When enlarged adenoids, child breathe with difficulty, he often snoring and her in a dream, and the day always comes with his mouth slightly open. Because this can disrupt the formation of the bite will be distorted facial features. Shortness of breath often leads to decreased immunity. Do not start the problem, try to cure adenoids conservative way, and if the effect is not, discuss with your doctor the question about how to remove it. The spring months is a very appropriate time for this operation, as the recovery period after it captures the beginning of the warm season. But during the summer heat, remove the adenoids is not recommended. Surgical intervention is also contraindicated in severe blood disorders, severe pathology of the cardiovascular system. If the student has recently had an infection, remove the adenoids is possible only after 1-2 months after recovery. Of course, when the city is rampant, for example, the flu epidemic, the operation is also worth a wait.The danger signal
Nasopharynx child works like air conditioning: it warms cold air, cools hot, moisturizes dry, and simultaneously clears it from the dust. Inflamed adenoids break this "conditioning". Shortness of breath leads to a weakening of protective forces of an organism that protects against infections of the nose, throat, the respiratory tract, i.e.:
- tonsillitis, laryngitis, bronchitis, increased risk of chronic tonsillitis and pneumonia - pneumonia;
- swelling of the mucous membrane of the nose, breaking aeration (filling the air and the outflow of mucus out of the sinuses, which helps them purulent inflammation of the sinus;
- closes pharyngeal mouth of the auditory tube: the child hears worse, and have chronic middle ear infections.
The actions of the parents. Suspecting something was wrong, do not delay a visit to a specialist! If you leave everything as it is, the facial features can change drastically. In addition prikrylova mouth of such a student issue apathetic, sleepy expression and paleness of the face, flattened nasolabial folds, eyes slightly bulging. Over time (especially if the trouble began in childhood) disrupted the structure of the facial skeleton, and unattractive adenoid mask remains for life. The most gets the upper jaw: the alveolar part, to which is attached the upper row of teeth, is narrow and elongated, teeth stick out "at random", and issued forth as rabbit. Sky high and narrow ("Gothic"), as the arch of the medieval Cathedral. It's tough chest. She gradually turns into a "chicken breast" becomes narrow, and the edges can be reduced to the sternum at a sharp angle like a ship's keel. Suffering and the General condition of the pupil. Because of the difculty in breathing and oxygen starvation worse he develops and learns the material, hardly remember the rules and poems, complains of headache, it gets nosebleeds, he easily gets tired, becomes sluggish and lethargic from lack of sleep (what a dream, when it is difficult to breathe! ). Especially crushing defeat defenses suffer when so-called diseases of Thornwald (adenoiditis), when the gap between the two halves of nasopharyngeal tonsil during inflammation "overgrown". And the result is a surface cavity with pus, and traffic congestion is a source of constant intoxication and infection. He provides disease-causing germs the entire body and is primarily the respiratory tract. Because of that, and it is important not to let the disease go away, time to contact the doctor.
The coffee bean with surprise
Adenoids is suspended to the nasopharynx. Hence their medical name - the nasopharyngeal tonsil. She looks like a great coffee bean, separated by a deep vertical cleft into two halves, and consists of lymphoid tissue. Together with nebnymi tonsils (as well as lingual and laryngeal) adenoids form a kind of closed line of defense against infection: the so-called pharyngeal lymphoid ring is the Outpost of the immune system on the approaches to the respiratory system of the child's body. At the child 1, 5-2 years of problems with adenoidal usually does not occur. They begin to grow after 3 years, when the child crosses the threshold of the garden and starts to get sick often. And when it becomes a schoolboy, the problem is strong again. If, moreover, he is rarely in the fresh air, prone to allergies, growing in greenhouse conditions, weighs more than the norm, it can contribute to the overgrowth of adenoidal tissue.
The process went
Gradually falling down, adenoids blocking the rear openings of the nose, making it difficult nasal breathing. In the adenoid growths of I degree day the child is breathing freely, but during sleep, when volume is increased in a horizontal position by the flow of venous blood, it becomes difficult to breathe. When adenoids II-III degree children often pography during sleep and are forced to breathe through my mouth all day. Agree, it looks not very nice, but worst of all, that suffers not only the appearance but also the whole body.
The actions of the parents. If the son or daughter sleeps with his mouth open, be sure to show his ENT doctor! In addition to the ENT doctor consult child at the allergist, immunologist and dentist (he says, not started if the formation of abnormal bite).
To be or not to be?
If excessive growth of nasopharyngeal tonsil are confirmed, not calm yourself what it is in the end "only" adenoids! Do not refuse the proposed operations. Drops, gargles and other conservative treatment only help in the beginning, when breathing is difficult only in sleep.
Surgical removal of adenectomy not be avoided if:
- the nasopharyngeal tonsil reached a critical value of II-III degree;
- the child does not get out of the cold;
he abruptly disturbed nasal breathing;
- distorted facial features;
- constantly inflamed sinuses;
- repeated tracheobronchitis, pneumonia;
- there are signs of bronchial asthma;
- hearing loss;
- occasionally there is inflammation of the middle ear - otitis media (in this case, the professionals remove even small adenoids to release pharyngeal mouth of the auditory tubes);
- formed a nasal tone of voice;
- there are psihonevroticheskih and other disorders (enuresis, convulsions).
The longer pull operation, the higher the risk of neurosis, seizures, asthma, obsessive cough tendency to spasm of the glottis, bedwetting. However, sometimes in adolescence adenoids are themselves.
One-two - and ready!
Adenectomy doing outpatient. Before surgery, prescribe medications that improve blood clotting (calcium gluconate, askorutin). The night before and on the day of surgery the child should not be fed, not to provoke vomiting. Bring to the hospital a thermos of sweet tea and let's enjoy it to the child 2, 5 hours before the intervention. Not draw in your imagination picture the upcoming torment: they will not be! Removing adenoids, doctors have to resort to pain, because of modern medicine a wide range of effective local anesthetic tools. Usually in each half of nose pour 5 drops of 1% solution of dikaina or 10% lidocaine. Flowing into the nasopharynx, the anesthetic "off" pain receptors adenoids. In addition, to reduce sensitivity to pain and fear, before you do surgery intramuscular injection of a sedative (calming) drug. However, prepare yourself for the fact that the first two days after surgery nasal breathing child may deteriorate. This is due to soft tissue swelling.
Author:
Vasilieva N., children's ENT doctor
Source:
The health of the schoolchild
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