Vasomotor rhinitis

Vasomotor rhinitis ke eng?

Vasomotor rhinitis ke ho ruruha ha mucosa ea nko e sa amaneng le ho kenngoa ha libaktheria, kokoana-hloko kapa allergens. Lefu lena le tsamaisana le ho thimola ho matla le ho fokolisang, ho ntša metsi a mangata ho tswa ho lesoba la nko.

Lefu lena le tloaelehile ka makhetlo a 10 ho baahi ba metse e meholo. Banna ke bona ba hlaseloang habonolo ke lefu lena. Ba ka 'na ba hlahisa mofuta oa reflex oa lefu lena khahlanong le semelo sa ho noa joala.¹.

Lisosa tsa vasomotor rhinitis ho batho ba baholo

Lisosa tse bakang ho ruruha ha mucosa ea nko e ka ba ea 'mele, ea kelello kapa ea meriana. Har'a tse ka sehloohong:

• ho kobeha ha septum ea nasal (congenital kapa e fumanoeng);
• liphetoho tsa li-hormone tse iponahatsang khahlanong le semelo sa mafu a tsamaiso ea endocrine, bokhachane kapa nakong ea bocha ba bacha;
• lefu la reflux la gastroesophageal.

Sesosa sa vasomotor rhinitis ho batho ba baholo e ka ba ho itšetleha ka marotholi a nko ea vasoconstrictor le li-sprays. Lefu lena le ka hlaha ho bakuli ha ba ntse ba sebelisa lithethefatsi tse sebelisoang ho phekola mafu a kelello (gabapentin, chlorpromazine), lithethefatsi bakeng sa ho phekola ho se sebetse ha erectile e thehiloeng ho sildenafil, le lithethefatsi tse ling tsa antihypertensive.

Maemong a mang, rhinitis e hlaha tlas'a tšusumetso ea lintlha tse 'maloa' me e ka kopanngoa le mofuta oa ho kula.

Matšoao a vasomotor rhinitis ho batho ba baholo

Letšoao le ka sehloohong la vasomotor rhinitis ho batho ba baholo ke ho hloleha ho phefumoloha ho tsitsitseng. Ho tsubella nko ho etsahala ka tšohanyetso, hangata letšoao le bonoa hoseng ka mor'a ho tsoha. Ho hloleha ho phefumoloha ho tsamaisana le ho thimola le ho lacrimation, ho tsoa pepeneneng ho tsoa ho lesoba la nko. Mocheso oa 'mele ha o phahame.

Setšoantšo sa kliniki sa vasomotor rhinitis ho batho ba baholo se kenyelletsa matšoao a latelang:

• bofubelu ba li-mucous tsa nko;
• boleng bo fokotsehileng ba monko;
• ho ruruha nko;
• boikutlo ba ho tlala sebakeng sa nasal septum;
• ho tsoa ka mamina kapa metsi ka nko.

Ka tšebeliso e sa laoleheng ea marotholi a vasoconstrictor, ho hlohlona ho hlaha ka har'a lesapo la nko.

Phekolo ea vasomotor rhinitis ho batho ba baholo

Ha ho phekoloa vasomotor rhinitis, ntho e ka sehloohong ke ho felisa sesosa sa bothata. Mekhoa ea phekolo e sebelisoang bakeng sa mefuta e meng ea rhinitis ha e sebetse.

Haeba vasomotor rhinitis e ntse e tsoela pele ka lebaka la ho holofala ho matla ha septum ea nko, mokuli o bontšoa bakeng sa ho buuoa. Maemong a mang, lefu lena le tšoaroa ka mokhoa o tsitsitseng - meriana.

Bohlokoa! Pele a etsa ts'ebetso leha e le efe ea ho buuoa bakeng sa vasomotor rhinitis, mokuli o lemosoa ka ho se tsitse ho ka 'nang ha e-ba teng ka lebaka la ho buuoa le tlhokahalo e ka' nang ea e-ba ea ho kenella khafetsa.

tlhathoba

Tlhahlobo e thehiloe motheong oa litletlebo tsa mokuli ka mor'a ho bokella anamnesis. E netefatsoa ke tlhahlobo ea endoscopic ea lesapo la nko le nasopharynx (ho sebelisa k'hamera e khethehileng). Haeba ho ruruha ha li-turbinate tse tlase ho fumanoa, ho etsoa tlhahlobo. Tharollo ea xylometazoline kapa adrenaline e sebelisoa lera la mucous. Tabeng ea ho honyela ha lesapo la nko, ho fumanoa vasomotor rhinitis.

