How to treat sinusitis
- In viral sinusitis patients Most of the symptoms are treated, such as painkillers, rinse the nose with saline and nasal spray steroids.
- In patients with acute sinusitis caused by bacteria If the patient has mild symptoms such as slight pain, fever below 38.3 ° C It is advisable to observe the symptoms and to use antimicrobial drugs when the patient's condition does not improve. Or worsen within 7 days. However, should consider the age General health and medical conditions of patients as well
- The first antimicrobial drug that should be given is amoxicillin and should be given for a period of 10-14 days (if allergic to penicillin may be considered trimethoprim / sulfamethoxazole or macrolides) and if the antibiotic is not given for 7 days Pathogens may not be bacteria. Or is a bacteria that is resistant Therefore should be cultured to In order to use drugs that are suitable for the pathogen And change to other types of antimicrobial drugs while waiting for the culture results If patients have received antimicrobial drugs before, within 6 weeks, or in patients with severe symptoms, the group or dose may need to be changed. Nasal spray steroid medication can also be used to treat acute sinusitis as well. To relieve the patient's symptoms
- For chronic sinusitis Bacteria may not be the cause of the occurrence. From the culture studies that separate the sinus cavities of normal people and patients with chronic sinusitis There were no significant differences in the presence of bacteria in both groups. Antimicrobial treatment in patients in this group No research supports Therefore, will be chosen in cases where birth is occurring Acute exacerbation and should be cultured for antimicrobial drugs. That is always right first Because of the study in this group of patients There was a change in the type of bacteria in each period. That culture from the same patient
- Corticosteroids Nasal spray has a role in reducing the size of the hemorrhoids. And reduce other symptoms Caused by rhinitis, such as stuffy nose, runny nose, sneezing, but has little effect on the smell.
Examination to help diagnose
- Sinus x-ray image May find abnormal Such as the opacity of the sinus cavity by comparing the maxillary sinus with the socket Is entirely opaque Partly opaque, seen as an air-fluid level or with thickening of the sinus septum. The first two radiographs are more relevant to the diagnosis than the radiographs of the sinus septum that may be found in normal people and allergic patients.
- X-ray computer And the magnetic x-ray of the sinus Will find abnormalities of the nasal mucosa And / or sinus disorders in the osteomeatal complex, which is the opening of the sinus Which can be found In normal people without symptoms up to 33%, so it is not recommended to conduct such tests in the diagnosis of common sinusitis, but it is recommended to do in the case of patients with acute sinusitis with complications in the eye, brain or in people Patients who have suspected tumor of the nose and / or sinus Or there are other causes that cause pain in the face Or sinusitis patients who have given medication have not improved Patients diagnosed with sinusitis together with a history of having had an accident or having facial surgery before Or in groups that are at risk for complications From sinusitis, such as patients with immune deficiency problems such as diabetes, leukopenia, etc.
Complications from sinusitis
- Through the eyes, the suspicious symptoms include puffy eyes, sore eyes, rolling eyes and then sore. Blurred vision or See blurry images, etc.
- Via the brain. Suspected symptoms include headache, nausea and vomiting. Blurred vision or Can't see the picture Muscle weakness Together with high fever etc.
Risk factors that cause sinusitis: flu, allergies, swollen nasal septum Gastroesophageal reflux disease, etc. Some behaviors that stimulate swelling of the nasal septum, such as prolonged cold contact. Irritated by dry and cool air. Including sudden temperature changes.
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