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SINUSITE, SE JÁ TENTOU DE TUDO E FALHOU, A NUTRIÇÃO NAO FALHA!

(CONSULTÓRIO DR. JÚLIO CALEIRO – 35-3558-1919) MG-BR
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sinusite

A sinusite é a inflamação dos seios da face, que são pequenas cavidades cheias de ar dentro dos ossos da face, em torno do nariz (NIH 2012; NIAID 2012; MedlinePlus 2011; Mayo Clinic 2012a incumbentes). Os sintomas da sinusite incluem congestão, secreção de muco e dor facial. A condição afeta 16% do total da população adulta dos Estados Unidos, resultando em milhões de atendimentos ambulatoriais por ano (Leung 2008; Smith 2012). A Sinusite não deve ser confundida com a rinite, a qual é caracterizada por uma inflamação associada com a superfície da mucosa da cavidade nasal (Hytonen 2012). No entanto, uma vez que a maioria dos casos de sinusite também incluem sintomas da rinite, a rinossinusite este termo é usado frequentemente (Fokkens 2005; NIH 2012). A sinusite pode ser aguda, subaguda, crônica ou recorrente aguda; a categorização é dependente de duração e freqüência dos sintomas (Leung 2008; Radojicic 2010). A sinusite aguda geralmente causa sintomas leves que resolve por conta própria, mas muito raramente podem evoluir para complicações graves ou até mesmo fatais, como um abscesso cerebral (Onisor-Gligor 2012; Boto 2011; Suhaili 2010; Ferri 2012). A sinusite crônica provoca sintomas persistentes e muitas vezes é difícil de tratar (Leung 2008).

Os sintomas da sinusite

Distinguir entre sinusite e outras condições nasais, tais como rinite alérgica e da constipação comum pode ser difícil, uma vez que os sintomas são muitas vezes semelhantes (Balkissoon 2010). A Sinusite viral é a forma mais comum da infecção da cavidade, e, normalmente produz sintomas semelhantes aos da gripe comum, que duram cerca de 10 dias (Smith 2012; Leung 2008; Balkissoon 2010). Entretanto, os sintomas de sinusite bacteriana aguda tipicamente dura 10-30 dias e são mais graves do que os do resfriado comum ou sinusite viral (NIAID 2012; Balkissoon 2010; Leung 2008).

A dor facial ou pressão facial é uma característica proeminente em muitos casos de sinusite. Este sintoma tipicamente origina-se no mesmo local que o seio afectado (por exemplo, na testa, as faces, o nariz, ou entre os olhos). A dor associada a sinusite é um resultado do aumento da pressão causada pelo ar retido e muco, que empurra a membrana mucosa sinusal e parede óssea por trás dela. A dor da cavidade também pode ser causada por uma pressão negativa dentro dos seios, o que ocorre devido às aberturas do sinus bloqueados que não permitem a entrada de ar, criando assim um espaço vazio (NIAID 2012). A sinusite é também muitas vezes marcada por uma mudança nas características das secreções nasais, de claro a aguado para grossa e opaca (por exemplo, branco, amarelado, esverdeado ou tingido de sangue) (DeMuri 2009; NIAID 2012). O muco se torna espesso, porque ele perde o seu teor de água, enquanto preso na cavidade sinusal. Também se torna saturado com mediadores antinflamatórios (NIAID 2012) e aparece descolorido quanto se mistura com neutrófilos, um tipo de células brancas do sangue (Rosenfeld, 2007).

Outros sintomas associados à sinusite incluem (AAFP 2008, 2011; NIH 2012; Mayo Clinic 2012b):
• Dor de cabeça
• gotejamento pós-nasal
• Dor de garganta
• Redução do sentido do olfato e paladar
• Halitose (ou seja, o mau hálito)
• Dor de ouvido / pressão
• A congestão nasal e corrimento nasal
• Tosse (pode ser pior à noite)
• Febre
• Fadiga
• Dores nos dentes

Quando os sintomas da sinusite viral não melhoram após 10 dias ou pioraram depois de 5 dias, a sinusite bacteriana pode ser suspeitada (Balkissoon 2010; DeMuri 2009).

A Sinusite pode ser classificada como se segue (Radojicic 2010):
• Aguda – Sintomas menos última de 4 semanas
• subaguda – Os sintomas duram de 4 a 8 semanas
• Crônica – Os sintomas duram mais de oito semanas
• aguda recorrente – Os sintomas ocorrem três ou mais vezes por ano e duram menos de duas semanas

As convencionais opções farmacêuticas para reduzir a inflamação nos seios e fossas nasais incluem corticosteróides e descongestionantes, embora algumas pessoas recebem alívio apenas limitado e por alguns dias (Rossberg 2005). Além disso, os antibióticos são muitas vezes desnecessariamente prescritos pois a maioria dos casos de sinusite aguda é causada por vírus, que não respondem a antibióticos, e sinusite crônica pode ser causada por inflamação crônica ou irregularidades anatômicas (Leung 2008; Mayo Clinic 2012c; PubMed Saúde 2012). O uso inadequado de antibióticos pode levar à resistência aos antibióticos e eventos adversos, tais como diarréia (Smith 2012; Guarch Ibanez 2011). Além do tratamento convencional que em muita vezes prescrito de forma errada no que se refere ao microorganismo causador, o tratamento alternativo tem se mostrado superior para tratar a sinusite. Abaixo estão algumas substâncias que ajuda no combate tanto aos sintomas crônicos bem como agudo da patologia, que o Dr. Júlio Caleiro Aplica em seu tratamento de Nutrição Funcional Avançada.
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Substâncias bioativas com propriedades nutricionais-medicinais no tratamento e cura da sinusite.

•Lactoferrina (providing 95% of apolactoferrin)
•Vitamin C
•Zinco
•N-acetyl cysteine (NAC)
•Vitamin E
•Ácido Rosmarínico
•Bromelina
•Black cumin seed oil
•Conbinação Herbal (gentian root, elder flower, sorrel herb, and verbena herb)
•Nasal wash containing xylitol

Não tome medicamento sem orientação do seu médico(a) e farmacêutico. Tome suplementos sob orientação do seu(a) Nutricionista.
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