Pachimake sinusitis: zizindikiro. Chithandizo cha sinusitis pachimake

M'mphuno kuchulukana, ululu pamene kupinda, yafupika kununkhiza, purulent m'mphuno kumaliseche, malungo, kufooka ... Zonsezi - zizindikiro za bwino kuti ululu ndipo nthawi yomweyo, osadziwika kuti matenda ambiri monga sinusitis. Dziwani izi, n'zovuta pochitika mankhwalawa sinusitis pachimake kuchita ano zachipatala. Kodi matenda? Pachimake, aakulu sinusitis, mankhwala a Yehova amene akambidwa m'nkhani, amapereka zambiri mavuto ndi nkhawa la wodwalayo.

Ndi chiyani icho?

Ambiri a dziko lathu ankakhulupirira kuti sinusitis - ndi yoopsa kwambiri ndi pafupifupi wakupha matenda ovuta kwambiri muyenera kowawa ndipo yaitali chithandizo kuchipatala.

Ndipotu, pali tizilombo sinusitis pachimake akuluakulu, pamene iye imagwera kudwala ARI (pachimake kupuma tizilombo), amene anatsagana ndi chimfine. Tiyeni tione mwatsatanetsatane.

Padziko m'mphuno ili sinuses (nkusani):

• The nkusani mazunzo (mazunzo).
• Ethmoid nkusani.
• The maxillary sinuses (maxillary / sinuses).
• Mphero.

Iwo ayenera moisten, mpweya ofunda ndi oyera wolowera mapapo athu.

Chimfine mphuno - rhinitis, kumachitika pamene SARS - limatiuza kuti pa amphuno mucosa ali ndi HIV. Ngati HIV ndi kale mu mphuno, izo basi kuzifikitsa pa nembanemba mucous wa chomwecho, koma kwenikweni ambiri a matenda onse nkusani. Zimenezi zimatchedwa sinusitis (matenda a m'njira za m'mphuno paranasal).

Choncho, ife kumvetsa tsopano kuti rhinitis ndi pafupifupi konse popanda sinusitis, komanso chimfine nthawi zonse limodzi ndi sinusitis.

The zimayambitsa matenda

pachimake sinusitis chithandizo zikutanthauza loyamba la onse ndi mmene zinthu zake. Pangakhale zingapo:

1. Virus.
2. Bakiteriya.
3. Sayanjana.
4. Violation m'mphuno kupuma (kupindika wa m'mphuno septum, zinthu zakunja mphuno, amphuno ndime zipolopolo kuonjezera, kuvulala m'mphuno).
5. Kuphwanya ndi chitetezo cha m'thupi.
6. Kupezeka kwa majeremusi m'thupi, matenda aakulu, posachedwapa m'mnyewa wamtima chimfine kapena SARS dolechennaya.
7. Kuphwanya umphumphu wa zilonda za mphuno ndi sinuses.
8. Chemical mucosal zotupa (mwachitsanzo, mu woopsawo mapangidwe).
9. Kouma ndi kutentha mpweya mu chipinda.
10. Aakulu hypothermia.
11. Tizilombo ting'onoting'ono, adenoids.
12. mano Popanda kuchitapo kanthu ndi matenda ena a M'mimbamo m'kamwa.
13. matenda a mafangasi.
14. TB.
15. Zotupa.
16. Cheza matenda.

mitundu ya sinusitis

Malinga ndi mlingo wa kukula kwa matenda amadziŵika:

• Pachimake sinusitis (zizindikiro ndi mankhwala mu gawo lotsatira). Features matendawa kwa masabata atatu ndi kusintha mwadongosolo a.
• Aakulu sinusitis. Kuliona kovuta chiopsezo cha matenda oyamba ndi mkulu, kotero mawonekedwe aakulu kumafuna dokotala mokakamizidwa alowererepo.

Chifukwa:

• Infection.
• Vasomotor (chifukwa kuphwanya limagwirira cha zochita pa chilengedwe).
• Matupi awo sagwirizana.

