Sinusitis

The sinusitis takes place when the rinitis, be of the origin that fuere, goes accompanied by the encumbrance of the paranasal breasts that you/they are subdivided in maxillary breasts, etmoidales, esfenoidales and frontals according to your location.

The most habitual sinusitis is usually the maxillary one and the etimoidal that show up with acute and also chronic character. The most current symptoms are the rinorrea, in general purulenta, the migraines - particularly in the front sinusitis -, dysfunctions of the smell - in occasions the patient accuses to note bad odors -, nasal obstruction and sometimes facial pains.

All sinusitis should be treated by the physician who will appraise your symptoms, requesting, if you believe it opportune, the corresponding x-rays. The treatment of the acute (apart from the the suitable one specifically for the physician) sinusitis is carried out with pain relievers, nose drops, inhalations mentoladas (except in the children) and bedrest. In the chronic forms, the expert is only who should guide on the treatment that can be medical or surgical.

A special class of sinusitis is that of origin dentario whose case the revision is imposed on the part of the dentist.

Besides the aforementioned different sinusitis types, you are to keep in mind the possibility from an allergic naso-sinoatrial origin to the one that you sobreañade the infectious factor; you are as fuere, in all the cases it is important your diagnostic and treatment adjusted with the purpose of avoiding complications that can be meningeal, visual, bronchial, etc..

Allergy to the Medicines

In general terms, the answer of our organism to the entry of a chemical substance with therapeutical ends obeys a laws that are subject to the share farmacodinámica of the used medicine whose toxicity grade or harmfulness has been studied previously. But it is not room for doubt that, in a certain number of patients, this pharmacological share theoretically foregone it escapes from the orbit of the communio one and the individual responds from an accidental way to the oral or parenteral management of a medicine. Doing without more or less of theories ingenious and truthful, it is possible that the accidents caused by the medicines can be classified in the following way:
1-high grade of toxicity of the used medicine and whose symptoms show up in most of the cases.
2-certain patients, for different reasons and as soon as determined, but not related with the allergy, they don't tolerate, like it is current, the chemical substances. To procure a pharmacological desirable share, it becomes precise to be administered them to much pettier and more unusual dose. We speak then of intolerance.
3-in some occasions, the effects that are expected are absolutely cross to those that it was logical to wait. It is about a personal paradox and it is for example what happens, when when giving an antihistamínico that averagely produces drowsiness, the individual it responds with a nervous general excitabilidad, desorbitada and unforeseeable; we could speak then of idiosyncrasy, in the sense fully etymological of the word.
4-in other cases, the fellow can enter, immediately to the entry of the medicine, whichever it is the nature of this and the contact modality, a type of divorced reaction completely dela nature of the substance and of his share farmacodinámica. It connects it with what the physicians are accustomed to see when they speak of syndromes anafilácticos or allergic. The word allergy should be reserved for this reaction type that involves a sensitization; it doesn't import now, and here, if in the antecedents they are allergy traces or not, and if they believe to know or on the contrary to ignore, the mechanism humoral or cellular that has unchained it.
5-finally, it exists another group of patients that, in front of the entry of a chemical substance of the type medicine, they unchain shocks with circulatory immediate failure that you/they very possibly owe you to the release of a substance called histamine whose pharmacological affection is the responsible for the serious dysfunctions. The relationships that can exist among the lawsuit, the allergic etiology and the pathogenetic unchaining mechanism, the histamine, they cannot be described here.

Until another type of anomalous answers to the medicines, such as those that in fact show up when discontinuing them; still in case, until that moment, they were very supported; it constitutes it an answer rarity that, for the unusual thing, we only mention it.

The clinical boxs to that the allergy medicamentosa can give place are extremely varied, I eat for example: shock of the type anafiláctico that is the most serious in these accidents; syndrome similar to the illness of the serum; fever medicamentosa, possibly many times to the own antibiotics and whose appearance suspicion outlines the physician a therapeutical query quite difficult of resolving; alterations cellular hemáticas; asthmatic crisis, rinitis and allergic conjunctivitis; cutaneous manifestations, of the erythema type, urticaria, edema, eczema; and hepatic, renal and gastrointestinal alterations.

Rinitis

The word rinitis (of the Greek "rhin-rhinos" nose and the suffix "itis" inflammation), designates the inflammation of the mucosa of the graves named nasal pituitaries.

He/she can have several origins or lawsuits, I eat the common cold for example. He/she shows up especially in the cold times of year, being one of their symptoms the rinorrea (or exit of mucosities more or less flowing of the nose), accompanied by sneezes, of nasal (difficulty in breathing through the nasal graves) obstruction, and of discreet (headache) migraine. He/she can also appear during some days, a decrease of the capacity olfatoria, as well as something of fever.

The box, in general, lacks importance and it is enough, of not arising complications, the management of analgesic drugs, antitérmicos, bedrest and the application of some preparation in the nasal graves, either moderate and suspended so soon they waive the acute symptoms of the coriza, because habit and being can create then detrimental. In the event of not to waive the acute box in a few days or to suspect the appearance of complications, the revision is imposed on the part of the physician.

Although, inside the rinitis, the acute coriza is the most current form, other varieties that obey other lawsuits exist and that they are more important. One of the most frequent is the allergic coriza, of origin polínico, that is to say, the patient in this case is sensitive to the pollen of having determined plants; the most communio form is the call fever of the hay.

But they are not only the pólenes those producing of such cortizas, but rather a person can be allergic to chemical, textile, alimentary, bacterial products, to the domestic powder, etc. In these cases, the sick persons see each other suddenly affected by a sternutatory crisis, accompanied by nasal abundant secretion, I shed tears and breathing difficulty. It is imposed a revision then thoroughly on the part of the otorhinolaryngologist and even of the allergist with the purpose of attempting the search of the call alérgeno, unchaining factor of the box.

The acute rinitis acquires capital importance in the infant, because the boy, when having clogged up the nasal graves, he/she cannot breathe in the moment of the suction and bad taking the chest or the baby bottle. Separate their repercussion in channels more low, this respiratory rinitis, for the vicinity of the hearing, it can meet in the otitis. It is this case, the boy it should become under the pediatrician's cares. It is very important not to instill drops without discrimination, because those that are suitable for an adult are contraindicated for the infant. This rinitis type hardly ever studies alone, but rather he/she goes accompanied by the encumbrance of those fleshy formations located behind the nose and that we name adenoid that frequently should be medically or to proceed to its surgical extirpation.