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Sinusitis how to treat? Causes and symptoms


  • How to treat sinusitis?

    Make their own decision regarding how to treat sinusitis you should not. Therapy of this disease is in the competence of the doctor-otolaryngologist. The earlier the inflammation is diagnosed, the more effective the treatment.

    1. The administration of antibacterial drugs. Modern recommendations for the treatment of bacterial sinusitis involve antibiotics. This may be the following group of drugs:

      • Penicillins: Amoxicillin, Amoxiclav, Sulbactam. Acute bacterial rhinosinusitis involves the appointment is Amoxicillin.
      • 2nd generation cephalosporins: Cefuroxime has Axetil, Cefaclor.
      • Macrolides: Azithromycin, Clarithromycin.
      • Fluoroquinolones: Moxifloxacin, Levofloxacin, Gatifloxacin.

      If improving the state of the treatment is not observed, it is necessary to change antibiotic. Also shown are the introduction of antibiotics locally, most often a nasal spray Izofra-based Framizetina.

    2. Use drops to relieve nasal breathing and for relieving edema. Symptomatic treatment is aimed at relief of pain, to restore normal drainage of the sinuses. For relief of nasal congestion, to reduce nasal swelling, it is possible to use vasoconstrictive drops: Xylometazoline (Otrivin, ksimelin Galazolin), Oxymetazoline (Long, long time), Naphazoline (Naphazoline, Sanorin). You can also use drops of essential oils: Drops, Sinupret, Sinuforte.

      Improves the flow of mucus, has a vasoconstrictor effect of the drug Rinofluimutsil, consisting of two components.

      When sinusitis is of allergic nature may prescription drops with anti-allergic component is the nose, Rhinopront.

      The drug is in the form of drops containing an antibiotic and a corticosteroid – Polideksa.

    3. Antipyretics in case of sinusitis. When the body temperature exceeds 38.6 degrees (for adults), you need to shoot it down, taking antipyretic drugs. Most doctors recommend the use of NSAIDs is Ibuprofen, Paracetamol, Nurofen.

    4. Anti-allergic therapy. Antihistamines are used if the sinusitis is allergic in nature. In viral sinusitis specialists to use antihistamines are not advised. The drying effect can be obtained, but there is a risk of deterioration in the outflow of mucus from the paranasal sinuses.

    5. Anti-Allergy drugs are loratadine, Cethrin, Zyrtec, Desloratadine, claritin, Sucking, Zener, etc.

    6. The use of antiseptics. Antiseptic agents used for the treatment of viral sinusitis. They improve outflow from the paranasal sinuses and sanitize the nasal cavity. For disinfection you can use: Dioxidine 1% concentration Miramistin, Furacillin in solution, Protargol. Selection of antiseptic should be doctor, because each drug has certain contraindications and can cause side effects.

    7. The sine-evacuation in case of sinusitis. The procedure of sinus evacuation is indicated for the sinusitis of moderate severity. To do this, in the nasal cavity tube inserted at the end of which is a pair of cylinders. After introduction into the nasal cavity, the cylinders expand and block the entrance to the nose, and the junction of the pharynx and nose. Another tube in the nasal cavity enter the required solution, after which it is aspirated together with the fluid.

    8. Nasal rinses. In uncomplicated sinusitis effective such a procedure, nose lavage. It can be used as a special ready-made solutions (saline, Akvamaris, Phrase, Dolfin), and normal saline.

    9. Treatment sinusitis fungal etiology. If the cause of sinusitis becomes a fungal infection requires the use of antifungals: fluconazole (Diflucan), Amphotericin B. the Dosage is determined by your doctor.

    10. Surgical treatment of sinusitis. Surgical treatment of sinusitis is essential in the case when conservative treatment has not given positive result if inflammation develops in the presence of anomalies in the development of the sinuses and also in the case when there is a threat to the health of the patient.

    Operations can be as endonasally with access through the nose and econazole with venenosum access to the sinuses.

    Endonasal surgeryis performed using endoscopic equipment. This allows you to access even the most inaccessible places, to remove during the operation of the existing polyps, overgrown bone, and so the integrity of the nasal septum to the maximum is maintained, and the recovery period takes place in a short time.

    It is also possible surgery by the method of Ogston-Luc, Coldwell-Luc. However, a minimally invasive surgery using endoscopic equipment is a priority in modern ENT surgery.

    To minimally invasive surgery include puncture of the sinuses. This method allows you to remove the purulent content and introduce an antibacterial agent directly to the site of inflammation.

    The prognosis of sinusitis is usually favorable, in that case, if therapy was initiated in a timely manner.