Adenoids aakulu ana: Zizindikiro ndi Chithandizo

Kholo lililonse ayenera kumva mwana wake "grunts" spout. Chifukwa khalidwe akhoza kukhala chilichonse: chimfine, ndi tizilombo toyambitsa, ndi matupi awo sagwirizana anachita, ndi obadwa nawo chosayenerera ya kapangidwe ka mphuno, ndi zina zotero. Unikani chikhalidwe cha mwana ndi kukhwimitsa umalimbana kuchotsa mfundo zimenezi kudzakuthandizani dokotala ENT. Mmodzi wa diagnoses, umene uli pa makolo kumva, ndi adenoids aakulu ana. Today mukhoza kuphunzira za matenda zambiri zothandiza.

mawu ochepa A za kudwala kwa

adenoids aakulu ana, zizindikiro ndi mankhwala omwe Adzaperekedwa kwa tcheru chanu, chifukwa cha zifukwa zingapo. Chifukwa pakuwonekera kwake kungakhale matenda tizilombo ndi tizilombo toyambitsa matenda, chifuwa, kapena ngakhale banal hypothermia. Kamodzi chitetezo cha m'thupi yafupika, adenoids aakulu (ana) poipa. Choncho, chimfine ndi zambiri amafuna chithandizo zovuta.

Ndipotu, adenoids - kutukusira kwa tonsil nasopharyngeal. Ndi zosaoneka maliseche diso, kotero ndondomeko pathological zitha pa zizindikiro zina. Komabe, ENT dokotala mosavuta kufufuza minofu lymphoid , ndi kukuuzani inu za chikhalidwe chake. Nthawi zambiri za adenoids aakulu chifukwa cha zosayenera kapena mwadzidzidzi chithandizo cha mitundu pachimake cha matenda.

Ndi angati makolo akaona matenda: zizindikiro

adenoids aakulu ana (chithunzi tonsil linaperekedwa Buku anu okha) Makolo mosavuta kuphonya. makolo ambiri molakwa kuti nasopharyngeal tonsil kutupa nthawi zonse limodzi ndi malungo, kukhosomola, zobiriwira snot ndi zina zofanana ndi zizindikiro chimfine. Koma si choncho.

Nthawi zambiri kudwala angayambe mawonekedwe chobisika ndi makolo. Ndiko kuti, matenda kwenikweni kuona otolaryngologist. Ngakhale dokotala pa akandiyeze zonse amatha amaganiziridwa kudwala. Makolo akuyembekezera zizindikiro zoonekeratu matenda kuyamba chithandizo.

Komanso zimachitika kuti mwana anaonekera adenoids lakuthwa. mankhwala olakwika kapena kupanda kwake chimayambitsa matenda amakhala aakulu. matenda pa nthawi yomweyo likuchotsedwa ndipo makolo molakwa kuti mwana anapita Kusintha kwa. Kodi mungadziwe kuti mwana wanu adenoids aakulu? Ana, matendawo akhoza Tikatenga ndi chobisika. Tiyeni tione iwo.

Kodi angapezeke paokha?

Mwatsoka, makolo amalephera molondola kupulumutsa matenda izi, ngati iwo alibe maphunziro zachipatala. Koma muli kuchenjeza zizindikiro zotsatirazi:

• mwanayo si kupuma mphuno, pakamwa yake yotsegula nthawi zonse;
• ndimalota mwana akhoza kupanga mluzu phokoso (kuchokera kupuma wolemetsa Nthaŵi zina mkonono umasonyeza);
• kugona amakhala wosakhazikika, nkhawa;
• mwanayo ali kusagwira ntchito, anataya kukhumba zinthu zatsopano;
• amphwayi mwana, maganizo, Moody;
• mawu amakhala mawu kamvekedwe.

