Chenjera purulent rhinosinusitis: zvinokonzera, zviratidzo, nechirwere, kurapwa

Kakawanda pfava chiremba anoisa varwere vake nechirwere zvakadai rikwanise rhinosinusitis, ndicho chirwere rokumusoro kufema turakiti. chirwere ichi chiri kubatwa nemishonga. Kazhinji chinoita matambudziko, zvichiguma kusachengeteka kukuru muchimiro anova purulent kana refu. Zvichida rokutengesa zvinoda kuvhiyiwa. Ngatikurukurei zvimwe zvakadzama nechirwere sezvo rhinosinusitis, zviratidzo uye Mabatirwo zvokurwara ichi.

shepi

Zvichienderana apo mu pane chirwere ichi Munokudzwa:

• sinusitis (maxillary sinusitis);
• ethmoiditis (kuzvimba ari ethmoid mapfupa) ;
• sphenoiditis (kuzvimba sphenoid sinus);
• pansinusitis uye polisinusit (kurasikirwa zvimwe kana vose sinuses);
• sinusitis (frontal sinus iri rirwadze).

zvirwere zvose izvi makatumidzwa mumwe rokuti - "rhinosinusitis".

zvinokonzera

Chenjera rhinosinusitis anogona kuitika nokuda kwezvikonzero zvinotevera:

• nokuda chirwere;
• pasi pokudzora allergens.

Kakawanda chirwere ichi anokonzerwa chimwe kuchitonhora. Nemavhairasi kupinda sinuses uye pave kuzvimba yavo. Kazhinji, kana utachiona chinopinda kupinda nasal mhango, muviri pakarepo anopindura ichi masoja mhinduro, vakawedzera madzihwa uye edema inotungamirwa. Izvi zvinotungamirira chokuti nokuda paranasal sinuses kugutsikana anotanga kuoneka yakaoma, uye pave mamiriro ezvinhu akanaka nokuda unozotevera Mashoko inokuvadza zvigare uye paumbwe pus.

Muviri womunhu nguva dzimwe mhando utachiona vari usingashandi zvakawanda, musatsamwisa panowanikwa anogumbura kwendangariro. Akaroromesawo runodzivirira mashandiro anoita muviri, vanotanga kuwanda, kazhinji zvichiita rikwanise purulent rhinosinusitis.

Uyezve, pane pathological ezvinhu kuti vari predisposing zvikonzero kuti kukura chirwere:

• anatomical hurongwa mhino (wakakurisa turbinate, septum deformation, etc ...);
• immunodeficiency;
• kuvapo kwezvirwere zvakadai cystic fibrosis, sema rhinitis, adenoids, uye vamwe;
• kutura kutapata.

zviratidzo

Ona zvinotevera zviratidzo huru kuzvimba sinuses:

• fivhiri;
• anotemwa nemusoro;
• kuchinja muropa;
• simba uye zvakawanda zvive;
• nasal kuzara.

Kwapera nguva, rikwanise rhinosinusitis anoratidzwa sezvinotevera:

• fivhiri;
• zvemamiriro zvinoerera kubva nasal mhango;
• kuzvimba kukotsira kana matama;
• halitosis;
• kukosora, kazhinji kuipa usiku;
• kudziviswa nasal kufema;
• kukanganisika pfungwa kunhuwidza;
• makakatanwa uye nevamwe sei sinuses;
• kunzwa tinyanye kuneta;
• ndichinzwa zino, chinonyanya chakasimba panguva kutsenga.

Chenjera purulent rhinosinusitis vangava guru-siyana vakawanda uye nemakanzuru zviratidzo. Zviratidzo kwayo kunoenderana mhaka panowanikwa yayo, kuvapo nezvimwe zvirwere, uye zera murwere. Uye vana dzakaoma kushivirira chirwere.

Polypoid rhinosinusitis ane anenge zviratidzo zvimwechete rikwanise chimiro. Sezvo chimiro ichi chirwere zvikuru kwazvo, nokuti ayo Mabatirwo endoscopic Kuvhiya rinoshandiswa pachiimbwa Anti-sema kurapwa.

