txheem
Dab tsi yog vasomotor rhinitis
Vasomotor rhinitis yog ib qho mob ntawm qhov ntswg mucosa uas tsis cuam tshuam nrog kev noj cov kab mob, kab mob lossis ua xua. Tus kab mob yog nrog los ntawm qhov hnyav thiab debilitating txham, copious tawm ntawm qhov ntswg kab noj hniav.
Tus kab mob no muaj 10 npaug ntau dua hauv cov neeg nyob hauv nroog loj. Cov txiv neej muaj feem raug tus kab mob. Lawv tuaj yeem tsim daim ntawv reflex ntawm tus kab mob tiv thaiv keeb kwm ntawm kev haus cawv.1.
Ua rau vasomotor rhinitis hauv cov laus
Ua rau ua rau mob ntawm qhov ntswg mucosa tuaj yeem yog physiological, puas siab puas ntsws lossis pharmacological. Ntawm cov tseem ceeb:
- curvature ntawm qhov ntswg septum (congenital los yog kis tau);
- hormonal hloov uas tshwm sim lawv tus kheej tawm tsam keeb kwm ntawm cov kab mob ntawm endocrine system, cev xeeb tub los yog thaum lub sij hawm puberty ntawm cov hluas;
- gastroesophageal reflux tus kab mob.
Qhov ua rau vasomotor rhinitis hauv cov neeg laus tuaj yeem yog kev vam khom ntawm vasoconstrictor qhov ntswg tee thiab tshuaj tsuag. Tus kab mob tuaj yeem tshwm sim hauv cov neeg mob thaum noj tshuaj siv hauv kev puas siab puas ntsws (gabapentin, chlorpromazine), tshuaj kho mob erectile kawg raws li sildenafil, thiab qee cov tshuaj tiv thaiv kab mob siab.
Qee zaum, rhinitis tshwm sim nyob rau hauv kev cuam tshuam ntawm ntau yam thiab tuaj yeem ua ke nrog daim ntawv tsis haum.
Cov tsos mob ntawm vasomotor rhinitis hauv cov laus
Cov tsos mob tseem ceeb ntawm vasomotor rhinitis hauv cov neeg laus yog qhov ua tsis taus pa tsis tu ncua. Qhov ntswg congestion tshwm sim sai sai, feem ntau cov tsos mob tshwm sim thaum sawv ntxov tom qab sawv ntxov. Kev ua pa tsis ua haujlwm yog nrog los ntawm txham thiab lacrimation, pob tshab tawm ntawm qhov ntswg kab noj hniav. Lub cev kub tsis nce.
Daim duab kho mob ntawm vasomotor rhinitis hauv cov neeg laus suav nrog cov tsos mob hauv qab no:
- redness ntawm mucous daim nyias nyias ntawm lub qhov ntswg;
- txo qhov tsis hnov tsw;
- o ntawm qhov ntswg;
- kev xav ntawm fullness nyob rau hauv cheeb tsam ntawm lub qhov ntswg septum;
- mucous los yog dej tawm ntawm qhov ntswg.
Nrog kev tswj tsis tau ntawm kev siv vasoconstrictor tee, khaus tshwm sim hauv qhov ntswg kab noj hniav.
Kev kho mob vasomotor rhinitis hauv cov neeg laus
Hauv kev kho mob vasomotor rhinitis, qhov tseem ceeb tshaj plaws yog tshem tawm cov hauv paus hauv paus ntawm qhov teeb meem. Cov txheej txheem ntawm kev kho mob siv rau lwm hom rhinitis tsis zoo.
Yog tias vasomotor rhinitis tshwm sim vim qhov mob hnyav ntawm qhov ntswg septum, tus neeg mob raug qhia rau kev phais. Hauv lwm qhov xwm txheej, tus kab mob raug kho raws li kev saib xyuas - tshuaj.
Tseem ceeb! Ua ntej ua txhua yam kev phais mob rau vasomotor rhinitis, tus neeg mob tau ceeb toom txog qhov yuav tsis muaj kev ruaj ntseg ntawm qhov tshwm sim ntawm kev ua haujlwm thiab qhov yuav tsum tau rov ua dua.
diagnostics
Kev kuaj mob yog tsim los ntawm tus neeg mob cov lus tsis txaus siab tom qab sau cov anamnesis. Nws tau lees paub los ntawm kev kuaj endoscopic ntawm qhov ntswg kab noj hniav thiab nasopharynx (siv lub koob yees duab tshwj xeeb). Yog tias kuaj pom qhov o ntawm qis turbinates, ib qho kev sim ua tiav. Ib qho kev daws ntawm xylometazoline lossis adrenaline yog siv rau cov mucous daim nyias nyias. Nyob rau hauv cov ntaub ntawv ntawm contraction ntawm qhov ntswg kab noj hniav, vasomotor rhinitis yog kuaj.
Lwm txoj kev kuaj mob tau siv tsawg dua. Tus kws kho mob otolaryngologist tuaj yeem xaj CT lossis x-ray ntawm cov sinuses. Txhawm rau txiav txim siab txog kev ua xua rau rhinitis, kev tshuaj xyuas kev tsis haum yog ua.