Malinga ndi njira matenda:

• Hematogenous (magazi).
• M'mphuno (m'mphuno).
• Odontogenic (amawononga M'mimbamo m'kamwa).
• Mantha.

symptomatology

Pachimake sinusitis:

• kutentha kwa 38-38,5 digiri;
• kukoka kapena ululu kuzimiririka pamene kupinda patsogolo;
• kumaliseche kwa mafinya ndi ntchofu ku ndime m'mphuno;
• kuzizira;
• kupweteka mutu, mphuno, mano;
• madzi maso;
• okwana m'mphuno kuchulukana;
• matenda tulo;
• ululu pamene wokhudza m'dera la nkusani maxillary;
• kufupika kwa mpweya;
• puffiness.

Aakulu sinusitis:

• kutentha asadzauka konse kapena kukhala pa mlingo wa madigiri kuti 37,5;
• kukoka kapena ululu kuzimiririka pamene kupinda patsogolo;
• okhazikika m'mphuno;
• msokonezo kununkhiza;
• zodziwitsa mafinya ndi magazi kuundana kwa mphuno;
• ambiri kufooka;
• kusinza;
• litsipa kuzungulira maso;
• conjunctivitis.

diagnostics

Matenda dokotala ayenera kulimbana ndi. Ngati ndinu kwambiri zovuta kapena kwa nthawi yaitali, musazengereze kupempha thandizo.

Kuyamba, adokotala kuganizira mbiri ndi dokotala zifotokoza pamwamba lamkati la akalowa chofuna mphuno, kusanthulasanthula munthu sinuses kudziwa zovuta ululu ati awulule ngati pali suborbital m'dera reflex vasodilatation.

Ngati chofunika, dokotala amatumiza wodwalayo X-ray, umene kusonyeza ngati kumathima (pamaso pa mafinya) m'chifanizo m'chigawo cha m'njira za m'mphuno maxillary.

Nthawi makamaka ovuta, pamene muyezo okwana sipekitiramu mankhwala antibacterial masitepe sititenga, kuchita mphuno bakposev ndi kudziwa tilinazo tizilombo opha tizilombo.

Chithandizo cha sinusitis pachimake

Kuchotsa chimfine (rhinitis ndi sinusitis), muyenera kutsatira malamulo kuti ntchito kwa onse SARS.

Mu chipinda kumene wodwala, ayenera ozizira (mpweya kutentha - zosaposa 21 madigiri Celsius), kapena mankhwalawa sinusitis pachimake otsiriza yaitali. Pankhaniyi, wodwala ayenera atatchena kuti sanali ozizira.

Tiyenera pafupipafupi ventilate chipinda ndi kusunga chinyezi mu chipinda. Ngati palibe chopangira chinyezi mpweya, kuika muli ochepa yotakata ndi madzi mu chipinda ndi kuphimba batire chonyowa chopukutira.

Wodwala ayenera kumwa kwambiri ndi kudya zochepa. Chonde dziwani kuti pa chimfine ayenera kuchepetsa kumwa tiyi ndi khofi, ndi kuyesa m'malo mwa zakumwa ofunda zipatso, zakumwa zipatso, madzi sanali enaake ndi teas azitsamba.

Ngati muli pachimake sinusitis, mankhwala kunyumba ndi zofunika yothandizana kutsuka kwa m'mphuno. Aliyense mankhwala anagulitsa zida kuti tipeŵe malangizo, ufa ndi chipangizo wapadera. Koma cholinga imeneyi abwino yachibadwa saline kapena yophika madzi omwe ndi mchere. Kungowonjezera pang'ono mu kapu ya madzi otentha yophika supuni ya tiyi ya mchere iodized ndi mix lalikulu bwino. M'malo mwake, kugula chidebe wapadera, mukhoza kugwiritsa ntchito botolo kakang'ono wamba mwa madzi m'botolo Ana khosi, ndi pacifier kapena mphika yaing'ono.

Ngati mutsatira malangizo onse posachedwa simudzaliranso mudere ndi pachimake sinusitis (zizindikiro). Ndipo chithandizo achikulire sakudziwa nkomwe amafuna miyala. Koma ngati mukufuna kuchotsa mwamsanga kuti mawonetseredwe onse, kumbukirani kuti mankhwalawa sinusitis pachimake ndi mankhwala popanda malangizo a dokotala sikuloledwa. Kugwiritsa Ntchito vasoconstrictor ozizira madontho, kutentha - kukonzekera munali paracetamol kapena ibuprofen. Koma musaiwale kuti madokotala mwamphamvu amalangiza popanda chifukwa chomveka kuponyera pansi kutentha m'munsimu 38,5.

