Matupi rhinitis

Matenda a rhinitis ndi matenda omwe amapezeka ndi gulu la zizindikilo zomwe zimakhudza mphuno. Zizindikirozi zimachitika mukapuma china chake chomwe chimakupweteketsani mtima, monga fumbi, zinyama, kapena mungu. Zizindikiro zimathanso kupezeka mukamadya chakudya chomwe simukugwirizana nacho.

Nkhaniyi ikufotokoza za matupi awo sagwirizana ndi rhinitis chifukwa cha mungu. Mtundu uwu wa matupi awo sagwirizana ndi rhinitis umatchedwa kuti hay fever kapena ziwengo za nyengo.

Zomwe zimayambitsa matendawa ndizomwe zimayambitsa zovuta. Munthu wodwala rhinitis akapuma mu allergen monga mungu, nkhungu, dander wa nyama, kapena fumbi, thupi limatulutsa mankhwala omwe amayambitsa ziwengo.

Chiwindi chimadana ndi mungu.

Zomera zomwe zimayambitsa hay fever ndi mitengo, udzu, ndi ragweed. Mungu wawo umanyamulidwa ndi mphepo. (Mungu mungu umanyamulidwa ndi tizilombo ndipo suyambitsa chimfine.) Mitundu ya zomera zomwe zimayambitsa chimfine zimasiyanasiyana malinga ndi munthu komanso dera komanso dera.

Kuchuluka kwa mungu mumlengalenga kumatha kukhudza ngati zizindikiro za hay fever zimayamba kapena ayi.

• Masiku otentha, owuma, amphepo nthawi zambiri amakhala ndi mungu wochuluka mlengalenga.
• Pa masiku ozizira, achinyezi, amvula, mungu wambiri umatsukidwa pansi.

Chiwindi ndi chifuwa nthawi zambiri zimayenderera m'mabanja. Ngati makolo anu onse ali ndi hay fever kapena chifuwa china, mumakhala ndi hay fever ndi chifuwa, inunso. Mwayi ndi wapamwamba ngati amayi anu ali ndi chifuwa.

Zizindikiro zomwe zimachitika mutangodwala zomwe mwadwala nazo zimatha kuphatikizira izi:

• Mphuno, mkamwa, maso, mmero, khungu, kapena dera lililonse
• Mavuto ndi kununkhiza
• Mphuno yothamanga
• Kuswetsa
• Maso amadzi

Zizindikiro zomwe zingadzuke pambuyo pake ndi monga:

• Mphuno yolimba (kuchulukana kwammphuno)
• Kutsokomola
• Makutu otsekeka ndikuchepa kwa kununkhiza
• Chikhure
• Mdima wamdima pansi pamaso
• Kutupa pansi pa maso
• Kutopa ndi kukwiya
• Mutu

Wothandizira zaumoyo adzakuyesani ndikufunsani za matenda anu. Mudzafunsidwa ngati zizindikiro zanu zimasiyanasiyana nthawi yamasana kapena nyengo, komanso kuwonekera kwa ziweto kapena zovuta zina.

Kuyesedwa kwa ziwengo kumatha kuwulula mungu kapena zinthu zina zomwe zimayambitsa matenda anu. Kuyezetsa khungu ndiyo njira yofala kwambiri yoyezetsa matenda.

Ngati dokotala akuwona kuti simungayesedwe khungu, mayeso apadera amwazi angakuthandizeni kupeza matendawa. Mayeserowa, omwe amadziwika kuti mayeso a IgE RAST, amatha kuyeza kuchuluka kwa zinthu zokhudzana ndi ziwengo.

Kuyezetsa kwathunthu kwa magazi (CBC), kotchedwa eosinophil count, kungathandizenso kupeza matendawa.

KUKHALA NDI KUPEWA ZIDZAKHALA

Chithandizo chabwino kwambiri ndikupewa mungu womwe umayambitsa matenda anu. Zingakhale zosatheka kupewa mungu wonse. Koma nthawi zambiri mumatha kuchitapo kanthu kuti muchepetse kuwonekera kwanu.

Mutha kupatsidwa mankhwala kuti muchepetse vuto la rhinitis. Mankhwala omwe dokotala akukupatsani amatengera zizindikiro zanu komanso kukula kwake. Msinkhu wanu komanso ngati muli ndi matenda ena, monga asthma, adzaganiziridwanso.

Pochepetsa kuchepa kwa rhinitis, kusamba m'mphuno kungathandize kuchotsa ntchentche m'mphuno. Mutha kugula mankhwala amchere m'masitolo ogulitsa mankhwala kapena kupanga kunyumba pogwiritsa ntchito chikho 1 (240 milliliters) madzi ofunda, theka supuni ya tiyi (3 magalamu) amchere, ndi uzitsine wa soda.

