Hnar thisen pawh i nei em? (Epistaxis) Lungngai suh, he thu hi han sawi ila!

Aw ka! Kan hnar atanga thisen tla khat emaw pahnih emaw lo chhuak kan hmu a nih pawhin kan hlauthawng deuh reng a ni lawm ni? Nu leh pa kan nih angin hlauhna nasa tak kan nei hi thil pangngai tak a ni a, a bik takin naupang te tak te hnar thisen chhuah lai hian. Mahse, a tam zawkah chuan he hnar thisen (damdawi lam hawi chuan `( Epistaxis )`) hi a lan dan angin a hlauhawm lo tih i hria em. Amaherawhchu, mi zawng zawng tan hetiang hi tlem tal hriat chian a tha.

Engvangin nge he hnar atang hian thisen a chhuak? A chhan tlangpui engte nge ni?

Hnar thisen chhuak hi `(Epistaxis)` kan ti a. Hei hi naupang tê têah pawh a thleng fo thei. Naupang thenkhat chuan a chang chang chauhin an nei thei a, thenkhat erawh chuan an nei tam zawk thei bawk.

Hnar thisen tam zawk, a bik takin naupangte hi hnar hma lam atanga lo chhuak a ni. I hnar kawng inthenna tur bang a awm a, chu chu hnar septum kan ti a (doctor te pawhin ``Nasal Septum '' an ti bawk), a tam zawkah chuan thisen hi a hma lama thisen kalna kawng te tak te atanga lo chhuak a ni. Chungte chu hnar pakhatah a intan tlangpui.

Mahse, a tlem hle mai, hnar chhung lam atang hian thisen a lo chhuak thei a, a hnung lam tlem a ni. Mahse hei hi kum upa lam, emaw, thisen sang (Hypertension / High Blood Pressure), emaw, hnar emaw hmai emaw hliam chi khat emaw tuar tawhteah a thleng tam ber.

Chuvangin, a tlangpuiin, hnar thisen chhuahna chhan engemaw zat a awm a:

• Hnar chhung a vawt: Hei hi a chhan ber a ni. A bik takin khaw lum leh vawt takah emaw, nilengin `AC` room-a i awm chuan hnar chhunga tui awm chu a tlahniam a, a vawt chhuak thin. Tichuan a chhunga thisen kalna kawng nalh tak takte chu a puak darh thei a ni.
• Hnar Picking: Hei hi naupang tê tête tih fo a ni. Nail hliam emaw, kut zungtang hliam vang emaw pawh nise, hnar chhunga hmun nalh tak takte chu a hliam thei a, thisen a chhuak thei bawk.
• Hnar chak taka hrual: Khawsik emaw, leivut ang chi thil allergy emaw kan neih hian kan hnar chu chak takin kan hrual fo thin. Chutianga tih chuan thisen a chhuak thei bawk.
• Hliam tenau: Inkhelh laiin, tlan laiin, zuang laiin khawi emaw laiah bump tlem i neih chuan thisen a chhuak thei a ni.
• Allergy : Mi thenkhat chuan leivut leh pollen (Allergic Rhinitis) ang chi thil te hi allergy an nei thin. Hnar chhung lam chu a hring thei a, a na a, thisen a chhuak thei bawk.
• Khawsik leh sinus natna (`Sinusitis`):Hetiang infection-ah hian hnar chhunga thisen kalna kawngte chu a thim thei a, thisen a chhuak thei bawk.
• Hnar chhunga thil dang lut: Naupang tê tête chuan an hnar chhungah infiamna emaw, peas emaw ang chi thil an dah ṭhin. Chuti chung pawh chuan thisen a chhuak thei.
• Damdawi thenkhat: Thisen zam tihziaawmna damdawi (e.g., `Aspirin`, `Warfarin`) ei thinte pawhin hnar thisen an nei tam zawk bawk.
• Rarely, other causes: Thisen chhuahna lama harsatna leh hnar polyp te pawh hi a chhan tlem hle thei bawk.

I hnar atanga thisen chhuak i neih hian hlauthawng lovin eng nge i tih thin?

Okay, tunah chuan i hnar a thisen chhuak tan a nih chuan eng nge i tih tur tih kan en ang. Heng step te hi dik taka zawm a pawimawh hle.

1. Slouch suh! Thut nghal rawh:

A hmasa ber chu, thisen chhuak mek chu muthilh tir suh. Chair-ah ding chungin thu la, a nih loh leh ding turin hrilh rawh.

2. Tissue hmangin thisen chu phihfai rawh:

Tissue thianghlim emaw, puan hnim hring te tak te hmang la, thisen chhuak zawng zawng chu phihfai vek turin a pui ang che.

3. I lu chu hmalam hawiin tilt rawh - hnunglam hawi ngai suh!

Hei hi a pawimawh hle a ni . Mi tam takin tihsual pakhat chu an lu hnunglam hawia tilt hi a ni. Chutiang chu ti ngai suh. An lu hnunglam hawia tilt hian thisen chu an rilruah a lut thei a, khuh, luak chhuak a thlen thei a, thawk harsatna pawh a thlen thei bawk. Chuvangin, an lu chu hmalam hawi deuh turin hrilh rawh .

4. Hnar nêm tak chu khauh takin khih rawh:

I kutpui leh kutpui (index finger) hmangin i hnar nêm (hnar kawngkhar awmna hmun) chu ruh lam (a khauh lam) hnuai chiaha pinch la, thawmhnaw hrui ang maiin nghet takin chelh rawh. An hmui an vawn lai hian thawk turin hrilh rawh.

5. Minute 10 vel vawn tur a ni:

Hetiang hian minute 10 tal i hnar i vawn tlat tur a ni. Hun engemaw chen vawn a, vawn leh chuan hna a thawk lovang. Hun enfiah la, minute 10 chiah vawn rawh. Minute 10 hi i tan chuan hun rei tak angin a lang mai thei, mahse hei hi dik taka tih a pawimawh. A theih chuan midang hnenah a hun enfiah turin hrilh rawh.

6. Thisen chhuah a reh loh chuan engtin nge ni ang?

Minute 10 pressure hnua thisen chhuak a reh loh chuan a hma ang bawkin minute 10 dang pressure pe leh tur a ni.

7. Thisen chhuak a la awm chuan damdawi lam thurawn la rawh:

A vawi hnihna (chu chu a vaiin minute 20) pressure pek hnua thisen chhuak a reh loh chuan, a nih loh leh thisen a chhuak nasa hle nia a lan chuan doctor pan nghal tur a ni. In lama puitling pakhat chu damdawi in hnai ber emaw, i chhungkaw doctor emaw pan vat turin hrilh rawh.

8. Hengte hi sawi suh!

I hnar atanga thisen chhuah lai emaw, a tawp hnuah emaw pawh i hnar chu picking suh, i kut zungtang dah la, chak takin hnawih suh, i hnar kha chak takin hrual suh.Chutianga tih chuan thisen chhuah a intan leh thei a ni. Tin, thisen chhuah a reh hnu darkar engemaw zat chhung chu tlan, zuang, leh thil rit phurh ang chi thil engmah tih loh tur a ni.

A tawi zawngin: Thu la, i lu chu hmalam hawiin, i hnar nêm tak chu minute 10 chhung hmet rawh. Hei hi a bulpui ber chu a ni.

Engtikah nge hnar thisen hi kan buaipui tak tak ang?

Tunah chuan hnar thisen tam zawk hi a na lo tih kan hre ta. Mahse, damdawi lam thurawn kan lak ngei ngei tur a awm.

• Minute 20 chhung pressure hnua thisen chhuak a reh loh chuan.
• Hnar thisen chhuak tam lutuk (e.g. kar khatah vawi engemaw zat) a nih chuan .
• Vawi khata thisen luang chhuak zat a tam lutuk chuan.
• I hnar atanga thisen chhuak rualin i luak chhuak a, i chau lutuk a, i chak lo hle bawk a nih chuan.
• Hmun dang, i hnar, i hmui (gums), i bawlhhlawh emaw, i zun emaw atanga thisen chhuak i nih chuan, .
• I taksaah hliam i neih chauh a nih chuan.
• Thisen tithianghlimtu i ei a nih chuan.
• Lu hliam lian tak i neih hnua hnar thisen chhuak i neih chuan.
• Thâwk harsa i neih chuan.
• Naupang chu a sen hle a, a chak lo hle a nih chuan.

Heng symptoms te hi i neih chuan doctor pan vat a finthlak hle ang.

Hnar thisen chhuak lo turin eng nge kan tih theih ang?

Hnar thisen chhuak hi kan veng kim thei lo nain, a tihtlem nan thil tlemte kan tih theih a awm a:

• Hnar chhung lam chu hnim takin dah la:
• Khua a vawt chuan room chhungah humidifier i hmang thei bawk.
• I hnar chhunga saline gel emaw saline nasal spray emaw hman dan tur doctor hnenah thurawn i dil thei bawk. Hengte hian i hnar chhunga a vawt tihziaawmna turin a pui ang.
• Ni khata tui glass engemaw zat in hi hydration atan pawh a tha hle.
• Hnar tihchhiat loh tur (a bik takin naupangte tan):
• Naupang nail te tawi takin dah thin ang che.
• An hnar khawih hi thil tha a ni lo tih hmangaihna nen zirtir rawh.
• Zawi zawiin i hnar chu scrub rawh:
• Khawsik i neih chuan, chak taka hrual ai chuan, zawi zawiin hrual thiam rawh.
• Allergy control tur: 1.1.
• Dust emaw pollen emaw ang chi thila allergy i neih chuan doctor pan la, a enkawlna dik tak la rawh.
• Hrisel takin awm rawh:
• Infiamna i khelh dawnin invenna bun hmang la, a bik takin hmai hliam thlen thei infiamnaah hian invenna hmanrua vuah thin ang che.

Doctor i pan dawnin eng nge i tih thin?

Hnar thisen chhuah fo vang emaw, thisen chhuak tam lutuk vang emawa doctor i pan chuan a hnuaia mite hi a ti thei ang:

• Zawhna an zawt ang che: eng chen nge i thisen chhuah tawh, eng chen nge i thisen chhuah, vawi khatah thisen i chhuah zat, damdawi dang i ei em tih, leh damdawi dang i neih leh neih loh te.
• Hnar examination: Torch te tak te leh hmanrua (`nasal speculum`) hmangin doctor chuan hnar chhung lam chu a enfiah ang a, thisen chu khawi atanga lo chhuak nge tih leh eng emaw a awm leh awm loh, hliam emaw, tumor emaw a awm leh awm loh a enfiah ang.
• Cauterization: A chang chuan thisen chhuak chu vein te tak teah chiang taka hmuh theih a nih chuan chemical (`Silver Nitrate` ang chi) hmanga hal emaw, electrocauterizing emaw hmangin tihtawp theih a ni. Hei hi a tlangpuiin a hrehawm vak lo.
• Hnar Packing: Thisen chhuah chu tihtawp a harsat chuan doctor chuan hnar chhungah damdawi hmanga siam hnar pack emaw, inflatable balloon ang chi emaw dahin a hmunah a vawng thei a ni . Hei hi ni engemaw zat a hmunah dah a ngai mai thei.
• Thisen test: A tlem hle a, thisen zam harsatna a awm nia rinhlelh a nih chuan thisen sample lak a, test theih a ni.

Hriat reng tur pawimawh ber (Take-Home Message) .

I hnar atanga thisen lo chhuak hmuh chu a hlauhawm deuh thei tih chu a dik a ni. Mahse, a tam zawkah chuan a pawi lo va, in lama first aid awlsam tak hmangin control theih a ni.

A pawimawh ber chu thisen chhuah laiin hlauthawng lo ila, first aid dik tak pek (thu la, i lu chu hmalam hawiin, i hnar nêm tak chu minute 10 chhung hmet la).

Amaherawhchu, thisen chhuah a reh loh chuan, a awm fo a nih chuan, a hmaa kan sawi tawh angin vaukhânna chhinchhiahna i neih chuan doctor pan chu tihkhawtlai suh.

Nang leh i chhungte hriselna tha neih duhsakna ka hlan e!

` Hnar thisen chhuak, Epistaxis, Naupang hnar thisen chhuak, Hnar Stuffing, First Aid, Epistaxis, Naupang hnar thisen chhuak