Odontogenic sinusitis

Odontogenic sinusitis - ke ruruha e tsamaelanang le lera la mucous lera la sinus maxillary.

Mohloli oa lefu lena le ka 'na ba periodontitis, meno ka mohlahareng ka holimo ho sa foleng a hlobaetsang kapa exacerbated, festering radicular cyst, meno mbano ya mabe na, osteomyelitis, sithabetsang tlosa ya leino (meno). Kotsi lintlha lokela ho abeloa planar lekaneng metso ho ea botlaaseng ba sinus le, hammoho le ho theola a itšoare ikemela ka 'mele.

Odontogenic maxillary sinusitis a ka etsahala ka subacute, sa foleng, kapa a hlobaetsang le foromo. Tabeng ya moraorao tjena, ho na le e ho ruruha, redness ha lera mucous. Ka tsela eo odontogenic maxillary sinusitis tsamaea le ea fokotseha cavity narrowing kapa koalang ka sekoting ka nko. Ka submucosal lera bontša sebōpeho sa pseudocysts. O ile a senola ho eketseha ha litsoelesa mucous le lipula tsa secretion ea bona, ho tlatsa ka cavity. Ka mor'a matsatsi a mabeli, ho na le phetoho e purulent catarrh. Kahoo, tsoelang pele tshwaetso odontogenic. Buffy tšoauoa khukhuneloa ha mucosa, e leng sebopeho sa microabscesses motho.

Foleng odontogenic sinusitis ka ba diffuse le e fokolang, 'me nonpolyposis polypous. The lumen kapa cavity senola purulent mucus le litaba tse ka hare se hloeke. Polypoid ruruha foleng e tšoauoa ka bitsoa bulging ka bokaholimo leboteng emeloang sekame polypous-granular.

Ho ruruha ya maxillary sinus hlobaetsang nete hore e tsamaea le e bohale sensations bohloko ka sebakeng se amehileng, buccal, libakeng tse infraorbital kapa kaofela ka pele halofo. O re ts'ebetso ea ho lelefatsa bophelo ba lijo ka ya ntango, tse tobileng, occipital, 'me ka meno e ka holimo. O ile a re ba litemana tse fapaneng nasal kapa purulent mucus. Naheng ea tse nyenyane le tse kholo meno molare ha loma tshwaileng e bonolo. Ho phaella moo, ba le mamello e na le matšoao a tloaelehileng a malaise, bofokoli, mafu a takatso ea lijo, mafu a oa ho fofonela ho lahleheloa ka ho feletseng.

Palpation ea leboteng ka pele ea sinus maxillary, percussion leino - etsa hore ho ruruha khethollang bohloko, e atolositsoeng lisele tsa mmele nodes hlokomeloe ke lethopa ka. Ka tebello ea cavity molomo, tse fapaneng ka nasal cavity - bohlokoa ho ruruha, ho tebelwa mosebetsing.

The setshwantsho ea tleleniki ea ho ruruha ka sinus maxillary ke ka lebaka la ho sebopeho sa foleng la fetileng 'nete hore a hlobaetsang le lefu lena. Mokuli o ile a tletleba ea hlooho e, ho tebelwa mosebetsing ho tloha karolong e ka lekanang nko, bohloko le boikutlo ba ho ba ntho e boima ka sebakeng nape. Tšoauoa mokhathala, fokotseha bokooa, lethargy, 'me bofokoli. Exacerbation ya tshebetso e ka tsamaea le feberu. Foleng ho ruruha le ka etsahala sebopeho le asymptomatic.

Ho hlahloba sepheo sa phetolo ea fetola sefahleho e sa a hlokomela. Palpation pel'a ka holimo mohlahare soreness boletsoe tsamaea odontogenic maxillary sinusitis.

Kalafo ya a hlobaetsang ruruha ke ho felisa periapical a tsitsinkela - lisosa tsa lefu lena. Ho hlatsoa o etsoa ka puncture le morago ga moo e selelekela ka sinus enzyme, lithibela-mafu. Bakeng sa cavity nasal sebelisoa e le vasoconstrictor lithethefatsi anemizatsii mucosa le ho theha outflow.

Abela le ea physiotherapy, ho akarelletsa le diathermy, UHF, flyuktuorizatsiyu, tse kang helium-Neon tham mong bang laser.

Kakaretso ea phekolo e akarelletsa analgesics, phenacetin, amidopirina, hammoho le lithethefatsi antisense. Abeloa sulfonamides le tse susumetsang le ho matlafatsa ho bolela.

E le mehato e thibelang e ka sebediswa tsamaiso ea likhoerekhoere tsa molomo ka nako e loketseng ho tlosa meno mbano ya mabe na ea mohlahare e ka holimo.