Treatment of sinusitis (sinusitis) without puncture

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Green Elena Stanislavovna

Otolaryngologist of the second category

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Sinusitis, also known as sinusitis, is an inflammatory process of the mucous membrane of the paranasal sinuses. Appears as a complication of infectious diseases, or after injuries to the facial area, caused by viruses and bacteria. The disease is fraught with its complications, so it is very important to recognize it in the initial stages and carry out appropriate treatment.

Is it possible to cure sinusitis at home?

Treatment of sinusitis without punctures - how? There are plenty of systems and ways that are based on this today. However, many refuse surgical treatment and try to solve the problem using a conservative method. As practice shows, it is quite possible to cure sinusitis without surgery, the main thing is to diagnose the pathology in time, trust the doctor, and follow all his instructions.

Methods of conservative therapy can be divided into 2 main groups:

• Medication (including antibiotic therapy)
• ethnoscience

Both treatment methods can be combined with each other, the main thing is to choose the right drug and an effective folk recipe. How long does it take to treat sinusitis without a puncture? - this question is relevant for many, but before looking for an answer, it is worth noting that each person’s body is individual and there is no single therapy for all patients.

Treatment and duration of use of a particular drug depend on the stage of the disease, form, age of the patient and the characteristics of his body.

For a speedy recovery, it is necessary to carry out medical therapy in a timely manner, which will help eliminate the development of complications.

• catarrhal form - “first stage”, is treated for about 2-3 weeks.
• purulent - “neglected”, with the ensuing consequences - recovery will take 5-6 weeks.

The diagnosis and subsequent therapy are prescribed by a doctor, you need to listen to him, but to increase the chances of a quick recovery, learn more about this and try auxiliary methods (before this, it is better to consult a doctor).

Treatment of sinusitis in a specialized institution

Mild forms of sinusitis are usually treated at home, but if the disease begins to take on a dangerous form, then you should consult a doctor. I would like to point out right away that you should not panic. With timely and competent treatment, the disease can be eliminated once and for all. Modern medicine has a wide range of techniques that make it possible to treat sinusitis without puncture.

Cuckoo

Nasal rinsing for sinusitis Cuckoo

This method of moving fluid can be called one of the most common in the treatment of the inflammatory process in the maxillary sinus. Cuckoo is well tolerated by patients and does not cause pain. Thanks to this, it becomes possible to use the method in the treatment of young children.

The essence of the cuckoo is that catheters are inserted into the nasal passages. Through one nasal passage, a medicinal solution is supplied under pressure, and through the other, the liquid, along with the contents of the paranasal sinus, is sucked out. After one such procedure, the patient’s condition improves significantly, because the sinus becomes free of pathological secretions. To achieve a lasting effect and finally get rid of the disease, doctors recommend five to seven such procedures.

YAMIK-catheter

The principle of operation of this technique is, in fact, very similar to the cuckoo, only the catheter here is a rigid tube, which is equipped with latex balloons at both ends. This tube is inserted into one nostril. The balloons create a sealed space when inflated, allowing fluid from the maxillary sinus to be easily aspirated using a syringe.

At the same time, a syringe is inserted through the other nasal passage, through which the medicinal solution is supplied. As practice shows, the YAMIK catheter gives good results, and in combination with laser heating of the nose, it helps to achieve lasting results.

Phototherapy

As is known, during an infectious-inflammatory process, heating is contraindicated, as it will further intensify the pathological process. However, laser therapy differs from conventional heating; it does not increase swelling of the mucous membrane, but rather reduces it.

After phototherapy, blood microcirculation improves and immunity increases. Another, perhaps most important point of phototherapy is that it acts directly on the very cause of sinusitis, destroying pathogenic microflora.

Rinsing your nose will help get rid of sinusitis

Medication method

The first thing we do in case of inflammation is to disinfect the mucous membranes of the weakened body. Antibiotics are prescribed for this:

• Augmentin;
• Penicillin;
• Sporidex;
• Macropen;
• Ampicillin.

The choice of antibiotic for a child or adult should always be left to the attending physician. Treatment with drugs from this group can take from 5 to 10 days.

In case of exacerbation, medications are prescribed that speed up the action of antibiotics: decongestants, corticosteroids and antihistamines in order to narrow blood vessels and reduce swelling, restore the ability to “ventilate” and dry out chambers with air.

