RINITE ALÉRGICA: CONHEÇA CAUSAS E COMO TRATAR RÁPIDO 2017

Tudo Sobre Rinite Alérgica

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Rinite alérgica: Se você espirra muito, se seu nariz fica muitas vezes escorrendo ou entupido, ou se os seus olhos, boca ou pele, muitas vezes sente coceira, você pode ter rinite alérgica, uma condição que afeta 40 milhões para 60 milhões de americanos.

Rinite alérgica tratamento, erupções cutâneas como alergias e outras, desenvolve-se quando o sistema imunitário do corpo torna-se sensibilizado e exagera a algo no ambiente que normalmente não provoca qualquer problema na maioria das pessoas.

A rinite alérgica é vulgarmente conhecida como a febre do feno. Mas você não tem que ser exposto a feno para ter sintomas. E ao contrário do que o nome sugere, você não tem que ter uma febre do feno.

A rinite alérgica cronica assume duas formas diferentes:

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(VÍDEO) Rinite Alérgica Causas, Sintomas e Tratamentos

 

Sazonais: Os sintomas de rinite alérgica sazonal pode ocorrer na primavera, verão e início do outono.

Eles são geralmente causados por sensibilidade alérgica a esporos de fungos no ar ou para pólenes de gramíneas, árvores e ervas daninhas.

Perenes: Pessoas com sintoma perene alérgica, experiência rinite durante todo o ano. É geralmente causada por ácaros, pelos de animais ou caspa, baratas ou mofo. Alergias alimentares subjacentes ou ocultos raramente causam sintomas nasais perenes.

Algumas pessoas podem experimentar os dois tipos de rinite, com sintomas perenes piorando durante as estações de pólen específicos.

Há também causas não-alérgicas para a rinite.

Os sintomas da febre de feno

Coriza

Coceira nos olhos, boca ou pele

Espirros

Nariz entupido devido ao bloqueio ou congestionamento

Fadiga (frequentemente relatados devido ao sono de má qualidade, como resultado da obstrução nasal)

Causas de febre do feno

Alérgenos ao ar livre, tais como pólens de grama, árvores e ervas daninhas

Alérgenos, tais como pêlos de animais ou pêlos, os ácaros e mofo

Irritantes, como fumaça de cigarro, perfume e escape dos motores diesel

Gestão de Febres do Feno e Tratamento

Evitar as causas, fazendo alterações em sua casa e no seu comportamento.

Mantenha as janelas fechadas durante os períodos de pólen elevados; usar ar condicionado em sua casa e carro.

Usar óculos ou óculos de sol quando ao ar livre para manter o pólen fora de seus olhos.

Lave as mãos depois de brincar com qualquer animal e deixar o animal de estimação, de preferência em uma área bem ventilada ou fora.

Controlar alguns sintomas com medicação.

Descongestionantes

Os anti-histamínicos (colírios, spray nasal e medicação oral)

Veja um alergista para a prescrição de medicamentos, que podem ser mais eficazes.

 

Os sintomas

A rinite alérgica vulgarmente conhecida como febre dos fenos é um grupo de sintomas que afetam o nariz.

Mas não se deixe enganar pelo nome, você não tem que ser exposto a feno para ter sintomas. E apesar do nome, não é geralmente acompanhada de febre.

As pessoas com rinite alérgica geralmente têm sintomas após inalação de uma substância causadora de alergia, como pólen ou a poeira.

Para ter uma noção, um alérgeno comum é a ambrósia. Na primavera, os gatilhos mais comuns são gramíneas e pólen.

