To remove or not to remove the adenoids - the problem facing many parents. There is no hurry, you must first hold a conservative treatment. Well, if conservative treatment fails, and the baby non-stop colds, not breathing nose, then remove nasopharyngeal tonsil have.

Why is not always necessary to operate

Of course, the parents prefer to treat their child with conservative methods, because the operation - it's always a trauma for the child. And there is nothing wrong if the treatment is carried out under the supervision of otolaryngologist.

A feature of the child's body is that with age overgrown nasopharyngeal tonsil (and this is the adenoids) begins to shrink in size (atrophy). This process begins after 12 years and after 20 ends.

Therefore, the task of parents and otolaryngologist is that the child as little as possible sick colds. It was a cold causes a rise in the lymphoid tissue, which consists of nasopharyngeal tonsil. The growth of nasopharyngeal tonsil tissue during infection - is its physiological function, because it is the amygdala (two palatine, lingual and nasopharyngeal) constituting the so-called pharyngeal ring, do not let the infection in the respiratory tract. If the child will not get sick, and the adenoids will not increase.

But they will not diminish until it is certain age. No need to succumb to various kinds of advertising, which promises a complete cure of the adenoids conservative methods.

But to engage in strengthening the body's defenses child can and should be - that the immune system will survive the dangerous age without surgery.

In another situation in adults. They do not have such prospects as children, that is, the adenoids will not decrease ever. Of course, I degree adenoids does not make sense to treat quickly, it is worth to apply the same methods of conservative treatment as children. But if the adenoids are more hampered breathe through the nose, sleep, and especially if it is also combined with some other diseases (eg, cardiovascular system, kidneys), it is better, though, to think about their removal.

Indications and contraindications for surgical removal of the adenoids

The indication for surgical removal of the adenoids is not so much their size, as they cause disturbances in the body. All indications for surgical removal of the adenoids can be divided into absolute (here is not going anywhere, you need to operate) and relative (better still operate). By the absolute indications for adenoidectomy are:

• large adenoids (III degree) with persistent violation of nasal breathing during the day and night;
• large adenoids (II -III degree) with snoring and momentary cessation of breathing during sleep Dreams: how to understand our dreams   (apnea);
• suspected malignant degeneration of the tissue of the adenoids;
• persistent hearing loss;
• against the background of the formation of the adenoids Adenoids - the expansion of the pharyngeal tonsil   abnormal development of the maxillofacial region (eg malocclusion Malocclusion: fix is ​​never too late   - Closure of the teeth).

Relative indications for adenoidectomy are:

• frequent inflammation of the middle ear (otitis media);
• frequent acute inflammation of the sinuses (frontal sinusitis, sinusitis);
• permanent halitosis Breath (halitosis) - is sometimes useful to close the mouth ;
• speech disorder in the form of a nasal.

Contra-indications for surgical treatment of adenoids are:

• any acute illness and exacerbation of chronic diseases, as well as the weakening of the body after them;
• diseases of the blood, accompanied by violation of its clotting and a tendency to bleeding (such as hemophilia);
• severe diseases of the cardiovascular system.

A relative contraindication to surgery is the age of three years. But if there is absolute or relative reading operation is carried out at any age.

Types of operations that are used in the adenoids

Used two types of operations: the complete removal of the adenoids (adenektomiya) and partial removal (adenotomy).

Adenotomija performed mainly children. The fact that lymphoid tissue carries a protective function and is sometimes necessary to remove only the excess, leaving part to protect the body against infection. Produced adenotomy under local anesthesia special steel loops, one end of which is acute.

Adenektomiya today carried out mainly by endoscopy under general anesthesia. This allows you to carry out the operation more efficiently, as during endoscopic surgery with the use of special optical equipment throughout the course of the operation is visible on the screen.

How to treat the child - operative or conservative? Talk to your doctor, otolaryngologist, and then decide to agree or disagree with his arguments.

Galina Romanenko

View a baby with his mouth open and persistent nasal discharge is very often the result of proliferation of adenoid tissue. The only way to successfully treat the official medicine considers operational. But before you remove the adenoids, you can try to solve the problem of folk remedies. If no improvement is forthcoming, it is necessary to agree to surgery, and if the child's condition is satisfactory, then the surgery may no longer occur.

Herbal treatment

• Herbal medicine - gentle and effective method to at least remove the acute inflammation of the adenoids. Herbs need to start treatment only after consultation with otorhinolaryngology, in the absence of an allergic reaction to the reception of herbs in history.
• Celandine - uses pure juice and infusion. Pure juice is only available in the summer, it is instilled by four drops three times a day in both the nasal passage, at least two months. This method of cauterizing and it is not suitable for young children.
• The infusion is prepared for the day: two tablespoons herb steamed two glasses of water, leave for thirty minutes. The warm solution was washed nasopharynx twice a day, after which five drops instilled warmed vegetable oils (sunflower, olive or peach).
• Carnation - ten "studs" steamed glass of boiled water, to dark colors, instill two drops in both nostrils to five times a day for two months.
• Aloe - aloe Aloe - its amazing healing properties   (freshly picked leaf can be used), two drops three times a day throughout the year.
• Eucalyptus - standard two tablespoons of steamed half a liter of boiling water and insist in a thermos at least two hours, then rinse the throat for a day at least three times. The course of treatment is four months.

Gathering herbs

• Collection №1: eucalyptus - two, birch leaf - one part, chamomile color - two. Standard tablespoon collection zaparivayut glass of boiled water, for an hour, do not keep more than two days in the refrigerator before using heated. Buried three drops three times a day, both the nasal passage, at least two months.
• Collection №2: oak bark - two, St. John's wort - one part of mint Mint and its useful properties: aromatic freshness   - one part. One tablespoon standard collection boiled for five minutes with a glass of water infused for hours, stored in a dark place is not more than a day. Buried four drops, twice a day in each nostril, in the form of heat, at least two months.
• Collection №3: leaves mother and stepmother - one and a half part series - three parts, St. John's wort - two. Standard tablespoon of high-slide collection steamed in a thermos for one hour, strain and add two drops of eucalyptus oil. Buried four drops, twice a day in each nostril - two months.
• Collection №4: currant leaf - two, marigold flowers - one of the color viburnum - one part, rose hips - four parts chamomile flowers - three. Standard tablespoon composition steamed in a thermos eight, filter, add one drop of pine oil. Is instilled into each nostril four drops twice a day for at least two months.

Other methods

Aromatherapy - in a child's room can be put orange or lemon tree, which releases a lot of volatile production in the air, due to what is happening the natural readjustment of the nasopharynx. It is not the main method of treatment, but as a subsidiary - is very effective.

Breathing exercises

Breathing exercises is an excellent method of rehabilitation of a child with adenoids Adenoids - the expansion of the pharyngeal tonsil   the first - the second degree. It helps as gymnastics, developed Strelnikova and breathing Buteyko Buteyko Breathing: Exclusive method . The general condition is necessary to deal with under the supervision of an experienced specialist. For young children, there are lightweight, but also very effective variants of these techniques.

Important: in the absence of the effect of treatment of folk remedies for two months and enlarged adenoids to the third degree operative treatment, but the decision should be made together with the parents attending otolaryngologist.

Svetlana Shimkovich