Vasomotor rhinitis yog ib yam kab mob ntev uas tshwm sim los ntawm kev nthuav dav ntawm cov hlab ntsha ntawm qhov ntswg kab noj hniav nyob rau hauv kev cuam tshuam ntawm sab nraud lossis sab hauv. Nrog rau qhov tsis raug cov tshuaj tiv thaiv ntawm cov hlab ntsha rau irritants, persistent nasal congestion tshwm. Yuav ua li cas paub qhov txawv vasomotor rhinitis nyob rau hauv tus me nyuam los ntawm cov kab mob zoo tib yam ntawm cov mucosa, los ntawm tus mob khaub thuas thiab kho tau zoo?
Visomotor rhinitis yog dab tsi?
Lub hauv paus ntawm vasomotor rhinitis tsis yog cov txheej txheem inflammatory, tab sis ua txhaum txoj cai ntawm lub suab ntawm cov hlab ntsha nyob rau hauv thaj tsam qis ntawm qhov ntswg conchas. Muaj lawv cov kev ua ub no ntau ntxiv ntawm ntau hom stimuli, ob qho tib si sab nraud thiab sab hauv. Nws yuav tsum raug sau tseg tias cov kab mob pathogenic thiab microbes pib tsis ua lub luag haujlwm hauv kev txhim kho vasomotor rhinitis. Tab sis tom qab ntawd, nrog kev hloov pauv hauv vascular tone, cov kab mob thib ob tuaj yeem tsim tau zoo. Cov kab mob pathogenic microorganisms, vim li ntawd, qhov tshwm sim ntawm qhov paug tawm kuj yuav hloov pauv.
Ua rau vasomotor rhinitis hauv menyuam yaus
Cov menyuam mos uas muaj vasomotor rhinitis raug kev txom nyem los ntawm ntau yam, thiab lawv txoj kev kho mob ib txwm nyob ntawm qhov ua rau muaj tus kabmob. Cov laj thawj tseem ceeb yog:
- congenital lossis kis tau tus kab mob sib txawv;
- muaj polyps hauv lub qhov ntswg lossis adenoids hauv caj pas;
- siv sijhawm ntev ntawm qee yam tshuaj tiv thaiv kab mob lossis vasoconstrictor;
- ntau zaus ntxhov siab;
- nce lub cev ua si;
- ib puag ncig tsis zoo;
- raug cov ntxhiab tsw muaj zog;
- hypothermia;
- kev tiv thaiv tsis muaj zog;
- hormonal cuam tshuam;
- feeb ntawm cov khoom noj khoom haus.
Ntxiv rau, vasomotor rhinitis tshwm sim nrog cov kab mob vegetative-vascular, neoplasms thiab kev hloov pauv huab cua.
hom kab mob tseem ceeb
Muaj peb yam tseem ceeb ntawm vasomotor rhinitis hauv cov menyuam yaus:
- Allergic - txhim kho thaum muaj qhov ua xua nkag rau hauv cov mucous ntawm lub qhov ntswg kab noj hniav, uas tuaj yeem yog: paj paj ntoo, tsiaj dander, zaub mov, plua plav, tshuaj, pa phem. Lub qhov ntswg tshwm sim raws caij nyoog lossis tas li thoob plaws hauv lub xyoo.
- Neurovegetative - cuam tshuam nrog kev tsis sib haum xeeb hauv kev ua haujlwm ntawm qee lub tuam tsev ntawm lub paj hlwb lossis nrog cov vegetative dystonia. Raws li qhov tshwm sim, tus menyuam muaj qhov tsis txaus ntawm hormonal,endocrine system, hloov pauv hauv cov ntshav siab tshwm sim, lub suab ntawm cov hlab ntsha ntawm lub qhov ntswg hloov. Nrog me ntsis khaus, qhov ntswg conchas swell thiab ua pa nyuaj.
- Tshuaj - tshwm sim thaum siv tshuaj vasoconstrictor raug tsim txom. Yog hais tias cov niam txiv tsis ua raws li cov koob tshuaj los yog siv cov tshuaj ntau tshaj li tsib mus rau xya hnub, muaj ib tug copious tawm ntawm exudate thiab congestion ntawm qhov ntswg.
Zoo ntawm tus kab mob vasomotor rhinitis hauv cov menyuam yaus, cov tsos mob thiab kev kho mob yuav muaj qee qhov sib txawv.
Cov tsos mob ntawm tus kab mob tshwm sim
Tag nrho cov tsos mob ntawm tus kab mob muab faib ua thawj thiab theem nrab. Lub hauv paus muaj xws li:
- hnoos qeev, qee zaum tsis muaj laj thawj tshwj xeeb;
- nasal congestion;
- Ntsuab ntswg thiab txham;
- hnoos thiab xeev siab vim cov hnoos qeev ntws los ntawm caj pas.
