I'm sick of the sinusitis! It's time to get rid of it forever!
Many middle-aged citizens met with the name of sinusitis. True, some fragile minds often confuse him with hemorrhoids. The names are really similar, only the locations are diametrically opposite. Therefore, some initial explanations, apparently, need to be cited. At its core, sinusitis as a disease is one of the varieties of sinusitis. For sinusitis is characterized by inflammation of the maxillary, otherwise the maxillary sinus. Sinusitis is an acute or chronic inflammation of the same sinus.
After other diseases that are progressing now, sinusitis also moves, as its annual "increment" is 1.5-3 percent. This progression, alas, does not show any tendency to decline. In many ways, the quantitative indicator of patients seeking help for sinusitis in a medical institution, grows due to presumptive inappropriate home treatment. And it turns out that the number of cases of sinusitis in the last few years has doubled, and a good half of patients arriving at the reception to the otolaryngologist are concerned about the manifestations of this particular disease.
What is sinusitis
There is no doubt that anyone can get sick with sinusitis, only groups of different types of risks need to be taken into account. The most likely to catch the ailment are people with weakened immunity or having a tendency to frequent colds. It is also necessary to beware of those who have noted irregularities in the development of the anatomical structure of the nasal cavity. The name of the disease itself is derived from the medical name of the maxillary sinus - the maxillary sinus. There are two such sinuses, and they are located on both sides of the nose, slightly below the eyes. Sometimes they are called Hymoroid cavities. Inflammatory process can affect both both, and one maxillary sinus.
For a general understanding of the process, it is useful to know that the place for the maxillary cavities is the thickness of the maxillary bone. The sinus through the bone punctures is mated with the orbit, the nasal cavity and the oral cavity. It should be noted that near the nose there are also other sinuses that, like the maxillary cavity, are covered from the inside with a thin layer of cells, which is called a mucous membrane, or epithelium. Between this layer and the bone, a thin tissue layer is placed as the connecting base, which lies directly to the bone tissue.
In acute maxillary sinusitis, the epithelial cells, as well as the underlying blood vessels and, in part, the loose tissue, are captured by the inflammation process. When the sinusitis turns into a chronic stage, the inflammatory process undergoes the entire base under the mucous membrane and even the bone walls of the cavity. This ailment concerns precisely the maxillary sinuses, which look like small caves communicating with the nasal cavity. By the way, many experts call the disease maxillary sinusitis instead of the term sinusitis. There are no fundamental differences in the terminology in this case.
Similarly, sinusitis does not have significant age differences. This ailment can equally develop in adults, and in children for the same reasons. Here that is precisely fixed by statistics, so these are splashes of a genyantritis with approach of a cold season. And even an allergic rhinitis may be at the root of the ailment, what can we say about the traditional cold, especially when the average citizens try to limit themselves to self-medication. The emphasis here is on the apparent simplicity of the common sore. But everything is fine until the time. So is it not better not to test fate, and immediately go to the nearest clinic, where a qualified therapist will provide the necessary assistance and save from possible deplorable consequences.
Symptoms of the disease
To start the disease is characterized by abundant discharge of pus from the nose, which the ignorant philistine may well be attributed to the trivial runny nose. Anxiety should cause an uninterrupted duration of secretions within a month. In such cases it is necessary to rush to LOR immediately. A prolonged runny nose is just the primary symptom of maxillary sinusitis in many cases. Be sure to take into account that transparent mucus does not say anything about the absence of ailment. Only a doctor-specialist can properly assess the situation and determine the presence of sinusitis, even when the discharge is not purulent.
In all forms of sinusitis, microorganisms that have settled in the maxillary cavities actively produce toxins that penetrate the blood. Hence the emergence of a general malaise, an increase in body temperature, up to high marks. There are stable feelings of lethargy and weakness. This is a good reason to use the services of a doctor. It must be firmly grasped that the signs of sinusitis can be extremely different, depending on its forms and stages. Moreover, they can not always lead to the thought of the presence of inflammation in the maxillary cavity.
