Ingabe i-nasal spray yenza ikhala lakho livaleke nakakhulu? Ake sifunde ngale Rhinitis Medicamentosa!

Ingabe nawe unekhala elicijile? Uzizwa sengathi ikhala lakho licijile futhi kunzima ukuphefumula uma unomkhuhlane noma ikhala elinothuli? Bese abaningi bethu bagijimela ngokushesha ekhemisi ukuyothenga 'i-nasal spray' (i-spray efuthwa ekhaleni)? Kulula kakhulu ngoba ivula ikhala ngokushesha. Kodwa, wake wacabanga ngezinkinga ezingavela ngokusebenzisa 'i-nasal spray' kanje njalo, izinsuku eziningi? Eqinisweni, uma le 'nasal spray' isetshenziswa ngendlela engafanele, ikhala lakho lingacijile kakhulu, ungahlala unekhala eligobhozayo, futhi ungathola ikhala elilumayo. Yilokho okubizwa ngokuthi 'i-Rhinitis Medicamentosa' noma 'i-rebound congestion' kwezokwelapha. Namuhla, ake sithole kahle ngalokhu.

Kuyini i-'Rhinitis Medicamentosa'? Masiyiqonde kalula!

Kalula nje, i-`Rhinitis Medicamentosa` yisimo sokuminyana kwamakhala nokuvuvukala okubangelwa ukusetshenziswa ngokweqile kwe-`decongestant nasal sprays`, ezisetshenziselwa ukunciphisa ukuminyana kwamakhala, isikhathi eside noma kaningi kunalokho okunconywayo . Cabanga nje, uma usebenzisa lesi sifutho izinsuku eziningana zilandelana, izicubu ezithambile ngaphakathi kwekhala lakho (`izindawo zamakhala`) ziyajwayela lo muthi. Ngemva kwesikhathi esithile, uma ungasebenzisi isifutho, impumulo yakho iqala ukuzizwa iminyene kakhulu. Ukuze kube sobala, umuthi ngokwawo ubangela 'ukuminyana okuphindaphindekayo'. Yilapho ingaphakathi lekhala livuvukala, libomvu, futhi livuvukala.

Kukhona okuthile okukhethekile ngalokhu. Izimpawu ezifana namehlo abomvu, umphimbo obuhlungu, kanye nobuhlungu bomzimba njengomkhuhlane ovamile azibonakali kule `Rhinitis Medicamentosa`. Izimpawu eziyinhloko ukuminyana kwamakhala, ikhala eligobhozayo, ikhala elilumayo, kanye nokuthimula . Okusho ukuthi, lesi yisimo esithinta kakhulu ikhala lakho.

Ubani okungenzeka kakhulu ukuthi athole lokhu 'kuxinana kwe-rebound'?

Eqinisweni, lesi simo esibizwa ngokuthi i-'Rhinitis Medicamentosa' singavela kunoma ubani, kungakhathaliseki ubudala bakhe. Into eyinhloko ukuthi uma umuntu esebenzisa 'i-decongestant nasal spray', njenge-'nasal drops' noma 'nasal gels', isikhathi esingaphezu kwesikhathi esinconywayo, esivame ukuba phakathi kwezinsuku eziyisikhombisa neshumi , usengozini enkulu yokuthola lesi simo.

Cabanga nje, kukhona abanye abantu, ngisho noma benomkhuhlane omncane, abasebenzisa i-nasal spray izikhathi eziningana ngosuku izinsuku eziningi, “kuze kube yilapho sebengcono.” Labo ngabantu abasengozini enkulu yalokhu.

Ziyini ngempela izimpawu ze-'Rhinitis Medicamentosa'?

Njengoba sesike sakhuluma ngakho ngaphambili, uphawu oluyinhloko ukuminyana kwamakhala. Kodwa-ke, ungase ubhekane nezinto ezifana nalezi:

• Ukuluma ngaphakathi ekhaleni . Ngezinye izikhathi ngizizwa sengathi ngiyaklwebha ikhala lami.
• Impumulo egobhozayo.
• Ukuthimula njalo.
• Impumulo evalekile yenza kube nzima ukuphefumula. Isifutho sihlanza izikhala zamakhala isikhashana, kodwa bese siphinde sivaleke ngokushesha.

Into ebaluleke kakhulu ukuthi izimpawu ezifana namehlo abomvu, amehlo anamanzi, izindlebe ezilumayo, nomphimbo obuhlungu, njengoba kubonakala kwezinye izinhlobo ze-rhinitis, azibonakali ku-'Rhinitis Medicamentosa'. Inkinga isekhaleni kuphela.

