What Is Fungal Rhinosinusitis?

Fungal sinusitis is also called fungal sinusitis. Fungal rhinosinusitis is a specific infectious disease common in the nasal clinic. In recent years, in order to meet the needs of international communication, scholars have proposed to rename it fungal rhino-sinusitis (FRS). The traditional view is that fungal rhinosinusitis usually occurs when the body uses antibiotics, glucocorticoids, immunosuppressants, or radiation therapy for a long time. It can also reduce the body's resistance due to chronic wasting diseases such as diabetes and burns Occurs from time to time.

Fungal sinusitis

Fungal

In recent years, it has been found that fungal rhinosinusitis is also found in physical examinations of healthy individuals, indicating that these fungi can also cause certain local diseases in the body to reduce the ability to resist invasion. Common in

1. The common pathogenic bacteria of pathogenic bacteria are aspergillus, accounting for more than 80%. Others include candida (monilia), Seeber rhinosporidium Seeber, mucoraceae, and Schenckia sp. sporotria Schenck) and so on. Aspergillus is a conditional pathogen. The pathogenic Aspergillus mainly includes Aspergillus fumigatus (A. fumigatus) and Aspergillus niger (A. nigrae), the former being the most common. It can be infected by a single species of Aspergillus or two or more species of Aspergillus. Mucor infections are rare, but rather menacing, because they tend to invade the elastic intimal layer of the arteries, form thrombi, secondary ischemic thrombosis and hemorrhagic necrosis, and have a higher mortality rate.

2. The external environment includes climate and living environment. Hot and humid climates, such as those in the southern provinces of China, have a higher incidence than those in the north; workers who have been exposed to soil, flower pots, and poultry for a long time are susceptible.

3. Systemic factors such as diabetes, long-term use of corticosteroids, antitumor drugs, long-term use of broad-spectrum antibiotics, radiation therapy, and AIDS patients are all prone to fungal sinusitis. It has been reported that low immune function, hypoxia, low pH, and high blood sugar environment (three low and one high) are suitable conditions for fungal survival.

4. Local factors are one of the main causes of fungal sinusitis. Ventilation and drainage of the nasal cavity and sinuses caused by various factors, including anatomical factors such as

The clinical type of fungal rhinosinusitis is based on its pathology. From the perspective of pathology, there are two types: noninvasive fungal rhino-sinusitis (NIFRS) and invasive fungal rhino-sinusitis (IFRS). Non-invasive patients are further divided into fungus ball (FB) and allergic fungal rhino-sinusitis (AFRS) according to their different pathological changes. Invasive patients are divided into acute invasive fungal rhino-sinusitis (AIFRS) and chronic invasive fungal rhino-sinusitis (CIFRS).

1. The pathological features of non-invasive fungal rhinosinusitis are that the fungal infection is localized in the sinus cavity, and there is no fungal invasion in the mucosa and bone wall.

(L) Fungal bulbs: The general characteristics of intranasal sinus lesions, such as granulomatous, cheese-like, or necrotic-like objects, are dark brown or gray-black clumps. Increasing lesions in the sinuses can compress the bone in the sinus wall to become thin or absorbed. Microscopically, there are a large number of fungal hyphae, spores, degenerated leukocytes and epithelial cells. Sinus mucosa edema or hyperplasia, but no fungal invasion.

(2) Allergic fungal nasal-sinusitis: The lesions in the sinuses are generally characterized as hard, brittle or sticky like wet mud, yellow-green or brown. Microscopic features (HE staining) are manifested in amorphous lightly eosinophilic or lightly basophilic allergic mucin, and there are a large number of eosinophils and Charcort-Leyden crystals distributed in it. Eosinophils are scattered or clustered into clusters of varying sizes. Scattered people are often broken, and their particles are scattered

Fungal nasal-sinusitis starts with unilateral sinuses first, and the maxillary sinus has the highest incidence, followed by

Principles of treatment for fungal rhinosinusitis: Early surgical treatment. As soon as the invasive type is diagnosed, surgery should be performed as soon as possible to remove fungal pathogens and necrotic and irreversible disease tissues in the nasal cavity and sinuses, and restore the smooth drainage of the sinuses. Drug treatment.

1. Surgical treatment The surgical method and scope should be determined according to the scope of the disease and the specific situation of the patient. Non-severe lesions (such as fungal balls, allergic fungal rhino-sinusitis, chronic invasive fungal rhino-sinusitis) can generally be used

1. Fungal sinusitis affects people's sleep quality and reduces digestive system function.

2. Sinusitis can also cause asthma attacks.

3, fungal prone to mental weakness, poor memory, fatigue, loss of appetite, headache and dizziness.

4, easy to cause febrile seizures.

1. To take more vitamin E, you can eat more sunflower seeds and seed oil.

2, eat more decongestive herbs and condiments, such as elderflower, thyme and ginger.

3. Eat more garlic and onions.

Everyone knows that with the development of medical standards, many diseases can now be treated or controlled by surgery. Fungal sinusitis is also, it is a common disease, it is easy to cause people trouble, then what should be paid attention to fungal sinusitis?

1. Pay attention to nasal hygiene, and clean with isotonic saline frequently.

2, fungal sinusitis, pay attention to the correct posture when swimming, try to make the head as far as possible from the water.

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.