Hnar thi leh enkawl dan

 HNAR THI (EPISTAXIS)

November 20, 2021  Zozam

HRISELNA HUANG:

HNAR THI (EPISTAXIS)

Hnar thi hi natna niloin natna dang vang zawk a lo awm thin a ni a. Hnar hi thisen zam tam takin a chawm a, chuvangin a thi hma em em a ni. Hnarthi lo chhuahna lai ber chu “LITTLE AREA” tih a ni a. Kan hnar dai dangtu hnuai lam leh hma lam, kut zungtang a han khawih phak mai a awm a ni.

Hnar thi chhan tlangpuite han tarlang dawn ila:

kaw chhung dik lohna avangin

-Hliam, pilh, hahchhiau vak vak

-Sinus na, TB

-Thilnung lut e.g vangvat, hlit etc

-Hnar chhung Cancer

-Boruak inthlak danglam thut

Natna dang vangin

-Lunglam that lohna

-BP sang

-Thisen Cancer, Vitamin K tlakchham leh Vitamin C thlakchham avangin

-Thinlam tha lo

-Kal lam tha lo

-Nachhawkna e.g Aspirin ei uar avangin

-Hritlang, tangseh, sentut leh malaria

ENKAWL DAN

First Aid-

Kan sawi tak “LITTLE AREA” hi hnar thi tamna a nih tlangpui avangin kut zungtang a hnar chu minute nga(5) vel hmeh phui tur. Vur a deh pawh a tangkai hle. Vur hian thisen zam a ti sawng te a, thi a tih tawp tr thin.

Anaterior Nasal Packing (Hnar chhung hnawh)

Hnar kaw chhungah ribbon gauge meter khat vela sei leh centimeter 2.5 vela sei Parrafin a chiah tur a ni a, fimkhur tak a hnar kaw chhunga hnawh luh tur a ni. Darkar 24 hnu vela lak chhuah leh tur. Hetianga hnarthi enkawl a nih chuan antibiotics pek tel ngei ngei tur a ni. Hei hian natna dang, e.g. Sinus na lo awm tur kha a veng thei a ni.

Posterior Nasal Packing

Hnar chhung lam, hrawk lam atanga hnawh ve thung tur a ni. Hetiang a enkawl ngai a nih chuan hnar thi chu thisen sang vang anih thin avangin damdawiin a luh (admit) tur a ni.

Enkawl dan dangte

I) Arterial Ligation- thisen zam tawn pin/phui

II) Cauterization

III) Endoscopic cautery- endoscope hmanga hnar thina lai tih khal.

IV) SMR(Submucous Resection)- hnar zai dan chi khat.

Inven theih awm te

a) Hnar kheuh zawng-chhang loh tur. Nu leh Pa ten kan fate hnarkhawih/hawlh chen lo tur a zirtir tur ani.

b) Hnar a ben, hnek loh tur.

c) Hmun ro leh khu lutuka awm loh tur. Nisa do vak vak loh tur.

d) Hnar thi hi natna dang vang a nih thei avangin Doctor rawn vat tur(Regular tak a hnar thi nei thin I nih chuan Doctor rawn vat ang che).

Dr. Tawnsangzel Tonson(Sangtea Tonson)

MBBS, RIMS Imphal.

MO at Surgery Dept, Civil Hospital, Aizawl