Sinusitis during pregnancy: how to identify and neutralize. Sinusitis during pregnancy - how to deal with a dangerous condition Purulent sinusitis during pregnancy

Sinusitis, or maxillary sinusitis, is an inflammation of the maxillary sinuses. Common causes are fungal, bacterial, viral infections. During pregnancy, the body's immune system is weakened. This increases the chance of getting sick.

What is dangerous sinusitis during pregnancy

It all starts with a cold

Given the localization in the upper jaw, the main burden for a woman is the spread of the infectious process to neighboring organs.

The harmful flora can affect the eye socket and surrounding areas: trigeminal nerve, brain, blood vessels. Chronic sinusitis often causes permanent diseases of the oral cavity and pharynx:

stomatitis;
tonsillitis;
caries;
frontitis.

A terrible consequence of untimely therapy of purulent sinusitis for pregnancy is meningitis. It is accompanied by sound, photophobia, severe headache, fever, skin sensitivity. During pregnancy, meningitis is very dangerous, since antibiotics are needed for its treatment. Most of them are banned during this period.

Symptoms of sinusitis in pregnant women

You can recognize the presence of inflammation in the maxillary sinuses by the following signs:

pain in the forehead and nose, especially when tilting the head;
nasal congestion;
discharge (snot) green or yellow;
cough worse in the evening and at night;
unpleasant taste in the mouth;
increase in body temperature.

Forms of sinusitis in women in position

Maxillary sinusitis can be unilateral or bilateral. In the first case, inflammation affects the left or right sinus, in the second - both.

According to the nature of the flow, sinusitis is divided.

Spicy. Occurs for the first time and progresses rapidly. Recovery usually occurs within 2-3 weeks.
Chronic. It develops in the absence or incorrectly selected therapy. It proceeds with periods of exacerbation and remission. Unpleasant symptoms can last up to 6 weeks.

Chronic sinusitis

It is a long-term sluggish inflammatory process, which, depending on the stage and form, manifests itself with a variety of symptoms. During exacerbation, the patient is concerned about headache, congestion with discharge from the nose, fever. In the remission phase, the symptoms subside.

The danger of the chronic form is that the lack of therapy for the described symptoms causes constant intoxication of the body.

Sinuses clogged with pus

Purulent sinusitis

It is especially dangerous during pregnancy, as it threatens to spread to the brain, eyes, and vestibular apparatus. Most often it is a complication of untreated acute sinusitis, but sometimes the cause is the presence of a permanent focus of infection in the oral or nasal cavity (caries of the upper teeth, etc.).

Purulent sinusitis is characterized by viscous, inseparable sputum that fills the sinuses and nasal cavity. Traffic jams appear and a person can breathe without drops only through his mouth.

Treatment of sinusitis during pregnancy

Therapy of the disease should be timely, professional and comprehensive.

The sooner a woman sees a doctor, the less likely complications are. Self-medication can be dangerous not only for a pregnant woman, but also for a child. Not all procedures prescribed by a doctor are feasible at home. Usually the treatment of sinusitis is complex. Various means are used that complement each other's action.

Checking with a doctor

How to treat sinusitis in the 1st trimester (in the early stages)

Rhinosinusitis that develops during pregnancy is a problem. Especially in the 1st trimester. During this period, all the vital functions of the child are laid. Therefore, most drugs cannot be used.

Against this background, early diagnosis of rhinosinusitis is important. At the initial stages, local remedies are effective: washings, inhalations, folk recipes and herbal medicines that do not have a detrimental effect on the fetus.

Sometimes nasal lavage is prescribed using the Cuckoo method. A patient lying on her back is injected with a saline solution into one nostril, and mucus is pumped out of the other with a special tool. During the procedure, the girl says “coo-coo” (hence the name). This sound contributes to the fact that the liquid does not flow into the nasopharynx, and the pus is pumped out of the body.

If local methods do not help, an alternative treatment is a sinus puncture.

2 trimester

Starting from 8-9 weeks of pregnancy, the list of approved drugs for sinusitis is slightly expanding. If the patient went to the doctor at an early stage of the disease, the following remedies are effective:

washing the nose with antiseptics (Chlorhexidine, Miramistin, water-salt solution). This creates an opportunity for the outflow of mucus;
local vasoconstrictors in the form of drops and sprays. Apply in children's concentration for no longer than 3 days in a row. They reduce swelling of the mucosa, improve patency and nasal breathing;
folk and homeopathic remedies: Cinnabsin, Euphorbium. They have an anti-inflammatory effect, thin the contents of the nose and help cleanse the sinuses.

Prescribe Augmentin

3rd trimester

In the last weeks of pregnancy, the treatment of sinusitis does not fundamentally differ from that at the 2nd stage of gestation.

If the disease has passed into a purulent form, it is advisable to use antibiotics. Groups allowed:

Penicillin series (Augmentin, Amoxicillin);
Cephalosporins (Cefuroxime, Cefazolin);
Macrolides (Josamycin, Azithromycin).

Is it possible to take antibiotics for sinusitis in pregnant women?

Antibiotic therapy in the treatment of maxillary sinusitis is used quite often. It is clear that such drugs are harmful to the fetus. Doctors proceed from the fact that bacteria can cause more damage to a woman's health than a short course of antibiotics.

The purulent form is treated with Cedex

Prescribe.

Cedex. Cephalosporin antibiotic, available in capsules. Reception 5-10 days.
Augmentin. Medicine of the penicillin series in tablets, powder, suspension for internal use. It is used when the therapeutic effect outweighs the potential risks to the mother and fetus. The recommended duration of admission is no more than 10 days.
Wilprafen. A macrolide drug based on josamycin. Available as tablets or suspensions. Does not violate the natural microflora of the body, does not cause allergies.

When is a sinus puncture done?

Indications for puncture of the maxillary sinus are:

ineffectiveness of conservative therapy;
1 trimester of pregnancy, when drug treatment can harm the fetus;
purulent sinusitis.

The essence of the procedure is the introduction of a needle into the sinus, through which pus is pumped out. Then, funds are poured inside to prevent the recurrence of the disease. It is performed under local anesthesia.

Remedies (medicines) for sinusitis during pregnancy

With drug therapy, drugs with minimal toxic effects are selected. The dosage regimen and duration of use for sinusitis in pregnant women are determined by the ENT individually.

Many drugs are contraindicated during the gestation period or are used with extreme caution. The choice is made taking into account the condition of the woman in position.

