neoplasms ari nasal mhango (polyps, anomera).
• Dystrophic kuchinja (curvature septum, chisingaperi atrophic rhinitis danho).
• Burns nasal mhango -siyana etiology.
• The kuoma of nasal membranes.
• Pfava zvirwere (adenoids kuvana, sinusitis).

Common zvikonzero:

• The unopinza kuwedzera (neBP) uye BP (hypotension).
• Overheating rwomuviri, sunstroke.
• Zvemwoyo, haematopoietic gadziriro.
• Zvokurwara itsvo uye chiropa.
• Kuchinja kwemakemikari omuviri (pamuviri, kutanga varikutsika vari vasikana).
• basa rinoda.
• Kupererwa neropa.
• Kuwana imwe muviri mumhino (zvikurukuru vaduku).

Pasinei nokuti zvokurwara rinowanzova inotsidza mumwoyo pamusoro yayo (uchibatsirwa wakananga evanhu), rubatsiro nokuti epistaxis yokutanga inofanira kupiwa mhosva. Zvinokurudzirwa kuzviita nokukurumidza sezvinobvira kuti kurasikirwa neropa hazvina kukonzera kuparara mukuru wehurumende utano.

Nosebleeds: Types

In okurapa, kusiyanisa nosebleeds kunzvimbo nzvimbo, zvikuru uye nguva. Muna 90% nyaya chakaita kuti zvokurwara Kisselbaha mapazi (Anterior septum pamwe vascular plexus). Panguva iyi, nemidziyo pedyo pemvura. ropa kwakadaro haisi nyanyisa uye kunoisawo hapana ngozi kuupenyu.

At seri localization rwengarava huru wakaremara, inokosha mari ropa asunungurwa. rubatsiro First nokuti epistaxis mune iyi inofanira kuva nokukurumidza uye kuitwa unyanzvi. Ndichibvunza vanorega ropa pachavo kutonetsa.

Maererano kusimba uye bhuku kurasikirwa neropa Munokudzwa:

• Zvishomanana nosebleeds - inopfuura pasina raidudzwa kudzikira mune murwere mamiriro utano zviratidzo. It akarasikirwa mishoma milliliters ropa, iro harisi upenyu pangozi.
• Avhareji (mwero) nosebleeds - murwere vanganzwa zvakawanda zvive, kuti kwaita tinnitus, rinowanika ganda akacheneruka. It vakarasikirwa vanenge 15% ropa (300 Rine mamiririta).
• Strong (nyanyisa) nosebleeds - rubatsiro yokutanga murwere iyi, inofanira akapa pakarepo. kurasikirwa ropa zvinogona kusvika 1 fő. It hwakazara Hemorrhagic kuvhunduka, kurasikirwa pfungwa, rakapinza kuderera BP.

Diagnostics

Kana kushandisa kuti anokwanisa chiremba kuchabatsira zvikuru kuongorora uye kubvunzurudza nevarwere. Dzimwe nguva pave kusiyaniswa chirwere kuti kusiyanisa kubva pulmonary epistaxis kana gastric.

Kuziva mhando zvokurwara chiremba prescribes rhinoscopy (nasal endoscopy). Procedure kuchaita kuongorora panobva kubuda kweropa, tora mashoko kuongorora, kubereka microsurgical kupindira. X-ray zvinokosha vanenge vanofungidzirwa kutsemuka.

Nei ropa mumhuno vana?

The inonyanya kukonzera nosebleeds muvana - kuvadza nasal mhango. Izvi zvinoitika kazhinji kana kunhonga mhino yake, asi kunogonawo kuitika pashure yokumwe chinhu Hits (diki zvikamu matoyi, mabhatani). chinobatsira kuti nosebleed First inofanira kupiwa kuti mwana nenguva.

Munguva yokuyaruka, muviri pasi kumusoro mitoro (dzidzo, utano, psycho-mupfungwa) uye kuchinja kwemakemikari omuviri, izvo zvinogona kukonzera kukura zvokurwara.

rubatsiro First kuti nosebleed: ane algorithm yezviito

Pakubatsira murwere epistaxis vanofanira kuomerera mitemo zvinotevera:

• Murwere anofanira kuudzwa. Emotional kufara, mwoyo kuwedzera kwemwoyo, izvo zvinozoita kunowedzera nokurasikirwa neropa. Zviri zvakakwana kufema zvakaenzana uye zvikuru.
• Kupa yakarurama nzvimbo. The murwere chigaro chinodiwa, zvishoma kuteura musoro wako mberi. Zvinonzi zvaisambobvumirwa kudzingira musana musoro wake shure! Panzvimbo ino, ropa achawira mudumbu, izvo zvinogona kukonzera kurutsa. Head Akakunga mberi, unogona kuongorora uwandu ropa akarasika.
• Kusundira panhivi mhino neminwe yenyu. Izvi zvichabatsira kuti chinosimudzira midziyo.
• Batanidza Cold nharaunda pamusoro mhino (chando zvakakangwa jira mumvura inotonhora).
• Kuchadonha munzvimbo nasal nendima vasoconstrictive Madonhwe ( "Naphthyzinum", "Farmazolin").
• Enter donje swabs mumhino. Izvi zvinoitwa vanenge vanofungidzirwa ropa kana shure kana musingadi kushandisa pamusoro matanho. Nokuti migumisiro yakanakisisa, swabs wetted pamwe kugadzirisa rehydrogen peroxide.

Specialised rubatsiro rwekutanga zvakakodzera, kana iwe kuamisa woga kwemaminitsi 20 hakusi zvinogoneka epistaxis. Panyaya iyi, murwere vanofanira kumudana (fanira) kuti amburenzi.

matanho okudzivirira

Murefu epistaxis haagoni dziteyiwe. Izvi zvichaita chete kuwedzera chokubuda ropa anogona kupinda mumapapu kana yegurokuro. Zvinonzi zvakare rambidzwa kuridza mhino yake pakusunungura nasal ndima kubudikidza ropa. Izvi zvichaita kuti zororo iri thrombus uye rebleeding.

chinobatsira kuti epistaxis mune vana First hakusi akasiyana vakura, asi vabereki vanofanira kutungamirira zviito mwana. Kana mhaka zvokurwara ndiko kuti varove yavamwe chinhu, izvozvo hakubvumidzwi kuti pachavo. Chero kuchinja kwakadaro kwaigona mberi kukuvadza mucosal nomumativi kuwedzera ropa.

Kana kushandiswa kurega ropa tampon, zvinofanira wetted pamwe hydrogen peroxide, asati kubvisa kubva kwemhino. Kudhonza nhungirwa swab anogona kukuvadza ropa clot uye ropa vachaenda zvakare.

zano Medical vanofanira kubatwa kakawanda recurrences ose nasal ropa. Uyewo zvinoratidza emesis neropa murwere, BP, kuvapo pathologies kukanganisa paumbwe uye kweropa, kunotevera mhino, hombe ropa kurasikirwa.

How kurapa?

In chakakomba kacho anoratidza unyanzvi rubatsiro rwekutanga. Kana nasal ropa kunotora maminitsi anopfuura 20, murwere kunoda muchipatara. Drug mushonga vachasarudzwa nachiremba maererano mhando zvokurwara. Hemostatic yomuchipatara anogona kutarisirwa intramuscular jekiseni (i.v.) kana nomuromo.

Kuwedzera ropa pakugwamba :

• "Dicynonum" (sodium etamzilat) - kubatwa muchimiro mahwendefa kana kutarisirwa jekiseni. It unobereka nokukurumidza hemostatic kushanda uye haakonzeri rakawedzera pakugwamba, izvo zvinoita kuti tikwanise kurishandisa kwenguva refu (ushandiswe nachiremba).
• Karusiyamu chloride - anosarudzwa kuti kuwedzera kuitwa hemostatic zvinodhaka. Zvinoita kuti kuvandudzika pamusoro vascular contractility.
• Aminokopronovaya asidhi - kunoderedza vascular permeability uye ichivharira muitiro ropa thinners. Nomutsinga, asi ine zvimwe contraindications.
• "Vikasol" - ane analoginen vhitamini K, inoratidzwa kuti zvinetso kweropa.

Unogona kushanda dambudziko achibatsirwa zvetsika mushonga Quick. Plants akadai romufudzi chikwama, yorukato, yarrow vane hemostatic ehupfumi.

zvomusejari nzira

Mune zvisingawanzoitiki zviitiko, kana rubatsiro kuti epistaxis uye zvinodhaka kurapa wokutanga haapi yakanaka, mifananidzo kuvhiya. The nyore yavaive surgically kumisa ropa kubva nasal mhango ndiyo moxibustion mucosal pamusoro (coagulation) Laser, magetsi, Ultrasound, mvura senitrogen kana chinokosha zvinhu (sirivha nitrate mhinduro, trichloroacetic acid).

Zvichienderana kwokuomerwa uye kakawanda epistaxis dzokororo anogona kunan'anura imwe jekiseni pasi nasal mucosal pamusoro "Lidocaine" kana "Novocain" ligation rwengarava ropa.