Ziintoni iimpawu sinusitis kubantu abadala kunye nabantwana

Inkqubo yokukrala ochaphazela inwebu ngeempumlo uxakaxa kunye sinuses paranasal (paranasal) (sinus), ebizwa sinusitis. Kodwa ukuba sithe asanyangwa, ukuze aphuhlise njengoko kwingxaki ye sinusitis. Ziintoni iimpawu sinusitis? Makhe sihlolisise kweli nqaku.

Yintoni na izifo empumlweni?

Kuxhomekeka lizwe yenkqubo yokukrala ongathi uthunyelwe:

1. sinusitis - ekubulaleni sinus ngokungqalileyo.

2. etmoidita - ekubulaleni iiseli ethmoid. Esi sifo kungabangela intracranial kakhulu (meningitis, kobuchopho) kunye nezigulo intraocular (cellulitis Orbital, ngenkulungwane ithumba).

3. Sfenoiditom - Pporazheniem sinus sphenoid.

Ethmoiditis sphenoiditis rarely kwenzeka zodwa, amaninzi zidityaniswa sinusitis okanye sinusitis.

iintlobo sinusitis

Kuxhomekeka unobangela sinusitis ingaba:

1. rhinogenous - kukho ingxaki losulelo (influenza, izifo ezihlasela zosulele ngokuphefumla, SARS).

2. Hematogenous - iintsholongwane ufake igazi. Olu hlobo sinusitis kaninzi kwenzeka abantwana emva isifo somqala omhlophe, yimasisi.

3. Odontogenic - sibonakala abantwana ngenxa zingawi ezantsi sinus of ubofu. Ukubangela sinusitis nzima periodontitis, periostitis.

4. traumatic - kuphakamisa isifo okanye umothuko ukwaphuka ekudibaneni ngeempumlo.

5. zokwalana - sisiphumo ukusabela bayaliwa isivuseleli. Kule hlobo nokudumba strong saphawula sinusitis;.

6. vasomotor - ngokufuthi abantu elivisayo zabo ngenxa DYSTONIA yegazi.

Kananjalo kwahlule phakathi acute kunye sinusitis ezigulo ezondeleyo.

Ziintoni iimpawu sinusitis kubantu abadala?

Isifo amaninzi kubonwa:

- yintloko ebuhlungu ibonakala emazinyweni nezidlele;

- luninzi secretion viscous ukusuka zicatshulwa ngeempumlo;

- Ukugodola, ubushushu bomzimba phezulu, silale, buthathaka;

- ngeempumlo ukuxinana, imvakalelo nenzaliseko kwi kwemihlathi yangasentla, kwanda ukuthambekela;

- sokudityaniswa ukukhohlela, uphuhliso tonsils kunokwenzeka;

- lokuphungula ivumba.

Ngoku ndiyaqonda ukuba abonise indlela sinusitis. Iimpawu, njengoko sibonile, okwahlukeneyo kwaye kakhulu ezingemnandi.

Oonobangela sinusitis kubantu abadala

Iimbangi ezingundoqo sinusitis zezi:

- nose esihambisayo, ngokufuthi staphylococcus, umyalezo Pneumococcal okanye streptococcal, umyalezo kunokwenzeka egazini (umkhuhlane, parainfluenza, adenovirus);

- izifo lwamazinyo, cysts ubukrakra, periostitis (sinusitis odontogenic maxillary) ;

- adenoids;

- ukwenzakala, post-traumatic zekhala baphambukile;

- nokuthimliswa komzimba;

- ezibeka okukwazi;

- polyp, imizimba amazwe.

Ziintoni iimpawu sinusitis ebantwaneni?

Abantwana ukuya kwiminyaka-2 phambi kwethu sifo sidla akukho bene - oku kungenxa lokungaphuhliswa sinuses maxillary.

Njengoko ngokuba umfanekiso lwezonyango, ngoko sinusitis ebantwaneni ibonakalise iimpawu efanayo abadala. Umahluko engundoqo - ingaba icesina, kwaye bomvu esidleleni evela sinuses ebushushwini babo.

Sinusitis ebantwaneni eyingozi kakhulu ngenxa yeengxaki rhoqo. yintloko ebuhlungu emntwaneni - uphawu ezingundoqo zesi sifo. Oku kwenzeka ngenxa yokuba beqokelela oluninzi ubofu kwindawo yobuso.

ekuxilongweni

Ugqirha ukuchonga esi sifo kufuneka kuqhuba isifo ebanzi. Le misebenzi iphambili iquka oku kulandelayo:

1. Ukumamela izikhalazo, imbali ukuthatha.

2. bakposev, uphando isiqulatho wokuhlamba impumlo.

3. ray of the sinuses paranasal, nolubonise lifathul, bemthoba ndandifeketha na, izinto elubala. Indlela kakhulu ulwazi zophando, kuba oko kunika ithuba lokuba ukufumanisa zalapha inkqubo zophendlo lwezifo ikulo mfanekiso lwezonyango zatshatyalaliswa. Oqeshwe ezimbili - osecaleni tye.

4. intlokoma Magnetic, Itomography ngekhompyutha ( "standard ngegolide" ngenxa sphenoiditis okusolwayo).

5. rhinoscopy.

6. Gqibezela wegazi (ostrovospalitelnaya reaction: leukocytosis, ekhawulezayo erythrocyte neentlenge rate, palochkotsitoz).

7. Uviwo Endoscopic le sinuses paranasal.

8. Ukubonisana of wamazinyo kunye ugqirha maxillofacial.

Zakhiwo yamanyathelo diagnostic kuxhomekeke njani ubonisa sinusitis.

ukungaphili

Ukulibaziseka ukunyanga sinusitis kungakhokelela ekubeni iziphumo ezingancumisiyo zilandelayo:

- meningitis;

- otitis media;

- Jade;

- nokudumba;

- isifo samathambo;

- endocarditis, myocarditis;

- bronchitis, inyumoniya.

wenza njani sinusitis ezondeleyo?