Yiziphi izinhlobo zemithi ezibangela lokhu 'kuxinana kwe-rebound'?

Imbangela eyinhloko yalesi simo se-'Rhinitis Medicamentosa' ukusetshenziswa okungalungile kwe-'decongestant nasal sprays' esetshenziselwa ukunciphisa ukuminyana kwamakhala, okungukuthi, ukuwasebenzisa isikhathi eside kakhulu noma kaningi kakhulu.

Nazi ezinye izibonelo:

• Izifutho zamakhala eziqukethe i-'oxymetazoline' (kungenzeka ukuthi uke wezwa ngazo ngaphansi kwamagama emikhiqizo efana ne-'Afrin®' noma i-'Zicam®').
• Izifutho zamakhala eziqukethe i-'Phenylephrine' (isibonelo, igama lomkhiqizo elithi `Neo-Synephrine®`).

Ngenxa yokuthi lezi zitholakala ngaphandle kwemithi kadokotela (OTC) emakhemisi, abantu abaningi abaqapheli ngokuzisebenzisa ngendlela efanele. Yilokho okubangela inkinga.

Udokotela usithola kanjani lesi simo esithi `Rhinitis Medicamentosa`?

Udokotela ngokuvamile akadingi ukwenza noma yikuphi ukuhlolwa okubanzi ukuze axilonge lesi simo, i-'Rhinitis Medicamentosa'. Ezimweni eziningi, lokhu kungaqinisekiswa ngemibuzo udokotela akubuza yona.

• Bayabuza ukuthi ziyini izimpawu zakho nokuthi sezinesikhathi esingakanani zikhona.
• Bazokubuza nakanjani ukuthi usebenzisa izifutho zamakhala, futhi uma kunjalo, hlobo luni lwesifutho, kangaki ngosuku, nokuthi zingaki izinsuku .

Into ebaluleke kakhulu lapha ukuthi utshele udokotela iqiniso. Ungafihli isifutho osisebenzisayo noma indlela osisebenzisa ngayo.

Ngezinye izikhathi udokotela wakho angase ahlole ingaphakathi lekhala lakho ngethuluzi elibizwa ngokuthi i-otoscope. Lokhu kungasiza ekuhloleni ukuvuvukala, ukubomvu, izimpawu zezinye izifo, noma ama-polyps (ukukhula okuncane ekhaleni). Kungasiza futhi ekunqumeni ukuthi lezi zimpawu zibangelwa yini umkhuhlane noma ukungezwani komzimba.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa okuyinhloko nokungcono kakhulu kwe-'Rhinitis Medicamentosa' ukunciphisa kancane kancane ukusetshenziswa kwe-'decongestant nasal spray' obuyisebenzisa ngokweqile, bese uyeka ngokuphelele.

Okubalulekile: Ungayeki ukusebenzisa i-spray ngokuzumayo! Ukwenza kanjalo kungabangela ukuminyana kwamakhala akho kube kubi kakhulu (`ukuminyana okukhulu kwe-rebound`). Udokotela wakho uzokweluleka ngokuthi ungazikhipha kanjani kancane kancane ku-spray ezinsukwini ezimbalwa noma ngesonto noma amabili. Ungase utshelwe ukuthi uyisebenzise ekhaleni elilodwa nje izinsuku ezimbalwa bese uyeka ukuyisebenzisa.

Ngemva kokuyeka ukusebenzisa leso sifutho esiyingozi sekhala, udokotela wakho angase ancome ezinye izindlela zokwelapha ezizosiza ekunciphiseni ukuminyana kwekhala lakho:

• Izifutho zempumulo ze-Glucocorticoid: Lezi ziqukethe into ebizwa ngokuthi ama-steroids. Zisebenza ngokunciphisa ukuvuvukala nokuvuvukala ngaphakathi kwempumulo. Nakuba zinganikezi impumuzo ngokushesha njengezifutho zokuqeda ukuminyana okukhulunywe ngazo ekuqaleni, zingasiza ekunciphiseni ukuminyana kwempumulo ezinsukwini ezimbalwa, zinikeze impumuzo yesikhathi eside. Lezi kufanele zisetshenziswe njengoba kuqondiswe udokotela wakho, phakathi nesikhathi sokwelashwa.
• Ama-decongestant omlomo: Lawa angathathwa njengamaphilisi noma ama-syrup. Asebenza kuwo wonke umzimba, ancipha imithambo yegazi ekhaleni futhi anciphise ukuvuvukala. Kodwa-ke, angabangela imiphumela emibi kwabanye abantu (isib. ukungakwazi ukulala, ukushaya kwenhliziyo okwandayo), ngakho-ke kufanele athathwe kuphela ngaphansi kweseluleko sikadokotela.
• Ukufutha noma ukuhlanza amazinyo nge-saline: Lokhu kuyindlela ephephile kakhulu. I-saline iyisisombululo samanzi anosawoti. Imanzisa ingaphakathi lekhala, isize ekukhululeni ulwelwesi olomile, futhi ihlanze ingaphakathi lekhala. Lokhu akuqukethe imithi yokukhulula ukuminyana, ngakho-ke akubangeli ukuminyana kwe-rebound. Kungasetshenziswa izikhathi eziningana ngosuku.

