Ðe wò ŋɔti tsia eye wònɔa du dzi ɣesiaɣia? Esia ate ŋu atso Vasomotor Rhinitis gbɔ!

Ðe wò ŋɔti hã xena ɣesiaɣia? Alo ɖe nuwo abe ŋɔti me tsi si le dodom kple aɖuɖɔtoe ɣesiaɣi ene le ŋuwòa? Ɣeaɖewoɣi la, míesusuna be esia nye nulɔdɔ. Gake, menye nenemae wònɔna ɣesiaɣi o. Egbea míele nu ƒom tso no me dɔléle si to vovo vie si menye nulɔdɔ o, gake eɖea dzesi mawo tɔgbe fiana. Woyɔa esia be Vasomotor Rhinitis.

Nukae nye Vasomotor Rhinitis sia?

Kpuie ko la, Vasomotor Rhinitis nye lãkusi siwo le wò ŋɔti me ƒe vuvu. Ele abe abi sue aɖe si le wò ŋɔti me ene. Vuvu siae hea dzesi siwo meɖea dzi ɖi o siwo mí katã míenya tso nulɔdɔwo me, abe ŋɔti si xe kple ŋɔti me tsi ene, vɛ.

Gake, nu vevitɔ le afisia enye be esia mesɔ kple nulɔdɔ si bɔ si míenya be ``Allergic Rhinitis'', si tso nusiwo abe ``Pollen'', ``Mold'', kple ``Pet Dander'' gbɔ o. Azɔ hã, esia menye nane si tso ``Dɔlékui'' alo ``Dɔlékui'' gbɔ o. Eyata ɖewohĩ ànɔ ɖokuiwò biam be, ''Ekema aleke esia dzɔna?'' Le nyateƒe me la, ate ŋu atso yame ƒe nɔnɔme ƒe tɔtrɔ, ʋeʋẽ aɖewo, nuɖuɖuwo, kamedede, atike aɖewo, alo nu bubu siwo doa dziku na wò ŋɔti gbɔ. Woyɔa esia ɣeaɖewoɣi be ``Idiopathic Rhinitis''. Esia nye ``Nonallergic Rhinitis'' ƒomevi aɖe.

Amekae ate ŋu axɔ nɔnɔme sia wu?

Vasomotor rhinitis ate ŋu adze amesiame dzi ŋutɔŋutɔ. Gake zi geɖe la, wokpɔnɛ le ƒe 20 xɔxɔ vɔ megbe .

Aleke gbegbee nɔnɔme sia bɔe?

Míenya be amesiwo le dukɔ deŋgɔwo me ƒe afã lɔƒo ƒe aɖuɖɔtoedɔ si me nulɔdɔ kple esiwo me nulɔdɔ mele o (si me ʋukawo me dɔdzẽ hã le) le wo ŋu. Le amesiawo dome la, abe 15% va ɖo 50% ene xɔa vasomotor rhinitis.

Nukae hea Vasomotor Rhinitis vɛ?

Míegblɔe va yi be menye nusi dzɔna le esi nèsea veve ɖe nusi nana wò ŋutilã melɔ̃a nu o, abe ati ƒe aŋɔ, ke, alo aŋɔ ene ta o. Ke boŋ nu vovovowoe hea dzesiawo vɛ . Ðo ŋku edzi be ame aɖewo ƒe susu nɔa nu aɖewo kple nutome ƒe tɔtrɔwo ŋu wu ame bubuwo. Nenema ke amesiwo ŋu vasomotor rhinitis le ate ŋu ase nu aɖewo gɔme vie. Ne menye nenema o la, ne womete ŋu ke ɖe nusi gbɔ wòtso ŋu o la, woate ŋu akpɔe be dɔléle sia le ŋuwò.

Nukawoe nye nu siawo siwo ʋãa ame?

Nu siwo le wò nutoa me, atike siwo nènona, kple ɣeaɖewoɣi lãmetsiŋusẽ ƒe tɔtrɔ gɔ̃ hã ate ŋu ahe esia vɛ. Na míalé ŋku ɖe nusiwo nye esiawo ŋu.

