Adenoids Okungalapheki ezinganeni: Izimpawu kanye Ukwelashwa

umzali ngamunye kufanele awezwe ingane yakhe "UKUHOMUZELA" itjhubhu. Isizathu salokhu ukuziphatha kungaba yini: umkhuhlane, isifo esibangelwe igciwane, ukusabela iguliswa, a angahlangani azalwa naso isakhiwo kwekhala, nokunye. Hlaziya isimo umntwana futhi ukuthatha izinyathelo okuhloswe ngalo ukuqeda lezi zici kuzosiza udokotela ENT. Omunye izifo, okuyinto sise abazali ukuzwa, kuyinto adenoids okungalapheki izingane. Namuhla ungafunda ngalesi sifo eziningi imininingwane ewusizo.

A amazwi ambalwa mayelana zokugula

adenoids Okungalapheki ezinganeni, izimpawu kanye nokwelashwa okuyinto izokwethulwa ukunakwa kwakho, kubangelwa izici eziningana. Isizathu sokuba ivela khona kungaba isifo yegciwane, isifo esibangelwe igciwane, komzimba, noma ngisho banal hypothermia. Uma izivikeli mzimba kuyehla, adenoids okungamahlalakhona (ezinganeni) singasalawuleki. Ngakho-ke, umkhuhlane ngokuvamile zidinga ukwelashwa eziyinkimbinkimbi.

Eqinisweni, adenoids - yisishiso idlala nasopharyngeal. Kuyinto akubonakali nqunu iso, ngakho inqubo sokugembula ingatholwa ku izimpawu ezithile. Nokho, lo dokotela ENT kalula sihlole lymphoid , futhi ukukutshela isimo sakhe. Ezimweni eziningi adenoids ezingamahlalakhona kubangelwa impatho engafanele noma zife amafomu acute lesi sifo.

Bangaki abazali ukubona isifo: izimpawu

adenoids Okungalapheki ezinganeni (isithombe idlala inikezwe wenzele inkomba yakho kuphela) Abazali kalula miss. Obaba nomama abaningi ngephutha sikholelwe ukuthi nasopharyngeal idlala ukuvuvukala ngaso sonke isikhathi sihambisana imfiva, ukukhwehlela, snot oluhlaza kanye nezinye izici ezifanayo ukuba izimpawu ezivamile abandayo. Kodwa akunjalo.

Ngokuvamile zokugula kungavuka ifomu ezifihliwe abazali. Okungukuthi, lesi sifo ngempela ukubona i-Otolaryngologist. Ngisho udokotela wezingane phakathi kokuhlolwa njalo uyakwazi zokugula okusolwayo. Abazali ezimele ezinye izimpawu ezisobala isifo ukuqala ukwelashwa.

Kwenzeka futhi ukuthi ingane uvele adenoids abukhali. ukuphathwa engalungile noma itlhogeko kubangela isifo kuba amahlala khona. izimpawu ezinamandla ngesikhathi esifanayo siqedwa, kanye nabazali ngephutha sikholelwe ukuthi ingane waya isichibiyelo. Unquma kanjani ukuthi umfundi wakho adenoids okungamahlalakhona? Ezinganeni, izimpawu kungaba Sobala fihlekile. Ake sihlole kubo.

Yini zingatholakala bebodwa?

Ngeshwa, abazali bengakwazi ukukuveza thembeke sindise lo uphethwe, uma bengenayo imfundo yezokwelapha. Kodwa kufanele wazise zimpawu ezilandelayo:

• umntwana akaphefumuli ikhala, umlomo wakhe ukuvula sonke isikhathi;
• dream ingane ingenza amakhwela imisindo (kusukela ukuphefumula nzima ukuba snoring);
• ubuthongo iba udlubulunda, nikhathazekile;
• umntwana linganciphisa umthamo wamandla umsebenzi, walahlekelwa isifiso sokuba nolwazi olusha;
• ingane bengenandaba, ngokomzwelo, ishintsha iba nemizwa eguquguqukayo;
• izwi iba ithoni hoshozela.

