Kusagwiritsidwa ntchito kosagwiritsidwa ntchito kotchedwa rhinitis ndi matenda aakulu omwe sagonjetsedwa chaka chonse ndipo amachititsa chisokonezo cha mchere komanso mphuno. Mukhoza kumverera ngati muli ndi chimfine chosatha chomwe sichitha. Nthata zomwe zimayambitsa matendawa ndizo zimayambitsa matenda osokoneza bongo koma zimatha kuyambitsa matenda enaake omwe amapezeka chaka chonse. Zina zomwe zimayambitsa kwambiri ndi amphaka ndi agalu.
Kukula
Kufala kwenikweni kwa matenda osatha a rhinitis kumatha kuchepetsedwa, chifukwa chikhalidwe ichi sichitha kudziwika. Ali mwana, anyamata ndi ocheperapo kusiyana ndi atsikana kuti azikhala ndi matenda oopsa a rhinitis, komabe, pokhala akuluakulu, kusiyana pakati pa amuna ndi akazi kumatayika. Ngakhale kufalikira kumasiyanasiyana malinga ndi kafukufuku wina akuwonetsa kuti zingakhale zotsika kwambiri (mpaka 23 peresenti ya anthu).
Mungapezenso kuti muli ndi vuto lina ngati mukudwala matenda osokoneza bongo osatha. Phumu ndi chimodzi mwa mavuto omwe mukukumana nawo. Mavuto enawa nthawi zambiri amakhalapo ndi rhinitis osatha:
- otitis media
- eustachian chubu
- matenda ogona
- kulephera kuphunzira
- kutopa
- odwala conjunctivitis
Ngati kusagwidwa kapena kusachitidwa osagwidwa ndi matenda osagwiritsidwa ntchito mosasinthika kungayambitse zinthu zina monga sinusitis yosasunthika, sevalo losasinthika , kapena kukula kosawerengeka monga mapuloteni m'mapiko kapena minofu.
Zizindikiro
Kutupa kwapadera ndi chizindikiro chozindikiritsa cha osatha mankhwala otchedwa rhinitis. Mukhoza kukhala ndi zina kapena kuphatikiza zizindikiro zotsatirazi:
- Kulepheretsa kumbali kapena kusokonezeka
- kuyabwa
- mphuno yothamanga
- kusokonezeka
Pofuna kuonedwa kuti nthawi zonse zimakhala zovuta kuti zikhale ndi matendawa, zizindikirozi ziyenera kukhalapo kwa ola limodzi kapena kuposerapo tsiku lililonse kwa miyezi 12.
Ngati matenda anu apita ku sinusitis kapena kukula kwa minofu yosadziwika mukhoza kuwona zizindikiro zotsatirazi:
- mutu
- kupweteka kwa nkhope kapena chidzalo
- kutopa
- mpweya woipa
- Dzino la Dzino
- Mphuno yanu imatha kukhala kununkhira kapena mtundu wosasangalatsa
- kuthamanga kwapansi
- kuchepa kwa kununkhiza
Kudziwa
Mavuto osagwiritsidwa ntchito osagwiritsidwa ntchito nthawi zonse amatha kupezedwa ndi dokotala wamkulu wa chisamaliro koma angaphunzire bwino ndi dokotala yemwe amadziwika bwino ndi vuto la khutu, mphuno, ndi mmero (otolaryngologist). Dokotala wanu adzakuuzani za mbiri yanu yachipatala ndikukufunsani za zizindikiro zomwe mukukumana nazo. Mwinanso mukhoza kukafunsidwa za zinthu zomwe mukuganiza kuti zingayambitse matenda anu, komanso mbiri yachipatala ya banja lanu.
Izi zikhoza kutsatiridwa ndi kuunika kwa thupi, makamaka, makutu anu, mphuno, ndi mmero zidzafufuzidwa chifukwa cha zinthu monga seveni yosokonekera kapena madzi m'makutu . Ngati, pambuyo pa mbiri yanu ndi zakuthupi, dokotala wanu akudandaula kuti nthawi zonse matendawa amatha kuyesedwa.
- kuyesa magazi kapena khungu kuti apeze matenda enaake
- CT kapena MRI imayang'ana kufunafuna sinusitis yosasunthika, nsonga zamkati, etc ...
Chithandizo
Pali njira zingapo zowatengera zomwe zilipo kwa oyang'anira chisamaliro chosatha cha rhinitis.
Ngati matenda enaake atulukira, kupeŵa mankhwala omwe mumakhala nawo kumathandiza kungakuthandizeni kuthetsa zizindikiro zanu. Mungafunike kuyesetsa kuchepetsa kuchulukanso kwa zotsekula m'nyumba mwanu. Kuti muchite izi, mungafune kuyesa:
- kuwonjezera dehumidifier (ngati inu mukutsutsana ndi nsipu zamtundu)
- kuchotsani ziweto kapena kuchepetsa mwayi wawo ku zipinda
- kuyeretsa nthawi zonse
- Kuyeretsa nthawi zonse ndi kuyeretsa pamapepala, kuyeretsa nthunzi, kapena kuyeretsa kapena kupuma bwino m'malo mwake mumalowetsamo chophimba
Ngati simungathe kuthetsa zotsekula kuchokera kunyumba kwanu kapena chilengedwe, mankhwala kapena immunotherapy angakhale njira zothandizira kudwala.
