Vasomotor rhinitis – what it is, the reasonssymptoms and treatment in adults

Vasomotor rhinitis is a rhinitis that is on the list of the most
occurring in humans. Under the influence of
mucosal tissue disorders begin to swell and produce large
amount of mucus. Additionally, the conductivity deteriorates.
vessels and all tissues of the nasal cavity, their tone decreases and
performance

Further, we consider in more detail what kind of disease it is, what
symptoms and causes of vasomotor rhinitis, as well as what treatment
prescribed for quick disposal of a cold.

Vasomotor rhinitis: what is it?

ATазомоторный ринит

ATазомоторный ринит – это гиперреактивность слизистой
shell of the nasal cavity in violation of the general and local vascular
tonus. A persistent runny nose worsens the quality of life and it can
affect even the psycho-emotional state
человека: нарушение сна, невнимательность на работе,
повышенная нервозность, раздражительность, депрессия.

Rhinitis vasomotor is a disease for which typical
following symptoms:

  • Itchy nose;
  • Runny nose (rhinorrhea);
  • Sneezing;
  • Nasal congestion.

Runoff of mucus on the back of the pharynx leads to chronic
sore throat. Excessive secretion arises due to insufficient
cleansing from inflammatory infiltration.

The reasons

The development of vasomotor rhinitis is based on dysregulation
the tone of the blood vessels that are located in the nasal cavity
(lower turbinate) in the submucosal layer. In a healthy person
vessels react adequately to entering the respiratory tract
air, changing the blood volume of the mucous membrane when changing
temperature and humidity.

The reasons такой патологии могут быть следующими:

  • Vegetative dystonia.
  • Acceptance of certain groups of drugs.
  • Hypotension.
  • The presence of polyps in the nasal cavity.
  • Disorders at the endocrine level.
  • Physical / emotional stress.

Adults are the most affected with vasomotor rhinitis (women
20 years or more), and the pathological condition occurs at any
season.

Factors contributing to the occurrence of pathology:

  • curvature of the nasal septum;
  • adenoids;
  • growths appearing on the nasal septum (spines, ridges and
    etc.);
  • disorders of the gastrointestinal tract;
  • prolonged hypothermia

The development of the disease contribute to all kinds of endocrine
violations, as well as changes in the neurovegetative system.

Classification

Numerous studies have helped to identify two main
forms: neurovegetative and vasomotor allergic rhinitis. Both
varieties have a lot in common, but each of them has
special symptoms. In addition, the treatment of various forms of vasomotor
rhinitis is slightly different.

Neurovegetative vasomotor rhinitis

What it is? Neurovegetative – this form is caused by a violation
chains of nerve mechanisms. As a result, the mucous responds to all
abundance of symptoms in response to normal stimuli. Leaks
neurovegetative vasomotor rhinitis in most cases
paroxysmal Seizures usually disturb patients by
in the morning And if you can inspect the mucous at this point, there will be
its blueness and pallor are clearly visible.

As a rule, seasonality is not typical for this form. Equally
often occurs at all times of the year and depends mainly on either
external provoking factors (dustiness of rooms, aggressive
inhaled air vapor, contact curvature
nasal septum), either from the previously mentioned common
neurovegetative dysfunction. Usually in the latter case the sick
patients are not only a rhinologist, but also a neurologist.

Allergic Vasomotor Rhinitis

Allergic form – caused by contact with mucous membrane
allergenic substances. Mucous when viewed may look
bluish or hyperemic, with severe swelling, nasal
the moves are blocked by it and clogged with mucus. Often joins and
asthmatic syndrome.

Divided into two main types:

  • Сезонный аллергический ринит (например, сенная
    лихорадка, поллиноз – аллергия на пыльцу растений)
  • Круглогодичный аллергический ринит (например, аллергия на
    house dust, animal dander, bird feathers, library dust and so
    Further).

Depending on the symptoms of BP may be:

  • proper vasomotor (severe edema, in which the outflow of mucus
    not visible);
  • hypersecretory (from the nasal passages a large
    the amount of mucous contents);
  • combined (it is shown both puffiness, and office
    mucus).

Symptoms of vasomotor rhinitis in adults

Vasomotor rhinitis occurs when proper operation is violated
blood vessels of the nasal cavity. As a result of a violation of the tone
vessels and their increased blood volume causes swelling
mucous membrane.

Main symptoms in adults:

  • constant or intermittent alternating nasal congestion
    (the symptom is more pronounced during rest, when a person takes
    horizontal position);
  • general malaise, weakness;
  • a person is tormented by copious, moderate or scanty mucous membranes
    nasal discharge;
  • there may be burning and itching in the nasal
    sinuses;
  • feeling of bursting in nasal cavity;
  • constant or intermittent sneezing (sometimes suddenly
    and also suddenly stops).