Diagnostics

Panongopera zviratidzo zvokutanga rhinosinusitis, izvo kwete chete zvakaitika mazuva mashoma, asi kunowedzera, nguva dzose unofanira kubvunza chiremba. Nokuti kuongororwa zvakarurama nyanzvi anosarudza nzvimbo localization kwechirwere chacho, ayo chimiro uye mhando utachiona kana utachiona kuti kushaisa kukura chirwere.

Zvinotevera mabasa kunze kuzosimbisa zvekuchipatara kuratidzwa rikwanise rhinosinusitis:

• mukuru ezvinhu omurwere;
• ita Analyses;
• tiite paku tsvakurudzo nzira.

pfava ongororo

Kuongorora murwere rinotanga kuunganidzwa nhoroondo yake zvokurapa. Kuti aite izvi, murwere rinotsanangura zviratidzo, nguva pakuyerera kubva mhino dzavo hunhu, kuvapo marwadzo mumusoro uye chiso, uye avo nzvimbo. Zvinofanira kutaurira chiremba wako pamusoro chero chisimbwa uye ichangobva Kutamiswa chikosoro.

The chirwere chichabatsira kunyange mashoko pamusoro mazino ezvinhu anoitwa, akatora mishonga, kunotevera vanhu immunocompromised.

Pashure paizvozvo, chiremba anoita kuongorora murwere, achiita palpation pamusoro pamatama uye huma, kuona nounyoro yacho sinuses. Kushandisa pfava ongororo anogona kuona zvikanganiso zviri nasal mhango.

rabhoritari miedzo

Kuvapo kushoma uye hunhu waro kosi kunobatsira kuziva ropa count. Panyaya iyi kuongorora ropa uye nhamba siyana avo.

Mukuwedzera, ezvokunambira kunze kwomuviri waamai akaedzwa pathogenic mukati utachiona sinuses. Achibatsirwa microbiological zveBhaibheri kumisa mhando utachiona hwakakura uye ayo aikanganiswa siyana antibacterial nevamiririri. Asi zvinofanira kuyeukwa kuti migumisiro assays dzakadaro rikwanise muchimiro mazuva 3-4 chete pashure kutanga kwezviratidzo chirwere wokutanga. Naizvozvo, kazhinji rirasikirwe yavo.

batsira chaizvo kudzidza

Special zvishandiso anoshandiswa kudzidza kuongororwa zvakarurama:

• Nasal endoscopy - kushandiswa yayo faibha-optic chubhu, kuguma chiri chiedza tsime. Yakadaro kudzidza anogona kuona kunyange zvishoma kutsauka iri nasal mhango, uye kufungidzira septal kuremara uye kuvapo namamota, zvakadai polyps.
• Computed tomography - anonzi nzira yakanakisisa kuti kutarisana vaongo- pamusoro nasal sinuses. Zvinonzi zvimwe kunze ari chiitiko yematambudziko.
• Radiography - raishandiswa chaizvo kusvikira endoscopy uye computed tomography. Pari, zvakava zvizhinji kashoma kushandisa.
• Magnetic resonance tomography - ndiyo nzira yakanakisisa kuti chirwere kuti anogumbura yematambudziko mukati dehenya, nyanyisa anomera. Maxillary sinusitis kunoratidzwa muna muchimiro achiipa kubva maxillary sinuses.

kurapwa

Chenjera rhinosinusitis ikarapwa sezvo zvokurapa uye kuvhiya nzira. Kubudirira neimwe nzira ichaongororwa chiremba nerimwe murwere nomumwe. Sarudza nzira yokurapa kunoenderana siyana zvinhu pamusoro: makore murwere, chimiro chirwere uye hunhu waro Chokwadi, mukana neutachiona, etc. Asi chii kana kurapwa zvaiitwa kuti vakasarudzwa, inofanira vakatumira kuti ..:

