Chronic allergic sinusitis "التهاب الجيوب الأنفية المزمن"

**Treatment:-
1-pharmacological
A-anti rhinorrhea:-
*glucocorticoids:-
- nasal spray form as
Flixonase spray Contains
"fluticasone propionate 0.05%w/w" #1×2N.S
-systemic administration as
Kenacort tabs contains
"Triamcinolone 40 mg"
# 1×2tabs



antihistamine:-
-new generation of antihistamine as telfast 180 mg tabs contains
"Fexofenadine Hcl 180mg"
#Once daily at night


*Mucolytic agent:-
-chemical mucolytic as
Acetylcistein eff. Granules
Contains " acetylcistein 200mg"
#1×3 sachet per day


-Natural mucolytic
Fluids(oral drinks/intra nasal saline)

Decongestant:-
-decongess -L contains
"Pseudoephedrine Hcl 120mg
+
Loratidine 5mg "
#to be taken twice daily

*Leukotrien modifiers:-
As Montekal contains"montelukast"
#Dose:according to the age
6m-5y 4mg per day
6-14y 5mg per day
More than 14y 10 mg per day


B-antibiotic for treatment of 2ry infection
-Quinolones as ciprofar 750mg
Contains
ciprofloxacin Hcl monohydrate 873.37mg
Equivalent to 750 mg ciprofloxacin base
#to be taken twice daily


C-Immunotherapy:-
-desensitization

2-Intraventional:-
Endoscopic surgery

3-Behavioral treatment
1-تجنب
*التدخين *العطور *المبيدات الحشرية *الأتربة *الطباشير
*الأماكن الرطبة *فراء الحيوانات *
2-أحرص على الجلوس في ضوء الشمس والهواء النقي
3-احرص على تناول الأعشاب التالية "البردقوش - قرنفل - بابونج
حبة البركة
"الحبة السوداء التي أوصى بها النبي صل الله عليه وسلم "

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