The sinusitis is a common disease, which is characterized by acute inflammation of the mucous membrane of the incomplete sinuses. The sinusitis can have different degrees of disease: may occur in the form of an inflammatory process or chronic disease. In order to prevent the development of the disease in a timely manner, you should contact a specialist, find out what antibiotic can be taken and a complex of treatment. However, in order to understand that you have a hymorite, you need to know the symptoms and types of this disease.

Types of hymorita

By the type of dissemination of the inflammatory process, two types of sinusitis distinguish:

• Unilateral;

Also, the sinusitis is separated by the type of appearance:

• Atrophic - in chronic inflammation of the mucous membrane, gradual atrophy of the shells of the sinuses occurs;
• Necrotic - with acute disease in the incomplete sinuses, necrosis of tissues occurs;
• Productive - with the appearance of polyps that grow inside the sinuses;
• Exudtive - with an inflammatory process, a strong isolation of the pus is observed;
• Vasomotor - occurs when violating the functioning of the vascular system;
• Allergic - the complication of allergies may be sinusitis;
• Infectious - as a result of infection with a virus or sovereignty of hymorite.

How to take amoxicillin with a hymorite find out.

Sprinkle in 80% of all cases is a consequence of not to the end of a treated cold. Therefore, it should be seriously related to the treatment of a simple ARS.

Symptoms

With the traditional development of the disease in the patient, there is a strong congestion in the nasopharynx, purulent mucous membranes, painfulness under the eyes, loss of smell, lethargy, along with increasing body temperature.

In chronic sinusitis, a non-leaving headache, constant fatigue and swelling of the nasal mucosa can be traced. At night, a dry cough can appear, which is not amenable to conventional treatment.

List of drops in nose with antibiotic with a sinusitis will find.

Paints may have wave-like symptoms. In the morning, the patient can feel better, but under the evening the symptoms of the disease can manifest themselves more acutely. External signs of hymorite inflammation can be swelling under the eyes, redness of the eyelids and constant selection of tears. We recommend that you familiarize yourself with the signs of sinusitis in adults and how to treat it.

Antibiotics treatment: when you are prescribed and how to drink

Today in medical practice used a wide range of antibacterial. There are modern medicines that have proven themselves in the fight against Gaimori inflammation. Also in use remain old proven antibiotics, which have a positive effect on the process of the disease.

Golden Streptococcus - the causative agent of the disease - with time it can get used to the action of the same antibiotic. Therefore, in chronic disease, treatment tools must be changed, consulted in advance with the ENT doctor.

Does the temperature happen to skimmer?

Some are afraid to apply antibiotics, so they are asked to prescribe something nonset. However, such treatment will not bring a positive result, but will only aggravate the process of recovery. On the other hand, a frivolous attitude towards the reception of strong antibiotics (irregular, improper use) can break immunity and not to give the necessary effect.

Antibiotics are prescribed in a complex with various drugs: tablets, sprays or drops into the nose. In the occurrence of symptoms of intoxication, injections can be assigned to introduce an antibiotic intramuscularly.

How to make a massage with a hymorite described.

Choosing an antibiotic, it is necessary to familiarize themselves in advance with the presence of side effects, as well as the method of deriving it from the body.

List of effective preparations

• Bioparox He is a representative of a modern series of antibiotics, which has an antibacterial and anti-inflammatory effect. Treat the group of polypeptide funds that are struggling with bacteria at the local level. Effectively copes with streptococci, fungi, staphylococcal and anaerobam.

• Isofra It is a drug from representatives of aminoglycoside. The antibiotic is used in the form of spray and locally sprayed into the incomplete sinuses where inflammation was formed. Destroys microorganisms that belong to gram-negative and gram-positive. The drug has an antibacterial effect on the mucous membrane.
• Azithromycin - The drug that has a bactericidal impact. A positive result is observed when the focus is saturated with the main anti-inflammatory substance contained in the antibiotic. This antibiotic also helps get rid of.
• Macropen refers to the macrolipid group. It is a strong drug that has a destructive effect on the reproduction of bacteria on the mucous membrane. In addition, Macropen destroys a number of gram-negative and gram-positive microorganisms.
• Zitrolide It is the most efficient drug that is minimal likely to pop up toxic reactions in the body. The drug is a representative of macrolides, which successfully copes with the spread of bacteria: anaerobic, gram-positive, gram-negative.
• Ceftriaxon - The antibiotic of the new generation, refers to the group of cephalosporins. The drug is active against a large number of pathogenic microorganisms and causes the minimum number of unwanted side effects. The drug boasts a large number of positive feedback on the Internet.

How to do "cuckoo" with a hymorite read also.

Prices for these drugs vary on average from 200 to 1000 rubles, specify in the pharmacies of your city.

Your doctor can add this list to other efficient and inexpensive antibiotics from the hymorite. Do not forget to consult with your doctor!

If within a few days after taking an antibiotic, your condition has not improved, this suggests that it is necessary to change the drug or treatment system.

Indications for applying an adult and child

Antibiotics are appointed in such cases:

• strong inflammation in allergic reactions;
• pronounced symptoms of severe disease;
• the initial stage of the development of a hymorite flowing with moderate symptoms for at least 5 days;
• viral hymorite.

Schimorite is inflammation of the apparent maxillary sinuses of the nose, which can be caused by a number of reasons. Therefore, when the characteristic symptoms appear (a long-incursable rhusing with a thick mucus, headaches, a feeling of cutting in the attribute area), you need to visit the doctor, to undergo diagnosis and get qualified recommendations. Ignoring problems, symptomatic measures and self-treatment can turn into a chronic shape transition.

In the overwhelming majority of cases, this disease has a bacterial nature, consequently, antibiotics with hyimorite - preparations of the first stage. However, systemic antimicrobial therapy is appointed only in cases where the patient's body cannot independently overcome the infection for a long time and the risk of severe complications arises. Bacteria from hymorrheal sinuses with a blood current can get into the lower respiratory tract and cause or even pneumonia. But the main danger is the proximity of the focus of inflammation to the brain and the possibility of development or.

To understand, in what cases, the use of antibiotics during hymorite is really necessary, it is necessary to consider the causes of the development of this disease.

By etiology, the sinusitis is divided into the following categories (descending occurrence):

Bacterial - caused by pneumonium, pyrogen or green streptococcus, golden staphylococcal, hemophilic, blue or intestinal wand, moraxella, klebsiella, chlamydia, mycoplasma, protematics and other pathogenic and conditionally pathogenic microorganisms. Arises as a result of the pathogen in the gaymoros of the sinuses from the upper respiratory tract (rhinitis, pharyngitis), the dental system (, flux, the granuloma of the roots, periodontitis) or the total blood flow under inflammatory diseases (Scarlatina, Kor). It happens both one-sided and bilateral, more often purulent than catarrhal (only swelling);

Viral - caused by rhinovirus, coronavirus, adenoviruses, enterovirus, influenza A and B, paragripp. It usually occurs on the background of seasonal, always happens bilateral, most often catarrhal, sometimes aspholsimistic and passes himself for 1-2 weeks. With viral hymanit, antibiotics are useless, or rather, harmful. But for 7-10 days, severe, ARVI or ARS may be complicated by a bacterial infection with a depression of a pus in the gymorous sinuses, then antimicrobial therapy is shown;