• kubvisa zviratidzo kuzvimba;
• dzosera patency dzendima kuti kubatanidza nasal ndima sinus;
• bvisa kubva axils ari pathogenic kugutsikana;
• kubvisa kunobva chirwere.

rhinosinusitis nedzevakuru Treatment vanofanira kuva pasi kuzviomesera pokudzora chiremba, sezvo mishonga kusingadzoreki kazhinji kunotungamirira matambudziko. A chikuru chinangwa kurapwa - nokubviswa zvinotapukira mumiririri uye kudzorera nekugona paranasal sinuses oga kucheneswa.

mishonga

Chenjera purulent rhinosinusitis kubatwa anotevera mishonga:

• decongestants;
• immunocorrectors;
• mishonga;
• mamwe zvinodhaka symptomatic.

Decongestants uye decongestants zvinowa- ushandiswe pakutanga uye kushandisa anofanira kuva kupfuura 4-5 mazuva, nekuti kushandiswa kwenguva refu chete kunowedzera edema uye nasal kuzara. zvinodhaka izvi zvinosanganisira "Ephedrine", "Nazivin", "Sanorin", "Galazolin", "Naphthyzinum" uye zvichingodaro. N. nevasori yakadaro haapori, uye kwekanguva kubvisa zviratidzo.

In mamwe chirwere akadai rhinosinusitis, kubatwa chete nemishonga inogona kutorwa kwevhiki mbiri. Vanobatsira kubvisa zvose zviratidzo, asi mabiko avo kunofanira kuitwa chete pasi pokudzora nyanzvi. Inonyanyoshandiswa mushonga akadai "Amoxicillin". Asi kana mazuva matatu pashure ake kubvuma kuvandudza kumboitika, kunofanira kutsiviwa zvinodhaka yezviri chirungiso, sezvo tetracycline kana cephalosporin. Uyewo zviripo kugamuchira mishonga izvi "clarithromycin", "Azithromycin" uye "Roxithromycin".

Pasinei siyana mishonga yakasiyana inoshandiswa kurapa rikwanise rhinosinusitis, havana inoshanda nguva dzose. Izvi imhaka yokuti vazhinji tusingaoneki kuti anokonzera kuzvimba rokumusoro kufema turakiti, kukunda inorwisa mabhakitiriya. Ndokusaka rikwanise rhinosinusitis, kunyanya kana rirwadze frontal sinus, kushandisa kweiyi masoja dzevanhu kuzvidzivirira.

Nokuti chinangwa ichi, shandisa immunomodulators uye immunomodulators. Inosanganisira kwakadaro zvinhu kuti vadzorere mashandiro masoja kudzivirira. Yawapiwa rinowanzova mavhiki 1.5-2.

Kana chimiro ichi chirwere akawana sezvo polypoid rhinosinusitis uye anofanira kubatwa kushandisa zvinodhaka mucolytic ( "myrtol," "Sinupret", "Acetylcysteine"). Dzinoita kuti pave rive dete pakati gobvu uye viscous zviri sinuses, zvichiguma imwe water drainage pamusoro pus inotanga. Uyewo, mushonga uyu ave uye antibacterial matanho pharmacological boka.

Kana tembiricha muviri yakawedzera, murwere unofanira kuita zvinoenderana mubhedha zororo. Kuti aite izvi ushandiswe antipyretics akadai "Amidopyrine" uye "asipurini". Sezvo mishonga unonyaradza marwadzo anowanzoshandurwa ushandiswe "paracetamol", "Ibuprofen". Vakasimba nevasori kashoma kushandiswa, uye vanofanira kutora hapana kupfuura mazuva 7.

Sema rhinosinusitis kubatwa antihistamine madonhwe uye mahwendefa. Unogonawo kushandisa nezvizoro uye mumakenduru, asi mishonga hormone vari ushandiswe kakawanda.

Ndingadai wedzera kuti, mukuwedzera kurapika, zvinotevera kurapwa:

• kushambidzwa nasal sinus akambozvishandisa kuuraya utachiona negadziriso nokubvisa vanokara kugutsikana;
• Zvinokurudzirwa kuti anwe zvakawanda inodziya emura: nokuzvinwira muchero, michero ine muto, matsva muchero facial, simba tii, muto hudyu;
• akashandisa physiotherapeutic nzira: microwave kurapa, Ultrasound, UHF.

