Vasomotor rhinitis
Vasomotor rhinitis cuta ce ta yau da kullun da ke haifar da raunin sautin jijiyoyin jini a cikin kogon hanci. Yana kama da alamun rashin lafiyar rhinitis, amma yana da wasu dalilai.

Menene vasomotor rhinitis

Vasomotor rhinitis wani kumburi ne na mucosa na hanci wanda ba shi da alaƙa da shigar da kwayoyin cuta, ƙwayoyin cuta ko allergens. Cutar tana tare da matsanancin atishawa mai raɗaɗi, fitar da ruwa mai yawa daga kogon hanci.

Cutar ta fi yawa sau 10 a mazauna manyan garuruwa. Maza sun fi kamuwa da cutar. Za su iya haɓaka nau'in cutar da ke da alaƙa da asalin shan barasa.1.

Abubuwan da ke haifar da vasomotor rhinitis a cikin manya

Dalilan da ke haifar da kumburin mucosa na hanci na iya zama ilimin ilimin lissafi, na tunani ko ilimin likitanci. Daga cikin manyan:

  • curvature na hanci septum (na haihuwa ko samu);
  • canje-canje na hormonal da ke bayyana kansu a kan tushen cututtuka na tsarin endocrine, ciki ko lokacin balaga na matasa;
  • gastroesophageal reflux cuta.

Dalilin vasomotor rhinitis a cikin manya na iya zama dogara ga vasoconstrictor nasal drops da sprays. Cutar na iya tasowa a cikin marasa lafiya yayin shan magungunan da aka yi amfani da su a cikin ilimin halin mutum (gabapentin, chlorpromazine), magungunan maganin rashin ƙarfi da aka danganta da sildenafil, da wasu magungunan antihypertensive.

A wasu lokuta, rhinitis yana tasowa a ƙarƙashin rinjayar dalilai da yawa kuma ana iya haɗuwa tare da nau'in rashin lafiyan.

Alamun vasomotor rhinitis a cikin manya

Babban alamar cututtukan vasomotor rhinitis a cikin manya shine rashin gazawar numfashi. Ciwon hanci yana faruwa ba zato ba tsammani, sau da yawa ana ganin alama da safe bayan an tashi. Rashin gazawar numfashi yana tare da sneezing da lacrimation, fitowar fili daga kogon hanci. Yanayin jiki baya tashi.

Hoton asibiti na vasomotor rhinitis a cikin manya ya haɗa da alamomi masu zuwa:

  • ja na mucous membranes na hanci;
  • rage ingancin wari;
  • kumburi a cikin hanci;
  • jin dadi a cikin yankin na hanci septum;
  • magudanar ruwa ko fitar ruwa daga hanci.

Tare da rashin kulawa da amfani da vasoconstrictor saukad da, itching yana faruwa a cikin kogon hanci.

Jiyya na vasomotor rhinitis a cikin manya

A cikin maganin vasomotor rhinitis, babban abu shine kawar da tushen dalilin rashin lafiya. Hanyoyin maganin da ake amfani da su don wasu nau'in rhinitis ba su da tasiri.

Idan vasomotor rhinitis ya ci gaba saboda mummunan nakasar ƙwayar hanci, ana nuna mai haƙuri don tiyata. A wasu lokuta, ana bi da cutar ta hanyar ra'ayin mazan jiya - magani.

Muhimmin! Kafin yin duk wani aikin tiyata don vasomotor rhinitis, an yi gargadin mai haƙuri game da yiwuwar rashin kwanciyar hankali na sakamakon aikin da kuma yiwuwar buƙatar maimaitawa.

kanikancin

An kafa ganewar asali a kan gunaguni na majiyyaci bayan tattara anamnesis. An tabbatar da shi ta hanyar binciken endoscopic na kogon hanci da nasopharynx (ta amfani da kyamara ta musamman). Idan an gano kumburin ƙananan turbinates, ana yin gwaji. Ana amfani da maganin xylometazoline ko adrenaline a kan mucosa. Idan akwai raguwa na kogin hanci, an gano vasomotor rhinitis.

Ana amfani da wasu zaɓuɓɓukan bincike ƙasa akai-akai. Likitan otolaryngologist na iya yin odar CT ko x-ray na sinuses. Don kawar da rashin lafiyar rhinitis mai alaƙa, ana yin gwajin rashin lafiyar.

Magunguna don vasomotor rhinitis

A yau, don lura da vasomotor rhinitis, suna amfani da:

  • Topical H1-blockers - antihistamines (azelastine, levokabastin);
  • InGKS (glucocorticosteroids intranasal) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (sanya kasuwa kamar yadda yake, kuma cire sunayensu daga rubutun);
  • Topical mast cell membrane stabilizers (cromoglycic acid derivatives).

Ana zaɓin magani koyaushe akayi daban-daban kuma ya dogara da abubuwan da ke haifar da rhinitis. Babu tsarin magani guda ɗaya don cutar. Yin kurkura akai-akai na kogin hanci tare da iso- da maganin hypertonic na ruwan teku yana taimakawa wajen kawar da bayyanar cututtuka.2.

