One night the winter wind, the temperature plummeted, and Hangzhou City entered the winter in a second. The sudden cooling caught the general public off guard, many people shivered in the cold wind, and many people sneezed in the cold wind.
Constantly sneezing and runny nose
Must be a cold?
"Isn't it a cold?" When Yang Yang (pseudonym) sneezed for the 10th time, Yang Yang's mother was not calm and decided to take him to the Hangzhou Red Cross Hospital to see.
"Doctor, I always have a cold, as soon as I turn on the air conditioner, it is very uncomfortable, I always sneeze and have a runny nose!" Yang Yang sat on a stool and hummed and told Ci Jun, the director of the Department of Otolaryngology.
"Good little friend, come, the doctor will help you see!" Through the examination, Director Cijun found that Yangyang was not a "cold", but an allergic rhinitis attack. Cijun prescribed some medicines for Yangyang's symptoms, and told Yangyang's mother some precautions in daily life and regularly followed up.
Most people once the nasal congestion and runny nose, the first reaction is to feel that it is a cold and cold, but after a few days, the symptoms of nasal congestion and runny nose have not been alleviated, but slowly have symptoms of itchy nose, itchy eyes, and itchy throat.
Cijun reminds that the high incidence of allergic rhinitis in autumn and winter, we should pay attention to the identification with colds, timely and effective symptomatic treatment, can greatly improve their comfort.
Allergic rhinitis in the guise of a cold
Do you recognize it?
Allergic rhinitis, also known as allergic rhinitis, refers to a chronic inflammation of the nasal mucosa caused by the exposure of susceptible individuals to pathogens or allergens, which is a non-infectious inflammatory disease, and can be effectively controlled through standardized treatment.
Cijun introduced that the symptoms of allergic rhinitis and colds have some similarities, such as nasal congestion, runny nose, sneezing, so many people will confuse the two and mistakenly treat rhinitis as a cold treatment, resulting in poor treatment or repeated attacks. Allergic rhinitis in the guise of "cold" is one of the most common diseases in the department of otorhinolaryngology, mainly in children and young adults, but we can distinguish it by the following symptoms:
Common symptoms
Colds are generally accompanied by constitutional symptoms such as sore throat, headache, fatigue, and even fever, while allergic rhinitis generally has only nasal symptoms.
Nasal symptoms
(1) Cold: no nasal itching symptoms, but nasal congestion for a long time; the initial snot will be cleared, the flow will not be much; it will sneeze, but the number is not much.
(2) Allergic rhinitis: the nasal cavity will feel itchy, patients with serious nasal itching will also be accompanied by multiple itching in the eyes, ears, throat and so on; accompanied by sneezing, a large amount of nasal discharge will pour down; continuous sneezing, some people will even sneeze dozens of sneezes a day.
Duration
Colds generally last only 7-10 days, and allergic rhinitis has a long course, manifested as some patients expressing "perennial colds" and "frequent colds", and even some serious allergic rhinitis, which will occur throughout the year.
Cijun suggested that if nasal symptoms recur, it is recommended that patients go to the otolaryngology department as soon as possible to clarify the symptoms. These symptoms seriously affect the patient's life and work, and if left unchecked, symptoms such as asthma may occur in severe cases. According to epidemiological studies, the incidence of bronchial asthma in patients with allergic rhinitis is 8-20 times higher than in normal people. Therefore, the effective control of allergic rhinitis is also an effective means of prevention and treatment of bronchial asthma.
Can allergic rhinitis be inherited?
Can this disease be cured?
Allergic rhinitis has a certain genetic predisposition, but non-allergic rhinitis is generally not inherited. So, can allergic rhinitis be cured?
In general, acute rhinitis can be cured, but allergic rhinitis requires a long period of anti-allergic drugs for treatment, which only plays a role in controlling the disease. Allergic rhinitis can also be specifically immunotherapy for specific allergens, that is, desensitization therapy, which can control the progression of allergic rhinitis to a certain extent. In addition, surgical procedures for the treatment of allergic rhinitis are also evolving, especially surgical procedures such as retronasal plexus segments and pterygoid segments are also surgeries that have gradually matured in recent years.
Allergic rhinitis can be divided into seasonal allergic rhinitis and perennial allergic rhinitis according to the type of attack. For example, patients who are allergic to willow pollen and sycamore pollen often have a series of allergic reactions such as nasal congestion and sneezing in the spring, and the symptoms are not obvious in other seasons; for example, patients who are allergic to dust and mites, the symptom attack is not obvious seasonal, and allergic symptoms may occur all year round.
The image comes from the weChat public platform public photo gallery
Most allergic rhinitis also has a lot to do with the presence of allergies themselves, and as long as the allergen persists, the symptoms of allergies may recur. In the diagnosis and treatment of allergic rhinitis, the first step is allergen testing. Common allergen tests include serum-specific allergen testing, skin prick test, nasal mucosal excitation test, etc. Only clearly sensitizing substances can be targeted to avoid exposure and treatment.
If the pollen of willow trees is allergic to pollen, it is recommended that patients try to avoid going to outdoor venues such as parks and botanical gardens during the pollen season, and it is recommended to wear masks when going out.
If the mites or fur dander and other allergies, it is recommended that patients use anti-mite utensils, pay attention to indoor cleanliness and hygiene, frequently wash daily necessities such as bed sheets and duvet covers, maintain indoor ventilation, especially avoid feeding pets such as cats and dogs.
If some foods and drugs are allergic, patients need to avoid eating and touching.
Some patients have a more sensitive response to temperature changes, too cold, overheating temperature changes will cause a series of symptoms, so it is recommended that such patients in the office as far away as possible from the air conditioning outlet, close to the doors and windows, and often clean the air conditioning filter, curtain tablecloths and other items. In addition, it is necessary to exercise appropriately, combine work and leisure, maintain good sleep, and exercise regularly to improve resistance.
Cijun finally reminded that once allergic rhinitis is diagnosed, standardized treatment is indispensable, and standardized drug treatment as soon as possible can effectively control symptoms and reduce the harm caused by rhinitis. The treatment of rhinitis is a long-term process, which requires everyone to continuously improve the correct understanding of the disease, and must not stop the drug without authorization, which will cause rhinitis to be repeated and even aggravate the disease.
· END·
【Forward if useful】
Contributed by 丨Hangzhou Red Cross Hospital
Please indicate "Healthy Hangzhou"
★
Past period review