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