Izimbangela umongozima e abadala usizo lokuqala

Izimbangela umongozima e abadala zingase zihluke. Ukukhomba kubo ngokuqinisekile, kutuswa ukuba kudokotela futhi ahlolwe wezokwelapha. Uma ngeke ngokushesha afike esibhedlela ke ukuthola kwezimbangela eziyinhloko umongozima e abadala unga kusukela sihloko ukuzithoba.

ulwazi olujwayelekile

Epistaxis (kubangela omdala uzobe kuchazwe kancane ngezansi), kanye ngopha emakhaleni kukhona imiqondo eduze kodwa hhayi lesilingana. Ukuze uthole ukuthi yini umehluko phakathi kwalezi izinqubo sokugembula, sizobe ichaze ngamunye wabo:

1. Umongozima. Lokhu kwenzeka lapho imithambo yegazi evela ingaphakathi acinene futhi sinuses paranasal futhi nasopharynx. Ngokuvamile, le nqubo kungenxa ukwephulwa yobuqotho babo.
2. Ngopha emakhaleni. Ezimweni eziningi, isimo okungavamile ezifana kwenzeka umonakalo elingenhla acinene ingaphakathi izindonga. Ngamanye amazwi, ephukile ubuqotho semithambo, okuyinto ahlelwe ugebhezi.

imithombo ukopha

Umongozima e abadala kanye nezingane kungaba emithonjeni ehlukene. Ngakho, ngokuvamile igazi livela ipheshana zokuphefumula, emphinjeni ngisho esiswini. Ezimweni ezinjalo, agelezela ingaphakathi acinene ngokusebenzisa choanae okuthiwa, okusho ukuvuleka yangaphakathi ukuthi ukuxhuma ingaphakathi acinene nomphimbo.

Konke umongozima e abadala nezingane akwaziwa ngisho odokotela ikhono elitheni, ngoba ulwelwesi lwamafinyila yomzimba ngenkuthalo enikeziwe ngegazi, njengoba inenethiwekhi omkhulu kwegazi, Welukwa imithambo yegazi amancane ama-capillary.

Ngokwezibalo, avame epistaxis yansukuzonke ebonisa ukuthuthukiswa izifo ezingathi sína kwababhemayo. Nakuba lokhu zokugula ungahlangana futhi abantu empeleni abaphile saka bobudala obungefani.

Umongozima: Izimbangela

Izimbangela epistaxis e abadala nezingane zihlukaniswe zendawo jikelele. Ukuze uqonde ihluke kanjani abantu babo bonke ubudala, sicabanga ngokuningiliziwe.

izingane

Ulwelwesi lwamafinyila we ikhala ingane ngempela obucayi, ngoba kwalimala kalula. liningi igazi layo khona, lunikezelwa umnikezeli amagatsha Umthambo carotid. Ngo-90% amacala ezinganeni opha kuyinto capillary elincane okungadingeki engxenyeni Antero-kuthathelwe ukwahlukanisa entsha ye umgodi lapho, eqinisweni, kukhona udaba wegazi zone ngokwethukela okubhekiselwe endaweni Kisselbaha.

Esengumntwana, ngaphezu izimbangela jikelele kanye endawo epistaxis, asezindaweni ezikude kanye nabantu abangaphandle. Lezi zihlanganisa mucosal ukulimala semithambo:

• nomzimba angaphandle (isib izinkinobho ipea, ipensela, ithoyizi izingxenye nokunye.);
• ngenkathi ngiphakamisa ekhaleni lakhe.

izimbangela wendawo

Izimbangela wendawo ngopha emakhaleni ezincane zihlanganisa:

• rhinitis atrophic;
• ekulimazeni ekhaleni, kanye contusions noma waphuka;
• isimila imiBhalo acinene (hemangiomas, angiofibroma noma polyp);
• iphele Ulwelwesi lwamangqamuzana ngalo ingaphakathi acinene okuholela capillary fragility (nge kokuhlala isikhathi eside ekamelweni unventilated futhi kushisa kakhulu).

