Vasomotor rhinitis
ʻO Vasomotor rhinitis kahi maʻi maʻi maʻi ma muli o ke kani ʻana o ke kani vascular i loko o ka lua ihu. Ua like ia me nā hōʻailona me ka maʻi rhinitis, akā he kumu ʻē aʻe.

He aha ka vasomotor rhinitis

ʻO Vasomotor rhinitis kahi ʻāʻā o ka mucosa ihu i pili ʻole me ka ʻai ʻana o ka bacteria, virus a i ʻole allergens. Hoʻopili pū ʻia ka maʻi me ka sneezing koʻikoʻi a hoʻonāwaliwali, hoʻokuʻu copious mai ka ihu.

ʻO ka maʻi he 10 mau manawa maʻamau i nā poʻe noho o nā kūlanakauhale nui. ʻOi aku ka maʻalahi o nā kāne i ka maʻi. Hiki iā lākou ke hoʻomohala i kahi ʻano reflex o ka maʻi e kū'ē i ke kua o ka inu ʻona.1.

Nā kumu o ka vasomotor rhinitis i nā mākua

ʻO nā kumu e hoʻonā ai i ka mucosa nasal hiki ke physiological, psychological a pharmacological paha. Ma waena o nā mea nui:

  • ka curvature o ka nasal septum (congenital a i loaʻa paha);
  • nā hoʻololi hormonal e hōʻike iā lākou iho e kū'ē i ke kua o nā maʻi o ka ʻōnaehana endocrine, ka hāpai ʻana a i ka wā ʻōpio o nā ʻōpio;
  • ʻO ka maʻi reflux gastroesophageal.

ʻO ke kumu o ka vasomotor rhinitis i nā pākeke ke hilinaʻi ʻia i nā hāʻule o ka ihu vasoconstrictor a me nā pulu. Hiki ke ulu ka maʻi i nā maʻi i ka wā e lawe ana i nā lāʻau lapaʻau i hoʻohana ʻia i ka psychiatry (gabapentin, chlorpromazine), nā lāʻau lapaʻau no ka mālama ʻana i ka erectile dysfunction e pili ana i ka sildenafil, a me kekahi mau lāʻau antihypertensive.

I kekahi mau hihia, ulu ka rhinitis ma lalo o ka mana o kekahi mau kumu a hiki ke hui pū ʻia me kahi ʻano maʻi.

Nā hōʻailona o ka vasomotor rhinitis i nā mākua

ʻO ka hōʻailona nui o ka vasomotor rhinitis i nā pākeke ʻo ka hoʻomau ʻana i ka hanu hanu. Hiki koke ka nasal congestion, ʻike pinepine ʻia kahi hōʻailona i ke kakahiaka ma hope o ke ala ʻana. Hoʻopili ʻia ka hāʻule ʻana o ka hanu me ka sneezing a me ka lacrimation, ka hoʻokuʻu ʻia ʻana mai ka lua ihu. ʻAʻole piʻi ka mahana o ke kino.

ʻO ke kiʻi lapaʻau o ka vasomotor rhinitis i nā pākeke e loaʻa i kēia mau hōʻailona:

  • ʻulaʻula o ka mucous membranes o ka ihu;
  • emi iho ka maikaʻi o ka pilau;
  • ka pehu ma ka ihu;
  • ka manaʻo o ka piha ma ka māhele o ka nasal septum;
  • ʻūhū a wai paha mai ka ihu.

Me ka hoʻohana ʻole ʻia o nā hāʻule vasoconstrictor, ʻike ʻia ka ʻāʻī i loko o ka ihu.

Ka mālama ʻana i ka vasomotor rhinitis i nā pākeke

I ka mālama ʻana i ka vasomotor rhinitis, ʻo ka mea nui ke hoʻopau i ke kumu kumu o ka maʻi. ʻAʻole pono nā ʻano o ka lāʻau lapaʻau i hoʻohana ʻia no nā ʻano rhinitis ʻē aʻe.

