The adenoids in children symptoms
Adenoides most often in children.And there is the disease suddenly: suddenly, after undergoing a cold or flu, the baby begins to intensively "sniff" the nose, snoring at night and sleeps very restless, capricious day.
To put this diagnosis, it is not necessary to be an expert.Exterior view of the child, who is constantly half open mouth, upper teeth are arranged randomly and significantly protrude from the nose snot flowing, chest similar to the "chicken" breast.All of this leaves no doubt that the poor man have adenoids or a pathological increase in the pharyngeal tonsil, which is very common.It occurs in 50% of all children with upper respiratory illness.How to cure this disease folk remedies, see here.
high in the throat behind the nose of the soft palate is composed of lymphoid tissue proliferation pharyngeal tonsils, adenoids is called (from the Greek aden -. Iron and eidos - kind).Pharyngeal tonsil (third) part lymphadenoid throat ring and as its other component refers to the organs of the immu
When a child is born, tonsillar lymphoid tissue is still immature, its improvement is gradual, as the body adapts to the baby's environmental effects, and in response to the tonsil tissue grows.
It is not an endless process, its greatest development adenoids reach the age of six.Around 11-12 years, they begin to shrink in size, and after 16 and does atrophy.Most adults adenoids are completely absent.
explains this phenomenon by the fact that the lymphatic system of the person up to six years of being formed, and the main burden in the defense of the body rests on the lymphatic system of the pharynx.When the end of its formation, nasopharyngeal tonsil (adenoids) gradually atrophied as unnecessary.
pharyngeal tonsil inflammation called adenoiditis. It arises due to the strong proliferation of adenoids when they become a hotbed of breeding microbes, viruses and fungi.As a result of the inhaled air is humidified and cleansed in the nasal cavity, and immediately gets into the lower respiratory tract, because of what the child gets cold easily and often and long ill.
Conditionally adenoids can be divided into three levels:
What processes occur in the body as a result of this?
If adenoids close only a small part of the nasopharyngeal space, the day the baby is breathing freely.Since the volume of the body horizontal position is increased adenoids, during sleep nose breathing becomes heavier.
If adenoids halfway or completely cover the nasopharyngeal space, breathing hard, day and night.This is the case when you have to live with his mouth open round the clock.And this, despite the apparent lack of seriousness of the situation, leading to very serious problems.
Due to the fact that nasal breathing is difficult, the air stream is forced to "detour" through the mouth.This means that the airways adjudged not peeled not warmed and humidified air, which in turn is strictly not "like" pharynx, larynx, trachea, bronchi and lungs, for which it should be.Sometimes they can not cope with the load.They developed inflammation that leads to sore throats, laryngitis, tracheitis, bronchitis, pneumonia.
From "wrong" suffering breathing and nose.Its mucous membrane swells, here bacteria multiply freely.That's where snotty noses with slizistognoynymi secretions, sinusitis, voice alteration (it becomes nasal).
Involuntary breathing through the mouth while adenoids lead to a decrease in the tone of muscles of the pharynx.There is even snoring and breathing delay due to airway overlap (this phenomenon is called obstructive sleep apnea syndrome, which we were told in detail in one of the chapters of this book).Not slept the night the child quickly gets tired during the day, becomes irritable, he reduced attention and memory.In some cases even suffered mental development.
adenoid growths affect the normal functioning of the middle ear.Violation of the auditory tube patency leads to hearing loss, and persistent inflammation in the nasopharynx - a bacterial infection of the middle ear through the Eustachian tube, causing otitis media.
Chronic adenoiditis child can cough torture: it provokes flowing from the nasopharynx abnormal discharge.More than just a cough exasperates during sleep or upon waking.
The nasopharynx is amplified and finally formed the tone of voice.Because adenoids that block the passage of the resonant wave, distorted voice becomes nasal.Especially children are not "m" sounds and "N".These are the pronunciation sounds like "b" and "d".
If the adenoids are not treated, it changes the shape of the facial skeleton: permanently open mouth, the lower jaw droops, nasolabial folds are smoothed out, the hard palate becomes high (the so-called "Gothic"), violated the bite of the teeth, the incisors protrude significantly.This complicates the mastication and subsequently lead to diseases of the gastrointestinal tract.With the ever-open mouth the lower jaw pinched blood vessels that feed the brain, which leads to chronic oxygen starvation of the brain.
Sometimes adenoids notes bedwetting.
pharyngeal tonsil is available to all children, but only half of it becomes the source of the disease.Who falls into the "at risk" of kids, what factors contribute to the emergence of the adenoids?
