What does sinusitis look like?
Acute sinusitis is an inflammatory process of the mucous membrane of the maxillary sinus, which is the most common ailment of the paranasal sinuses. In most cases, when sowing contents from the maxillary sinus, bacterial microbial flora is found. The main causative agent of acute sinusitis is Streptococcus pneumoniae, which has a very high degree of resistance to penicillin antibiotics. Quite often, anaerobes are sown, hemophilic bacilli, fungi and viruses. The leading factor in the development of infection in the sinus is the narrowing or complete blockage of its excretory opening.
Symptoms of acute sinusitis can be divided into local and general. Local manifestations of inflammation of the maxillary sinus include: a violation of nasal breathing on the side of the inflamed sinus or on both sides, pain on the side of the affected sinus radiating to the temple or even the entire half of the head, discharge of purulent or muco-purulent character from the nose, impaired smell by varying degrees .A characteristic feature is increased pain when bending the head forward. It is also necessary to take into account the fact that acute purulent sinusitis can most often be accompanied by inflammation in other sinuses, which complicates the process.
Common symptoms include high body temperature, loss of appetite, headaches, and poor overall health. In the blood test, an inflammatory response is isolated. The inflammatory process can last up to two weeks.
To establish the correct diagnosis, the doctor has few patient complaints and typical clinical manifestations of acute sinusitis. For accuracy of diagnosis, it is necessary to conduct several additional studies: radiography of the maxillary sinuses, computed tomography (CT), diagnostic puncture to obtain the contents of the maxillary sinuses. The puncture is performed with both diagnostic and therapeutic purposes.
Treatment of acute sinusitis is aimed at evacuating the purulent focus of infection in the sinus and involves local treatment and general anti-inflammatory therapy, as well as physiotherapeutic methods of treatment. Locally apply various vasoconstrictor drugs,which contribute to the reduction of the mucous membrane of the nasal cavity and as a result, the opening of the maxillary sinus fistula with the nasal cavity occurs and nose breathing improves. Vasoconstrictor drops pour three times a day, five drops in each half of the nose. This treatment should be continued for 5-8 days.
Good results are obtained by puncture of the maxillary sinus with the installation of a special catheter, through which the sinus cavity is washed with various antiseptic solutions and antibiotics for 5-8 days. At the same time prescribe antihistamine anti-inflammatory drugs.
Among physiotherapeutic procedures, it may be effective to apply 7-10 UHF procedures on the sinus area, ultraviolet irradiation, pulse currents or electrophoresis.
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