Inā holomua ka vasomotor rhinitis ma muli o ka deformity koʻikoʻi o ka nasal septum, hōʻike ʻia ka mea maʻi no ka ʻoki. I nā hihia ʻē aʻe, mālama ʻia ka maʻi ma ke ʻano conservative - lāʻau lapaʻau.

Mea nui! Ma mua o ka hoʻokō ʻana i nā hana ʻokiʻoki no ka rhinitis vasomotor, ua aʻo ʻia ka mea maʻi e pili ana i ka hiki ʻole o ka hopena o ka hana a me ka pono o nā hana hou.

lapaʻau '

Hoʻokumu ʻia ka maʻi ma muli o nā hoʻopiʻi o ka mea maʻi ma hope o ka hōʻiliʻili ʻana i kahi anamnesis. Hoʻopaʻa ʻia ia e ka hoʻokolokolo endoscopic o ka nasal cavity a me ka nasopharynx (me ka hoʻohana ʻana i kahi kāmela kūikawā). Inā ʻike ʻia ka pehu ʻana o nā turbinates haʻahaʻa, hana ʻia kahi hoʻokolohua. Hoʻopili ʻia kahi hopena o xylometazoline a adrenaline paha i ka mucous membranes. I ka hihia o ka ʻoki ʻana o ka nasal cavity, ʻike ʻia ka vasomotor rhinitis.

Hoʻohana pinepine ʻia nā koho diagnostic ʻē aʻe. Hiki i ka otolaryngologist ke kauoha i kahi CT a i ʻole x-ray o nā sinuses. No ka pale ʻana i ka maʻi rhinitis pili, hana ʻia kahi hoʻokolohua maʻi.

Nā lāʻau lapaʻau no ka rhinitis vasomotor

I kēia lā, no ka mālama ʻana i ka vasomotor rhinitis, hoʻohana lākou:

  • nā H1-blockers - nā antihistamines (azelastine, levokabastin);
  • InGKS (intrasal glucocorticosteroids) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (e kau i ka mākeke e like me ia, a wehe i ko lākou mau inoa mai ka kikokikona);
  • nā mea hoʻokūpaʻa membrane mast cell (nā huaʻawaʻawa cromoglycic).

Hoʻohana ʻia ka lāʻau lapaʻau i kēlā me kēia a ma muli o ke kumu o ka rhinitis. ʻAʻohe papa hana lapaʻau hoʻokahi no ka maʻi. ʻO ka hoʻomaʻemaʻe pinepine ʻana i ka lua ihu me ka iso- a me ka hypertonic solutions o ka wai kai kōkua e hoʻomaha i nā hōʻailona.2.

ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopau i nā hōʻailona ma ka curvature o ka nasal septum he mea kūpono ʻole, i ia manawa e hōʻike ʻia ke ʻoki.3.

Inā ʻike ʻia ka vasomotor rhinitis ma muli o ka hoʻomāinoino ʻana i nā hāʻule o nā vasoconstrictor nasal, pono lākou e haʻalele loa.

Hoʻoholo ka Vasomotor rhinitis i nā wahine hāpai ma hope o ka hānau ʻana, akā hiki ke mālama ʻia ka lāʻau lapaʻau4.

Inhalations no ka vasomotor rhinitis

ʻAʻole hōʻike ʻia nā inhalations nebulizer no vasomotor rhinitis. Inā ʻoe e hoʻohana i ia mau mea hana, e liʻiliʻi nā ʻāpana o ka lāʻau lapaʻau a ʻaʻole e hoʻomau i loko o ka ihu a me nā sinuses, e komo koke lākou i ka ʻōpū hanu. ʻO ka hoʻohu ʻana i ka mahu he hana pōʻino e hiki ai ke hoʻopuʻi i ka ʻōpū hanu luna.

Nā Lāʻau Folk

ʻAʻole pono kekahi e manaʻo i kahi hopena mai ka hoʻohana ʻana i nā ʻano lāʻau lapaʻau ʻē aʻe. I kekahi mau hihia wale nō, e like me ka ʻōlelo a ke kauka, me ka vasomotor rhinitis, hiki ke hoʻohana ʻia nā lāʻau lapaʻau, ma hope o ka hoʻopau ʻana i ka hopena o nā hopena maʻi. Hoʻohana ʻia nā mea kanu i loko o kahi papa pōkole - ʻaʻole iʻoi aku ma mua o 10-14 mau lā. Me ka hoʻohana lōʻihi, loaʻa iā lākou kahi hopena maikaʻi ʻole i ka mucous membranes.

