
What kind of disease – sinusitis? And how to fight it? The history of medicine has not preserved the name of the author of the famous aphorism: "If you treat a cold, it will be held for a week, and if not – for seven days."
The author was wrong. First, the abundance and availability of drugs for a cold there are few willing to speak through the nose and sniff as much a week. And secondly, if the cold is not treated, after seven days will come no cure, and sinusitis.
The main symptom – lack of sneeze
If you believe that the body itself to cope with their problems, and colds can argue and clearly did not intend to leave you even for a second week, while a head ache a little, I will be honest – you play the game: you do not have a runny nose, and inflammation of the mucous membrane of one and even several paranasal nasal cavities (in medically – sinus).
Prolonged, intense inflammation of the lining of the nose may spread into the maxillary or maxillary sinus, adjacent to the nasal cavity on both sides. Typically, these sinuses are filled with air, but through the nasal ducts that connect the nose and sinuses and is easily penetrate pathogens. As a result, we have soiled handkerchiefs at least 3 weeks, that is 3 times longer than the common cold.
We sinusitis is one sure sign: the absence of exhausting sneeze. And from the nasal passages is allocated a thick yellowish mucus. When colds mucous discharge are generally more liquid and colorless. It is for this reason otolaryngologist always wondered color and texture that flows out of our nose.
Inflammation of the sinuses can manifest itself in a few days or even weeks after the passage of the acute symptoms of colds.
The source of infection – patients teeth
In fairness, we note that there are two pathways of infection in the maxillary sinus. This inflammation of the upper jaw. The inflammatory process at the root of the tooth quickly passes on periodontal tissue – periodontitis. And then – in areas of mucous membrane of the maxillary sinus. It develops adontogenny sinusitis. In severe cases, sinusitis is accompanied by a fetid odor from the mouth, fistula formation in the gums.
If time does not refer to a specialist, the infection can get into the middle ear, soft tissue of the orbit, even in the brain, causing severe complications: meningitis, orbital phlegmon or abscess, osteomyelitis of flat bones of the skull … So do not pull the time!
Another type of sinusitis – rhinogenous – triggered by inflammatory processes in the nasopharynx. It develops as a complication from the flu, catarrh of the upper respiratory tract, measles, scarlet fever, when the microbes are spread from the bloodstream.
Implicit symptoms
How is the disease manifests itself, moreover, that does not want to sneeze and ache a little head?
In mild cases, patients complain of a feeling of pressure in the sick sinus. In more severe – align headaches in the forehead, temple, sometimes they occupy half of the face. There is a sharp nasal congestion. In the most severe, complicated cases may be swelling of the cheeks and lower eyelids on the affected side. One of the common signs of a fever.
Additional research
To establish a definitive diagnosis of the doctor prescribes additional survey. The most informative is the X-ray. In recent years, the ENT-offices began to appear ultrasound devices for the paranasal sinuses – ehosinusoskopy. The use of these devices makes it possible to determine the degree of inflammation maxillary sinuses, the presence of liquid level, edema.These devices can reduce the number of X-ray images (and, consequently, X-ray irradiation), and in some cases to avoid diagnostic maxillary sinus puncture.
Puncture and lavage
In cases of purulent sinusitis maxillary sinus puncture carried out by washing the cavity with special solutions and the introduction of antibiotics. Sometimes, when the risk of relapse suppuration, during the first puncture of maxillary sinus injected polyethylene pipe. Through it you can repeatedly wash and to introduce drugs. The effectiveness of treatment while significantly increased and the patient less nervous: no need to psychologically adjust to two or three puncture.
Lives of such a stereotype that if you make a puncture once, then have to be subjected to it many times. This is a myth! When festering in her maxillary sinus puncture (which is performed under local anesthesia) with the introduction of drugs (antibiotics, enzymes, hormones, etc.) may relieve painful symptoms and promote early recovery. Relapse of sinusitis also depends on the held puncture, as re-imposed break from the once gypsum.
But sometimes we come to the doctor in such a state that not only conservative treatment is pointless, but a puncture will not save – needs a serious operation. It even such extremely severe cases, when due to sinusitis occur intracranial complications (meningitis, encephalitis), whereas surgical treatment is carried out in conjunction with neurosurgeons.
After such a warning in the most time to learn how to prevent it to extremes.
Preventive
Since acute sinusitis usually develops on the background of SARS, do not try to carry these diseases on their feet. We have to start treating coryza with the very first days. Very efficient washing of the nasal cavity of a 1% solution of sodium chloride, warmed to body temperature. At 0.5 liters of water takes 1 tsp salt. We need a syringe or an ordinary 20-gram syringe with worn it or silicone rubber tube.
The tip of the syringe or the end of the rubber tube type shallow in advance of the nose and, leaning over the sink, rinse each half of the nose 3-4 times. The procedure should be done 2 times a day, morning and evening. After washing can spoil vasoconstrictor drops. Thoroughly, but gently blow your nose.
Very good help when starting cold to hot foot bath, tea with honey or raspberry, burying his nose in the juice of garlic, breathing exercises.
Important as quickly as possible to ensure the outflow of pus from the sinuses. To do this you need vasoconstrictor drops (check with your doctor, what to choose: some of them are addictive – they should use no more than 5 days). It is better to use a drop of oil-based – they are staying longer in the nasal cavity and do not cause addiction. Do not interfere, and anti-histamines, anti-inflammatory drugs, some herbs.
Surprisingly, not everyone knows how to bury the drugs in the nose. If you just do it, throwing her head back, then they shall flow together in the right nasopharynx, it had no serious impact on the nasal cavity. To effect was maximal, the drop has to be entered in the right half of the nose, his head bent to the right shoulder and the left – to the left.
Our reference
Nasal sinuses are four pairs: maxillary, frontal, fundamental (wedge) and lattice. The most famous – maxillary, named in honor of the English anatomist Sinusitis. These sinuses are the largest, the volume of each of them – about 30 cubic meters. see they are in the thick of the body of the upper jaw. Form maxillary sinus resembles a three-sided pyramid. Its inner wall, adjacent to the nasal cavity has a hole that opens in the middle course of the nasal cavity.
A sinus in Latin means "cavity". And school geometry that word has nothing to do.
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