Vasomotor rhinitis
Vasomotor rhinitis chirwere chisingaperi chinokonzerwa nekukanganiswa kwevascular tone mumhino yemhino. Izvo zvakafanana nezviratidzo kune allergic rhinitis, asi ine zvimwe zvikonzero.

Chii chinonzi vasomotor rhinitis

Vasomotor rhinitis ndiko kuzvimba kwenasal mucosa iyo isingabatanidzwe nekupinzwa kwebhakitiriya, hutachiona kana allergens. Chirwere ichi chinoperekedzwa nekuhotsira kwakasimba uye kunopedza simba, kubuda kwakawanda kubva mumhino.

Chirwere chacho chinowedzera ka10 kune vagari vemaguta makuru. Varume ndivo vanonyanya kubatwa nechirwere ichi. Vanogona kugadzira reflex chimiro chechirwere chinopesana nemashure ekunwa doro.1.

Zvikonzero zvevasomotor rhinitis muvanhu vakuru

Zvikonzero zvinokonzera kuzvimba kwemhino mucosa zvinogona kuva zvepanyama, zvepfungwa kana zvemishonga. Pakati pezvikuru:

  • curvature ye nasal septum (congenital kana yakawanikwa);
  • kuchinja kwehomoni kunozviratidza kumusana wezvirwere zve endocrine system, pamuviri kana panguva yekuyaruka kwevechiri kuyaruka;
  • gastroesophageal reflux chirwere.

Chikonzero chevasomotor rhinitis muvanhu vakuru chinogona kunge chiri kuvimba nevasoconstrictor nasal madonhwe uye sprays. Chirwere chinogona kukura muvarwere pavanenge vachitora zvinodhaka zvinoshandiswa mupfungwa (gabapentin, chlorpromazine), mishonga yekurapa erectile dysfunction inobva ku sildenafil, uye mamwe madhiragi antihypertensive.

Mune zvimwe zviitiko, rhinitis inokura pasi pesimba rezvikonzero zvakawanda uye inogona kusanganiswa nefomu yeallergic.

Zviratidzo zvevasomotor rhinitis kuvanhu vakuru

Chiratidzo chikuru chevasomotor rhinitis muvanhu vakuru inoramba ichitadza kufema. Nasal congestion inoitika kamwe kamwe, kazhinji chiratidzo chinoonekwa mangwanani mushure mekumuka. Kukundikana kwekufema kunoperekedzwa nekuhotsira uye kutuka, kubuda pachena kubva mumhino. Kupisa kwemuviri hakukwiri.

Mufananidzo wekiriniki wevasomotor rhinitis muvakuru unosanganisira zvinotevera zviratidzo:

  • kutsvuka kwe mucous membranes yemhino;
  • kuderera kwekunhuhwirira;
  • kuzvimba mumhino;
  • kunzwa kwekuzara munharaunda ye nasal septum;
  • mucous kana mvura inobuda mumhino.

Nekusadzora kushandiswa kwemadonhwe evasoconstrictor, kuputika kunoitika mumhino yemhino.

Kurapa kwevasomotor rhinitis kune vanhu vakuru

Mukurapa kwevasomotor rhinitis, chinhu chikuru ndechokubvisa chinokonzera kukanganisa. Nzira dzekurapa dzinoshandiswa kune mamwe marudzi erhinitis hadzina kushanda.

Kana vasomotor rhinitis ichifambira mberi nekuda kwekuremara kwakanyanya kwenasal septum, murwere anoratidzwa kuvhiyiwa. Mune zvimwe zviitiko, chirwere chinorapwa nenzira inochengetedza - mishonga.

Zvinokosha! Asati aita chero kupindira kwekuvhiya kwevasomotor rhinitis, murwere anonyeverwa pamusoro pekusagadzikana kungangodaro kwechigumisiro chekushanda uye kudiwa kunokwanisika kwekudzokorora zvakare.

Diagnostics

Kuongororwa kunosimbiswa pamusana pekunyunyuta kwemurwere mushure mekuunganidza anamnesis. Inosimbiswa ne endoscopic kuongorora kwemhino uye nasopharynx (uchishandisa yakakosha kamera). Kana kuzvimba kwema turbinates ezasi kunoonekwa, bvunzo inoitwa. Mhinduro ye xylometazoline kana adrenaline inoshandiswa kune mucous membranes. Muchiitiko chekuputika kwemhino yemhino, vasomotor rhinitis inowanikwa.

Dzimwe sarudzo dzekuongorora dzinoshandiswa zvishoma. Iyo otolaryngologist inogona kuraira CT kana x-ray yezvivi. Kuti udzivise kusanganiswa kweallergic rhinitis, kuongororwa kwechirwere kunoitwa.

Mishonga yevasomotor rhinitis

Nhasi, pakurapa vasomotor rhinitis, vanoshandisa:

  • topical H1-blockers - antihistamines (azelastine, levokabastin);
  • InGKS (intranasal glucocorticosteroids) Avamys, Dezrinit, Nazarel, Nasonex, Nasobek, Nozefrin, Flixonase (isai musika sezvairi, uye bvisa mazita avo kubva muzvinyorwa);
  • topical mast cell membrane stabilizers (cromoglycic acid derivatives).

