Vasomotor rhinitis
Vasomotor rhinitis ndi matenda aakulu omwe amayamba chifukwa cha kusokonezeka kwa mitsempha ya m'mphuno. Ndizofanana ndi zizindikiro za allergenic rhinitis, koma zimakhala ndi zifukwa zina.

Kodi vasomotor rhinitis ndi chiyani?

Vasomotor rhinitis ndi kutupa kwa mucosa wa m'mphuno komwe sikumayenderana ndi kuyamwa kwa mabakiteriya, ma virus kapena allergen. Matendawa limodzi ndi aakulu ndi zofooketsa sneezing, mvula kumaliseche kwa m`mphuno patsekeke.

Matendawa ndi 10 nthawi zambiri anthu okhala m'mizinda ikuluikulu. Amuna amatha kutenga matendawa. Iwo akhoza kukhala reflex mawonekedwe a matenda motsutsana maziko kumwa mowa.1.

Zimayambitsa vasomotor rhinitis akuluakulu

Zomwe zimayambitsa kutupa kwa mucosa ya m'mphuno zingakhale zokhudza thupi, zamaganizo kapena zachipatala. Zina mwazofunika kwambiri:

  • kupindika kwa m'mphuno septum (wobadwa kapena wopezedwa);
  • kusintha kwa mahomoni komwe kumawonekera motsutsana ndi maziko a matenda a endocrine system, mimba kapena kutha msinkhu kwa achinyamata;
  • matenda a reflux a gastroesophageal.

Chifukwa cha vasomotor rhinitis akuluakulu angakhale kudalira vasoconstrictor madontho a m'mphuno ndi kupopera. Matendawa akhoza kukhala odwala pamene kumwa mankhwala ntchito zamaganizo (gabapentin, chlorpromazine), mankhwala zochizira erectile kukanika zochokera sildenafil, ndi ena antihypertensive mankhwala.

Nthawi zina, rhinitis akufotokozera mchikakamizo cha zinthu zingapo ndipo akhoza pamodzi ndi matupi awo sagwirizana mawonekedwe.

Zizindikiro za vasomotor rhinitis mwa akuluakulu

Chizindikiro chachikulu cha vasomotor rhinitis mwa akuluakulu ndi kulimbikira kupuma kulephera. Kusokonekera kwa mphuno kumachitika mwadzidzidzi, nthawi zambiri chizindikirocho chimawonedwa m'mawa mutadzuka. Kulephera kupuma limodzi ndi sneezing ndi lacrimation, mandala kumaliseche kwa m`mphuno patsekeke. Kutentha kwa thupi sikukwera.

Chithunzi chachipatala cha vasomotor rhinitis mwa akuluakulu chimaphatikizapo zizindikiro zotsatirazi:

  • redness wa mucous nembanemba wa mphuno;
  • kuchepa kwa fungo;
  • kutupa m'mphuno;
  • kumverera kwachidzalo m'chigawo cha nasal septum;
  • kutuluka kwa mucous kapena madzi m'mphuno.

Pogwiritsa ntchito mosasamala madontho a vasoconstrictor, kuyabwa kumachitika m'mphuno.

Chithandizo cha vasomotor rhinitis akuluakulu

Pochiza vasomotor rhinitis, chinthu chachikulu ndikuchotsa chomwe chimayambitsa vutoli. Njira zochiritsira zomwe zimagwiritsidwa ntchito pamitundu ina ya rhinitis ndizosathandiza.

Ngati vasomotor rhinitis ikupita patsogolo chifukwa cha kupunduka kwakukulu kwa septum ya m'mphuno, wodwalayo amaperekedwa opaleshoni. Nthawi zina, matendawa amathandizidwa mwachisawawa - mankhwala.

Zofunika! Asanachite opaleshoni iliyonse ya vasomotor rhinitis, wodwalayo amachenjezedwa za kusakhazikika kwa zotsatira za opaleshoniyo komanso kufunikira kobwerezabwereza.

Diagnostics

Matendawa amakhazikitsidwa pamaziko a madandaulo a wodwalayo pambuyo posonkhanitsa anamnesis. Zimatsimikiziridwa ndi kufufuza kwa endoscopic kwa mphuno ndi nasopharynx (pogwiritsa ntchito kamera yapadera). Ngati kutupa kwa ma turbinates otsika kumadziwika, kuyezetsa kumachitika. Njira yothetsera xylometazoline kapena adrenaline imagwiritsidwa ntchito pa mucous nembanemba. Ngati kugunda kwa mphuno, vasomotor rhinitis amapezeka.

Njira zina zowunikira zimagwiritsidwa ntchito mochepera. Otolaryngologist akhoza kuyitanitsa CT kapena x-ray ya sinuses. Kuti mupewe kugwirizana ndi rhinitis, kuyezetsa magazi kumachitidwa.

Mankhwala a vasomotor rhinitis

Masiku ano, pochiza vasomotor rhinitis, amagwiritsa ntchito:

  • topical H1-blockers - antihistamines (azelastine, levokabastin);
  • InGKS (intranasal glucocorticosteroids) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (ikani msika momwe uliri, ndikuchotsa mayina awo palemba);
  • topical mast cell membrane stabilizers (zochokera ku cromoglycic acid).

Mankhwala a mankhwala nthawi zonse amasankhidwa payekha ndipo zimadalira zomwe zimayambitsa rhinitis. Palibe njira imodzi yokha yochizira matendawa. Kutsuka pafupipafupi kwa m'mphuno ndi iso- ndi hypertonic solution m'madzi am'nyanja kumathandiza kuthetsa zizindikiro.2.