1. Nutoa me Nusiwo ʋãa ame

Nu aɖewo siwo le nuto si me nèle me ate ŋu aʋã wò sidzenuwo eye woahe nɔnɔme sia vɛ. Kpɔe ɖa be nusiawo kpɔa ŋusẽ ɖe dziwò hã:

• Dzoxɔxɔ ƒe ɖiɖi kpata: Ne vuvɔ le wɔwɔm la, ame aɖewo ƒe ŋɔti tsia, alo?
• Ðiƒoƒo ya alo dzudzɔ: Nuwo abe ʋu ƒe ya si dona ne wole ʋu kum, alo dzudzɔ si dona le dɔwɔƒewo.
• Ya fafɛ alo ƒuƒuiƒe: Vevietɔ ne èle `AC` xɔwo me.
• Ami ʋeʋĩ alo cologne: Ame aɖewo melɔ̃a ʋeʋẽ sesẽwo o, alo?
• Sigaret dzudzɔ: Ne mènoe o hã la, dzudzɔ si dona tso ame bubuwo ƒe nono me hã ate ŋu akpɔ ŋusẽ ɖe dziwò.
• Da ƒe ʋeʋẽ: Ne èle teƒe si wota yeyee.
• Nuɖuɖu si me wodea nu ʋeʋĩiwoe: Ame aɖewo ƒe ŋɔti me tsina ne woɖu nuɖuɖu si wotsɔ chili geɖe wɔe, alo? Esɔ nenema.
• Nuteɖeamedzi: Adze nusi wɔ nuku, gake nuteɖeamedzi hã ate ŋu anye nusi gbɔ esia tso.

2. Atikewɔwɔ ƒe Nusiwo ʋãa ame

Atike aɖewo hã ate ŋu ana ŋɔti naxe alo ana wòagagblẽ ɖe edzi. Kpɔe ɖa be èle atike siawo dometɔ aɖe zãm hã:

• Nasal Decongestant Sprays (ne wozãe wògbɔ eme): Togbɔ be woate ŋu azã esiawo ne wò ŋɔti xaxa hã la, womeɖo aɖaŋu be woayi edzi azã wo o.
• ACE mɔxenuwo na ʋusɔgbɔdɔ.
• Alpha-blockers kple beta-blockers na ʋusɔgbɔdɔ.
• Vevesesenutsitikewo `Atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs)` (e.g. `Ibuprofen`, `Diclofenac`).
• Atike siwo me lãmetsiŋusẽ le, le kpɔɖeŋu me, vidzidzinutsitikewo.
• Atike si wozãna na ŋutsuwo ƒe gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie (ED).
• Blanuilélenutsitike aɖewo (Antidepressants).
• Atike aɖewo siwo naa ame ƒe dzi dzea eme.

3. Lãmetsiŋusẽ ƒe Masɔmasɔ

Nɔnɔme sia ate ŋu adzɔ le ɣeyiɣi siwo me ŋutilãa ƒe lãmetsiŋusẽ ƒe agbɔsɔsɔ trɔna hã me. Le kpɔɖeŋu me:

• Le dzinukpɔkpɔ ƒe ɣeyiɣiwo me.
• Le sɔhɛmenɔɣi.
• Le fufɔɣi.

Azɔ hã, atike siwo womeƒlena le atikedzraƒe o abe cocaine ene zazã hã ate ŋu ahe nɔnɔme sia si nye aɖuɖɔtoedɔ si me nulɔdɔ mele o vɛ.

Nukae nye Vasomotor Rhinitis ƒe dzesiwo?

To vovo na nulɔdɔ si nye rhinitis la, zi geɖe la, vasomotor rhinitis ƒe dzesiwo ate ŋu anɔ anyi ƒe bliboa katã. To vovo na nulɔdɔ aɖewo la, menye ɣeyiɣi aɖe mee wòdzɔna o, ke boŋ edzɔna ne èdo go nusiwo hea dɔléle siwo ŋu míeƒo nu tsoe va yi la dometɔ ɖeka. Kpɔe ɖa be dzesi siawo dometɔ aɖe le ŋuwò hã:

• No me ʋuʋu.
• No me si le sisim.
• Postnosal tsidzadza.
• Aɖuɖɔɖɔɖɔ.
• Ʋeʋẽsese dzi ɖeɖe kpɔtɔ.

Ƒã ŋutɔ hafi vasomotor rhinitis ate ŋu ana ƒunukpeƒetetedɔ si ʋẽna lilili nadzɔ ɖe ŋɔti me. Ne èdze agbagba be yeaɖe ŋɔti sia ɖa la, ʋuka si le ŋɔti me ate ŋu ado.

Ðe Vasomotor Rhinitis xɔa ame mea?

Ao, menye dɔlékuiwo abe dɔlékuiwo alo dɔlékuiwo ene gbɔe esia tsona o. Esia fia be màte ŋu alée le ame aɖeke si o, eye màte ŋu akakae na ame bubu hã o.

