Mba Mira

Anak saya Max juga sinus (sperti saya waktu kecil dulu).
Oleh dokternya hanya dikasih Breathy untuk mengencerkan ingusnya, dan obat
minum sejenis anithistamin kalau hidungnya gatal sekali. Sinusnya itu muncul
kalau, habis berenang dan kena debu. Langsung lobang hidungya ketutup,
bengkak merah di dalemnya. Kalau pakai senter dari luar aja udah keliatan.
Karena indikasinya alergi debu dan cuca dingin, maka terapinya cuman
dihindari aja dari dua pencetusnya itu. Jadi kamar harus bersih dari debu
dan kalau dingin banget usahakan pakai masker.

Setelah pencetusnya ini diminimalisir, sinusnya jarang kumat. Walopun kadang
kumat juga.

Mesti dilihat kembali gejalanya mba, sebelum memutuskan pakai AB. Jika hanya
meler saja, batuk pilek biasa karena virus, tidak perlu pakai AB. Kebanyakan
anak yg cenderung alergi memang waktu batuk pileknya jadi lebih lama dan
sering. Tapi seiring usianya bertambah akan semakin baik.

Dibawah saya copas artikel ttg sinus yang berhubungan dg alergi.

Salam,
Melisa

http://www.aaaai.org/patients/publicedmat/tips/sinusitis.stm
 Tips to Remember: Sinusitis

Sinuses are empty cavities within your cheek bones, around your eyes and
behind your nose. Their main job is to warm, moisten and filter air in your
nasal cavity.

If your stuffy nose and cough last longer than one or two weeks, you may
have more than a cold. Sinusitis (pronounced sine-you-SITE-iss) is a
swelling of one or more of your nasal sinuses and nasal passages. It is
often called a sinus infection.

You may experience pressure around your nose, eyes or forehead, a stuffy
nose, thick, discolored nasal drainage, bad-tasting post-nasal drip, cough,
head congestion, ear fullness or a headache. Symptoms may also include a
toothache, tiredness and, occasionally, a fever.

By learning more about sinusitis, you will have a better understanding of
your symptoms.

An allergist/immunologist, often referred to as an allergist, can make an
accurate diagnosis and develop a treatment plan that works for you.

*Types and Causes of Sinusitis*
Acute sinusitis refers to sinusitis symptoms that last less than four weeks.
Most acute sinusitis starts as a regular cold from the common cold viruses
and then becomes a bacterial infection. Chronic sinusitis is when symptoms
last three months or longer. The cause of chronic sinusitis is believed to
be a combination of swelling and infection. Recurrent sinusitis occurs when
three or more acute episodes happen in a year.

Allergies or "hay fever" put you at risk for developing sinusitis because
allergies can cause swelling of the sinuses and nasal mucous linings. This
swelling prevents the sinus cavities from draining, and increases your
chances of developing secondary bacterial sinusitis.

If you test positive for allergies, your allergist can prescribe appropriate
medications to control your allergies, possibly reducing your risk of
developing an infection. In rare cases, immune problems that harm your
ability to fight common infections may present with chronic or recurrent
sinusitis.

Problems with the structure of your nose-such as narrow drainage passages,
tumors or a shifted nasal septum (the bone and cartilage that separate the
right from the left nostrils)-can also cause sinusitis. Surgery is sometimes
needed to correct these problems. Many patients with recurring or chronic
sinusitis have more than one factor that puts them at risk of infection. So,
an accurate diagnosis is essential.

*Diagnosis *
To diagnose sinusitis, an allergist will take a detailed history and perform
a physical examination. He or she may also order tests. These tests can
include allergy testing, sinus CT scans (which take exact images of the
sinus cavities) or a sample of your nasal secretions or lining.

Your physician may also perform an endoscopic examination. This involves
inserting a narrow, flexible endoscope (a device with a light attached) into
the nasal cavity through the nostrils after local anesthesia. This allows
your physician to view the area where your sinuses drain into your nose in
an easy, painless manner.