Iimpawu sinusitis ezinganyangekiyo ukuba ngandlel 'umsindo. Kodwa abonakala:

- buhlungu xa ukuqhwanyazaemva;

- ekweneni iinkophe kusasa;

- ikhanda njalo;

- rhoqo ngeempumlo ingxinano;

- a ukukhohlela elomileyo.

sinusitis Chronic kwakhona kufuna unyango. Therapy kuthatha ixesha elide, kodwa bachache ngokupheleleyo kunokwenzeka. Kuxhomekeka kwindlela ubonisa sinusitis. Iimpawu kunye nonyango, njengoko umthetho, zihlobene zihlobene.

unyango sinusitis

unyango Conservative of sinusitis lifinyele ukufumana amayeza. amathontsi Isicelo vasoconstrictive kunciphisa ukudumba uxakaxa, constricts imithambo yegazi, kubuyisela kwakhona ngeempumlo ukuphefumla, ukunciphisa ubungakanani lindle. ukusetyenziswa ngcono ngamathontsi eziqulathe oxymetazoline:

- "Nazivin".

- "Nazol".

- "Fasini".

- "Afrin".

- "Tizin" (iqulethe A-adrenoagonists inika vasoconstriction kunye nokuphucula ukusebenza wokuphefumla kwenzeka phakathi kwemizuzu embalwa emva kokuba isicelo).

Le nazo wasebenzisa antihistamines:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Kakhulu ngempumelelo amathontsi esiqinisekisiweyo isibulala-zintsholongwane. Iimveliso yaziwa kakhulu ziquka "Polydex", "Bioparox", "Izofra".

unyango systemic zintsholongwane kuxhomekeke kuwe kombisa ngayo sinusitis. Anyulelwa ixesha leentsuku ukuya ku-10.

Used antibiotics penicillin: amoxicillin ( "Flemoksin"), ukuhlanganiswa amoxicillin-clavulanate ( "Augmentin", "Panklav"). Njengoko macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "Cefoperazone sulbactam".

Ku ukusetyenziswa kakhulu:

- fluoroquinolones ( "Ofloxacin" "ciprofloxacin", "moxifloxacin");

- carbapenems ( "Imipenem", "Meropinem").

Xa isifo unomoya kwaye yababuhlungu tablet Kucetyiswa ifomu imithi. Ngo-antibiotics kakhulu sinusitis ephathwa yegazi okanye intramuscularly.

ukusetyenziswa Local iziyobisi antibacterial (amathontsi) kuphela xa sibi esi sifo.

Ukusetyenziswa idibene arhente esematheni kwaye systemic lunciphisa ubungozi iingxaki kakhulu kwaye ikhawulezisa inkqubo impiliso.

Xa ukhetho antibiotics kufuneka athathe ingqalelo ubukho ziyabagulisa kule anamnesis, iinkcukacha zoviwo bacteriological (ukuphawulwa pathogen nobuzaza yayo kumaqela ahlukeneyo).

Ukongeza, kuxhomekeke ubonakalisa njani sinusitis, wamisela imisebenzi yokuxhasa ilandelayo:

1. therapy Vitamin. Injongo iivithamini C, A no E.

2. Ukwamkelwa NSAIDs. Xa eveza njengokungathi ukugula, umkhuhlane kunye antiinflammatory, iintlungu, ukuze antipyretic emiselweyo: "nimesulide" "Nimesil" "naiz", acetaminophen, diclofenac sodium.

Kwiimeko kakhulu, Asinakuyenza ngaphandle uqhaqho.

1. Endoscopic ngoncedo kancinane wesibeleko esigqibeleleyo.

2. Le ngobungxamo imixholo ngokusebenzisa okuhlatywa.

Abantwana bachitha buqhinga kuphela phantsi zomzimba.

Effective ekunyangeni sinusitis wokuhlamba sinus okuhlatywa ngaphandle isixhobo okhethekileyo. Le ndlela ibizwa ngokuba "nengabangaba." Enye indlela okhoyo ngokuhlamba sinus na ukusetyenziswa sinus catheter "YAMIK".

Aids ukuba laser therapy, unyango cuke, UHF.

Prevention of sinusitis

Ukuze uzikhusele kuphuhliso kwesi sifo, kuyimfuneko ukuba zilandele ngqo ezi zikhokelo zilandelayo:

- sebenzisa kuzo izinto;

- ukwenza zangasese lamaziko ezingapheliyo zosulelo;

- uyohlolwa rhoqo kugqirha wamazinyo ngendlela ngexesha ukunyanga yidityaniso;

- okungenani ekomelezeni imikhosi se umzimba, novithamini;

- yenza massage rhoqo ezayo i sinuses maxillary;

- ukuthwala zokuthintela exacerbations yenethiwekhi yebhaktiriya (izisombululo ityuwa lavage ngeempumlo, xa aureus ukutyala ubeke turundy nge indlamanzi isisombululo chlorophyllipt).

- yokuphatha nokuthimliswa komzimba, hay fever;

- Ukuba kukho imfuneko yokuba impatho enjalo, ukuba swi ngotyando nokulungisa iziphene septal.

Siye sajonga ukuba sibonise indlela sinusitis abadala. Mpawu zichazwe ngokupheleleyo kweli nqaku. Ukuba ubona iimpawu ubuncinane ethile, musa ukuthandabuza, kwaye musa ukulibala - yiya kugqirha.