Ingabe ikhala lakho lihlala ligcwele futhi ligijima? Lokhu kungaba ngenxa ye-Vasomotor Rhinitis!

Ingabe nawe unekhala elicijile ngaso sonke isikhathi? Noma ingabe unezinto ezifana nekhala eligobhozayo nokuthimula ngaso sonke isikhathi? Ngezinye izikhathi sicabanga ukuthi lokhu kuyisifo sokungezwani komzimba. Kodwa, akunjalo ngaso sonke isikhathi. Namuhla sizokhuluma ngesimo sekhala esihlukile kancane esingeyona isifo sokungezwani komzimba, kodwa esibonisa izimpawu ezifanayo. Lokhu kubizwa ngokuthi i-Vasomotor Rhinitis.

Iyini le Vasomotor Rhinitis?

Kalula nje, i-Vasomotor Rhinitis ukuvuvukala kwezicubu ngaphakathi kwekhala lakho. Kufana nokuvuvukala okuncane ngaphakathi kwekhala lakho. Lokhu kuvuvukala yikho okubangela izimpawu ezingakhululekile esizaziyo sonke ngenxa yokungezwani komzimba, njengekhala elicijile kanye nekhala eligobhozayo.

Kodwa, into ebalulekile lapha ukuthi lokhu akufani ne-rhinitis evamile ye-allergy esiyazi ngokuthi "i-Allergic Rhinitis", ebangelwa izinto ezifana "ne-Pollen", "i-Mold", kanye "ne-Pet Dander". Futhi, lokhu akuyona into ebangelwa "i-Virus" noma "i-Bacteria". Ngakho-ke ungase uzibuze, "Pho lokhu kwenzeka kanjani?" Empeleni kungabangelwa izinguquko zesimo sezulu, amaphunga athile, ukudla, ukuzivocavoca, imithi ethile, noma ezinye izinto ezibangela ukucasuka ekhaleni lakho. Lokhu ngezinye izikhathi kubizwa ngokuthi "i-Idiopathic Rhinitis". Lolu uhlobo lwe-"Nonallergic Rhinitis."

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

I-Vasomotor rhinitis ingathinta noma ubani. Kodwa-ke, ivame ukutholakala ngemva kweminyaka engu-20. Ivame ukutholakala kubantu abaneminyaka ephakathi kuka-30 no-60. Kuthiwa futhi lesi simo sivame kakhulu kwabesifazane .

Sivame kangakanani lesi simo?

Siyazi ukuthi cishe ingxenye yabantu emazweni athuthukile ine-rhinitis yokungezwani komzimba kanye ne-non-allergic (kufaka phakathi i-vasomotor rhinitis). Kulaba, cishe u-15% kuya ku-50% une -vasomotor rhinitis.

Yini ebangela i-Vasomotor Rhinitis?

Sesishilo ngaphambili ukuthi lokhu akuyona into eyenzeka ngoba uzwela ku-allergen ethile, njengempova yesihlahla, izibungu zothuli, noma isikhunta. Esikhundleni salokho, izimpawu zibangelwa yizimbangela ezahlukahlukene. Khumbula, abanye abantu bazwela kakhulu ezintweni ezithile kanye nezinguquko zemvelo kunabanye. Ngokufanayo, abantu abane-vasomotor rhinitis bangase babe nomuzwa omncane ezintweni ezithile. Ngaphandle kwalokho, uma imbangela ingatholakali, ungase utholakale unalesi simo.

Yiziphi lezi zinto ezibangela lokhu?

Izinto ezikuzungezile, imithi oyiphuzayo, futhi ngezinye izikhathi ngisho nezinguquko zamahomoni zingabangela lokhu. Ake sibheke ukuthi ziyini lezi zinto.

