Yu kin gɛt blɔd na yu nos bak? (Epistaxis) Nɔ panik, lɛ wi fɛn ɔut bɔt dis!

Yu dɔn bigin fɔ blɔd na yu nos wantɛm wantɛm? Na nɔmal tin fɔ fil fɔ fred smɔl pan dɛn kayn tɛm dɛn de. Bɔt bɔku tɛm, dis nɔto siriɔs tin. Tide, lɛ wi tɔk bɔt dis nos blɔd, ɔ we dɛn kɔl `(Epistaxis)`, ditayli.

Wetin na blɔd we de kɔmɔt na di nos (Epistaxis)?

Fɔ tɔk am simpul wan, `(Epistaxis)` na blɔd we de kɔmɔt na di tisu dɛn we de insay yu nos. Dis kin apin frɔm wan nos, sɔm tɛm dɛn kin apin frɔm ɔl tu. Bɔt bɔku tɛm, di blɔd kin kɔmɔt na wan nos.

Yu no, insay wi nos, bɔku bɔku smɔl smɔl blɔd vesel dɛn de. Dɛn tin ya kin ɛp fɔ mek di briz we wi de blo wam, ad mɔstɔ, ɛn sɛn am to wi bɔdi. Bɔt dɛn blɔd vesel ya kin rili nia di skin we de insay di nos. So, we briz de pas na di nos, dɛn blɔd vesel ya kin dray ɛn i kin izi fɔ mek dɛn wund. Na da tɛm de di blɔd kin bigin fɔ kɔmɔt.

Jɔs tink bɔt dat, lɛk siks pan tɛn pipul dɛn dɔn gɛt blɔd na dɛn nos wan tɛm insay dɛn layf. Bɔrku tɛm, dɛn tin ya na smɔl smɔl tin wae dɛn kin trit na os. Bɔt if di blɔd rili ebi , ɔ if yu de vɔmit ɔ yu gɛt ɔda tin dɛn lɛk fɔ blo, i go mɔs bi se yu go na ɔspitul wantɛm wantɛm .

Wetin na di men kayn blɔd we de kɔmɔt na yu nos?

Dɔktɔ dɛn kin sheb dis to tu men kayn, i kin dipen usay di blɔd kɔmɔt.

Di blɔd we de kɔmɔt na di Nos we de bifo

Dis na di kayn we we dɛn kin yuz mɔ . di bכdi de stat na di fכnt pat na di nos, na di bכtכm pat na di wכl we de separet di tu nos dεm (dεn kכl am bak `(septum)`). Di smɔl smɔl blɔd vesel dɛn we de na dis eria kin rili dilik, so i kin izi fɔ brok ɛn blɔd. Bɔrku tɛm dis nɔr kin bi siriɔs sik ɛn dɛn kin trit am na os.

Posita Nos Blɔd we de kɔmɔt

Dis blɔd kin apin dip insay di nos. Di blɔd de kɔmɔt na di big blɔd vesel dɛn we de nia di trot. Dis kin mek yu blɔd bɔku, ɛn di blɔd kin kɔmɔt na di trot bak. If dis kayn tin apin, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .

Wetin na di sayn dɛm fɔ dis?

Bɔrku tɛm, no ɔda sayn nɔr kin de pas fɔ blɔd na in nos. Bɔt if yu gɛt blɔd we de kɔmɔt biɛn yu nos, sɔm pan di blɔd kin travul go dɔŋ yu trot ɛn go insay yu bɛlɛ. Dis kin mek yu gɛt wan strenj teist na di bak pat na yu trot ɛn mek yu fil lɛk yu nɔs.

Impɔtant: If yu gɛt ɔda sayn dɛm (e.g. taya pasmak , shɔt briz , brus) wit yu nos blɔd, i kin bi sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn.

Wetin mek blɔd de kɔmɔt na wan nos nɔmɔ? Ɔ frɔm dɛn tu tin ya?

Bɔku tɛm, blɔd kin kɔmɔt na wan nos, bɔt sɔntɛnde i kin kɔmɔt frɔm ɔl tu wan tɛm. Bɔku rizin dɛn de we mek pɔsin kin gɛt blɔd na in nos. Bɔt gud tin na dat, bɔku pan dɛn nɔ siriɔs.

