Whakapeka purulent rhinosinusitis: take, tohu, te tātaritanga, maimoatanga

Tino maha Tuhinga tākuta e pāngia ana tūroro pērā i rhinosinusitis whakapeka, i te mea he mate o te wahi romahā o runga. tukinotia ana tēnei mate i te paturopi. E mea pinepine faatupu te reira pōauautanga, hua i roto i te puka whakapeka riro purulent ma'i ranei. Pea ka rapua e hoko pokanga. Kia whai whakaaro ano tatou ake i roto i te taipitopito i te mate rite rhinosinusitis, tohu me te maimoatanga o tenei māuiuitanga.

āhua

Tei runga i te wahi i roto i reira he e he nunui tenei mate:

• pakohu kakā (Sinusitis maxillary);
• ethmoiditis (mumura o te wheua ethmoid) ;
• sphenoiditis (mumura o te pakohu rahirahinga);
• pansinusitis me polisinusit (mate o etahi katoa o nga sinuses ranei);
• pakohu kakā (ahi pakohu frontal te).

e karangatia e te wā kotahi enei mate katoa - "rhinosinusitis".

take o

Ka taea e rhinosinusitis whakapeka puta mo te take e whai ake nei:

• e tika ana ki te mate;
• i raro i te mana o allergens.

Nuinga o ngā wā i meinga tenei mate e te matao noa. Huaketo tomo nga sinuses me whakatairanga ratou mumura. Ko te tikanga, ki te ô i te mate ki te kōhao nasal, pahono tonu te tinana ki tenei whakautu ārai, nui haere hūpē me te edema hanganga. arata'i tenei ki te meka e no te mea o te paranasal sinuses tīmata ihirangi ki te whakaatu ki te uaua, me te hanga tikanga pai mo te whakatö muri o microorganisms kino, me te hanganga o te pirau.

Ko te tinana tangata tonu e te tahi mau momo o huakita i roto i ngā rahinga iti, e kore e whakapataritari te takanga o ngā tukanga inflammatory. Na roto i te whakaiti i nga mahi tiaki o te tinana, timata ratou ki te proliferate, maha meinga rhinosinusitis purulent whakapeka.

I tua atu, i reira he tikanga pathological e he predisposing āhuatanga mo te whanaketanga o te mate:

• hanganga kikokiko o te ihu (whakanui turbinate, pātaki deformation, aha ...);
• ārai;
• te aroaro o mate pērā i Simi, Rhinitis mate pāwera, adenoids, me etahi atu;
• tuku iho te mate.

tohu

Kia mōhio te tohu tuatahi e whai ake nei o te mumura o te sinuses:

• kirika;
• ānini nui;
• huringa i roto i te toto;
• ngoikore, me te ahuatanga;
• popoketanga nasal.

I muri i te tahi mau wa, whakaaturia rhinosinusitis whakapeka te rite e whai ake nei:

• kirika;
• rere rerekē i te kōhao nasal;
• huamo o te kamo paparinga ranei;
• halitosis;
• mare, maha kino i te po;
• i whakaware manawa nasal;
• whakararuraru, o te mōhio o te kakara;
• mānukanuka me te pēhanga i roto i sinuses pāngia;
• mana'o o te rohirohi tamau;
• niho tunga, he tino koi i roto i ngaungau.

kia whai rhinosinusitis purulent whakapeka he momo nui o ngā tohu whānui, me te rohe. Tohu o reira tei runga i te take o tona tupu, te aroaro o te tahi atu mate, me te tau o te manawanui. A e uaua ki te aro ki te mate ngā tamariki.

