Adenoids Acute: Oonobangela, diagnosis, Iimpawu and Treatment

Isizathu sokuba abazali phantse sivelelwa adenoiditis yayiyazi de abe neminyaka emithathu ubudala, akafuni kulala selectivity yobudala kukhetho ngezifo. A sokwahlukanisa izehlo zilapho kuhlangana lamathuba ezimbini - ekhaya xa usana biyela izifo wedwa bobuqili arhente yayintsholongwane eyosulela lokusingqongileyo, kunye nezentlalo. Owesibini ezi zigaba zobomi kuquka kuhlala kwindawo yoontanga leyo. Ngenxa yoko, iingozi ezinokwenzeka yosulelo kuba ngakumbi, yaye umthwalo umzimba umntwana kwandisa amaxesha amaninzi.

Tonsils kunye adenoids

Kwinguqu esa kubomi bomntwana ngokuqhelekileyo iqala yasuka, ulungelane nenkqubo omzimba buthathaka. Xa inani elikhulu wendalo ezingaqhelekanga zizinto yintsholongwane, ayikho baqhele ukuba lo monakalo lungakhuseleki umntwana iqala ukubandezeleka.

Xa inkqubo indoda encinane nasopharyngeal i-Amygdala, enza umsebenzi ngumqobo phakathi ngaphandle kokusingqongileyo ngeentsholongwane nomzimba umntwana ethe lowo. Ukuba nokwenzeka yomzimba yokuzikhusela ayikho unlimited, naxa phantsi kwempembelelo yeemeko ingqondo kwandisa umthwalo kwi-Amygdala, iqala ukukhula ngokukhawuleza, ukwakha kule adenoids.

Ngu ekuqaleni adenoids lokufikisa yoma ngokwabo, yaye kubafumana omdala kunokuba kunqabile kakhulu. Kodwa okoko nje kusebenza kwi kwincopho umsebenzi, nezilonda kunye adenoiditis etsolo phi nayinto olomeleleyo.

Kweli nqanaba, ukubhaqa ambambe inkqubo - umsebenzi wokuqala abazali kunye neengcali zezempilo. ixesha elilahlekileyo kwi sengqondo zibhuqe kwimpilo umntwana kukhokelela ngezifo vuhlayiseki ekubunjweni inxalenye ngaphambili yokakayi, nokuthimliswa esinganyangekiyo, tonsils, lockup kuphuhliso lulonke kunye nezinye izenzo zorhwaphilizo.

Forms degree of adenoiditis

isifo Classification adenoiditis kubandakanya ukwahlulwa ifomu percolation, uhlobo sisilonda esidumbileyoesingaphakathi nobukhali imeko ngokuthi:

1. adenoids olunamandla. Ubushushu liphuma ixesha elide izidanga ukuya ku-38, apho ukudumba ukufikelela onke amacandelo ring emithanjeni. Le fom etsolo liyasetyenziswa emva lokufunyaniswa umntwana ka-SARS kunye nezinye izifo ezosulelayo okanye bacteriological. Phambi ukungaqheleki iziphene le tonsils adenoids kwifomu subacute nga itshixwe iintsana.
2. adenoiditis Chronic wakubona ukwanda ixesha leenyanga ezintandathu. Symptomatology eli nikoweyo kakhulu iimpawu ezininzi ezinxulumene izifo ENT kuba olu hlobo adenoids ukudumba lugubungela zonke iinxalenye iphecana yokuphefumla kunye namaziko ezikufutshane.

Ngaphezu koko, izinga kunye nokuphelela esi sisilonda esidumbileyoesingaphakathi sifo umthamo idlala nasopharyngeal ukuqikelela inqanaba imeko zophendlo lwezifo:

1. I degree - idlala asha occludes sesithathu ekudibaneni ngeempumlo kunye phecana zokuphefumla.
2. II degree - adenoids ivalwe inxalenye yesibini ithambo septal.
3. Grade III - free ukusuka organ asha yenye esithathwini hlulo.
4. IV degree - luthetha ukungakwazi epheleleyo ukwenza umoya ukususela impumlo ze usasazo olubanzi komtshiso ngeempumlo zekhala.

iimpawu

adenoids Acute kubantwana kubonakaliswa iimpawu ezicacileyo kangangokuba awuboni inkqubo a kusekwangoko kakhulu akunakwenzeka. Kwanangaphambi kwiindawo nkovu ukwanda phantsi imihlathi uya endaweni kwaye liphendule ukuchukumisa yentlungu, lo ukuphefumla umntwana ngexesha ubuthongo lomncedis ka yayirhona, kunye nokukhululwa ngeempumlo kuzakutshintsha ukuguda noburhabaxa kwakunye umbala kwi, anodaka zamafu etsho ngevumba.

