Sinusitis feem ntau yog cov kab mob, yog li cov tshuaj tua kab mob feem ntau tau sau tseg hauv kev kho mob. Lawv siv tau tsuas yog ua ke nrog lwm txoj hauv kev hauv qab no.
Signs
Cov tsos mob thiab cov tsos mob ntawm sinusitis nyob rau hauv cov neeg laus yog qhov tshwm sim ntawm qhov mob ntawm lub qhov ntswg thiab nyob ib ncig ntawm lub qhov ntswg, uas nce lub sij hawm. Tsawg pronounced thaum sawv ntxov, nce nyob rau yav tsaus ntuj. Ces tus neeg mob pib mob taub hau. Yog hais tias tus txheej txheem yog ib sab, ces qhov mob yog sau rau ntawm ib sab.
Tus neeg mob lub suab nrov nrov, lub qhov ntswg thaiv, ua pa nyuaj. Lwm qhov congestion ntawm sab xis thiab sab laug ib nrab ntawm lub qhov ntswg yog qhov yuav tshwm sim. Muaj mucous (tsis muaj xim) los yog purulent (daj, ntsuab) tawm ntawm qhov ntswg. Daim paib no yuav tsis tshwm sim yog tias qhov ntswg qhov ntswg heev.
Cov neeg mob ua npaws: qee zaum nws nce mus txog 38 degrees, thiab qee zaum siab dua. Qhov kub zoo sib xws tshwm sim hauv cov neeg mob uas mob sinusitis. Thaum cov chav kawm yog mob ntev, qhov kub thiab txias tshwm sim tsis tshua muaj tshwm sim. Cov neeg mob hnov qhov mob, uas tshwm sim los ntawm kev qaug zog, kev nyuaj siab, mobtsis kam noj, pw tsaug zog.
Tiv thaiv aminopenicillins
Tshuaj tua kab mob rau tsev kho mob ntawm cov tsos mob ntawm sinusitis hauv cov neeg laus tuaj yeem muab faib ua plaub pawg. Kev tiv thaiv aminopenicillins yog hluavtaws tsim penicillins, feem ntau ua ke nrog sulbactam lossis clavulonic acid. Cov tshuaj no txo lossis ua kom tsis zoo ntawm cov kab mob tsis zoo rau penicillin, vim tias cov tshuaj tua kab mob hauv nws daim ntawv ntshiab tsis ua rau cov kab mob. Cov tshuaj hauv qab no qhia tau hais tias muaj txiaj ntsig zoo tshaj plaws tiv thaiv sinusitis:
- "Ampisid";
- "Libakcil";
- "Unazin";
- "Sultasin";
- "Sulbacin";
- "Sulacillin";
- "Sultamicillin" (ampicillin sulbactamates);
- "Amoxiclav";
- "Ecoclave";
- "Rapiclav";
- "Flemoclav";
- "Panklav";
- "Augmentin" (amoxicillin clavulonates).
Tiv thaiv penicillins ua los ntawm kev tsom mus rau phab ntsa ntawm cov kab mob. Lawv tsis rhuav tshem cov hlwb ntawm tib neeg lub cev. Tab sis qhov tsis zoo ntawm pawg tshuaj no yog thaum lawv siv, kev ua xua, plab zom mov thiab kab mob fungal feem ntau tshwm sim.
Kev xav tau tshuaj nquag (3-4 zaug hauv ib hnub) kuj yog qhov tsis zoo ntawm penicillins.
YMacrolides
Qhov txawv ntawm macrolides thiabpenicillins - nyob rau hauv hais tias lawv tsis rhuav tshem lub cell ntawm cov kab mob. Lawv muaj cov kab mob bacteriostatic (tsis pub sib npaug) cov nyhuv. Cov cuab yeej no tso cai rau kev siv cov macrolides hauv kev kho mob ntawm cov tsos mob ntawm sinusitis nyob rau hauv cov neeg laus nrog ib tug ntev daim ntawv.
