Adenoids Chronic kubantwana: Iimpawu and Treatment

umzali ngamnye ukuva 'babehumzela' yakhe Senga umntwana. Isizathu soku yokuziphatha kuba nantoni na: ebandayo, igciwane, i uxabane nawo, a ezingaqhelekanga, naso na isakhiwo impumlo, njalo-njalo. Hlola imeko usana kunye nokuthatha amanyathelo ejoliswe ukuphelisa ezi zinto ziya kunceda ugqirha ENT. Omnye iSifo, nto leyo imi abazali ukuva, i adenoids esingapheliyo ebantwaneni. Namhlanje uyakwazi ukufunda ngale sifo ulwazi oluninzi luncedo.

A amagama ambalwa malunga ngezifo

adenoids ezingapheliyo abantwana, iimpawu kunye nonyango leyo iya kunikelwa ingqalelo yakho, oku kubangelwa zizinto ezininzi. Isizathu sokuba livela inokuba isifo wentsholongwane egazini, igciwane, aleji, okanye banal emzimbeni. Xa amajoni omzimba lifinyele, adenoids ezondeleyo (abantwana) kubi. Ngoko ke, lo ingqele eqhelekileyo isoloko ifuna unyango ezintsonkothileyo.

Enyanisweni, adenoids - kukukrala idlala nasopharyngeal. Asinto iliso ebonakalayo ze, ngoko ke inkqubo zophendlo lwezifo ingafunyanwa kwi iimpawu ezithile kuphela. Noko ke, ugqirha ENT ngokulula ukuhlola le izihlunu lymphoid , yaye ukuba bakuxelele ngayo imeko yakhe. Kwiimeko ezininzi adenoids okubangelwa unyango engafanelekanga okanye mbilini iintlobo zale sifo.

Zingaphi abazali bona isifo: iimpawu

adenoids ezingapheliyo abantwana (idlala photo onikwa kwakho kuphela) Abazali lula angaphosi. Oomama abaninzi nootata ngempazamo abakholelwa ukuba idlala ukudumba nasopharyngeal usoloko kunye umkhuhlane omkhulu, ukukhohlela, snot eluhlaza kunye nezinye iimpawu ezifana neempawu umkhuhlane. Kodwa ke akunjalo.

Kaninzi leengxaki kungenziwa ngendlela efihlakeleyo ngokuthi ngabazali. Oko kukuthi, isifo ubone ukuba i otolaryngologist. Nditsho sezifo ngexesha kuxilongelwa rhoqo ikwazi leengxaki olukrokrelwayo. Abazali silinde ezinye iimpawu ezicacileyo sisifo ukuqala unyango.

Kwakhona kuyenzeka ukuba umntwana kwavela adenoids ezibukhali. unyango elingalunganga okanye ukungabikho kwayo ebangela esi sifo kuba ezingapheliyo. Iimpawu kakhulu ngexesha elinye iyapheliswa, yaye abazali ngempazamo abakholelwa ukuba umntwana waya izilungiso. Njani ukuqinisekisa ukuba umfundi wakho adenoids ezondeleyo? Ebantwaneni, iimpawu zinokuba ezicacileyo ezifihlakeleyo. Makhe sihlole kubo.

Yintoni ingafunyanwa ngokwabo?

Ngelishwa, abazali abakwazi ukuba ndikuhlangule ethembekileyo esi sifo, ukuba ngaba imfundo lonyango. Kodwa kufuneka uqaphele ezi mpawu zilandelayo:

• usana wayengasaphefumli impumlo, umlomo wakhe ukuvula lonke ixesha;
• dream umntwana enze ikhwelo izandi (ukusuka nokuphefumla enzima yeseli);
• ubuthongo uba Ndandingonwabanga, ukuxhala;
• umntwana umthamo wamandla ngenxa yomsebenzi, ezilahlekileyo umnqweno ulwazi olutsha;
• umntwana abanandaba, iimvakalelo, iguquguquka;
• ilizwi uba isandi icule.

Kule fomu etsolo adenoiditis iimpawu ezondeleyo nezingane kulandelayo: nokuthimliswa kunye igumbi lweenkcukacha yencindi elingqingqwa (ngamanye amaxesha kungaba kukhutshwe ivumba elibi), icesina kunye yintloko. Ukungabikho elide unyango yenza ubuso ekuthiwa-adenoid. Kulo mzekelo, uyakwazi ukubona umntwana nezibaya agudileyo nasolabial, utshintsho kwimilo lukakayi, deformation of occlusion. Kufuneka ngoko nangoko wabaqinisekisa izalamane elugcwabevu ukuba abaphathe kakuhle adenoids ezondeleyo ebantwaneni, musa kuvela ezi mpawu.

