Schimorite is a pathology, always accompanied by an inflammatory lesion of the sinuses in the bone upper jaw (hymorovy sinus). The source of the appearance of the disease is the effect of pathogenic microflora, in particular, fungi, viruses and bacteria. The disease may threaten complications that are characterized by the transition of the purulent process to bone tissue and cerebral shell. If there is a risk of complications, or the disease is in a launched form, antibiotics will have to use. Antimicrobial (antibacterial) drugs are assigned only by the attending doctor.

A few words about the symptoms and causes of the disease

Former, we will discuss signs, symptoms of hymorite in adults, talk about antibiotics later. So, what are the signs accompanied by a disease? It:

• leakage from the nasal cavity of the mucous components - can be transparent (at the initial stage) and brownish, green, yellow (if the disease is accompanied by a purulent process);
• nose Baby, which causes the patient to breathe all the time through the mouth;
• loss of olfactory functions;
• appearance in the mouth of the characteristic reel;
• feeling tapping in the forehead, swelling in the eyes, teeth;
• increase body temperature up to 37ͦs (chronic form), up to 39 ° C (with exacerbation);
• decay forces, unwillingness and inability to perform work, usual;
• powder, sometimes turning on the face;
• afraid of bright light, flashes;
• pain sensations at the site of the projection of the gaymorny sinuses that are enhanced with inclons, head turns.

The first signs of sinusitis should serve as a reason to appeal to the doctor.

As for the reasons, the most basic is the impact of pathogenic microflora - fungi, viruses, microbes. Outogenic factors can run the inflammatory process in the gaymorek sinuses, that is, infections, developing in gums, teeth, oral cavity.

Provocate the reproduction of bacterial, viral or fungal flora can no immunity. In addition, it increases the chances of the appearance of a hymorite for the presence of adenoids, polyps, neoplasms in the nasal cavity, the curve of the partition, etc.

Antibiotics at Gaimorite

Antibiotics are prescribed with hyamorite in adults in tablets, injections (injections), sprays, drops. Preparations are selected depending on what type of pathogen caused the development of the disease. This should only have a qualified specialist after conducting detailed medical research.

The task of the patient is to follow the appointed dosages and courses of therapy, the notification of the doctor about the appearance of uncharacteristic symptoms and the joint acceptance of other medicines.

Macrolids, fluoroquinolones, penicillins, cephalosporins are considered the most basic groups of the antibiotic row. It is worth noting that Penicillins are most often appointed. Antibiotic macrolides are treated when the patient has the intolerance to the penicillin row. Fluoroquinolones and cephallosporins are prescribed, the code remaining groups of antibacterial drugs did not provide the healing effect.
So, what antibiotics are accepted with a hymorite?

In the form of tablets

In the treatment of hymoritis, such people are often prescribed antibacterial drugs In the form of tablets.

Crims and injections

How to treat hymoritis of medium and heavy shape? Here it is often prescribed precisely injections and injections. Thus, the antibacterial effect occurs much earlier, in contrast to the tablet forms. In addition, inflammation in the gaymorovy sinuses is quickly eliminated, and the development of dangerous complications is reduced to zero. Antibiotic therapy is prescribed in such cases:

1. abundant isolation of purulent components, accompanied by strong pain;
2. severe patient condition;
3. the intensity of symptoms.

What are the effective antibiotics with a hyimorite?

• Ceftriaxone. Refers to the third generation cephalosporins group. He is cheaper than his analogues, it is allowed to use both children (up to 1 month) and adults. Produced in the form of a white powder for cooking injection solution. They need to be treated at least 4 and no more than 12 days. Injections are carried out 2-3 times a day.
• Cefasoline. And again a group of cephalosporins, which has an antibacterial effect. Enter both intramuscularly and intravenously. The course of treatment and the frequency of injection is the same as in the previous drug.
• Gentamicine. Refers to the aminoglycoside group. Introduced into the vein and in the muscle. Showed with a quiet of 1.7 mg per 1 kg of weight. The medicine is used 2-4 times a day for 7-10 days.
• Azithromycin. Representative of the group of macrolides. Quickly kills the bacterial flora. Standard dose - 1 Powder bottle per day. It is necessary to be treated 2-4 days. Then, after the symptoms disappear, and the patient will feel improvement, the doctor will appoint azithromycin tablet.

As injection preparations for the treatment of hymorite, amoxicillin, ampicillin, cefotaxim are prescribed: amoxicillin.

