Кровотечение из носа (эпистаксис) обычно наступает внезапно и приводит человека в состояние паники и растерянности. Как быстро остановить кровь из носа в первые минуты, чтобы избежать потери большого количества крови? И какие ошибки часто допускаются во время остановки носового кровотечения?
Как быстро остановить кровь?
Независимо от причин, вызвавших эпистаксис у человека, ключевым в этот момент является вопрос: как быстро остановить кровь из носа. Не менее остро эта задача стоит и перед людьми, казавшимися поблизости пострадавшего. Для остановки кровотечения допустимо использование классических, традиционных методов, а также советов народной медицины.
Традиционные методы остановки кровотечения в домашних условиях
В большинстве случаев с проблемой эпистаксиса можно справиться, не прибегая к помощи врачей.
Совет! Звать на помощь или же вызывать бригаду неотложки в первые же минуты кровотечения не стоит.
Если кровотечение произошло внезапно и поблизости нет никого, пострадавшему нужно взять ситуацию в свои руки. Главное — не поддаваться панике, стараться максимально соблюдать спокойствие. Не нужно забывать о том, что в волнительных ситуациях сердцебиение учащается, а значит, кровь будет стекать гораздо обильнее.
При первых признаках кровотечения из носа рекомендуется соблюдать следующий алгоритм действий.
- Занять сидячее положение, слегка наклонив голову вперед.
- Провести ряд действий для облегчения доступа кислорода к легким — ослабить воротник, расстегнуть одежду, открыть окно.
- Дышать нужно максимально глубоко, вдыхая воздух через нос и выдыхая через рот. Это способствует улучшению кровообращения и повышает свертываемость крови.
- На переносицу поместить емкость со льдом или смоченное прохладой водой полотенце. На нижних конечностях расположить грелки или укутать их одеялом. Такой прием позволяет сузить кровеносные сосуды носа и расширить их в ногах. Результатом станет отток крови от головы.
- Прижать пальцами крылья носа к перегородке, держать их в таком положении 1-2 минуты. Дыхание при этом осуществляется посредством рта. Также допустимо разметить в ноздре шарик стерильной ваты, обильно смоченной в 3% растворе перекиси водорода. Таким образом пережимается кровоточащий сосуд.
- Если кровотечение обильное, рекомендуется выпить 2 ч. л. 5-10% раствора хлористого кальция (глюконат кальция, глицерофосфат). В качестве альтернативного средства можно принять 2 таблетки викасола или альтернативного средства с кровоостанавливающим эффектом. Если под рукой не оказалось никаких медикаментов, можно принять внутрь 1-2 ч. л. подсоленной воды.
Это важно! Ошибочным считается мнение, что при кровотечении из носа необходимо лечь или максимально запрокинуть голову.
В таких случаях создается впечатление, что кровь остановилась, хот на деле это совсем не так. Запрокинутая голова не останавливает кровь, а лишь позволяет ей попадать в рот. В лучшем случае далее она стечет в желудок, где может спровоцировать рвоту. В худшем — попадет в дыхательные пути и затруднит доступ кислорода в легкие.
Если в силу каких-либо причин человек, у которого наблюдается эпистаксис, не может сесть, нужно обеспечить ему лежачее положение. При этом необходимо внимательно следить за тем, чтобы голова пострадавшего была приподнята и повернута вбок.
Если кровотечение стало следствием теплового удара, больного необходимо переместить в прохладное, тщательно проветриваемое помещение. В этом случае помимо распределения холода по переносицу, на все лицо пострадавшего нужно нанести смоченное в прохладной воде ткань.
Народные средства
Проверенные веками средства народной медицины способны оказать помощь во многих проблемных ситуациях. Не исключение и эпистаксис. Для остановки кровотечения можно применить одно из наиболее популярных народных рецептов:
- Закапать в носовые проходы свежевыжатый сок лимона, тысячелистника или крапивы.
- Принять внутрь отвары трав с кровоостанавливающим эффектом. К ним относятся шиповник, ромашка, барбарис, толокнянка, пустырник, чабрец.
- Если кровотечение началось на отдыхе, полезно найти лист подорожника. Предварительно промыв его минеральной водой, свернуть в трубочку и разместить в носовом проходе.
- В целях профилактики кровотечений рекомендуется промывать входы солевым раствором (1 ч. л. соли на 1 стакан воды).
[yuzo_related]
Как останавливают кровь из носа при беременности?
В период вынашивания ребенка во всем организме женщины происходят значительные изменения. Касаются они и слизистой носа. Повышенное давление, ринит беременных и прочие факторы могут привести к частым случаям носового кровотечения у будущих мам. Остановить его можно следуя всем стандартным рекомендациям для таких случаев. После остановки крови рекомендуется промыть нос солевым раствором. Для улучшения состояния слизистой можно воспользоваться вазелином или натуральным растительным маслом.