As for acute sinusitis, it all begins with a feeling of some kind of pressure, combined with tension in the area of the inflamed sinus. Appearing sometimes painful sensations are localized not only within the maxillary cavity, but also in the forehead, the cheekbones, sometimes the temple. The entire half of the facial surface begins to ache, and with bilateral sinusitis, the pain covers the entire face. To these sensations often adds toothache, which tends to intensify when chewing. With genyantritis, the patient has a disruption of nasal breathing, the nose begins to discharge, which becomes more abundant.
Further development of the symptomatology of sinusitis is characterized by the appearance of unpleasant growing sensations near the nose and the adjacent area. Pain, in turn, in the morning is less significant, and towards evening intensify. Gradually, a certain source of pain is lost, and in the case of unilateral maxillary sinusitis, the whole affected half begins to ache, and with the bilateral one, the entire head hurts. Generally speaking, a headache is quite rightly considered a classic symptom of this ailment. It arises from the accumulation of pus in one or both of the maxillary sinuses. Due to its pressing nature and location in the frontal region, as if behind the eyes, this pain is quite distinguishable from headaches caused by other causes. In addition, the pain in the head with genyantritis becomes less in the supine position, but when lifting the eyelids or pressing on the front area under the eyes, its strengthening is noted.
Another significant sign in sinusitis is difficulty breathing through the nose. In the overwhelming majority of cases, both halves of the nose are found to be embedded. True, there are cases of their alternation with a certain short-term relief. With a large nasal congestion, there may be no discharge and yellow-green (purulent), and transparent (mucous).
It should be noted that the temperature at genyantritis rises to high marks in the case of its acute forms. For chronic sinusitis this indicator is not typical. Regardless of the temperature values, the patient with this ailment feels a persistent malaise, weakness, rapid fatigue. The appetite is reduced, up to a total refusal of meals; Patients have sleep disorders. There were also reported cases of complaints of photophobia, a decrease in smell, tearing, swelling of the affected side. Some confusion for the uninitiated creates a combination of symptoms of sinusitis and acute respiratory viral infection in the initial stage. But further the difference becomes more significant and more noticeable.
Somewhat different symptomatology is observed with chronic sinusitis. Here, all the symptoms can differ in a certain sternness and small expressiveness. This sometimes makes it difficult to detect the disease in time. The main feature is a prolonged runny nose, which is not amenable to conventional methods of treatment with traditional drugs. Over time, the swelling of the eyelids after awakening in combination with conjunctivitis becomes too noticeable. There are headaches, especially in the eye sockets. To the aforementioned signs of the disease in chronic sinusitis, dry cough is added, which is not exerted by the usual drugs that are effective in such cases. This cough causes pus, from the affected cavity flowing down the wall of the nasopharynx.
To know the distinctive features of sinusitis is very important, so as not to start the disease and promptly contact the doctor for the appointment of an effective medical process. By the way, allergic sinusitis almost completely repeats the signs of the clinical picture of the acute form of the disease. As already noted, sinusitis depends little on the age of the patient, so that the signs of sinusitis in children are very similar to those described above. Unless due to incomprehensible feelings for the child his capriciousness increases, he can not pinpoint the source of soreness. Parents should be on guard and immediately go to the otolaryngologist to establish the true state of affairs. And it is absolutely unacceptable to treat sinusitis in children with home-grown unchecked methods. It is also risky for adults, but for babies it is even more so.
Causes of sinusitis
Given the symptomatic variety, it would be nice to understand the causes of sinusitis. As evidenced by accumulated experience, provoking may be quite a number of factors. First of all, this refers to a variety of infections of the upper respiratory tract. Then all possible pathologies in the oral cavity and nasopharynx follow. The most common cases are the occurrence of sinusitis in acute colds, measles, flu, scarlet fever and other infectious sores. The same effect is given by diseases in the roots of the four upper posterior bison.
