Hnar thisen pawh i nei ve em? (Epistaxis) Hlauthawng suh, he thil hi i chhui chhuak ang u!

I hnar atangin thisen a chhuak nghal tawh em? Chutiang hunah chuan hlauthawng deuha inhriat hi thil pangngai a ni. Mahse a tam zawkah chuan hei hi thil pawi tak a ni lo. Vawiin hian he hnar thisen chhuak, a nih loh leh damdawi lama `(Epistaxis)` tia hriat hi chipchiar takin han sawi ila.

Hnar thisen chhuak (Epistaxis) chu eng nge ni?

A awlsam zawngin `(Epistaxis)` chu i hnar chhunga tissue atanga thisen chhuak a ni. Hei hi hnar pakhat a\angin a thleng thei a, a \henah chuan a pahnih a\angin a thleng thei bawk. Mahse a tam zawkah chuan thisen hi hnar pakhat atanga lo chhuak a ni.

I hria em, kan hnar chhungah hian thisen kalna kawng te tak te a tam hle. Hengte hi kan thawk boruak lum tirtu, tuihna belhchhahtu leh kan taksaa thawn chhuahna atana puitu te an ni. Mahse heng thisen kalna kawngte hi hnar chhunga vun nen an inhnaih hle. Chuvangin, hnar atanga boruak a kal chuan heng thisen kalna kawngte hi a vawt a, hliam an tuar tam zawk thin. Chutah chuan thisen a chhuak tan ta a ni.

Ngaihtuah teh, mi sawm zinga paruk vel chuan an dam chhungin vawi khat tal hnar thisen an nei tawh a ni. A tam zawkah chuan hengte hi thil tenawm tak tak, in lama enkawl theih a ni. Mahse, thisen a chhuak nasa hle a nih chuan , emaw, i luak emaw, natna dang, thawk harsatna ang chi emaw i neih chuan, damdawi ina kal nghal a tha ber tih a chiang

Hnar thisen chhuak chi hrang hrangte chu engte nge ni?

Hei hi Doctor-te chuan chi hnihah an ṭhen a, chu chu thisen chhuahna hmun a zirin a ni.

Hnar hmalam thisen chhuak

Hei hi a tam ber chi a ni . Thisen chhuah hi hnar hma lam, hnar kawng hnih (`(septum)` an tih bawk) inthenna bang hnuai lam atanga tan a ni. He lai hmuna thisen kalna kawng te te hi a nalh em em a, chuvangin awlsam takin a chhe thei a, thisen a chhuak thei bawk. Hei hi a tlangpuiin natna khirh tak a ni lo va, in lamah enkawl theih a ni.

Hnar hnunglam atanga thisen chhuak

He thisen chhuahna hi hnar chhung thuk takah a thleng thin. Thisen hi kawr bula thisen kalna kawng lian tak tak atanga lo chhuak a ni. Hei hi thisen chhuahna nasa tak a ni thei a, thisen pawh kawr chhungah a luang thla thei bawk. Chutiang dinhmunah chuan damdawi lam thurawn lak nghal a pawimawh hle .

Hei hi eng symptoms nge ni?

A tam zawkah chuan hnar thisen tih loh chu symptom dang a awm lo. Mahse, hnunglam hnar thisen chhuak i neih chuan thisen thenkhat chu i kawr hnuaiah a kal thei a, i pum chhungah a lut thei bawk. Hei hian i kawr hnung lamah a thlum mak tak a siam thei a, i rilru a ti na thei bawk.

Pawimawh: I hnar thisen chhuahna nen hian symptom dang (e.g. extreme fatigue , thawk hah lutuk , bruising) i neih chuan, a hnuaia damdawi lam dinhmun dang chhinchhiahna a ni thei.

Engvangin nge thisen hi hnar pakhat chauh a\anga lo chhuak? A nih loh leh an pahnih atang hian?

A tam zawkah chuan thisen hi hnar pakhat atanga lo chhuak a ni a, mahse a chang chuan vawi khatah a pahnih atanga lo chhuak thei a ni. Hnar thisen chhuah chhan hi a tam hle. Vanneihthlak takin a tam zawk hi chu an serious lo.

A chhan tlangpui

• Dry air: Hei hi a chhan ber a ni . A bik takin, .
• Khaw lum leh vawt hmunah te.
• Tuipui atanga hla tak takah.
• Indoor boruak lum takah chuan.

Thli vawt chuan hnar chhunga membrane nalh tak chu a ti vawt thei a, a crust over thei a, a crack thei bawk. Hei hian i hnar i pick emaw, i tui chawi emaw hian thisen a chhuah thei a ni.