The use of hot chips with inflammation of the gaymorek sinuses is also assigned often. Enhance systemic blood flow will help the introduction of calcium. Its use is also advisable for the rapid propagation of the body. In this case, antibacterial therapy is much more efficient.

For local applications

As local drugs, sprays are used for irrigation of the nasal cavity and drops with a hyimorite with an antibiotic. Have pronounced anti-inflammatory, antibacterial effects. What to treat sinusitis?

1. Spray isofra. Refers to aminoglycosides. The main existing substance is Framcenetin. It is necessary only 1 injection 6 times a day for 7-10 days to completely kill the pathogenic microflora.
2. Rinin. Refers to aminoglycosides. Spray and droplets with antibiotic hymigitis are used for 7 days. Total you need 1 injection into each nostril 3 times a day.
3. Phalidex in the form of spray. Prescribed in the case of purulent complications. It has vasoconstrictor, anti-inflammatory effects. Main active components Are: Polymixin, neomycin, dexamethasone. Applies 5 times a day for 1 injection. Chickens of treatment - 7 days.
4. Bioparox. Shown in pupilly infectious diseases of the nasal cavity. Produced in the form of an aerosol. Definitely acts on the bacterial microflora with the help of Fuzafungin. It has anti-inflammatory, anti-voice, vasoconstrictor actions. You need to squirt 1 time 4 times a day. The course of treatment is 7 days.

Is it possible to cure a sinusitis using only local drugs with an antibiotic? There are no heavy forms. In this case, antibacterial drugs in the form of aerosols, droplets are prescribed in a complex with tableted antibiotics.

Is it possible to do without antibiotics with a hyamorite?

How to cure hymoritis without antibiotics in an adult? Therapy without antibacterial drugs is carried out only on initial stages inflammatory lesion of the maxillary sinuses or in the chronic flow of pathology. If the symptoms are strongly expressed, the overall health in the patient is deteriorated, and inflammation is combined with a strong flow from the nose of the Poem, then the home remedies are used in conjunction with antibiotics.

Do not do in the treatment of hymorite without washing the nasal sinuses. To do this, use solutions based on:

• cook sea salt, soda (1 tsp for floor liter of water);
• saline;
• antiseptics - furaciline, Miramistina, chlorhexidine;
• chamomile beams, turns, calendulas, from the Hypericum (1 tsp. Plants are sealed in a glass of boiling water and insisted under gauze 20 minutes);
• iodine solution (2 drops on a glass of water);
• pharmacy means sea water - Aquamaris, Akwaror, Dolfin.

Washing is carried out using a sterile fringe, a syringe.

Card nose:

• iodine solution and hydrogen peroxide (2 drops);
• cyclomens (divorced in water 1: 4, 2 drops for each nostril) are used for one procedure);
• aloe juice, Kalanchoe, Luke (2 drops);
• tui butter, sea buckthorn, tea tree (2 drops).

Do not do in the treatment of hymorite without vocal preparations:

• Nocpreya;
• Tizin;
• Galazolina;
• Nazivian, etc.

Inhalation is also used. To breathe, covered with a towel head, you need at least 20 minutes over the steam of potatoes, decoction of chamomile, oak bark, calendula, from the Zverkoy.

Antibiotics quickly eliminate the symptoms of the aggravated hymorite, affecting the body of bactericidal. With proper antibacterial therapy You can cure a disease in 3 days and avoid re-exacerbations. It should be remembered that the preparations have a mass of contraindications and cause negative reactions from the body. Therefore, their independent application is prohibited.

Today, some of us have to face with many complex diseases, which are a consequence of the measures not taken on time during the period of elementary ailments. Complications even running ordinary cold. Such are deafness, loss of vision, heart failure, sinusitis.

What is a hymorite disease?

The sinusitis of the sinus and the maxillary department is called sinusitis. This disease is a consequence of the transferred to ARS, ORVI, influenza and many different viral ailments. On the early Stages Schimorite is much easier to influence to get rid of him forever. But in most cases, the doctor already appeal at the launched stage, when strong inflammation leads to the formation and accumulation of a large amount of pus in the sinuses, which may cause inflammation or brain abscess, meningitis. If you do not take measures to treat this disease, the outcome can be lethal.

Chronic hymorite is manifested by frequent consequence of respiratory infections, curvature of the nasal partition, allergic reactions, Rude, dental pain, weak immunity.

Invertible runny nose, constant nose layout, difficulty breathing, frequent headaches, sharp pain in the nose, elevated body temperature - all signs of presence of a progressive sinusitis.

