I-maxillary sinusitis: izimpawu. Ukwelashwa kwesifo sinusitis

Ukungqubuzana kwe-Nasal, ukuphulukisa ukuphungula, ukuphuza ukuphunga, ukuphuma kwephunga emakhaleni, imfiva, ubuthakathaka ... Konke lokhu kuyizimpawu zobuhlungu obunjalo futhi ngesikhathi esifanayo esingaziwa kubantu abaningi abanjengo-sinusitis. Ake sibone, kunzima kakhulu ukwelapha i-genyantritis enomkhuba wokwelashwa wanamuhla. Kuyini lesi sifo? I-sinusitis engapheli, okwelashwa kwayo okuchazwe kulesi sihloko, idala ukukhathazeka nokukhathazeka okukhulu esigulini.

Kuyini?

Abaningi bezwe lethu baqiniseka ukuthi i-sinusitis yisifo esibi kakhulu futhi esicishe sifile, okuyinto enzima kakhulu, ebuhlungu futhi eside ukuphathwa esibhedlela.

Eqinisweni, isono sinusitis esiyingozi sitholakala umuntu omdala njalo lapho eba nesifo sokuphefumula okunamandla okuphefumula, okuhambisana nekhala eligijima. Ake sicabangele ngokuningiliziwe.

Emgodini wezintambo kukhona amasinasi e-paranasal (amasono):

• I-sinus yangaphambili (yangaphambili).
• I-latticed sinus.
• I-Maxillary sinus (i-maxillary / paranasal sinus).
• I-shaped-shaped.

Ziyadingeka ukuze zihambise, zifudumele futhi zihlanze umoya ofika emaphashini ethu.

I-rhinitis - rhinitis, eyenzeka ku-ARVI, - isitshela ukuthi i-mucosa yama-nasal ithole igciwane. Uma igciwane selisevele limpumpi, khona-ke ngeke likwazi ukuthola ama-membrane amancane, kodwa eqinisweni kaningi kunazo zonke izono zesisu. Lokhu kubizwa nge-sinusitis (ukutholakala kokutheleleka ezenzweni ze-paranasal).

Ngakho-ke, manje siyaqonda ukuthi i-rhinitis cishe ayifuni neze ngaphandle kwe-sinusitis, kanye nomkhuhlane ovamile njalo uhambisana nesinusitis.

Izimbangela zesifo

Ukwelashwa kwesifo sinusitis kuhilela okokuqala ukuhlonza imbangela yokubonakala kwayo. Kukhona eziningana:

1. Igciwane.
2. Amabhaktheriya.
3. Ukusabela okwenziwe nge-allergen.
4. Ukuphazamiseka kokuphefumula komzimba (ukuvuthwa kwe-septum yangasese, izinto zangaphandle emphunjini, ukwanda kwezingxenye zamanxiwa, ukulimala ekhaleni).
5. Amasosha omzimba angakhubazekile.
6. Ukuba khona kwama-parasites emzimbeni, izifo ezingapheliyo, umkhuhlane osanda kuhanjiswa noma i-ARVI engaqondwanga.
7. Ukuphulwa kobuqotho be-mucosa nasasus.
8. Ukulimala kwamakhemikhali embranini yesikhumba (isibonelo, ekukhiqizeni okulimazayo).
9. Umoya omile futhi ofudumele ekamelweni.
10. I-hypothermia enamandla.
11. Ama-Polyps, ama-adenoids.
12. Amazinyo angabonakali nezinye izifo zomlomo womlomo.
13. Izifo ze-fungal.
14. Isifo sofuba.
15. Izicubu.
16. Ukugula kwezifo.

Izinhlobo zegenyantritis

Ngokweqile kwesifo ukuhlukanisa:

• I- maxillary sinusitis (izimpawu kanye nokwelashwa kuzoxoxwa ngezigaba ezilandelayo). Izici: inkambo yesifo kuze kube amasonto amathathu ngokuthuthukiswa okuhlelekile.
• Sinusitis engapheliyo. Ukwelashwa kuyinkimbinkimbi kakhulu, futhi izingozi zezinkinga ziphezulu kakhulu, ngakho-ke ifomu elingapheli lidinga ukungenelela kokuphoqeleka kukadokotela.

Ngenxa yokuthi:

• Izifo ezithathelwanayo.
• I-Vasomotor (ebangelwa ukuphulwa kwendlela yokuphendula kwemvelo).
• I-allergic.

Ngendlela yokutheleleka:

• Okungajwayelekile (kusuka egazini).
• Isisindo (esivela emgodini wezintambo).
• I-Odontogenic (amabhaktheriya avela emlonyeni).
• Okudabukisayo.