Quando uma pessoa sensível inala um alérgeno, o sistema imunitário do corpo pode reagir com os seguintes sintomas (listados em ordem de frequência):

Nariz entupido devido ao bloqueio ou congestionamento

Prurido, geralmente no nariz, boca, olhos, garganta ou pele

Inchado, pálpebras inchadas

Espirros

Tosse

Os sintomas podem também ser desencadeados por agentes irritantes comuns, tais como:

Fumaça de cigarro

Odores fortes, como perfume ou spray de cabelo e fumaça

Cosméticos

Amaciantes para a roupa

Soluções de limpeza, piscina de cloro, exaustão do carro e outros poluentes do ar (isto é, o ozônio)

Existem dois tipos de rinite alérgica:

Sazonais: Os sintomas podem ocorrer na primavera, verão e início do outono. Eles são geralmente causadas por sensibilidade a esporos de fungos no ar ou por pólens de árvores, ervas ou ervas daninhas.

Perenes: Os sintomas ocorrem durante todo o ano e são geralmente causados por sensibilidade a ácaros, pelos de animais ou caspa, baratas ou mofo.

A rinite alérgica pode ser relacionada com:

Diminuição da concentração e foco

Atividades limitadas

Capacidade de decisão diminuiu

Coordenação olho e mão prejudicada

Problemas para se lembrar de coisas

Irritabilidade

Distúrbios do sono

Fadiga

Dias perdidos de trabalho ou na escola

Mais lesões na escola ou no trabalho

Muitos pais de crianças com rinite alérgica têm dito que seus filhos são mais temperamentais e irritáveis durante a temporada de alergia.

Desde que as crianças não podem sempre expressar seus sintomas verbalmente, eles poderão expressar o seu desconforto, agindo na escola e em casa.

Além disso, algumas crianças acham que ter uma alergia é um estigma que os separa dos outros.

É importante que a irritabilidade ou outros sintomas causados na orelha, nariz ou problema de garganta não são confundidos com transtorno de déficit de atenção.

Com o tratamento adequado, os sintomas podem ser mantidos sob controle e prejuízos no aprendizado e comportamento pode ser evitado.

Os sintomas da rinite alérgica têm outras causas, bem como, sendo o mais habitual o resfriado comum, um exemplo de rinite infecciosa.

A maioria das infecções são relativamente de curta duração, com sintomas melhorando de três a sete dias.

Muitas pessoas têm congestão nasal crônica ou recorrente, a produção de muco em excesso, prurido e outros sintomas nasais semelhantes aos da rinite alérgica. Nesses casos, uma alergia não é a causa.

 

(VÍDEO) Saiba o que Causa, Como Prevenir e Tratar a Rinite!

 

Diagnosticar

Para encontrar a maneira mais eficaz para tratar os sintomas de rinite alérgica, consulte um alergista

Seu alergista pode começar por tomar uma história detalhada, à procura de pistas em seu estilo de vida que ajudarão a identificar a causa dos seus sintomas. Você será solicitado, entre outras coisas, sobre o seu trabalho e ambientes de casa (incluindo se você tem um animal de estimação), seus hábitos alimentares, histórico médico de sua família e da frequência e gravidade dos seus sintomas.

Por vezes, a rinite alérgica vasomotora pode ser complicada por várias condições médicas, tais como desvio do septo (curvatura do osso e da cartilagem que separa as narinas) ou pólipos nasais (crescimentos anormais dentro do nariz e seios nasais).

Qualquer uma destas condições será agravada por pegar um resfriado.

Sintomas nasais causados por mais de um problema pode ser difícil de tratar, muitas vezes exigindo a cooperação de um alergista e outro especialista, como um otorrinolaringologista (especialista do ouvido, nariz e garganta).

Seu alergista pode recomendar um teste de pele, em que pequenas quantidades de alérgenos suspeitos são introduzidos em sua pele.

O teste cutâneo é a maneira mais fácil, mais sensível e geralmente menos caro de identificação de alérgenos.

 

Tipos de testes cutâneos

Picar ou o teste do zero: Neste teste, uma pequena gota de um possível alérgeno é picado ou riscado na pele.

Também conhecido como um teste percutânea, este é o tipo mais comum de teste da pele. Os resultados são coletados dentro de 10 a 20 minutos.