Suspending the development of hymoritis, you should seek help from such a specialist as a otolaryngologist. He will make x-ray of the nasal sinuses, will hold tomography and will prescribe effective treatment Under its strict observation.

The sinusitis is a complex disease, so you need to take care of yourself and go to cool weather in a headdress, to be taken from the most complex modern forms of influenza and avoid at the moments of epidemiological crises to visit too crowded places, as well as harden and produce persistent immunity.

Is it possible to treat sinusitis using such drugs as antibiotics?

It is possible to influence the sinus with very many drugs. Antibiotics treatment in modern times is applied not only in cases of chronic form of the disease. Antibiotics should always assign only a doctor, since these are potent substances that can be useful to the body, but with the wrong taking, they will hurt him too much.

Diagnostics are performed before appointing drugs, the stage on which the sinusitis is felt. Treatment with antibiotics allows for strong inflammation and oppressively affects viral infections. The whole process of treatment depends on how seriously the patient refers to it and whether all the recommendations of the doctor follows.

Currently, you can cure without surgical interventions of sinusitis. Treatment with antibiotics helps to make it most effectively and achieve a long sustainable result. Assigning certain types of antibiotics should the attending physician. However, not everyone who has a sinusitis, antibiotic treatment is allowed.

Indications for the use of antibiotics during hyamorite

How is the hymorite? Symptoms and antibiotic treatment are two interrelated links that affect the further effective recovery of the patient. Antibiotics are not prescribed if the cause of the development of the sinusitis is allergic reactions. The use of antibiotics is not allowed if a chronic sinusitis is detected with the simultaneous development of fungal infections. Do not require antibiotics patients, whose sinusitis has primary signs. In these situations, the rinsing of the sinuses, inhalation with the use of drugs, the action of which is aimed at improving immunity.

But in cases where in the diagnosis of sinusitis, an increased body temperature is found, severe pain and abundance of pus, antibiotics are mandatory in any form of release: tablets, suspensions or solutions for intramuscular administration.

The most difficult tolerates chronic sinusitis. Antibiotics treatment gives a facilitating result, reduces the risk of complications in the form of inflammation of the brain. Disease cannot be launched, as it can even lead to a fatal outcome.

There are also such cases when patients are independently diagnosed with the so-called false hymorite. Symptoms and treatment with antibiotics in this case - the concepts are incompatible. Do not appoint medicines yourself. It is necessary to visit the specialist and make sure that your suspicions regarding the development of one or another disease you have confirmed, and then clearly follow the therapy plan developed by the doctor.

In the arsenal of modern medical opportunities today there are whole subgroups of antibiotics. Which of the species to receive depends on the diagnosis and results of laboratory tests. If the sinusitis is caused by streptococci, staphylococcal or hemophilic chopstick, then the drugs below are suitable for treatment.

Penicillin use

Very effective is the treatment of hymoritis antibiotics, the name of which is associated with accessories to Penicillins. They affect the infection, but are not able to harm the human body too much and cause side effects. When antibiotics hymanitis treatment is appointed, the name "Amoxicillin" can be seen in recipes most often.

The use of macrolides in the treatment of hymorite

Perfectly affects the oppression of inflammatory processes and another group of antibiotics - macrolides that cure almost completely sinusitis. Treatment with antibiotics (white tablets, capsules or suspension) assigns a strictly doctor, but not the patient himself. It is mandatory to go through the appointed long course to get a positive result.

Preparations of this group are prescribed if Penicillins weakly contribute to recovery. Macrolid antibiotics are often written by children of preschool and school age. As a rule, doctors prescribe Azithromycin preparation and Clarithromycin means.

The means with the specified active substance can be found in pharmacies and in the form of the drug "Zitrolide", the Medication "Sumamed" and the means "Macropen".

Reception of cephalosporins from hymorite

A positive effect on the treatment of hymorite in an adult antibiotic group of cephalosporins. it powerful meansThey are prescribed when the first two groups of antibiotics could not stimulate the improvement of the patient's condition. These are medicines to combat serious inflammatory processes. The antibiotic group includes the Cefuroxime drug, the ceftriaxone drug and the Tsefotaxim agent.

Application of fluoroquinolones with hymorite

Many causative agents of diseases have an adaptation to the effects of antibiotics. Therefore, every year new, improved forms of drugs are produced. This is a group of fluoroquinolones. it synthetic antibioticsthat are today are the most effective. In the pharmacy you can find the following representatives of this group of drugs: "Offlsacin", "Ciprofloxacin", "Laughlocksacin".

