He aha e te tohu Sinusitis i roto i ngā pakeke me ngā tamariki

Ko te tukanga inflammatory i pā te membrane mucous nasal me paranasal (paranasal) sinuses (pakohu), ka karanga pakohu kakā. Otiia ki te mahue kore maimoatia, kia whakawhanake rite te pōauautanga o te pakohu kakā. He aha e te pakohu kakā tohu? E hi'opoa tatou i roto i tenei tuhinga.

He aha e nga mate o te ihu?

kia Tei runga i te localization o te tukanga inflammatory me tuku atu ki:

1. pakohu kakā - te hinga o te pakohu frontal.

2. etmoidita - te hinga o te pūtau ethmoid. Ka taea e tēnei mate meinga intracranial kino (meningitis, encephalitis) me pōauautanga intraocular (cellulitis orbital, rau tau whēwhē).

3. Sfenoiditom - Pporazheniem pakohu rahirahinga.

Ethmoiditis sphenoiditis a uaua puta i roto i te noho wehe, maha ngā ki pakohu kakā pakohu kakā ranei.

momo o te pakohu kakā

Tei runga i te take o te pakohu kakā e taea e:

1. rhinogenous - i reira ko te pōauautanga o te mate (rewharewha, mate romahā whakapeka, mahaha).

2. Hematogenous - huakita tomo te toto. maha puta ana tēnei momo o te pakohu kakā i roto i ngā tamariki i muri i diphtheria, te karawaka.

3. Odontogenic - kitea ano i roto i ngā tamariki, no te a hinga i roto i te raro o te pakohu o te pirau. Meinga he periodontitis pakohu kakā faingataa, periostitis.

4. ngaukino - whakaoho te mate whētuki ranei whati o te pakitara wehewehe nasal.

5. Allergic - ko te hua o te tauhohenga pāwera ki te faaitoitoraa. I roto i tenei momo kite pakohu kakā edema kaha;.

6. vasomotor - maha i roto i te iwi i roto i o ratou taiohi no o dystonia iaia.

wehewehe ano i waenganui i whakapeka, me te pakohu kakā ma'i.

He aha e te pakohu kakā tohu i roto i ngā pakeke?

Kei te tino maha kitea te mate:

- ānini nui anaana ki nga niho, me paparinga;

- nui secretion Kaore i te mau irava nasal;

- Chills, pāmahana tinana tiketike, lethargy, ngoikore;

- nasal popoketanga, mana'o o tini i roto i te kauae o runga, faarahi ki te tokonga ake;

- hononga taea o te mare, te whanaketanga tonsillitis;

- whakaiti o te kakara.

Na matau ahau e founga ki faaite mai pakohu kakā. Tohumate, rite taea te kite, whānui, me te tino kino.

Take o te pakohu kakā i roto i ngā pakeke

Ko te take matua o te pakohu kakā e:

- ihu mātihetihe, maha staphylococcus, etiology pneumococcal streptococcal ranei, ka taea etiology viral (rewharewha, parainfluenza, adenovirus);

- mate niho, hakihaki cysts, periostitis (Sinusitis maxillary odontogenic) ;

- adenoids;

- injuries, pou-ngaukino pātaki hēhē;

- Rhinitis pāwera;

- tuku iho wātea i te mate;

- polyps, tinana ke.

He aha e te pakohu kakā tohu i roto i ngā tamariki?

Tamariki ki runga ki te 2 tau i mua i tatou mate te tikanga e kore e pāngia - he tika ki te underdevelopment o te sinuses maxillary tenei.

Ko te pikitia haumanu, ka pakohu kakā i roto i ngā tamariki faaite mai te taua tohu rite pakeke. Ko te rerekētanga matua - e taea e te kirika tiketike, me te whero i runga i te paparinga i sinuses matia.

Sinusitis i roto i ngā tamariki , ko te tino kino te mea o pōauautanga auau. ānini Pākaha i roto i te tamaiti - te tohu matua o te mate. tupu tenei e tika ana ki te haaputuputuraa o nui o pirau i roto i te rohe kanohi.

tātaringa

Me whakahaere Doctor ki te tautuhi i te mate he tātaritanga whānui. Ko te mahi matua ngā te whai ake:

1. Whakarongo ki amuamu, tango hītori.

2. bakposev, rangahau ihirangi horoi ihu.

3. Radiography o nga sinuses paranasal, e heheu pouri, e tukupu ana otinga, mārama. Ko te tikanga tino kōrero o te rangahau, no te mea homai reira ha faingamālie ki te tātari localization o te tukanga pathological i roto i te pikitia haumanu horoi. Whakaritea i roto i te rua haurangi - lateral me tika.

4. hāngai autō, tomography computed ( "paerewa koura" mo sphenoiditis whakapae).

5. rhinoscopy.

6. Kia hia Whakaoti toto (ostrovospalitelnaya tauhohe: leukocytosis, auau parataiao ngeniwhero whakatere, palochkotsitoz).

7. whakamātautau Endoscopic o te sinuses paranasal.

8. kōrero o te niho, me te tākuta maxillofacial.

Ko te matatini o te mehua tātaritanga tei katoa i runga i te āhua o faaite pakohu kakā.

pōauautanga

Roa i roto i te maimoatanga o te pakohu kakā e taea arahi ki nga nunua mamafa e whai ake nei:

- kiriuhi;

- otitis pāpāho;

- Jade;

- sepsis;

- kaikōiwi;

- endocarditis, myocarditis;

- Bronchitis, kakā.

