{"id":70,"date":"2022-11-10T22:27:25","date_gmt":"2022-11-10T20:27:25","guid":{"rendered":"https:\/\/doctorchat.md\/ro\/?p=70"},"modified":"2023-01-09T12:43:59","modified_gmt":"2023-01-09T10:43:59","slug":"rinita-medicamentoasa","status":"publish","type":"post","link":"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/","title":{"rendered":"Rinita medicamentoas\u0103!"},"content":{"rendered":"

Autor: Trofimciuc Marina, medic ORL<\/strong><\/p>\n

Rinita medicamentoas\u0103 (RM) este o form\u0103 de rinit\u0103 nonalergic\u0103, fiind asociat\u0103, de obicei, cu utilizarea ira\u021bional\u0103 a vasoconstrictoarelor topice, adic\u0103 a decongestionantelor nazale.<\/p>\n

\u2618\ufe0fCAUZE
\nRinita indus\u0103 de medicamente poate fi \u00eemp\u0103r\u021bit\u0103 \u00een dou\u0103 grupe:
\n?\u00a0rinita legat\u0103 \u00een mod specific de decongestionante
\n?\u00a0rinita asociat\u0103 cu alte medicamente, cum ar fi unele antihipertensive, contraceptive orale, antiinflamatoare, psihotrope etc.<\/p>\n

La unii pacien\u021bi, chiar \u0219i c\u00e2teva zile de utilizare a preparatelor decongestionante pot fi suficiente pentru a intra \u00eentr-un cerc vicios\u00a0\u26a0\ufe0f<\/p>\n

Edemul mucoasei reapare pe m\u0103sur\u0103 ce ac\u021biunea medicamentului scade, determin\u00eend necesitatea administr\u0103rii repetate. Astfel, se m\u0103re\u0219te doza \u0219i frecven\u021ba administr\u0103rilor, durata efectului fiind tot mai scurt\u0103.<\/p>\n

\u2618\ufe0fDIAGNOSTICUL
\nse bazeaz\u0103, de principiu, pe anamneza minu\u021bioas\u0103.
\nDin istoricul bolii se determin\u0103 preparatul cauzal al RM, precum \u0219i toate particularit\u0103\u021bile legate administrarea acestuia.
\nExamenul fizic la astfel de pacien\u021bi eviden\u021biaz\u0103 adesea cornete nazale edemate, hipermeniate.<\/p>\n

\u2618\ufe0fCE ESTE EFECTUL REBOUND?
\nRebound \u2013 fenomenul de reapari\u021bie a semnelor unei boli, atunci c\u00e2nd tratamentul este oprit brusc. Simptomele tratate ini\u021bial reapar, deseori, mult mai accentuate.
\nLa fel \u0219i \u00een cazul RM, anularea brusc\u0103 a medicamentului poate provoca apari\u021bia unei congestii nazale cu mult mai deranjante dec\u00e2t a fost ini\u021bial.<\/p>\n

\u2618\ufe0fTRATAMENT
\nScopul tratamentului este de a stopa, cu orice pre\u021b, administrarea preparatului-drog.<\/p>\n

Pentru aceasta v\u0103 recomand :
\n1\ufe0f\u20e3\u00a0Mic\u0219ora\u021bi, treptat, concentra\u021bia medicamentului
\nDac\u0103 folosi\u021bi zilnic decongestionant de 0,1%, trece\u021bi la 0,05%, peste o perioad\u0103 la 0,025%\u2026
\n2\ufe0f\u20e3\u00a0Schimba\u021bi pic\u0103turile pe spray, astfel ve\u021bi monitoriza mai eficient doza administrat\u0103
\n3\ufe0f\u20e3\u00a0Reduce\u021bi treptat c\u00e2te o administrare, \u00eenlocuind-o cu igiena nazal\u0103 cu ap\u0103 hipertonic\u0103
\n4\ufe0f\u20e3\u00a0Ini\u021bierea unei terapii cu corticosteroizi topici \u2013 doza \u0219i durata o stabile\u0219te medicul ORL
\n5\ufe0f\u20e3\u00a0\u00cen unele cazuri poate fi nevoie de c\u00e2teva doze de corticosteroizi sistemici<\/p>\n

\u2757Dac\u0103 a\u021bi \u00eenceput folosirea decongestionantelor din cauza unei probleme anatomice, posibil va fi nevoie de tratament chirurgical.<\/p>\n","protected":false},"excerpt":{"rendered":"

Autor: Trofimciuc Marina, medic ORL Rinita medicamentoas\u0103 (RM) este o form\u0103 de rinit\u0103 nonalergic\u0103, fiind asociat\u0103, de obicei, cu utilizarea ira\u021bional\u0103 a vasoconstrictoarelor topice, adic\u0103 a decongestionantelor nazale. \u2618\ufe0fCAUZE Rinita indus\u0103 de medicamente poate fi \u00eemp\u0103r\u021bit\u0103 \u00een dou\u0103 grupe: ?\u00a0rinita legat\u0103 \u00een mod specific de decongestionante ?\u00a0rinita asociat\u0103 cu alte medicamente, cum ar fi unele … Continued<\/a><\/p>\n","protected":false},"author":34,"featured_media":158,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"acf":[],"yoast_head":"\nRinita medicamentoas\u0103! - Doctorchat Romania<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rinita medicamentoas\u0103!\" \/>\n<meta property=\"og:description\" content=\"Autor: Trofimciuc Marina, medic ORL Rinita medicamentoas\u0103 (RM) este o form\u0103 de rinit\u0103 nonalergic\u0103, fiind asociat\u0103, de obicei, cu utilizarea ira\u021bional\u0103 a vasoconstrictoarelor topice, adic\u0103 a decongestionantelor nazale. \u2618\ufe0fCAUZE Rinita indus\u0103 de medicamente poate fi \u00eemp\u0103r\u021bit\u0103 \u00een dou\u0103 grupe: ?\u00a0rinita legat\u0103 \u00een mod specific de decongestionante ?\u00a0rinita asociat\u0103 cu alte medicamente, cum ar fi unele … Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\" \/>\n<meta property=\"og:site_name\" content=\"Doctorchat Romania\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/doctorchat.md\/ro\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-10T20:27:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-09T10:43:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/doctorchat.ro\/wp-content\/uploads\/sites\/5\/2022\/11\/place.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"trofimciucmarina\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\"},\"author\":{\"name\":\"trofimciucmarina\",\"@id\":\"https:\/\/doctorchat.ro\/#\/schema\/person\/839df4599d411f067f63182b4e15662d\"},\"headline\":\"Rinita medicamentoas\u0103!\",\"datePublished\":\"2022-11-10T20:27:25+00:00\",\"dateModified\":\"2023-01-09T10:43:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\"},\"wordCount\":329,\"publisher\":{\"@id\":\"https:\/\/doctorchat.ro\/#organization\"},\"articleSection\":[\"Otorinolaringologie (ORL)\"],\"inLanguage\":\"ro-RO\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\",\"url\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa\/\",\"name\":\"Rinita medicamentoas\u0103! 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