Mankhwalawa ndi vuto lalikulu limene lingakhale ndi zotsatira zosayembekezereka
Pali zifukwa zingapo zomwe munthu angathe kukhala ndi chotupa chakuda, chomwe chimapezeka kuchokera ku chakudya kapena chowonjezera (monga Oreo, mapiritsi kapena mapiritsi achitsulo). Pamene chopondapo chiri chakuda chifukwa pali magazi mmenemo, amatchedwa melena . Mdima wakuda ndi chizindikiro chimodzi kuti magazi akubwera kuchokera kwinakwake m'mimba, monga m'mimba.
Magazi omwe amabwera kuchokera m'munsi mwa m'mimba (monga colon kapena kuchokera m'magazi) angakhale akuwoneka ofiira ndipo amachititsa zitsulo zamagazi, magazi pa chitseko, kapena magazi pa pepala la chimbudzi.
Mitambo Yamtundu Yochokera ku Nosebleeds
Ngakhale kuti sizodziwika bwino, n'zotheka kuti phokoso limatha kukhala ndi chovala chooneka chakuda. Kuwopsya kwambiri komwe kumabweretsa munthu kuyamwa magazi ambiri kungayambitse zida zakuda. Mwazi umapangitsa njira yonse kudutsa m'mimba ndipo imakhala yakuda kapena yamdima panthawi yomwe imachotsedwa kuthupi. Anthu omwe ali ndi zida zakuda zomwe sizichokera ku chakudya chodziwikiratu kapena chowonjezera chotsitsimula kapena osakhala ndi zovuta zowonongeka, ayenera kukhala ndi chitsimikizo chawo ndi dokotala. Ngakhale munthu amene ali ndi vuto laposachedwapa, ngati atapanga zokwanira kuti apange zitsamba zakuda, ayenera kupitanso kuchipatala. Kuchuluka kwa magazi kutayika kungakhale kovuta ndipo chifukwa cha magazi oterewa ayenera kufufuzidwa ngati akuchokera ku matenda kapena chikhalidwe chimene chikhoza kuchitika kachiwiri.
Kodi Zingatheke Bwanji?
Mphuno yotchedwa epistaxis, imakhala yofala, makamaka kwa ana a zaka zapakati pa 2 ndi 10 ndi akuluakulu a pakati pa zaka zapakati pa 50 ndi 80. Ambiri a nosebleeds sali ovuta, ndipo pamene angathe kuchitika mobwerezabwereza, zochiritsidwa kunyumba. Kusankha msuzi; kupweteka kumphuno; ndipo kowuma, mpweya wotentha umene umayambitsa nthenda zam'mimba ndi zina mwa zifukwa zomwe anthu amakhala nazo.
Mitundu Yokwanira
Mitundu yambiri ya mphuno imachokera kutsogolo kwa manda ndipo imatchedwa antiter epistaxis. Izi zimayambitsa magazi kutuluka m'mphuno. Mphuno yochokera kumbuyo kwa mphuno yamphongo, kapena epistaxis yotsatira, ndi yaikulu kwambiri. Posterior epistaxis ikhoza kutulutsa mwazi kuchokera kutsogolo kwa mphuno, koma ikhoza kuchitika popanda magazi owonekera, omwe angachititse kuti zikhale zovuta kuzipeza. Posterior epistaxis ikhoza kuyambitsa magazi ochuluka, omwe amachititsa wodwalayo pangozi ya magazi , kuchepa , komanso aspiration ya magazi.
Kawirikawiri, tsitsi lopweteka limakhala lopwetekedwa bwino nthawi zambiri. Pokhala pansi kapena kuimirira, choyamba umangoyendetsa mutu pansi. Kenaka, tsambani mphuno pang'onopang'ono ndikugwirapo kwa mphindi zingapo. Kupewa kupopera mphuno kwa kanthawi pambuyo pa kutuluka kwa magazi kungathandize kupewa magazi kuti asachitike kachiwiri. (Kubweza mutu kapena kugona kuti asiye kuzungulira sikutchulidwanso.)
Komabe, mankhwalawa amatha kuthandizidwa ndi dokotala pofuna kuti magazi achoke. Zina mwa zinthu zomwe dokotala angachite kuti zikhale zowonongeka kwambiri zimapangitsa kuti phokoso likhale lopweteka (kutentha kutentha) kumphuno kapena kuika mphuno ndi gauze kuti asiye kutuluka magazi.
Palinso mankhwala ena omwe angagwiritsidwe ntchito pamene nosebleeds ikuchitika nthawi zambiri ndipo siimaima. N'kofunikanso kudziwa chifukwa cha nosebleeds, chifukwa ngati chifukwatu chikupezeka, zingakhale zotheka kuwaletsa.
Mfundo Yofunika Kwambiri
Ngati phokoso lalikulu lidachitika posachedwapa, zikhoza kukhala chifukwa choti zidole zikhale zakuda tsiku limodzi kapena awiri akutsatira. Komabe, zipika zakuda siziyenera kupitirira nthawi zonse, makamaka ngati wina sakudya zakudya zakuda kapena zakuda zakuda zomwe zingathe kufotokozera mtunduwo. Miphika yakuda yambiri, makamaka yomwe imamva fungo loipa, iyenera kufufuzidwa ndi dokotala.
Zikhoza kusonyeza kuti magazi amachotsa m'mimba ndipo angafunikire chithandizo.
Zotsatira:
Kucik CJ, Clenney T. "Am Phys Physician." 2005 Jan 15; 71: 305-311. 3 Feb 2016.
Wiler JL. "Kudziwa: Epistaxis." Emergency Medicine News Feb 2008; 30:19. 3 Feb 2016.