He tata te taua tohu rite puka whakapeka rhinosinusitis Polypoid. Mai te mea atu nui tenei ahua o te mate, whakamahia hoki tona maimoatanga o te pokanga endoscopic te roto i te taha ki te maimoatanga anti-mate pāwera.

tātaringa

Ka rite ki nga tohu tuatahi o te rhinosinusitis, e kore haere noa i roto i te torutoru ra, engari whakarei hoki, kia kōrero tonu koe i te tākuta. Hoki te mātanga tātaritanga tika whakatau te wahi o localization o te mate, tona āhua me te momo o te huakita huaketo ranei e meinga te whanaketanga o te mate.

Kua kawea te mahi e whai ake nei i roto i ki te whakaū i te mau faaiteraa haumanu o rhinosinusitis whakapeka:

• te huru whānui o te manawanui;
• whakahaere tätari;
• kawe i ngā tikanga rangahau mauhaa.

whakamātautau Tuhinga

Examination o te manawanui tīmata ki te kohinga o tona hītori hauora. Ki te mahi i tenei, whakaahua ana te manawanui nga tohu, te roanga o te rere i te ihu me ratou natura, te aroaro o te mamae i roto i te matenga, me te mata, ko o ratou wāhi. kia korero ano hoki te reira i to koutou tākuta e pā ana ki tetahi mate pāwera, me te maremare tata whakawhiti.

E tauturu i te tātaritanga noa ngā mōhiohio e pā ana ki ngā tukanga niho whakamana, tango rongoā, immunocompromised tangata whētuki.

I muri i taua, rave te tākuta he whakamātautau tinana o te manawanui, te raveraa i palpation o nga paparinga, me te rae, ki te whakatau i te mărû o te sinuses. Mā te whakamātautau Tuhinga taea kitea hē i roto i te kōhao nasal.

whakamātautau taiwhanga

Ko te aroaro o te tukanga inflammatory me te āhua o tona akoranga tauturu whakatau tatau toto. I roto i tenei take i te tātari o toto, me te ōwehenga o ratou puka.

I tua atu, i roto i te vitro whakamatau tirotiro pathogenic huaketo sinuses. Ki te awhina o rangahau microbiological whakapumautia te momo o te tukumate me tona tūtohutanga ki ngā āpiha antibacterial. Ko kia mahara ai e nga hua o taua assays i roto i te puka whakapeka e 3-4 anake ra i muri i te tīmatanga o te tohu tuatahi o te mate. Na reira, ngaro maha ratou ratou hāngaitanga.

ako mauhaa

E whakamahia taputapu motuhake ki te ako i te tātaritanga tika:

• endoscopy nasal - mo tona whakamahi o te ngongo muka-whatu, ko te puna marama te mutunga o nei. Ki te ako taua taea kitea ara te ine iti i roto i te kōhao nasal, a hoki ana ki te whakatau tata septal koha me te aroaro o te pukupuku, pērā i polyps.
• tomography computed - whakaaro te te tikanga pai mo te tirohanga ataata o te sinuses nasal. Kei te pai kawea te reira i roto i roto i te hui o pōauautanga.
• Radiography - i whakamahia whānuitia noa te endoscopy me tomography computed. I tēnei wā, ka reira nui iti pea ki te huihui.
• tomography te kōwarotanga autō - ko te tikanga pai mo te tātaritanga o pōauautanga inflammatory i roto i te angaanga, te pukupuku mārere. whakakitea pakohu kakā maxillary te i roto i te puka o te pouri, o te sinuses maxillary.

whakaora

tukinotia rhinosinusitis whakapeka te rite te ara hauora, me te hāparapara. whakaaro te tōtika o ia tikanga ko te tākuta mō ia manawanui takitahi. Tīpakohia te tikanga o te therapy tei runga i ngā āhuatanga: tau o te manawanui, ahua o te mate, me te āhua o tona akoranga, te taea o mate pāwera, me ētahi atu Ko te aha e kore maimoatanga talena e tīpakohia, me tonoa te reira i roto i ki ..:

• whakakore tohu o mumura;
• whakahokia mai te patency o irava e hono nga irava pakohu nasal;
• tango i te axils o te ihirangi pathogenic;
• whakakore i te puna o te mate.

kia rhinosinusitis i roto i ngā pakeke Treatment i raro i te te tirotiro tino o te rata, mai maha arata'i rongoā whakakeke ki pōauautanga. He whāinga matua o te maimoatanga - tango o te kaihoko hopuhopu, me te whakahoki i te kaha o nga sinuses paranasal anake horoia.

rongoā

rhinosinusitis purulent whakapeka tukinotia ki te rongoā e whai ake nei:

• decongestants;
• immunocorrectors;
• paturopi;
• atu raau taero symptomatic.