Wash drops

Drops for pregnant women with sinusitis

Assign drops:

based on essential oils. Reduce swelling, have an antibacterial effect. Contain natural ingredients, therefore safe for the expectant mother;
based on sea water. Approved for use even by newborns. They do not cause allergies and do not negatively affect the body. Remove mucus, contribute to the elimination of pathogenic microflora;
washing solutions. Clear the airways, eliminate mucus and pus.

Popular.

Aqua Maris. A topical agent that moisturizes the mucous membrane, gently cleansing the nasal cavity. Available as a nasal metered spray. Made from sea water, which prevents the growth of bacteria, the formation of pus, improves breathing. With mucosal edema, combined use with vasoconstrictor drops is recommended.
Nazivin. An agent available in the form of drops or nasal spray. During pregnancy, appoint with caution. The drug should be used no longer than 3 days and only on the advice of a doctor. If there is no improvement within the first 2 days, you need to contact Laura for advice.
Sanorin. Alpha-agonist in the form of a nasal spray. Once in the nasal cavity, the medicine quickly constricts the blood vessels of the mucous membranes. This reduces hyperemia and swelling, improves patency, and makes breathing easier. During pregnancy, it is used with caution. Therapy should not exceed 7 days.
Sinupret. It is prescribed for acute and chronic sinusitis with a viscous secretion. During pregnancy, drops are used with caution, as they contain ethanol. The preferred dosage form is dragee. The drug facilitates breathing, removes mucus, relieves inflammation and swelling.

Prepare the saline solution

Treatment of sinusitis folk remedies in pregnant women

Used as part of complex therapy. When selecting suitable prescriptions, you need to consult with your doctor. Apply:

nasal saline injection. It is easy to prepare it yourself: add 1/3 tsp to a glass of water. sea salt. If using table salt, add an additional drop of iodine;
instillation into the nose with a solution of onion - a natural antibiotic. Mix the grated vegetable with a small amount of boiled water, add chamomile oil. Regular instillations will help relieve swelling, suppress the growth of bacteria, and improve breathing;
inhalation and washing with decoctions of chamomile, pine, fir, eucalyptus.

Nasal lavage is an effective and safe method of treating inflammation of the maxillary sinuses. It is carried out in specialized institutions using medicinal solutions using the Cuckoo method. You can perform the procedure at home.

For this purpose, ready-made solutions of Dolphin or Aqualor are used, which are mixed with the salt composition of sea salt or Furacilin. They also do washing with miramistin, which has an anti-inflammatory effect and is safe for expectant mothers.

Consequences of sinusitis for a child during pregnancy

The child will have nothing

Rhinosinusitis does not directly affect the fetus. With local infection, bacteria and viruses that cause inflammation cannot cross the placenta. But the constant nasal congestion in a woman disrupts the supply of oxygen to the blood and can lead to the development of hypoxia in the fetus.

Oxygen starvation is the main danger that threatens a child in the absence of therapy for maxillary sinusitis. If an adult woman easily copes with discomfort, then for a baby, especially in the early stages of pregnancy, this is fraught with the development of pathologies.

Severe intoxication of the mother can also adversely affect the condition of the child. There is an increased risk of premature birth or the birth of an underweight baby.

What can pregnant women do with sinusitis

Like any inflammatory disease, maxillary sinusitis requires early diagnosis and careful selection of treatment, taking into account contraindications for a pregnant woman. It is important to follow preventive measures:

eat properly;
walk more often in the fresh air;
observe moderate physical activity;
monitor daily nasal hygiene;
exclude hypothermia;
get enough sleep.

Walk outdoors

Do not try to treat sinusitis on your own. All drugs should be taken only as prescribed by the ENT, especially antibiotics.

Sinusitis is a dangerous and fairly common disease. About a third of all the inhabitants of our country face this unpleasant disease in their lives. The symptoms of sinusitis are hard to bear, but this is, as they say, not so bad. The link is described.

Much more dangerous are the consequences and complications of the disease, which sometimes even lead to death.

In the article, we will consider the possible consequences that may arise due to this disease: we will find out what threatens untreated sinusitis for children and adults, what is the danger of a puncture of the maxillary sinuses, and what will happen if the disease is not treated at all. In addition, we will find out what people who have directly encountered this problem write about this problem.

Consequences for adults

First of all, it must be emphasized that sinusitis requires mandatory treatment under the supervision of a doctor. The specialist can also pick up. But without qualified treatment, the chance of getting a dangerous complication is much higher. And the most harmless of the bouquet of diseases can be considered the development of an acute form of the disease into a chronic one.

There are only three reasons for the occurrence of all complications of sinusitis:

lack of treatment;
untimely, late treatment;
unqualified help, illiterate treatment.

Effects

Very dangerous is the spread throughout the body of a viral infection that has penetrated from the maxillary sinuses. This infection can penetrate into all organs, tissues, blood, causing many dangerous diseases and ailments.
As already mentioned, chronic sinusitis is one of the most "mild" consequences of this disease. This complication occurs in most cases.
Sinusitis can cause vision problems. Consequences for the respiratory system also often occur when the disease is advanced.
Such dangerous and serious illnesses, like meningitis, are also a consequence of sinusitis.
And in the most extreme cases, sepsis (blood poisoning) can also occur. This consequence of sinusitis sometimes ends in death.

On the video consequences of sinusitis:

For kids

How to do a nose massage with sinusitis and whether it is possible to do it yourself, this will help to understand

During pregnancy

The most vulnerable parts of our population are children and pregnant women. The first ones are helpless, and the second ones carry another life in themselves, therefore they risk not only their own health, but also the baby. What are the consequences for the health of a woman and the fetus can be with sinusitis that occurs during pregnancy.

Among the "variety" of potential consequences, the most common are the following:

kidney damage. Including very heavy ones.
Myocarditis. Serious ailment affecting the heart.
Meningitis. The development of this disease in pregnant women is characterized by rapidity. Sometimes meningitis develops literally in a matter of days.
Such severe consequences as sepsis and purulent brain abscess.

On the video sinusitis during pregnancy:

All these consequences relate directly to the well-being of the mother. But, of course, one way or another, they will affect the health of the baby. But as for the fetus itself, this is such a possible complication of sinusitis as hypoxia. Or lack of oxygen. Hypoxia negatively affects the condition of the child, and can lead to irreversible consequences in the form of a severe congenital disease.

In addition, sinusitis for pregnant women can still result in the following problems:

The occurrence of various cardiac, pulmonary, vascular problems due to the inability to breathe normally. An increase in blood pressure.

