Sinusitis : symptoms and treatment

simple runny nose at the wrong approach to treatment may be complicated by meningitis or brain abscess.

called sinusitis inflammation in the paranasal sinuses.Normally, sinuses are filled with air.However, if the output of blocked sinus, the cavity can accumulate bacteria, fungi or viruses cause an infectious inflammation.

Blockage of flow between the sinus and nasal cavity may be caused by the common cold, allergic rhinitis (swelling and inflammation of the mucous membrane), polyps (growths nasal mucosa) or a deviated septum.

By the nature of the flow emit several types of sinusitis.

Acute sinusitis manifested by the sudden appearance of rhinitis, nasal congestion, headache, which, in contrast to the cold, do not disappear in 7-10 days.Acute sinusitis lasts less than 4 weeks.About subacute sinusitis they say when the described symptoms last for 4-8 weeks.If signs of disease persist 8 weeks or more, diagnosed «chronic sinusitis» .

When the recurrent sinusitis disease is repeated period

ically throughout the year.

Who is affected by the development of sinusitis

list the main risk factors:

  • swelling of the nasal mucous membrane, often caused by a cold
  • blockage of the channel between the sinus and nasal cavity
  • lowered immunity, such as AIDS or medications,depresses the immune system.

Children often associated with sinusitis, allergy or infection, taken up in the nursery or school.In addition, a predisposing factor is the constant presence of cigarette smoke in the child environment.

Symptoms of acute sinusitis

  • headache pressing nature (especially in the area of ​​the respective sinus)
  • nasal congestion
  • mucous or pus
  • blunting smell
  • fever, rise in body temperature to 38 degrees,above
  • general weakness, fatigue
  • toothache

If there are two or three symptoms from this list and the presence of mucous or purulent discharge from the nose above all should think about sinusitis.

Symptoms of chronic sinusitis

main criterion for setting the diagnosis is a long-term (more than eight weeks) the presence of the following symptoms:

  • heaviness in the head, headache
  • nasal congestion
  • purulent, yellow or green discharge from the nose
  • slight fever that is not associated with any other infections
  • toothache
  • halitosis
  • weakness, general fatigue

On the basis of what is diagnosed with "sinusitis»

After finding describedsymptoms the doctor is likely to prescribe some additional research.These include X-ray picture of the sinuses, allergy tests, computed tomography (although in Russia this method is almost never used because of the high cost), diagnostic puncturing the sinus, blood and nasal secretions.

informatively nasal endoscopy, but in Russia this method is not so widespread.Nasal endoscope is a tube with a camera on one end that allows viewing the entire nasal cavity, duct between the nasal cavity and sinuses, to discover the cause of the blockage, to assess the severity of lesions.

sinusitis Treatment depends on the severity of the process.

How to treat acute sinusitis

When uncomplicated course of the disease is the main task of the restoration of the natural outflow of the contents of the sinuses into the nasal cavity.Therefore, first of all, are assigned vasoconstrictors.However, it is very important to use these drugs are no longer than 7 days, since they may cause additional damage, and edema of the nasal mucosa.If the disease is associated with allergic rhinitis, the doctor may prescribe antihistamines.Also, the doctor may prescribe antibiotics course of 7-10 days.Most often, after a few days of treatment, the disease recedes.

How to treat chronic sinusitis

in the treatment of chronic sinusitis can also be used antibacterial and vasoconstrictor drugs.In addition, a very good effect is given rinsing the cavity with antiseptic solutions and nasal sinus puncture.The puncture is done in order to pump out of the sinus pus, rinse it, and then enter to antibiotics and anti-inflammatory drugs.From physical treatments applied techniques such as ultraviolet irradiation of the nasal cavity, UHF sinuses and others. It is important to restrict smoking in the treatment of chronic sinusitis.

When required surgery

If the fluid outflow blockage of the sinuses is associated with the presence of nasal polyps or a deviated septum, surgery is the only way to prevent the recurrence of the disease.In addition, it is necessary, if the effect was not achieved by conservative therapy.In the latter case it will be held turbinotomy - operation, which removes the inflamed swollen mucosa.This prevents excessive secretion of mucus, opens anastomosis between the sinus and nasal cavity.The procedure is performed under local anesthesia, it takes a little time, and the patient may be discharged on the seventh day.

What happens if you do not treat sinusitis

Since purulent process for sinusitis is located in close proximity to the brain, the untreated disease can lead to very serious and even life-threatening consequences - meningitis and brain abscess.So you need very wary of the symptoms described, follow the doctor's instructions and do not self-medicate.

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