Mushonga wehutachiona hwechivi hunofanirwa nemhando ye sinusitis uye inokonzerwa nekuputika kana utachiona pamudzi wayo. Acute viral sinusitis inogona kugadzirisa pachayo uye kurapwa kunongova kwekusunungurwa kwezviratidzo, asi bhakitiriya sinusitis inogona kuporeswa nehuwandu hwemishonga inorwisa mabhakitiriya. Kurapa utachiona hunogona kuve huchiita kuti utachiona hwehutachiona husingaperi kana husingaperi hunogonawo kubatsira.
Chronic sinusitis inogona kunge yakanyanya kuoma, sezvo zvirwere kana kuti zvisingaiti zvingave zvichivhara matanda echinhu uye zvinoda kuvhiyiwa. Kana fungus, panzvimbo yebhakitiriya, yakakura mukati mezvivi, anti-fungal mishonga uye chirwere chekupedzisira chingada kuibvisa.
Mishonga yeMusha uye Upenyu
Iko kune maitiro mashomanana epamusoro-kumusha anokwanisa kuderedza zvikuru zviratidzo zvehutachiona hwechivi. Kunwisa mvura mumvura inomunyu ndeimwe yemishonga yekusarudzwa kwezviratidzo zvekusingaperi sinusitis kuvanhu vakuru, kunyange zvidzidzo zvisingabatsiri vana. Kunwa mvura yeNasal iri nyore kuita pamba uchishandisa chiriti cheti neti kana dzimwe nhesi dzinosuka.
Kushandisa vaporizer yemhepo kana mhepo inotonhora kana inotonhorera humidifier inogona kubatsira kuchengeta bundu rako rakatetepa. Inhalation yemhepo inosanganiswa ne eucalyptus , chamomile, kana peppermint inogonawo kubatsira. Kunyange zvazvo pasina tsvakurudzo yesayenzi iyo izvi zvinowedzera kuwedzera zviratidzo, ungazviwana zvichizorodza.
(Cherechedza: Mafuta anopisa anopisa uye haafaniri kushandiswa mukati pevana.)
Mamwe mazano anobatsira:
- Imvura inopisa inoderedza marwadzo, inokurudzira mvura, uye inozarura matanda ematanda.
- Deredza marwadzo echitarisiko uye kuzvidzora nekushandisa compress yakasimba kune chiso chako.
- Inwa mvura zhinji uye uwane zororo zvakawanda.
Over-the-Counter Therapies
Kunze kwemishonga inorwisa mabhakitiriya uye mishonga inorwisa-fungal, iyo mitemo, chero mishonga inorayirwa sinusitis ndeyekutarisa zviratidzo uye kwete kuporesa utachiona. Zvimwe zviratidzo zvinonyanya kutsvaga kurapwa zvakabatana nekurwadziwa kwechivi , kubatana , uye kurwisana kwemazuva ose. Kunyange zvazvo mishonga yakawanda iri pasi apa inowanika pane-the-counter, iwe unofanira kugara uchitarisa nachiremba wako kana wemhizha musati watora mushonga mutsva kana kubatanidza mishonga.
Sinus Pain Relief
Sinusitis inogona kukonzera misoro, mazino, uye marwadzo uye kumanikidzwa mumeso. Kuwedzera-kwe-kunorwadza kunorwadza kunogona kubatsira mukugadzirisa kusuruvara uye kunosanganisira:
- Tylenol (acetaminophen)
- Advil, Motrin (ibuprofen)
- Aleven (naproxen)
- Aspirin
Mimwe yemishonga iyi inogona kusanganiswa; somuenzaniso, vanhu vakuru vane hutano vanogona kutora zvose zviri zviviri acetaminophen uye ibuprofen pamwechete, chero bedzi vachitevera mazano epa dosing akabatanidzwa muhomwe. Zvinowanzokurudzirwa kuti ibuprofen uye naproxen isabatanidzwe, sezvo chiito chemishonga iyi miviri yakafanana. Aspirin inopa ropa rakasimba uye haifaniri kutorwa nemunhu anenge atotora ropa, kana kuti nevanhu vane humwe hutsika hutsika.
