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Nosebleeds are divided into two types: anterior and posterior. The first variant occurs when the small capillaries are damaged from the Kisselbach zone. The reason for the second is a bursting large vessel located in the middle or posterior part of the nose. Anterior bleeding is not dangerous, it is stopped at home. A person with the second type needs the help of a specialist and, possibly, an operative intervention.
Correct position
A patient with bursting capillaries of the nose is seated on a chair or chair. Loss of even 100–200 ml of blood is accompanied by dizziness and disorientation. The victim may lose consciousness and fall, injuring his head.
If the cause of the burst capillaries is sunstroke, the person is transferred into the shadow.In the absence of furniture, the patient is seated on the ground, leaning his back against a wall or tree. The head is tilted down, pressing the chin to the chest so that blood flows freely from the nasal cavity. Under the lower jaw enclose a clean towel or napkin so as not to stain clothes.
The vessels burst due to a strong mechanical injury, and the victim can not stand or sit? The patient is placed on the bed, lifting his head above the rest of the body. Turned on its side, enclose a large pillow or blanket, rolled up.
In patients who have thrown back their head in a sitting or lying position, blood flows into the esophagus. The fluid enters the trachea, making it difficult to breathe, and irritates the stomach, causing nausea. The load on the cardiovascular system increases, blood pressure rises. This situation does not help to stop the blood, but only worsens the health of the patient. A patient who has vomiting may suffocate.
How to help
It is necessary that the damaged vessels narrowed, so something cold is applied to the bridge of the nose and the back of the head. Pieces of ice wrapped in a plastic bag and a terry towel, frozen meat or fish fillets will do.
The legs are placed in a basin with warm water or a heating pad is applied to the feet. Blood from the head rushes to the lower part of the body, and in small vessels located in the Kisselbach zone, blood clots form. In 70–80% of cases, this is enough to eliminate the problem and normalize the patient’s well-being.
In case of emergency
Nasal bleeding has opened on the street, and there is no ice and a warm heater on hand? First, the patient must sit on the bench or the ground. Then he is recommended to blow his nose in order to clear the strokes of accumulated red fluid and mucus, and to hold one or both nostrils for 4–10 minutes. Breathe at this time mouth.
If the small capillaries are damaged, they will be closed by small blood clots. After stopping the bleeding, you need to rest, and so that it does not open again, you can not get up sharply. Wash off red traces with clean water, but do not touch the crust formed inside the nose for at least 12 hours.
Medications
With scanty discharge, it is recommended to use drops from the head cold, which constrict blood vessels. Suitable:
- Otrivin;
- Tizin;
- Sulfacyl sodium;
- Sanorin;
- Galazolin;
- Farmazolin;
- Xylen
The drug is administered in both nostrils, 5-6 drops. The patient is blown out, clearing the passages from the accumulated blood, then buries the remedy. Do not throw back the head, but simply press the wings to the cartilage with your index and thumb.
In case of abundant secretions, tampons of sterile cotton wool wrapped with a layer of gauze are impregnated with drops, and then injected into the nasal cavity, pushing as far as possible. The victim is asked to eat ice cream or hold a piece of ice in his mouth. Cold contributes to the narrowing of blood vessels and enhances the effect of drops.
Folk methods
Patients with fragile vessels or chronic sinusitis, due to which periodically nosebleeds occur, are recommended to keep herbal remedies on hand. Useful:
- dog rose;
- thyme;
- bearberry;
- peppermint;
- motherwort;
- chamomile;
- barberry;
- Highlander.
Comfrey has hemostatic properties, but the plant should not be mixed with linden, otherwise the decoction will have the opposite effect.The nasal cavity is washed with a cool water extract or moistened with cotton swabs in a herbal preparation.
Instead of nasal drops use freshly squeezed juice from the leaves:
- nettle;
- plantain;
- yarrow.
Anterior nasal bleeding with scanty secretions will stop the beetroot or viburnum juice, as well as lemon and currant juice. It is diluted with boiled water and injected with a clean syringe. Means bury the nose or soak cotton swabs.
Broths of yarrow or viburnum bark are recommended to be ingested, but the drink must be cooled. Warm tea leads to the expansion of blood vessels, because of which the bleeding may increase.
Patients whose capillaries burst during outdoor recreation are advised to find a plantain and tear several sheets. The billet is washed with mineral water, kneaded until the juice appears, and then twisted with a tight tube and inserted into the nasal passages.
If the capillaries burst not because of mechanical injuries, it is advised to attach a large bulb cut in half to the back of the head. Press a small towel dipped in ice water to your forehead.