The appearance of dental problems: inflammation, neuritis, etc. Sometimes the “dental” consequences of sinusitis are so serious that only a surgeon can cope with them during surgery. And, as you understand, giving anesthesia to a pregnant woman and performing an operation is extremely risky.

It is especially dangerous for pregnant women to get complications from sinusitis, so early diagnosis and treatment is very important here. With timely treatment, severe consequences can usually be avoided.

But in this case, diagnosis is also difficult, since a pregnant woman cannot be x-rayed. Therefore, sinusitis is diagnosed in pregnant women by other methods: using diaphanoscopy, ultrasound of the nasal sinuses or a study on a thermal imager.

Consequences of a puncture

Many people know that a puncture is a radical, but extremely effective measure for sinusitis. But, like any surgical intervention, it also has its potential negative consequences. What are the consequences, let's see.

A puncture - or otherwise, a puncture of the maxillary sinuses - is a very unpleasant, but sometimes inevitable way out of the situation. When sinusitis is not treated with antibiotics, nothing helps, but it only gets worse, you cannot do without the help of a surgeon. The purpose of the operation is to remove the accumulated pus in the sinuses, which prevents free breathing, causes pain. In addition, pus must also be removed for the reason that it can penetrate the body and become a source of infection for the entire body, including the circulatory system and meninges.

On the video, the consequences of a puncture with sinusitis:

In the early stages, a puncture is not needed: at this time there is a high probability of recovery with the help of drug therapy. But with advanced sinusitis, sometimes this is the only possible way to restore health to a person.

Dangerous consequences of a puncture

In fairness, it should be noted that dangerous complications after puncture of the maxillary sinuses occur very rarely. But, nevertheless, we list them.

In the picture - how a puncture is made

Bleeding from the nose. If the surgeon inadvertently touches small blood vessels located near the maxillary sinuses, bleeding may not be too much. It is fairly easy to stop and causes no problems.
Puncture of the soft tissues of the cheek or the wall of the orbit. This consequence occurs due to the structural features of the patient's skull. As a rule, such punctures do not pose a health hazard, since a person takes strong antibiotics for a sufficient time after the operation.
An air embolism may also occur.. This happens due to air entering the tissues of the nasopharynx. If just air gets in, then there will be no health consequences. But if pus also gets along with the air, then there may already be problems. But, as a rule, the loading dose of postoperative antibiotics also removes this issue. The main danger of air embolism is for those people who have weakened immunity.

In the event that pus has entered the blood vessels during the operation, the following complications are possible:

abscesses of the eye sockets;
phlegmon;
blindness;
in especially difficult situations and with severely weakened immunity, death occurs.

To exclude such consequences, an x-ray of the nasopharynx is performed before the operation. Thanks to the picture, the doctor presents in advance all the features of the structure of the skull, which greatly facilitates the course of the operation.

If not treated

In the event that sinusitis is not treated at all, complications arise at two levels:

associated with the respiratory tract;
associated with all other organs and systems.

There can be many complications in the respiratory system. Among others, these are:

various inflammatory processes;
sinusitis, rhinitis, otitis;
mucosal hypertrophy, polyps;
persistent tonsillitis, tonsillitis;
bronchitis and pneumonia;

Complications in other organs:

various inflammations of the visual organs, leading, among other things, to complete blindness;
conjunctivitis;
inflammation of the bone tissue;
swelling and neuritis;
disruptions in the circulatory system;
violations of the kidneys;
blood poisoning.

In addition, sinusitis can manifest itself in any other way, depending on the state of human health.

How the cuckoo procedure is carried out with sinusitis will help to understand this from the article.

But what injections are given for sinusitis and how effective they are, is described in great detail in this

This article will help you understand how this treatment happens and how effective it is.

But, it is described in detail in this article.

It will also be interesting to learn about what can replace Bioparox with sinusitis, it is described in great detail here

Sinusitis during pregnancy is a disease that many expectant mothers face. Consider the main causes of the disease, methods of diagnosis, as well as methods of treatment and prevention.

Sinusitis belongs to this category and is an inflammation of the mucous membrane of the maxillary cavities. The maxillary sinuses are large air-filled cavities within the maxillary bones. They communicate with the nasal sinus through the mouth. As a rule, inflammation develops simultaneously or after mucosal damage, it can be bilateral and unilateral.

ICD-10 code

J01.0 Acute maxillary sinusitis

J32.0 Chronic maxillary sinusitis

Causes of sinusitis during pregnancy

Most often, inflammation of the sinuses occurs due to viral and bacterial infections. Harmful microorganisms enter the maxillary sinuses from the oral cavity in the presence of dental diseases, from the nasal cavity in case of rhinitis, and also in case of damage to the tonsils, that is, adenoiditis and tonsillitis. The development of the disease is promoted by polyps in the nose, congenital anomalies of the facial skull, deviated nasal septum.

Causes of sinusitis during pregnancy are associated with a weakening of the immune system. This creates the prerequisites for inflammatory processes. Getting on the mucous membrane of the sinuses and nose, infectious microorganisms cause it to swell and increase mucus production. Since the outflow of the contents of the sinuses is disturbed, all conditions are created for the reproduction of bacteria and the development of purulent inflammation.

Pathogenesis

The disease can take on an acute character if it occurs simultaneously with other inflammatory lesions of the body. It appears due to the influence of infectious diseases of the upper respiratory tract, pathologies in the nasopharynx and oral cavity. If the symptoms of the disease are left without medical attention, then after a couple of weeks the pathology takes on a chronic form, the treatment of which is rather complicated and lengthy. Sinusitis is characterized by purulent accumulations and discharge, very often it is called rhinosinusitis.

The mechanism of development of inflammatory lesions of the nasal sinuses is associated with the influence of infectious microorganisms and bacteria. The pathogenesis is based on the impact of streptococci, staphylococci, viral agents, fungi, Haemophilus influenzae, chlamydia on the nasal mucosa. Sinusitis can develop due to a severe course of acute respiratory diseases or infectious microbes in the respiratory passages.

In some cases, the disease develops due to advanced dental diseases. Congenital curvature of the nasal septum or a long course of allergic diseases also provoke inflammation.

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Symptoms of sinusitis during pregnancy

The body of the expectant mother does not have high protective properties, so even the slightest infection can cause a serious inflammatory process. Symptoms of sinusitis during pregnancy depend on the cause of its development. It is possible to suspect an ailment with a long course of respiratory infections and the absence of the necessary treatment.

