Sinusitis: Mitundu, Zizindikiro ndi Chithandizo

Sinusitis - matenda sizachilendo. Iwo amakhala ndi chitukuko cha kutupa mu sinuses lapansi. matenda oopsa amene akhoza seamlessly kuyenda mu mawonekedwe aakulu, ndi kupereka mavuto kwa maso, makutu, ubongo, chifukwa sepsis.

losiyanasiyana sinusitis yodziwika ndi zizindikiro zosiyana ndi mbali mu njira komanso masikimu a chithandizo. Molondola oterewa mtundu wa matenda ndi mankhwala njira yoyenera kulimbana yekha dokotala mungathe naye.

causation matenda

Mu chochitika cha mtundu uliwonse zimayambitsa waukulu wa sinusitis udindo blockage wa lumen linanena bungwe la m'njira za m'mphuno maxillary. Zimadzetsa kuonongeka kwa kutupa ndi kudzikundikira mkati mwa purulent misa.

Pali zifukwa zambiri zimathandiza kuti zikamera wa chotero blockage ndi kudzipheralo chiyambi cha sinusitis:

• kulowa tizilombo toyambitsa matenda nasopharynx kukhala Airways chapamwamba matenda osiyanasiyana;
• Popanda kuchitapo kanthu rhinitis;
• ntchito zonse madontho ku rhinitis;
• kusodza;
• pamwamba mucosal choipa maxillary sinuses;
• mu ozizira kuthamanga mawonekedwe;
• utachepa chitetezo chokwanira;
• zilonda zapakhosi;
• zilonda zapakhosi;
• yaitali kukhala mu chipinda ndi mpweya overdried kapena wotentha;
• aakulu hypothermia;
• matenda ananyalanyaza mizu mano kuti ali pafupi sinuses ya;
• mphumu;
• mbali anatomical ndi zilema mu m'mphuno;
• anasamutsa SARS ndi fuluwenza;
• enaake fibrosis;
• tizilombo ting'onoting'ono, adenoids, ena zotupa;
• underdevelopment zotuluka mkati kuchokera m'mphuno (choanal);
• allergens;
• matenda cheza;
• bowa;
• chifuwa chachikulu;
• chofiira malungo;
• chikuku,
• media Inhalation ndewu ndi utsi ndi mankhwala.

Nthawi zambiri matendawa amapezeka mu nthawi yophukira-yozizira. Ndipotu, pa nthawi iyi pali kuchepa chibadwidwe ntchito m'thupi chifukwa kuperewera kwa vitamini.

Ana kwa zaka zisanu ndi ziwiri, matenda zimachokeradi, monga nkusani maxillary mu m'badwo uno sanayambebe anapanga.

umboni

Pali mitundu yosiyanasiyana ya sinusitis. Zizindikiro kugwirizana matenda, kuthandiza kudziwa etiology matendawa, komanso mawonekedwe ake ndi siteji. Izi ndi zofunika kwambiri matenda ndi chithandizo cha kudwala.

Zizindikiro onse conventionally ogaŵikana ambiri ndi makonsolo. Gulu loyamba la zizindikiro ndi monga:

• kuwonjezera thupi kutentha mpaka madigiri makumi atatu ndi anayi;
• kumverera kufooka;
• maonekedwe mofulumira kutopa;
• kupweteka mutu;
• kuzikonzanso thukuta;
• kukumbukira kuwonongeka.

Zizindikiro m'dera la sinusitis monga:

• zonse kupweteka ululu sinuses a, zoipa madzulo ndipo pamene mutu ndi linapendekeka pansi;
• kumaliseche m'mphuno, mphuno izo;
• kuphwanya kununkhiza;
• Anzanu mu mphuno;
• movutikira;
• kukhosomola.

Magawo a matenda

Zizindikiro za sinusitis sizimaoneka imodzi ndipo kwambiri. mwamphamvu zawo zimasiyanasiyana ndi nthawi, monga matenda akufotokozera pang'onopang'ono. Kusiyanitsa magawo zotsatirazi kumene ake:

• subacute;
• pachimake;
• aakulu.

Zizindikiro zoyambirira za sinusitis ndi zambiri:

• kuika mphuno;
• malaise;
• sneezing;
• chimfine mphuno;
• m'mphuno mawu.

Subacute sinusitis siteji yodziwika ndi kuwonongeka zikusintha wodwala tsiku. Zizindikiro kuonekera ndi kuwonjezeka kwambiri.

Chithandizo panthawi imeneyi ya matenda bwino kwambiri. Ndipotu ndondomeko yotupa kokha m'dera la m'njira za m'mphuno paranasal.

