Adenoiditis tuaj yeem txheeb xyuas los ntawm cov tsos mob, txawm tias tsis muaj kev kuaj xyuas nrog daim iav. Nrog rau tus kab mob, qhov ntswg ua pa tsis zoo, tsis hnov lus pom, lub suab hloov pauv, nws ua qhov ntswg. Qhov ntau qhov pharyngeal tonsil loj, cov tsos mob no tshwm sim ntau dua. Adenoiditis ntev tuaj yeem hloov qhov hnyav, muaj peb ntawm lawv - I, II, III. Tus kab mob no tshwm sim hauv cov menyuam yaus. Adenoiditis yog disguised raws li tus mob khaub thuas, SARS, uas yog vim li cas nws tsis tuaj yeem tshawb pom tam sim ntawd. Yog li tus kab mob ntws mus rau hauv daim ntawv ntev, thiab qhov no ua rau muaj qhov tshwm sim loj.
Chronic adenoiditis
Tus pharyngeal tonsil plays lub luag haujlwm loj hauv menyuam yaus. Nws tsim cov tshuaj tiv thaiv kab mob thiab yog ib qho kev muaj sia nyob rau cov kab mob nkag mus rau hauvkab mob. Ib tug menyuam yaus, mus xyuas cov tsev kawm ntawv pej xeem, yeej ib txwm raug kev pheej hmoo ntawm kev kis kab mob, kab mob. Nrog rau kev ua haujlwm ntau ntxiv, cov tonsil nce hauv qhov loj, loj hlob thiab adenoids daim ntawv. Raws li tus kws kho mob paub zoo Komarovsky, nws yog ib qho tsim nyog yuav tau pib kho thawj theem kom tsis txhob coj teeb meem rau kev phais. Tsim adenoids feem ntau ua rau mob vim muaj kab mob, thiab adenoiditis tshwm sim hauv cov menyuam yaus. Cov tsos mob thiab kev kho mob Komarovsky, zoo li lwm yam me nyuam tus kws kho mob, yog zoo kawg nkaus paub. Nyob ntawm theem, txoj kev raug tshem tawm ntawm qhov teeb meem raug sau tseg.
mob adenoiditis ua rau lub qhov ntswg tas li, raws li cov tonsil mob hauv caj pas thaiv cov lumen, ua pa tsis zoo. Mob adenoiditis nyob rau hauv ib tug me nyuam (hnub nyoog 2 xyoos) tej zaum yuav muaj thawj theem, feem ntau cov me nyuam los ntawm peb mus rau kaum xyoo raug mob los ntawm tus kab mob. Tus me nyuam pib ua pa ntawm lub qhov ncauj ntau zaus, hauv npau suav - hneev. Cov hnoos qeev feem ntau provokes hnoos nrog adenoiditis.
Cov ntaub ntawv kho mob hais tias 20% ntawm cov menyuam yaus raug kev txom nyem los ntawm cov kab mob adenoiditis. Hauv cov tub ntxhais hluas, nasopharyngeal tonsil pib txo qis thiab thaum muaj hnub nyoog 20 xyoo nws tag nrho atrophies. Nws qhov loj tshaj plaws yog mus txog thaum muaj hnub nyoog 4 txog 7 xyoo. Tab sis tsis txhob hais tias thaum muaj hnub nyoog 14-15 tus mob yuav daws nws tus kheej. Adenoiditis yuav tsum tau kho tam sim ntawd, vim qhov tshwm sim tuaj yeem loj heev.
yam uas ua rau muaj kab mob
mob adenoiditis yog tsim nyob rau hauv muaj cov kab mob nquag thiab kab mob. Lwm yam laj thawj:
- tsis muaj zog rau menyuam yaus;
- kab mob ua xua;
- khaub thuas tas li;
- hypothermia;
- khoom noj khoom haus;
- vitamin D deficiency;
- kab mob chronic;
- ntau dhau ntawm carbohydrates hauv cov zaub mov;
- ib puag ncig tsis zoo;
- huab cua qhuav lossis qhuav hauv tsev;
- hormonal ntshawv siab.