Inflammation of the maxillary sinuses causes a deterioration in the general condition. Headaches, fatigue, weakness appear, due to nasal congestion, appetite worsens, and the sense of smell decreases.
When the nasal cavities are filled with pus or mucus, pressure increases in them. This manifests itself as bursting pains under the eyes in the cheek area, a slight swelling of the lower eyelids and cheeks on the affected side.
Unpleasant sensations are aggravated by tilting the head forward. If the patency of the mouths in the nostrils is preserved, then yellow-green thick mucus is observed.
When tapping under the eyes, that is, in the area of the projection of the maxillary sinuses, painful sensations arise.

In the later stages, sinusitis is accompanied by the release of mucus and pus, severe cough, fever and chills. Perhaps the development of conjunctivitis and pain with sudden movements of the head. These signs indicate a chronic, that is, a neglected form of pathology.

First signs

Any diseases during pregnancy have a complex course, which threatens with serious consequences for the body of the mother and fetus. The first signs of sinusitis are manifested as follows:

Labored, heavy breathing.
Headache.
Temperature rise.
Pain in the nose.
Stuffy nose.
The sinuses are filled with mucus and thick purulent discharge.

The disease is accompanied by unpleasant sensations of the whole face. Sometimes it seems that the face is a solid hematoma. Any movement of the head, turns, and inclinations cause piercing sharp pains. If such symptoms appear, you should immediately seek medical help.

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Is sinusitis dangerous during pregnancy?

At the first symptoms of acute respiratory infections and other inflammatory diseases that occur during pregnancy, it is necessary to seek medical help. Many expectant mothers have a question whether sinusitis is dangerous during pregnancy - yes, it is dangerous. Since the disease is characterized by nasal congestion, there is a lack of oxygen entering the body. This leads to disruption of the normal functioning of organs and systems. For the future mother, this is fraught with malfunctions of the cardiovascular system and lungs. The disease can lead to fetal hypoxia and disturbances in its development.

With the progression of sinusitis, serious complications arise, the elimination of which is possible only surgically. At the same time, there is a high risk of harming the unborn child, since operations during pregnancy are dangerous. Left untreated, it can lead to kidney damage, myocarditis, brain abscess, and meningitis.

Forms

According to the international classification of diseases of the 10th revision, sinusitis belongs to several categories at once.

Class X Diseases of the respiratory system (J00-J99)

J00-J06 Acute upper respiratory infections

Acute sinusitis is included in the category (J00-J06) Acute respiratory infections of the upper respiratory tract. Code J01.0 Acute maxillary sinusitis (sinusitis).
Chronic sinusitis is classified under (J30-J39) Other diseases of the upper respiratory tract. Code J32.0 Chronic maxillary sinusitis.

Very often there is a need to clarify the origin of the pathogen that caused the disease. To do this, use the additional encoding B95-B97. According to the B95 classification - streptococci and staphylococci, as the cause of diseases located in other headings. B96 - other bacterial agents. B97 - viruses that provoked the onset of inflammation.

Purulent sinusitis during pregnancy

The most dangerous and difficult to treat disease is purulent sinusitis. During pregnancy, this pathology develops due to the lack of proper treatment and blurred symptoms. Very often, when this form of inflammation appears, doctors fear the spread of infection to nearby organs and tissues.

Symptoms of the disease are manifested as profuse discharge from the nose, loss of smell, pain in the temples and bridge of the nose, heaviness in the head, and difficulty in nasal breathing. A pregnant woman should be alerted by a nocturnal cough, bursting pressure on the roots of the teeth. If the purulent process is started, then there is a decrease in efficiency, a sharp increase in temperature.

Purulent sinusitis during pregnancy develops under such conditions:

The presence of pathogenic microflora in the respiratory tract.
Weakening of the protective properties of the mucous membranes of the nasal cavity.
Anatomical features of the structure of the nasal septa.

For diagnosis, it is necessary to undergo an examination by an otolaryngologist. The doctor collects an anamnesis, conducts an x-ray examination of the sinuses. On x-ray, the disease looks like a blackout. It is possible to use a diagnostic puncture. This method is used if pathological changes in the sinuses are detected on the X-ray. A sinus puncture allows you to pump out accumulated pus and reduce pressure. If a pregnant woman refuses this procedure, then this can lead to conjunctivitis or encephalitis.

Treatment must be comprehensive. Antibiotics, physiotherapy and restorative methods are used to eliminate the disease. But the use of antibiotics and any other medicines during pregnancy is very dangerous, as it can lead to serious complications. Therefore, to eliminate inflammation, safer herbal remedies are recommended, which the doctor selects individually for each patient.

Complications and consequences

Without timely diagnosis and treatment, sinusitis during pregnancy causes many adverse consequences. The outcome of the disease is significantly complicated by the fact that the inflamed sinuses are close to such vital organs as the eyes, brain and throat.

Common consequences of rhinosinusitis:

Inflammation of the ears.
Inflammation of the optic nerves.
Pharyngitis, angina.
Osteomyelitis.
Conjunctivitis.
Trigeminal neuritis.
Inflammation of the lungs, bronchitis, pneumonia.
Purulent abscess in the nose.
Meningitis.

The above diseases are dangerous for the health of the expectant mother and her unborn child. To eliminate them, the use of potent drugs that are contraindicated during pregnancy is required. Another adverse complication is the transition of the disease into a chronic form. Do not forget that the infection can get into the bloodstream and harm the baby. In addition, inflammation provokes oxygen starvation of the fetus, which also negatively affects its development.

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Consequences of sinusitis during pregnancy for a child

The defeat of the sinuses causes permanent nasal congestion, which leads to oxygen deficiency. The consequences of sinusitis during pregnancy for a child depend on how the pathological process proceeds in the mother and what treatment was used to eliminate it. The lack of normal breathing in a woman provokes such pathologies in the fetus:

Hypoxia.
Blood pressure disorders.
Problems of the cardiovascular system and central nervous system.
Swelling of the eye tissue.
Periostitis.
Encephalitis.
Rheumatoid arthritis.
Rhinogenic abscess.

Timely treatment and adherence to medical recommendations can avoid the above pathologies.

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Complications

Sinusitis is a serious health threat. Complications develop due to poor or no treatment. Inflammation provokes swelling of the mucous membrane of the inner lining of the nose and maxillary sinuses. In a pregnant woman, nasal breathing is difficult, which is why a huge number of pathogenic microorganisms accumulate in the nose. The gradual increase in harmful bacteria exacerbates the pathology.

All complications are conditionally divided into two groups:

Acute sinusitis takes a chronic form and is accompanied by painful symptoms. Pathologies of the cardiovascular and respiratory systems, shortness of breath, hypoxia, headaches.
The inflammatory process affects the pharynx and tonsils, provoking the development of adenoids and tonsillitis. There is hypertrophy of the nasal mucosa and the formation of polyps - tumor-like neoplasms.