Cov tsos mob thib ob ntawm vasomotor rhinitis hauv tus menyuam muaj xws li:
- teary;
- tsis hnov tsw;
- hloov lub suab ntawm lub suab;
- insomnia;
- faus;
- sweating.
qhov ntswg congestion feem ntau tshwm sim nyob rau hauv lub supine txoj hauj lwm thiab ntawm ib sab, thiab ces nyob rau lwm yam. Tej zaum yuav muaj o ntawm lub ntsej muag. Nyob rau hauv cov mob hnyav heev, tus me nyuam tus mob hnyav zuj zus, qhov cua ntawm lub ntsws cuam tshuam, thiab vim tsis muaj oxygen txaus rau lub hlwb hlwb, lub hlwb hypoxia tshwm sim.
Diagnosis
Kev kho mob vasomotor rhinitis hauv tus menyuam tsuas yog pib tom qab kuaj pom tseeb thiab pom qhov ua rau nws raug txheeb xyuas. Txhawm rau ua qhov no, thaum hu rau tus kws kho mob tom qab tham nrog cov niam txiv thiab sau cov anamnesis, tus menyuam raug muab cov kev tshawb fawb hauv qab no:
- tsom xam cov zis thiab ntshav (general);
- kuaj ntshav rau cov ntsiab lus tsis haum;
- tshuaj ntsuam tawv nqaij;
- X-ray ntawm qhov sinuses;
- rhinoscopy;
- kev tshuaj ntsuam nrog rau qhov endoscope.
Tom qab tau txais cov txiaj ntsig ntawm txhua qhov kev xeem, tus menyuam tau txais kev kho kom tsim nyog.
Tshuaj kho kab mob
Kev xaiv cov tshuaj hauv kev kho mob vasomotor rhinitis hauv tus menyuam yog qhov tseem ceeb tshaj plaws. Tsis tsuas yog qhov tshwm sim nyob ntawm qhov no, tab sis kuj yog nws txoj kev noj qab haus huv yav tom ntej. Muaj ntau pawg tshuaj siv hauv kev kho mob:
Vasoconstrictor - pab txo qhov o ntawm qhov ntswg mucosa. Lawv muaj kev cuam tshuam sai, tam sim ntawd tso tawm ntawm lub qhov ntswg thiab ua pa yooj yim dua. Ib qho xwm txheej tseem ceeb yog ua raws li qhov ntau npaum li cas los ntawm tus kws kho mob thiab lub sijhawm siab tshaj plaws rau kev siv tshuaj (tsis pub ntau tshaj 7 hnub). Kev kho mob, Naphthyzin, Xylen, Nazivin yog siv
- Moisturizing thiab emollient - muab liquefaction ntawm mucus, uas yog ces yooj yim tshem tawm ntawm lub qhov ntswg, tiv thaiv kev loj hlob ntawm pathogenic microbes. Cov nyiaj siv tau txog li plaub lossis ntau zaus hauv ib hnub. Lawv muaj nyob rau hauv ntau yam duab thiab yog nruab nrog nozzles rau mosmetered tshuaj tsuag thaum siv rau cov menyuam yaus. Kev siv cov kev npaj raws li dej hiav txwv tiv thaiv o thiab txhim kho kev tiv thaiv. Feem ntau siv "Rinostop Aqua", "Marimer", "Aquamaris", "Aqualor".
- Antihistamines - stabilize mast cell membranes. Cov menyuam yaus raug tshuaj syrups thiab tee rau hauv: Erius, Claritin, Suprastinex, Zodak, Peritol. Tshuaj tsuag thiab tee hauv qhov ntswg: "Histimet", "Vibrocil", "Vividrin". Hauv cov xwm txheej hnyav, cov tshuaj glucocorticosteroids tau sau tseg: Avamys, Nozefrin, Benarin.
- Txhim kho kev siv tshuaj tiv thaiv: "Cycloferon", "Immunal", "Interferon".
Thaum kho cov tsos mob ntawm vasomotor rhinitis hauv cov menyuam yaus, nws yuav tsum tau muab cov kua dej ntau rau lawv: dej, txiv hmab txiv ntoo haus, compotes, kua txiv hmab txiv ntoo tshiab. Nyob rau hauv tsev, systematically nqa tawm ntub tu, airing thiab cua humidification txheej txheem. Yog tias kho tsis tau, lub laser yog siv los ua kom cov hlab ntsha hauv qhov ntswg.
Kev kho lub cev
Nyob rau hauv kev kho mob vasomotor rhinitis, physiotherapy cov txheej txheem nyob hauv ib qho chaw tshwj xeeb:
- Inhalations - pab moisturize lub mucous daim nyias nyias, nyias cov hnoos qeev, nrog nws tom qab tshem tawm. Txhawm rau ua cov txheej txheem, siv ntsev los yog diluted hiav txwv ntsev, ntxiv cov roj tseem ceeb rau nws.
