Yuav ua li cas yog cov tsos mob sinusitis rau cov neeg laus thiab cov me nyuam

Lub inflammatory txheej txheem uas muaj feem xyuam rau lub qhov ntswg txheej membrane thiab paranasal (paranasal) sinuses (qhov ntswg), hu ua sinusitis. Tab sis yog tias tsis kho, tej zaum yuav tsim raws li ib tug mob sinusitis. Yuav ua li cas yog cov tsos mob sinusitis? Cia peb kawm nyob rau hauv no tsab xov xwm.

Yuav ua li cas yog cov kab mob ntawm lub qhov ntswg?

Nyob rau hauv lub chaw ntawm cov inflammatory txheej txheem yuav raug xa mus rau:

1. sinusitis - lub yeej ntawm lub frontal qhov ntswg.

2. etmoidita - lub yeej ntawm lub ethmoid hlwb. Tus kab mob no yuav ua rau mob loj heev intracranial (meningitis, encephalitis) thiab intraocular teeb meem (orbital cellulitis, rwj century).

3. Sfenoiditom - Pporazheniem sphenoid qhov ntswg.

Ethmoiditis sphenoiditis thiab tsis tshua muaj tshwm sim nyob rau hauv kev rho tawm, feem ntau nrog rau sinusitis los yog sinusitis.

hom ntawm sinusitis

Nyob ntawm seb qhov ua rau ntawm sinusitis yuav ua tau:

1. rhinogenous - yog ib tug mob kab mob (influenza, mob ua pa kab mob, SARS).

2. Hematogenous - kab mob nkag mus rau cov ntshav. Qhov no hom ntawm sinusitis feem ntau tshwm sim nyob rau hauv cov me nyuam tom qab diphtheria, qhua pias.

3. Odontogenic - kuj pom nyob rau hauv cov me nyuam vim hais tias ntawm ntog los ntawm lub qab ntawm lub qhov ntswg ntawm kua paug. Ua ib tug sinusitis nyuab periodontitis, periostitis.

4. Traumatic - provokes tus kab mob los yog kev poob plig puas ntawm cov qhov ntswg septum.

5. Cov kev tsis haum - yog cov kev tshwm sim ntawm ib tug tsis haum cov tshuaj tiv thaiv mus rau lub stimulus. Nyob rau hauv no hom muaj zog edema cai sinusitis;.

6. vasomotor - feem ntau nyob rau hauv cov neeg nyob rau hauv lawv cov hluas vim hais tias ntawm vascular dystonia.

Tsis tas li ntawd qhov txawv ntawm mob thiab mob sinusitis.

Yuav ua li cas yog cov tsos mob sinusitis rau cov neeg laus?

Tus kab mob yog feem ntau pom:

- mob taub hau radiating rau cov hniav thiab lub puab tsaig;

- tshaj khov secretion los ntawm lub qhov ntswg nqe vaj lug kub;

- ua daus no, siab lub cev kub, nkees, tsis muaj zog;

- qhov ntswg congestion, zoo nkaus li ntawm fullness rau hauv lub Upper lub puab tsaig, tsub kom nrog ib tug inclination;

- tau kev twb kev txuas ntawm ib tug hnoos, tonsillitis txoj kev loj hlob;

- yuav txo tau ntawm tsis hnov tsw.

Tam sim no kuv to taub yuav ua li cas qhia nws sinusitis. Cov tsos mob, raws li tau pom, ntau yam kev thiab heev tsis kaj siab.

Ua rau sinusitis rau cov neeg laus

Lub ntsiab ua rau ntawm sinusitis yog:

- los ntswg qhov ntswg, feem ntau Staphylococcus, pneumococcal los yog streptococcal etiology, tau tus kab mob etiology (influenza, parainfluenza, adenovirus);

- kev kho hniav kab mob, festering hlwv, periostitis (odontogenic maxillary sinusitis) ;

- adenoids;

- kev raug mob, post-traumatic lub deviated septum;

- tsis haum txhaws ntswg;

- nws txo qis kev tiv thaiv;

- polyps, txawv teb chaws lub cev.

Yuav ua li cas yog cov tsos mob sinusitis nyob rau hauv cov me nyuam?

