What are adenoids?
In the normal state in children adenoidsare small nasopharyngeal lymphoid formations. This is a normal immune tissues have the ability to produce immunoglobulins necessary for normal functioning of the child's body. However, after repeated colds, infections, allergies may increase and inflamed. Changes in the nasopharyngeal tonsil connected, on the one hand, with allergization organism, on the other - are evidence of failure in the immune system. Adenoids, protecting the child's body, struggling with the adverse effects of polluted environment. The result is that there are mucous discharge from the nose, adenoids swell, difficult nasal breathing.
The growth of the adenoids has three degrees:
I degree- The day the baby is breathing freely enough, the mouth is closed and during sleep, when the volume of adenoids increase in the horizontal position of the body, it becomes harder to breathe, there is a snore.
II - III DEGREE - Sprawl halfway or completely cover the posterior portions of the nose, the holes connecting the nasal cavity with the nasal part of the pharynx; children often snore during sleep, forced to breathe through my mouth all day.
For the first time the adenoids (pharyngeal hypertrophytonsils) were described in 1873 by Danish scientist Meier. The disease occurs in 5-15% of children. The adenoids are more common in the age of 3-15 years, but can occur at a younger age, and 70-year old. Adenoids hypertrophied may be true, but may be in a state of acute or chronic inflammation. When inflammation, they become a source of bacterial infection of the body, pathological affect the respiratory tract, the nervous and immune systems.
- There are frequent coryza, eventually turning into chronic rhinitis.
- Children with adenoids usually sleep poorly,they often snore; they may be disturbed by suffocation due to a falling tongue. The child becomes lethargic and lethargic. Speech becomes illegible, and the voice is nasal. Adenoid growths limit the mobility of the soft palate, therefore, the correct formation of sound is disrupted.
- With a long course of the disease in childrenthere is a violation of the development of the facial skeleton: the constantly sagging lower jaw becomes narrow and elongated, an incorrect bite is formed. In the upper jaw, the hard palate is formed high and narrow ("Gothic" sky).
- Long shallow breathing through the mouth leads to disruption of the formation of the chest.
For professional diagnosis "adenoids"simply, it does not require special equipment. Treatment is usually surgical. Conservative treatment (washing, drops, inhalation, but in any case not warm!) Apply for a small increase of the adenoids or with contraindications to surgery.
for adenoidectomy operations performedalmost all children's hospitals, where there ENT department, and do not pose any difficulties for the specialist. This operation is non-severe and the patient: As a rule, children tolerate it well.
After the operation, it is necessary to comply with childsparing regimen: he can not run, jump, swim in the hot tub, wash your hair; be sure to use the unheated semi-liquid food. One week after discharge from the hospital the child may have to go to school (kindergarten).
Is it necessary to remove the adenoids?
Given the role of nasopharyngeal tonsils reactionsgeneral and local immunity, its activity in the formation of anti-viral protection, many doctors prefer conservative therapies adenoids. Especially because, firstly, the little child completely remove adenoids is almost impossible, and secondly, adenoid tissue has the ability to recover, and after a while the situation that led to the operation can be repeated. Not uncommon for children to do two, three and even four times adenotomy (adenoidectomy). The operation may be indicated in cases where all possible conservative treatment methods have been exhausted and were ineffective.
Starting from 8 - 9 years adenoids, having fulfilled their function, start their own decline, and the majority of children to 11 - 14 years, almost completely disappear.
Before you decide to remove the child adenoids,show it to a few doctors, moreover, who appointed and directed the operation. In the event that large adenoids really are confirmed, perform child care and moreover repeated. And if you do not get to improve nasal breathing, nasal discharge termination, reduction or disappearance of snoring other manifestations of the disease, it is only in this case decided on surgery, if it is really necessary.
Whether the adenoids will grow back?
To remove the adenoids have their favorableperiods. The process of growth of the child can be divided into periods of "pull" (when the baby is growing rapidly in length) and periods of "rounding off" (when growth slows). Operation adenotomy undesirable during the drawing, when there is rapid growth in the nasopharynx. It is also noticed: more than a younger age adenoids removed, the greater the likelihood that they will grow again. The most favorable periods for the removal of the adenoids - from five to six years, from nine to ten, and after 13-14 years.