Thaum kho nrog macrolides, lawv nyob hauv cov ntaub so ntswg ntev, yog li lawv tau noj 1-2 zaug hauv ib hnub, uas yog qhov zoo ntawm cov tshuaj no. Feem ntau cov tshuaj macrolides:
- "Erythromycin";
- "Roxithromycin";
- "Clarithromycin";
- "Azithromycin" thiab nws cov analogues;
- "Midecamycin";
- "Spiramycin";
- Y"Josamycin".
YCephalosporins
Cov tshuaj tua kab mob loj tshaj plaws, hla tsib tiam neeg. Cov kab mob tsis muaj zog tiv thaiv cov tshuaj tua kab mob no, tab sis qhov tsis zoo ntawm cephalosporins yog qhov tshwm sim ntawm kev ua xua rau lawv thiab feem pua ntawm cov kev mob tshwm sim, tshwj xeeb tshaj yog los ntawm txoj hnyuv.
Ntxiv rau, feem ntau ntawm cov tshuaj hauv pab pawg no yog siv los ntawm niam txiv. Cephalosporins muab faib raws li hauv qab no:
- 1 tiam - "Cefazolin", "Cefalexin";
- 2 tiam - "Cefuroxime", "Cefoxitin";
- 3 tiam - "Cefixime", "Ceftriaxone";
- 4 tiam - "Cefpirom", "Cefepim";
- 5 tiam – Ceftobipro.
YFluoroquinolones
Fluoroquinolones yog cov khoom tsim hluavtawsmuaj pes tsawg leeg uas tsis muaj analogues nyob rau hauv cov xwm, uas tso cai rau lawv kom muaj lub widest spectrum ntawm antibacterial kev txiav txim. Tab sis cov khoom siv dag zog ntawm cov tshuaj no yog vim li cas rau kev loj hlob ntawm kev ua xua thiab kev phiv loj heev los ntawm txhua lub cev lub cev.
Rau cov menyuam yaus, cov poj niam cev xeeb tub thiab lactating, kev npaj ntawm pawg fluoroquinolone yog categorically contraindicated. Fluoroquinolones muab faib ua:
- 1 tiam - Ofloxacin, Pefloxacin;
- 2 tiam - "Ciprofloxacin", "Norfloxacin";
- 3 tiam - Levofloxacin, Sparfloxacin;
- 4 tiam - Moxifloxacin, Gemifloxacin.
Tus kws kho mob tau sau cov tshuaj tua kab mob uas tsim nyog tshaj plaws rau kev kho mob raws li keeb kwm ntawm tus kab mob, cov yam ntxwv ntawm nws cov chav kawm. Ib qho smear ntawm qhov ntswg mucosa, uas tuaj yeem txheeb xyuas cov kab mob tshwj xeeb, yuav pab koj xaiv cov tshuaj kom raug raws li qhov ua tau.
Nyob
Kev kho mob hauv tsev rau cov tsos mob ntawm sinusitis hauv cov menyuam yaus thiab cov neeg laus yog siv tshuaj tsuag. Tag nrho cov tee dej (txhaj tshuaj) muab faib ua pawg:
- YVasoconstrictor. Lawv txo qhov o, pab txo qhov mob, tshem tawm cov kua paug thiab cov hnoos qeev los ntawm maxillary sinuses. Lawv ua haujlwm luv luv (3-4 teev). Kev siv ntau tshaj 7 hnub yog tsis pom zoo, vim kev quav tshuaj tshwm sim thiab cov nyhuv txo qis. Antibacterial - thaum siv cov tshuaj no, ua rau tuag taus ntawm tus kab mob tshwm sim, txwv tsis pub nws cov kev tsim tawm. Muaj kev tshem tawm qhov o ntawm qhov ntswg kab noj hniav, thiab qhov ntswg qhov ntswg tau tshem tawm. Ib feem me me ntawm qhov yuav ua rau muaj kev tsis haum rautshuaj.
- Hormonal. Lawv muaj anti-allergic cov khoom xyaw. Feem ntau siv rau cov kab mob raws caij nyoog. Pab txo qhov o, txham.