Mixed - caused by a complex of reasons, among which there may be viruses, bacteria, fungi and allergens. It often moves from an acute chronic form. It almost always happens to bilateral and combined with other forms of sinusitis (front, etmoiditis and sphenoiditis). May have any character: purulent, catarrhal, serous, exudative. With a mixed viral-bacterial hymanitis, antibiotics are used, but the selection of the drug should be carried out very carefully based on the results of analyzes and data from the history of the disease;

Allergic - caused by a negative response of the body to allergens, among which inhaled particles prevail (household dust, poplar fluff, plants pollen). It always happens to bilateral, characterized by strong edema mucous membranes, sneezing and rinorera. Antibiotics with a hyamorite of allergic nature are not needed, measures are appointed and measures are being taken to eliminate allergen from the patient's use;

Fungal - caused by yeast-like microorganisms and fungi against the background of immunodeficiency states in weakened patients, the elderly, young children. It is very rare, it happens bilateral, distinguished by persistent, chronic flow, requires an integrated approach to treatment. With fungal hyamorite, antibiotics are categorically contraindicated;

Drug - It is caused by the long-term use of drugs that have a destructive effect on the mucous membranes of the gaymorette sinuses and violate the normal operation of the soliculous epithelium responsible for the evacuation of the mucus. It usually occurs against the background of the abuse of vasoconstrictor drops into the nose. It almost always happens to bilateral, may be atrophic (leaning fabrics), hyperplastic (hence of the mucous) or cystic polyposny (the occurrence of polyps, overlapping the mouth of the sinic sinuses). Without joining a bacterial infection, such a sinusitis is not treated with antibiotics;

Traumatic - caused by mechanical damage to the sinuses, accumulating blood in them and exudate and subsequent inflammation. In this case, the patient is shown antibiotics, physiotics, and sometimes surgical treatment.

In order to choose the optimal antibacterial drug for the treatment of hymorite, the doctor takes into account the following patient data:

The history of the disease - when and under what circumstances a disease arose (a seasonal cold, system infection, polynosis, trauma), what is the character of symptoms (body temperature, body intoxication, the severity of pain syndrome, color and consistency of the nasal mucus), as far as the person got sick, tried whether to be treated independently;

Results of the survey and analyzes - X-ray, overall blood test, bacterial sowing;

Age and status - Many antibiotics during hymorite do not apply in children, weakened and older people, pregnant and lactating women;

Information about previously used antibiotics - the more often the person is treated with the same antibacterial drug, the less effective it becomes;

Availability of allergies.

Based on this, it can be understood that the most effective antibiotic from the hymorite will be the drug to which the pathogen is sensitive, there is no resistance, allergies and contraindications, minimal side effects and harm to the body. Since most modern antibiotics have a very wide range of action and are active with respect to almost all microbes causing a sinusitis, the need for bacterial sowing and establishing a specific perpetrator of the disease occurs only if the course of therapy did not give results.

The most frequently used and efficient antibiotics during hymorite belong to the four groups:

These are synthetic penicillins in combination with special substances that neutralizing bacteria resistance. For many years of active use of penicillins and cephalosporins, many pathogens adapted to them and developed an enzyme from the Beta lactamase group, called "penicillinase", which simply destroys the medicine that falls into the body and does not allow him to deal with infection. To avoid this, sulbactams or clawulanic acid are added to penicillins.

Against sinusitis is most effective:

Ampicillin sulbaktamata (ampisid, libaccil, unazin, sulsin, sulbacin, sulacillin, sulibacillin);

Amoxicillin clavulonates (amoxiclav, ecoclav, rapiclav, Flemoclav, Panklav, Augmentin).

Ordinary amoxicillin, which is sold for a lot of money under the trademark Flexin Solutab, in most cases from the sinusitis no longer helps.

Protected penicillins have a bactericidal action (destroy bacteria), and they make it addresses, since they are targeted on special markers of cell shells of pathogens. There are no similar cells in the human body, so such therapy does not destroy healthy fabrics. Penicillins are widely used to treat hymorite in children. However, the drugs of this group quite often occur, and long-term reception is fraught with violation of the balance of microflora internal organs, side effects on the part of the tract, the development of fungal infections. Another minus Penicillins is a short half-life, because of which the tablets have to take every 4-6 hours.

These drugs are very convenient for use, because they accumulate well in the tissues and for a long time they are saved. The latter generation macrolides are sold in packages containing only a few capsules. Uncomplicated infections are successfully treated with even one-time reception. If the patient has individual intolerance of penicillins, an atypical or mixed form of the disease, macrolides will be the most effective antibiotics with a hyimorite.

The disadvantages include the high cost of some drugs of this group. Application in childhood, during pregnancy and breastfeeding, it is possible if the potential risk is lower than the expected benefit.

Macrolids are divided into:

14-membered - erythromycin, roxitromycin (rulid, xitrophotsin, elloks, Roxyloror, Rivneval), Clarithromycin (Clacide, Clabaks, Claritsin, Ecositrine, FROMILID UNO);

15-membered azithromycin and its analogues, called azalids (Hemomycin, Sumamed, Azitral, Azitroces, Azitrus, Zitrolide, ZI factor);

16-membered Midekamycin (Macropen, Midekine), Spiramycin (Rovamycin, Spiramisar), Josamamicin (Viliprafen).

This is one of the most numerous and long-used groups of antibiotics. They have a bactericidal action. To date, there are already five generations of cephalosporins. In the latitude of the antibacterial spectrum, they do not exceed penicillins and, moreover, macrolides, however, they have resistant to beta lactamases - enzymes that explain the resistance of some pathogens of the hymorite. However, this statement is true of far from all cephalosporins.

If the patient has allergies to penicillins, then with a high probability of a negative reaction and cephalosporins. Side effects are also similar, the treatment of sinusitis in children maybe during pregnancy and the question is solved individually. Many drugs of this group are unsuitable for oral administration, since they are not absorbed from the gastrointestinal tract, and the mucous membranes are strongly irritated. The pluses of cephalosporins as antibiotics with a hyamorite include an affordable price.

This is important: cephalosporins are absolutely incompatible with alcohol, since inhibit the synthesis of the enzyme liver of the aldehydehydrogenase, which is necessary to neutralize the toxic effects of ethanol decay products to the body.

Cephalosporins are divided into:

1 generation - cefazoline (Lizolin, Cefzol, Zavtin), Cefalexin (CEFCOFRON, Sporidex, Lexing);

2 generation - cefuroxime (zineacef, cefurus, axietin), cefoxitin (anaeroceph, bonephin, measurexin);

3 generation - Zefisim (Supraks, MaxiBat, Loprax), Ceftriaxone (Roszephin, Azaran, Lendacin);

4 generation - cefpir (Izodep, Cefanorm), Cefpin (Cefomax, Maxipim);

5 generation - Ceftobiprol (buffer), Ceftolozan.

Preparations of this group are very different from other antibiotics from the hymorite, since they are completely synthetic and not found in wildlife. Fluoroquinolones have a wide range of antibacterial effects, have a very fast and pronounced bactericidal effect on most of the pathogens of sinusitis, including atypical forms caused by chlamydia or mycoplasmas. However, by virtue of its high toxicity and alien, artificial origin, they often lead to the development of allergies and the occurrence of severe side effects on the part of the gastrointestinal tract and nervous system.

As antibiotics with a hymorite in children, fluoroquinolones are considered only in extreme cases, pregnant and nursing women they are categorically contraindicated. Another minus of the drugs of this group is a high price, however, if you look for a medicine for a valid substance, and not at a well-known brand, you can significantly save.