Popeza chokwanira chimaposa thandizo kuchipatala sinusitis chitukuko zotsatirazi - pachimake. Iwo amakhala ndi:

• kuzizira;
• kutentha;
• maonekedwe a ululu sinuses ya;
• kuchuluka kusapeza pamene kupinda mutu ndi madzulo.

Atamukakamiza ululu kufalitsa pansi maso. Nthawi zina pali kutupa, zikope redden.

Pachimake sinusitis mawonekedwe chochokera masabata awiri kapena atatu. Ngati mankhwala yake matenda kwathunthu anawachiritsa.

Aakulu sinusitis siteji amapezeka mu nkhani ya mankhwala chosakwanira matenda pa siteji oyambirira. Iye ali oposa zizindikiro zidzachotsedwa. Zinthu zofunika kwambiri pa gawo ili ndi:

• rhinitis okhazikika amene musakhale kuchiritsidwa ndi njira ochiritsira;
• kupweteka kwa mutu ndi zitsulo diso;
• kutupa zikope za;
• yatsoka a conjunctivitis;
• blunting kununkhiza.

Pa gawo aakulu maonekedwe matenda a chloroquine ndi nyengo kuchotsedwa ina. Pamafunika lirilonse miyezi itatu kapena inayi.

Mu aakulu sinusitis kusintha structural mu nkusani maxillary. Mlingo wa kusintha zinachitika mu tipeze moyo ndi zovuta za mankhwala.

Kodi ndi mitundu iti ya sinusitis ndi: m'dera la kufalitsa matenda

The kutanthauzira kwa ndondomeko yotupa angayambe limodzi kapena onse a nkusani lapansi. Malinga kumasulidwa lino mitundu iwiri ya sinusitis:

• mmodzi ndiye amaganiza;
• amaganiza.

Mawonekedwe woyamba amatenga alibe mavuto kuposa wachiwiri. Iwo amawapeza zambiri. Sinusitis akhoza anasiya amaganiza ndi ufulu amaganiza. Izo zimatengera nkusani, amene akufotokozera ndondomeko yotupa. Zizindikiro Local Pankhaniyi pali mbali imodzi ya nkhope.

Amgwirizano sinusitis mawonetseredwe ndinasintha zosiyanasiyana za mphamvu ya chithunzi matenda komanso kusalekerera. Nthawi zambiri iye akulandira thandizo kuchipatala ngati kunyumba kulimbana chikuchitika ndi zovuta.

Gulu la zimayambitsa sinusitis

Mitundu ndi zizindikiro za sinusitis ali kwambiri zogwirizana. Zizindikiro za matendawa ndi kudziwa etiology ake. Zimenezi zimathandiza kusankha bwino mankhwala chakudya ndi kuchotsa chinthu palokha, chifukwa chitukuko cha matenda. Mu mankhwala ndi mtundu uliwonse wa matenda, ndi chiyambi osiyana, nalo dzina lake.

• Atamwa sinusitis - zambiri akufotokozera pa maziko a SARS. tizilomboto tizilombo kulowa mu kapepala chapamwamba kupuma ndi chifukwa kutupa ndime m'mphuno ndi mucous. Izi zimapangitsa maonekedwe a rhinitis amphamvu. Kutupa ntchofu chindiletsa kwathunthu pa m'mphuno. Zimenezi zimabweretsa chitukuko cha ndondomeko yotupa, pali chiyambi cha sinusitis. Zizindikiro za chikhalidwe tizilombo matenda si kwambiri kutchulidwa ndi chopweteka.
• Bakiteriya sinusitis - kumachitika mwa ingestion tizilombo toyambitsa matenda mu nkusani maxillary. Streptococcus, ndi Haemophilus influenzae. Kukulitsa ndi sinusitis tizilombo, pakalibe chithandizo. Siteji yoyamba ya matenda chithunzi matenda ndi yowala - pali amphamvu m'mphuno kumaliseche, kutentha, osauka kwambiri thanzi.
• Fungal sinusitis - sadzafika nthawi zambiri. Mycosis paranasal sinuses kumachitika pamene occlusion chifukwa ikuyenda chimfine chifukwa chitetezo chokwanira wofooka, ndi choipa m'mphuno. Mu M'mimbamo akuyamba kukhala bowa tizilombo, kapena lonse amagwirizana, amene adakali alibe kuonekera. Mycosis zingachititse pachimake ndi aakulu sinusitis view. Kudwala ndi yaitali motero nthawi ya chitukuko, palibe zizindikiro kwa nthawi yaitali.
• Matupi awo sagwirizana sinusitis - zimachitika kuti zikuchitika kunja, atagonjetsa mu thupi ndi kuchita pa amphuno mucosa. Zizindikiro ambiri: malungo, maonekedwe a kupweteka kwa maso ndi cheekbones. Kawirikawiri limodzi ndi chifuwa, pakutchulidwa a conjunctivitis, keratitis. Palibe mankhwala enieni chofunika. Zizindikiro anayesedwa pamene kuchotsa gwero imene inachititsa sayanjana.
• Odontogenic maxillary sinusitis - kumachitika chifukwa funsani ndi matenda nkusani ku mizu ya mano chapamwamba. Siteji koyamba amakhala ndi kukhalapo kwa zotupa serous mawonekedwe. Limodzi ndi edema, kupuma movutikira. Msanga amakhala purulent sinusitis. Ngati Popanda kuchitapo kanthu, minofu necrosis angayambe ndi kawopsedwe wamphamvu.
• Mantha sinusitis - kumachitika pamene vuto la fractures wa cheekbone ndi nsagwada, kuchititsa kutupa m'njira za m'mphuno mucous. Limodzi ndi mutu, kumaliseche m'mphuno, kusapeza, kutupa, amphuno kuchulukana. The njira waukulu wa mankhwala - opaleshoni.
• Aerosinusitis - kumachitika monga chotsatira cha kupweteka sinuses chifukwa kusiyana mpweya kuthamanga. Pantchito matenda oyendetsa ndi kusambira osiyanasiyana. Nthawi zambiri ambiri amgwirizano. Limodzi ndi kufupika kwa mpweya, ndi amphuno kuchulukana.
• Obwerawa sinusitis - amakhala ndi pakutchulidwa munthawi yomweyo njira zosiyanasiyana za matendawa.