Cov me nyuam mus txog 2 lub xyoos ua ntej peb tus kab mob feem ntau yog tsis paub hais tias - qhov no yog vim lub underdevelopment ntawm lub maxillary sinuses.

Raws li rau tus soj ntsuam daim duab, ces sinusitis nyob rau hauv cov me nyuam paub qhov mob ib yam nkaus li cov neeg laus. Lub ntsiab sib txawv - yuav ua tau kub ib ce, thiab liab sab plhu los ntawm kub lug sinuses.

Sinusitis nyob rau hauv cov me nyuam yog cov feem ntau txaus ntshai vim hais tias ntawm heev teeb meem. Mob taub hau nyob rau hauv ib tug me nyuam - lub ntsiab cov tsos mob ntawm tus kab mob no. Qhov no tshwm sim vim tsub zuj zuj ntawm loj nyiaj ntawm cov kua paug nyob rau hauv lub ntsej muag cheeb tsam.

diagnostics

Tus kws kho mob kom paub tias tus kab mob no yuav tsum ua ib tug kev kuaj mob. Lub ntsiab kev ua ub no muaj xws li cov nram qab no:

1. Mloog tsis txaus siab, keeb kwm kev.

2. bakposev, kev tshawb fawb ntxuav qhov ntswg cov ntsiab lus.

3. radiography ntawm lub paranasal sinuses, uas qhia tsaus, tej lightness, transparency. Qhov tseem tuav txoj kev ntawm kev tshawb fawb, vim hais tias nws muab ib lub sij hawm rau kev tshawb nrhiav localization ntawm lub pathological kev nyob rau hauv lub soj ntsuam daim duab obliterated. Taw nyob rau hauv ob qhov - lateral thiab ncaj.

4. Sib Nqus resonance, xoo tomography ( "kub txheej txheem" no puas sphenoiditis).

5. rhinoscopy.

6. Sau kom tiav cov ntshav count (ostrovospalitelnaya cov tshuaj tiv thaiv: leukocytosis, ceev erythrocyte sedimentation tus nqi, palochkotsitoz).

7. Endoscopic kev soj ntsuam ntawm lub paranasal sinuses.

8. Kev sib tham ntawm tus kws kho hniav thiab maxillofacial kws phais neeg.

Lub complex ntawm diagnostic ntsuas nyob nkaus rau yuav ua li cas nws ua sinusitis.

teeb meem

Zoo nyob rau hauv kev kho mob ntawm sinusitis yuav ua tau kom lub nram qab no loj txim:

- meningitis;

- otitis xov xwm;

- Jade;

- sepsis;

- kev mob caj dab rheumatoid;

- endocarditis, myocarditis;

- bronchitis, mob ntsws.

Yuav ua li cas puas mob sinusitis?

Cov tsos mob ntawm tus kab mob sinusitis tej zaum yuav dog dig muted. Tab sis lawv yuav tsum tau lees paub:

- mob thaum blinking;

- o ntawm lub muag daj nyob rau hauv thaum sawv ntxov;

- heev mob taub hau;

- qhov ntswg congestion;

- ib tug hnoos qhuav.

Mob sinusitis kuj yuav tsum tau kev kho mob. Therapy yuav siv sij hawm ntev, tab sis ib tug tag nrho rov qab yog tau. Ntau nyob ntawm seb nws ua sinusitis. Cov tsos mob thiab kev kho mob, raws li ib tug txoj cai, yog zoo sib xyaw.

sinusitis kev kho mob

Conservative kev kho mob ntawm sinusitis yog txo mus rau tau txais tshuaj noj. Daim ntawv thov vasoconstrictive dauv thiaj li o ntawm txheej, constricts cov hlab ntsha, restores qhov ntswg ua tsis taus pa, kom tsis txhob muaj nuj nqis ntawm excreta. Zoo siv rau muaj oxymetazoline:

- "Nazivin".

- "Nazol".

- "Fasini".

- "Afrin".

- "Tizin" (muaj A-adrenoagonists muab vasoconstriction thiab kev txhim kho ua tsis taus pa ua rau tshwm sim nyob rau hauv ib ob peb feeb tom qab daim ntawv thov).

Lub complex kuj siv antihistamines:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Qhov zoo tshaj pov thawj tshuaj tua kab mob rau. Qhov zoo tshaj plaws-paub cov khoom xws li "Polydex", "Bioparox", "Izofra".

