sinusitis en voeding


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Sinusitis


Antibiotica, schimmels en sinusitis

Eerst dit bericht:

Antibiotica hebben geen zin bij acute sinusitis
http://www.gezondheid.be/index.cfm?fuseaction=art&art_id=2249


Erg snel dat men dit ontdekt, al in 1999 vertelden namelijk Amerikaanse onderzoekers dat uit hun studie bleek dat bij 96% van de mensen met een chronische sinusitis een schimmel de oorzaak was. En wat moet je juist niet doen bij schimmels? U raadt het al, geen antibiotica !

Hopelijk valt het muntje nu wel......

Wat ik doe bij holte problemen is heel simpel, ik pak mijn neuskannetje en doe daar wat lauw water in met 1/4 theelepel zuiveringszout (natriumbicarbonaat). Slijm komt meteen los en zout ontsmet de slijmvliezen. Je kunt ook gewoon zout proberen......

Ron


Mayo Clinic Study Implicates Fungus As Cause Of Chronic Sinusitis

The researchers studied 210 patients with chronic sinusitis. Using new methods of collecting and testing mucus from the nose, they discovered fungus in 96 percent of the patients' mucus. They identified a total of 40 different kinds of fungi in these patients, with an average of 2.7 kinds per patient.

http://www.sciencedaily.com/releases/1999/09/990910080344.htm


Duits kruidenmiddel tegen sinusitis/bronchitis klinisch getest

The nonprofit American Botanical Council (ABC) has just published a monograph summarizing the scientific and clinical studies of Sinupret«, a clinically-tested herbal combination for upper respiratory tract health, including conditions associated with sinusitis and bronchitis. A monograph is a technical paper focusing on one subject. Studies of Sinupret reviewed in the monograph include four clinical trials regarding acute sinusitis, two clinical trials regarding chronic sinusitis, one meta-analysis of clinical trials evaluating treatment of sinusitis, two clinical trials regarding bronchitis, and a post-marketing surveillance study of patients with bronchitis. Based on the review of the available scientific and clinical information from these studies, the monograph concludes that Sinupret has a relatively significant level of safety and efficacy data compared to many other natural products intended for use in maintaining the health of sinuses and the upper respiratory tract.

Lees verder


Pubmed - 14945 studies mbt sinusitis

Normaal het domein voor medici en onderzoekers maar nu ook beschikbaar voor de gewone man. In deze database staan maar liefst 14945 studies mbt sinusitis.

http://www.ncbi.nlm.nih.gov/sites/entrez?term=sinusitis&selected=PublicationDate

en 2586 studies waarin ook schimmels een rol spelen

http://www.ncbi.nlm.nih.gov/sites/entrez?term=sinusitis%20fungi&
selected=PublicationDate


Diagnosing Chronic Fatigue? Check For Sinusitis

Chester observed an unusual connection between patients with chronic pain or fatigue: prevalent sinus symptoms. Sinus symptoms were nine times more common on average in patients with unexplained chronic fatigue than the control group, and six times more common in patients with unexplained chronic pain.

http://www.sciencedaily.com/releases/2003/08/030814072847.htm


Nieuwe aanpak van sinusitus - balloon sinuplasty

In Nederland is deze methode nog niet beschikbaar, wel in Duitsland.
De distributeur daar is:

NMP Neuwirth Medical Products GmbH
Bachstrasse 10
D - 63785 Obernburg
Duitsland
Tel: + 49 6022 70 96 0
Fax: + 49 6022 70 96 21
Mobile: + 49 175 3600494
e-Mail: b.neuwirth@neumedpro.de
www.neumedpro.de

http://en.wikipedia.org/wiki/Sinuplasty_%28procedure%29

Met deze nieuwe methode kunnen bij mensen met chronische bijholteonstekingen dmv een dunne optische vezelkabel door de chirurg kleine stukjes bot en weefsel worden verwijderd zodat er groter doorgangen ontstaan. Deze methode is minder belastend dan de gewone endoscopische sinus ingrepen en zorgt ook voor minder littekenweefsel.

http://healthnews.uc.edu/publications/findings/?/3875/3879/
http://www.acclarent.com/professional/balloon.html

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Stap 1 Stap 2 Stap 3

 

Studies

Safety and Outcomes of Balloon Catheter Sinusotomy: A Multicenter 24-Week Analysis in 115 Patients

William E. Bolger, M.D., Christopher L. Brown, M.D., Christopher A. Church, M.D., Andrew N. Goldberg, M.D., Boris Karanfilov, M.D., Frederick A. Kuhn, M.D., Howard L. Levine, M.D., Michael J. Sillers, M.D., Winston C. Vaughan, M.D., Raymond L. Weiss, M.D.
Otolaryngology - Head and Neck Surgery July 2007, Vol. 137, No. 1, P. 10 - 20

