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