Isibalo

I-antritis enamandla:

• Ukushisa kuya kuma-38-38.5 degrees;
• Ukucindezela noma ukuphumula okubuhlungu uma kuguqulwa phambili;
• Ukuhamba kwe-mucus kanye ne-pus kusuka emaqenjini amancane;
• Ama-Chills;
• Ubuhlungu ekhanda, impumu, amazinyo;
• Ukuhlukaniswa;
• Ukungqubuzana kokujwayelekile kwamanzi;
• Ukuphazamiseka kokulala;
• Izinzwa ezibuhlungu uma uthinta indawo yamasinilla amakhulu amakhulu;
• Ukuphefumula;
• Ukuvuvukala.

Sinusitis engapheliyo:

• Ukushisa angeke kwenzeke noma ukuhlala ezingeni lika-37.5 degrees;
• Ukucindezela noma ukuphumula okubuhlungu uma kuguqulwa phambili;
• Ukukhishwa okuqhubekayo kusuka ekhaleni;
• Ukungahambi kahle;
• Ukukhishwa kwesikhashana kwamapusi nama-clots wegazi kusuka ekhaleni;
• Ubuthakathaka jikelele;
• Ukulala;
• Insizwa endaweni yamehlo;
• Conjunctivitis.

Izifo

Ukuxilongwa kufanele kwenziwe udokotela. Uma unzima kakhulu noma ude kakhulu, unganqikazi ukucela usizo.

Okokuqala, udokotela uzofunda umlando wesifo futhi uzohlola indawo yangaphakathi yomswakama ovuthayo ovuthayo, ecubungula ubuso ezinkalweni zempumphu ukuze athole ubukhulu bezinhlungu, uzobona ukuthi kukhona yini ukukhuphuka kwezinguquko ezisezindaweni ze-infraorbital.

Uma kunesidingo, udokotela uthumela isiguli ku-X-ray, okuzokhombisa ukuthi ngabe kukhona ukukhanya (ukubonakala kwe-pus) esithombeni esifundeni sezoni zama-maxillary.

Ezimweni ezinzima kakhulu, lapho amalungiselelo ajwayelekile okulwa namagciwane okulwa nawo wonke ama-anti-bacterial action ayasiza, ahlaziya emakhaleni futhi anqume ukuzwela kwezinsizakalo ezincelweni zamagciwane.

Ukwelashwa kwesifo sinusitis

Ukuqeda i-rhinitis ejwayelekile (sinusitis ne-rhinitis), kufanele ulandele imithetho esebenza kuwo wonke ama-SARS.

Ekamelweni lapho isiguli khona khona, kufanele kube sepholile (izinga lokushisa lomoya - angaphezu kuka-21 degrees Celsius), ngaphandle kwalokho ukwelashwa kwesifo sinusitis kuzohlala isikhathi eside. Ngesikhathi esifanayo, isiguli kufanele sigqoke ukuze angazizwa ebandayo.

Ngokuvamile kuyadingeka ukuvuthisa igumbi futhi ugcine umswakama ekamelweni. Uma kungekho moya we-humidifier, faka amathangi ambalwa amanzi ngamanzi ekamelweni bese ubheka ibhethri ngethawula elimanzi.

Isiguli sidinga ukuphuza okuningi futhi sidle kancane. Sicela uqaphele ukuthi ngesikhathi sokubanda, kufanele unciphise ukusetshenziswa kwetiyi nekhofi, futhi uzame ukuwafaka iziphuzo ezifudumele, ama-compotes, namanje amanzi, ama-herbal teas.

Uma une sinusitis enzima, ukwelashwa ekhaya kufanele ngokukhethekile kugcwaliswe ngokuhlanza isigxobo esiswini. Ikhemisi ngayinye idayisa imikhiqizo ekhethekile yokuhlanza ngemiyalo, powder kanye nedivayisi ekhethekile. Kodwa ngenxa yalesi sizathu, isisombululo esivamile saline noma amanzi nosawoti olungiselelwe ngokuzimela nakho kufanelekile. Vele uthenge isipuni samanzi abilayo afudumele isipuni setiyidi enkulu e-idididi bese uxuba kahle. Esikhundleni somthamo okhethekile wokuthenga, ungasebenzisa ibhodlela elincane elincane lamanzi amabhodlela ebantwaneni nge-neck-teat noma i-teapot encane.

Uma ulandela zonke izincomo, maduzane ngeke usuhlukunyezwa yi-sinusitis enzima (izimpawu). Futhi ukwelashwa kubantu abadala akudingi ngisho nezibhebhe. Kodwa uma usukhetha ukususa yonke imiboniso ngokushesha ngangokunokwenzeka, khumbula ukuthi ukwelashwa kwe-maxillary sinusitis ene-antibiotics ngaphandle kokubonisana nodokotela akumukeleki. Sebenzisa amaconsi e-vasoconstrictive emakhazeni, kusukela ekushiseni - amalungiselelo aqukethe i-paracetamol noma ibuprofen. Kodwa ungakhohlwa ukuthi odokotela abayincoma kakhulu ngaphandle kwesizathu esihle sokuletha phansi izinga lokushisa ngezansi 38.5.