Ezinye iimpawu ziya kuba:

• lobushushu utsiba okanye ukunyuka okuthe chu ukuya degrees 38;
• umntwana uqala ukubiza izandi "Snuffles" ilizwi "GUGN";
• ukuvuthuluka ukuva umntwana - ubuza izihlandlo eziliqela kubi uyasibona weva;
• kusasa usana ekhohlela ngaphandle ofisi mokrotnyh;
• umntwana ngubani na ukuchaza ngokucacileyo imeko yakhe, usenokukhalaza ukuba yintlama emqaleni am rhoqo, maxa wambi oko kukhatshwa bazive intlungu.

Babizwa ngokuba "ubuso adenoid" livela umntwana ngenxa ngokugqithileyo indiva ngabazali zonke iimpawu zangaphambili. abantwana abanjalo basoloko abakhethekileyo ebonakalayo ezifana okanye ibinzana nantsingiselo wothuka yobuso, apho umlomo ihlala ivulekile bethuna, wamvusa phakathi iindevu kunye nempumlo kwakheka tubercle idumbile. Kwimeko eyandileyo izinkcwe chin bantwana basoloko Bayanetha zivuze izinkcwe ulwelo.

Ekuhambeni kwexesha, ukuba kule meko amanyathelo alithathwanga, kukho utshintsho uqwalaselo kwi ukakayi. Xa inkqubo yokuphefumla engafanelekanga ichaphazela imiphunga kunye ithambo isakhiwo esifubeni.

Ezibangela isifo

Isifo akwenzeki emoyeni, usoloko lwandulelwe ukudumba idlala nasopharyngeal. inkqubo Activators ayifungi yayintsholongwane eyosulela okanye iiarhente izifo ezosulelayo ezifana neentsholongwane Staphylococcus aureus kunye iStreptococcus. Enye into ebalulekileyo kukuba ngesidanga susceptibility yomntwana impendulo ukuya ngokoyiswa ezincinane. Ngoko ke kubaluleke kakhulu ukuba ukuphoswa ekuqaleni inkqubo, kwaye usoloko ingqalelo iimeko apho ukuba ukhokelele ekubeni kusekwe leengxaki:

• kukho ingozi yosulelo lwe-SARS ukusuka komnye umntu;
• umntwana peremerzal;
• ukugula yeyesiqhelo ebangwa immunodeficiency;
• kwimbali kwakukho kwezifo ezosulelayo: fever obomvu okanye nemasisi;
• Kuye wawela nokuthimliswa ezingapheliyo, izifo zemiphunga;
• kukho ukungondleki;
• iimeko abaphila aziyithobeli imigangatho yococeko jikelele;
• phambi umsi umntwana;
• kukho uvakalelo uyalisa libizwe.

Ngokusekelwe ngokoluvo onamandla Dr. Komarovsky (unyango yabantwana adenoiditis etsolo yaba ndaba incoko ividiyo yakhe abucala), sinokuthi uninzi lamatyala yenguqu sifo ukuba uhlobo ezinganyangekiyo ngenxa kuthomalaliso nezingosuleliyo SARS.

adenoids ubovu

Phantsi yempembelelo kwamagciwane chlamydia, okanye ngokusekelwe immunodeficiency jikelele, ngenxa apho umzimba akakwazi ukwala iiseli amazwe, adenoids eqala ukuphuma ubomvu. Emva ukuqokelelana wobungakanani enkulu amakheswa into elulwelo zivunyelwe kulo umqala, usolule kwi sinuses, yaye ukuba ungene imithambo yegazi kunye, ukuqala ukuhamba ngawo umzimba, ukulungisa kwi imizimba lokucoca - kwesibindi kunye nezintso.

Kubalulekile ukukhumbula ukuba kweli nqanaba sifo kukho ulwandiso ngokwendalo iimpawu yokumpompoza etsolo eqaqambileyo, nto leyo ithetha ukuba nqanaba ukubola kunokutshiseka tonsils zinokuthintelwa.