Kugwiritsa ntchito mankhwala kuti athetse zizindikiro za kupindika kwa septum ya m'mphuno sikungatheke, pomwe opaleshoni imasonyezedwa.3.

Ngati vasomotor rhinitis ikuwoneka chifukwa cha nkhanza za madontho a m'mphuno ya vasoconstrictor, iyenera kusiyidwa kwathunthu.

Vasomotor rhinitis mwa amayi apakati amatha pambuyo pobereka, koma chithandizo chamankhwala chimathekanso4.

Kupuma kwa vasomotor rhinitis

Nebulizer inhalations si anasonyeza vasomotor rhinitis. Ngati mugwiritsa ntchito zida zotere, tinthu tating'onoting'ono tamankhwala tidzakhala tating'ono ndipo sizikhalabe m'mphuno ndi m'mphuno, nthawi yomweyo zimalowa munjira yopuma. Kukoka mpweya ndi njira yowopsa yomwe ingayambitse mawotchi opita kumtunda.

Zithandizo za anthu

Munthu asayembekezere zotsatira zake pogwiritsa ntchito njira zachipatala. Nthawi zina, malinga ndi malangizo a dokotala, ndi vasomotor rhinitis, mankhwala azitsamba angagwiritsidwe ntchito, atachotsa kale chiopsezo cha ziwengo. Njira zomwe zili ndi mankhwala azitsamba zimagwiritsidwa ntchito mwachidule - osapitirira masiku 10-14. Pogwiritsa ntchito nthawi yayitali, amakhala ndi vuto pa mucous nembanemba.

Kupewa vasomotor rhinitis akuluakulu

Palibe njira yeniyeni yopewera vasomotor rhinitis. Mutha kuchepetsa chiwopsezo chotenga matendawa pochotsa zinthu zomwe zimalimbikitsa:

  • kusiya kumwa chikonga ndi kumwa mowa;
  • kuthetsa nkhawa;
  • kusintha m`thupi maziko;
  • musagwiritse ntchito vasoconstrictor madontho a m'mphuno popanda mankhwala a dokotala kwa nthawi yayitali.

Mafunso ndi mayankho otchuka

Takambirana nkhani zokhudzana ndi vasomotor rhinitis akuluakulu omwe ali nawo Wophunzira wa Sayansi ya Zamankhwala, otorhinolaryngologist, phoniatrist Anna Kolesnikova.

Ndi zovuta ziti zomwe vasomotor rhinitis ingapereke?
Zizindikiro za vasomotor rhinitis zimatha kuchepetsa kwambiri moyo. Nthawi zambiri, motsutsana ndi maziko a matendawa, kuwomba, kutsekeka kwa tulo (kutupa kwamtunda wapamwamba) kumawonekera. Wodwalayo akuda nkhawa ndi chifuwa chowuma nthawi yayitali, kusokonezeka kwa khutu pakati kumawonekera, ndipo kukula kwa otitis media sikumachotsedwa.

Kutengera ndi edema yayitali komanso kukwiya kwa mucous nembanemba, kukula kwa ma polyps ndikotheka. Vasomotor rhinitis kumawonjezera mwayi wokhala ndi polyposis rhinosinusitis.

Kodi vasomotor rhinitis amapatsirana?
Vasomotor rhinitis sipatsirana kwa ena.
Ndi dokotala uti yemwe amachiza vasomotor rhinitis?
Vasomotor rhinitis amathandizidwa ndi otolaryngologist. Ngati matendawa amapezeka limodzi ndi matupi awo sagwirizana rhinitis, muyenera kuonana ndi allergenist. Ngati vasomotor rhinitis ndi chotsatira cha matenda a reflux a gastroesophageal, chithandizo cha gastroenterologist ndikofunikira.
Kodi matenda a vasomotor rhinitis angachiritsidwe?
Nthawi zina, n'zotheka kuchiza matenda a vasomotor rhinitis mwa kuthetsa zomwe zimayambitsa matendawa, mwachitsanzo, pamene matendawa akukula motsutsana ndi maziko a kugwiritsa ntchito mankhwala kwa nthawi yaitali kuchokera kumagulu ena.

Ngati chifukwa cha matendawa ndi kupindika kwa m'mphuno septum, opaleshoni kumathandiza kuthetsa zizindikiro zake, koma reflex edema akhoza kubwerera chifukwa kusakhazikika kwa zotsatira za ntchito.

  1. Vasomotor rhinitis: pathogenesis, matenda ndi mfundo za chithandizo (zitsogozo zachipatala). Yosinthidwa ndi AS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
  2. Lopatin AS Chithandizo cha vasomotor rhinitis: mayendedwe apadziko lonse lapansi ndi machitidwe aku Russia // MS. 2012. No. 11. https://cyberleninka.ru/article/n/lechenie-vazomotornogo-rinita-mezhdunarodnye-tendentsii-i-rossiyskaya-praktika
  3. Kryukov AI, Tsarapkin G. Yu., Zairatyants OV, Tovmasyan AS, Panasov SA, Artemyeva-Karelova AV Zochitika zamakono za opaleshoni ya vasomotor rhinitis. Russian rhinology. 2017;25(2):10-14. https://doi.org/10.17116/rosrino201725210-14
  4.  Dolina IV Vasomotor rhinitis mwa amayi apakati / IV Dolina // Medical Journal. - 2009. - № 3. http://rep.bsmu.by/bitstream/handle/BSMU/2881/Vasomotor%20rhinitis%20%20pregnant%20women.Image.Marked.pdf?sequence=1&isAllowed=y

Siyani Mumakonda