• A chhan tlangpui dangte:
• Hnar picking (a bik takin naupang tê tête).
• Hnar leh/ emaw hmaiah hliam .
• Hnar chhunga septum deviated neih.
• Upper respiratory tract infection emaw sinus infection emaw avanga thawk hah fo , khuh, leh hnar thisen chhuak.
• Allergic rhinitis emaw nonllergic rhinitis emaw a awm thei.
• Hnar spray (e.g. antihistamines , decongestants) hman fo thin. Hengte hian hnar kawng a ti vawt thei a ni.
• Thisen tithianghlim thei damdawi (e.g. aspirin , NSAIDs ( painkillers ), warfarin ) ei.
• Thianghlimna thil, hnathawhna hmuna meikhu emaw, rimchhia dang emaw atanga chemical lo chhuak.
• Ruihhlo hnim hring (e.g. cocaine) hman.

Tlem a tlem zawk hmuh chhan

• Zu in hman dan.
• Thisen chhuahna lama harsatna (e.g. hemophilia, von Willebrand natna).
• Thisen sang a sang.
• Artery walls a thim (Atherosclerosis) a ni.
• Hmai leh hnar surgery neih a ni.
• Hnar natna (nasal tumor) a awm.
• Hnar polyps a awm.
• Immune system chak lohna (Immune thrombocytopenia) avanga platelet count tlahniam.
• Thisen cancer `(Leukemia)`.
• Hereditary hemorrhagic telangiectasia hi thisen kalna kawng natna a ni.
• Naupai lai.

Engvangin nge mut laiin hnar thisen ka chhuah?

Mut laia hnar thisen chhuah chhan hi nilenga hnar thisen chhuak ang chiah a ni. Thli vawt, allergy, leh upper respiratory infection ang chi thilte hian hnar lining nalh tak chu a tichhe thei a ni. Tin, lu lam hawia mut hian hnar chhungah direct pressure a siam thei a, zanah hnar thisen a chhuak thei bawk.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Tu pawhin hnar thisen an nei thei. Mi tam zawk chuan an dam chhungin vawi khat tal an tawng tawh a ni. Mahse mi thenkhat chuan an dawng duh zawk.

• Naupang kum 2 leh 10 inkar: Thli vawt, khawsik, allergy, leh an hnar chhunga kut zungtang leh thil dang dah te hian naupang hnar thisen a chhuah fo thin.
• Kum 45 leh 80 inkar puitling: Kum 50 i hnaih chuan i thisen zam hun a pung thei. Tin, hetiang kum hian thisen sang, thisen kalna kawng khauh (atherosclerosis), emaw thisen zam (blood clotting disorder) i nei tam zawk bawk.
• Hmeichhe naupai: Naupai lai hian hnar chhunga thisen kalna kawngte chu a zau a, chu chuan hnar chhunga thisen kalna kawng nalh tak takte chu pressure nasa zawk a siam a ni.
• Thisen tithianghlimtu damdawi ei thinte: Hei hian aspirin leh warfarin ang chi damdawi te a huam a ni.
• Thisen zam harsatna nei te: Entirnan, hemophilia leh von Willebrand natna.

Engtikah nge hnar thisen chhuak hi i ngaihtuah tur?

I hnar atanga thisen chhuak i hmuh hian tlem a lungkham deuh hi thil pangngai a ni a, mahse a tam zawkah chuan a pawi lo. In lamah i enkawl thei ang. Mahse, doctor i pan tur a ni a, chu chu :

• Hnar thisen chhuak fo i neih chuan.
• Anemia symptoms (chak lohna, luak chhuak, hah lutuk, khawsik, thawk harsa, vun dum) i neih chuan.
• Damdawi thar i ei tan hnua hnar thisen i chhuah tan chuan .
• I taksa pum puiah hnar thisen chhuak leh hliam danglam tak tak i neih chuan – a pahnih hian – chu chu natna khirh tak chhinchhiahna a ni thei a, chu chu thisen zam (hemophilia emaw von Willebrand natna), thisen cancer (leukemia), emaw hnar natna (nasal tumor) te hi a ni.

I fa kum 2 hnuai lam a nih a , hnar thisen a chhuak a nih chuan naupang enkawltu doctor biak a tha. I fa kum eng pawh ni se, an medical checkup neih leh hunah hnar thisen chhuah chungchang sawi hi a finthlak hle ang.

Doctor-te hian engtin nge hei hi an hmuh?

Doctor chuan i hnar thisen chhuah chungchangah zawhna tlemte a zawt ang che:

• Thisen chhuahna chu eng chen nge (minute-ah) a awm?
• Thisen engzat nge hloh?
• Engzat nge hnar thisen i chhuah thin?
• Thisen chu hnar pakhat atanga lo chhuak nge a pahnih atanga lo chhuak?

