3 degree adenoids ezinganeni: ekwelapheni amakhambi yesintu. ukwelashwa kuhlinzwa

Cishe 25% izingane nabazali bazo esikhathini Otolaryngologist cwaningo ukuzwa ukuthi kid lakhulisiwe adenoids. Letakhi kuhlangene mucosa nasopharyngeal. Ngo ingane enempilo, bona ukukhuthalele esebenza ngayo. It adenoids kuqala nazo ezahlukene ubuthi, ama-bacterium, ezixabana nomzimba, amagciwane navusa indlela ukuzivikela.

nezindaba ngezigaba

Ukuvuvukala adenoids ochwepheshe ngokuthi adenoiditis. Kodwa ngisho nalapho engekho kubo kungase kukhule inqubo esebenzayo sokugembula. Udokotela angase athi grade adenoids 2-3 izingane. Kulesi simo idlala nasopharyngeal angase abangele ingozi.

Otolaryngologists ngesikhathi sokuhlolwa kungashiwo ukuthi adenoids wengane:

- 1 degree, inqobo bamboza esingaphansi 1/3 ye-nasopharynx, kuphela engxenyeni engenhla embozwe ngikwazi ukuqala (ipuleti okuyinto ayingxenye ezingemuva septum acinene);

- 2 degrees, ngokuvamile okuholela edema ihlanganisa nengxenye yezikhulu nasopharynx, 2/3 Coulter ukugqagqana;

- 3 degrees, bacishe bayifunda yonke nasopharynx ivinjelwe.

Njengoba kwanda zabo nokuthuthukisa izinkinga ezihlobene. Ngakho, adenoids Ibanga 3 izingane kukhona imbangela iphika, ukuzwa liwohloka ngokuphawulekayo. Ngo hypertrophy esiteji 2 ibonakala snoring ngesikhathi sokulala, ukukhwehlela njalo. ukuphefumula acinene is kubonakale kahle. Lapho adenoids 3 degree emoyeni emaphashini ngomlomo kuphela.

Izimpawu zesifo

Ukuze usola ukuthi ingane iye lakhulisiwe amalaka, kukhona abazali. Ngokuvamile, le nkinga kwenzeka ezinganeni ezineminyaka engu-3-7. Kodwa kungaphazamisa kanye intsha. Iphakamisa lelo banga athuthukile 2-3 adenoids ezinganeni, lezi zimpawu ezilandelayo:

- acinene ukuphefumula nobunzima, ngokuyinhloko ingane uphefumula ngomlomo;

- isikhathi eside okuphindayo amakhala yisisu;

- eziya ziba zimbi wobuthongo, snoring iba ezwakalayo;

- ukubukeka acinene;

- inkulumo egwinya;

- ubuthulu;

- ukucobeka, ukukhathala, ukucobeka;

- izikhalazo yikhanda.

Lapho iqaphela okukodwa noma ngaphezulu izimpawu, kungcono ukukhombisa ingane Laura. Lokhu dokotela ongasenza asungule ukusazi ngokunembile isifo esikuphethe futhi, uma kunesidingo, linqume ukwelashwa.

sitholakele isifo

Isilinganiso kuhlolwe ngamehlo akwanele ukuba siqonde lokho adenoids grade izingane 3. Kodwa otolaryngologists kakhulu akukho imishini ukufaka uphethwe ngqo. Abakwazi sebenzisa indlela umunwe. Kodwa-ke kubhekwa uninformative. Emitholampilo abavamile, njengoba umthetho, kutuswa ukwenza X-ray. Nale ndlela kungenzeka ngeso lengqondo nesanda amalaka, kodwa ukunquma uma ngabe ukuvuvukala ngeke zisebenze.

Omunye izindlela zokuxilonga kuyinto pharyngoscope. Lokhu Ukuhlola oropharynx nge spatula bese laryngeal esibukweni ekhethekile. Ukutadisha okunjalo ukuhlola isimo nasopharynx futhi ukukhomba adenoids ezinganeni lamadigri 2-3. Ukwelapha ingasatshenziswa emva ukuhlolwa okunjalo.

Futhi phambi rhinoscopy kungaba kwenziwe. Ngoba idinga acinene dilator ekhethekile. Ngesikhathi inqubo, ungakwazi ukuhlola isimo amavesi acinene, ngodonga. Uma ngaphambi cwaningo iconsa vasoconstrictor izidakamizwa, ungabona ngemuva nasopharynx futhi adenoids.

Pharyngorrhinoscopy, okuyinto oluphethwe fiberscope futhi acinene esibukweni, izingane cishe azikwenzi lokho. Nakuba le ndlela kubhekwa njengokuzijabulisa okungenangozi futhi ulwazi.

izindlela zesimanje luhlolo

Sungula uhlelo ukusazi ngokunembile isifo esikuphethe futhi ukucacisa kokukhulisa idlala nasopharyngeal kungaba ngu computed tomography. Lena ngempela indlela ezibizayo luhlolo, kodwa ulwazi. Nokho, ngiyisebenzisa kakhulu kuyaqabukela.

