Part 1 of Chapter Four: Three Level Plan to Cure and Prevent Sinusitis

Chapter Four: Three Level Plan to Cure and Prevent Sinusitis

I have a lot of respect for people like you who have suffered from sinusitis. I know that you are willing to continue the fight. From now on, you will begin to win it. The experience I have made in years has flown into this chapter. If you are ready to put some effort into evaluating the measures I describe, there will be immediate improvements. This is how my system works:

• The three level plan represents an “escalation pyramid”
  
  
• The must have measures and medication are described in the base of the pyramid (level one). If you do what I suggest there, changes are you will see great improvement of your situation. You might fully recover within weeks and stay healthy.
  
  
• If this is not enough: You will have to add the measures in level two. This level contains certain changes in habits, hygiene and stronger / different medication. I have personally “landed” in level many months ago, but was able to permanently stay in level one until today.
  
  
• You will have to change your lifestyle to escape sinus surgery if you have done everything in level one and two. This will only be an option depending on the cause of your conditions and the professional situation you are (caught) in. 

Three Level Plan to Cure and Prevent Sinusitis

_________________

Level 1:

See an ORL: Allergy? / Bacteria? / Virus? / Fungus?

Nasal spray and nose clensing / Inhalation of essential oils.

Enzymes, for ex. Aniflazym® Takeda, 3x2 a day, for a week or more.

!Smoke-free environment / Quit smoking!

Additional sleep, reducing sports to a minimum for at least 4 to 6 weeks.

Level 2:

Keyboard / eating in front of computer?

Never blow your nose

Antibiotics (+Clavulanic acid) & Antiphlogistics

NSAR Painkillers

Limonene and Cineole, for ex. Gelomyrthol ® Pohl Boscamp

Level 3:

Change of lifestyle

Reduce flights & business trips to the minimum

Last resort:

Functional or radical sinus surgery

_________________

None of the measures and processes described within the first three levels will cause pain or hurt you. They are all designed to ease the symptoms plus to get your body back into the state is has been before you got sick. For example: Some people are afraid of nasal cleansing because they do not know how to do this right. Others think that antibiotics will make their body weaker, ob damage their immune system. This is not true. Antibiotics are the hell if you are hypersensitive to them. What do you do if this is the case? Yes – you will stop taking them. If you are afraid of painkillers: Chances are you will eat these daily in hospital when you are old. This is my personal opinion at least. You know, you have the choice between three to six or seven Diclophenac pills or zero sleep for four to five nights. What is better? I say, use analgesics responsibly and get some rest instead of a sinusitis with complications plus possible life threatening conditions.

In most cases, the surgical approach is not a better solution than optimal, appropriate medical treatment. Every professional today will tell you that surgery has to be seen as the last resort.

Level One – The Cleanout Program

The first level might be all you need to stay healthy in the future. It aims at improving the health of your airways. In our modern day live, several factors disturb the natural defense system of our sinuses and the self-cleaning mechanisms of our airways in general:

·      The wrong food makes tissues too sour (ph-value) or sick

·      A lack of exercise and sunlight negatively influences our immune system

·      Cold / dry air reduces the natural purification mechanisms of the airways

·      Dust and especially smoke severely disturbs the movement of the hair-like structure on the mucus membrane up to a point where it simply overwhelms the membranes

·      A lack of physical exercise (-> office work) cools tissues down without any chance of temperature compensation by increased blood flow or protection.

Simplified view of mucus membrane with dust, cilia and mucus cells

In the image above you can see the cells (mucus cells) in the mucous membrane, which produce both, a thin and a thicker variant of mucus. Mucus has central importance to respiratory tract health: It contains antiseptic enzymes and immunoglobulin serving as a protection shield against diseases.

The thin mucus travels through the tiny hair-like projections (cilia), which sit on the mucus membrane. On top of the cilia and the thinner mucus “swims” the thicker variant of mucus that “catches” the dust, viruses and bacteria particles present on the tissue. The trapped incoming dirt particles are moved by the cilia toward the front of the nose or down the throat for eternal extinction.

