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Sinusitis in children, such as a cold that lasts for a week, pus and snot are not reduced or increased, and those who have worsened symptoms should consider sinusitis. Sinusitis usually occurs in autumn and winter.

Pediatric sinusitis

child
1. Children's sinuses are relatively large, and colds can easily invade the sinuses through the sinuses.
2. Poor disease resistance, susceptible to colds, upper respiratory infections, and acute infectious diseases (such as measles, pertussis, scarlet fever, and influenza).
3, tonsil enlargement or adenoid hypertrophy affects normal breathing.
Diagnosis of sinusitis in children is difficult, and sinus CT has important diagnostic value in adult sinusitis. The diagnosis of sinusitis in children is mainly based on medical history analysis and detailed clinical examination. The symptoms of sinusitis in children are different from adults. Cough, rhinorrhea, and chronic otitis media are common in children. Adults show chronic headache, nasal obstruction, and abnormal drainage. Pediatric sinusitis is a more common disease in children, and its etiology, symptoms, diagnosis, and treatment are different from those of adults. Sinusitis in children can be roughly divided into 3 types based on clinical symptoms:
(1)
1. Acute sinusitis: Early symptoms are similar to acute rhinitis or a cold, but systemic symptoms are more pronounced than in adults. Therefore, in addition to nasal congestion and pus, there may be
Sinusitis in children, such as a cold that lasts for a week, pus and snot are not reduced or increased, and those who have worsened symptoms should consider sinusitis.
X-ray or CT, ultrasound can be used for further diagnosis.
1. Direct infection: The nasal cavity is directly connected with the oral cavity, throat, and lower respiratory tract and digestive tract, and rhinitis and sinusitis secretions drain downward, directly stimulating these tissues and causing various lesions.
2. Destruction of bone wall infection: If the sinus inflammation destroys the sinus bone wall, the inflammation often extends to other tissues. Because the position of the sinuses is different, the complications are different. Inflammation damages the top wall, invades the anterior cranial cavity, penetrates the side wall, and intraorbital complications occur.
1. Inquire about the medical history in detail: When the child has a cold for more than 1 week, symptoms such as nasal congestion and runny nose have not been alleviated but have worsened, and nasal congestion and yellow purulent snot have increased. The possibility of sinusitis should be considered.
The key is to enhance its own disease resistance.
1, timely treatment of colds, tonsillitis.
2, strengthen nutrition and pay attention to physical fitness.
3. Pay attention to the method of snotting. Those with nasal congestion and nasal discharge should press the nostril on one side of the nasal cavity and forcefully exfoliate. Alternate afterwards.
4. When swimming, make sure your posture is correct and try to keep your head out of the water.
5. Patients with dental disease should be treated thoroughly.
6, during an acute attack, take more rest.
7. Follow the doctor's advice to take the medicine in time.
8. Patients with chronic sinusitis should have confidence and perseverance in treatment, and pay attention to strengthening exercise to enhance their physique.
9. Tobacco, alcohol and spicy food are strictly prohibited.
10. Keep your temperament cheerful, avoid irritation mentally, and be careful not to overwork.
11, usually do nasal massage.
1. Acute sinusitis in children Pediatric sinusitis:
(1) Apply antibiotics in time, and apply nasal mucosal contraction agent on the nose (disabling Nasal Eye Net) to improve ventilation.
(2) Cooperate with Chinese medicine to clear heat and detox.
2. Chronic children with sinusitis
(1) The key is to enhance the overall anti-disease function of the patient. Using Zhengqi traditional Chinese medicine will not cause recurrence after treatment.
(2) Chinese medicine for clearing heat and detoxifying, nourishing yin and reducing phlegm.
(3) Open up the appetite with the traditional Chinese medicine for invigorating the spleen and stomach.
Children have a much higher risk of sinusitis than adults. First, children have more frequent upper respiratory tract infections. According to statistics, preschool children have an average of 6-8 upper respiratory tract infections per year. Second, children are the main victims of passive smoking. Inhaling smoke irritates the nose and the nasal stream is not clean, which can lead to sinus infections. Nasal dyspnea caused by physiological structure is also one of the important causes of sinusitis. Nasal foreign bodies, nasal polyps, nasal tumors, and long-time packing of gauze strips after nosebleeds can block the opening of the sinuses, affecting their drainage. In addition, allergies, bacterial infections, air pollution, passive smoking, malnutrition, vitamin deficiency, endocrine disorders, weakened body resistance, excessive tobacco and alcohol are also factors that cannot be ignored.
Here are a few ways to prevent sinusitis. Parents should take a closer look, as these are not only suitable for pediatric patients, but also for other types of patients.
1. Pay attention to the method of snotting. Those with nasal congestion and nasal discharge should press the nostril on one side of the nasal cavity and forcefully exfoliate. Alternate afterwards.
