Huʻi purulent rhinosinusitis: mea, lalau mai, symptoms,ʻike, lapaʻau

Loa pinepine ENT kauka e ukuhi i kona hoʻomanawanui iki mai diagnosed e like me huʻi rhinosinusitis, i mea he maʻi o ke keena naehana'āpana. Kēia maʻi ua malamaia lakou nei, me ka antibiotics. Pinepine ia ke kumu no complications, kūpono ma ka huʻi palapala i purulent a me ka maʻi. Paha kuai ana, e hoopai auaneiʻoki kino. E hou i loko o au mamuli o ka maʻi i rhinosinusitis, symptoms a me ka hana ana o keia pathology mākou noʻonoʻo.

shape

Ke kaumaha ma muli kahi i loko o ka mea, i kēia maʻi, ua kilakila.

• sinusitis (maxillary sinusitis);
• ethmoiditis (li nui o ka ethmoid iwi) ;
• sphenoiditis (li nui o ka sphenoid sinus);
• pansinusitis a me ka polisinusit (poho o kekahi a me nā mea a pau o na sinuses);
• sinusitis (frontal sinus ua wela ai).

mau mai a pau i kapaia ma kekahi manawa - "rhinosinusitis".

kumu o ka

Huʻi rhinosinusitis ke'ākoʻakoʻa no ka mea kēia mau kumu:

• ma muli o ka maʻiʻaʻai;
• ma lalo o ka aoao o allergens.

Loa pinepine keia maʻi ua kauoha ae la ia e kekahi, he pono ole anu. Nā mea hoʻomaʻi komo na sinuses, a paipai i ka lākou li nui. I hookuu, ina o ka maʻiʻaʻai komo i loko o ka nasal lua, i ke kino koke mākou ke pane i keia'ōnaehana paleʻea pane, mahuahua mucus a me edema ho okumu. Ua hiki aku i ka mea e, no ka mea o paranasal sinuses maʻiʻo hoʻomaka e e hōʻike me ka pilikia, a me ka hana 'ano kūpono no mahope propagation o nā palapala microorganisms a me ke kahua o ka pus.

Ke kanaka kino mau nō kekahi mauʻano o ka koʻohune i loko o ka palena haʻahaʻa mea, mai hoonaukiuki i ka hanana o hoʻoʻino keʻano o ka hanaʻana. Ma ka hoemi i ka aiiay oihana o ke kino, ka mea, hoʻomaka e proliferate, pinepine ma o na la huʻi purulent rhinosinusitis.

Eia hou, eia pathological rula i mea predisposing kumumea no ka hooulu ana i ka maʻi.

• anatomical nā hale o ka ihu (ho'ākea turbinate, septum deformation, a pela aku ...);
• immunodeficiency;
• i ke alo o nā maʻi e like me cystic fibrosis, allergic rhinitis, adenoids, a me na mea e ae;
• kuʻu e hoʻonele.

symptoms

'Ōlelo Aʻo i ka kēia iniiaiie hoailona o ka li nui o na sinuses:

• kuni;
• loa headache;
• loli i loko o ke koko;
• nawaliwali, a me ka malaise;
• nasal congestion.

Ma hope o kekahi manawa, ua hoike mai huʻi rhinosinusitis like penei:

• kuni;
• 'āno'ē hookuuia mai ka nasal lua;
• haanou ana mai o na lihilihi a me papalina;
• halitosis;
• cough, pinepine loa i ka po;
• i keakea nasal hanu;
• kāna hana o ka hoohalike o ka honi;
• hoʻopilikia a me ka puʻe i loko iʻa sinuses;
• aloha o ka ikaika luhi;
• toothache, He huʻi loa ka manawa e kamaiʻilio ana.

Huʻi purulent rhinosinusitis hiki i ka nuiʻano o ka mau a me ka kūloko symptoms. Symptoms o ka mea hilinaʻi nui ma luna o ke kumu o kona hanana, i ke alo o nā maʻi, a me ka makahiki o ka hoʻomanawanui. A ua paʻakikī e tolerate i ka maʻi keiki.

