I hnar atanga thisen chhuak nghal mai chu a hlauhawm deuh a ni lawm ni? Eng emaw i ti a ni mai thei, a nih loh leh i naupang tê chu a inkhel a, rang takin i hnar aṭangin thisen tla khat emaw pahnih emaw a rawn chhuak tih i hmu mai thei. A chang chuan a tawp mai thin a, mahse a chang chuan thisen chhuah chhunzawm zel chuan eng thil nge thleng tih i hre thei lo. Hei hi a pawi tak zet em? Engvangin nge hetiang hi a lo awm? Vawiin hian engkim hi chipchiar tak leh awlsam takin sawi ila.
He hnar thisen chhuak hian eng nge a awmzia? (Epistaxis) tih a ni.
A awlsam zawngin, hnar atanga thisen chhuak hi medical science-ah chuan `(Epistaxis)` an ti a. 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 chauh atanga lo chhuak a ni.
Tunah chuan hetiang thil hi engvanga lo awm nge tih i lo en ang u. Ngaihtuah teh, kan hnar chhungah hian thisen kalna kawng te tak te tam tak, mesh te tak te ang maia inzar pharh a awm a. Heng thisen kalna kawngte hian hna pawimawh tak an nei a. Chu chu kan thawk boruak lum tir tur leh kan lung chhunga kan thawn hmain a mamawh tui pekna tur tihna a ni. Mahse buaina chu, heng thisen kalna kawng te te hi a chunglam takah, a nih loh leh hnar chhunga vun hnaih takah an awm a ni.
Chuvangin kan thawk boruak a vawt hle a, entirnan AC room-a hun tam tak kan hman hian emaw, Nuwara Eliya ang hmun lum leh vawt tak awmna hmuna kan awm hian hnar chhung lam a vawt a, hnar te te a lo piang ta a ni. Hetih lai hian kan hnar hi tlem kan vawm a, kan kut zungtang kan dah a, rei lo te chhung pawh ni se, heng thisen kalna kawng te tak te te hi a puak darh a, thisen a chhuak tan thin.
Lungngai suh! A vaiin mi 10 zinga 6 vel chuan an dam chhungin vawi khat tal hnar thisen an nei ang.
Hnar thisen chhuahna hi kawng lian pahnih a awm.
Doctor-te chuan hnar thisen chhuah hi chi hnihah an ṭhen a, chu chu thisen chhuahna hmun a zirin a ni.
1. Hnar hmalam thisen chhuak
Hei hi hnar thisen chhuak tam ber a ni. Thisen chhuahna hi hnar hma lam, septum hnuai lam, hnar kawng pahnih inthenna bang atanga tan a ni. He lai hmuna thisen kalna kawngte hi a nalh em em a, chuvangin hliam tenau tak pawhin thisen a chhuah tir thei a ni. Hei hi a tlangpuiin natna khirh tak a ni lo. A tam zawkah chuan kan sawi tawh angin first aid hmangin in lamah pawh control theih a ni.
2. Hnar hnunglam atanga thisen chhuak
Hei hi ngaihven tlem a ngai chi a ni. He thisen chhuahna hi hnar chhung thuk tak, kawr bula thisen kalna kawng lian zawk atanga lo chhuak a ni. Thisen chhuah hi a rit deuh thei a, thisen chu hnar atanga hmalam pan ai chuan kawr hnuai lam a pan duh zawk. He thisen hi pum chhunga a luh chuan luak chhuak leh luak chhuak thei a ni.
Hetianga hnungzang atanga thisen chhuak hi home first aid hmanga tihtawp a harsa tlangpui.Chutiang dinhmunah chuan Doctor pan nghal emaw, damdawi in Emergency Treatment Unit (ETU) pan emaw a tha ber.
Engvangin nge hnar thisen kan neih? A chhan thenkhat han thlir ila
Hnar thisen chhuah chhan hrang hrang a awm thei. Vanneihthlak takin heng a chhan tam zawk hi chu a pawi lo hle.
A chhan hmuh fo thin
- Dry air: Hei hi a chhan ber a ni. Khua lum leh vawt hniam, nilenga AC room-a awm te, tlangram hmuna boruak vawt lutuk hian hnar chhung lam a vawt a, thisen a chhuak thei a ni.
- Hnar picking: Hei hi naupang tê tête zingah a tam hle. Nail te hi a tang thei a, thisen kalna kawng nalh tak tak te pawh a ti hliam thei bawk.
- Hnar pinching: Khawsik emaw, sinus infection emaw kan neih chuan kan hnar hi kan pinch nasa hle. Chu pressure chuan thisen kalna kawng a tipuak thei bawk.
- Allergy: Leivut leh pollen ang chi thil allergy nei te chuan hnar a na fo thin a, an thawk hah fo thin a, chu chuan hnar chhunga membrane nalh tak tak te chu a tichhe thei a ni.
- Nasal Sprays: Allergy emaw hnar congestion emaw atana hman tur spray thenkhat chu rei tak hman a nih chuan hnar chhung lam a vawt thei.
- Hnar emaw hmai emaw hliam: Infiamna khelh laiin tlu emaw, accident emaw, vuak vang emaw hian thisen a chhuak thei a ni.
- Thisen tithianghlimtu: Thisen tithianghlimtu damdawi aspirin leh warfarin ei thinte chuan hliam tenau tak tak atang pawhin thisen chhuahna a pung thei a ni.
- Deviated Septum: Hnar chhung lam inthenna bang chu a sir khatah a inthlak chuan boruak kal dan a danglam a, a sir khat chu a vawt reng a, thisen a chhuak thei bawk.
A chhan awm lo zawk
- Zu in tam lutuk
- Thisen zam (e.g., hemophilia emaw von Willebrand natna emaw) .
- Thisen sang a sang
- Thisen kalna kawng bang a thim (Atherosclerosis) .
- Hnar emaw hmai emaw surgery tih thin
- Hnar tumor emaw polyp emaw a awm thei
- Natna chi hrang hrang thisen cancer (Leukemia) .
- Naupai lai (hetih hun chhung hian taksa chhunga thisen kalna kawngte chu a zau a, hnar chhunga thisen kalna kawng nalh tak takte chu pressure nasa zawk a siam thin) .
Hnar thisen chhuak tur chu i ngaihtuah tur em ni? Engtikah nge doctor i hmuh ang?
A tam zawkah chuan hnar thisen hi a na lo hle. Mahse, a then phei chuan natna dang chhinchhiahna an ni thei. Chuvangin, a hnuaia thil thlengah hian damdawi lam thurawn lak a pawimawh hle.
| Dinhmun / mizia | Eng nge tih tur |
|---|---|
| Hnar thisen chhuak fo i neih chuan. | A chhan hriat tumin chhungkaw doctor hmu rawh. |
| Thisen tlakchhamna chhinchhiahna i neih chuan, hnar thisen chhuak, vun hring, hah lutuk, luak chhuak, leh thawk harsa tih ang chi te . | Doctor pan nghal rawh. |
| Damdawi thar i ei tan hnua hnar thisen i chhuah tam chuan . | Chu damdawi pe tu doctor nen chuan inbia ang che. |
| If, along with the nosebleed , taksa peng dangte pawhin hliam ang chi hliam an nei bawk . | Hei hi damdawi lam natna khirh tak chhinchhiahna a nih theih avangin doctor pan nghal rawh. |
| Naupang kum 2 hnuai lam chuan hnar thisen a chhuah chuan. | Naupang enkawltu doctor pan a tha ber. |
In lama hnar thisen chhuak tihtawp dan (first aid) .
Okay, tunah chuan hnar thisen i chhuah tan hunah engtin tak nge tih tur tih i en ang u, hlauthawng lovin.
1. Thlamuang rawh: A tir lamah chuan hlauthawng suh. Thlamuang takin awm la, i kâ hmangin thawk la.
2. Dinglam hawiin thu rawh: Chair-ah ding takin thu la, i lu chu hmalam hawiin tlem han hmet la. I lu chu hnunglam hawi ngai suh. Chutianga tih chuan i kawchhungah thisen a tla thla thei a, khuh leh luak chhuak a thlen thei a ni. Hei hian thisen chhuah a tipung thei bawk.
3. I hnar pinch: I kut zungtang leh index finger hmangin i hnar kawngkhar chung lam deuha a nem chu pinch rawh. I hnar ruh lam chu pinch suh, a nem lam chauh pinch rawh.
4. Minute 10-15 vel nghah: Vawi khatah minute 10 tal nghah turPress zel rawh. Thisen chhuah a reh tawh em tih enfiah laiin i kut chu thlah suh. Chutianga tih chuan thisen zam lo awm chu a titawp ang a, thisen chhuah chu a intan leh ang. Minute 10 hnuah i kut kha thlah rawh. Thisen a la chhuak a nih chuan minute 10 dang press leh zel ang che.
5. Thisen phihfai: Tissue emaw puan hnim emaw hmangin thisen chhuak chu phihfai tur a ni. Cotton ball emaw rolled tissue paper emaw chu i hnar chhungah press tum ngai suh.
Hetiang hunah hian ETU-ah kal nghal rawh!
A tlangpuiin a chunga kan sawi tak first aid te hian thisen chhuah a titawp ang. Amaherawhchu, a hnuaia thil thlengah hian in lama awm lova, damdawi in hnai ber Emergency Department (ETU)-ah mi pakhat nen kal nghal mai tur a ni.
- Minute 15-20 chhung i hnar khauh taka i vawn hnua thisen chhuak a reh loh chuan.
- Thisen tam tak a bo chuan (e.g. no khat aia tam).
- Thisen tithianghlimtu damdawi (aspirin, warfarin) i ei a nih chuan, thisen zam (hemophilia) i neih a, i thisen chhuah a reh loh chuan.
- Thâwk harsa i tih chuan .
- Thisen i chhuak chhunzawm zel a nih chuan .
- Lu emaw hmai emawa na taka vuak hnua thisen i chhuah tan chuan (a tlu, car accident).
Hemi atan hian doctor hian eng ang enkawlna nge a pek?
Damdawi in i kal hian doctor chuan thisen chhuah chhan leh a nasat dan azirin enkawlna hrang hrang a hmang thei a ni.
- Nasal Packing: Thisen chhuahna hmuna pressure pek tur chuan hnar chhungah gauze hnim, special sponge emaw, inflatable balloon emaw ang chi thil dah theih a ni. Hei hi darkar 24-48 vel a hmunah dah a ni a, chutah chuan lakchhuah a ni.
- Cauterization: Hei hian thisen kalna kawng te tak te, chemical (silver nitrate) emaw, electrical device te tak te (electrocautery) hmanga hal leh ‘sealing’ a huam a ni. Hemi hma hian hnar chhung lam chu a numb a, chuvang chuan na a awm lo.
- Damdawi thlak danglam: Dose thlak danglam emaw, thisen tithianghlimtu ang chi thil ei hi rei lo te chhung chawlhsan emaw tura fuih i ni thei.
- Surgery: Hnar a tliak emaw, deviated septum a neih emaw chuan surgery (septoplasty) hmangin siamthat theih a ni.
Hnar thisen chhuak leh lo turin eng nge tih theih ang?
Hnar thisen chhuak fo i neih chuan heng tih dan zawm hian i natna thunun kawngah kawng thui tak a zawh thei a ni.
- I hnar hnim vawng reng rawh: Saline nasal spray, damdawi dawr atanga hmuh theih, ni khatah vawi hnih atanga vawi thum hmang thin ang che. Zanah i mutna pindan chhungah humidifier hman a tha bawk.
- Coating pakhat hnawih la:Cotton ball-ah Vaseline tlem tal hnawih la, hnar chhung lamah hnawih rawh. Mahse, cotton ball chu thuk lutukah dah suh.
- I hnar kha khauh takin vuak suh: I hnar i vuak dawnin zaidam takin awm rawh. Hmuh laiin i hmui hawng rawh.
- I hnar kha pick suh: Hetiang tih dan hi pumpelh rawh. Naupang tê tête chu hemi chungchâng zirtîr la, an nail te chu tawi takin vawng rawh.
- Meizial in loh tur: Meizial hian hnar chhung lam a ti vawt a, membrane nalh tak takte a tichhe bawk.
- Invenna helmet vuah: I hmai leh hnar hliam thlen thei infiamna i khelh chuan invenna helmet vuah ngei ngei tur a ni.
Take-Home Thuchah a ni
- Hnar thisen (Epistaxis) hi a tam hle a, a tlangpuiin ngaihtuahawm tur a awm lo.
- Vawi tam tak chu a chhan chu boruak vawt vang a ni a, chu chuan hnar chhunga thisen kalna kawng nalh tak takte chu a puak darh thin.
- Thisen i hmuh chuan hlauthawng suh la, i lu chu hmalam hawiin ti la, i hnar nêm tak chu minute 10-15 vel vawi khatah hmet la.
- Thisen chhuah a reh loh chuan, thisen a chhuak tam lutuk a nih chuan, a nih loh leh symptoms na tak dang (luak, thawk harsatna) a awm chuan doctor pan emaw, ETU-ah emaw kal nghal tur a ni.
- Hnar thisen chhuak fo i neih chuan a chhan dik tak hriat tumin doctor nena inbiakna neih a pawimawh hle.
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