〒100-0003
1-1-1, Hitotsubashi, Chiyoda-ku, Tokyo
Palace Side Building 1st floor
TEL 03-3213-2855
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Main types of treatment
Allergic rhinitis, hay fever, chronic hypertrophic rhinitis desensitization therapy
Allergic rhinitis, hay fever, chronic hypertrophic rhinitis.
The main symptoms are sneezing, runny nose, and runny nose.
Allergic rhinitis is a disease that is on the rise, especially these days.
Antigens (substances that cause allergies) that have entered the body
It is a symptom that occurs as a result of a biological defense reaction to get out of the body.
As a substitute for the antigen, there are house dust, pollen such as cedar, and spores such as mold.
Test: Diagnosis is relatively easy. The tests performed at this hospital are as follows.
1: Interview : Take a solid interview.
2: Nasal examination : An important examination, which causes sinusitis, nasal polyps, etc.
Differentiation from septal curvature, acute rhinitis, etc.
You can see the merger.
3: Diagnosis of allergy : Runny nose eosinophil test This is an important test.
Blood eosinophil test. Total IgE level in blood
4: Test of causative antigen :
A: Skin test: Intradermal test, scratch test.
B: Specific IgE antibody test. RAST etc.
C: If necessary, nasal sinus X-ray examination, CT examination.
Nasal air permeability test.
5: Treatment method: The goal is to improve the patient's QOL.
Treatment 1. Antigen removal and avoidance
This is the first step in treatment. The main thing is the removal of indoor mites,
Avoid pollen, reduce pet (especially cat) antigens.
Treatment method 2. Treatment with medicine. Currently, many kinds of medicines are available.
It is important to select the type of medicine according to the purpose of treatment and symptoms.
There are the following:
A: Chemical mediator release inhibitor.
The effect is mild.
Expected to have effects on sneezing, sneezing, and stuffy nose
There is something to be done. It takes about 2 weeks to be effective.
B: Chemical mediator receptor antagonist.
1: Histamine H1 receptor antagonist (antihistamine)
1st generation: Immediate effect, mild effect.
Sneeze, honey.
The duration is short. May cause drowsiness.
May be accompanied by thirst and headache.
Be careful when driving a car or doing dangerous work.
2nd generation: The duration of the effect is longer than that of the 1st generation.
The effect of nasal congestion is good. Drowsiness is reduced.
It takes about 2 weeks for the effect to appear.
2: Leukotriene receptor antagonist.
Effective for nasal congestion. A certain effect can be obtained by continuing.
It takes about 2 weeks for the effect to appear.
It is also effective for sneezing and sneezing to some extent.
3: Prostaglandin D2,
Thromboxane A2 receptor antagonist.
It has almost the same effect as 2.
C: Th2 cytokine inhibitor.
Reduction of general allergic symptoms by controlling IgE antibody production.
D: Topical steroids:
1: For nasal spray. Equally effective for sneezing, sneezing, and nasal congestion.
The onset of the effect is rather early. There are few side effects. The effect is certain.
2: Oral medicine. Perform for severe cases and intractable cases.
E: Others: Chinese herbs, biologics, non-specific modulation therapy.
Treatment 3:
Desensitization therapy: Specific immunotherapy.
It is the only treatment that has the potential for long-term remission.
It requires several years of continuous treatment.
It is also effective for asthma and allergic conjunctivitis.
Treatment 4: Surgical therapy: (One-day CO2 laser surgical therapy)
Reactions such as allergic rhinitis, hay fever, and hypertrophic rhinitis
It mainly occurs in the inferior turbinate of the nose.
The mucous membrane on the surface of this inferior turbinate is treated with a CO2 laser.
It is cauterized and coagulated to prevent allergic reactions.
The operation time is about 30 minutes and insurance is available.
The cost is around 10,000 yen and it is a day surgery.
For those who have strong symptoms of stuffy nose and those who have difficulty responding to medicines
It will be a good adaptation.
Junior high school students and above who are old enough to receive anesthesia and surgery
I think it's good.
Method: First, gauze with an anesthetic in the nose
Leave it for about 30 minutes.
After removing the gauze, use a CO2 laser
Cauterize the inferior turbinate.
There is almost no pain.
The operation time is about 10-15 minutes.
Postoperative: Approximately 3-4 weeks, due to a scab in the nose
On the contrary, as if the stuffy nose got worse
I think you can feel it
After that, when the scab disappears, the street will improve.
Effect: Improves sneezing, runny nose and sneezing.
A stuffy nose is especially effective.
It is said that the effect lasts for 1-2 years with one treatment.
Repeating ablation surgery every 1-2 years is fine,
Due to its high safety, it can be repeated as many times as you like.