- Kuf-therapy - siv cov kab hluav taws xob ultraviolet. Cov txheej txheem no pab kom rov qab cov ntaub so ntswg puas thiab atrophied, txhawb kev tsim cov tshuaj hormone melanin thiab vitamin D. Qhov sib ntxiv ntawm tus kab mob thib ob ua rau cov kab mob pathogenic microflora.
- UHF-kev kho - kev kho mob vasomotor rhinitis hauv tus menyuam nrog kev pab ntawm cov txheej txheem no yog ua los ntawm kev cuam tshuam ntawm cov dej ntws ntawm lub qhov ntswg. Raws li qhov tshwm sim, o tuaj yeem txo qis, cov ntshav ntws hauv cov ntaub so ntswg nce, thiab qhov mob tau txo qis. UHF raug muab rau cov menyuam yaus hnub nyoog peb xyoos.
Txhua cov txheej txheem kho lub cev yog ua nrog kev kho tshuaj.
tshuaj kho mob rhinitis
Txhawm rau pab kev kho mob thiab kho lub cev, tus menyuam tus mob tuaj yeem txo tau siv cov tshuaj pej xeem yooj yim:
- Muab koj tus menyuam haus kom ntau, siv dej huv, dej qab zib, kua txiv hmab txiv ntoo, compotes.
- Thaum kho tus menyuam mob vasomotor rhinitis, nws yuav tsum tau yaug qhov ntswg ob peb zaug hauv ib hnub siv dej qab zib lossis ntsev. Ua li no, dissolve ib teaspoon ntawm dej qab zib los yog lub rooj ntsev nyob rau hauv ib liter ntawm boiled dej sov.
- Ua kom nqus tau nrog tshuaj ntsuab infusion, uas ob peb tee roj ntxiv. Lawv soften lub qhov ntswg mucosa thiab txhawb txoj kev tawm sai sai ntawm mucus.
- Instill oily solutions 2-3 tee txhua ob teev rau hauv lub qhov ntswg siv cov roj vitamin A, roj av jelly thiab txiv roj roj.
- txhawm rau tiv thaiv kab mob, lawv haus rosehip decoction thiab echinacea tincture.
Txhua yam kev kho no yuav pab koj tus menyuam ua pa yooj yim.
kho mob phais
Yuav ua li cas kho vasomotor rhinitis hauv menyuam yaus? Hauv qhov no thaumtag nrho cov txheej txheem ntawm kev saib xyuas kev kho mob tau raug sim, kev kho mob phais raug sau tseg. Cov me nyuam mos tsuas yog ua haujlwm tsuas yog thaum yug los yog cov qog loj hlob hauv lub qhov ntswg. Kev phais mob ntawm vasomotor rhinitis yog muab rau cov menyuam yaus tom qab 12 xyoos hauv qhov tsis ua tiav qhov ntswg. Txhua qhov kev phais yog ua los ntawm kev siv tshuaj loog. Tib lub sijhawm:
- Polyps raug tshem tawm nrog lub coagulator kom txo tau los ntshav.
- Edema ntawm mucosa yog kho nrog laser, hlawv nyias strips ntawm lub plhaub ntawm qhov ntswg conchas;
- Laser photodestruction tshem tawm qhov nthuav dav ntawm cov leeg thiab cov hlab ntsha.
- Thaum muaj mucosal hypertrophy, ultrasound tshem tawm cov ntaub so ntswg ntau dhau, ua pa yooj yim dua.
Tom qab muaj kev cuam tshuam kev phais, txhawm rau kom tsis txhob los ntshav, cov hlab qhov ntswg raug ntsaws.
Kev kho mob raws li Komarovsky
Vasomotor rhinitis Komarovsky hu ua qhov tsis zoo, tab sis tsis yog kab mob hnyav. Hom kua ntswg no nyob rau hauv cov me nyuam feem ntau tshwm sim raws li kev tsis haum tshuaj ntawm qhov ntswg mucosa rau ib qho irritant:
- tshuaj tsw qab;
- kab mob;
- vim plua plav;
- tshuaj;
- hloov av av thiab kub.
Ntxiv rau daim ntawv tsis haum, feem ntau muaj daim ntawv neurodynamic, thaum cov hlab ntsha ntawm qhov ntswg qhov ntswg nqaim yog tias muaj kev cuam tshuam ntawm kev ua haujlwm ntawm lub paj hlwb lub luag haujlwm rau lub cev ntawm nasopharynx. Vasomotor rhinitis yog tshwm sim los ntawm qhov ntswg congestion, dej, tsis muaj ximtso zis, mob taub hau, pw tsaug zog thiab teeb meem nco. Hypotension feem ntau raug kev txom nyem los ntawm ib qho mob zoo sib xws.