Fluoroquinolones are divided into:

1 generation - offloxacin (Tarivid, Zanocin), Pofloksacin (Abaktal, Unicpiev);

2 generation - ciprofloxacin (cyprolet, digital, diginol, cigrobia, economifol), norfloxacin (nolicin, norms, norbaktin);

3 generation - Levofloxacin (Glevo, Tavanik, Levostar), Sparfloxacin (Sparflo, Respara, Sparbact);

4 generation - Moxifloxacin (Moxin, Aveoks, Megaflox), hemifloxacin (factory).

Pros and cons of antibiotics from a sinusitis

The best antibiotic from the hymorite can be chosen on the analysis of the nasal smear. 48 hours after receiving the prescribed antibiotic, there should be a positive reaction, otherwise the urgent replacement will be required. Perhaps, the antibiotic at the pathogen managed to form stability, or the nature of the sinusitis is not bacterial - it is viral, fungal, allergic or mixed.

Ceftriaxone from Gaimorita

Along with many other cephalosporinic antibiotics, Ceftriaxone is considered an effective drug for the treatment of hymorite. It belongs to the third generation and is characterized by a powerful bactericidal effect on the overwhelming majority of microbes causing a sinusitis. Ceftriaxone is very often prescribed with inflammatory diseases of the nasopharynx, throat, bronchi and lungs. Its effectiveness is so high that it is used even for the treatment of sepsis, peritonitis and meningitis.

pros

The main advantage of ceftriaxone is the high performance of the treatment of bacterial infections, the development of which is necessary to urgently suspend. Since this antibiotic has a strong and rapid bactericidal effect, it is very well suited for the therapy of acute sinusitis, accompanied by severe pain syndrome, fever, with a large cluster of pus in sinuses and severe intocication of the body. In such a situation, bactericidal, and not bacteriostatic antimicrobial preparations from the sinusitis are most effective and faster help to stand up.

The second inconspicuous plus ceftriaxone is that this is a modern drug, resistant to beta lactamases, and therefore the likelihood that the pathogen of the hymorite will be resistant to it is nearing zero. The third advantage of the ceftriaxone is at an affordable price: to purchase a packaging of powder in ampoules for the preparation of an injection solution of domestic production is possible for 25-50 rubles. Foreign analogues (Roszephin, Azaran, Landacin) cost from 500 to 2500 rubles.

Minuses

The main drawback of Ceftriaxone is associated with the great risk of developing side effects. The treatment of hymorite by this drug is sometimes accompanied by the disorders of the tract, jaundice and interstitial. Therefore, antibiotics from the group of cephalosporins are not the means of the first choice in the case of a hymorite. Ceftriaxone prescribe pregnant women only if other therapy methods turned out to be ineffective, and there is a threat to life. During breastfeeding period, the drug is contraindicated. For the treatment of hymorite in young children, the dosage is selected individually.

The second obvious minus ceftriaxone is the impossibility of oral administration, since this antibiotic, like many other drugs of cephalosporinic row, is practically not absorbed from the gastrointestinal tract and has a strong irritant effect on the mucous membranes. Ceftriaxone is administered intravenously or intramuscularly 1-2 times a day and in no case are mixed with calcium solutions. As we mentioned above, cephalosporins are completely incompatible with Ethanol.

The third lack of ceftriaxone, as an antibiotic from a hymorite, is numerous unwanted interactions with other drugs. With co-use with drugs that reduce platelet aggregation (for example, with conventional aspirin) there is a risk of developing internal bleeding. And with simultaneous reception with loop diuretics, the nephrotoxic effect of ceftriaxone is exacerbated. Mix this drug with antibiotics of other groups to enhance the effect is unacceptable.

Augmentin (Amoxiclave) from Schimorite

The drug Augmentin (he is amoxiclav) is an antibiotic wide spectrum that has a powerful bactericidal effect on most pathogens of the sinusitis. It refers to the category of protected semi-synthetic aminoenicillins, which contains clavulanic acid - a special substance that destroys beta-lactamase enzymes, with which bacteria are trying to destroy antibiotics from a sinusitis, although it should be all the opposite. A popular analogue of Augmentin is the drug Amoxiclav: they have absolutely identical composition, but several different price is the second option cheaper.

pros

Augmentin is a modern antibacterial drug developed by SMITHKLINE British Pharmaceutical Pharmaceuticals specialists, which has a very high market reputation, is famous for high quality and safety of products. It is protected semi-synthetic aminopenicillins, such as Augmentin and Amoxyclav, are today considered to be the most effective antibiotics from the hymorite, since they are not afraid of the acquired resistance of pathogens.

The second inconspicuous plus of Augmentin is that this antibiotic has a selective bactericidal effect, recognizing pathogenic microbes for special markers on their cell shells. And since there are no similar similar cells in the body of a person, in the process of treatment with augmentine, healthy tissues will not be damaged. That is why the protected semi-synthetic aminopenicillins of the last generation are most commonly used in the therapy of the diseases of ENT organs in children.

The third indisputable advantage of Augmentina consists in the convenience of use - to maintain the therapeutic effect, it is enough to take the drug 2 times a day. In some special cases, a single daily reception is shown or separating the dosage by 3-4 receptions.

Minuses

All disadvantages of Augmentin, as well as other antibiotics of the penicillin series used to treat sinusitis, are concentrated around side effects. Patients often arise nausea and. There are cases of liver and kidney damage. Sometimes local allergic reactions, candidiasis, as well as are developing. Among the minuses of Augmentin is difficult not to attribute its high cost.

Sumamed from Gaimorita

Sumamed refers to the second generation of macrolides consisting of 15-membered azalides - azithromycin and its analogues. However, it was Sumamed that is the most popular drug of this group, since it is issued by authoritative pharmaceutical companies (TEVA - Israel and Pliva Hrvatska - Croatia), it has high quality and is successfully used to treat complex bacterial infections, including a sinusitis, for many years.

pros

The main advantage of the Summen is to the maximum wide antibacterial spectrum. This antibiotic is effective even with atypical hymorite caused by bond microorganisms - mycoplasmas and chlamydia. If we are talking about a mixed, multifactor infection with a chronic flow, it is Summen who can stop the sinusitis with his bacteriostatic action and prevent remission. This drug deprives the bacteria of the opportunity to multiply, and therefore, no matter how much they were in the body at the time of the start of therapy, the disease will inevitably cease, because the cells of the immune system are gradually exterminated, and the new colonies will not be able to appear.

The second huge plus of Sumamed is a record short course of treatment of a sinusitis (5-7 days) and the convenience of reception (1 capsule per day). This drug accumulates very well in the tissues and for a long time there remains there, so there is no need to take pills every 4-6 hours, as in the case of many other popular antibiotics from hymorite.

The third advantage of Summen is a relatively small risk of developing side effects. Only about 10% of patients passing the treatment of sinusitis by this drug, note the failures in the work of the gastrointestinal tract (nausea, heartburn, dryness in the mouth, discomfort in epigastria, diarrhea) or trouble from the nervous system (headache, fast fatigue, insomnia). Allergic reactions and serious pathologies of internal organs are developing against the background of Sumamian therapy extremely rare.

Minuses

The main lack of Summen from the sinusitis is in the restrictions on age, the status and state of the patient's health. This antibiotic is contraindicated in pregnant and lactating women, for children under 12 years old (it is about capsules for oral administration, powder is produced for kids), as well as people with severe renal and liver failure and a number of other serious diseases.

