Kodi mumayetsemulanso nthawi zambiri? Kodi mphuno yanu imatsekeka? Tiyeni tiphunzire za matenda a chifuwa cha rhinitis!

Kodi mumatulukanso mphuno mukadzuka m'mawa? Kodi mphuno yanu imamva kutsekeka komanso kuyabwa? Kodi maso anu, pakamwa, ndi pakhosi panu zimayabwa nthawi zonse? Ngati ndi choncho, mwina muli ndi zomwe tikunena : Allergic Rhinitis , kapena monga ena amachitcha , Hay Fever . Ngakhale kuti dzinalo ndi "malungo", anthu ambiri sadwala malungo. Tiyeni tikambirane za izi mwatsatanetsatane, mwachidule.

Kodi Allergic Rhinitis ndi chiyani?

Mwachidule, matenda a allergic rhinitis ndi vuto la allergic lomwe limabwera chifukwa cha zinthu zomwe zimatizungulira zomwe ndi zazing'ono kwambiri moti sitingathe kuziona (zotchedwa allergens) . Zinthu zimenezi zikalowa m'thupi mwathu kudzera m'mphuno kapena pakamwa pathu, thupi lathu limaganiza kuti pali chinthu choopsa chomwe chalowa. Kenako, thupi limatulutsa mankhwala otchedwa histamine . Ichi ndi chomwe chimayambitsa zizindikiro monga kuyetsemula, mphuno yotuluka madzi, ndi maso oyabwa.

Sizimafalikira monga chimfine wamba. Komanso, si matenda onse a m'mphuno omwe ndi allergy rhinitis. Anthu ena amathanso kukhala ndi vuto lotchedwa non-allergy rhinitis , lomwe limakhala ndi zizindikiro zofanana, koma silimayambitsidwa ndi allergen.

Kodi ndi zinthu ziti zomwe zimayambitsa izi?

Pali zinthu zingapo zomwe zingayambitse matenda a allergic rhinitis. Izi zitha kukhala zamkati komanso zakunja. Nazi zina mwa zinthu zazikulu:

• Mungu wochokera ku mitengo, udzu, ndi udzu: Izi zimayandama mumphepo, makamaka nthawi ya maluwa.
• Ma spores a nkhungu: Amamera m'malo onyowa, monga m'zimbudzi, m'makhitchini, komanso pakati pa milu ya masamba.
• Matenda a ziweto: Izi zimapezeka kwambiri m'nyumba zomwe muli nyama monga amphaka ndi agalu.
• Nthata za fumbi: Tizilombo tating'onoting'ono timeneti, tomwe sitioneka ndi maso, timakhala m'matiresi athu, mapilo, zofunda, masofa, ndi makatani.
• Malovu ndi ndowe za mphemvu: Anthu ena amathanso kukhala ndi vuto la ziwengo chifukwa cha izi.

Tangoganizirani, mukapita kumunda m'mawa, mumayamba kuyetsemula mosalekeza, kapena mukasunga mabuku akale, mphuno yanu imatsekeka. Mwina chinthu chonga ichi ndicho chifukwa chake.

Ndi nyengo ziti zomwe zimakhudzidwa kwambiri ndi ziwengo izi?

Matenda a allergic rhinitis amatha kuchitika nthawi iliyonse pachaka. Komabe, anthu ena amakhudzidwa kwambiri ndi matendawa nthawi zina.

• Ziwengo za nyengo: Izi nthawi zambiri zimapezeka kwambiri nthawi ya masika, chilimwe, ndi kumayambiriro kwa nthawi yophukira. Izi zili choncho chifukwa mitengo ndi maluwa zimaphukira nthawi imeneyi, ndipo mungu umakhala wochuluka m'chilengedwe. Komabe, nyengo za mungu izi zimatha kusiyana kutengera komwe mumakhala.
• Ziwengo zosatha:Izi zitha kupezeka chaka chonse. Nthawi zambiri, zimachitika chifukwa cha zinthu zomwe zili m'nyumba. Mwachitsanzo, nthata za fumbi, dander ya ziweto, ndi zina zotero. Izi zimatha kuchuluka m'nyengo yozizira chifukwa mawindo amatsekedwa.

