Perennial allergic rhinitis inogara isingagadziriswi nemamiriro ezvinhu ose asingaiti kuderera mukati megore uye inokonzera kusangana kwemazino uye nemhino inoputika. Iwe unganzwa sokuti une chimiro chisingaperi chisingagone. Dust mites ndiyo inonyanya kukonzera chirwere chisingaperi cheergenitis rhinitis asi inogona kukonzerwa nehupi hwehutano hunenge huripo gore rose. Zvimwe zvinokonzera zvinowanzoita makati nembwa.
Kuwanda
Izvo chaiyo kupararira kweperennial allergenic rhinitis inogona kuve yakaderedzwa, sezvo chiitiko ichi chinogona kazhinji kusazivikanwa. Muhuduku, vakomana vane mikana yakawanda kupfuura vasikana kuti vasarwaridzwe neergenic rhinitis, zvisinei, muhukuru, kusiyana kwebonde kunowanzopera. Nepo huwandu hwehuwandu huchisiyana zvichienderana nekudzidza kumwe kumwe kutsvakurudza kunoratidza kuti inogona kunge yakakwirira (kusvika 23 kubva muzana yevanhu).
Iwe unogonawo kuwana kuti une zvimwe zvinetso kana iwe uchitambura kubva pakusingaperi kweorganic rhinitis. Chirwere chinhu chimwe chezvinetso zvinowanzosangana newe. Aya mamwe mamiriro ezvinhu angangodaro aine-aripo asingagoneki kurwisa rhinitis:
- otitis media
- eustachian tube kusagadzikana
- kushushikana kwehope
- kudzidza urema
- kuneta
- allergic conjunctivitis
Kana kusara kusina kuwanikwa kana kusapomerwa kusingagadziriswi rhinitis kunogona kutungamirira kune dzimwe mamiriro ezvinhu akadai sechirwere chisingaperi, septum yakasvibiswa , kana kukura kusinganzwisisiki zvakadai semapuropa mumumvuri kana mumasasa.
Zviratidzo
Nasal kuvhunika ndiyo chiratidzo chinonyanya kuratidza chekugara kweergenic rhinitis. Iwe unogona kunge uine zvimwe kana kusanganiswa kwezviratidzo zvinotevera:
- kuvhiringidzika kwemumvu kana kukonzera
- itching
- dzihwa
- kusanganiswa
Kuti zviitwe semvura isingagadziriswi rhinitis zviratidzo izvi zvinofanira kuvapo kweawa kana kupfuura zuva rega rega kwemazuva gumi nemwedzi.
Kana mamiriro ako akafambira mberi kusvika ku sinusitis kana kukura kwezvisikwa zvisingaiti iwe unogonawo kuwana zviratidzo zvinotevera:
- headaches
- kushungurudza chiso kana kuzadza
- kuneta
- mweya wakaipa
- mazino
- yako runny pua inogona kunge yakasvibisa kunhuvhuta kana ruvara rusina kunaka
- postnasal drip
- kunonoka kwekunzwa kunhuwa
Kuziva
Perennial allergic rhinitis inogona kuongororwa nechiremba mukuru wekuchengetedza asi inogona kuonekwa zvakanakisisa nachiremba anonyanya kugadzirisa dambudziko remuseve, mhino, nehuro (an otolaryngologist). Chiremba wako achakutaurira nezvenhoroondo yako yezvechiremba uye anokubvunza nezvezviratidzo zvauri kuona. Iwe unogonawo kubvunzwa pamusoro pezvinhu zvaunofunga kuti zvingaita kuti zviratidzo zvako zvivepo, pamwe chete nehutano hwemhuri yako.
Izvi zvinogona kuteverwa nekuongorora kwepanyama, kunyanya, nzeve dzako, mhuno, nehuroti zvichaongororwa nokuda kwemamiriro akadai seanoparadzaniswa septum kana mvura mumakanzwa . Kana, mushure mehupenyu hwako uye mumuviri, chiremba wako anokanganisa perennial allergic rhinitis zvimwe zvezviitiko zvinotevera zvinongororwa zvinogona kurairwa:
- ropa kana ganda kuongororwa kuti uone zvirwere zvakasiyana-siyana
- CT kana MRI inotsvaga kutarisa sinusitis isingaverengeki, nhengo dzemasipiresi, etc.
Kurapa
Nzira dzakasiyana-siyana dzokurapa dziripo kune kutungamirirwa kwekusingaperi kweorganic rhinitis.
Kana chimwe chiitiko chinoratidzirwa chave chichionekwa, kudzivisa chinhu icho iwe uri allergiki inogona kubatsira mukutarisa zviratidzo zvako. Iwe ungada kushanda pakuderedza kupararira kwezvokugadzirisa muimba yako. Kuti uite izvi, ungada kuedza:
- kuwedzera a dehumidifier (kana iwe uri weergergic kune guruva mites)
- kubvisa zvipfuwo zvepanyika kana kupedza kukwanisa kwavo kumakamuri
- kugara uchichenesa
- pane imwe nguva kuchenesa nekuchenesa, kushambidza moto, kana kuchenesa kana kuti zviri nani asi shandura kateti nemamwe maruva ezasi
Kana iwe usingakwanisi kubvisa zvirwere zvose kubva kumba kwako kana mamiriro ako, mishonga kana immunotherapy inogona kunge iri nzira yekurapa mishonga.