- zaub. Cov tshuaj raws li cov roj ntuj pab rau kev kho mob me me, tab sis tsis pom zoo rau cov kab mob ua xua.
- Homeopathic. Lawv yog siv rau congestion ntawm qhov ntswg kab noj hniav tshwm sim los ntawm cov kab mob, kab mob, ua xua ntawm ntau yam. Kev kho mob nrog cov tshuaj no siv sijhawm ntev dua.
- sib tov. Ua tsaug rau kev sib xyaw ua ke ntawm tag nrho cov tshuaj saum toj no, cov txiaj ntsig zoo thiab muaj txiaj ntsig tau ua tiav hauv kev kho thiab tiv thaiv tus kab mob no.
- Tshuaj tiv thaiv kab mob thiab luam tawm. Lawv pab txhawb lub cev tiv thaiv kab mob thiab pab kho tus kab mob phem no.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Muaj ntau txoj hauv kev. Thawj txoj kev (qhov yooj yim tshaj) yog txoj kev ntws. Koj tuaj yeem npaj cov tshuaj nrog kev pab ntawm cov tshuaj lossis ntau hom tshuaj ntsuab. Txoj kev npaj ua yog raws li nram no: khoov hla lub dab dej. Tig koj lub taub hau mus rau sab kom lub qhov ntswg uas tsis muaj qhov thaiv nyob rau saum. Txhawm rau kom tsis txhob ua kom cov mucous ua kom puas, cov koob txhaj tshuaj yuav tsum tau txhaj tshuaj kom du thiab ntiav. Cov kua yuav tsum ntws ntawm qhov siab qis mus rau hauv lub qhov ntswg uas tsis muaj cov hnoos qeev, thiab nchuav tawm ntawm lwm qhov. Tom qab ntawd peb tig peb lub taub hau mus rau qhov sib txawv thiab ua tib yam. Tom qab cov txheej txheem, koj yuav tsum tau tshuab koj lub qhov ntswg. Nws tsis pom zoo kom tawm mus sab nraud rau ob peb teev - koj tuaj yeem mob. Nws yog qhov zoo tshaj plaws mus pw, so thiab muab tso rau hauv qabhauv ncoo taub hau.
Txoj kev thib ob yog "cuckoo". Hauv chaw ua haujlwm, tus neeg mob tau tso cov kua paug tawm ntawm lub qhov ntswg:
- tus kws kho mob ntxig ib lub cuab yeej hu ua lub tshuab nqus dej rau hauv thawj lub qhov ntswg;
- lub tshuab nqus tsev yog tsim nyob rau hauv qhov ntswg kab noj hniav, cov tshuaj ntws los ntawm qhov ntswg ntawm qhov nrawm nrawm;
- thaum sau lub qhov txhab nrog kua, ib tug neeg hais lo lus "cuckoo".
Tsis tas li, lwm txoj kev siv los ntxuav qhov ntswg: cov no yog "Dolphin" thiab "Furacilin". "Dolphin" - ib tug tshuaj uas muaj minerals thiab cov nroj tsuag tshuaj. Cov khoom nram qab no tau muab rau cov tshuaj: muab cov nyhuv antiseptic; tua microbes; restoration ntawm qhov ntswg mucosa; nce lub cev tiv thaiv. Teem sijhawm rau 11 lub lis piam. Cov neeg mob yuav tsum ntxuav lawv lub qhov ntswg 1-3 zaug hauv ib hnub tom tsev.
"Furacilin" yog siv thaum ntxuav cov sinuses, tshem tawm cov kua qaub, kua qaub. Nws raug nquahu kom siv tshuaj nrog cov tshuaj tua kab mob nrog cov tshuaj no.
Kev nqus pa
Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm nebulizer yog txau ntawm cov tshuaj, cov ntsiab lus uas tau xaiv ib tus zuj zus rau txhua tus neeg. Vim qhov yooj yim ntawm cov cuab yeej siv cuab yeej, txawm tias tus menyuam tuaj yeem siv nws. Cov khoom siv muaj xws li ib tug tshwj xeeb nozzle ntawm ob yam. Nrog kev pab los ntawm kev txau, cov tshuaj sai sai tau mus rau thaj tsam cuam tshuam. Vim qhov no, kev kho mob yuav siv sij hawm tsawg dua. Cov cuab yeej siv tau hauv tsev - qhov no ua rau muaj txiaj ntsig zoo.