Iimpawu, ugqirha uphethwe

Njengoko sele ukwazi, ngokuqinisekileyo ukuchonga le ngxaki namava kuphela ugqirha. Bonisa baby ingcali yokuva ngeendlebe. Ngexesha uhlolo ingcali uyakwazi ukubona imiqondiso zilandelayo zokugula:

• phezu kodonga elingasemva pharynx kwemali yencindi elingqingqwa (inokuba namafu, ezibuhlazarha okanye ubovu);
• ngeempumlo zokuya hyperemic, edematous kunye ebushushwini babo;
• ububomvu ring peripharyngeal;
• tonsils lakhuliswa neendawo nkovu emqaleni, ibekwe kufuphi nesiza losulelo;
• onokhwekhwe esisekweni ezi zicatshulwa ngeempumlo.

Kwi Ngokucofa ugqirha Uphanda ukwanda ubungakanani-Amygdala. Kunokuba kancinci ngakumbi kunesiqhelo, eliphakathi okanye ukudibana ngeempumlo ukuphefumla ngokupheleleyo. Ngokuhambelana nale nqanaba uxilongo sifo lusekiwe. Kwixesha elizayo, ugqirha kuthatha isampulu ukwenzela uhlalutyo elebhu. kwayo iya kubonisa oku kubangelwa njani micro-eziphilayo kunye kwegazi apho amachiza banako ukunciphisa kuyo.

Ingaba kuyimfuneko ukunyanga adenoids ezinganyangekiyo?

Xa abanye abazali ukuva ukuba azifuni ukunyanga adenoids ezinganyangekiyo ebantwaneni. Iimpawu - bathi nomama notata - ngabanikazi ubudala. Kwaye kwezinye iimeko, le mbono ichanekile. Kodwa oogqirha azilukhuthazi ngokupheleleyo ukulahla unyango. Qiniseka ukuba aphathe adenoiditis okubi nokuqhuba nokugcinwa yayo rhoqo zokuthintela. Enyanisweni, lo ngezifo ngokwenene ubudala. adenoids Chronic ivame abantwana ukusuka kwiminyaka emi-3 ukuya ku 7. Nguwo lo ubudala xa umntwana iqala ukungena amaqela amakhulu (eziguqulweyo). Yinto akukho mfihlakalo ukuba kukho amaxesha amaninzi abantwana bayagula. Ngaloo zinaso nezifo. Nangona zonke izigqibo nokuqiqa ngesi sifo, umzali ngamnye kuya kuba luncedo ukwazi ukuba yokuphatha adenoids ezingapheliyo ebantwaneni.

amalungiselelo mlonyeni

izifo ezifana adenoids ezingapheliyo umntwana (iminyaka emi-3 ubudala okanye ubudala nangaphezulu) angenela wokuhlanjululwa lomgadi tonsils. Ukuba awufuni ukwenza iinkqubo ezinjalo, le ntsholongwane kukwandisa ngokuqhubekekayo. Le nkqubo iya kukhokelela ekubeni izihlunu lymphoid wayeza kuba umthombo elizimeleyo zesi sifo, umthengisi usulelo. Ngoku kukho mininzi yindlela elula ukuba ngamanzi izicatshulwa ngeempumlo kunye kungengokwentlambululo yendawo adenoids ebantwaneni ( "akvamaris", "Dolphin", "Akvalor", "Rinostop"). Bonke zingasetyenziswa ngaphandle kagqirha kagqirha. Xa ikhondo abagxothwa esi sifo ngokwaneleyo ukwenza iinkqubo ucoceko kusasa nangokuhlwa. Kodwa exacerbation ngezifo ibandakanya ihlamba iivesi ngeempumlo ku amaxesha 6-8 ngosuku nokusetyenziswa olulandelayo amayeza.

ubovu Chronic adenoids umntwana iquka ukusetyenziswa kwe-arhente elwa nawo, kubola kunye amachiza-ukudumba.

