How to treat bilateral sinusitis

Treatment of acute bilateral sinusitis

The question of what is a bilateral sinusitis, treatment and prevention of this disease, is of interest to many. Almost every person has suffered from this illness at least once in a lifetime.In bilateral sinus sinusitis, there is an inflammation of the sinuses, which are above the upper jaw.

Since both sinuses are affected, the course of the disease is more difficult than with unilateral inflammation. Treatment, in turn, lasts longer. Its duration depends on the age, the physiological state of the patient and the stage at which the treatment was started. When the sinusitis turns into a chronic form, it becomes much harder to treat it.

The causes of bilateral sinusitis

The human body is quite vulnerable. The influence of various factors can cause failures in its operation. This leads to the onset of inflammatory processes.

The main causes of sinusitis:

Postponed viral disease. One of its complications can be inflammation of the maxillary sinuses.
Subcooling the body. This leads to a violation of its functions. Bacteria and viruses that get on the mucous membrane are not destroyed, but multiply and freely infect different organs.
instagram viewer
Pathological changes in the structure of the skull. Various curvatures and narrowing contribute to the accumulation in them of natural secretions from the nose. Over time, their transformation into a purulent substance that poisons the surrounding organs.
Activation of staphylococcus, which lives in the blood of almost every person. This process occurs when the body is weakened. It can be time after a disease or surgery.
Viral or bacterial infection. Especially the probability of infection during epidemics is very high. Finding a person in crowded places at this time is quite dangerous for health.
Injured or injured. Mechanical damage to the walls of the maxillary sinuses leads to destruction and inflammation of the mucous membrane.
Smoking. Smoke from cigarettes, passing through the respiratory tract, causes irritation of the mucous membranes. This leads to increased mucus secretion and blockage of the nasal canals.
Weakened immunity. This is due to malnutrition and bad habits.
Increased adenoids. These outgrowths can become sources of infection if they collect more viruses on their surface than they can destroy the immune system.

When a disease occurs, you need medical help.

Self-medication can lead to complications such as meningitis, osteomyelitis and brain abscess.

Symptoms of bilateral sinusitis

Early detection of ailment in a child and treatment with various methods allow to cut sinusitis at an early stage, avoiding many days of suffering.

Symptoms of bilateral sinusitis:

Deterioration of well-being. The person feels an ache in the whole body, heaviness in the legs. There is rapid fatigue. There is a headache, which is concentrated in the forehead and temples.
The temperature rises. At the initial stage of inflammation, it is kept in the range of 3, -3, º C. At an exacerbation it is possible to increase it to 38-3, º С.
There is an active allocation of mucus from the nose, followed by sneezing. At first the selections are transparent, then they turn white. Their transition to a yellow-green color indicates that an inflammatory process has begun in the sinuses.
Nasal breathing becomes difficult. In some cases the nasal passages are clogged with pus completely.
The sense of smell weakens or disappears completely.
There is a strong, unceasing pain in the area of the sinuses, ears and nose. Your teeth may hurt. Because of the proximity of the focus of inflammation and infection, there are unpleasant sensations in the eyes.
The voice becomes deaf and hoarse. Cough begins with profuse phlegm. It is secretions that drain into the larynx. Especially strong is a cough in the morning, when a patient tries to cough up sputum that has accumulated overnight.

Similar symptoms are typical for both adults and children. In a small child, diagnosing this disease is rather difficult, because children do not know how to blow their nose. Their nose is constantly filled with secretions that can resemble pus. Therefore, to establish an accurate diagnosis, a specialist consultation is necessary.

Diagnosis of the disease is carried out using methods such as:

examination of the otolaryngologist;
ultrasonography;
Magnetic resonance imaging;
radiography;
thermography;
CT scan.

The use of modern equipment allows you to make an accurate diagnosis, choose a method of treatment and prevent an exacerbation of the disease.

Drug treatment of genyantritis

Modern medicine presupposes an effect on the purulent bilateral inflammatory process in a complex way. This allows you to quickly remove pain syndrome, swelling and inflammation. The ultimate goal is the restoration of sinus drainage.

Medication affects the following procedures:

Admission of pain medications. This will give the patient some relief. He can normally eat, sleep and do urgent business.
Rinsing of the nasal passages with warm saline solution. You need to do this with a small rubber enema. The liquid must pass through the courses by gravity. Its forced retraction is not allowed.
Relief breathing. For this, vasoconstrictive nasal drops are used. Cleaned nasal passages will provide a free outflow of purulent substance from the sinuses.
Removal of mucosal inflammation. Getting rid of the edema will greatly improve the patient's condition.
Reception of antibiotics. Such drugs are taken in the form of tablets, powders and injections. Destruction of the infection helps stop the progression of the disease and quick recovery.

http://www.youtube.com/watc? = 63m1_6npBi0

As a rule, recovery occurs in 2-3 weeks.