Decongestants me decongestants e te nuinga o whakaritea i roto i te wahi tuatahi, me te whakamahi i ratou kia kaua e nui ake 4-5 ra, no te mea te whakamahi wā roa-faarahi anake edema me nasal popoketanga. Ēnei taero ngā "Ephedrine", "Nazivin", "Sanorin", "Galazolin", "Naphthyzinum" me pera i runga i. Kore N. taua māngai e whakaora i te mate, a poto faaore i te tohu.

I roto i etahi momo o te mate pērā i rhinosinusitis, tukinotia anake ki kia riro paturopi mō te rua wiki. te āwhina ratou ki te whakakore katoa o nga tohu, engari kia ratou fariiraa kia whakamana anake i raro i te mātakitaki o te mātanga. Ko te rongoā paturopi tino pinepine whakaritea pērā i "Amoxicillin". Otiia ki te toru ra i muri i tona whakapai ake whakauru kore i puta, me te whakakapi i te reira e te raau taero ki te whakauru hohe, rite tetracycline cephalosporin ranei. Hoki pai utu te fariiraa i enei paturopi "clarithromycin", "Azithromycin" me "Roxithromycin".

Ahakoa te whānui o rongoä rerekē ngā tūmomo e whakamahia ki te hamani rhinosinusitis whakapeka, e kore e whai hua tonu ratou. Ko tenei e tika ana ki te meka i tokomaha o nga microorganisms e meinga mumura o te wahi romahā o runga, pai pato'ii te paturopi. Ko te aha i roto i rhinosinusitis whakapeka, tautautefito ki he taimi ahi pakohu frontal, te whakamahi i te whakaongaonga o te korero ārai tangata.

Hoki tenei whakaaro, te whakamahi i immunomodulators me immunomodulators. Kei roto ratou i taua matū e whakahokia te mahi o te korero ārai. Ko te nuinga o te akoranga o te maimoatanga 1.5-2 wiki.

Ki te kitea tenei ahua o te mate rhinosinusitis rite polypoid a me tukinotia te whakamahi i taero mucolytic ( "myrtol," "Sinupret", "Acetylcysteine"). whai wāhi ratou ki te thinning o tirotiro mātotoru me te Kaore o nga sinuses, hua i roto i te matamua o haamata pirau. Ano, kia whai rōpū pharmacological me te mahi antibacterial tenei rongoā.

Ki te nui haere te pāmahana tinana, me ū te manawanui ki te moenga okiokinga. Ki te mahi i tenei whakaritea e ia antipyretics pērā i "Amidopyrine" me "ahipirini". Ka rite ki te tikanga drugs analgesic whakaritea "Paracetamol", "Ibuprofen". Kei te uaua āpiha kaha whakamahia, a kia tangohia e ratou kaua e nui ake i te 7 nga ra.

tukinotia rhinosinusitis pāwera ki pata antihistamine me papa. Ka taea hoki e koe te whakamahi i hinu me aihikirīmi, engari kua whakaritea nga taero hormonal rawa maha.

kia tāpiri ahau e, i roto i te tua ki te maimoatanga whakapōauau, te maimoatanga e whai ake nei:

• horoia pakohu rongoā patuero nasal mō te tango i te ihirangi rerekē;
• e tūtohu ana ki te inu nui o wai mahana: inu hua, hua tatao, hou inu hua, tea ngoikore, hope hupa;
• tikanga physiotherapeutic whakamahia: ngaruiti therapy, ultrasound, UHF.

