Kodi zizindikiro sinusitis akuluakulu ndi ana

The yotupa ndondomeko izi zimakhudza m'mphuno mucous nembanemba ndi paranasal (paranasal) sinuses (nkusani), wotchedwa sinusitis. Koma ngati sanalandire chithandizo, akhoza kukhala monga vuto la sinusitis. Kodi zizindikiro sinusitis? Tiyeni tione m'nkhani ino.

ndi matenda a mphuno chiyani?

Malinga ndi kutanthauzira za ndondomeko yotupa tikhoza kunena kuti:

1. sinusitis - kugonjetsedwa kwa nkusani mazunzo.

2. etmoidita - kugonjetsedwa kwa maselo ethmoid. matenda Zimenezi zingachititse intracranial aakulu (kakhosi, encephalitis) ndi mavuto intraocular (yozungulira cellulitis m'ma abscess).

3. Sfenoiditom - Pporazheniem sphenoid nkusani.

Ethmoiditis sphenoiditis ndipo kawirikawiri zimachitika kudzipatula, nthawi zonse anali kuphatikiza ndi sinusitis kapena sinusitis.

mitundu ya sinusitis

Timauza a sinusitis kungakhale:

1. rhinogenous - pali vuto la matenda (fuluwenza, pachimake kupuma matenda, SARS).

2. Hematogenous - tizilombo kulowa magazi. Mtundu wa sinusitis zambiri amapezeka ana pambuyo diphtheria, chikuku.

3. Odontogenic - adawona ana chifukwa cha kugwa kudzera pansi pa nkusani a mafinya. Kuchititsa sinusitis kobvuta periodontitis, periostitis.

4. Mantha - amakwiya matenda kapena kupwetekedwa wovulala wa m'mphuno septum.

5. matupi awo sagwirizana - chifukwa cha matupi awo sagwirizana anachita nzothandiza lapansi. Mu mtundu uwu amphamvu edema anati sinusitis.

6. vasomotor - Nthawi zambiri anthu achinyamata chifukwa cha dystonia mtima.

Komanso kusiyanitsa pachimake ndi sinusitis aakulu.

Kodi zizindikiro sinusitis akuluakulu?

Matendawa nthawi zambiri anawona:

- mutu aakulu yochokera kwa mano ndi masaya;

- zambiri viscous katulutsidwe ku ndime m'mphuno;

- kuzizira, mkulu thupi kutentha, ulesi, kufooka;

- m'mphuno kuchulukana, kumverera kwa chidzalo mwa nsagwada chapamwamba, kumawonjezera ndi ndingaliro ya;

- zotheka kugwirizana ndi chifuwa, zilonda zapakhosi chitukuko;

- kuchepetsa kununkhiza.

Tsopano ndikumvetsa kusonyeza sinusitis. Zizindikiro, monga mmene taonera, osiyanasiyana ndi zosasangalatsa ndithu.

Zimayambitsa sinusitis akuluakulu

Zimayambitsa waukulu sinusitis ndi:

- chimfine mphuno, nthawi zambiri staphylococcus, pneumococcal kapena streptococcal etiology, zotheka tizilombo etiology (fuluwenza, parainfluenza, adenovirus);

- matenda mano, zamafinya zinangoti cysts, periostitis (odontogenic maxillary sinusitis) ;

- adenoids;

- kuvulala, chokumbukira zoopsa adasokera septum;

- matupi awo sagwirizana rhinitis;

- adatchithisira chitetezo chokwanira;

- tizilombo ting'onoting'ono, matupi yachilendo.

Kodi zizindikiro sinusitis ana?

Ana kwa zaka 2 patsogolo pathu matenda zambiri si matenda - ichi ndi chifukwa underdevelopment wa m'njira za m'mphuno maxillary.

Koma chithunzi matenda, ndiye sinusitis ana kuwonetsera zizindikiro zomwezo monga akulu. Chachikulu kusiyana - akhoza kukhala mkulu malungo, ndi redness pa tsaya ku sinuses chofuna.

Sinusitis ana ndi owopsa chifukwa cha mavuto pafupipafupi. Aakulu mutu mwana - ndi chizindikiro chachikulu cha matenda. Izi zimachitika chifukwa kudzikundikira yambiri mafinya m'dera nkhope.

diagnostics

Doctor kudziwa matenda ayenera kuchititsa matenda mabuku. zinthu zazikulu zotsatirazi:

1. Kumvetsera madandaulo, mbiri kutenga.

2. bakposev kafukufuku kutsuka mphuno okhutira.

3. Radiography wa m'njira za m'mphuno paranasal, zomwe zikusonyeza kunachita mdima, kutsitsa lightness, chilungamo. The njira zambiri zothandiza pa kafukufuku, chifukwa amapereka mwayi oterewa kutanthauzira kwa ndondomeko pathological mu chithunzi matenda adzawonongedwe. Amaikidwa zolosera awiri - lateral ndi molunjika.

4. Maginito kumveka, yopangidwa tomography ( "golide muyezo" kwa amaganiziridwa sphenoiditis).

5. rhinoscopy.

6. Complete magazi (ostrovospalitelnaya anachita: leukocytosis, inapita erythrocyte sedimentation mlingo, palochkotsitoz).

