Zovuta frontal sinusitis kapena frontalitis amadziwika ndi kutupa kwa mucous nembanemba ya frontal sinus. Mofanana ndi sinusitis, chifukwa chake ndi matenda omwe agwera mu sinus kuchokera pamphuno chifukwa cha mankhwala ovuta kapena osapatsidwa mankhwala. Matendawa akhoza kukhala tizilombo, fungal kapena bakiteriya. Ndiponso powonongeka ndi fupa lamkati kapena mitsempha yam'mbali, pambali ya edema ndi kudulidwa mucosal, matendawa akhoza kukhalanso. Choncho, chithandizo cha frontitis kwa anthu akuluakulu chimachokera ku kuthetsa chifukwa cha kutupa.
Zizindikiro za frontitis ndi matenda ake
Mphepete mwa nyanja imatha kuyenda mofulumira, ndipo ngati mulibe madzi okwanira amapita ku mawonekedwe osalekeza ndipo nthawi zina zimakhudza machismo a paranasal ndi makoma apambali. Zisonyezo za acute frontitis zimatchulidwa kwambiri, zopweteka zimakhala zoopsa, kuwombera, kusiyana ndi zosautsa - kupweteka kumapweteka komanso kumapweteka.
Zizindikiro zikuluzikulu za acute frontal sinusitis ndizo:
- ululu pamphumi;
- mukamapanga malo a sinus ndi mbali yapakati, ululu umamvekanso;
- kulakwa ndi photophobia, kupweteka m'maso;
- kutupa kwa matenda ofewa;
- serous kapena serous purulent discharge kapena osanunkhiza;
- kutentha kwa thupi, nthawi zina kusinthasintha.
Pambuyo pake, makamaka mtundu wake wosasinthasintha, ndi wowopsa chifukwa ungapangitse vutoli ngati mawonekedwe a mitsempha yakumaso, yomwe ingalowe mu necrosis, kukula kapena kupanga fistula. Nthawi zambiri zimakhala zovuta kwambiri pamene matendawa amakhudza chitseko cha pansi, ndipo amachititsa kuti phokoso likhale lopweteka m'maso. Ngati khoma la nsanamira la posterior limakhudzidwa, vutoli limayambitsa matenda a meningitis, abscess brain, etc.
Matendawa ndi osavuta. Kuti achite izi, wodwalayo amafunikira kudziwa za kukhalapo kwa zizindikiro komanso chithunzi chodziwika bwino.
Kodi mungatani kuti muzitha kuchipatala?
Kawirikawiri, mankhwala osungirako mankhwala mu dipatimenti ya ENT yosungirako ndikwanira. Koma m'mabvuto ovuta, ngati mukuyang'anizana ndi dokotala, opaleshoni ingasonyezedwe.
Mu mankhwala osokoneza bongo, antibiotics amauzidwa oyambirira kwa akuluakulu kutsogolo, pofuna kuthetsa matenda a bakiteriya kapena fungal, pofuna kuchotsa njira yotupa. Malingana ndi zovuta za matendawa zimayankhidwa molakwika:
- Augmentin ;
- SummaMed;
- Rovamycin;
- Ceftriaxone et al.
Ndiponso, pamodzi ndi maantibayotiki kuti athetse kutupa ndi kutuluka bwino kwa madzi ochepa, madokotala amapereka madontho a vasoconstrictive:
- Naphthysine;
- Halazolin ;
- Phokoso;
- Knoxprey.
Antihistamines imalangizidwanso:
- Suprastin;
- Diazoline;
- Claritin;
- Diphenhydramine, ndi zina zotero.
Chithandizo chikuchitika kwa sabata kapena masiku khumi.
Ngati purulent yamadzi imalowa mu sinus, ndiye chifukwa cha liquefaction yake, zimalimbikitsa kutenga kamodzi patsiku la ATSTS-long ndi mlingo wa 600 mg.
Kuonjezerapo, kukonzekera kungapangidwe pa Sinupret chomera chomera, kumathandiza kuchepetsa kutupa ndi kutupa, komanso ululu. Kuteteza zomera za m'mimba zokhudzana ndi kugwiritsa ntchito maantibayotiki omwe amapatsidwa maantibiotiki, monga:
- Linex;
- Bifidumbacterin, ndi zina zotero.
Zovuta za mankhwalawa zimaphatikizapo ndondomeko yotsuka "cuckoo" mothandizidwa ndi chipangizo chapadera chomwe chimagwiritsidwa ntchito pogwiritsa ntchito mankhwala ophera tizilombo ta Furacillin, Miramistine kapena Chlorophyllipt, ndi zina zotero.
Ngati chodziwika kuti mankhwalawa sagwiritsidwa ntchito moyenera pa chithandizo cha frontal sinusitis, pakadali pano, kutsogolo kwa akuluakulu kumafuna opaleshoni yopatsira opaleshoni. Kuti tichite zimenezi, sinus yoyamba imatulutsidwa kukhazikitsa tizilombo toyambitsa matenda ngati kutuluka kwake kukuletsedwa kudzera mu chilengedwe cha anastomosis.
Kuchiza kwa matenda a mimba kunyumba kwa akulu ndi ana sikofunika, chifukwa chiopsezo chokhala ndi mavuto aakulu ndi owopsya ndi owopsa. Matendawa amafunikira nthawi zonse kuchipatala nthawi zonse.