Ozena: symptoms and treatment
Jun 01, 2018
If there is atrophy of the mucous membranes of the nasal cavity and the walls of the bones, it is usually accompanied by abundant secretions.Such discharges partially flow from the nasal passages, but most of them remain in the nasal cavity and form into crusts that produce a fetid odor.It is this condition called in medicine ozena, or "malodorous rhinitis".
The description of the lake is very similar to the characteristics of the "classic" atrophic rhinitis, but in this case there will be quite impressive atrophic changes not only on the mucous membranes of the nasal cavity, but also in bone tissues.Table of contents: Causes of development of ozeni Symptoms of ozena Principles of treatment of the lake
Causes of development of the lake
In general, it should be noted that this disease on the Eurasian continent is of low prevalence and if it is diagnosed,.The disease is strange on all sides - and its description is too small, and the reasons have not yet been clarified.Of course, the doctors make some assumptions, but they did not come to any single answer, dividing into two "camps".Some doctors and scientists are sure that the reason for the development of the lake is the pathology of the nasal cavity of an innate character, when there are a wide facial part of the skull, insufficiently developed accessory sinuses and too much width of the nose.The second part of physicians is inclined to provoke the appearance of the disease in question, the processes of degeneration, disintegration of the nasal mucosa may occur.
Symptoms of the
Symptoms of the ozen are quite specific:
- marked dryness in the nasal passages;
- nasal congestion;
- formation and accumulation of crusts in the nose;
- fetid odor;
- problems with smell - it either disappears altogether, or deteriorates sharply.
If the suspicion of the ozena doctor necessarily conduct a survey of the nasal cavity using a rhinoscope. This examination will show the doctor the accumulation of crusts of brown or yellowish-green color, which fit snugly against the nasal mucosa, and to each other, forming a "carpet".These crusts can fill the entire space of the nasal cavity, spread to the nasopharynx, larynx and trachea.During the examination, the doctor can remove crusts from the nasal mucosa, and then the enlarged nasal cavity will be clearly defined, and viscid mucus of a yellowish-green color will be present on the surface of the mucosa.
If the disease under consideration has just begun its development, then a rhinoscopy allows the doctor to see only the nasal cavity, although it is enlarged.As progression progresses, atrophic processes "absorb" bone tissue and mucous membranes, and the specialist can already inspect the mouth of the auditory tubes and the upper shell when performing a rhinoscopy.
Note: very often during the course of the lake accompanied by acute pharyngitis, laryngitis.And in this case there will be not only the main symptom of the considered disease( fetid odor from the nose), but all the signs of concomitant pathologies.
Principles of treatment of
Such an unpleasant disease can and should be treated!There are many ways to get rid of pathology, even some of the funds from the category of "traditional medicine" will be effective. But first you need to visit an ENT doctor, go through the examination and get medication from him.
The most traditional method of ridding the patient of dryness in the nose and accumulated crusts is washing the nasal cavity.To do this, use a weak solution of potassium permanganate, hydrogen peroxide or regular saline solution - at the discretion of the treating doctor.Nasal flushing can be done using Esmarch's mug or a special nose watering bottle, but during the procedure, care should be taken to ensure that the medication does not enter the auditory canal.
For the removal of crusts from the nasal cavity, the method of "tamponade by Gotstein" can be applied, which consists in inserting into the nasal passages of tampons moistened in a solution of iodine in glycerin.Such tampons should be in the nose of the patient for a couple of hours, then they are removed, and along with it, crusts with an unpleasant odor leave the cavity.
Chlorophyllokarotinovaya paste - another effective drug, which is made in the form of candles.They should be inserted into the nasal passages every day for 30 days.Literally 10 minutes after the introduction of chlorophyllocarotin paste, the fetid odor disappears, and the effect persists for 2 hours.The next time, the effect will be longer, and then completely out at its maximum possible.The therapeutic course with the use of chlorophyllocarotene suppositories should be conducted 4 times a year.
Note: , when choosing the treatment of the disease under consideration, the physician will try various methods.First of all, he will save the patient from the accumulated crusts, and then he will begin "experiments".The fact is that in most cases, the usual ionizers of air help to get rid of the lake!First, the patient undergoes a course of physiotherapy, which involves the ionization of the nasal cavity, and in the future the patient will simply need to constantly use the ionizer.
