I-rhinitis engapheli iyichazwa kakuhle njengempawu zeempawu eziqhubekayo kwiinyanga okanye kwiminyaka. Ezi zimpawu zihlala ziquka impumlo ye-runny, impumlo ephosiweyo, ukunyunyuza, ukudibanisa okanye ukuxhamla kwe-post-nasal . Kuxhomekeke kwisisiseko se-rhinitis yakho ingahle ihlelwe njengento yokugula okanye engeyiyo.
Ukujamelana Ne-Rhinitis Yengapheliyo
I-rhinitis ye-allergen iyinto eqhelekileyo kwaye nangona xa unako ukufumanisa i-trigger yeempawu zakho imeko ingaba yinto engapheliyo kwimvelo.
Oku kungakho kuba unamafutha amaninzi kwaye izibangela zinzima ukuziphepha, kuba awuphendulanga kakuhle kunyango, okanye ezinye izinto.
Ukongeza kwimpawu zamanzi abantu abaninzi abane-rhinitis ye-allergen baxhamla ngamehlo okanye kwamehlo. Ukulawula iimpawu ze-rhinitis eziyingozi ezingapheliyo kubalulekile ukukhusela iingxaki ezinjenge- sinusitis engapheliyo , okanye i-polyp nasps .
Ukuba i-allergies yakho engazange ibonwe le nto ingabangela isinyathelo sokuqala ekulawuleni imeko yakho. Oku kudlalwa yinkwenkwezi ebizwa ngokuba yi-immunologist kodwa ingalawulwa yindlebe, impumlo, ugqirha we-throat (otolaryngologist) okanye nokuba ngumsebenzi jikelele. Amacandelo athile aqhelekileyo kunyaka-wonke (unaphakade) i-rhinitis engapheliyo uthuli, isikhunta kunye ne-pet dander.
Emva kokuba ufumene izifo ezibangelwa iimeko ezibangelwa iimeko zokuzibulala kufuneka uthathe amanyathelo okuziphepha xa kunokwenzeka. Ngokomzekelo, ukuba unesifo sokutshiza izidumbu zokucoca rhoqo kunye nokunciphisa umswakama ekhaya lakho kunokunceda.
Ukuba ugugu kwi-pet dander ukugcina izilwanyana eziphuma kwigumbi lakho lokulala ebusuku kunokunceda ukulawula iimpawu zakho.
Iimpawu zakho zinokulawulwa ngamachiza afana ne-antihistamines. Ama-antihistamine amaninzi ahlukeneyo okwangoku atholakala ngaphaya kwe-counter e-United States kuquka i-diphenhydramine, i-loratidine, i-cetirizine, ne-fexofenadine.
Ama-antihistamine amatsha afana ne-fexofenadine athambekele ekuhlaleni ngaphantsi kwama-antihistamine amadala afana ne-diphenhydramine. Ingqiqo enokuyibonisana nodokotela wakho okanye ukhemisti ngaphambi kokuthatha i-antihistamine. Qinisekisa ukuba ubaxelele naluphi na uhlobo oluthile lwezonyango kunye nezinye iyeza onokuzithatha.
I-decongestants yama-nasal ingasetyenziselwa ukongeza kwi-antihistamines ukunceda ukulawula iimpawu zakho. Ngoxa i-oxymetazoline ifumaneka ngaphaya kwe-counter-ithenda inokuba yinto enokubangela ukudibanisa okuhlawulayo kunokugqithisa izidakamizwa zamanzi. Ukudibanisa okuphindaphindiweyo kukwabizwa ngokuba ngumlutha wokutshiza. Yimeko enokuthi yenzeke xa i-decongestants (ngokukodwa ezo ziqulethe i-steroids) zisetyenziselwa ixesha elingaphezu kweentsuku ezintathu ngelo xesha. Thetha ugqirha wakho malunga neyona ndlela enokukhetha ngayo malunga ne-decongestant yangasese.
Unokufisa ukuzama ibhoti ye- neti okanye i-humidifier epholile ukukunceda ukulawula iimpawu. Ezi zifumaneka kwiindawo ezininzi zezilwanyana kwaye ziyakunceda ukunqanda imfihlo yakho, ukukhulula iimpawu ezifana nokuxininisa kunye nokuhamba kwezithuba zomzimba.
Kufuneka uqaphele ukuba iimpawu ezinjengomkhuhlane, ukukhathala okukhulu, ukungcola kwamanzi, ubuhlungu besisu okanye iintlungu ziba yimpawu zentsholongwane ye- sinus , inkathazo efana ne-rhinitis.
Ukuba unayo le mpawu kufuneka ubone ugqirha ekubeni unyango olongezelelweyo lunokufuneka (njengama-antibiotics).
Ukujamelana ne-Rhinitis engapheliyo
Mhlawumbi uqikelele kodwa i-rhinitis engeyona ingxaki i-rhinitis engabangelwa yi-allergies okanye isifo. Le meko ingabizwa ngokuba yi-non-infectious rhinitis, i-vasomotor rhinitis, i-idiopathic rhinitis okanye i-rhinitis yangaphakathi. Kwakhona, ngokwezifundo ezifundwayo iimpawu zakho kufuneka uhlale unyaka ukuza kuthathwa njengento engapheliyo.
I-rhinitis engapheliyo i-rhinitis ibonakalisa iimpawu ezifanayo njenge-rhinitis ye-allergen, ngokukodwa iimpawu zomzimba ezifana nokuxinwa kunye neempumlo.