2. When swimming, make sure your posture is correct and try to keep your head out of the water.
3. Patients with dental disease should be treated in time.
4. During an acute attack, take more rest.
5. Follow the doctor's orders to take the medicine in a timely manner.
6, chronic sinusitis, treatment should have confidence and perseverance, pay attention to strengthen exercise to enhance physical fitness.
7. Tobacco, alcohol and spicy food are strictly prohibited.
8. Keep your temperament cheerful, avoid irritation mentally, and be careful not to overwork.
9, usually do nasal massage.
Point 1: The treatment of sinusitis is divided into two types: whole body and local. Systemic treatment is mainly with antibiotics, because sinusitis is mostly caused by bacteria, especially pyogenic bacteria, so antibiotics are necessary and effective. It is best to use intramuscular injection or intravenous drip. The effect is faster than oral. Pay attention to the reaction after medication.
Point two: Local treatment is mainly drainage of pus and local drips. The commonly used local drainage method is called Yin pressure method, which must be done at the hospital. That is, a suction device is used to extract the air from the nasal cavity, causing a vacuum negative pressure, so that the pus in the nasal cavity is drained out. It can also be used to introduce drugs under negative pressure to achieve the purpose of direct medication. This kind of therapy is once a day for five days, usually after several courses, you will get good results. Parents should do their children's ideological work and cooperate well with the doctor.
Point three: Simple local treatment is also a drop of medicine into the nasal cavity, so that the liquid can directly contact the nasal mucosa. Therefore, the medicinal effect is fully exerted, and the operation is simple.
Point four: Nasal drops such as ephedrine have a bitter taste, which easily flows to the back of the throat when the nose drops, and the sick child will feel uncomfortable, so you can rinse your mouth with water to remove the residual medicine in the throat.
Point five: Ephedrine constricts blood vessels, temporarily reduces congestion and makes the nasal cavity unobstructed, but it also has a post-expanding effect. Soon the nasal obstruction reappeared. In view of this side effect, ephedrine should not be used more, and it is not suitable for small infants.
Point 6: Ventilate the room and maintain proper humidity.
Point 7 : When the sick child is cured, do not make the nasal cavity enter the water to prevent recurrence of sinusitis.
Observed
Toddler Repeated
Traditional Chinese medicine believes that "the stomach likes warmth and coldness," but many children like cold drinks such as ice cream, which leads to the inhibition of the incompletely developed digestive function, which leads to food accumulation. And "food product is easy to cause external sensation", that is to say, food product tends to build up heat in the body, which causes colds, fevers, etc., and further causes rhinitis and sinusitis. Children with poor spleen and stomach function are prone to repeated food accumulation, which will also cause repeated "external sensations", which is also an important reason why this small patient has recurrent sinusitis for a long time.
Therefore, for patients with chronic sinusitis that cannot be cured for a long time, sinusitis cannot be treated simply, and it should be adjusted from the aspects of digestive function and immune status. Professor Ren said that in terms of treatment, patients can be treated according to their own conditions, using herbs such as Astragalus and Codonopsis, or medicines such as Yupingfenggong, Buzhong Yiqi Pills, or spleen and dampness drugs such as Atractylodes, Atractylodes, Poria, Acorus calamus. If the food volume is more serious, add an appropriate amount of Jiao Sanxian, chicken inner gold, etc., and add Houttuynia cordata when the nose is thick. In treatment
1, home medication
(1) For acute rhinosinusitis, chlorpheniramine, compound Xinnuoming, erythromycin, and fura mixture are available.
(2) Chronic sinusitis can use 1% ephedrine saline, 5-10% weak protein silver, chlorpheniramine and so on.
2. Postural drainage method
First give the patient a nose with 1% ephedrine saline. If the patient has a maxillary sinus pus, take the side lying down and the head down, if both sides have pus, then do the other side after 15 or 30 minutes; if the patient has a frontal or ethmoid sinus pus, take Sit down and drain.
In addition, pinching and closing the mouth to inhale and make the nasal cavity become negative pressure can help position drainage and facilitate the quick discharge of the pus from the sinus into the nasal cavity.
3, use nasal drops of vasoconstrictor drugs, do not use for too long, so as not to cause drug-induced rhinitis.
4. Nasal wash can treat sinusitis
That is, 0.9% saline (ie, the concentration of physiological saline) is used to flush the nasal cavity, and the mucus remaining in the nasal cavity is flushed out of the nasal cavity, dredges the nasal passage, opens the sinus opening, relieves inflammation, and reduces the number and types of bacteria in the nasal cavity. Let it slowly return to a level that the body can tolerate. Thereby gradually eliminating inflammation and returning to a normal physiological state.

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