האם אתה אוהב לעצור התעטשות? טוב לעזוב מיד את ההרגל הזה. הסיבה היא שקיימות מספר סכנות שהחזקת התעטשות יכולה להזמין סוגים שונים של אובדנים בריאותיים, כגון צלעות שבורות, קרעים בעור התוף וכלי דם פגומים! בואו לגלות עוד על ההשלכות השונות של עצירת עיטוש שצריך להיזהר מהן.
הסכנות של עצירת עיטוש שצריך להיזהר מהם
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ישנם חסרונות רבים שיכולים לבוא אם אתה מעכב עיטוש, התעטשות היא התגובה הטבעית של הגוף כאשר חפצים זרים, כמו אבק, עשן, חיידקים, ללכלוך, נכנסים לאף. התעטשות היא המנגנון של הגוף לגרש את החפצים הזרים הללו כדי למנוע מחלות ופציעות באף. אז, מה קורה אם אנחנו מרבים לעצור עיטוש? הנה כמה מההשלכות של עצירת עיטוש שאתה צריך לדעת.
1. קרע של כלי דם
הסכנה של החזקת עיטוש יכולה לפוצץ את כלי הדם שלך, במיוחד בעיניים, באף ובעור התוף. הלחץ הגבוה הנגרם מהחזקת עיטוש יכול לגרום לכלי דם להתפוצץ. תסמינים שניתן לראות, בין היתר, עיניים אדומות.
2. קרע בעור התוף
עצירת עיטוש יכולה גם לסכן אותך לקרע בעור התוף. לפני הניקוי, האוזניים בדרך כלל יתפסו אוויר קודם. עצירת עיטוש יכולה ליצור לחץ גבוה בתוך האוזן. האוויר הנלכד נכנס לבסוף לצינור האוסטכיאן (הצינור המחבר בין האוזן התיכונה לעור התוף). על פי מומחים מאוניברסיטת ארקנסו למדעי הרפואה, הלחץ שנוצר כתוצאה מהחזקת עיטוש יכול לגרום לאחד או לשניהם להתפוצץ לעור התוף. כתוצאה מכך, השמיעה שלך נפגעת. רוב המקרים של קרע בעור התוף יחלימו מעצמו, אך בחלקם יש לטפל בניתוח.
3. דלקת באוזן התיכונה
כפי שהוסבר קודם, התעטשות היא התגובה הטבעית של הגוף כאשר חפץ זר חודר לאף. עם זאת, כאשר אתה מעכב עיטוש, חפצים זרים אלה יכולים להינשא באוויר לאוזן התיכונה ולגרום לזיהום. דלקות באוזן התיכונה עלולות לגרום בדרך כלל לכאב שהוא די מעצבן. לפעמים, מצב רפואי זה חולף מעצמו, אבל יש מקרים שבהם יש צורך באנטיביוטיקה.
4. פגיעה בסרעפת
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)
פגיעה בסרעפת היא גם אחת הסכנות של החזקת עיטוש.הסרעפת היא החלק בשריר החזה שנמצא ממש מעל הקיבה. ישנם רופאים המאמינים כי עצירת עיטוש גורמת בין היתר לפגיעה בסרעפת. על פי מחקר משנת 2013, עצירת עיטוש עלולה לגרום לאוויר להילכד בסרעפת ולהשפיע לרעה על הריאות. כתוצאה מכך, תרגיש כאב בחזה. היזהר, מצב זה יכול להיות קטלני אם לא יטופל מיד בבית החולים.
5. גרון סדוק
על פי דיווח בכתב העת
דיווחי מקרה של BMJגבר בן 34 סבל מפיצוץ גרון לאחר שכיסה את אפו ופיו כאשר התעטש. לאחר מכן, הוא חש כאב משמעותי ולא היה מסוגל לדבר או לבלוע. זכור, מקרים של קרע בגרון הם די נדירים. מצב זה נגרם בדרך כלל מפציעה או מצבים רפואיים מסוימים, מהקאות ועד שיעול חמור. הרופא שטיפל במקרה של האיש די הופתע כשגילה כי עצירת עיטוש עלולה לגרום למעשה לפרוץ גרונו של האיש. עם זאת, מקרה זה נדיר למדי.
6. מפרצת
מפרצת היא הגדלה של עורק הנגרמת על ידי דופן עורק חלש. על סמך מחקר, מתברר שגם הסכנה בהחזקת עיטוש יכולה להיות בסיכון לגרום לפריצת מפרצת. ללחץ הנובע מהחזקת עיטוש יש פוטנציאל לגרום לפרצת מפרצת במוח. זהו מצב מסכן חיים הנגרם על ידי דימום מוחי.
7. צלעות שבורות
לחלק מהאנשים, כמו קשישים (קשישים), יש פוטנציאל לחוות צלעות שבורות עקב החזקת עיטוש. אותו דבר יכול לקרות אם הם מעכבים עיטוש. כי עצירת עיטוש עלולה לגרום לאוויר בלחץ גבוה להידחף לתוך הריאות ולגרום לשבירת צלעות. [[מאמר קשור]]
הסכנה של החזקת עיטוש יכולה להיות גם התקף לב?
אולי שמעתם את הרעיון שעצירת עיטוש יכולה לגרום להתקף לב. שימו לב, עצירת התעטשות או התעטשות אינה גורמת ללב להפסיק לפעום. התעטשות או עצירת התעטשות יכולה להשפיע על קצב הלב שלך, אבל זה לא מונע מהלב שלך לפעום.
הערות מ-SehatQ
לאלו מכם שעדיין מרבים להתאפק מהתעטשות, עזבו מיד את ההרגל הזה כי ישנן סכנות רבות במניעת התעטשות שתוכלו לחוות. לאלו מכם שיש להם שאלות בנושא בריאות, אל תהססו לשאול
תשאל את הרופא באפליקציית הבריאות המשפחתית של SehatQ בחינם. הורד את אפליקציית HealthyQ
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