Mankhwala omwe amagwiritsidwa ntchito kwambiri pofuna kuchepetsa zizindikiro za matendawa ndi awa: antihistamines otsatirawa:
- diphenhydramine
- cetirizine hydrochloride
- loratadine
- fexofenadine
Ngakhale kuti mankhwalawa alipo pa-a-counter ayenera kugwiritsidwa ntchito motsogoleredwa ndi dokotala wanu. Onetsetsani kuti dokotala wanu kapena wamankhwala amadziwa mankhwala onse omwe mukuwatenga kuti muteteze kuyanjana ndikuwawuza za mankhwala omwe mungakhale nawo. Antihistamines akale monga diphenhydramine amadziwika kuti amachititsa kugona.
Immunotherapy, kapena zizindikiro zowonongeka, zingakhale zosankha kwa anthu ena omwe ali ndi matenda oopsa a rhinitis. Immunotherapy ndi chithandizo chamatenda nthawi yaitali chomwe chimaphatikizapo kukupatsani mankhwala ochepa omwe mumakhala nawo ndipo pang'onopang'ono mukuwonjezereka ndalama zomwe mumapatsidwa pa nthawi. Izi zingasinthe chitetezo cha thupi lanu ku chitetezo chimenecho. Sichipezeka kwa mitundu yonse ya chifuwa ndipo ingakhale nthawi yowononga kuyambira mlingo woyamba, ndipo kawirikawiri mlingo woyenera, ukuyenera kuperekedwa moyang'aniridwa ndi zachipatala.
Kawirikawiri sizimagwiritsidwa ntchito kwa ana osakwana zaka zisanu ndi zisanu. Kuyankha kwanu pa zizindikiro zozizira kungasinthe ndipo kumatha kuchoka kuchipatala chonse cha zizindikiro zanu kuti musayankhe konse. Kawirikawiri, kafukufuku amasonyeza kuti mankhwalawa ndi opindulitsa komanso odalirika.
Kuwonjezera pa antihistamines kuti muteteze chifuwa chanu, mankhwala ena angagwiritsidwe ntchito poletsa zizindikiro. Ambiri mwa mankhwalawa alipo pamtengowu ndipo akhoza kuphatikizapo decongestants ndi sprays.
Steroids ya intranasal imagwiritsidwanso ntchito kuwonjezera pa antihistamines. Steroid nasal sprays, kuphatikizapo oxymetazoline, akhoza kugwirizanitsidwa ndi chikhalidwe chotchedwa rebound chisokonezo (chomwe chimatchedwanso kuti mankhwala osokoneza bongo) akamagwiritsidwa ntchito nthawi yaitali kuposa masiku atatu. Mankhwala ena a mankhwalawa amachititsa kuti asagwirizane kwambiri. Ndibwino kuti uyankhule ndi dokotala wokhudzana ndi kusokonezeka kwapadera ndi zomwe mungasankhe kuti azipweteka kwambiri.
Kuthira kwachisala pamphuno kungakhale kothandiza kuthetsa zizindikiro za m'mimba kuphatikizapo kusokonezeka. Wokonza phokoso angathandizenso kuthandizana ndi chisokonezo, komabe, ngati mulibe mankhwala ophera fumbi muyenera kudziŵa kuti kutentha kwambiri kumatha kuonjezera chiwerengero cha fumbi m'nthaka yanu.
Ngati matenda anu apita patsogolo kuti asawononge sinusitis kapena ngati muli ndi zinthu zolakwika monga septum kapena nsomba zamphongo zina zowonjezera zingakhale zofunikira. Ngakhale kuti maantibayotiki nthawi zina amagwiritsidwa ntchito pochiza sinusitis osatha matendawa amafunikira opaleshoni. Izi ndizowona makamaka ngati muli ndi septum yosiyidwa, yotchedwa turbinates yowonjezereka, kapena nsalu zamphongo. Kuchita opaleshoni yachisawawa kumakhala kofala ku United States ndipo kawirikawiri imachitidwa nthawi yosakanizidwa tsiku lomwelo opaleshoni.
Mawu Ochokera
Kusagwiritsidwa ntchito kosagwiritsidwa ntchito kotchedwa rhinitis ndi matenda aakulu omwe sanatsatire angayambitse zotsatira zosiyanasiyana. Gawo loyamba pa chithandizo chanu liyenera kukhala kuyesa ndikuchotseratu vutoli kuchokera kunyumba kwanu. Ngati simunapambane pokhala ndi chidziwitso kuchokera ku chifuwa chanu, ndiye mankhwala omwe atchulidwa pamwambawa angakhale othandiza kuchepetsa zizindikiro zanu.
> Zotsatira:
> Allergic Rhinitis. Webusaiti ya Masewera. https://emedicine.medscape.com/article/134825-overview. Idasinthidwa Nov 15, 2017.
> Kuthamanga Kwambiri (Immunology). American Academy of Allergy Chifuwa & Immunology. > https://www.aaaai.org/conditions-and-treatments/treatments/allergy-shots-(immunotherapy)
> Chronic Sinusitis. Webusaiti ya Masewera. https://emedicine.medscape.com/article/232791-buwonetsero. Idasinthidwa pa 21 April, 2017.
> Saleh, HA & Durham, SR. (2007). Osatha Rhinitis. BMJ 335.