Having understood with relevant for many issues (which is a sinusitis, treatment with antibiotics, which it is possible to use drugs), it can be concluded that with this disease you need to start fighting at the very first stages of its manifestation. Regardless of the stage, therapeutic procedures prescribe only a doctor, no self-identity leads to the effectiveness of treatment.

Use of nasal droplets

Antibiotics hyamoritis treatment is an extreme measure if appointed weaker drugs do not help. In many cases, instead of use of antibiotics use potent nasal drops. They are prescribed to pregnant women, nursing Mama and young children.

Antimicrobial drops are an obstacle for the development of complex forms of sinusitis and eliminate the further reception of antibiotics as such. Very many patients are positively responding about such sprays for the nose as "Polandx", "Isofra", "Fuzofungin".

Currently, in an adult and children's environment, a diagnosis of "Skimorit" is very common. Treatment with antibiotics (tablets, suspensions or capsules is accepted for a certain period of time), definitely gives a positive effect. But together with this you need to remember that with viral infections The body should fight without any medicines. This is called a strong immunity to produce constantly.

Many doctors advise after the course of treatment have passed a bit to revise their lifestyle and pay to their body a little more attention, making focus on hardening, sports and respiratory gymnastics.

Antibiotics are drugs that negatively affect the intestinal flora, so they cannot be carried away, so as not to violate the right physiological processes in the body.

All antibiotics should be accepted strictly according to the instructions. Overdose can cause dizziness, poisoning, lethargy, drowsiness, mood swings, and even death.

When detecting symptoms of stems, it is necessary to go to the doctor without delay to confirm the diagnosis and the development of an effective disposal plan from this insidious ailment. Many patients have already managed to experience antibiotics hymanitis treatment in practice. Reviews are very different. But still positive among them much more. And this is direct proof that correctly designated antibiotics really help cure a sinusitis.

And nibiotics with hymorite are used as part of the bisiscic schemes comprehensive treatment. They are the best basis for the therapeutic model with inflammation of the maxillary sinuses and allow you to fully cure pathology.

Selection of suitable drug, dosage, multiplicity and duration of the course of treatment, performs only a doctor, taking into account the age of the patient, the severity of the pathological process, the individual characteristics of the body.

To eliminate root cause inflammatory processHaving affecting the mucous membrane of the gaymorny sinuses, the following list of antibacterial drugs can be used:

• Penicillin row - It is well tolerated by patients, used in uncomplicated formats of sinusitis, especially when treating the younger age groups. The doctor can recommend the use of ampicillin, amoxicillin, amoxiclava, solutabe flossin. Among the disadvantages are small effectiveness when exposed to pathogens insensitive to penicillin. The daily dosage of amoxicillin is recommended to distribute into several techniques, the tablets are used after the main meal, not more than 1 week.
• Drugs from the group of macrolides Prescribed with the ineffectiveness of other groups of antibiotics and in the intolerance of penicillins. One of the drugs of choice can be a means based on azithromycin, clarithromycin, mirdekamicine.
• Currents that belong to the antibacterial group of fluoroquinolones can be used.: based on levofloxacin, offloxacin, moxifloxacin. These are the strongest and most effective representatives of a group of antibiotics, which are used both in acute and in the chronic course of the hymorite.
• Medicines cephalosporin row Use for severe course pathological process. Consider the possibility of applying ceftriaxone, cefotaxim, cefuroxime, cefpodoxy. Sometimes doctors decide to combine several cephalosporins (Cefixim + Cefpodoxime). A similar combination of active substances has an effective effect on most pathogenic microorganisms provoking the development of the pathological process.

Antibiotic antibiotic treatment from the fluoroquinolone group is not recommended for children and adolescents due to the high risk of developing irreversible processes affecting cartilage tissues. All drugs are produced in tablets and this list is enough to get rid of both acute and from the chronic form of the disease.

Danger of independent treatment

Having become acquainted with the information about which antibiotic is better at a hymorite, it is recommended to refrain from self-medication.

The purpose of any drug requires a removal sowing of mucus from the apparent sinus to nutrient media to identify sensitivity to a particular antibacterial agent.

If drugs are used independently, the treatment will be ineffective, besides, a great chance is mistaken and in bacteria resistance will develop (stability) to the active substance.

