Ziyini izimpawu sinusitis e abadala kanye nezingane

Ukuvuvukala othinta acinene ulwelwesi lwamafinyila kanye paranasal (paranasal) sinuses (itheku), ngokuthi sinusitis. Kodwa uma iyekwa ingelashwa, angagcina njengoba kwetintfo sinusitis. Ziyini izimpawu sinusitis? Ake sihlole kulesi sihloko.

Yiziphi izifo kwekhala?

Kuye kwasendaweni ukuvuvukala kungenzeka idluliselwe:

1. sinusitis - kokunqotshwa kwe itheku engaphelele.

2. etmoidita - ukunqotshwa amaseli ethmoid. Lesi sifo kungabangela intracranial okukhulu (meningitis, encephalitis) kanye nezinkinga intraocular (cellulitis esemkhathini, ekhulwini ithumba).

3. Sfenoiditom - Pporazheniem itheku sphenoid.

Ethmoiditis sphenoiditis futhi kuyaqabukela zenzeka kwabanye, ngokuvamile kuhlangene sinusitis noma sinusitis.

izinhlobo sinusitis

Kuye imbangela sinusitis kungaba:

1. rhinogenous - kukhona inkinga ukutheleleka (Umkhuhlane, acute nezifo zokuphefumula, SARS).

2. Hematogenous - bacterium faka igazi. Lolu hlobo sinusitis ngokuvamile kwenzeka ezinganeni ngemva idiphtheria, isimungumungwane.

3. Odontogenic - sibonakala nangokuthi izingane ngenxa falling ngokusebenzisa phansi itheku kobovu. Sivusa sinusitis nzima periodontitis, periostitis.

4. Obungapheli - kuphakamisa isifo noma ukuhlukumezeka ukwaphuka we septum acinene.

5. Allergic - kuwumphumela ukusabela iguliswa ugqozi. Kulesi hlobo edema eqinile waphawula sinusitis;.

6. vasomotor - ngokuvamile e abantu izingane zabo ngenxa dystonia semithambo.

Futhi ukuhlukanisa phakathi oyingozi futhi sinusitis ezingamahlalakhona.

Ziyini izimpawu sinusitis e abadala?

Lesi sifo ngokuvamile kakhulu wazibona:

- ubuhlungu bekhanda imbuthuma emazinyweni izihlathi;

- luningi uketshezi viscous kusukela amavesi acinene;

- Ukugodola, izinga lokushisa eliphakeme umzimba, ukucobeka, ngenxa yobuthakathaka;

- acinene ukuminyana, umuzwa ukugcwala e-ongenhla, kwandisa ne ukuthambekela;

- uxhumano okungenzeka ukukhwehlela, ukuthuthukiswa namathansela;

- ukunciphisa iphunga.

Manje ngiyaqonda ukuthi ukuze abonise ukuthi sinusitis. Izimpawu, njengoba kungabonwa, ezihlukahlukene futhi ngempela edabukisayo.

Izimbangela sinusitis e abadala

Ziyini izimbangela eziyinhloko zalokhu sinusitis yilezi:

- amakhala yisisu, ngokuvamile Staphylococcus, omsakazo Pneumococcal noma streptococcal, kungenzeka omsakazo viral (Umkhuhlane, parainfluenza, adenovirus);

- izifo kwamazinyo, izinhlumba esibhibhayo, periostitis (odontogenic sinusitis maxillary) ;

- adenoids;

- ukulimala, ukucindezeleka kwangemva kwenhlekelele septum ephambuka;

- rhinitis iguliswa;

- ngihlaliswa amasosha omzimba;

- polyp, imizimba angaphandle.

Ziyini izimpawu sinusitis ezinganeni?

Izingane kuze iminyaka 2 phambi kwethu isifo ngokuvamile akuyona kwatholakala ukuthi unesifo - lokhu kungenxa nokungathuthuki we sinuses maxillary.