Gulu la matenda monga kusintha morphological

Mitundu ya sinusitis akuluakulu ndi ana amasiyana osati chifukwa cha matenda. matenda zimagawidwa m'magulu, malingana ndi kusintha komwe kumachitika mu mphuno.

• Catarrhal sinusitis - chophweka mwa mawu a chithandizo. Yodziwika ndi edema ndi hyperemia nkusani mucosa. Limodzi ndi kumaliseche Choonekera kuchokera mphuno ndi kumverera kuthamanga pang'ono mu mphuno.
• Purulent sinusitis - mawonekedwe yoopsa matenda. Kungachititse kuti khungu, abscesses wa mwana wa m'diso la, zosokonezeka intracranial. Yodziwika ndi outflow kuchokera mphuno zambiri purulent secretions omangirira mu nkusani lapansi. The ntchofu zingaoneke milozo wamagazi.
• Polypoid sinusitis - amakhala ndi kuchuluka kukula kwa maselo amphuno mucosa. Limodzi ndi kuchulukana, malungo, mafinya, chopweteka zomverera. Nthawi zambiri hyperplasia akufotokozera mu mphuno chimodzi chokha. Kodi matenda kuchuluka kwa tizilombo ting'onoting'ono ndi cysts, Kakhungu mucous ndi olumala.

Zotsatira ndi mavuto

mtundu uliwonse wa sinusitis amafuna chithandizo mwamsanga kuchipatala ndipo anayamba mankhwala. Popeza mankhwala yake zingachititse mavuto osiyanasiyana ndi zotsatira zoipa. The akuluakulu ndi:

• kuchulukitsa gawo aakulu a matenda;
• pakutchulidwa mavuto ndi ziwalo masomphenya;
• kusintha kutupa kwa ziwalo zina;
• sepsis;
• meninjaitisi;
• periostitis.

diagnostics

Pofuna kupewa mavuto oopsa, mankhwala ayenera kukhala osati yake, koma wogwira. Izi zimafunika matenda zolondola, zomwe zitha kuchitika ndi dokotala. Pali njira zingapo kupeza sinusitis. Koma izi zisanachitike lililonse dokotala ayenera kuchititsa anayendera zithunzi wodwala ndi madandaulo ake.

• Radiography. Izo sikutanthauza kukonzekera mwapadera wodwala. Zimathandiza kudziwa kupezeka ndi malo kutupa (mu sinuses chimodzi kapena ziwiri). The sangathe njira ndi kuti mtundu wa polypoid sinusitis chithunzi sangathe zotsimikizika. Cysts, ndi tizilombo ting'onoting'ono ndi zotupa pa cithunzithunzi si wosiyana kuchokera edema yosavuta.
• Endoscopy. Ndondomeko anachita mwa kuyambitsa mu mphuno za kamera kakang'ono Ufumuyo chubu. Iwo limakupatsani bwinobwino turbinate ndi kutenga mayesero.
• Yopangidwa tomography. Izi zimathandiza kuona chithunzi tsatanetsatane wa m'njira za m'mphuno ndi mavesi m'mphuno. thandizo labwino kudziwa mitundu ya sinusitis ndi mankhwala ake. Phunzirolo lili mwayi oterewa neoplasms ndi kukhalapo kwa matupi yachilendo, kukula kwa mawonekedwe aakulu a matenda, kusintha kapangidwe minofu.
• MR. Izo zimasonyeza kusintha kandalama mbali zochepetsetsa. The sangathe wa zimatenga mtengo wake mkulu.
• Bacteriological bwino. Izo ntchito kudziwa mtundu wa matenda zimayambitsa matendawo ayi.