Tsuas yog kws kho mob sau tshuaj. Puas tuaj yeem kho sinusitis?saline, tsis muaj tshuaj daws teeb meem. Cov tshuaj saline nrog kev pab ntawm lub cuab yeej ntxuav lub qhov ntswg kab noj hniav, tshem tawm cov commulations thiab deposits. Rov qab los sai heev.
Nws yog ib qho tsim nyog yuav tsum tau ua cov txheej txheem nrog lub nebulizer tsis pub dhau ob teev tom qab kev tawm dag zog. Ua pa yuav tsum sib npaug thiab qeeb. Nws muaj peev xwm tsim tau koj tus kheej cov tshuaj muaj pes tsawg leeg, uas yuav muaj ntau yam tshuaj ntsuab, zib ntab, roj yam tseem ceeb, infusion. Ua ntej tus txheej txheem, lub qhov ntswg yuav tsum tau ntxuav. Cov chav kawm muaj ntau zaus hauv ib hnub rau 3-5 feeb. Yog tias koj ua tiav cov kev kho mob tag nrho - txog 7 hnub, qhov no yuav ua rau muaj txiaj ntsig zoo thiab nrawm.
zaub mov txawv teb chaws
Muaj ntau txoj hauv kev los kho thawj cov tsos mob ntawm sinusitis hauv cov neeg laus hauv tsev - ntawm no yog qee qhov ntawm lawv.
hiav txwv ntsev - muaj txiaj ntsig zoo heev nyob rau theem pib ntawm tus kab mob. Kev yaug qhov ntswg nrog dej sov thiab ntsev hiav txwv tua cov kab mob loj heev hauv qhov ntswg. Cov tshuaj yuav tsum tau muab tso rau 1/3 tablespoon, tsis muaj ntxiv. Nws yog ib qho tsim nyog kom yaj tag nrho cov ntsev hauv dej, txwv tsis pub koj tuaj yeem ua rau cov mos mucous daim nyias nyias nrog crystals. Cov dej kub yuav tsum yog 39-41 degrees Celsius.
Yuav cuam tshuam li cas?
- Rau cov neeg laus: 1 teaspoon ib nrab liter ntawm cov dej tsis kub boiled.
- Rau menyuam mos: 1 teaspoon ib liter ntawm cov kua sov.
Thuja roj muaj cov txiaj ntsig zoo. Cov ntsiab lus ntawm thuja koob tuaj yeem tshem tawm cov kab mob hauv plab, ua kom lub cev tiv thaiv. Cov roj tseem ceeb muaj cov khoom siv kho kom zoo dua qubnasopharynx, ntsws.
Tsis tas li, sinusitis yog kho nrog kua txiv cyclamen. Nws zoo kawg nkaus fights nrog ntau yam deposits thiab mucus nyob rau hauv lub nasopharynx. Tab sis muaj ib qho kev rho tawm - cov kua txiv hmab txiv ntoo tuaj yeem ua rau muaj kev fab tshuaj! Propolis yuav tsum tau instilled rau hauv lub qhov ntswg: noj 20% propolis tincture thiab sib tov nrog zaub roj 50 mus rau 50.
Horseradish cag. Nws yog ntxuav, ntxuav thiab rubbed on ib grater. 1/3 khob ntsuas. Tom qab ntawd nws yog tov nrog kua txiv ntawm peb lemons. Noj txhua hnub thaum sawv ntxov - 0.5 teaspoon ib nrab ib teev ua ntej noj mov. Lub sijhawm rov qab los yog 4 lub hlis. Yuav tsum muaj 2 chav kho mob ib xyoos twg. Ob peb xyoos koj yuav tsis nco qab tias sinusitis yog dab tsi!