O teste intradérmico: Uma pequena quantidade de um possível alérgeno é injetado sob a pele, utilizando uma agulha fina.

O local é verificado por uma reação após cerca de 20 minutos. Este teste é tipicamente mais sensível do que o teste de picada ou arranhão.

Gestão e Tratamento

A primeira abordagem na gestão de formas sazonais ou perenes da febre do feno deve ser para evitar os alérgenos que desencadeiam sintomas.

Exposição ao ar livre

Ficar dentro de casa, tanto quanto possível, quando a contagem de pólen estão em seu pico, geralmente durante o meio da manhã e no início da noite (pode variar de acordo com pólen de plantas), e quando o vento está soprando pólens ao redor.

Evitar o uso de ventiladores de janela que podem espalhar pólens e moldes pela casa.

Usar óculos ou óculos de sol quando estiver ao ar livre, para minimizar a quantidade de pólen que entra em seus olhos.

Usar uma máscara de pólen (como uma máscara com filtro) quando cortar a grama, varrer folhas ou jardinagem, e tomar

Medicação apropriada de antemão.

Não pendurar roupas para secar ao ar livre; pólen pode agarrar-se a toalhas e lençóis.

Tente não esfregar os olhos; isso vai irritá-los e pode piorar os sintomas.

 

Exposição interior

Mantenha as janelas fechadas e use o ar condicionado no seu carro e casa. Certifique-se de manter seu ar condicionado limpo.

Reduzir a exposição aos ácaros do pó, especialmente no quarto. Use capas para almofadas, edredons e edredons e colchões e molas de caixa anti-ácaros. Lavar sua roupa de cama com frequência, usando água quente.

Para limitar a exposição ao mofo, manter a umidade em sua casa baixa (entre 30 e 50 por cento) e limpar seu banheiro e cozinha regularmente.

Use um desumidificador, especialmente no porão e em outros lugares úmidos e vazios para limpá-los muitas vezes.

Se o pó é visível, limpe-o com um detergente suave e uma solução de água sanitária 5 por cento como recomendado por um alergista.

Pisos limpos com um pano úmido ou esfregão, em vez de secar ou varrer.

 

A exposição a animais de estimação

Lave as mãos imediatamente após acariciar os animais; lavar suas roupas depois de visitar amigos com animais de estimação.

Se você é alérgico a um animal doméstico, manter o animal fora de sua casa, tanto quanto possível. Se o animal de estimação deve estar dentro, mantê-lo fora do quarto para que não sejam expostos a alérgenos animais, enquanto você dorme.

Muitos alérgenos que desencadeiam rinite alérgica estão no ar, para que você não possa sempre evitá-los. Se os sintomas não podem ser bem controlados por causas simplesmente evitando, seu alergista pode recomendar medicamentos que reduzem a congestão nasal, coriza, espirros e coceira.

Eles estão disponíveis em muitas formas: comprimidos orais, medicamentos líquidos, sprays nasais e gotas oculares.

Alguns medicamentos podem ter efeitos colaterais, por isso, discutir esses tratamentos com o seu alergista.

Corticosteroides intranasais são a classe de drogas mais eficaz, para o tratamento de rinite alérgica. Eles podem reduzir significativamente a congestão nasal, bem como espirros, coceira e corrimento nasal.

Fale com o seu alergista sobre se estes medicamentos são adequados e seguros para você.

Estes pulverizadores são concebidos para evitar os efeitos secundários que podem ocorrer a partir de esteroides que são tomados por via oral ou por injeção.

Tome cuidado para não pulverizar a medicação contra a porção centro do nariz (septo nasal). Os efeitos colaterais mais comuns são irritação local e sangramento nasal.

Algumas preparações mais velhas têm mostrado ter algum efeito sobre o crescimento das crianças; dados sobre alguns esteroides mais recentes não indicam um efeito sobre o crescimento.