Ndale pachimake sinusitis, zizindikiro ndi mankhwala amene amadziwika kuti aliyense otolaryngologist, amatenga malo masiku awiri.

Ngati yachiwiri, ndiyeno pa tsiku lachitatu matenda mukumva Choipitsitsa, ndi kutentha limatuluka apamwamba, onetsetsani kukaonana ndi dokotala. Ndi matenda aliwonse HIV thupi lanu anali atayamba kale kwambiri. Ndipo ngati zimenezo sizinachitike, n'kutheka kuti matenda si chifukwa cha mavairasi ndipo muyenera Kupenda kwambiri ndi mankhwala.

Ngakhale pamene inu muyenda ndi pachimake sinusitis, chithandizo popanda puncture pa izo mwina adakali zotheka. Childs, dokotala kufunsa akaundula sinuses kusamba (anachita mu ndondomeko chipatala), mankhwala laser, vasoconstrictors ndi mankhwala akutsikira.

Ambiri madokotala sukulu yakale kupitiriza kupanga punctures kuchitira aliyense mtundu wa sinusitis. Ngakhale kuti puncture zochizira zikuonetsa ayenera kukhala zovuta kwambiri, ndipo njira zina - kale anayesa ndi amene anapereka zotsatira. Ndipotu, ngakhale kuti zimatenga wosavuta ndipo ngati mwachita bwino nthawi mosavuta analekerera ndi odwala, zingayambitse angapo zosokonezeka: occlusion Mitsempha mapangidwe ndiko kumayambitsa (mpweya mu zofewa minofu) abscess. Ndipo ichi si mndandanda.

opaleshoni chithandizo

Pa nthawi imene ngakhale aakulu Inde sanapange wodwalayo kuchipatala ndi matenda anayamba kwambiri. Pankhaniyi, ndi tizilombo ting'onoting'ono ndi cysts akhoza ndigwire ducts kotero sinuses kuti popanda ndondomeko zonse opaleshoni pogonekedwa ndi mankhwala ambiri mu chilengedwe kuchipatala n'zosatheka kuchita, mwinamwake mankhwalawa sinusitis pachimake akuluakulu akhoza kukhala wopanda pake.

Pachimake sinusitis anagwirizana

Chithandizo mu nkhani iyi ndi chimodzimodzi pa nkhani ya unilateral maxillary sinusitis. Ngakhale ziwiri mawonekedwe a matenda imatengedwa kuti kwambiri ndipo kawirikawiri ali ndi kuledzera kwambiri ndi kupweteka kwambiri.

Chabwino, ngati adokotala kuona ziwiri umayenda pachimake sinusitis. Chithandizo Pankhaniyi izo tikulimbikitsidwa kuti azitha physiotherapy ndi mankhwala, monga chiopsezo mavuto kumawonjezera kawiri.

odontogenic sinusitis

Ngati dzulo munali pa mano, koma lero pali zizindikiro za sinusitis lakuthwa, musawafulumizitse kulemba izo pa matenda mano. Ndipotu, nthawi zambiri kutupa mu mano zapambuyo wa chapamwamba nsagwada chifukwa kutupa mu sinuses lapansi. Location mano izi mizu pafupi sine amachititsa pafupifupi yomweyo malowedwe a matenda kuchokera mkamwa m'mphunomo.

Odontogenic maxillary sinusitis tizilombo toyambitsa matenda kawirikawiri streptococci, staphylococci, enterococci ndi diplococci zochepa zina pano ngakhale mu mucosa yachibadwa m'kamwa. Pamene kukula nthenda mano ndi chithandizo chilungamo, opanda ukhondo, iwo angakhoze kulowamo sinuses ndi matenda. Self-kuchiritsa kotero sinusitis sangakhale, ndipo ngati mukukayikira matenda awo dotolo wina nthawi yomweyo.