1. Izinto Ezibangela Imvelo

Ezinye izinto endaweni okuyo zingavuselela izinzwa zakho futhi zibangele lesi simo. Bheka ukuthi lezi zinto ziyakuthinta yini nawe:

• Ukwehla kwezinga lokushisa ngokuzumayo: Uma kubanda, abanye abantu baba nekhala elicijile, akunjalo?
• Ukungcoliswa komoya noma intuthu: Izinto ezifana nomusi wemoto ngenkathi ushayela, noma intuthu evela ezimbonini.
• Umoya obandayo noma owomile: Ikakhulukazi uma uhlala emakamelweni 'e-AC'.
• Iphunga noma i-cologne: Abanye abantu abawathandi amaphunga anamandla, akunjalo?
• Intuthu kagwayi: Ngisho noma ungaphuzi, intuthu evela ekuphuzeni kwabanye abantu ingakuthinta nawe.
• Iphunga lokupenda: Uma usesendaweni esanda kupendwa.
• Ukudla okunongwe: Abanye abantu bahlushwa yikhala uma bedla isidlo esenziwe nge-chili eningi, akunjalo? Kunjalo.
• Ukucindezeleka: Kungase kubonakale kumangalisa, kodwa ukucindezeleka nakho kungaba imbangela yalokhu.

2. Izinto Ezibangela Imithi

Eminye imithi ingabangela noma ibhebhethekise ukuminyana kwamakhala. Hlola ukuthi uthatha noma yimuphi wale mithi:

• Izifutho Zokuvula Ikhala (uma zisetshenziswa ngokweqile): Nakuba lezi zingasetshenziswa uma ikhala lakho lixinene, azinconywa ukuthi zisetshenziswe njalo.
• Ama-ACE inhibitors okwelapha umfutho wegazi ophezulu.
• Ama-Alpha-blockers nama-beta-blockers okwelapha umfutho wegazi ophakeme.
• Iziqeda-buhlungu `Izidakamizwa Ezingavimbeli Ukuvuvukala (ama-NSAID)` (isib. `Ibuprofen`, `Diclofenac`).
• Imithi equkethe ama-hormone, isibonelo, amaphilisi okuvimbela inzalo.
• Imithi yokwelapha ukungasebenzi kahle kocansi kwabesilisa (ED).
• Eminye imithi yokucindezeleka (Ama-Antidepressants).
• Ezinye izidakamizwa zokudambisa.

3. Ukungalingani kwama-hormone

Lesi simo singase senzeke nangezikhathi lapho amazinga ama-hormone emzimbeni eshintsha khona. Isibonelo:

• Ngesikhathi sokunqamuka kokuya esikhathini.
• Ngesikhathi sokuthomba.
• Ngesikhathi sokukhulelwa.

Futhi, ukusetshenziswa kwemithi ethengiswa ngaphandle kwemithi kadokotela njenge-cocaine nakho kungabangela lesi simo se-rhinitis engeyona i-allergy.

Ziyini izimpawu ze-Vasomotor Rhinitis?

Ngokungafani ne-allergy rhinitis, izimpawu ze-vasomotor rhinitis zivame ukuba khona unyaka wonke. Ngokungafani nezinye izifo zokungezwani komzimba, azikho ngezikhathi ezithile zonyaka, kodwa zenzeka uma ubhekene nesinye sezimbangela esixoxe ngazo ekuqaleni. Bheka ukuthi unazo yini lezi zimpawu:

• Ukuminyana kwamakhala.
• Impumulo egobhozayo.
• Ukuconsa kwangemva kwempumulo.
• Ukuthimula.
• Ukuncipha kwemizwa yokuhogela.

Akuvamile kakhulu, i-vasomotor rhinitis ingabangela uqweqwe olunephunga elibi ngaphakathi kwempumulo. Uma uzama ukususa loluqweqwe, izicubu ezingaphakathi kwempumulo zingase ziphume igazi.

Ingabe i-Vasomotor Rhinitis iyathelelana?