Mu mawonekedwe pachimake adenoiditis zizindikiro aakulu ana ali zotsatirazi: rhinitis ndi profuse chipinda wandiweyani ntchofu (nthawi zina mukhoza zimatulutsa chinthu chosangalatsa fungo), malungo ndi mutu. Popeza yaitali chithandizo ndipamene otchedwa adenoid nkhope. Pankhaniyi, mungathe kusunga mwana ndi makutu yosalala nasolabial, kusintha mu chigaza mawonekedwe ndi mapindikidwe wa occlusion. Tiyenera yomweyo akatsimikizire achibale kukwiya ngati bwino kuchitira adenoids aakulu ana, zizindikiro zimenezi siziwoneka.

Zizindikiro, matenda dokotala

Monga mukudziwa kale, ndithu kudziwa vuto zitha anakumana dokotala. Onetsani mwana audiologist. Pa kuyenderako katswiri kuwona zizindikiro izi matenda:

• pa kumbuyo khoma la pharynx ndi umayenda wandiweyani ntchofu (kungakhale mitambo, Kamaoneka kapena purulent);
• m'mphuno akamandiŵerengera hyperemic, edematous ndi chofuna;
• redness peripharyngeal mphete;
• tonsils zikuluzikulu ndi mwanabele mu mmero, wapafupi malo a matenda;
• chikanga m'munsi mwa ndime m'mphuno.

Pa palpation dokotala probes kuwonjezeka kukula kwa amygdala lapansi. Zingakhale pang'ono kuposa wabwinobwino, zolimbitsa kapena alipo m'mphuno kupuma mokwanira. Malinga ndi gawo ili la matenda matenda unakhazikitsidwa. M'tsogolo, adokotala amatenga chitsanzo kwa kusanthula zasayansi. Zotsatira zake isonyeza mmene amayamba ndi tizilombo yaying'ono-ndi kudwala umene mankhwala ali okhoza kuthetsa izo.

Kuli kofunika kuchitira adenoids aakulu?

Ndi makolo ena kumva kuti sakufuna kuchitira adenoids aakulu ana. Zizindikiro - kuti mayi ndi bambo - adzakhala msinkhu. Ndipo nthawi zina maganizo amenewo ndi zolondola. Koma madokotala musati amalangiza kwathunthu kusiya mankhwala. Onetsetsani kuchitira adenoiditis aggravation ndi kuchititsa zonse njira yokonza ake. Ndipotu, kudwala uyu ndithu zaka. adenoids aakulu zambiri imagwira ana kwa zaka 3 mpaka 7. Ichi ndi m'badwo pamene mwana amayamba kulowa gulu lalikulu (kindergartens). Ndi palibe chinsinsi kuti pali zambiri ana kudwala. Motero kupeza chitetezo chokwanira. Ngakhale mfundo zonse ndi kulingalira za matenda, kholo lililonse adzakhala zothandiza kudziwa mmene tiyenera kuchitira adenoids aakulu ana.

kukonzekera apakhungu

matenda monga adenoids aakulu mwana (zaka 3 kapena zaka wamkulu) adzatenge kuyeretsa zonse tonsils lapansi. Ngati mulibe kugwira njira zimenezi, mabakiteriya ndidzachulukitsa mosalekeza. ndondomeko adzatsogolera chakuti lymphoid minofu adzakhala wodziimira gwero la matenda, ndi peddler matenda. Tsopano pali zambiri njira yabwino rinsing njira za m'mphuno ndi kudziyeretsa adenoids mu ana ( "akvamaris", "Dolphin", "Akvalor", "Rinostop"). Onse a iwo akhoza kugwiritsidwa ntchito popanda mankhwala dokotala. Pamene zobisika njira ya matenda ndi wopilitiza njira zaukhondo m'mawa ndi madzulo. Koma exacerbation kudwala kumafuna kutsuka njira za m'mphuno nthawi 6-8 tsiku ndi ntchito wotsatira wa mankhwala.

Matenda purulent adenoids mwana zimaphatikizapo kugwiritsa ntchito wothandizila antimicrobial, antiseptic ndi mankhwala odana ndi yotupa.

