Cure children nasal sinusitis not many kinds of antibiotic to unite use

Cure children nasal sinusitis not many kinds of antibiotic to unite, use
Cure children nasal sinusitis not many kinds of antibiotic to unite, use
Cure children nasal sinusitis not many kinds of antibiotic to unite, use
Professor of Beijing Tongren Hospital ent hn surgery dept. Zhou Bing may suffer from nasal sinusitis while often having a stuffy nose, the child of the tears flows. Busy studying at ordinary times, a lot of children have no time to carry on the systematic treatment. On the occasion of summer vacation for the moment, hope parents lead children to go to a doctor in time. The reason which cause children's nasal sinusitis of first-selected drug therapy of chronic nasal sinusitis can be the virus or bacterial infection, also a part relates to the fact that allergic. After nasal sinusitis happens, it is mostly pneumonia streptococcus, influenza hemophilus, golden yellow staphylococcus, anaerobe,etc. to serve or continue and serve bacteria infected with originally, so antibiotic is essential in treating. However, if the child's snivel mainly sticks white or clear snivel, can also not use antibiotic. First-selected antibiotic of children's nasal sinusitis treatment includes: Penicillin medicine, recommend using the not west forest + carat of A mouldly and plainly; The spore medicine of very beginning mainly uses a generation of and two generations, three generations' very beginning spore is directed primarily to the high pneumonia streptococcus which is able to bear medicine. It is a antiinfectious medicine of first-selection to treat children's chronic nasal sinusitis that the nose gushes out hormone, can lighten and have a stuffy nose symptom effectively, can be regarded as a gleam of treatment of children's nasal sinusitis. There are better results on urgent chronic nasal sinusitis with hormone to think the nose at present, as to chronic nasal sinusitis, use for more than 12 weeks continuously at least. Such some application hormone medicine, it is safe and effective, have no effect on children's growth development. The mucus urges to arrange pharmaceutical and nose and cooperate and use with hormone and antibiotic, very effective. Can dilute the snivel, promote the discharge of the snivel, resume the function of mucous membrane of nose. Antiallergic have irritated child of factor on accompanying, can oral tablet or drops, it is allergic to control, the anaphylactic rhinitis of treatment, prevent the occurrence of chronic rhinitis. The traditional Chinese medicine that traditional Chinese medicine clears away heat, detoxifies can relieve the condition. Need to pay attention to, treat children's chronic nasal sinusitis and does not recommend using the quinoline promise ketone medicine, because it has inhibitory activity on children's epiphysis development. In addition, do not recommend many kinds of antibiotic to jointly use. Chronic nasal sinusitis has illness coming on for time longer, the infant should guarantee to standardize the treatment for more than 3 months at least. In addition, the infant unsuitable to treat with hormone with the nose under the age of 3 can also choose the brine to wash the law to treat. The brine is developed as the only physical therapy which treats the chronic nasal sinusitis, to relieving symptom beneficially, can be regarded as the auxiliary treatment means of the long-term chronic nasal sinusitis. Choosing to want cautious children's chronic nasal sinusitis to have illness coming on in surgery treatment, the factor is more complicated than the adult, the mucous membrane of nasal sinus of nasal cavity is heavier in response, the response to drug therapy is sensitive, and with the years, have inclined to after adolescence ' About 50% of the infants probably heal by oneself) So, choose the surgery treatment to be cautious. A lot of parents have such doubt, 3 months after the child undergoes drug therapy, when there is no obvious improvement in symptom, need surgery to treat? The answer is uncertaining. When treat symptom and has not relieved through the conservativeness of 3 months, should strike the nasal sinus CT first, whether ter causes a adaptation card with operation, such as polyp, inborn dissection are unusual, traumatism or chronic nasal sinusitis,etc. that foreign matter causes a to assess, should not regard 3 months as the time point performing the operation. In addition, surgery has the following problems to treat children's chronic nasal sinusitis: Children's nasal sinus is not complete in development, the operation opens nasal sinus to bear on development of the function to the structure. 20%~24% of the infants can't reach the re-set target of the operation. The mucous membrane of postoperative nasal cavity reacts heavily, heal time longer. Child bear, change dressings while being postoperative while being difficult usually, lack effective the intersection of skill and punish, it is apt to cause the skill narrowly, the adhesion incidence is higher, cause the operation to fail finally. The operation can develop into more serious nasal sinusitis while stimulating mucous membrane and nasal sinus ossicle hyperplasia, and the result of performing the operation again is not good. It is that children's nasal sinusitis of important reason recuring is a disease needing to be treated to stop medicines at will for longer time, insist it is very important according to the fixed administration. Among them a lot of parents see medicines stop at will when being relieved in symptom while treating child, this is one of the important reasons why child's nasal sinusitis recurs too. The treatment that our country directs against child's nasal sinusitis now is still unstandard, the main reason has insufficient understanding of totality of children's nasal sinusitis. It is the doctor that knows to the emergence of children's nasal sinusitis, law of development insufficiently at first, can't treat children's nasal sinusitis normally. Secondly it is a lot of parents that lack corresponding health knowledge, what is it not to understand the main goal treated, even think one-sidedly the operation can solve all problems, or fear the operation when should perform the operation ing. Symptom or clinical manifestation of the diagnosis main basis infant of children's chronic nasal sinusitis, and then combine the diagnosis of the mirror in the nose, seldom need to do the nasal sinus CT. When the medicine therapeutic effect is unsatisfactory or fails to respond to any medical treatment, the reason that can assist the therapeutic effect of analysis to be bad with CT, or determine whether to perform the operation or not. (Liu Yang puts in order)



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