Os anti-histamínicos são comumente utilizados para tratar a rinite alérgica. Estes medicamentos combatem os efeitos da histamina, a substância química irritante liberada dentro de seu corpo, quando uma reação alérgica ocorre.

Embora outros produtos químicos estejam envolvidos, a histamina é o principal responsável por causar os sintomas.

Os anti-histamínicos são encontrados em colírios, spray nasais e mais comumente, comprimidos orais e xarope.

Os anti-histamínicos ajudam a aliviar os sintomas de alergia nasal, tais como:

Espirros e coceira no nariz, corrimento nasal

Coceira nos olhos, ardor, lacrimejamento e vermelhidão

Coceira na pele, urticária e eczema

Existem dezenas de anti-histamínicos; alguns estão disponíveis em vários lugares a venda, enquanto outros exigem receita médica. Os pacientes respondem a eles em uma ampla variedade de maneiras.

Geralmente, os mais novos (de segunda geração) produtos funcionam bem e produzem apenas efeitos colaterais menores.

Algumas pessoas acham que um anti-histamínico torna-se menos eficaz quando a alergia piora ou quando suas alergias mudam com o tempo.

Se você achar que um anti-histamínico está se tornando menos efetivo, informe o seu alergista, que pode recomendar um tipo ou anti-histamínico diferente mais forte.

Se você tem ressecamento nasal excessivo ou muco nasal de espessura, consulte um alergista antes de tomar anti-histamínicos. Fale para o seu alergista se um anti-histamínico provoca sonolência ou outros efeitos colaterais.

 

O uso adequado: anti-histamínicos de ação curta pode ser tomado a cada quatro a seis horas, enquanto os anti-histamínicos de libertação cronometrada são tomados a cada 12 a 24 horas.

Os anti-histamínicos de curta ação são muitas vezes mais úteis, se tomado 30 minutos antes de uma exposição antecipada a um alérgeno (como em um piquenique durante a temporada de ambrósia).

Anti-histamínicos de liberação programada são mais adequados para o uso a longo prazo para aqueles que precisam de medicação diária. A utilização adequada destas drogas é tão importante quanto a sua seleção.

A maneira mais eficaz de usá-los é antes de desenvolver sintomas. Uma dose tomada mais cedo pode eliminar a necessidade de muitas doses posteriores para reduzir os sintomas estabelecidos.

Muitas vezes o paciente vai dizer que ele ou ela “temou e não funcionou.” Se o paciente tinha tomado o anti-histamínico regularmente durante três a quatro dias para construir os níveis sanguíneos do medicamento, que poderia ter sido eficaz.

 

(VÍDEO) Tratamento Caseiro Para Rinite Alérgica

 

Efeitos colaterais: (primeira geração) os anti-histamínicos podem causar sonolência e desempenho prejudicado, o que pode levar a acidentes e ferimentos.

Mesmo quando esses medicamentos são tomados apenas na hora de dormir, eles ainda podem causar danos consideráveis no dia seguinte, mesmo em pessoas que não se sentem sonolentos.

Por esta razão, é importante que você não dirija um carro ou trabalhe com máquinas perigosas quando você tomar um anti-histamínico potencialmente sedativo. Alguns dos mais recentes anti-histamínicos não causam sonolência.

Um efeito colateral frequente é a secura excessiva da boca, nariz e olhos.

Os efeitos secundários menos comuns incluem agitação, nervosismo, insônia, tonturas, dores de cabeça, euforia, desmaios, perturbações visuais, diminuição do apetite, náuseas, vômito, dor abdominal, constipação, diarréia, aumento ou diminuição da urina, retenção urinária, arterial alta ou baixa pressão, pesadelos (especialmente em crianças), dor de garganta, sangramento anormal ou hematomas, aperto no peito ou palpitações.

Homens com aumento da próstata pode encontrar problemas urinários. Consulte o seu alergista se ocorrerem estas reações.