• "Izofra" - i-zintsholongwane ukusetyenziswa zasekuhlaleni. Ifumaneka kwi ngohlobo isitshizi, kodwa ajike ibhotile, inokusetyenziswa njengamathontsi.
• "Polydex" - ukulungiselela umsebenzi antibacterial, leyo bayakwazi lula umoya (ngenxa phenylephrine eziqulathwe). abantwana avumela kwiminyaka 2.5.
• "Protargolum" okanye "Sialor" - buyehla ngokusekelwe ion zesilivere. Yiba iyoma, isiphumo kubola. Isetyenziswa kwasekuzalweni (ngaphandle kokuba contraindicated).
• "Avamys" - corticosteroid. It has anti-ukudumba, anti-nokudumba isiphumo. Wabelwe kwiminyaka emi-2.
• "Pinosol" - amayeza oli yemifuno, ukubonelela okungenisa nesiphumo anti-ukudumba. Abaqeshwe abantwana ukusuka kwiminyaka emi-3 ubudala.

Musa ukusebenzisa ngamathontsi vasoconstrictive ukuze ukunyanga adenoiditis ezigulo ezondeleyo. Inokusebenziseka akukho ngaphezu kweentsuku 3-5, emva koko xesha zonke iimpawu zesi sifo uza kubuya. Ukusetyenziswa kweziyobisi anjalo kulo mzekelo ujika ube nganto.

Amagciwane - Ingaba kukho imfuneko?

Exacerbation abantwana adenoiditis ezingapheliyo phantse lonke ifuna ukusetyenziswa kweziyobisi antibacterial. Ngokusesikweni, ukuba phambi kokuba baqeshwe wabo ugqirha uza kuthumela umntwana ukuhlalutywa - imbewu bacteriological. Ngokusebenzisa esi sifundo iziyobisi ziya batshatileyo ngokusondele kangangoko kunokwenzeka. Iziphumo isifo zibonisa kanye oko amayeza bayakwazi ukuyeka gciwane.

Ngokuqhelekileyo oogqirha ngaphandle iingxaki ezinjalo. Bathi nje amisele antibiotics ebanzi-spectrum, banikwe ubudala bomntwana. Practice ubonisa ukuba amayeza sisebenzayo ukunyanga ukudumba esingapheliyo tonsils pharyngeal, macrolides yentsimbi ( "Sumamed", "Azitrus", "azithromycin"). Ukuba umntwana lowo ngumkhuhlane ekhoyo, kungcono ukuba usebenzise penicillins ( "Augmentin", "Amoxiclav", "Flemoksin"). Khumbula ukuba yonke le mithi kufuneka zimiselwe ngugqirha wakho. Ukunika imali ezinjalo kid ngokwakho, unako buhlungu kuye.

Ukukhulisa umntwana wakho okukwazi

Xa unyango umntwana adenoiditis ezigulo ezondeleyo udinga iivithamini. Ukuba kunokwenzeka, kuhle ukuba kwimveliso yendalo: imifuno kunye neziqhamo. Vitamin C ifumaneka iziqhamo citrus ezininzi, imifino, ikhaphetshu. Kuyanceda ukuxhasa amajoni omzimba, uqinisa zikhusela. iivithamini B bayabandakanyeka egazini, kubalulekile ngexesha kwezihlunu ngokutsha. Vitamin E, ngoku iintlanzi kunye neenkozo zepistasi, neeamangile kukhawulezisa ukuphiliswa. Ukuba yesondlo ufuna ukunika awukwazi, ngoko ke kufuneka ukuba izakhiwo yakho vitamin baby. Eya kuba egqibeleleyo nakwinzala yakho - uxelele ugqirha. Kunokuba unabo, "Vitrum", "Multitabs", "Vitamishki", "incopho" okanye into ethile eyenye. Kubalulekile ukuba nithabathe iyileyo indoda ezintsonkothileyo ngokungqinelana nobudala.

Ingxoxo-mpikiswano malunga nokwenzeka ukusetyenziswa immunomodulators e adenoiditis ezingapheliyo musa kuse kule mini. Oogqirha abaninzi namhlanje bakhetha ukumisela iindlela ezifana "IFN", "interferon", "Likopid" okanye ngokokugqama "Aflubin", "Anaferon". Ezinye iingcali zidla yokuba la machiza musa ukuvumela umzimba ukubuyisa ngokwabo. Ukunika immunomodulators okanye hayi - umcimbi wangasese umzali ngamnye.

utyando

Ngokusebenzisa umsebenzi anokuthi alungi-lungiswe adenoids ezingapheliyo ebantwaneni. Unyango uye izimvo ezahlukeneyo. Abanye abazali ingxelo ukuba umntwana isuswe adenoids, ngoko zonke iingxaki ziye zisonjululwe. Abanye baye ingxelo ukuba utyando lube lilize, kuba emva komzuzwana yonke into ibuyela esiqhelweni. Mhlawumbi oku ugqirha iwayini, leyo kwenziwa uqhaqho?