Safety and Feasibility of Balloon Catheter Dilation of Paranasal Sinus Ostia: A Preliminary Investigation

Christopher L. Brown, M.D., William E. Bolger, M.D.
Annals of Otology, Rhinology & Laryngology April 2006, Vol. 115(4): 293-299

Catheter Based Dilation of the Sinus Ostia: Initial Safety and Feasibility Analysis in a Cadaver Model

William E. Bolger, M.D., Winston C. Vaughan, M.D.
American Journal of Rhinology May-June 2006, Vol. 20, No.3, P. 290-294

Functional Endoscopic Dilatation of the Sinuses (FEDS): Patient Selection and Surgical Technique

Michael Friedman, M.D., Paul Schalch, M.D.
Operative Techniques in Otolaryngology June 2006, Vol. 17, 126-134


Neuskannetje aka Neti-pot

Mensen uit de Yoga wereld kennen dit al lang. Met de Neti Pot was je iedere morgen je neusholtes schoon met licht gezouten lauw water. Je spoelt als het ware de rommel die je slijmvliezen irriteert zoals pollen, stofmijt etc uit je neus en krijgt meer lucht. Simpele oplossing die weinig kost en zeer effectief is.Ik heb een instructie filmpje gevonden voor de nasal wasch en ben na het lezen op jou website ermee begonnen en zelf de oren gaan er mee open !!

http://netipot.org/demo_video.htm

http://www.fonteine.com/neuskannetje.html

Tip: Ernst

 

Verder vond ik op een Duitse site een perfekte Nederlandstalige gebruiksaanwijzing van een Neti Pot (neuskannetje):

Link


Praktische zaken

Een stoombad met kamillethee geeft zeer snel verlichting, zeker in de beginfase van een bijholteontsteking. Ook een uien compres dat je 's nachts om de hals bindt kan zorgen dat het slijm oplost. Verder kunnen ook oorkaarsen een aanzienlijke verlichting geven.
In de regel is het zo dat je veel minder last hebt van verslijmingen als je de dierlijke eiwitten (melk, kaas, vlees, vleeswaren) laat staan. De klachten lossen in dat geval ook veel sneller op.

http://www.kruidenvrouwtje.nl/ziektebeelden/sinusitis.htm


Voeding

beperking van dierlijke eiwitten en vetten (vooral zuivelprodukten, want deze zijn zuur- en slijmvormend), vlees

geen suiker, koffie en alcohol,

vermijd gebakken en gefrituurde voeding en verzadigde vetten

vermijd geraffineerde voeding in het algemeen, zoals wit meel en produkten met suiker,
men zou moeten nagaan of er sprake is van een voedselallergie/intolerantie

gebruik een hoge dosering vitamine C (3 x daags 1 tablet van 1000 mg bij de maaltijd,

gebruik het enzym bromela´ne (ananas) tussen de maaltijden

Maak vooral vaak gebruik van vers fruit (ananas !), vruchtensappen, knoflook (zie ook werkboek), uien, veel groenten, rauwkost. Dit alles helpt mee om zuuroverschotten in het lichaam te verwijderen.

http://www.paradijsvogel.nl/sinusitis.htm


Nasaline spoelsysteem

Ik heb met interesse uw site gelezen en heb nog een aanvulling hier op. Uw noemt het neuskannetje, weet u dat er bij de allergiewinkel nasaline te koop is, dat is een grote injectiespuit, echt supermakkelijk in gebruik.Je spuit het in je neus in de ochtend en in de avond. Ik denk,dat het makkelijk gaat dan het neuskannetje.

E Smith
Nasaline spoelsysteem voor de neus

 

Ik vond in Pubmed nog een studie over deze methode
Ron

Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study.

HSNI is a safe, well-tolerated, inexpensive, effective, long-term therapy that patients with chronic sinonasal symptoms can and will use at home with minimal training and follow-up. Success with HSNI will likely be improved by patient education.

http://www.ncbi.nlm.nih.gov/sites/entrez?

 

Dode zee zout schijnt weer beter te zijn, zie

A randomized, prospective, double-blind study on the efficacy of dead sea salt nasal irrigations.Friedman M, Vidyasagar R, Joseph N.

We present a short-term study providing level I evidence on the superiority of DSS over saline nasal irrigation for treatment of chronic rhinosinusitis.

http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed
&Cmd=ShowDetailView&TermToSearch=16735920

 

Meer studies


Lotgenoten chronische sinusitis

Veel nuttige ervaringsverhalen van patiŰnten

http://communities.zeelandnet.nl/data/sinusit/index.php?page=6
http://communities.zeelandnet.nl/data/sinusit/


Zelfzorg

Nuttige zelfzorg tips mbt sinusitis

http://www.yoga-ayurveda.be/ned/yoga-ayurveda_zelfzorg_sinusitis.htm


Internationaal


Researchers show chronic sinusitis is immune disorder; antifungal medicine effective treatment

Findings could lead to effective new treatments for the disease
BUFFALO, N.Y. -- Researchers at the University at Buffalo and the Mayo Clinic have shown that chronic sinusitis is an immune disorder caused by fungus, opening up a promising new avenue for treating this ubiquitous and debilitating condition, for which there is no FDA-approved therapy.