Physiotherapeutic treatment

The impact on the affected area with the help of electrical medical devices significantly speeds up the process of healing the patient.

During the procedures, the following types of exposure are used:

irradiation of the nasal sinuses with a quartz lamp, which contributes to the destruction of harmful viruses and bacteria;
warming up, which contribute to an easier withdrawal of pus and the removal of pain;
the use of ultra-high-frequency therapy;
application of dynamic current.

You can conduct such procedures both in clinical and at home. In pharmacies, you can purchase various portable medical devices of a certain spectrum of action.

Surgical intervention

The operation is carried out in those cases when the medicamentous and physiotherapeutic methods did not bring the desired results. As a rule, the operation is carried out when the drainage from the sinuses stops due to plugging the channels with pus. If this is not done, then the secretions can penetrate deep into the skull and cause significant harm.

For the treatment of sinusitis, such types of surgical intervention as:

Piercing of the walls of the cavity. Such an event is conducted for both diagnosis and treatment. Drainage tubes are inserted into the cavity through which pus can be pumped out and medication is administered. During washing with physiological solutions, pus is removed from the entire surface of the cavity. This method is the most effective, since it allows you to deliver the medicine directly to the focus of inflammation.
Removal of adenoids. This operation is performed under local anesthesia and relatively painless. The patient is restored within 2-3 hours after its termination. Pain syndrome and swelling disappear after 3 days.
Making holes in the nasal concha. The operation is performed under general anesthesia. The hole is used for drainage in chronic forms of the disease. Despite the efficiency of the outflow, after a few years the hole overgrew.

http://www.youtube.com/watc? = xkMxtCune0E

Modern medicine offers rinsing cavities without puncture with the help of vacuum devices.

A healthy lifestyle and preventive measures, which must be carried out continuously, are of great importance for the prevention of the disease.

lor03.ru

Sinusitis in the child: treatment, signs

Genyantritis is one of the most dangerous diseases, which is hard to tolerate even by adults. In children, due to the special anatomical structure of the sinuses, this ailment often leads to serious complications, such as pneumonia, meningitis, and otitis media. In addition, accumulated mucus causes irritation of the nerves of the face and provokes severe headaches. Only timely diagnostics and correct measures of struggle can save from such ailment as sinusitis. At the child treatment should be supervised exclusively by the doctor. This will protect the baby from unpleasant consequences.

Causes

Often, signs of sinusitis in children appear as a result of a runny nose. Infection, located in the respiratory tract, gradually passes into the maxillary sinuses. Here it provokes the onset of the inflammatory process. Statistics show that children's colds in 5% of all cases result in genyantritis.

In this case, not only ARVI can trigger the development of ailment. Sometimes a serious illness causes adenoids, polyps, curvature of the septum of the nasal cavity. Such conditions lead to a breach of breathing. As a result, the child becomes stagnant with mucus, which leads to inflammation.

After long illnesses, when the immunity of the baby is weakened and can not fully combat infection, the risk of sinusitis is high. Frequent allergies are a constant companion of the ailment.

Symptoms of the disease

The inflammatory process in sinusitis captures epithelial cells and the underlying loose tissue, as well as blood vessels. In the stages of leakage, two types of maxillary sinusitis are distinguished:

acute;
chronic.

Each of them distinguish their own, characterizing the genyantritis symptoms. Treatment in children also depends on the form of the course.

Acute sinusitis is manifested by the following symptoms:

discharge from the nasal cavity;
impaired breathing;
an unpleasant feeling in the near-nasal region;
feeling of tension and pressure in the inflamed sinus;
pain in the area of cheekbones, temple, forehead;
severe discomfort in the teeth, significantly worse during chewing;
a headache, provoked by a pile of pus in the affected sinuses.

If measures are not taken in time, the ailment passes into a more severe stage - a chronic one. There are several differences in this case, such a disease as sinusitis, symptoms, treatment. In children, all signs of an illness cease to be pronounced. However, the disease for a long time bothers the baby. There is a constant alternation of stages of exacerbation and remissions. Chronic form is characterized by an irreversible process present in the mucosa. As a result of such changes, the latter loses its protective properties.