Tin, hei pawh hi hriat a ni:

• Damdawi i ei chi hrang hrang (thisen tithianghlimtu aspirin, khawsik/allergy damdawi, etc. te pawh a tel) .
• In chhungkuaah thisen kaihhnawih natna nei an awm em?
• Zu leh/ emaw inhalants hman.

Tichuan, doctor chuan i hnar a enfiah ang a, chu thisen chhuahna chu khawi atanga lo chhuak nge a nih tih leh eng thil nge a chhan tih a en ang. An hnar kawngkhar hawn nan hmanraw te tak te ``speculum`` an hmang ang a, light source hrang hrang emaw ``endoscope`` (camera nei tube te tak te) hmangin hnar chhung lam an en ang.

Doctor chuan hnar chhung lam a ti na thei a, thisen kalna kawng a tikhawlo thei bawk. Hnar chhunga thisen zam leh hnar awm zawng zawng pawh a paih chhuak thei bawk. Hei hi a nuam lo deuh mai thei, mahse a hrehawm lo.

A tlem berah chuan thisen zam natna, thisen kalna kawng dik lo, hnar chhunga tumor awm leh awm loh enfiah nan X-ray emaw, CT scan emaw, thisen test emaw tih tur a ni.

Hei hi eng enkawl dan nge ni ang?

Hnar thisen chhuak enkawl dan chu thisen chhuah chhan a zirin a ni. I doctor chuan i dinhmun atana thil tulte chu a hrilhfiah ang che. `(Epistaxis)` enkawlnaah hian:

• Hnar packing: Doctor chuan thisen chhuahna hmun pressure siam turin hnar chhungah gauze, nasal sponge emaw foam bik emaw, inflatable latex balloon emaw a dah a. Hei hi doctor chuan darkar 24-48 vel a lakchhuah a ngai mai thei.
• Cauterization: Hetiang tih dan hian chemical (silver nitrate) emaw heat (electrocautery) emaw hmangin thisen kalna chu a seal off thin. Hemi hma hian doctor chuan hnar chhungah numbing medicine a spray thin.
• Damdawi thlak/re-prescribing: Thisen tithianghlimtu i ei zat tihtlem – emaw, tihtawp – hian a pui thei ang. I thisen sang control nan damdawi i mamawh thei bawk. I doctor chuan damdawi, tranexamic acid (Lysteda®) ang chi a pe thei bawk a, chu chuan i thisen a tikhawlo thei a ni.
• Thil dang lakchhuah: Hnar chhunga thil lo lut avanga hnar thisen chhuak a nih chuan doctor chuan a la chhuak ang.
• Surgery: Hnar tliak siamthat nan emaw, deviated septum siamthat nan emaw surgery tih theih a ni (septoplasty).
• Blood vessel ligation: Hetiang tih danah hian doctor chuan thisen supply tu thisen kalna kawng chu a khih a, thisen chhuahna chu a titawp thin.

Engtin nge in lama hnar thisen chhuak hi tihtawp theih ang?

Hnar thisen chhuak tihtawp nan hengte hi zawm tur a ni:

• Ngawi rengin awm la, i hmui hmangin thawk la.
• Dinglam hawiin thu la, i lu chu hmalam hawiin tlem han hmet la (i lu chu hnunglam hawi suh, hei hian i rilruah thisen a luang lut thei a ni).
• I kutpui leh kutpui (index finger) hmangin i hnar nêm (hnar kawngkhar chunglam chiah) chu pinch rawh.
• Thisen chhuah a reh hma chu nghak rawh. Tissue emaw puan hnim emaw hmangin thisen chu phihfai thin ang che.

A tam zawkah chuan in lama enkawl hi a tawk. Mahse, hnar thisen chhuak thenkhat chu damdawi in enkawl ngai a ni. Hetiang hunah hian mi pakhat nen emergency room hnai ber pan nghal la, 1990 ah call rawh:

• Minute 15-20 chhung hnar i vawn hnuah pawh thisen chhuak i tihtawp theih loh chuan.
• Thisen a tam chuan (cup 1 aia tam).
• Thisen tithianghlimtu (Aspirin emaw warfarin emaw ang chi) i ei a nih chuan, emaw, thisen zam (blood clotting disorder) i neih chuan, thisen chhuah a reh loh chuan.
• Thâwk harsa i neih chuan.
• Thisen i ei a, i luak chhuak thei lo a nih chuan.
• Lu-a vuak emaw, hliam na tak (tlu, car accident, hmai/hnar na taka vuak) hnua i hnar thisen chhuak tan a nih chuan.

Hnar thisen chhuah hnua tui in hi a pawi em?

Ni e, hnar thisen chhuah hnuah tui tam tak i in tur a ni. Tui leh thei tui, caffeine tel lo hi a tha hle. Hnar thisen chhuah hnuah thisen thenkhat chu i kawr hnuaiah a kal thei a, i pum chhungah a lut thei bawk. Hei hian i rilru a ti na thei. Mahse tui in hian hnar thisen a nghawng dawn lo.