Kodi vutoli ndi lofala bwanji kwenikweni?

Inde, vutoli ndi lofala kwambiri kuposa momwe mungaganizire. Anthu mamiliyoni ambiri padziko lonse lapansi ali ndi vuto la allergic rhinitis. Malinga ndi kafukufuku wina, pafupifupi 20% ya anthu onse ali ndi vutoli. Izi zikutanthauza kuti n'zotheka kuti wina m'banja mwanu kapena mnzanu ali nalo.

Kodi zizindikiro za allergic rhinitis ndi ziti?

Zizindikiro zimenezi zimatha kusiyana malinga ndi munthu, ndipo nthawi zina mphamvu ya zizindikirozo imathanso kusiyana. Onani ngati muli ndi zochepa mwa izi:

• Mphuno yodzaza, kuyetsemula, ndi mphuno yotuluka madzi.
• Mphuno, pakhosi, ndi maso kuyabwa.
• Kufiira kapena kuoneka ngati madzi m'maso.
• Mutu , kuthamanga kwa sinus, ndi mabwalo amdima ozungulira maso.
• Kuchuluka kwa mamina m'mphuno ndi pakhosi.
• Kumva kutopa.
• Kupweteka pakhosi chifukwa cha mamina kulowa pakhosi (postnasal drip).
• Anthu ena amathanso kukhala ndi zizindikiro monga kuvutika kupuma, kukhosomola, komanso kupuma movutikira .

Ngakhale mutakhala ndi chimodzi kapena ziwiri mwa zizindikirozi, ngati zikupitirira, ndi bwino kupita kwa dokotala.

Kodi izi ndi ziwengo? Kodi ndi chimfine? Kodi mumadziwa bwanji?

Ili ndi vuto lomwe anthu ambiri ali nalo. Chifukwa zizindikiro za matenda a chifuwa chachikulu zimafanana kwambiri ndi za chimfine. Komabe, pali kusiyana pang'ono.

Maso oyabwa, ofiira, komanso odzaza ndi madzi ndi ofala kwambiri chifukwa cha ziwengo . Komabe, zizindikirozi sizili zoopsa kwambiri chifukwa cha chimfine. Kupweteka kwa thupi ndi malungo nthawi zambiri zimakhalapo chifukwa cha chimfine.

Chinthu china n'chakuti matenda a rhinitis nthawi zambiri amayamba chifukwa cha chifukwa china (choyambitsa) . Mwachitsanzo, nyengo ikasintha, monga kubweretsa chiweto chatsopano m'nyumba. Matenda a rhinitis amatha kuchitika nthawi yomweyo chaka chilichonse (monga masika) ndipo amatha kuyamba mwachangu kwambiri.

Koma chimfine chimayambitsidwa ndi kachilombo. Chimafalikira kuchokera kwa munthu wina kupita kwa wina. Choncho, ngati mwakhala pafupi ndi munthu amene ali ndi chimfine, mukhoza kutenga chimfine. Chimfine nthawi zambiri chimatha patatha pafupifupi sabata imodzi. Koma, ngati ndi vuto la ziwengo, chingakhalepo mpaka zinthu zomwe zimayambitsa ziwengo zitachotsedwa pamalo ozungulira.

N’chifukwa chiyani timadwala matenda a chifuwa chachikulu? Kodi chimachitika n’chiyani m’thupi?

Matenda a Allergic Rhinitis amayamba, monga tanenera kale, chifukwa cha chitetezo cha mthupi chathu chomwe chimachita zinthu zazing'ono kwambiri (allergens) zomwe zili m'malo mwathu zomwe ndi zazing'ono kwambiri kuti sizingaoneke ndi maso.Chifukwa cha mphamvu ya chitetezo chamthupi yofooka kwambiri.