The cilia play a key role in transporting alien particles away, together with the mucus. They move like a cornfield in the wind. A wave-like motion keeps the mucus in motion. If the mucus membrane cools down excessively, the movement of the cilia slows down to a degree where infections can begin to spread.

If the membrane dries out, the movement is also disturbed. Thick cigarette smoke significantly changes the activity of the cilia and negatively influences its functions. The time you smoke is the time when you drop all your barriers to the outside world – welcoming external viruses, bacteria and irritants to which you might react allergic.

To increase the success rate, we will always combine the following four factors:

So let’s start.

Get the best possible diagnosis:

You will have to significantly improve the potential of diagnostic quality that you have access to. If you don’t already do it: Go to a otorhino-laryngologist (ORL). Stop consulting your general practitioner. Chances are that he or she has no real clue what to do and no instruments to diagnose correctly what you have. A simple endoscopy (painless), a sonography and a lot of experience will help determine the exact problem you have. Remember: The sinuses are a complex system. There are narrow canals between nose and sinuses. If these connections are blocked, a “traffic jam” is created in one or several sinuses, causing inflammation and pain.

This will be your new daily routine:

Our goal is to re-open the canals connecting the sinuses and to make mucus thinner again, so it can transport germs and viruses together with all the other dust into the throat (where it is swal-lowed and inactivated later) and to the front of the nose.

When you wake up, start your day with a short inhalation session. This is a measure within the framework of naturopathy. Get an inhalator to make this process more reliable. Do not use a big pot with hot water because too much of the ingredients will evaporate without being used. Inhale a strong mixture of Cineole, Levomenthol and racematic campher. Anithing such as Transpulmin ® will work very fine. You should use a paste (which you put in hot water) strong enough to get the tears into your eyes if you would open them over the aerosol. Inhale this with care. Wait a little until the water is not 100 degrees Celisus any more. If your nose is congested in the morning, use a nasal decongestant 10 minutes before. Only then inhale.

After inhalation, if you need to blow your nose, do it VERY CARE-FULLY, with low pressure. I strongly recommend that you do not blow your nose. Rather, snuffle (as loud as you wish). This will suction-clean the sinuses. ORLs recommend it, too. I know that sounds very strange, but I would do it if I where you.

Inhale at least three times a day, up to 5 or 6 times if you wish. This keeps your nose moist and helps to reactivate the cilia on the mucus membranes. You should continue the inhalation routine (1 or 2 times a day then) for months after you have cured the sinusitis. You could do inhalation sessions you entire life, if you wish. There are no side effects. Be careful with (inhaling) camomile extracts: many people are in fact allergic to this and it doesn’t make mucus more fluid.

Be careful with nasal sprays if they contain decongestants. The dry the nose out and can harm the tissues in your nose. They are a great help if you use them temporarily but try to use them only a few times – maybe 2 or max. 3 times the first day, then less the second day. Then maybe once a day in the next 2 to 3 days when you really need it. Beware that nasal spray can host germs and viruses if you have already used them. Do not reuse a 2 weeks old spray. You are better off throwing it away.

To fight inflammations, we will use enzymes. Some will put these into the naturopathy category, others into the mainstream medicine section. However, many physicians forget to prescribe of suggest enzymes. Get Aniflazym® Takeda in a pharmacy in Europe, or buy the equivalent of 10,000 units per pill of serrapeptase wherever you live. Take 3 x two pills a day. The other option is Bromelain. Do not use Bromelain if you are allergic to pineapple. These enzymes are given to patients who have had an operation, to prevent wounds from inflammation. They are also prescribed to people who have an acute sinusitis, but, as I said, many doctors seem to have forgotten about it. Serrapeptase and Bromelain are two of the forgotten cures for sinusitis. Both, Serrapeptase and Bromelain are a great help, whether you are taking antibiotics or you don’t.

If you would like to make a dry nose moist again, and if you want to activate the natural purification process of your nose, get Nasodren® or any other spray that has an extract of cyclamen europium L or a little “pepper” in it. Use it once or twice a day and don’t overdo it. It is expensive but it helped me. Nasodren® should be a part of the puzzle, especially when you are not sneezing and if your nose is just dried out.