I-sinusitis evamile ejwayelekile, izimpawu kanye nokwelapha okuyaziwa yi-otorhinolaryngologist ngayinye, ngokuvamile kwenzeka ezinsukwini ezinhlanu kuya kweziyisikhombisa.

Uma kungokwesibili, bese kuthi ngosuku lwesithathu lokugula, uzizwa ubi kakhulu, futhi izinga lokushisa likhuphuka phezulu, qiniseka ukuthi ubonisa udokotela wakho. Nganoma yikuphi ukutheleleka kwegciwane, umzimba wakho kufanele usuqale ukubhekana nesimo. Futhi uma lokhu kungenzeki, kungenzeka ukuthi lesi sifo sibangelwa yi-virus kanye nokuhlolwa okujulile nemithi edingekayo.

Ngisho noma usuqale isono sinusitis, ukwelashwa ngaphandle kokukhishwa kungakwenzeka. Ngokuvamile, udokotela ubeka ukuhlanzwa kwezono zempumphu (inqubo eyenziwa emtholampilo), ukwelashwa kwe-laser, amaconsi e-vasoconstrictive kanye nama-antibiotic.

Odokotela abaningi besikole esidala baqhubeka bekhiqiza ama-punctures ukuphatha noma yiluphi uhlobo lwesinusitis. Nakuba ukukhishwa kwesikhumba ukuphatha lezi zibonakaliso kufanele kube sína kakhulu, nezinye izindlela - sezamile kakade futhi zenze imiphumela. Ngempela, naphezu kokuthi le nqubo ilula futhi uma iqhutshwa kahle, ngokuvamile kulula ukuba iziguli zibekezelele, zingabangela izinkinga eziningana: ukuvinjelwa kwemithambo yegazi, ukwakheka kwe-emphysema (ukugxilisa umoya emathangeni amancane), i-abscess. Futhi lokhu akulona uhlu oluphelele.

Indlela yokuhlinzwa yokwelashwa

Kwenzeka ukuthi ngisho nenkambo engapheliyo ayibangeli isiguli ukubona udokotela futhi lesi sifo siqala kakhulu. Kulokhu, ama-polyps kanye nama-cysts angase ahlanganise kakhulu izidakamizwa zesinino ezingenakho ukuhlinzwa okugcwele okugcwele ngaphansi kwe-anesthesia ejwayelekile endaweni yesibhedlela akunakwenzeka, ngaphandle kwalokho ukwelashwa kwe-sinusitis enzima kubantu abadala kungabi usizo.

I-sinusitis ephakathi kokubili

Ukwelashwa kulesi simo kufana nesimo se-sinilitis ye-unilateral. Nakuba isimo sezwe esisodwa saleso sifo kubhekwa njengesibi kakhulu futhi ngokuvamile sinokudakwa nokucindezeleka okukhulu.

Kuhle, uma udokotela eyoqaphela, ukuthi i-sinusitis ye-bilateral ehamba phambili iqhubeka kanjani. Ukwelashwa kuleli cala kunconywa ukuba wengezele ngezinqubo ze-physiotherapeutic kanye nemithi, njengoba izingozi zezinkinga zikhuphuka kabili.

Odontogenic sinusitis

Uma izolo usedokotela wamazinyo, futhi namuhla kwakukhona izibonakaliso ezingenangqondo ze-maxillary sinusitis, ungasheshi ukuyilobela izifo zamazinyo. Eqinisweni, ukuvutha okuvame kakhulu esifundeni samazinyo angemuva womhlathi osenhla kubangela ukuvuvukala ezithombeni zempumu. Indawo yezimpande zala mazinyo asondelene nezisusa kubangela ukutheleleka okusheshayo okuvela emlonyeni womlomo wangena ekhaleni.

Ama-causative agents we-odontogenic sinusitis ngokuvamile avame ukufaka i-streptococci, i-staphylococci, i-diplococci kanye ne-enterococci, ngezikhathi ezincane ngezinye izikhathi ezikhona ngisho nangomuthi ovamile womlomo. Ngokukhula okungalungile kwamazinyo nokuphathwa okungenangqondo, ukungcola ngokwanele, bangangena ezingosini zempumu futhi babangele ukugula. Ukuzitholela okwenziwe yi-genyantritis enjalo akuziboleki, futhi uma usola isifo, masinyane uthintane nodokotela.

