Nyob qhov ntswg, uas tshwm sim ntawm keeb kwm ntawm kev tsis haum tshuaj, ntau yam tsis loj. Pom tau tias, cov neeg no tsis paub tias tus kab mob no tuaj yeem ua rau muaj ntau yam teeb meem, xws li sinusitis, bronchial hawb pob thiab mob atopic dermatitis. Cov tshuaj rau kev kho tus kab mob rhinitis yuav pab kom tsis txhob muaj teeb meem zoo li no, thaum ua raws li cov ntawv kho mob tseem ceeb.
Qhia rau cov neeg mob
Yuav kho tus mob rhinitis hauv cov neeg laus lossis menyuam yaus, nws yog ib qho tseem ceeb tsis yog tsuas yog noj cov tshuaj uas kws kho mob tau sau tseg, tab sis kuj ua raws li qee yam mob. Ua ntej ntawm tag nrho cov, yuav tsum tau saib xyuas kom tshem tawm cov allergen, txwv tsis pub noj txawm tias cov tshuaj zoo tshaj plaws rau kev kho mob ntawm tus kab mob rhinitis yuav tsis muaj nuj nqis. Tseem ceeb:
- zam zaub mov tsis haum;
- nquag ua kom ntubkev tu vaj tse;
- cua tshuab hauv chav thaum sawv ntxov thiab yav tsaus ntuj;
- mus taug kev sab nraum zoov yav tsaus ntuj thiab tom qab los nag;
- khaws cov huab cua ib txwm nyob ntawm 55-65%;
- saib xyuas huab cua kub, uas yuav tsum tsis txhob nce siab tshaj 19 ° C.
Cov lus pom zoo no yog qhov tseem ceeb tshwj xeeb rau cov neeg uas muaj quav nyab ua npaws thaum lub caij paj ntoo. Txhawm rau ua kom lub qhov ntswg ua pa, nws yog qhov zoo dua los siv cov tshuaj pleev ib ce hypoallergenic, tshuaj hauv tsev. Nyob rau tib lub sijhawm, nws yog qhov tsim nyog tshem tawm cov khoom sib xyaw ntawm cov plua plav thiab cov khoom ua kom khaus (cov ntaub pua plag, cov khoom ua si muag, cov khoom ua si zoo nkauj thiab cov ntxhiab tsw qab, cov nroj tsuag txawv hauv tsev).
Txoj haujlwm ntawm cov tshuaj tiv thaiv kab mob
Kev paub qhov txawv ntawm qhov ua xua los ntawm tus mob khaub thuas tsis yog qhov nyuaj - cov no yog cov pob tshab thiab cov paug tawm ntawm qhov ntswg, nrog rau congestion, o. Feem ntau, cov kab mob rhinitis no tsis cuam tshuam rau lub xeev kev noj qab haus huv, ua haujlwm yam tsis muaj qhov nce hauv lub cev kub, tsis zoo li cov kab mob ua pa.
Tawm tsam keeb kwm yav dhau los ntawm kev tsis haum tshuaj hauv tib neeg lub cev, kev tsim cov tshuaj histamine tau pib. Hauv cov ntsiab lus yooj yooj yim, peb tuaj yeem hais tias qhov no yog ib yam khoom uas tshwm sim los ntawm kev tiv thaiv kab mob rau qhov ua kom khaus. Vim nws, muaj paug tawm ntawm lub qhov ntswg, o ntawm lub mucous daim nyias nyias, txham. Txhawm rau txo cov qib ntawm histamine, noj cov tshuaj tiv thaiv tshwj xeeb uas tiv thaiv kev tso tawm ntawm cov tshuaj no. Kev npaj rauCov kev kho mob rhinitis muaj nyob rau hauv ntau hom - ntsiav tshuaj, syrup, tee, tshuaj tsuag. Ob daim ntawv kawg tau suav tias yog qhov zoo dua rau qhov ntswg qhov ntswg, txawm li cas los xij, qee zaum, lawv siv yog contraindicated thiab tom qab ntawd tsuas yog txoj hauv kev ntawm qhov ncauj ntawm kev txwv tsis pub muaj kev fab tshuaj.
