Nasal Congestion Is A Major Health Problem?
The nose and the air warm, moist inside and impurities, provides filtering of allergens and micro-organisms. In this way the oxygen in moist air to the lungs warmed up and in a much better way as it passes into the blood.
At the same time the air flow inside the nose during breathing against resistance contributes to the widening of the lower respiratory tract and lungs are good (Naso-pulmonary reflex).
The function of the nose an important role in making Concha (turbinates lower) is. Concha rich blood to the tissues beneath the mucosa in the contents of the vessel according to the properties of the ambient air breathing air heated, humidified, and because of the degree at the same time, adjust the air flow to be applied in the resistance. A critical task, which makes it an extremely delicate balance in the functions provided in the lower Concha, by growing a variety of reasons, airflow, size (Concha) is the most common cause of blockage in the nasal passages. Breath in the nose, which is very important for normal body functions especially critical for their role and the functions of these structures are preserved against the concha to be done very carefully so that interventions reduced, except in very special cases, it definitely should not be removed.
Mouth breathing due to nasal obstruction in the event of breathing oxygen in the air can not be retained sufficiently and as a result the lungs in the blood oxygen level decreases. The reduction of oxygen levels in the blood in the arteries that feed the brain detected by the sensors in the brain and developing reflexes in the long term due to increased blood pressure (hypertension), heart rhythm problems, such as heart failure or can pose problems.
The congestion in the nose, mouth breathing, frequent throat infections are bound to occur in the throat to dry more symptoms, sleep disorders, snoring and sleep apnea can cause problems such as poor quality of life significantly impair.
The Causes Of Nasal Congestion
The most common causes of nasal congestion in adults;
- Located between two of the nasal passages, and is called the septum, cartilage and bone structure to be tilted toward one side of the curtain (deviated septum) has
- The growth of the nose (Concha)
- At the entrance of the nose, nasal valve, also known as the problems in the region (nasal valve insufficiency)
One of the most common of the nose, as they could be due to fractures of the nose as a result of the coup in the age of exposure and genetic factors cause injuries or birth or development unnoticed, depending on the influence of bone and cartilage in the nose can also occur during development centers as a result of rapid growth in adolescence.
The growth of Concha (Concha) is the most common condition that lead to structural problems in the nose. Concha allergic reactions, such as cigarette smoke, air pollution, vasodilators (for reasons such as the use of medications such as blood pressure medications, or predisposition yapsal can grow. Deviasyo patients with deviation of the nasal passage on the opposite side of a large section of the growth is monitored in the flesh. The reason for this is the normal function of the nose with the purpose of protection and the provision of air turbulence in the air flow as well as developing reflexes to create resistance as a result of the growth of Concha (kompenzatris hypertrophy).
In the upper part of the nasal passage, nasal valve insufficiency of the entrance of the open area (nasal valve) occurs due to narrow or collapse. The problems of this region may affect respiration seriously. Two different valve failure shape.
Internal failure: The septum inside the nose of the valve at the entrance of the nose that occurs due to the narrowing of the air passage in the region, the curvature is
External failure: The wings of the cartilage in the nose to support structurally weak, aesthetic surgery, depending on the reduction in the air stream can not resist vacuum collapse or structural weakened and the effect that creates them as benign as valvi is concave.
Nasal examination in the diagnosis of nasal valve insufficiency, as well as within different regions of the nasal passage that can be used as a lens with acoustic rhinometry test allows you to calculate sectional areas. Problems in this area used to look at the entrance of the inside of the nose and the nose extends speklum might not be noticed in the examination.
Allergic reactions are another common cause of congestion is due to swelling of the nasal mucosa. Congestion in patients with allergic rhinitis, as well as in the nose, itching, sneezing and watery, clear nasal and postnasal drip there are complaints.
Nose and sinus infections, extreme reactions to external stimuli in the nasal mucosa of blood vessels (vasomotor rhinitis), sinus polyps originating from the middle nasal magnitudes (Concha bullosa) and benign and malignant tumors also can cause congestion in the nose.
In children, nasal congestion most commonly is due to the growth of adenoid. That begins after age 2 is the most common cause of blockages. Congenital obstruction of the nasal cavity nasal passages passages clogged or not to be full of Olive in the rear part to be opened (to quote atresia koan) should come to mind. Allergies in children, rarely results in inserting foreign substances sinusitis and nose congestion.
At night, when lying down cause congestion in the network is usually rich vascular congestion of lower Concha. The effect of gravity while standing more comfortable with returning blood to the heart becomes smaller and the meat within the concha. The difference in height between the heart and the head is low in supine position, gravity support of the return of blood to the heart with the loss of them is by inflating the blood Concha difficult and accumulated within the meat.
Medical Treatment Of Nasal Obstruction
Examination and / or radiologically in patients with infection primarily this infection has to be treated with appropriate medications.
Patients allergic, anti-allergy treatment nasal obstruction may be reduced when it is given.
For cases of chronic sinusitis and nasal polyps polyps due to blockage of the sinuses and discharge channels of the appropriate surgical method using a clearing, opening up to take off must be provided.
Decongestant pills and sprays in the treatment of upper respiratory tract infections and allergic reactions, especially in the early and short-term as they are used. By constricting the blood vessels in the nasal mucosa, these drugs sub-they provide the shrinking of the flesh and the opening of the nose. Oral medications also act by constricting the vessels.
Decongestant nasal drops and sprays in the form of drugs in use, while providing a very good opening in a very short time 5-7 days last expansion and the surface anatomy of the vessels with the opposite effect because it can cause permanent changes in the nasal mucosa should be used with caution.
Treatments are effective in the entire body, palpitations, sleep disturbances and restlessness in children may cause. Also, especially a heart rhythm disorder, high blood pressure, rise in people with diseases such as prostate enlargement can be used for complaints against these diseases they can cause.
The easiest method to understand the role of lower Concha nasal congestion dekonjesyo test. A nose decongestant (which is the effect of seam pucker () in 5-10 minutes after being sprayed will show a marked opening of congestion that comes from the concha. After this procedure, even in a passage substantially less than the others, mainly deviation to relax should raise the possibility of other pathologies. Acoustic rhinometry evaluation that will be performed before and after the test dekonjesyo lower Concha, especially in the nose will demonstrate numerically the role of the front end.
It is not possible to detect an infection or allergies or these complaints are controlled with medical treatment, although surgical treatment options in patients complaining of congestion not exceeding come to the fore.