Perenterol® will help you to strengthen your gastrointestinal tract. A very vise man once said that we “eat and drink” most of the diseases we get. The bowel is responsible for many illnesses if it is weakened itself. I cannot prove but assume a very strong relation between the gastrointestinal tract and the respiratory system. This comes from my own experience. However, if you already have diarrhea, make sure you take Perenterol® Forte (saccharomyces boulardii) 3 times a week at least. You can take double the dose if you like.

Pain: If you feel you need a painkiller, ask for it. This will help you to get some sleep. One night without sleep doesn’t kill you. Two nights is bad. You might need anything from Paracetamol to Diclofenac (which is better for toothache) up to Ibuprofen. Be aware that all painkillers have a negative effect on your digestion system and column. Drink enough water and sit upright for a few minutes when you take them. The probability of side effects increases with the quantity you take. Always take the smallest dose necessary to be able to sleep. Be aware that constant overdoses of NSARs over several days will kill you. The good old Paracetamol ® is one example for this. Read the package insert of all painkillers you ever use and memorize the maximum dose you may take.

Reduce sports activities to a minimum for at least 4 to 6 weeks:

Take this suggestion seriously. The most dangerous phase is after an acute sinusitis, when you think that you are cured. Stay away from the gym and other activities for 4 to 6 weeks, of longer if you feel exhausted. You will naturally feel it when your body signals you that more exercise will be beneficial. Especially if you have problems walking up a light slope, if your heart rate is too high when you go jogging etc. stop the activity. Notice that streptococcus could be a part of the germ population in your airway. If your heart gets infected with this bacterium, you are in deep shit. If you don’t want an heart attack while on your next jogging tour, STAY AWAY FROM EXERCISE until you feel fit again.

Quit smoking:

Unless your sinusitis is not caused by a massive physiological problem, such as an extremely bent septum or alike, a change in you lifestyle can make you become a healthier person again. Think twice. Take this suggestion seriously. Some alternative practitioners will not even accept to work with you if you keep smoking. Smoke rolls over the cilia of the mucus membrane like a bulldozer. Smoking is the wrong habit for people with sinusitis. If you think you are not strong enough to quit, get professional help (psychologist). If you think you could quit smoking but you don’t want to: this is the sign you are truly addicted. Get help (psychologist). Hypnotherapy can help you in days to quit. It’s easy, do it.

Additional sleep:

This is one of the most important tasks for you. Add 1 or 2 hours of sleep at the weekend at least. Try to avoid unnecessary tasks in your live and free up time to rest.

Allergies:
Try to find out if you have an allergy causing the sinusitis. It can be difficult to do so. If you happen to have an allergy causing the sinusitis, you need a consequent treatment with a potent, modern histamine antagonist. Do not simply get over the counter drugs for this becuase they may be too weak.

Taking the suggestions of your ORL seriously, consider the following measures, as described above, if you do not have an allergy:

Trade names may differ in your country. The following are the active pharmaceutical ingredients mentioned in the table:

·       “Inhalation”: The following ingredients are suggested: 57% Cineole, 29% Levomenthol, 14 % racematic campher
(suggestion: Transpulmin ® - a Balm, which is put in hot water to inhale)

·       Ortiven®: Nasal decongestant with Xylometazoline

·       Aniflazym® Takeda: 1 Tablet contains: 5 mg Serrapeptase (=10,000 units)

·       Nasodren: Natural extract of cyclamen europeum L

·       Perenterol® Forte: 250 mg dry yeast with saccharomyces boulardii

·       Paracetamol: (also: Acetaminophen), Painkiller with
N-(4-hydroxyphenyl)acetamide. Don’t overuse!

·       Diclophenac: Painkiller with
2-(2-(2,6-dichlorophenylamino)phenyl)acetic acid. Don’t overuse!