It is especially dangerous in the case of fluoroquinolones - because they only act on Koch wand. If the patient is the hidden carrier, and the bacteria developed resistance to the only medicine - it will mean a death sentence for the patient.

Local antibiotics

If there are contraindications to the involvement of systemic antibiotic therapy, the doctor will appoint the use of local antibiotics.

Such medicines contribute to the provision of bactericidal action and are able to quickly alleviate nose breathing, reduce swelling. Preparations intended for local exposure are produced in the form of spray and nasal drops.

Drugs of local action are ineffective in the treatment of acute and chronic form of the pathological process. In this case, the proper therapeutic result demonstrates antibacterial drugs intended for oral and parenteral administration.

Sprays

The most effective sprays used for the treatment of sinusitis are Isofra, Sinufort, Rinofluumucil, Polydex, Bioparox. The latter is not released since 2016, because active substance The drug caused anapalactic shock in a number of patients, among whom one lethal case was recorded.

Consider more each of these drugs.

Isofra

A cheap antibiotic spray antibiotic for the treatment of sulfate-based sulfate basis (antibacterial substance from the aminoglycoside group). Cost of about 250 rubles.

Dosages:

1. Adult patients are recommended for 1 drug injection up to 6 times a day.
2. Children over 12 months: 1 dose of the drug not more than 3 times a day.

It has good tolerability, although in some cases allergic reactions have been reported. Isofra is not recommended to be used in a complex with other intranasal drugs.
The duration of the course of treatment is not more than 10 days. If 1 week, there are no visible improvements, it is necessary to re-consult with the doctor.

Phalidex

Inexpensive antibiotic (from 249 rubles.) Combined action.

The drug includes dexamethasone, neomycin and polymixin B, contributing to the provision of anti-inflammatory and antibacterial effect at the same time.

The combination of several antibacterial substances has strong action on gram-positive and gram-negative microorganisms.

Dosages:

• Adults: 1 injection into each nasal passage up to 5 times a day.
• Children (2.5-15 years): 1 injection medication up to 3 times a day.

It is possible to develop allergic reactions and, in rare cases, skin manifestations.

Of particular care requires the use of Phasex in the treatment of patients, in the history of which there is hyperthyroidism, CHD, arterial hypertension.

Duration of treatment - up to 10 days. The drug is not intended to wash putinous sickles Nose.

Rinofluuimucil

Good combined drug With the musolithic and anti-inflammatory effect, which includes acetylcysteine \u200b\u200band Tuminogepan.

Dosages:

• Adults: 2 injection up to 4 times a day.
• Children: 1 injection up to 4 times a day.

Spray can provoke high blood pressure, the increase in heartbeat, impaired urination, the development of allergic reactions. For long use Could get used to medicine.

The duration of the use of rinofluumucil is not more than 7 days. Spray can help reduce the effectiveness of drugs that have antihypertensive effects.

Sinaphort

The vegetable remedy based on cyclamen extracts, which has a combined effect: anti-reflection and leads to reflex hypersecretion.

Dosage for adults and children older than 5 years is the same: the drug is used 1 time per day, daily or every other day.

Local reactions may occur in the form of burning in the area of \u200b\u200bnasopharynx, short-term redness of the face, enhancing tearing and salivation. The duration of the course of treatment is from 8 to 16 days.

Elimination or a significant reduction in headache is observed after 4-6 injections of the means.

Nasal drops

• In the process of injection of the drug, the patient must be in the position lying on the side.
• First you need to enter the medicine in the nostril, which is located below.
• After using the drug, it is recommended to remain in the initial position for several minutes.
• All described actions are repeated with the second nostrils.

Tableled forms

Medicines with antibacterial action listed at the very beginning of the article are presented in the form of tablets for intake.

These are the preparations of the first line, and it is them that make up the basis of integrated therapy in most cases.

Antibiotics in pills with hymorite are complemented by using:

• Non-steroidal anti-inflammatory means (nourofen) that promote the elimination of the inflammatory process, the normalization of body temperature, to provide an anesthetic effect.
• Sinuperet - multicomponent phyto of the drug, which has a musolitic and anti-inflammatory effect. Adults are recommended to take a sinusperet for 2 dragees three times a day, not chewing and drinking sufficient liquid. The medicine is well tolerated, in rare cases reported nausea, heartburn, vomiting.
• Hamorin is the name of a multicomponent homeopathic medicine, which is prescribed with uncomplicated form of chronic sinusitis, as well as in their exacerbations. The tool is used by 5 granules three times a day 20 minutes before the main meal or 60 minutes after meals. The means can be used up to 4 times a day. The duration of reception is 20 days, the feasibility of the further use of Ghamorina defines the doctor, taking into account the effect rendered. The use of granules in the treatment of patients under 18 is not recommended.
• Cinnabsina - homeopathic preparationThis is used in acute and chronic sinusitis. With the exacerbation of the hymorite, Zinnabsin uses 1 tablet every 60 minutes, 30 minutes before meals or half an hour after the main meal. The chronic flow of the inflammatory process requires long use of cinnabsin.