Yamik catheter
Yamik txoj kev kho yog kev kho mob tsis yog phais ntawm cov kab mob paranasal sinuses. Ib tug tshwj xeeb sinus catheter yog siv los ua tus txheej txheem.
Kev kho yuav tsum tau ua los ntawm kws kho mob, koj tsis tuaj yeem nkag mus rau hauv koj tus kheej, vim qhov no tuaj yeem ua rau koj mob hnyav dua.
Cov lus qhia rau kev siv txoj kev no yog muaj cov kab mob xws li:
- sinusitis thiab lawv exacerbations;
- sinusitis;
- kab mob inflammatory ntawm lub maxillary sinuses.
Contraindications:
- muaj adenoids;
- muaj polyps;
- kab mob ntshav;
- hnub nyoog preschool.
Txoj kev ua haujlwm
Muaj peb theem tseem ceeb:
- Npaj theem. Cov cuab yeej siv tau raug kuaj xyuas, ua tiavtshuaj antiseptic. Cov tshuaj loog hauv zos yog siv los tiv thaiv tus neeg mob kom tsis txhob mob. Cov tshuaj vasoconstrictor yog siv los nqaim cov hlab ntsha.
- Lub ntsiab theem. Lub catheter yog muab tso rau hauv lub qhov ntswg kab noj hniav. Tom qab txhim kho lub zais pa tshwj xeeb nrog lub syringe, lub siab yog tsim. Dab tsi ua rau kev tso tawm ntawm cov purulent masses los ntawm cov hlab ntsha ntawm lub cev.
- The final stage. Tus neeg mob tau pw ntawm nws sab, tom qab ntawd cov tshuaj tau txhaj rau hauv lub qhov txhab. Tus tsim yog tshem tawm ntawm qhov ntswg qhov ntswg. Tom qab kev kho mob, tom qab ib lub sij hawm, kev tswj xyuas tau ua tiav. Txoj kev no yog kev nyab xeeb thiab zoo tshaj plaws hauv kev kho mob ntawm sinusitis thiab sinusitis ntawm ntau yam etiologies.
Balloon sinusoplasty
Balloon sinusoplasty yog ib qho kev phais me me rau kev kho mob ntawm cov kab mob paranasal sinuses. Cov txheej txheem no muaj nyob rau hauv kev ua lub zais pa tshwj xeeb rau hauv qhov ntswg qhov ntswg. Cov lus qhia rau kev phais yas yog qhov muaj cov kab mob hauv qab no:
- Sinusitis ntawm ntau yam etiologies.
- Frontitis, sinusitis.
Cia peb xav txog cov yam ntxwv ntawm tus txheej txheem:
- Npaj theem. Kev kuaj endoscopic thiab kuaj xyuas cov sinuses ntawm lub qhov ntswg kab noj hniav rau kev phais, txiav txim siab ntawm qhov mob. Kev npaj ntawm tus kheej rau kev phais yas, nws cov tshuaj tua kab mob.
- Lub ntsiab theem. Cov tshuaj loog hauv zos yog muab tshuaj, tom qab ntawdib lub zais pa tshwj xeeb hauv qhov ntswg. Nyob rau hauv lub siab ntawm lub syringe, nws swells, yog li nthuav cov sinuses. Qhov kev nqis tes no txhawb nqa qhov dej ntawm qhov chaw mob.
- The final stage. Lub zais pa yog deflated thiab lub kaw lus tau ua tib zoo tshem tawm, tom qab uas cov tshuaj tau txhaj, thiab qhov sinus nws tus kheej tseem npaj rau kev nthuav dav thaj tsam ntawm purulent masses thiab tshem tawm cov ntsiab lus siv cov khoom siv endoscopic.
Qhov zoo ntawm kev siv txoj kev no:
- Txhob ua kev puas tsuaj rau qhov ntswg.
- Kev tsis suav nrog los ntshav thaum tswj hwm.
- Lub sijhawm rov qab los sai.
- Kev Tiv Thaiv Kev Nyuaj Siab.
- Kev ua haujlwm ntawm tus txheej txheem.
- Permanent endoscopic tswj.
