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},
"code": "J01",
"name": "Острый синусит",
"icd_name": "Острый синусит",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
2
],
"periodicity": 1,
"slug": "j01_ostryy_sinusit",
"lead": "Воспалительное заболевание околоносовых пазух бактериальной, вирусной, грибковой или аллергической природы. \r\n",
"description": "Острое воспаление придаточных пазух носа. Различают гайморит (воспаление слизистой оболочки верхнечелюстной (гайморовой) пазухи), фронтит (воспаление лобной пазухи), этмоидит (воспаление решетчатого лабиринта) и сфеноидит (воспаление клиновидной пазухи).",
"etiology": "<p>Основными возбудителями при остром синусите являются Streptococcus pneumoniae и Haemophilus influenzae, которые высеваются более чем в 50% случаев заболевания. Реже встречаются M. catarralis, Str. pyogenes, Staph. aureus, анаэробы, вирусы. Синусит, развившийся на фоне респираторных инфекций верхних дыхательных путей, традиционно относят к внебольничным формам заболевания. Кроме того, в последнее время выделяют нозокомиальный (внутрибольничный) синусит, возникающий после длительной тампонады полости носа, назогастрального зондирования или назотрахеальной интубации. При этой форме основные возбудители – анаэробы, группа энтеробактерий, реже золотистый стафилококк и грибы.<br></p><p><br>Острое <a href=\"/symptom/vospalenie/\" title=\"Перейти на страницу симптома воспаление\">воспаление</a> околоносовых пазух может развиться на фоне различных состояний, по происхождению выделяют следующие типы<br></p><p> Травматические<br> Вирусные (развиваются после ОРВИ);<br> Бактериальные;<br> Грибковые (чаще как суперинфекция);<br> Смешанные;<br> Аллергические<br> Медикаментозные</p>",
"pathogenesis": "<p>При остром\r\n воспалении преобладают экссудативные процессы. Первоначально, на ранних\r\n стадиях воспаления <a href=\"/symptom/vypot/\" title=\"Перейти на страницу симптома Выпот\">экссудат</a> серозный, затем слизисто–серозный, а с \r\nприсоединении бактериальной инфекции становится гнойным, содержащим \r\nбольшое количество лейкоцитов и детрита. При этом повышается \r\nпроницаемость капилляров и развивается отек слизистой оболочки.<br><br>Существует\r\n два вида синусита: острый (начинается внезапно) и хронический \r\n(длительный). Синусит часто является результатом вирусной инфекции. \r\nБольшинство синусовых инфекций проходит самостоятельно, но иногда они \r\nперетекают в бактериальную инфекцию – отек, <a href=\"/symptom/vospalenie/\" title=\"Перейти на страницу симптома воспаление\">воспаление</a> и выделение \r\nслизи, вызванные простудой, могут привести к блокировке носовых проходов\r\n и способствовать росту бактерий.<br><br>Острый синусит, и вирусный и \r\nбактериальный, может продлиться 8 недель и дольше. Хронический синусит \r\nможет привести к постоянным изменениям в мембранах слизистой оболочки, в\r\n результате которых пациент становиться более склонными к развитию \r\nсинусовых инфекций.<br></p>",
"diagnostics": "<p>Жалобы. В анамнезе присутствуют хронический отит и/или ренит. Показательна рентгенография черепа в двух проекциях.</p>",
"treatment": "<p>Консервативное. Применяются антибиотики, сосудосуживающие препараты.</p>",
"prevention": "<p><br></p>",
"clinical_picture": "<p>Температура тела повышена. Характерны <a href=\"/symptom/golovnaya_bol/\" title=\"Перейти на страницу симптома Головная боль\">головная боль</a>, давящая боль в области корня носа и переносицы, нередко отмечают отек внутренних отделов верхнего и нижнего века, гиперемию конъюнктивы на соответствующей стороне. Выделения вначале серозные, а затем гнойные. Гнойное <a href=\"/symptom/vypot/\" title=\"Перейти на страницу симптома Выпот\">отделяемое</a> в среднем носовом ходе – признак поражения передних решетчатых клеток, в верхнем носовом ходе – воспаления задних. Резко снижено обоняние, затруднено носовое дыхание. Средняя раковина в большинстве случаев увеличена, гиперемирована. При затрудненном оттоке гноя воспалительный процесс может распространяться на глазничную клетчатку.</p>",
"image": null,
"image_alt": null,
"standard_type": 1,
"danger": 18,
"published": 1,
"parent": null,
"block_rubric": 100,
"standards": [
4758,
4780,
5046,
5233
]
},
{
"id": 6581,
"symptoms": [
{
"id": 3103,
"synonyms": [
{
"name": "Заложен нос"
},
{
"name": "Нос не дышит"
},
{
"name": "Болит нос"
},
{
"name": "Насморк"
}
],
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{
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"name": "Заложенность носа ",
"gender": 0,
"age_min": 0,
"age_max": 100,
"slug": "zalozhennost_nosa",
"lead": "Заложенность носа – это распространенное явление, возникающее из-за развития отека слизистой оболочки носовой полости",
"image": null,
"published": 1,
"danger": false
},
{
"id": 2955,
"synonyms": [
{
"name": "Нос заложен"
},
{
"name": "Нос забит"
},
{
"name": "Сопли"
},
{
"name": "Насморк"
}
],