Ukubona ubovu adenoiditis uncedo iimpawu iimpawu ezifana ludlule:

• rhoqo ngeempumlo ukuxinana baby Ukusombuluka oluqhubekayo yobumnyama, umbala ungowomhlaba yencindi yomlomo;
• Ukonakala kwenye kukulunga bubuthongo, lo ngumntwana uvumbulula kwaye ngexesha ubuthongo ayivaleki ngokupheleleyo umlomo;
• Ubushushu ligcinwa phakathi degrees 37,5;
• kukho intloko ziqhu;
• kukho ilahleko ukuva;
• kubantwana abaselula Kunjani yokupasa kwi ukwahlulwa intabalala ngumhlanzo, abantwana abadala ezikhala isicaphucaphu rhoqo, ukuya kwindlu yangasese abe engagunyaziswanga ngenxa kwesisu rhoqo okanye ukurhuda.

Kuba unyango ahlekise ubovu adenoiditis ngendlela yokusebenzisa umatshini ezininzi wokuhlamba nasopharyngeal kunye ikhosi epheleleyo antibiotics emiselweyo.

subacute adenoiditis

Subacute adenoiditis njengoko ezingapheliyo, meko iimpawu ezingazinzanga, kunye amanyathelo Uxolelo kunye likakade. Kodwa kwimeko ukwamkelwa ngokukhawuleza yamanyathelo zonyango ephawulwe ukuphuculwa kunye nokutshintsha recession yokukrala kuza ngeeveki ezimbini. Le kama of adenoiditis etsolo ekuqaleni kwenkqubo ehamba ngaxeshanye kunye nophuhliso angina lacunar.

Iqondo lobushushu isigulane umntwana subacute adenoiditis zingaqhubeka buqhubeke kangangexesha elithile emva yokuduka ezinye iimpawu, kunye nkqu sokubuyisa ixesha ekuphulukenwe nalo. ukuxilongwa ngokwasemzimbeni abonisa ukwanda, iintlungu kwi Ngokucofa entanyeni neendawo nkovu submandibular.

ekuxilongweni

Phambi iimpawu zonyango kunye inkxaso abantwana adenoiditis amanyathelo azisoloko sihambisane uxilongo oyinyaniso. Kwiimeko apho ukwanda kwiindawo nkovu submandibular yenza luphawu ngokukhawuleza, abazali sukela ukubonisa umntwana wamazinyo. kwimo elipheleleyo umlomo ngamanye amaxesha kuthatha ixesha elininzi ezixabisekileyo, ngoxa unyango echanekileyo adenoiditis etsolo kufuneka uqale ngoko nangoko.

Yingcali, ngubani ukusombulula isikhalazo xa sibona iimpawu ubuncinane ezimbini ukusuka phezulu kuluhlu, yinto otolaryngologist. Xa yokugcina ugqirha ENT zonke izixhobo ezifunekayo ukuze endoscopy, kodwa abazali kufuneka bazilungiselele ngenxa yokuba ukuze ukucacisa uxilongo efunekayo iimvavanyo X-ray kunye elabhoratri.

Ingxaki enkulu uviwo elula emzimbeni ukuba abantwana abaninzi, apho ugqirha Uphanda qha adenoids, indlela ngomnwe. Kodwa le ndlela lunqabe laligqwetha ukubukela excrescences zophendlo lwezifo iindlela angasemva rhinoscopy (isipili, ngomlomo) okanye fiberscope (mbhobho bhetyebhetye) unika umfanekiso ngokwanelisayo epheleleyo inqanaba nokuntsonkotha sifo.

Yeempawu kwezonyango, ukuvumela ukuba ukufumanisa ngezifo nokujonga adenoids ngaba umntwana kufuneka isuswe, siboniswa kumlinganiselo kokudumba pharyngeal ilaka, iyabhiqiza imfundo kunye nesakhiwo (looseness, ingxinano) yomzimba yesigulane.

Ukuba adenoids kwenzeka ngokuphindaphindiweyo, kwaye kukho urhano lokuba microflora of tonsils akuthethi ukuthatha amayeza akhe, njengoko swab kwinkcubeko bume imazi ibonakalisa iintsholongwane ngenjongo yokukhethwa unyango eyaneleyo isibulala-zintsholongwane.

unyango adenoiditis

Umceli-mngeni engundoqo elijongene oogqirha zokufumanis iimpawu adenoiditis ebantwaneni - izifo ehamba unyango, nto leyo ke kaninzi ujika ube SARS. Le yinxalenye imisebenzi ngokubanzi-njongo kunye namanyathelo zasekuhlaleni zithathwa izenzo ezijoliswe bhetele kwizigulo ezibuhlungu.

