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Vir\u0161utini\u0173 kv\u0117pavimo tak\u0173 ligos, tokios kaip \u016bminis ar l\u0117tinis rinosinusitas, virusin\u0117s vir\u0161utini\u0173 kv\u0117pavimo tak\u0173 infekcijos (\u016aVKTI) ir alerginis rinitas, \u2013 vienos da\u017eniausi\u0173 klinikin\u0117je praktikoje. Joms b\u016bdingi tie patys nosies simptomai \u2013 u\u017egulimas, rinor\u0117ja, \u010diaudulys, kuriuos palengvinti padeda tinkamai parinktas gydymas.<\/span><\/em><\/p>\n Sveik\u0173 asmen\u0173 kv\u0117pavimo takus nuo aplinkos svetimk\u016bni\u0173 saugo virpamasis epitelis, i\u0161klojantis nosies ir sinus\u0173 ertmes. \u0160\u012f sluoksn\u012f sudaro virpamaisiais plaukeliais padengtos epitelio l\u0105stel\u0117s ir taurin\u0117s l\u0105stel\u0117s. Svetimk\u016bniai patenka \u012f \u0161i\u0173 l\u0105steli\u0173 gaminamas gleives ir virpam\u0173j\u0173 plaukeli\u0173 judesiais pa\u0161alinami i\u0161 sinus\u0173 \u012f nosiarykl\u0119. D\u0117l virus\u0173, bakterij\u0173, alergen\u0173 ar dirgikli\u0173 poveikio \u0161is mechanizmas sutrinka, d\u0117l to vystosi nosies ir sinus\u0173 gleivin\u0117s u\u017edegimas. <\/span><\/p>\n Drusk\u0173 tirpalai, kaip pagalbin\u0117 priemon\u0117 nosies ir sinus\u0173 ligoms gydyti, naudojami jau nuo XX am\u017eiaus prad\u017eios. Hipertoninio j\u016bros vandens vartojimas nosies lig\u0173 gydymui vis dar iki \u0161iandien rutini\u0161kai rekomenduojamas otorinolaringolog\u0173. <\/span><\/p>\n Rinosinusitas <\/span><\/strong><\/p>\n \u016aminio ir l\u0117tinio rinosinusito simptomai ir po\u017eymiai yra gerai \u017einomi. \u016amin\u012f rinosinusit\u0105 da\u017enai lydi kar\u0161\u010diavimas ir veido sri\u010di\u0173 skausmas, tuo tarpu l\u0117tiniam rinosinusitui kar\u0161\u010diavimas n\u0117ra b\u016bdingas, kol neprisideda \u016bmi infekcija. Tiek \u016bminis, tiek l\u0117tinis rinosinusitas turi bendrus simptomus, \u012fskaitant nosies u\u017egulim\u0105, paburkim\u0105, u\u017enosin\u012f sekreto tek\u0117jim\u0105, gelsvai \u017ealsvas i\u0161skyras, susilpn\u0117jusi\u0105 uosl\u0119.<\/span><\/p>\n Medikamentiniam gydymui vartojami antibiotikai, vietiniai ir sisteminiai dekongestantai, gliukokortikoidai, mukolitikai. Pagrindinis gydymo tikslas \u2013 \u0161alinti simptomus ir prie\u017east\u012f. Nosies plovimas neatsiejamas nuo rinosinusito gydymo. Remiantis ekspert\u0173 rekomendacijomis, l\u0117tinis rinosinusitas \u2013 pati da\u017eniausia j\u016bros vandens vartojimo indikacija (A lygio rekomendacija). Nosies plovimas drusk\u0173 tirpalais prie\u0161 vartojant dekongestantus ar gliukokortikoidus pagerina \u0161i\u0173 vaist\u0173 prasiskverbim\u0105 ir efektyvum\u0105. Drusk\u0173 tirpalai, gydant rinosinusit\u0105, gerina virpamojo epitelio funkcij\u0105, ma\u017eina gleivin\u0117s paburkim\u0105, kartu ger\u0117ja sinus\u0173 drena\u017ein\u0117 funkcija. \u012erodyta, jog sergant \u016bminiu bakteriniu rinosinusitu drusk\u0173 tirpal\u0173 vartojimas sutrumpina gydymo antibiotikais trukm\u0119. <\/span><\/p>\n Alerginis rinitas<\/span><\/strong><\/p>\n \u012eprastai alerginis rinitas gydomas antihistamininiais vaistais ir gliukokortikoidais. Juo sergantiems pacientams gydytojai taip pat pataria vartoti drusk\u0173 tirpalus nosiai plauti \u2013 lengviau pasi\u0161alina gleiv\u0117s, alergenai, palengv\u0117ja kv\u0117pavimas. <\/span><\/p>\n \u012evairios kilm\u0117s rinitas <\/span><\/strong><\/p>\n Klinikiniais tyrimais pagr\u012fsta drusk\u0173 tirpal\u0173 nauda virusini\u0173 kv\u0117pavimo tak\u0173 infekcijos s\u0105lygos slogos gydymui ir profilaktikai. <\/span><\/p>\n Pateikiami \u012frodymai, jog drusk\u0173 tirpalai veiksmingi pagalbiniam atrofinio, sausojo rinito ir nosies polip\u0173 gydymui. Be to, sergantiems cistine fibroze pacientams drusk\u0173 tirpalai rutini\u0161kai rekomenduojami nosies sinus\u0173 gleivin\u0117s atk\u016brimui. <\/span><\/p>\n Palyginamieji tyrimai <\/span><\/strong><\/p>\n Nosies drusk\u0173 pur\u0161kalai <\/span><\/strong><\/p>\n Drusk\u0173 tirpalus galima pasiruo\u0161ti ir nam\u0173 s\u0105lygomis, naudojant \u0161ilt\u0105 vanden\u012f ir drusk\u0105, ta\u010diau tai n\u0117ra sterilu ir patogu. Dabar rinkoje yra \u012fvairi\u0173 nosiai plauti skirt\u0173 tirpal\u0173, bene did\u017eiausias pasirinkimas \u2013 quixx<\/a>\/6373″>Quixx<\/a><\/em> preparat\u0173 linijoje.<\/span><\/p>\n quixx<\/a>\/6373″>Quixx<\/a><\/span><\/em> \u2013 nat\u016braliai druskingesnis j\u016bros vanduo, turintis verting\u0173 mineral\u0173 ir mikroelement\u0173. Nors hipertonini\u0173 nosies pur\u0161kal\u0173 mechanizmas n\u0117ra \u017einomas, manoma, jog nosies gleivin\u0117s funkcija pager\u0117ja, nes \u0161ie tirpalai tiesiogiai i\u0161valo nosies gleivin\u0119, pa\u0161alina u\u017edegiminius mediatorius ir gerina mukociliarin\u0119 funkcij\u0105 \u2013 suskyst\u0117jus sekretui, pager\u0117ja nosies plaukeli\u0173 darbas.<\/span><\/p>\n \u0160i nat\u016brali priemon\u0117 ma\u017eina nosies ertmi\u0173 ir sinus\u0173 u\u017esikim\u0161im\u0105, dr\u0117kina nosies gleivin\u0119, skatina sekreto pasi\u0161alinim\u0105, lengvina kv\u0117pavim\u0105. Kasdienis nosies plovimas j\u016bros vandeniu suma\u017eina simptomus bei kit\u0173 vaist\u0173 poreik\u012f, ypa\u010d kai rinosinusitu sergama da\u017enai. Kartais nosies plovimas t\u0117ra vienintel\u0117 gydymo priemon\u0117, o prireikus \u2013 derinama su vaistais.<\/span><\/p>\n \u017durnalas Farmacija ir laikas Literat\u016bra<\/span><\/strong><\/p>\n 1. Blake Papsin, Alison McTavish. Saline nasal irrigation.Its role an adjunct treatment. Canadian Family Physician <\/em>2003;49:168-173.<\/span><\/p>\n 2. Catherine Whittaker. Nasal spraus: a short review. S Afr Pharm J 2011; 78(7):21-23.<\/span><\/p>\n 3. Darwin F.Yeung. Efficacy of nasal saline spraus to relieve symptoms of chronic sinusitis. UTMJ Vol 88, Number 2, 2011.<\/span><\/p>\n 4. DAVID RABAGO, MD, and ALEKSANDRA ZGIERSKA. Saline Nasal Irrigation for Upper Respiratory Conditions. Am Fam Physician.<\/em>\u00a02009\u00a0Nov\u00a015;80(10):1117-1119.<\/span><\/p>\n 5.Lance T.Tomooka. Clinical study and literature review of Nasau irrigation. Laryngoscope, 110:1189-1193,2000.<\/span><\/p>\n \u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" <\/p>\n <\/p>\n Quixx<\/span><\/em> \u2013 nat\u016braliai druskingesnis j\u016bros vanduo, turintis verting\u0173 mineral\u0173 ir mikroelement\u0173. Nors hipertonini\u0173 nosies pur\u0161kal\u0173 mechanizmas n\u0117ra \u017einomas, manoma, jog nosies gleivin\u0117s funkcija pager\u0117ja, nes \u0161ie tirpalai tiesiogiai i\u0161valo nosies gleivin\u0119, pa\u0161alina u\u017edegiminius mediatorius ir gerina mukociliarin\u0119 funkcij\u0105 \u2013 suskyst\u0117jus sekretui, pager\u0117ja nosies plaukeli\u0173 darbas.<\/span><\/p>\n","protected":false},"author":1,"featured_media":8349,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27313],"tags":[3566,3565,3567,3570,2,2146,4,1611,292,3569,2918,268,386,3571,9,1198,138,36,3568],"site":[],"post_item_type":[27345],"class_list":["post-8348","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gydymo-naujienos","tag-drusku-purskalai","tag-ertmiu","tag-ertmiu-sinusu","tag-ertmiu-sinusu-uzsikimsima","tag-infekcijos","tag-izotoninis","tag-karsciavimas","tag-kvepavimo-taku-infekcijos","tag-mikroelementu","tag-nosies-ertmiu-sinusu","tag-nosies-plovimas","tag-plauti","tag-purskalai","tag-skatina-sekreto-pasisalinima","tag-sloga","tag-uminis","tag-vaistai","tag-vanduo","tag-vanduo-turintis-mineralu"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/comments?post=8348"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8348\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media\/8349"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=8348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=8348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=8348"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=8348"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=8348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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