By minuses of such an effective antibiotic from a hymorite, like Sumamed, it is possible to attribute that a high price, but this problem is easy to solve the selection of an available counterpart. If the original Sumamed costs 400-500 rubles, the domestic azithromycin will cost you in the amount of 80 to 120 rubles, and chronic sinusitis will cure the same effectively.

Macropen from Gaimorita

Macroen refers to the last, third generation of macrolides. The active ingredient of this drug is called Midekamycin. Compared to the predecessor, azithromycin, this antibiotic is even less toxic for the human body and has an even more pronounced bacteriostatic action regarding the overwhelming majority of pathogens of the hymorite, including atypical, chronic and mixed forms of the disease.

pros

Continuing to compare Macropen and Sumamed from the point of view of their effectiveness in the treatment of sinusitis, we note the higher suction rate and the onset of the therapeutic effect in Macroin - an hour after taking the drug in the patient's blood is established by the necessary concentration of the substance. However, the half-life of Midekamycin is shorter than azithromycin, therefore, to make a more modern antibiotic will have more often - 3 times a day 1 capsule 400 mg (adults and children with a body weight of more than 30 kg).

The second most important advantage of Macroin, not only in front of other macrolides, but also in front of any antibiotics from hymorite is the minimum risk of unwanted side effects. In very rare cases, patients complain about nausea, diarrhea, urticaria or headache. The frequency of the development of complications even with long-term use of Macroin does not exceed 4%.

Minuses

The disadvantages of Macropin include restrictions on the status and state of health of patients: it is not prescribed to people with severe forms of renal and liver failure and with a number of other serious pathologies. However, the same contraindications for use are absolutely all antibiotics from the hymorite, so the question of the feasibility of therapy should be solved individually. This also applies to the treatment of sinusitis in pregnant women - the risk must be justified.

The second minus macropine is quite high cost (250-400 rubles), and, to choose a more affordable analogue for the price is unlikely to succeed. Midekamycin is one of the most modern antibiotics, so the pharmacological industry has not yet managed to release many drugs based on it, as in the case of the predecessor, azithromycin.

FLEXIN SOLUTABE FROM SYMORITE

Flexin Soluteab is the most popular trademark today, under which a long and well-known antibiotic of the penicillin series of amoxicillin in the form of trihydrate is produced. It is active in relation to bacteria that most often causing acute sinusitis (pneumonium streptococcus, golden staphylococcus, and a cinema stick, Moraxella, Klebsiella, etc.) and has a rapid and pronounced bactericidal effect on them.

pros

The main advantage of Flexin consists in its selectivity - only cells of pathogens of the disease are destroyed, and the tissues of the human body do not suffer from the toxic effect of the drug. For this reason, amoxicillin is an antibiotic of the first stage in the treatment of hymoritis, including young children.

The popularity of the Tablets themselves Flexin Soluteabs themselves compared with other brands of amoxicillin is explained by two reasons: firstly, the trihydrate is faster and easier is assimilated with the gastrointestinal tract, without causing irritation of the mucous membranes. And secondly, Flexin Soluteab represents comfortable, easily overlooking two halves of chewable pills with a pleasant tangerine-lemon taste.

Minuses

We have already told about contraindications and side effects of amoxicillin when Augmentin and Amoxyclave considered - in this regard, the drugs are identical. However, it is in their differences that the main minus of Flexin lies. The fact is that it is an unprotected antibiotic and destroys penicillinase - an enzyme, with which many bacteria successfully "defended" from antimicrobial therapy. The resistance of the causative agents of acute hymorite to the drug Flexin Soluteab in recent years has become the usual phenomenon, especially in pediatric practice.

But even if the sinusitis successfully treats unprotected amoxicillin, take pills for 3-4 times a day for 7-14 days due to a short period of semi-exploration of the active substance from the body. Given the high cost of the drug Flexin Solutab (up to 600 rubles, depending on the dosage), the full course of therapy will cost a round sum.

Isofra at Gaimorite

Isofra is a local antibacterial drug from a hymorite in the form of a nasal spray. The active component of the isofra is an antibiotic Framcenetin, which refers to the group of aminoglycosides and has a bactericidal effect on some pathogens of the hymorite (staphylococcus, intestinal and cinema sticks, klebseyella, enterobacteria, protea). Framcenetin is not administered orally, since it is very toxic with respect to the human body, however, the irrigation of the nasopharynx by the spray of isofra is accompanied by meager absorption of the drug in blood, so such treatment of the sinusitis is effective and safe.

pros

The main advantage of the nasal spray of isofra to other antibiotics from the sinusitis is almost the absence of contraindications to use and side effects, because the active substance does not penetrate the gastrointestinal tract (and therefore it cannot cause nausea or diarrhea, or linger in the body due to kidney or liver dysfunction ) And does not accumulate in the blood (and therefore it cannot cause allergies or problems from the nervous system).

To the undoubted advantages of the Isofra from the sinusitis refers to the convenience of use: one easy press allows you to get an accurate dose of the drug (adults 4-6 times a day for one injection into each nostril, and for children - 3 times). Isofra has a bare-catching aroma, so the treatment of sinusitis and a runny nose does not cause discontent among the smallest patients. The drug is produced in France by the Pharmaceutical company Laboratoires Bouchara-Recordati, which is also known for its effective Phasex antiviral drug.

Minuses

The weighty minus isofra is the narrowness of the antibacterial spectrum. The fact is that Framcenetin does not have a bactericidal action on the pneumonium streptococcus, and this is one of the most frequently diagnosed pathogens of acute hymorite. Resistant to it and anaerobic microorganisms (peptopulation, bacteroids, fuzobacteria), which are also sometimes caused by hymorite, especially chronic and constantly recurring its forms. Therefore, it is advisable to carry out a short 7-10-day course of the treatment of sinusitis isofra, and if it does not give the result, proceed to another drug.

The disadvantages of the spray of Isofra include a fairly high price (250-400 rubles), but this is one of its kind efficient local antibiotic from the hymorite, so it costs its money. The only contraindication to its application is damage to the partitions and the period after the puncture of the hymiclines, since in this case the active ingredient will penetrate into the blood in an unacceptable large amount.

Dioxidine at Gaimorite

Dioxide (hydroxymethylchinoxalindioxide) is an antibiotic of a very wide spectrum of bactericidal action, a derivative of quinochesline. It is active in relation to all strains of streptococcal and staphylococcus, blue and intestinal sticks, Shigella, Salmonella, as well as pathogenic anaerobes. The pathogens of the hymorite, showing resistance to other antibiotics, usually do not maintain dioxidine ons, so the drug has long been and successfully applied to the treatment of rhinitis and sinusitis. The optimal form is 0.5% solution in ampoules, which should be buried in the nose.

pros

The main advantage of dioxidine, as a local antiseptic with a hymorite, is the latitude of the antibacterial spectrum and the rapid sanitation of the nasopharynx. Installing 5 drops of a solution to each previously purified nostril 4-6 times a day, it is possible to count on a radical improvement in well-being in the acute form of the disease.

The second plus of this drug is relatively affordable price - one ampoule will cost you about 50 rubles. However, consider that after autopsy it is impossible to store in the refrigerator for more than a day. Therefore, the full course of treatment of the sinusitis by this antiseptic is likely to leave the entire package of 10 ampoules.