Types of inflammation

In medicine, there are many classifications of this ailment. So, according to the type of inflammatory process, the disease is divided into the following types:

Catarrhal sinusitis in children.Treatment is complicated by the acute course of the disease. The main distinctive feature of this species is the complete absence of pus. In this case, the inflammatory process can affect even the periosteum.
Purulent sinusitis.This form characterizes the deep degree of the inflammatory process in the mucosa. In this case, the child has purulent discharge.

Diagnosis of the disease

Initially, the doctor finds out all the complaints of the patient, interrogates parents about the symptoms, examines the child. For adults, the most effective diagnostic method is X-ray. In the picture, in the case of genyantritis, clearly visible darkening of the maxillary sinuses. In children this method will not give a reliable answer. After all, even the usual rhinitis can show in the picture a darkening of the sinuses. In addition, X-rays are not recommended for a child.

If the doctor observes signs of genyantritis in children, he can recommend a puncture. To do this, using a special needle is a puncture of the sinuses and sucked its contents.

Foreign medicine leads many arguments against the use of this method:

in most cases, the puncture proves the purity of the sinus;
puncture can provoke emphysema of the orbit, cheeks, blockage of blood vessels;
piercing in babies is done exclusively under anesthesia.

There is also a completely harmless, but quite effective method of diagnosis. This is diaphanoscopy. In the darkened room, the doctor enters the Goering's bulb into the mouth. The child tightly grips her lips. In addition to this method, ultrasound can be used.

Treatment of genyantritis

Often, this ailment in children is treated with pharmacotherapy. It should be remembered that the effective treatment of sinusitis in children is able to appoint only a doctor based on the patient's condition, age and the course of the disease.

Depending on the above factors, anti-inflammatory therapy is selected, physiotherapy and "cuckoo" type procedures are prescribed. If necessary, an antibiotic is introduced into the treatment regimen.

In the severe condition of a small patient, a doctor may hospitalize a child. If the diagnosis reveals acute sinusitis in a child, treatment of the disease lasts from 1 to 2 weeks on average. In the case of a chronic species this period is stretched to a month.

Drug medication of acute form

Only a doctor can diagnose this species. If the tests showed acute sinusitis in children, treatment should be prescribed exclusively by an otolaryngologist. As a rule, drug therapy includes:

Vasoconstrictors. These are various drops and sprays for the nasal cavity. Their action is aimed at removing the edema of the mucosa and removing stagnant fluid from the sinuses. These drugs are prescribed for a short period (about 5-7 days). They include such means: "Tizin" Nazivin "Nazol" Galazolin "Sanorin" Zanos ".
Antihistamines. This group is appointed if the disease develops against the background of an allergy. Often these are the following drugs: "Claritin" Telfast. "
Sprays for the nose, which include steroid hormones or antibiotics. Such drugs as "Bioparox" Isophra "Bactroban reduce the inflammatory process.
Mucolytics. Sufficiently effective medicines if a sinusitis is diagnosed in a child. Treatment is aimed at dilution of the contents filling the maxillary sinus. As a rule, the following drugs are prescribed: "Fluimucil
"Mukodin" Robotussin "Fljuditik" Guafenizin ". As a result, mucus is better excreted.
Antibiotics in the form of injections or tablets. Such therapy is relevant for purulent sinusitis. Preference is given to the penicillin group. These are the preparations "Amoxicillin" Ampicillin "Flemoxin" Amoxiclav. "

Bilateral sinusitis in the child

The disease can affect one of the sinuses. In this case, right-sided or left-sided sinusitis is diagnosed. Sometimes such a diagnosis can be determined even visually. About the disease is able to indicate unilateral swelling in the face.

Sometimes the ailment seizes both sinuses. In this case, bilateral sinusitis is diagnosed in the child. Treatment is much more difficult. Because this form of the disease signals a weak immune system. In such a situation it is very important to turn to a doctor in time, and not to engage in self-medication. Often the doctor directs to take a smear from the maxillary sinus. This allows you to identify the causative agent of the disease. And consequently to appoint adequate treatment.

Most often, if a bilateral sinusitis is diagnosed in a child, treatment is prescribed with the connection of antibiotics. The choice of the necessary drug depends entirely on the causative agent of the infection. These drugs help to suppress the inflammatory process and stop the multiplication of pathogens.

As a rule, the following drugs are prescribed:

Bioparox.
Isofra.
"Sinuforte".
Protargol.
«Collargol».

It should be very carefully monitor the condition of the baby. If treatment of genyantritis in children with antibiotics does not have a positive effect for several days, you should immediately consult a doctor. After all, in this case, the infection was resistant to this drug.