Cha. Lokhu akubangelwa amagciwane afana namagciwane noma amabhaktheriya. Lokhu kusho ukuthi awukwazi ukukuthola kunoma ubani, futhi awukwazi ukukusabalalisa komunye umuntu.

I-rhinitis engeyona i-allergy ihlolwa kanjani?

Udokotela angakwazi ukuthola i-vasomotor rhinitis ngokuhlola ikhala lakho nomphimbo wakho bese ebuza ngomlando wakho wezokwelapha. Ngezinye izikhathi, kungase kwenziwe ezinye izivivinyo ukuqinisekisa ukuxilongwa. Nazi ezinye zazo:

• Ukuhlolwa Kokungezwani Nomzimba: Udokotela wakho angase akuyalele lokhu kuhlolwa ukuze anqume ukuthi izimpawu zakho zibangelwa yini ukungezwani komzimba. Lokhu kuhilela ukuthatha isampula yegazi noma ukufaka inani elincane lezinto ezibangela ukungezwani komzimba esikhumbeni sakho ukuze kubonakale ukuthi igazi lakho likhiqiza yini ama-antibodies amelene nawo. Ungathunyelwa futhi kuchwepheshe wezinto ezibangela ukungezwani komzimba ukuze uthole lokhu.
• I-Endoscopy Yamakhala: Lokhu kwenziwa kaningi kakhulu. Kulokhu, kusetshenziswa ithubhu ende neguquguqukayo ebizwa ngokuthi i-endoscope ukuhlola ingaphakathi lekhala kanye nezindawo zamakhala. Lokhu kuhlola kungahlola nezinye izinkinga ezingase zibangele izimpawu zakho, njenge-nasal polyps. Ama-nasal polyps ayizimila ezingezona umdlavuza ezakha ngaphakathi kwekhala.
• I-CT scan: Udokotela wakho angase akucele i-CT scan. Lokhu kusebenzisa i-X-ray ukuthatha izithombe ezinemininingwane zengaphakathi lekhala lakho. Lokhu kungasiza ekunqumeni ukuthi izimpawu zakho zibangelwa yini izinkinga zesakhiwo, njenge-nasal polyps noma i-septum ephukile.
• Ukuhlolwa Kokugeleza Kokuphefumula Kwamakhala: Lokhu ukuhlolwa okulinganisa ukuthi umoya ungakanani ongena emaphashini akho uma uphefumula. Lokhu kusiza ekutholeni ukuvinjelwa emigudwini yakho yamakhala.

Ingabe i-Vasomotor Rhinitis ingelapheka ngokuphelele?

Ayikho ikhambi le-rhinitis engeyona i-allergy. Abantu abaningi baphatha izimpawu zabo ngokuzinakekela, ukushintsha kwesimo sendawo, kanye nemithi.

Iphathwa kanjani i-Vasomotor Rhinitis?

Cabanga nje uma uba nalesi simo ngenxa yokuchayeka ku-trigger, njenge-perfume, ukwelashwa kulula kakhulu. Okumele ukwenze nje ukugwema leso stigger. Kodwa-ke, ngezinye izikhathi kunezikhathi lapho lokho kungenzeki khona. Ezimweni ezinjalo, ungalandela izindlela zokunciphisa izimpawu, usebenzise imithi ongayithola ekhemisi, noma uthole incwadi kadokotela kudokotela.

Ukusebenzisa umshini wokufutha umoya ekhaya noma emsebenzini kungasiza ekunciphiseni izimpawu. Ukunisela impumulo ngesisombululo sikasawoti (amanzi anosawoti) kungasiza futhi ekuhlanzeni ikhala kanye nama-sinuses.

