Genyantritis (the top gnathic sinusitis) - an inflammation of a mucosa of the top gnathic sinus.
The acute genyantritis:
The Acute genyantritis develops as complication of an acute rhinitis, after transferred reproach, a flu, a scarlatina and other infectious diseases, and also owing to inflammatory diseases of a teeth (a dontogenous genyantritis). As the provoking factor the frigorism on a background of depression of a reactivity of an organism can serve.
The cold fit, a fervescence, bad common state of health, a headache of various intensity, often Are characteristic irradiating in area of a forehead, a root of a nose and a teeth. The pain in the field of the amazed sinus amplifies at pressing on its facial wall.
ÏOn character the pain intensive and constant, amplifies at an inclination of a head, tussis. The photophobia and a dacryagogue sometimes join. The nose is incorporated, the plentiful discharge of mucous, mucopurulent, purulent character is observed. On the side of the amazed sinus the olfaction decreases. At involving in process of a periosteum the tumescence of a cheek and an edema bottom, and sometimes and a upper eyelid are marked.
The chronic genyantritis:
The Chronic genyantritis usually is consequence of an acute inflammation, especially under adverse conditions for outflow of the pathological secret which has collected in them. It can be promoted by thickenings of a mucosa of a nose, a hypertrophy of nasal conchas, curvatures of a septum of the nose, closing or narrowing lead-out apertures of genyantrums - the top gnathic hiatuses.
The general delicacy, a malaise, fast fatigability, a headache Are characteristic (more often in the evening), the nose does not breathe. The olfaction can decrease. For a vasculomotor and allergic genyantritis wavy current with periodic remissions is characteristic. The clinical picture of an exacerbation is characterized by the same signs, as at an acute genyantritis.
Comments of the author of a site: Against a chronic genyantritis straightening a nasal septum perfectly helps. The effect very serious - a nose breathes simply perfectly.
in occasion of painful sensations - operation (me at least) did under the general narcosis. And here the following should be gone through two days simply and will not hesitate to ask anesthetizing :) But after from sinuses will pull out some METERS of bandage a nose starts to breathe, that very much pleases. As a whole I have not regretted.
Treatment of a genyantritis.
ËTreatment of a genyantritis, as a rule, out-patient. It is important to provide good outflow of contents from the amazed sinus. At serious current and presence of complications hospitalization is shown.
At treatment of an acute genyantritis and an exacerbation chronic appoint antipyretics, antibiotics, vitamins. Apply vasoconstrictors (Naphthyzinum, etc.) which can be used in the form of drops, to dispersion, greasing. At an acute genyantritis use a diathermy, currents of ultrahigh frequency; at chronic current - microwave therapy, an electrophoresis of medicinal preparations (antibiotics, hormones, etc.), diadynamic currents, a fangotherapy, paraffinic applications, inhalations and sprays.
The Puncture of the top gnathic sinus spend as with diagnostic, and the medical purpose a special needle after local anesthesia. From a sinus pump out an exsudate and then wash out it for what use warm solutions of permanganate of a potassium, Furacilinum, Rivanolum, and other disinfectants.
After excision of a washing liquid into a sinus enter antibiotics in view of sensitivity to them microfloras, hormonal preparations, proteolytic enzymes. To a constant drainage of a genyantrum apply various catheters.
The Forecast at an acute genyantritis usually favorable. Convalescence in most cases comes in terms from several days till 2-3 weeks. At the chronic genyantritis proceeding without complications, the forecast, as a rule, favorable also depends on morphological changes and duration of process. At presence of complications the forecast is defined by character of complication.
Prophylaxis is reduced to rising protective forces of an organism. With this purpose employment by physical culture and sports, walks on fresh air, hydrotherapeutic procedures are recommended. The important role treatment of diseases of the nose, accompanied disturbance of nasal respiration (plays a curvature of a septum of a nose, a chronic rhinitis), sanation of an oral cavity. Patients with an acute rhinitis should explain, that strong purification of a nose promotes hit of nasal slime in the top gnathic sinuses.
For preparation of given article materials of "The Medical encyclopedia" Russian Academy of Medical Science were used. Comments of the author are personal opinion and for objectivity do not apply. It is not recommended to use the given materials for independent treatment of a genyantritis.