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Early detection and timely treatment of sinusitis in children will help protect the health of children. Besides, parents also need to pay special attention when taking care of children with sinusitis to prevent the disease from recurring or getting worse.1. Treatment of sinusitis in children
1.1 Medical treatment Treatment of sinusitis in children is mainly treated with antibiotics, anti-inflammatory and anti-allergic drugs. Effective sinusitis medications for children are: Amoxicillin, Azithromycin, Clarithro Cine or Cefuroxime. If there is no response to treatment with Amoxicillin, it should be replaced with Clavulanate (90 mg/kg). The average duration of treatment is about 10-21 days.
Besides, combined with using physiological saline or deep sea water to clean the nose every day, loosen the mucus in the nose and make it easier to escape, and open the sinus drainage hole.
However, do not arbitrarily buy and give children any medicine without a doctor's prescription.
1.2 Surgical treatment When medical treatment of sinusitis does not work, it is necessary to intervene by surgical methods. Depending on the case, the doctor will decide whether the surgery is curettage of the VA, widen the sinus opening, remove anatomical abnormalities in the nasal cavity or remove polyps...
VA curettage: This is the preferred surgical surgery. First, because if the VA is enlarged, it will cause obstruction of the posterior nasal port. VA curettage is indicated in the treatment of sinusitis in children over 8 months of age. After curettage of the VA, the child will stop having runny nose, no fever, and develop normally. However, some cases will not be cured due to chronic otitis media, allergic rhinitis, sinusitis and tonsillitis.
Functional Endoscopic Sinus Surgery (FESS): Surgery that minimizes the damage to the nose and sinuses and leaves normal tissue. Indications for FESS in the treatment of sinusitis in children are allergic rhinitis causing frequent nasal congestion and runny nose; complete nasal congestion due to nasal polyps or posterior nasal polyps; sinusitis causing intracranial complications; periorbital abscess damages the optic nerve and reduces vision, pouchitis; or fungal sinusitis.
Điều trị viêm xoang ở trẻ em chủ yếu là điều trị bằng thuốc kháng sinh, kháng viêm và kháng dị ứng
2. Caring for children with sinusitis
2.1 Nasopharyngeal hygiene If the child has only mild nasal congestion and liquid nasal discharge, rinse the child's nose with a soft towel; If the child has thick nasal discharge and has a runny nose, drop 2-3 drops of physiological saline in each nostril, wait for the saline water to soak in to soften the runny nose, then gently rub the child's nose to soften and fall out; If the child has too much and thick nasal discharge, a nasal aspirator can be used for the child. However, note that you should not abuse the nose because it can cause damage to the baby's nasal mucosa. In particular, it is absolutely necessary to avoid using the mouth to suck the nose directly on the child. 2.2 Diet Should give children soft foods, easy to swallow for easy digestion; Children should eat according to their needs, eat in many meals a day, the amount of food each meal should be less and should not be forced if the child does not eat all of them; Give your child a nutritious meal.
3. Children with sinusitis when to see a doctor?
Cần đưa bé đi khám bác sĩ ngay nếu thấy trẻ có dấu hiệu sốt cao liên tục và không hạ sốt sau khi dùng thuốc
Parents need to take their child to see a doctor when they see the following signs:
The child has a high fever continuously and does not reduce the fever after taking the medicine; The child coughs a lot, has trouble breathing, or has fast breathing; The child vomits or has loose stools several times a day; Children with purulent ear discharge; After 2 days of treatment, the symptoms did not improve. Caring for children with sinusitis plays a very important role to increase the effectiveness of treatment, to avoid dangerous complications of the disease that can happen to the child's immature health.
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