Ukugwema kanjani lokhu `ukuphindaphindeka kwe-nasal spray`?

Ukuze ugweme le nkinga ebizwa ngokuthi i-`Rhinitis Medicamentosa`, udinga ukwenza into elula kakhulu. Okusho ukuthi, uma usebenzisa i-`nasal decongestant spray` (izifutho ezinciphisa ukuminyana kwamakhala), landela imiyalelo ngqo.

• Ngisho noma uthenga i-nasal spray ethengiswa ngaphandle kwe-counter (OTC) ekhemisi, funda i-package efakiwe ngokucophelela. Ngokuvamile isho ukuthi kangaki ngosuku, ukuthi kufanele usebenzise malini ngesikhathi, kanye nenani elikhulu lezinsuku zokuyisebenzisa (ngokuvamile kungabi ngaphezu kwezinsuku ezingu-3-5). Landela le miyalelo kahle.
• Ungalokothi usebenzise lesi sifutho ngobuningi noma isikhathi eside kunalokho okunconywe udokotela.
• Uma i-nasal spray yakho ingakuqedi ukuminyana kwamakhala ngemva kwezinsuku ezimbalwa, ungaqhubeki nokusebenzisa i-spray bese ubona udokotela ngokushesha. Udokotela angakwazi ukuthola imbangela eqondile yokuminyana kwamakhala akho bese ekunikeza ukwelashwa okufanele okungeke kuholele kulesi simo se-'Rhinitis Medicamentosa'.

Iyini inhloso ye-'Rhinitis Medicamentosa'? Kuzokwenzekani uma iqhubeka?

Izindaba ezinhle ukuthi uma abantu abaningi beyeka ukusebenzisa leso sifutho sokukhulula ukuminyana ekhaleni, izimpawu ziyanyamalala cishe ngokuphelele. Ikhala libuyela esimweni salo esijwayelekile.

Kodwa-ke, uma uqhubeka nokusebenzisa lezi zifutho zamakhala ngaphandle kokulalela izixwayiso, inkinga ingaba yimbi kakhulu. Ukuvuvukala okungapheli ngaphakathi ekhaleni kungaholela ekukhuleni kwezinhlobo ezincane zenyama ezibizwa ngokuthi ama-nasal polyps. La ma-polyp angabangela ukuminyana kwamakhala okuhlala njalo, ukulahlekelwa yiphunga, kanye nokutheleleka njalo kwama-sinus. Kuleso simo, kungadingeka ukuthi uhlinzwe kancane ukuze kususwe ama-polyp.

Ngakho-ke, uma ukuminyana kwamakhala akho kuqhubeka ngisho nangemva kokuba izimpawu zakho sezithuthukile, esikhundleni sokuthatha isifutho esidala, khuluma nodokotela wakho ukuze uthole ukuthi yini ebangela ukuminyana kwamakhala akho nokuthi yiziphi izindlela zokwelapha eziphephile ezitholakalayo.

Yini okufanele ngiyibuze udokotela?

Uma ucabanga ukuthi une-'Rhinitis Medicamentosa', noma uma unokungabaza noma imibuzo ngayo, kubaluleke kakhulu ukubuza imibuzo elandelayo uma ubona udokotela:

• "Dokotela, yini engaba imbangela eyinhloko yalezi zimpawu ekhaleni lami?"
• "Ngisho noma ngisebenzisa `isifutho sempumulo` ngendlela efanele, okungukuthi, ngokwemiyalelo, kungenzeka yini ukuthi ngibe nalesi simo `se-Rhinitis Medicamentosa`?" (Ngokuvamile lokho akwenzeki, kodwa kuhle ukwazi umbono kadokotela).
• "Ngokuminyana kwamakhala, yiziphi ezinye izindlela zokwelapha eziphephile udokotela azincomayo esikhundleni salesi 'sifutho sokuqeda ukuminyana'?"
• "Yimaphi amathuba okuthi ngiphinde ngithole lesi simo se-'Rhinitis Medicamentosa'? Yini okufanele ngiyenze ukuze ngisivimbele?"

