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Treatment of genyantritis in pregnancy

, medical expert
Last reviewed: 23.04.2024
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Treatment of any disease involves the use of medications.

The use of medications during pregnancy is contraindicated. But there are nasal sprays and nasal drops that are effective in treating the disease. Such products contain vasoconstrictor substances, so they can be used only in extreme cases and under medical supervision.

Medications for sinusitis in pregnancy

Medicinal treatment is chosen by the attending physician, who is guided by the period of gestation, the characteristics of the disease and the general condition of the pregnant woman. Most drugs are contraindicated because they have a toxic effect. They can lead to intoxication of the body of a pregnant woman. This condition is a threat of miscarriage and vices in the development of the fetus.

As a rule, the otolaryngologist prescribes safe antibiotics of the last generation. Tsedeks and Augmentin proved to be well established. When using medicines, it is necessary to maintain bacterial flora of the intestine and additionally take Linex or Hilak Forte.

If the disease has become purulent, then the patient is prescribed diluting agents. For example, the preparation Sinupret significantly reduces the viscosity of mucus, which contributes to its easy removal. The medicine is created on the basis of plant components, so it can be used by a future mother.

Wilprafen

One effective antibiotic from the macrolide group that can be used by pregnant women is Wilprafen. The agent is released in the form of tablets with the active substance josamycin. Its mechanism of action is associated with a violation of protein synthesis in the microbe cell. The drug has a bacteriostatic effect, slows down the multiplication and growth of harmful microorganisms. High doses have bactericidal properties.

  • The antibiotic is active against most Gram-positive and Gram-negative bacteria, intracellular microorganisms. It does not affect enterobacteria, so it does not have a harmful effect on the digestive tract.
  • The use of the drug during pregnancy and lactation is permitted. Tablets are prescribed for the treatment of infectious-inflammatory lesions caused by microorganisms sensitive to the active substance. The product is effective for infections of the ENT organs and upper / lower respiratory tract, scarlet fever, diphtheria, dental and ophthalmic infections, urinary tract damage.
  • After ingestion, the active substance is rapidly absorbed from the gastrointestinal tract. Eating does not affect the absorption and distribution process. Binding to blood plasma proteins at the level of 15%. The drug metabolizes in labeling, is excreted with bile and urine.
  • Contraindicated to use in severe violations of liver function, hypersensitivity to the active substance or antibiotics from the group of macrolides. If these recommendations are not followed, side effects occur. Most often it's nausea, vomiting, diarrhea, constipation. In rare cases, there is stomatitis, jaundice, skin allergic reactions and hearing disorders.
  • Dosage is selected for each pregnant individual. The duration of therapy is from 5 to 21 days. In case of an overdose, there is an increase in adverse reactions from the digestive system.

Drops from a genyantritis

To treat inflammation of the nasal sinuses, many medicines are used. Drops from sinusitis are popular, because they quickly eliminate unpleasant symptoms of the disease. On the pharmaceutical market there are many nasal preparations. All means act differently, some simply facilitate nasal breathing, while others have a therapeutic effect.

Conditionally, all drops in the nose can be divided into such groups:

  • Vasculature.
  • Drops with antibiotics.
  • Preparations on a plant basis.
  • Drops with sea water.

The doctor should choose the medicine, being guided by the results of the tests and the causative agent of the inflammatory process. Popular nasal agents:

  • Sinuforte - made on the basis of cyclamen, quickly remove puffiness and do not irritate the mucous membrane. Their only drawback is a slight burning sensation in the nasopharynx.
  • Isophra is a soft-acting vasoconstrictor. It is safe to use during pregnancy and for patients of child age.
  • Polidexa - have an anti-inflammatory effect, quickly relieve nasal congestion.
  • Sinupret is an anti-inflammatory agent that effectively strengthens the immune system.
  • Protargolovyh drops - a tool that facilitates breathing and helps in the chronic form of inflammation. The composition of the drug is silver, so the drug has an antimicrobial effect.

Antibiotics for genyantritis in pregnancy

Very often, antibiotic drugs are used to treat any inflammatory diseases. Antibiotics for sinusitis during pregnancy is appointed by the attending physician. It is contraindicated to take such medications on their own, as it threatens with various side effects that can adversely affect both the female body and the development of the fetus.

In the treatment of sinusitis, every future mother should know the following:

  • With the help of antibiotics, the acute form of the disease is treated. Most often, pregnant women are prescribed: Cephalosproteins of 3 generations, Azithromycin, Spiramycin or Agumentin.
  • For treatment it is better not to use tableted antibiotics. Therefore, the doctor prescribes rinsing with drugs of maxillary sinuses. In such procedures, the patient is prescribed antihistamines to reduce the swelling of the mucous membrane.

trusted-source[1], [2], [3]

Alternative treatment of sinusitis in pregnancy

Treatment of rhinosinusitis during pregnancy is complicated by the presence of contraindications to the use of many pharmacological agents. Alternative treatment is considered safe, since it involves the use of herbal medicinal components.