Ki te kore e kawea mai enei tikanga te hua tika, huihui ratou ki te pokanga.

wawaotanga hāparapara

Ki te kore koe e te āwhina therapy tarukino o taua mate rite rhinosinusitis, maimoatanga i roto i tenei take e kawea reira i roto i hāparapara. Nuinga o ngā wā, ka whakaritea he poka, e āwhina ki:

• hohoro ako i te sinuses pirau paranasal;
• tika pā te mucosa o te sinuses paranasal rongoā horoi, anti-inflammatory, me te antibacterial taero.

Ko reira te mea he whāki i taua me ngā huakore. mōrea pea o paihana toto, mate o kite, a na i runga i. N. reira, e kore e tūtohu te nuinga o reira.

Ngā āhuatanga o te mate i roto i ngā tamariki

Rhinosinusitis i roto i ngā tamariki, ko te mate tino, mai pūkete reira mo te kotahi-toru o nga mate katoa e kua pā ana ki wahi romahā o runga. A, kia rite ki ngā pakeke, hawhe o tamariki tonu ki te mamae ia ratou.

I roto i te mate taua pea ki te whakawhanake i pōauautanga nui. Ko te tino mōrearea he pōauautanga orbital pyoseptic e tika ana ki te kite waimaero, a i roto i te 2% o te wā puta huringa intracranial. Ki te kore e wa te tātari mate me hamani i te reira, whakawhanake kakā.

rhinosinusitis koi i roto i te tamariki faaite ake e whai ake:

• mare auroa rahi;
• fifi te kupukupu tonu i roto i te ihu;
• rohirohi;
• ahuatanga whānui;
• reo nasal;
• ake i roto i te pāmahana te tinana.

whakaaro te maimoatanga matua te ki hei therapy antimicrobial ki te papamuri o te whakanui ake i te mate.

Āhuatanga o te mate i roto i te hapū

Tino maha i reira ko te rhinosinusitis purulent whakapeka i roto i hapūtanga, ano, e taea te haere tahi i te reira e te pōauautanga, pera i roto i tenei wā kua iti ki tetahi maimoatanga.

he tākuta anake e taea whakahau paturopi, e taea kino i te wahine me te tamaiti, ki te riro uncontrollably. Ki te whakawhiti rōpū rongoā paturopi kino te me cephalosporins, whakamahia macrolides te. pea te reira "Moxifloxacin", "levofloxacin" me "sparfloxacin". I raro i to ratou mana ko te whakangaromanga o te kōtuitanga pūmua i roto i ngā pūtau o microorganisms pathogenic. E whakaaro ēnei taero ki hei te whai hua tino me haumaru i roto i te maimoatanga o te wahine hapu.

ārai

I roto i te tikanga ki te karo taua mate rite rhinosinusitis whakapeka, kia tangohia e koe te āraihia e whai ake nei:

• A ape i tauira me te hauhauaitu;
• he rota o e haere ana ki waho, kia kaha tinana;
• tineia;
• whai wāhi i roto i te hākinakina;
• wā ki te hamani mahaha me ihu mātihetihe;
• wāhitau wā ki te niho ki te hamani niho i roto i te kauae runga;
• e minaminatia ki te kauhoe i roto i te wai moana, me te moana rangi hī whakaora.

mutunga

Ko te kupu, rhinosinusitis tika kia tukinotia purulent whakapeka i raro i te tirotiro hauora, kia rite kore ki te whai i tetahi pōauautanga tino mōrearea e taea ara kia ora-te whakawehi. He mea tika ki te karo i whakapataritari nga āhuatanga mate, iti iho te wā tauomaoma i roto i herea a puehu taiao, ki te mutu kai paipa. Ki te maimoatanga tika me te wā o te rhinosinusitis te tino ora.