Kutuluka magazi kuchokera pamphuno, kapena epistaxis, ndizofala ndipo nthawi zambiri kumakhala kofatsa. Komabe, nthawi zina, kukhala ndi mphuno yotuluka magazi kumatha kukhala chizindikiro cha vuto lalikulu lathanzi. Kuyankhulana kwadzidzidzi kumalimbikitsidwa makamaka ngati mwazi ukutuluka mwamphuno mobwerezabwereza.

Kutulutsa magazi mphuno: epistaxis ndi chiyani?

Epistaxis ndi dzina lachipatala kwa munthu amene amatuluka magazi m'mphuno. Amadziwika ndi kutuluka kwa magazi m'ming'oma ya m'mphuno.

Ndi nthawi ziti zomwe muyenera kuda nkhawa?

Nthawi zambiri, kukhala ndi mphuno yotuluka magazi ndichinthu chosaopsa komanso chosakhalitsa. Komabe, nthawi zina, epistaxis imatha kukhala chizindikiro cha vuto lalikulu lathanzi. Zizindikiro zina zimatha kuchenjeza, monga kutulutsa magazi mwamphuno mobwerezabwereza.

Epistaxis yofunikira, vuto lofala kwambiri la magazi m'mphuno

M'milandu 60%, epistaxis akuti ndiyofunikira. Benign komanso wosakhalitsa, wotuluka magazi chifukwa cha kuphulika kwa ma capillaries amwazi pamlingo wamitsempha, pomwe amasinthasintha machitidwe amitsempha ya nasal fossa.

Epistaxis yofunikira nthawi zambiri imayamba chifukwa cha kuchepa kwa mitsempha komwe kumatha kuyambitsidwa kapena kukulitsidwa ndi:

• kudziwika ndi dzuwa ;
• khama ;
• kukanda mosayembekezereka.

Izi zimayambitsa makamaka kwa ana omwe amatuluka magazi m'mphuno. Amapezekanso mwa achinyamata komanso achinyamata. Kutulutsa magazi m'mphuno kumatha kupezeka mwa anthu okalamba.

Kutulutsa magazi mphuno: ndi ziti zina zomwe zimayambitsa?

Ngakhale epistaxis yofunikira ndi njira yofala kwambiri yotulutsa magazi m'mphuno, palinso ena omwe ali ndi zifukwa zosiyanasiyana. Pachifukwa ichi, kutuluka magazi nthawi zambiri kumakhala chifukwa chazovuta zina kapena matenda. Epistaxis imatha kukhala ndi chifukwa chakomweko kapena chokulirapo.

Kutulutsa magazi m'mphuno kumatha kukhala komwe kudachokera chifukwa cha:

• zoopsa ;
• kutukusira, monga rhinitis kapena sinusitis, yomwe imatha kuyambitsidwa ndi matenda a ENT;
• chotupa, oopsa kapena owopsa, omwe amatha kupezeka m'malo osiyanasiyana amphuno.

Wotulutsa magazi m'mphuno amathanso kukhala ndi chiyambi chokha chifukwa cha vuto lalikulu monga:

• ndioopsa ;
• a matenda otuluka magazi chifukwa cha thrombocytopenia kapena thrombopathy, kumwa mankhwala, haemophilia, kapena mitundu ina ya purpura;
• a matenda a mitsempha monga matenda a Rendu-Osler kapena kuphulika kwa intracavernous carotid aneurysm.

Kutulutsa magazi m'mphuno kumatha kudziwonetsera m'njira zosiyanasiyana. Atha kukhala:

• zochulukirapo kapena zochepa, kuyambira kukapanda kuleka mpaka kutsata kwakanthawi;
• chimodzi kapena chimodzi, zimachitika m'mphuno limodzi kapena m'mphuno zonsezo nthawi imodzi;
• mwa apo ndi apo kapena pafupipafupi ;
• chosakhalitsa kapena cholimbikira.

Ngakhale kutuluka magazi m'mphuno kumakhala kofatsa, pali zizindikilo zina zomwe ziyenera kukuchenjezani kuti muchepetse zovuta. Malangizo azachipatala amalimbikitsidwa makamaka ngati mphuno imatuluka magazi kwambiri, mosalekeza kapena pafupipafupi. N'chimodzimodzinso ngati magazi akutuluka m'mphuno limodzi ndi zizindikiro zina monga pallor, kufooka kapena tachycardia.

Kuthira mphuno: chochita ngati muli ndi magazi m'mphuno?

Ngati mwatuluka magazi m'mphuno, ndibwino kuti:

• Khalani, ngati kuli kotheka, m'malo opanda phokoso;
• osapendeketsa mutu wako kumbuyo kuteteza magazi kuti asamayendere pakhosi;
• phulika mphuno kuti muchotse magazi (m) Zitha kukhala kuti zidapangidwa m'mimbamo;
• kuchepetsa magazi kutuluka kudzera mphuno kugwiritsa ntchito mpango kapena thonje, mwachitsanzo;
• compress phiko la mphuno kwa mphindi zosachepera 10 kuletsa magazi.

Kuphatikiza pa miyeso iyi, zinthu zina, monga ma hemostatic pads, zitha kugwiritsidwanso ntchito poletsa kutuluka kwa magazi.

Magazi mphuno: nthawi kukafunsira?

Ngati, ngakhale pali njira zonse zoletsa kutuluka kwa magazi, kutuluka kukupitilira, malangizo azachipatala amafunikira. Kufunsira mwadzidzidzi kumalimbikitsidwanso ngati magazi akutuluka kwambiri, kubwereza kapena kutsatira zizindikiro zina.

Kutaya magazi kutatha, kuyesa mayeso angapo azachipatala kumachitika kuti mumvetse komwe epistaxis idachokera. Pachifukwa choyamba, a mayeso ORL amachitidwa kuti adziwe chifukwa chomwe akukhalako. Kutengera zotsatira zomwe zapezeka, kukayezetsa kuchipatala kungakhale kofunikira.

Chithandizo cha glomerulonephritis chimadalira komwe adachokera komanso komwe adachita.

Monga chithandizo choyamba, chithandizo chamankhwala nthawi zambiri chimayikidwa kuti muchepetse zizindikilo ndikuchepetsa zovuta. Katswiri wazachipatala nthawi zambiri amalamula kuti:

• antihypertensives toletsa kuthamanga kwa magazi ndikuchepetsa kuthamanga kwa magazi, chizindikiritso chofala cha glomerulonephritis;
• okodzetsa kuonjezera mkodzo kutulutsa komanso pafupipafupi pokodza.

Mankhwala ena amatha kuperekedwa kuti athetse vuto la glomerulonephritis. Kutengera ndi matendawa, akatswiri azaumoyo akhoza, mwachitsanzo, kupereka:

• maantibayotiki, makamaka pakagwa post-streptococcal glomerulonephritis, kuti athetse matenda impso;
• corticosteroids ndi ma immunosuppressants, makamaka pakakhala lupus glomerulonephritis, kuti achepetse chitetezo chamthupi.

Kuphatikiza pa chithandizo chamankhwala, zakudya zina zimatha kukhazikitsidwa ngati glomerulonephritis. Zakudyazi nthawi zambiri zimatha mu protein ndi sodium, ndipo zimatsagana ndikuwongolera kuchuluka kwamadzi omwe amalowetsedwa.

Ngati chiopsezo cha impso chikule kwambiri, dialysis ingagwiritsidwe ntchito poonetsetsa kuti impso zimagwira ntchito. Mwa mitundu yoopsa kwambiri, kumuika impso kumatha kuganiziridwa.