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Treatment and first aid for nosebleeds

In everyday life, nasal bleeding is notis rare and can happen in both an adult and a child. At first glance, this is an absolutely harmless phenomenon, but in fact this may be a serious pathology. Faced with a similar situation, it is important to know what kind of first aid for nosebleeds should be given to the patient, because such a condition is very dangerous, and in some cases poses a threat to life.

General information

A pathological condition in which blood is released from the nasal passages is called epitaxis. The phenomenon is quite common, it can occur at any age.

First aid for nosebleeds

If seizures occur rarely, patientspractically do not seek medical attention and improvised means stop nasal bleeding. The reasons, first aid, treatment methods will be different in the case when relapses with large blood loss occur frequently and cause deterioration of health.

Causes of nasal bleeding

There are local and common causes of nosebleeds.

Local causes include:

  • Trauma of the nose (fracture, contusion).
  • Neoplasms in the nasal cavity (polyps, tumors).
  • Dystrophic changes (curvature of the septum, chronic stage of atrophic rhinitis).
  • Burns of the nasal cavity of various etiologies.
  • Dry nasal membrane.
  • ENT pathology (adenoids in childhood, sinusitis).

Common causes:

  • A sharp increase (hypertension) or a decrease in blood pressure (hypotension).
  • Overheating of the body, sunstroke.
  • Diseases of the cardiovascular, blood-forming systems.
  • Pathology of the kidneys, liver.
  • Hormonal restructuring (pregnancy, the onset of menstruation in girls).
  • Exercise stress.
  • Anemia.
  • Foreign body in the nose (especially in children).

Although pathology usually goes awayindependently (with the help of certain manipulations), first aid for nosebleeds should be provided in any case. It is advisable to do this as soon as possible so that blood loss does not cause a deterioration in general well-being.

Nosebleeds: types

In medical practice distinguish nasalbleeding at the site of localization, intensity, duration. In 90% of cases, pathology occurs in the Kisselbach zone (anterior section of the nasal septum with a choroid plexus). In this place the vessels are located close to the surface. Such bleeding is light and does not pose a danger to life.

Nosebleeds first aid

With the rear localization of damaged largethe vessels excreted a significant amount of blood. First aid for nosebleeds in this case should be prompt and carried out by specialists. Intensive bleeding is almost impossible to stop on your own.

The intensity and volume of blood lost are distinguished:

  • Minor nasal bleeding - passes without severe symptoms of deterioration of the patient's well-being. Lost up to several milliliters of blood, which does not pose a threat to life.
  • Medium (moderate) nosebleeds - the patient may feel unwell, the appearance of tinnitus, pallor of the skin appears. About 15% of blood is lost (no more than 300 ml).
  • Severe (intense) nosebleeds -first aid to the patient in this case should be provided immediately. Blood loss can be up to 1 liter. This is fraught with hemorrhagic shock, loss of consciousness, a sharp decrease in blood pressure.

Diagnostics

When applying for a qualified medicalusing a specialist will conduct a primary examination and interview the patient. Sometimes produce a differentiated diagnosis in order to distinguish nasal bleeding from pulmonary or gastric.

Nose bleeding causes first aid treatment methods

To determine the type of pathology the doctor prescribesrhinoscopy (endoscopy of the nose). The procedure will allow to investigate the source of bleeding, to take the material for analysis, to produce microsurgical interventions. An x-ray is necessary if a fracture is suspected.

Why is bleeding from the nose in children?

The most common cause of nasalbleeding in children - damage to the nasal cavity. Most often this happens when picking a finger in the nose, but it can also occur after a foreign object hits (small parts of toys, buttons). First aid for nosebleeds should be provided to the child on time.

First aid for nosebleeds in children

In adolescence, the body undergoes increased loads (educational, physical, psycho-emotional) and hormonal alterations, which can also cause the development of pathology.

First aid for nosebleeds: algorithm of action

When assisting a patient with nose bleeding, the following rules should be followed:

  • The patient should be reassured. Emotional overexcitement, anxiety increase the heartbeat, which, in turn, will increase blood loss. It is enough to breathe smoothly and deeply for this.
  • Give the correct position.It is desirable to seat the patient, slightly tilt his head forward. It is strictly forbidden to throw your head back! In this position, the blood will enter the stomach, which can cause vomiting. Tilting your head forward, you can follow the amount of blood lost.
  • Press the wings of the nose with your fingers. This will help to clamp the vessels.
  • Apply a cold to the nose bridge area (ice, cloth dampened in cold water).
  • To drip into the nasal passages vasoconstrictor drops ("Naphthyzinum", "Farmazolin").
  • Introduce cotton swabs into the nose. This is done if you suspect a rear bleeding or if the above measures do not work. For a better effect, swabs are moistened with hydrogen peroxide solution.

First aid for nosebleeds algorithm

Specialized first aid fornasal bleeding is necessary if it is not possible to stop it on its own within 20 minutes. In this case, the patient must call (without fail) an ambulance.

Precautionary measures

A patient with nose bleeding cannotto lay. This situation will only increase the secretion of blood, which can get into the lungs or esophagus. It is also forbidden to blow your nose to release the nasal passages from blood clots. This will lead to the breakage of a blood clot and re-bleeding.

First aid for nosebleeds in childrenno different from that of adults, but parents need to coordinate the actions of the child. If the cause of the pathology is hit by a foreign object, it is forbidden to get it yourself. Any such manipulation can further damage the mucous surface and increase bleeding.

First aid for nosebleeds

If used to stop bleedinga tampon, it must be moistened with hydrogen peroxide before removing it from the nostrils. Pulling out a dry tampon, you can damage the formed blood clot, and the blood will go again.

Medical attention should be sought whenfrequent recurrences of nosebleeds. Also, indications are vomiting with blood in the patient, high blood pressure, the presence of pathologies affecting the formation and coagulation of blood, nasal injuries, great blood loss.

How to treat?

В тяжелых случаях показана специализированная first aid. When nosebleeds, which lasts more than 20 minutes, hospitalization of the patient is necessary. Drug therapy will be chosen by the doctor depending on the type of pathology. Hemostatic agents can be prescribed intramuscularly (intravenously) or orally.

First aid for nosebleeds

Blood clotting increase:

  • "Ditsinon" (etamzilat sodium) - is taken in the formtablets or injected. It produces a fast hemostatic effect and does not cause increased clotting, which makes it possible to use it for a long time (as prescribed by a doctor).
  • Calcium chloride - appointed to enhance the effect of hemostatic drugs. Improves vascular contractility.
  • Aminocopronic acid - reduces the permeability of blood vessels and blocks the process of blood thinning. Introduced intravenously, but has some contraindications.
  • "Vikasol" - an analogue of vitamin K, is prescribed for problems with blood clotting.

You can influence the problem with the help of traditional medicine recipes. Such plants as shepherd's purse, nettle, yarrow, have hemostatic properties.

Surgical methods

In rare cases, when first aid for nasalbleeding and drug therapy do not give positive results, surgery is shown. The simplest surgical method of stopping the discharge of blood from the nasal cavity is cauterization of the mucous surface (coagulation) with a laser, electricity, ultrasound, liquid nitrogen or special substances (silver nitrate in solution, trichloroacetic acid).

Depending on the severity of nasal bleeding and the frequency of relapses, they may prescribe the introduction of lidocaine or Novocain under the nasal mucosa, or ligation of blood vessels.

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