Zinthu zimenezi sizivulaza anthu ambiri. Komabe, ngati muli ndi vuto la rhinitis, chitetezo chamthupi chanu chimaganiza kuti zinthuzi ndi zomwe zimalowa m'thupi lanu. Chifukwa chake, kuti muteteze thupi lanu, chitetezo chamthupi chimatulutsa mankhwala monga histamine m'magazi mwanu. Histamine iyi imapangitsa kuti nembanemba m'mphuno mwanu, m'maso, ndi pakhosi panu zidzipe ndikuyabwa. Umu ndi momwe thupi lanu limayesera kuchotsa zinthuzi.

Takambirana kale mitundu ikuluikulu ya zinthu zomwe zimayambitsa ziwengo:

• Nthata za fumbi zimakhala m'makapeti, makatani, zofunda, ndi mipando.
• Utoto wochokera ku mitengo, udzu, ndi udzu.
• Chiweto chopanda nsidze.
• Ma spores a nkhungu.
• Malovu ndi zinyalala za mphemvu .

Matenda ena okhudzana ndi zakudya angayambitsenso kutupa kwa mphuno ndi pakhosi. Komabe, matenda okhudzana ndi zakudya nthawi zina amatha kupha munthu. Chifukwa chake, ngati mukukayikira kuti mukukumana ndi zizindikiro zosalekeza za matenda chifukwa cha chakudya china, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo.

Ndani amene ali pachiwopsezo chachikulu chotenga izi?

Matenda a ziwengo amatha kutengera kwa makolo anu. Izi zikutanthauza kuti ngati makolo anu kapena wachibale wanu ali ndi ziwengo, muli ndi mwayi waukulu wopeza matenda a ziwengo.

Komanso, anthu omwe ali ndi mphumu kapena eczema (matenda a pakhungu monga eczema) ali ndi mwayi waukulu wopeza vutoli.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, choyamba adzakuyesani ndikufunsani za zizindikiro zanu. Adzayang'ananso matenda ena, monga chimfine ndi mphumu. Angathenso kuchita mayeso a ziwengo .

• Kuyesa kwa ziwengo m'magazi: Izi zimayesa kuchuluka kwa ma antibodies mu chitsanzo cha magazi anu omwe apangidwa motsutsana ndi chinthu china chake choyambitsa ziwengo. Izi zimatchedwanso mayeso a Immunoglobulin E (IgE) . Amatha kuzindikira mitundu yambiri ya ziwengo, ngakhale ziwengo za chakudya.
• Kuyesa kwa khungu ndi/kapena mayeso amkati mwa khungu: Mayeso awa amathandiza kudziwa mtundu wa allergen womwe umakhala nawo. Pa mayeso a khungu , dokotala wanu amaika zinthu zochepa zosiyana pakhungu lanu (nthawi zambiri kumbuyo kwa mkono wanu kapena dzanja lanu) ndikuzibaya ndi singano yaying'ono. Ngati muli ndi vuto la allergen, malowo amakhala ofiira, oyabwa, komanso otupa mkati mwa mphindi 15 mpaka 30.Ichi ndi chofanana, koma allergen imabayidwa pansi pa khungu.

Mukangodziwa zomwe zimayambitsa ziwengo zomwe zikukuvutitsani kudzera mu mayesowa, zimakhala zosavuta kupewa ndikupeza chithandizo choyenera.

Kodi matenda a rhinitis amachiritsidwa bwanji?

Mwamwayi, pali mitundu ingapo ya mankhwala omwe angathandize kuchepetsa zizindikiro za matenda a rhinitis. Mankhwalawa amabwera ngati mapiritsi, zakumwa, madontho a m'maso, ma spray a m'mphuno, ndi jakisoni. Chofunika kwambiri ndikulankhula ndi dokotala musanagwiritse ntchito mankhwala aliwonse. Izi ndizofunikira makamaka ngati muli ndi pakati kapena muli ndi mavuto ena azaumoyo.