Consider the complications of the disease, which are manifested by other organs and systems:

The visual system - swelling of the fiber, vein thrombosis, purulent-inflammatory processes in the soft tissues of the orbit. In addition, there is swelling and redness of the eyelids, visual impairment and limitation of eye mobility, pain when pressing on the orbit.
Osteoperiostitis is an inflammatory lesion of the bones that occurs due to the transition of the pathological process from the mucous membranes to the bone tissues. Pathology can be simple and purulent, but in both cases it is a complication of sinusitis.
Meningitis - most often occurs due to self-treatment of the disease and the transition of inflammation to a chronic form. There are many types of meningitis, but all of them are accompanied by severe headaches, fear of light and sharp sounds, and a feverish state.
Sepsis is the most dangerous complication. Blood poisoning occurs due to the penetration of putrefactive bacteria and their toxins into it. For treatment, it is necessary to eliminate the primary focus of inflammation. But without proper therapy, sepsis is fatal.

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Diagnosis of sinusitis during pregnancy

During pregnancy, the expectant mother should especially carefully monitor her health. At the first signs of an inflammatory or any other pathological process, you should consult a doctor. Diagnosis of sinusitis during pregnancy is carried out at the first sign of the disease.

Consider the main diagnostic procedures prescribed by the otolaryngologist:

History taking - the doctor asks about complaints of nasal congestion, the presence of severe pain in the maxillary sinuses, cough, headaches and other signs of the disease.
Visual examination - with its help it is possible to detect redness and swelling of the infraorbital region due to reflex vasodilation.
Rhinoscopy - on the surface of the nasal mucosa there is inflammation and swelling. There is a discharge of purulent mucus.
X-ray of the paranasal sinuses - the picture shows a slight darkening, indicating rhinosinusitis.
Puncture - puncture of the septum of the maxillary sinuses. With the help of this procedure, it is possible to remove part of the pus for the study of bacteria and to make breathing easier for a while.

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Analyzes

If sinusitis is suspected, a number of tests are taken from the patient to identify the pathological process. A pregnant woman needs to pass a general blood test and urine. An acute inflammatory process is evidenced by a high ESR value and an increased number of granulocytes.

In addition to donating blood to clarify the disease, additional studies are carried out: a swab from the nose to test for sensitivity to antibiotic drugs, an x-ray of the nasal sinuses and a CT scan of the facial part of the skull. It is mandatory to sow on nasal and sinus cultures. If an allergic nature of rhinosinusitis is suspected, an allergic test is taken from the patient to determine the allergen.

Instrumental diagnostics

Diagnosis of inflammatory lesions of the mucous membrane of the nasal cavities is a complex process that involves the use of various methods. Instrumental diagnostics allows you to clarify the presence of pathology.

Rhinoscopy - examination of the sinuses with the help of mirrors. If the disease proceeds in an acute form, then there is swelling of the mucous membrane of the middle nasal passage and diffuse hyperemia of the middle shell from the side of the lesion. The bacterial form is defined as congestive accumulation of pus, hyperplasia, polyps on the mucous membrane.
Radiography - the pathology looks like a darkening in the picture. The picture is taken in different projections to obtain a clearer result. X-ray features of different forms of sinusitis make it possible to determine the morphology of the disease.
Diaphanoscopy is the translucence of the affected maxillary sinuses with the help of electric light, Voyachek's diaphanoscope or Hering's bulb. This method determines inflammation only with a unilateral lesion.
CT is a type of radiography that provides more accurate information about the presence of the disease.
Echosinusoscopy is an ultrasound of the sinuses, which has no contraindications. The study is allowed to be carried out during pregnancy.

Differential Diagnosis

According to its symptoms, sinusitis is similar to other diseases, therefore, differential diagnosis should be used to identify it. Let us consider in more detail with which diseases it is necessary to differentiate rhinosinusitis:

Wegener's granulomatosis is an autoimmune pathology in which granulomas form in the walls of blood vessels. According to medical statistics, in 90% of patients, this disease causes damage to the maxillary sinuses and ENT organs.
Immovable cilia syndrome is an autosomal recessive disorder that is associated with recurrence of ENT diseases and cardiovascular lesions.
Ataxia-telangiectasia is a genetic disease that develops against the background of primary immunodeficiency. The disease provokes recurrent sinusitis and sinusitis, lung infections.
Nasal polyposis - rhinosinusitis recurs in patients with a tendency to hyperallergic reactions in the nasal cavity. Pathology is associated with bronchial asthma.

Inflammation can develop due to diseases that are distantly related to the nasopharynx. These pathologies include gastroesophageal reflux disease, various dental diseases, and adenoiditis. Since there are many differential diagnoses, only an otolaryngologist should diagnose the disease.

Rhinosinusitis is called purulent inflammation, a dense ring covering one or two nasal paranasal sinuses. Sinusitis - this is the name of the disease more familiar to everyone - it is dangerous with complications that arise if you hesitate and do not start treatment on time. What to do when a pregnant woman has become a victim of an unpleasant disease?

There is an opinion that the immunity of the expectant mother during the period of expectation of the child is tested for strength and tempered. This is not at all the case - the defenses of a woman's body during pregnancy are more than modest, that is, the most insignificant reason is enough to get sick. It is not surprising that such protracted and complex diseases as sinusitis are extremely reluctant to leave pregnant women. In addition, in relation to the future mother, the doctor can apply only a minimal set of medications, since aggressive therapeutic measures and medications are likely to harm not only the woman, but also her baby. The elimination of such a problem must be approached very carefully and only under the supervision of a competent doctor.

Causes of sinusitis during pregnancy

It happens that pregnant women feel as if they have a runny nose - the nose is about to stop breathing. Especially often, expectant mothers encounter such sensations in the 1st trimester of pregnancy, but this does not at all indicate the onset of sinusitis. Bad, as if pre-cold, health is explained by the specific state of the body of a woman in position. The development of an inflammatory reaction in the cavity of the maxillary sinuses is facilitated by external factors, in particular colds. Let's find out how infection occurs.

Absolutely all body systems of a pregnant woman work with a vengeance. All membranes that are responsible for the secretion of mucus for various purposes increase its production, and the mucous secretions everywhere become thicker and more concentrated. The explanation for this phenomenon should be sought in a large restructuring of the hormonal background of the expectant mother. During pregnancy, become more viscous:

saliva;
vaginal discharge;
nasal mucus.