Njengoba for isithombe emtholampilo ke sinusitis ezinganeni ukubonisa izimpawu efanayo abadala. Umehluko omkhulu - kungaba imfiva, futhi ububomvu esihlathini kusukela sinuses avuvukele.

Sinusitis ezinganeni iyona ayingozi kakhulu ngenxa yezinkinga njalo. ubuhlungu bekhanda e ingane - uphawu oyinhloko sifo. Lokhu kwenzeka ngenxa ekuqongeleleni esiningi ubomvu endaweni ebusweni.

ukuhlola

Doctor ukuhlonza isifo kumele aqhube uphethwe esibanzi. Imisebenzi eziyinhloko zihlanganisa lokhu okulandelayo:

1. Ukulalela izikhalazo, umlando ethatha.

2. bakposev, ucwaningo egeza ekhaleni okuqukethwe.

3. Radiography we sinuses paranasal, okuyinto ubonisa elisebumnyameni, ukwehlisa ikuphi ukudlala, obala. Indlela kakhulu ulwazi locwaningo, ngoba kunika ithuba ukuxilonga kwasendaweni yenqubo sokugembula esithombeni emitholampilo aqedwe. Abamisiwe projection ezimbili - ezilingene ngqo.

4. Magnetic resonance, tomography ngekhompyutha ( "izinga legolide" ngoba sphenoiditis okusolwa).

5. rhinoscopy.

6. Gcwalisa segazi (ostrovospalitelnaya yokusabela: leukocytosis, yashesha erythrocyte sedimentation isilinganiso, palochkotsitoz).

7. endoscopic Ukuhlola sinuses paranasal.

8. Ukubonisana of the wamazinyo futhi udokotela ohlinzayo maxillofacial.

Isakhiwo wezinyathelo zokuxilonga lithembela ngokuphelele indlela abonisa ngayo sinusitis.

yezinkinga

Ukwephuza ekwelapheni sinusitis kungaholela imiphumela elandelayo sína:

- meningitis;

- abezindaba otitis;

- Jade;

- sepsis;

- rheumatoid arthritis;

- endocarditis, myocarditis;

- ukucinana kwemigudu yokuphefumula, inyumoniya.

Kanjani sinusitis okungamahlalakhona?

Izimpawu sinusitis okungamahlalakhona kungase ngandlela-thile uthulisiwe. Kodwa kungenziwa waqaphela:

- ubuhlungu lapho eshaywa;

- zokuzikhukhumeza Isivalo ekuseni;

- ikhanda njalo;

- njalo acinene ukuminyana;

- a isifuba esomile.

sinusitis Okungalapheki futhi zidinga ukwelashwa. Ukwelashwa kuthatha isikhathi eside, kodwa umuntu alulame ngokugcwele kungenzeka. Okuningi kuxhomeke endleleni ububonisa sinusitis. Izimpawu kanye nokwelashwa, njengoba umthetho, kukhona eduze kuhlobene.

ukwelashwa sinusitis

ukuphathwa okulondoloza sinusitis kuyehla ukuze bathole imishanguzo engabasiza. Isicelo vasoconstrictive amathonsi kunciphisa zokuzikhukhumeza lwamafinyila, constricts imithambo yegazi, sivuselela acinene ukuphefumula, ukunciphisa ngobungako indle. ukusebenzisa kangcono amathonsi equkethe oxymetazoline:

- "Nazivin".

- "Nazol".

- "Fasini".

- "Afrin".

- "Tizin" (iqukethe A-adrenoagonists inikeza vasoconstriction futhi sithuthukisa umphumela ukuphefumula kwenzeka phakathi nemizuzu embalwa ngemva isicelo).

I eziyinkimbinkimbi futhi wasebenzisa antihistamine:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Indlela ephumelela kakhulu efakazelwe amathonsi antibiotic. Imikhiqizo eyaziwa kakhulu zihlanganisa "Polydex", "Bioparox", "Izofra".