Nazi zina mwa njira zazikulu zochizira:

Mankhwala oletsa kugwidwa ndi histamine

Mankhwalawa amatha kugulidwa mu kauntala (OTC) ngati dokotala wakupatsani mankhwala kapena ayi. Mankhwalawa amagwira ntchito poletsa mankhwala otchedwa histamine omwe amatulutsidwa ndi thupi mukakhala ndi ziwengo. Amabwera ngati mapiritsi, zakumwa, madontho a m'maso, mankhwala opopera m'mphuno, ndi mankhwala opumira. Zitsanzo:

• Loratadine (monga Claritin®)
• Cetirizine (monga Zyrtec®)
• Fexofenadine (monga Allegra®)
• Levocetirizine (monga Xyzal®)

Mankhwala ena oletsa kutupa angayambitse kugona. Choncho, pewani kumwa mowa mukamamwa mankhwalawa, makamaka ngati mukuyendetsa galimoto.

Mankhwala ochepetsa kutsekeka kwa mphuno (Decongestants)

Mankhwalawa amachepetsa kutsekeka kwa mphuno ndi m'mphuno. Akhoza kumwedwa pakamwa ngati mapiritsi, zakumwa, kapena mankhwala opopera m'mphuno. Zitsanzo:

• Afrin® spray ya m'mphuno
• Phenylephrine spray ya m'mphuno (monga Neo-Synephrine®)
• Pseudoephedrine (monga Sudafed®)

Izi zingayambitse zinthu monga kuthamanga kwa magazi, mutu, kusowa tulo, komanso kusakhazikika. Kugwiritsa ntchito mankhwala opopera m'mphuno kwa masiku opitilira asanu kungayambitsenso chizolowezi.

Mankhwala opopera m'mphuno a Corticosteroid

Mankhwala opopera ndi opumira awa amachepetsa kutupa m'mphuno ndikuchepetsa zizindikiro za chimfine cha udzu. Mankhwala opopera m'mphuno omwe amagwiritsidwa ntchito kwambiri ndi Flonase®, Nasacort®, ndi Rhinocort®. Izi zingayambitse mavuto monga mutu, kutupa m'mphuno, kutuluka magazi m'mphuno, ndi kukhosomola.

Zoletsa za leukotriene

Pakakhala vuto la ziwengo, thupi lathu limatulutsa mankhwala otchedwa histamine ndi leukotrienes. Mankhwalawa amayambitsanso kutupa ndi zizindikiro za chimfine. Mankhwalawa amabwera ngati mapiritsi ndipo amatha kumwedwa pokhapokha ngati dokotala walemba mankhwala. Amagwira ntchito poletsa ma leukotrienes awa. Omwe amagwiritsidwa ntchito kwambiri ndi Montelukast (monga Singulair®). Anthu ena amatha kusintha maganizo, maloto achilendo, mayendedwe a minofu osadziletsa, komanso ziphuphu pakhungu akamamwa mankhwalawa.

Chithandizo cha Immunotherapy

Mankhwalawa amaphunzitsa thupi lanu kupirira zinthu zomwe zimayambitsa allergen. Dokotala wanu amakupatsirani jakisoni wosiyanasiyana (wotchedwa subcutaneous immunotherapy, kapena majekeseni a allergy) wa zinthu zochepa kwambiri zomwe zimayambitsa allergen. Pa jakisoni uliwonse, dokotala wanu amawonjezera pang'onopang'ono kuchuluka kwa zinthu zomwe zimayambitsa allergen. Pakapita nthawi, chitetezo chanu cha mthupi chimazolowera zinthu zomwe zimayambitsa allergen ndipo chimasiya kuchitapo kanthu.

Nthawi zina zapadera, dokotala wanu angakulangizeninso mankhwala oteteza thupi ku matenda opatsirana pogwiritsa ntchito mankhwala oletsa kutupa, omwe amabwera ngati piritsi lomwe mumayika pansi pa lilime lanu. Mankhwalawa pakadali pano amapezeka kokha kwa ziwengo za mitengo, udzu, ndi nthata za fumbi (ku United States).

Kodi ziwengo zimenezi nthawi zambiri zimatenga nthawi yayitali bwanji?

Zimasiyana malinga ndi munthu. Anthu ambiri amapeza mpumulo pasanathe masiku angapo kuchokera pamene amwa mankhwala. Komabe, muyenera kupitiriza kumwa mankhwalawo mpaka vuto la allergen litatheratu. Anthu ena akhoza kukhala ndi zizindikirozi kwa milungu ingapo kapena miyezi ingapo, makamaka ngati samwa mankhwala kapena ngati sangathe kupeza mankhwala othandiza kuchepetsa zizindikiro zawo.

