Polyposis of nose and paranasal sinuses: what is it, symptoms and treatment
What is nasal polyposis?
Of nasal polyposis is a benign tumor that represents a proliferation of the mucous membrane. Inflammation is accompanied by allergic rhinitis and other extremely unpleasant symptoms. Treatment of recurrent polyposis of the nose and paranasal sinuses are complex and not always amenable to therapy the first time. For this reason, it is especially important to notice the symptoms of the disease at an early stage and get rid of education as early as possible.
According to statistics, nasal polyposis is more frequently diagnosed in men than women and occurs in two percent of the total population. Often inflammation of the mucosa and its growth comes from long-term treatment of colds. In severe cases, hyperplasia becomes the root cause of the formation of cancer.
About the tumor
What is that nasal polyposis is interested in the population more often. This is due to the progression of inflammation among older men. Nasal polyposis is characterized as a benign neoplasm in which the proliferation of the mucous membrane in the nasal cavity. As a result of inflammation in a patient are formed polyps. They are fixed on the rear wall of the sinuses.
The polyps may be localized on one or groups, affecting a large part of the nasal passage.
Nasal polyposis forms numerous outgrowths of the mucous membrane of the cavity, and statistics show that this form of inflammation is much worse than single polyps.
To establish the exact reasons for the formation of the polyps is impossible, since scientists have not yet elucidated the mechanism of inflammation.
Most often the root cause of the formation of the disease becomes the penetration of a fungal infection or contact with the mucous part of the aureus. As a result of this process grows prepozna fabric.
In addition to the penetration of the fungus to cause inflammation can:
- various allergic reactions or aggravation;
- long pus;
- long-term treatment of viral inflammations;
- chronic respiratory disease;
- the pathological structure of the paranasal sinuses;
- hypersensitivity to salicylic acid produced by the body.
Such reasons are themselves dangerous to human health and a complication of the disease possible unwanted effects. Inflammation of polyps dangerous for a person with difficulty breathing and impaired function of protecting the body from viruses and other unwanted micro-organisms into the lungs. In connection with the termination of the processing air, in respiratory ways enters not cleaned and having thoughts of air. As a result, the patient can be tracheitis or bronchitis.
To other risk groups and consequences of the disease include:
- With the progression of the disease the patient is disrupted structure between the nasal sinus and okolonosovyh cavity. As a result of such pathological changes in patients often occurs sinusitis or etmoidit.
- Polyps dangerous increase in size, which adversely affects the vascular system. Thus, slowing down blood circulation, which provokes inflammation in the middle ear or tonsillitis.
- Breathing becomes cause of abnormal structure of the bone structures. At risk in this case includes infants.
In addition to these effects, the patient the wrong treatment may form a malignant tumor, which is virtually impossible to standard treatment.
Symptoms of inflammation
Notice education in the early stages can be due to the first signs of the disease. First time patients does not change the breathing, because inflammation in most cases is at the top of the nasal passages. If you increase the size of the tumor, patients feel a stuffy nose and a slight change of my own voice.
At this stage patients usually do not pay attention to signs of inflammation, thinking that the symptoms of the disease is common cold.
At this time, many patients use vasoconstrictor drugs that give a small effect.
After the first stage, patients are formed more serious signs of disease.
First and foremost, patients with impaired sense of smell. Treatment at this stage is necessary to obtain as quickly as possible, otherwise patients manifest a strong twang and profuse discharge from the nose.
In the future patients is the growth of polyps that block the auditory tube. At this time patients varies greatly voice and partially lost hearing.
At the last stage of the disease patients tormented by severe symptoms, which include:
- severe difficulty in breathing;
- strong voice changing;
- permanent acute rhinitis;
- frequent sneezing;
- loss of smell;
- hearing impairment;
- pain in the head and the temples;
- loss of health;
- sleep disturbance;
- loss of appetite.
In some cases patients complain of change in body temperature and a variety of discharge from the nasal cavity.
Upon detection of these symptoms it is necessary to correctly diagnose the nature and form of inflammation and to install treatment. For the diagnosis necessary assistance to the doctor-otolaryngologist with the use of the rhinoscope. In addition, there is a tomography of the brain, otoscopy, microlaryngoscopy and other types of research.
Conservative treatment involves examining the patient for allergic reactions, and further hormonal and antiallergic drugs.
But not always, this form of therapy is effective.
In this case, the patient is assigned to surgical removal of tumors or laser therapy.
Treatment of nasal polyposis is installed with the symptoms of the disease.
The standard treatment
When using standard forms of treatment, it is necessary to establish all possible causes and identify the symptoms of the disease. After that, the patient is assigned to:
- Using anti-inflammatory sprays, removes puffiness and providing anti-allergic effect on the entire body. Such drugs include «Nasonex», «lower blood pressure mother», «Kistan N», «Silcare», «Elokom», «Uniterm», «Mometasone».
- Drugs to decrease histamine levels and decrease in neutrophils – «Linolenic», «Flixonase».
- Vasoconstrictor drops vs polyps in the nasal cavity – «Nazivin», «I», «Nosaka», «Doxepin», «Expra».
- To improve breathing necessary «Siniloan» and «Natural».
When selecting products for the nose it is necessary to consider the composition and structure of medicine. The active substance should not get into the bloodstream and do not affect the hormonal background of the patient.
In addition to the various drops and sprays, patients are assigned nasal lavage with solutions of furatsilina or sea water.
Specialized products for rinsing sinus in polyposis of the nose include – «Physiomer», «Marimer», «Otrivin Sea», «Kviks», «Dr. Theiss», «Dolphin» and others.
For more complex course of inflammation, the patient may appoint antibacterial preparations on the basis of macrolides in small doses.
While a variety of allergic reactions, patients are prescribed antihistamines – «Zyrtec», «Fenkarol, «Tavegil», «Suprastin» and others.
In case of defeat of an organism by viruses of the fungus can not do without drugs broad-spectrum «Levorin», «Nystatin», «Amphotericin b», «Griseofulvin».
With the ineffectiveness of these treatments, the patient is assigned to surgical intervention.
The operation is performed only if medical therapy failed.
In addition, surgical intervention is necessary when breathing, lack of smell, deviated septum and copious purulent secretions.
Other evidence is not a necessity.
Removal of polyp is performed using laser or radio waves. In some cases, the patient can assign endoscopic surgery.
Operation proceeds to fifteen minutes, and the rate of rehabilitation may take up to one month. At this time the patient will need a nasal wash with special anti-bacterial solutions and the reception of restorative medication.
Provided that the disease has not touched you and your family need to adhere to proper lifestyle and follow the diet. Do not eat spicy and fatty. In addition, the diet involves eating small amounts of protein foods and large intake of vitamin complexes.