Совет! Для профилактики эпистаксиса у будущих мам стоит чаще проветривать помещение, пить больше жидкости. Идеальным вариантом станет приобретение увлажнителя воздуха и размещение его в спальне.
Способы остановить кровь из носа при высоком давлении
Отдельного обсуждения требует вопрос: чем остановить кровь из носа при высоком давлении.
Эпистаксис при гипертензии — явление весьма распространенное и является следствием разрыва сосудов, не выдержавших нагрузки. Столкнувшись с этой проблемой впервые, большинство людей пугаются и всеми силами пытаются купировать кровотечение. Межу тем опытные гипертоники не торопятся этого делать. При высоких скачках давления гораздо предпочтительнее «выпустить» кровь носом, чем позволить ей скопиться, например, в сосудах головного мозга, вызвав инсульт.
Тем не мене это не означает что при повышенном давлении необходимо ждать окончания кровотечения, не предпринимая никаких действий. Напротив, гипертоник обязан знать назубок механизм оказания самопомощи при обильном носовом кровотечении:
- Необходимо прилечь или присесть, не забыв при том приподнять изголовье.
- Из стерильной ваты изготовить 2 тампона, смочить их перекисью и разместить в носу.
Если спустя 10 минут кровотечение не замедлилось и не остановилось, необходимо обратиться к помощи медиков.
В каких случаях нужна помощь специалистов?
В большинстве случаев простейших мер по оказанию первой помощи при эпистаксисе бывает достаточно для остановки крови. Важным условием является наблюдение за характером кровотечения. Если даже после предпринятых мер оно не прекращается, а становится все обильнее, следует незамедлительно вызвать скорую помощь. То же самое касается ситуации, если кровотечение является результатом травмы, особенно если последняя привела к искажению анатомии носа.
Если носовые кровотечения носят единичный характер, обычно это не повод для беспокойства. Однако обильные кровотечения, повторяющиеся с регулярной частотой — весомая причина для обращения к врачу. Скорее всего, таким образом организм пытается указать на наличие проблем со здоровьем.
При травмировании важно максимально быстро остановить кровопотерю, которая может привести к угрозе для жизни и здоровья человека. Ждать приезда медиков в данном случае нецелесообразно — теряются драгоценные минуты. Следуя правилам оказания первой помощи, можно остановить кровь из раны, снизить негативные последствия для пострадавшего.
Виды остановки кровотечения
Раны можно разделить:
- капиллярные – вызываются травмой подкожных сосудов;
- артериальные – опасны быстрой потерей крови;
- венозные – повреждение сосудов сопровождается медленным кровотечением;
- смешанные — два типа ран и больше;
- паренхиматозные – при травме органов.
Метод остановки зависит от вида кровотечения. Внутренние – невозможно купировать самостоятельно, требуется врачебная помощь.
Остановка бывает окончательная или временная. Первая помощь поможет уменьшить ее до транспортировки пострадавшего в медицинское учреждение. Временная касается венозных, артериальных и смешанных кровотечений.
Нельзя пытаться остановить обильное кровотечение в домашних условиях, если речь идет о серьезных травмах, повреждении внутренних органов, обильных потерях.
Временная
При глубоком порезе пальца следует обработать повреждение перекисью водорода и отправиться к врачу. Если венозное ранение находится на руке, необходимо наложить жгут выше раны. При артериальном порезе зажать место выхода чистым пальцем, обратиться за помощью.
Чтобы временно остановить кровь из раны на голове, нужно обездвижить человека, промыть место проточной водой, убрать поверхностное загрязнение предметами, обработать перекисью водорода. Нельзя углубляться в отверстие – может спровоцировать усиление кровопотери.
Если ранение на лице вызвано инородным предметом, скорее обратитесь за помощью, не пытаясь самостоятельно достать. При ротовых кровотечениях по неизвестной причине необходимо проконсультироваться со специалистом. Это может быть первым проявлением ракового заболевания.
Чаще всего в бытовых ситуациях травмируются пальцы, руки, голова, нос, реже – ротовая полость, лицо. Кровь во рту, которую нельзя остановить, может вызвать удаление зуба.
Окончательная
Остановить кровь самостоятельно можно только капиллярную. В этом случае задеты подкожные сосуды, и опасности здоровью нет.
Если порезан палец, необходимо промыть место проточной холодной водой, обработать перекисью водорода, заклеить лейкопластырем.
Неглубокие раны не возобновляются при оказании первой помощи.
Как остановить кровь при поверхностном ранении
Алгоритм действий при капиллярном кровотечении:
- Очистить рану холодной проточной или кипяченой водой.
- Промыть антисептиком. Перекисью водорода можно обрабатывать целиком, раствор йода или бриллиантовую зелень накладывают только на края во избежание повреждения тканей.
- Чтобы полностью остановить кровь, следует наложить антисептическую повязку или лейкопластырь.
- Приложить холодный компресс.
- При необходимости держать конечность выше уровня тела.
Кровь выходит медленно из небольшого повреждения, повреждаются поверхностные капилляры под кожей.
Инородные части, застрявшие в ране, удалять нельзя. Когда невозможно наложить стерильную повязку, воспользуйтесь проспиртованным чистым полотном.
Если рана промывается ватным тампоном, его нужно обмотать куском бинта – волокна ваты будут дополнительно травмировать ткани. Можно промыть мыльным раствором хозяйственного или антибактериального мыла. Следите, чтобы оно было полностью удалено из раны – его частички могут вызвать химический ожог при попадании в кровь. Это замедлит остановку.
Как остановить кровотечение при глубокой ране
Когда травмирована подколенная, бедренная или плечевая артерия, сгибание конечности позволит остановить кровь. Если пострадала голова, нужно обездвижить больного, промыть повреждение, удалить поверхностное загрязнение и провести обработку раны антисептиком.
Методика остановки кровотечения в ране при глубоком порезе во многом схожа с алгоритмом лечения мелких повреждений. Главным отличием от небольших порезов является временный характер прекращения потери крови. Первая помощь направлена на сохранение жизни пострадавшего до прибытия врачей.
Если конечность начала синеть или опухать – ослабьте жгут.
При артериальном порезе нужно прижать пальцем рану и доставить пациента к врачу, чтобы он остановил кровь. Больной может согнуть пострадавшую конечность. Этот метод используется только для приостановки вытекания крови, пальцем прижимать долго не удастся.
Эффективной методикой остановки крови в глубокой ране является жгут. Его накладывают при венозном и артериальном на ткань или одежду выше травмы на 2 часа. Периодически нужно ослаблять каждые 10–15 минут.
Народные способы остановить кровотечение
Для санации некрупных порезов подойдут лечебные травы:
- мякоть или сок алоэ накладывают на заживающую рану;
- размятый лист подорожника сможет остановить небольшую потерю крови. Закрепляется на порезе до 10–15 минут;
- отвар из календулы с расчетом 1 ч. л. на 200 мл кипятка хорошо обеззараживает, быстро остановит кровь, способствует заживлению;
- тысячелистник обладает кровоостанавливающим эффектом. 1 ч. л. сушеной травы залить стаканом горячей воды, прокипятить на протяжении нескольких минут до коричневого оттенка. Теплый отвар прикладывать на рану до остановки крови.
Что делать, если кровь не останавливается
Мелкие порезы быстро зарастают, так как одна из функций кожного покрова состоит в защите организма от повреждений. Не всегда можно вылечить рану самостоятельно или остановить потерю крови. Глубокие порезы зарастают дольше, могут оставлять рубцы и шрамы.
К врачу стоит обратиться:
- Если не останавливается кровь из ранки продолжительное время. Это означает, что задета вена или артерия. Необходимо наложить жгут и обратиться к врачу.
- Глубокий порез необходимо сшивать в стационаре.
- Повреждение периодически кровоточит более десяти дней.
- Произошло воспаление и нагноение. Последствия инфицирования организма могут быть очень тяжелыми.
- Если кровоточит лицо или шея даже после врачебной хирургии, следует снова обратиться к медикам, чтобы остановить процесс возобновления. На шее находятся сонная артерия и другие сосуды, снабжающие головной мозг и нервы.
- Кровоточащая рана вместе с иными повреждениями, переломами, ожогами. В этом случае процесс лечения будет комбинированным.
Как остановить кровь, обеззаразить мелкий и глубокий порез и что делать, если под рукой нет никаких медикаментов, — об этом важно помнить каждому.
Как остановить кровь при мелком порезе
Если через некоторое время порез начал распухать или приобрёл неестественный окрас, обратитесь к врачу: это может быть признаками инфекционного заражения.
Если вы порезались на природе, под рукой нет медикаментов, а до ближайшей аптеки не добраться, воспользуйтесь натуральными лайфхаками для остановки крови:
- Подорожник. В детстве он помогал нам при разбитых коленках, а сегодня успешно вылечит порез. Это растение обладает антисептическими и ранозаживляющими свойствами — с ним любой порез затянется без следа. Просто промойте несколько листиков подорожника, помните их в руках, чтобы выделился сок, и приложите к больному месту.
- Паутина. Если вы порезались, гуляя по лесу, остановить кровь при лёгком повреждении поможет именно сеточка паутинки, наложенная на порез.
- Хлебный мякиш. Кусочек мякоти, взятый из середины булки, немного смочите в воде и наложите на порез. Через некоторое время кровь остановится.
Обязательно обработайте рану антибактериальным лекарственным средством при первой возможности, чтобы предотвратить риск заражения.
Как остановить кровь при глубоком порезе
Что делаете при порезах вы? Лечитесь дома или идёте в больницу? Расскажите о своём опыте в комментариях.
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