This contributes to the fact that various microorganisms, including pathogens, leave the body much more slowly than before, before conception. Some of them generally remain in the sinuses, where they begin to actively multiply. The same thing happens in all mucous environments of the body, and for the expectant mother, the threat of developing diseases such as dysbacteriosis, caries and sinusitis increases.

Here is a list of harmful microorganisms that can serve as the beginning of a dangerous disease:

streptococcus;
staphylococcus;
various viruses;
hemophilic bacillus;
mycoplasma;
chlamydia;
fungal organisms.

It is paradoxical, but true: most often, pregnant women experience sinusitis not due to the activity of the pests listed above, but after suffering and poorly cured acute respiratory infections, a complication of which is rhinosinusitis.

Symptoms of sinusitis during pregnancy

Increasingly occurring headache and a constant feeling of nasal congestion are considered alarming harbingers of the disease. As inflammation progresses, the number and intensity of symptoms increases. There are such "bells" of sinusitis, such as:

persistent nasal congestion;
pain in the frontal and nasal sinuses;
secretion of yellow-green mucus from one or both nostrils;
headache, which becomes especially severe if you tilt your head down;
annoying cough at night;
in rare cases, the smell of rot from the nasopharynx;
fever (in some patients).

Consequences of sinusitis during pregnancy

Too late discovered inflammation of the maxillary sinuses almost always causes various complications in a woman and a baby, which she wears under her heart. The consequences of neglected sinusitis affect the state of many body systems, which causes serious concerns among doctors for the health of the patient. So, a disease that is not cured right away can cause deep damage to the renal pelvis, myocarditis, rapidly developing meningitis, sepsis and brain abscess.

Due to the fact that on the basis of sinusitis, the body regularly receives less vital oxygen, a pregnant woman develops various hypoxic disorders, which, by the way, can also affect the condition of the fetus. A persistently stuffy nose poses a serious risk to the health of the heart muscle, lungs, and normal blood pressure. Under certain circumstances, sinusitis causes various diseases of the teeth and inflammation of the trigeminal nerve, due to which all the facial muscles are covered with severe pain.

The progression of sinusitis is a direct path to surgical intervention. Only surgery can suppress the strongest inflammatory process, but for a pregnant woman, as you understand, this procedure is by no means safe. In addition, the expectant mother is worried not only for herself, but also for the health of her child. It is for these reasons that you need to go to the doctor's office even with the usual runny nose. Such vigilance will help to calculate the development of sinusitis in time.

Features of the diagnosis of the disease

The main difficulty in identifying early sinusitis lies in its similarity with the common cold. Indeed, the development of the inflammatory process in the body of a pregnant woman can cause the slightest hypothermia, and the symptoms of sinusitis are very mild at first.

To diagnose the disease, doctors use the method of radiography of the nasal and frontal sinuses. However, in exceptional cases such as pregnancy, the woman must be protected from X-ray exposure. Expectant mothers are also contraindicated in another popular diagnostic method - computed tomography. It is very important not to inadvertently harm an unborn baby, so doctors are almost always forced to determine the diagnosis based on data:

procedures for transillumination of the maxillary sinuses - diaphanoscopy;
examination of the patient on a thermal imager;
Ultrasound of the frontal and nasal sinuses;
studying the patient's medical history;
punctures.

Such an event as a puncture is of particular importance in the framework of diagnostics, since it also performs a therapeutic function.

How to treat sinusitis during pregnancy

The traditional way to eliminate the disease is to carry out rehabilitation procedures, taking antibacterial drugs and other medicines. Such therapy usually gives quick and favorable results, but, unfortunately, it cannot be used in relation to a pregnant woman with sinusitis - the risk of harming the baby with such intensive treatment is too great. Timeliness, competence and balance are the fundamental features of the treatment of sinusitis in expectant mothers.

Let's look at ways to eliminate the disease during pregnancy.

Washing the sinuses

Removal of purulent contents from the sinuses by moving fluid (washing) in the patient's nose is the first therapeutic measure that the doctor will offer a woman with sinusitis. For the procedure, the patient lies on the couch on her back, while her head should be located below the rest of the body line.

The doctor pours a special liquid prepared on the basis of saline into one nostril of a woman, and in the meantime sucks out purulent secretions from the other, which, under the influence of the solution, freely come out. The washing procedure was popularly called the "cuckoo" - all because the patient, when washing, must say "cuckoo" from time to time. This is necessary so that the medicinal solution does not get into the throat, flowing from one nostril to another. Before the procedure, the doctor must warn the pregnant woman that it is impossible to inhale, otherwise saline, along with pus, will enter the cavity of the lower respiratory tract.

Medicines for women in an "interesting" position

The use of drugs for the treatment of sinusitis during pregnancy is justified only in cases where the doctor is sure that the expected positive effect will exceed possible side effects. At the same time, a pregnant woman should stay away from the aggressive active ingredients of antibiotics. The problem was relevant both many years ago and today, which prompted physicians to look for alternative ways to solve it. Today, pharmacologists have developed gentle antibacterial drugs that are prescribed to women in a safe position - the drugs do not cause a teratogenic effect. Among them we note:

Augmentin;
a number of third-generation cephalosporins;
Azithromycin;
Spiramycin (prescribed in exceptionally severe cases).

The following complexes of beneficial bacteria play an auxiliary role in the antibacterial therapy of sinusitis:

Linex;
Bifiform;
Hillak Forte.

Drugs of the local spectrum of action

Medicinal products of this category of pregnant women are prescribed with great care in very moderate doses. They are necessary to eliminate puffiness and restore the mucous membrane of the nasal cavity depleted by the disease. Drops and nasal sprays such as Dlyanos, Nazivin, Otilin, Otrivin exhibit a vasoconstrictive effect and allow you to breathe deeply again. You can use them no more than twice a day.

If the condition of the pregnant woman allows you to do without such drugs, they are not prescribed so as not to once again endanger the health of the child.

Homeopathic preparations

Homeopathy is a great alternative to antibiotics. Treatment according to this principle will help out when traditional therapeutic methods do not work or are prohibited (in case of pregnancy and other indications). Homeopathy is based on an individual approach to the patient and the use of medicines containing minimal doses of the original active substance of natural origin.

Among the most popular homeopathic medicines in the treatment of sinusitis in pregnant women, the following can be noted:

Asinis;
Cinnabsin;
Euphorbium compositum.

