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   Acute sinusitis: diagnosis and treatment
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Acute sinusitis: diagnosis and treatment

Sinusitis is one of the most commonly occurred disease in adults and children. It is an inflammatory process, which develops in paranasal sinuses and characterized by bacterial, viral, fungal or allergic nature. If you face this disease, turn to general practitioners and otolaryngology to get some recommendations on treatment.

Medical practice classifies sinusitis in several ways: duration of the disease acute sinusitis up to 8 weeks chronic, when it persists longer pathological process or four or more relapses of acute sinusitis a year.

It was noticed, that the process of inflammation is concentrated in paranasal sinuses. The process can occur simultaneously in two or more axils of one or both parties: maxilloethmoidal sinusitis, pansinusitis or polysinusitis.

Acute sinusitis is usually caused by Streptococcus pneumoniae and Haemophilus influenzae, which are planted in more than 50 of cases. Rarer M. catarralis, Str. pyogenes, Staph. aureus, anaerobes, viruses.

Sinusitis, which is developed on the background of respiratory infections of the upper respiratory tract, is called community-acquired form of the disease. Recently, physicians talk about isolated nosocomial sinusitis, occurring after prolonged tamponade of nasal cavity, nasogastric or nasotracheal intubation sensing. This form of the disease is caused by anaerobes, enterobacteria group, rarely Staphylococcus aureus and fungi.

The most frequent complaints in acute sinusitis are headache, difficult nasal breathing, abnormal discharge from the nose and nasopharynx, disorder of sense of smell. Headache is often localized in the front-temporal areas, often enhanced by tilting the head. The defeat of the sphenoid sinus is characterized by persistent "night" headache with localization in the center of the head and occipital. Sometimes, complaints of headaches are absent, especially if there is a good flow of fluid through the natural fistula. Nasal obstruction with sinusitis is caused by nasal obstruction edema or hyperplasia of the mucosa, the presence of pathological secretions in the nasal passages.

In the diagnosis of acute sinusitis, medical specialists use special research methods: radiography scan of the paranasal sinuses and their diagnostic puncture.

Depending on the severity of the clinical manifestations of acute sinusitis, there is a mild course of the disease, moderate and severe.

When choosing an antibiotic for the treatment of sinusitis is considered the severity of the patient condition. Absolute requirement to antimicrobial remedies is also their maximum safety, the absence of adverse reactions and other side effects.

Physiotherapy techniques microwave, UHF, laser, magnetic therapy - these are the methods to treat acute sinusitis. When expressed pain syndrome, the patient is appointed sinusoidal modulated therapy.

Prevention of acute sinusitis should be done on such requirements as:

1. Elimination of different anatomical defects in the nasal cavity, preventing the normal nasal breathing, leading to disruption of mucociliary transport and drainage of the paranasal sinuses through the natural anastomosis.

2. Timely oral hygiene to prevent the development of periodontitis in the roots of the teeth adjacent to the bottom of the maxillary sinus.

3. Systematic activities to enhance the natural local and general resistance. Particular importance for the treatment and prevention of acute and chronic sinusitis is presented by active immunization remedies with bacterial vaccines
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