Rizin dɛn we kɔmɔn

• Dray briz: Dis na di men tin we kin mek i apin . Na mɔtalman, .
• Na say dɛn we di ples wam ɛn wet.
• Na say dɛn we de fa fawe pas di si.
• Insay say dɛn we dɛn kin ɔt insay os.

Dray briz kin mek di dilik mɛmbran we de insay di nos dray, krɔst oba, ɛn krak. Dis kin mek yu blɔd we yu pik yu nos ɔ swim.

• Ɔda tin dɛn we kin mek pɔsin gɛt dis sik:
• Pik di nos (especially in yong pikin).
• Wan injuri na di nos ɛn/ɔ fes.
• Fɔ gɛt wan deviated septum na di nos.
• Fɔ sniz bɔku tɛm , kɔf, ɛn blɔd na in nos bikɔs ɔf di ɔpa respiratɔri trakt infɛkshɔn ɔ sayn infɛkshɔn.
• Alɛji raynayt ɔ nɔ alɛji raynayt.
• Yuz sprɛy na yu nos bɔku tɛm (e.g. antihistamines , decongestants). dis kin mek di nos mεmbran dray.
• Fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (e.g. aspirin , NSAID ( painkillers ), warfarin ).
• Fɔ blo di kemikal dɛn we de kɔmɔt na di tin dɛn we dɛn de yuz fɔ klin, di smok we de kɔmɔt na di wokples, ɔ ɔda tin dɛn we de smɛl bad bad wan.
• Yuz drɔgs we dɛn kin snor (e.g. kɔkɛyn).

Rizin dɛn fɔ si smɔl smɔl

• Yuz rɔm.
• Dizayd we de mek pɔsin blɔd de kɔmɔt (e.g. ɛmofilia, von Willebrand sik).
• Di ay blɔd prɛshɔn.
• di atεri wכl dεm de tik (Atherosclerosis).
• Ɔpreshɔn fɔ yu fes ɛn yu nos.
• Nasal tumors na di bɔdi.
• Polip dɛn we de na di nos.
• di kכnt we di pletlet dεm dכn dכn bikoz fכ di imyun sistεm we wik (Immune thrombocytopenia).
• Blɔd kansa `(Lukemia)`.
• Hereditary hemorrhagic telangiectasia na wan sik we pɔsin kin gɛt frɔm in blɔd vesel.
• We uman gɛt bɛlɛ.

Wetin mek a kin gɛt blɔd na mi nos we a de slip?

Di tin dɛn we kin mek pɔsin gɛt blɔd na in nos we i de slip, na di sem tin dɛn we kin mek pɔsin gɛt blɔd na di de. Tin dɛm lɛk dray briz, alɛji, ɛn infekshɔn na di ɔpa respiratɔri kin pwɛl di dilik layn na di nos. Dɔn bak, if yu slip wit yu ed we yu tɔn to di sayd, dat kin mek yu nos prɛshɔ dairekt wan, ɛn dis kin mek yu nos blɔd na nɛt.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Ɛnibɔdi kin gɛt blɔd na in nos. Bɔku pipul dɛn dɔn gɛt am wan tɛm nɔmɔ na dɛn layf. Bɔt sɔm pipul dɛn kin gɛt am mɔ.

• Pikin dɛn we ol bitwin 2 ɛn 10 ia: Dray briz, kol, alɛji, ɛn fɔ put finga ɛn ɔda tin dɛn na dɛn nos kin mek pikin dɛn gɛt blɔd na dɛn nos ɔltɛm.
• Big pipul dɛn we ol bitwin 45 ɛn 80 ia: As yu de kam nia fɔ ol 50 ia, di tɛm we yu blɔd de klɔt kin go ɔp. Yu kin gɛt ay blɔd prɛshɔn bak, yu at kin at (atherosclerosis), ɔr blɔd kin klɔt disɔda we yu ol dis ej.
• uman dεm we bεlε: We uman bεlε, di bכdi we de na di nos de dilayt, we de put mכr prεshכn pan di dilik bכdi we de insay di nos.
• Pipul dɛn we de tek mɛrɛsin we de mek dɛn blɔd tan: Dis kin inklud mɛrɛsin dɛn lɛk aspirin ɛn warfarin.
• Pipul wae gɛt dis maynia sik wae de mek blɔd nɔ de klɔt: Fɔ ɛgzampul, ɛmofilia ɛn von Willebrand sik.

Ustɛm yu fɔ wɔri bɔt blɔd we de kɔmɔt na yu nos?