It is resorted to if therapeutic measures are taken too late - crusts spread to the nasopharynx, larynx and trachea. First, a number of measures are taken to remove the accumulated crusts from the nasal cavity, and then perform a surgical narrowing of the cavity.To do this, the submucosal tissue is injected with fat and cartilage, or bones.Recently, I often use implants that are injected into the submucosa, and in parallel with this, the patient is prescribed hormone therapy.The result will be active development / growth of connective tissue.
Note: , some physicians suggest starting surgical treatment of the ozen immediately after its diagnosis.That is, therapeutic methods do not apply at all - often such tactics of treatment are justified and effective.
Ozena and traditional medicine
Even official medicine recognizes the effectiveness of the use of folk remedies for the treatment of the disease in question.Of course, first you need to contact a specialist who will not only put an accurate diagnosis, but also assess the extent of the pathological process.Folk remedies will also be of use to those patients who have already received surgical treatment and are in the recovery period.
Infusion of medicinal plants
Mint, sage and wormwood must be mixed in equal proportions, then take 1 tablespoon of the collection and pour 300 ml of boiling water, insist in a thermos for 6-8 hours.Take this drug you need 1 glass three times a day, you can drink it instead of tea.This means should rinse the mouth every 2-3 hours.
The course of treatment is 2 months.To improve the taste of herbal infusion( it will be bitter because of the presence of wormwood) it is recommended to add 1-2 teaspoons of honey to the glass of the remedy.
Buy the cabbage in dry form, grind it to powder, preferably turn it into powder.Every day 2-3 times you need to inhale the resulting powder from the sea cabbage nose.It should be borne in mind that this should be done with a shallow breath, since it is impossible to allow the medication to enter the bronchi.
Sea kale powder helps to get rid of crusts, prevents the emergence of new in the process of treatment of the lake.
You need to mix three tablespoons of dry ledum( you do not need to grind it, the leaves just break with your hands) and a glass of olive oil.This remedy should be insisted for 3-4 weeks in glassware and a dark place.Then the oil is filtered, "cake" is carefully squeezed and discarded.
The essence of the treatment: every day you need to dig in 2 drops of the product in each nasal passage.The number of procedures should not be more than 4 per day.This tool will help get rid of large and dense crusts, and the fetid smell will disappear on the second / third day of treatment.
Propolis and fat
It is necessary to melt the inner lard and mix it with propolis in equal proportions.Then the mixture is put on a water bath and thoroughly heated - not less than 10 minutes, but without active boiling.After that, the product is carefully filtered and stored in a glass vessel with a lid in a cool place.
Apply this tool 2-3 times a day - ointment is carefully lubricated by nasal passages, trying to penetrate with a finger or a cotton swab as deeply as possible.
It is necessary to thoroughly crush onions so that "on the output" you get three tablespoons of the mixture( you can use a blender or a small grater).Then add the warm water in the amount of 100 ml to the onions and three teaspoons of honey.The mixture should be infused for 30-40 minutes, then it is filtered.
Use the ready-made medicine for instillation in the nose - 2 drops in each nostril at least 3 times a day.
You can simply dig in the nasal passages of sea buckthorn oil.You can mix mint and olive oil in equal proportions and also bury the resulting mixture with the nose.And you can combine honey( 1 teaspoon), mint oil( 2-5 drops) and sea buckthorn oil( 10 drops), mix everything and lubricate the resulting nasal passages, trying to penetrate as deep as possible into the nasal cavity.
It is necessary to take one tablespoon of honey of any sorts( the best option is buckwheat or linden), add to it 20 tablespoons of warm water, stir all and twice a day with nostrils draw the product into the nasal cavity.Immediately after this procedure, you can put in the nose vegetable oils.
Please note: almost all the ingredients for the manufacture of folk remedies are characterized by increased allergenicity.Therefore, you need to be sure that the use of any of the above means will not lead to an allergic reaction.
Ozena is a disease that does not pose a danger to human life, but it is so unpleasant that treatment should be started once after the diagnostic activities.The patient should be mentally prepared for the fact that the course of therapy will be long - usually for a full recovery it takes 2-3 months.Even if surgical intervention was performed, 60-90 days will be needed in order to restore and normalize the functionality of the nasal mucosa.
Tsygankova Yana Aleksandrovna, medical reviewer, therapist of the highest qualification category