Non-drug treatment

Only complex methods can defeat sinusitis in a child. Treatment includes non-drug therapy. What measures to choose, the doctor decides on the basis of the patient's condition, neglect of the disease.

Sinus puncture (puncture)

Under local anesthesia a thin needle is pierced by the sinus in the place where it is the thinnest. The cavity is washed with a special antiseptic solution. Then the medicine is injected into it. The main advantage of this method is the rapid disposal of accumulated pus and the possibility of introducing the necessary drugs directly into the sinus. This contributes to the rapid reduction of facial and headache, as well as general improvement in the condition. In addition, puncture allows in most cases to do without the use of antibiotics.

The main disadvantage of the procedure is the need to repeat these manipulations in order to achieve complete cleansing of the sinus. It is extremely rare, but there is a possibility of complications. This occurs when the atypical structure of the maxillary sinus.

To avoid a repeated puncture, during the first puncture the child is given a special drainage. Through such a thin rubber tube, further washing of the maxillary cavity is carried out.

Using the YAMIK catheter

This method is an excellent alternative to punctures. A rubber catheter is inserted into the nasal cavity under local anesthesia. Two balloons are inflated in it. One of them - in the area of the nostril, and the second - in the nasopharynx. This allows hermetic closure of the nasal cavity. Through a separate channel using a syringe sucked up the contents of the sinuses, and inside the drug is injected.

The biggest advantage of this method is the preservation of intact mucosa. If we talk about shortcomings, then, as in the case of a puncture, it often requires re-manipulation. In addition, this procedure is not carried out in all medical institutions.

Sinus clearance

In the people this procedure is called "cuckoo". Manipulation occurs in the ENT room. A small patient is poured a special solution into one of the nostrils. From the other, the content is suctioned. At this time the child should say "ku-ku". This protects the oropharynx from getting into the solution.

The procedure is completely painless. But, unfortunately, is ineffective when compared with the two manipulations described above.

Folk treatment of sinusitis in children also implies the washing of sinuses. But in this case, manipulations are carried out at home on their own. For washing, salt, antiseptic and herbal solutions are used.

Very carefully it is necessary to make such procedure to children. Be sure to pay attention to the outgoing mucus. In case of any unwanted changes, consult a doctor immediately.

Washing is carried out using a syringe, spray. You can draw fluid from one of the nostrils from the palm of your hand or cup. But this should not cause the baby unpleasant feelings.

Home methods of treatment

It should be remembered that in the acute phase of bilateral sinusitis, inhalation over potatoes is absolutely not suitable, applying heated salt, sand, boiled eggs to the sinuses. Such manipulations are quite dangerous for this form of ailment.

One of the important conditions of home treatment is a full-bodied diet rich in vitamins. Very fresh juices from spinach, beets are very useful for children. In the diet it is recommended to enter garlic and onions. After all, they contain the most powerful antibacterial components. The doctor can prescribe a vitamin course. These measures are aimed at maintaining the protective functions of the body.

If you are implementing folk treatment of genyantritis in children, consult a doctor without fail. The use of any means without advice to the doctor is absolutely unacceptable.

Some activities can be carried out at home without fear of harming the baby. They include:

Massage.On the first day of a baby's illness, it is recommended that you tap lightly on the nose bridge with your thumb. The procedure lasts for 2-3 minutes. It is advisable to repeat the tapping every half hour. The massage is effectively assisted by a clockwise (about 30 seconds) massage of the following points: the inner upper corners of the eyebrows, the lower inner parts of the orbit, and the central region between the eyebrows.
Breathing exercises.The baby should alternately breathe for 5 seconds of each nostril. You need to repeat this exercise 10 times. While breathing one of the nostrils, the second one should be covered with a finger.

Preventive measures

The most important direction is to strengthen the immunity of the child. Any viral or infectious diseases should be treated in a timely manner. A very small baby should be taught to properly clean the nasal cavity with a cold.

In the case of predisposing factors (for example, curvature of the septum), measures should be taken to eliminate them.

A special place is given to the need to temper the child. Excellent wiping, the adoption of air baths (if we talk about the youngest children).

It is important to remember that sinusitis often occurs in a child who is constantly in a dry air and having a dust. Therefore, it is advisable to hold in the room a constant moistening, airing.

syl.ru

Causes, main symptoms and methods of treatment of bilateral sinusitis

Bilateral sinusitis is one of the most complex forms of nasopharyngeal cavity disease, so it is very important to detect it in time and to treat it correctly. In the case when the inflammation of the paranasal sinuses is not treated, many serious complications can develop.