Injection preparations

In the treatment of patients with nosocomial hymitorite, it may be necessary to use injection antibiotics:

• Ceftriaxon, Cefotaxim, Cefatazidim, which are active with respect to gram-negative microorganisms.
• Cefuroxime (zinacef) - injections must be made every 8 hours, the use of lidocaine is recommended as a solvent. Measurement.

Often drugs from the aminoglycoside group are often preparations for intramuscular administration: Gentamicin or Tobramycin. Such drugs are not active with respect to Surrectoks and other anaerobes, but they demonstrate the effectiveness against the hemophilic stick, and Moraxell.

The dosage is selected taking into account the mass of the body of the patient, the multiplicity of injection: twice a day.

The main disadvantage is the risk of development. side Effectsprovoking irregularities.

For this reason, aminoglycosides can only be used in case of extreme necessity, under the supervision of the doctor.

Features of the treatment of acute form

Treatment acute form Diseases implies consistently involving the following steps:

• Patient need to wash the nasal passages using salonic solution, brave of herbs (chamomile, calendula), isotonic solutions purchased in a pharmacy (Aqua Maris, Maeruser, Humer). The washing allows you to clean the nasal moves, contributes to the elimination of edema, locally affects the inflammatory process.
• Medicase treatment implies use Augmentina, Macroin, Flexina Salutab. Before selecting the appropriate medicine, the current component of which is active in relation to the pathogen of the pathological process, conduct research. Before receiving their results, the doctor may recommend the use of drugs wide spectrum actions. Additionally use antibacterial and local action tools.
• The difficult course of the pathological process (if it rushes the threat of a patient's life in the form of sepsis or meningitis) may require radical measures: puncture of a gaimore sinus. The procedure is conducted by a otolaryngologist in stationary conditions, with strict compliance with the rules of antiseptics. After the puncture, medications with anti-inflammatory effect and physiotherapy are prescribed.

Among the elements of physiological, preference gives UFO, UHF, electrophoresis, laser treatment.

Additionally, the funds of traditional medicine (, antiseptics nebulizer, appliqués of beekeeping products, Aloe, Celasthela, Calanechoe) can be involved in preliminary agreement with the doctor.

In any disease, it is necessary to treat the cause, not the symptoms. With sinusitis, the cause of inflammation is pathogenic bacteria, therefore antibiotics with hyimorite are the main key to recovery. Only they are able to suppress the growth and reproduction of bacteria, eliminate the symptoms of the disease. Choose correct antibiotics with a sinusitis very difficult, despite their huge range in pharmacies.

With a hymanitis, antibiotics must prescribe a doctor, given the history of the patient and the results of the bacterial sowing made from the nose mucus. Children, pregnant women, people with chronic ENT diseases and immunodeficiency have their approach in treatment. In addition, many bacteria are immune to frequently used antibiotics.

Indications

Antibiotic treatment is carried out:

1. in severe and medigativeity of the disease,
2. with severe face pain on one side.
3. with heavy respiratory symptoms and high temperatures
4. with a strong headache of a constant character.

No need to drink antibiotics if the sinus is allergic, viral or fungal.

Norma U. healthy man Sinets are sterile, and sinusitis is a bacterial inflammation caused by staphylococci, streptococci, hemophilic stick, moraxellary, corinbacteria, chlamydia and mycoplasmas, in a third of all cases, inflammation causes several bacteria.

Given that sowing mucos on the flora and sensitivity to antibiotics takes at least 3 days, the doctor must properly assign a starting antibiotic for treatment, based on the history and symptoms of the patient.

Amoxicillins

Amoxicillins are the preparation of the first choice in uncomplicated light molds of sinusitis. They are effective against a large range of gram-positive and gram-negative bacteria; It's very cheap. The disadvantages on which they become a drug selection is the development of resistance in bacteria, the high frequency of occurrence of side effects - diarrhea appears in each fifth person.

