Whether it is necessary to do or make a puncture at a genyantritis?
Answers:
klen054
better to make a puncture ...
VerWolf
Puncture is mandatory!
Vera H
Nowadays, the punctures are done only in exceptional cases! they say, you will do it once, not the fact that this will be the only time!
Treatment of genyantritis
Acute maxillary sinusitis and chronic sinusitis are most often treated with the help of usual pharmacotherapy, which the doctor chooses for consultations. Rinsing of the paranasal sinuses (without puncture) is performed only with severe pain syndrome or copious pus. Laser therapy is performed to eliminate the effects of inflammation and enhance the effect of drug treatment. In a number of cases (for example, during a severe course of the disease), treatment with an otorhinolaryngologist should be combined with acupuncture and the intake of biologically active additives. Completely the course of treatment of an acute process takes depending on the severity of two weeks to two months.
Treatment, as a rule, is outpatient. It is important to ensure a good outflow of contents from the affected sinuses. In severe cases and the presence of complications, hospitalization is indicated. In acute sinusitis and exacerbation of chronic sinusitis, antipyretic agents, sulfonamide preparations, antibiotics, hyposensitizing agents, vitamins are prescribed. Locally used vasoconstrictors (naphthyzin, etc.), which can be used in the form of drops, for spraying, lubrication. In acute sinusitis, sollyks, diathermy, ultrahigh-frequency currents are used; in chronic course - microwave therapy, electrophoresis of medicinal products preparations (antibiotics, hormones, etc.), diadynamic currents, diadynaphoresis, mud therapy, paraffin applications, inhalations and aerosols. For the treatment of chronic allergic sinusitis, non-specific drugs (calcium chloride, antihistamines, ) and specific (small doses of allergens, vaccines and autovaccines) of hyposensitization.
Whether it is necessary to do or make a puncture at a genyantritis? At whom there was such problem, prompt, how it is better ??
Answers:
Doudoux
can sineforte? I wonder why he did not advise. I had a complication treated with rhinofluimucil, but it seems to me that I myself somehow passed, not in it.
Natalia Savchenko
All of my acquaintances who made the puncture, then greatly regretted it. No one helped. There was only temporary relief.
Tatyanochka
try to rinse your nose with water and salt-a teaspoonful of a glass and pills Sinupret, an antibiotic-amoxiclav, recently cured it of sinusitis, they also say that it drips with beet juice, it helps well
Xutro Svetlana
Many of my friends suffered a "puncture", are still alive))))
Itself did without this - six years ago bought the book Strelnikova, still she is in my honor)))
First, read:
http://www.strelnikova.ru/mehanizm.phtml
Andrey Enyutin
well and I do not know, t. To. You have passed or have taken place already a course of antibiotics that probably it is better to open. but usually appoint tsiprolet 500 and pinosol, endures everything. Tell me, did you ever take ACC?
shamich yulia
I am not a doctor. but I have chronic sinusitis since 1982 and there were very serious complications even disappeared once the sense of smell.. but I never made a puncture.. it is better not to if you can get by with medications.. now that's just not there.. See for yourself.. then constantly it will be necessary to pump out.
Minerva
"The genyantritis is almost always a puncture" - the opinion is common.. . in any case, if in the picture the doctor sees in you a blackout in the maxillary sinuses or you will have negligence complain about a headache and shortness of breath, you will almost certainly be offered a puncture. Meanwhile, this method of treatment is by no means the most effective and certainly not the only one.
If there are purulent discharge, or there is no data for the presence of pus (the level of the liquid is not visible in the picture), a puncture is not at all necessary.
Moreover, in the arsenal of doctors there are other methods of washing the sinuses, much more comfortable for the patient.
For example, the method of washing the sinuses of the nose, which is successfully used by children's otorhinolaryngologists and to this day is a method of movement, vacuum flushing or "cuckoo". The advantage of this method is not only its convenience and complete painlessness, but also that it allows you to wash all the sinuses simultaneously.
