Qhov Tseem Ceeb Qhov txawv - Sinusitis vs Rhinosinusitis
Qhov mob ntawm paranasal sinuses hu ua sinusitis. Sinusitis tsis tshua muaj tshwm sim yam tsis muaj qhov ua ntej ntawm rhinitis. Vim tias qhov kev sib koom ua ke thiab kev sib cuam tshuam ntawm sinusitis thiab rhinitis, niaj hnub no cov kws kho mob xa mus rau sinusitis li rhinosinusitis. Yog li ntawd, qhov sib txawv ntawm sinusitis thiab rhinosinusitis yog qhov sinuses yog inflamed nyob rau hauv sinusitis thaum lub qhov ntswg mucosa overlying lub qhov ntswg kab noj hniav yog inflamed nyob rau hauv rhinitis.
Dab tsi yog Sinusitis?
Qhov mob ntawm paranasal sinuses hu ua sinusitis. Nws feem ntau cuam tshuam nrog cov kab mob ua pa sab saud thiab mob hawb pob. Cov kab mob xws li S treptococcus pneumoniae thiab Hemophilus influenza yog cov kab mob ua rau mob sinusitis. Qee lub sij hawm, qee cov kab mob kuj tuaj yeem ua rau tus mob no.
Tshuaj Kho Mob
- Headache
- Purulent rhinorrhea
- mob lub ntsej muag nrog kev sib tw
Trigeminal neuralgia, migraine, thiab cranial arteritis kuj muaj cov duab zoo sib xws.
Daim duab 01: Sinusitis
Kev tswj hwm
- Kab mob sinusitis tuaj yeem kho nrog qhov ntswg decongestants thiab tshuaj tua kab mob xws li co-amoxiclav. Cov tshuaj tiv thaiv kab mob qee zaum siv los txo qhov tsis xis nyob vim yog mucosal o.
- Thaum muaj tus mob sinusitis rov tshwm sim thiab yog tias muaj teeb meem tshwm sim, nws tsim nyog ua CT scan.
- Kev phais Endoscopic Sinus yog qhov yuav tsum tau tsis tshua muaj rau qhov cua thiab tso dej ntawm cov sinuses.
Rhinosinusitis yog dab tsi?
Sinusitis tsis tshua tshwm sim yam tsis muaj qhov ua ntej ntawm rhinitis. Vim hais tias ntawm no concurrence thiab interrelationship ntawm sinusitis thiab rhinitis, tam sim no cov kws kho mob xa mus rau sinusitis li rhinosinusitis.
Yog li ntawd, nyob rau hauv ib feem ntawm tsab xov xwm, peb yuav tham txog rhinitis uas predisposes txoj kev loj hlob ntawm sinusitis.
Allergic rhinitis txhais tau tias yog qhov ntswg tawm los yog txhaws thiab txham tawm tsam uas kav ntev tshaj li ib teev nyob rau feem ntau ntawm cov hnub vim muaj kev ua xua. Nws tuaj yeem yog ob hom: raws caij nyoog lossis sib cuam tshuam rhinitis uas tshwm sim thaum lub sijhawm txwv ntawm lub xyoo thiab perennial lossis persistent rhinitis uas tshwm sim thoob plaws hauv lub xyoo.
Pathophysiology
IgE cov tshuaj tiv thaiv yog tsim tawm tsam cov allergen los ntawm B hlwb. IgE tom qab ntawd khi rau cov hlwb mast. Qhov kev sib txuas ua ke no ua rau lub degranulation thiab tso tawm cov tshuaj kho mob xws li histamine, prostaglandin, leukotrienes, cytokines thiab proteases (tryptase, chymase). Cov tsos mob hnyav xws li txham, pruritus, rhinorrhea thiab qhov ntswg congestion yog tshwm sim los ntawm cov neeg nruab nrab. Kev txham yuav tshwm sim tsis pub dhau ob peb feeb los ntawm kev nkag mus ntawm ib qho allergen rau hauv qhov ntswg kab noj hniav, thiab nws yog ua raws li qhov nce hauv qhov ntswg qhov ntswg thiab txhaws uas yog vim qhov kev ua ntawm histamine. Tsis tas li ntawd, eosinophils, basophils, neutrophils thiab T lymphocytes raug xaiv los ntawm qhov kev nthuav qhia antigen rau T hlwb. Cov hlwb no ua rau khaus thiab edema ua rau lub qhov ntswg obstruction.
