According to the current level of medical care, root canal sinusitis in the vast majority of possible, sinusitis treatment methods include drugs, surgery, especially endoscopic sinus surgery, traditional Chinese medicine, etc., but exactly what method of root canal sinusitis, need to be based on the patient's condition of the otorhinolaryngology doctor, a detailed examination of the nasal cavity and the sinuses, and then choose the appropriate treatment program sinusitis. But what kind of method is used to cure sinusitis? However, it should be noted that it is unscientific to over-promote the traditional Chinese medicine (TCM) method to cure sinusitis. At present, the treatment of sinusitis should be based on medication and surgery. Please refer to the sinusitis treatment topic for various sinusitis treatment methods. The best hospitals for sinusitis treatment in China please click on the hospital recommendations.
Hospital normal sinus opening in the nasal cavity, and through the nasal cavity with the outside world, it is currently believed that the main cause of sinusitis is due to a variety of reasons such as nasal polyps caused by the blockage of the sinus openings, so that it can not communicate with the outside world, which caused the sinus infection. Sinusitis radical treatment generally also needs to start from this aspect, for acute sinusitis, in addition to antibiotic treatment, sometimes also need to utilize hormone drugs and decongestants such as ephedrine drugs drip nasal cavity, in order to open the sinus openings. For chronic sinusitis, it can be treated with medication or negative pressure suction, maxillary sinus puncture, etc., while using decongestants such as ephedrine drip nasal cavity, appropriate combination of Chinese medicine.
The various symptoms caused by sinusitis should be considered for surgical treatment when the drug treatment does not improve, surgical treatment has a variety of surgical treatment, the most important treatment is the functional nasal endoscopic surgery, that is, nasal endoscopic technology, sinus endoscopic treatment of sinusitis is the principle of sinus endoscopy is also through the sinus endoscopy to open up the opening of the sinuses directly, so as to make the sinuses and the outside world, so as to achieve the purpose of the eradication of sinusitis. The endoscopic technique of sinus endoscopy is to open the opening of the sinus directly through the endoscope, so as to make the sinus open to the outside world, and thus achieve the purpose of curing sinusitis.
Sinusitis, known as "nasal abyss" in Chinese medicine, is a very common otolaryngology disease, with a high incidence in adults and children, and is mainly found in the cold regions of China. Chronic sinusitis is difficult to cure due to its long duration and recurring episodes.
(I) etiology and morbidity
1. The lowering of systemic resistance, such as excessive fatigue, cold and damp, malnutrition, vitamin deficiencies, as well as poor living environment.
2. Metabolic constitution, systemic diseases such as anemia, endocrine insufficiency (such as thyroid, pituitary and gonadal hypoplasia), acute infectious diseases such as influenza, measles, scarlet fever, diphtheria and so on can induce the occurrence of this disease.
3. Some diseases of the nasal cavity, such as deviated nasal septum, middle turbinate hypertrophy, nasal polyps, allergic rhinitis, nasal foreign body or nasal tumor, can also cause sinusitis.
4. Neighboring foci, such as tonsillitis or adenoid hypertrophy, infection of maxillary second bicuspid and the roots of the first and second molar teeth, damage to the maxillary sinus wall when extracting teeth or caries stumps into the maxillary sinus can also lead to sinusitis.
5. Other, such as sinus trauma and fracture; swimming diving posture is not appropriate (such as take vertical diving), or diving and swimming after blowing the nose improperly, sewage into the sinuses; nasal cavity filler left for too long; high-altitude flight quickly down, the sinus cavity and the outside world to form a relative negative pressure, the nasal secretion inhaled into the sinuses can cause the onset of the disease.
(2) patient performance
1. Sinusitis is often secondary to epiglottitis or acute rhinitis, which aggravates the original symptoms, chills, fever, loss of appetite, constipation, malaise and so on. Children may vomit, diarrhea, cough and other symptoms.
2. Most of them may appear - side persistent, occasionally can occur bilateral persistent nasal congestion.
3. The patient's purulent nasal mucus increases and is not easy to blow out, such as backward flow into the pharynx and lower respiratory tract, irritation of pharyngeal and laryngeal mucous membranes, causing hair bank, coughing and coughing up sputum, and even nausea.
4. Pain in the forehead, light in the morning and heavy in the afternoon. There may also be cheek swelling and pain or pain in the upper row of molars, mostly maxillary sinusitis.