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• Flexin Soluteab - best preparationIs protected by a special film that prevents its destruction in the stomach and promotes better suction in the small intestine.
• Amoxicar.
• Ospamex.
• Hikcotil.

Protected amoxicillins / clavinary - amoxyclav, artlet, Augmentin, Medoclav, Flemoclav Soluteab. With a serious course of the sinusitis, they are customary to assign in the form of injections. Augmentin can be taken as the only antibiotic or combine with others. Augmenitin is allowed to treat recuridating sinusitis caused by resistant bacteria due to clavulonic acid, bacteria cannot destroy the physicochemical structure of the augmentin.

It is allowed to use newborns and pregnant women - Augmentin does not have a teratogenic effect. Augmentin is characterized by wealth of output forms - is a powder for preparing a suspension in three different concentrations, powder for the preparation of an injection solution, a tablet for three age groups.

All amoxicillins are allowed to children from birth, they are produced in the form of tablets and powders for intakes in the form of a suspension. The daily dose is distributed within 2-3 receptions.

To support the necessary medicinal dose, any antibiotic need to drink, strictly observing the intervals, i.e. every day at the same time.

For example:

• 2 times a day - at 08:00 and 20:00;
• 3 times a day - at 06:00, 14:00, 22:00;
• 4 times a day - 06:00, 12:00, 18:00, 00:00.

Cephalosporins

Wide spectrum antibiotics, have a similar bactericidal effect with amoxicillins. They are chosen in the stability of bacteria to amoxicillin and augmentin, if a person has several exacerbations of sinusitis per year, the selection with pus or amoxicillins did not have a positive effect for 2-4 days.

Recently, the first two generations of cephalosporins (cefasoline, cefuroxime, cefaclor) in treatment against hymorite are used less frequently.

Cephalosporins III of generation:

• Cephixim, allowed from six-month age, daily dose divided into 1-2 receptions;
• Cefotaxim, resolved from the first days of life, the multiplicity of introduction is 2-4 times a day;
• Ceftriaxone, resolved newborn. Ceftriaxone is one of the most commonly used injections at a hyimorite. Convenient in that the injection can be done only once a day. Ceftriaxone causes severe pain when administered, therefore it is bred by novocaine, and ceftriaxone can also be administered through the catheter intravenously. Ceftriaxone is successfully used to treat and prevent bacterial infection Even in newborns. If necessary, ceftriaxone can be replaced with cefotaxim. Trade names Ceftriaxone - Azaran, Lendacin, Offramyaks, Torocef, Cefir, etc.;
• Cefoperazazon, these are injections for a hymorite, can be used from birth, appointed intramuscularly and intravenously twice a day.

Cephalosporins IV generation:

• Cefepim, allowed newborn, is assigned in injections every 12 hours.

Tetracyclines

Antibacterial tablets from a wide range of a wide range of action, indications of their use narrowed due to a significant increase in the stability of bacteria. Not prescribed pregnant women, children under 8 years old, with diseases of the liver and kidney.

• Doxycycline, applies only in adults;
• Rondomycin (metacycline).

Capsules are accepted 4 times a day, on the first day it is customary to give a double dose of the drug.

Fluoroquinolones

Are prescribed with a more severe course of the hymorite, if the disease is caused by antibiotic-sensitive bacteria, with allergies to penicillin antibiotics. Why many doctors prefer macrolides, not quinolon? They are ineffective against the main pathogens of the hymorite - hemophilic sticks and streptococci. Therefore, it is customary to use only new fluorochinolones III and IV generations.

The names of the most common drugs:

• Levofloxacin;
• Moxifloxacin (Aveoks);
• Ciprofloxacin,
• Offloxacin
• Ploksacin.

Fluorochinolone injections and pills from hymorite are prescribed twice a day.

Macrolids

Highly effective tablets from hymorite. In recent years, ENT diseases caused by atypical pathogens - mycoplasmas and chlamydia are increasingly found. These infections are distinguished by long chronic flow Diseases are not detected during the survey of the sputum of the patient, are not susceptible to previous antibiotics (amoxicillin, aggotin, ceftriaxone), but is well treated with the help of macrolides.

Macrolides are effective against gram-positive coils and intracellular bacteria. It is estimated to antibiotics that have the smallest degree of toxicity for the human body, which allows them to apply them to treat pregnant women, nursing women and even the youngest children. Macrolids penetrate the cage very well and create there high concentration Antibiotic, destructive for the pathogen.

