Allergic Rhinitis Immunotherapy Regimen: How To Improve Recurrent Symptoms Of Chronic Allergen Irritation? Prevention And Treatment At The Same Time!
Feb 22, 2022
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What is the cause of allergic rhinitis?
Allergic rhinitis, also known as allergic rhinitis, is divided into seasonal allergic rhinitis and perennial allergic rhinitis, which are related to allergens. The common allergens of perennial allergic rhinitis are dust mites, cockroaches, animal dander, and other indoor perennial inhaled allergens, as well as some occupational allergens, and the symptoms are perennial. In addition, due to the long-term continuous stimulation of small amounts of allergens such as dust mites and air pollution, the immune function of the body is disturbed, and then diseases such as allergic rhinitis are caused. Thus, immune dysfunction(Cistanche supplement for immunity)is an important mechanism of allergic rhinitis.
Why does allergic rhinitis recur?
The internal cause of recurrent allergic rhinitis is mainly due to the long-term continuous stimulation of a small number of allergens such as dust mites and air pollution, which leads to the disorder of the body's immune function. However, many allergic rhinitis patients often only take anti-allergic drugs for treatment when the disease occurs, and often ignore the regulation of immune function, and the disease often recurs after drug withdrawal. In addition, many patients with allergic rhinitis only focus on the improvement of local symptoms and ignore the regulation of internal factors during the treatment process, which leads to repeated attacks of allergic rhinitis.
How to treat allergic rhinitis?
Immunomodulatory therapy + anti-allergy therapy
immunomodulatory therapy
1. Budesonide Nasal Spray
For the treatment of allergic rhinitis, the World Health Organization currently has clear guidelines for diagnosis and treatment, that is, according to the classification and degree of allergic rhinitis, a step-by-step treatment method is adopted, that is, glucocorticoids are used step by step according to the severity of the condition. Aerosols such as ciclesonide, budesonide, mometasone furoate, and fluticasone should preferably be inhaled through the nose with a dual-use nebulizer.
2. Bidirectional Immunomodulator
Bidirectional immunomodulators (such as Fucoto) have bidirectional immunomodulatory effects, can enhance or inhibit humoral and cellular immune functions, and can increase the number of helper T cells, restore the balance of Th1/Th2, and reduce the level of specific IgE, Glucocorticoids can be combined, usually 2-4 mg/day for patients, 2-3 months as a course of treatment. Especially for patients with allergic rhinitis, the application of two-way immunomodulators (such as Fucoto) combined with glucocorticoids can inhibit the body's inflammatory response, which has a significant effect and can also improve lung function.
3. Leukotriene receptor antagonists
Leukotriene receptor antagonists selectively bind to the CysLT 1 receptor and exert their effects by competitively blocking the biological activity of cysteinyl leukotrienes.
Symptomatic treatment
1. Anti-allergic drugs
Oral antihistamines: Second-generation antihistamines are the first-line treatment for allergic rhinitis in children and are clinically recommended for the treatment of children. These drugs have a rapid onset of action and a long duration of action, and can significantly improve nasal symptoms such as nasal itching, sneezing, and runny nose.
2. Mast cell membrane stabilizers
Mast cell membrane stabilizer is a second-line treatment drug for allergic rhinitis in children, and it should be used as appropriate in clinical practice. Among them, sodium cromoglycate and tranilast are commonly used clinically and have certain effects on relieving the symptoms of sneezing, runny nose, and nasal itching in children with allergic rhinitis.
3. Decongestants
For children with allergic rhinitis with severe nasal congestion symptoms, topical decongestants can be used for a short period of time for no more than 1 week. Oral decongestants (pseudoephedrine, etc.) are not recommended for routine treatment of allergic rhinitis.
Other treatments
Surgical treatment has clear indications and contraindications. It is suitable for patients with nasal congestion and runny nose without improvement after standard drug treatment or immunotherapy, with obvious signs, affecting the quality of life, obvious anatomical variation of the nasal cavity, and functional impairment. The main surgical methods are inferior turbinoplasty, pharyngotomy, and posterior nasal nerve transection. The main purpose of the operation is to relieve and control the symptoms of nasal congestion and runny nose.
How to prevent it in daily life?
Seasonal allergic rhinitis is relatively easy to control. Starting with antihistamines and nasal sprays a few days before the arrival of the allergic rhinitis can play a role in preventing the disease. Allergic rhinitis patients should pay attention to the stimulation of the nasal cavity by temperature changes, especially the stimulation of cold air, keep warm in time, adjust psychological state, strengthen physical exercise, sleep regularly, ensure the stability of body functions, and improve the harmony between various organs of the body Relationships, summarize which foods or substances can cause allergic reactions, so as to reduce exposure to and stay away from these allergens.
In short, the treatment of allergic rhinitis is not a matter of one or two days, you need to maintain a good attitude, don't rush to get angry. Develop good living habits in daily life, strengthen exercise, improve immune function, increase nutrition, actively prevent and treat colds, and develop good living and hygiene habits. Pay attention to self-protection in the working environment, and seek medical attention in time if there is a problem.