• Antihistamines - Loratadine, Cetrin, Fenistil, Erius, available in the form of syrups (up to 6 years) or tablets.
• Water-soluble and oil-soluble vasoconstrictor nasal drops - Nazivin, Tizin, Nazol.
• Steroids - Avamis, Nasonex, which help more effectively at the local level, are therefore sold in the form of aerosols and drops.
• Mucolytics are prescribed, which help reduce the density of secretions and its outflow from the nasal canals and cavities.
• Several effective ones are ACC, Sinupret, Fluditek.
• To eliminate pain and relieve symptoms, analgesics are prescribed - Paracetamol, Ibuprofen, Acetaminophen.

Complex drug treatment is effective and will help get rid of sinusitis without a puncture.

Traditional methods as a means of treatment

Traditional methods help to get rid of sinusitis quickly and without harm to health. It is worth understanding that they do not eliminate the cause of the disease, but can only alleviate the clinical symptoms of the disease. Non-traditional methods can be used only in the early stages of the pathological process and only with a mild form of sinusitis.

Alternative treatment should be carried out along with the prescriptions of the attending physician

Let's consider proven and effective methods of alternative medicine:

• Honey solution for nasal instillation. For two tablespoons of warm natural water there is a teaspoon of honey. Instillation into the nasal cavity can be done three to five times a day.
• Application. To prepare it, you will need a mixture of vegetable oil, peony peel in powder form, and golden mustache. Soak a napkin with the resulting mixture and apply it to the wings of the nose and bridge of the nose for twenty minutes.
• Inhalations. A simple way is to boil potatoes in their jackets, and breathe over the vapors. This procedure can be carried out twice a day for ten minutes.
• Nasal rinsing. You can prepare a weak solution based on iodine or potassium permanganate.

Folk remedies

Most people resort to these particular methods of healing, since it is simpler and safer than all of the above methods; As far as practice shows, they are effective and help cure sinusitis without a puncture.

The classics of alternative medicine always include a variety of drops, decoctions and ointments.

Be sure - before using any self-medication - to rinse the nasal area with a solution of sodium chloride or table salt.

Inhalation

Propolis tincture. Add 2 tsp to 2 liters of water. propolis after the water boils. You can pour the water into an inhaler or leave it in a pan and breathe over the steam, covered with a towel.

The list of ingredients that can be used as a basis is huge. These are mainly herbs, oils, tinctures, etc.

Drops

The recipe and composition of the drops are also variable.

Honey drops. Grind 4 g of celandine herb, add honey and aloe juice in proportion. Place 3 drops in each nostril (in case of bilateral sinusitis) up to 5 rubles. in 24 hours. Contraindications: allergies.

Ointments

Ointment with added honey. It is considered very effective and can be prepared at home.

To do this, you need to grind a tablespoon of baby soap (for scent only). Take vegetable oil, honey and milk in equal proportions, then mix all the ingredients and heat in a water bath until the soap melts. After that, add 1 spoon of alcohol and remove from the stove. Pour the ointment into a jar and wait until it cools.

You need to use it with cotton swabs, which are dipped and inserted inside and kept inside for 15 minutes. Repeat for three weeks, and store the jar closed in the refrigerator.

Compress

Clay. We dilute 50 g of clay in hot water until it turns into plasticine. We soak 2 pieces of gauze in heated vegetable oil and place them on both sides, over the sinuses. Place hot clay cakes on cheesecloth. We keep it for about an hour.

From bay leaf. Fill the branch of bay leaves with water and bring to a boil - let it cool. Then we dip the napkin in the broth and keep it on the area of ​​the maxillary cavities for about an hour. To prevent it from cooling down very quickly, cover your face with a towel.

Massage

Obstruction of the nasal passages can be removed by tapping. Bend your thumbs and tap the bones on top of the bridge of your nose at the same time on both sides. Almost immediately the person begins to breathe. You can massage the area using circular movements.

Who is the provocateur?

After the illness, the girl went to kindergarten for several days and again fell ill with a high fever. And then such a runny nose began that it could not be relieved either by drops or by rinsing the nose. The district doctor said that if the temperature persists for more than three days, I will have to take antibiotics.

She held on, and the runny nose did not subside, so three days later the alarmed parents again called the pediatrician, who prescribed an antibiotic, and my mother calmed down: after all, serious medicine could not help but help.

But the temperature did not subside, the girl became lethargic and constantly complained of fatigue. The runny nose did not go away; it seemed that the secretion was bubbling somewhere between the nose and throat.

Friends said: “Warm her nose thoroughly with a hot egg.” But the runny nose was so unusual that my mother did not dare to experiment. And then my ears began to hurt and an unpleasant smell appeared from my nose. At this point, without delay, they went to the clinic, where the girl had an X-ray taken. The maxillary sinuses were full of pus. The doctor insisted on urgent surgery: a puncture.