Ka pale ʻana i ka vasomotor rhinitis i nā pākeke

ʻAʻohe mea e pale ai i ka vasomotor rhinitis. Hiki iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka maʻi ma ka hoʻopau ʻana i nā kumu e hoʻonāukiuki ai:

  • haʻalele i ka nicotine a me ka inu ʻona;
  • hoʻopau i ke kaumaha;
  • hoʻoponopono i ka hormonal background;
  • Mai hoʻohana i nā kulu ihu vasoconstrictor me ka ʻole o ke kauka no ka papa lōʻihi.

Nā nīnau a me nā pane kaulana

Ua kūkākūkā mākou i nā pilikia e pili ana i ka vasomotor rhinitis i nā pākeke me Moho o ka Lapaʻau ʻepekema, otorhinolaryngologist, phoniatrist Anna Kolesnikova.

He aha nā pilikia e hiki ke hāʻawi i ka vasomotor rhinitis?
Hiki i nā hōʻailona o ka vasomotor rhinitis ke hoʻemi nui i ka maikaʻi o ke ola. ʻO ka manawa pinepine, e kū'ē i ka hope o ka maʻi, ʻike ʻia ka snoring, obstructive sleep apnea (spasm of the upper respiratory tract). Ke hopohopo nei ka mea maʻi e pili ana i ka maloʻo maloʻo lōʻihi, ʻike ʻia ka paʻa o ka pepeiao waena, a ʻaʻole i kāpae ʻia ka ulu ʻana o ka otitis media.

E kū'ē i ke kua o ka edema lōʻihi a me ka huhū o nā mucous membranes, hiki ke ulu i nā polyps. Hoʻonui ka Vasomotor rhinitis i ka hoʻomohala ʻana i ka polyposis rhinosinusitis.

Hiki ke lele ka vasomotor rhinitis?
ʻAʻole lele ka Vasomotor rhinitis i nā poʻe ʻē aʻe.
ʻO wai ke kauka e mālama i ka vasomotor rhinitis?
Hana ʻia ka vasomotor rhinitis e kahi otolaryngologist. Inā pili ka maʻi me ka rhinitis maʻi, pono ʻoe e nīnau i kahi allergist. Inā he hopena ka vasomotor rhinitis o ka maʻi gastroesophageal reflux, pono ke mālama ʻia e ka gastroenterologist.
Hiki ke ho'ōla 'ia ka vasomotor rhinitis?
I kekahi mau hihia, hiki ke ho'ōla i ka vasomotor rhinitis maʻi ma ka hoʻopau ʻana i nā kumu o ka maʻi, no ka laʻana, i ka wā e ulu ai ka maʻi e kūʻē i ke ʻano o ka hoʻohana ʻana i nā lāʻau lapaʻau mai kekahi mau hui.

Inā ʻo ke kumu o ka maʻi ʻo ka curvature o ka nasal septum, e kōkua ke ʻoki i ka hoʻopau ʻana i kāna mau hōʻailona, ​​​​akā e hoʻi hou ka reflex edema ma muli o ka paʻa ʻole o ka hopena o ka hana.

  1. Vasomotor rhinitis: pathogenesis, hōʻailona a me nā loina lapaʻau (nā alakaʻi lapaʻau). Hoʻoponopono ʻia e AS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
  2. Lopatin AS Hoʻomaʻamaʻa ʻana i ka vasomotor rhinitis: nā ʻano honua a me ka hana Lūkini // 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 Nā hiʻohiʻona hou o ka mālamaʻana i ka vasomotor rhinitis. Rhinology Lūkini. 2017;25(2):10-14. https://doi.org/10.17116/rosrino201725210-14
  4.  ʻO Dolina IV Vasomotor rhinitis i nā wahine hāpai / 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

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