Results of their research suggest that common airborne fungi lodge in the mucus lining of the sinuses in most people, but initiate an immune response only in individuals prone to chronic sinusitis. The immune response causes the fungi to be attacked, which leads to damage of the sinus membranes, resulting in full-blown symptoms. "We hope this study will lead to the first treatment aimed at the root cause of chronic sinusitis, rather than a treatment just to mask the symptoms," said David A. Sherris, M.D., interim chair of the UB Department of Otolaryngology.

Sherris presented the study findings today (March 23, 2004) at the annual meeting of the American Academy of Allergy, Asthma and Immunology in San Francisco. The research was conducted while Sherris was at the Mayo Clinic. Through a randomized, placebo-controlled, double-blind pilot trial using the fungicide Amphotericin-B applied intranasally, the researchers found that the treatment group showed a significant decrease in the inflammatory thickening of the sinus membranes compared to the control group.

Inflammation in the mucus also decreased significantly in those receiving the drug, compared to placebo, and 70 percent of patients on the medication had a decrease in the amount of nasal swelling, results showed. "We showed in 1999 that fungal organisms were present in the mucus of 96 percent of patients who had surgery for chronic sinusitis, and that inflammatory cells were clumped around the fungi, which indicated to us that the condition was an immune disorder caused by fungus, " said Sherris. "But many doctors didn't believe us." "Next, we conducted various immunologic studies and an open trial using the fungicide treatment and found that 75 percent of patients improved on the new therapy. Now we have similar results from a randomized, blinded trial with a control group, which is the 'gold standard' in drug testing. Our next step is to conduct a multi-center trial using antifungals, which we hope will lead to FDA approval of antifungal treatment for this chronic disease."

Chronic sinusitis, a disease of the nasal passages and the surrounding sinus cavities, is thought to affect 16.8 percent of the adult population of the U.S. It causes long-term nasal congestion, production of thick mucus, loss of sense of smell and creates an environment for opportunistic bacterial infections that exacerbate those symptoms. Sherris said studies have shown that chronic sinusitis exceeds even congestive heart failure in its adverse effects on quality of life. Little is known about the causes of this disease. Without a specific target for intervention, physicians often simply treated the secondary bacterial infections in hopes of providing a modicum of relief.

The current trial involved 24 patients with chronic sinusitis who were randomly assigned to receive the treatment or a placebo. Neither the patients nor the investigators knew who received the drug or the inactive agent. The final analysis involved data from 10 treatment patients and 14 controls, all of whom were in the trial for six months. Researchers took CT scans (special x-rays of the sinuses) at baseline and at 6 months. They also graded patients' inflammation by direct exam with an endoscope in the nose at the start of the study, and at 3 and 6 months. The CT scans showed that the treatment group had a mean 8.8 percent decrease in inflammatory mucus thickening, while the placebo group had an increase of 2.5 percent. Sherris said 70 percent of patients in the treatment group also showed significant improvement when their nasal passages were viewed through an endoscope, while the placebo group showed no change. Markers of inflammation in the mucus also decreased significantly in the treatment group, compared to the placebo group.

Additional researchers on the study, all from the Mayo Clinic, were Jens U. Ponikau, M.D., Amy Weaver, Evangelo Frigas, M.D., and Hirohito Kita, M.D.


Video - New Treatments for Chronic Sinusitis

http://video.google.com/videoplay?docid=3431505532511405528&q=sinusitis&
total=63&start=0&num=99&so=1&type=search&plindex=56


Jefferson Head and Neck Surgeons Using Balloon Catheter Device in Minimally Invasive Procedure for Treatment of Sinusitis

Head and neck surgeons at Thomas Jefferson University Hospital are using a minimally-invasive means of treating chronic sinusitis and clearing blocked sinus passageways. Jefferson otolaryngologists are performing sinuplasty using a balloon-tipped catheter, which is threaded over a guidewire and inserted through the nose and into the sinus cavity. The procedure, known as balloon sinuplasty, is designed, to open up sinus drainage pathways.

http://www.jeffersonhospital.org/news/2007/article14133.html


Too Many Antibiotics Prescribed For Sinus Infections

US scientists researching treatments for sinus infections suggest that antibiotics are overprescribed to treat the condition. And they are concerned this could be increasing the drug resistance and virulence of infectious bacteria.

http://www.medicalnewstoday.com/healthnews.php?newsid=65568


Chronic rhinosinusitis -- washing nasal passages with saline can help

Spraying salty water (saline) into your nose can help reduce the symptoms of pain and congestion that accompany long-term infections of the nasal passages, a Cochrane Systematic Review has concluded.Between 5% and 15% of people experience persistent infection of the nasal passages (chronic rhinosinusitis). Many homoeopathic and yogic forms of healthcare recommend spraying saline into the nose to relieve symptoms, and it is now often recommended as part of a programme of treatment in conventional medicine.

