Odontogenic sinusitis

Odontogenic sinusitis - yog ib tug inflammatory txheej txheem uas muaj feem xyuam rau cov qog ua kua week meem hauv lub maxillary qhov ntswg.

Yog qhov kab mob tej zaum yuav cov hniav nyob rau hauv lub qaum puab tsaig nyob rau hauv lub mob los yog exacerbated mob daim ntawv no, festering radicular cyst, kev hniav, osteomyelitis, puas tshem tawm ntawm cov hniav (hniav). Risk yam tseem ceeb yuav tsum tau dej num raws li sufficiently ze sib thooj mus rau keeb kwm ntawm lub qhov ntswg hauv qab, thiab txo tiv thaiv tshua nyob hauv lub cev.

Odontogenic maxillary sinusitis yuav tshwm sim nyob rau hauv subacute, mob, los yog mob daim ntawv. Nyob rau hauv lub caij nyoog kawg no cov ntaub ntawv, muaj yog o, lossis puas liab liab ntawm lub qog ua kua membrane. Yog li odontogenic maxillary sinusitis nrog los ntawm ib tug txo cov kab noj hniav narrowing los yog kaw lub qhov nyob rau hauv lub qhov ntswg. Nyob rau hauv lub submucosal txheej qhia tsim los ntawm pseudocysts. Ices ib qho kev nce nyob rau hauv txheej qog thiab copious secretion ntawm lawv, sau cov kab noj hniav. Tom qab ob hnub, muaj yog ib txoj kev hloov nyob rau hauv purulent catarrh. Yog li, tsim odontogenic kab mob. Buffy cim infiltration ntawm lub mucosa, tus tsim ntawm ib tug neeg microabscesses.

Odontogenic Chronic sinusitis yuav ua tau diffuse thiab xwb, thiab nonpolyposis polypous. Lub lumen los yog muaj kab noj hniav qhia purulent hnoos qeev nrog impurity txheem. Polypoid mob mob yog yus muaj los ntawm cov lus hais su rau phab ntsa chaw sawv cev polypous-granular growths.

O ntawm lub maxillary qhov ntswg mob Hoob no yog nrog ib tug ntse heev ncus nyob rau hauv lub cheeb tsam cov, buccal, infraorbital chaw los yog tag nrho hauv pem hauv ntej ib nrab. Sau ntawv irradiation nyob rau hauv lub sab nqaij daim tawv, frontal, occipital, thiab nyob rau hauv sab qaum hniav. Cai ntawm lub duas paub qhov ntswg nqe vaj lug kub los yog purulent hnoos qeev. Nyob rau hauv lub teb me me thiab cov loj loj hniav puas hniav thaum tom cim rhiab. Nyob rau hauv tas li ntawd, tus neeg mob muaj cov tsos mob ntawm malaise, tsis muaj zog, qab los noj mov mob, mob ntawm tsis hnov tsw rau lub meej tsis tau.

Palpation ntawm pem hauv ntej phab ntsa ntawm lub maxillary qhov ntswg, percussion hniav - ua mob qhia mob, ua qog cai los ntawm lub lesion. Nyob rau hauv anticipation ntawm lub qhov ncauj kab noj hniav, cov duas paub qhov ntswg kab noj hniav - tseem ceeb o, tawm.

Cov soj ntsuam daim duab ntawm o nyob rau hauv lub maxillary qhov ntswg yog ib lub txim ntawm tus mob xwm ntawm yav dhau los mob chav kawm ntawm tus kab mob no. Tus neeg mob tsis yws hlo li ntawm ib tug mob taub hau, tawm los ntawm cov coj ib feem ntawm lub qhov ntswg, mob thiab kev xav ntawm heaviness nyob rau hauv lub nape cheeb tsam. Cim qaug zog, txo kev tsis taus, nkees, thiab tsis muaj zog. Exacerbation ntawm tus txheej txheem yuav tsum tau nrog kub taub hau. Mob mob tej zaum yuav tshwm sim zoo thiab asymptomatic.

Ib lub hom phiaj kev soj ntsuam ntawm lub configuration hloov lub ntsej muag yog tsis cai. Palpation pem hauv ntej ntawm lub sab sauv lub puab tsaig ce sau tseg nrog odontogenic maxillary sinusitis.

Kev kho mob ntawm mob inflammatory txheej txheem yog mus tshem tawm periapical kom pom tseeb - qhov ua rau ntawm tus kab mob. Ntxuav yog ua nrog cov tej thiab tom ntej kev taw qhia mus rau hauv lub qhov ntswg enzymes, tshuaj tua kab mob. Rau qhov ntswg kab noj hniav siv raws li ib tug vasoconstrictor tshuaj anemizatsii mucosa thiab tsim outflow.

Muab thiab physiotherapy, xws li diathermy, UHF, flyuktuorizatsiyu, Helium-neon laser.

Tag nrho cov kev kho muaj xws li analgesics, phenacetin, amidopirina, raws li zoo raws li antisense tshuaj. Yam uas luag muab sulfonamides thiab stimulating thiab ntxiv dag zog rau txhais tau tias.

Raws li kev tiv thaiv ntaub ntawv kev ntxuav tu qhov ncauj raws sij hawm raug muab tshem tawm ntawm txoj kev hniav ntawm lub sab sauv lub puab tsaig.