izimbangela ezivamile

izimbangela ezivamile umongozima izingane ezincane kufanele zihlelwe njengokulandelayo:

• ukwandisa izinga lokushisa isidumbu sengane;
• izifo ezithathelwanayo (isb, SARS, scarlet fever, Umkhuhlane nokunye.);
• izifo igazi ayephuli coagulation yayo;
• waqinisa intracranial noma igazi;
• isifo sesibindi;
• izifo lezinceku (isib hemophilia);
• ukuzikhandla ngokomzimba ngokweqile (ngesikhathi umsebenzi, imidlalo, njll);
• ukushintsha kwama-hormone;
• yokuntuleka izakhi mkhondo ezithile namavithamini emzimbeni;
• okweqile kwelanga, kanye abukhali ingcindezi iconsi (umfutho womoya).

intsha

Ukopha kusuka ekhaleni - ingozi uphawu uma lokhu ukuphambuka kwenzeka kaningi kakhulu ephelezelwa ikhanda kanye nezinye izinhlungu.

Kufanele kuqashelwe ukuthi izimbangela jikelele kanye lendawo umongozima e intsha kuyafana izingane ezincane. Kodwa ngokuvamile, lokhu ukuphambuka lihlotshaniswa umzimba ukushintsha kwama-hormone wengane (ukuthomba).

Ngaphezu kwalokho, igazi emakhaleni kwentombazane kungaba ageleze njalo ngenxa yegazi anda futhi ingcindezi intracranial ngenxa ngokweqile ukucindezeleka psycho-ngokomzwelo noma ngokomzimba. Ngamanye amazwi, ukukhathala - lokhu ikhona yini imbangela Cishe iningi ukopha izingane iminyaka 12-16 ubudala.

abantu abadala

Yini ebangela umongozima e abadala? Babuye ihlukaniswe zendawo jikelele. By the way, ngeminyaka, lokhu kwenzeka ezingasho njalo. Cabanga kabanzi, ngawo kungase kuhlotshaniswe.

Ubangela wendawo

izimbangela endawo umongozima e abadala kungase kube kanje:

• oyingozi noma ezingamahlalakhona (okuthiwa atrophic) rhinitis ;
• zokukhwabanisa yezokwelapha noma kuhlinzwa (isib intubation nasogastric, sinuses lubhoboze, Endoscopy nokunye.);
• imizimba angaphandle amavesi acinene (isib Ukubhoboza), imidwebo ebusweni, njll.;
• ukulimala, ukulimala noma waphuka ikhala;
• ugobile septum acinene umgodi;
• ingozi (isb, hemangiomas, ama-polyp, futhi angiofibroma);
• ukusha (chemical, ezishisayo noma ngemisebe);
• isimila esibulalayo;
• umkhuba othile omubi, okuyinto ekuthatheni ekhaleni lakho.

Izizathu jikelele

Yini enye kungabangela umongozima? Izimbangela e abadala (jikelele) ngokuvamile zimi kanje:

• yokuphazamiseka igazi coagulation uhlelo neziyaluyalu zalo (isib wegazi) futhi oluhambisana diathesis;
• ukuntuleka kwamavithamini K no C emzimbeni, i-calcium ukuntula;
• iziyaluyalu azalwa naso (isib Osler-Rendu isifo, hemophilia);
• zokugula we isimiso semithambo yegazi (isb, umfutho ophakeme wegazi, izifo zenhliziyo, ukuqina kwemithambo yegazi anomaly semithambo);
• izimo zokucabanga okubangelwa isifo ngenxa okungazelelwe ingcindezi izinguquko (ezivamile phakathi abashayeli bezindiza, abatshuzi, osomkhathi, bezintaba, njll);
• lokushisa ukwanda (isibonelo, yezifo zezinso kanye isibindi, izifo ezithathelwanayo);
• nalapho umzimba ebilayo;
• ukungalingani hormone (isib ngesikhathi sokukhulelwa, noma ephuzile ukunqamuka);
• ukuthatha imithi ukuthi ukuvimbela igazi ekunqandeni.