A team of Cochrane Researchers considered the data presented in eight separate randomised trials and 16 other studies, involving a total of 1659 patients, that examined the potential benefits of saline irrigation. “While there is no evidence that saline is a replacement for standard therapies, spraying or irrigating saline into the nose is likely to improve symptoms for people with persistent infections,” says lead researcher Dr Richard Harvey who works at the University of Oxford and Royal National Throat Nose and Ear Hospital in London.

No one is really sure why saline reduces symptoms, but it could be because it softens mucus, making it easier to remove. The tiny hair-like process (cilia) that cover the surfaces of cells in the nose often fail to function properly and can’t beat to remove mucus, so the saline may help these cilia to work more efficiently. In addition, saline may simply help wash bacteria, viruses and allergic materials out of the nose. “Doctors should consider recommending saline therapy as an adjunct for managing the symptoms of chronic rhinosinusitis,” says Harvey.

http://www.eurekalert.org/pub_releases/2007-07/jws-cr071307.php


Chronic Sinus Infection - Study Finds Cause with Implications for Treatment

Mayo Clinic researchers have found that the cause of chronic sinus infections lies in the nasal mucus, not in the nasal and sinus tissue that has been the traditional target of standard treatment. The study was led by Mayo Clinic ear, nose and throat specialist Jens Ponikau, M.D. and published in the August issue of "Journal of Allergy and Clinical Immunology."

http://www.mayoclinic.org/spotlight/chronic-sinus-infection.html


Chronic Sinus Infections - Fungus May be to Blame

In 1999, The Mayo Clinic did a major study of patients with chronic sinus infections. The Mayo Clinic study found that fungus is likely the cause of nearly all cases of chronic sinusitis.

http://ezinearticles.com/?Chronic-Sinus-Infections-Fungus-May-be-to-Blame&id=614833


Mayo Clinic Study Implicates Fungus As Cause Of Chronic Sinusitis

Mayo Clinic researchers say they have found the cause of most chronic sinus infections -- an immune system response to fungus. They say this discovery opens the door to the first effective treatment for this problem, the most common chronic disease in the United States.

http://www.sciencedaily.com/releases/1999/09/990910080344.htm


Aspergillosis and sinusitis

Aspergillosis is a large spectrum of diseases caused by members of the genus Aspergillus(see Table below). The three principal entities are allergic bronchopulmonary aspergillosis, pulmonary aspergilloma and invasive aspergillosis

http://www.doctorfungus.org/mycoses/human/aspergillus/aspergillosis.htm


Aspergillus website

website specifically intended for people (and their relatives and friends) who suffer from, or who think they may suffer from the fungus called Aspergillus. The fungus may be causing an infection, an allergic response or simply causing a nuisance in some other way.

http://www.aspergillus.org.uk/patients/New/welcomepages.php


Aspergillus sinusitis

Aspergillus disease can happen in the sinuses leading to Aspergillus sinusitis. Just as in the lungs, Aspergillus can cause the three diseases - allergic sinusitis, a fungal ball or invasive aspergillosis. Allergic disease is asssociated with long standing symptoms of a runny blocked up nose, and may lead to nasal polyps. Surgical drainage, including removal of polyps, careful attention to treatment of bacterial infection, local steroids and/or short courses of oral steroids and antifungals applied locally are the approaches to therapy. The fungal ball caused by Aspergillus happens in a similar way to an aspergilloma. In those with normal immune systems, stuffiness of the nose, chronic headache or discomfort in the face is common. Drainage of the sinus, by surgery, usually cures the problem, unless the Aspergillus has entered the sinuses deep inside the skull. Then antifungal drugs and surgery is usually successful.

http://www.aspergillus.org.uk/patients/New/what_is_asp.php


Cold Symptoms May Mask Something More Serious

Most people experiencing a stuffy nose and coughing during the winter attribute the symptoms to a cold. However, these symptoms may also be caused by sinusitis, a more serious condition. Also known as rhinosinusitis, sinusitis is an inflammation of the mucous membranes lining one or more of the paranasal sinuses, the four pairs of hollow cavities found around the eyes and behind the nose

http://sciencedaily.healthology.com/main/colds/colds-information/article4001.htm


 

 


 


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