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"code": "J00",
"name": "Острый назофарингит (насморк)",
"icd_name": "Острый назофарингит (насморк)",
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"lead": "Нарушение здоровья, относящееся к группе острые респираторные инфекции верхних дыхательных путей",
"description": "Острый назофарингит - это ЛОР-заболевание, в основе которого лежит воспалительный процесс слизистой оболочки носоглотки, чаще всего инфекционного происхождения (вирусы, бактерии). ",
"etiology": "<p>Острый назофарингит имеет вирусную или, реже, бактериальную этиологию. </p>\r\n<p>В роли инфекционных агентов вирусной природы в основном выступают риновирусы, бактериальной природы - стрептококки, стафилококки, диплококки, пневмококки и другая микрофлора, обычно обнаруживаемая в носоглотке в непатогенной форме. </p>\r\n<p>Среди предрасполагающих факторов можно выделить следующие: </p>\r\n<ul>\r\n<li>ослабление иммунитета; </li>\r\n<li>переохлаждение; </li>\r\n<li>травмы слизистой носа; </li>\r\n<li>авитаминоз; </li>\r\n<li>тяжелые физические нагрузки; </li>\r\n<li>вдыхание задымленного, едкого воздуха. </li>\r\n</ul>",
"pathogenesis": "<p>Входными воротами инфекции служит слизистая оболочка носа и, возможно, верхних дыхательных путей. </p>\r\n<p>Их размножение реализуется в эпителиоцитах слизистой оболочки носа, что сопровождается разрушением клеток, развитием местной воспалительной реакции катарального характера с полнокровием и расширением сосудов, умеренной инфильтрацией, резким набуханием, отёчностью слизистой оболочки и обильной секрецией. </p>\r\n<p> </p>",
"diagnostics": "<p>Для постановки диагноза проводят анализ жалоб и сбор анамнеза. Необходимо грамотно провести объективный осмотр больного, особенно полости рта и глотки пациента. </p>\r\n<p>Выполняется общий анализ крови для оценки характера заболевания. </p>\r\n<p>При неясной картине заболевания проводят специальные инструментальные исследования: риноскопию и фарингоскопию. </p>\r\n<p>Риноскопия — информативный метод осмотра полости носа. </p>\r\n<p>Фарингоскопия — методика осмотра глотки при искусственном освещении с помощью шпателя и носоглоточного зеркала. Позволяет увидеть небные миндалины, язычок, заднюю стенку глотки. </p>\r\n<p>Для подбора эффективного лечения проводится микробиологическое исследование. Определяется характер возбудителя и наиболее эффективное антибактериальное средство. </p>\r\n<p> </p>",
"treatment": "<p>При повышенной температуре тела и нарушении общего состояния рекомендуется постельный режим, прием жаропонижающих средств. Больному необходимо обильное питье, особенно полезны для этого свежевыжатые разбавленные фруктовые соки, морсы, компоты, некрепкий чай с лимоном. </p>\r\n<p>Если заболевание вызвано бактериями, врач назначает антибиотики. Чаще всего, лекарственные препараты назначаются местно в виде капель или спрея. </p>\r\n<p>При нарушении носового дыхания применяют сосудосуживающие средства. Их длительное применение более недели приводит к пересыханию слизистой оболочки и еще более выраженному нарушению носового дыхания. </p>\r\n<p>Хорошие результаты дает применение физиотерапевтических процедур: кварц, УФО, УВЧ. </p>\r\n<p>Боли в горле облегчает полоскание отварами трав или растворами антисептиков. </p>",
"prevention": "<p>Комплекс профилактических мероприятий против назофарингита складывается из нескольких правил: </p>\r\n<ul>\r\n<li>Правильного и регулярного питания. Необходимо употреблять много овощей и фруктов, пить больше воды и принимать поливитамины. </li>\r\n<li>Соблюдать санитарные условия в доме, проветривать помещение, не допускать повышения влажности. </li>\r\n<li>Регулярно промывать носовую полость. </li>\r\n<li>Необходимо больше проводить времени на свежем воздухе. </li>\r\n<li>Соблюдать режим труда и отдыха, сна и бодрствования. </li>\r\n<li>Во время процветания болезни требуется избегать большого скопления народа.</li>\r\n</ul>",
"clinical_picture": "<p>Острый назофарингит имеет 3 стадии развития: </p>\r\n<ol>\r\n<li>На начальной стадии возникает ощущение дискомфорта в носоглотке </li>\r\n<li>На втором этапе наблюдается большое количество серозного отделяемого </li>\r\n<li>На третьей стадии выделения приобретают серозно-гнойный характер. </li>\r\n</ol>\r\n<p>У взрослых заболевание протекает легче, чем у детей. Температура может оставаться нормальной или незначительно повышаться. В детском возрасте назофарингит часто сопровождается лихорадкой и нарушением общего состояния. Симптомами заболевания могут быть: </p>\r\n<ul>\r\n<li>Заложенность носа </li>\r\n<li>Покраснение и отек слизистой оболочки носа </li>\r\n<li>Вязкое отделяемое по задней стенке носоглотки </li>\r\n<li>Затруднение носового дыхания </li>\r\n<li>Нарушение обоняния </li>\r\n<li>Повышение температуры </li>\r\n<li>Боль в ушах и снижение слуха </li>\r\n<li>Головные боли. </li>\r\n</ul>\r\n<p> </p>",
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