Ngendlela oyingozi adenoiditis izimpawu okungalapheki izingane has okulandelayo: rhinitis nge gumbi kakhulu isikhwehlela ewugqinsi (ngezinye izikhathi kungaba ezishisa kakhulu zikhipha izinhlayiyana nephunga ezingemnandi), imfiva kanye nekhanda. Ukungabikho eside ukuphathwa lwakha okuthiwa ubuso adenoid. Kulokhu, ungakwazi ukugcina ingane nge emphethweni bushelelezi Nasolabial, izinguquko skull ukuma ukusonteka of occlusion. Kufanele ngokushesha amqinisekise izihlobo ukucasuka uma aphathe kahle adenoids okungalapheki izingane, lezi zimpawu ayiveli.

Izimpawu, udokotela uphethwe

Njengoba kakade, ngokuqinisekile ukuthi iyini ngempela inkinga kungenziwa kuphela wazibonela udokotela. Bonisa ingane Udokotela wezindlebe. Phakathi ukuhlolwa uchwepheshe ungabona izimpawu ezilandelayo zokugula:

• phezu udonga lwangemuva pharynx ageleza isikhwehlela ewugqinsi (kungenzeka kube namafu, liluhlazana noma ubovu);
• acinene izindima hyperemic, edematous futhi avuvukele;
• ububomvu peripharyngeal enophawu;
• amalaka lakhulisiwe futhi izindlala zamanzi emphinjeni, etholakala eduze indawo ukutheleleka;
• eczema ngasesinqeni se amavesi acinene.

On palpation udokotela Uyaphenya ukwanda Usayizi amygdala. Kungaba kancane kunokujwayelekile, alungise noma ukugqagqana acinene ukuphefumula ngokuphelele. Ngaphakathi accordance nga lo esiteji kwesifo isifo Kumiswa. Esikhathini esizayo, udokotela kuthatha isampula ukuhlaziywa laboratory. yi waso engeke asibonise kanjani kubangelwa amagciwane kanye zokugula zazo mithi akwazi ukuqeda ke.

Sikhona yini isidingo sokuba aphathe adenoids okungamahlalakhona?

Ngu abanye abazali ukuzwa ukuthi awufisi aphathe adenoids okungalapheki izingane. Izimpawu - uthi umama nobaba - ozoba umnikazi ubudala. Kanti kwezinye izimo, umbono onjalo ilungile. Kodwa odokotela musa batusa ngokuphelele ukulahla yokwelapha. Qiniseka ukuthi aphathe adenoiditis okubi kakhulu nokuziphatha yesondlo yalo evamile izifo. Empeleni, lokhu zokugula iminyaka ngempela. adenoids Okungalapheki ivame izingane ezineminyaka engu-3 kuya ku-7. Lona yobudala lapho ingane iqala ungene namaqembu amakhulu (izinkulisa). Kuyinto imfihlo ukuthi kukhona ngokuvamile izingane agule. Kanjalo ukuthola amasosha omzimba. Naphezu kwazo zonke lezo iziphetho nokucabangisisa ngalesi sifo, umzali ngamunye kungaba wusizo ukwazi indlela yokuphatha adenoids okungalapheki izingane.

amalungiselelo ngezihloko

izifo ezifana adenoids ezingamahlalakhona ingane (iminyaka engu-3 ubudala noma engu amadala) eqala ukuhlanzwa njalo amalaka. Uma ungenalo afeze lezo zinqubo, ama-bacterium ngizakwandisa ngokuqhubekayo. Le nqubo kuzoholela yokuthi lymphoid kungaba emthonjeni ozimele lesi sifo, umthengisi ukutheleleka. Manje ziningi izindlela ezanele uhlambulule amavesi acinene kanye ukuhlanzwa we adenoids ezinganeni ( "akvamaris", "Dolphin", "Akvalor", "Rinostop"). Bonke ingasetshenziswa ngaphandle udokotela. Lapho Yiqiniso esicashile lesi sifo kwanele ukuba afeze izinqubo yokuhlanzeka ekuseni nakusihlwa. Kodwa exacerbation zokugula kuhilela ukugeza amavesi acinene izikhathi 6-8 ngosuku nokusetshenziswa okwalandela kwemithi.

ubovu Okungalapheki adenoids ingane kuhilela ukusetshenziswa ejenti elwa namagciwane, isinqandakuvunda nezidakamizwa eqeda ukuvuvukala.