Exacerbation of chronic adenoiditis tshwm sim nyob rau hauv lub xub ntiag ntawm tus kab mob kis tus kab mob, nrog rau lub active reproduction ntawm cov kab mob pathogenic. Lwm yam ua rau exacerbation:
- Kab mob ENT (SARS, hnoos hawb pob, ua npaws liab, tonsillitis, qhua pias).
- Hereditary factor.
- Kev noj zaub mov ntau dhau cov khoom noj carbohydrate, khoom qab zib.
- Kev tiv thaiv tsis txaus, nyiam ua xua.
Kev ua txhaum cai ntawm qhov kub thiab txias hauv chav (sov dhau, huab cua qhuav, plua plav ntau, tshuaj tsis zoo - tshuaj lom neeg hauv tsev).
Adenoiditis hauv menyuam yaus, cov tsos mob thiab kev kho mob (Komarovsky)
Raws li Dr. Komarovsky, kev hloov pauv ntawm tus mob mus rau adenoiditis ntev tuaj yeem txiav txim siab los ntawm cov tsos mob hauv qab no:
- qhov ncauj qhib tas li;
- kev tshaib plab;
- muaj teeb meem pw tsaug zog;
- nose stuffed, vim - sniffling, snoring;
- rhinitis tshwm sim nrog hnoos qeev thiab cov paug;
- subfebrile mob (kub37 txog 37, 9)
- muaj kev lag luam hauv lub hlwb thiab lub cev;
- mob taub hau;
- Tshuaj hnoos nocturnal vim muaj hnoos qeev hauv caj pas;
- faus;
- hnov tsis hnov.
Cov tsos mob adenoiditis ntev zoo ib yam. Qhov no cuam tshuam tus menyuam hais lus. Tus menyuam yaus tsis tshua hais lus qhov ntswg, sim hais lus muffled, sai sai, "hauv qhov ntswg". Txawm nyob rau hauv tsos, adenoiditis nyob rau hauv ib tug me nyuam tuaj yeem txiav txim siab nyob rau hauv daim ntawv ntev. Lub thiaj li hu ua "adenoid lub ntsej muag" yog tsim - lub puab tsaig sab hauv lub puab tsaig, salivation nce, edema tshwm thiab tom raug cuam tshuam. Oxygen tshaib plab yog qhov tshwm sim ntawm qhov ntswg ua pa nyuaj. Cov menyuam yaus uas muaj cov kab mob no feem ntau muaj lub hauv siab nqaim thiab lub hauv siab.
Feem ntau mob adenoiditis yog nrog los ntawm pharyngitis, bronchial hawb pob, tonsillitis. Qhov no yog vim qhov qhib qhov ncauj tas li, los ntawm kev kis kab mob sai sai nkag mus rau hauv lub cev, nyob ntawm lub larynx, trachea. Cov txheej txheem o tuaj yeem kis tau rau hauv lub qhov ntswg, vim li ntawd - cov kua qaub tsis tu ncua, thiab qhov no ua rau tawv nqaij khaus ntawm daim di ncauj, liab, mob microcracks tshwm sim.
Diagnosis
Adenoiditis yog kho los ntawm tus kws kho mob otolaryngologist. Txhawm rau kuaj mob, tus kws kho mob kuaj xyuas thiab mloog cov lus tsis txaus siab. Ib tus kws kho mob zoo tuaj yeem xav tias adenoiditis twb tau tshawb pom:
- redness, o ntawm pharyngeal tonsil;
- purulent, mucous paug.
txhawm rau tsim qhov kev kuaj mob kom raug, cov hauv qab no siv tauTxoj kev kuaj mob:
- Posterior rhinoscopy. Nrog kev pab los ntawm daim iav, tus kws kho mob tshuaj xyuas cov seem tom qab hauv lub qhov ntswg. Qhov no tso cai rau koj txheeb xyuas qhov twg adenoids tau loj hlob, hyperemia (redness), muaj kua paug, thiab edema raug tsim.
- X-ray ntawm nasopharynx. Kev kuaj mob sib txawv ntawm adenoiditis thiab sinusitis. Kev ntsuas hnyav.
- Endoscopy ntawm nasopharynx. Ib lub raj elastic nrog lub koob yees duab video yog siv, uas tso cai rau koj txheeb xyuas qhov loj me ntawm adenoids, lawv tus mob, nrog rau cov mucous membrane.
- Smear los ntawm nasopharynx. Tso cai rau koj los txiav txim siab qhov rhiab heev rau qee yam tshuaj, thiab tseem txheeb xyuas cov kab mob.
- Txoj kev ntawm otoacoustic emission thiab audiometry. Cov kev sim no tau ua tiav yog tias tus neeg mob tsis hnov lus.
Tus kws kho mob yuav tsum sib txawv adenoiditis ntev ntawm cov kab mob hauv qab no: sinusitis, rhinitis, sinusitis, juvenile angiofibroma (hauv cov hluas).
txoj kev kho
Adenoiditis yog kho ob qho tib si nrog tshuaj thiab kev phais. Kev kho mob ntawm adenoids hauv cov menyuam yaus yam tsis muaj kev phais yog pom zoo los ntawm Komarovsky thiab lwm tus kws kho mob ntawm theem I lossis II. Cov tshuaj yuav tsum tau muab los ntawm tus kws kho mob. Feem ntau, txoj kev kho nyuaj yog siv - cov tshuaj tua kab mob hauv zos ntxiv rau cov tshuaj tiv thaiv kab mob.
Nws tseem raug muab tshuaj ntxuav qhov ntswg nrog cov tshuaj tshwj xeeb. Cov txheej txheem no muaj txiaj ntsig tsis yog hauv kev kho mob nkaus xwb, tab sis kuj tseem tiv thaiv kab mob. Ntxuav lub nasopharynx tshem tawm cov hnoos qeev, thiab ua ke nrognws muaj tag nrho cov microbes. Qhov no txo qhov ntswg congestion, qib ntawm o txo. Cov txheej txheem yuav tsum tau rov ua 3-4 zaug, thaum lub sij hawm exacerbation ntawm tus kab mob - mus txog 6 zaug ib hnub twg. Rau kev ntxuav, koj tuaj yeem siv: ib lub syringe los yog ib tug me nyuam aspirator; Esmarch lub khob; syringe tsis muaj koob; cov khoom siv tshuaj tshwj xeeb. Nyob rau hauv daim ntawv ntawm ib tug tov, ntsev tov, tshuaj ntsuab infusions, tshuaj, tej yam ntuj tso ntxhia dej yog haum. Thaum lub sij hawm ntxuav cov txheej txheem, yuav tsum tau ceev faj txog kev nyab xeeb kom tsis txhob muaj cov kua dej nkag mus rau hauv lub auditory raj, qhov no tuaj yeem ua rau mob pob ntseg nruab nrab thiab tsis hnov lus.
Kev kho lub cev
Hauv kev kho mob adenoids hauv cov menyuam yaus yam tsis muaj kev phais, Komarovsky pom zoo suav nrog kev kho lub cev. Tus kws kho mob otolaryngologist yuav tsum xaiv txoj hauv kev zoo, lawv yuav nyob ntawm qhov hnyav ntawm tus kab mob, qhov loj ntawm adenoids, thiab qib ntawm o. Txoj kev tshaj plaws yog kev kho laser. Cov txheej txheem siv lub helium-neon laser. Nrog nws cov kev pab, lub adenoids sov, thaum tag nrho cov microbes tuag, o thiab o thiab txo qis. Rau qhov ua tau zoo ntawm cov txheej txheem, yuav tsum tau ua raws li cov hauv qab no:
- Lub raj LED yuav tsum tau coj ncaj qha mus rau adenoids, irradiation los ntawm tus choj ntawm lub qhov ntswg yuav tsis coj qhov kev xav tau.
- Ua ntej tus txheej txheem irradiation, koj yuav tsum tau yaug nrog saline, tshem tawm tag nrho cov hnoos qeev thiab cov paug tawm ntawm qhov ntswg.
Kev kho Ozone kuj yog ib txoj hauv kev zoo, ozone gas siv ntawm no. Nws tuaj yeem siv los nres kev loj hlob thiabreproduction ntawm pathogenic microorganisms. Nyob rau tib lub sijhawm, kev tiv thaiv hauv zos tau rov qab los, kev kho mob ntawm mucosa yog nrawm. Ozone dissolves yooj yim hauv dej, yog li koj tuaj yeem siv nws thaum ntxuav lub nasopharynx.