Lefundo yokwelapha ngemithi elwa namagciwane lithembela ngokuphelele indlela ubonakalisa sinusitis. Esimisiwe isikhathi izinsuku ezingu-10.

Ezisetshenzisiwe imithi elwa namagciwane penicillin akuzange kusize: amoxicillin ( "Flemoksin"), inhlanganisela amoxicillin-clavulanate ( "Augmentin", "Panklav"). Njengoba macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "Cefoperazone sulbactam".

Iyasebenza Inzima

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

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

Lapho lesi sifo mnene futhi ezinzima ithebhulethi belulekwa ifomu ukuthaka imithi. Ngo ezinzima sinusitis imithi ngokweqile zifana nokuthela iqondiswa ngemithambo yegazi noma intramuscularly.

ukusetshenziswa endawo izidakamizwa elwa namagciwane (amaconsi) kuphela ngesikhathi sibi lesi sifo.

Ukusetshenziswa ahlangene ejenti oluhlelwe ngezihloko futhi letindzala kunciphisa ingozi yokuthola ezinzima futhi isheshisa inqubo yokwelapha.

Lapho ukhetha kwamaphilisi kufanele acabangele khona ziyabagulisa the anamnesis, idatha luhlolo bacteriological (ukuhlonza lwegciwane kanye nokuzwela yayo emaqenjini ehlukene).

Ngaphezu kwalokho, kuye ngokuthi indlela ubonakalisa sinusitis, esimisiwe imisebenzi elandelayo ukusekela:

1. yokwelapha Vitamin. Injongo amavithamini C, A no E.

2. Ukwamukelwa of ama-NSAID. Lapho uzwakalise emizweni ukugula, imfiva kanye antiinflammatory, analgesic, antipyretic oda ebekiwe: "nimesulide" "Nimesil" "Naiz", acetaminophen, diclofenac sodium.

Ezimweni ezimbi kakhulu, ngeke akwenze ngaphandle ukuhlinzwa.

1. endoscopic kokungenela kancane koda.

2. esiphuthumayo okuqukethwe ngokusebenzisa wokubhoboza.

Izingane ukuchitha zokukhwabanisa kuphela ngaphansi izinzwa.

Ngempumelelo ekwelapheni sinusitis egeza itheku wokubhoboza ngaphandle idivayisi ekhethekile. Le nqubo ibizwa ngokuthi "Cuckoo." Enye indlela ekhona wokugeza itheku ukusetshenziswa itheku ipayipi "YAMIK".

Izinsiza kukhona ukwelashwa laser, ukwelashwa ultrasonic, UHF.

Prevention sinusitis

Ukuze uzivikele ukuthuthukiswa kwalesi sifo, kubalulekile ukuba banamathele iziqondiso ezilandelayo:

- ukusetshenziswa humidifiers;

- ukuze afeze ukuthuthwa kwendle sezikhungo ezingamahlalakhona ukutheleleka;

- ukuhlolwa njalo at udokotela wamazinyo ngendlela esifike ngesikhathi ukwelapha caries;

- hhayi okungenani beqinisa amabutho nemithi umzimba, vitamin;

- ukwenza massage ovamile projection we sinuses maxillary;

- ukuze afeze nokuvinjelwa exacerbations yenethiwekhi webhaktheriya (lavage acinene usawoti izixazululo, uma ukutshala aureus ukubeka turundy nge wotshwala isixazululo chlorophyllipt).

- ukwelapha rhinitis iguliswa, hay fever;

- uma kukhona okudinga ukwelashwa okunjalo, hhayi ukulahla ukulungiswa kuhlinzwa sesimweni septal.

Sibheke indlela sibonakalise sinusitis kwabadala. Izimpawu zichazwe lesi sihloko ngokugcwele. Uma uqaphela okungenani ezinye izimpawu, unganqikazi futhi ungalibazisi - ukuya kudokotela.