Aspirin haifaniri kupa vana nekuda kwekuda kweReye's syndrome.
Kana zvirwere zvako zvikawedzera kuipa pashure pokutora aspirin, unogona kunge uri wevashoma vasina hukama vane kusagadzikana kwe aspirin iyo inowedzera zviratidzo zve sinusitis. Zviratidzo zvinosanganisira manzwiro ekusimba mubhokisi, kuputika, kukohwa, uye nekukurumidza kusanganiswa kwemvura mukati maawa mashomanana ekutora aspirin, ibuprofen, kana naproxen. Kana iwe uchifungidzira kuti unogona kuva nemamiriro ezvinhu aya, usatora mishonga iyi uye shandisa acetaminophen pane.
Kana ure-hwe-hutambudzi hwekunetseka huri hunobudirira mukudzora kurwadziwa, bvunza chiremba wako.
Nasal Kugadziriswa Kusununguka
Kushambadzira kweNasal, mhepo inoputika, uye kunyura kwemashure kunogona kuva zviratidzo zve sinusitis. Saline nasal spray uye Mucinex (guaifenesin) vanoita kuti vanyorove bundu rako uye vobatsire kuti rive nyore nyore, izvo zvingabatsira kuderedza kusanganiswa. Kufanana nedzimwe nzira dzekudiridza mumvura, saline nasal spray inokurudzirwa kuvanhu vakuru vane acterial sinusitis uye chronic sinusitis.
Kune mhando dzakasiyana-siyana-ye-counter decongestant mishonga inowanikwa kuti ichengetedze zviratidzo kune avo vane chisingagumi sinusitis. Kushandisa kunofanirwa kuve kwemazuva matatu kusvika mashanu kuti isapinda kuwirirana , izvo zvinoitika apo muviri unopindirana neecongestant iri kurega nekuwedzera kuwedzera. Zvinyorwa zvepamusoro hazvikurudzirwi kuvanhu vakuru kana vana vane acute sinusitis, sezvo zvidzidzo zvisingaratidzi kubatsirwa. Mienzaniso yezvipfeestant inosanganisira:
- Afrin (oxymetazoline) nasal spray
- Sudafed (pseudoephedrine)
- Pedafed PE (phenylephrine)
Panewo-over-the-counter steroid nasal sprays iyo inogona kubatsira kubata chirwere, kunyanya nechirwere chisingaperi. Izvi zvinoda kutorwa kwenguva yakareba kuitira kuti zviwane zvizere. Vakachengeteka kushandisa zuva rega rega kwenguva yakareba. Dzinosanganisira:
- Flonase (fluticasone)
- Nasacort (triamcinolone acetonide)
Antihistamines
Antihistamine mishonga inogona kushanda kuti "inomuka" mumucheka, asi inoshanda zvikuru kune vanhu vanokura sinusitis semhaka yemagetsi. Sezvakaitwa nea decongestants, hazvikurudziri kune vanhu vakuru kana vana vane acuteial sinusitis. Dzimwe antihistamine dzinokonzera kugona, izvo zvinogonawo kubatsira kana iwe usingagoni kurara usiku nekuda kwezviratidzo zvinotyisa. Kana uri kutsvaga antihistamine inogona kukubatsirawo zororo, zvinotevera zvinozivikanwa nekukonzera kugona:
- Benadryl (diphenhydramine)
- Unisom (doxylamine)
Izvozvo zvinotevera antihistamines zvinonzi hazvisi zvekutsemuka:
Antihistamine nasal spray inowanikwawo. Izvi zvinodhaka hazviiti mungozi yekuwedzera kusangana.
Kunyange zvazvo mishonga inogona kubatsira mukurapa sinusitis, iwe unogonawo kuedza mamwe mazano, semvura yekudiridza kana mararamiro ehupenyu, kuderedza zviratidzo zve sinusitis.