Sinusitis ezinganeni ezingaphansi kweminyaka emithathu ubudala

Akuyona into engavamile ukuthi sizwe izikhalazo ezivela kumama mayelana ne-genyantritis yengane. Kodwa empeleni kuyindabakwane. Njengalokhu, ukuvuvukala kwezono kulezi zingane nje akukwenzeki. Kuze kube yiminyaka emithathu ezinganeni, izoni azange zithuthuke (babengenawo isikhathi sokukhula) ukuthi akukho ndawo yokuthuthukisa ukutheleleka.

Kulesi simo, i-snot ephuzi noma eluhlaza ihlotshaniswa nesinye isifo noma nje ngoba i-rhinitis isivele idlula futhi i-mucus igxila emaqenjini angasese. I-dokotela wezingane kufanele ihlolwe ngokunembile.

Kungani ungakwazi ukufudumala impumu yakho futhi yini eyingozi kule ndlela yokwelapha?

Ngisho noma unomkhuhlane ovamile, kodwa awukakwazi ukufika kudokotela, noma ucabanga ukuthi ungakwazi ukuphatha ngokwakho, ungalokothi uqale ukushisa ikhala lakho. Akukho usawoti, akukho amaqanda ezinkukhu, akukho isibani esibomvu noma ngisho nokushisa okushisayo. Zonke lezi zindlela zingaholela esibhedeni esibhedlela ngaphandle kwemvume kadokotela.

Okokuqala, umuntu onomkhuhlane ophezulu ngeke akwazi ukufudumala umzimba wakhe ngokuqhubekayo. Okwesibili, umphumela wokushisa igciwane kungabangela ukusabalala okusheshayo okusheshayo kokutheleleka kuwo wonke umzimba. Kulesi simo kuyadingeka ukuthi ungaphathi nje impumu ejwayelekile, kodwa yonke izifo ezibi kakhulu.

Kwezinye izimo, uma udokotela eqiniseka ukuthi izoni zangaphambili sezivele zikhululekile futhi iziguli zisesimweni sokuphumula, angayeluleka indlela yokufudumala indawo ezungeze ekhaleni.

Izinkinga

I-maxillary sinusitis ehlanzekile kakhulu, okwelashwa okungaphathwa kahle, kungaletha izinkinga eziningi. Uma lesi sifo sidlulile kakhulu, izinkinga ezinzima kangaka zingenzeka:

• Sinusitis engapheliyo.
• Ukuvuvukala kwamaphaphu, i-bronchi.
• Ukuvuvukala kwamathoni.
• I-Otitis.
• Angina.
• I-Pharyngitis.
• Amaphutha emgodini womlomo.
• Izifo zezintambo ze-ternary.
• I-Meningitis (ukuvuvukala kwama-mening).
• Incephalitis (ukuvuvukala kobuchopho).
• Ukuvuvukala kwe-eyeball noma i-eyeball ngokwayo.
• Sepsis.
• Ukugijima kwe-sinusitis kungabangela izinkinga ezintsheni, inhliziyo nesibindi.

Kumele kukhunjulwe ukuthi ukuzivocavoca, ukwenqaba usizo lwezokwelapha, ukungagcinwa kwemigomo kadokotela kanye nokubhekisela kwabathengi abangakwazi ukufunda kungashintsha inhlekelele.

Ukuvimbela

Wonke umuntu uyazi ukuthi kunzima kakhulu ukwelapha kunokuba ukuvimbele. Ukuvimbela yinto yokuqala okufanele yenziwe ezibhedlela nakuzo zonke izindlu:

• Gqoka okwesikhathi sonyaka (izingubo ezifudumele kakhulu nje zingenakuvunyelwa njengoba kungenalo ukufudumala okwanele).
• Ungadli ngokweqile futhi ungapheli (ngalezi zinsuku umzimba uba yingozi kakhulu ekutheleleni).
• Yidla kahle (ukudliwa kwawo wonke amavithamini adingekayo kanye namaminerali okuvela ekudleni kuzosiza umzimba ukuba ubhekane nokutheleleka ezigabeni zokuqala zesifo).
• Buza udokotela wakho ngokuthatha ama-vitamine namaminerali ama complexes.
• Ngena emidlalweni (ukuqina, ukudoba, ukuvocavoca ekuseni).
• Yenza umzimba wokuphefumula okhethekile ukuze uvuselele ukuphefumula komzimba.
• Ngenkathi yezifo eziwumshayabhuqe, geza impumu yakho nge-saline njalo kusihlwa.
• Yeka ukubhema.
• Hamba okuningi.
• Phatha noma yikuphi ukushisa ngesikhathi esisodwa, ungaqali lesi sifo.
• Uma unesifo sofuzo, isibonakaliso sokuqala se-rhinitis siphuza ama-antihistamine anqunywe udokotela.
• Yenza ukuhlinzwa uma unesifo se-septum esiswini (lokhu ngeke nje kusize ukugwema i-sinusitis, kodwa futhi kuthuthukise ukusebenza komzimba wonke).