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DEFINITION
It is an illness that it affects to the nasal mucous membrane and produces sneezes, itch, obstruction, nasal secretions and sometimes lacking in smell. It usually very persistent and give daily symptoms be, although depending on the cause of the inflammation it can give symptoms only in period you limit.
CAUSES
Not whenever we speak of rinitis we do it of an inflammatory pathology since the nasal mucous membrane has a big quantity of blood glasses and for it when these dilate it can produce pictures of nasal obstruction, similar to a rinitis but without other symptoms (sneezes, itch, etc.).
Depending on this difference and from the characteristics in the causes several types of rinitis can differ.
The inflammatory rinitis, present symptoms of itch, sneezes, secretions, obstruction. Between they are:
Allergic Rinitis
- perennial: it can be caused by mites, fungi, epitheliums of animals.
- aperiódica: it can be caused by fungi, epitheliums of animals, professional.
- seasonal: there can be caused by pollen of gramíneas, pollen of pine pollen of parietaria, pollen of sagebrush.
Eosinófila Neutrófila Hipertrófica, it usually collaborates to a sinusitis polipoidea. Mastocitaria Infectious, viral ó bacterial. Atrophic - ocena.
Not inflammatory rinitis caused by alterations of the content of the blood glasses and that only they study with obstruction like typical symptom.
Vasomotora, in general is of unknown cause or for the habitual use of medicines vasoconstrictores nasal topics. Hormonal, secondary to hipertiroidismo, I embarrass. Medicamentosa, would help to the capture of antihypertensive, progesterone, alcohol, vitamin A Physics, appears by increase of the cold ó environmental moisture. Mechanics caused by strange bodies, oblique dividing wall, tumors, or the vegetations.
DIAGNOSIS
The diagnosis is directed to define the symptoms and his epoch of appearance, his duration, his frequency and his possible desencadenantes.
There is used the previous rinoscopia, which by means of a device (rinoscopio), sees the nasal mucous membrane and there are appreciated differences of coloration and of increase of the size of the cornetes or the presence of polyps. The cutaneous tests with allergens (mites of the domestic dust, pólenes epitheliums, etc.) offer us information of the possible causes.
The intensity of the rinitis can measure itself by means of the securing of the pressures of step of the air across the nose by means of the measurement of the peak inspiratorio nasal or the rinomanometría.
Like complementary explorations, which give us information about complications of sinusitis we can use the Rx bosoms ó the bosoms TAC paranasales.
The cells measurement eosinófilas in the nasal exudado is used less and less for being slightly specific of every rinitis and does not help to the diagnosis.
TREATMENT
On the one hand measures of environmental control must be taken to avoid the causes of allergic origin.
For the allergy to mites the most intense cleanliness of the house with increase of the ventilation, decrease of the environmental moisture and the acarizidas there are the adapted measurements of environmental control.
In the allergy to the pollen to avoid gone out for the field in days of May or June with the sun and wind. In the allergy to epitheliums liquids are used desnaturalizadores of proteins that are applied in the furniture or in the proper animal.
As medicines use the antihistamines oral route or nasal topics to avoid the itch, the aguilla and the sneezes, the local steroids improve the obstruction if the rinitis is more chronic.
If the allergy desencadenante is concrete an Immunotherapy is realized during 2 to 6 years. The immunotherapy to mites and pólenes it is very effective in most of the cases.
COMPLICATIONS
In the adult the principal complication is the association of sinusitis polipoidea (sometimes intolerantly to anti-inflammatory not esteroideos AINEs) or the apnea of the sleep.
In the children the bad respiration can produce alterations of the sleep and deformities in the teething with the consequent need for correction for the dentist. TO SEE ALSO
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