Symptoms manifest themselves especially clearly during seizures,
which can last from several hours to several days. With
this person looks like a patient suffering from a cold
active disease.

Withзнаком вазомоторного ринита служит затруднение дыхания через
nose in the supine position. Characteristically also difficult
breathing on the side, the lower half of the nose is not
breathes О заболевании может свидетельствовать храп, плохое
обоняние, частые фарингиты, трахеиты, ларингиты.

Symptoms
Neurovegetative The clinical picture is characterized by:

  • nasal congestion
  • copious secretions of mucus.

Symptoms в данном случае нарастают в момент очередного приступа.
Patients develop intolerable itching, headache and sensation.
pressure. Such attacks occur suddenly, and pass through 2-3
hours

Allergic Symptoms аллергического вазомоторного ринита формируются при
contact of the mucous membrane of the nasal passages with the allergen. For
pathologists are characterized by the sudden onset of symptoms:

  • Puffiness of the eyelids;
  • Tearing;
  • Nasal congestion;
  • Conjunctival redness;
  • Hearing loss due to inflammation in Eustachian
    pipe;
  • Copious mucus.

Vasomotor rhinitis during long-term chronic course violates and
general well-being, causing irritability,
повышенной утомляемости, бессонницы, головных болей и
other symptoms of trouble with the nervous system.

Complications

  • acute or chronic sinusitis;
  • разрастание аденоидов в носу;
  • inflammation of the maxillary and ear sinuses;
  • the transition of the disease to the chronic form, which is more difficult
    treatable.
  • acute or chronic sinusitis;
  • разрастание аденоидов в носу;
  • inflammation of the maxillary and ear sinuses;
  • the transition of the disease to the chronic form, which is more difficult
    treatable.

Diagnostics

The diagnosis is established on the basis of careful collection
anamnestic information about the development of the disease, examination
пациента отоларингологом, проведения лабораторных и
instrumental examinations to exclude others
diseases of the nasal mucosa with similar
symptoms.

With осмотре, выделяется группа клинических признаков:

  • An increase in the side walls of the nose (edema);
  • poor contraction of the walls during breathing;
  • the color of the inflamed mucous membrane is red.

The purpose of the examination in the diagnosis of vasomotor rhinitis is
differentiating it from allergic. For этого исследуют
nasal secretions that allow eosinophilia to be detected
tests for allergens.

Эозинофилия – появление лейкоцитов эозинофилов в слизи,
выделяющейся из nose,  указывает на аллергическую реакцию. With
neurovegetative vasomotor rhinitis eosinophils in mucous membranes
excretions are absent.

Treatment of vasomotor rhinitis

Treatment of any form of rhinitis should be based on elimination.
causes of symptoms of the disease. With этом эффективными будут
as conservative methods using medicaments
drugs, and the use of traditional methods.

Vasomotor rhinitis is not always a cure, but
to ensure sustained remission is most often possible.

Drugs

Preference is given to the following medications:

  • anesthetics and glucocorticosteroids, through which
    nasal blockages are performed;
  • vasoconstrictor drugs, atropine-containing drops in
    nose;
  • �”Eskuzanu”, “Stugeronu”, “Glevenopu” – drugs that improve
    blood microcirculation;
  • �”Physiomer”, “Aquamaris” – preparations with sea water for
    flushing of the nasal passages;
  • �”Nazoneks”, “Avamysu”, “Nasobek”, “Rinokortu” –
    glucocorticosteroid sprays;
  • �”Kromoheksalu”, “Allergodilu” – spray for allergic type
    rhinitis, as well as antihistamines – Zirteku,
    �”Loratadine”, “Zodak”;
  • �”Sinupret” and other homeopathic remedies that reduce
    symptoms of rhinitis.

Do not self-treat vasomotor rhinitis
vasoconstrictor drugs since it will only bring
temporary relief and will contribute to addictive
by him.

With выборе капель свое предпочтение стоит отдавать солевым
solutions and hormonal drugs. They are not depressing
on vessels, not addictive and have a small list
contraindications and side effects.

Name drops Features
Nasonex Relieves inflammation, relieves itching, makes breathing easier
Dolphin Perfectly removes foreign bodies from the nose, washes away mucus
Aquamaris Helps to wash the sinuses and ease breathing
Euphorbium Also reduces puffiness and itching; resolved during
of pregnancy
Propolis drops Relieve breathing, restore blood vessels

How to treat vasomotor rhinitis allergic type? Treated with
use of antihistamine and corticosteroid drugs,
specific immunotherapy which is carried out during
long term.

According to the mechanism of action, all antihistamines are divided into 2
categories:

  • Sedative effect is characterized by drugs of the 1st generation.
    (clemastine, chlorpheniramine, diphenyldramine). Prohibited under driving
    car;
  • Неседативные антигистамины (цетиризин и таблетки
    loratadine) should be used carefully when combined with other
    drugs to avoid unforeseen side effects.
    A common representative of the group is azelastine.