Polypoid rhinosinusitis i kokoke i ka ia symptoms me huʻi palapala. Mai keia palapala mai o ka maʻi i oi ke koʻikoʻi, no ka hana maikaʻiʻole o endoscopicʻoki kino ua hoʻohana 'ia i loko o ka huipūʻana me ka Anati-allergic lapaau.

lapaʻau '

A hiki i ka hoailona mua o ka rhinosinusitis, i ole e hele wale i kekahi mau lā, akā, i hoʻokāʻoi, oe e mau nīnau aku i ke kauka. No ka pololeiʻike, hoʻomalu e hoʻoholo i ka wahi o ka IIeEeAIEUAA o ka maʻi, kona helehelena a me ke 'ano o ka koʻohune a mea hoʻomaʻi e kena ae i ka hooulu ana o ka maʻiʻaʻai.

ʻO kēia mau hana i lawe mai i ka hōʻoia i ka lapaʻau hoikeana o ka huʻi rhinosinusitis:

• ka mau ano o ke ahonui;
• hana aku kālailai;
• lawe mai vocal noiʻi ki ina hana like.

ENT keia hookolokolo ana

Ka ninaninau ana i ka hoʻomanawanui hoʻomaka me ka ohi ana o kona 'inikua mōʻaukala. E hana i kēia, i ka hoʻomanawanui hōʻike ana i nā symptoms, ka lōʻihi like 'ole o ka hookuuia mai ka ihu, a me ko lakou ano, i ke alo o ka eha ma ke poo a me ka maka, a me kā lākou mau wahi. Ua E hoi e hai aku i kou kauka e pili ana i kekahi allergy a nei hoolilo ke anu.

I kaʻike, e kōkua i ike e pili ana i kahua niho kaʻina hana, lawe lapaʻauʻia, trauma kanaka immunocompromised.

Ma hope o ia, ke kauka hanaʻia he physical ninaninau o ka hoomanawanui, hana palpation o na papalina a me ka lae, e hooholo i ka ka palupalu o na sinuses. E ho ohana i ENT keia hookolokolo ana ke huai ae mā ma ka nasal lua.

keʻena hoʻokolohua ho'āʻo ma

Ke alo aku o ka hoʻoʻino kaʻina a me ke ano o kona papa kōkua hooholo koko helu. Ma keia hihia i ke Ka Ikepili o ke koko a me ka lākiō o ko lākou mau 'ano apau loa.

Eia hou kekahi, ma ka lūmaua ho'āʻo pathogenic Contents iho mailoko o sinuses. Me ke kōkua o microbiological haʻawina hookupaa aku i ke 'ano o ka pathogen a me kona pā lonoaʻili i na antibacterial konohiki. Akā, e hoʻomanaʻoʻia ai ia i ka hopena o ia mau assays i loko o ka huʻi ano mau lā wale nō 3-4 ma hope o ka hoouka kaua ana o ka hoailona mua o ka maʻi. No laila, ka mea pinepine nele lākou pilina.

vocal like

Special hana e hoʻohana i ka noiʻi i ka pololeiʻike,:

• Nasal endoscopy - no ka hoʻohana o ka puluniu-optic Tube, i ka hope o ka i mea he malamalama kahi. Ia ia pela, he ao hiki ke huai ae i ka mea iki haiahū kūmau i loko o ka nasal lua, a me nā pū e manaʻo septal kina a me ke alo o ka hikoko, e like me polyps.
• Me tomography - ua noʻonoʻo i ka maikaʻi ano no ka pilikia makapō nana o ka nasal sinuses. Ua ua kaʻoi loa i lawe mai i loko o ka hanana o complications.
• Radiography - Ua lohe nui ia a hiki i ka endoscopy, a Me tomography. Currently, ua lilo loa emi paha e e akoakoa ai.
• ʻume mākenēki resonance tomography - mea he papa hana maikaʻi no kaʻike, ka hoʻoʻino complications loko o ka puniu wale no, malignant hikoko. Maxillary sinusitis ua hoikea mai oia, i loko o ka palapala o ka poeleele hoi o ka maxillary sinuses.

therapies

Huʻi rhinosinusitis ua malamaia lakou nei, me 'inikua, aʻoki lāʻau lapaʻau ala. I ka laulā o kēlā me kēia papa hana ua noʻonoʻo i ke kauka no kela a me keia hoʻomanawanui pākahi. Koho i ke ano o ka Inc hilinaʻi nui ma luna o kekahi mau aʻe: makahiki o ke ahonui, ke ano o ka mai, a me ka ano o kona papa, i ka manawa kūpono o ka allergic reactions, etc. Akā, i ka mea aole iapaau ana regimen makemake e wae, e pono e hoʻouna mai i ..:

• hoʻopau na hoailona o ka li nui;
• hoihoi i ka patency o nā ala e hoʻohui i ka nasal ala sinus;
• wehe i mai na axils o ka pathogenic maʻiʻo;
• hoʻopau i ke kumu o ka maʻiʻaʻai.

rhinosinusitis i loko o nā mākua iapaau ana e ia ma lalo o ka ikaika nā limahana o ke kahuna lapaau, no ka kipi ka lapaʻauʻia pinepine hiki aku ai i ka complications. A pahuhopu nui o ka lapaʻau - ana o ka infectious Agena, a hoihoi aku i ka hiki ana o ka paranasal sinuses wale ua holoiʻia.

ka lapaʻauʻia

Huʻi purulent rhinosinusitis ia me ke kēia lapaʻauʻia:

• decongestants;
• immunocorrectors;
• antibiotics;
• hou symptomatic ai '.

Decongestants a me decongestants e ana i koi 'ia i loko o ka wahi mua, a hana ia lakou e ole aku ma mua o 4-5 lā pono, no ka mea, lōʻihi-makahiki hoʻohana maoli wale edema a me ka nasal congestion. Mau ai 'nā "Ephedrine", "Nazivin", "Sanorin", "Galazolin", "Naphthyzinum" a no laila, ma luna o. N. ia Luna e ole ke hoola i ka maʻi, a me ka hulina i hoʻopau i nā symptoms.

Ma kekahi ano o ka maʻi e like me rhinosinusitis, ia wale me antibiotics hiki e ia no elua pule. Ka mea, kōkua e hoʻopau a pau o na symptoms, akā, i ko lakou? Eaia E e hana ma lalo o ka hooponopono ana o ka hoʻomalu wale. Ka loa pinepine hoakaka antibiotic e like me "Amoxicillin". Akā, ināʻekolu lā ma hope o kona komo hou ana i ole ana, ka mea pono auou caiaiai ia e ai 'me kaʻeleu' Oponopono, me tetracycline a cephalosporin. I pono ke kumukuai o ka loaa ana i kēia mau antibiotics "clarithromycin", "Azithromycin" a me ka "Roxithromycin".

I loko nō o ka laulā huahelu o kekahi mau lapaʻauʻia e hoʻohana i ka hana huʻi rhinosinusitis, ka mea, i ole mau ka hoʻokō. O ke kumu ho i ka oiaio i na mea he nui o na microorganisms mea i li nui o na keena naehana'āpana, ana pale aku antibiotics. I mea no ke aha la i loko o huʻi rhinosinusitis, o ka oi aku, i ka wa wela ai frontal sinus, e hoʻohana i ka stimulation o ke kanaka'ōnaehana paleʻea pale.

No keia mea, hoʻohana immunomodulators a me immunomodulators. Ka mea, aia no iloko olaila na waiwai i ka hana o ka'ōnaehana paleʻea pale i hoʻihoʻi aku. I ka papa o ka lapaʻau mea IeAUPIIe, IAa IO 1.5-2 pule.

Inā i loaʻa i kēiaʻano o ka maʻi like polypoid rhinosinusitis a me ka pono e hana hoʻohana mucolytic ai '( "myrtol," "Sinupret", "Acetylcysteine"). Ka mea, he hoʻonui i ka thinning o anuanu a me ka h ÷ Contents o na sinuses, kūpono ma ka outflow o ka pus huli no. Nō hoʻi, i kēia lapaʻau hiki i pharmacological pūʻulu a me antibacterial hana.

Inā i ke kino mahana, a mahuahua nui, e hoʻokō i ka hoʻomanawanui me ka moe koena. E hana i kēia mea, i hoakaka ia antipyretics e like me "Amidopyrine" a me ka "Aspirin". Like analgesic ai 'i ana i koi' "Paracetamol", "Ibuprofen". Ikaika konohiki mea kākaʻikahi hoʻohana ', a e lawe lakou i oi aku 7 lā.

Allergic rhinosinusitis ia me ka antihistamine kulu a me nā gula'ā'ī. E hiki no hoi ke hoʻohana me ka hinu a me holika, akā, ua hoakaka loa pinepine ka hormonal ai '.

Au e hoʻohui i, ma ka hou i ka lāʻau lapaʻau, ka i kēia iapaau ana:

• holoi nasal sinus antiseptic pāʻoihana no ka heleʻana i'āno'ē maʻiʻo;
• ka mea, ua pono e inu i ka nui o ka mehana wai: hua kea, ai: hua, hou hua Piʻihonua, nawaliwali kī, kai puhaka;
• hoʻohana 'ia physiotherapeutic epekema: hawewe Inc, ultrasound, UHF.

Inā mau kiʻina hana mai i lawe mai i ka pono hopena, ka mea, ma laila eʻoki kino.

ʻoki lāʻau lapaʻau 'uao

Inā 'oe e ole ke kōkua lāʻau Inc o na maʻi like rhinosinusitis, hana maikaʻiʻole i loko o keia hihia ka mea, ua lawe mai surgically. Loa pinepine, ka wā i'ōleloʻia ai ia i ka puncture, a kokua i ka:

• koke aʻo mai ka paranasal sinuses pus;
• 'ana pili i ka mucosa o ka paranasal sinuses antiseptic, Anati-hoʻoʻino a me ka antibacterial ai'.

Akā, he mea ia i malama ia no elike me keakea. Hiki kamepiula o ke koko kaʻapu kōheoheo, lilo o ka hihiʻo, a no laila, ma luna o. N. Nolaila, ka hapanui o ka mea, ua i paipai.

Ano o ka maʻi i loko o na keiki

Rhinosinusitis i na keiki o ka Hoʻohaku maʻi, no ka mea, hoike no kekahi-kolu o na mai a pau i pili i me ka mauka naehana'āpana. A me nā mākua, ka hapalua o nā keiki hoʻomau, e ae aku ia lakou.

Ma ia he maʻi paha e hoʻomōhala complications nui. Ka noho pilikia loa ka pyoseptic orbital complication e hiki aku ai i ka hoʻopōʻino hihio, a me ka 2% o ka hihia ana intracranial loli. Inā manawa 'aʻole i diagnose maʻi a me ka hana ia, hoʻomōhala pneumonia.

Huʻi rhinosinusitis i na keiki hoike mai ai ia ia iho, e like me penei:

• excruciating hooloihi ae i cough;
• pilikia ha ma ka ihu;
• luhi;
• mau malaise;
• nasal leo;
• mahuahua ma ke kino ana wela.

I ka papa kuhikuhiE lapaʻau ua manaoia e e antimicrobial Inc e ku e ia i ke kāʻei kua o ka hoʻoulu e hoʻonele.

Hiʻona o ka maʻi i hāpai keiki

Muli o kona kulana pinepine ka mea, he huʻi purulent rhinosinusitis i hāpai keiki, eia hoi, ka mea hiki ke ukali e complications, e like me ia ma keia manawa ua kaupalena 'ia kekahi lapaau.

Wale he kauka hiki ke hoakaka ia antibiotics, a hiki ke pilikia i ka wahine a me keiki ina ia uncontrollably. Inā maikaʻiʻole penicillin pae ua hoololiia a me cephalosporins, macrolides ua hoʻohana. Ua hiki e "Moxifloxacin", "levofloxacin" a me ka "sparfloxacin". Ma lalo o kā lākou mau keiki i ka make ana o ke kumuʻiʻo hoʻololi kemikala ma keena o pathogenic microorganisms. Mau ai 'i manaoia e ia i ka loa a me ka pono maluhia ma ka iapaau ana o ka hapai wahine.

Kāohi

I mea e pale aku i na maʻi like huʻi rhinosinusitis, oe e lawe i ke kēia kāohi ana:

• Pale kikoo a me hypothermia;
• i ka puu o ka hele ke ao o waho, e kāohiʻeleu;
• pio ole;
• komo i loko o haʻuki;
• manawa e hana SARS a me runny ihu;
• manawa aae? ana i ka dentist e hana niho ma ke a luna;
• i makemake loa ia au i loko o ke kai ka wai a me ka kai ea Inhale ho'ōla.

ka hopena

Penei, huʻi purulent rhinosinusitis pono e hana ma lalo o 'inikua hooponopono, no laila, i ole e i kekahi nani pilikia complications i hiki e hiki ke ola-na olelo hooweliweli au. He mea pono e hōʻalo ai e hoʻonāukiuki i ka maʻi kumumea, emi mai i ka hāhai manawa i hoopaaia a me ka dusty hana kūpono, e hooki e uwahi ana. Me ka kūpono a me ka 'eleu hana o ka rhinosinusitis ua pau ola.