M surkin jini rhinosinusitis: haddasawa, cututtuka, ganewar asali, magani

Sau da yawa sosai ENT likita ya sanya kansa marasa lafiya bincikar lafiya kamar m rhinosinusitis, wanda shi ne wata cuta daga cikin manya na numfashi fili. Wannan cutar da ake bi da tare da maganin rigakafi. Sau da yawa shi sa rikitarwa, sakamakon wani m nau'i zama surkin jini ko na kullum. Zai yiwu tallace-tallace za a yi aikin tiyata. Bari mu bincika mafi daki-daki, wata cuta kamar yadda rhinosinusitis, cututtuka da kuma lura da wannan Pathology.

siffar

Ya danganta da inda a can ne wannan cuta suke da daraja:

• sinusitis (maxillary sinusitis).
• ethmoiditis (kumburi da ethmoid kashi) .
• sphenoiditis (kumburi da sphenoid sinus).
• pansinusitis da polisinusit (asarar wasu ko duk abin da sinuses).
• sinusitis (frontal sinus ne inflamed).

Duk wadannan cututtuka da ake kira da daya lokaci - "rhinosinusitis".

Sanadin

M rhinosinusitis iya faruwa ga wadannan dalilai:

• saboda kamuwa da cuta.
• ƙarƙashin rinjayar allergens.

Mafi sau da yawa wannan cuta ne ya sa ta a kowa sanyi. Ƙwayoyin cuta shigar da sinuses da kuma gabatar da su kumburi. Yawancin lokaci, idan da kamuwa da cuta ke shiga cikin hanci kogo, jiki nan da nan amsa ga wannan rigakafi amsa, ya karu gamsai kuma edema samuwar. Wannan take kaiwa zuwa da cewa saboda paranasal sinuses ciki fara za a nuna da wahala, da kuma haifar da kyakkyawan yanayi ga m yaduwa daga cutarwa microorganisms da kuma samuwar ruɓaɓɓen jini.

A jikin mutum kullum ne wasu iri kwayoyin cuta a cikin kadan yawa, kada ku sa da ya faru na kumburi tafiyar matakai. By rage m ayyuka na jiki, da suka fara zuwa radiyo, sau da yawa haddasa m surkin jini rhinosinusitis.

Bugu da kari, akwai pathological yanayin da predisposing dalilai domin ci gaba da cutar:

• ilimin Halittar Jiki Tsarin daga cikin hanci (a kara girman turbinate, septum nakasawa, da dai sauransu ...).
• immunodeficiency.
• gaban cututtuka irin cystic fibrosis, rashin lafiyan rhinitis, adenoids, da sauransu.
• saukar da wata barã'aa.

cututtuka

Lura da wadannan farko ãyõyin kumburi da sinuses:

• zazzabi.
• mai tsanani da ciwon kai.
• canje-canje a cikin jini.
• wani rauni da malaise.
• hanci cunkoso.

Bayan wani lokaci, m rhinosinusitis an nuna kamar haka:

• zazzabi.
• mahaukaci sallama daga hanci kogo.
• kumburi da eyelids ko kumatunta.
• halitosis.
• tari, sau da yawa m da dare.
• kange hanci numfashi.
• cuta na ji na wari.
• tashin hankali da kuma matsa lamba a shafi sinuses.
• ji na m gajiya.
• ciwon hakori, shi ne mafi m lokacin taban da ake.

M surkin jini rhinosinusitis iya samun babban iri-iri janar da kuma gida bayyanar cututtuka. Alamun ya dogara a kan hanyar da ya faru, gaban sauran cututtuka, da kuma shekaru na haƙuri. Kuma yara masu wuya ga jure cutar.

Polypoid rhinosinusitis yana da kusan guda cututtuka kamar m form. Tun da wannan nau'i na cutar ce mafi tsanani, domin ta lura da endoscopic tiyata ake amfani a tare da anti-rashin lafiyan magani.

bincikowa da

Da zaran na farko ãyõyin rhinosinusitis, wanda ba kawai wuce a cikin 'yan kwanaki, amma kuma inganta, ya kamata ka ko da yaushe tuntubar likita. Ga wani cikakken ganewar asali gwani kayyade wuri na sarrafawa da cutar, da siffar da irin kwayoyin cuta ko cutar da ta haifar da ci gaban kamuwa da cuta.

Wadannan ayyuka suna da za'ayi don tabbatar da asibiti manifestations m rhinosinusitis:

• general yanayin haƙuri.
• gudanar da ƙididdiga.
• gudanar da wani bincike instrumental hanyoyin.

ENT jarrabawa

Jarrabawa na haƙuri fara da tarin da ya likita tarihi. Don yin wannan, da mãsu haƙuri ya bayyana bayyanar cututtuka, tsowon lokacin fitarwa daga hanci da yanayinsu, gaban zafi a kai da kuma fuska, kuma su location. Ya kamata kuma gaya your likita game da duk wani alerji da kuma kwanan nan canjawa wuri colds.

A ganewar asali zai taimaka ko da bayanai game da hakori hanyoyin yi, shan magunguna, rauni mutane immunocompromised.

Bayan haka, likita ya aikata wani jiki jarrabawa na haƙuri, yin palpation na kumatunta da goshi, domin sanin abin girmamãwa daga cikin sinuses. Amfani ENT jarrabawa iya gane lahani a cikin hanci kogo.

dakin gwaje-gwaje gwaje-gwaje

A gaban da kumburi tsari da kuma yanayin tafarkinsa taimaka ƙayyade jini count. A wannan yanayin da bincike na jini da rabo daga halittarsu.

Bugu da kari, a cikin vitro gwada pathogenic abinda ke ciki kamu sinuses. Da taimakon microbiological nazarin kafa da irin pathogen da ta ji na ƙwarai to daban-daban antibacterial jamiái. Amma ya kamata a tuna da cewa sakamakon irin wannan kima a cikin m nau'i ne kawai 3-4 kwanaki bayan da farko na farko alamun cutar. Saboda haka, sau da yawa suka rasa su dacewar.

instrumental nazari

Musamman kayan aikin da ake amfani da su yi nazarin da wani cikakken ganewar asali:

• Hanci endoscopy - domin ta yin amfani da fiber-na gani tube, karshen abin da yake a haske Madogararsa. Tare da irin wannan binciken zai iya gane ko da dan karkata a cikin hanci kogo, da kuma zuwa kimanta septal aibi da kuma gaban marurai, kamar polyps.
• Lissafta tomography - yana dauke da mafi kyau hanya domin a gani dubawa na hanci sinuses. An fi dacewa da za'ayi a cikin taron da rikitarwa.
• Radiography - aka yi amfani da ko'ina har sai da endoscopy kuma lissafta tomography. A halin yanzu, ya zama yawa m iya Resort.
• Magnetic rawa tomography - shi ne mai kyau hanya domin ganewar asali na kumburi da rikitarwa a cikin kwanyar, m siffofin maruran. Maxillary sinusitis aka bayyana a cikin wani nau'i na duhun da maxillary sinuses.

kwantar da hankali

M rhinosinusitis da aka bi a matsayin likita da kuma m hanya. A tasiri na kowane Hanyar yana dauke da likita domin kowane haƙuri akayi daban-daban. Zabi Hanyar far dogara a kan daban-daban dalilai: shekaru na haƙuri, nau'i na cutar da kuma yanayi na tafarkinsa, da yiwuwar rashin lafiyan halayen, da dai sauransu Amma abin da bã ya lura regimen zai iya zaba, dole ne a aika fita zuwa ..:

• kashe ãyõyin kumburi.
• mayar da patency na wurare cewa connect hanci sassa sinus.
• cire daga axils na pathogenic ciki.
• kawar da tushen kamuwa da cuta.

rhinosinusitis a manya jiyya ya kamata a karkashin m dubawa da likita, tun uncontrolled magani sau da yawa take kaiwa zuwa rikitarwa. A babban burin da magani - kau na dauke da kwayar cutar wakili da kuma mayar da ikon da paranasal sinuses kadai tsabtace.

magani

M surkin jini rhinosinusitis bi da tare da wadannan magunguna:

• decongestants.
• immunocorrectors.
• maganin rigakafi.
• ƙarin symptomatic kwayoyi.

Decongestants da decongestants yawanci wajabta da fari da kuma amfani da su dole ne su kasance ba fiye da 4-5 days, saboda dogon lokacin da amfani kawai qara edema da hanci cunkoso. Wadannan kwayoyi hada da "Ephedrine", "Nazivin", "Sanorin", "Galazolin", "Naphthyzinum" da sauransu. N. Irin jamiái ba warkar da cutar, da kuma dan lokaci kawar da cututtuka.

A wasu siffofin da cutar kamar rhinosinusitis, bi da kawai da maganin rigakafi iya dauka da makonni biyu. Sun taimaka wajen kawar da duk na cututtuka, amma su liyafar ya kamata a yi kawai a karkashin kulawa da wani gwani. A mafi akai-akai wajabta kwayoyin kamar "Amoxicillin". Amma idan kwanaki uku bayan ya shiga kyautata bai faru, dole ne a maye gurbinsu da kwayoyi tare da aiki sashi, kamar yadda tetracycline ko cephalosporin. Har ila yau, da ya cancanci samun wadannan maganin rigakafi "clarithromycin", "Azithromycin" da "Roxithromycin".

Duk da fadi da kewayon daban-daban magunguna ana amfani da su bi m rhinosinusitis, su ne ba ko da yaushe tasiri. Wannan shi ne saboda cewa da yawa daga cikin kwayoyin da zai haddasa kumburi daga cikin manya na numfashi fili, nasarar tsayayya maganin rigakafi. Wannan shi ne dalilin da ya sa a cikin m rhinosinusitis, musamman a lokacin da inflamed frontal sinus, amfani da ruri daga cikin mutum rigakafi tsaron gida.

A saboda wannan dalili, yi amfani da immunomodulators da immunomodulators. Sun dauke da irin wannan abubuwa da mayar da aikin rigakafi tsaron gida. A hanya na lura shi ne yawanci 1.5-2 makonni.

Idan wannan nau'i na cutar tarar kamar yadda polypoid rhinosinusitis kuma dole ne a bi da yin amfani da mucolytic kwayoyi ( "myrtol," "Sinupret", "Acetylcysteine"). Su taimakawa ga thinning na m da kuma danko sosai abinda ke ciki na sinuses, sakamakon wani outflow na ruɓaɓɓen jini fara. Har ila yau, wannan magani na iya samun pharmacological kungiyar da antibacterial mataki.

Idan yanayin jiki ya karu, da mãsu haƙuri dole ne bi da gado sauran. Don yin wannan ya wajabta antipyretics kamar "Amidopyrine" da "asfirin". Kamar yadda analgesic kwayoyi yawanci wajabta "Paracetamol", "Ibuprofen". Karfi jamiái suna da wuya amfani, da kuma ya kamata su dauki wani fiye da 7 kwanaki.

Rashin lafiyan rhinosinusitis bi da tare da antihistamine saukad da Allunan. Zaka kuma iya amfani da man shafawa da kuma creams, amma hormonal kwayoyi suna wajabta sau da yawa sosai.

Na kamata ƙara da cewa, ban da miyagun ƙwayoyi jiyya, da wadannan magani:

• wanke hanci sinus antiseptic mafita ga cire wani mahaukaci ciki.
• shi bada shawarar sha yalwa na dumi ruwa: 'ya'yan drinks, stewed' ya'yan itace, sabo ne 'ya'yan itace juices, rauni shayi, broth kwatangwalo.
• amfani physiotherapeutic hanyoyin: obin na lantarki far, duban dan tayi, UHF.

Idan wadannan hanyoyi ba kawo ta dace sakamakon, suka koma ga tiyata.

m baki

Idan ba ka taimake miyagun ƙwayoyi far da irin wannan cututtuka kamar rhinosinusitis, magani a wannan harka shi ne da za'ayi surgically. Mafi sau da yawa, a lokacin da shi nada huda, wanda taimaka wajen:

• da sauri koya daga paranasal sinuses ruɓaɓɓen jini.
• kai tsaye shafi cikin mucosa daga cikin paranasal sinuses antiseptic, anti-kumburi da antibacterial kwayoyi.

Amma akwai irin wannan bi da kuma rashin amfani. Zai yiwu hadarin jini guba, asarar hangen nesa, da sauransu. N. Saboda haka, mafi yawan shi ba da shawarar.

Halaye na cuta a cikin yara

Rhinosinusitis a yara ne da rinjaye cuta, tun da shi lissafinsu daya bisa uku na duka cututtuka cewa suna hade da babba numfashi fili. Kuma kamar yadda manya, rabin yara ci gaba da fama da su.

A irin wannan cuta kusantar wajen samar da tsanani da rikitarwa. A mafi hatsari ne pyoseptic orbital wahala da take kaiwa zuwa illa wahayi, da kuma a cikin 2% na lokuta faruwa intracranial canje-canje. Idan lokaci ba ya gane asali cutar da kuma mu bi da shi, samar da ciwon huhu.

M rhinosinusitis a yara bayyana kanta kamar haka:

• excruciating shafe tsawon tari.
• wahala numfashi ta hanci.
• gajiya.
• janar malaise.
• hanci murya.
• kara a yanayin jiki.

Babban magani aka dauke su antimicrobial far kan bango na kara rigakafi.

Features da cutar a lokacin daukar ciki

Popular sau da yawa akwai wani m surkin jini rhinosinusitis a lokacin daukar ciki, haka ma, shi za a iya tare da rikitarwa, kamar yadda a wannan lokacin aka iyakance zuwa wani magani.

Kawai wani likita zai iya rubũta maganin rigakafi, wanda zai iya cutar da mace da kuma yaron idan dauka ba dama. Idan sharri penicillin kungiyar da aka canjawa wuri da kuma cephalosporins, macrolides da ake amfani. Yana iya zama "Moxifloxacin", "levofloxacin" da "sparfloxacin". Su rinjayi ne da halakar gina jiki kira a sel pathogenic kwayoyin. Wadannan kwayoyi suna dauke zama mafi inganci, kuma mai lafiya da magani daga mata masu juna biyu.

rigakafin

Domin kauce wa irin wannan cututtuka kamar m rhinosinusitis, ya kamata ka dauki wadannan m matakan:

• Kauce wa zayyana da kuma hypothermia.
• mai yawa tafiya a waje, a zahirance aiki.
• ta kasu.
• tafiyar da wasanni;
• lokacin da za a yi wa SARS da kuma zubar hanci.
• lokaci adireshin da likitan hakora da su bi da hakora a cikin sama muƙamuƙi.
• kyawawa to iyo a cikin tẽku ruwa da kuma teku iska zukar waraka.

ƙarshe

Saboda haka, m surkin jini rhinosinusitis dole a bi a karkashin likita dubawa, don haka kamar yadda ba su da wani kyawawan m matsalolin da zasu iya zama ko da rai barazana. Wajibi ne a kauce wa sa da cutar dalilai, kasa ciyar lokaci a tsare da kuma m muhallin, su daina shan taba. Tare da isasshen kuma dace magani daga rhinosinusitis ne gaba daya warke.