Treatment of the chronic form is carried out with the following drugs:

  • Steroid nasal sprays;
  • Oral steroids;
  • Antihistamines;
  • Decongestant sprays;
  • Thinning drugs;
  • Specific immunotherapy;
  • Combined funds.

Physiotherapy

The cure for complex treatment will be faster. Therefore, with
Physical therapy is also prescribed by medication:

  • электрофорез с хлоридом кальция – укрепляет стенку
    vessels, increases their tone and resistance, relieves swelling,
    contributes to the normalization of venous plexus function.
  • phonophoresis – ultrasound accelerates blood circulation, acting on
    vessel uncoupling. Withменяется строго в комплексе с
    hydrocortisone ointment;
  • acupuncture (acupuncture).

Physical procedures are carried out daily for 10 to 12 days.

Surgery

If for a long time you can not win
vasomotor rhinitis, nasal breathing symptoms not
stop, the doctor most often decides on the operational
surgical intervention.

  • Септопластика – операции по выравниванию носовой
    partitions, removal of adenoids and other formations in the cavity
    nose,
  • partial excision of the lower nasal mucosa vessels
    shells (submucous vasotomy),
  • электроплазменная коагуляция – разрушение сосудов с
    using a coagulator;
  • ультразвуковая дезинтеграция – разрушение расширенных
    ultrasound vessels
  • Laser treatment. Laser therapy is categorized
    the most effective techniques. This is because with her
    help is carried out improving capillary exchange and resistant
    the elimination of edema of the nasal mucosa. To undeniable
    The advantages of this method of treatment is that the laser is topically
    affects the modified mucous membranes of the nose.
  • Септопластика – операции по выравниванию носовой
    partitions, removal of adenoids and other formations in the cavity
    nose,
  • partial excision of the lower nasal mucosa vessels
    shells (submucous vasotomy),
  • электроплазменная коагуляция – разрушение сосудов с
    using a coagulator;
  • ультразвуковая дезинтеграция – разрушение расширенных
    ultrasound vessels
  • Laser treatment. Laser therapy is categorized
    the most effective techniques. This is because with her
    help is carried out improving capillary exchange and resistant
    the elimination of edema of the nasal mucosa. To undeniable
    The advantages of this method of treatment is that the laser is topically
    affects the modified mucous membranes of the nose.

With своевременном обращении к врачу-оториноларингологу и
the appointment of an individually selected and most effective
In this particular case of treatment, the prognosis for vasomotor
rhinitis favorable.

Folk remedies

Traditional treatments can also give a good result with
treatment of vasomotor rhinitis. But they should be taken only by
indications and in those dosages that are described in the recipe. it
will avoid the development of side effects and serious violations
in the body.

  1. Mint. A tablespoon of grass is poured half a liter of boiling water,
    infused 60 minutes. Strain and drink the infusion of 100-150 ml four
    times a day.
  2. Maxillary sinuses can be lubricated with fir or sea buckthorn
    oil and simultaneously perform a massage of the nose. Massage
    It is recommended to perform about 3-4 times a day.
  3. Withобрести в аптеке мятное масло, смешать его с медом в
    proportions 1: 2. The resulting ointment should be lubricated nasal passages.
    (with a finger or a cotton swab, simply apply ointment to
    mucous membrane).
  4. Treat vasomotor rhinitis with honey. Honey is
    natural antiseptic, so drops and solution for washing the nose
    based on it are an effective treatment for rhinitis. For
    solution preparation take one spoon of honey and dissolve in a glass
    drinking water. The resulting liquid is instilled into the nose or alternately.
    washed every nasal passage.
  5. Walnut. From the leaves of the nut is 10% ointment on the basis
    Vaseline. Stored in the cold, better in the fridge. During the day
    smeared three times the mucous membrane of the nose.
  6. Use Kalanchoe juice instead of nasal sprays and drops. AT
    During the day, bury one or two drops 4 to 8 times.

Prevention

AT профилактических целях, чтобы предотвратить появление
unpleasant symptoms of the disease, it is recommended to perform
restorative procedures:

  • Timely treat chronic infections
  • Sleep at least 7 hours a day
  • Often walk in the fresh air
  • ATыполнять закаливание
  • ATажную роль в профилактике играет своевременное лечение
    the underlying disease that caused congestion and swelling
    mucous membrane.

ATазомоторный ринит относится к хроническим патологиям, поэтому
completely get rid of it is impossible. But with the help of competently
conducted therapy and regular checkups can
will introduce the disease into long-term remission.

Like this post? Please share to your friends:
Leave a Reply

;-) :| :x :twisted: :smile: :shock: :sad: :roll: :razz: :oops: :o :mrgreen: :lol: :idea: :grin: :evil: :cry: :cool: :arrow: :???: :?: :!: