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Diagnosis and treatment of adenoids. The need for treatment of adenoids is obvious, since prolonged shallow and frequent breathing through the mouth causes abnormal development of the chest and leads to anemia. In addition, due to constant oral breathing in children, the growth of Budesonide of the face and teeth is disrupted and a special adenoid type of face is formed: the mouth is half open, the lower jaw becomes elongated and sagging, and the upper incisors protrude significantly.

 

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If you find one of the above signs in your Budesonide, without delay, contact an ENT doctor who undoubtedly knows how to treat adenoids in a child. In case of detection of grade I adenoids without severe respiratory disorders, conservative treatment of adenoids is performed. The ENT doctor will prescribe how to treat adenoids in a child, for example, instillation of a 2% solution of protargol into the nose, taking vitamins C and D, and calcium preparations.

 

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Treatment of rhinocort in children with the help of an operation - adenotomy - is not necessary for everyone. The operation must be carried out according to strict indications. As a rule, surgical intervention is recommended with a significant proliferation of lymphoid tissue (adenoids II-III degree) or in case of serious complications - hearing loss, nasal breathing disorders, speech disorders, frequent colds, etc.

 
 

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If the decision to operate was nevertheless made, new questions arise - is it worth doing the operation under anesthesia or limiting it to local anesthesia, what are the possible complications, how to care for the child in the postoperative period? You can answer them only by weighing all the possible risks and consulting with a competent ENT doctor. Adenoids in children: causes, symptoms and treatment.

 

Pharyngeal tonsil and its functions.


A common reason for visiting a pediatric otolaryngologist is hypertrophy and inflammation of the pharyngeal tonsil. According to statistics, this disease accounts for about 50% of all diseases of the upper respiratory tract in children of preschool and primary school age. Depending on the severity, it can lead to difficulty or even complete absence of nasal breathing in a child, frequent inflammation of the middle ear, hearing loss and other serious consequences. For the treatment of adenoids, medical, surgical methods and physiotherapy are used.

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Tonsils are called accumulations of lymphoid tissue, localized in the nasopharynx and oral cavity. In the human body, there are 6 of them: paired - palatine and tubal (2 each), unpaired - lingual and pharyngeal.

Together with lymphoid granules and lateral ridges on the back of the pharynx, they form a lymphatic pharyngeal ring surrounding the entrance to the respiratory and pi.digestive tracts. The pharyngeal tonsil, the pathological growth of which is called adenoids, is attached with its base to the posterior wall of the nasopharynx at the exit of the nasal cavity into the oral cavity. Unlike palatine tonsils, it is not possible to see it without special equipment.

Tonsils are part of the immune system, perform a barrier function, preventing further penetration of pathogenic agents into the body. They form lymphocytes - cells responsible for humoral and cellular immunity.

In newborns and children in the first months of life, the tonsils are underdeveloped and do not function properly. Later, under the influence of pathogenic bacteria, viruses and toxins constantly attacking a small organism, the active development of all structures of the lymphatic pharyngeal ring begins. At the same time, the pharyngeal tonsil is formed more actively than others, due to its location at the very beginning of the respiratory tract, in the zone of the first contact of the body with antigens. The folds of its mucous membrane thicken, lengthen, take the form of rollers, separated by grooves. It reaches full development by 2-3 years.

As the immune system develops and antibodies accumulate after 9–10 years, the pharyngeal lymphatic ring undergoes uneven regression.

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The size of the tonsils is significantly reduced, while the pharyngeal tonsil often completely atrophies, and their protective function passes to the receptors of the mucous membranes of the respiratory tract.

Causes of the appearance of adenoids. The growth of adenoids occurs gradually. The most common cause of this phenomenon is frequent diseases of the upper respiratory tract (rhinitis, sinusitis, pharyngitis, laryngitis, tonsillitis, sinusitis and others).

Each contact of rhinocort with the infection occurs with the active participation of the pharyngeal tonsil, which at the same time slightly increases in size.

After recovery, when the inflammation passes, it returns to its original state.

  • If during this period (2-3 weeks) the child falls ill again, then, not having time to return to its original size, the amygdala increases again, but already more.
  • This leads to constant inflammation and growth of lymphoid tissue.
  • In addition to frequent acute and chronic diseases of the upper respiratory tract, the following factors contribute to the occurrence of adenoids:
  • At risk of adenoids are children from 3 to 7 years old, attending children's groups and having constant contact with various infections.
  • In a small child, the airways are quite narrow and in the case of even a slight swelling or growth of the pharyngeal tonsils, they can completely overlap and make it difficult or impossible to breathe through the nose.
  • In older children, the incidence of this disease is sharply reduced, because after 7 years the tonsils are already beginning to atrophy, and the size of the nasopharynx, on the contrary, is increasing.
  • Adenoids interfere with breathing to a lesser extent and cause discomfort.

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Depending on the size of the adenoids, there are three degrees of the disease:

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Grade 1 - adenoids are small, they cover no more than a third of the upper part of the nasopharynx, problems with nasal breathing in children occur only at night with a horizontal position of the body;

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Grade 2 - a significant increase in the pharyngeal tonsil, overlapping of the lumen of the nasopharynx by about half, nasal breathing in children is difficult both day and night; Grade 3 - adenoids occupy almost the entire lumen of the nasopharynx, the child is forced to breathe through his mouth around the clock.

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The most important and obvious sign by which parents may suspect adenoids in children is regular obstructed nasal breathing and nasal congestion in the absence of any discharge from it. To confirm the diagnosis, the child should be shown to an otolaryngologist.

Typical symptoms of adenoids in children are: sleep disturbance, the child does not sleep well with his mouth open, wakes up, may cry in his sleep; snoring, sniffling, breath holding, and choking attacks during sleep; drying of the oral mucosa and dry cough in the morning; change in the timbre of the voice, nasal speech; headache; frequent rhinitis, pharyngitis, tonsillitis; loss of appetite; hearing loss, ear pain, frequent otitis due to blockage of the canal connecting the nasopharynx and the ear cavity; lethargy, fatigue, irritability, moodiness.

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