Sinusitis in children: the symptoms are very different
May 13, 2018
When pronounced: "Sinusitis", it immediately becomes clear that the matter is very serious. And if the genyantritis in children - the symptoms should be confirmed by an otolaryngologist, then each parent starts to panic. Should not be doing that. It is better to begin treatment as soon as possible.
What is genyantritis? Inflammation of the maxillary sinuses. More common acute sinusitis in children, but it happens in a chronic form - the pathological secret has no way out of the sinuses.
Children of kindergarten and school age more than adults, they suffer from it because of the fragile protective system of the body. The peak of the disease occurs in the winter cold period, when there is a natural decrease in all immunity and seasonal hypovitaminosis. Acute sinusitis in children: symptoms of
The causes of sinusitis in children, unpleasant and painful, can be the consequences of immunity disorders, viral - influenza and SARS, infectious - measles and scarlet fever, caries disease, stomatitis, tonsillitis, complications of acute or allergic rhinitis, curvature of the nasalseptum or presence in the nasal cavity of polyps, adenoids. Due to the physiological features of development( the maxillary sinuses are not developed and there is no place for pus), maxillary sinusitis in children up to a year, even up to two or three years, does not occur. More often they suffer from rhinitis. The disease is divided into different types according to the methods of occurrence:
- rhinogenic - the result of rhinitis,
- hematogenous - infectious agent,
- odontogenic - dental disease,
Signs of sinusitis in a child are difficult nasal breathing, swelling of the nasal mucosa, as well as pain in the area of the maxillary sinuses. When the head is tilted, severe pain may appear. The rise in temperature is an indicator that the pus accumulates in the sinuses, in the focus of bacterial infection.
The very process of sinusitis development is similar to any other disease from the types of sinusitis: the appearance of edema in the maxillary sinus provokes either a bacterium, or a virus, or an allergen. Because of this, the lumen of its opening is reduced, an excessive amount of mucus is created, the motoriness of the "cilia" of the mucous membrane of the sinus is disturbed. So, slime accumulates in the sinuses, blocking the hole and air access. Vigorously, pus producing anaerobic bacteria begins to multiply here.
How to recognize a child's ailment, what signs should be paid more attention? From a simple cold the disease differs by an alternating change of the nasal congestion, and in the usual runny nose both do not breathe at once.
In cases of genyantritis in children - the symptoms are dull pain and sinus congestion, it does not bring a lasting relief to blow-out. With gentle pressure on the "dog fossa"( dots in the center of the cheek) in the inner corner of the eye, the baby will feel the pain. The appearance of temperature for 5-7 days from the onset of a cold should alert the parents.
And also the duration of the disease without relief for more than 5-7 days and discharge from the nose purulent character require immediate medical attention. Decreased sense of smell, lethargy, nasal voices, on the cheeks and eyelids edema, chills, capriciousness, lack of appetite are also typical for children with maxillary sinusitis.
How to determine a child's maxillary sinusis? Making an accurate diagnosis is possible only if the symptoms of the disease are detected in children, the general blood test, instrumental examination. A convenient and accessible method is the radiography of the paranasal sinuses: the picture shows a darkening in the region of the maxillary sinuses.
The final answer may be a puncture of the maxillary sinus, but it is rarely used: complications are possible( emphysema of the cheek or orbit, abscess or phlegm of the orbit, occlusion of blood vessels).In case of suspicion of odontogenic sinusitis, a computed tomography of the paranasal sinuses is performed.
How to cure sinusitis in a child
Catarrhal sinusitis in children - the initial stage. The treatment is quick and aimed at removing the edema of the nasal mucosa and facilitating the outflow of mucus from the maxillary sinuses. Then the main thing - the destruction of the cause of inflammation.
Complex methods of treatment of all kinds of ailment:
- treatment with medicines: antibiotics and antihistamines, drops, physiotherapy;
- rinsing of the nose and maxillary sinuses: removal of accumulated mucus along with microbes, allergens and dust, reduction of edema, and administration of drugs directly to the site of infection;
- surgical treatment: puncture of the maxillary sinus, excretion of pus from it and administration of medicinal anti-inflammatory drugs;
- special massage and respiratory gymnastics at the stage of resorption.
As vasoconstrictors, eliminating mucus, use in the form of aerosols or sprays: nazivin, rinazolin, naphthysine, sanorin, ximelin, galazoline, pharmazoline. The only thing, they do not need to be used often and for a long period.
Doctors prescribe antiseptics for treatment: protargol, collargol, and antibiotics: isofra, bioparox, amoxicillin, cephalosporins, macrolides, augmentin, azithromycin. In the treatment of sinusitis, the benefit comes from a lamp of solux, and UHF currents, and UV irradiation, and a sinus YAMIK catheter, and a nose wash on Proetz, and acupuncture, and inhalations.
The form of chronic sinusitis in children is marked by the appearance of perspiration and soreness in the throat when swallowing, dryness, a recurring runny nose, a persistent night cough that does not lend itself to traditional treatment: the pus flows from the sinus to the back wall of the pharynx. The principle of its treatment is similar in composition to the treatment of acute form, the course lasts up to 3 weeks.
But the main direction of therapy for chronic sinusitis is treatment-prevention of aggravation of the process. You can not bring to deadly dangerous serous or purulent meningitis, meningoencephalitis, brain abscess.
Prevention of sinusitis in children
Prevention - early detection and treatment of the underlying disease( flu, acute rhinitis, measles, scarlet fever, tooth damage), elimination of predisposing factors at an early stage( curvature of the nasal septum, enlarged adenoid), strengthening of immunity( hardening, nutritionand a dream, a mode of day, stay on fresh air).