Kufanele kuphawulwe ukuthi ukopha emakhaleni ngabantu abaphilile bangezwa ngenxa nesimo esicindezelayo noma umsebenzi obalulekile ngokomzimba. Isizathu salokhu ukuphambuka ngokuvamile eyomile noma ephefumula umoya abandayo (ehlobo kushisa noma kubanda ebusika).

Ngokuvamile, ngopha emakhaleni abantu abadala abanempilo angase avuze ngemva ukuz ukuba ilanga (noma okuthiwa "ukushisa unhlangothi"). Kulokhu, lo muntu waphawula tinnitus, ubuthakathaka, izinhlungu zekhanda ezinamandla, futhi ngezinye izikhathi nokulahlekelwa ukwazi.

Uma ukopha abantu abayimiqemane zenzeka njalo futhi ngalutho nge izifo ezingathi sína kwababhemayo yangaphakathi, njengoba umthetho, into enjalo sinqanyuliwe ngokushesha hhayi obuningi kakhulu.

abantu abadala

Abantu abadala kufanele nomongozima kungaba ageleze ngezizathu ezifanayo njengoba abadala enempilo, kodwa ezinye umehluko wemisindo nemiqondo yamagama. Isici esiyinhloko walonyaka wukuthi leli xhegu ekugcineni capillary ngemuva ekhaleni ukulahlekelwa umswakama waso, okubangela ukopha kakhulu kwenzeka.

Kufanele kuphawulwe ukuthi imbangela lalivamile lokhu ukuphambuka ku nomfutho wegazi ophezulu abadala izenzo.

Kungani kungaba khona ngopha emakhaleni?

Manje uyazi ukuthi kungani abantu abathile ngezikhathi ezithile noma ngokuqhubekayo waphawula ngopha emakhaleni. 4 izizathu eziyinhloko:

• umonakalo mechanical kuya izitsha ise ingaphakathi acinene;
• ukungalingani hormone;
• imithi yangaphakathi;
• noma intracranial blood pressure.

Ngopha emakhaleni: izimbangela, ukwelashwa nosizo lokuqala

Sine indaba eningiliziwe kungani ukuphambuka enjalo kungavuka umuntu yobudala ethile. Manje ngifuna ngikuxoxele kanjani ukunikeza usizo lokuqala for ngeziphambeko ezinjalo.

Uma epistaxis ezinzima kwenzeka abantu, kunconywa:

1. Hlala esitulweni futhi esitshekile ekhanda lakhe kancane. Phonsa emuva wakhe is hhayi Kunconywa, njengoba igazi, ngakho-ke, kalula ukugwinya, ngifike ngibuyise noma ungene ipheshana zokuphefumula.
2. Uma ukopha kwabangelwa okweqile elangeni ke umuntu kufanele ngokushesha baya ithunzi noma endaweni umoya (mhlawumbe cool).
3. Phakathi ukopha kutuswa unbutton ukhololo, bese uvule iwindi ngoba angenawo usawoti amaningi kakhulu emoyeni obandayo.
4. On the ekhaleni kufanele wenze Isikhwama sendwangu egcwele iqhwa, noma ibhandishi (iduku) ofakwe amanzi abandayo.
5. Uma ngopha emakhaleni kuyinto eside, isitho zokuphefumula iphiko kufanele agxishiwe umunwe kuya septum ekhaleni bese ugcine kahle cishe imizuzu engu-10.
6. Ukuze ukumisa okusheshayo ukopha kube swab (ukotini noma gauze) isixazululo -th 3% peroxide wetted futhi ngobumnene ufake ikhala lakhe.