Kana nzira izvi musamutsa zvakakodzera mugumisiro, ivo kushandisa kuvhiyiwa.

kuvhiya kupindira

Kana musingadi kubatsira zvinodhaka kurapa zvirwere zvakadai rhinosinusitis, kurapwa mune iyi voitakura kunze surgically. Kakawanda, apo akagadza ponji, iyo inobatsira kuti:

• vakakurumidza kubva paranasal sinuses pus;
• anokanganisa zvakananga mucosa ari paranasal sinuses akambozvishandisa kuuraya utachiona, Anti-anogumbura uye antibacterial zvinodhaka.

Asi pane vaenzi nekuipira akadaro. Possible ngozi ropa chepfu, kurasikirwa chiratidzo, uye zvichingodaro. N. Saka, vakawanda haina inokurudzirwa.

Zvinoitwa chirwere muvana

Rhinosinusitis muvana ndiyo chirwere kuzivikanwa, sezvo chinoita mumwe pavatatu hosha dzose dzinoitwa repamusoro kufema turakiti. Uye sezvo vakuru, hafu yevana kuramba kuvatendera.

In chirwere chakadai zvichida kutanga zvakakomba matambudziko. Chinonyanya ngozi iri pyoseptic orbital kuomesa inotungamirira vasanyatsoona, uye muna 2% nyaya yaitika intracranial kuchinja. Kana nguva asingadi rokuongorora chirwere uye kurapa nayo, kuva mabayo.

Chenjera rhinosinusitis muvana hworatidza pacharo sezvinotevera:

• kwakakura refu chikosoro;
• kuomerwa kufema kubudikidza mhino;
• nekuneta;
• mukuru zvakawanda zvive;
• nasal izwi;
• kuwedzera tembiricha muviri.

Huru Kurapa anoonekwa kuti anorwisa tupukanana kurapa tikafunga kuwedzera kutapata.

Zvakakurukurwa chirwere panguva yepamuviri

Kazhinji pane rikwanise purulent rhinosinusitis panguva pamuviri, uyezve, rinogona achiperekedzwa matambudziko, sezvo iyi iri shoma kune kurapwa.

chiremba chete anogona mishonga inorwisa mabhakitiriya, izvo zvinogona kukuvadza mukadzi uye mwana kana kutorwa zvisingadzoreki. Kana boka akaipa kuti penicillin riri Kutamiswa uye cephalosporins, macrolides rinoshandiswa. Zvingava "Moxifloxacin", "levofloxacin" uye "sparfloxacin". Under kwavo simba ndiko kuparadzwa mapuroteni usage mu masero pathogenic tusingaoneki. zvinodhaka izvi zviri kuonekwa inonyatsobudirira uye akachengeteka kurapwa vakadzi vane pamuviri.

dziviriro

Kuitira kudzivisa zvirwere zvakadai rikwanise rhinosinusitis, unofanira kutora zvinotevera matanho chokudzivirira:

• Dzivisa drafts uye hypothermia;
• yakawanda achifamba panze, kuva mumuviri kushingaira;
• haungadzimwi;
• kuita mitambo;
• nguva kurapa SARS uye runny mhino;
• nguva kero kuti wemazino kubata mazino chokumusoro rushaya;
• anodiwa kuti kushambira mugungwa mumvura uye gungwa mhepo fema zvokuporesa.

mhedziso

Saka, chenjera purulent rhinosinusitis hazvo kubatwa pasi zvokurapa achitarisirwa, kuti arege kuva chero matambudziko akanaka ngozi kuti kunyange anogona kuva upenyu pangozi. Zvakakosha kudzivisa Nokumukira chirwere zvinhu, shoma nguva muchisungwazve huruva runyararo, kurega kusvuta. With zvakakwana uye nenguva Mabatirwo rhinosinusitis anoporeswa chose.