Kurapa kwezvinodhaka nguva dzose kunosarudzwa mumwe nomumwe uye kunoenderana nezvikonzero zve rhinitis. Iko hakuna imwe nzira yekurapa yechirwere. Kudzokororwa kazhinji kwemhino ine iso- uye hypertonic mhinduro dzemvura yegungwa kunobatsira kubvisa zviratidzo.2.

Kushandiswa kwezvinodhaka kubvisa zviratidzo mu curvature ye nasal septum hazvigoneki, apo kuvhiyiwa kunoratidzwa.3.

Kana vasomotor rhinitis yakaonekwa nekuda kwekushungurudzwa kwenasal vasoconstrictor madonhwe, ivo vachazofanira kusiiwa zvachose.

Vasomotor rhinitis muvakadzi vane pamuviri vanogadzirisa mushure mekusununguka, asi kurapwa kwezvinodhaka kunogonekawo4.

Inhalations yevasomotor rhinitis

Nebulizer inhalations haisi kuratidzwa kune vasomotor rhinitis. Kana iwe ukashandisa michina yakadaro, zvimedu zvemushonga wemishonga zvichava zviduku uye hazvizogari mumhino yemhino uye sinuses, ivo vachakurumidza kupinda mumhepo yekufema. Steam inhalation inzira ine njodzi inogona kukonzera kupiswa kwepamusoro pekufema turakiti.

Mishonga yevanhu

Mumwe haafanire kutarisira mhedzisiro kubva mukushandiswa kweimwe nzira dzekurapa. Chete mune zvimwe zviitiko, maererano nemishonga yechiremba, ine vasomotor rhinitis, mishonga yemishonga inogona kushandiswa, yakambobvisa dambudziko rekugadzirisa zvirwere. Mishonga ine mishonga yemishonga inoshandiswa munguva pfupi - kwete kupfuura mazuva 10-14. Nekushandisa kwenguva refu, vane mhedzisiro yakaipa pane mucous membranes.

Kudzivirira vasomotor rhinitis kuvanhu vakuru

Iko hakuna chaiyo yekudzivirira yevasomotor rhinitis. Iwe unogona kuderedza njodzi yekukudziridza chirwere ichi nekubvisa zvinhu zvinochikurudzira:

  • kurega kupindwa muropa nechikakananda uye kunwa doro;
  • kubvisa kushushikana;
  • gadzirisa hormonal background;
  • usashandise vasoconstrictor nasal madonhwe pasina chiremba chiremba kwenguva refu.

Mibvunzo nemhinduro dzakakurumbira

Takakurukura nyaya dzine chokuita nevasomotor rhinitis muvakuru vane Mumiriri weScience Medical, otorhinolaryngologist, phoniatrist Anna Kolesnikova.

Ndezvipi zvinetso zvinogona kupa vasomotor rhinitis?
Zviratidzo zvevasomotor rhinitis zvinogona kuderedza zvakanyanya kunaka kwehupenyu. Kakawanda, kunopesana nemamiriro echirwere, kusveta, kuvharidzira kuputika kwehope (spasm yekumusoro kwekufema turakiti) inoratidzwa. Murwere ari kunetseka nezvenguva refu yakaoma chikosoro, pakati nzeve kuungana kunoonekwa, uye kukura otitis media haina kubviswa.

Kutarisana nemashure edema kwenguva refu uye kutsamwa kwe mucous membranes, kukura kwema polyps kunogoneka. Vasomotor rhinitis inowedzera mukana wekuita polyposis rhinosinusitis.

Vasomotor rhinitis inotapukira here?
Vasomotor rhinitis haina kutapukira kune vamwe.
Ndeupi chiremba anorapa vasomotor rhinitis?
Vasomotor rhinitis inorapwa neotolaryngologist. Kana chirwere ichi chikaitika pamwe chete neallergic rhinitis, iwe uchada kubvunza chiremba. Kana vasomotor rhinitis inokonzerwa nechirwere chegastroesophageal reflux, kurapwa ne gastroenterologist kunodiwa.
Ko vasomotor rhinitis inogona kurapwa here?
Mune zvimwe zviitiko, zvinokwanisika kuporesa vasomotor rhinitis kusingaperi nekubvisa zvikonzero zvechirwere, somuenzaniso, apo chirwere chinokura chinopesana nemashure ekushandiswa kwenguva refu kwemishonga kubva kune mamwe mapoka.

Kana chikonzero chechirwere chiri kuputika kweseptum yemhino, kuvhiyiwa kuchabatsira kubvisa zviratidzo zvayo, asi reflex edema inogona kudzoka nekuda kwekusagadzikana kwekuita kwekushanda.

  1. Vasomotor rhinitis: pathogenesis, kuongororwa uye mazano ekurapa (makiriniki mazano). Yakarongedzwa naAS Lopatin. https://pharm-spb.ru/docs/lit/Otorinolaryngologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20vazomotornogo%20rinita%20(ROR,%202014).pdf
  2. Lopatin AS Kurapa kwevasomotor rhinitis: mafambiro epasi rose uye tsika yeRussia // MS. 2012. Nhamba 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 Mazuva ano maitiro ekuvhiya kwevasomotor rhinitis. Russian rhinology. 2017;25(2):10-14. https://doi.org/10.17116/rosrino201725210-14
  4.  Dolina IV Vasomotor rhinitis muvakadzi vane pamuviri / 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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