Description of the problem:

My left side of the sinusitis, driven by the left side of the half-headache, the back of the head also hurts, is it so

Ans:

Sinusitis is a sinus mucosal non-specific inflammation, as a rhinology common and frequent disease. The so-called sinuses are air-containing cavities in the skull around the nasal cavity; there are four pairs of left and right ****: frontal sinus, maxillary sinus, sieve sinus, and pterygoid sinus. Because of its anatomical characteristics of each sinus can be alone, can also form multiple sinusitis or total sinusitis. This disease is generally divided into acute and chronic 2 categories, the causes are many, more complex. Acute sinusitis is caused by acute rhinitis; chronic sinusitis is often due to acute sinusitis failed to completely cure or recurrent episodes and formation. In addition, swimming sewage into the sinuses, the spread of infection in neighboring organs, nasal tumors impede sinus drainage, as well as trauma can cause sinusitis.

(1) Clinical manifestations

Headache: acute sinusitis caused by a heavy headache, can be located in the frontal, facial or occipital back. The headache is aggravated by lowering the head, exertion and coughing. A few days after the onset of sinusitis, due to the sinus openings 4 mucosal swelling is reduced, the sinus secretions can be discharged, so the headache has been relieved. Chronic sinusitis headache is not obvious, usually only the performance of the head heavy, pressure feeling.

Nasal congestion: acute sinusitis patients often have heavy nasal congestion, after blowing away the nose, nasal ventilation can be temporarily improved, but soon feel nasal obstruction. Chronic sinusitis patients may also have nasal obstruction, if accompanied by nasal septum deviation deviation or turbinate hypertrophy, then the nasal obstruction is aggravated.

Snot: Sinusitis patients often complain of more snot, some can be blown out forward; some to the back of the nostrils into the nasopharynx, resulting in patients often complain of "phlegm".

Obstructed sense of smell: Some patients may have a decreased or absent sense of smell. This symptom is mostly temporary. However, when sinusitis is combined with atrophic rhinitis, the sense of smell is not easy to recover.

Nasal tract pus: Nasal tract pus is one of the important signs of sinusitis. Because of the different locations of the sinus openings, the location of the accumulation of pus is also different. The frontal sinus, maxillary sinus, and the anterior group of sieve sinuses all open in the middle nasal passage. The posterior sieve sinuses open into the upper nasal passage, while the pterygoid sinuses open into the pterygoid fossa. Therefore, depending on the location of the pus, it can be valuable in diagnosing the inflammation of a particular sinus. If the examination does not find pus, but also need to carry out *** drainage or repeated examination.

(2) physical and chemical examination

X-ray sinus film: acute sinusitis, sinus mucosa shows thickening. If there is secretion retention, the density of the sinus cavity can be seen to increase. Chronic sinusitis shows fuzzy, cloudy, increased density of the sinuses. Sometimes, a liquid plane or polyp shadow can be seen.

(3) Treatment

Western medical treatment

Nasal drops: use vasoconstrictor drops, 3 times a day.

Maxillary sinus puncture irrigation: for maxillary sinusitis. It is usually advisable to administer it after the acute inflammation is largely controlled and in cases of chronic maxillary sinusitis.

Positive and negative pressure replacement therapy: only for subacute and chronic sinusitis patients. Acute sinusitis is prohibited.

Many sinus infections are associated with metaplasia and should be treated when this is a factor.

For acute sinusitis, antimicrobials and sulfonamides should be used in a timely manner and in sufficient quantity to control the infection and avoid complications.

Surgery: When chronic sinusitis is ineffective with conservative treatment, surgery can be considered.

Traditional Chinese medicine

Single prescription

① Cang Er Zi, Xin Qin Hua, Xuan Shen 9 grams each, Angelica dahurica, wine Scutellaria baicalensis 5 grams each, fine Xin, licorice, mint 3 grams each. The above medicines **** into a jar, add water and decoct on martial heat. The patient sits at the place of decoction and aligns the pot so that the medicinal gas enters the nasal cavity with the breath. The decoction is clarified and taken warm. Served 3 times a day.

② oxalis, musk 0.5 grams each, chrysanthemum heart, andrographis 1.5 grams each, 15 grams of goose feather, a little ice. Will not eat grass, chrysanthemum rolling heart into a very fine surface, and then use the milk bowl will be fine tuning of all the drugs, into the magnetic bottle sealed tightly spare, when dipped into the medicine a little convulsive nose, 3-4 times a day.

Acupuncture and moxibustion: take the cranial will, Yingxiang, on the star points, hanging moxibustion until the patient consciously hot, skin flushing to the extent that every other day.

External treatment: use nose drops, 3-4 times a day.

Physiotherapy: Physiotherapy has a role in promoting inflammation to subside and improving local circulation.

(4) Nursing and prevention

Ban spicy *** food, quit smoking and alcohol. Exercise to enhance physical fitness, prevent colds and flu, reduce the occurrence of acute sinusitis, prevent the transformation into chronic sinusitis. Pay attention to oral hygiene, active treatment of neighboring foci, such as chronic tonsillitis, corrective treatment of nasal deformity.