• "Izofra" - i-antibiotic ukuze isetshenziswe wendawo. Itholakala ngesimo pha isifutho sikapelepele kodwa turning ibhodlela, ingasetshenziswa njengoba amathonsi.
• "Polydex" - ukulungiselela nomsebenzi elwa namagciwane, lapho unekhono lula umoya (ngenxa phenylephrine equkethwe). izingane Ivunyelwe kusukela eminyakeni 2.5.
• "Protargolum" noma "Sialor" - lehla ngesisekelo ion esiliva. Have omiswe, umphumela isinqandakuvunda. Isetshenziswa kusukela ekuzalweni (ngaphandle contraindicated).
• "Avamys" - ngama-corticosteroid. It has eqeda ukuvuvukala, anti-edema umphumela. Ingabe wabelwe engu-2.
• "Pinosol" - amafutha yemifino imithi, ukuhlinzeka okuzivuselela nomphumela eqeda ukuvuvukala. Aqokwe izingane kusukela eminyakeni 3 ubudala.

Ungayisebenzisi amathonsi vasoconstrictive ukwelapha adenoiditis ezingamahlalakhona. Abakwazi zisetshenziswe akukho kuka 3-5 izinsuku, naleso sikhathi nangemva kwaso sonke izimpawu zesifo uzobuya. Ukusetshenziswa kwemithi enjalo kulokhu kuvela ukuthi into engenamsebenzi.

Imithi elwa namagciwane - Sikhona yini isidingo?

Exacerbation ka ezingamahlalakhona adenoiditis izingane cishe ngaso sonke isikhathi sidinga ukusetshenziswa kwezidakamizwa elwa namagciwane. Okungcono kakhulu, uma ngaphambi kwesikhathi babo udokotela uzothumela ingane ukuba ekuhlaziyweni - zokutshala bacteriological. Ngalesi cwaningo izidakamizwa izovunyelaniswa eduze ngangokunokwenzeka. Imiphumela yaloku kuhlola okungenhla imiphumela ibonisa kahle ukuthi imithi akwazi ukuqeda pathogen.

Ngokuvamile odokotela ukwenza ngaphandle kwezinkinga ezinjalo. Bamane antibiotic ezibanzi-spectrum, uma kubhekwa iminyaka ingane. Prakthiza ebonisa ukuthi imithi ekwelapheni ukuvuvukala ezingamahlalakhona pharyngeal amalaka, macrolides steel ( "Sumamed", "Azitrus", "azithromycin"). Uma ingane eshisa likhona, kungcono ukusebenzisa penicillins ( "Augmentin", "Amoxiclav", "Flemoksin"). Khumbula ukuthi zonke imithi elwa namagciwane kufanele enqunywe udokotela wakho. Ukunika lezo zimali izinyane ngokwakho, ungakwazi ukumzwisa ubuhlungu.

Kuqinise amasosha omzimba ingane

Ekwelapheni ezingamahlalakhona adenoiditis ingane idinga amavithamini. Uma kungenzeka, kungcono kakhulu ukunquma ukuthi bawathola imikhiqizo yemvelo: imifino nezithelo. U-vitamin C itholakala izithelo eziningi ezisawolintshi, imifino, iklabishi. Kuyasiza ukusekela amasosha omzimba, kuqinisa umsebenzi zokuzivikela. zinengxenye amavithamini B egazini, kubalulekile phakathi kwezicubu ukuvuselelwa. Vitamin E, ekhona izinhlanzi futhi abanye nati, ama-alimondi usheshise ukuphulukiswa. Uma umsoco oyinikezayo abakwazi ke udinga ukunikeza ingane yakho Vitamin izakhiwo. Yikuphi kuyoba ephelele lakunzalo yakho - utshele udokotela wakho. Kungaba ithebhulethi, "Vitrum", "Multitabs", "Vitamishki", "isiqongo" noma enye into. Kubalulekile eyolanda eziyinkimbinkimbi ngokuhambisana ubudala.

The mpikiswano mayelana nokwenzeka ukusetshenziswa immunomodulators e adenoiditis ezingamahlalakhona bengayeki kuze kube yilolu suku. Odokotela abaningi yesimanje uthanda ukuba linqume izindlela ezifana "IFN", "interferon", "Likopid" noma isixazululi nkinga yehadiwe nezinsiza "Aflubin", "Anaferon". Okunye ochwepheshe bathambekele yokuthi le mithi ungavumeli amasosha omzimba ukuze siphinde sithole bebodwa. Ukunika immunomodulators noma cha - kuyindaba yangasese lomzali ngamunye.

ukuhlinzwa

Through operation kungase kushintshwe adenoids okungalapheki izingane. Ukwelashwa has Izibuyekezo ezahlukene. Abanye abazali ukubika ukuthi ingane isuswe adenoids ke zonke izinkinga zalunga. Abanye baye babika ukuthi ukuhlinzwa kwami kuhambe ngeze, ngoba ngemva kwesikhashana konke kwakuyize zibuyele kokujwayelekile. Mhlawumbe lena yiyona ndlela udokotela yewayini, okuyinto eyenziwa eyohlinzwa?