In case of genyantritis, the infection (viruses or bacteria) gets into the maxillary cavity, possibly through the blood, after which the inflammatory processes begin. Such infections are especially dangerous for organisms with a weak immune system. You can conduct a certain redistribution of the causes of sinusitis, and then it turns out that acute sinusitis is based on flu, cold and measles. Infection from the sick teeth gives rise to odontogenic sinusitis, from allergens - allergic. There are a number of other less common bacterial and viral infections that can excite sinusitis. There are certain features here. So, not a single viral infection can cause a chronic form of the disease. Only acute sinusitis. The fundamental role for chronic sinusitis is played by bacterial infections that quite often replace viral infection.
In second place in terms of significance among the causes of sinusitis are diseases of human ENT. Both acute and chronic rhinitis (in doctors - rhinitis) can lead to the appearance of sinusitis. In this case, the outlet of the maxillary cavity is clogged, and its purification becomes difficult. The use in these cases of vasoconstrictive drugs can remove the swelling of the epithelium of the nasal cavity and prevent inflammation of the maxillary cavity. Other tablets are not helpers.
Chronic tonsillitis, as well as chronic pharyngitis, may well serve unkindly, becoming a source for infections that subsequently penetrate into the maxillary cavity. Statistics of this sad fact inexorably confirms, fixing a high level of damage to sinusitis in patients with chronic tonsillitis, pharyngitis or repeated angina.
Possible causes for sinusitis include physiological disorders, when the nasal septum is curved in some way, which leads to a pathology in the form of narrowing of the outflow channel. In this case, the disease proceeds persistently and relapsed, sometimes only the surgical intervention can help out.
For chronic sinusitis, the cause may be a situation where the acute form of the disease remains untreated. Equally, an infection that provokes sinusitis in a chronic form can penetrate from other chronic nasopharyngeal sores that were listed above. Separately, in the series of chronic sinusitis are odontogenic genyantrites, which initially can be lethargic and insignificant, but constantly.
Mentioned among the causes of the onset and progression of chronic sinusitis and malignant tumors that destroy the wall of the cavity, thus introducing an infection and masking one's own clinical picture. The sinusitis of the chronic form can be shown and against a wound, leading to the entry into the maxillary cavity of bone fragments or foreign bodies.
Diagnosis of the disease
Whatever the reasons for the appearance of sinusitis: external or internal, for the patient the first task is to turn to the treating doctor in a timely manner. Only an expert in otolaryngology can perform classical diagnostics on the basis of complaints of the patient himself and the actual clinical picture established by external examination of the patient. It clarifies the presence of characteristic signs and symptoms of sinusitis, reveals reflex dilatation of the vessels of the skin under the eyes. The presence of swelling and inflammation of the nasal mucosa as well as purulent discharge from the opening of the maxillary cavity is established.
The doctor is especially careful and attentive to the diagnosis of sinusitis in children. Very often, the child is afflicted with mycoplasma or chlamydial infection. From this depends largely on the choice of course of treatment of sinusitis, because not all antibiotics can provide effective help to the baby. In addition, such a popular method of diagnosing sinusitis, such as X-ray examination of the paranasal cavities, may not always reflect the real picture of the disease in childhood.
When a sinusitis affects an adult patient, an x-ray gives the otolaryngologist a fairly clear picture of the course of the ailment. The most accurate indices for diagnosing sinusitis are puncture of the maxillary cavity. In this case, the doctor with a special needle carefully punctures the cavity wall, and then uses a syringe to suck out the pus contained in it. However, such a procedure, for all its simplicity and accessibility is carried out when all other methods of diagnosis have been exhausted. This is due to possible unpleasant complications in the form of emphysema of the cheek or orbit, can also develop an abscess and clogged blood vessels.