Uyini umehluko phakathi kwe-'Rhinitis Medicamentosa' nezinye izinhlobo ze-'Rhinitis'?

Okokuqala, ake siqonde kahle ukuthi igama elithi "rhinitis" lisho ukuthini. `I-Rhinitis` isho ukuvuvukala noma ukuvuvukala ngaphakathi kwekhala. Kungaba nezimbangela eziningi zalokhu.

• Endabeni ye -`Rhinitis Medicamentosa` , esikhuluma ngayo, ukuvuvukala kwekhala kwenzeka ngenxa yokusetshenziswa okungalungile kohlobo oluthile lomuthi (okungukuthi `isifutho sokukhulula ukuminyana kwamakhala`) .

Ezinye izinhlobo ze-rhinitis zibangelwa yizinto ezahlukene:

• I-Allergic Rhinitis: Lokhu kuvame kakhulu. Kwenzeka njengokusabela komzimba wethu ezintweni ezibangela ukungezwani komzimba njengothuli, impova, i-dander yezilwane, kanye nesikhunta. Ungase ube nezimpawu ezifana nekhala elicijile, ukuthimula, ikhala eligobhozayo, kanye namehlo alumayo namanzi.
• `I-Rhinitis Ethelelanayo`: Lokhu yilokho esikubiza ngokuthi 'umkhuhlane ovamile'. Kubangelwa ukutheleleka 'kwegciwane'. Kanye nekhala elicijile nekhala eligobhozayo, kungase kube nezimpawu ezifana nomkhuhlane, ubuhlungu bomzimba, nomphimbo obuhlungu.

Ngakho-ke, uyaqonda? I-`Rhinitis Medicamentosa` yisimo esihlukile kulezi ezinye izinhlobo ze-`rhinitis` futhi sibangelwa imbangela ethile.

Ingabe i-`Rhinitis Medicamentosa` ingelapheka?

Yebo, impela! Lesi yisimo esingelapheka. Ezimweni eziningi, ngemva kokunciphisa kancane kancane nokuyeka ukusebenzisa leso sifutho sokukhulula ukuminyana kwamakhala esingabazekayo, izimpawu ziyancipha kancane kancane futhi ziphele ngokuphelele. Ungaphila ngendlela evamile futhi ngaphandle kokuminyana kwamakhala noma ukuvuvukala.

Lokhu 'kuxinana kwe-rebound' kungahlala isikhathi esingakanani?

I-`Rhinitis Medicamentosa` noma i-`rebound congestion` ivame ukuhlala isikhathi eside uma usebenzisa i-`decongestant nasal spray` ngokweqile. Lapho uqhubeka nokusebenzisa i-spray, umonakalo omkhulu wenziwa ezicutshini ezingaphakathi kwekhala, futhi izimpawu zingaba zimbi kakhulu. Yingakho kubalulekile ukuyeka lo mkhuba ngokushesha okukhulu.

Isifinyezo kanye nomyalezo wokuthatha uye ekhaya

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono lesi simo esibizwa ngokuthi i-'Rhinitis Medicamentosa' esikhulume ngaso namuhla. Empeleni lokhu kuyinkinga abantu abaningi ababhekene nayo ngenxa yokungazi.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi: izifutho zokuvula umlomo ekhaleni zenzelwe ukuqeda ukuminyana kwesikhashana, hhayi ukusetshenziswa kwesikhathi eside.

• Funda imiyalelo ngokucophelela njalo ngaphambi kokusebenzisa isifutho esinjengalesi.
• Ungayisebenzisi isikhathi esingaphezu kwesikhathi esinconyiwe (ngokuvamile izinsuku ezingu-3-5).
• Uma ukuminyana kwamakhala kunganciphi ngemva kwezinsuku ezimbalwa zokusebenzisa, bonana nodokotela ngokushesha.
• Ungasebenzisi lezi zifutho ngendlela othanda ngayo ngaphandle kokubonisana nodokotela.

Uma unakekela la maphuzu, ungasigwema kalula lesi simo esicasulayo esibizwa ngokuthi `Rhinitis Medicamentosa`. Hlala uphilile!

I- Rhinitis Medicamentosa, ukuminyana kwempumulo, i-nasal spray, ukuminyana kwempumulo, i-nasal spray, i-decongestant, ukuvuvukala kwempumulo, umkhuhlane, i-rhinitis