Ka pāngia hoki koe e te toto ihu? (Epistaxis) Kaua e mataku, me rapu tātou i ngā kōrero mō tēnei!

Kua tīmata ohorere te toto i tō ihu? He mea noa te mataku i ēnei wā. Engari i te nuinga o te wā, ehara tēnei i te mea nui. I tēnei rā, me kōrero taipitopito tātou mō tēnei toto ihu, e mōhiotia whānuitia ana rānei i roto i te rongoā ko te `(Epistaxis)`.

He aha te toto ihu (Epistaxis)?

Ki te kī māmā noa, ko te `(Epistaxis)` he toto e puta mai ana i ngā kiko o roto i tō ihu. Ka puta pea tēnei mai i te pongaponga kotahi, i ētahi wā mai i ngā pongaponga e rua. Engari i te nuinga o te wā, ka puta te toto mai i te pongaponga kotahi.

Kei roto i ō tātou ihu, he maha ngā uaua toto ririki. Koinei ngā mea e whakamahana ana i te hau e manawahia ana e tātou, e tāpiri ana i te makuku, e tuku ana ki ō tātou tinana. Engari he tata rawa ēnei uaua toto ki te kiri i roto i te ihu. Nō reira, ina puta te hau mā roto i te ihu, ka maroke ēnei uaua toto, ā, ka nui ake te tūponotanga ka whara. Koinā te wā ka tīmata te toto.

Whakaarohia, e ono i roto i te tekau ngā tāngata kua totohu te ihu i te iti rawa i te kotahi wā i roto i ō rātou oranga. I te nuinga o te wā, he iti noa iho ēnei mea ka taea te rongoā i te kāinga. Heoi, ki te tino totohu, ki te ruaki rānei koe, ki te pāngia rānei koe e ētahi atu tohu pēnei i te uaua ki te manawa, he mea pai kia haere tonu ki te hōhipera .

He aha ngā momo matua o te toto ihu?

E rua ngā momo matua o tēnei e wehea ana e ngā tākuta, i runga i te pūtake mai o te toto.

Te toto o te ihu o mua

Koinei te momo tino noa . Ka tīmata te toto i mua o te ihu, i raro i te pakitara e wehe ana i ngā pongaponga e rua (e kiia ana ko te `(septum)`). He tino ngawari ngā oko toto iti o tēnei wāhi, nō reira ka ngawari te pakaru me te toto. Ehara tēnei i te mate kino, ā, ka taea te rongoā i te kāinga.

Te toto o te ihu o muri

Ka puta te toto i roto rawa i te ihu. Ka puta te toto i ngā oko toto nui e tata ana ki te korokoro. He toto nui pea tēnei, ā, ka taea hoki e te toto te rere iho i te korokoro. I roto i tēnei āhuatanga, he mea tino nui kia rapu tohutohu hauora tonu .

He aha ngā tohu o tēnei?

I te nuinga o te wā, kāore he tohu i tua atu i te toto ihu. Heoi, ki te toto ihu o muri tōu, ka taea e ētahi o te toto te haere ki raro i tō korokoro ki roto i tō puku. Ka puta he reka rerekē ki te tuarongo o tō korokoro, ā, ka whakapairuaki koe.

He mea nui: Mena kei a koe ētahi atu tohu (hei tauira, te tino ngenge , te poto o te manawa , te marō) me te toto o tō ihu, he tohu pea tēnei nō tētahi atu mate hauora e pā ana ki a koe.

He aha i puta mai ai te toto i te ihu kotahi anake? Nō ngā ihu e rua rānei?

I te nuinga o te wā, ka puta te toto i te pongaponga kotahi, engari i ētahi wā ka puta mai i ngā pongaponga e rua i te wā kotahi. He maha ngā take e puta ai te toto ihu. Waimarie, ko te nuinga o ēnei he koretake.

Ngā take noa

• Hau maroke: Koinei te tino take . Ina koa,
• I ngā rohe he mahana, he makuku hoki ngā āhuarangi.
• I ngā wāhi kei runga ake i te taumata o te moana.
• I roto i ngā taiao whakamahana o roto.

Ka taea e te hau maroke te whakamaroke i te kiriuhi ngawari o roto i te ihu, te whakapūpū, me te ngatata. Ka taea e tēnei te puta he toto ina tōia tō ihu, ina kaukau rānei koe.

• Ētahi atu take noa:
• Te kōkō i te ihu (ina koa i ngā tamariki nohinohi).
• He whara ki te ihu me/ranei ki te mata.
• He pokanga ira kua piko i roto i te ihu.
• Te tihe , te maremare, me te toto o te ihu i te nuinga o te wā nā te mate urutā o te ara manawa o runga, nā te mate pukupuku rānei o te ihu .
• Rhinitis mate pāwera, rhinitis kore-mate pāwera rānei.
• Te whakamahi pinepine i ngā rehu ihu (hei tauira, ngā rongoā antihistamine , ngā rongoā whakaiti ihu pupuhi). Ka taea e ēnei te whakamaroke i ngā kiriuhi ihu.
• Te tango i ngā rongoā whakaiti toto (hei tauira, te aspirin , ngā NSAID ( ngā rongoā whakamamae mamae ), warfarin ).
• Te hongi i ngā matū mai i ngā hua horoi, i ngā paoa o te wāhi mahi, i ētahi atu kakara kaha rānei.
• Te whakamahi i ngā raau taero i hongihia (hei tauira, te kōkaini).

Ngā take mō te iti ake o te kitenga

• Te whakamahinga o te waipiro.
• Ngā mate toto (hei tauira, te hemophilia, te mate von Willebrand).
• Te toto toto tiketike.
• Te matotoru o ngā pakitara o te uaua toto (Atherosclerosis).
• Pokanga kanohi me te ihu.
• Ngā pukupuku ihu.
• Ngā polyps ihu.
• Te hekenga o te maha o ngā pereti toto nā te ngoikore o te pūnaha ārai mate (Immune thrombocytopenia).
• Matepukupuku toto `(Leukemia)`.
• Ko te telangiectasia hemorrhagic tuku iho he mate toto tuku iho.
• Te haputanga.

He aha ahau ka toto ai i te ihu i te wā e moe ana?

He rite tonu ngā take o te toto o te ihu i te wā e moe ana ki ngā take o te awatea. Ka taea e ngā mea pēnei i te hau maroke, te mate pāwera, me ngā mate pāwera manawa o runga te kino i te arai ngawari o te ihu. Waihoki, ko te moe me te tahuri o te mahunga ki te taha ka pēhi tika i te kōhao ihu, ka puta ai te toto o te ihu i te pō.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei? (Ngā āhuatanga mōrearea)

Ka taea e te katoa te pāngia e te toto ihu. Ko te nuinga o te tangata kua pāngia e tēnei toto i te iti rawa kotahi i roto i ō rātou oranga. Engari ko ētahi tāngata he nui ake te tūponotanga ka pāngia e tēnei toto.

• Ngā tamariki i waenga i te 2 me te 10 tau te pakeke: Ka taea e te hau maroke, te makariri, te mate pāwera, me te kuhu i ngā maihao me ētahi atu mea ki roto i ō rātou ihu te whakararu i te toto o te ihu o ngā tamariki.
• Ngā pakeke i waenga i te 45 me te 80 tau: I a koe e tata ana ki te 50 tau, ka piki ake pea te wā e totohu ai tō toto. He nui ake hoki te tūponotanga ka pāngia koe e te toto toto tiketike, te whakapakeketanga o ngā uaua toto (atherosclerosis), ngā mate totohu rānei i tēnei tau.
• Ngā wāhine hapū: I te wā e hapū ana, ka whānui haere ngā oko toto i roto i te ihu, ka nui ake te pēhanga ki runga i ngā oko toto ngawari i roto i te ihu.
• Ngā tāngata e tango ana i ngā rongoā whakangawari toto: Kei roto i tēnei ko ngā rongoā pēnei i te aspirin me te warfarin.
• Ngā tāngata whai mate toto totoka: Hei tauira, te hemophilia me te mate von Willebrand.

Āhea koe me āwangawanga ai mō te toto o te ihu?

He mea noa te āwangawanga ina kite koe i te toto e puta mai ana i tō ihu, engari i te nuinga o te wā kāore i te kino. Ka taea e koe te whakahaere i tēnei i te kāinga. Heoi, me toro atu koe ki te tākuta mēnā :

• Mena he maha ngā wā ka totohu tō ihu.
• Mena kei a koe ngā tohu o te mate toto kore (ngoikore, whanoke, ngenge rawa, mātao, uaua ki te manawa, kiri mā).
• Mena ka tīmata tō ihu ki te toto i muri i te tīmatanga o tētahi rongoā hou .
• Mena he toto ihu tōu, he marō hoki kei roto i tō tinana katoa – e rua ngā mea e rua – he tohu pea tēnei nō tētahi mate kino, pērā i te mate totoka (hemophilia, von Willebrand rānei), te mate pukupuku toto (leukemia), he pukupuku ihu rānei.

Mena kei raro iho i te rua tau te pakeke o tāu tamaiti , ā, he toto ihu tōna, he mea pai kia kōrero koe ki tētahi tākuta tamariki. Ahakoa te pakeke o tāu tamaiti, he mea whakaaro nui kia whakahuatia te toto ihu i tā rātou tirotiro hauora e whai ake nei.

Me pēhea te kitenga a ngā tākuta i tēnei?

Ka pātai atu te tākuta ki a koe i ētahi pātai e pā ana ki tō toto ihu:

• Kia pēhea te roa (i roto i ngā meneti) i toto ai?
• E hia te nui o te toto i ngaro?
• E hia ngā wā ka puta he toto ihu ki a koe?
• I puta mai te toto i te ihu kotahi, i ngā ihu e rua rānei?

Ka rangona hoki tēnei:

• Ngā momo rongoā e tangohia ana e koe (tae atu ki ngā rongoā whakaheke toto pērā i te aspirin, ngā rongoā makariri/mate pāwera, me ētahi atu)
• He mate toto kei roto i tō whānau?
• Te whakamahi i te waipiro me/ranei ngā mea manawa.

Kātahi ka tirohia tō ihu e te tākuta kia kitea ai te pūtake o te toto, me te take hoki. Ka whakamahia e rātou he taputapu iti e kīia nei ko te "spectulum" hei whakatuwhera i te pongaponga o te ihu, hei tirotiro hoki i roto i te ihu mā te whakamahi i ngā pūtake mārama rerekē, i te "endoscope" rānei (he ngongo angiangi me te kāmera).

Tērā pea ka werohia e te tākuta he rongoā ki roto i te ihu hei whakangāwari i te roto o te ihu, hei whakawhāiti hoki i ngā uaua toto. Tērā pea ka tangohia e ia ngā toto totoka me ngā kiripaka i roto i te ihu. Tērā pea he ahua kore whakamarie tēnei, engari kāore e mamae.

I ētahi wā kāore i te tino kitea, ka tonoa pea he hihi-X, he karapa CT, he whakamātautau toto rānei hei tirotiro mō ngā mate totoka, ngā rerekētanga o ngā oko toto, ngā pukupuku rānei i roto i te ihu.

He aha te rongoā mō tēnei?

Ko te maimoatanga mō te toto ihu ka whakawhirinaki ki te pūtake o te toto. Mā tō tākuta e whakamārama he aha ngā mea e hiahiatia ana mō tō āhua. Ko te maimoatanga mō te `(Epistaxis)` ka uru pea ki:

• Te tākai ihu: Ka tāpirihia e te tākuta he kākahu miro, he hautai ihu motuhake, he pahuka rānei, he poihau rapa pupuhi rānei ki roto i te ihu hei hanga pēhanga ki te wāhi e puta mai ana te toto. Me tango pea tēnei e te tākuta mō te 24-48 hāora pea.
• Te Whakamate: Ka whakamahia e tēnei tikanga he matū (te nitara hiriwa) he wera rānei (te whakamahana hiko) hei hiri i te oko toto. I mua i tēnei, ka rehuhia e te tākuta he rongoā whakangoikore ki roto i te ihu.
• Te whakarerekē/te tuku anō i ngā rongoā: Mā te whakaiti i te nui o ngā rongoā whakaiti toto e tangohia ana e koe – te whakamutu rānei i aua rongoā – ka āwhina pea. Tērā pea ka hiahia koe ki te rongoā hei whakahaere i tō toto toto. Tērā pea ka tohua e tō tākuta he rongoā, pērā i te waikawa tranexamic (Lysteda®), e āwhina ana i te toto kia totoka.
• Te tango i tētahi mea tauhou: Mena nā tētahi mea i piri ki roto i te ihu te toto o te ihu, ka tangohia e te tākuta.
• Pokanga: Ka taea te mahi pokanga hei whakatika i te ihu whati, hei whakatika rānei i te septum kua piko (septoplasty).
• Te herenga o ngā oko toto: I roto i tēnei tikanga, ka herea e te tākuta te oko toto e tuku toto ana hei whakamutu i te toto.

Me pēhea te aukati i te toto ihu i te kāinga?

Whāia ēnei mahi hei aukati i te toto o te ihu:

• Noho marino, manawa mā roto i tō waha.
• Noho tika, pikohia tō māhunga ki mua (kaua e pikohia tō māhunga ki muri, nā te mea ka rere te toto ki raro i tō korokoro).
• Whakamahia tō koromatua me tō matihao tohu hei pītiti i te wāhanga ngohengohe o tō ihu (i runga ake i ngā pongaponga o te ihu).
• Taria kia mutu te toto. Whakamahia he tauera, he kakahu haukū rānei hei muru i te toto.

I te nuinga o te wā, he rawaka te tiaki kāinga. Heoi, ko ētahi toto ihu me rongoatia ki te hōhipera. I ēnei wā, haere tonu ki te rūma whawhati tata me tetahi atu, waea atu rānei ki te 1990:

• Ki te kore e taea te aukati i te toto ahakoa kua puritia tō ihu mō te 15-20 meneti.
• Mena he nui te toto (neke atu i te 1 kapu).
• Mena kei te tango koe i ngā rongoā whakaiti toto (pēnei i te aspirin, i te warfarin rānei), ki te mea rānei he mate toto toto tōu, ā, kāore te toto e mutu.
• Mena he uaua ki te manawa.
• Ki te horomia e koe te toto, ā, kāore e taea te mutu te ruaki.
• Mena ka tīmata te toto o tō ihu i muri i te patunga ki te māhunga, i te whara kino rānei (hinga, aituā motuka, patunga kaha ki te mata/ihu).

He pai te inu wai i muri i te toto o te ihu?

Ae, me inu nui koe i muri i te toto ihu. He pai te wai me te wai hua, kāore he kawheine. I muri i te toto ihu, ka taea e ētahi o te toto te haere ki raro i tō korokoro ki roto i tō puku. Ka taea e tēnei te whakapairuaki i a koe. Engari kāore te inu wai e pā ki te toto ihu.

Ka taea e koe te mate i te toto o te ihu?

He uaua ki te whakahaere i te toto e puta mai ana i te pito o runga o te ihu, i roto rawa rānei i te ihu. Heoi, he onge te mate mai i te toto o te ihu.

He aha ngā mea ka taea te mahi hei ārai i te toto o te ihu?

Anei ētahi mea hei āwhina i te aukati i te toto o te ihu:

• Hei pupuri i te makuku o ō ara ihu, whakamahia he rehu ihu tote, he pata ihu tote rānei ki ia pongaponga ihu e rua, e toru rānei ngā wā i te rā. Ka taea ēnei te hoko mai i te whare rongoā, ka taea rānei te hanga ki te kāinga.
• Tāpirihia te makuku ki te hau mā te tāpiri i tētahi mea whakamakuku ki roto i tō oumu, mā te whakatakoto rānei i tētahi mea whakamakuku ki roto i tō rūma moe i te pō.
• Tāpirihia he hinu whakapūngao ihu, he hinu rānei (pērā i te `Bacitracin®`, `Vaseline®`, `Ayr Gel®` rānei) ki roto i tō pongaponga me te whakamahi i te miro. Kaua e whakaurua te miro ki roto i tō pongaponga neke atu i te 1/4 inihi. Kei te nuinga o ngā whare rongoā ēnei hinu whakapūngao me ngā hinu whakapūngao.
• Kaua e pupuhi nui i tō ihu.
• Kia tuwhera tō waha ina tihe koe. Me tihe tonu ki roto i te tauera, ki tō tuke rānei.
• Kaua e kuhua tetahi mea totoka ki roto i tō ihu, tae atu ki ō matihao.
• Whakawhāitihia te whakamahinga o ngā rongoā ka whakanui ake i te toto (pēnei i te aspirin me te ibuprofen). Kōrero tonu ki tō tākuta i mua i te whakarerekē i ō rongoā. He mea nui rawa tēnei mō ngā rongoā kua tohua e te tākuta pērā i te warfarin (Coumadin®) me ngā rongoā anti-inflammatory kore-steroidal (NSAID).
• Ki te kore e taea te whakahaere i ngā tohumate mate pāwera ihu mā te whakamahi i ngā rongoā ka taea te hoko kore utu, mā te whakamahi rānei i ngā rongoā kua tohua e te tākuta. Mēnā kei te whakamahi koe i ngā rongoā ka taea te hoko kore utu, me whai i ngā tohutohu kia rite ki te mea kua tohua. Ka taea e te nui rawa o te whakamahinga te whakaheke toto i te ihu.
• Kati te momi hikareti. Ka maroke tō ihu i te momi hikareti, ā, ka pā mai hoki he mate pāwera.
• Mauria he potae tiaki mēnā kei te mahi koe i ngā mahi ka whara pea tō mata me tō ihu.

Whakaakona tāu tamaiti kia kaua e totohu te ihu , kaua hoki e whakauru i tetahi mea ki roto i tōna ihu. He mea pai hoki kia poto ōna maikuku. Ka taea e tō tākuta tamariki te tuku atu i ētahi atu tohutohu ki a koe.

He mea noa te toto e piri ana ina totohu tō ihu?

Āe. Ko ngā toto toto he toto e puta mai ana i te whara o tētahi oko toto. Ina pakaru tētahi oko toto, ka puta he toto toto hei aukati i te toto nui. Ina pēhia tō ihu hei aukati i te toto ihu, ka tīmata te toto toto ki te puta. I te nuinga o te wā ka noho tonu ki reira tae noa ki te wā ka tangohia e koe, ka pupuhi rānei tō ihu.

He aha i puta tonu ai te toto o tōku ihu?

He maha ngā take e toto pinepine ai tō ihu. Ka pā pea tēnei ki te pongaponga kotahi, ki ngā pongaponga e rua rānei. Ko ngā tino take ko:

• Te whakamahi pinepine i ngā rehu ihu hei rongoā mō ngā tohumate mate pāwera, mō te makariri/ihu pupū rānei.
• He maroke te hau e noho ana koe.
• Te hongi i ngā rongoā mā te ihu.

Me mutu pea te whakamahi i te rehu mō tētahi wā, mō te katoa rānei. Mena kei te whakamahi koe i ēnei hua, kōrero ki te tākuta.

I ētahi wā, ko te toto ihu maha (epistaxis) he tohu pea nō te mate toto totoka, nō tētahi atu mate kino rānei. Mēnā he toto ihu maha ōu, me toro atu ki te tākuta.

Hei whakamutunga, ngā mea hei maumahara

He mate hauora noa te epistaxis, arā, te toto ihu, engari he āhua whakarihariha. Kia mōhio koe ki te whakamutu wawe i te toto ihu, ka taea e koe te hoki wawe ki te mahi i tāu i mahi ai i mua i tōna tīmatanga. Ko te nuinga o ngā take o te epistaxis kāore i te kino. Engari ki te mea he maha ō toto ihu, ki te mea rānei he mate toto toto tōu, kia kite koe i te tākuta. Ko te tiaki i tō hauora te mea nui rawa atu.