Sinusitis is an inflammatory process that takes place in the maxillary sinuses. Visually, their location can be determined as follows: on either side of the "wings" of the nose. It is these sinuses that fill with purulent contents and disrupt the habitual rhythm of life, bringing great discomfort. Sinusitis is considered one of the most dangerous diseases in the field of otolaryngology, because the purulent contents of the maxillary sinuses can spread to other cavities of the skull and even negatively affect the brain.
Contents
- 1 Treatment
- 2 Treatment with sprays
- 2.1 Most popular sprains for sinusitis
- 2.2 Indications / contraindications for use of sprays
- 2.3 Rules of use
- 3 Possible complications
- 4 Video
Symptoms and signs
First, you should remember - the genyantritis never arises "suddenly, suddenly, by itself."
This disease is always a consequence of an untreated common rhinitis( rhinitis). Secondly, the symptoms of the inflammatory process under consideration are variable and depend on the form of the disease in acute or chronic. But for the one and the second form, the following symptoms and signs of sinusitis will be inherent:- complete nasal congestion;
- change in olfactory reflexes - the patient will complain of a persistent stench;
- headaches in forehead;
- sensation of heaviness in the maxillary sinuses;
- abundant lacrimation.
If to speak more in detail, it should be taken into account that the acute form of maxillary sinusitis is characterized by:
- paroxysmal headache;
- spontaneous temperature increase to high values;
- inability to fully breathe.
But with the chronic development of the inflammatory process in the maxillary sinuses, the symptoms will be slightly different:
- from time to time headaches in the forehead area - they are more often present during physical exercises, torso down / forward;
- sensation of heaviness in the area of the maxillary sinuses - especially clearly manifested when inclined downwards;
- patient's breathing through the nose is broken, but present.
Spray Treatment
Sinusitis should be treated only under the supervision of a doctor - the risk of serious complications is too high. But this does not at all mean the need for immediate and unconditional hospitalization. First, such a need is determined by the doctor after the examination of the patient. And secondly, people with chronic sinusitis can fully cope with the treatment and independently.
How to treat sinusitis with medicines? With exacerbations or acute form of the disease, the appointment of a regimen for taking antibacterial drugs( modern antibiotics for sinusitis), washing with antiseptic solutions, physiotherapy will be required.
Spray is the most effective drug that quickly removes symptoms and has a curative effect. This drug, which has a local effect, is realized in plastic bottles with a dispenser, is easy to operate.
How to do inhalations in a cold with a nebulizer with saline solution is indicated in this article.
How inhalations are made through a nebulizer in a runny nose is indicated in the article.
Which nebulizer for children from cough and cold is best: http: //prolor.ru/n/ lechenie-n / ingalyacii-pri-nasmorke-nebulajzerom-recepty-dlya-detej.html
The most popular sprains for sinusitis
There are several categories of this type of medicines:
- Vasoconstrictive. Affect directly on the mucous nasal passages, relieve their puffiness, facilitate breathing of the patient. Sprays with vasoconstrictive effect can be used for children from the age of 6 years, categorically forbidden for pregnant and lactating women, should be used no more than 5 consecutive days - a longer period of application leads to persistent addiction. For maximum effect, one injection at 6 hours is enough. To vasoconstrictive sprays are: Sanorin, drops in the nose Tizin and Vibrocil.
- Moisturizing .They do not have a therapeutic effect, but they facilitate the patient's condition as much as possible - they moisturize the dry mucous membrane and have a mild washing action. Such kind of sprains at genyantritis can be prescribed absolutely to all patients, including pregnant, nursing, and children under 6 years of age - they are absolutely safe. The moisturizing sprays used for sinusitis include: Morenazole, Aqua-Maris, Saline.