Minuses

Dioxidine is extremely toxic, moreover, it is absorbed into the blood through the mucous membranes in the intranasal use of the solution in volumes sufficient to develop side effects. Therefore, the official instruction for the drug states that it is contraindicated by pregnant and lactating women, as well as children under 18. But, despite this, many practitioners of ENT doctors prescribe this antibiotic for the treatment of hymoritis even kids 3-4 years. How to perceive such recommendations - a personal choice of parents.

The second minus of dioxidines is that he does not heal in itself completely, therefore it is always prescribed as part of complex antibacterial therapy. That is, you will have to not only bury a potentially dangerous (and, by the way, terribly bitter) liquid, but also to take antibiotics orally or injectable. Obviously, such an approach to the treatment of sinusitis is justified only in the event of a severe, complicated course of the disease and a real threat to health.

Education: In 2009, a diploma was obtained in the specialty "Therapeutic case", in Petrozavodsk State University. After passing in the internship in the Murmansk Regional Clinical Hospital, a diploma was received in the specialty "otorinolaryngology" (2010)

Schimorite is a very common inflammatory disease of the maxillary sinuses of the nose. For its successful treatment, complex therapy is necessary, which often involves antibacterial agents.

Why take antibacterial drugs during hymorite?

Antibiotics with hymorite are prescribed if a bacterial infection served as its cause. Usually, during this type of sinusitis, it is observed:

• strong head and facial pains;
• purulent discharge from the nose;
• temperature increase;
• making the ears;
• loss of smell;
• toothache.

If you do not take any measures, then in the accumulated purulent secretion of bacteria rapidly multiply and can infect neighboring organs and tissues. The task of antibiotics is to eliminate the diseases of the disease, the localization of the inflammatory process and the resumption of the sterility of the nasal sinuses.

When antibiotics should not be applied with a hyimorite?

The most important during the choice of therapy during the hyimorite is to define its pathogen or cause. Antibiotics are not always effective means of treating this disease. In some cases, they can only aggravate the disease and tighten the recovery. in such cases:

• allergic signets;
• sinusitis caused by fungal infection;
• viral Nature of Schimorite.

For this reason, it is forbidden to engage in self-treatment, because the incorrect choice of the drug may lead to negative consequences.

How to choose the best antibiotic?

For all the rules, the choice of antibacterial drug should be carried out on the basis of a bacteriological research. However, with an acute course of the disease, an immediate reception is needed, so it is most often prescribed to empirically. At the same time, data on pathogens most often causing diseases are taken into account on a specific territory. After bacteriological analysis, the drug is possible, taking into account the established sensitivity.

Antibiotics in chronic sinusitis are prescribed only after the installed sensitivity of pathogens. Indeed, in some cases, a drug that has a narrower range of action can be more effective with a wide spectrum.

Thus, the best antibiotic with a hymorite that the action of which applies to the pathogenic microflora provoked by the disease. In addition, it should be taken into account and its tolerability by the patient. After all, if the drug is perfectly coping with microbes, but causes allergies or strong side effects in the patient, then it is impossible to call it exactly.

Groups of antibiotics

You can not independently make a decision, which antibiotics take with a hyimorite. Only the attending physician should be engaged in this issue. There are rules for the purpose of the appointment of antibiotics. Always preference is given to the most weak drug having a smaller spectrum of action and fewer side effects. If it does not have a proper impact, it is replaced by more efficient. After all, starting treatment from the strongest antibiotic, in the case of development of resistance to it in microorganisms for the treatment of the disease, several antibacterial agents will have to apply several antibacterial agents or supplement therapy with sulfanimide and other antimicrobial drugs.

You can treat hymanitis antibiotics of the following groups:

• penicillins;
• cephalosporins;
• macrolides;
• fluoroquinolones;
• tetracyclines.

Applied forms of release

Antibacterial products are produced in several dosage forms. Usually adults are prescribed antibiotics from sinusitis in tablets, and children are in suspension forms. In particularly severe cases, treatment may be appointed. After improving the condition, injections are gradually replaced with tablets.

In addition to the preparations for systemic use, there are local means - sprays, solutions, drops. They are often not the basis of treatment, but are included in the complex therapy as auxiliary means.

Penicillins

The treatment of hymoritis antibiotics is usually starting with the preparations of this group. Penicillins have a bactericidal effect based on blocking the synthesis of the components of the bacterial cell, which leads to its death.

These antibacterial agents exhibit activity against most gram-positive and gram-negative bacteria. Penicillins are destroyed under the action of beta lactamas that produce some pathogenic microbes. To eliminate this shortage, clavulanic acid was introduced into more than new preparations of the penicillin row. She inhibits beta lactamases, thus protecting antibiotics and expanding their capabilities.

List of most frequently used drugs:

• Amoxicillin (OSPAMOKS, amoxyl, salute tube);
• Augmentin (Amoxiclav, Bortoklav, Panklaw, Medoclav, Flemoclav Solutab).

Cephalosporins

Antibiotics for the treatment of hymorite from this group also belong to the first line. They are prescribed with insufficient effectiveness of penicillins.

Cephalosporins have a bactericidal effect. Its mechanism is similar to the penicillin mechanism - they violate the formation of the cell wall of the microbes, which results in their death. The significant disadvantage of this group of drugs is the impossibility of their use in the presence of allergies to a penicillin series of antibiotics. This is explained by the similarity of the chemical structure.

Cephalosporins are quite often prescribed for parenteral administration during the heavy course of the hymorite. These drugs include:

• Cefotaxim (Talceph, Cephabol, Liforane);
• Ceftriaxone (Loraxon, Tercef);
• Cefazoline (cefezol, Totacef).

The rest of the drugs are accepted inside in the form of tablets or capsules:

• Zefisim (Panzef, Soluteab Supaks, Cefspan);
• Cefuroxime (Zinnat, Aksetin, Zinacef, Keticef);
• Cephalexin (Ospaxin, Salexin).

Macrolids

What antibiotics to treat sinusitis in the presence of hypersensitivity on penicillins and cephalosporins or with their ineffectiveness? In such cases, macrolides are used. These antibacterial drugs have a bacteriostatic effect by disrupting the protein synthesis on the ribosomes of the bacterial cell. Their action is noted in respect of most gram-negative and gram-positive microorganisms, as well as some intracellular microorganisms.

In addition to the bacteriostatic effect, macrolides also exhibit some anti-inflammatory and immunomodulatory effect.

List of representatives of macrolides:

• Azithromycin (summit, azitro sandoz, zitrolide, azistral);
• Clarithromycin (Clacian, Clarbact, Claritsin, Frozilide);
• Macropen;
• Roxitromycin (ROXID, RULID, ROXGEXAL).

Fluoroquinolones

Treatment of sinusitis antibiotics of this group is carried out in exceptional cases with ineffectiveness not a single antibacterial agent. These medicines have a bactericidal action, disturbing the synthesis of DNA bacteria. Because of its negative impact on the bone-artistic system during its formation, the medication of this group does not apply in children and adolescents under the age of 18.

Representatives:

• Ofloxacin (Zoflox, Zanocin);
• Levofloxacin (Levotec, Leflobact, Tavanik);
• LEFLOXCIN (Loflox, Lomacine).

Tetracyclines

Drugs of this group, and in fact one tetracycline is practically not used from sinusitis. Only in exceptional cases with the confirmed sensitivity of pathogenic microbes.

To date, local antibacterial agents in the form of sprays, namely, Phalidex and Isofra are quite often prescribed in the treatment of sinusitis.