Very often the acute form of sinusitis passes into the chronic stage, and the proximity of the placement of the paranasal sinuses to the brain with neglect of acute bilateral sinusitis can cause intracranial complications, dangerous to health patient. Often observed complications such as thrombosis of the vessels of the brain, meningitis, inflammation of the brain.

The sinusitis, in which both paranasal sinuses are affected, is manifested by the following symptoms:

nasal congestion;
the body temperature rises;
chills of the body;
an impassable cough;
general weakness;
pain in the forehead.

Sinusitis is a serious enough and dangerous disease, because near the maxillary sinuses close are the eyes and brain, which can also spread inflammatory process.

Factors causing the disease

The acute form of sinusitis is diagnosed in the case when there is edema and inflammation in the two paranasal sinuses. Depending on whether or not there is pus in the sinuses, there may be bilateral purulent maxillary sinusitis or a bilateral catarrhal type of this disease.

Two-sided sinusitis can be caused by the following reasons:

trauma to the nose;
penetration of infection in the maxillary sinuses;
congestion of mucus in the nasal passages;
an increase in adenoids and the formation of polyps;
allergy;
weakened immunity;
complications after colds.

As medical practice shows, sometimes the development of the disease can be caused by a transferred measles or scarlet fever. The maxillary sinuses can also become inflamed as a result of gum disease and teeth.

How is the treatment?

Taking into account the fact that the inflammation of the maxillary sinuses is a great danger to human health, it is important to know how to treat bilateral sinusitis. Modern medicine in everyday activities actively uses innovative equipment and effective techniques that allow you to make an accurate diagnosis even at the initial stage of education inflammatory process. Usually in the diagnosis of such methods are used:

Magnetic resonance imaging;
ultrasound diagnostics;
CT scan;
thermography;
diaphanoscopy.

Many people can often come across information that there are many methods of treating bilateral sinusitis at home. Such methods are based on the use of medicinal plants and useful natural products. However, it is better to refuse such treatment, as it is impossible to put an exact diagnosis on your own and to assess the whole complexity of the situation that has arisen.

Treatment of the disease is usually carried out for two weeks, but depending on the nature of sinusitis, it can last longer. It is mandatory during the treatment of bilateral sinusitis, the maxillary sinuses are washed, specialists usually use the "cuckoo" method or the sine-catheter "Yamik".

Among non-traditional methods of treatment by some clinics, reflexotherapy or acupuncture may be used. Homeopathic preparations, physiotherapy and special medicines effectively eliminate the inflammatory process. In the treatment of bilateral sinusitis the child is recommended to use herbal preparations. In the treatment of children and pregnant women, phytotherapy is also actively used as an auxiliary method to basic therapy.Drops for nose and inhalation can not eliminate the inflammatory process, but they contribute to the effective removal of mucus with purulent contents.

With neglect of the disease, when conservative methods are powerless, the puncture of the maxillary sinus becomes inevitable. This operation is carried out quickly and does not require special training. First, disinfection of the puncture site is mandatory, then a thin needle is inserted into the paranasal sinus, a syringe is attached to it, and pus is washed out with saline. The main disadvantage of the procedure is its soreness, but, nevertheless, such an operation is considered effective and lasting.

NasmorkuNet.ru

How to treat bilateral sinusitis with drugs?

Question:

Hello, my name is Larissa. At me a genyantritis, the doctor has told or said that bilaterial. How to treat bilateral sinusitis?

Answer:

Hello, Larissa. The term "bilateral sinusitis" means that the disease affects both sides of the face.

Nasal steroid sprays reduce edema of the mucous membranes and relieve discomfort. The full effect of such sprays often requires their use for several months or years. Rare, but possible side effects are nasal bleeding or temporary headaches.

There is not enough research to say exactly how effective antibiotics are in the treatment of bilateral sinusitis. Sinusitis is rarely caused by bacteria, and antibiotics can only fight bacteria.

Decongestant drops "soothe" the irritated mucous membrane of the nose and reduce swelling. This causes a short-term improvement in nasal breathing. But similar drugs can cause the opposite effect. After only a few hours, the mucous membranes of the nose will swell again. The longer the drug is used, the more often it occurs. Therefore, if the doctor explained to you how to treat bilateral sinusitis, he should have mentioned that decongestant drops can not be used for longer than 2-3 days.

In addition to medicines, alternative therapies are used, such as acupuncture, heating with a blue lamp and taking zinc-containing products. However, there is no scientific evidence that these procedures will help treat bilateral sinusitis. At the first sign of maxillary sinus in adults, it is worth immediately contacting a doctor so that he can prescribe the right treatment.

gajmorit.com