Na nɔmal tin fɔ fil fɔ wɔri smɔl we yu si blɔd de kɔmɔt na yu nos, bɔt bɔku tɛm i nɔ kin siriɔs. Yu kin manej am na os. Bɔt yu fɔ go to dɔktɔ if :

• If yu gɛt blɔd we de kɔmɔt na yu nos ɔltɛm .
• If yu gɛt sayn dɛm fɔ anemia (we yu wik, yu ed de tɔn, yu taya pasmak, yu de fil kol, yu nɔr kin ebul fɔ blo, yu skin kin blak).
• If yu bigin fɔ gɛt blɔd na yu nos afta yu dɔn bigin fɔ tek nyu mɛrɛsin .
• If yu gɛt blɔd na yu nos ɛn yu gɛt brus we nɔ kɔmɔn ɔlsay na yu bɔdi – ɔl tu togɛda – i kin bi sayn fɔ wan siriɔs kɔndishɔn, lɛk blɔd klot disɔda (ɛmofilia ɔ von Willebrand sik), blɔd kansa (lukimiya), ɔ nasal tumor.

If yu pikin nɔ rich 2 ia yet ɛn i gɛt blɔd na in nos, i fayn fɔ tɔk to dɔktɔ we de mɛn pikin dɛn. Ilɛksɛf yu pikin ol ɔmɔs ej, i go fayn fɔ mek yu tɔk bɔt di blɔd we de kɔmɔt na in nos we dɛn go chɛk am nɛks tɛm.

Aw dɔktɔ dɛn kin fɛn dis?

Dɔktɔ go aks yu sɔm kwɛstyɔn dɛn bɔt yu nos blɔd:

• Aw lɔŋ (insay minit) di blɔd bin las?
• Na lɛk ɔmɔs blɔd bin lɔs?
• Aw ɔltɛm yu kin gɛt blɔd na yu nos?
• Yu tink se di blɔd kɔmɔt na wan nos ɔ ɔl tu?

Dɔn bak, dɛn kin yɛri dis bak:

• Di kayn mɛrɛsin wae yu de tek (inklud tin wae de mek yu blɔd tan lɛk aspirin, kol/alɛji mɛrɛsin, ɛn ɔda tin dɛm)
• Yu tink se ɛnibɔdi na yu famili gɛt sik dɛn we gɛt fɔ du wit blɔd?
• Yuz rɔm ɛn/ɔ inhalant.

Dɔn, di dɔktɔ go chɛk yu nos fɔ si usay di blɔd de kɔmɔt ɛn wetin de mek i de kɔmɔt. dεn go yuz wan sכmכl instrכmεnt we dεn kכl ``speculum`` fכ opin di nos εn luk insay di nos yuz difrεn layt sכs dεm כ ``εndoskop`` (wan tכn tכb wit kεmεra).

Di dɔktɔ kin injekt mɛrɛsin na di nos fɔ mek di insay pat na di nos nɔ gɛt bɛtɛ trɛnk ɛn fɔ mek di blɔd vesel dɛn kɔnstrikt. I kin pul ɛni blɔd we dɔn klɔt ɛn krɔst insay di nos bak. Dis kin mek yu nɔ fil fayn smɔl, bɔt i nɔ kin mek yu fil pen.

Na smɔl tɛm nɔmɔ dɛn kin tɛl dɛn fɔ du ɛkstrem rayt, CT skan, ɔ blɔd tɛst fɔ chɛk if blɔd nɔ de klɔt, if blɔd vesel nɔ de wok fayn, ɔ if di nos gɛt tumbu.

Wetin na di tritmɛnt fɔ dis?

Di tritmɛnt fɔ di blɔd we de kɔmɔt na di nos de dipen pan wetin mek di blɔd de kɔmɔt. Yu dɔktɔ go ɛksplen wetin nid fɔ de fɔ yu sik. Tritmɛnt fɔ `(Epistaxis)` kin inklud:

• Nasal pak: Di dɔktɔ kin put goz, spɛshal spɔnj ɔ fom na di nos, ɔ wan latɛks balyɔn we dɛn kin blo na di nos fɔ mek prɛshɔn usay di blɔd de kɔmɔt. Di dɔktɔ kin nid fɔ pul dis fɔ lɛk 24-48 awa.
• Cauterization: Dis prosidur de yuz kemikal (silva naytrate) ɔ ɔt (electrocautery) fɔ sial di blɔd vesel. Bifo dis, di dɔktɔ kin sprɛy wan mɛrɛsin we de mek pɔsin nɔ fil fayn insay di nos.
• Chenj/ri-preskrib di mɛrɛsin dɛm: Fɔ ridyus di amount of blɔd tin dɛm we yu de tek – ɔ stɔp dɛm – kin ɛp. Yu kin nid mɛrɛsin bak fɔ kɔntrol yu blɔd prɛshɔn. Yu dɔktɔ kin gi yu mɛrɛsin bak, lɛk tranexamic acid (Lysteda®), we kin ɛp yu blɔd fɔ klɔt.
• Fɔ pul tin we nɔ de na di nos: If na sɔntin we lod insay di nos mek di blɔd kɔmɔt na di nos, di dɔktɔ go pul am.
• Ɔpreshɔn: Dɛn kin du ɔpreshɔn fɔ mek di nos we dɔn brok ɔ fɔ kɔrɛkt di septum we dɔn kɔmɔt (sɛptoplasty).
• Ligation: Insay dis prosidur, di dɔktɔ kin tay di blɔd vesel we de mek di blɔd stɔp.

Aw fɔ stɔp blɔd we de kɔmɔt na yu nos na os?

Fɔ fala dɛn step ya fɔ stɔp blɔd we de kɔmɔt na yu nos:

• Stay kol, brith tru yu mout.
• Sidɔm stret, tilt yu ed smɔl fɔ go bifo (nɔ tilt yu ed bak, bikɔs dis kin mek blɔd flɔ dɔŋ yu trot).
• Yuz yu tumbu ɛn indeks finga fɔ pinch di saf pat na yu nos (jɔs ɔp di nos).
• Wet te di blɔd stɔp. Yuz tisu ɔ wet klos fɔ was di blɔd.

Bɔku tɛm, na fɔ kia fɔ pipul dɛn na os na in nɔmɔ go du fɔ dɛn. Bɔt sɔm blɔd we de kɔmɔt na dɛn nos kin nid fɔ gɛt tritmɛnt na ɔspitul. If dɛn kayn tin ya apin, go na di imejensi rum we de nia yu wit pɔsin wantɛm wantɛm, ɔ kɔl 1990:

• If yu nɔ ebul fɔ stɔp di blɔd ivin afta yu dɔn ol yu nos fɔ 15-20 minit.
• If bɔku blɔd de (mɔ pas 1 kɔp).
• If yu de tek tin dɛn we de mek yu blɔd tan (lɛk aspirin ɔ warfarin), ɔ if yu gɛt prɔblɛm we de mek yu blɔd klɔt, ɛn di blɔd nɔ de stɔp.
• If yu gɛt prɔblɛm fɔ blo.
• If yu swɛla blɔd ɛn nɔ ebul fɔ stɔp fɔ vɔmit.
• If yu nos bigin fɔ blɔd afta yu dɔn blo yu ed ɔ yu gɛt siriɔs injuri (fɔdɔm, motoka aksidɛnt, had blo na yu fes/nos).

I fayn fɔ drink wata afta yu nos blɔd?

Yɛs, yu fɔ drink bɔku wata afta yu nos blɔd. Wata ɛn frut jus, we nɔ gɛt kafin, fayn. Afta yu nos blɔd, sɔm pan di blɔd kin travul go dɔŋ yu trot ɛn go insay yu bɛlɛ. Dis kin mek yu fil lɛk se yu de nɔs. Bɔt fɔ drink wata nɔ go afɛkt di blɔd we de kɔmɔt na di nos.

Yu kin day bikɔs yu nos blɔd?

di bכdi we de bכn frכm di כp pat pan di nos sεptum כ dip insay di nos kin at fכ kכntrכl. Bɔt, i nɔ kin izi fɔ mek pɔsin day bikɔs i de blɔd na in nos.

Wetin dɛn kin du fɔ mek yu nɔ gɛt blɔd na yu nos?