Mauj tshuaj tua kab mob nyob nkaus rau yuav ua li cas koj qhia sinusitis. Teem tseg rau ib lub sij hawm uas mus txog rau 10 hnub.

Siv tshuaj tua kab mob penicillin: amoxicillin ( "Flemoksin"), ua ke nrog cov amoxicillin-clavulanate ( "Augmentin", "Panklav"). Raws li macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "Cefoperazone sulbactam".

Rau hauv loj heev siv:

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

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

Thaum tus kab mob no yog me me thiab mob qhia ntsiav tshuaj daim ntawv medicaments. Rau hauv loj heev sinusitis tshuaj tua kab mob siv intravenously los yog intramuscularly.

Local siv antibacterial tshuaj (droplets) tsuas yog nyob rau hauv lub me me hauv daim ntawv ntawm tus kab mob no.

Lub ua ke siv cov tshuaj pleev thiab mauj cov neeg ua hauj thiaj li muaj qhov pheej hmoo ntawm kev mob thiab speeds cov zoo cov txheej txheem.

Nyob rau hauv lub xaiv ntawm tshuaj tua kab mob yuav tsum coj mus rau hauv tus account lub xub ntiag ntawm kev tsis haum tshuaj nyob rau hauv lub anamnesis, cov ntaub ntawv bacteriological xeem (qhia kom paub txog lub pathogen thiab nws rhiab heev rau ntau pab pawg).

Nyob rau hauv tas li ntawd, nyob ntawm seb yuav ua li cas koj qhia sinusitis, taw raws li nram no txhawb kev ua ub no:

1. Vitamin txoj kev kho. Lub hom phiaj ntawm cov vitamins C, A thiab E.

2. Nkag ntawm narcotics yuav muab. Thaum qhia ncus mob, ua npaws nrog antiinflammatory, analgesic, antipyretic tshuaj txiav txim: "nimesulide" "Nimesil" "Naiz", acetaminophen, diclofenac sodium.

Nyob rau hauv loj heev zaum, yuav tsis ua li cas tsis phais.

1. Endoscopic minimally invasive kev cuam tshuam.

2. Cov kev khiav tawm ntawm tus txheem ntawm lub tej.

Cov me nyuam siv xwb manipulation nyob rau hauv tshuaj loog.

Pib nyob rau hauv kev kho sinusitis ntxuav qhov ntswg tej tsis muaj tshwj xeeb ntaus ntawv. Qhov no yog hu ua "Cuckoo." Lwm uas twb muaj lawm txoj kev ntxuav qhov ntswg yog siv cov qhov ntswg catheter "YAMIK".

Aids yog laser txoj kev kho, ultrasonic kev kho mob, UHF.

Kev tiv thaiv ntawm sinusitis

Yuav kom tiv thaiv koj tus kheej los ntawm txoj kev loj hlob ntawm tus kab mob no, nws yog tsim nyog los ua raws li cov lus qhia nram qab:

- siv humidifiers;

- mus nqa tawm kev ntxuav tu ntawm tus mob chaw ntawm kab mob;

- mus soj ntsuam ntawm tus kws kho hniav nyob rau hauv ib tug raws sijhawm los mus kho caries;

- tsis tsawg kawg yog ntxiv dag zog rau cov resistant rog ntawm lub cev, vitamin;

- ua kev massage nyob rau hauv lub projection ntawm lub maxillary sinuses;

- mus nqa tawm tiv thaiv ntawm exacerbations kab mob cab kuj (qhov ntswg lavage ntsev dlaws, thaum cog aureus muab turundy nrog ib tug dej tshuaj chlorophyllipt).

- los kho tsis haum rhinitis, hay fever;

- yog hais tias muaj yog ib tug yuav tsum tau xws kev kho mob, tsis txhob tso tseg rau kev phais kho ntawm septal tsis xws luag.

Peb ntsia yuav ua li cas qhia nws sinusitis nyob rau hauv cov neeg laus. Cov tsos mob muaj siab piav nyob rau hauv no tsab xov xwm. Yog hais tias koj pom tsawg kawg yog ib co tsos mob, tsis txhob yig thiab tsis txhob ncua - mus rau tus kws kho mob.