Zvinyorwa
Chiremba wako anogona kupa mishonga inogona kubatsira kubvisa zviratidzo pamwe nekubata chikonzero chinokonzera sinusitis.
Prescription Steroid Mishonga
Kana iyo-over-the-counter-steroid nasal sprays isingashandi nokuda kwako, unogona kupindura zviri nani kune mishonga inonzi steroid mishonga, kusanganisira:
- Nasonex (mometasone)
- Rhinocort (budesonide)
Idzi ndidzo steroid nasal sprays inoshandura kuzarura nzira dzomumvura nekudzivisa kuputika. Ivo vanopfuura mapiritsi e-steroid anotorwa mufomu yemapiritsi nekuti haavi nemigumisiro yakawanda mumuviri wose. Izvozvo zvakati, kana mapapiritsi emisasa asingabatsiri mukurapa kuungana kwako, chiremba wako anogona kupa steroid yemuromo (prednisone). Oral steroids inoshandiswa pakugadzira fungal sinusitis.
Steroid nasal sprays, madonhwe, kana muromo corticosteroids inogona kushandiswawo kana iwe uine mapuropa anokonzera ari kuunza sinusitis. Hakuna ngozi yekugadzirisa kusanganiswa nekushandisa kwavo.
Leukotriene Modifiers
Rimwe boka remishonga inonzwika rinonzi leukotriene modifiers rinogona kubatsira kune vamwe vanhu vane chisingagumi sinusitis nevaya vane sinusitis inosangana ne aspirin allergies. Iyi mishonga yemishonga inosanganisira:
- Singulair (montelukast)
- Accolate (zafirlukast)
Antibiotics
Mishonga inorwisa mabhakitiriya haipi kusvikira pane chiratidzo chokuti hutachiwana hutachiona pane hutachiona. Bhakteria acute sinusitis inofungidzirwa muvana nevakuru kana zviratidzo zvisingagadziri mushure memazuva gumi, zvinowedzera kwemazuva anopfuura matatu, kana pane kuviri-kuonekwa kunoonekwa mushure memazuva matatu kusvika mana (zviratidzo zvava nani, zvakanyanya kuwedzera zvakare). Chiremba angashandisa mazuva matatu ekucherechedza asati agadza mishonga inorwisa mabhakitiriya kuti aone kana kune kuvandudzwa pasina ivo kuti vasazvitsaurira zvinodhaka zvisina kufanira.
Vana nevakuru vasiri pangozi yekuve nehutachiona hunokonzerwa nemaabhakitiriya asingagoneki angaporesa nemaitiro anogara aine amoxicillin . Mishonga inorwisa mabhakitiriya kune vanhu vakuru inofanira kuenderera mberi kwemazuva mashanu kusvika kune manomwe. Muvana, inofanira kupiwa kwemazuva gumi kusvika ku14.
Izvozvo zvinokonzerwa nemishonga yekurwisa mabhakitiriya zvinosanganisira kuva pasi pemakore maviri kana kupfuura makumi matanhatu nemashanu; kutora antibiotics mumwedzi wapfuura; kuva muchipatara mumazuva mashanu apfuura; being immunocompromised; kana kuva nehumwe hutano hunoenderana. Vaya vari pangozi yakawanda yekurwara kwebhakitiriya inopesana uye avo vasingavandudzi pane amoxicillin mushure memazuva matatu kusvika mashanu vanogona kupiwa high-dose amoxicillin kana kuti inonzi high-dose Augmentin ES (amoxicillin-clavulanate).