Precauções importantes:

Siga as instruções do seu alergista.

Álcool e tranquilizantes aumentar os efeitos colaterais de sedação de anti-histamínicos.

Não use mais de um anti-histamínico de cada vez, a menos que prescrito.

Manter estes medicamentos fora do alcance das crianças.

Saber como o medicamento o afeta antes de trabalhar com máquinas pesadas, dirigir ou fazer outras tarefas de uso intensivo de desempenho; alguns produtos podem abrandar o seu tempo de reação.

Alguns anti-histamínicos parecem ser seguros para tomar durante a gravidez, mas não houve estudos suficientes para determinar a segurança absoluta de anti-histamínicos na gravidez.

Novamente, consulte o seu alergista ou seu obstetra se você deve tomar anti-histamínicos.

Embora os anti-histamínicos forem tomados com segurança por milhões de pessoas nos últimos 50 anos, não tomar anti-histamínicos antes de dizer a seu alergista se você é alérgico a, ou intolerante a qualquer medicamento; está grávida ou pretende engravidar enquanto estiver usando esta medicação; a amamentar; têm glaucoma ou um aumento da próstata; ou esta doentes.

Nunca tome a medicação de qualquer outra pessoa.

Descongestionantes ajuda a aliviar a congestão e pressão causada pelo tecido nasal inchado. Eles não contêm anti-histamínicos, para que eles não causem efeitos colaterais anti-histamínicos.

Eles não aliviam outros sintomas de rinite alérgica. Descongestionantes estão disponíveis com prescrição e sem prescrição e muitas vezes são encontrados em combinação com anti-histamínicos ou outros medicamentos.

Não é incomum para pacientes em uso de descongestionantes terem insônia, se tomar a medicação no período da tarde ou à noite.

Se isto acontece, pode ser necessária uma redução da dose. Às vezes, os homens com aumento da próstata pode encontrar problemas urinários, quando usa descongestionantes.

Pacientes em uso de medicamentos para controlar problemas emocionais ou comportamentais deve discutir este assunto com o seu alergista antes de utilizar descongestionantes.

Pacientes grávidas também devem verificar com seu alergista antes de iniciar o uso de descongestionantes.

Sem prescrição spray descongestionante nasal trabalha dentro de minutos e dura por horas, mas você não deve usá-los durante mais do que alguns dias de cada vez, a menos que indicado pelo seu alergista.

O uso prolongado pode causar rinite medicamentosa, ou inchaço do tecido nasal. Parando a utilização do spray nasal descongestionante que vai curar o inchaço, desde que não haja perturbação subjacente.

Descongestionantes orais são encontrados em muitos lugares e medicamentos de prescrição, podem ser o tratamento de escolha para a congestão nasal.

Eles não causam rinite medicamentosa, mas precisa ser evitado por alguns pacientes com pressão sanguínea elevada.

Se você tem pressão arterial elevada, verifique com seu alergista antes de usá-los.

Sem prescrição sprays nasais salinas vão ajudar a combater os sintomas, tais como secas em passagens nasais ou muco nasal grosso.

Ao contrário de sprays nasais descongestionantes, um spray nasal salino pode ser usado quantas vezes for necessário.

Às vezes, um alergista pode recomendar lavagem (ducha) na passagem nasal. Existem muitos sistemas para lavagens salinas, incluindo potes e garrafas de solução salina de lavagem.

Blocos de cromolina nasais liberação do corpo de substâncias que causam alergia. Ele não funciona em todos os pacientes. A dose total é quatro vezes ao dia, e melhora os sintomas pode levar várias semanas. Cromolina Nasal pode ajudar a prevenir reações alérgicas nasais, se tomado antes de uma exposição ao alérgeno.

Spray nasal brometo de ipratrópio pode ajudar a reduzir a drenagem nasal da rinite alérgica ou algumas formas de rinite não alérgica.