Kev kho mob vasomotor rhinitis hauv cov menyuam yaus raws li Komarovsky yog ua tiav hauv kev siv:
- tshuaj;
- kho lub cev;
- kev ua kom muaj zog dav dav.
Thaum tus me nyuam muaj qhov ntswg qhov ntswg, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Ntxiv mus, vasomotor rhinitis nyob rau hauv cov me nyuam mos xyaum tsis tshwm sim vim qhov underdevelopment ntawm cov nqaij mos ntawm lub qhov ntswg kab noj hniav.
Allergic rhinitis
Yog xav tias muaj kev tsis haum rhinitis, tus kws kho mob tau sau cov ntshav rau immunoglobulin E thiab cov ntsiab lus ntawm eosinophils. Tsis tas li ntawd, txhawm rau sau tshuaj kho vasomotor rhinitis hauv cov menyuam yaus txij li 3 xyoos, kev kuaj tawv nqaij tuaj yeem ua kom paub txog hom kev ua xua. Nyob rau hauv ib tug me nyuam, ib tug me me incision yog ua nyob rau hauv lub dermis ntawm ob txhais tes, nyob rau hauv uas tus allergen yog txhaj. Cov tsos mob ntawm edema thiab redness paub meej tias muaj zog rhiab heev rau qhov kev sim stimulus. Tau tsim ib qho kev ua xua, thawj kauj ruam yog tshem tawm nws. Feem ntau, tus me nyuam rov zoo tag nrho tom qab qhov no. Yog tsis muaj peev xwm tshem tawm qhov khaus, siv:
- Kev kho mob ntawm vasomotor allergic rhinitis hauv menyuam yaus. Rau qhov no, qhov ntswg vasoconstrictors, antihistamines, intranasal aerosols thiab tshuaj tsuag yog siv.
- Txhua yam kev kho mob tshwj xeeb. Kev nce koob tshuaj ntawm cov tshuaj tsis haum yog qhia rau tus menyuam txhawm rau txhim kho lub cev tiv thaiv nws. Nrog kev kho kom zoo, txoj kev no yuav cawm tus me nyuam los ntawm qhov mob los ntawm qhov ntswg.
Cov teeb meem ntawm vasomotor rhinitis
Cov teeb meem hauv qab no tuaj yeem ua rau lub qhov ntswg ntev ntev:
- Mob sinusitis, sinusitis, otitis, mob tonsillitis tshwm sim.
- Pw tsaug zog yog ntxhov, qaug zog thiab qaug zog tshwm.
- Tau muaj lub plawv dhia tsis zoo, hloov ntshav siab.
- Qhov tsos ntawm snoring, luv luv ua tsis taus pa thaum pw tsaug zog, uas ua rau oxygen tshaib plab ntawm lub cev.
Txhawm rau zam tag nrho cov txiaj ntsig no, nws yuav tsum mus nrhiav kev kho mob raws sijhawm.
Vasomotor rhinitis hauv menyuam yaus, tshuaj xyuas
Ntau tus menyuam mos raug mob vasomotor rhinitis, thiab cov niam txiv feem ntau tham txog qhov teeb meem no ntawm lub rooj sab laj. Raws li kev tshuaj xyuas, txhua tus neeg muaj ib qho teeb meem: mob qhov ntswg hnyav, tus menyuam ua tsis taus pa thaum hmo ntuj, feem ntau snores thiab mob khaub thuas tas li.
- Ntau tus neeg siv Nasonex. Kev tshuaj xyuas txawv, ib txhia hais tias ua pa dawb, tshuaj tsis pab lwm tus.
- Cov niam txiv kuj qhia tias tshem tawm adenoids tsis tas yuav pab.
- Feem ntau muaj kev tshuaj xyuas zoo txog kev siv Avamys. Nrog nws siv, ua pa normalizes.
Qee cov txiaj ntsig zoo tau sau tseg los ntawm kev nyob ntev (tsawg kawg ib hlis) ntawm tus menyuam hauv hiav txwv. Los ntawm thawj hnub, kev tso tawm ntau dhau ntawm lub qhov ntswg pib, tom qab ntawd ua pa zoo dua, thiab tus menyuam ua pa ntsiag to nruab hnub thiab hmo ntuj. Tab sis thaum rov qab los tsev thiab pib ntawm kev mus ntsibkindergarten los ntswg qhov ntswg rov tshwm sim. Txhawm rau kom tshem tau tus kab mob no, yuav tsum muaj kev tiv thaiv txhua hnub, suav nrog cov tshuaj tiv thaiv kab mob ntxiv.