Aleke wokpɔa aɖuɖɔtoedɔ si me nulɔdɔ mele o?

Ðɔkta ate ŋu anya vasomotor rhinitis ne edo wò ŋɔti kple ŋɔti kpɔ eye wòbia wò atikewɔwɔ ŋutinya. Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔlélea dzi. Wo dometɔ aɖewoe nye esi:

• Nulɔdɔ Dodokpɔ: Wò ɖɔkta ate ŋu aɖe gbe be woadoe kpɔ be yeakpɔe ɖa be nulɔdɔ aɖe gbɔe wò dzesiwo tso hã. Esia bia be nàɖe ʋu alo ado nu suesuesue siwo nana ame ƒe ŋutigbalẽ melɔ̃na o be nàkpɔe ɖa be wò ʋu wɔa dɔlékuiwutike siwo tsia tre ɖe wo ŋu hã. Woate ŋu aɖo wò ɖe nulɔdɔwo ŋuti nunyala bibi hã le esia ta.
• Nasal Endoscopy: Ƒã ŋutɔ hafi wowɔa esia. Le esia me la, wozãa mɔ̃ didi aɖe si te ŋu trɔna bɔbɔe si woyɔna be endoscope tsɔ léa ŋku ɖe ŋɔti ƒe eme kple ŋɔti me mɔwo ŋu. Dodokpɔ sia ate ŋu akpɔ kuxi bubu siwo ate ŋu anɔ wò dzesiwo hem vɛ hã, abe no me ʋuʋudedi ene. Nasal polyps nye tsitsi siwo menye kansa o siwo dzɔna le ŋɔti me.
• CT scan: Wò ɖɔkta ate ŋu abia be woawɔ CT scan. Esia zãa X-ray tsɔ ɖea wò ŋɔti ƒe akpa si le eme tsitotsito. Esia ate ŋu akpe ɖe ŋuwò nànya ne xɔtuɖoɖo ƒe kuxiwo abe ŋɔti me ʋuʋudedi alo ŋɔti si tra mɔ ene gbɔe wò dzesiawo tso.
• Nasal Inspiratory Flow Test: Esia nye dodokpɔ si me wodzidzea ya agbɔsɔsɔme si gena ɖe wò lãkusi me ne èle gbɔgbɔm.Esia kpena ɖe ŋuwò nèdea dzesi nusiwo xe le wò ŋɔti me.

Ðe woate ŋu ada Vasomotor Rhinitis keŋkeŋa?

Atike aɖeke meli na aɖuɖɔtoedɔ si me nulɔdɔ mele o. Ame geɖe tsɔa wo ɖokui dzi kpɔkpɔ, nutome ƒe tɔtrɔ, kple atikewo ɖua woƒe dzesiwo dzi.

Aleke wodaa Vasomotor Rhinitis?

Bu eŋu kpɔ ne nɔnɔme sia va dze dziwò le nusi aʋã wò, abe ami ʋeʋĩ ene, zazã ta la, atikewɔwɔa le bɔbɔe ŋutɔ. Nusi nàwɔ koe nye be nàƒo asa na nusi aʋã wò. Ke hã, ɣeaɖewoɣi la, ɣeyiɣi aɖewo li siwo me ema manya wɔ o. Le nɔnɔme mawo me la, àte ŋu awɔ ɖe mɔ siwo dzi nàto aɖe dzesiawo dzi akpɔtɔ, azã atike siwo nàte ŋu axɔ le atikedzraƒe, alo axɔ atike si woŋlɔ na wò tso ɖɔkta gbɔ.

Humidifier zazã le aƒeme alo le dɔwɔƒe ate ŋu akpe ɖe ŋuwò nàɖe dzesiawo dzi akpɔtɔ. Tsidede ŋɔti me kple dzetsi (dzetsi) hã ate ŋu akpe ɖe ame ŋu wòakɔ ŋɔti kple ŋɔti me.

Atike siwo ɖɔkta ŋlɔ na ame ate ŋu akpe ɖe ame ŋu be woaɖe ŋɔti ƒe ʋuʋu dzi akpɔtɔ eye wòaɖu dzesiawo dzi. Atike siawo ate ŋu anye:

• Decongestant nasal sprays na no me ʋuʋu.
• Antihistamine atike siwo wotsɔna ƒua gbe ɖe no me ɖea no me vuvu dzi kpɔtɔna.
• Corticosteroid nasal sprays (e.g., fluticasone) si ɖea ŋɔti me vuvu dzi kpɔtɔna - Esiawoe nye atike gbãtɔ na no me ʋuʋu.
• Anticholinergic nasal sprays (e.g., Ipratropium Bromide) be wòakpe ɖe ame ŋu wòaɖe no me ʋuʋu dzi akpɔtɔ.