Important: Do not bury in the nose breast milk.The product does not cauterize injured small vessels, but only collapses and clogs the respiratory tract. The remedy is a source of bacteria, due to which the mucous membrane inflames, and edemas and purulent discharges appear.
Solutions and disinfection
Peroxide will quickly deal with nose bleeding. You will need sterile cotton wool, from which a thick tampon is twisted. Wrap the blanks in a piece of gauze, dip in peroxide. When the fluid is absorbed, put the swab in the nasal passage.
The tool disinfects and cauterizes burst capillaries, so bleeding stops after 3-5 minutes. The main thing is to bend your head down so that foaming peroxide does not get into the esophagus. The injured vessels are cauterized with a solution of novocaine (1%), chromic or trichloroacetic acid. Drugs are used as peroxide. With scanty discharge, the agent is injected into the nose instead of nasal drops.
Disinfectant solutions with hemostatic properties are prepared from salt: 20 g of spice dissolved in a glass of cooled boiled water. Stir and rinse the nose with a clean syringe. Then insert a thick cotton swabs or press the wings to the partition.
If there is no suitable equipment, the saline solution is “inhaled”, and then the nose is clamped for 1-2 minutes. Head down to the tool, mixed with blood, did not leak into the esophagus.
Burst vessels burned with vinegar. Dissolve a teaspoon of 9% in a glass of water, soak cotton swabs in the acidified liquid and inject into one or both nostrils.
Self-made turunds are impregnated with rosehip oil or sea buckthorn, if brittle capillaries weakened by chronic sinusitis or sinusitis are the cause of the bleeding. The nose is pre-washed with saline or peroxide to sanitize.
You can burn burst capillaries with alum. On the part means 3 parts of water. In the solution moistened cotton bundles or balls.
In the first-aid kit the motorist has a homeostatic sponge. A small piece is cut off from it and inserted into the nostril. Sterile product does not need to be removed. The sponge stops bleeding and then resolves within a few hours.
How to help a child
The baby, who first bleeds from the nose, you need to calm down and sit on the sofa, substituting a napkin under the chin.Bend your head down, apply ice or frozen meat to the nose bridge. If the bleeding does not stop, put turunda soaked in peroxide or nasal drops into the nose.
Use saline or vinegar for washing is undesirable. Parents are advised to unbutton or loosen the collar, to lead the child to the open window. He must breathe through his nose, not through his mouth. Oxygen contributes to the formation of blood clots, which will block the burst capillaries, and the bleeding will stop.
With abundant secretions, a child is given a spoonful of calcium chloride (5–10%), glycerophosphate or calcium gluconate. Will help tablet "Vikasola" or 60 ml of a weak saline solution, which is taken orally. To narrow the vessels, the patient is asked to hold a small piece of ice in the mouth.
If the blood does not coagulate within 15 minutes, you need to call an ambulance or take the child to the doctor yourself so that the specialist can apply the harnesses. Before the arrival of doctors, parents should press a rubber heating pad with ice to the patient's nose. Feet need to soar in warm water.
Removing the harnesses
Wet turunda gently separated from the mucous and removed. The nose is washed with a weak saline solution to ease breathing and clear the passages from dried blood particles. Slowly inject 5–10 ml of liquid with the head tilted down. The solution must flow out independently, it is forbidden to blow your nose, otherwise repeated bleeding may begin.
It is impossible to sharply pull out cotton bundles that have stuck to the mucous membrane without first wetting them, otherwise a blood or a rich red discharge will appear. After swab extraction and washing, the mucous is treated with ascorbic acid or silver nitrate based solutions (50%).
Contraindications
A patient who has had nosebleeds is given a glass of mineral or distilled water to restore the fluid balance in the body. It is forbidden to drink black tea, any alcohol, cocoa or coffee for 24–36 hours. The drinks contain caffeine, because of which the pressure rises, and the vessels expand.One cup is enough for the unhealed capillaries to burst a second time and bleeding begins. Sometimes repeated selections are more abundant than the first.
Blood loss is stressful for the body, so the patient is advised to lie down for at least 3-4 hours so that the body can rest and recover.
Capillaries and vessels located in the nose, burst due to injury, abuse of nasal drops or chronic diseases like sinusitis or sinusitis. Regular bleeding indicates serious health problems: leukemia, cirrhosis, benign and malignant tumors in the brain. Only a doctor is able to determine the cause and choose a treatment; therefore, do not neglect the consultation by a lawyer or a therapist.
Video: how to stop nosebleed
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