Where a puncture, due to purely anatomical reasons, can not produce the expected results, for example, with a front, the use of vacuum drainage makes it possible to achieve a complete cure. ways of washing the maxillary sinuses through natural anastomosis (the same thing through which pus comes out most often) with the help of a special cannula or catheter.
It is best to consult a doctor (and preferably not one), because in some cases, a puncture is the most effective remedy.
Good luck and do not be ill!
Anonymous
I was given a puncture. Nothing wrong. If doctors insist, then you can do it. Why not.
Another thing is that the piercing one is not done most often. Do or make a little through day, depending on a degree of neglect of a genyantritis. Each subsequent puncture is more painful)))
Whether it is necessary to do or make a puncture at a genyantritis?
Answers:
Yana Sergeevna
Watching which sinuses are involved in the process of inflammation and accumulation of pus. In the ENT department, pus is removed. And you will always be treated conservatively, you will suffer every year.
Natalinka
Do not rush, try to treat
Dafka
If there is a honey indication.
Sonechka
The spouse says if you pierce your forehead, then every year you will have to do it, pus will accumulate, you will have to. Try not punching to get rid of the disease, rinse your nose, antibiotics and so on.
Viktor Tikhonenko
Lutshe to lichit
Marina Tishunina
This is to ask not here, but at the ENT doctor who saw your picture, and you on examination.
How do a puncture in genyantritis and whether it should be done?
Question:
Hello! My name is Nikolay, I have been fighting the genyantritis for a long time. But the drugs are saved only for a while, and then everything starts again. Now there is such a situation that it's very difficult for me to breathe. I would like to know how to make a puncture in genyantritis?
Answer:
Good afternoon, Nicholas! Indication for the puncture will not only pus in the maxillary sinus, but also the accompanying natural outflow.
Execution of a puncture is often necessary in order that inflammation does not affect neighboring organs. This can cause significant complications: meningitis, sepsis, loss of vision, etc.
Many patients do not dare to do this procedure, because they do not know how to make a puncture in genyantritis, whether it hurts. Those who doubt whether to make a puncture in sinusitis, you should know that this method is unique if the patient has a serious general condition and developed a purulent version of the disease.
At a puncture not only the purulent secret is extended, but also antibacterial and anti-inflammatory agents are introduced, thanks to which normal nasal breathing is restored. If you do not get rid of the inflammatory process in a timely manner, the sinusitis can become chronic.
To perform a puncture with genyantritis do not need to specially prepare. But it is better not to eat before the procedure, because when purulent contents come out through the mouth, a vomiting reflex can arise, and with a full stomach - and vomiting. In addition, before the procedure, some patients need psychological preparation.
How does the procedure itself take place? In the nasal passage, a tampon with a vasoconstrictor is inserted using a thin tweezers or a special wire. Due to this, you get rid of puffiness to gain access to the sinus. After this, a tampon with an anesthetic is inserted. For children, general anesthesia is often used. Then the doctor introduces a special needle with a hole to feed the solution into the sinuses. When it is at the required depth, the doctor performs a sharp movement, during which the patient can hear a crunch. A syringe or tube is attached to the needle, and a rinse is performed with saline. In the future, the administration of an antibiotic or other agent is possible. After the extraction of the needle, the nasal passage is closed with a tampon with an antiseptic.
Many patients are interested in how many punctures are done with genyantritis. Very often one puncture is enough to recover, after which the disease does not return.
gajmorit.com
What consequences can be after a puncture of a genyantritis?
Very often with such a disease as sinusitis, it becomes inevitable that the procedure for puncturing the maxillary sinuses becomes necessary. This need is caused by the fact that the inflammatory process can spread to neighboring tissues, which entails serious consequences. However, often the genyantritis after the puncture does not completely pass, so the correct action of the specialist will be the application of several methods of treatment. This approach sometimes makes it possible to avoid the puncture of the maxillary sinuses, but only if the treatment is carried out at early stages of the disease.When you really need a puncture?
