Kodi mwana amadziwa bwanji kuti ali ndi rhinitis?

Lero tidzakambirana za momwe mwanayo angadziwire kuti ali ndi vuto la rhinitis. Choyamba muyenera kumvetsa kuti chimfine ndi chiyani, chifukwa chake chimakhala choipa komanso momwe chimadziwonetsera. Allergic rhinitis kapena rhinitis ndi kutupa kwa m'katikati mwa mphuno (mucosa) choyambitsa matendawa. Ku Russia, kuwalaku, koyamba, matenda, odwala kuyambira 11 mpaka 26% mwa anthu onse, mosasamala za zaka. Zizindikiro za matendawa amatha kuchitika pakapita nthawi: kuchokera mphindi zochepa mpaka mphindi 20 kapena theka la ora.

Allergic rhinitis imatchula matenda amodzi opatsirana atatu, monga: atopic dermatitis (kutupa matenda a khungu ) ndi matenda osokoneza bongo otsekemera . Monga tanenera poyamba, mphunoyi imatha kupezeka ndi kugwirizana kwambiri ndi eregen , i E. ndi chinthu chomwe chimayambitsa vutoli. Kuti mudziwe chifukwa chake matendawa amayamba, muyenera kuganizira zoopsa zomwe zimayambitsa matendawa:

Azimayi ambiri amadabwa kuti mwanayo amatha kuzindikira bwanji chimfine. Kuti mumvetse kuti mwana wanu ali ndi matenda oopsa, muyenera kudziwa zomwe zimayambitsa matendawa:

Pa vuto la rhinitis, n'zotheka kuvumbulutsa ndi zizindikiro zina zakunja zomwe zimaphatikizapo kuwonongeka kwa mphuno yamphuno, mwachitsanzo. mudzatha kuzindikira kuti vutoli limakhala losavomerezeka ndi zizindikiro zingapo ndipo popanda dokotala. Komabe, kumbukirani kuti m'tsogolomu muyenera kuonana ndi katswiri wodziwa zambiri. Tsopano tikukuuzani momwe mungadziwire kuti mwanayo ali ndi kachilombo koyambitsa matendawa. Mutha kuona kupweteka kwa nkhope ndi kupuma kovuta, mwana wodwala amapuma makamaka pakamwa. Chizindikiro champhamvu ndi maso ofiira kwambiri. Nthawi zina pamakhala mdima mkati mwa maso, nthawi zambiri mwana amatha kung'amba kapena kungoswa mphuno yake ndi dzanja lake. Monga momwe kafukufuku amasonyezera, fereji iyi imakhudza ana kapena achinyamata. Kuwonjezera apo, zimatsimikiziridwa kuti m'banja la mwana yemwe ali ndi mtundu uwu wa rhinitis, payenera kukhala wachibale yemwe ali ndi mtundu wina wa zovuta. Malinga ndi zizindikirozo, madokotala amapanga madigiri atatu a rhinitis: opepuka, ochepa komanso ovuta. Ngati kulibe kuchepa kwa mphamvu yogwira ntchito ndi kugona tulo, ndiye izi ndi zovuta; ngati pali kuchepa kwa mphamvu yogwira ntchito, mavuto ndi kugona - digirii; ndipo potsiriza, ngati zizindikiro zimatchulidwa - digiri yaikulu.

Allergic rhinitis ikugwirizananso ndi magawo a nyengo. Apa tisiyanitsa: nyengo, yomwe imadzimveka bwino m'nyengo ya chilimwe ndi chilimwe ndi chaka chonse, imawonetseredwa chaka chonse, mosasamala nyengo. Nthendayi yamakono imapezeka nthawi yamasika kapena chilimwe, pamene chirichonse chikufalikira ndipo mdani wamkulu ndi, poyamba, mungu. Mtundu uwu wa rhinitis ukhoza kuchitika mutapita ku chilengedwe, mutagwirizana ndi nyama, mukamayeretsa. Pa allergen nthawi zambiri akhoza kusonyeza wodwala mwiniyo, ngati uyu si mwana wamng'ono kwambiri.

Nthawi zambiri zimachitika kuti vuto lopwetekedwa ndi rhinitis ndilopweteka kwa conjunctivitis kapena ngakhale mphumu ya mphuno. Mwamwayi, vuto la rhinitis silolokhalo la chimfine, choncho zingakhale zovuta kudziwa izi kapena mtundu umenewo wa rhinitis (chitsimikizo: mankhwala amasiyana-siyana, opatsirana, mahomoni, mankhwala, psychogenic, ophatikizira, akatswiri, etc. rhinitis), chifukwa onse ali zizindikiro zofanana. Nanga bwanji ngati mwana wanu akudandaula kuti ali ndi rhinitis? Choyamba, nkofunikira kukachezera madokotala awiri: lora ndi allergologist-immunologist. Wotsutsana nawo angathe kutsimikizira kapena kusatsutsa kukhalapo kwa rhinitis, ndipo ENT idzafotokozera matenda ngati ilipo (note: musanyalanyaze ulendo wa loran, ngakhale mwanayo atapezeka kale ali ndi vuto la rhinitis, chifukwa pali mavuto ena omwe akuyenera kuthana ndi mankhwala okhaokha zotsutsa-zowonongeka).