Indlela eziphambili kakhulu ubhekwa luhlolo endoscopic. Kuyinto le ndlela ukuxilongwa ivumela ukuqinisekisa ukuthi banga adenoids 3 izingane. Izithombe zezindawo inkinga kulolu cwaningo ukwenza akunzima.

Ukuze enze lokhu test iqondiswa ngaphakathi komgodi acinene ngamapayipi amancane, ekupheleni okuyinto ikhamera yevidiyo itholakala. Ingasetshenziselwa hhayi kuphela ukucacisa ubukhulu adenoids, kodwa futhi ukuze ucacise indawo yabo. Futhi, udokotela ungabona uma kukhona nokuvuvukala, futhi uhlole ukuthi inqubo izilokotho ezinhle tube sokuzwa.

Inhloso adenoids

Abazali abaningi ngephutha sikholelwe ukuthi idlala nasopharyngeal - Imfundo ngokuphelele engenamsebenzi, okuyinto engcono ukususa. Kodwa kukhona okungahambi kahle. Yiqiniso, uma inkinga itholakala lapho kusungulwa, "3rd degree adenoids" ezinganeni, udokotela uyoncoma ukuzisusa. Kodwa kwezinye izimo ungazama ukuqeda le nkinga nge izindlela olandelanayo.

Ngokuvamile adenoids eqala ukukhula ngokumelene isizinda izifo eziphikelelayo. Bayingxenye we omzimba wendawo. idlala Nasopharyngeal uhlobo isithiyo kungaba okuyinto wakwazi ukubhekana kangcono nale igciwane ngaphambi kokuba ufake umzimba. Le ndlala ukuhlakulela wendawo amasosha omzimba iseli aqashwe. He is isithiyo yemvelo emagciwaneni.

Ngu ngokwabo, adenoids - kuyingxenye ebalulekile kwesimiso somzimba sokuzivikela ezifweni. Uma kukhona ithuba lokubuyisa umsebenzi wabo futhi unciphise ukulimala kwamathambo, khona-ke kufanele asebenzise.

Eziyimbangela yezinkinga ezizuzwa ku amasosha omzimba wendawo

Yiqiniso, adenoids ngokweqile lunganwetshwa izingane 3 degrees ayisakwazi afeze injongo yayo. sinqamukile lymph amanzi, le yezindlala izicubu zanda ngokushesha futhi ukuvuvukala cishe liyaphela.

Kulokhu, lo adenoids asisakwazi yisithiyo amagciwane. Amafinyila e ngalo ingaphakathi acinene iqala lulibala ngenxa ukushayisana umsebenzi apharathasi mucociliary. Futhi eqinisweni kubonakala ingxenye enkulu nezilwanyana ezincane wabanjwa, uthuli, nomzimba ezingaba khona.

Adenoids 3 degrees ku ingane neqhaza nezilwanyana ezincane sokugembula babambeke nasopharynx. Kulokhu, lo ngumsebenzi yendawo esivele ecindezelekile ukuvuvukala njalo. Lena isizathu esiyinhloko ukuthi kwandisa amathuba asathuthuka lesi sifo. Imiphumela iba yinhlanganisela yokukhandleka umjikelezo omubi ngenxa lenyuka idlala nasopharyngeal izifo njalo, futhi izifo adenoids ngenxa eminye ukwandisa.

Izixazululi zezinkinga

Njengoba umthetho, adenoids ezinganeni 3 degrees isuswe incoma ukuthi otolaryngologists kakhulu. Kodwa ngokukhetha le indlela, kufanele sikhumbule ukuthi banayo sikhule impahla. Yiqiniso, lena akuyona yonke. Kodwa kuneziguli abanezinkinga futhi ngemuva kwezinyanga eziyisithupha noma unyaka emuva futhi.

Ngezinye izikhathi nasopharyngeal idlala inyuka ngenxa ufuzo ezimbi. Ukufisa ukukhula le ndlala idluliselwa zofuzo. Ezinye izingane zizalwa indandatho ababuthakathaka Heinrich Wilhelm Gottfried von Waldeyer-Hartz. Kuhlanganisa lingual, ipayipi amalaka futhi adenoids futhi amalaka.

Abanye odokotela bakholelwa ukuthi ukuhlinzwa akudingekile. Anikeza izinguqulo zabo kanjani ukwelapha adenoids 3 degrees ku ingane. Njengomthetho, adinga esibanzi yokwelapha okuhloswe ukucindezelwa ukuvuvukala nokwehlisa ukuvuvukala.

Kukhula amalaka nasopharyngeal - kuba kuphela inkinga yezingane. Kubantu abadala kunazo, umzimba uyobe yoma. Phela, njengoba eneminyaka engu-12, adenoids aqale ukuze wehlise.

ukwelashwa ngoludala

Ngaphambi ezincoma ukususa adenoids ezinganeni degree 3rd, odokotela abaqeqeshiwe ziyonikela abazali iqoqo izinyathelo ezihlose ukususwa edema futhi ukunciphisa ukuvuvukala. Kwezinye izimo, zisiza ukubhekana kangcono nale nkinga ngaphandle ukuhlinzwa.