Nangona kunjalo, abantu abane-rhinitis engabonakaliyo bayakwazi ukufumana iimpawu zamehlo. Abantu abanalo mqathango banokukhathazeka kakhulu kwivumba ezinamandla. Ukujamelana ne-rhinitis engeyona ingxaki kunokuba yinto ekhohlakeleyo ukususela ekutyeni imbangela yeempawu zakho ezinzima.
Ezinye iziganeko ezibangela iimpawu ezifanayo zibandakanya ukudibanisa okuhlawulelwayo okubangelwa ukuxilongwa kwe-nasal spray, imiphumo emibi yeyeza, kunye ne- laryngopharyngeal reflux .
Kubalulekile ukuba uqaphele ukuba nangona abantu abane-rhinitis engabonakaliyo kunye novavanyo olubi lwesikhumba lwezilwanyana ezithile zifundo zibonisa ukuba ukuya kwisiqingatha sabantu abanemeko baye bahlaziywa ngokukodwa (ikakhulukazi kwindlela yokuhamba). Zininzi ezinye iimbono malunga noko kubangela ukuba le mqathango, ininzi kubandakanya ukungaqhelekanga kwinkqubo yeentlanzi.
Nangona kunokuba kunzima ukuphawula isizathu esona sizathu seempawu zakho ezithile eziye zafunyanwa. Ezi ziquka imozulu ebanda okanye utshintsho olubi kakhulu, ukutya ukutya okunesonka, kunye nokuchithwa kweekhemikhali okanye ezinye izinto ezinokumangalisa (umzekelo, ukungcola komoya). Ungadinga ukugcina i-journal ukuze uncede ukuchonga izinto ezibangele iimpawu zakho ukuze wenze okusemandleni akho ukuphepha ezi zinto zikhupha.
Amachiza angasetyenziselwa ukujamelana neempawu ze-rhinitis ezingapheliyo, kodwa abantu abaninzi abaneli meko bafumana i-antihistamines yomlomo engabonakaliyo. Amachiza anokunceda afaka i-intranasal glucocorticoids njenge-fluticasone, i-antihistamine ye-intranasal ebizwa nge-azelastine kunye neyeza elithi ipratropium. La mayeza ayafumaneka eUnited States ngemigomo. Ugqirha wakho unokukunceda ukuba unqume ukuba ngaba nayiphi na into okanye ukudibanisa kwezi zonyango zilungele wena.
Ama-decongestants omlomo angaphezu kwamanqaku afana ne-pseudoephedrin okanye i-phenylephrine inokuthi okanye ingabi luncedo ekulawuleni iimpawu zakho. Qinisekisa ukuba udibana nogqirha wakho okanye ukhemistiya ngaphambi kokuba uzame ezi zinto kwaye uqaphele ama-decongestants angabangela ukudibanisa kokuhlawulela xa kusetyenziswa ixesha elingaphezu kweentsuku ezintathu ngelo xesha.
Ezinye izinto ezinokukunceda ukujamelana ne-rhinitis engapheliyo i-rhinitis ingabandakanya ukusetyenziswa kwe-humfidifier epholileyo kwaye uphuze amanzi amaninzi ukukunceda ukucima iimfihlo zakho. Ungaphinda uzame ukusebenzisa i-saline nasal spray, okanye uzame ukunkcenkceshela ngamanzi usebenzisa i-neti pot, i-syring syringe okanye esinye isixhobo. Ezi zi thengiswa kwii-pharmacy ezininzi.
Izigulane ze-homeopathic ziye zanceda abanye abantu ekulawuleni iimpawu kodwa ubungqina bokusebenza kwabo xa kuncinci. Ezi ziquka izilungiso ezifana ne- capsaicin nasal spray ne-eucalyptol okanye i-acupuncture. Unokuba unqwenela ukuzama ezinye zezi zonyango ukuba imishanguzo ayizange isebenze ekulawuleni iimpawu zakho. Nangona kunjalo, qaphela ukuba alukho okwaneleyo uphando malunga nalezi zonyango eziza kunconywa ngeli xesha.
Kwezinye iimeko ukuhlinzwa kunokuncedisa njengokunciphisa i-turbinates, ukulungisa i- septum engaphambukiyo okanye ukususa ii-polyps zamanzi.
Ngokuxhomekeke kwingcambu ye-rhinitis yakho engeyiyo ingozi, unokube usemngciphekweni wokuhlakulela iingxaki ezinjengezifo zonyango okanye ama-polyp nasal. Ukuba ufumana iimpawu ezinjengeentlungu zomzimba, izintso zinozinyo, iintloko ezinzima, ukukhathala okungapheliyo, ukucola umfutho we-nasal okanye umkhuhlane omele uwubone ugqirha.
> Imithombo:
> I-Rhinitis ye-allergen, i-Sinusitis, ne-Rhinosinusitis. I-American Academy ye-Otolaryngology - iNkundla ye-Head and Neck Surgery. http://www.entnet.org/content/allergic-rhinitis-sinusitis-and-rhinosinusitis
> I-rhinitis ye-allergen. KwiHSS website. Ukuhlaziywa ngoFebruwari 2016. https://www.nhs.uk/conditions/allergic-rhinitis/treatment/
> I-rhinitis engapheliyo ye-nonallergic. Yenza iwebhusayithi. Ukuhlaziywa ngoFebruwari 2018. > https://www.uptodate.com/contents/chronic-nonallergic-rhinitis