The duration of the course of treatment is determined by the attending physician, focusing on the form and neglect of the disease. The object of close attention of homeopathy is the immune system of the body: its work must be stimulated so that the body independently finds the strength to fight the disease. This process is definitely time consuming. In the case of treatment of sinusitis during pregnancy, the doctor and his patient are interested in quickly getting rid of the disease, because we are talking about the health of the baby. That is why homeopathic medicines are prescribed to a pregnant woman as an additional measure to traditional therapy.

Sinus puncture

The doctor pierces the maxillary sinuses to remove pus and inject a disinfectant healing liquid into the nasal cavity using a special needle. This cardinal measure brings immediate relief to the patient: breathing becomes free, headache subsides, high body temperature returns to normal. All this is due to the rapid decrease in pressure in the sinuses after a puncture.

Some people who know firsthand what sinusitis is, are sure that the puncture contributes to the resumption of the inflammatory process after some time. Doctors are in a hurry to refute this belief, objecting: relapses do happen, but the reason lies in the disease that has not been properly treated. During the period of remission of sinusitis, a pregnant woman should not neglect such physiotherapeutic procedures as heating and laser. The pregnant woman should agree on the frequency of visits to the physical room with the doctor.

It turns out that puncture is the most efficient and effective way to treat sinusitis. At the same time, this procedure can be safely dispensed with if sinusitis is detected and treated in a timely manner.

Treatment of sinusitis during pregnancy at home

Sinusitis is not at all something to think about during pregnancy, so the expectant mother needs to make every effort for a speedy recovery. Traditional medicine recipes will help to significantly improve the patient's condition. Naturally, the expectant mother should discuss the features of home treatment with her doctor.

So, what can be done to make the insidious disease recede?

The basic procedure for folk therapy of sinusitis is washing. The event is performed immediately, as soon as nasal congestion begins to bother. Washing is done regularly, until complete recovery. You can douche using saline or salt water made from sea salt and plain water. Means effectively destroy the pathogenic microflora that formed in the nose during the illness.

Rinse the nose with a large syringe (five or 10 cc) until there is a feeling of complete cleansing of the respiratory passages. During the procedure, a stream of water is directed into the nasopharynx, trying to get it out through the mouth. The final stage of washing is the instillation of the nose with any drops that the attending physician of the pregnant woman does not object to.

You can also contact an otolaryngologist for help with flushing. The effectiveness of the procedure in this case increases, since special-purpose tools are used for its implementation.

Natural nasal rinses

Salt solution is not the only remedy for washing a stuffy nose with sinusitis. A good result is also brought by water infusions of medicinal herbs:

A traditional folk remedy for suppressing the inflammatory process is infusions of marigold flowers or chamomile.
An infusion of common cuff herb boasts an excellent anti-inflammatory effect. Dried herb in the amount of 3 tbsp. l. pour 2 tbsp. freshly boiled water and infuse for 4 hours. Then strain the solution and apply as needed.
Alternative medicine often exploits the healing properties of infusions of peppermint leaves and agrimony. 3 art. l. raw materials need to be poured with boiling water and allowed to brew for 2 - 3 hours. Apply the medicine up to 4 times a day.
Horse sorrel roots are another useful raw material for the preparation of a remedy for sinusitis. 1 st. l. dry crushed roots pour 1 tbsp. hot water and boil for 15 minutes, then leave for 2 hours. Bring the finished broth to the desired volume by adding warm water there, and rinse the nasal sinuses with the product.
An infusion of cultivated grape leaves has established itself as a remedy that facilitates the washing out of mucus and pus from the nose, and contributes to a speedy recovery. For the health of a pregnant woman, natural medicine does not pose any danger.

How not to run a common cold to sinusitis

Faced with such a problem as sinusitis, it is important for a pregnant woman to know which herbs can be used to block the progress of the disease. As we have already found out, sinusitis develops on the basis of a severe cold, the cause of which was the rhinovirus. To strengthen local immunity and prevent the spread of inflammation, the treatment of the common cold should be started from the first days of its appearance. It is not difficult to prepare drops at home that improve the condition in acute rhinitis. Such funds are instilled into each nostril 2-3 drops several times a day. Here are some interesting recipes for you:

Large plantain juice is diluted with boiled warm water in a ratio of 1 to 1 to eliminate a runny nose at an early stage.
Juice obtained from black nightshade berries is combined with warm boiled water at the rate of 1 part of juice to 4 parts of water.
Coltsfoot also perfectly eliminates the feeling of congestion in the nose with sinusitis. Undiluted plant juice is instilled into each nostril, 5 drops. The natural remedy makes the thick secretory fluid in the nose less viscous and easily flushes it out, making coltsfoot juice an effective remedy for chronic sinusitis.

Natural drops for instillation of the nose with sinusitis

Suppose a pregnant woman could not get rid of rhinitis in a timely manner and therefore fell ill with sinusitis - what does traditional medicine recommend in such cases? There are many effective natural remedies that will help the mother to recover, and the baby will not be harmed. We list the most popular of them:

Aloe juice.

This tool helps the affected nasal mucosa to recover quickly. Ready aloe juice can be purchased at a pharmacy and drip 2-4 drops into the nose up to 4 times a day. If at home you have a beautiful and strong agave on your windowsill, then why not make medicine from it? To obtain juice, aloe leaves are used at least 17 cm in length. They need to be cut off and stored in the freezer. As needed, frozen leaves are taken out of the refrigerator, placed in a sterile dish and waited for them to thaw. The juice from the leaf is easy to squeeze out with a spoon. Freezing does not in any way reduce the beneficial qualities of the plant, on the contrary, it turns the mucus that is filled with aloe tissues into a watery liquid.

Tea tree oil.

This is a powerful antiseptic and anti-inflammatory agent that instantly destroys the pathogenic microflora in the sinuses. Add 2 - 3 drops of tea tree to aloe juice and use for instillation of the nose according to the above scheme.

Tui oil.

Perfectly disinfects and cleans the maxillary sinuses. 1 drop of the drug is instilled into each nostril 3-4 times a day.

Beet.

Try to defeat chronic rhinitis and sinusitis with boiled beet juice. 3 drops of the product are dripped into each nostril up to 5 times a day. The juice of a fresh vegetable is also suitable, only it needs to be fermented beforehand for greater effectiveness.

Cyclamen juice.

This remedy will allow you to quickly forget about rhinitis. Squeeze a little juice from the bulb of the plant and in its pure form drip into the nose - 1 drop in each nostril. Be prepared for the fact that a few minutes after this, copious discharge will flow from your nose. More than once a day, cyclamen juice cannot be treated, otherwise there is a risk of poisoning.

Needles.