·      The author is not a physician. If you have any questions, ask your doctor or pharmacist. Read all package inserts carefully before you start taking/using medicines. If a medicine has been prescribed for you, do not pass it on to others. It may harm them, even if their symptoms are the same as yours. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Kind regards, 

Marcus

CN Chinese Translation (may contain errors)
第四章：三级计划，治疗和防止鼻窦炎

我有一个像你尊重谁从鼻窦炎受到了很多人。我知道你是愿意继续战斗。从现在起，你将开始胜利。我在年来取得的经验，空运到本章。如果你准备投入的措施，评价我描述一些努力，将有即时改善。这是我的系统是如何工作的：

这三个层次计划是一个“升级金字塔”

在一定的措施和药物是在金字塔的基础，描述（等级1）。如果你做我认为可以有变化，你将看到你的情况大有改善。你可能会在数周内完全恢复和保持健康。

如果这还不够：你将要增加2级的措施。此级别中包含某些改变生活习惯，卫生和加强/不同的药物。我曾亲自“降落”在许多个月前的水平，而且能够永远留在到今天的水平之一。

你将不得不改变你的生活方式，以逃避鼻窦手术，如果你做的第一和第二级的一切。这只是一个选择在您的条件，事业和专业的情况你是（捕获而定）英寸
三级计划，治疗和防止鼻窦炎


_________________
1级：
看到一个魔术：过敏？ /细菌？ /病毒？ /真菌？
喷鼻剂，鼻clensing /精油吸入。
酶，特惠。 Aniflazym ®武田，3x2一天，一周或更多。
！无烟环境/戒烟！
额外的睡眠，减少到最低限度体育至少4至6周。

第二级别：
键盘/在电脑前吃？
从来没有打击你的鼻子
抗生素（+克拉维酸）和消炎
NSAR止痛药
苎烯和桉树脑，特惠。 Gelomyrthol ®波尔博斯坎普

3级：
改变生活方式
减少航班和出差到最低限度

最后的手段：
功能性或激进的鼻窦手术
_________________

没有措施和程序的头三个层次描述会造成疼痛或伤害你。他们都是为了缓解症状，加上进入你的身体状态已经恢复之前，是你生病。例如：有些人怕鼻清洁，因为他们不知道怎样做的权利。有人认为抗生素将使他们的身体较弱，肥胖损害免疫系统。这是不正确的。抗生素是地狱，如果你是过敏他们。你会怎么做，如果是这种情况？是 - 你会停止服用。如果你害怕的止痛药：可能你会吃这些每天在医院当您老。这是我个人的看法，至少。你知道，你有3至6或7 Diclophenac药丸或零4至5个晚上睡觉的选择。什么是好？我说，使用止痛药负责任和休息一下，而不是加并发症可能危及生命的情况鼻窦炎。
在大多数情况下，手术方法并不比最佳，适当医疗更好的解决方案。每个专业的今天会告诉你，手术必须作为最后的手段看到。

级别之一 - 清洗计划


第一个层次，可能是你需要保持健康的未来。它旨在改善您的呼吸道健康。在我们的现代生活，几个因素干扰我们的鼻窦和自然的自我防御系统的清洗一般的航空公司机制：

·错误的食物也使组织酸（pH值）或生病

丰锻炼和缺乏阳光负面影响我们的免疫系统

·冷/干燥空气降低了航空公司的自然净化机制

尘，特别是吸烟严重扰乱了毛发运动一样的粘液膜结构到一个地步，它只是压倒了膜

丰体育锻炼（ - “办公室工作）没有冷却没有任何温度补偿通过增加血液流动或保护的机会，组织了。

简化灰尘，黏液纤毛和粘液膜细胞期



在上面的图片可以看到细胞（粘液细胞的粘膜，而同时生产）一薄，厚的粘液变体。粘液有中央重视呼吸道健康：它包含防腐剂酶和免疫球蛋白作为对付疾病的保护盾服务。
薄黏液穿过微小的头发，像预测（纤毛），其中黏膜上坐下。论纤毛顶部和薄黏液“游”厚的粘液变种“捕获”的尘埃，病毒和细菌粒子的组织存在。被困传入的污物颗粒被移到走向鼻或向下永恒的喉咙前灭绝的纤毛。

发挥的纤毛运输外国人者无所遁形了关键作用，连同粘液。他们将像风中的玉米地。波浪状运动保持了议案的粘液。如果粘液膜冷却过度的纤毛运动减缓在一定程度上有感染可以开始蔓延。
如果膜变干，该运动还感到不安。厚显着变化香烟烟雾的纤毛活动和消极影响其功能。当你吸烟的时候，是你所有的障碍，减少对外部世界 - 欢迎外来病毒，细菌和刺激物的反应，你可能会过敏。


