Some people often ask, rhinitis is committed, is there any treatment for not injection or medicine?Yes, rinse in the nasal cavity!Some people often ask, in addition to wearing a mask, is there any way to prevent rhinitis?Yes, rinse in the nasal cavity!
The nasal cavity was welcomed by both doctors and patients, and it has almost become a well -known treatment for patients with rhinitis.However, there are still a lot of questions about it, this article will answer you.
1. What is nasal flushing?
Students who have not used the nasal cavity may be more unfamiliar. The nasal rinse of the nasal cavity is to transport the rinse solution to the nasal cavity to achieve the purpose of cleaning and treatment.It’s just that this kind of flushing requires the help of certain tools, and the choice of flushing solution is particularly particular, so before use, according to the doctor’s doctor’s advice.A picture makes you instantly feel:
2. Is the nasal flushing really effective?
Before that, you may doubt that flushing your nasal cavity with water just flush your nose clean, just a snot!Obviously, nasal flushing is not just cleaning.
The most direct effect of nasal flushing is the scouring effect of this mechanical, remove the secretions of nasal sinuses, and reduce the attachment of pathogenic microorganisms on the nasal mucosa;
For patients with nasal endoscopic surgery, it can also help remove blood scabs and prevent the adhesion of open sinuses, nasal septum, and nasal nails on both sides;
Its more important role is to improve the cilia movement of the nasal mucosa and maintain the normal physiological function of the nasal mucosa;
It can control the inflammatory medium, reduce the swelling of the nasal mucosa caused by inflammatory factors such as virus infections, normal colds, and allergic rhinitis, improve nasal ventilation, and shorten the time of the disease healing.
3. How to choose nasal flusher?
There are roughly three methods of nasal washing: manual rinse, nasal spray and electric nasal flusher.
Manual rinse:
The advantage is that the effect is significant and the price is low (at present, it is recognized internationally that large volume flow, positive pressure manual nasal rinse effect is better than nasal spray); the disadvantage is that children may not be willing to cooperate.It is the choice of most people.
Nasal spray:
The advantage is that the operation is simple. It is easy to use and easy to carry; the disadvantage is that the effect is slightly worse.Therefore, for children, the nasal spray can still be the first choice. In addition, students without rhinitis just want to rinse the nasal cavity as a daily nursing measure, the nasal spray is also the first choice.
Electric nasal washing device:
The advantage is also simple operation, but it cannot adjust the amount of liquid in the nasal cavity at any time and is not easy to carry. The price is more expensive and has gradually been eliminated by the market.
4. Physiological saline or seawater, which type of washing solution should be selected?
When you go to the market, you will find that there are too many types of selection, such as physiological saline, physiological seawater, high osmotic pressure, and other osmotic pressure. How to choose?
Studies have found that ion ingredients can affect mucus cilia clearance function and epithelial nutrition. Sea water contains less sodium ions, contains more bicarbonate, potassium ions, calcium ions, magnesium ions, etc. Among themDegree, potassium and magnesium ions can promote repair and inhibit local inflammation, so the effect of seawater is better.
5. High osmotic pressure or osmotic pressure, which type of washing fluid is better?
Relatively speaking, the effect of high osmotic salt water is more significant than icing solutions, but it is easy to cause burning sensation, so the compliance used is slightly worse.High osmotic pressure salt water can inhibit mucosal edema when rinse the nasal cavity, promote cilia movement, bacteriostatic, etc., but the higher the infiltration pressure, the better.Many studies have confirmed that when the osmotic pressure exceeds 5.5%, the cilia function will cause irreversible suppression of the cilia. Cell movement is stopped between 4.5-5.5%. Therefore, the high-lying saline on the market is mostly 2-3%.
We recommend the choice method:
0.9%of the osmotic solution can be used for: acute rhinitis, acute sinusitis, allergic rhinitis, daily health care, etc.
2-3%of high-lying saline can be used for: chronic sinusitis and patients with nasal endoscopic
6. How much pH is more suitable?
Attentive patients may ask the choice of pH value of the flushing solution. In fact, from the current clinical research, there is no obvious difference between different pH values for patients. In terms of experience, more people are willing to choose weak alkaline flushing solutionEssence
7. Warm water or cold water, which effect is better?
Someone told me that using cold flushing solution can improve the immunity of the nasal mucosa, which is obviously no scientific basis.Not only that, for patients with allergic rhinitis, cold water may also aggravate the condition of sneezing and runny nose.
