Uninvited guests during the changing seasons! allergic rhinitis
Every season, the number of people suffering from allergic rhinitis is increasing.
Allergic rhinitis has become such a common disease that everyone carries a tissue in their bag.
However, most people do not have accurate knowledge.
As allergic rhinitis is inseparably related to modern life, it is necessary to find out accurate knowledge and treatment.
Rhinitis is a hypersensitivity reaction of the nasal mucosa to one or several specific causes among various surrounding causes.
It refers to an inflammatory nasal disease in which patients complain of nasal symptoms.
When the nasal mucosa is stimulated, a characteristic immune response occurs, resulting in clear runny nose, nasal congestion, sneezing,
Symptoms such as itching may occur.
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Nasal congestion is the most common symptom of allergic rhinitis, followed by clear runny nose and sneezing.
It is known to appear frequently. Clear runny nose and sneezing usually occur in the morning
The symptoms are severe in the afternoon and then relieved as the afternoon progresses, but the nasal congestion tends to persist.
In addition, symptoms such as decreased sense of smell, obstructive nasal congestion, and headache, as well as sudden temperature change, cold air,
Hypersensitivity to non-specific stimuli such as cigarette smoke and pollutants may also be seen.
How will treatment proceed?
1. Medication
The most commonly used treatment in clinical practice is drug treatment, and for oral use, antihistamines and leukotrienes are used.
Receptor antagonists, antidepressants, anticholinergics, steroids, combination drugs, etc. are topical steroids,
Antihistamines, antidepressants, and combination drugs are mainly used.
2. Immunotherapy
In order to fundamentally alleviate the symptoms and inflammatory response of allergic rhinitis, house dust mites, pollen,
Patients are repeatedly exposed to causative antigens such as pets and molds from a small amount and gradually
It is a treatment method that changes the immune response and reduces hypersensitivity by increasing the dose.
However, it is necessary to fully consider the treatment period of 3 to 5 years before treatment and the economic feasibility of the cost.
3. Avoidance
It would be nice if exposure to the cause could be completely blocked, but practically complete avoidance is impossible.
However, improving the environment for the cause may affect symptom relief and reduce drug use by reducing exposure.
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4. Surgery
In patients with allergic rhinitis, surgical therapy is mainly used to improve nasal congestion or excessive runny nose.
It is being implemented.
Nasal congestion is usually partially or completely due to structural problems such as inferior turbinate thickening, nasal septum curvature, and cysts.
If it is caused, nasal congestion can be reduced through surgical treatment.
How to avoid the main causes of allergic rhinitis
House dust mites
Avoid using curtains, sofas, and carpets with dusty fabrics.
In addition, it is better to use bedding with an impermeable cover rather than cloth, and avoid bedding made of fur as much as possible.
In addition, keep the indoor temperature below 20 degrees and the indoor humidity below 50% using a dehumidifier.
Pollen
When the pollen season comes, it is important to close the windows and block the outside air.
Wear a mask. Avoid outdoor activities between 10:00 am and 2:00 pm, when the number of spores is highest.
mold
Mold mainly breeds on bathroom walls, trash cans, basements, bedding, and humidifiers, so proper ventilation and
Use a fungicide to remove the environment in which mold grows. Also, use a dehumidifier to
Eliminating the environment helps.
Does a nasal wash help?
Nasal irrigation using physiological saline may be helpful in patients with allergic rhinitis.
Nasal washing enables the removal of mucus, including various inflammatory mediators, and the increase in mucociliary movement.
By doing this, various nasal symptoms can be improved.