Imithi enqunywe udokotela ingasiza ekunciphiseni ukuminyana kwamakhala nokulawula izimpawu. Le mithi ingafaka:

• Izifutho zokuvula umlomo ekhaleni ukuze kuvinjwe ikhala.
• Izifutho zekhala ze-Antihistamine zinciphisa ukuvuvukala kwekhala.
• Izifutho ze-corticosteroid nasal (isb., i-fluticasone) ezinciphisa ukuvuvukala ekhaleni - Lokhu kuyindlela yokuqala yokwelapha ukuminyana kwamakhala.
• Izifutho zekhala ezilwa ne-cholinergic (isib. i-Ipratropium Bromide) ukusiza ekunciphiseni ukuminyana kwekhala.

Uma imithi ingasizi, noma uma inkinga ibhebhethekiswa esinye isimo, njenge-septum ephukile noma i-nasal polyps, ukuhlinzwa kungaba yindlela yokukhetha.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma ingelashwa, i-vasomotor rhinitis ingaholela ekuminyaneni okuqhubekayo kwamakhala kanye nekhala eligobhozayo. Lezi zimo zingaholela ezinkingeni ezifana nalezi:

• Ukutheleleka Kwendlebe Ephakathi.
• Ama-polyp ekhala.
• I-Sinusitis - Lokhu ukuvuvukala kwezikhala zamakhala.
• Ubunzima bokulala nokuzizwa ukhathele usuku lonke.
• Ubunzima bokugxilisa ingqondo.
• Intukuthelo evame ukwenzeka.

Ingabe i-Vasomotor Rhinitis ingavinjelwa?

Ayikho indlela eqondile yokuvimbela i-vasomotor rhinitis. Into engcono kakhulu ongayenza ukugwema izinto ezibangela lesi simo se-rhinitis.

Iyini ikusasa labantu abanalesi simo? (Isibikezelo)

Kubantu abaningi, i-vasomotor rhinitis iyisifo esingamahlalakhona. Lokhu kusho ukuthi singase siqhubeke isikhathi esithile bese siphinde sibuye.

Kufanele ngimbone nini udokotela?

Uma unenkinga yokukhipha amanzi ekhaleni, ukuminyana kwamakhala, noma uketshezi oluhlala luphuma ngemuva komphimbo wakho,Qiniseka ukuthi ubona udokotela. Udokotela wakho angakwazi ukuthola imbangela yezimpawu zakho futhi akunikeze imithi engasiza.

Izimpawu ezihambisana ne-vasomotor rhinitis – ikhala eligobhozayo, impumulo evalekile, kanye ne-mucus ngemuva komphimbo – zingaba zimbi kakhulu, kungakhathaliseki ukuthi imbangela iyini. Uma unalezi zimpawu futhi zingabi ngcono, bona udokotela. Anganquma ukuthi imbangela iyi-allergy, ukutheleleka, noma okunye okufana ne-vasomotor rhinitis. Angabe esekunikeza ukwelashwa okufanele.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono lokho esikhulume ngakho namuhla, i-Vasomotor Rhinitis. Khumbula, lokhu akuyona into yokungezwani komzimba, futhi akuthelelani. Kodwa-ke, kungaba yinto ecasulayo kakhulu, ngezinto ezifana nekhala elicijile kanye nekhala eligobhozayo.

Into ebaluleke kakhulu ukuthi uma uqhubeka nokuba nalezi zimpawu, esikhundleni sokuzama imithi ehlukene wedwa, bonana nodokotela ukuze uthole ukuthi yini ngempela engalungile. Imbangela ingaba yinto ongayicabangi nhlobo. Udokotela angakunikeza ukwelashwa okungcono kakhulu kuwe. Angakusiza futhi ukuthola ukuthi yiziphi izimbangela ezibangela lesi simo. Into engcono kakhulu ongayenza ukuzigwema.

Ngakho-ke, nakekela impilo yakho yamakhala. Ngoba akukho okungcono kunokuphefumula kahle!

I- Vasomotor rhinitis, ukuminyana kwamakhala, impumulo egobhozayo, i-rhinitis engeyona i-allergy, ukuminyana kwamakhala, izimbangela, izimpawu