Adenoids - is the lymph nodes on the back of the throat, behind the nose. Often, the adenoids are removed along with the tonsils
Tonsils - whether to delete them?
. This can cause severe pain in the throat and cause bad breath
Breath (halitosis) - is sometimes useful to close the mouth
- However, these symptoms are usually tested one week after surgery. It is believed that after the third year of life, people hardly use adenoids.
In some cases, usually as a result of infections, adenoids begin to grow and may reach the size of a table tennis balls, completely blocking the movement of air through the airways. However, this rarely happens, but enlarged adenoids can still greatly hinder breathing, so patients sometimes have to breathe through your mouth. In addition, upper airway obstruction due to enlarged adenoids can cause a change in the voice.
Enlarged adenoids, especially in children, causes characteristic changes in appearance - such as a long face, constantly open mouth, enlarged nostrils, and so on.
Complications of the infection of the adenoids may be:
- Infections of the middle ear. Adenoides are directly at the end of the tube which connects the middle ear with the throat (the Eustachian tube). It was for her an infection of the adenoids can get into the middle ear. This can lead to significant damage to the hearing.
- Sinusitis. One cause of sinusitis
Sinusitis - difficult to cope alone
are infections of the adenoids.
- Other infections. The disease of the adenoids can lead to viral or bacterial infection of the bronchi (bronchitis) or the lungs (pneumonia).
- Vomiting. As a result of infection of the adenoids person can swallow a lot of pus, especially during sleep
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. Sometimes this leads to severe vomiting.
Adenoids Treatment depends on the cause of the disease. In the case of treatment of bacterial infections often used antibiotics. Removal of the adenoids may be recommended for recurrent ear infections (in children can adversely affect the development of speech) often feel unwell, and in those cases when enlarged adenoids interfere with normal breathing.
Surgery to remove the adenoids called adenoidectomy. It is performed under general anesthesia (less often during surgery local anesthesia). During adenoidectomy can be used as a conventional surgical and laser. Studies show that in 20% of cases after adenoidektomii adenoids begin to grow again.
Pharyngeal ring - our protection against infection
Pharyngeal tonsil - a cluster of lymphoid tissue (connective tissue permeated by lymphocytes and macrophages - cells that are the basis of immunity), which is located in the roof of the nasopharynx. This amygdala developed only in childhood and at the palatine, lingual and tube pharyngeal tonsils is part of a ring that holds, infection (bacteria and viruses), tries to penetrate into the human body.
Pharyngeal tonsil inflammation called adenoiditis, it occurs predominantly in children, due to the anatomical proximity of the auditory tube in these children often have otitis.
Adenoids, and their prevalence
Adenoids - a proliferation of lymphoid tissue of the pharyngeal tonsil, which is a tumor-like mass of pale pink, is located on a broad basis in the vault of the pharynx, its uneven surface adenoids sometimes resemble a cockscomb. The adenoids are a reservoir of adenoviruses, which create in lymphoid tissue tonsils constant focus of infection and sensitization (sensitization), occasionally causing the disease.
Adenoids usually are fairly common in children of both sexes between the ages of three to ten years. But sometimes they can be found both in the first months of life, as well as in adults.
Causes of sprawl pharyngeal tonsil
The rapid growth of the adenoids is usually associated with numerous childhood diseases (measles, scarlet fever, viral infections, and so on), which cause an inflammatory reaction and proliferation of lymphoid tissue of the nasopharynx.
Factors contributing to accelerate the proliferation of adenoids are unfavorable living conditions (wet rooms, bad food, and so on), which reduces the protective properties of the body and lead to acute and chronic inflammation of the upper respiratory tract.
Degrees of growths adenoids
When pharyngeal tonsil sprawl spreads anteriorly, posteriorly and laterally up to the auditory tube. There are three degrees of pharyngeal tonsils sprawl:
- I degree - adenoids cover the upper part of the opener (the thin bone plate forming part of the nasal septum);
- Grade II - adenoids cover 2/3 opener;
- Grade III - large adenoids, covering the entire opener.
What will help a child suspected adenoids
When the pharyngeal tonsil tissue growth in the child periodically or continuously appear stuffy nose with copious filling the nasal passages. This disrupts blood circulation in the nose and throat and causes inflammation. For large adenoids, filling the entire body of the throat, marked voice disorders, it loses its sonority becomes muffled.
Closing the openings of the auditory tubes, the adenoids can lead to substantial hearing loss, especially during acute rhinitis. Because hearing loss for a long time small children can not learn to speak.
Due to the fact that the child is always open mouth, his lower jaw droops and nasolabial folds are smoothed ("adenoid face"), which may eventually lead to deformation of the face and dentition.
The adenoids can produce complicated by frequent colds because of the fact that the child is breathing cold and crude de-moisturized air through the mouth. There may be complications of the ear - otitis media, which in turn can cause a persistent hearing loss.
Treatment sprawl pharyngeal tonsil
Treatment pharyngeal mndaliny proliferation, particularly in grade II and III, as a rule, surgical. The indications for surgery are not so much the value of the adenoids as the ensuing breakdown in the body.
The indications for adenoidectomy children are sharp and chronic rhinitis nasal breathing difficulty and - repeating adenoiditis, which are accompanied by complications from the ears.
Contraindication for surgery are:
- a general weakening of the body after a recent infection (eg, scarlet fever);
- blood disorders (such as blood clotting, which can cause bleeding during the operation);
- severe diseases of the cardiovascular system;
- epidemics of infectious diseases.
After surgery to remove the adenoids during the month should avoid physical exertion, not to use coarse, hard and hot food. Within a week after the operation the child should not take a hot bath and is under the open sun. It should be instilled into the nose vasoconstrictive drops (eg Naphthyzinum).
Adenoids cause difficulty of nasal breathing, hearing, voice changes, as well as adversely affect the general condition of the body, so they should be removed.