Nahea pakohu kakā ma'i?

kia ahua ngū ai Tohu o pakohu kakā ma'i. Ko taea te mohio ratou:

- mamae ka kikimo;

- ngawhatanga o te kamo i te ata;

- pāhoahoa auau;

- popoketanga nasal tonu;

- he mare maroke.

titau hoki pakohu kakā ma'i maimoatanga. e roa Therapy, engari he taea te ora tonu. He nui tei runga i te āhua o faaite pakohu kakā. Tohu me te maimoatanga, rite ki te tikanga, he tata kōtuitui o.

maimoatanga pakohu kakā

iti maimoatanga tūpato o te pakohu kakā te ki te farii i rongoā. pata vasoconstrictive Taupānga whakaiti ngawhatanga o mucous, constricts oko toto, Kia whakahokia nasal manawa, whakaiti i te rahinga o te excreta. He pai te whakamahi o pata kei roto oxymetazoline:

- "Nazivin".

- "te whārangi".

- "Fasini".

- "Afrin".

- "Tizin" (kei te-adrenoagonists whakarato vasoconstriction me te whakapai ake pānga kupukupu puta i roto i te meneti torutoru i muri i te tono).

whakamahia hoki te matatini antihistamines:

- "Telfast".

- "Gismanal".

- "Loratadine".

- "Diazolin".

Ko te whai hua te nuinga o pata rongoā paturopi tamatahia. Ko te hua pai-mohiotia ngā "Polydex", "Bioparox", "Izofra".

Tei katoa pūnahanaha therapy paturopi i runga i te āhua o faaite mai koe pakohu kakā. Whakaritea hoki he wā o runga ki te 10 nga ra.

Whakamahia paturopi rongoā paturopi: amoxicillin ( "Flemoksin"), te huinga o te amoxicillin-clavulanate ( "Augmentin", "Panklav"). Ka rite ki macrolides, "Sumamed", "Azithromycin", "Klatsid". Cephalosporins: "Sortsef", "Cefoperazone", "cefotaxime" "Ceftriaxone", "sulbactam Cefoperazone".

I roto i te whakamahi nui:

- fluoroquinolones ( "Ofloxacin" "Ciprofloxacin", "Moxifloxacin");

- carbapenems ( "Imipenem", "Meropinem").

A, no te te mate, ko te puka medicaments papa tohutohu ngawari, me te kino. I roto i te paturopi pakohu kakā kino e whakahaerea e pâmuhia intramuscularly ranei.

whakamahi Local o taero antibacterial (rūrūtia) anake i te ahua ngawari o te mate.

Ko te whakamahi ngā o āpiha wā, me te nahanaha te whakaiti i te mōrea o pōauautanga nui, me te hohoro ake te tukanga whakaora.

tango kia I roto i te kōwhiringa o paturopi ki pūkete te aroaro o tauhohe mate pāwera i roto i te anamnesis, raraunga whakamātautau bacteriological (tāututanga o te tukumate me tona tūtohutanga ki ngā rōpū rerekē).

I tua atu, i runga i te āhua o faaite mai koe pakohu kakā rānei, whakaritea nga mahi tautoko e whai ake nei:

1. Huaora therapy. Taumu'a o huaora C, A ko E.

2. Urunga o NSAIDs. A, no te whakahuatia sensations mate, kirika ki antiinflammatory, analgesic, antipyretic kia whakaritea: "nimesulide" "Nimesil" "Naiz", acetaminophen, diclofenac konutai.

I roto i ngā take kino, e kore e taea te mahi i waho pokanga.

1. Endoscopic wawaotanga minimally urutomo.

2. Ko te hōneatanga o te tirotiro i roto i te poka.

noho tamariki whawhe anake i raro i rehunga.

Whai hua i roto i te rongoā pakohu kakā horoi pakohu poka, kahore pūrere motuhake. huaina ana tēnei tikanga ko "Cuckoo." Ko tētahi atu tikanga ngā o horoi pakohu ko te whakamahi o te pakohu pū tōngāmimi "YAMIK".

Aids he taiaho therapy, maimoatanga ultrasonic, UHF.

Prevention o pakohu kakā

Hei tiaki ia koe i te whanaketanga o tenei mate, ko reira e tika ana ki te piri ki te aratohu e whai ake nei:

- te whakamahi humidifiers;

- ki te kawe i roto i rerenga parukore o nga pokapū ma'i o te mate;

- hi'opo'araa auau i te tākuta i roto i te wā ki te hamani caries;

- e kore iti rawa te whakapakari i nga ope ātete o te tinana, huaora;

- kia mirimiri auau i roto i te ngä o te sinuses maxillary;

- ki te kawe i roto i te ārai o exacerbations kawe kitakita (rongoā tote lavage nasal, ka hoatu whakatō pene turundy ki te waipiro chlorophyllipt otinga).

- ki te hamani Rhinitis mate pāwera, he tarutaru kirika;

- ki te mea i reira te mea he hiahia o taua maimoatanga, e kore ki te whakarere i te ako hāparapara o hē septal.

titiro matou i pehea ki te whakaatu pakohu kakā i roto i ngā pakeke. Tohu e tino whakaahuatia i roto i tenei tuhinga. Ki te kite koe i te iti rawa te tahi mau tohumate, e kore e mangere me te kore e whakaroa - haere ki te tākuta.