Mfundo yofunika kwambiri pakuzindikiritsa mtundu uwu wonyansa wa chimfine ndi chifukwa, i.e. Kuzindikira kuti mankhwalawa amachititsa matendawa. Mu mankhwala amakono, mitundu iwiri ya ma diagnosti amagwiritsidwa ntchito kuthetsa vuto ili:

1. Kuika khungu kwa khungu ndiko kugwiritsa ntchito zikopa kwa khungu la wodwalayo, pomwe madontho angapo a allergen okonzedwa kale akugwa. Njira imeneyi ndi yodalirika kwambiri, koma ili ndi zovuta zake: Choyamba, sizingatheke panthawi ya kuchulukitsidwa kwa matendawa, ndipo kachiwiri, antihistamines (kestin, suprastin) iyenera kuchotsedwa masiku asanu isanayambe, yomwe ingadwale kwambiri mkhalidwe wa wodwalayo . Kuphatikiza kwakukulu ndi zaka za odwala omwe matendawa akuchitidwa - kuyambira zaka 4 mpaka 50 (contraindication - amayi oyembekezera ndi otukumula).

2. Kuyezetsa magazi kwa ma immunoglobulins E kumaphatikizapo kutenga mwazi ndikuzindikira kuti zonsezi zikuchitika malinga ndi zotsatira za phunzirolo. Kufufuza uku kungatheke panthawi ya kuchulukitsana, ndipo sikuli kutsutsana, kotero ndiyowona kuti ndi yabwino kwambiri. Koma kusanthula uku kuli okwera mtengo ndipo nthawi zambiri zimakhala zolakwika.

Ngati muli ndi dokotala wosadziŵa bwino, mwana wanu angapemphedwe kuti ayese magazi kuti apewe magazi ndi leukolysis ndi chakudya . Kuti muchite izi, muyenera kubweretsa zakudya zina. Zotsatira za kusanthula kwathunthu sizikugwirizana ndi zochitika zenizeni. Ngati mwana wanu atsimikiziridwa kuti ali ndi matendawa, muyenera kudziwa malamulo angapo ochizira matendawa, komanso kumbukirani maina angapo a mankhwala kuti madokotala asakupusitseni ndikukukakamizani kugula mankhwalawa mofulumira. Kawirikawiri, mankhwalawa amachokera pa zinthu ziwiri zoyenera kuvomerezedwa:

1. Kuchotsa / kuchepetsa kutentha kwa mwana wamwamuna;

2. Kupanga chithandizo chamtundu wina.

Kaŵirikaŵiri kafukufuku wa rhinitis amalembedwa antihistamines, monga zirtek, telfast ndi ena. Ambiri mwa iwo amagulitsidwa ku pharmacy popanda mankhwala, koma samamwetsa kwa nthawi yaitali, chifukwa akhoza kuwononga zotsatira zake: mwachitsanzo, kuphwanya mtima.

Kawirikawiri, odwala okhala ndi mtundu uwu wa rhinitis amalakwitsa kwambiri, ndiko kugwiritsa ntchito madontho a vasoconstrictive (mwachitsanzo: naphthysine, vibrocil), omwe amawoneka kuti amathandiza kupuma kwa kanthawi. Kugwiritsira ntchito mankhwalawa nthawi zonse kumayambitsa vuto la rhinitis, komanso kumawombera minofu. Ntchito yabwino kwambiri imakhala ndi mankhwala atsopano - NAZAVAL , yomwe imachokera pa cellulose . Chifukwa cha chinthu ichi m'mphuno chinapanga mafilimu apadera, omwe salola kuti alowe mkati. Koma, mwatsoka, mankhwalawa alibe mphamvu yapadera pokhapokha ngati kuwonjezereka, ndibwino kuligwiritsa ntchito monga mankhwala wothandizira.

Njira yabwino kwambiri yothandizira matendawa a rhinitis ndiyo kupanga mankhwala oyenera a allergen. Mankhwalawa amachitikira okha ndi madokotala oyenerera - otsutsa odwala m'makliniki. Chofunika kwambiri cha chithandizochi ndi poyambitsa tizilombo tochepa mu thupi la wodwalayo, ndi kuwonongeka kwapang'onopang'ono kwa mankhwala - chifukwa chake, kukana zovuta zimayambira. Mwanjira imeneyi mukhoza kuchiza ndi kuwononga zizindikiro zonse zowononga rhinitis. Njira zopaleshoni za mankhwala zimagwiritsidwa ntchito kawirikawiri, pokhapokha ngati wodwalayo ali ndi potengera.

Mutaphunzira kale momwe mwana angadziwire kuti ali ndi vutoli komanso momwe izi zingakhudzire thanzi lake, ndibwino kuti muthetsepo. Kuphatikiza pa kuchiza rhinitis, muyenera kutsatira malamulo ena, malingana ndi zotsekula kapena kungodziwa za kukhalapo kwa mtundu uwu wa rhinitis:

Kuwona malamulo angapo osavuta pothandizira ndi mankhwala / chithandizo chimene adokotala adanena, mwana wanu adzapuma mokwanira, mopanda mantha. Chinthu chofunikira kwambiri ndi matenda opatsirana, chithandizo cha nthawi yake ndi ukhondo m'miyoyo yanu. Tsopano mukudziwa momwe mwana angadziwire kuti ali ndi matenda otsekemera komanso momwe angamuthandizire ndi matendawa. Kumbukirani, matenda oopsa a rhinitis ndi matenda omwe amakhudza kwambiri moyo wa mwana, koma mungathe kulimbana nawo!