Today, we are interested in a disease such as sinusitis, and its treatment. The pathology itself is the presence of an inflammatory process in the paranasal sinuses. The maxillary sinuses are only two. They are also called maxillary sinuses or maxillary sinus. Hence the name of the disease - "Sinusitis." By the nature of the course, the pathology is divided into acute and chronic. It is also accompanied by chronic runny nose, headaches, loss of smell.
Before treating chronic sinusitis, a consultation with a doctor is carried out. Often, patients complain only of shortness of breath. In other cases, abundant nasal discharge of mucopurulent discharge is available, and during periods of exacerbation and purulent nature. Symptoms can be expressed in a feeling of heaviness, pressure in the area of inflammation. Sometimes such manifestations are accompanied by pain in the region of the maxillary sinuses, extending to the temporal region and the region of the superciliary arches.
The effective treatment of sinusitis largely depends on the correct, effective diagnosis. The chronic pathology of the maxillary sinuses resembles trigeminal neuralgia in clinical symptoms. The causes of the chronic course of this disease can be acute inflammation that has developed repeatedly. The process becomes chronic due to the anatomical features of the maxillary sinus and / or due to pathological changes in the nasal cavity. Recently, allergic sinusitis are also more often noted .
Treatment of chronic sinusitis implies the availability of information about diseases of the respiratory tract prior to the onset of chronic pathology. We are talking about SARS, as well as other sinusitis. The patient is questioned in detail for the presence of pain in the maxillary region, visits to the dentist, exacerbations of the pathology and their frequency. Perhaps earlier there was an operative measure.
Treatment of chronic sinusitis before the results of microbiological studies are obtained, begins with the use of broad-spectrum antibiotics. This may be the drugs "Cefazolin" and "Amoxicillin", combined with clavulanic acid. After the results of sowing are obtained, the appointment of directional antibiotics follows. In the absence of sinus discharge and / or impossibility of receiving it, therapy continues with the previously prescribed medication.
Anti-inflammatory therapy may include a drug such as Fenspiride. Antihistamine treatment is carried out with ebastin, chlorapyramine, mebhydrolin and other drugs.
In other words, the treatment of chronic sinusitis, as in the acute course of the disease, is carried out by pharmacotherapeutic methods. Such a technique is selected individually by the doctor during the consultation. With severe pain and / or profuse purulent rinse, the sinuses are washed without puncture. The effect of drug therapy can be enhanced by laser therapy. This also implies the elimination of the consequences of the inflammatory process. In certain cases, treatment is combined with acupuncture sessions.
Treatment of chronic sinusitis is usually performed on an outpatient basis. There is a need to ensure a good outflow of the contents of the maxillary sinus, which has been affected. If complications arise or the course of the pathology becomes severe, the patient is subject to hospitalization. Chronic sinusitis during an exacerbation, like acute sinusitis, is treated with antipyretics, antibiotics, sulfonamides, vitamins. Treatment of chronic sinusitis with its allergic origin is carried out by means of non-specific and specific desensitization. Means of nonspecific hypersensitivity are, for example, calcium chloride, antihistamines, and specific allergens in small doses, vaccines, auto vaccines.