为了提高成功率，我们将永远结合以下四个因素：


因此，让我们开始。

得到最佳的诊断：
您将有显着提高诊断质量，您可以访问的潜力。如果你还没有做到这一点：转到1 otorhino - laryngologist（魔术）。停止咨询全科医生。机会是他或她并没有真正的线索做什么和不正确的诊断手段，你有什么。一个简单的内窥镜（无痛），1超声和丰富的经验将有助于确定你有确切的问题。请记住：鼻窦是一个复杂的系统。有鼻子和鼻窦之间的狭窄的运河。如果这些连接被封锁，是“交通堵塞”是创建一个或多个鼻窦，引起炎症和疼痛。

这将是您新的日常工作：
我们的目标是重开运河连接，并使鼻窦粘液又薄，所以它可以传输到所有其他的喉咙灰尘病菌在一起（如果是刷，继任者劳威尔和灭活更高版本）和前线鼻。

当你醒来，开始吸入短会话您的一天。这是一项措施在自然疗法的框架。获得气雾使这一进程更加可靠。不要用热水，因为太多的成分多一大锅将蒸发而被使用。吸入桉树脑，Levomenthol和racematic campher强烈的混合物。 Anithing如Transpulmin ®会非常好。您应该使用粘贴（或者用热水），强大到足以进入你的眼睛的泪水，如果你打开了他们的气溶胶。吸气请小心。稍作等候，直到水是不是100度Celisus了。如果你的鼻子是在早上拥挤，鼻腔鼻塞使用前10分钟。只有这样，吸。

吸入后，如果您需要吹你的鼻子，这样做很好低压关怀，充分。我强烈建议您不要吹你的鼻子。相反，鼻塞（如你想大声）。这将吸干净的鼻窦。 ORLs推荐它。我知道这听起来很奇怪，但我想如果我做你。

吸气至少3次，每天高达5或6次，如果你的愿望。这样可以使你的鼻子湿润，有助于恢复对黏膜的纤毛。您应该继续数月的吸入程序（1或2次，每天则）当你治好鼻窦炎。你可以做你吸入会议的整个生命，如果你想。没有副作用。小心（吸入）甘菊提取物：有很多人过敏，其实这一点，它不会使粘液更流畅。

小心鼻喷剂是否含有减充血剂。干燥的鼻子出来，可以伤害你的鼻子的组织。他们是一个很大的帮助，如果您使用它们于一时，但他们尝试使用仅1 - 几次也许2或最大。 3倍的第一天，就那么第二天。那么也许一旦在未来的2至3天，每天当你真正需要它。注意的是，喷鼻剂可以承载细菌和病毒，如果你已经使用过。不要重复使用2周大喷雾。你最好把它扔了。

为了打击发炎，我们将使用的酶。有些人会投入自然疗法范畴这些，其他人进入主流医学科。然而，许多医生忘记订明建议酶。获得了在欧洲的药房，Aniflazym ®武田或购买了10000个单位的serrapeptase丸相当于无论你是住。以3 × 2粒一天。另一种选择是菠萝。不要使用菠萝蛋白酶，如果你是过敏的菠萝。这些酶是谁给病人有手术，以防止伤口发炎。他们还订明的人谁有急性鼻窦炎，但是，正如我所说，许多医生似乎难以忘怀。 Serrapeptase和菠萝是被遗忘的鼻窦炎治疗2。两者Serrapeptase和菠萝有很大的帮助，无论你是服用抗生素，或者您没有。

如果你想一鼻子湿润干旱再次，如果你想激活你的鼻子自然净化过程中，得到Nasodren ®或任何其他喷雾已经在它的仙客来铕L或有点“胡椒提取”。使用一次或两次，每天不要过分信赖于它。它是昂贵，但它帮助我。 Nasodren ®应该是一个谜团的一部分，特别是当你不打喷嚏，如果你的鼻子只是干涸。

