Izimbangela Ezingenzeka Zokuthutha Nge-Post Nasal Drip
Uma ubhekana nokudonsa kwesikhumba sokuthutha asidingi ngempela ukuchaza lesi simpawu. Ungase ube nomuzwa wokuthi ikhala lakho ligijima njalo, ikhala lakho lingase libomvu kusuka kumcubu, futhi ungase uzizwe i-phlegm ngemuva komphimbo wakho.
Kodwa kunezimo eziningana ezehlukene ezingabangela izimpawu ezifanayo, futhi ukuthola ukuthi imbangela iyindlela engcono kakhulu yokuqinisekisa ukuthi uthola ukwelashwa okungcono kakhulu.
Izimbangela Zokuthumela I-Nasal Drip
Ukudonsa kwesisu kungasuswa yizifo, phakathi kwezinye izinto. Kunezimbangela eziningi zokugcoba emaseni, noma i-phlegm emqaleni, okubangela ukuba abantu abaningi bavame ukuhlanza umphimbo wabo. Nakuba izimpawu zifana, izimbangela zingabandakanya:
- I-allergenic rhinitis (hayfever)
- I-rhinitis engelahleki (i-vasomotor rhinitis)
- Sinusitis
- Isifo se-reflux se-gastroesophageal (GERD)
- Izimbangela ze-hormonal ezifana nokukhulelwa noma i-hypothyroidism
- Ukusetshenziswa ngokweqile kwezipulisi zangasese ezifana ne-Afrin
I-Rhinitis ye-allergen njengesisusa se-Post Nasal Drip
Ukudonsa komzimba kwangasese kungaba uphawu lwe-rhinitis ye-allergen (hayfever) nakuba kungavamile ukuba ne-post drip nasp njengoba uphawu olulodwa kuphela . Ngokuvamile, izimpawu ze-rhinitis ezigulayo zihlanganisa nokukhipha, ukuminyanisa kwamanzi, ne-runny, impumulo ekhanda.
Abantu abanezinyosi zomzimba ezibangelwa i-rhinitis ye-allergen bafunyanwa ngendlela efana nalabo abanezinye izinhlobo zezimpawu. Imiphumela emihle ekuhlolweni kokungezwani komzimba kusikisela ukuthi kunesizathu esibangelwa ukugula esibangela izimpawu.
Ukuphendula kahle ukwelashwa ngemithi ye-rhinitis ye-alergitis kwandisa futhi amathuba okuthi ukudonsa okumanzi okuthunyelwe kuxhumene ne-hayfever
I-Rhinitis Engenayo I-Eergic njengesizathu se-Post Nasal Drip
Ukungena komzimba kwangasese kungabangelwa yi- non-allergenic rhinitis , noma i-vasomotor, i-rhinitis. Isizathu esingezona ukugula singase sikholelwe kumuntu omdala onamabonakaliso okuzuma emanzini ayengenayo izinkinga nge-allergies lapho esemncane.
Izimbangela ezingezona ezithathelwanayo zokuxosha emanzini zingase zibandakanye izimpawu ezibuhlungu ngokushintshashintsha kwesimo sezulu, ukuvezwa kwamakha amahle noma amakha, ukudla ukudla okomnandi (i-rhinitis yokudla) noma ngenxa yokuthatha imithi ehlukahlukene ye-high blood pressure (imithi yokwelashwa ekhishwayo) i-rhinitis ye-allergen nayo ingaba yingozi nakakhulu ngokobulili nangomzimba (i -rhinitis eyenziwa ngokuzivocavoca ) Ngencazelo, abantu abane-rhinitis engabheki ukubonisa akukho ukuphendula kokuhlolwa kokungezwani komzimba.
Ukwelashwa kokungena kwe-postergal nasal nonalergic kuhlanganisa ama-nasal steroids , ama-antihistamine asemanal , ama-sprays e-anticholinergic nasal (okufana ne-ipratropium bromide) kanye nama-antihistamine omlomo omdala, njenge-Benadryl (i-diphenhydramine) noma i-Chlor-Trimeton (chlorpheniramine), esetshenziselwa imiphumela yabo yokomisa.
I-Sinusitis njengesisusa se-Post Nasal Drip
Ukudonsa emanzini kungase kube uphawu olulodwa lwe- sinusitis (i-rhinitis esithathelwanayo), noma lungase luhambisane nezinye izimpawu, ezifana nobuhlungu obusweni, ukucinana komzimba, nokukhishwa kwamanoni okumibalabala. Ngenkathi ukudonsa umzimba emzimbeni kuphela uphawu lwe-sinus ukutheleleka, ngokuvamile ngenxa yokuthi ukutheleleka kuyinto ukutheleleka ebangeni eliphansi "ukukhwehlela" okuye kwaqhubeka izinyanga, futhi ngezinye izikhathi ngisho iminyaka. Ngenxa yokuthi izimpawu zalezi zinhlobo zezifo zesifo zinezinwele ezincane kangaka, ukuxilongwa kuvame ukwenziwa ngemva kokuba i-x-ray yesono isenziwa.