Ukususwa kwemiqondiso isilumkiso kunye neentlungu adenoiditis syndrome negalelo:

• Ukuhlanjwa ngeempumlo saline okanye imveliso eyenziweyo kulo. Ukuze ukuba ukubacaphukisa, ezopulayo saline ekucetyiswa ukuba alternate kunye infusions kunye decoctions kwezityalo ezingamayeza, bungqinelwa njengoko elwa. Ezi zezi: lobulumko, chamomile, calendula, Wort St. kaYohane.
• Ukuyeka yencindi evela ekusetyenzisweni impumlo (umyinge hayi ngaphezulu kwe ngeveki) kuthetha ukuba vasoconstriction zasekuhlaleni. Oku "Rinostop", "Dlyanos", "Nazol", "Naphthyzinum" (umntwana). Indlela bemveliso naziphi na, kodwa fogging esinokusibambisa ye efanayo engamanzi.
• Of antibiotics mlonyeni abantwana, oogqirha bayaqhubeka athi avavanywe "sulfacetamide," kodwa nokushisa ukuba kwenzeka ebantwaneni xa usebenzisa izixhobo, ukwenza unyango kunye buhlungu umntwana kunye nabazali. Ngoko ke, okunye ichiza endala ixesha elide ngempumelelo enze kufafazwa "Izofra", "Bioparox" (yena tips ezimbini ziquka - ukwenzela ukunkcenkceshela le empumlweni nasemqaleni), "Polydex".

Ukuqeshwa steroid ngeempumlo ngenxa yonyango adenoiditis ingqalelo umlinganiselo mandatory, kwakunye nokusebenzisa imithi, ingakumbi kumaxesha kutshanje, xa iindlela zokhetho ivumela ubuninzi ku ukuthatha ingqalelo iimpawu ngamnye yomzimba yomntwana. Phakathi la mayeza ndimkhulule "Nazofan" "Avamys," "Flixonase". ingqalelo ekhethekileyo kufuneka iziyobisi "Nasonex". Xa adenoids elibukhali ebantwaneni ukusebenzisa esi sixhobo uyagwetyelwa izikhokelo zonyango. Kwakhona uphawulo elungileyo ngeziyobisi uninzi spectrum emxinwa kwaye ezibanzi umsebenzi.

Ngaphezu umntwana ukunyanga adenoids etsolo degree yesibini neyesithathu yokuntsonkotha, igqirha ukuya isigqibo, kodwa ke kuphela emva kokuba zonke iindlela angqingqwa uya kuzanywa, yaye oko kuya kuba ngaphantsi kunoko bekulindelwe, oko amvelisele umba ngokususwa utyando idlala ebushushwini babo.

Iingxaki kunye neziphumo

adenoids Acute kubantwana, abajoyine kwisigaba ezingapheliyo, xi njengoko urhulumente ngokwasengqondweni nangokweemvakalelo umntwana. Abanye iba kakhulu ngokukhawuleza, "ukurola" kwintsebenzo isikolo sakhe, ukungabi namdla imidlalo, ingakumbi bume yoontanga leyo.

Kwiintsana ukwenzeka adenoiditis - into inqabile, kodwa kuba ngokukhawuleza kwaye andinako ukuzisindisa ukusuka amehlo. Kid uba Ndandingonwabanga, ekhala ngexesha ukomiwa, engavumi ukuthatha ukutya. ukutya sele Ukutya sivame ngokohlobo Kunjani eninzi okanye ukumgabhisa.

Xa Isifo kunokwenzeka lokufunyaniswa iingxaki ingozi ubovu etsolo ukubaleka adenoiditis umntwana - nokudumba.

ukuvimbela

Prevention adenoiditis kufuneka siqale kokuzalwa kosana, waza wazihamba zonke ezo ixesha de umntwana efikelela lokufikisa. Ukongeza kwinkqubo ebanzi yokubeka esweni rhoqo yokuziphatha komntwana xa ulele (komlomo evaliweyo okanye vula wozela, snores nokuba iblukhwe), oko kuyimfuneko kumaxesha ngamaxesha ukulungiselela ucoceko nasopharynx anetyuwa buthathaka. Of ethile umlinganiselo ukufaneleka ixhamla nezifo umkhuhlane, okanye xa uhambele umntwana enkulisa, apho nokuthimliswa yonke indawo.

Kubaluleke kakhulu ekuthinteleni umthwalo tonsils na unyango ngexesha naziphi na izifo zemiphunga ezibangelwa ngamagciwane.