Ngenye indlela, adenotomija eyenziwa phantsi Ukubulawa jikelele. Kunye forceps elide tonsils ziyasuswa inxalenye kuphela. Buqhinga lwenziwa ngaphandle ukusikwa, kunye ukufikelela ngokusebenzisa umqala kunye nempumlo. Le inkomba uqhaqho linqanam lokugqibela esi sifo xa ngeempumlo yomntwana uphefumla adenoids kwakudibana ngokupheleleyo ebushushwini babo.

adenoids Chronic kubantwana: unyango (Komorowski)

Yintoni isixelela ntoni nesifo eyaziwa wabantwana eyaziwa? Ngu Evgeniyu Komarovskomu uphulaphula ezininzi abazali noomawokhulu. Ugqirha ithi adenotomija - esi sisikali kakhulu, nto leyo, makayixhome ngokuzolileyo, abamkelwa ngenxa yezizathu ezininzi:

• adenoids - i-Amygdala leyo zidlala zikhusela obalulekileyo umzimba;
• utyando - konxunguphalo ukuba umntwana kunye nabazali bakhe;
• akukho siqinisekiso sokuba emva kokuba idlala ngexesha akuyi kukhula kwakhona (kwaye oko kuya kuba ityala lakho, hayi kuphela impazamo zonyango).

Kunzima ukusebenzisa utyando ukuze ukunyanga ngokupheleleyo adenoids ezingapheliyo ebantwaneni. Komorowski wathi kwiiprogram zabo ngendlela yokuphucula imeko yomntwana. Incutshe Yingxelo ngeendlela zokuthintela ukunceda ekunciphiseni nezihlandlo likakade. Kwaye emva kwexesha elithile (kunye nobudala), ungakhohlwa ngokupheleleyo ngoko adenoids.

Yokuthintela isigulo

amanyathelo azizithintelo kufuneka wenziwe rhoqo. Icebiso engundoqo enikwe ngoogqirha, zezi zilandelayo.

• Tempering komeleza ukuxhathisa komzimba. Iinkqubo ingaba nomahluko kakhulu ehamba ngeenyawo phantsi phambi perfusion ngamanzi abandayo. Thatha ngokuba umcimbi umntwana wakho ngamnye.
• ukutya okunesondlo uze usele amanzi. umzimba zosana unyanzelekile ukuba enze lonke uluhlu iivithamini kunye neeminerali. Ukutya kufuneka abe sempilweni entle kwaye zahlukene. nomnikelo rhoqo kuthintela amazwe yayintsholongwane eyosulela ezincane tonsils.
• Iqhubekekisa impumlo lysates bacteria. Eyaziwa iziyobisi "Irs-19" iqulethe kumafa yayo ezincinane ezinceda ukunqanda umkhuhlane rhoqo kunye nempumlo esihambisayo.
• bacteriophages zokwamkelwa. Ezi agents ke iintsholongwane ngempumelelo ukubulala iintsholongwane kunye neentsholongwane. Bacteriophages i ubutsha, kodwa wavunywa ukuba abe kwicala elungileyo.
• A uhambo oluya iiholide. Umntwana siphefumle umoya ulwandle luncedo. Ukuba kunokwenzeka, tyelela kwikhaya lokonga. Ezinye Kiddies banikwa iivawutsha simahla kunyango izinto ezibonisa ezithile.

UGqr Komarovsky lithethelela ukuba bume umntwana. Kufuneka pholisa rhoqo kwigumbi apho umntwana. Umoya ngokufudumala neyomileyo ikhuthaza ukukhula ezincinane ebangela isifo, ngoko ke ubushushu igumbi kufuneka izidanga hayi ngaphezulu kwe-23 kunye ukufuma - hayi ngaphantsi kwe-60%.

iingcebiso ezongezelelweyo ukulungiselela unyango kunye nothintelo bezifo adenoiditis exacerbation wayo ukufumana ugqirha yabo yonyango yenqanaba lokuqala.