Qhov Tseem Ceeb Qhov txawv - Allergic vs Nonallergic Rhinitis
Rhinitis yog qhov mob ntawm qhov ntswg mucosa. Nws yog ib qho mob ua pa sab sauv. Cov hnoos qeev ntau dhau, congestion, txham paroxysm, dej qhov muag, qhov ntswg thiab lub suab pruritus yog cov tsos mob ntawm rhinitis. Hauv kev tsis haum rhinitis, cov tsos mob tshwm sim los ntawm kev ua xua. Nyob rau hauv sib piv, nonallergic rhinitis tsis yog tshwm sim los ntawm ib tug allergen, thiab tsis muaj txuam nrog hypersensitive tshwm sim. Qhov no yog qhov sib txawv tseem ceeb ntawm kev ua xua thiab tsis muaj kab mob rhinitis.
Allergic Rhinitis yog dab tsi?
Allergic rhinitis txhais tau tias yog qhov ntswg tawm los yog txhaws thiab txham tawm tsam uas kav ntev tshaj li ib teev vim muaj qhov 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 rhinitis, uas tshwm sim thoob plaws 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 qhov ntswg qhov ntswg.
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 kuj yuav mob khaus ntawm qhov muag, pob ntseg, thiab palate.
Tsob ntoo paj ntoo, paj paj ntoo, thiab cov kab mob pwm yog cov culprits ib txwm ua raws li cov tshuaj tsis haum rau kev 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 yog vim qhov txawv ntawm cov qauv ntawm pollination.
Perennial Allergic Rhinitis
Kwv yees li 50% ntawm cov neeg mob rhinitis ib xyoos tuaj yeem yws yws txham lossis dej rhinorrhea, thiab lwm tus feem ntau yws ntawm qhov ntswg 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.
Qhov kev ua xua ntau tshaj plaws uas ua rau muaj kev ua xua rau 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.
Daim duab 01: Allergic Rhinitis
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 tshwj xeeb IgE cov tshuaj tiv thaiv kab mob 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
Nonallergic Rhinitis yog dab tsi?
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 tus kab mob 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
Cov xwm txheej sab hauv suav nrog,
- 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 thaum 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 sib kis feem ntau yog los ntawm kev sib cuag ntawm tus kheej (qhov ntswg qhov ntswg ntawm tes) lossis cov pa ua pa. Kev muaj neeg coob coob thiab ua pa tsis zoo pab txhawb kev kis tus kab mob.
Cov tsos mob thiab cov tsos mob
- Slight pyrexia
- Malaise
- Ntsuag
Daim duab 02: Nonallergic Rhinitis
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 Allergic thiab Nonallergic Rhinitis?
- Nyob rau hauv ob qho tib si ua xua thiab tsis muaj kab mob rhinitis, qhov ntswg mucosa yog o.
- Ob leeg ua xua thiab tsis muaj kab mob rhinitis muaj cov tsos mob tshwm sim.
Dab tsi yog qhov txawv ntawm Allergic thiab Nonallergic Rhinitis?
Allergic vs Nonallergic Rhinitis |
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| 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 hnub vim yog ua xua. | 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 tus kab mob nonallergic rhinitis. |
| Qhov no tshwm sim los ntawm kev ua xua. | Nonallergic rhinitis yog tshwm sim los ntawm kev ua ntawm cov kab mob xws li rhinovirus. |
Summary – Allergic vs Nonallergic Rhinitis
Raws li lawv lub npe qhia, qhov sib txawv tseem ceeb ntawm kev ua xua thiab tsis ua rau mob rhinitis yog lawv qhov ua rau; Allergic rhinitis yog tshwm sim los ntawm ib qho allergen whereas nonallergic rhinitis yog tshwm sim los ntawm kev ua ntawm ib tug kab mob. Tsis muaj ntau hom rhinitis yog tshwm sim los ntawm cov kab mob. Yog li ntawd, noj tshuaj tua kab mob thaum koj muaj qhov ntswg qhov ntswg yog qhov tsis muaj txiaj ntsig thiab nyob rau lub sijhawm ntev, nws tuaj yeem ua rau kev txhim kho tshuaj tua kab mob. Kev siv tshuaj tua kab mob tsis raug cai yam tsis muaj kev tshaj lij yuav tsum raug txiav tawm yog tias peb yuav tiv thaiv qhov tshwm sim ntawm cov kab mob tshiab uas tuaj yeem tiv taus txawm tias cov tshuaj tua kab mob muaj zog tshaj plaws.
Download PDF Version of Allergic vs Nonallergic Rhinitis
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 rub tawm PDF version ntawm no Qhov txawv Ntawm Kev Ua xua thiab Nonallergic Rhinitis.