Koj yuav tsum tsis txhob xaiv cov tshuaj tiv thaiv kab mob rau cov kab mob rhinitis ntawm koj tus kheej. Tsis muaj kev phom sij rau kev noj qab haus huv, tsuas yog tus kws kho mob ua xua, kws kho mob lossis tus kws kho mob ENT tuaj yeem ua qhov no. Piv txwv li, rau cov menyuam yaus hnub nyoog qis dua ob xyoos, nws raug nquahu kom siv tshuaj tiv thaiv kab mob rhinitis hauv daim ntawv tee, vim tias cov tshuaj tsuag tuaj yeem ua rau cov txheej txheem inflammatory hauv nruab nrab pob ntseg. Nyob rau tib lub sijhawm, rau cov neeg laus, nws yog daim ntawv tshuaj tsuag uas pom tau tias yog qhov zoo dua vim tias muaj peev xwm ntau dua voluminous irrigation ntawm lub qhov ntswg kab noj hniav ntawm qhov tsawg kawg nkaus npaum li cas los ntawm lub teeb dispenser. Thaum xaiv ib daim ntawv ntau npaum thiab ntau npaum li cas ntawm cov tshuaj, cov kws kho mob tshwj xeeb pib los ntawm lub hnub nyoog thiab lub cev hnyav ntawm tus neeg mob.
Txaus thiab tshuaj tsuag los ntawm tus mob khaub thuas nrog kev ua xua
Ntau yam tshuaj tiv thaiv qhov ntswg tau muag hauv khw muag tshuaj niaj hnub no. Qhov zoo tshaj plaws thiab siv tau yog cov tshuaj xws li:
- Zyrtec. Ib qho tshuaj uas txo qhov hnyav ntawm cov khoom tsis haum, tshem tawm cov hnoos qeev tawm ntawm qhov ntswg. Cov khoom xyaw nquag hauv cov khoom xyaw yog cetirizine dihydrochloride, txwv tsis pub thaum cev xeeb tub, lactation thiab cov menyuam yaus hnub nyoog qis dua rau xyoo.
- "Allergodil". Tsis zoo li lwm cov tshuaj rau kev kho mob rhinitis, qhov no tuaj yeem ua tausiv lub sijhawm ntev (txog rau lub hlis). Cov menyuam yaus hnub nyoog qis dua rau xyoo yuav tsum tsis txhob siv. Cov khoom xyaw nquag yog azelastine hydrochloride.
- "Tizin Alerji". Antihistamine tshuaj tsuag, cov nyhuv uas, raws li cov neeg mob, tshwm sim hauv feeb. Cov tshuaj pab txo qhov o, rov ua pa ntawm qhov ntswg. Cov khoom tseem ceeb yog levocabastine. Kev txwv hnub nyoog yog tib yam li cov khoom dhau los.
"Kromoheksal". Cov tshuaj no rau kev kho mob rhinitis muaj nyob rau hauv daim ntawv ntawm lub khw muag khoom. Nws tsuas yog siv nyob rau hauv kev sib cuag ncaj qha nrog cov irritant, raws li ib tug prophylactic tshuaj tsuag thiab tee "Kromoheksal" yog tsis zoo. Sodium cromoglycate ua ib feem ntawm cov tshuaj tuaj yeem muab rau cov menyuam yaus hnub nyoog tshaj tsib xyoos
Txhua yam tshuaj no muaj qee qhov txwv. Txhawm rau zam dhau kev siv tshuaj ntau dhau thiab cov kev mob tshwm sim, ib qho ntawm lawv yuav tsum tau muab los ntawm tus kws tshaj lij.
Kev siv qhov ncauj
Piv rau cov tshuaj tiv thaiv ntawm cov tiam dhau los, cov khoom lag luam tshuaj tam sim no muaj txiaj ntsig zoo dua thiab muaj kev pheej hmoo tsawg kawg ntawm kev phiv. Nws tsis tuaj yeem ua yam tsis muaj tshuaj rau qhov ncauj rau kev ua xua rhinitis yog tias tus kab mob hnyav, nrog rau mob hawb pob, pob khaus tawv nqaij, conjunctivitis.
Tablets, ncua kev kawm ntawv, syrups, tee rau kev tswj qhov ncauj muaj ib tug pronounced sedative nyhuv, yog li lawv yuav tsum tau siv ceev faj vimuas nws cov haujlwm tshaj lij yuav tsum muaj kev mloog ntau ntxiv. Tias yog vim li cas cov tshuaj tiam thib ob thiab thib peb yog qhov zoo dua rau kev kho mob rhinitis. Cov ntsiav tshuaj los ntawm tus mob khaub thuas yog muab rau cov neeg laus, syrup thiab tee - rau cov me nyuam. Feem ntau cov kws kho mob sau ntawv:
- "Suprastin". Qhov no yog thawj tiam antihistamine uas nres qhov tshwm sim ntawm kev ua xua. Nws feem ntau yog sau rau hauv daim ntawv ntsiav tshuaj, tab sis ntawm kev pheej hmoo ntawm kev tsim mob hawb pob, nws tuaj yeem siv rau hauv daim ntawv txhaj tshuaj. Haum rau kev kho cov menyuam yaus hnub nyoog qis dua ib hlis.
- "Tavegil". Tsis zoo li "Suprastin", cov tshuaj no muaj cov nyhuv sedative tsawg. Nws tuaj yeem muab rau cov menyuam yaus hnub nyoog qis dua 6 xyoo. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, syrup rau cov me nyuam thiab txhaj tshuaj.
- "Loratadine". Ib qho tshuaj zoo rau kev tsis haum rhinitis ntawm tiam thib ob. Nws raug sau tseg rau cov neeg laus thiab menyuam yaus hnub nyoog tshaj ob xyoos. Qhov tshwm sim ntawm kev phiv yog tsawg heev. Cov tshuaj nquag ntawm tib lub npe ua thaum nruab hnub. Muag nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab kua suspension.
- "Cetirizine". Hais txog cov tshuaj tshiab tshaj plaws rau kev ua xua tshwm sim. Tsis quav ntsej. Rau tangible nyem, ib ntsiav tshuaj ib hnub twg yog txaus. Nyob rau hauv daim ntawv ntawm tee, nws yog muab rau cov me nyuam tom qab rau lub hlis, nyob rau hauv daim ntawv ntawm ib tug phoov - rau cov me nyuam los ntawm 2 xyoos, nyob rau hauv ntsiav tshuaj - rau cov neeg laus.
- "Telfast". Ib tiam thib peb cov tshuaj tiv thaiv kab mob uas tuaj yeem noj tau los ntawm cov neeg laus xwb.
Vasoconstrictors rau tus mob khaub thuas
Ib yam tshuaj rau kev kho mob ntawm cov kab mob rhinitis raws caij nyoog lossis ib xyoos ib puag ncig ntawm tus kab mob tsis tshua ua yam tsis muaj cov neeg sawv cev ntawm pawg tshuaj no. Cov tshuaj vasoconstrictor zoo suav nrog:
- Otrivin.
- Oxymetazoline.
- Nabthyzin.
- "Phenylephrine".
Tsis zoo li cov tshuaj tiv thaiv kab mob, cov no tsis cuam tshuam rau kev tsim cov tshuaj histamine thiab tsis cuam tshuam qhov ua xua los ntawm kev ua xua. Lub hauv paus ntsiab lus ntawm kev ua ntawm cov tshuaj vasoconstrictor yog tseeb los ntawm lawv lub npe: lawv txwv cov hlab ntsha, uas ua rau nws yooj yim rau ua pa los ntawm lub qhov ntswg thiab txo qhov o.
Cov tshuaj dab tsi rau kev ua xua rhinitis tuaj yeem yuav yam tsis tau sau ntawv? Ib qho kev kho mob los ntawm pab pawg no tau muab tso rau hauv lub tsev muag tshuaj yam tsis muaj tshuaj, tab sis kev siv tus kheej tsis raug tuaj yeem ua rau muaj kev phom sij thiab ua rau muaj kev quav yeeb quav tshuaj. Lub sijhawm zoo ntawm kev siv vasoconstrictor tee yog tsis ntau tshaj tsib hnub.
Qhov zoo tshaj plaws vasoconstrictor qhov ntswg tee
Tsis tas li ntawd, pawg kws tshuaj no yog tus cwj pwm los ntawm kev hais tawm "kev tshem tawm", uas tau tshwm sim los ntawm qhov o ntawm qhov ntswg mucosa. Cov tshuaj no tshwj xeeb tshaj yog txaus ntshai rau menyuam yaus. Tias yog vim li cas thaum yau nws pom zoo kom siv cov tshuaj ua ke uas, ntxiv rau vasoconstriction, muaj cov tshuaj tiv thaiv kab mob thiab tiv thaiv kev ua xua. Ib qho tshuaj zoo tshaj plaws rau kev ua xua rau cov neeg laus thiab cov menyuam yaus hnub nyoog qis dua 12 lub hlis yog Vibrocil. Kujxaiv "Sinupret", "Sanorin Analergin".