Yin amfani da kwayoyi don kawar da alamun bayyanar cututtuka a cikin curvature na septum na hanci ba shi da amfani, wanda aka nuna aikin tiyata.3.

Idan vasomotor rhinitis ya bayyana saboda cin zarafi na hanci vasoconstrictor saukad, dole ne a yi watsi da su gaba daya.

Vasomotor rhinitis a cikin mata masu ciki yana warwarewa bayan haihuwa, amma maganin miyagun ƙwayoyi yana yiwuwa4.

Inhalation na vasomotor rhinitis

Ba a nuna inhalation na Nebulizer don vasomotor rhinitis ba. Idan kun yi amfani da irin wannan kayan aiki, ƙwayoyin maganin maganin magani za su kasance ƙananan kuma ba za su kasance a cikin kogin hanci da sinuses ba, za su shiga cikin numfashi na numfashi nan da nan. Numfashin tururi hanya ce mai haɗari da za ta iya haifar da konewa zuwa sashin numfashi na sama.

Magungunan gargajiya

Kada mutum yayi tsammanin sakamako daga amfani da madadin hanyoyin magani. Sai kawai a wasu lokuta, bisa ga takardar sayan magani, tare da vasomotor rhinitis, ana iya amfani da magungunan ganyayyaki, wanda a baya ya kawar da hadarin rashin lafiyar jiki. Ana amfani da hanyoyin da ke ɗauke da kayan lambu a cikin ɗan gajeren hanya - ba fiye da kwanaki 10-14 ba. Tare da yin amfani da dogon lokaci, suna da mummunan tasiri a kan mucous membranes.

Rigakafin vasomotor rhinitis a cikin manya

Babu takamaiman rigakafin vasomotor rhinitis. Kuna iya rage haɗarin kamuwa da cutar ta hanyar kawar da abubuwan da ke haifar da ita:

  • daina shan nicotine da shan barasa;
  • kawar da damuwa;
  • daidaita yanayin hormonal;
  • Kada a yi amfani da vasoconstrictor hanci saukad ba tare da takardar sayan likita na dogon hanya.

Shahararrun tambayoyi da amsoshi

Mun tattauna batutuwan da suka shafi vasomotor rhinitis a cikin manya tare da 'Yar takarar Kimiyyar Kiwon Lafiya, Otorhinolaryngologist, phoniatrist Anna Kolesnikova.

Waɗanne matsaloli ne vasomotor rhinitis zai iya bayarwa?
Alamun vasomotor rhinitis na iya rage ingancin rayuwa sosai. Sau da yawa, a kan tushen cutar, ana nuna snoring, obstructive barci apnea (spasm na sama na numfashi fili). Mai haƙuri yana damuwa game da tari mai tsayi mai tsayi, ƙananan kunne na tsakiya ya bayyana, kuma ba a cire ci gaban otitis ba.

A kan bango na tsawaita edema da haushi na mucous membranes, ci gaban polyps yana yiwuwa. Vasomotor rhinitis yana ƙara yiwuwar tasowa polyposis rhinosinusitis.

Shin vasomotor rhinitis yana yaduwa?
Vasomotor rhinitis ba ya yaduwa ga wasu.
Wane likita ne ke kula da vasomotor rhinitis?
Vasomotor rhinitis ana bi da shi ta likitan otolaryngologist. Idan cutar ta faru tare da rashin lafiyan rhinitis, za ku buƙaci tuntuɓar likitan ku. Idan vasomotor rhinitis ne sakamakon ciwon gastroesophageal reflux cuta, magani daga gastroenterologist ya zama dole.
Za a iya warkar da vasomotor rhinitis na kullum?
A wasu lokuta, yana yiwuwa a warkar da vasomotor rhinitis na kullum ta hanyar kawar da abubuwan da ke haifar da cutar, alal misali, lokacin da cutar ta tasowa a kan tushen amfani da kwayoyi na dogon lokaci daga wasu kungiyoyi.

Idan dalilin cutar shine curvature na septum na hanci, tiyata zai taimaka wajen kawar da alamunta, amma reflex edema zai iya dawowa saboda rashin kwanciyar hankali na sakamakon aikin.

  1. Vasomotor rhinitis: pathogenesis, ganewar asali da ka'idojin magani (ka'idojin asibiti). Edita daga AS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
  2. Lopatin AS Jiyya na vasomotor rhinitis: yanayin duniya da aikin Rasha // 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 Abubuwan zamani na aikin tiyata na vasomotor rhinitis. Rhinology na Rasha. 2017;25 (2): 10-14. doi.org/10.17116/rosrino201725210-14
  4.  Dolina IV Vasomotor rhinitis a cikin mata masu juna biyu / IV Dolina // Medical Journal. - 2009. - № 3. http://rep.bsmu.by/bitstream/handle/BSMU/2881/Vasomotor%20rhinitis%20%20mai ciki%20women.Image.Marked.pdf?sequence=1&isAllowed=y

Leave a Reply