First rule to be anti-asthmatic allergic rhinitis

First rule to be anti-asthmatic allergic rhinitis

In recent years, allergic rhinitis (also called allergic rhinitis) in the etiology, epidemiology, incidence, clinical manifestations have taken place in areas such as profound changes in the medical profession on the allergic rhinitis and bronchial asthma (hereinafter referred to as "asthma ") also has a new relationship of understanding, put forward some new ideas.







Beijing People's Armed Police Corps Hospital ear, nose and throat expert said the second, bronchial asthma with allergic rhinitis is the most important and most commonly associated with morbidity. If allergic rhinitis and its impact on insufficient understanding of the impact of asthma, has not placed enough emphasis, treatment is often to strike a balance, delaying the disease.



Rhinitis and asthma - a disease of the different manifestations



Allergic rhinitis and asthma is a common joint disease, the upper and lower respiratory tract connected between the lumen, mucosa row, respiratory许景辉He suffered some sort of stimulation site, such as allergens, pollutants, viruses, bacteria and so may have a similar response.



Allergic rhinitis and asthma rather than the existence of separate diseases, they are often interdependent way to coexist in the same patients. Upper respiratory allergic diseases and asthma represent "a single inflammatory airway syndrome" in all aspects, so some scholars have proposed as "allergic nose - sinus - pharyngeal - ear - bronchitis" or "allergic nasal - bronchitis. " Allergic respiratory disease may be a systemic disease, as with pollen or lower respiratory tract for the challenge test, may lead to the other side of the occurrence of respiratory tract inflammatory response, that is, lower respiratory (bronchial) nasal provocation test can cause inflammation, and nasal provocation test can cause lower respiratory tract inflammation. Therefore, some scholars believe that such patients should be said that patients suffering from respiratory allergy, and do not have to distinguish between patients with asthma or allergic rhinitis.



Nasal - respiratory allergy the "birthplace"



Upper respiratory tract is a defense airborne respiratory irritant particles and the first line of defense. Nasal cavity and lower respiratory tract is the "guardian", as if the air filter and regulator, in order to provide the most suitable for lower respiratory tract air. When the nasal mucosa by the stimulation or lesions, the nasal function in the lower respiratory tract may play a direct role or reflex induced asthma.



Rhinitis and asthma - airway inflammation in the whole high response syndrome



The majority of patients with allergic rhinitis there is no asthma, and most people with asthma allergic rhinitis. About 80% of both asthma and allergic rhinitis patients reported allergic rhinitis or asthma before the onset of asthma at the same time, This shows that asthma is an extension of allergic rhinitis, or allergic rhinitis to asthma "pushing forward."



In view of allergic rhinitis and asthma are the same disease in the upper and lower respiratory tract of different manifestations, the majority of scholars to allergic rhinitis and asthma as a disease to the whole taxonomy of high airway inflammation response syndrome. Can be divided into three stages: ① allergic rhinitis without bronchial hyperreactivity or asthma. ② allergic rhinitis have bronchial hyperreactivity, but not asthma. ③ asthma with allergic rhinitis. This merely reflects the three-stage syndrome of varying degrees of seriousness. Once established in asthma, bronchial hyperreactivity on the form for a lasting performance.



Rhinitis - Risk factors for asthma



Allergic rhinitis in asthma patients with an incidence rate of 20% ~ 40%, much higher than normal population of 2% ~ 5%, therefore, occurred in patients with allergic rhinitis risk of asthma than the normal 8 to 20 times as high. There are a lot of asthma attacks in asthma patients before symptoms of allergic rhinitis, such as the time of allergic rhinitis treated to take effective measures to prevent asthma attacks.



Several international collaborative studies have shown that allergic rhinitis is an important asthma risk factors. A study showed that 90% of asthma patients with at least one of symptoms of allergic rhinitis, about 85% of asthmatic patients at least six kinds of allergic rhinitis symptoms in the four kinds. Another study investigated 345 cases of patients with asthma, of which 81% of patients with asthma or an asthma attack on the respiratory process. The third study showed that in the 1412 perennial allergic rhinitis patients in Europe, 16.2% are suffering from asthma, 5198 control group, only 1% of people suffering from asthma. Asthma with allergic rhinitis than simply a more severe allergic rhinitis, asthma, respiratory diseases on the increase with the increase. Nasal treatment of asthma was also demonstrated that airway physiological independent, control of a target organ of inflammation can affect other organs.



Experts say, because of allergic rhinitis is a risk factor for asthma, allergic rhinitis there is no longer an isolated disease, but the complexity of the syndrome, are systemic diseases, immune dysfunction is caused. Therefore the treatment should be based on body-oriented, local supplemented in order to achieve the prevention of asthma, nasal inflammation control purposes.