Ethmoiditis, kana ethmoid sinusitis, kuzvimba kunoitika mumasina ethmoid. Chimiro chayo chakaoma chinoguma nekuonekwa kwekuzvimba pamusoro peziso repamusoro pakona yeziso. Izvi zvinoperekedzwa nemarwadzo nefivha. Zvakawanda muvana kupfuura vanhu vakuru, acute ethmoiditis inoda kurapwa nekukurumidza.

Tsanangudzo ye ethmoiditis

Ethmoiditis imhando ye sinusitis, iko kuzvimba kunoitika mu mucous membranes inovhara sinus. Sechiyeuchidzo, sinuses mapfupa emapfupa ari pachiso. Kune zvitadzo zvakasiyana zvinosanganisira ethmoidal sinuses. Iwo anowanikwa kune rumwe rutivi rwe ethmoid, isinganzwisisike uye yepakati bhonzo iri pakati pemaobhiti maviri.

Ethmoiditis, kana ethmoid sinusitis, kuzvimba kwe ethmoid sinuses. Inogona kuzviratidza nenzira dzinotevera:

• unilateral kana nyika mbiri;
• kuparadzaniswa kana kubatanidzwa nekubatanidzwa kwezvimwe zvivi;
• chisingaperi kana chakaoma.

Zvikonzero zve ethmoiditis

Ethmoiditis inokonzerwa nehutachiona hwehutachiona. Kazhinji kazhinji izvi zvirwere zvebhakitiriya. Utachiona huripo kunyanya:

• Streptococcus pneumoniae kana pneumococcus;
• Staphylococcus aureus kana Staphylococcus aureus;
• Haemophilus influenzae.

Kuongororwa kwe ethmoiditis

Pakutanga inobva pakuongorora kwekliniki. Dzimwe ongororo dzakati wandei dzinogona kuzoitwa nekukumbira kwenyanzvi yehutano:

• kuongororwa kwemishonga yekufungidzira, kunyanya ne scanner kana magnetic resonance imaging (MRI);
• bacteriological samples.

Idzi bvunzo dzekuwedzera dzinoita kuti zvikwanise kusimbisa kuongororwa kwe ethmoiditis, kuona iyo pathogenic strain iri mubvunzo uye / kana kutsvaga matambudziko. Kana matambudziko akaonekwa, kuchipatara kunodiwa.

Acute ethmoiditis inowanzoitika muvana. Inowanzoonekwa makore anenge 2 kusvika ku3.

Edema yeziso 

Acute ethmoiditis inokonzera kuzvimba kuzvimba kwenzvimbo yeorbital. Mune mamwe mazwi, edema inorwadza inoonekwa paziso repamusoro mukona yemukati yeziso. Iyi edema inoperekedzwa nefivha yakanyanya. Isu tinotaura nezve edematous ethmoiditis.

Kuungana kwepus muziso

Mushure mefomu edema, fomu yakaunganidzwa inogona kuitika. Pus inounganidza muziso reziso. Maziso anoita kunge ari kutumbuka nekurwadza. 

Ngozi ye intra-orbital complications

Mukushaikwa kwekutonga kwakakwana, intra-orbital complications inogona kuitika:

• makumi ezviuru akaremara anowirirana nekuwedzera kwevadzidzi nekuoma mitezo yeoculomotor nerve;
• corneal anesthesia iyo kurasikirwa kwekunzwa kwe cornea;
• ophthalmoplegia, kureva, kuoma mitezo kana kuperera kwekufamba kweziso.

Ngozi ye intracranial complications

Intracranial complications inogonawo kuitika:

• oscillating fever pamwe nechando;
• meningeal syndrome iyo inonyanya kuratidzwa nemusoro wakaoma, mitsipa yakaoma uye kurutsa.

Muzviitiko zvakawanda zve acute ethmoiditis, kurapa maantibiotic kunorayirwa. Inotarisira kurwisa hutachiona hunokonzera maitiro ekuputika. Kuongororwa kwekiriniki kunowanzoitwa maawa makumi mana nemasere mushure mekutanga kurapwa.

Muchiitiko chezvinetso, kuchipatara kunodiwa kuti pave ne-broad-spectrum parenteral antibiotic therapy. Inogona kuperekedzwa ne corticosteroid therapy kubvisa marwadzo. Kuvhiya kwemvura kunogona kuitwawo kubvisa abscess yakaumbwa.

Ethmoiditis inogona kukonzerwa nepneumococcal kana pneumococcal infection. Haemophilus influenzae Type B. Zvirwere izvi zvinogona kudzivirirwa nekubaya mucheche.

Kudzivirirwa kwematambudziko ane chekuita ne ethmoiditis kunoda kurapwa nekukurumidza. Pachiratidzo chiduku, kuonana kwechiremba nekukurumidzira kunokurudzirwa.