Isofra contains in its composition antibiotic-aminoglycoside Framcenetin. It struggles well with most bacteria that cause diseases of the ENT organs and the upper respiratory tract.

In Phalidex, 2 antibacterial agents are held at once - neomycin and polymixin. Their effectiveness is enhanced by glucocortetechoid dexamethazone, which also has an anti-ethnic and anti-inflammatory effect. Also in the composition of the phenylephrine vasoconductive substance.

Thus, bacterial sinusitis and the use of antibiotics are inextricably linked. Only now it is categorically not recommended to choose the best preparation.

Schimorite is a disease characterized by inflammation of the gaymorny sinuses. It is one of the types of sinusitis, is acute or chronic. In this case, inflammation falls on the topless sinus, in medical practice it has a name - a gaimorto.

In acute sinusitis, inflammation falls on part of the epithelial cells, blood vessels and loose fabric.

It should be noted that the difference between the sinusitis and the sinusitis does not exist, therefore, it is often in a history of the patient you can find a diagnosis - upper-eyed sinusitis. Schimorite is one of the varieties of sinusitis.

This disease can affect patients of any age and most often in the autumn-winter period.

What are the causes of the development of a hymorite?

The treatment of the disease is increasingly complicated by the fact that many factors can be caused by development. The development of pathology in adults primarily affects the presence of infections of the upper respiratory tract. Often, illness is a consequence of ORZ or influenza, as well as other viral diseases.

If we talk about children, then most often the cause of sinusitis is mycoplasmosis and chlamydia. In this case, the treatment will be based on the use of macroll preparations.

The second, far from a rare cause, may be diseases of the ENT organs. In this case, we are talking about chronic rhine, which clogs the outlet, thereby contributes to the development of sinusitis. The blockage occurs on the background of the edema of the nasal mucosa. Therefore, adreminimetics are recommended when rinted, removing swelling of the mucous membrane.

Also, pharyngitis may be the cause of the development of sinusitis, as it acts as an infectious source.

Less often, the cause can be the curvature of the nasal partition, namely the violation of ventilation. In this case, drug treatment will not be effective, since this reason is inclined to cause recurrences. The only solution will be the operation of correcting the nasal partition.

It is necessary to mention even possible perpetrators of the development of the hymorite - this is a pulpit or the latest stages of caries. Inflammation occurs due to the spread of infection from the patient's tooth in the gifts of the sinuses.

Recently, a hymorite arising against the background of an allergic reaction is found in medical practice. Often rhinitis can join such a course of the disease.

We should not forget about chronic sinusitis, which is a consequence of the unabiliated sinusit.

Clinical signs may be ambiguous and not always give reason to think about the presence of an inflammatory process.

The first signs and symptoms of the acute flow of the disease are a feeling of squeezing in the field of nasal partition and pain, which is often observed in the forehead. Often, such pain may spread on half of the face and even in the occipital part of the head.

When the head slope down, you can feel that the unpleasant feelings are enhanced. Pain in the frontal side of the head can be less intense in the morning and increase at night.

Headache can accompany the patient throughout the day. This is due to the accumulation of pus in a gaimore sinus.

The second symptom of sinusitis is a runny nose. Most often, the allocation is purulent, color from dark yellow to green.

The next thing can be observed is to increase the temperature and malaise. For this reason, the sinusitis is often confused with conventional flu or ac.

Acute hymoritis It takes up to 3 weeks, but often with proper and timely treatment ends with recovery.

Chronic hymorite It is characterized by non-pronounced symptoms, which often slows down the treatment process. The only symptom that should alert - a permanent runny nose, which is not local treatment. Sometimes the pain migrating from the eye of the eye can be joined to the occipital part.

The purpose of antibacterial therapy is the basis in the treatment of lesions of the upper respiratory tract, as well as other infectious diseases. The task of antibiotic therapy is to suppress the development of bacteria.

Antibiotics are used both in the acute form of pathology and in chronic flow. In the case when the doctor diagnosed the hymorite in acute form - an increased dose of antibiotic is prescribed, the treatment itself lasts not more than 7 days. Chronic sinusitis requires longer treatment, sometimes up to 4 weeks.

Antibiotics therapy implies not only the elimination of infection, but also preventing complications. And also, if local drugs do not help in disease therapy.

We should not forget that all antibiotics should be made strictly on the recommendation of the doctor, especially in the treatment of children and pregnant women. It is believed that the injection form of antibiotics is most effective, however, there are a number of tablet drugs, no less effective.

Below will look at the main drugs and methods of treatment that are prescribed for the treatment of hymorites (sinusitis).

Preparations of group macrolides

These are the safest, but no less effective drugs. Prevent the growth of bacteria and the development of infection, suitable for acute the course of the disease and for chronic. The most popular medications of this group are considered as follows:

Azithromycin. Not expensive drug, has antimicrobial effect. Not recommended to people with liver diseases or possible allergies to one of the drug components. Erythromycin. According to the action on penicillins. Not effective relative to gram-negative microorganisms. It does not have many side effects, it is often prescribed to patients with allergies for preparations of penicillin row. Source: Site

Betalactam funds

Another no less well-known antibiotics - preparations of beta-lactam groups, have a natural basis. They are sufficiently gentle with a minimum of side effects, but are active with respect to limited types of bacteria.

Amoxicillin. It effectively destroys streptococci and gram-negative sticks. The gentle preparation, since it does not have a negative impact on the body. However, it is intended for short-term use, since bacterial agents are quickly adapted to the active substance of this drug. Augmentin. Refers to protected penicillins (with the addition of clavuan acid). Actively suppresses the growth of bacteria, is a wide spectral antibiotic. With proper dosage and does not cause severe side effects.

Cephalosporin row

Cephalosporins actually relate to penicillin row, but more efficient. Preparations of this group actively destroy bacteria developing with sinusitis. Today, the most famous is ceftriaxone, refers to 3 generation antibiotics.

Ceftriaxone. A popular drug has a wide range and effectively acts on the pathogenic flora. It is often prescribed with a hyamorite, however, the tool has sufficient a lot of side effects. Therefore, treatment This medicine is not recommended during pregnancy and children.

Sometimes a specialist can prescribe the drugs of the tetracycline group. They have antimicrobial effect, but are intended only for local applications. For this reason, they are used as independent treatments. It is advisable to appoint as an additional drug.

It is important to remember that treatment with medication should be carried out under the supervision of the ENT doctor. It is necessary to take only a prescribed course of antimicrobial drugs, to observe dosing and when side effects appear immediately contact your doctor.

Disease in a child must be treated with extreme caution. Only in exceptional cases, the doctor prescribes the reception of antibiotics described above and in the case when treatment with other methods was not effective.

The child's body is fairly fragile and taking wide action antibiotics can adversely affect the liver functions, as well as disrupt the microflora of the gastrointestinal tract. In addition, there are a number of reasons that do not allow the reception of antibiotics:

• in the case when the sinusitis developed against a viral infection;
• the cause of the disease was fungus;
• sinusitis (sinusitis) as a residual phenomenon of allergies;
• pathology has a light shape that does not require the use of antibiotics.

Therefore, in the treatment of children, the doctors are increasingly recommended modern means of local destination. They effectively eliminate the infection, but do not have side effect on the body of the kid.

Recently, the preparation of bioparox in the form of an inhaler and its analogue - hexoral acquired great popularity. They are effective antibiotics for local applications. Indispensable in the treatment of angina, sinusitis and sinusitis in children, do not cause side effects. The therapeutic effect is observed already after 7-10 days.

