Genyantritis is an inflammation of the maxillary paranasal sinuses. The sinuses represent education in the form of small caves that has a message with the nasal cavity. The maxillary sinuses in humans two - left and right. Another name for this formation - the maxillary sinus. Often, specialists are set such diagnoses as maxillary sinusitis. The fundamental difference between the last terms and the term - genyantritis does not exist.
Acute genyantritis develops as a complication of acute rhinitis, post-influenza, measles, scarlet fever and other infectious diseases, as well as due to inflammatory diseases of the teeth (odontogenic sinusitis). Precipitating factor may be hypothermia against decrease in reactivity.
Chronic inflammation of the maxillary sinuses is usually caused by acute inflammation, especially under adverse conditions to drain accumulated in pathological secretion. This can contribute to thickening of the nasal mucosa, hypertrophy of turbinates, curvature of the nasal septum, closing or narrowing outlet openings of the maxillary sinuses - maxillary fissure.
Given the ways of penetration of pathogens, distinguish rhinogenous (often in adults), hematogenous (mainly in children), traumatic and odontogenic genyantritis. There are also special forms of sinusitis - vasomotor (mainly patients with autonomic disorders; it is characterized by swelling of the mucous membranes of the nose and paranasal sinuses) and allergic.
For acute genyantritis the characteristic chills, fever, bad General health, headache of varying intensity, often radiating to the forehead, root of nose and teeth. Pain in the affected sinus increases with pressure on its front wall. In character the pain is intense and constant, accompanied by a feeling pressure, increasing when tilting the head, coughing and sneezing. Sometimes joining photophobia, and lacrimation. Nose is stuffed, there is a copious discharge of mucous (catarrhal genyantritis), mucopurulent, purulent (suppurative genyantritis). On the side of the affected sinuses, reduced sense of smell. With involvement of the periosteum marked swelling of the cheeks and swelling of the lower and sometimes the upper eyelid.
For chronic genyantritis characterized by General weakness, malaise, fatigue, headache (usually in the evening), nasal congestion. The sense of smell may be reduced. For vasomotor and allergic genyantritis characterized by undulating course with periodic remissions. The clinical picture of an exacerbation is characterized by the same symptoms as acute genyantritis.
Sometimes acute, but more often in case of chronic genyantritis are observed intracranial complications - swelling of the meninges, serous or purulent meningitis, meningoencephalitis, phlebitis of the sinuses of the Dura mater with the development rhinogenous sepsis, pachymeningitis, rhinogenous brain abscess - rhinogenous arachnoiditis. They are most frequent during the epidemic of influenza. Can occur complications such as reactive edema of cellulose of orbit and eyelids, retrobulbar abscess, osteoperiostitis of the orbit, thrombosis of the veins of the orbit, etc. there is also periostitis of the upper jaw.
Treatment of genyantritis
Acute genyantritis and chronic genyantritis are often treated using conventional drug therapy, which the doctor picks up on advice. Lavage of the paranasal sinuses (without puncture) are performed only when expressed pain syndrome or the abundant discharge of pus. Laser therapy is conducted to eliminate the effects of inflammation and enhance the effect of the treatment drugs. In some cases (e.g. in severe disease) treatment is advantageously combined with acupuncture and dietary supplements. Completely the treatment of acute process is depending on the gravity from two weeks to two months.
Treatment is usually outpatient. It is important to ensure a good outflow of the contents from the affected sinus. In severe and the presence of complications of hospitalization. In acute genyantritis and exacerbation of chronic genyantritis prescribed antipyretics, sulfonamides, antibiotics, allergen remedies, vitamins. Locally applied decongestants (naphazoline, etc.) that can be used in the form of drops, spray, lubrication. In acute genyantritis use Solux, diathermy, ultra-high frequency currents; during the chronic - microwave therapy, electrophoresis, drugs (antibiotics, hormones, etc.), diadynamic currents, diadynamophoresis, mud therapy, paraffin baths, inhalations and aerosols. For the treatment of chronic genyantritis of allergic origin use nonspecific (calcium chloride, antihistamine drugs, etc.) and specific (low dose allergens, vaccines and autovaccine) desensitization.
- active balm Bionet on the projection of the sinus + nasal mucosa
- balm on the tongue 3-4 times/day for 7-15 days
- elixir in the form of nose drops
- gel Bionet
- magnet Lukab-Magnator (after treatment of genyantritis for the prevention of relapse)
- capsules Noni
Acute genyantritis (or chronic genyantritis)
1. Elixir diluted (1 part to 3 parts water). Drips in nose 2 drops 4 times a day.
2. Tooth gel - turundy enter deeply in the nose in the lower nose go and leave for 15-20 minutes. Do it morning and evening. If there is a strong burning sensation, the serum can be diluted in half with active balm.
3. Active balm (4 times daily)
a) to rub in the projection of the maxillary sinuses
b) lubricate deep into the nose
c) at the root of the tongue
At high temperatures, the points 1,2,3 repeat every 2 hours. Add drinking Bionet tea, very good Likarap or Colonfit (1 tablet 2 times a day) and Vitamins (2 tablets 3 times a day).
doctor - ophthalmologist of highest category, homeopath, Kiev