Hnar thisen chhuak vangin i thi thei ang em?

Hnar septum chunglam emaw, hnar chhung thuk tak atanga thisen chhuak hi thunun a harsa thei hle. Mahse, hnar thisen vanga thihna hi a tlem hle.

Hnar thisen chhuak lo turin eng nge tih theih ang?

Hnar thisen chhuak lo tura pui thei thil thenkhat chu hetiang hi a ni:

• I hnar kawng a hnim reng theih nan ni khatah vawi hnih emaw vawi thum emaw hnar kawng khatah saline nasal spray emaw saline nose drop emaw hmang thin ang che. Hengte hi damdawi dawrah lei theih a ni a, in lama siam theih a ni bawk.
• I furnace-ah humidifier dahin, zanah i mutna pindan chhungah humidifier dahin boruakah tui dah belh rawh.
• Cotton bud hmangin i hnar chhungah hnar gel emaw ointment (`Bacitracin®`, `Vaseline®` emaw `Ayr Gel®` ang chi) hnawih la. Cotton bud chu i hnar chhungah inch 1/4 aia tam dah suh. Heng gel leh ointment te hi damdawi dawr tam zawkah a awm a.
• I hnar chu ring takin vuak suh.
• I thawk hah dawnin i hmui chu hawng reng ang che. Tissue emaw i elbow emaw chhungah chuan thawk hah fo ang che.
• I hnar chhungah hian i kut zungtang telin thil nghet tak tak dah suh.
• Thisen chhuahna tipung thei damdawi (aspirin leh ibuprofen ang chi) hman khap tlat ang che. I damdawi ei tur i tihdanglam hmain i doctor nen inbia fo ang che. Hei hi damdawi prescription, warfarin (Coumadin®) leh nonsteroidal anti-inflammatory drugs (NSAIDs) te tan a pawimawh hle.
• I hnar allergy symptoms chu over-the-counter emaw prescription damdawi emaw hmanga awlsam taka control theih a nih loh chuan doctor pan rawh. Over-the-counter damdawi i hman hian a label-a tarlan ang chiah kha zawm tur a ni. A hman tam lutuk chuan hnar thisen a chhuak thei.
• Meizial zu kha bansan rawh. Meizial in hian i hnar a ti vawt a, allergy a thlen bawk.
• I hmai leh hnar hliam thei thil i tih chuan protective headgear vuah rawh.

I fa chu hnar thisen chhuak lo turin zirtir la, an hnar chhungah engmah dah lo turin zirtir rawh. Tin, an nail tawi te te pawh a tha. I pediatrician chuan thurawn tam zawk a pe thei che a ni.

Hnar thisen i neih lai hian thisen a zam hi thil pangngai a ni em?

Awle. Thisen zam chu thisen zam (blood clots) a ni a, thisen kalna kawng hliam avanga lo awm thin a ni. Thisen kalna kawng a chhiat chuan thisen chhuak tam lutuk tihtawp nan thisen zam (blood clots) a lo awm thin. Hnar thisen chhuak tihtawp nan i hnar i pinch chuan thisen zam chu a lo awm tan thin. I lak chhuah emaw, i hnar i puak emaw thlengin chutah chuan a awm tlangpui.

Engvangin nge hnar thisen ka chhuah fo thin?

Hnar thisen chhuak fo thin hi chhan tam tak a awm thei. Hei hian hnar pakhat emaw, a pahnih emaw a nghawng thei. A chhan langsar zualte chu:

• Allergy symptoms emaw, khawsik/hnar congestion emaw avanga hnar spray hman fo.
• I chenna boruak chu a vawt hle mai.
• Hnar atanga ruihhlo rimtui.

Spray hman hi rei lo te emaw, a pum emaw i chawlhsan a ngai mai thei. Heng thilte hi i hmang a nih chuan Doctor nen inbia ang che.

A tlem berah chuan hnar thisen chhuak tam (epistaxis) hi thisen zam natna emaw, natna khirh tak dang emaw chhinchhiahna a ni thei. Hnar thisen chhuak fo a nih chuan Doctor pan tur a ni.

A tawp berah chuan thil hriat reng tur

Epistaxis, a nih loh leh hnar thisen chhuak hi damdawi lama natna tlanglawn tak, mahse eng emaw chen tibuaitu a ni. Hnar thisen chhuak rang taka tihtawp dan i zir hnu chuan a tan hmaa i tih thin kha rang takin i ti leh thei tawh ang. Epistaxis vei tam zawk hi chu a na lo hle. Mahse hnar thisen chhuak fo emaw, thisen zam (blood clotting disorder) i neih chuan doctor pan ngei ngei tur a ni. I hriselna enkawl hi a pawimawh ber a ni.