Likhetho tse ling tsa tlhahlobo li sebelisoa khafetsa. Setsebi sa otolaryngologist se ka laela CT kapa x-ray ea libe. Ho thibela mafu a amanang le allergic rhinitis, ho etsoa tlhahlobo ea allergic.

Lithethefatsi bakeng sa vasomotor rhinitis

Kajeno, bakeng sa kalafo ea vasomotor rhinitis, ba sebelisa:

• li-H1-blockers - li-antihistamine (azelastine, levokabastin);
• InGKS (intranasal glucocorticosteroids) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (beha 'maraka kamoo o leng kateng,' me u tlose mabitso a bona ho tsoa mongolong);
• li-stabilizer tsa topical mast cell membrane (li-derivatives tsa cromoglycic acid).

Kalafo ea lithethefatsi e lula e khethoa ka bomong mme e itšetlehile ka lisosa tsa rhinitis. Ha ho na mokhoa o le mong oa phekolo bakeng sa lefu lena. Ho hlatsoa khafetsa lehare la nko ka litharollo tsa iso-le hypertonic tsa metsi a leoatle ho thusa ho imolla matšoao.².

Tšebeliso ea lithethefatsi ho felisa matšoao a ho kobeha ha septum ea nasal ha e na thuso, moo ho buuoang ho bontšoang.³.

Haeba vasomotor rhinitis e hlaha ka lebaka la tlhekefetso ea marotholi a nasal vasoconstrictor, ba tla tlameha ho tloheloa ka ho feletseng.

Vasomotor rhinitis ho bakhachane e rarolla ka mor'a ho beleha, empa phekolo ea lithethefatsi e ka khoneha⁴.

Inhalations bakeng sa vasomotor rhinitis

Nebulizer inhalations ha e bontšoe bakeng sa vasomotor rhinitis. Haeba u sebelisa lisebelisoa tse joalo, likaroloana tsa tharollo ea meriana li tla ba tse nyenyane 'me li ke ke tsa lula ka har'a lesapo la nko le li-sinus, hang-hang li tla kena tseleng ea ho hema. Ho hema ka mouoane ke mokhoa o kotsi o ka bakang ho chesoa ha karolo e ka holimo ea phefumoloho.

Mekhoa ea batho

Motho ha aa lokela ho lebella phello ea tšebeliso ea mekhoa e meng ea phekolo. Ke maemong a mang feela, ho ea ka lengolo la ngaka, ka vasomotor rhinitis, meriana ea litlama e ka sebelisoa, kaha e ne e kile ea felisa kotsi ea ho kula. Mekhoa e nang le metsoako ea litlama e sebelisoa ka nako e khutšoanyane - ha e fete matsatsi a 10-14. Ka tšebeliso ea nako e telele, li na le phello e mpe ho lera la mucous.

Thibelo ea vasomotor rhinitis ho batho ba baholo

Ha ho na thibelo e tobileng ea vasomotor rhinitis. O ka fokotsa kotsi ea ho tšoaroa ke lefu lena ka ho tlosa lintlha tse bakang:

• tlohela ho lemalla bokoali le ho noa joala;
• felisa khatello ea maikutlo;
• fetola semelo sa li-hormone;
• u se ke ua sebelisa marotholi a nko ea vasoconstrictor ntle le lengolo la ngaka bakeng sa thupelo e telele.

Lipotso le likarabo tse tsebahalang

Re buisane ka litaba tse amanang le vasomotor rhinitis ho batho ba baholo ba nang le Mokhethoa oa Saense ea Bongaka, setsebi sa otorhinolaryngologist, setsebi sa phoniatrist Anna Kolesnikova.

Mehloli ea

1. Vasomotor rhinitis: pathogenesis, tlhahlobo le melao-motheo ea kalafo (tataiso ea bongaka). E hlophisitsoeng ke AS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
2. Lopatin AS Kalafo ea vasomotor rhinitis: mekhoa ea machaba le mekhoa ea Serussia // 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 Likarolo tsa morao-rao tsa phekolo ea ho buuoa ea vasomotor rhinitis. Rhinology ea Serussia. 2017;25(2):10-14. https://doi.org/10.17116/rosrino201725210-14
4.  Dolina IV Vasomotor rhinitis ho bakhachane / 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