Perenterol ®将帮助您加强您的胃肠道。一个非常老虎钳的人曾说过，我们“吃，喝”大部分的疾病，我们得到。肠道负责许多疾病如果是削弱自己。我不能证明，但假设之间的胃肠道和呼吸系统很强的关系。这来自于我自己的经验。但是，如果您已经有腹泻，一定要采取Perenterol ®复地（酿酒布拉）3次，每周至少。你可以双倍的剂量，如果你喜欢。

疼痛：如果你觉得你需要一个止痛药，提出要求。这将帮助你去睡觉。一个晚上不睡觉不杀了你。两晚是坏的。您可能需要对乙酰氨基酚任何双氯芬酸（这是牙痛更好）到布洛芬。请注意，所有的止痛药对你的消化系统和列的负面影响。喝足够的水，坐了几分钟直立时，带他们。在副作用您采取的数量增加的可能性。始终以最小的剂量必须能够睡觉。请注意，经常过量的NSARs数天会杀死你。好老对乙酰氨基酚®是一个例子。阅读所有您曾经使用止痛药和背诵最大剂量您可能需要说明书。

体育活动减少到最低限度至少4至6个星期：
采取这一建议认真。最危险的阶段，是一种急性鼻窦炎之后，当你认为你是治愈。远离健身房和4至6周的其他活动，如果你觉得不再疲惫。你自然会觉得你的身体信号时，你有更多的工作将是有益的。特别是如果你有问题，走了一个灯的斜坡，如果你的心跳率过高当你停止跑步等活动。请注意，链球菌可能是在您的呼吸道细菌人口的一部分。如果你的心得到了这种细菌感染，你是在深狗屎。如果你不想要一个突发心脏病而在您下次慢跑旅游，远离练习，直到你觉得合适了。

戒烟：
除非你是没有造成鼻窦炎，如鼻中隔弯曲或极为相似，在你改变生活方式可以使你成为一个更健康的人再次大规模的生理问题。三思而后行。采取这一建议认真。一些替代医生甚至不愿接受与你的工作，如果你继续吸烟。以上的推土机一样黏膜纤毛烟卷。吸烟是有鼻窦炎的人是错误的习惯。如果您认为您没有强大到足以退出，获得专业人士的帮助（心理学家）。如果你认为你能戒烟，但你并不想：这是你真正上瘾的迹象。获得帮助（心理学家）。催眠治疗可以帮助你戒烟日。这很容易，做到这一点。

额外的睡眠：
这是对你最重要的任务之一。添加在上周末1或2小时的睡眠最少。尽量避免不必要的任务，在你的生活和休息时间免费。

过敏：
尝试找出如果你有一个过敏引起的鼻窦炎。可能很难这样做。如果您正好有过敏引起的鼻窦炎，你需要一个强有力的，现代的组胺拮抗剂相应的待遇。不要简单地克服这种情况的处方药，因为他们可能过于软弱。


注意到你的魔术认真的建议，考虑采取以下措施，如上所述，如果您没有过敏症：



商品名称可能不同，在贵国。下面的表中提到的活性药物成分：

·“吸入”：以下成分为建议：57％桉叶素，29％Levomenthol，14％racematic campher
（建议：Transpulmin ® - 一个万金油，这在热水吸提出）

· Ortiven ®：与Xylometazoline鼻鼻塞

· Aniflazym ®武田：1片包含：5毫克Serrapeptase（= 1万辆）

· Nasodren：自然提取仙客来europeum蜇

· Perenterol ®福泰：250毫克与酿酒酵母布拉干

·扑热息痛：（也：对乙酰氨基酚），斩妖除魔的
ñ -（4 -羟苯基）乙酰胺。不要过度使用！

· Diclophenac：斩妖除魔的
2 - （2 - （2,6 - dichlorophenylamino）苯基）乙酸。不要过度使用！


·作者是不是医生。如果您有任何问题，请询问您的医生或药剂师。阅读所有说明书开始之前，请仔细服用/使用药物。如果药物已经为你规定，不传授给他人。它可能会伤害他们，即使他们的症状是你的一样。如果有任何的副作用变得严重，或者如果您发现任何一方不在本小册子中列出的影响，请告诉您的医生或药剂师。

亲切的问候，
马库斯

Cn空间中的翻译（可能包含错误）