The only radical treatment for adenoidectomy is removal. However, children do not always recommend removing the adenoids and is often treated with conservative methods. Adults are people better to remove the adenoids, conservative methods they are unlikely to benefit.

Basic principles of treatment of adenoids in children and adults

The principle of treatment of adenoids in children and adults are somewhat different. If the child can develop a disease with age, and adenoids atrophy, the adults do not have such prospects. When adenoids reach the size of II degree, that is, cause breathing problems and day and night, then it is better to remove.

Conservative treatment consists of adenoids general treatment is to strengthen the immune system Strengthening the immune system - help the immune system   (child less than colds, the less growing lymphoid tissue of the adenoids) and local impacts in different ways.

Conservative treatment of adenoids

A very important role in the treatment of adenoids play a common treatment, which is the hardening of the body by any suitable means for him. First of all, the maximum exposure to fresh air - at least three hours a day in any weather. Well, if such trips are in the form of mobile games. Hardening can be carried out by means of cool foot baths, starting with water at room temperature and three seconds, and gradually reducing the temperature on the degree and duration of a second time a week.

To the general treatment concerns the treatment of a variety of drugs that stimulate the immune processes. For this purpose, prescribe drugs, which contribute to the production of antibodies to the most common pathogens of upper respiratory tract infections. These drugs include broncho-moon ribomunil, IRS-19. If the preventative treatment of such drugs twice a year, the child will be much less likely to get sick in the cold season.

Not least in the strengthening therapy and take vitamin and mineral complexes. As a result of receiving normal metabolism Improves metabolism and losing weight without dieting That will necessarily affect the state of immunity of the child. If the child is very difficult to breathe and it prevents him from sleeping, his doctor prescribes antihistamines that reduce the swelling of tissues (tavegil, suprastin). A good effect is homeopathic remedies, but they require the proper selection of the drug and its administration. Antibiotics are appointed only when there are abundant purulent discharge from the nose and fever - it's a sign that inflamed adenoids.

For topical treatment of adenoids include various nasal lavage, instillation of medicinal solutions, physiotherapy, breathing exercises. Of course, all-purpose can make only a doctor, but parents also need to understand why and what they are doing to their child.

You can start with the nasal lavage. Before washing the nasal cavity child free of mucus (if the child is big, it vysmarkivaetsya and a small child can be suctioned syringe), and then he buried vasoconstrictor drops (by a doctor), for example, a solution of 0, 05% naftizina Naphthyzinum - carefully overdose . In this case the aim is to reduce the volume of the nasal turbinates, improving breathing and facilitate subsequent washing of the nose.

Rinse the nasal cavity needs 3-4 times a day for two weeks, but vasoconstrictors may be used no more than five consecutive days. This can be done as a drug solution (furatsilinom, a weak solution of potassium permanganate, drops Aqua Maris) and infusions of herbs (St. John's wort, chamomile, calendula), or saline. Wash the nasal cavity, gaining a warm solution in the syringe, the baby's head at the same time should be tilted forward. You can not do it under a lot of pressure, but gradually.

After washing, the child should rest for half an hour, after which it can drip nose treatment drops (1% solution protargola 20% sulfatsil sodium mixture of beet juice and aloe juice).

Appointed and a variety of physical therapy: ultraviolet radiation (both general and nasal cavity), laser (some otolaryngologists consider it an alternative to surgical treatment), the introduction of various medicinal solutions into the nasal cavity in the form of electrophoresis, UHF.

Of great importance in the conservative treatment is given to rehabilitation of other sources of infection from carious teeth to sinus inflammation and chronic tonsillitis Chronic tonsillitis - inflammation of the tonsils .

Surgical treatment of adenoids

If conservative treatment fails, the child is infinitely colds and adenoids grow, it is an indication for surgery to remove them. The indications for surgery are also hearing and speech of the child.

The operation is performed under general anesthesia. These operations are done under local anesthesia and, but it is not very good, as sometimes does not allow the doctor to carefully remove the tissue of the adenoids, and it will contribute to relapse.

In the process of operation is commonly used endoscopic equipment, which can be used well to consider the operative field and remove the entire fabric of the adenoids. Children are easier to carry this operation, since the child's body is much higher resilience. After surgery, a child in a day is discharged from the hospital, the person is an adult there for 2-3 days.

Adenoids - is a mild disease, but it requires proper treatment under a doctor's supervision.

Galina Romanenko

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 Dreams: how to understand our dreams . 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.

Complications

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.

  Galina Romanenko