Safety during pregnancy: Treatment

Any disease during pregnancy becomes a real test for the future mother. After all, almost all drugs are not recommended for reception when entering the child.
Therefore, very often such patients are trying to resort to treatment with the help of folk remedies - tincture, decoctions, they are used as independent means. And this is a major error that should not be allowed.

It is worth understanding that during pregnancy, any infection is more dangerous for the reception of antibiotics, both for mom and for a child. For this reason, the treatment of sinusitis should be timely, correct and with minimal use of medicines.

There are certain treatment methods during pregnancy:

• the use of traditional medicine in a complex with other methods of treatment;
• medication treatment;
• antimicrobial means for local applications;
• homeopathy;
• conservative Treatment (puncture of hymorovyjal sinuses).

Washing the nose with a hymorite future mothers

The most gentle therapy method. The essence is to wash the gaymorek sinuses using fluid. The patient is placed on the back, while the head must be slightly lower than the body itself.

A special solution is poured into one nostril, simultaneously with this, the device for suction of the liquid is connected. Thus, the accumulated pus is derived.

The means must be as an addition to the main treatment with antibiotics or local drugs. Thus, the decoctions of medicinal herbs are often used during washing described above.

How to treat hymoritis medications (antibiotics)

The appointment of medication therapy during pregnancy requires special attention. It is advisable to appoint it in the case when the risk of treatment is significantly less, and the benefits are at times exceeding. Today, Pharmacology has left far ahead and creates drugs allowed for receiving during pregnancy. Among them are the following:

• Augmentin;
• Preparations of the cephalosporins group;
• With a severe course of the disease - Spiramycin.

Another equally effective means is sinuperet. It actively suppresses the growth of bacteria, contributes to the dissolution of the contents of the sinuses. Contains extracts from medicinal herbs, which significantly reduces the risk of negative impact on future mom and fruit.

Topics for local applications

The main task of such drugs is to remove edema, produced in the form of a drop or sprays. Additionally, have a vasoconstrictor action. The most famous are: Nazivin and deryvin. But during pregnancy, it is impossible to recommend the use of such funds.

Preparations of homeopathic series can be a good replacement for antibiotics or antimicrobial means. However, it should be remembered that the means of this group are less effective, and their therapeutic effect is much longer than antibiotics.

It should be noted that most of the drugs of this group should be applied to the course up to 3 months. Homeopathy is designed to stimulate immunity than full-fledged sinusitis treatment. Most often, the following means are recommended:

• Asinis;
• Cinnabsin.

Puncture (puncture) of the gaymers

In some cases, it may be necessary as the most acceptable and non-alternative way to treat sinusitis. The puncture consists in removing the pus after the puncture of the special needle and the introduction of the solution. The procedure allows you to remove the swelling of the mucous membrane, eliminate the pussy and reduce headaches.

Most often, the root cause of the disease in infants is the running form of a cold. Often, such pathology amazes children prone to allergies of various kinds.

Breasts can be assigned drops with antibiotics, such as isofra and Phalidex. Pathology therapy in infants to 3 months - exclusively drops, drugs in the form of spray are applied no earlier than from 2 years.

In some cases, the doctor may assign the use of the preparation of the penicillin row - amoxicillin. For up to 12 months, 25-50 mg of the drug per 1 kg of weight are prescribed up to 12 months.

For example, the weight of the child is 3 kg, then the dose of the medicinal product will be: 75 mg 3 times a day. For infants, the antibiotic is assigned in the form of a suspension, which must be mixed with breast milk or baby food.

Preparations of penicillin row, as well as other antibiotics have an increased allergic reaction in relation to infant children. Therefore, the treatment of sinusitis can be accompanied by redness on the skin or urticaria. Such an effect requires the cancellation of the drug and appeal to the doctor.

The form of the release of antibiotics

Antibiotics for the treatment of diseases such as sinusitis (sinusitis) are manufactured in the following forms:

• tablets (capsules);
• drops (sprays);
• injections;
• inhalation.

What form of an antibiotic to choose, the doctor determines, based on the age and symptoms of the patient. If an adult patient or teenager, then it can be a tablet form or injection.

Little children and infants therapy are prohibited, it is advisable to prescribe drops based on antibiotics or sprays.

The use of antibiotics during sinusitis (sinusitis) can be assigned: in the form of injections (injections), oral (capsules, tablets), local reception (drops, inhalation). If the disease proceeds with medium weight, then you can do the reception of tablets.

The form of the disease is more severe, the introduction of drugs intravenously or intramuscularly. As the symptoms and improvement of the state weaken, the patient is translated into a tablet form.

The use of antibiotics requires compliance with some rules:

1. strictly observe the prescribed dose and the time between the receptions;
2. drink any antibiotics are only necessary at the rate that the doctor painted;
3. when the side effect of any gravity appears, you need to cancel the reception of the drug and contact the doctor.

What are the symptoms with a hymorite? Diagnosis at home

You can assume the development of the disease according to the following basic signs:

The next step will be an appeal to the Lor specialist, which is more detailed and prescribed appropriate treatment. The most informative method for diagnosing sinusitis is x-ray sinuses. The snapshot allows you to accurately see the presence of the inflammatory process.

In some cases, puncture is prescribed - as a method for diagnosing a sinusitis (sinusitis). With the help of the puncture and suction of the contents of the doctor can easily determine the diagnosis.

Sinusites are not such innocuous diseases as it may seem at first glance. What are the dangerous diseases? The main danger is that against the background of the infection launches the process of the formation of a pus in the sinuses, hence the big risk of development meningita.

With timely treatment, such a complication occurs quite rarely. But, in some cases, the infection may affect the area of \u200b\u200bthe orbit, which entails swelling and severe pain.

Antibiotics during hymorite belong to the preparations of the first line, allowing to quickly and effectively get rid of the inflammatory process. What kind of disease is it, what are his characteristic features, and what antibiotics during hymorite are the most effective?

To begin with, it is necessary to deal with the structure of the gaimore sinus. Gaimorevova (or maxillary) daze pair, is located in the thick of the body of the upper jaw. It is the largest of all apparent sinuses.

The sinus is communicated with the cavity of the nose with the help of a small hole (or society). In newborns, this sinus has a sliding form, adults are represented in the form of a clearly decorated bone cavity. The borders of the cavity - the alveolar extension of the upper jaw, the lower wall of the orders and the front surface of the upper jaw.

The sinusitis is the general name of the inflammatory processes occurring in the sides cavity and accompanied by the strengthening of the secretion of the glamine shell and its edema.

Why among all other sinusits \u200b\u200bsinusitis is in the first place in the frequency of occurrence?

1. Such a disease occurs due to the fact that this cavity has relatively bad conditions for self-sanitation. This is due to the arrangement of the Foustia, which is located in the upper part of the sinuses. It is through it that the bacteria penetration and the subsequent development of inflammation in the sinus occurs.
2. Another reason is the contact of the cavity with the teeth of the upper jaw (in the development of inflammation of the roots of the upper molars, the process can proceed to the mucous membrane of the cavity).

What symptoms are characteristic of the development of a hymorite? The main feature of the disease is pain in the area of \u200b\u200bthe sinus projection. It is a good character, may be irradiating to the forehead area (a similar clinic can be observed in front of the front).

For the disease, a violation of the function of external respiration through the nose is characterized (due to the edema of the mucous membrane and its propagation on the nasal cavity). Accompanied by the discharges of various nature (it may vary depending on which bacteria inflammation is caused).