Ukwehla komzimba okubangelwa ukutheleleka kwe-sinus kuphathwa ngama-antibiotics, nakuba ama-antibiotic angadinga ukuthathwa isikhathi eside uma ukutheleleka kucatshangwa ukuthi kungapheli (okuhlala isikhathi esingaphezu kwezinyanga ezimbili noma ukutheleleka okuqhubekayo kubuya) .
Izifo ze-Reflux ze-Gastroesophageal njengesisusa se-Post Nasal Drip
Nakuba isifo se-reflux se-gastroesophageal (GERD) engabangeli ukugobhoza komzimba, kungenzeka ukulingisa lesi sibonakaliso. Izimpawu ezihambisana ne-GERD zingase zibandakanye ukushisa, ukuphuza kwesifuba noma ubuhlungu besisu. Ukuxilongwa kwe-GERD kungenziwa ngokusebenzisa i-laryngoscopy eqondile, engabonisa ukucasuka emphinjeni ophezulu kusukela kwesisu esiswini; ngephrogramu ye-pH yamahora angu-24; noma nge-esophagogroroodenoscopy.
Ukwelashwa kweGERD ngokuvamile kuhlanganisa ukusetshenziswa kweproton pump inhibitors izinyanga eziningi. Abantu abaningi abangaqapheli ukuthi kungaba khona izinkinga ezinkulu zeGERD engakapheli isikhathi eside . hhayi nje ukuthi ukubonisa reflux kuthinta ikhwalithi yakho yokuphila, kodwa kungabangela ukuzamazama kokungalingani, futhi nakuba kungavamile kakhulu, umdlavuza esophageal.
Rhinitis Medicamentosa
I-Rhinitis Medicamentosa iyinkambo elula yokuchaza uhlobo lwempumu ne-congestion eligijima okwenzeka lapho umuntu eseqedile-esebenzisa imithi efana ne-Afrin (oxymetazoline.) Njengoba umzimba uvumelanisa imithi, imithi eminingi iyadingeka, futhi i-drip ye-post post yangemuva ingenzeka kuze kube yilapho umjikelezo uphukile.
Ukukhulelwa njengesisusa se-Post Nasal Drip
I-rhinitis eyenziwe ngokukhulelwa noma i- rhinitis ye- hormone iyimbangela evamile yokudonsa umzimba emanzini abakhulelwe. Izimpawu zivame ukuqala phakathi no-trimester wesibili futhi ziqhubeke kuze kube sekulethwa kwezidingo, izimpawu zixazulula ngokushesha nje lapho umntwana ezalwa. Kwabesifazane abathile, i-rhinitis ye-hormone ingenzeka ngokusetshenziswa kwamaphilisi okulawula ukuzalwa noma uma umsebenzi we -roid uphansi (hypothyroidism.)
Ukuhlola Izizathu Ezenzekayo Zokuthutha Nge-Post Nasal
Njengoba kuphawuliwe ngenhla, kunezimbangela eziningi ze-post nasal drip okudlula kude ne-rhinitis ye-allergen yedwa. Ezinye zalezi zimbangela zingase zihlukaniswe ngomlando oqaphile, njengomuntu womuntu, isikhathi sonyaka, isikhathi sosuku lapho kuvela khona amanzi, ezinye izimpawu, nokuphendula kokwelashwa okuye kwavivinywa. Ukuhlolwa kungasiza futhi ekubhekiseni ukuhambisana komfula (obuncane nge-allergic ne-non-allergenic rhinitis futhi kaningi okweqile nge-sinusitis.)
Ngenkathi lezi zimbangela zingase zenzeke, kubalulekile ukusebenza nodokotela wakho ukuze ukwazi ukuthola ukwelashwa okungcono kunokwenzeka. Ukudonsa komzimba kwangasese, kuyilapho kungesona isifo esisongela ukuphila, kungathinta izinga lakho lokuphila kanye nokusebenza emsebenzini noma esikoleni.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. I-New York: Imfundo ye-Mc Graw-Hill, 2015. Phrinta.
> Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, noWaldo E. Nelson. UNelson Bookbook of Pediatrics. I-20th Edition. Philadelphia, PA: Elsevier, 2015. Phrinta.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. I-Medline Plus. I-allergenic Rhinitis. Kubuyekezwe 05/09/17.