Seasonal Allergic Rhinitis
Seasonal rhinitis, uas tseem hu ua hay fever, yog ib qho kev ua xua ntau tshaj plaws uas muaj ntau tshaj 10% hauv qee qhov chaw hauv ntiaj teb. Sneezing, qhov ntswg irritation thiab watery nasal secretions yog ib qho kev kho mob nta. Tab sis qee tus neeg mob yuav mob khaus ntawm qhov muag, pob ntseg, thiab palate mos thiab.
Tsob ntoo paj ntoos, paj paj ntoo, thiab cov kab mob pwm yog cov culprits ib txwm ua raws li kev ua xua los ua rau peb lub cev tiv thaiv kab mob. Cov kab mob rhinitis raws caij nyoog tuaj yeem tshwm sim nyob rau lub sijhawm sib txawv ntawm lub xyoo hauv ntau thaj tsam feem ntau vim yog qhov txawv ntawm cov qauv ntawm pollination.
Perennial Allergic Rhinitis
Kwv yees li 50% ntawm cov neeg mob uas muaj kab mob rhinitis ntev tuaj yeem yws yws ntawm txham lossis dej rhinorrhea thiab lwm tus feem ntau yws ntawm qhov ntswg. Cov neeg mob no kuj muaj qhov muag thiab caj pas.
Cov kab mob mucosal o tuaj yeem cuam tshuam cov kua dej tawm ntawm cov sinuses, ua rau sinusitis.
Cov tshuaj ua xua ntau tshaj plaws uas ua rau muaj kev tsis haum rhinitis yog fecal hais ntawm cov plua plav hauv tsev, Germatophagoides pteronyssinus lossis D.farinae, uas tsis pom ntawm qhov muag liab qab. Cov mites no muaj nyob hauv cov plua plav thoob plaws hauv tsev, tshwj xeeb tshaj yog nyob rau hauv qhov chaw ntub dej. Qhov siab tshaj plaws ntawm mites yog pom nyob rau hauv tib neeg txaj. Tom ntej no cov tshuaj tsis haum tshaj plaws yog cov proteins uas tau los ntawm cov zis, qaub ncaug lossis tawv nqaij ntawm cov tsiaj hauv tsev tshwj xeeb tshaj yog cov miv. Perennial rhinitis ua rau lub qhov ntswg teb ntau dua rau cov kev xav tsis tshwj xeeb xws li haus luam yeeb, tshuaj ntxuav tsev, tshuaj tsw qab muaj zog, ntxhua hmoov thiab cov pa taws.
Kev Tshawb Fawb thiab Kev Ntsuas
Keeb kwm ntawm tus neeg mob yog qhov tseem ceeb hauv kev txheeb xyuas qhov ua xua. Kev kuaj tawv nqaij prick yog qhov tseem ceeb, tab sis nws tsis yog qhov kev kuaj pom tseeb. Allergen-specific IgE antibody qib hauv cov ntshav tuaj yeem ntsuas tau, tab sis nws kim heev.
Kev kho mob
- kev zam txim tsis haum
- H1 tshuaj tiv thaiv kab mob - kev kho ntau tshaj plaws (piv txwv li: Chlorphenamine, Hydroxyzine, Loratidine, Desloratadine, Cetirizine, Fexofenadine)
- Kev tsis sib haum xeeb
- tshuaj tiv thaiv kab mob
- YCorticosteroids- zoo tshaj plaws
- Leukotriene
Txhua qhov ntswg qhov ntswg nrog cov tsos mob ntawm kev tsis haum rhinitis tab sis nws qhov etiology tsis paub txhais tau tias yog nonallergic rhinitis.
Caus
Ntau yam sab hauv thiab sab nraud tuaj yeem ua rau tsis muaj kab mob rhinitis.
Lwm yam muaj xws li
- kab mob khaub thuas (txias) uas tawm tsam cov kab mob ntawm lub qhov ntswg thiab caj pas
- Ib puag ncig yam xws li kub siab, av noo, raug rau cov pa phem
Internal yam muaj xws li
- YHormonal imbalance
- Hormonal replacement therapy or hormonal contraception
Cov Mob khaub thuas (Nonallergic Rhinitis)
Ntau yam kab mob ua pa xws li rhinovirus, coronavirus, thiab adenovirus tuaj yeem ua rau tus kab mob kis tau zoo heev. Ntawm lawv, rhinovirus yog tus kab mob uas tshwm sim ntau tshaj plaws. Txij li tus kab mob rhinovirus muaj ntau yam kab mob, nws tsis tuaj yeem tsim cov tshuaj tiv thaiv kab mob. Cov yam ntxwv ntawm tus kab mob tsuas yog txwv rau cov kab mob ua pa sab sauv vim tias tus kab mob no loj hlob zoo ntawm 33'C uas yog qhov kub ntawm qhov chaw ua pa sab saud. Kev kis tus kab mob feem ntau yog los ntawm kev sib cuag ntawm tus kheej (qhov ntswg qhov ntswg ntawm tes) los yog cov kua ua pa. Kev muaj neeg coob coob thiab ua pa tsis zoo pab txhawb kev kis tus kab mob.
