Ukubanjelwa Okuhlobene Nokusetshenziswa Kwalabo Abadume Ngama-Nasal
Ukuncintisana okuphindaphindiwe kuyinkinga yokuxubha kwakho kwegazi ngenxa yama-decongestants asezintweni ezifana ne-Afrin (oxymetazoline), i-Sudafed (i-pseudoephedrine), noma i- Sudafed PE (phenylephrine). Ukuhlanganiswa okuphindaphindiwe kwaziwa nangokuthi i-rhinitis medicamentosa, ama-rhinits amakhemikhali, ukulutha umuthi wokuphuza. Amadayimenti akho angathuthukisa ukuthembela kule mithi esikhathini ezincane ezinsukwini ezintathu; Ngenxa yalesi sizathu, amabhokisi nodokotela bakho bayokutshela ukuthi uthathe le mithi ngaphandle kwezinsuku ezintathu.
Yini Ebangelwa Ukubamba?
Inkolelo evamile ukuthi ukungqubuzana kubangelwa ukukhwabanisa ukuvimbela amavesi akho. Lokhu kuyiqiniso kuphela. Isizathu esiyinhloko sokubambisana sisezindebeni zegazi ezibeka ekhaleni lakho. Izimo ezithile zingenza lezi zitsha zivuvuke (zikhudlwana) noma zenzeke (zincane). Lapho imithwalo yegazi emigwaqeni yakho yegazi ivuvukala ngenxa yegciwane elibandayo , ukwelashwa, isifo se-sinusitis , izinguquko ze-hormonal, ukuvivinya umzimba, ukuxubana kwenzeka. Kodwa-ke, lapho imithwalo yegazi igxila (ihlehlise), kunesikhala esiningi emoyeni futhi izimpawu zakho zihamba. Ngakho imithi esetshenziselwa ukuphefumula ibangelwa ukuthi imithwalo yegazi yangasese igxile noma ifane.
Kungani Kuvuselelwa Ukubamba Umkhuhlane?
Izizathu zokuthi ukuhlanganiswa okwenziwe ngokuphindaphindiwe kuyinkimbinkimbi futhi akuqondi kahle. ungase futhi uqale ukuzwa ukuxhuma okukhulu, okukhululwa kuphela ngokusetshenziswa okungeziwe kwe-decongestant yangasese .
Ngakho, umjikelezo ononya uhlelwe. Lokhu kucatshangwa ukuthi kuhlobene nezimbangela ezimbili ezikhona:
- Ukusetshenziswa kwama-decongestants asemanzini kubangelwa ukungeneli kwegazi (ngenxa yokucindezelwa kwemithambo yegazi) okubangela ukuba ukuvuvukala kwenzeke emaqulwini akho.
- Ukusetshenziswa kwama-decongestants asemanzi kubangelwa ama-receptor yama-nasal aphendula ama-decongestants phansi-lawula (ukunciphisa izinombolo) okuholela ekuhlanganiseni.
Lapho ekuhloliseni ukuhlanganiswa okwehlulekayo, udokotela wakho uzothatha umlando wokusebenzisa imithi ephelele futhi enze ukuhlolwa komzimba. Ngokuvamile ukuhlanganiswa okuvukelayo, amavesi akho angamazambane azobonakala ebomvu kakhulu kunomzimba ovamile we-nasal mucous membrane.
Izimpawu Zokubanjelwa Kwe-Rebound
Ukuhlanganiswa okuphindaphindiwe ngokuvamile kuhlotshaniswa nokuhlanganiswa okuphawulekayo ekungabikho kwempumu noma ukunyundela okuphephile. Ungase ubhekane nokukhanda ikhanda, ukukhathazeka nokuphumula. Lezi zimpawu ezingavamile kakhulu kungenzeka ukuthi zenzeke uma isifo esiyinkimbinkimbi esasetshenziselwa ukuhlambalaza ngamasongo asikaxazululwa. Isibonelo, uma uqala ukuthatha i-Afrin ukuze uthole ukungezwani komzimba, nokuthi ukungezwani komzimba akuzange kuphathwe ngempumelelo ungase ube nezinye izimpawu ngaphandle kokuhlanganiswa. Izimpawu ngokuvamile aziguquki ngokwesikhathi sonyaka noma ngabe ungaphakathi noma ngaphandle.
Uma ukungqubuzana okuqhubekayo kungaqhubeka kungaphathwa kabi kungaholela kwezinye izimo kuhlanganise nesifo esingenasifo, i-atrophic rhinitis kanye ne- turbinates ekhulisiwe. Uma une-rhinitis medicamentosa ungase uvame futhi ukuphuza noma uzwe i-apnea yokulala, isimo esingabangela izinkinga zempilo ezimbi.
Ukwelapha Ukubanjelwa Okubuyiselwe
Uma usuvele umlutha kumfutho we-nasal, khuluma nodokotela wakho.
Abanye odokotela bangase batuse ukwehla kancane kancane ekusebenziseni imithi uze ususwe ngokuphelele. Lokhu kungcono kunokuba uzame ukuyeka imithi ngokuqondile, okungaholela ekuhlanganiseni okunzima kwezinsuku ezimbalwa.
Kukhona nemithi ebizwa ngokuthi i- Rhinostat engase ibe usizo ekunciphiseni le nqubo. I-Rhinostat impela imithi efanayo oyigqila kodwa ihanjiswa ngendlela elawula ngokucophelela umthamo. Isibonelo, uma ukungqubuzana kwakho okwehluleka kubangelwa u-Afrin futhi udokotela wakho wakunikezela umshini we-"Rhinostat" uzobe uthola i-Afrin ebhodleleni elikhethekile elikuvumela ukuba unciphise kancane kancane umthamo ngenxa yendlela esinikezwa ngayo.
Esinye isigaba semithi, okuthiwa i-coralosteroids yama-nasal, ingaba usizo nasesikhathini sokuncibilika kwamadonantantshi asemanzini. I-steroids ye-oral ibuye isetshenziswe ngezinye izikhathi kodwa kuphela njengesenzo sokugcina. Iviki lokuqala livame kunzima kakhulu futhi ungase uhlangane ngokucindezeleka okukhulu kanye nekhanda elizoqala ukwehlisa. Ukwelapha isimo esibucayi lapho ama-decongestants asemanzini asetshenziswe khona ekuqaleni futhi yingxenye ebalulekile yenqubo yokwelapha.
> Imithombo:
> Mortuaire, G, de Gabory, L, François, M, Massé, G, Bloch, F, Brion, N ... Serrano, E. (2013). Ukuncintisana okuphindaphindiwe kanye ne-rhinitis medicamentosa: Izidakamizwa ezisezingeni eliphansi emisebenzini yomtholampilo. Ukubuyekezwa okubucayi kwezincwadi zephaneli lezokwelapha. Ama-Annals aseYurophu we-Otorhinolaryngology, iNhloko neMisipha Yezifo, 130 (3): 137-144.
> Ramey, JT, Bailen, E & Lockey, RF. (2006). Rhinits Medicamentosa. J Investig Allergol Clin Immunol. 16 (3): 148-155
> Rhinitis Medicamentosa. Iwebhusayithi yeMedscape. http://emedicine.medscape.com/article/995056-overview#a5. Kubuyekezwe u-Novemba 17, 2015.