• "Izofra" - maantibayotiki ntchito wamba. Alembedwe wa kutsitsi, koma kutembenukira botolo, zikhoza kugwiritsidwa ntchito ngati madontho.
• "Polydex" - kukonzekera ntchito antibacterial, amene angathe atsogolere mpweya (chifukwa munali phenylephrine). ana analola kwa zaka 2.5.
• "Protargolum" kapena "Sialor" - akutsikira pa maziko a ayoni siliva. Ndi kuyanika, antiseptic kwenikweni. Ntchito chibadwire (pokhapokha contraindicated).
• "Avamys" - corticosteroid. Iwo ali wotsutsa-yotupa, odana ndi edema kwenikweni. Amagwira ntchito zaka 2.
• "Pinosol" - masamba mafuta mankhwala, kupereka regenerative ndi odana ndi yotupa kwenikweni. Kuikidwa ndi ana kuyambira azaka 3.

Musagwiritse ntchito madontho vasoconstrictive zochizira adenoiditis aakulu. Iwo ungagwiritsidwe zosaposa masiku 3-5, ndipo patapita nthawi kuti zizindikiro zonse za matenda adzabwerera. Kugwiritsa ntchito mankhwala Pankhaniyi likukhalira kukhala wopanda pake.

Mankhwala - Kodi pali kufunika?

Exacerbation ana aakulu adenoiditis pafupifupi nthawi zonse amafuna kugwiritsa ntchito mankhwala antibacterial. Choncho, ngati pamaso pangano dokotala kutumiza mwanayo kusanthula ndi - bacteriological seeding. M'maphunziro ano mankhwala udzatsagananso monga momwe akanathera. Zotsatira matenda amasonyeza ndendende zimene mankhwala okhoza kuthetsa tizilomboto.

Nthawi zambiri madokotala opanda mavuto. Amangoika mankhwala yotakata-sipekitiramu mankhwala, kupatsidwa zaka mwanayo. Khalani limasonyeza kuti mankhwala agwire ntchito mankhwala a aakulu kutupa pharyngeal tonsils, macrolides zitsulo ( "Sumamed", "Azitrus", "azithromycin"). Ngati mwana ali ndi malungo alipo, ndi bwino kugwiritsa ntchito penicillin ( "Augmentin", "Amoxiclav", "Flemoksin"). Kumbukirani kuti mankhwala onse ayenera zotchulidwa dokotala. Kupereka ngati ndalama mwana nokha, inu mukhoza kumukhumudwitsa.

Chitetezo cha m'thupi mwanu mwana

Mankhwalawa adenoiditis mwana aakulu akusowa mavitamini. Ngati n'kotheka, ndi bwino kupita nawo ku mankhwala achilengedwe: masamba ndi zipatso. Vitamini C opezeka mu zipatso zambiri zipatso, masamba, kabichi. Amathandiza kuthandiza chitetezo cha m'thupi, kumalimbitsa ntchito atetezeke. mavitamini B zimakhudzidwa magazi, n'kofunika pa minofu kusinthika. Vitamini E, pano nsomba ndi mtedza, amondi mofulumira machiritso. Ngati zakudya zomwe simungathe, ndiye muyenera kupereka mwana wanu vitamini maofesi. Amene adzakhala wangwiro ana anu - kuuza dokotala. Kungakhale piritsi, "Vitrum", "Multitabs", "Vitamishki", "pachimake" kapena chinachake. Nkofunika kukatenga kuipidwa malinga ndi msinkhu.

Kutsutsana zokhuza kuthekera ntchito immunomodulators mu adenoiditis aakulu sitileka lero. Madokotala ambiri masiku ano amakonda mankhwala pogwiritsa ntchito "IFN", "interferon", "Likopid" kapena Kuchiritsa kwamtundu "Aflubin", "Anaferon". Akatswiri ena amakonda chakuti mankhwala musalole chitetezo chokwanira kuti achire paokha. Kupereka immunomodulators kapena ayi - payekha wa kholo lililonse.

opaleshoni

Kupyolera opaleshoni zikhoza kusintha adenoids aakulu ana. Chithandizo ali ndemanga osiyana. Makolo ena amanena kuti mwanayo kunachotsedwa adenoids, ndiye mavuto onse mwake. Ena anenapo kuti opaleshoniyo pachabe, chifukwa patapita kanthawi zonse anali kubwerera mwakale. Mwina ndi dokotala wa vinyo, zomwe ikuchitika opareshoni?