Mankhwala a matupi awo sagwirizana ndi rhinitis ndi awa:

MALANGIZO

Mankhwala otchedwa antihistamines amagwira ntchito bwino pochiza matendawa. Zitha kugwiritsidwa ntchito ngati zizindikilo sizichitika kawirikawiri kapena sizikhala motalika. Dziwani izi:

• Ma antihistamines ambiri omwe amatengedwa pakamwa amatha kugulidwa popanda mankhwala.
• Zina zimatha kuyambitsa tulo. Simuyenera kuyendetsa kapena kugwiritsa ntchito makina mutamwa mankhwalawa.
• Zina zimapangitsa kugona pang'ono kapena kusakhalako.
• Kupopera kwa antihistamine m'mphuno kumagwira ntchito bwino pochiza rhinitis. Funsani dokotala ngati muyenera kuyesa mankhwalawa poyamba.

MAFUNSO A CORTICOSTEROIDS

• Mphuno ya nasal corticosteroid ndi mankhwala othandiza kwambiri pakuthana ndi rhinitis.
• Amagwira ntchito bwino akagwiritsa ntchito osayima, koma amathanso kuthandizira akagwiritsidwa ntchito kwakanthawi kochepa.
• Opopera a Corticosteroid amakhala otetezeka kwa ana komanso akulu.
• Mitundu yambiri ilipo. Mutha kugula zopangidwa zinayi popanda mankhwala. Kwa mitundu ina yonse, mufunika mankhwala ochokera kwa dokotala wanu.

ODZIPEREKA

• Ma decongestant amathanso kukhala othandizira kuchepetsa zizindikilo monga kupindika kwammphuno.
• Musagwiritse ntchito mankhwala opangira mankhwala amphongo kwa masiku opitilira atatu.

MANKHWALA ENA

• Leukotriene inhibitors ndi mankhwala akuchipatala omwe amaletsa leukotrienes. Awa ndi mankhwala omwe thupi limatulutsa chifukwa cha zovuta zomwe zimayambitsanso zizindikilo.

ZOTHANDIZA ZOTHANDIZA

Nthawi zina ziwombankhanga (immunotherapy) zimalimbikitsidwa ngati simungapewe mungu ndipo matenda anu ndi ovuta kuwongolera. Izi zimaphatikizapo kuwombera pafupipafupi mungu womwe mumadwala. Mlingo uliwonse ndi wokulirapo pang'ono kuposa momwe unalili kale, mpaka mukafike pamlingo womwe umathandizira kuwongolera zizindikiritso zanu. Kuwombera ziwombankhanga kumatha kuthandiza thupi kuti lizolowere mungu womwe umayambitsa kuyankha.

SUBLINGUAL IMMUNOTHERAPY CHITHANDIZO (SLIT)

M'malo mowombera, mankhwala oikidwa pansi pa lilime amatha kuthandizira udzu ndi ziwengo za ragweed.

Zizindikiro zambiri za matupi awo sagwirizana ndi rhinitis zitha kuchiritsidwa. Milandu yowopsa kwambiri imafunikira kuwombera.

Anthu ena, makamaka ana, amatha kupitiliza kuthamanga chifukwa chitetezo cha mthupi chimayamba kuchepa chifukwa choyambitsa. Koma chinthu, monga mungu, chimayambitsa chifuwa, nthawi zambiri chimakhala ndi zotsatira zake kwa munthuyo.

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Muli ndi zizindikiro zoopsa za chimfine
• Chithandizo chomwe chidakugwirani ntchito sichikugwiranso ntchito
• Zizindikiro zanu sizimayankha chithandizo

Nthawi zina mungapewe zizindikiro popewa mungu womwe simukugwirizana nawo. Pakati pa mungu, muyenera kukhala m'nyumba momwe muli mpweya wabwino, ngati zingatheke. Mugone mazenera atatsekedwa, ndikuyendetsa mawindo atakulungidwa.

Chigwagwa; Ziwengo mphuno; Nyengo ziwengo; Nyengo matupi awo sagwirizana rhinitis; Chifuwa - Matupi rhinitis; Matupi awo sagwirizana - matupi awo sagwirizana rhinitis

• Matupi rhinitis - zomwe mungafunse dokotala - wamkulu
• Matupi rhinitis - zomwe mungafunse dokotala - mwana

• Zizindikiro za ziwengo
• Matupi rhinitis
• Kuzindikira wowononga

Cox DR, Wanzeru SK, Baroody FM. Matupi awo sagwirizana ndi chitetezo cham'mlengalenga chapamwamba. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 35.

Milgrom H, Wachichepere SH. Matupi rhinitis. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 168.

Wallace DV, Dykewicz MS, Oppenheimer J, Portnoy JM, Lang DM. Pharmacologic chithandizo cha nyengo ya matupi awo sagwirizana rhinitis: mawu ofotokozera ochokera ku gulu logwirizana la 2017 pamagwiridwe antchito. Ann Intern Med. 2017; 167 (12): 876-881. (Adasankhidwa) PMID: 29181536 adatulutsidwa.ncbi.nlm.nih.gov/29181536/.