Mishonga inowanzoshandiswa mukudzivirira zvirwere zvinotakura zvirwere inosanganisira antihistamines inotevera:
- diphenhydramine
- cetirizine hydrochloride
- loratadine
- fexofenadine
Kunyange zvazvo mishonga iyi inowanikwa pane-in-counter inofanira kungoshandiswa pasi pekutungamirirwa kwachiremba wako. Iva nechokwadi chokuti chiremba wako kana wemhizha anoziva mishonga yose yauri kutora kuti usapindirana uye uvazivise nezvemishonga ipi zvayo yemishonga iwe unogona kuva nayo. Makwegura antihistamine akadai se diphenhydramine anozivikanwa kuti anokonzera.
Immunotherapy, kana kuti zvinokonzera kupisa, zvinogona kuva sarudzo kune vamwe vanhu vane chirwere chisingaperi cheergenitis. Immunotherapy inoshandiswa kwenguva yakareba kurapwa kunosanganisira kukupa zvishoma zviduku iwe unenge uine allergen uye uye zvishoma nezvishoma unowedzera mari yaunopiwa pane nguva. Izvi zvinogona kuchinja mhinduro yemuviri yenyu kune ichocho. Hazviwanikwi kune marudzi ose evanhu vemazuva ose uye inogona kuva nguva inopedza nguva kubvira pakutanga kwemaziro okutanga, uye kazhinji inotevera, maitiro, inoda kupiwa pasi pekutarisirwa kweutano.
Izvozvo zvinoshandiswa kushandiswa kune vana vasati vava nemakore mashanu. Kupindura kwako kune zvinokonzera kupisa kunogona kusiyana uye kunogona kutarisa kubva pakurapa kwakakwana kwezviratidzo zvako kusina mhinduro zvachose. Nenzira yakawanda, zvidzidzo zvinoratidza kuti kurapa kunobatsira uye kunodhura.
Mukuwedzera kune antihistamine yekudzora utano hwako, mamwe mishonga inogona kushandiswa kudzora zviratidzo. Mishonga yemishonga iyi inowanika pamusoro pe-the-counter uye inogona kusanganisira decongestants uye nasal sprays.
Intranasal steroid inowanzoshandiswa mukuwedzera kune antihistamines. Steroid nasal sprays, kusanganisira oxymetazoline, inogona kusanganiswa nemamiriro ezvinhu anonzi rebound congestion (anonziwo seanal spray addiction) paanoshandiswa kwenguva refu kupfuura mazuva matatu. Mimwe mishonga inonzi nasal sprays haigoni kuita kuti kuwedzerwa kusanganiswa. Iko pfungwa yakanaka kutaura nachiremba wako pamusoro pekukanganiswa kwepachiviriro uye zvaunogona kuita zvekudzikisa maitiro.
Kunwisa kweNasal uchishandiswa neti neti inogona kubatsira mukudzivirira zviratidzo zvemuviri zvinosanganisira kusangana. Himidifier inogonawo kubatsira pakubatsira kuputika, asi, kana uri weergorgia kune guruva mite iwe unofanira kuziva kuti hunyoro hunyoro hunogona kuwedzera huwandu hweguruva mite munzvimbo yako.
Kana mamiriro ako akafambira mberi kuti asare sinusitis kana kana uine zvinhu zvisingagadziriswi zvakadai seSevasi yakasvibiswa kana kuti mapapiro emapfupa mamwe maitiro anogona kudiwa. Kunyange zvazvo mishonga inorwisa mabhakitiriya dzimwe nguva inoshandiswa kurwara sinusitis isingagumi iyi inowanzoda kuvhiyiwa. Izvi zvinonyanya kuitika kana iwe uine septum yakatsauka, turinates yakawedzerwa, kana pinep polyps. Nasal sinus chirurgical inowanzo muUnited States uye inowanzoitwa endoscopically muzuva rimwechete kuvhiyiwa maitiro.
Shoko Rinobva
Perennial allergic rhinitis chirwere chisingaperi chisina kutorwa chinogona kukonzera mhando dzakasiyana dzemigumisiro. Nhanho yekutanga mukurapa kwako inofanira kuva yekuedza uye kubvisa zvinokonzera kubva kumba kwako. Kana iwe usati wabudirira pakugadziriswa kubva kuhutano hwako, saka marapirwo akataurwa pamusoro apa anogona kubatsira zvikuru mukuderedza zviratidzo zvako.
> Sources:
> Allergic Rhinitis. Medscape webusaiti yepaiti. https://emedicine.medscape.com/article/134825-overview. Yakapedzwa Nov 15, 2017.
> Allergy Shots (Immunology). American Academy of Allergy Chirwere & Immunology. > https://www.aaaai.org/conditions-and-treatments/treatments/allergy-shots-(immunotherapy)
> Chronic Sinusitis. Medscape webusaiti yepaiti. https://emedicine.medscape.com/article/232791-overview. Yakapedzwa musi waApril 21, 2017.
> Saleh, HA & Durham, SR. (2007). Perennial Rhinitis. BMJ 335.