Ndezvipi zviratidzo sinusitis nedzevakuru nevana

Kushoma iyo kunokanganisa nasal mucous Kamudzira uye paranasal (paranasal) sinuses (sinus), inonzi sinusitis. Asi kana kuruboshwe untreated, anogona kuva ari kuomesa kwakaita sinusitis. Ndezvipi zviratidzo sinusitis? Ngationgororei munyaya ino.

Ndezvipi zvirwere mhino?

Zvichienderana localization pakati kushoma anogona kunzi:

1. sinusitis - kukundwa of frontal sinus.

2. etmoidita - kukundwa of ethmoid masero. chirwere ichi chinogona kukonzera zvikuru intracranial (yomumuzongoza, encephalitis) uye intraocular yematambudziko (orbital cellulitis, pute remakore).

3. Sfenoiditom - Pporazheniem sphenoid sinus.

Ethmoiditis sphenoiditis uye kashoma kuitika yega, kazhinji pamwe sinusitis kana sinusitis.

mhando sinusitis

Zvichienderana mhaka sinusitis kunogona kuva:

1. rhinogenous - pane kuomesa chirwere (yokuSpain, chenjera kufema chirwere, SARS).

2. Hematogenous - utachiona kupinda ropa. Izvi mhando sinusitis rinowanzoberekera muvana pashure diphtheria, gwirikwiti.

3. Odontogenic - aonawo muvana nokuti kudonha kuburikidza pasi sinus pakati pus. Kukonzera sinusitis kuoma periodontitis, periostitis.

4. Kwokunetseka - chinokurwadzai chirwere kana kunotevera pakakuvara ari nasal septum.

5. sema - ndiwo mugumisiro ane sema pavakanzwa vakurukurirane. In ichi mhando simba edema vakachengeta sinusitis;.

6. vasomotor - kazhinji mune vanhu vari vavo vari kuyaruka nokuda vascular dystonia.

Also kusiyanisa pakati chakasimba uye chisingaperi sinusitis.

Ndezvipi zviratidzo sinusitis nedzevakuru?

The chirwere kakawanda kuona:

- anotemwa nemusoro zvichiratidza pameno uye matama;

- zvakawanda viscous secretion kubva nasal ndima;

- chills, mukuru muviri tembiricha, lethargy, utera;

- nasal kuzara, kunzwa pakuzara chokumusoro rushaya, kunowedzera mafungiro;

- zvinokwanisika maererano ane chikosoro, tonsillitis kukura;

- rutapudzo kunhuwidza.

Zvino ndinonzwisisa sei kuratidza sinusitis. Zviratidzo, sezvo kuonekwa, zvakasiyana-siyana uye zvikuru hachifadzi.

VaBennett sinusitis nedzevakuru

The kukonzera sinusitis vari:

- runny mhino, kazhinji anonzi Staphylococcus, pneumococcal kana streptococcal etiology, zvinobvira nemavhairasi etiology (yokuSpain, parainfluenza, adenovirus);

- mazino zvirwere, chinoda kugadziriswa cysts, periostitis (odontogenic maxillary sinusitis) ;

- adenoids;

- kukuvara, post-zvinorwadza vakatsauka septum;

- sema rhinitis;

- kutura kutapata;

- polyps, mitumbi dzavatorwa.

Ndezvipi zviratidzo sinusitis vana?

Vana kusvika 2 years pamberi pedu chirwere kazhinji haana chirwere - izvi nokuda underdevelopment ari maxillary sinuses.

Kana chiremba mufananidzo, ipapo sinusitis vana vanoratidza zviratidzo zvimwechete vakura. The musiyano mukuru - zvinogona nefivha, uye akatsvuka padama kubva zvomoto sinuses.

Sinusitis muvana ndiyo ngozi nemhaka kakawanda yematambudziko. Anotemwa nemusoro ari mwana - huru chiratidzo chacho. Izvi zvinoitika nokuda kuunganidza yakawanda pus mune chako munharaunda.

Diagnostics

Chiremba kuziva chirwere anofanira kuitisa misoro kuongorora chirwere. Huru mabasa zvinosanganisira zvinotevera:

1. Kuteerera zvichemo, nhoroondo kupinza.

2. bakposev, tsvakurudzo Washing mhino kugutsikana.

3. Radiography of paranasal sinuses, izvo che- achiipa, richikwidibira nenyama, pachena. The kupfuura zvakwo nzira tsvakurudzo, nokuti anopa mukana rokuongorora localization of pathological kwacho kunotoda mufananidzo obliterated. Vakagadzwa maberere maviri - lateral uye kururamiswa.

4. Magnetic resonance, computed tomography ( "yemandorokwati" nokuti vanofungidzirwa sphenoiditis).

5. rhinoscopy.

6. Complete count ropa (ostrovospalitelnaya maitiro: leukocytosis, nokukurumidza erythrocyte sedimentation zvazvingava, palochkotsitoz).

7. Endoscopic kuongorora paranasal sinuses.

8. Consultation of wemazino uye maxillofacial chiremba.

The kunzwisisa kuti chirwere matanho kunobva zvachose sei kuratidza sinusitis.

yematambudziko

Pokumbononotswa Mabatirwo sinusitis kungatungamirira zvinotevera migumisiro zvakakomba:

- yomumuzongoza;

- otitis nhau;

- Jade;

- sepsis;

- dzinonzi rheumatoid arthritis;

- endocarditis, myocarditis;

- bronchitis, mabayo.

chisingaperi sinusitis sei?