A coniferous pillow will help get rid of chronic sinusitis. Boil the branches of any coniferous tree available to you in boiling water so that they begin to release essential substances that are beneficial for health into the air. Breathe in the steam with a towel over your head. After the procedure, do not throw away the branches - fill a pillowcase with needles and sleep on it.

Prevention of sinusitis during pregnancy

The expectant mother should carefully monitor her well-being - during pregnancy, her body is so weakened that the slightest cold can cause various complications. So, sinusitis during pregnancy turns into serious consequences for the child: intrauterine infection with the subsequent development of pneumonia, hypoxia, intrauterine death. Meanwhile, the rules for the prevention of sinusitis during pregnancy are very simple and every woman can follow them:

When it is cold outside, do not leave the house without a hat - a woolen scarf, bandage or hat will protect your forehead from hypothermia.
To stimulate air exchange in the sinuses, perform special breathing exercises. Press one nostril firmly with your finger and, taking a deep breath, exhale the air through your mouth. Do the same with the other nostril closed. For 1 lesson, do 8 repetitions, during the day breathe in this way 4-5 times.
Watch your diet - a balanced diet is a reliable support for immunity.

Runny nose during pregnancy. Video

Sinusitis is always troublesome to treat. It requires an integrated approach, prevention of possible complications, a combination of folk remedies with traditional medicine and, in many cases, surgery. However, sinusitis during pregnancy is even more dangerous, because it can damage not only the expectant mother, but also the child.

Causes

Sinusitis occurs during pregnancy due to infection in the maxillary sinuses, located right under the eyes, on both sides of the bridge of the nose. In the human body, they perform three functions:

They warm the air before it enters the lungs from the nasal passages.
Provide individual sounding to a voice, doing it unlike others.
They give the face a certain relief, which is why it looks the way it looks.

The infection can penetrate them due to:

Reduced immunity. And since the body of a woman carrying a child is experiencing severe stress, her immunity is reduced, which makes sinusitis during pregnancy very likely.
Chronic runny nose. Whatever the cause: allergies, a cold, a sore throat, a deviated nasal septum, or simply the fact that nasal mucus thickens during pregnancy and becomes more susceptible to pathogens.
Infections. Dental diseases, inflammatory eye diseases, tonsillitis - the source of infection is located near the maxillary sinuses, which increases the likelihood of complications.

Sinusitis in pregnant women is more likely to occur than in others, and it also brings them more problems, since even a puncture can be harmful to them.

Dangers for pregnant women

The main dangers of sinusitis during pregnancy include:

1. Oxygen starvation. Since the maxillary sinuses are directly responsible for supplying the body with oxygen, a violation of their function can lead to starvation, which is dangerous not only for the woman herself, but also for the fetus, which shares the circulatory system with the mother. And if the body of an adult copes with such minor inconveniences easily, for a child, especially in the early stages of pregnancy, they are fraught with developmental pathologies.

2. Complications. Sinusitis can lead to inflammation of the eyes, teeth, tonsillitis, frontal sinusitis, even meningitis. The infection can get into the brain. It will be very difficult to cure her, and when the life of the mother is threatened, the child is also at risk.

3. Wrong treatment. Vasoconstrictive drops, for example, also act on the placenta and their use can cause the baby to starve. Carelessness when treating sinusitis during pregnancy is one of the main dangers for the baby.

How to treat

Treatment of sinusitis during pregnancy should be:

Timely. The later it starts, the greater the likelihood of complications and the fact that it will not be possible to do with drugs, and a puncture will be needed.
Professional. Folk remedies are good, but only as an auxiliary part. Self-medication can be deadly, and not all procedures performed by a doctor can be done at home - a puncture, for example, will not work.
Complex. Sinusitis cannot be treated in any one way (using only drops, for example) - different means must be used that will complement each other.

Medicines

It is possible to treat sinusitis without using surgical means (a puncture is stressful for the mother's body and it is better to avoid it if possible). Usually this option is tried first. Various drugs are used:

Antibiotics. Usually drops are used, since they act only on a specific area of \u200b\u200bthe body and immediately enter the very focus of infection. However, during pregnancy, their use is difficult - too many side effects. Therefore, they are used only as a last resort, and only according to a clearly drawn up schedule. Sometimes they are introduced by making a puncture.
Drops based on essential oils. These drugs reduce swelling and have an antibacterial effect. At the same time, they do not harm the expectant mother, since all their components are natural.
Drops based on sea water. They are prescribed even for newborns, since they do not cause allergies and cannot adversely affect the body. Drops wash out mucus and have an antibacterial effect.
Washing solutions. Such remedies also flush out mucus along with pus and clear the airways.

Vasoconstrictor drops are prescribed only in extreme cases, if a woman is very suffering from nasal congestion. Then you can use them, but only in moderate amounts determined by the doctor.

Operation

Surgical treatments include:

"Cuckoo". The procedure is not a full surgical operation, rather related to physiotherapy, but, nevertheless, it can be effectively treated with sinusitis. With it, a hose is inserted into one nostril of the patient and a sterile pharmaceutical solution begins to be pumped. From the other nostril, it pours out already with pus, washing the sinus.
Puncture. This procedure is usually carried out under local anesthesia, which, unlike general anesthesia, cannot harm the child. A needle is inserted into the maxillary sinus, with which pus is pumped out, and then funds are poured inside to prevent the recurrence of the disease.

A puncture can be stressful for the body, but sometimes this is the only way to prevent the development of the disease.

ethnoscience

It is important to remember how sinusitis is dangerous during pregnancy - inept treatment. Folk remedies are good in moderate doses and can only be used carefully. With sinusitis, you can apply heating:

Salt or sand. Heat in a frying pan, pour into a specially sewn bag, put on the sinuses.
Eggs. Boil, cool, put on the sinuses.
Clay. Bake two small cakes in the oven, put on the sinuses.

Discomfort when folk remedies are used is a sign that it's time to take a break.

Inhalations may also help:

Vegetables. You need to boil potatoes in their skins, or a few onions, or heads of garlic and breathe over the broth.
Garlic. You need to heat a frying pan in the oven, put garlic gruel on it and breathe in the fumes.
Essential oils. In boiling water, you need to drop a little essential oil of eucalyptus, pine or sage.

Folk remedies are good in moderation, and boiling water can burn you no worse than fire. Therefore, you need to be careful, and in case of dizziness or pain, stop the procedure.

During pregnancy, you need to be extremely careful and not do anything without the advice of a doctor - a good example is vasoconstrictor drops, which, although they seem completely unrelated to the health of the fetus, can lead to pathologies.