Vim li cas thiaj noj enterosorbents?
Ntxiv rau cov npe zoo nkauj ntawm cov ntsiav tshuaj, tee thiab tshuaj tsuag, nrog kev ua xua, koj yuav tsum haus cov tshuaj enterosorbents. Cov tshuaj no pab ntxuav lub cev ntawm allergens, tshuaj lom, lawv cov khoom lwj, thiab txhua yam uas ua rau lub cev qaug cawv. Ntau tus neeg xav tias cov tshuaj los ntawm pab pawg no tsuas yog muab tshuaj rau kev noj zaub mov lom, tab sis qhov no tsis yog li ntawd. Enterosorbents ua indiscriminately, absorbing txhua yam teeb meem tshuaj thiab tawm hauv lub cev nrog lawv.
Yog tias koj noj cov tshuaj sorbents tom qab thawj cov tsos mob ntawm kev tsis haum tshuaj, nws yuav muaj peev xwm tiv thaiv kev noj qab haus huv ntxiv thiab tiv thaiv cov tsos mob tshwm sim. Cov nyiaj no raug sau tseg tsis yog rau cov neeg laus xwb, lawv tsim nyog rau kev kho mob rhinitis hauv menyuam yaus. Kev npaj ntawm pab pawg no ("Enterosgel", "Smecta", "Atoxil", "Polysorb", "Multisorb", activated carbon) ntxuav lub cev ntawm cov kab mob, tab sis tib lub sij hawm ntxuav tawm lub plab hnyuv microflora, yog li ntawd, cov kws kho mob. pom zoo kom noj probiotics ua ke nrog sorbents, vitamin-mineral complexes, haus dej txaus thiab saib xyuas koj cov zaub mov.
Yuav kom cov enterosorbents ua haujlwm tau zoo li qhov ua tau, lawv yuav tsum tau ua kom raug:
- koj yuav tsum haus cov tshuaj ntawm lub plab khoob (ob peb teev ua ntej noj mov);
- hwm lub sijhawm ntawm kev noj tshuaj tiv thaiv kab mob thiab tshuaj sorbents (zoo tshaj 2 teev);
- kho yuav tsum tsis pub ntau tshaj ib lub lis piam;
- ua ntej sivnco ntsoov nyeem cov lus piav qhia rau cov tshuaj.
Corticosteroids rau mob rhinitis hnyav
Yog tias qhov tshuaj tiv thaiv tsis haum hnyav lossis nruab nrab, cov tshuaj hormonal txuas nrog kev kho tshuaj tiv thaiv. Nrog kev tsis haum rhinitis, lawv txo qhov mob. Cov menyuam yaus feem ntau tsis raug tshuaj rau qhov ntswg corticosteroids vim muaj cov kev phiv loj heev. Nws yog tsim nyog sau cia tias tiam tshiab ntawm cov tshuaj tau zam los ntawm cov neeg laus cov neeg mob yooj yim dua. Qee zaum lawv tau muab tshuaj rau cov menyuam yaus hnub nyoog qis dua ob xyoos. Nyob rau tib lub sijhawm, nws tseem ceeb heev uas yuav tsum tsis txhob tsis quav ntsej tus kws kho mob cov lus pom zoo ntawm kev siv tshuaj, vim tias cov tshuaj zoo li no sai sai, thiab yog tias siv rau lub sijhawm ntev, lawv tuaj yeem ua rau los ntshav, tsim cov qog nqaij hlav..
Ntxiv rau, glucocorticosteroids txo qhov rhiab heev ntawm lub cev tiv thaiv kab mob rau cov khoom ua xua txaus ntshai, uas tau raug pov thawj hauv ntau qhov kev tshawb fawb. Lawv raug tshuaj rau pollinosis hnyav, hay fever. Qhov kev cia siab kho mob feem ntau tshwm sim tom qab 10-12 teev. Thaum siv cov tshuaj hormonal tee thiab tshuaj tsuag, nws raug nquahu kom ua raws li lub sijhawm nruj kom cov tshuaj nquag nkag mus rau hauv lub cev ntawm tib zaus. Ntawm cov tshuaj hormonal qhov ntswg rau kev ua xua, nws tsim nyog sau cia rau thawj tiam ntawm cov tshuaj dexamethasone (Mometasone) thiab cov tshuaj niaj hnub (Fluticasone, Flixonase, Nasonex, Sintaris, Alcedin, Cyclesonide) uas ua softer thiab tsis nkag mus rau hauv cov hlab ntsha.
