Author/Editor		Podboj, Jernej
Title		Razpoznavanje in zdravljenje alergijskih in nealergijskih rinitisov
Translated title		Diagnosis and therapy of allergic and nonallergic rhinitis
Type		članek
Source		Farm Vestn
Vol. and No.		Letnik 50, št. 2
Publication year		1999
Volume		str. 165-8
Language		slo
Abstract		Allergic and nonallergic forms of chronic noninfectious rhinitis are among the most common nasal diseases. In contrast to inflammation of the nasal mucous membrane, which is known to occur as a result of hypersesitivity reaction to inhaled or ingested allergens, nonallergic rhinitis can be caused by a number of yet poorly understood anatomic, functional and extrinsic factors. To distinguish between these two types of chronic nasal inflammations a precise history is of prime importance. The definitive diagnosis rests on the accurate history supplemented by endoscopic examination of the nose and specific tests performed by allergologist. Chronic rhinitis is mostly treated by corticosteroids, which may be supplemented by other drugs, depending on the form and stage of the disease, it is important to give the patient detailed information about his/her condition. Appropriate drug therapy should be instituted with the dosage adjusted to each individual case. The aim of operative treatment of chronic rhinitis is to improved nasal function, to control severe progressive inflammation and to create conditions favourable to drug therapy.
Summary		Kronični alergijski in nealergijski neinfekcijski rinitisi sodijo med najpogostejše bolezni nosu. V nasprotju z dokaj dobro znano patogenezo vnetja sluznice nosnega organa, ki ga povzročajo alergijske reakcije na inhalacijske in nutritivne alergene, so za nastanek nealergijskih rinitisov pomembni številni drugi, v celoti še ne dovolj poznani anatomski, funkcionalni in zunanji dejavniki. Pri ločevanju obeh oblik kroničnega vnetja je predvsem pomembna izčrpna anamneza, ki jo moramo za dokončno diagnozo dopolniti z endoskopskim pregledom nosu in s pregledom in preiskavami, ki jih opravi pulmolog - alergolog. Zdravljenje kroničnih rinitisov je v prvi vrsti medikamentozno. Najpomembnejše sredstvo so kortikosteroidi za lokalno uporabo, ki jih glede na naravo in stopnjo bolezni kombiniramo z drugimi medikamenti. Pomembno je seznanjanje bolnika z naravo bolezni, spremljanje in individualno prilagajanje vrste in doze zdravil bolnikovim težavam. Cilji kirurških posegov pri bolnikih s kroničnim rinitisom so izboljšanje delovanja nosu, prekinitev začaranega kroga pri hudem, napredujočem vnetju in izboljšanje pogojev za medikamentozno zdravljenje.
Descriptors		RHINITIS HAY FEVER RHINITIS, ALLERGIC, PERENNIAL