In the presence of pus in the maxillary sinuses puncture is necessary
The puncture of the maxillary sinuses is a surgical intervention aimed at alleviating the patient's condition, in the case when the other methods have proved to be ineffective. If you watch a video of a sinus infection, you can understand that the procedure is quite unpleasant and unsafe, because often there are dangerous complications. The operation is performed to remove accumulated pus from the paranasal sinuses, which can penetrate much deeper, causing irreversible consequences.
In the beginning of the disease, when the sinusitis is catarrhal, that is, without purulent discharge, the inflammatory process causes only a swelling of the nasopharynx and hampers the breathing process. It can be cured by a medicamentous method and in such situations a puncture will not be required.
It is also important to know that even purulent maxillary sinusitis can occur in mild form. But, given the fact that it is difficult to remove purulent contents without medical assistance, it is advisable to use methods such as "cuckoo" or the sinus catheter Yamik. With the help of this method and a special device, it is possible to effectively extract all pus under the influence of negative pressure, which is created in the nasal cavity.
When severe form of the disease, these methods are contraindicated for use, as strong pressure in the nose can contribute to the deterioration of the patient. Only in this case, puncture of the nose becomes the only way to relieve a person of the symptoms of sinusitis.
Disadvantages and advantages of the procedure
The needle of Kulikovsky for the puncture of the maxillary sinuses
Perhaps the only drawback of puncture are the consequences of a puncture of the sinusitis, which both doctors and patients are trying in every possible way to avoid. Unfortunately, as medical practice shows, this can not always be achieved, since the puncture of the nose itself is quite a dangerous operation. To avoid possible consequences after the manipulation of the surgeon, it is important to be able to choose the right doctor. It is also forbidden to perform an operation in such cases:
- severe general diseases;
- early childhood;
- pathology in the formation of paranasal sinuses;
- acute infectious diseases.
The most effective method of treatment of sinusitis is a puncture of the maxillary sinuses
Despite the soreness, trouble and danger of puncture, nevertheless, this operation, provided all the rules and recommendations are observed by the doctor and the patient, gives the best results.Removing the purulent contents of the paranasal sinuses with this method of treatment makes it possible to reduce the duration and dosage of antibiotics.
Usually the operation is successful, and the hole in the bone wall is self-tightened no longer than a month, without causing any complications. After the operation, the specialists prescribe antibiotics, anti-inflammatory drugs and antihistamines to their patients. Thus, only with the right approach and the positive experience of ENT do not need additional methods of treatment of sinus after puncture. Obligatory actions of the person who has just undergone surgery should be proper nutrition and vitamin therapy, aimed at correcting the immunity.
Possible complications after surgery
Complications during puncture with genyantritis are extremely rare, but, nevertheless, they include:
-
Nasal bleeding. This process occurs as a result of damage to the blood vessels during the puncture of the paranasal sinuses. As a rule, bleeding is not abundant and stopping them is quite simple. - Puncture of the wall of the eye socket or cheek tissues. This complication of surgery arises from the physiological features of the structure of the bones of the facial skull of the patient. Such a consequence of a puncture of the nose usually does not entail deterioration of the patient's health, since the patient is given antibiotics as a prophylaxis against maxillary sinus after puncture. It is antibacterial drugs that prevent the spread of infection through the human body.
- Air embolism. This complication occurs as a result of air ingress into nearby tissues from the nasal cavity. However, in addition to air, pus can also get into the tissue, which is often a danger to the health of the patient. This complication is also extremely rare, as the patient undergoes antibiotic therapy. According to experts themselves, air embolism is considered dangerous only for people with weakened immunity.
The danger to health and even human life is seriously increased if, during puncture, air or pus get into the blood vessels, including the orbital vessels. The danger is that such complications can develop:
- abscesses and phlegmons of the orbit;
- blockage of blood vessels;
- blindness;
- death of the patient.
In order to avoid complications during surgery, the patient should undergo a radiograph of the paranasal sinuses. According to the results obtained, the physician will be able to see the individual features of the structure of the maxillary sinuses and nearby tissues.
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