From macrolides the best antibiotic From hymorite, this is a prolonged form of clarithromycin fromelide, which has several advantages, among them there are no antibacterial properties - anti-inflammatory and immunomodulating.

Clarithromycin is contraindicated in pregnant and nursing, clarithromycin is allowed to children from 6 months. Unlike the preparation of the old generation of erythromycin, it is more resistant to the destruction in the stomach, less dependent on eating food, is better transferred.

Macrolids are accepted 1 time per day, which facilitates their use, as the more receptions of tablets per day, the more often the patients pass them.

Odontogenic hymorit

If the sinusitis is caused by carious teeth, the treatment must be started with Lincomycin and sodium fusidine. Fusidin is a hormonal antibacterial drug of the narrow spectrum of action, effective against the Cockkops and does not affect the growth of the gram-negative flora, therefore it is assigned only as part of a combined treatment. Contraindicated newborn and pregnant women.

Fusidin and Lincomycin doctor can prescribe together and separately. When appointing one drug, treatment is complemented by metronidazole or trichopol. Metronidazole is a carcinogen, so avoided its unreasonable destination.

Antibiotics in drops

Local antibacterial drugs can be assigned as the only antibiotic with a light course of sinusitis or combined with antibiotics in tablets in more severe cases. Because of the rapid and accurate getage to the focus of infections, they are capable of eliminating the symptoms of the disease in very short time.

Mupirocin (Bactroban)

it nasal Ointmentis prescribed for the treatment of golden staphylococcus. Treatment lasts no more than a week, repeated course of treatment can be carried out only 1 time.

Framcenetin (Isofra)

Children spray spray three times a day, adults up to 6 times. Very good drug.

Fusafungin (bioparox)

Used from 2.5 years in patients from a group of increased risk - with bronchial asthma, glomerulonephritis. Effective against the Cockkops, hemophilic sticks, mycoplasma and mushrooms Candida. Assign 4 sputters per day.

The drug is used in our country more and less often, since the stability of a number of bacteria has been developed to it, there are cases when the drug caused severe allergic complications.

Fuggestin

These are drops containing fusidic acid and gentamicin, it is possible to drip them into the nose three times a day, and can be used to wash the sinuses - in the sinus poured 1-1.5 ml.

Antibiotic for washing

When puncture and drainage, the sinuses doctor always performs its washing. The best combined medicine for local use is an IT antibiotic fluimucil (Cedax, Augmentin, Laginten). Introduction to the sinus of the enzyme and antibiotic provides the rapid removal of purulent necrotic mucus. During the week simultaneously with washing, it is recommended to make inhalation using an antibiotic fluimucil.

The duration of treatment with antibiotics

Treat human antibiotics with acute hymorite need from 7 to 14 days, with exacerbation of chronic - up to 21 days. In case of severe disease, antibacterial drug is assigned in the form of injections or droppers, but after improvement after 3-4 days you need to take antibacterial tablets from the sinusitis.

Typical errors in antibacterial therapy

1. The wrong choice when it is appointed without taking into account the causative agent, the activity of the drug is not taken into account. Classic examples:
   • Lincomycin is ineffective to treat acute sinusitis;
   • Oxacillins do not act on the pneumococcus and the gemophilic wand, and these are the main pathogens of sinters;
   • Gentamicin is a powerless medicine against hemophilic sticks and streptococcus.
   • Treatment of ciprofloxacin light shapes of hymorite at home.
2. Incorrect method of administration. Treatment at home and in the clinic should occur tablets; In the hospital, after improvement, injections should also be changed to the tablets.
3. Discharge in dosing mode. More often, patients with themselves reduce the dosage, do not observe the multiplicity of reception and the time interval between the reception of tablets - Sumamed (azithromycin) and ampicillin must be used 60 minutes before meals.

From the first day of the use of antibacterial pills from the sick person, a sick person should take care of the tract and taking drugs that restore the intestinal microflora - lactobacterin, bifidumbacterin, Linex. In case of tightened antibacterial treatment It makes sense to drink antifungal drugSince powerful antibacterial therapy contributes to the growth and reproduction of mushrooms, yeast.

The effectiveness of the accepted antibiotic can be judged at the end of the first day - allocations are easily separated, the nasal is running, the temperature, pain and intoxication disappears.

The best antibiotic with a hymorite is selected for each person individually, given the bacteria that caused inflammation, antibiotics that a person has received recent times, the degree, shape and severity of the disease. Treat sinusitis just if a specialist does.