Thus, we can speak about the radiography of the maxillary cavities and diaphanoscopy as the leading methods of investigation for this disease. To clarify the diagnosis in other cases, computer tomography can be used in modern medicine. After a thorough examination and final diagnosis, the doctor chooses the direction of treatment of chronic sinusitis or other identified forms of the disease. In each individual case, individual therapy is selected for each patient. Moreover, the treatment itself and the sinusitis itself, and those diseases that were identified incidentally.
Treatment of sinusitis
First, it should be noted that acute forms of sinusitis occur mainly two to three weeks and end in complete recovery. Further, modern medical methods involve the use of several types of complex measures, restoring drainage and suppressing foci of infection in the maxillary sinuses. In ordinary cases, acute sinusitis is treated with conservative methods that ensure a good outflow of contents from the cavity. For this, traditional pharmacotherapy is used, which is selected by the doctor during the consultation.
Treatment of chronic sinusitis can be carried out by diadynamic currents, microwave therapy, diadynaphoresis, electrophoresis using antibiotics and hormones. Good results are achieved using aerosols, inhalants, paraffin applications and mud treatment.
In this case, a competent specialist knows about the possible side effects of antibiotics, for example, a decrease in immunity, which may cause an exacerbation of the disease. In this regard, otolaryngologists are offered to use sinuoritis in sinoforte. An important point is the natural basis of the drug (cyclamen juice). It is this juice that is the active base that cleans the nasal mucosa. An obstacle to use can serve only adenoid disease. The drug is applied once a day, for six to eight days. Under the influence of sinuporte, local immunity is strengthened and the mechanism for purifying the maxillary and nasal cavities from mucus and purulent discharge is stimulated.
However, there are cases when in any form of sinusitis there is a pronounced pain syndrome, coupled with an abundant release of pus. In these cases, the nasal congestion is flushed. With the timely access to a doctor-specialist, it is possible to perform treatment of maxillary sinusitis without a puncture. In this case, the procedure for washing the nasal passages and nasal cavities from mucus and purulent discharge is applied. Today this method of moving liquids is carried out in conjunction with the possibilities of laser therapy, which helps to relieve inflammation. Already the first procedure gives the effect of improving the patient's condition, and a week later there comes an almost complete cure.
This method has the name "cuckoo method". During the procedure, the patient continuously utters a monotonous "ku-ku". The doctor at this time through one nostril pours a disinfectant with a syringe. The assistant simultaneously sucks out pus that is washed out from the other nostril. The method is based on the fact that when the "ku-ku" sound is pronounced, the hole between the maxillary cavity and the larynx overlaps. Due to this, it becomes possible to wash the nose when a thick pus dissolves. Otherwise, the disinfectant would simply flow down the larynx without affecting the cork from the pus.
In modern medicine, another method is more often used to dispense with a puncture in the treatment of sinusitis. In the middle of the eighties of the last century Russian medical specialists developed a special catheter YAMIK. The principle of its action is based on the creation of a negative pressure in the nasal cavity, due to which the removal of purulent masses from the maxillary sinus occurs. Unfortunately, this device has not received due to various reasons, due to various reasons, which, incidentally, does not in any way diminish its merits.
For the application of the first or second method of treatment of sinusitis without a puncture, the presence of nasal discharge is a prerequisite, which indicates the presence of an outflow of pus from the maxillary cavity. An important point is also the absence of disturbances in the anatomical structure of the ENT organs. All these nuances can be determined exclusively by the otolaryngologist, to whom the average citizen who finds the primary signs of sinusitis should apply at the earliest possible time.
