{"id":770,"date":"2022-12-14T15:40:38","date_gmt":"2022-12-14T13:40:38","guid":{"rendered":"https:\/\/doctorchat.md\/ro\/?p=770"},"modified":"2023-01-09T12:43:12","modified_gmt":"2023-01-09T10:43:12","slug":"rinita-medicamentoasa-2","status":"publish","type":"post","link":"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/","title":{"rendered":"Rinita medicamentoas\u0103!"},"content":{"rendered":"<p><span style=\"font-weight: 400\">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.<\/span><\/p>\n<p><b>CAUZE<\/b><\/p>\n<p>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<p><span style=\"font-weight: 400\">Rinita indus\u0103 de medicamente poate fi \u00eemp\u0103r\u021bit\u0103 \u00een dou\u0103 grupe:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">rinita legat\u0103 \u00een mod specific de decongestionante;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">rinita asociat\u0103 cu alte medicamente, cum ar fi unele antihipertensive, contraceptive orale, antiinflamatoare, psihotrope etc.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">La unii pacien\u021bi, chiar \u0219i c\u00e2teva zile de utilizare a preparatelor decongestionante pot fi suficiente pentru a intra \u00eentr-un cerc vicios Edemul mucoasei reapare pe m\u0103sur\u0103 ce ac\u021biunea medicamentului scade, determin\u00e2nd necesitatea administr\u0103rii repetate. Astfel, se m\u0103re\u0219te doza \u0219i frecven\u021ba administr\u0103rilor, durata efectului fiind tot mai scurt\u0103.<\/span><\/p>\n<p><b>DIAGNOSTICUL <\/b><span style=\"font-weight: 400\">se bazeaz\u0103, de principiu, pe anamneza minu\u021bioas\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Din istoricul bolii se determin\u0103 preparatul cauzal al RM, precum \u0219i toate particularit\u0103\u021bile legate administrarea acestuia. Examenul fizic la astfel de pacien\u021bi eviden\u021biaz\u0103 adesea cornete nazale edemate, hipermeniate.<\/span><\/p>\n<p><b>CE ESTE EFECTUL REBOUND?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Rebound \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. La 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.<\/span><\/p>\n<p><b>TRATAMENT<\/b><\/p>\n<p><span style=\"font-weight: 400\">Scopul tratamentului este de a stopa, cu orice pre\u021b, administrarea preparatului &#8211; drog.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Pentru aceasta v\u0103 recomand :<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Mic\u0219ora\u021bi, treptat, concentra\u021bia medicamentului;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Dac\u0103 folosi\u021bi zilnic decongestionant de 0,1%, trece\u021bi la 0,05%, peste o perioad\u0103 la 0,025%\u2026;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u00a0Schimba\u021bi pic\u0103turile pe spray, astfel ve\u021bi monitoriza mai eficient doza administrat\u0103;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Reduce\u021bi treptat c\u00e2te o administrare, \u00eenlocuind-o cu igiena nazal\u0103 cu ap\u0103 hipertonic\u0103;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ini\u021bierea unei terapii cu corticosteroizi topici \u2013 doza \u0219i durata o stabile\u0219te medicul ORL.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400\">\u00a0\u00cen unele cazuri poate fi nevoie de c\u00e2teva doze de corticosteroizi sistemici. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Dac\u0103 a\u021bi \u00eenceput folosirea decongestionantelor din cauza unei probleme anatomice, posibil va fi nevoie de tratament chirurgical.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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. CAUZE 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. Rinita indus\u0103 de medicamente poate fi \u00eemp\u0103r\u021bit\u0103 \u00een &hellip; <a href=\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\">Continued<\/a><\/p>\n","protected":false},"author":34,"featured_media":771,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17],"tags":[],"class_list":["post-770","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-otorinolaringologie-orl"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.9 (Yoast SEO v23.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rinita medicamentoas\u0103! - Doctorchat Romania<\/title>\n<meta name=\"description\" content=\"Rinita medicamentoas\u0103 este o form\u0103 de rinit\u0103 nonalergic\u0103, fiind asociat\u0103, cu utilizarea ira\u021bional\u0103 a vasoconstrictoarelor topice.\" \/>\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-2\/\" \/>\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=\"Rinita medicamentoas\u0103 este o form\u0103 de rinit\u0103 nonalergic\u0103, fiind asociat\u0103, cu utilizarea ira\u021bional\u0103 a vasoconstrictoarelor topice.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\" \/>\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=\"2022-12-14T13:40:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-09T10:43:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/doctorchat.ro\/wp-content\/uploads\/sites\/5\/2022\/12\/a-5.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1640\" \/>\n\t<meta property=\"og:image:height\" content=\"924\" \/>\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-2\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\"},\"author\":{\"name\":\"trofimciucmarina\",\"@id\":\"https:\/\/doctorchat.ro\/#\/schema\/person\/839df4599d411f067f63182b4e15662d\"},\"headline\":\"Rinita medicamentoas\u0103!\",\"datePublished\":\"2022-12-14T13:40:38+00:00\",\"dateModified\":\"2023-01-09T10:43:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\"},\"wordCount\":350,\"publisher\":{\"@id\":\"https:\/\/doctorchat.ro\/#organization\"},\"image\":{\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/doctorchat.ro\/wp-content\/uploads\/sites\/5\/2022\/12\/a-5.png\",\"articleSection\":[\"Otorinolaringologie (ORL)\"],\"inLanguage\":\"ro-RO\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\",\"url\":\"https:\/\/doctorchat.ro\/rinita-medicamentoasa-2\/\",\"name\":\"Rinita medicamentoas\u0103! 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