Tshuaj xyuas tshuaj tiv thaiv kab mob rhinitis
Cov kws kho mob ua raws li kev sib koom ua ke hauv kev kho cov tshuaj rhinitis. Raws li kev txheeb xyuas, qhov teeb meem no tshwm sim ntau zaus hauv cov neeg laus. Nyob rau hauv txhua rooj plaub, cov kws kho mob xaiv cov tshuaj uas coj mus rau hauv tus account tus yam ntxwv ntawm txhua tus neeg mob. Tom qab tshuaj xyuas cov neeg siv cov lus hais txog cov tshuaj uas siv los kho cov kab mob rhinitis, peb tuaj yeem mus rau cov lus xaus hauv qab no.
Cov tshuaj uas nrov tshaj plaws thiab muaj txiaj ntsig zoo yog suav tias yog cov tshuaj hormonal tshuaj Nasonex thiab Flixonase. Lawv muaj nyob rau hauv cov khw muag tshuaj yam tsis muaj tshuaj, yog li qee cov neeg mob, tsis paub txog kev phom sij ntawm kev tswj tsis tau cov tshuaj corticosteroid, siv lawv tus kheej, tsis muaj lus qhia kho mob. Hauv lawv cov kev tshuaj xyuas, lawv pom tias muaj txiaj ntsig ntev dua hauv kev sib piv nrog cov tshuaj antihistamine. Ntawm cov kev mob tshwm sim hauv cov neeg mob yog dryness ntawm qhov ntswg mucosa.
Raws li cov neeg siv tawm tswv yim, ntau qhov kev tawm tsam nrog kev tsis haum rhinitis nrog kev kho tsev yooj yim - kua ntsev. Kev yaug qhov ntswg muab, txawm tias tsis ntev, tab sis tangible nyem thiab tsis ua rau muaj kev phiv tshuaj. Tab sis cov kws kho mob tsis qhia txog kev ua phem rau vasoconstrictor tee: lawv sai sai ua rau muaj kev quav yeeb tshuaj thiab hypertrophy ntawm lub qhov ntswg mucosa, uas yog mob hnyav yog kho tsuas yog phais.
Yuav ua li cas lwm yam koj yuav tsum paub txog kev kho kev ua xua
Rau qeb ntawm radical txoj kev kho mob ntawm kev tsis haumQhov ntswg qhov ntswg yog hais txog kev kho mob tshwj xeeb, uas yog ua los ntawm cov kws kho mob tshwj xeeb hauv tsev kho mob. Lub essence ntawm txoj kev kho yog rov txhaj tshuaj ntawm cov allergen nrog ib tug maj mam nce nyob rau hauv koob. Qhov tshwm sim ntawm xws li manipulations yog tsim ntawm lub cev tiv thaiv allergens.
Kev kho tshuaj yog tsom ntau dua ntawm kev ua kom tsis zoo ntawm kev sib cuag nrog cov khoom ua xua. Qhov kev tiv thaiv zoo tshaj plaws yog kev tshem tawm tag nrho cov khoom tsis haum los ntawm koj ib puag ncig. Yog li ntawd, cov tshuaj yog nrov nyob rau hauv kev kho mob ntawm allergic rhinitis nyob rau hauv cov neeg laus thiab cov me nyuam, uas ua zoo li ib tug barrier, txo kev sib cuag nrog cov irritant nyob rau hauv cov huab cua. Ib qho ntawm cov tshuaj no yog Nazaval. Nws tsim cov txheej txheem tiv thaiv hauv qhov ntswg thiab muaj kev nyab xeeb rau txhua lub hnub nyoog, cev xeeb tub thiab lactating poj niam, vim nws tsis nkag mus rau hauv cov hlab ntsha thiab tsis cuam tshuam nrog lwm cov tshuaj.
Ua ntej siv cov tee thiab tshuaj tsuag hauv qhov ntswg rau kev ua xua, nws raug nquahu kom ua qhov kev huv huv ntawm qhov ntswg nrog cov kua qaub. Yog li, nws muaj peev xwm txo tau qhov mob, txhim kho qhov ntswg ua pa, thiab tshem tawm cov tshuaj tsis haum.
