Como hacer una punción en la sinusitis: indicaciones para el procedimiento y los puntos principales de su implementación

Quite often there is such a disease as sinusitis.And, unfortunately, it is not always possible to avoid a puncture.Most doctors try to treat first with conservative methods, but in some cases puncture can not be avoided.

Symptoms of sinusitis

Before proceeding to how the puncture is done in sinusitis, it is necessary to consider the main symptoms and causes of the disease.

Every person should know how to at least roughly distinguish a common cold from sinusitis.The main symptoms of the disease include:

• Constant nasal congestion, and patients rarely manage to breathe for a long time using even the most powerful vasoconstrictors. .
• Nasal discharge that will be purulent
• Strong pressure in the nose thatWill be accompanied by painful sensations at any turn of a head, and also inclinations.
• Sleep disorder, which occurs due to difficulty breathing.
• Increased body temperature.Often, the temperature at genyantritis rises to 39-40 degrees, and it is knocked down by antipyretic drugs for a short while, literally for an hour or two.
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• Chills, fever that appear due to elevated body temperature.General malaise, severe fatigue.
.A person can sleep all day, but at the same time will not feel rested.
• Headaches that will torment a person all the time due to the accumulation of pus in the sinuses.
• Poor appetite.A person can even completely give up eating, his health will be so bad.

If you have the above symptoms, you should immediately contact a specialist, since you do not need to delay treatment with the disease.The earlier it was found, the more likely it is that puncture is avoided.

If we talk about the main causes of sinusitis, they include: nose injuries( during which nasal passages can be damaged), viruses and bacteria that penetrated the nasopharynx.Also, a protracted runny nose, which, moreover, has not been cured to the end, problems with the teeth, because of what infections can get into the maxillary sinuses due to the close arrangement of the canals.Under-cooling of the body due to a long stay on the street or being in cold water.Weak immunity when the body does not have any resistance to viruses and bacteria that have got into it

An allergic reaction to external stimuli and polyps in the nasal passages that make it difficult to drain mucus can also cause sinusitis.

In most cases, it is because of these reasons that a man develops sinusitis.In order to avoid complications after sinusitis, you need to contact the doctors in time for treatment.

What is a puncture

Sometimes conservative treatment of sinusitis( with the use of drugs) does not have any positive effect.Then the doctors will recommend a puncture.

Puncture in genyantritis is a small operation, during which all pus is completely removed from the sinuses, and then the cavity is filled with the medicine.

Before appointing a puncture, the doctor will have to send the patient to the X-ray to accurately diagnose.In the event that, nevertheless, the puncture is inevitable, the person will need to be prepared for the fact that this operation is carried out under local anesthesia.That is, the process itself will be very unpleasant.Sometimes a puncture is simply necessary, because during it a puncture is taken and the causative agent is found out.

After the puncture, additional antibiotic treatment is always prescribed to accurately rid the person of further consequences.

Many patients think that if you make a puncture at least once in your life, then you will always have to undergo this procedure.This is a mistake, since it is prescribed only in severe cases, and try to avoid this procedure as much as possible.Although, in fact, doctors are easier to make a puncture than to prescribe a long course of antibiotic treatment.

Indications for puncture

As mentioned above, not always with a sinusitis appoint a puncture.In some cases, the disease can be cured with medicines.

But there are a number of cases where the only treatment will be performing an unpleasant procedure:

1. If the illness lasts more than two weeks and no improvement occurs.
2. If the prescribed medications( and in most cases, antibiotics) do not have a positive effect.
3. If a person has severe pain in the area of ​​the maxillary sinuses, which give him enormous discomfort.Pain can be either in the area of ​​one sinus or in the area of ​​both.
4. If the body temperature is increased and lasts more than three or five days at 38.5 degrees.
5. If pus does not flow from the nasal passages, indicating complete stagnation in the sinuses.
6. If the doctor on an x-ray has seen a horizontal level in the sinuses.
7. If, in addition to the above symptoms, a person feels an unpleasant odor in the nose.

It is in these cases that it will not be possible to avoid puncture in any way, as conservative treatment does not exactly help.

How to make a puncture with genyantritis

Many patients, before they go through this procedure themselves, look for information about how the puncture occurs and what they need to prepare for.

I must say at once that the procedure is rather unpleasant, but there is nothing deadly in it.

Adult person no special preparation before the puncture is not required, especially since it is conducted out-patiently in the treatment room.And after an hour a person can go home.

As for small children, they get a puncture only in severe cases and under general anesthesia, since no child can normally sit out the entire procedure.

The puncture occurs as follows:

• The person is seated in an armchair, then the doctor smears a cotton swab with a special anesthetic drug and injects it into the nasal passage.
• After that he takes a special needle, previously sterilized( or just opened in the patient) and gently inserts it into that nasal passage where he made anesthesia.
• Then suction of accumulated pus takes place using a syringe.After full pumping, the doctor pushes the pus into a test tube and sends it to the laboratory to identify the bacterial environment.
• After the puncture, the doctor begins to wash the sinuses.This procedure is mandatory, since without it a puncture can be considered useless.

More and the formation of how to make a puncture in genyantritis is necessary to learn from the video.

A sinus wash is performed as follows:

• A special tube is inserted into the nasal passage through which the physician inserts the saline solution and then removes it from there.
• After that, it injects approximately 20 milliliters of chymotrypsin and puts the patient on the side from which the puncture was made.
• In this position, the patient should be about a minute.
• The doctor then rinses the sinus with saline again.

The rinsing procedure is performed every day until the treatment is over.

Most patients note that during the puncture, they felt a slight pain, which quickly passed.The only thing that causes more discomfort is the tube, which is not removed from the nasal passage until the moment of complete cure.