Ne atikewo mekpena ɖe ame ŋu o, alo ne nɔnɔme bubu aɖe, abe septum si tra mɔ alo nasal polyps ene, na kuxia gasẽ ɖe edzi la, amekoko ate ŋu anye tiatia.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?

Ne womedae o la, vasomotor rhinitis ate ŋu ana ŋɔti natsi atraɖii eye ŋɔti natsi. Nɔnɔme siawo ate ŋu ahe kuxiwo abe:

• Titina To ƒe Dɔlékuiwo.
• No me ʋuʋudediwo.
• Sinusitis - Esia nye aɖuɖɔtoewo ƒe dɔdzẽ.
• Alɔ̃dɔdɔ sesẽ kple ɖeɖiteameŋu ƒe seselelãme ŋkeke bliboa.
• Esesẽna be susu nanɔ nu ŋu.
• Dzikudodo enuenu.

Ðe woate ŋu axe mɔ ɖe Vasomotor Rhinitis nua?

Le nyateƒe me la, mɔ aɖeke meli koŋ si dzi woato axe mɔ ɖe vasomotor rhinitis nu o. Nu nyuitɔ si nàte ŋu awɔe nye be nàƒo asa na nusiwo hea aɖuɖɔtoedɔ sia vɛ.

Nukae nye amesiwo ŋu dɔléle sia le ƒe mɔkpɔkpɔ? (Nyagblɔɖi) .

Le ame geɖe gome la, vasomotor rhinitis nye dɔléle si nɔa anyi didi. Esia fia be ate ŋu anɔ anyi ɣeyiɣi aɖe eye emegbe wòagadzɔ ake.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne tsi si dona le wò ŋɔti me atraɖii, ŋɔti me ʋuʋu, alo ʋuʋudedi le wò ŋɔti megbe si medzona o la, .Kpɔ egbɔ be yeyi ɖɔkta gbɔ. Wò ɖɔkta ate ŋu anya nusi gbɔ wò dzesiawo tso eye wòaŋlɔ atike siwo ate ŋu akpe ɖe ŋuwò.

Dzesi siwo do ƒome kple vasomotor rhinitis – ŋɔti me tsi si le dodom, ŋɔti me tsi, kple ʋuʋudedi le ŋɔti ƒe megbe – ateŋu anye nusi me dziɖeleameƒo le ŋutɔ, eɖanye nukae gbɔ wòtso o. Ne dzesi siawo le ŋuwò eye womehaya o la, yi ɖɔkta gbɔ. Ate ŋu anya nenye be nusi gbɔ wòtsoe nye nulɔdɔ, dɔlékui, alo nu bubu aɖe abe vasomotor rhinitis ene. Emegbe ate ŋu aŋlɔ atike nyuitɔ na wò.

Ðo ŋku nu vevitɔ kekeake dzi (Take-Home Message) .

Enyo, eyata mele mɔ kpɔm be fifia miese nusi ŋu míeƒo nu tsoe egbea, Vasomotor Rhinitis, gɔme nyuie wu. Ðo ŋku edzi be esia menye nulɔdɔ o, eye mexɔa ame hã o. Gake ate ŋu ado dziku na ame ŋutɔ, eye nuwo abe ŋɔti me tsi kple ŋɔti me tsi ene anɔ eme.

Nu vevitɔe nye be ne dzesi siawo gakpɔtɔ le ŋuwò la, le esi teƒe be nàte atike vovovowo kpɔ le ɖokuiwò si la, yi ɖɔkta gbɔ be nànya nusi tututu gblẽ. Nusi gbɔ wòtso ate ŋu anye nane si ŋu mèbuna gɔ̃ hã o. Ðɔkta ate ŋu ana atike nyuitɔ kekeake wò. Ate ŋu akpe ɖe ŋuwò hã be nànya nusiwo hea nɔnɔme sia vɛ. Nu nyuitɔ si nàwɔe nye be nàƒo asa na wo.

Eyata, lé be na wò ŋɔti ƒe lãmesẽ. Elabena naneke menyo wu gbɔgbɔ nyuie o!

` Vasomotor rhinitis, no me ʋuʋu, ŋɔti me tsi si le dodom, non-allergic rhinitis, no me ʋuʋu, nusiwo ʋãa ame, dzesiwo