Nemhino

Mhuno yakabuda kurasikirwa neropa kubva munyama iri mumhino. Kubuda ropa kazhinji kunoitika mumhino imwe chete.

Mhino dzemhino dzakajairika. Mhezi zhinji dzemhino dzinoitika nekuda kwekugumbuka kudiki kana dzihwa.

Mhino yacho ine tsinga zhinji dzeropa dzinobuda ropa nyore. Mhepo inofamba ichipinda nemumhino inogona kuomesa nekutsamwisa maficha ari mukati memhino. Mavhiri anogona kuumba iro rinobuda ropa kana ratsamwiswa. Mhete yemhino inoitika kazhinji munguva yechando, apo hutachiona hutonhora hwakawanda uye mweya wemumba unowanzooma.

Mhezi zhinji dzemhino dzinoitika pamberi pechikamu chemhino. Ichi chidimbu chetishu chinoparadzanisa mativi maviri emhino. Rudzi urwu rwemhino inobuda ropa inogona kuve nyore kune nyanzvi yakarovedzwa kumira. Zvishoma kazhinji, mhino dzinogona kuitika dzakakwira pane septum kana kudzika mumhino senge muzvitadzo kana pasi pehenya. Mhuno yemhino yakadaro ingave yakaoma kudzora. Nekudaro, mhino dzemhino hadziwanzo kutyisidzira hupenyu.

Mhuno inobuda ropa inogona kukonzerwa ne:

• Kushatirwa nekuda kwehutachiona, kutonhora, kunyemwerera kana sinus matambudziko
• Mhepo inotonhora kwazvo kana yakaoma
• Kufuridza mhino zvakanyanya, kana kunhonga mhino
• Kukuvadza kumhino, kusanganisira mhino yakatyoka, kana chinhu chakanamirwa mumhino
• Sinus kana chirwere chepituitary (transsphenoidal)
• Yakatsauka septum
• Makemikari anotsamwisa anosanganisira mishonga kana madhiragi anosaswa kana kusvirwa
• Kunyanya kushandiswa kwezvinodzvinyirira zvemumhino zvemhino
• Oxygen kurapwa kuburikidza nasal cannulas

Dzokero remhino dzemhino dzinogona kuve chiratidzo chechimwe chirwere senge yakakwira BP, chirwere chekubuda ropa, kana bundu remhino kana zvitadzo. Ropa rakapfava, senge warfarin (Coumadin), clopidogrel (Plavix), kana aspirin, inogona kukonzera kana kuwedzera mhino dzemhino.

Kumisa kubuda kwemhino:

• Gara pasi uye zvinyoronyoro svina chidimbu chakapfava chemhino pakati pechigunwe chako nechigunwe (kuitira kuti mhino dzivhare) kwemaminitsi gumi azere.
• Tamira kumberi kuti usamedza ropa uye kufema nemumuromo mako.
• Mira kwemaminitsi gumi usati watarisa kana kubuda ropa kwamira. Ive neshuwa yekutendera nguva yakakwana yekuti kubuda ropa kumire.

Zvinogona kubatsira kuisa inotonhorera kumanikidza kana chando kuyambuka zambuko remhino. Usarongedze mukati memhino ne gauze.

Kurara pasi nemhino yakabuda ropa hakukurudzirwe. Iwe unofanirwa kudzivirira kunhuwa kana kufuridza mhino dzako kwemaawa akati wandei mushure mekubuda ropa. Kana kubuda ropa kukapfuurira, nasal spray decongestant (Afrin, Neo-Synephrine) dzimwe nguva inogona kushandiswa kuvhara midziyo midiki uye kudzora kubuda ropa.

Zvinhu zvaunogona kuita kudzivirira kazhinji kubuda mhuno zvinosanganisira:

• Chengetedza imba inotonhorera uye shandisa vaporizer kuwedzera hunyoro kumhepo yemukati.
• Shandisa nasal saline spray uye mvura-inogadziriswa jelly (senge Ayr gel) kudzivirira maronda emumhino kubva pakuoma munguva yechando.

Wana rubatsiro rwechimbichimbi kana:

• Kubuda ropa hakuregi mushure memaminitsi makumi maviri.
• Mhino kubuda ropa kunoitika mushure mekukuvara kwemusoro. Izvi zvinogona kuratidza kutyoka kwedehenya, uye ma-ray anofanirwa kutorwa.
• Mhuno yako inogona kutyorwa (semuenzaniso, inotaridzika kunge yakamonyoroka mushure mekurohwa kumhino kana imwe kukuvara).
• Uri kutora mishonga yekudzivirira kuti ropa rako risaumbwe (vatete veropa).
• Wakave nemhino dzemubvu munguva yakapfuura iyo yaida kurapwa kwehunyanzvi kurapa.

Fonera wako mupi wezvehutano kana:

• Iwe kana mwana wako anogara achibuda ropa mumhino
• Mhino dzemhino hadzibatanidzwe nechando kana kumwe kutsamwa kudiki
• Nosebleeds inoitika mushure mechivi kana kumwe kuvhiya

Iye mupi achaita bvunzo dzepanyama. Mune zvimwe zviitiko, iwe unogona kutariswa nezviratidzo nezviratidzo zvekudzikira kweropa kubva pakurasikirwa neropa, inonziwo hypovolemic shock (izvi hazviwanzoitika).

Unogona kuve nemiedzo inotevera:

• Yakazara kuverenga ropa
• Nasal endoscopy (kuongororwa kwemhino uchishandisa kamera)
• Yakasarudzika thromboplastin nguva zviyero
• Prothrombin nguva (PT)
• CT scan yemhino uye zvivi

Mhando yekurapa inoshandiswa ichave yakavakirwa pachikonzero cheakabuda ropa mumhino. Kurapa kunogona kusanganisira:

• Kudzora BP
• Kuvhara iyo yeropa mudziyo uchishandisa kupisa, magetsi emagetsi, kana sirivheri nitrate matanda
• Nasal kurongedza
• Kuderedza mhino yakatyoka kana kubvisa muviri wekunze
• Kuderedza huwandu hweropa mutete mushonga kana kumisa aspirin
• Kurapa matambudziko anoita kuti ropa rako rirege kugwamba kazhinji

Ungangoda kuona nzeve, mhino, nehuro (ENT, otolaryngologist) nyanzvi kuti uwedzere kuyedza uye kurapwa.

Kubuda ropa kubva mumhino; Epistaxis

• Nemhino
• Nemhino

Pfaff JA, Moore GP. Otolaryngology. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 62.

Savage S.Kutungamira kweepistaxis. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 205.

Simmen DB, Jones NS. Epistaxis. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsuwa 42.