Often on the background of the inflammatory process, an increase in body temperature can be occurred to subfebrile numbers. Hyperthermia is accompanied by general weakness, nausea appears.

Several major molds of hymoritis are distinguished:

1. Catarial sinusitis. Usually develops on the background of hypothermia. Does not require the use of specialized therapy (for treatment with thoroughbating drugs) and takes place in a few days.
2. Purulent sinusitis. Heavy face form. Develops against the background of penetration of microorganism into the bias of the sinuses. It takes harder than the catarrhal and often goes into a chronic form.

Diagnosis of the disease is usually of the patient's anamnesis data, information obtained in an objective inspection, as well as on the basis of the results of laboratory and instrumental studies.

Usually, 2 studies are used to confirm the diagnosis of samorite:

1. The main is a radiographic study of the apparent sinuses. At its foundation, they are judged on the state of the gaimor sinus (the main X-ray symptom is a decrease in its pneumatization). If the image is determined in the picture, the sinuses are determined, it is assigned to conduct its puncture.
2. The puncture of the gaimore sinus is a tool-laboratory study that allows reliably to determine the state of the sinus and identify the presence of insert in it.

This puncture is simultaneously the treatment procedure used for the treatment of hymorite. However, for complete recovery it is necessary to carry out supporting treatment with antibiotic preparations.

After the diagnosis was made, the question arises: how to treat a hymorite? Is it possible to get rid of it without using antibiotics and other drugs? What chance to recover?

What antibiotics take with a hyimorite? This question quite often arises in patients suffering from pathology. In fact, it is quite difficult to choose the best antibiotic with a hyamorite, which will absolutely affect the developed inflammatory process.

In many European countries, the treatment of hymoritis antibiotics is carried out according to the following scheme:

1. Treatment is starting with the use of the preparations of a wide range of action.
2. Drink tablets and conduct injections of drugs are recommended for at least 14 days.
3. Heavy forms of the disease should be treated injectable (for example, with purulent sinusitis in tablets, drugs are prescribed after the injection course to maintain recovery).
4. Preparations of the first line of treatment are used: amoxicillin (or its combined analog - Augmentin), azithromycin, clarithromycin.

It should be somewhat more disassembled these drugs:

1. Clarithromycin - antibiotic from the group of macrolides. It is a fairly effective drug against most microorganisms, however, has a sufficiently large number of contraindications to use (contraindicated for children by virtue of its toxicity).
2. Amoxicillin (and its combination with clavulanic acid in the form of augmentin or amoxiclava). It can be used in children due to their low toxicity and high efficiency. Typically assign its tableted forms.
3. Azithromycin with hymorite has hepato and nephrotoxicity, not used in persons younger than 12 years. For treatment, it is preferable to use its counterparts, for example, Sumamed. Sumamed with a hymenite has not only a local action on the inflammatory process itself, but also contributes to some strengthening of immunity.

The use of listed funds start immediately when diagnosis. The treatment of sinusitis antibiotics of the first line is carried out in maximum therapeutic doses for the speedy achievement of their necessary concentration in the blood plasma. The duration of treatment is at least 14 days (Summen is applied with a hymorite no more than 5 days, after which they are moving to the oral administration of macrolides).

Usually for recovery enough use of these drugs, but in some cases they may be ineffective. These situations include:

1. Developed resistance to drugs against the background of previous treatment of infectious diseases.
2. The use of an insufficient dose of medication (the reception of small doses is fraught with the fact that the activity of the microorganism slows down, and the destruction of the bacterial cell does not occur). In addition, the use of small doses contributes to the development of drug sustainability. For example, ampicillin is almost not used because of almost total sustainability of it in microorganisms, bacterium has time to create the necessary antigens to destroy the drug or translates it into the ineffective group.

In such cases, the preparations of the second line begin to use drugs. The main difference from the first row drugs is that secondary drugs have more side effects, and their effectiveness is slightly lower than the main line. What includes treatment with second-row antibiotics?

No matter how paradoxically, the second line of drugs includes some of the primary means:

1. Treatment of chronic hymorite is starting with the use of combined (modified clavulanic acid) amoxicillin. As mentioned, it is the safest drug for the treatment of sinusitis, however, its safety is compensated by an insufficient therapeutic effect and common drug resistance. It should take it 2-3 times a day to achieve the best effect of the therapy.
2. Another representative of the second branch of drugs is clindamycin. Refers to a group of lincoosamides. Shows a fairly good result in the treatment of bacterial sinusitis. Contraindicated for admission to patients with diseases of the gastrointestinal tract. Most often is assigned to tablets, although there are also its injection forms.
3. Cefalosporins 3 or 2 generations (cefuroxime, cigdinir). Currently, they are used infrequently due to the fact that there are more advanced drugs (for example, cefepim - antibiotic from the group of cephalosporins 4 generations). Assign them if there was already a positive result from their reception or there is no possibility of using other medicines.
4. Macrolides (the most famous representatives - clarithromycin and erythromycin). Relatively secure group of antibacterial agents. Allow enough to quickly achieve the necessary effect. Caution is used in persons with diseases of the tract and liver. When hyamorit, adults are recommended to use tableted forms of drugs 2-3 times a day.
5. Fluoroquinolones. Are the most toxic of all of the above-mentioned drugs, but have a sufficiently strong bactericidal effect. Their appointment is justified only when other drugs do not apply. Most often prescribed drops of fluoroquinolones in the nose. Thanks to local use, it is possible to avoid all those side effects with which they possess.
6. Gentamicin is a representative of aminoglycoside. It is used everywhere for the treatment of severe forms of respiratory diseases, including used in the therapy of sinusitis. It can also be used as a priority preparation (provided that the patient has no violations of the kidney function and liver). Guhentamicin injections are intramuscularly prescribed adults that have no appropriate contraindications.

Given all this, it is quite difficult to decide which antibiotic is better. Each of them has its own positive and negative sides, but still the best antibiotic with a hymorite, according to the majority of practitioners, will be the one that meets the following requirements:

1. Minimum toxicity.
2. Effective in relation to most potential causative agents of the disease.
3. No contraindications to use.

After analyzing all the products used, it can be seen that amoxiclav or Augmentin claims to be applied to the role of such a tool. Both drugs are fully consistent with 2 of the 3 titled criteria and are inferior to some other drugs in efficiency, but their competent combination with other drugs will allow for a short time to achieve the necessary recovery. It is not necessary to use Penicillin, as it does not have a proper action and will only contribute to the deterioration of the patient's condition.

Non-media methods

Some patients are interested in: can I cure a sinusitis without antibiotics? In most cases, the treatment of inflammation of the mucous membrane of the Gaimore sinus requires the use of antibacterial drugs. The only exception is catarrhal and allergic hymorites, in the development of which completely other mechanisms play a role.

And yet, how to cure a sinusitis without antibiotics? The treatment of hymorite can be carried out with the help of physiotherapy methods. Procedures are used as a magnet to the sneakers area, electrophoresis with solutions of drugs, "amplipuls" and "bioptront", but all these procedures allow you to get rid of the catarrhal sinusitis and its varieties.

Treatment without antibiotics can provoke a transition of a disease in a chronic form, so it is necessary to consult with the attending physician about the appointment of drugs. If, against the background of all the methods used, the hyimitis does not pass, more dangerous diseases should be suspected and a full-fledged survey of the entire body.