Chirwere sinusitis zvishoma anogona muted. Asi vanogona kuzivikanwa:

- marwadzo kana achibwaira;

- mumatenhere namafungiro mangwanani;

- kakawanda nomusoro;

- Kugara nasal kuzara;

- mumwe chikosoro yakaoma.

Chirwere sinusitis rinoda kurapwa. Zvipatara anotora nguva refu, asi imwe kunaya yakazara kunobvira. Zvakawanda zvinoenderana sei kuratidza sinusitis. Zviratidzo uye kurapwa, sezvo mutemo, muri pedyo pedyo zvinodyidzana.

sinusitis kurapwa

Kuchinja Mabatirwo sinusitis ipfupi kuti kurapwa. Application vasoconstrictive samadonhwe kunoderedza mumatenhere mucous, constricts midziyo ropa, inodzorera nasal kufema, kuderedza kwazvo uyezve nendove. kushandiswa nani samadonhwe ine oxymetazoline:

- "Nazivin".

- "Nazol".

- "Fasini".

- "Afrin".

- "Tizin" (rine A-adrenoagonists kunopa vasoconstriction uye matauriro kufema kushanda kunoitika mukati kwemaminitsi mashomanana pashure kushanda).

The kunzwisisa vaishandisa antihistamines:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Inonyatsobudirira yakaonekwa kuti ndeyechokwadi asingaurayiwi madonhwe. The inozivikanwa zvigadzirwa zvinosanganisira "Polydex", "Bioparox", "Izofra".

Systemic inorwisa mabhakitiriya kurapa kunobva zvachose sei iwe uratidze sinusitis. Kugadzwa kuti izwi mazuva anosvika 10.

Used mishonga kuti penicillin: amoxicillin ( "Flemoksin"), kuti mubatanidzwa amoxicillin-clavulanate ( "Augmentin", "Panklav"). Sezvo macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "Cefoperazone sulbactam".

In chakakomba kushandiswa:

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

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

Kana hosha munyoro uye zvikuru zano piritsi fomu medicaments. In zvakakomba sinusitis mishonga vari kutarisirwa nomutsinga kana intramuscularly.

kushandiswa Local pakati antibacterial zvinodhaka (mumate) chete panguva munyoro chimiro chirwere.

Kushandiswa kukamura uchishandisa uye systemic vamiririri zvabatanidzwa kunoderedza ngozi chakakomba yematambudziko uye kunowedzera apore.

In kusarudzwa inorwisa mabhakitiriya vanofanira kufungawo kuvapo neutachiona vari anamnesis, mashoko bacteriological kuongorora (kuziva nayo utachiona wayo aikanganiswa akasiyana).

Uyezve, zvichienderana sei ukaratidza sinusitis, akagadza zvinotevera kutsigira mabasa:

1. Vitamin mushonga. Chinangwa mavhitamini C, A uye E.

2. kubvuma NSAIDs. Kana vakaratidza nezvekufadza kurwara, nefivhiri pamwe antiinflammatory, unonyaradza marwadzo, antipyretic ushandiswe kuti: "nimesulide" "Nimesil" "naiz", acetaminophen, diclofenac yavaibvisa.

In Muzviitiko zvakaipisisa, haagoni kuita pasina kuvhiyiwa.

1. Endoscopic zvishoma invasive kupindira.

2. kubvisa zviri kuburikidza ponji.

Vana vanopedza chete evanhu pasi yokutindivadza.

Vabudirire mukurapa sinusitis Washing sinus ponji pasina mudziyo unokosha. Nzira iyi inodaidzwa "neshiri yegungwa." Chimwe huripo nzira Washing sinus ndiko kushandiswa sinus anobudisa mushonga zvishoma nezvishoma "YAMIK".

Aids vari Laser kurapa, ultrasonic kurapwa, UHF.

Kudzivirira sinusitis

Kuti uzvidzivirire kukura chirwere ichi, zvinokosha kuti kuomerera zvinotevera:

- Kushandisa humidifiers;

- kuita kutsvinda pamusoro pemamiriro nzvimbo chirwere;

- kugara uchiongororwa nachiremba wemazino ari nenguva nenzira kubata caries;

- kwete muduku vachisimbisa nemishonga ehondo muviri, vhitamini;

- kuita nguva masaja ari fungidziro pamusoro maxillary sinuses;

- kuita kudzivirira exacerbations kwemabhakitiriya keriya (nasal lavage munyu zvinogadzirisa, kana kudyara aureus kuisa turundy pamwe chidhakwa mhinduro chlorophyllipt).

- kubata sema rhinitis, nouswa;

- kana paine chikonzero kurapa kwakadaro, kwete kusiya kuvhiya rakasungwa septal kuremara.

We akatarira sei kuratidza sinusitis nedzevakuru. Zviratidzo zvinotsanangurwa zvizere munyaya ino. Kana ukaona vamwe zviratidzo, musazeza uye usanonoka - kuenda kwachiremba.