Noma kunjalo, adenotomija wenziwa ngaphansi izinzwa jikelele. Nge esebenzisa eside amalaka ziyasuswa kancane kuphela. Izikhundla wenziwa ngaphandle sebeziqhumbuza, kanye nokufinyelela ngokusebenzisa emphinjeni kanye nekhala. Inkomba ukuhlinzwa sokugcina lesi sifo lapho acinene wengane ukuphefumula ezidlulanayo ngokuphelele adenoids avuvukele.

adenoids Okungalapheki ezinganeni: ukwelashwa (Komorowski)

Yini usitshele isifo eyaziwa wezingane laziwe? Ngu Evgeniyu Komarovskomu ulalela eziningi abazali kanye nogogo nomkhulu. Udokotela uthi adenotomija - lokhu kuyinto kakhulu, okuyinto, uma sikubeka kahle, hhayi wamukelekile ngenxa yezizathu eziningana:

• adenoids - iyona amygdala okuyinto ukudlala umsebenzi obalulekile okuvikela umzimba;
• ukuhlinzwa - nokucindezeleka okubi nakakhulu ngenxa kumntwana nakubazali bakhe;
• asikho isiqinisekiso sokuthi ngemva idlala ngenkathi ngeke ukhule futhi (futhi kuyoba iphutha lakho, hhayi iphutha yezokwelapha).

Akunakwenzeka ukusebenzisa ahlinzwe ukuze elashwe isifo ngokuphelele adenoids okungalapheki izingane. Komorowski wathi ezinhlelweni zabo sendlela ngcono isimo somntwana. Uchwepheshe kuyinto lelandzisako nezindlela zokuzivikela ukukusiza ukwehlisa ukuvama ngangibuye ngihluleke. Futhi ngemuva kwesikhathi esithile (ngeminyaka), ungakwazi ukukhohlwa ngokuphelele ngalokho adenoids.

Prevention lokugula

Izinyathelo kumele kwenziwe njalo. Iseluleko main eyanikezwa odokotela, zimi kanje.

• Tempering kuqinisa umzimba emzimbeni. Izinqubo zingase zishintshe kakhulu ekuhambeni bengafaké zicathulo phansi phambi perfusion ngamanzi abandayo. Khetha i-umcimbi yengane yakho ngabanye.
• ukudla okunomsoco kanye phuza uketshezi. isidumbu sengane ubophekile ukuba enze lahlukene amavithamini namaminerali. Ukudla kufanele kube okunempilo futhi ezihlukahlukene. isiphuzo avamile kuvimbela kwenqubo yokwakhiwa kwamakoloni pathogenic nezilwanyana ezincane amalaka.
• Icubungula ekhaleni lysates virus. Akwaziwa izidakamizwa "IRS-19" iqukethe ukubunjwa yayo nezilwanyana ezincane ezisiza ukuvimbela imikhuhlane njalo futhi amakhala yisisu.
• Ukwamukelwa bacteriophages. Laba basizi kukhona amagciwane zibulala ngempumelelo amagciwane namagciwane. Bacteriophages kukhona eseyintsha, kodwa usevele kungase kutholakale ukuthi ohlangothini ezinhle.
• Ukuvakashela izindawo zokungcebeleka. Ingane ngiphefumula umoya ulwandle ziwusizo. Uma kungenzeka, vakasha kubo ekhaya lasebekhulile. Ezinye Kiddies banikwa izincwadi zokufakaza mahhala ukwelashwa izinkomba ezithile.

UDkt Komarovsky uncoma ezenza ingane. Udinga njalo pholisa igumbi lapho ingane. Umoya efudumele futhi omile ikhuthaza ukukhula nezilwanyana ezincane pathogenic, ngakho izinga lokushisa Igumbi kufanele kube degrees akazidluli 23 nomswakama - hhayi ngezansi 60%.

izincomo engeziwe ukuze ukwelashwa kanye nokuvimbela ezingamahlalakhona adenoiditis exacerbation yayo uthole udokotela zabo ukunakekelwa okuyisisekelo.