Egwuregwu mmerụ ahụ
1K 14 04/20/2019 (nke ikpeazụ edegharịrị: 04/20/2019)
Enwere ọtụtụ ihe kpatara ọnya imi (epistaxis). Ka o sina dị, usoro pathogenetic ya bụ otu. Isi okwu bụ mmebi nke arịa nke mucosa gọzie gị. Ntighari imi ugboro ugboro dị ize ndụ maka mmepe nke anaemia iron.
Nhazi nke ọbara ọgbụgba
Dabere na ọnụọgụ ọbara, ọ bụ omenala ịwaa n'ime:
- na-enweghị isi (ọtụtụ ml) - adịghị emerụ ahụ ike;
- agafeghị oke - ruru 200;
- oke - ruru 300;
- profuse - karịa 300.
Dabere na atụmatụ ọdịdị ala, epistaxis nwere ike ịbụ:
- ihu - na 90-95% (mpaghara nke isi mmalite dị na antero-inferior nke akụkụ imi, na-abụkarị n'ihi mmebi nke veins si Kisslbach plexus);
- azụ - na 5-10% (na etiti na akụkụ dị n'akụkụ nke imi).
PATTARAWIT - stock.adobe.com
Ihe kpatara ya
Ọbara nwere ike kpatara:
- mmerụ ahụ mebiri (ujo);
- barotrauma (ịrị elu na mberede mgbe mmiri gachara);
- mmebi nke vaskụl nke ikuku ọkụ ma ọ bụ oyi na-ekpo ọkụ kpatara;
- ọbara mgbali elu (imi imi bụ otu n'ime usoro nchebe) n'ihi ọtụtụ ihe, nke kachasị n'ime ya bụ:
- ọrịa hypertonic;
- pheochromocytoma;
- VSD;
- nrụgide;
- mgbanwe na ogo nke hormonal ma ọ bụ ị takingụ ọgwụ ndị nwere hormone;
- rhinitis nke ọrịa na-efe efe na nke nfụkasị;
- polyps (papillomas) nke imi mucosa;
- atherosclerosis (arịa na-adịwanye ike);
- hypovitaminosis C, PP na K;
- na-a anticụ ọgwụ mgbochi.
N'iburu n'uche ihe kpatara ya, ọbara ọgbụgba na-ekewa n'ime:
- obodo;
- izugbe (kpatara ọrịa nke ahụ dịka ihe niile).
Epistaxis na ndị egwuregwu
Ihe omume egwuregwu chọrọ nchịkọta kachasị nke akụrụngwa ahụ. N'ihi nke a, ndị na-eme egwuregwu nwere ike ịnwe enweghị vitamin PP, K na C. A erughị ala na-eme ka epistaxis nwee ohere.
Ndị na-eme egwuregwu na-enwe nrụgide metụtara ọbara mgbali elu na-adịghị agafe agafe, ihe dị egwu maka imi imi.
Ọzọkwa, ndị na-eme egwuregwu na-enwekarị mmerụ ahụ (imi imi na-enweta n'oge ọzụzụ na asọmpi).
Enyemaka mbụ maka epistaxis
Mgbe ị na-ekpebi ịkwụsị ọnya imi, mmadụ kwesịrị ịnwale ịtọ ntọala nke ọnọdụ ọrịa.
Ọbara si imi na ọbara mgbali elu
Ọ bụrụ na a hụrụ epistaxis megide ndabere nke nsogbu hypertensive, ekwesịghị ịkwụsị ya. Ọ bụ usoro nchebe nke na-ebelata ịrị elu nke ọbara mgbali ma na-ebelata ohere nke nnukwu myocardial infarction na ọrịa strok. N'okwu a, ị kwesịrị ịnwale iji belata ọbara mgbali usoro site na ị takingụ ọgwụ mgbochi ma ọ bụ kpọọ dọkịta.
Ihu tamponade nke imi
N'ọnọdụ ndị ọzọ, a na-egosi tamponade nke imi imi, site na ịpịpịa ya na gauze ma ọ bụ ajị owu, ọkacha mma na mbụ ka mmiri ọgwụ hydrogen peroxide gwọọ. Mgbe ahụ, oyi kwesịrị itinye na akwa nke imi maka minit 5-10 (akwa nhicha ahụ n'ime mmiri ice ma ọ bụ mpempe ice etinye na akpa rọba). N'otu oge ahụ, enwere ike ịpị oghere imi na-agba ọbara. Ọ bụ ihe amamihe dị na ya idobe isi ya, na-atụfughị ya azụ, iji zere ọbara ịbanye na akụkụ iku ume.
Na ọnụnọ nke kwesịrị ekwesị ọgwụ tupu tamponade, ogbugba mmiri n'ubi nke gọzie gị mucosa ziri ezi:
- vasoconstrictor tụlee maka oyi na-atụkarị (Galazolin);
- 5% aminocaproic acid.
Ọ bụrụ na enweghị ike ịkwụsị ọbara ọgbụgba n'ime minit 10-15, a ga-akpọ ụgbọ ihe mberede.
Egwuregwu ndị mmadụ maka epistaxis
Sook tampons, ị nwere ike iji:
- ihe ọicesụicesụ:
- nettle;
- yarrow;
- akpa ekpenta;
- a decoction nke viburnum ogbugbo (na ọnụego 10 g nke ogbugbo kwa 200 ml mmiri).
Mgbe ịhụ dọkịta
Achọrọ nlekọta ahụike ruru eru ma ọ bụrụ:
- nnukwu ọbara ọgbụgba nke na-adịghị akwụsị site na imi imi;
- a na-enyo enyo na mgbaji ọkpụkpụ nke imi;
- dị:
- ụbụrụ ma ọ bụ ihe mgbaàmà mgbapụta (isi ọwụwa, diplopia, dizziness, paresis of the extremities);
- mmekọrịta dị n'etiti ọbara ọgbụgba na ndị na-egbochi ọgwụ mgbochi ma ọ bụ ọgwụ ọgwụ hormonal weere ụbọchị gara aga;
- enwere ike ibute ihe di iche na mba ozo na imi nwata.
Mgbochi
Iji gbochie epistaxis na-agagharị, ọ dị mkpa ịmepụta etiology ya ma gbalịa iwepụ ihe kpatara ya. Ndị ọkachamara nwere ike inyere aka na nke a.
Ọrụ na-agba ume gụnyere:
- ịhịa aka n'ahụ n'ụdị ọkụ ọkụ na mkpịsị aka na nku nke imi;
- mgbochi nke nwere ike hypovitaminosis PP, K, C;
- na-asa mucosa nke imi na ngwọta nke nnu mmiri, soda, infusions herbal (chamomile).
Gbaa mbọ hụ na ụmụ aka anaghị eji mkpịsị aka ma ọ bụ ihe ndị dị n’ụlọ ahụ emerụ akpụkpọ ahụ mucous.
