Rhinitis - chomwe chiri, mitundu, zizindikiro, chithandizo

Zomwe zatsimikiziridwa

Rhinitis, mphuno wamba, ndi matenda a virus. Kusintha kotupa kwa mucosa nthawi zambiri kumangokhala mphuno, m'mphuno ndi oropharynx. Nthawi zina rhinitis ikupitiriza kufalikira ku larynx, trachea ndi bronchi, ndipo matenda a bakiteriya angagwirizane ndi tizilombo toyambitsa matenda. Kenako imaphatikizapo mphuno za paranasal, pharynx, khutu lapakati ndi mapapo.

Kodi rhinitis ndi chiyani?

Rhinitis, yomwe imadziwika kuti runny mphuno, ndi matenda a virus omwe amadziwika ndi kusintha kotupa kwa mucosa wamphuno, m'mphuno ndi oropharynx. Rhinitis akhoza kukhala pachimake (opatsirana) ndi aakulu: ndiye ife kulankhula za matupi awo sagwirizana kapena sanali matupi awo sagwirizana rhinitis. Kachilombo kamene kamayambitsa matenda a rhinitis nthawi zambiri amafalitsidwa ndi madontho a mpweya. Choncho, kupewa pachimake rhinitis makamaka kupewa kukhudzana ndi odwala. Njira yotereyi ndiyofunika kwambiri panthawi yomwe matendawa akuchulukirachulukira, omwe nthawi zambiri amapezeka m'dzinja ndi masika. Rhinitis nthawi zambiri imatsagana ndi zizindikiro monga kuyetsemula ndi kuyabwa pakhosi ndi mphuno.

Mitundu ya rhinitis

Rhinitis ikhoza kukhala:

1.matupi - Nthawi zambiri zimachitika pakatha nyengo ndipo zimayamba chifukwa cha zinthu zosagwirizana ndi mpweya, monga mungu wa zomera zomwe zimatulutsa maluwa ndi nthata. Kuthamanga mphuno kutha pambuyo kuswa kukhudzana ndi allergen;

2.Nonallergic - nthawi zambiri kugwirizana ndi kutupa kwa m`mphuno mucosa ndi kuwonetseredwa ndi kuyabwa, sneezing ndi m`mphuno stuffiness;

3. hypertrophic atrophic - zimachitika chifukwa cha kusintha kwa mucosa, komwe kumakhala kochepa pakapita nthawi. Chotsatira chake ndi kusokonezeka kwa kupanga kwa secretions. Kuuma kwa mucosa kungayambitse mapangidwe a crusts mu mphuno;

4. hypertrophic aakulu - yodziwika ndi kutsekeka kwa mphuno mbali zonse ziwiri. Mphuno yothamanga imatsagana ndi ma polyps mumphuno omwe amatupa. Chithandizo cha opaleshoni ndichofunika;

5. aakulu atrophic halitosis - kuwonjezera pa mphuno yothamanga, pali fungo losasangalatsa kuchokera pakamwa;

6. matenda a vasomotor aakulu - zimachitika chifukwa cha kusintha kwadzidzidzi kutentha kapena kutentha kwa mapazi kapena kumbuyo.

General zizindikiro za rhinitis

Zizindikiro za mphuno yothamanga ndi monga kuyetsemula, kuyabwa pakhosi ndi mphuno, ndi kutupa; pakapita nthawi kupsa mtima ndi kutsokomola kumalumikizana. Zizindikiro zodziwika kwambiri ndi kutsekeka kwa mphuno pang'onopang'ono (mphuno yodzaza ndi mpweya) komanso kutuluka kwamadzi kuchokera m'mphuno. Poyamba, ndi madzi opepuka komanso owonda kwambiri, pambuyo pake kukhetsa kumakhala kokulirapo ndipo kumakhala kobiriwira. Nthawi zina herpes amawonekera pakhungu la milomo. Zilonda zam'deralo zimatsagana ndi zizindikiro zambiri:

1. kufooka,
2. Mutu,
3. malungo otsika.

Pachimake wopepuka rhinitis zambiri kumatenga 5-7 masiku.