Sinusitis ana kwa zaka zitatu

Si choncho kawirikawiri chiyani ife tikumva kuchokera Moms madandaulo a sinusitis mwana. Koma kwenikweni ndi nthano. Mwaichi, kutukusira kwa m'njira za m'mphuno mwa ana awa basi sizichitika. Mpaka zaka zitatu sinuses ana sali bwino anayamba (koma sakusintha), kuti palibe malo kukhala matenda.

Pankhaniyi, chikasu kapena wobiriwira snot kugwirizana ndi ena matenda ena kapena kungoti chakuti chimfine kale zikuchitika ndipo patsogolo ntchofu ndime m'mphuno. An matenda zolondola ayenera kuika dokotala.

Bwanji Kumalimbikitsa mphuno ndi zimene zoopsa za mankhwala?

Ngakhale ngati muli ndi chimfine, koma dokotala sakanakhoza kulowa china, kapena mukuganiza mungathane paokha, konse kuyamba n'kumawotha mphuno. No mchere kapena mazira nkhuku, kapena nyali buluu kapena inhalations otentha. Zonse mwa njira zimenezi popanda chilolezo dokotala kungapangitse m'chipatala.

Choyamba, munthu malungo sadzakhala opindulitsa kwa konzekera thupi zambiri. Kachiwiri, kutentha kukhudzana ndi kachilombo zimachititsa kuti kufala kwa matenda nthawi yomweyo thupi lonse. Pankhaniyi m'pofunika kuchitira osati alipidwa chimfine mphuno, ndi gulu lonse la matenda aakulu.

Nthawi zina, pamene dokotala ndithu kuti m'njira za m'mphuno mazunzo ndi pafupifupi lopanda mafinya ndi wodwala mu gawo kuchira, izo angawauze njira konzekera malo ozungulira mphuno.

zosokonezeka

Pachimake purulent sinusitis, amene mankhwala si ikuchitika bwino, akhoza kubweretsa mavuto ambiri. Ngati matenda wapita patali, pangakhale chotero mavuto zoopsa:

• Aakulu sinusitis.
• Kutukusira kwa mapapo, ndi bronchi.
• Kutupa tonsils lapansi.
• Otitis.
• Angina.
• Pharyngitis.
• Abscesses mu M'mimbamo m'kamwa.
• Utatu mitsempha matenda.
• Oumitsa khosi (kutupa meninges a).
• Encephalitis (kutupa kwa ubongo).
• Kutupa kwa chophimba cha mwana wa m'diso kapena mwana wa m'diso la.
• Sepsis.
• Anapezerapo sinusitis angapereke mavuto mu impso, mtima ndi chiwindi.

Kumbukirani kuti kudzikonda, kukana chithandizo, kulephera kutsatira mankhwala dokotala ndi kuthandiza akatswiri a osaphunzira kungayambitse tsoka ndi.

kupewa

Aliyense akudziwa kuti mankhwala ndi nthawi yovuta kwambiri kuposa kuteteza. Kuteteza - ndi chinthu choyamba ayenera anachitira ndi mu zipatala, ndi m'nyumba iliyonse:

• Kuvala kwa nyengo (zovala kwambiri ofunda monga inadmissible, monga insufficiently ofunda).
• Kodi si overheat kapena supercool (mphindi izi thupi amakhala pachiopsezo kwambiri matenda).
• Kwathunthu kudya (zakudya kudya mavitamini ofunika ndi mchere kuthandiza thupi kulimbana ndi matenda mu magawo oyambirira a matenda).
• Kambiranani ndi dokotala wanu za kutenga vitamini ndi mchere maofesi.
• Chitani (masewero olimbitsa thupi, kusambira dziwe, mmawa Zochita).
• Kuchita Zochita wapadera kupuma kwa normalization kupuma m'mphuno.
• Pa miliri usiku uliwonse muzimutsuka mphuno yanu ndi saline.
• Kusiya kusuta.
• More kuyenda.
• Kuchitira ozizira chilichonse kamodzi, musathamange matenda.
• Ngati muli ndi chifuwa, zizindikiro loyamba rhinitis guzzle mankhwala yoikidwiratu dokotala.
• Pangani opareshoni, ngati muli anomaly m'dera wa m'mphuno septum (si kupewa sinusitis, komanso kusintha thupi lonse).