- Mucolytic. This type of drug under consideration actively dilutes the accumulated mucus, thereby facilitating its withdrawal from both the nasal passages and directly from the maxillary sinuses. Such sprays can be used in patients over 12 years of age, categorically forbidden for pregnant and lactating people, can cause allergic reactions and side effects( hyperemia of the mucous membranes, even more edema, itching rash all over the body, Quincke's edema and anaphylactic shock).But the drugs described have both anti-inflammatory and antioxidant effects. To mucolytic sprays are: spray Rinofluimucil and Sinuforte.
- Corticosteroid. Are appointed exclusively by the attending physician, can be used for a short time( no more than 3 consecutive days), perfectly relieve swelling, providing the patient breathing through the nose. Strictly prohibited for use in children under 10 years of age, with special care is given to pregnant and lactating women, can cause the development of side effects - profuse nosebleeds, burning in the nasal passages. Corticosteroid sprays include: Baconase and Nasonex.
- Antibacterial. This group includes antibiotic sprays, which are considered to be an optimal alternative to taking tablets orally. Antibiotic sprays can be given to patients from the age of 2.5 years, there are no definitive contraindications to use by pregnant and lactating women, the duration of the course should not exceed 5 days, no more than 3 injections per day. Antibacterial sprays include Isofra and Bioparox.
Indications / contraindications for use of
. The administration of medicinal products in the treatment of sinusitis is the prerogative of physicians. Sprays should be used in the following cases:
- inflammatory process in the maxillary sinuses is at an early stage of development;
- the patient has no signs of intoxication of the body with purulent contents of the maxillary sinuses;
- sinusitis occurs in an acute form, diagnosed for the first time;
- exacerbation of the chronic form of the considered disease happens not more often than once in 3 months.
Sprays of any type can seem absolutely harmless medicines, but they also have contraindications to the appointment. In medicine, it is customary to consider two types of such contraindications:
- Categorical. These include previously diagnosed allergic reactions to components of sprays, early childhood( up to 2 years), polyps and other neoplasm in the nasal passages.
- Conditional. As such, pregnancy, lactation, unstable hypertension( increased blood pressure), and renal / hepatic insufficiency can be considered.
Important: In each specific case, the administration of sprays of any type of action should be performed by a physician. Only he, on the basis of the results of the examination of the patient, will determine the expediency of conducting a course of treatment with just such medications.
Application Rules for
Sprays should not be used for more than 5 days in a row, otherwise it can cause permanent addiction and even some kind of dependence. Dosage should be 1 injection in each nostril, but 2-3 times per day.
Please note: in case of acute course of the disease, the number of procedures per day can be increased by 1-2 positions, but not more.
The drug should not be too cold( it can not be used directly from the refrigerator).The tip of the "pipette-injector" must be inserted into the nasal passage and press on the vial itself. At the time of injection, you need to take a deep breath - this will help the smallest particles of the drug to spread to a wider area.
Possible complications of
In the absence of any treatment, ignoring the prescriber's recommendations / recommendations, the following complications may develop:
- the transition of the acute form of sinus inflammation to chronic sinusitis;
- development of pathological processes in other cavities of ENT organs;
- otitis media - inflammation of the middle ear;
- bronchitis and pneumonia.
Genyantritis is dangerous because it can "go" beyond the limits of ENT organs and in this case it is possible to develop more serious and even life-threatening conditions:
- meningitis and / or encephalitis - inflammatory processes in the meninges;
- heart failure, a violation of his work - myocarditis;
- development of pathological processes in the joints - arthritis, rheumatism;
- kidney damage - in particular, against the background of neglected sinusitis, nephritis can develop;
- sepsis is a common infection of the blood.
Video
More information about treatment and prevention of sinusitis in adults you will learn from this video:
Sinusitis is an inflammatory process in the maxillary sinuses, characterized by the formation of purulent contents and severe consequences in the absence of professional therapy. Treatment of sinusitis with sprays is not always justified, so a specialist's consultation is necessary. Otherwise, the pathological process will continue to develop actively.