Sinusitis is a very unpleasant disease, which causes a lot of inconvenience. And it's not only a clogged nose, but it's also headaches, inability to turn, tilt your head. And if we can usually cope with this disease with antibiotics, then what to do during pregnancy, when almost all medications are strictly contraindicated, or are not recommended for use? In order to evaluate possible methods of combating sinusitis, to choose the most safe and effective, it is necessary to learn everything about your "enemy", in our case - about sinusitis.
So, sinusitis, it's rhinosinusitis, is a purulent inflammation of the extraaxillary sinus of the nose .There are one-sided sinusitis, in which one of the nasal sinuses inflames, and bilateral sinusitis - respectively, inflamed both sinuses.
In addition, sinusitis is acute( occurs for the first time and is characterized by a sharp course of the disease), it can be chronic. In the chronic form passes acute sinusitis in the absence of proper treatment. To a chr
of the maxillary sinus( which also becomes inflamed with genyantritis) is an air cavity, lying in the thickness of the maxillary bone. To overestimate the role of the maxillary sinus, as well as of other paranasal sinuses, is practically impossible: it is the purification and warming of the air that goes through the nose;it is the formation of an individual sounding voice, individual facial features;this decrease in the mass of the facial skull.
The most common causes of sinusitis include various infections of - streptococci, staphylococci, viruses, hemophilic rod, mycoplasmas, chlamydia, fungi. In addition, sinusitis is often manifested as a complication of acute respiratory infections, upper respiratory tract infections. To lead to the appearance of sinusitis can and inflammation of the tonsils, a sick tooth, curvature of the nasal septum or allergy.
Initially, sinusitis is manifested by nasal congestion and severe pain in the face. Also characteristic for this disease is the allocation of abundant greenish mucus from the nose. Acute sinusitis can be accompanied by an increase in temperature, whereas chronic form is characterized by a night cough, which is not amenable to traditional treatment, a runny nose, persistent conjunctivitis, keratitis, headache.
In order to determine the extent and nature of the disease as precisely as possible, the method of radiography of the sinuses is usually used, but during pregnancy it is not the best version of .In the period of expectation of the baby the only possible way of diagnosis is a puncture, that is, a therapeutic and diagnostic puncture of the sinus. The attractiveness of this procedure is that it also has a curative effect.
Therapy of sinusitis includes a set of measures aimed at suppressing the infectious focus in the maxillary sinus, to restore drainage.
The most effective and safe method of treatment of sinusitis during pregnancy is a puncture : a specialist pierces the paranasal sinus with a sterile needle, then pus is sucked off the syringe, and a medicinal disinfectant is poured into the sinuses themselves. The patient feels relief immediately after the procedure: headaches pass, the nose begins to breathe, the pressure in the sinuses decreases.
But in the choice of medications during the waiting for the baby should be very careful - during pregnancy, many medications are contraindicated, so doctors prefer the local procedures, which refers to the above puncture. Drugs that enter into the sinuses, should be safe for both the woman and the baby - it can be, for example, miramistin.
Often used today and nasal sprays, drops to remove the swelling of the mucosa, as well as to open the sinus opening. Usually it is a question of vasoconstrictive preparations - Vnanos, Farmazolin, Nazivin, Otilin. However, these drugs during pregnancy are also contraindicated, and doctors prescribe vasoconstrictors only in very difficult situations - and only those drugs that are allowed to babies are prescribed. Such procedures are conducted no more than two or three times.
As for antibiotics, spiramycin can be prescribed in difficult situations, the effectiveness of which exceeds the possible risk for the mother and the baby. However, often antibiotic therapy is replaced by the introduction of antiseptics and antibiotics of local action directly into the maxillary sinuses. Often prescribed and washing the sinuses, nasal cavity with various solutions - antiseptic, herbal, salt.
And one more option worthy of attention is the washing of the maxillary sinuses with the help of the fluid transfer method. This method is popularly called "cuckoo".The patient lies on his back on the couch, and the head is located below the trunk. The doctor pours the antiseptic solution( in rare cases with the addition of an antibiotic) into one nostril, sucking off the liquid with pus from the other nostril with the help of a special device - the patient must constantly repeat the procedure: "ku-ku-ku-ku-ku. ..", thatallows to create negative pressure in the nasal cavity, and does not let the liquid into the throat, lungs. During the procedure, do not inhale, as the fluid together with pus can get into the respiratory tract. Negative pressure, which is formed in the nasal cavity during the procedure, allows you to evacuate the pus from the pus, moving the drug solution through the nasal cavity, which leads to the washing of the sinuses. As a result, the sinuses are cleared, the inflammation is cured.
It should be understood that the genyantritis, which develops on the background of pregnancy, puts at risk not only the health of the woman, but also the fetus, therefore it is not worth waiting for - at the first signs of maxillary sinusitis it is necessary to immediately contact specialists. Especially when it comes to the first trimester of pregnancy, when the baby is laid down all the vital organs and systems.