lunes, 4 de febrero de 2008

Rinitis

La rinitis es una inflamación de la mucosa que recubre las fosas nasales

CAUSAS
Puede deberse a infecciones virales (catarro común), alergia, por hiperfunción parasimpático (rinitis vasomotora), asociada al embarazo, a ambientes secos, a la contaminación (rinitis seca anterior) y atrófica (ocena).

SINTOMATOLOGÍA
El catarro común cursa con rinorrea (goteo nasal) y disminución del olfato junto con los síntomas de un cuadro gripal.
La rinitis alérgica puede deberse a una gran variedad de alérgenos y se presenta con estornudos en salvas, rinorrea, obstrucción nasal y prurito nasal u ocular.
La rinitis vasomotora es desencadenada por cambios de temperatura, agentes irritantes, hipotiroidismo y anticonceptivos orales.
La rinitis seca presenta lesiones costrosas y signos de sangrado.
La ocena es un tipo de rinitis atrófica que presenta costras de olor fétido y anosmia (ausencia de olfato).
La repetición de episodios de rinitis aguda puede generar una rinitis crónica hipertrófica con aumento del tamaño del cornete inferior.

DIAGNÓSTICO
Generalmente, el examen clínico es suficiente.

TRATAMIENTO
El catarro común requiere tratamiento con descongestionantes, antiinflamatorios y antitérmicos.
En la rinitis alérgica, además de evitar el contacto con el alérgeno, son útiles los descongestionantes, los antihistamínicos y los corticoides de uso tópico.
La rinitis vasomotora puede requerir tratamiento sobre el nervio vidiano (neurectomía o criocirugía).
Las rinitis secas requieren de abundante hidratación y pomadas oleosas.
En la rinitis crónica hipertrófica puede indicarse la cirugía del cornete inferior.

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La rinitis vasomotora se opera? Me ha dicho el otorrino que tengo eso y me ha mandao un spray para l aris, unas pastilla 1 vez al dia y una perita de plastico con suero o agua con sal para que me lo heche por la naris y lo expulse por la boca y sigo igual, llevo con el tratamiento 15 dias, tengo fatiga y me noto mocos en la garganta. que opinas?

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