Give impetus to the widening of the disease, in which the inflamed mucosa of the nose and throat: acute respiratory infections, measles, whooping cough, scarlet fever, diphtheria, flu, etc. So the body tries to protect themselves from infection, exposing additional barriers on her way...
cause of the adenoids may be a genetic predisposition.Do not take this as an inevitability, but remember that our children are our flesh and blood, still stands.
adenoids is often found in children suffering from diathesis, a variety of allergic diseases.In these cases, there is an increase lymphadenoid throat tissue, so often accompanies even adenoids and enlarged tonsils.
Overfeeding babies can cause overgrowth of adenoids.
contributes to this unhealthy environmental conditions.If the home where the child lives, too warm, dry, dusty, adenoids are trying to adapt to the inhalation of the air and increase in size.So they will respond to the presence of odorous and washing powders, sprays, and various household cleaning products.
If used during pregnancy, especially in the 7-9-week, the expectant mother suffers a viral disease, if throughout the period it takes childbearing toxic drugs and antibiotics, there is hypertrophy lymphadenoid pharyngeal apparatus that begins to produce active immunity rapidly.
Home tonsillar hypertrophy tissue occurs in some infants as a result of birth trauma, asphyxia during birth.
order to competently and effectively treat adenoiditis, we must remember that the adenoid growths associated with reduced immunity, which means that the main task - not to get rid of adenoids, and to take measures to improve the body's resistance.
All treatment methods are divided into conservative and operative.
Conservative treatment is prescribed when enlarged adenoids are moderate and there are no complications.These are the events:
As a result of this treatment (if the parents spend it not from case to case, and in the same sequence, which recommends otolaryngologist) the child will be much less likely to get sick with acute respiratory diseases, which in turn will create the preconditions forreduction of the adenoids.In addition, as the child grows will increase the volume of the nasopharynx and nasal breathing improves.
If conservative treatment is not successful, you have to think about surgery.By the way, it is fundamentally important indications for adenotomy not determined by the size of adenoid growths, and specific symptoms.Due to the anatomical features of III degree adenoids can interfere with moderate nasal breathing and adenoids of I degree - lead to significant hearing loss.
Indications for adenotomy (adenoidectomy):
contraindications for adenotomy are anomalies of soft and hard palate, cleft palate, the child's age (up to 2 years), blood disease, suspected cancer, acute infectious diseases, acuteinflammatory diseases of the upper respiratory tract, batsillonositelstvo.
performs operations under local anesthesia or under general anesthesia (anesthesia).Typically, surgery is performed on an empty stomach in the morning and always.
Surgery takes only 1-2 minutes.Special annular blade (adenotome) is inserted into the arch region of the nasopharynx, and is pressed against it at this point is included in the adenoid tissue adenotomy ring.One hand movement - and adenoids removed.
This is the traditional method of operation.Developed and implemented in daily practice and more advanced techniques, for example, aspiration and endoscopic adenotomy, adenotomy using sheyvernyh technologies under general anesthesia.There is hardly any sense to go into layman incomprehensible subtleties, describing the technique of these operations.Suffice it to say that they are more precise and less traumatic.
be aware that in some cases, after removal of the adenoids grow again.Contrary to the opinion of an idle, it is not in the selected method of operation or insufficient training of doctors, and that in the course of the operation (as nasopharyngeal form at all different) may remain unremoved some of the adenoids, which begins to grow.In such cases, it is not recommended secondary operative intervention, conservative treatment is preferable.
adenotomy not an emergency operation, therefore, it is possible to get ready.Please treat inflamed adenoids and then remove them, otherwise there is the likelihood of developing complications.It is also necessary to clean all other foci of infection in the body, primarily carious teeth.Bad operation during flu epidemics, after acute infectious diseases.
It is best to carry out the operation at the time when the child is no ill within 3-4 weeks.
In the postoperative period during the week of the child should be protected from hypothermia and overheating (not to bathe in the hot tub, sauna), physical overexertion.Students are exempt from physical education.Do not give your baby a cold, hot, spicy foods, including fruits, juices.Kindergarten or school, you can attend after only 3-5 days after surgery, depending on the age of the child.
Quite often, due to the long absence of the normal nasal breathing, children, even after adenotomy not immediately begin to breathe through the nose.To eliminate this habit developed special breathing exercises complexes.
We offer several sets of exercises, so you can choose the most suitable to him for their child.
General requirements for performing such exercises.
exercises should be carried out in the morning before breakfast and in the evening after dinner in a well-ventilated room.
When performing any exercise, leaning forward, to the side, crouching, it is necessary to make an exhalation and straightening - breath.Raise your arms in front of him, up, throwing them to the side - breath, dropping his hands - exhale.
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