Kodi mungayembekezere chiyani mukakhala ndi vutoli?

Matenda a allergic rhinitis amatha kukhala osasangalatsa pang'ono. Komabe, nthawi zambiri samayambitsa mavuto aakulu azaumoyo. Anthu ambiri amathana ndi zizindikirozi mwa kusintha moyo wawo komanso mankhwala omwe amaperekedwa ndi dokotala.

Komabe, anthu omwe ali ndi ziwengo ndi zinthu zoulukazi ali pachiwopsezo chachikulu cha matenda a m'makutu ndi matenda a sinus . Komanso, ngati izi zikukupangitsani kuti musagone bwino usiku, mungamve kutopa masana. Ngati muli ndi mphumu, hay fever ingapangitse kuti zizindikiro za mphumu yanu ziwonjezeke.

Kodi tingatani kuti tipewe matenda a rhinitis?

Palibe njira yoletsera izi kuti zisachitike. Komabe, ndi kusintha pang'ono kwa moyo wanu, zimakhala zosavuta kukhala ndi vutoli. Chofunika kwambiri ndi kupewa zinthu zomwe zimayambitsa matendawa momwe mungathere. Yesani izi kuti muchepetse zizindikiro:

• Chepetsani kukhudza nkhope yanu, maso, ndi mphuno momwe mungathere.
• Sungani mawindo anu a m'nyumba ndi m'galimoto nthawi yomwe mungu uli wambiri (masika, chilimwe, ndi kumayambiriro kwa nthawi yophukira).
• Kuti muteteze ku nthata za fumbi, ikani zophimba pa mapilo, matiresi, ndi ma bedi.
• Letsani ziweto kuti zisakwere pa masofa ndi pabedi. Zitseko zitsekedwe m'zipinda zomwe simukufuna kuti zikhalemo.
• Gwiritsani ntchito zosefera pa vacuum cleaner yanu ndi air conditioner kuti muchepetse kuchuluka kwa zinthu zomwe zimayambitsa ziwengo mumlengalenga.
• Sambani m'manja nthawi zambiri, makamaka mukatha kusewera ndi nyama.
• Valani chipewa ndi magalasi a dzuwa kuti muteteze maso anu ku mungu mukatuluka panja. Sinthani zovala zanu mukafika kunyumba.

Kodi muyenera kupita kwa dokotala?

Ngakhale kuti matenda a rhinitis nthawi zambiri samayambitsa mavuto aakulu azaumoyo, ndi bwino kuonana ndi dokotala kuti muwonetsetse kuti si vuto lina, monga mphumu kapena matenda a sinus. Makamaka, muyenera kuonana ndi dokotala ngati:

• Ngati zizindikiro za ziwengo zikusokoneza zochita zanu za tsiku ndi tsiku.
• Ngati mukuvutika kugona bwino usiku.
• Ngati zizindikiro sizikutha ngakhale mutamwa mankhwala a ziwengo.

Dokotala angakuthandizeni kudziwa mtundu wa allergen womwe umakhala nawo ndipo angakupatseni chithandizo chomwe chingakuthandizeni kupeza mpumulo.

Mwachidule (Uthenga Wopita Nawo Kunyumba)

Choncho, vuto ili lotchedwa Allergic Rhinitis likhoza kukhala losasangalatsa pang'ono. Koma, palibe chodetsa nkhawa nacho. Ngati litachiritsidwa bwino, si vuto kukhala ndi moyo wabwinobwino komanso wachimwemwe. Anthu mamiliyoni ambiri amatha kuthana ndi vutoli ndi mankhwala ndi kusintha moyo wawo. Ngati muli ndi zizindikiro izi, lankhulani ndi dokotala ndipo mupeze chithandizo ndi upangiri womwe ukukuyenererani. Kenako inunso mutha kupuma momasuka ndikukhala bwino!

Matenda a chifuwa cha mphumu, chimfine cha udzu, ziwengo, kuyetsemula, kutsekeka kwa mphuno, mungu, nthata za fumbi