7. Endoscopic Kupenda m'njira za m'mphuno paranasal.

8. Kufunsa kwa mano ndi maxillofacial opaleshoni.

The zovuta kwa njira yodziwira zikudalira mmene amasonyezera sinusitis.

zosokonezeka

Kuchedwa mankhwala a sinusitis kungachititse kuti mavuto otsatirawa lalikulu:

- meninjaitisi;

- otitis TV;

- yade;

- sepsis;

- nyamakazi;

- endocarditis, myocarditis;

- matenda, chibayo.

Kodi sinusitis aakulu?

Zizindikiro za sinusitis aakulu Mwina asowetsedwa. Koma iwo akhoza anazindikira:

- ululu pamene kuphethira;

- kutupa kwa zikope m'mawa;

- pafupipafupi mutu;

- zonse m'mphuno kuchulukana;

- wouma chifuwa.

Aakulu sinusitis imafunanso chithandizo. Therapy imatenga nthawi yaitali, koma ayambe zonse ndi zotheka. Zimadalira kwenikweni mmene amasonyezera sinusitis. Zizindikiro ndi mankhwala, monga ulamuliro, ndi mosamala zogwirizana.

sinusitis chithandizo

chithandizo ndiwofatsa a sinusitis yafupika kulandira mankhwala. Ntchito vasoconstrictive madontho kumachepetsa kutupa kwa mucous, constricts Mitsempha limabwezeretsa m'mphuno kupuma, kuchepetsa kuchuluka kwa excreta. Bwino ntchito madontho munali oxymetazoline:

- "Nazivin".

- "Nazol".

- "Fasini".

- "Afrin".

- "Tizin" (lili A-adrenoagonists amapereka vasoconstriction ndi kuwongolera kupuma zotsatira chimachitika mu maminiti pang'ono pambuyo ntchito).

Zovuta komanso ntchito mankhwala:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Zothandiza kwambiri chotsimikiziridwa mankhwala madontho. The mankhwala odziwika bwino monga "Polydex", "Bioparox", "Izofra".

Zokhudza zonse mankhwala mankhwala zikudalira mmene mumasonyeza sinusitis. Yoti mawu a masiku 10.

Ntchito mankhwala a penicillin: amoxicillin ( "Flemoksin"), mitundu amoxicillin-clavulanate ( "Augmentin", "Panklav"). Monga macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "Cefoperazone sulbactam".

Mu ntchito akulu:

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

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

Pamene matenda ndi wofatsa ndi aakulu analangiza piritsi mawonekedwe medicaments. Mu mankhwala aakulu sinusitis ndi kutumikiridwa m'nsinga kapena intramuscularly.

ntchito Local mankhwala antibacterial (m'malovu) okha pa mawonekedwe wofatsa matendawa.

The ntchito ophatikizana a wothandizila apakhungu ndi zokhudza zonse amachepetsa chiopsezo mavuto aakulu ndi kufulumizitsa lipole.

Kusankha mankhwala ayenera kuganizira pamaso pa thupi lawo siligwirizana mu anamnesis ndi deta bacteriological Kupenda (chizindikiritso cha tizilomboto ndi tilinazo ku magulu osiyanasiyana).

Komanso, malinga ndi mmene mumasonyeza sinusitis, anaika zotsatirazi ntchito kuchirikiza:

1. Vitamini mankhwala. Cholinga cha mavitamini C, A ndi E.

2. kuvomera NSAIDs. Pamene asonyeza zomverera matenda, malungo ndi antiinflammatory, analgesic, antipyretic zotchulidwa kuti: "nimesulide" "Nimesil" "Naiz" acetaminophen, diclofenac ndi sodium.

Zikavuta, simungakhoze kuchita popanda opaleshoni.

1. Endoscopic asang'ambe alowererepo.

2. achoke wa nkhani kudzera puncture lapansi.

Ana amathera mpheto yekha pansi ochititsa dzanzi.

Kugwiritsa kuchiza sinusitis kutsuka nkusani puncture popanda chipangizo wapadera. njira imeneyi imatchedwa "Cuckoo." njira ina alipo cha kutsuka nkusani ndi ntchito nkusani catheter "YAMIK".

Aids ndi laser mankhwala mankhwala akupanga, UHF.

Kupewa sinusitis

Mungadzitetezere ku chitukuko cha matenda, m'pofunika kutsatira malangizo otsatirawa:

- kugwiritsa ntchito humidifiers;

- kugwira ukhondo malo a aakulu matenda;

- tizipima zonse pa mano m'njira yake kuchitira caries;

- mosalephera kulimbikitsa magulu kugonjetsedwa kwa thupi, mavitamini;

- kupanga kutikita zonse mu ziyerekezo wa m'njira za m'mphuno maxillary;

- kugwira kupewa exacerbations bakiteriya chonyamulira (m'mphuno lavage njira mchere, pamene chodzala aureus kuika turundy ndi chidakwa njira chlorophyllipt).

- kuchitira rhinitis siligwirizana, chigwagwa;

- ngati pali kufunika kwa zimenezi, osati kusiya malangizo opaleshoni ya zopindika septal.

Tinkaona kusonyeza sinusitis akuluakulu. Zizindikiro mokwanira anafotokoza m'nkhani ino. Ngati inu mungazindikire nthawi zina zizindikiro, musazengereze ndi musazengereze - kwa dokotala.