Na sɔm tin dɛn ya we kin ɛp fɔ mek yu nɔ gɛt blɔd na yu nos:

• Fɔ mek yu nos pas wet, yuz salin nos sprɛy ɔ salin nos drɔp insay ɛni nos tu ɔ tri tɛm insay di de. Yu kin bay dɛn tin ya na famasi ɔ mek dɛn na os.
• Ad mɔstɔ to di ays bay we yu ad humidifier to yu ɔfna, ɔ bay we yu put humidifier na yu bedrum na nɛt.
• Put wan jel ɔ ɔntmɛnt na yu nos (lɛk `Bacitracin®`, `Vaseline®` ɔ `Ayr Gel®`) insay yu nos wit kɔtɔn bɔd. Nɔ put di kɔtɔn bɔd pas 1/4 inch insay yu nos. Dɛn jel ɛn ɔnt ya de na bɔku famasi dɛn.
• Nɔ blo yu nos lawd wan.
• Kip yu mɔt opin we yu de sniz. Ɔltɛm sniz insay wan tisu ɔ yu ɛlb.
• Nɔ put ɛnitin we strɔng, ivin yu finga dɛn, na yu nos.
• Nɔ yuz mɛrɛsin dɛn we kin mek yu blɔd bɔku (lɛk aspirin ɛn ibuprofen). Ɔltɛm tɔk to yu dɔktɔ bifo yu mek ɛni chenj pan yu mɛrɛsin dɛn. Dis impɔtant mɔ fɔ di mɛrɛsin dɛn we dɛn kin gi yu lɛk warfarin (Coumadin®) ɛn di mɛrɛsin dɛn we nɔ de stɛroyd anti-inflammatory (NSAID).
• If yu nɔr kin ebul fɔ kɔntrol yu nos alɛji simptom dɛm wit mɛrɛsin dɛm wae de na kɔwnta ɔr prɛskrishɔn, go to dɔktɔ. We yu de yuz mɛrɛsin dɛn we yu nɔ de bay, fala di instrɔkshɔn dɛn jɔs lɛk aw dɛn tɛl yu fɔ du am. If yu yuz am pasmak, dat kin mek yu nos blɔd.
• Stɔp fɔ smok. Smok kin mek yu nos dray ɛn mek yu gɛt alɛji.
• Wear edgiar we go protɛkt yu if yu de du tin dɛn we go wund yu fes ɛn nos.

Tich yu pikin fɔ avɔyd fɔ blɔd na in nos ɛn nɔ fɔ put ɛnitin na in nos. I fayn bak fɔ mek dɛn nel shɔt. Yu dɔktɔ we de mɛn pikin dɛn kin gi yu mɔ advays.

Yu tink se i nɔmal fɔ mek blɔd klot we yu gɛt blɔd na yu nos?

Yɛs. Blɔd klɔt na blɔd klɔt we de fɔm we blɔd vesel dɔn wund. We blɔd vesel dɔn pwɛl, blɔd kin klɔt fɔ stɔp di blɔd we de kɔmɔt pasmak. We yu pinch yu nos fɔ stɔp blɔd we de kɔmɔt na yu nos, di blɔd we de klɔt kin bigin fɔ fɔm. I kin de de te yu pul am ɔ blo yu nos.

Wetin mek a kin gɛt blɔd na mi nos ɔltɛm?

Bɔku rizin dɛn de we mek yu kin gɛt blɔd na yu nos ɔltɛm. Dis kin afɛkt wan nos ɔ ɔl tu. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Yuz sprɛy na yu nos bɔku tɛm fɔ alɛji simptom ɔ kol/nasal kɔnjɛshɔn.
• Di briz usay yu de dray.
• Snif drɔgs tru di nos.

Yu kin nid fɔ stɔp fɔ yuz di sprɛy fɔ sɔm tɛm ɔ ɔltogɛda. If yu de yuz dɛn tin ya, tɔk to dɔktɔ.

Nɔr kin ɔltɛm, wae pɔrsin kin gɛt blɔd na in nos ɔltɛm (epistaxis) kin bi sayn fɔ pɔrsin wae gɛt blɔd klɔt ɔ ɔda siriɔs sik. If yu gɛt blɔd na yu nos ɔltɛm, go to dɔktɔ.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Epistaxis, ɔ blɔd we de kɔmɔt na yu nos, na wan sik we kɔmɔn bɔt we kin mek pɔsin vɛks smɔl. We yu dɔn lan aw fɔ stɔp blɔd na yu nos kwik kwik wan, yu kin bigin fɔ du wetin yu bin de du bifo i bigin kwik kwik wan. Bɔrku pan di kes dɛm wae gɛt epistaxis nɔr kin siriɔs. Bɔt if yu nos kin blɔd ɔltɛm ɔ if yu gɛt prɔblɛm we de mek yu blɔd klɔt, mek shɔ se yu go to dɔktɔ. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl.