Kwenzekani uma ushaya ikhala lakho kanzima ngenkathi udlala, ulwa, noma ingozi encane? Ikhala lakho lingase liphume igazi futhi livuvuke. Ngezikhathi ezinjengalezi, singase sizibuze ukuthi ikhala lakho liphukile yini. Ikhala lakho liyisitho esivelele kakhulu nesizwelayo ebusweni bakho. Ngakho-ke kudingeka siqaphele nganoma yimuphi umonakalo kulo. Namuhla, sizokhuluma ngekhala eliphukile, noma ngokwezokwelapha, ukuphuka kwekhala.
Kuyini ngempela lokhu kuphuka kwekhala?
Kalula nje, ikhala eliphukile liwukuphuka noma ukuphuka kwethambo elilodwa noma ngaphezulu ekhaleni lakho. Ngezinye izikhathi i-cartilage ethambile ekhaleni lakho nayo ingalimala. Empeleni lokhu kungenye yezingozi ezivame kakhulu ebusweni.
Zicabange ushaywe kanzima ekhaleni. Akuyona into enhle ukuyishaya indiva ngaleso sikhathi, ucabanga ukuthi kuyinto encane. Ngoba ngokuthola ukwelashwa okufanele ngokushesha , sinethuba elikhulu lokuvimbela ukulimala okungapheli ekhaleni.
Ziyini izimpawu zekhala eliphukile?
Uma impumulo iphukile, umuntu ngamunye angabonisa izimpawu ezihlukile. Kuyahlukahluka kuye ngokuthi ukulimala kungakanani. Kodwa kunezimpawu ezivamile ezingabonakala. Ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ubuhlungu kanye nozwela | Uzwa ubuhlungu obukhulu ekhaleni lakho naseduze kwalo. Bungaba buhlungu kakhulu kangangokuthi awukwazi ngisho nokubuthinta. |
| Ukuvuvukala ekhaleni nasemahlweni | Ngemva nje kwengozi, ikhala nendawo engaphansi kwamehlo iqala ukuvuvukala. |
| Ubuluhlaza/ukuphuka okuzungezile amehlo | Njengokulwa okuguqula amehlo akho abe luhlaza okwesibhakabhaka, yonke indawo ezungeze amehlo akho ingaba luhlaza okwesibhakabhaka. Lokhu kubizwa nangokuthi "amehlo e-racoon." |
| Ukopha ekhaleni | Ngokuvamile, uma ikhala liphukile, igazi liphuma ekhaleni. |
| Ukopha ekhaleni | Uma uzibuka esibukweni, uzobona ukuthi ikhala lakho libukeka lidonseleke eceleni. |
| Ubunzima bokuphefumula ngekhala | Ukuvuvukala noma izingxenye eziphukile ngaphakathi kwekhala kungenza kube nzima ukuphefumula ngekhala elilodwa noma womabili. Ikhala lingase lizwakale livalekile. |
| Umsindo owuzwayo uma uthinta ikhala lakho | Uma uthinta kancane ingaphakathi lekhala lakho bese uzwa umsindo 'wokukhala', noma okuthile okugayayo, kungaba uphawu lokuphuka. |
| Kuphuma uketshezi oluphuma ekhaleni. | Uma kungeyona i-mucus, kodwa kungenye into ewuketshezi, kufanele ukhathazeke ngayo. |
Impumulo ingaphuka kanjani?
Imbangela eyinhloko yokuphuka kwekhala ukuhlukumezeka okubangelwa amandla abukhali. Nazi ezinye zezimo ezingabangela lokhu:
- Ngesikhathi semidlalo: Emidlalweni efana ne-rugby, isibhakela, i-karate. Ngezinye izikhathi lokhu kungenzeka ngisho noma kushaywa ibhola lekhilikithi.
- Ngesikhathi sokulwa: Ngenxa yokushaywa ebusweni.
- Ezingozini zezimoto: Kusukela ekushayiseni ubuso endaweni ethile ngesikhathi kushayisana imoto.
- Ekuweni: Ikakhulukazi uma uwela phansi ngobuso.
Yiziphi izinkinga uma lokhu kushiywa ukuze kuphole?
Kungaba yingozi ukungakunaki, ucabange ukuthi, "Oh... akulutho, kuzophola ngokwako." Ngoba kunethuba lokuthi kungase kube nezinkinga ezithile.
Ingozi enkulu yi -hematoma ye-septal.Lesi simo sibizwa ngokuthi. Kalula nje, lokhu kuwukunqwabelana kwegazi ngaphakathi kodonga (i-septum) oluhlukanisa ikhala lakho. Lokhu kunqwabelana kwegazi kunciphisa ukuhlinzekwa kwegazi e-cartilage, okungabangela ukuthi ife (i-necrosis).
Uma lesi simo se-`Septal Hematoma` singelashwa ngokushesha, okulandelayo kungenzeka:
- Ukubhoboka: Lokhu kusho ukuthi kwakheka imbobo phakathi kwamakhala amabili.
- Impumulo Yesihlalo: Ibhuloho lempumulo selingene ngaphakathi, lishintshe ngokuphelele ukuma kwempumulo.
- Ukufa kwezicubu zamakhala: Lesi yisimo esibi kakhulu.
Ngakho-ke, kubalulekile ukubona udokotela uma ulimele ekhaleni lakho.
Dokotela, wazi kanjani ukuthi lokhu kuphukile?
Uma uya kudokotela, into yokuqala ayenzayo ukukubuza ukuthi ingozi yenzeke kanjani. Bese ekwenza ukuhlolwa ngokomzimba .
- Udokotela uzokuthinta kancane impumulo yakho ukuze ahlole noma yiziphi izindawo eziphukile nokuthi ubuhlungu bukuphi.
- Besebenzisa ithuluzi elincane, babheka ngaphakathi kwekhala ukuze babone ukuthi kukhona igazi ngaphakathi (i-septal hematoma) noma ukuthi indlela yokuphefumula ivaliwe.
Esikhathini esiningi, lokhu kuhlolwa kungaxilonga ikhala eliphukile. Kodwa-ke, uma kukhona ukusola ukuthi amanye amathambo ebusweni nawo alimele, kuzokwenziwa i-X-ray noma i-CT scan .
Iyini indlela yokwelapha ikhala eliphukile?
Ukwelashwa kuncike ebunzimeni bokulimala. Amanye amanxeba amancane angelashwa ngemithi yasekhaya, kodwa amacala abucayi kakhulu angadinga ukuhlinzwa.
Izindlela zokwelapha ongayenza ekhaya
Uma kungukulimala okuncane, udokotela wakho uzokunikeza le miyalelo:
- Iqhwa: Ukuze unciphise ukuvuvukala nobuhlungu, songa ama-ice cubes ambalwa ngendwangu ehlanzekile bese uwabeka ekhaleni cishe imizuzu eyi-15. Yenza lokhu izikhathi eziningana ngosuku.
- Ama-Painkiller: Udokotela angase ancome ukuthi athathe ama-painkiller anjenge-Paracetamol noma i-Ibuprofen.
- Phakamisa ikhanda lakho: Uma ulele, phakamisa ikhanda lakho kancane ngomcamelo owodwa noma emibili. Lokhu kuzonciphisa ukuvuvukala.
Ukwelashwa kwezokwelapha
Ukususwa kwe-Septal Hematoma
Uma igazi seliqoqene ekhaleni, udokotela uzokhipha igazi zingakapheli amahora angama-24 kwenzeke ingozi. Lokhu kwenzelwa ukuvimbela izinkinga ezinkulu ezingase zenzeke esikhathini esizayo.
Ukulungiswa kabusha ngesandla
Uma ithambo noma i-cartilage ekhaleni lakho ihlukanisiwe ngenxa yengozi, udokotela wakho angakubuyisela endaweni yayo ngesandla. Lokhu kuvame ukwenziwa ezinsukwini ezimbalwa ngemva kwengozi, lapho ukuvuvukala sekuphelile.
- Okokuqala, indawo ezungeze iNahaKunikezwa umuthi wokubulala izinzwa wendawo ukuze kuncishiswe indawo.
- Udokotela ube esecindezela kancane izingcezu zamathambo kanye ne-cartilage endaweni efanele.
- Bese befaka into efana ne-gauze ngaphakathi ekhaleni bese befaka i-dressing efana ne-plaster ngaphandle.
- I -bant yesikhashana ibekwa ngaphandle kwekhala ukuze ihlale isesimweni esihle.
- Ama-antibiotic anganikezwa futhi ukuvimbela ukutheleleka.
I-gauze ebekwe ngaphakathi kanye ne-dressing ebekwe ngaphandle ingasuswa cishe emavikini amabili.
Ukuhlinzwa
Uma ikhala liphukile kakhulu, noma uma ubunzima bokuphefumula buqhubeka, kungase kudingeke ukuhlinzwa.
- I-Septoplasty: Lokhu kuhlinzwa kuhilela ukulungisa kabusha i-septum ephambukile, udonga oluhlukanisa ikhala. Lokhu kungasiza ekunciphiseni ubunzima bokuphefumula.
- I-Rhinoplasty: Lokhu kuhlinzwa kwenziwa ukuze kulungiswe isimo sangaphandle sekhala. Amathambo aphukile kanye ne-cartilage kuyalungiswa kabusha ukuze kunikezwe ikhala isimo esisha.
Kufanele uye nini kudokotela? Kufanele uye nini ku-ETU?
Lokhu kubaluleke kakhulu. Kubalulekile ukwazi ukuthi kufanele ubonane nini nodokotela nokuthi kufanele uye nini eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha uma ulimele ekhaleni.
| Isimo | Okufanele ngikwenze |
|---|---|
| Uzobona nini udokotela wakho | |
| Uma kukhona ukusola ukuthi ikhala liphukile ngenxa yokushaywa kanzima. | Bonana nodokotela maduze bese uyohlolwa. |
| Uma ubuhlungu nokuvuvukala kunganciphi ngemva kwamasonto amaningana okwelashwa. | Xhumana nodokotela wakho futhi ukuze uthole iseluleko. |
| Uma kunzima ukuphefumula ngekhala kuyaqhubeka. | Yazisa udokotela ngalokhu. |
| Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha | |
| Uma ungakwazi ukuvimba ukuphuma kwegazi ekhaleni lakho. | Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. |
| Uma uketshezi olucacile nolunamanzi (hhayi ulwelwesi) luphuma ekhaleni. | Lesi yisimo esiphuthumayo esibucayi kakhulu, njengoba kungaba uketshezi lomgogodla. Yiya ku-ETU ngokushesha. |
| Uma unekhanda elibuhlungu kakhulu. | Funa usizo lwezokwelapha ngokushesha ngoba kungaba uphawu lokulimala okungathi sína ekhanda. |
| Uma ubhekana nezinguquko ekuboneni, ukulahlekelwa ukwazi, noma ukuhlanza. | Lokhu kungaba izimpawu zokulimala kwesikhumba sekhanda. Kufanele ufune usizo lwezokwelapha ngokushesha. |
Umlayezo Wokuya Nawe Ekhaya
- Impumulo ephukile akuyona into okufanele ithathwe kalula. Idinga ukunakwa udokotela.
- Uma ulimale ekhaleni, ungalindi nje ukuthi liphole lodwa, kodwa nakanjani bonana nodokotela.
- Ukwelashwa okusheshayo kungavimbela izinkinga zesikhathi eside njengokukhubazeka kwekhala kanye nobunzima bokuphefumula.
- Uma unezimpawu ezinkulu njengokuphuma kwegazi okungenakunqandeka, ukuphuma kwamanzi ekhaleni lakho, noma ikhanda elibuhlungu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ukulandela imiyalelo kadokotela wakho ngqo kubalulekile ukuze ululame ngokushesha.
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