The possibilities of laser therapy can be used to eliminate the consequences of the inflammatory process and increase the effectiveness of treatment with medications. Again, with the availability of this method of curing the disease. When there is a pronounced intoxication of the body, the doctor can prescribe intramuscular use of antibiotics. By the way, recently a drug such as rhinofluucimil has become popular, which, not being an antibiotic in fact, has an auxiliary effect, stopping the development of sinusitis. To use this medicine in any form is necessary, of course, after consulting with the doctor. Great caution should be exercised when a course of treatment for children under the age of three is prescribed, and it's worth while refraining from using it for future mothers.
Generally speaking, nowadays there are enough medications that allow to reduce the swelling and swelling of the mucous membranes. There are drops, and sprays, and aerosols, other types of inhalation. There are quite frequent cases of a significant increase in body temperature, especially when the patient did not apply to the clinic in time and in children. Here, without bed rest and the use of antipyretic drugs, you can not do. It is also undesirable to rely on one's own knowledge in this field. It is better to use the qualified advice of a doctor-specialist.
Medical statistics show that successful indicators are available in the treatment of this sore, when systemic use of a new generation of antibiotics is used. And the choice today is quite wide. So, if the patient can not take penicillins, he can be assigned macrolides, and for adults, tetracyclines can also be used. New antibiotics, such as bioparox, can be used for local treatment. When they are used, a high concentration of the drug in the lesion is achieved in order to avoid an adverse reaction from the systematic use of antibiotics.
The course of treatment with certain antibiotics, which the otolaryngologist selects individually in each case, for each patient, disastrously affects the infection and helps to stop the further spread of microbes. The first positive effect in improving the patient's condition is usually noted after 48 hours. It is useful to know that too fast cure is dangerous by possible relapses, and a long course can provoke a fungal or bacterial infection.
The treatment of acute forms of sinusitis can be greatly facilitated by physical procedures, for example, blue, which can be repeated several times a day, with an intensity equal to a pleasant sensation of heat. Even more effective are dynamic currents, UHF therapy, of course, with permission and according to the doctor's prescription.
When all methods are tried, and a positive result is not achieved, it is necessary to produce a puncture of the nose. Otherwise, this procedure is called a puncture. It is produced with local anesthesia. The wall of the maxillary cavity is pierced with a special needle, then purulent discharge is sucked off, and at the end the sinus is washed with antibiotics. It is the fear of the puncture procedure that sometimes causes a delay in the treatment of patients to the hospital for sinusitis. Nothing but harm, it does not bring, because it creates a real threat of the emergence and development of severe complications of this disease and its transition to a chronic form.
In cases where the sinusitis is caused by the curvature of the excretory canal, the nasal septum or the diseased tooth, then firstly it is necessary to eliminate the root cause of the disease. Sinusitis, provoked by dental problems, received, as already mentioned, a separate name odontogenic. In this case, it is absolutely unacceptable to treat sinusitis at home, because often there is a need for the help of several specialists, except the otolaryngologist.
There are several distinctive moments when the genyantritis attacks the expectant mother. Considering the impossibility of using a whole group of antibiotics, the main way to treat sinusitis in pregnancy becomes a puncture of the maxillary cavity and the subsequent procedures described above. After a special examination, the doctor may prescribe the use of the "cuckoo method", and the use of the catheter Yamik if available.
Medical therapy during pregnancy is very limited and in the part of traditional antibiotics is highly undesirable. If necessary, the otolaryngologist can pick up something from homeopathic remedies and procedures. It is also possible to use local antibiotics when administered into the maxillary cavity. And if the future mother is trapped by an insidious sinusitis, then washing the nasal cavity with herbal or saline solution should be practically obligatory for her periodically. So, to deal with the treatment of genyantritis in pregnant women, of course, it is necessary, but only with proven means, after compulsory consultation with the attending doctor.
To facilitate the general physical state, the activation of metabolic processes, the stimulation of tissue repair can be used for maxillary acupressure. With certain skills, this procedure does not represent special complexity, but it is not recommended to do it yourself without the advice of an otolaryngologist. With proper application of this massage allows you to raise local immunity and is a preventive measure for the resumption of inflammation of the maxillary sinuses.