Consider the most effective and proven methods of alternative medicine:

  • The simplest and at the same time affordable method of treatment that can be performed at home is the heating of the maxillary sinuses. For this, use a warm boiled egg or a salt heated in a frying pan in a tissue bag. The agent must be alternately applied to the maxillary sinuses for 5-10 minutes.
  • To facilitate nasal breathing, it is possible to wash with a concentrated decoction of chamomile or sea salt. Chamomile must be brewed in a water bath and carefully filtered, and seawater dissolved in boiled water.
  • At the final stage of sinusitis it is possible to do medical inhalations. For these purposes, the usual boiled potatoes. The patient must sit down on a pot of potatoes, cover his head with a towel and breathe. The duration of the procedure depends on the rate of cooling of the steam.

The use of alternative methods should be agreed with the attending physician. Since there is no certainty that such self-treatment will not cause side reactions.

Herbal Treatment

The use of plant components to eliminate inflammatory diseases refers to alternative methods. Treatment with herbs allows you to remove the swelling from the mucous membrane, reduce the inflammatory process and remove the purulent contents.

From the herbs prepare decoctions or use their fresh juice. Consider effective medicinal herbs from sinusitis:

  • From the flowers of marigold prepare a decoction and soak them with cotton swabs. Enter them into the maxillary cavity. To prepare the broth, take 1-2 tablespoons of dried calendula flowers and pour 1-2 cups of boiling water. The agent should be infused for 2 hours, after which it must be carefully filtered and can be used.
  • From the juice of the cyclamen tubers of Europe, an excellent anti-inflammatory agent is being prepared. The plant must be grinded and squeezed out well. In each nostril, 2 drops of juice are dripped 1 time per day for 5-7 days.
  • Medicinal properties are possessed by Kalanchoe leaves. The leaves need to be washed, chopped and filtered, that is squeezed to get pure juice. In each nostril, a couple of drops of the drug are instilled. Duration of treatment - up to 10 days.

Homeopathy

Treatment of rhinosinusitis in expectant mothers with the help of homeopathic remedies is an alternative to antibiotic and medication. Homeopathy can be used only for medical purposes with a preliminary examination of the patient. Most often for the treatment of prescribed drugs such as:

  • Asinis.
  • Cinnabsin.
  • Kalium Yodatum.
  • Euphorbium compositum.
  • Mercurius Solubilis.
  • Cinnabar.
  • Silicea.

The duration of the treatment course depends on the form of inflammation and the general state of the body of the pregnant woman, therefore it is determined by the homeopath. Homeopathy stimulates the immune system, which speeds up the healing process. But before you start using such drugs, you need to understand that the treatment will take longer, in contrast to conservative therapy.

Operative treatment of genyantritis in pregnancy

Surgical intervention in inflammation of the maxillary sinuses, is used for chronic forms of the disease and is considered an extreme measure. Operative treatment during pregnancy is not recommended, since the operation involves the use of various medications. The action of which negatively affects the patient's well-being and the development of the unborn child.

The main goal of surgical intervention is the release of pus-filled sinuses. During the operation, polyps, tissues and parts of the bone can be removed. There are several types of surgery, the conduct of which depends on how much and what sinus is laid, from the estimated volume of tissue removed.

Consider the main types of surgical treatment:

Used to eliminate inflammation, remove mucus and pus. Before the procedure, the doctor performs local anesthesia and pierces the bone septum with a special needle. With the help of a syringe, the contents of the nasal cavity are drawn off and its rinsing is carried out.

  • Endoscopic surgery

It is carried out in the event that conservative therapy did not give the expected results. An endoscope and a surgical instrument are inserted into the nose. With their help, the doctor removes bone septa, defective tissues and removes purulent exudate. The whole procedure takes no more than 90 minutes.

  • Classical operation

This type of surgery is advisable to carry out with chronic inflammation with complications. During the operation, the doctor removes part of the tissue or bone, ensuring a normal withdrawal of purulent and mucous contents of the maxillary sinuses.

  • Balloon sinusoplasty

Low traumatic operation, the main purpose of which is the expansion of the jaws between the nose and the paranasal cavities. During the operation, special conductors and flexible catheters are used. Getting into the cavity of the sinus, the cuff inflates on the boat, which increases the diameter of the anastomosis.

  • Caldwell-Lucas Operation

This is a radical surgical intervention, performed with irreversible changes in the mucous membrane of the nasal sinuses and ineffectiveness of more gentle methods. The procedure is performed under anesthesia. The doctor makes a cut over the upper lip from the side of the affected sinus. Using a drill, a small opening is made to open the access to the sinus. The surgeon completely removes pathological exudate and deformed tissue.

After any surgery, the patient is waiting for a recovery period, the duration of which depends on the amount of surgical intervention. For a speedy recovery, patients are prescribed antibiotics, antihistamines, vasoconstrictive and glucocorticoid drugs.

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