Some students like to refrigerate the flushing solution in the refrigerator, which is not advisable.Some literature reports that the use of rinsengers below room temperature all year round may induce sinus exogenous warts.
We generally recommend heating the flushing solution to around the body temperature, or higher than the room temperature.There are many ways to heal. According to your flushing solution, you can soak it with hot water or heated by microwave oven.
8. Who is suitable for nasal rinse, can pregnant women and children be used?
The use of nasal cavity is widely used, acute and chronic rhinitis, acute and chronic sinusitis, allergic rhinitis, dry rhinitis, atrophic rhinitis, patients with nasopharyngeal cancer, and nasopharyngeal cancer radiotherapy can be used;No, nasal flushing can also be a better choice for daily health care, allowing you to stay away from dust and haze.
Can pregnant women and children rinse with nasal cavity?The answer is yes.
Women may have symptoms of nasal congestion, runny nose, and sneezing 3 months after pregnancy. We are called rhinitis during pregnancy.This disease incidence is nearly 20%, which can generally relieve itself after childbirth, but it is often troubled by pregnant women before the end of pregnancy.Because pregnant women need to use antihistamines, some antibiotics and hormones for special groups, recent studies have shown that using 3%hyperlove saline nasal cavity was washed without other drugs.Safety.
Studies have shown that children with rhinitis sinusitis use physiological saline or 2-3%high-lying saline nasal flushing can improve symptoms and promote the recovery of nasal mucosa function. We believe that it can be used as a regular treatment method.
For special groups such as pregnant women and children, the frequency of rinse and the length of rinse should be carried out under the guidance of a doctor.Especially for children, when choosing to rinse and flushing solution, parents should consult the doctor more, read the instructions in detail, and use it under the care of the parents.
9. Is there any side effects of nasal rinse?
There are very few side effects of nasal rinse, and the literature reports ears and ear pain, nausea, cough, nasal mucosal tingling and nasal bleeding, but the incidence is very low.Ear bloating and ear pain are mostly caused by the irrigation fluid into the middle ear. Nausea and cough may be related to the adaptation of the individual’s hedging and washing solution. Nasal mucosa tingling can be seen in patients with endoscopy. Nose bleeding can be seen in children.Properly related.
Compared with the benefits of obtained, the side effects of correctly operating the nasal cavity are basically ignored, except for the local discomfort and psychological tension of the patient’s first rinse.Some common side effects can be avoided after correct operation guidance.
10. What are the precautions when the nasal cavity was washed?
Clean the nose before rinse.
The flushing fluid rushed in from the nasal cavity on one side, and the head was slightly tilted, allowing the liquid to flow out of the nasal cavity, and the nasal cavity on both sides was alternated.
Avoid strenuous nasal nasal nastests during the rinse, and you can gently nose after the washing.
When the child uses spray, the nozzle does not need to reach into the nostrils, so as not to damage the nasal septum mucosa.
Pay attention to personal hygiene and avoid cross -use.
references:
1. Adelson RT, Kennedy Dw. Paraanasal Sinus Exostoses: Possible Correlation with Cold Temperature Nasal Irigation after Endoscopic Surgery. Laryngoscope, 2013,11,1 23: 24-27.
2. Sheng Fajun, Chen Dongmei, Ren Xiaoling, wait. 3%Hyplavic saline nasal nasal injection retaining method for improving the symptoms of rhinitis nasal congestion during pregnancy. Chinese ear, nasal throat and throat and neck surgery magazine, 2012,6: 507-508.
3. Editorial Committee of Chinese Ear Nasal Head and Hills and Neck Surgery Magazine, Chinese Medicine Society, Eurry, Throat and Neck Science Branch of Earbone, Throat and Neck Science Branch, Nasal Science Group. Children’s nasal-sinusitis diagnosis and treatment suggestion. Chinese ear, nasal throat and neck surgery magazine, 2013, 3: 177-179.
4. Wang Qi, Guo Yichao. The current status and research progress in the treatment of nasal cavity in the treatment of nasal diseases.
Some content reference: webmd.com
Author: Gong Xuanmin, otolaryngology and head and neck surgeon
Image source: 123rf.com.cn gallery
Copyright statement: This article is the original manuscript of Dr. Chunyu. The copyright belongs to Dr. Chunyu and is not allowed to reprint without authorization. Please contact Reading@chunyu.me
