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Tuesday, September 30, 2008

感冒病患 7成會鼻塞7 0% cold patients will have a stuffy nose

感冒病患 7成會鼻塞

 感冒病患 7成會鼻塞
【詹建富】秋冬是感冒的好發季節,根據一項統計,在台灣,每人每年平均感冒2.72次,並有7成病患發生鼻塞症狀,但有人卻不以為意,曾有一名專業品酒師因感冒鼻塞,卻因此造成部分嗅覺喪失,差點丟了工作。

台大醫院耳鼻喉科主治醫師葉德輝指出,常見的上呼吸道感染症狀有喉嚨痛、咳嗽、發燒和鼻塞、流鼻水,其中以鼻塞的發生機率最高,持續最久,也最令人困擾,主要是呼吸不順會讓人頭昏腦脹、睡眠品質變差,甚至影響工作情緒。

葉德輝指出,根據臨床經驗,因感冒而引發的鼻塞,這種不適通常會持續7至10天之久,其原因是細菌或病毒侵犯到鼻黏膜,引起發炎反應,進而刺激鼻黏膜血管腫脹。但要注意的是,有的病毒會進一步傷害到嗅覺神經,以致無法聞到氣味,例如家裡瓦斯漏氣卻聞不出來異味,吃到酸臭的食物也不自知。

葉德輝曾診治一名專業品酒師,他在罹患感冒後,嚴重鼻塞卻不以為意,未料嗅覺的靈敏度因此大不如前,還險些丟了工作。他提醒,也有患者因長期鼻塞,經檢查後才發現得了腫瘤,顯示有長期鼻塞症狀,一定要詳加求醫診治。

葉德輝表示,針對感冒引發的鼻塞,其實不去治療,也有可能在感冒過後就自動痊癒,但有的病人在急性鼻塞時,甚至無法工作,或是上課沒有精神,因此不妨使用去鼻充血劑來改善鼻塞效果,它沒有市售抗組織胺會引起嗜睡的副作用。至於用熱毛巾局部熱敷,雖有部分緩解鼻塞的不適,但它不具任何治療效果。

不過,他強調,也有極少數病人對治鼻塞的擬交感神經劑會出現失眠、昏眩或血壓升高的副作用,也不建議7歲以下兒童或孕婦使用。

2008-09-29

7 0% cold patients will have a stuffy nose


7 into a cold patients will have a stuffy nose

Zhan Jian】 【rich autumn and winter cold is a good season, according to a survey in Taiwan per person per year on average 2.72 times a cold, and 7 patients into a stuffy nose symptoms occur, but some people do not seem to mind the idea, there have been a professional goods Liquor division as a result of a cold stuffy nose, but some of the resulting loss of sense of smell, I almost lost their jobs.
National Taiwan University Hospital ENT physician Te-Huei Yeh pointed out that the common upper respiratory tract infection symptoms are sore throat, cough, fever and stuffy nose, runny nose, stuffy nose with the highest incidence, the longest, most Problems, mainly respiratory Touhunnaozhang people will not ring true, the deterioration of the quality of sleep, and even emotional impact of the work.

Te-Huei Yeh pointed out that according to clinical experience, and as a result of a cold-induced stuffy nose, which usually does not continue 7-10 days old because of bacteria or viruses to the violation of nasal mucosa, causing inflammation and swelling of blood vessels in turn lead to nasal . Yet it must be noted, and some virus will further harm to the olfactory nerve and can not smell the smell, such as home gas leak but did not hear out of smell, eat the food Suanxiu not know.

Ye Dehui treated in a professional Sommelier, he was suffering from a cold, stuffy nose does not seem to mind the idea of serious, sensitive sense of smell is not expected much worse than before, therefore, almost lost his work. He reminded, but also because of the long-term patients with nasal obstruction, the inspection found that after the tumor had revealed that long-term nasal symptoms, a doctor must be careful diagnosis and treatment.

Te-Huei Yeh said that for cold-induced stuffy nose, in fact, not treatment, and, possibly, on a cold after the self-limiting, but some patients with acute nasal obstruction, if not impossible to work, school or not, therefore, may wish to use the nasal congestion Agent to improve the effectiveness of nasal obstruction, antihistamines on the market that it does not cause the side effects of drowsiness. As for the hot local hot towel, although some of the stuffy nose to ease the discomfort, but it does not have any therapeutic effect.

However, he stressed that there are a very small number of patients on the nasal administration of sympathetic nerve agent to be insomnia, dizzy or side effects of blood pressure, not recommended for children under 7 years old or pregnant women.

2008-09-29

View more information, see the World Journal reported that e-ePaper


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