153435

Chronic Sinustisis

Chronic Sinustisis

Chronic Sinustisis is a condition in which the nasopharyngeal tissue becomes inflamed for a period of 12 weeks or more The nasal cavity, or sinus, is located next to the nasal cavity, responsible for expelling mucus. when inflammation therefore causing pain Swelling in the nose, forehead, and around the eyes and blocking the excretion of mucus This causes difficulty in breathing and nasal congestion. Chronic sinusitis can occur in both children and adults.

Symptom

The infection results in thick, sticky mucus. which may come out of the front of the nose or flows down the throat and nasal congestion is common in patients with chronic sinusitis. Patients often experience pain, pain and swelling in the nose, forehead, cheeks and eyes, which may spread to the ear. jaw and teeth symptoms, throat irritation, including often coughing, coughing, and itchy throat Patients with chronic sinusitis often have bad breath. This is a result of the accumulation of thick, sticky fluid in the nasal cavity that cannot be drained. It was also found that patients often had symptoms of fatigue as well.

It is commonly confused between the differences between chronic sinusitis and acute sinusitis. Sudden sinusitis is associated with a cold. This results in temporary inflammation in the nasal sinuses. which may be accompanied by fever which is a sign of sudden sinusitis While chronic sinusitis involves inflammation of the nasal sinuses. and showing symptoms continuously for 12 weeks or more, however, sudden sinusitis It can develop into chronic sinusitis if not treated properly.

When should you see a doctor?

See a doctor if recurring sinusitis occurs. and did not respond to treatment Sinusitis symptoms that persist for more than 10 days are likely to become chronic. You should also see your doctor immediately if you develop redness around your eyes and forehead, along with fever, severe headache, stiff neck, or symptoms where the patient is unable to bend his head. but may still look up or tilting the neck to the left and right If drowsiness or vision deterioration occurs It’s a warning sign that Severe chronic sinusitis has occurred. and should seek immediate medical attention

Causes and Risk Factors

There are many factors that contribute to chronic sinusitis. including tissue growth or nasal polyps that obstruct the nasal cavity or sinuses. Crooked septum is another cause that occurs in some patients. The bone or cartilage that separates the two nostrils is crooked or bent, making one nostril smaller than the other. This causes obstruction in the nasal cavity and sinusitis symptoms occur.

In addition to the above conditions Other conditions and diseases can also cause chronic sinusitis. Examples include HIV, Cystic fibrosis, asthma, immune system diseases. including acute infectious diseases of the respiratory system For example, colds, which lead to thickening of the lining of the nasal septum. until inflammation And the infection blocks and interferes with the drainage of mucus inside the nasal cavity. Such infections can be caused by both bacteria and fungi.

use of certain drugs It can also result in chronic sinusitis. It was found that there was a relationship between sinusitis. with sensitivity to aspirin (Aspirin Sensitivity) and also found that the problem of pollution Including tobacco smoke is a major contributor to chronic sinusitis.

Diagnosis

in the early stages of diagnosis Your doctor will first assess the symptoms of chronic sinusitis. By touching and watching the pain that may occur in the nose and face area. Before examining the inside of the nasal cavity Other methods may be used in conjunction with the diagnosis as follows.

Medical imaging test

Details of the nasal cavity And the area inside the nose was recorded using a CT scan or MRI to check for physical obstructions. or severe inflammation that cannot be detected by an endoscope
examination of the nasal cavity. The doctor examines the inside of the sinuses. By inserting a small flexible tube with fiber-optic light attached through the nasal cavity.

Allergy Test

This is because allergies are one of the causes of chronic sinusitis. Allergy testing is therefore necessary to test for allergic reactions that may be causing sinusitis. Doctors often recommend a method for allergy skin testing (Allergy Skin Test) because it is very safe. and get results fast

Culture test from nasal secretions sample

In the event that the symptoms do not respond to treatment, Your doctor may take a sample of nasal secretions for culture. to detect bacteria or fungi that cause chronic sinusitis

Treatment Method

Treatment of chronic sinusitis including drug use immunotherapy treatment (immunotherapy) and surgery

Drug Use:

• Nasal corticosteroids

The purpose of the drug is to prevent and treat inflammation in the nasopharynx. Commonly used steroid nasal sprays Examples include fluticasone, triamcinolone, beclomethasone, budesonide, and mometasone.

Nasal Irrigation

rinsing the nose with medical saline It is a method used to drain and clean the nasal cavity. from allergic reactions and irritation Your doctor may recommend mixing the saline solution with certain medications, such as Budesonide, to increase its effectiveness in reducing allergic reactions and irritation.

Oral or injected steroids

These medications are used to treat severe chronic sinusitis. Especially in patients who are caused by polyps in the nasal cavity. Or nasal polyps (nasal polyps), however, the use of oral steroid drugs. Or injection must strictly follow the advice of a medical professional. This may cause more serious side effects.

Aspirin Desensitization
in patients with chronic sinusitis aspirin sensitivity, aspirin desensitization by aspirin in large amounts It is one way to reduce the triggering factors that cause chronic sinusitis.

Antibiotics
If chronic sinusitis is caused by a bacterial infection Your doctor may prescribe antibiotics for treatment. which may be dispensed with other drugs to increase efficiency and correct the cause of chronic sinusitis directly

Immunotherapy

Immunotherapy treatment  is a method of treatment. that focuses on reducing the reaction of the body Against allergenic triggers that lead to chronic sinusitis.

Endoscopic Sinus Surgery

Surgery is one option for treating chronic sinusitis. It is often used for patients who are unresponsive to other therapies. Surgery depends on the condition of the chronic sinusitis in each patient. Surgery may be performed to widen the narrow sinuses to allow better air circulation. Alternatively, surgery may be performed to remove tissue or polyps that are obstructing the nasal passages. In general, sinus surgery is performed with endoscopic sinus surgery.