Prevention of disease
In order that the prevention of maxillary sinusitis is most effective, in the first place it should be aimed at curing the main diseases, the elimination of provoking factors even before the appearance of signs of sinusitis. Many of the basic rules are common and well-known, but, nevertheless, their compliance significantly reduces the risk of getting sinusitis. To begin with, you need to stop smoking tobacco and drinking alcoholic beverages, at the same time try to stay away from dirty air. Chances to catch the infection will be much less if the hands are washed more often and more carefully.
It is very useful, from the point of view of prevention, to recognize certain measures to systematically temper the organism. In addition, in the autumn-winter-spring period, which is disturbing for the antritis, it is necessary to pay attention to the use of foods that contribute to the strengthening of immunity. Dressing follows the weather, because the body's hypothermia plays into the hands of the possibilities of awakening the infection. With catarrhal diseases, it is necessary to be treated accurately and in time, so that the inflammation of the nasal mucosa does not lead to inflammation of the maxillary cavities.
Not the last place in the questions of preventive measures in relation to genyantritis is the regular visit to the dentist. And only periodic trips to the otolaryngologist should become a mandatory rule.
Folk methods of treatment of sinusitis
Given the understandable clinical picture of primary symptoms, in a fairly wide range of average citizens there is an opinion on the available opportunity to treat sinusitis at home independently. This approach is dangerous in that instead of a positive result, you can get a lot of serious complications. And it's good if it's just a chronic form of sinusitis. But then, the anatomical structure of the maxillary cavity is such that its thin walls forming the orbit directly contact the membrane of the brain. Hence the significant risk of infection directly into the cranial cavity with the subsequent occurrence of meningitis.
However, much more often infection from the maxillary cavity can move into the orbit, filling its fiber and the shell of the eye. This complication is easily detected by some bulging eyes, swelling of the eyelids and the appearance of rather severe pain.
And the chronic form of sinusitis itself can become a constant source of infection leading to pharyngitis, frequent recurrences of angina and even cause dental diseases. And the chronic rhinitis developed on this soil sometimes leads to atrophy of the mucous membrane of the nasal cavity and complete loss of smell. Well, before chronic bronchitis in such cases, it's easy to file.
So the treatment of sinusitis with folk remedies is worth considering only as a course of auxiliary therapy and then only on the recommendation of the doctor, when he carries out constant monitoring and control over the course of the disease. It should not be ignored that properly used folk remedies can actually deliver some relief during the main course of treatment.
In this sense, a tincture of propolis, which is used as a steam inhalation over a pan, is quite effective. A mixture of honey, aloe juice and celandine grass is used as a drop in the nose. Good results were recorded when bovine or sea buckthorn oil is instilled in both acute and chronic bronchitis.
Cyclamen juice has been successfully used to reduce headaches. In the arsenal of folk methods of combating sinusitis, there is also honey steam inhalation. Population is one of the most effective means to cure sinusitis, it is considered the application of the present St. John's wort as a rather strong natural antibiotic. There is a special ointment from vegetable oil, onion, honey, milk and crumbled laundry soap in the storerooms. All components are taken in equal proportions in one container and kept in a water bath until the soap does not melt. In a cooled mixture, dip a match with cotton wool and insert into the nostril for ten to fifteen minutes. And so three times a day for a week. There are no reliable statistical data on the positive results of this method, but negative reviews are also missing.
And still in the people they say about the undoubted usefulness in the treatment of sinusitis of the juice of the bulb of the snowdrop blue. Whatever it was, and to strengthen the shaky health, all methods and methods are suitable. The main thing is that they are time-tested and do not cause harm. And for this, after discovering the symptoms of ailment, one should not engage in self-medication immediately, but hurry to the nearest medical institution to a doctor-specialist. Having received the appointment, they must be carefully performed, and then a return to a healthy lifestyle will be guaranteed.