Inibidores da via Leukatriene (montelucaste e zafirlukast) bloqueiam a ação dos leucotrienos, uma substância no organismo que pode causar sintomas de alergias.

Estas drogas são também utilizadas para tratar a asma.

A imunoterapia pode ser recomendada para as pessoas que não respondem bem ao tratamento com medicamentos ou que apresentam efeitos colaterais de medicamentos, que têm exposição a alérgenos que é inevitável ou que desejam uma solução mais permanente às suas alergias.

A imunoterapia pode ser muito eficaz no controle dos sintomas alérgicos, mas isso não ajuda os sintomas produzidos pela rinite não alérgica.

Dois tipos de imunoterapia estão disponíveis: alergia disparos e comprimidos sublinguais (em baixo da língua).

 

(VÍDEO) Solução Caseira Para Rinite Alérgica

 

Alergia disparos: Um programa de tratamento, o que pode levar de três a cinco anos, consiste em injeções de um extrato de alergia diluída, administrados frequentemente em doses crescentes, até uma dose de manutenção é atingida.

Em seguida, o esquema de injeções é alterado de modo que a mesma dose é administrada com intervalos mais longos entre as injeções.

Imunoterapia ajuda o corpo a construir a resistência aos efeitos do alérgeno, reduz a intensidade dos sintomas causados pela exposição a alergênios e, por vezes, pode realmente fazer desaparecer reações do teste cutâneo.

Como a resistência se desenvolve ao longo de vários meses, os sintomas devem melhorar.

 

Comprimidos sublinguais: A partir de vários meses antes da temporada de alergia começar, os pacientes dissolvem um comprimido sob a língua diariamente.

O tratamento pode continuar por até três anos. Apenas alguns alergênios podem ser tratados com este método agora, mas é uma terapia promissora para o futuro.

Preparações alergia ocular pode ser útil quando os olhos que são afetados pelos mesmos alérgenos que desencadeiam rinite, causando vermelhidão, lacrimejamento e coceira.

Colírios e medicamentos orais são comumente usados para alívio de curto prazo de alguns sintomas de alergia ocular.

Eles podem não aliviar todos os sintomas, embora, e uso prolongado de alguns desses podem realmente causar a sua condição a agravar-se.

Colírios prescritos e medicamentos orais também são usados para tratar alergias oculares. Colírios de prescrição fornecem tanto a curto e longo prazo alívio dos sintomas alérgicos do olho alvejado, e pode ser usado para gerenciá-los.

Verifique com o seu alergista ou farmacêutico se não tiver certeza sobre um medicamento ou uma fórmula específica.

Tratamentos que não são recomendados para a rinite alérgica

Antibióticos: eficaz para o tratamento de infecções bacterianas, os antibióticos não afeta o curso do resfriados comuns não complicados (uma infecção viral) e não são benéficos para a rinite não-infecciosas, incluindo a rinite alérgica.

Cirurgia nasal: A cirurgia não é um tratamento para a rinite alérgica, mas pode ajudar se o paciente tem pólipos nasais ou sinusite crônica que não responde a antibióticos ou sprays nasais esteróides.

A rinite ocupacional

Se você desenvolver sintomas semelhantes aos da febre do feno e que aparecem ou se tornam mais sério no trabalho, você pode estar sofrendo de rinite ocupacional.

Rinite ocupacional, ou rinite relacionada ao trabalho, é uma condição em que os sintomas são acionados ou agravada por alérgenos no ambiente de trabalho. Estes sintomas podem incluir espirros, coriza e olhos lacrimejantes. Causas comuns incluem produtos de limpeza, fumos químicos, certos tipos de poeira e gases corrosivos.

Se os sintomas de alergia aparecem no trabalho, ou parecem piorar lá, ligue para o seu alergista, que pode ajudar a identificar as causas potenciais e desenvolver um plano de tratamento.

ATUALIZADO: 19.01.17 (INFOGRÁFICO)

 

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