A comment

Sinusitis, or, more correctly, rhinosinusitis, is an inflammation of the sinuses. (We have several of them, not only sinusitis.) Inflammation occurs due to a prolonged runny nose. Usually on the third day of a viral runny nose, catarrhal sinusitis appears: the mucous membranes of the nose swell, and secretions are intensely released. The runny nose goes away, and catarrhal sinusitis goes away. But if the runny nose persists, real, purulent sinusitis may occur. Its symptoms:

- headache,

– elevated temperature,

– purulent nasal discharge (often accompanied by an unpleasant odor),

– painful sensations from touching the paranasal sinuses, forehead, bridge of the nose...

Everyone has a runny nose, but not everyone ends up with rhinosinusitis.

Sinusitis occurs when:

– local immunity does not cope well with viruses and bacteria that have entered the nasopharyngeal mucosa; this feature of immunity occurs in children who are often ill;

– the secretion is difficult to drain due to inflamed and enlarged adenoids or a deviated nasal septum;

– the child constantly suffers from allergic rhinitis;

– there are peculiarities in the structure of the sinuses, for example, they may have not one, as expected, outlet (anastomosis, doctors say), but two or three, because of this, mucus from the sinuses does not drain well;

– no attention is paid to the treatment of a runny nose: the nose is not washed, vasoconstrictor drugs are not dripped into it, which help relieve swelling and blow off secretions.

In Nastya’s case, the provocateur was mononucleosis; this infection causes an increase in lymphoid tissue; the girl’s adenoids have grown, which means the drainage function of the nose has worsened.

How to treat sinusitis in a hospital without a puncture?

People faced with such a task are traditionally divided into two camps, and those who do not find happiness in getting rid of an illness using alternative medicine trust specialists and end up going to the hospital.

In a hospital setting, the patient will receive the following treatment:

• Rinsing the nasal cavity with antiseptic solutions.
• Broad-spectrum antibiotics.
• Painkillers and antipyretics.
• Vasoconstrictor drugs.
• Physiotherapy.

The main procedure in hospital wards is washing with the “Cuckoo” technique. The procedure consists of rinsing the nasal cavity with antiseptics. A warmed antiseptic solution is slowly poured into one passage, while through the second, pus and mucus accumulations are sucked out using a vacuum. A measured permanent flow of liquid is created in both directions. Therapeutic course aimed at obtaining results - 4-10 repetitions.

The second flushing method is the YAMIK catheter, a device required for this type of procedure. A catheter is two balloons that can be inflated, based on a cuff to which a syringe is connected. Before direct insertion of the device inside, local anesthesia is performed. Both balloons are alternately filled with air and the syringe pumps it out from the part of the nose where the “block” is located.

Under vacuum (shaky pressure), the anastomosis opens and all the liquid flows from the depths into the middle, and from there it is removed with a syringe. Afterwards, the necessary medications are infused through a separate cannula. The result is noticeable only after a certain number of repetitions.

Physiotherapy is a final step. Its implementation is possible only with residual effects, and not at the initial stages and with complications. It is used when the nasal cavities are completely free of pus.

This type of getting rid of the disease is aimed at eliminating the symptoms: poor circulation in the area, relieving congestion and headaches.

Basic physiotherapeutic measures:

• Laser. Endoscope + small light source in the red spectrum = illumination of the mucous membranes that have been affected.
• UHF. It acts electronically at the local level, heats the tissue, improves blood flow and metabolic processes, as a result, the number of immune cells in the area of ​​the affected cleavage increases.
• Electrophoresis. The electric current hits the right place, delivering medications there.

Physiotherapy is not prescribed in acute or chronic cases.

Treatment of the disease with modern methods

The clinic doctor may suggest you use YAMIK.
What kind of device is this? The YAMIK catheter is a tube with latex balloons at the ends. YAMIK is installed in one of the nasal cavities. When inflated, the balloons close the exit from the nose to the throat and out. As a result, a sealed space is created, from which it is easy to suck out the purulent contents. After this, the medicinal substance is injected here using a syringe. Nasal rinsing with the YAMIK catheter is continued until the rinsing liquid becomes clear.

You should know that after using YAMIK, the amount of discharge from the nasal passages increases significantly. This indicates restoration of the function of the ciliated epithelium of the nasal cavity. Using YAMIK allows you to avoid puncture of the sinuses during sinusitis. The number of procedures is usually from 7 to 10, depending on the severity of the process.

The YAMIK catheter can be used for sinusitis in children, however, preliminary psychological preparation of the child for the procedure is necessary.

Watch a video about treating sinusitis without punctures.

Possible complications

The most important reason why sinusitis should not be caused is the connection between the maxillary sinuses and the brain. Wasted time treating the “wrong” causes progression of sinusitis.

• The diagnosis is correct, but the cause has not been identified. The treatment is wrong.
• Negligence, failure to follow the treatment algorithm.
• Treatment was aimed not at eliminating the disease, but at suppressing symptoms.
• Weak immune system.

What can complications lead to?

• Otitis;
• Meningitis;
• Orbital abscess, conjunctivitis;
• Bronchitis, inflammation;
• Sepsis;
• Angina.

And this list is subject to addition.

Treatment tips and advice

In addition to the list of tips and treatment methods that were presented here, there are also a number of important rules that apply to any disease - they should not be neglected!

• Bed rest. A weakened body should have the opportunity and time to recover, which will equally increase the speed and quality of victory over the disease.
• Drink plenty of fluids. This simple recommendation will improve metabolism and increase the body’s readiness to fight.
• The fresh, cool room you are in.
• Hot shower, bath (if there is no temperature!).
• Saline solutions as a banal possibility of maintaining patency of the nasal sinuses.
• Rest and sleep aimed at overcoming weakness and apathy.
• Foot baths.

Treatment with drugs

Antibacterial drugs inhibit the active activity of pathogenic microorganisms.

One of the main and mandatory points in the treatment of sinusitis is antibiotic therapy. A group of antibacterial drugs directly affects the main source of inflammation, adversely affecting and destroying pathogens.

Taking antibiotics

The required antibacterial drug is selected based on the sensitivity of pathogenic microorganisms to the active components of the antibiotic. Most often, antibiotic therapy is carried out in a course.

In some cases, it becomes necessary to conduct a special analysis of the secreted fluid for sensitivity to antibacterial drugs. Undoubtedly, this analysis makes it possible to more accurately determine sensitivity and carry out effective treatment of sinusitis. However, such an analysis can significantly delay the treatment process, which will negatively affect the patient’s condition.

Most often, in order not to expect a certain result, the doctor prescribes broad-spectrum antibiotics. Such antibacterial drugs in most cases give a positive result, the patient soon recovers. On the second day the patient feels much better.

The use of vasoconstrictors, steroids and antihistamines

This group of medications helps antibiotics more effectively cope with inflammation in the maxillary nasal cavity. The main tasks of the drugs:

• eliminate swelling of mucous tissues;
• expand the anastomosis connecting the maxillary cavity and the nasal passage;
• restore the outflow of purulent contents;
• improve aeration of the inflamed sinuses;
• slow down the process of bacterial growth.

Drugs can be produced in various forms. For example, most often antihistamines are prescribed in tablet format, while vasoconstrictor medications are mostly used in the form of drops and sprays. It is worth noting that the spray in this case is considered a more preferable remedy, since a large area of ​​the nasal cavity is treated with the medicine.

Physiotherapy, which helps to carry out treatment without puncture

Physiotherapeutic treatment helps cure sinusitis without puncture. It should be noted that this method alone will not give the desired result, since its main effect is to mobilize the body’s defenses to resist infection. Physiotherapy cannot have a direct antibacterial effect.

• UHF is the most common therapy used in the treatment of sinusitis in adults and children. The essence of the method is to apply an electric field to the inflamed maxillary sinus. UHF produces a certain heating effect on a given area of ​​the sinus, thereby improving metabolic processes and microcirculation. The swelling gradually goes away, and immune cells penetrate in greater quantities. With the help of UHF, the body better activates its own forces.
• Laser radiation – another fairly commonly used therapy during sinusitis is laser radiation. The therapeutic effect of the procedure is based on the use of light waves with a narrow spectrum. Using an endoscope, a specialist directs a small source of red light into the nose and treats a given area of ​​​​the mucosa.
• Sinus catheter “YAMIK” is one of the types of nasal cavity lavage procedures. With its help, only the affected nasal sinus is treated. The essence of the device: at the end of the catheter there are special cuffs, which, when inflated, create a slight tightness. After creating a tightness in the cavity, you can suction the purulent contents from the inflamed sinus, filling it with a medicinal solution.
• Washing using the “Cuckoo” method (according to Proetz) - the procedure is based on rinsing the nasal cavity with a specially prepared medicinal solution and simultaneously pumping out the purulent contents. This rinsing is absolutely painless and is an excellent alternative to puncture for sinusitis. The patient may feel only minor discomfort during the procedure. Significant relief can be felt after the first rinsing procedure.
• Electrophoresis is one of the types of using current in the treatment of sinusitis without puncture. Electrophoresis is a special way of delivering the necessary medication into the inflamed sinus without performing a puncture or causing any damage. In most cases, medications are antibiotics or antihistamines.