Udokotela utjho vasoconstrictor lehla, okumele kusetshenziswe izinsuku 5-7. Ifanele "Naphthyzinum", "ephedrine", "Sanorin", "Galazolin" nezinketho nezinye zezingane. Ngemva instillation kuyadingeka ukugeza ingaphakathi acinene. Lokhu kungenziwa ngezindlela izixazululo ekhethekile isinqandakuvunda, isibonelo kusho "Furatsilinom" noma "Dolphin". Hhayi kudidaniswe lavage wokunisela.

Kanyekanye instillation nokugeza liqoke ukwelashwa jikelele. Kumele kuhloswe ngazo ukuqinisa amasosha omzimba. Yabela ekuqiniseni ejenti, amavithamini, immunostimulants futhi antihistamine. Allergy imithi okudingeka zithathwe uma adenoids kutholakala ukuthi uphethwe yini ebangeni izingane 3. Ukwelashwa kuyadingeka ngenxa yokuthi yokungezwani komzimba kuyimbangela enkulu ukuqala izinguquko pathologic kulezi amalaka.

Inikeza imiphumela emihle futhi Physiotherapy. Ophumelelayo kvartsevanie ingaphakathi nasopharyngeal, helium-neon laser ukwelashwa, UHF futhi electrophoresis dimedrola isixazululo, i-potassium iodide.

ukwelashwa kuhlinzwa

odokotela abaningi bakubona adenoids 3 degrees ku ingane iminyaka engu-3 ubudala, ulithumele ngokushesha ukusebenza. Kodwa kwabonakala endabeni yokuzama akuphumelelanga yokwelashwa olandelanayo. Futhi susa amalaka ezimweni lapho:

- ukuphefumula ngokusebenzisa ekhaleni nzima noma cishe akunakwenzeka;

- imikhuhlane wengane njalo noma izifo ezithathelwanayo, ezifana namathansela, umphimbo obuhlungu, inyumoniya, abezindaba otitis;

- ukuthuthukisa yezinkinga ku sinuses paranasal (eyaziwa ngokuthi sinusitis);

- kukhona ukubukeka snoring nomoya ubambe ngesikhathi sokulala.

Ngaphambi kokuba ahlinzwe ezidingekayo ukuze akhulule ukuvuvukala, noma ususe zonke umthombo ukutheleleka ayikwazi ukusakaza.

Inqubo yokususa

ukwelashwa Steel kungase kwenziwe esigulini esingalalisiwe esibhedlela (emtholampilo evamile) noma esibhedlela inpatient. Umsebenzi wenziwa ngaphansi izinzwa wendawo noma jikelele. Uthatha imizuzu engaphansi kuka-20, kanti futhi le nqubo ukusika ijwabu yene kuthatha imizuzu efika ku-3. Ukusebenza kwenziwa kusetshenziswa adenotomy Beckman. Lena ummese ekhethekile eyenziwe ngesimo indandatho, okuyinto ethunjwa izicubu yene idlala nasopharyngeal. Yisike kwelinye ezinyakazayo.

Phakathi ukusebenza, ingane kumele ahlale, ikhanda lakhe aphonswe emuva. Uneziqu umhlengikazi, ngokucindezela kancane phezulu ukuze isiguli asikwazanga uvuke. Emakhaleni ngenkathi kuxhunyiwe nge ukotini.

Adenotome Beckman busuka emphinjeni. Iya kufika ku esitobhini futhi ukusika indwangu evele emuva phansi. Ngemva kwalokho, uhala, ukuvala amavesi acinene, isuswe. Ngemva ukususwa isiguli kufanele nishaye icilongo impumulo yakho bese uphefumula impumulo yakho nge uvale umlomo wakho.

Kodwa lokhu akulona VO ukuze belaphe adenoids 3 degrees ku ingane. Indlela yesimanje kuyinto ukususwa endoscopic. Lo msebenzi wenziwa ngaphansi kolawulo ezibukwayo, udokotela wakho angase acabangele indawo enhle futhi adenoids kususwe ngokuphelele.

izindlela kwesiko

Ngaphezu ukwelashwa ngoludala futhi kuhlinzwa zikhona ezinye izindlela zokwelapha izici. Abazali abaningi uyekiswe ukuba amavesi acinene ingxube ka 2 izingxenye juice beet futhi 1 okuyingxenye uju. Kwaphela amasonto 2-3 kuyadingeka ukugxilisa 5 amathonsi izikhathi eziningana ngosuku.

Ungasebenzisa futhi Aloe juice. Kodwa le ndlela yokwelapha kumele kutsatse ezinyangeni ezimbalwa. Enough yokungcwaba 2-3 sehla kathathu ngosuku. Abaningi batusa gargling ne ukumnika amaqabunga zikagamthilini. Lokhu kumele kwenziwe izikhathi 3 ngosuku izinyanga eziyisithupha.

Kukhona nezinye izindlela ethandwa ukunciphisa ukuvuvukala izicubu yezindlala ka amalaka. Oblepihovoe kungaba iconsa, ukumnika kawoyela zikagamthilini noma uzilungiselele kusuka amaqabunga birch.