5. A frontal pain in the morning, aggravated in the morning, reduced in the afternoon, and disappeared in the evening, which may be frontal sinusitis.
6. The headache is mild, limited to the inner canthus or root of the nose, and may also radiate to the top of the head, which may be caused by sieve sinusitis.
7. The pain in the depth of the eyeballs, can be radiated to the top of the head, but also outlook in the morning light, afternoon heavy occipital headache, up to the butterfly sinusitis,
8. Chronic sinusitis, in addition to nasal congestion, runny nose, headache, and other symptoms, there are also the following characteristics:
(1) headache is light, generally more of the boring pain, dull pain.
(2) Decreased or absent sense of smell.
(3) The headache may be relieved by rest, nasal drops, steam inhalation, or nasal ventilation and drainage.
(4) The headache is aggravated by coughing, bowing, stooping, or exertion.
(5) Headache can be aggravated by smoking, drinking alcohol, and emotional excitement.
(6) Sometimes it can cause mental depression, drowsiness, dizziness, memory loss, lack of concentration and so on.
(3) Family care
1. Family medicine
(1) Acute sinusitis can be used to paracetamol 4 mg, 3 times a day orally; cotrimoxazole 2 tablets, 2 times a day orally for the first time, 4 tablets, erythromycin 0.25 grams, 3 times a day orally; furosemide, 3 times a day, or 0.5-1% ephedrine saline 3 times a day, 3 times a day, nasal puncture. Pay attention to the correct method of nose-dotting. The patient's head tilted back, the drug vertical drip, and then pinch the nostrils to rub - rub, so that the drug is fully absorbed.
(2) Chronic sinusitis can be 1% ephedrine saline, 3 times a day nose; 5-10% weak protein silver, 3 times a day nose. Paracetamol 4 mg, 3 times a day orally.
2. Chinese medicine and prescription
(1) Huanglian, Xinyi flowers 3 grams each, 0.6 grams of ice chips *** research fine powder, take the appropriate amount of powdered medicine blown into the nasal cavity, 2-4 times a day, suitable for acute sinusitis.
(2) 30 grams each of fritillary and dongfeng orange root, 24 grams of wild chrysanthemum, 15 grams each of edamame ginger and silk grass. Into the ground Jinniu root 6 grams, twice a day decoction of water. Suitable for people with acute sinusitis.
(3) white onion juice, filtered, with saline into a 40% solution, 3-4 times a day point nose. Suitable for acute sinusitis.
(4) Ephedra, parsley, licorice, tea, etc., decocted and filtered, 3 times a day pointing the nose. Suitable for chronic sinusitis.
(5) 9 grams of fish brain stone powder, 6 grams of Cynanchum, 3 grams of Cynanchum, O.9 grams of ice chips, *** research finely ground, blowing the nose 3 times a day. Suitable for chronic sinusitis.
(6) Maimendong, Shi Hao 5 grams each, Zhimu, Scutellaria baicalensis, gardenia, lily 2 grams each, Xinyi, loquat leaves 2 grams each, ascending hemp l grams. Decoction of water 2 times a day. Suitable for chronic sinusitis, the curative effect is ideal,
3. Positional drainage method
First give the patient with l% ephedrine saline point nose. If the patient is maxillary sinus accumulation of pus, take the side lying low head position, the healthy side down, if both sides are pus accumulation, in 15 or 30 minutes and then do the other side; if the patient is frontal sinus or sieve sinus accumulation of pus, take the positive sitting position low head drainage method. In addition, pinching the nose and closing the mouth to inhale the action, so that the nasal cavity into a negative pressure, to help postural drainage, easy to sinus pus into the nasal cavity faster.
4. Massage Yingxiang points, Yingxiang points and Yingxiang points, 30 times a day at each point. Also available micro rhinitis treatment instrument massage nose through the point. All have a therapeutic effect.
(D) Precautions
The use of nasal drops net vasoconstrictor drugs, must not be used for too long, so as not to cause drug rhinitis. Generally, 7-10 days should be appropriate.
(E) Common sense of prevention
1. Strengthen physical exercise to enhance physical fitness and prevent colds.
2. Acute rhinitis (cold) and toothache should be actively treated.
3. Don't blow your nose hard when there is nasal secretion, you should block one nostril to blow the nasal secretion, and then block the other nostril to blow the nasal secretion.
4. Timely and thorough treatment of acute inflammation of the nasal cavity and correction of nasal deformities, treatment of chronic rhinitis.