*Treatment *
Sinus infections generally require a mix of therapies. Your physician may
prescribe a medication to reduce blockage or control allergies, which helps
keep the sinus passages open. This medicine may be a decongestant, a
mucus-thinning medicine or a steroid nasal spray. If bacterial sinusitis is
present, your physician may prescribe an antibiotic. For people with
allergies, long-term treatment to control and reduce allergic symptoms can
also help in preventing sinusitis.

Several non-drug treatments can also be helpful. These include breathing in
hot, moist air and washing the nasal cavities with salt water. If you need
surgery to fix the structure of your nose, your allergist may refer you to
an otorhinolaryngologist, or an ear-nose-throat physician (ENT).

*Sinusitis Versus Rhinitis *
Symptoms of sinusitis and rhinitis are very similar. Rhinitis is a swelling
of the mucous membranes of the nose while sinusitis includes swelling of the
sinuses in addition to the nasal passages. For this reason, sinusitis is
often called rhinosinusitis.

Rhinitis may be allergic or non-allergic. Allergic rhinitis is caused by
allergens in the air, which are usually harmless but can cause problems in
allergic people. Symptoms of allergic rhinitis often are a runny nose,
sneezing, nasal congestion and itchy eyes, nose, throat and ears. People
with non-allergic rhinitis usually just have a stuffy nose. It may be caused
by irritants such as smoke, changes in barometric pressure or temperature or
overuse of over-the-counter decongestant nasal sprays.

Your allergist can perform simple tests to determine if your symptoms are
from sinusitis or rhinitis. The American Academy of Allergy, Asthma &
Immunology's brochure on
*Rhinitis*<http://www.aaaai.org/patients/publicedmat/tips/rhinitis.stm>offers
also more helpful advice on allergic and non-allergic rhinitis.

*Healthy Tips*

   - Sinusitis is a swelling of the nose and sinuses.
   - Acute sinusitis occurs when symptoms last less than four weeks.
   - Chronic sinusitis occurs when symptoms last more than three months.
   - People with allergies are at greater risk of getting sinus infections.
   - Treatment for sinusitis is available. See an allergist for help
   managing your symptoms.

*Feel Better. Live Better.*
An allergist/immunologist, often referred to as an allergist, is a
pediatrician or internist with at least two additional years of specialized
training in the diagnosis and treatment of problems such as allergies,
asthma, autoimmune diseases and the evaluation and treatment of patients
with recurrent infections, such as immunodeficiency diseases.

The right care can make the difference between suffering with an allergic
disease and feeling better. By visiting the office of an allergist, you can
expect an accurate diagnosis, a treatment plan that works and educational
information to help you manage your disease.



On 11/6/09, Mira Chairyah <mira.chairyahhadiy...@cimbniaga.co.id> wrote:
>
> Dear parents....
>
> Ada titipan pertanyaan dari temen saya yang memiliki seorang anak (5 thn ),
> kira2 setahun yang lalu ketika control ke Dr THT disarankan rontgen dan
> didiagnosa ada sinusitis ( ada keluhan sering batuk dan pilek ). Oleh dr THT
> diberi AB , obat ( sy tidak tahu namanya, ktnya biar ingusnya keluar ) dan
> di terapi seperti disinar ( mata anaknya ditutp )beberapa kali +/- 5 kali.
> Namun teman sy kurang puas sebab setelah terapi dan obat selesai tidak ada
> kata "sembuh" dari Dr THT tsb. Mungkin teman sy mengharapkan pernyataan
> kesembuhan dari si dokter. Dokter hanya menyarankan kalau ada keluhan
> seperti sering sekali pilek, batuk silahkan kontrol lagi.
>
> Sudah beberapa bulan ini anaknya sering banget pilek ( meler ), tanpa batuk
> ataupun panas. Namun ybs agak berat untuk ke THT lagi , ya kemungkinan besar
> akan di terapi sm seperti tahun yang lalu , AB lagi....Tp kalau dibiarkan
> takutnya akan lebih berbahaya.....
>
> Mohon sharing dan saran dari moms and dads yang punya info atau pengalaman
> sinusitis, dan apa yang sebaiknya dilakukan oleh teman sy tersebut.Maaf
> kalau pernah di bahas sebelumnya...
>
> Terimakasih...
>

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