Avtor/Urednik     Podboj, Jernej
Naslov     Alergijski rinitisi z vidika otorinolaringologa
Prevedeni naslov     Allergic rhinitis from the viewpoint of an otorhinolaryngologist
Tip     članek
Vir     Med Razgl
Vol. in št.     Letnik 38, št. Suppl 7
Leto izdaje     1999
Obseg     str. 89-92
Jezik     slo
Abstrakt     Allergic rhinitis, either perennial or seasonal, is frequently encountered in the otorhinolaryngologic practice and its incidence has been increasing world-wide. The disease is triggered by immune mechanisms in individuals with familial predisposition for atopic disorders. The diagnosis should be made on the grounds of a precise history, nasal examination and allergen testing. The patients should be evaluated both by a general practitioner, E.N.T. specialist and ellergologist. Endoscopy is used to examine nasal structure and function, to evaluate the role of non-allergic pathologic mechanisms in the clinical picture of allergic rhinitis and assess the efficacy of drug theapy. Endoscopic nasal surgrey is indicated in patients with overt and persistent symptoms of rhinitis due to anatomic malformations, inflammatory foci in the nose or advanced nasal polyposis. Operative treatment is aimed at ameliorating nasal function, creating conditions for successful drug treatment and preventing complications of rhinitis.
Izvleček     Otorinolaringologi pogosto obravnavajo bolnike s celoletnimi in sezonskimi alergijskimi rinitisi. Bolezen, ki je v svetu vse pogostejša, sprožijo imunski mehanizmi pri genetsko predisponiranih osebah. Pri razpoznavanju, ki temelji predvsem na anamnezi, alergijskih kožnih testih in pregledu nosu, poleg splošnega zdravnika praviloma sodelujeta otorinolaringolog in alergolog pulmolog. Otorinolaringolog z endoskopskim pregledom oceni zgradbo in delovanje nosu, pomembnost nealergijskih patoloških mehanizmov v klinični sliki alergijskega rinitisa in uspešnost zdravljenja z zdravili. Kadar ima bolnik kljub zdravljenju močno izražena znamenja rinitisa zaradi anatomskih deformacij, vnetnih žarišč v nosu ali napredovane nosne polipoze, se odločimo za endoskopski rinokirurški poseg. Cilji teh posegov so izboljšanje delovanja nosu, ustvarjanje pogojev za uspešno zdravljenje z zdravili in preprečevanje zapletov rinitisa.
Deskriptorji     OTORHINOLARYNGOLOGIC DISEASES
RHINITIS, ALLERGIC, PERENNIAL
HAY FEVER