Cov tshuaj rau vasomotor rhinitis
Niaj hnub no, rau kev kho mob ntawm vasomotor rhinitis, lawv siv:
- tshuaj pleev H1-blockers - antihistamines (azelastine, levokabasin);
- InGKS (intranasal glucocorticosteroids) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (tso lub khw raws li nws yog, thiab tshem tawm lawv cov npe ntawm cov ntawv nyeem);
- tshuaj pleev mast cell membrane stabilizers (cromoglycic acid derivatives).
Kev kho tshuaj ib txwm xaiv ib tus zuj zus thiab nyob ntawm qhov ua rau rhinitis. Tsis muaj ib txoj kev kho mob rau tus kab mob. Nquag yaug qhov ntswg qhov ntswg nrog iso- thiab hypertonic daws ntawm dej hiav txwv pab daws cov tsos mob.2.
Kev siv tshuaj los tshem tawm cov tsos mob ntawm qhov curvature ntawm lub qhov ntswg septum yog impractical, nyob rau hauv cov ntaub ntawv kev phais yog qhia.3.
Yog tias vasomotor rhinitis tshwm sim vim kev tsim txom ntawm qhov ntswg vasoconstrictor tee, lawv yuav tsum tau tso tseg tag nrho.
Vasomotor rhinitis hauv cov poj niam cev xeeb tub daws tau tom qab yug me nyuam, tab sis kev kho tshuaj kuj tseem ua tau4.
Inhalations rau vasomotor rhinitis
Nebulizer inhalations tsis qhia rau vasomotor rhinitis. Yog tias koj siv cov khoom siv zoo li no, cov tshuaj ntawm cov tshuaj yuav me me thiab yuav tsis nyob hauv qhov ntswg thiab qhov ntswg, lawv yuav nkag mus rau hauv txoj hlab pa tam sim ntawd. Chav inhalation yog ib txoj kev txaus ntshai uas tuaj yeem ua rau kub hnyiab mus rau qhov ua pa sab saud.
Cov tshuaj kho neeg mob
Ib tug yuav tsum tsis txhob cia siab tias yuav muaj kev cuam tshuam los ntawm kev siv lwm txoj kev tshuaj. Tsuas yog qee qhov xwm txheej, raws li kws kho mob sau ntawv, nrog vasomotor rhinitis, tshuaj ntsuab tuaj yeem siv tau, yav tas los tshem tawm qhov kev pheej hmoo ntawm kev tsis haum tshuaj. Txhais tau hais tias muaj cov khoom xyaw tshuaj ntsuab siv nyob rau hauv ib chav kawm luv - tsis pub ntau tshaj 10-14 hnub. Nrog rau kev siv ntev, lawv muaj kev cuam tshuam tsis zoo rau cov mucous membranes.
Kev tiv thaiv vasomotor rhinitis hauv cov laus
Tsis muaj kev tiv thaiv tshwj xeeb ntawm vasomotor rhinitis. Koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim tus kab mob los ntawm kev tshem tawm cov xwm txheej uas ua rau nws:
- tso tseg kev quav tshuaj nicotine thiab haus cawv;
- tshem tawm kev ntxhov siab;
- kho hormonal keeb kwm yav dhau;
- tsis txhob siv vasoconstrictor qhov ntswg tee yam tsis muaj kws kho mob sau ntawv rau kev kawm ntev.
Nrov lus nug thiab lus teb
Peb tau tham txog cov teeb meem ntsig txog vasomotor rhinitis hauv cov neeg laus nrog Tus neeg sib tw ntawm Medical Sciences, otorhinolaryngologist, phoniatrist Anna Kolesnikova.
Tawm tsam keeb kwm yav dhau los ntev edema thiab khaus ntawm cov mucous daim nyias nyias, kev loj hlob ntawm polyps yog ua tau. Vasomotor rhinitis ua rau muaj kev pheej hmoo ntawm kev tsim polyposis rhinosinusitis.
Yog hais tias qhov ua rau ntawm tus kab mob yog curvature ntawm lub qhov ntswg septum, kev phais yuav pab tshem tawm nws cov tsos mob, tab sis reflex edema yuav rov qab los vim lub instability ntawm cov nyhuv ntawm lub lag luam.
Qhov chaw ntawm
- Vasomotor rhinitis: pathogenesis, kev kuaj mob thiab kev kho mob (cov txheej txheem kho mob). Kho los ntawm AS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
- Lopatin AS Kev Kho Mob ntawm vasomotor rhinitis: thoob ntiaj teb tiam sis thiab kev xyaum Lavxias // 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 Niaj hnub nimno kev kho mob ntawm vasomotor rhinitis. Lavxias teb sab rhinology. 2017; 25(2):10-14. https://doi.org/10.17116/rosrino201725210-14
- Dolina IV Vasomotor rhinitis nyob rau hauv cov poj niam cev xeeb tub / 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