Zvimwe zvinogona kusanganisira Omnicef (cefdinir), Ceftin (cefuroxime), Vantin (cefpodoxime), kana, kana mumwe munhu ari kurwirwa, pfuti yaRocephin (ceftriaxone). Kuvana nevakuru vane chirwere chakanyanya kumira penicillin, Biaxin (clarithromycin), Zithromax ( azithromycin ), kana Cleocin (clindamycin) inogona kushandiswa. Nemhaka yokuti mabhakitiriya akawanda haagamuchirwi nemishonga inorwisa mabhakitiriya, Bactrim (trimethoprim-sulfamethoxazole) uye Pediazole (erythromycin-sulfisoxazole) haigoni kushandiswa.
Vanhu vanokundikana kupindura miviri inorwisa mabhakitiriya inogona kurapwa nevefraxous intravenous kana ceftriaxone, kana kunyorerwa kune ENT nyanzvi kutora tsika dzechitendero kana kuita zvidzidzo zvekufungidzira kuti utsvake zvikonzero zvisingaiti.
Munyaya yekusingaperi sinusitis, mishonga inorwisa mabhakitiriya inogona kushandiswa kana iwe uine hutachiona hwehutachiona kana kana chiremba asingagoni kudzora utachiona. Nzira yemishonga inouraya inogona kuwedzerwa kusvika kumavhiki mana kusvika matanhatu.
Antifungal Agents
Mishonga yeAntifungal kazhinji haigamuchirwi neyeverigic fungal sinusitis kana kuti isina-invasive fungal sinusitis (fungus ball kana mycetoma). Antifungal mishonga inogona kurongerwa kuti isapinda sinusitis inoputika, pamwe nekuvhiya.
Immunotherapy for Allergies
Kana yako sinusitis inokonzerwa kana yakaipisisa nemishonga inokonzera mishonga (kusanganisira fungal allergies), aneristist anogona kukupa mishonga yekurwisana kana mishonga yemuromo kuti akudzivisei kune izvo zvinokonzera. Izvi zvinogadziriswa kumunhu mumwe nomumwe uye zvishoma nezvishoma zvinowedzera huwandu hwezvergen kuti udzikise kushushikana kwako. Kurasikirwa kwemazuva ano kunogonawo kuitwa kune avo vane aspirin yavo yose inokonzerwa nechivi che sinusitis.
Nyanzvi-Inzira Dzokufambisa
Maitiro akawedzerwa, kukura kusina kusimba, ruvara rwechivara, uye kusagadzikana kwemuitiro kunogona kudzivirira zvivi uye kunobatsira pakugara kwechirwere uye kusingaperi. Izvi kazhinji zvinoda kuvhiyiwa kuti zvirape uye zvinogona kuitwa neET nyanzvi.
Kuvhiyiwa kwechivi kunowanzoitwa ne endoscope uye zvishoma nezvishoma zvinoputika. Chinhu chiduku chine fiber-optic tube inopfuurirwa mumhino mumadanda emisasa uye hapana kuvharwa kunodiwa. Inowanzoitwa pane imwe nguva, asi unogona kugamuchira aneshesia. Kunyange iwe kazhinji uchikwanisa kudzokera kumusha musi iwoyo, unofanirwa kunge uri kutarisira mumwe munhu mukuru kwemaawa makumi maviri nemana uye haufaniri kutyaira.
Kuwedzerwa adenoid mushure mehuro kunogona kubviswa neadenoidectomy, iyo inowanzoitwa sezuva rekuvhiyiwa uye inoitwa nemuromo.
Turbinates zvivako mumapapiro ayo anodziya uye anovhenekera mhepo yaunofema. Inogona kuwedzerwa uye inogona kukura muhomwe yepakati mukati me turbinate inonzi concha bullosa. Aya matambudziko anogona kugadziriswa nekuvhiyiwa kwekupedzisira.
Iwe unogona kuva nechinomwe chakasvibiswa, chikamu chekartilage chinoparadzanisa mhino dzako, nekuda kwekuremara kwekuberekwa kana kukuvara. Kuvhiyiwa kwepachivande kunogadzirisa dambudziko iri. Mamwe maziso ekuberekwa akaremara (zvakadai se cleft palate) kana kukuvadzwa kunogona kuda kururamiswa kwokugadzira kana vari kupa chikamu chechi sinusitis.
Nasal polyps inobata masasa ematumbu anokwanisa kukura nekuda kwekuputika uye zvinozowedzera kuvhara ma sinus uye sinusitis. Zvinogona kubviswa ne chirwere chekupedzisira. Zvirwere zvinosvibisa kana zvipembenene zvinokonzera zvishoma zvinokonzera kukanganisa sinus izvo zvinogona kubviswa nekuvhiyiwa.
Fungal sinus zvirwere zvingada kuti chirwere chinonzi sinus chigadziriswe segomba refungal kana chirwere chinoputika chechirwere chisingazogadziriswa nemishonga inogadziriswa chete. Kuvhiyiwa kwenguva refu kunogona kuchenesa zvinyorwa zvinopfurikidza pamwe chete nezvimwe zvinhu zvakakuvadzwa.
Complementary Medicine (CAM)
Kunwisa kweNasal imwe chirongwa cheCAM chave chichigadzirwa uye chakakurudzirwa nevanogadzirwa zvechiremba kuvanhu vakuru vane sinusitis. Zvimwe CAM remishonga / nzira dzinogonawo kuonekwa, zvakadai sezviri pasi, asi pane kungosimbisa zvakakwana kutsvakurudza kwekuvakurudzira panguva ino.
Bromelain chinhu chinowanzowanikwa mumapineapples chakashandiswa mumuromo zvinowedzera. Iyo inoputsa mapuroteni uye inofanirwa kuva yakasviba mumucheka mumasese uye ine anti-inflammatory effects. IJerman Commission E (iyo yakaenzana neyo nyika yeDFA) inobvumira kushandiswa kwayo mukurapa sinus uye kuputika kweputi. Vanhu vakashandisa iyo kuchida sinusitis pamwe nekusingaperi sinusitis, uye pane zvidzidzo zvishomanana zvinoratidzika kuratidzira zvimwe zviitiko.
Vakawanda vanorapa mushonga vanofunga kuti kushushikana kwezvokudya kunogona kukonzera sinus kusanganiswa uye sinusitis, kunyange izvi zvisingawanzobatsirwe nemishonga inowanikwa. Kushushikana kumakaka, gorosi, marangari, kana shuga zvinonzi zvinokurudzira kugadzirwa kwemukoko, uye vamwe vanofunga kuti vanobvisa zvokudya izvi kubva pakudya kwavo kuti vaone kana zvichibatsira.
Sezvo kune imwe nzira inogona kurapa, zvakakosha kukurukura kushandiswa kweizvi kana zvimwe zvingasarudzwa nemutungamiri wako wekutanga wekutanga. Kuzvibata nemamiriro ezvinhu uye kudzivisa kana kunonoka kutarisirwa kwese kunogona kuva nemigumisiro inokosha. Uyezve, zvigadzirwa zvingasave zvakachengeteka kuvakadzi vane pamuviri, vana vanoyamwisa, vana, uye avo vanotora mishonga inogona kuwirirana navo.
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> Chow AW, Benninger MS, Brook I, et al. IDSA Clinical Practice Guideline yeAacute Bacterial Rhinosinusitis muvana nevakuru. Clin Infect Dis . 2012; 54 (8): e72-e112.
> Shaikh N, Wald ER. Dhedongestants, Antihistamines uye Nasal Irrigation yeAacute Sinusitis muvana. Cochrane Database yekuongorora kwakarongeka . 2014. ini: 10.1002 / 14651858.cd007909.pub4.
> Kurapa Chronic Sinusitis. Informed Health Health Online: Institute for Quality and Efficiency in Health Care. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072668/.
> Wald ER, Applegate KE, Bordley C, et al. Clinical Practice Guideline yeKutsvaga uye Kutungamirirwa kweAacute Bacterial Sinusitis muvana Vakwegura 1 kusvika 18 Makore. Pediatrics . 2013; 132 (1): e262-80.