mankhwala

Kupeza dokotala ndi zolondola matenda n'kofunika osati kwa chabe kuzindikira mtundu yolondola ya matenda ndiponso kuti achotse zina sinusitis. zizindikiro ndi zochiritsira inextricably zogwirizana. A olondola chithandizo chiwembu limakupatsani mwamsanga kuchotsa mawonetseredwe ake, ndipo posachedwapa kwathunthu kubwezeretsa thanzi la sinuses lapansi.

Mitundu ambiri a sinusitis bwinobwino mankhwala njira achire. cholinga chawo kuti:

• kuonetsetsa amasulidwe ntchofu ku sinuses ya;
• ziŵalo mphuno;
• Kuchotsa edema;
• mpumulo wa ndondomeko yotupa;
• chiwonongeko cha tizilombo toyambitsa matenda.

Nthawi zambiri mankhwala uzigwirizana ndi ntchito zonse. Chifukwa chaichi:

• madontho m'mphuno;
• njira kwa amphuno lavage;
• mankhwala;
• bacteriophages;
• malungo;
• odana ndi yotupa;
• mucolytics.

mankhwala aliyense angathe kuperekedwa ndi dokotala. Rapid kuchira n'chotheka pansi kukwaniritsidwa kwambiri ndiponso mwadongosolo amafuna akatswiri komanso mogwirizana ndi mlingo.

Puncture njira ya chithandizo

Pamene purulent mawonekedwe a sinusitis mankhwala ndi medicaments yekha angalephere. Kwa dzuwa kwambiri ndi kuchepetsa chiopsezo cha matenda oyamba, madokotala kuchititsa puncture:

• kudzera nkusani puncture ku mafinya onse chikutha ndi rinsed;
• kenako anayambitsa opha tizilombo ndiponso mankhwala antiinflammatory.

Nthawi zina puncture wina sikokwanira. mndandanda wa punctures ndi kuchita kwa masabata angapo. Pankhaniyi, anapereka catheter wapadera mu m'mphuno nkusani. Izi zimathandiza kupewa kupweteka zina wodwala.

mankhwala wowerengeka

Kuwonjezera mankhwala, madokotala angakulangizeni kugwiritsa ntchito mankhwala ndi mankhwala atsopano. Za mphamvu ya ambiri wowerengeka mankhwala ochizira sinusitis mayankho ochokera madokotala ndi odwala kuposa za mankhwala. Komabe iwo ayenera kugwiritsidwa ntchito limodzi ndi asatayike, osati mmalo mwa iwo.

Wotchuka kwambiri ndi:

• m'mphuno lavage brine;
• Thandizani Tui mafuta phula;
• tampons tsamba ndi masamba a Kalanchoe;
• kuphatikana compresses decoction wa leafs;
• kuchita n'kumawotha mchere;
• inhalation ndi zitsamba mankhwala, mbatata, menthol.

opaleshoni

Zikavuta opaleshoni zingagwiritsidwe ntchito pofuna kuchiza sinusitis. Nthawi zambiri izo ntchito:

• zoopsa mawonekedwe a sinusitis;
• m'njira aakulu aakulu;
• pamene kupeza mu amphuno ndime tizilombo ting'onoting'ono, cysts, neoplasms;
• ndi zopanda phindu pa ntchito wothandizila achire.

kupewa

Pali malamulo ochepa, zomwe zimathandiza kuchepetsa kufala kwa zisadzachitikenso a sinusitis pachimake kapena matenda aakulu. inu muyenera:

• humidify mpweya mu chipinda;
• kuchita kudziletsa kutikita mu m'njira za m'mphuno maxillary;
• Ngati mwakumana ndi kusapeza mu mphuno - kuwomba mphuno;
• kuchita Zochita kupuma kokoka.

Ngati inu kupewa sikunali kotheka zizindikiro za matendawo, pamene mawonetseredwe woyamba wa kuvutitsa ayenera yomweyo dokotala. Ndi zoletsedwa mankhwala kwa sinusitis ndemanga pa Intaneti kapena malangizo anzeru a anzanu. Only katswiri mungapange matenda lolondola ndi kudziwa njira yoyenera polimbana ndi matenda oopsa. M'pofunika chigonjetso zonse ndi othamanga pa iye.