Text/Yangcheng Evening News All-Media Reporter Lin Qingqing Correspondent Hu Yingyi Sun Bingqian
Photo/Visual China
The new coronavirus antigen test with results in 15-20 minutes is simple and fast, but requires citizens Self-sampling through the nasal cavity. Can patients with rhinitis undergo antigen testing? Allergic rhinitis is high in spring. What are the new features this spring? April 9 is the “National Nose Love Day”. The reporter interviewed ENT experts and gave advice to different groups of people.
This spring, the outpatient volume of allergic rhinitis has dropped by about 30%
Every April, spring flowers bloom, which is also a period of high incidence of rhinitis. “The number of outpatient visits for allergic rhinitis has dropped by about 30% compared to before the epidemic.” Professor Yu Feng, vice president of Guangzhou Red Cross Hospital and director of the Institute of Otolaryngology and Head and Neck Surgery of Jinan University, said, “The high pollen concentration in spring will also affect Guangzhou. There are more kapok flying. These allergens enter the nasal cavity and easily induce allergic rhinitis. Since the epidemic, people are accustomed to wearing masks, which physically blocks the inhalation of allergens, which reduces the induction or aggravation of acute allergic rhinitis. ”
Spring is a high-incidence period of rhinitis
But Guangzhou is a high-incidence area of allergic rhinitis in the country. More than 25%, Yu Feng reminded, still need to be alert to related symptoms, pay attention to distinguish allergic rhinitis from acute rhinitis and influenza. Especially for children, it is necessary to avoid delays in treatment due to misjudgment.
How to distinguish? “Because of their low resistance, children are prone to acute rhinitis due to colds and colds. The initial stage is clear water-like nasal discharge, and the later stage develops purulent nasal discharge. The course of the disease often takes about a week; allergic rhinitis is caused by the entry of allergens into the nasal cavity. The four main symptoms are itchy nose, nasal congestion, sneezing, and runny nose. There are no systemic symptoms, and they come and go in a hurry. The course of the disease is short. It may be frequent sneezing in the morning, but it will be better in the afternoon; and influenza is also viral. Infection, the symptoms are mainly sneezing, nasal congestion, and runny nose, but the systemic symptoms are severe, such as fever, muscle aches and other symptoms, and often accompanied by the characteristics of clustering in schools or communities.” Yu Feng said that the three treatment methods are incomplete. In the same way, the treatment of allergic rhinitis should be early, regular, and standardized. Otherwise, if things go on like this, allergies will easily spread downward and enter the pharynx, larynx, and airways, affecting the health of the airways.
Especially for children, if allergic rhinitis is not effectively controlled for a long time, it may not only induce asthma, sinusitis, otitis media and other diseases, but also easily affect the health of the airway and sleep, and affect the children’s health. Growth and intellectual development.
Antigen self-test is not recommended in several cases
Can patients with rhinitis perform the rapid antigen self-test for the new coronavirus that has entered the market? What should I pay attention to? Professor Yu Feng reminded that different groups of people should conduct self-tests to distinguish different situations.
Patients with rhinitis should pay attention to antigen self-testing
patients with acute rhinitis and when nasal congestion and epistaxis occur , it is not recommended to perform antigen self-test by nasal sampling, and throat swab sampling test is recommended;
For patients with allergic rhinitis, you can blow your nose before sampling, but do not wash your nose with normal saline, so as not to affect the nasal cavity The virus concentration in the tester will affect the sensitivity of the test;
Due to the antigen detection and sampling, it is necessary to extend backward along the bottom of the inferior meatus to about 1-1.5 cm, some physiological nasal septum deviation, or caused by trauma People with a deviated and raised nasal septum will find it difficult to enter the deep nasal cavity with a cotton swab. Yu Feng suggested that you can try to press down along the bottom of the lower nasal passage. If you still cannot enter the nasal cavity, do not stab hard. You can try the other nasal cavity. The cotton swab should be thin and the movement must be gentle.