Lang'anani, adenotomija anachita pogonekedwa ndi mankhwala ambiri. Ndi forceps yaitali tonsils amachotsedwa pang'ono chabe. Mpheto imagwiridwa popanda amacheka, ndi mwayi kupyolera pakhosi ndi mphuno. The chosonyeza kuti opaleshoni chomaliza matenda pamene m'mphuno mwanayo kupuma overlapped kwathunthu chofuna adenoids.

Matenda adenoids ana: chithandizo (Komorowski)

Kodi amatiuza za matenda, zodziwika odziwika dokotala? Ndi Evgeniyu Komarovskomu amamvetsera kwambiri makolo ndi agogo. adokotala ati adenotomija - ichi ndi muyeso kwambiri, zomwe, kuziyika izo modekha, saloledwa pa zifukwa zotsatirazi:

• adenoids - ndi amygdala amene amatengamo zoteteza ntchito zofunika wa thupi;
• opaleshoni - nkhawa kwambiri kwa mwana ndipo makolo ake;
• palibe chitsimikizo kuti patapita kanthawi tonsil sadzakhala kukula pontho (ndipo kokha kukhala vuto lanu, osati kulakwitsa zachipatala).

N'zosatheka ntchito opaleshoni kwathunthu kuchiza adenoids aakulu ana. Komorowski anati mu mapulogalamu awo pa momwe kusintha mkhalidwe wa mwanayo. katswiri A ndi nkhani za njira zopewera kuthandiza kuchepetsa pafupipafupi musabise. Ndipo patapita kanthawi (ndi zaka), mukhoza kwathunthu kuyiwala za zimene adenoids.

Kupewa matenda

zodzitetezera ayenera ikuchitika mosalekeza. Malangizo waukulu operekedwa ndi madokotala, ndi motere.

• Tempering kumalimbitsa kukaniza thupi. Njira akhoza kukhala osiyana kwambiri ndi kuyenda wosavala nsapato pansi pamaso perfusion ndi madzi ozizira. Nyamula chochitika munthu mwana wanu.
• Chakudya chopatsa thanzi ndi kumwa wambiri zakumwa. thupi mwana ayenera kuchita lonse osiyanasiyana mavitamini ndi mchere. Chakudya ayenera kukhala wathanzi komanso zosiyanasiyana. Zonse chakumwa chindiletsa kulamulira kwa tizilombo tizilombo tonsils.
• Processing mphuno bakiteriya lysates. Mumadziwika mankhwala "IRS 19" lili mu kapangidwe kake tizilombo kuti kupewa chimfine pafupipafupi ndi chimfine.
• Chikuonetseratu bacteriophages. Makampaniwa ndi mavairasi amene bwino kupha tizilombo ting'onoting'ono ndi mabakiteriya. Bacteriophages ndi zachilendo, koma kale kutsimikiziridwa kuti mbali yabwino.
• A ulendo osangalalira. The mwana kupuma mpweya nyanja ndi zothandiza. Ngati n'kotheka, pitani okalamba. Ena ana amapatsidwa mavocha ufulu mankhwala zizindikiro zina.

Dr. Komarovsky akuonetsa malo omasuka mwanayo. Ayenera pafupipafupi ventilate chipinda imene mwana. Mpweya otentha ndi youma amalimbikitsa kukula kwa tizilombo toyambitsa matenda, kotero firiji ayenera kukhala sapambana 23 madigiri ndi chinyezi wa - osati m'munsi 60%.

ayamikira zina zochizira ndi kupewa aakulu adenoiditis exacerbation ake kuchipatala dokotala yaikulu.