M`kupita kwa pachimake rhinitis, wodwalayo ayenera kukhala kunyumba, makamaka kudzipatula kuteteza anthu ena ku matenda. Chipinda cha wodwalayo chiyenera kukhala chofunda, koma kutentha kwambiri kuyenera kupewedwa. Mpweya wothira bwino umathandizira kuchotsa zotulutsa zomwe zimauma mosavuta. Njira yabwino kwambiri yochepetsera chinyezi ndiyo kugwiritsa ntchito humidifier yamagetsi. Zakudya zosungunuka mosavuta komanso kumwa zakumwa zambiri, mwachitsanzo, timadziti ta zipatso tating'onoting'ono timalimbikitsidwa.

Pachimake yosavuta rhinitis

Ndi chimfine chabe ndipo nthawi zambiri chimayamba chifukwa cha ma virus a chimfine, adenoviruses, rhinoviruses, ndi parainfluenza viruses. Mphuno yothamanga imathanso kukhala ndi mabakiteriya, imatha kuyambitsidwa ndi mabakiteriya monga: Katemera wa Moraxella, Haemophilus influenzae or Streptococcus pneumoniae. Mphuno yothamanga imakhala yamadzi kwambiri poyamba, koma imakhala yolimba pakapita nthawi, zomwe zimapangitsa kupuma kukhala kovuta. Kuonjezera apo, wodwalayo akhoza kukhala ndi chifuwa chifukwa kukhosi kumatuluka m'mphuno kapena matenda a pakhosi. Odwala nawonso amakhala ndi zizindikiro monga mutu, redness, kung'ambika ndi kuyabwa kwa conjunctiva (ma virus conjunctivitis nthawi zambiri amapezeka).

Rhinitis - si matupi awo sagwirizana

Non-allergenic rhinitis (vasomotor, idiopathic) ndi matenda osatupa omwe alibe chochita ndi ziwengo. Zimachitika chifukwa cha kukula kwa mitsempha ya m'mphuno. Izi zimabweretsa kutupa kwa mucosa ndi kutulutsa kowonjezera, komwe ndi mphuno yothamanga. Zomwe zimayambitsa matenda amtundu uwu sizidziwika bwino, chifukwa chake nthawi zambiri zimatchedwa idiopathic catarrh. Zimapezeka kawirikawiri mwa amayi kusiyana ndi amuna.

Zomwe zimayambitsa mucosa:

1. kusintha kwachangu kwa kutentha kozungulira,
2. kusintha kwadzidzidzi kwa kuthamanga kwa mumlengalenga,
3. mpweya wouma,
4. zonunkhira,
5. zokometsera zotentha,
6. kugonana
7. kusokonezeka maganizo (kupsinjika maganizo),
8. kumwa mankhwala ena (monga antihypertensive mankhwala, acetylsalicylic acid, xylometazoline). Kugwiritsa ntchito kwawo nthawi yayitali kumachepetsa mucosa yamphuno,
9. kusasitsa komanso, chifukwa chake, kuchuluka kwachuma kwa mahomoni,
10. mimba (kuchuluka kwa mahomoni osiyanasiyana).

Non-allergenic rhinitis imatha kuchitika chaka chonse, ndi nthawi yowonjezereka (makamaka mu kasupe ndi kugwa). Zizindikiro zake ndi monga mphuno yothina, mphuno yotuluka m'mphuno ndi kuyetsemula.

Peyala Kuthamanga mphuno STOP kwa akuluakulu ndithu kumathandiza kuchotsa mphuno.

Kuzindikira kwa idiopathic rhinitis

Pa nthawi ya matendawa, kuyankhulana kwachipatala ndi wodwalayo n'kofunika kwambiri, makamaka ponena za moyo ndi chikhalidwe cha anthu komanso momwe zizindikiro zoyamba zinawonekera. Komanso, dokotala amayesa otolaryngological. Anterior rhinoscopy amalola zithunzi za m`mphuno patsekeke ndi zotheka kutupa mucosa. Diagnostics angasonyeze kufunika koyezetsa ziwengo ndi kuyezetsa magazi. Kuzindikira kwa idiopathic rhinitis kumapangidwa pambuyo pa kusapezeka kwa pachimake chosavuta cha rhinitis ndi matupi awo sagwirizana rhinitis.

Kodi kuchiritsa?

Chithandizo cha non-allergenic rhinitis ndicho kuchotsa zinthu zomwe zimayambitsa zizindikiro. Nthawi zina ndikofunikira kusintha moyo wanu mpaka pano, kuphatikiza ntchito yanu. Kugwiritsiridwa ntchito kothandiza kumaperekedwa ndi njira ya mchere wa m'nyanja monga kutsitsi ndi mankhwala a steroid (monga momentazone) ndi antihistamines. Iwo amachepetsa zizindikiro.

Rhinitis - matupi awo sagwirizana

Matupi awo sagwirizana rhinitis ali ndi zizindikiro zofanana kwambiri ndi idiopathic rhinitis. Muli ndi mphuno yotuluka, mphuno yodzaza, mphuno yoyabwa komanso kuyetsemula. Nthawi zina pamakhalanso kuyabwa kosapiririka kwa maso. Komabe, pali zizindikiro za ziwengo, monga kusintha kwa khungu ndi edema ya zikope. Ndiwo zotsatira za machitidwe achilendo a chitetezo cha mthupi ku allergen, zomwe nthawi zonse siziyenera kukhala ndi zotsatirapo. Thupi la munthu, pofuna kulimbana ndi allergen mu mawonekedwe, mwachitsanzo, mungu kuchokera ku zomera, zimayambitsa kutupa kwa m'mphuno mucosa ndi zizindikiro za ziwengo.

Diagnostics

Kuti muzindikire matenda a rhinitis, kufufuza bwinobwino ndikofunikira kuyankhulana kwachipatala ndi wodwala ndi kafukufuku mu mawonekedwe a mayeso a ziwengo ndi mayeso a otolaryngological. Anterior rhinoscopy amavumbulutsa mucosa wotumbululuka ndi kutupa, nthawi zina ndi kumaliseche woonda. Komanso, matupi awo sagwirizana mayeso (khungu kuyezetsa, zasayansi magazi mayeso) kulola kudziwa mtundu wa allergen wayambitsa rhinitis. Kuyezetsa khungu kumaphatikizapo kuboola pang'ono kwa khungu ndiyeno kugwiritsa ntchito pang'ono allergen. Ngati zotsatira zake zili zabwino - khungu lidzakula ndipo zotupa zidzawoneka. Kumbali ina, pakuyezetsa magazi, ma antibodies opangidwa ndi thupi poyankha kukhudzana ndi allergen enieni angakhalepo.

Chithandizo cha matupi awo sagwirizana rhinitis

Choyamba, chofunika kwambiri ndikupewa zinthu zomwe zimayambitsa zizindikiro za ziwengo komanso kutenga mankhwala oletsa matupi awo sagwirizana. Kawirikawiri mankhwala ndi mphuno, ndipo pakalibe zotsatira - pakamwa. Awa makamaka ndi antihistamines, mwachitsanzo loratadine, cetirizine, nasal steroids (omwe amangogwira ntchito pakangopita masiku ochepa) ndi fexofenadine. Poyamba, ma decongestants amagwiritsidwa ntchito, mwachitsanzo, xylometazoline (kwa masiku opitilira 5-7!). Ndi matupi awo sagwirizana (nyengo) rhinitis, mankhwala amagwiritsidwa ntchito nthawi ndi nthawi.

Desensitization ikugwiritsidwa ntchito kwa odwala omwe ali ndi matenda aakulu. Amakhala mu transdermal ntchito ya pang'onopang'ono kuwonjezeka mlingo wa allergen, pa intervals zosiyanasiyana. Immunotherapy cholinga chake ndi kupangitsa wodwala kuzolowera zomwe zimawapangitsa kukhala osaphunzira kuchitapo kanthu ndi zizindikiro za ziwengo.

Zovuta za rhinitis

Matenda a rhinitis angayambitse zovuta monga:

1. sinusitis (chifukwa cha kutulutsa kwambiri);
2. polyps m'mphuno,
3. zovuta za olfactory,
4. otitis media (chifukwa cha kuwonongeka kwa mpweya chifukwa cha kutupa kwa mucosa ya m'mphuno).

Chifukwa cha rhinitis, zotupa za epidermis zimatha kuwoneka, zomwe ziyenera kupakidwa ndi Octenisan md - gel osakaniza amphuno omwe amatsuka bwino ndikuyeretsa atria ya mphuno.

Chithandizo cha rhinitis

Kawirikawiri, chithandizo cha dokotala sichifunikira, pokhapokha ngati rhinitis imatenga nthawi yaitali kuposa masiku khumi kapena zizindikiro za zovuta zimayamba: kutentha kwakukulu, kupweteka kwa minofu, kupweteka kwa mutu kutsogolo kapena m'dera la orbital, kupweteka pachifuwa, kuwonjezereka kwa hoarseness, chifuwa, khutu.