Rhinitis ndechimwe chirwere chinowanzobatanidzwa nechimwe chezvinotevera:
- Sneezing
- Runny mphu (rhinorrhea)
- Kushamwaridzana (nasal)
- Itching (nasal)
Nzira yakakurumbira ye rhinitis inokonzera rhinitis, iyo inobatanidza nekukonzera zvakatipoteredza zvinhu. 70% yevanhu vane allergenic rhinitis vanovewo pamwe chete ne conjunctivitis, kana kuti maziso anoyevedzawo anowanzovawo matsvuku uye anotyisa.
Nzira isingawaniki ye rhinitis ndeye nonallergic rhinitis (NAR). Nonallergic rhinitis yakanyanya kuoma kufungidzira, sezvo kuri kuongororwa kwekuregererwa panzvimbo yehutano iwe unogona kuongororwa muhofisi yechiremba. Kuongororwa kwekuregererwa kunoreva kuti chiremba anoedza zvimwe zvikonzero zvinozivikanwa zverhinitis asati asvika pakuguma kwe nonallergic rhinitis.
Kazhinji Nasal Response to Exercise
Muzviitiko zvakawanda, sezvo mwoyo wepamusoro unowedzera mukati mekuita mabasa, miviri yeropa mumuviri inowedzera (vasoconstriction). Iyi vasoconstriction inobatanidza kusunungurwa kweAdrenaline uye inotungamirira pakuderera kwekumanikidzwa kwemafuro emhepo. Muzviitiko zvakawanda apo mitsipa yeropa inoputika, zvichikonzera kuvhiringidzika kwemvura, kuedza muviri kunobatsira kuderedza zviratidzo.
Kuita zvepabonde kunokonzera sei mhino yangu yemhino?
Kuita muviri kunogona kukonzera runny yako mumhino nemaitiro maviri. Nzira yekutanga ndiyo inonyatsonzwisiswa.
Inenge 15% yevatambi vane zvirwere zvechirwere vanoona mhepo inoputika nekuda kwekuwedzera kwekutsvaga kwavo kune zvinokonzera. Izvi zvinowedzera kuwedzerwa kunokonzerwa nekuwedzera huwandu hwemweya huri kuchinjana apo uchifema zvakadzika uye nekukurumidza (munguva dzekuvhima).
Zvisinei, imwe mamiriro ekurovedza-inokonzerwa rhinitis iyo isinganzwisisiki ndeyekuti nonallergenic chikonzero.
Pane zvinhu zvakasiyana-siyana zvinoonekwa sezvipi zvisingabatsiri zvemagetsi mumatunhu asina kukwana. Icho chikuru chinopa zvikonzero chinosanganisira kutsamwa, manzwiro, kana vasomotor.
Inokanganisa-induced rhinitis yakafanana nevatambi vanoona kurapwa-kunokonzerwa rhinitis kunobatana nekuwedzera kwekutsvaga kune zvekushanda kana zvezvakatipoteredza izvo zvinovhiringidza mazino asi hazvisi kukonzera mishonga. Muchiitiko ichi, izvo zvinoshungurudza ivo pachazvo zvinoita kuti kuve nekubuda kwemvura kana kumhino. Kupera kuderera kune zvinotyisa kunogona kubatsira kugadzirisa chirwere chisingaperi.
Emotional-induced rhinitis haisi chaiyo inopindira-inokonzerwa neitiro-rhinitis, zvisinei, dzimwe nguva inopesana. Kuita zvepabonde kwakanyatsorondedzerwa sokukonzera mhepo inoputika uye kunyorera. Izvi, zvisinei, hazviitiki panguva yekuita zvepabonde, asi zvinowanzoitika nepfungwa yekuita zvepabonde kana mukati memaminitsi mashanu mushure mekuita zvepabonde. Izvi zvinowanzozivikanwa seyeuchimoon rhinitis.
Vasomotor rhinitis iyo inobata-yose yakasiyana yee nonallergenic rhinitis uye ndiyo inoshandiswa inoshandiswa apo mamwe mhando dzose dze rhinitis dzakabviswa. Izvo zvinowanzoonekwa kune vakwegura kupfuura vechidiki.
Kurapa
Matanho okutanga emhando ipi zvayo yehutano ye-nonallergic rhinitis inofanira kusanganisira kudzivisa chero chinhu chipi zvacho chinozivikanwa chinobatsira.
Kuenderera mberi kwekuita muviri, pasina kuonekwa kwezvinhu zvinokonzera kana zvinogumbura, zvinogona kuderedza mamiriro emhuno wemhepo nekuda kwemuviri wemararamiro anoita adrenaline. Chiremba anogonawo kutsvaga kurapwa kusanganisira mishonga yemhosva dzisingagoni kuchinjwa kuburikidza nekudzivisa kana mararamiro ehupenyu.
Mishonga inowanzobva kumapoka matatu. Anticholinergics yakadai se ipratropium bromide inonzi mishonga yemajoka ine rutivi rwepasi. Netaal steroid sprays seFlonase kana Nasocort inowanzosvibiswa nemaspirisi ayo ave akaratidzwa kuti anobatsira pakurapa kusanganisa kwemvura uye rhinorrhea (runny nose).
Boka rekupedzisira remishonga rakashandiswa kubatsira kubata rhinitis is antihistamines. Azelastine yakaratidzwa kuti inoshanda mukurapa kwe-allergy-related rhinitis pamwe chete neallallergic rhinitis. Kana iyo turbinates (spongy bone mukati memhino) ichiwedzerwa, chirongwa chinonzi chirongwa che turbinate chinogona kubatsira kuderedza zviratidzo.
Sources:
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Keles, N. (2002). Kurapa allergenic rhinitis mumutambo. Rhinology, 40, 211-214.
Lieberman, PL (2015). Chronicall nonallergic rhinitis. http://www.uptodate.com
Monteseirin, J., Camacho, MJ, Bonilla, I., Sanchez-Hernandez, C., Hernandez, M. & Condie, J. (2001). 56 (4), 353-4.
Peden, D. (2014). Mhedziso ye rhinitis. http://www.uptodate.com
Wheeler, PW & Wheeler, SF (2005). Vasomotor Rhinitis. American Family Physician. http://www.aafp.org/afp/2005/0915/p1057.html
Wilson, KF, Spector, ME & Orlandi, RR (2011). Marudzi eRhinitis. Otolaryngologic Makliniki eNorth America. 44: 3, 459-559.