Daim duab 02: txham
Cov tsos mob thiab cov tsos mob
- Slight pyrexia
- Malaise
- Ntsuag
Kev kho mob
Nonallergic rhinitis feem ntau yog ib qho kev txwv tus kheej. Qhov kev xaiv ntawm kev kho mob yog nyob ntawm qhov hnyav ntawm tus kab mob. Kev yaug qhov ntswg los yog tshuaj tsuag qhov ntswg ntawm corticosteroids yuav txo tau cov tsos mob.
Dab tsi zoo sib xws ntawm Sinusitis thiab Rhinosinusitis?
- Ob qho xwm txheej yog vim qhov mob ntawm cov mucosa overlying thaj tsam ntawm
- Cov tsos mob ntawm qhov ntswg xws li qhov ntswg congestion, mucopurulent paug yog tshwm sim rau ob leeg.
Qhov txawv ntawm Sinusitis thiab Rhinosinusitis yog dab tsi?
Txij li rhinosinusitis feem ntau piav qhia txog rhinitis uas ua ntej kev tawm tsam ntawm sinusitis, qhov sib txawv ntawm sinusitis thiab rhinosinusitis yuav raug teev nyob rau hauv nqe lus no.
YSinusitis vs Rhinosinusitis |
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| Cov kab mob ntawm paranasal sinuses hu ua sinusitis. | Rhinitis yog qhov mob ntawm cov mucosa overlying lub qhov ntswg kab noj hniav. |
| Sinusitis feem ntau tshwm sim los ntawm cov kab mob xws li Streptococcus pneumoniae thiab Hemophilus influenza. Muaj tsawg zaus, cov kab mob tuaj yeem ua rau muaj tus mob no. | Rhinitis tuaj yeem yog vim muaj qhov ua xua nyob rau hauv cov ntaub ntawv nws yog hu ua allergic rhinitis. Cov kab mob tsis ua xua feem ntau tshwm sim los ntawm cov kab mob sib kis. |
| Kev coj cwj pwm | |
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kho mob nta ntawm sinusitis, · mob taub hau · Purulent rhinorrhea · mob lub ntsej muag nrog rhiab · Kub |
kho mob ntawm rhinitis, · Ntsuag · me ntsis pyrexia ·Malais · txham · Ntxim dej ntws tawm qhov ntswg |
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Kab mob sinusitis tuaj yeem kho nrog qhov ntswg decongestants thiab tshuaj tua kab mob xws li co-amoxiclav. Cov tshuaj tiv thaiv kab mob qee zaum siv los txo qhov tsis xis nyob vim yog mucosal o. · Nyob rau hauv rooj plaub uas rov tshwm sim ntawm sinusitis thiab yog tias muaj teeb meem tshwm sim, nws tsim nyog mus kuaj CT. · Functional Endoscopic Sinus Surgery yuav tsum tsis tshua muaj rau qhov cua thiab tso dej ntawm cov sinuses. |
Rhinitis kho nrog, · Kev zam tsis txhob ua xua · H1 antihistamines- kev kho ntau tshaj plaws (piv txwv li: Chlorphenamine, Hydroxyzine, Loratidine, Desloratadine, Cetirizine, Fexofenadine) · Decongestants · tshuaj tiv thaiv kab mob · Corticosteroids- zoo tshaj plaws · Leukotriene |
Summary - Sinusitis vs Rhinosinusitis
Qhov mob ntawm paranasal sinuses yog hu ua sinusitis. Rhinitis yog ib qho mob ntawm cov mucosa overlying lub qhov ntswg kab noj hniav. Yog li, qhov sib txawv ntawm sinusitis thiab rhinosinusitis yog nyob rau hauv qhov chaw uas tus mob tshwm sim. Hauv sinusitis, nws yog cov sinuses uas yog mob thiab, nyob rau hauv rhinitis, nws yog cov mucosa ntawm qhov ntswg kab noj hniav uas yog o.
Download PDF Version of Sinusitis vs Rhinosinusitis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Sinusitis thiab Rhinosinusitis