UVR method. Ultraviolet rays muaj bactericidal zog. Tom qab 3-8 teev ntawm daim ntawv thov, pom muaj txiaj ntsig zoo.
Ultrahigh zaus kho. Feem ntau siv thaum lub sij hawm exacerbation ntawm tus kab mob. Pulsed tam sim no ntawm ultrahigh zaus muaj peev xwm tshem tawm cov txheej txheem inflammatory, txo qhov mob, nce kev tiv thaiv hauv zos.
Magnetotherapy. Accelerates lub rov qab ntawm cov hlwb, nce kev tiv thaiv kev ua haujlwm ntawm lub cev.
Electrophoresis. Nrog rau txoj kev no, ntau yam tshuaj (antihistamines, tshuaj tua kab mob, tshuaj tiv thaiv kab mob) raug txhaj los ntawm cov mucous thiab daim tawv nqaij nrog kev pab los ntawm hluav taws xob tam sim no.
EHF-kev kho mob. Electromagnetic nthwv dej nyob rau hauv millimeter ntau yog siv. Cov txheej txheem txo qhov o, txhim kho kev tiv thaiv.
Txhua cov txheej txheem no tuaj yeem ua tiav hauv kev kho mob, feem ntau nyob rau theem pib ntawm tus kab mob. Yog tias nws khiav, yuav tsum tau phais phais kom tshem tawm cov adenoids.
Surgery
Xav txog cov lus nug ntawm yuav ua li cas kho tus mob adenoiditis nyob rau hauv tus menyuam, nco ntsoov nrog kws kho mob. Nws feem ntau tshwm sim uas yuav tsum tau phais. Obstructive pw tsaug zog apnea syndrome yog ib qho kev qhia tsis xwm yeem rau qhov no. Tsis tas li ntawd, kev phais kuj tseem yuav tsum tau nyob rau hauv cov xwm txheej uas lwm txoj kev tsuas yog txo cov tsos mob ntawm adenoiditis ntev.
Kev tshem tawm cov tonsil yog ua nyob rau hauv qhov chaw nyob ruaj khov, kev ua haujlwm hu ua adenotomy. Tus kws kho mob yuav qhia seb nws puas tsim nyog tshem tawm adenoids rau tus menyuam. Yog tias qhov kev ua haujlwm tsis tuaj yeem zam tau, nws tseem yuav sau ib qho ntawm cov kev cuam tshuam kev phais, nws tuaj yeem yog:
- Classic operation.
- YEndoscopic phais.
- YLaser adenotomy.
Tom qab ua haujlwm, tus neeg mob raug txwv tsis pub siv lub cev hnyav, ua luam dej, noj zaub mov kub, qaub thiab dej qab zib.
Kev kho mob ntawm adenoids nrog cov tshuaj pej xeem - qhov zoo tshaj plaws
Thaum tus kab mob tsis mob hnyav, nrog rau kev kho tshuaj, cov tshuaj noj zaub mov tuaj yeem siv los ua kev kho mob ntxiv. Yog tias pom muaj adenoids hauv cov menyuam yaus, kev kho mob hauv tsev tuaj yeem ua tau raws li hauv qab no:
- Ntxuav nrog ntsev. Dilute ib teaspoon ntsev nyob rau hauv ib liter dej, rov ua peb zaug ib hnub twg.
- Aloe kua txiv. Tom qab ntxuav nrog dej ntsev, drip 3-5 tee ntawm cov kua txiv aloe tshiab rau hauv lub qhov ntswg. Hoob kawm txuas ntxiv - 60 hnub.
- Sea buckthorn roj. Peb tee rau hauv txhua lub qhov ntswg. Hoob kawm yog peb lub lis piam.
- Kev ntxuav qhov ntswg - propolis. Noj ib lub khw muag tshuaj tincture, dilute 20 tee nyob rau hauv ib khob dej (sov), ntxiv ib tug peb lub hlis twg teaspoon ntawm dej qab zib. Ntxuav peb zaug ib hnub.
- Nyob nrogbeets. Piv txwv li ½ (zib ntab + kua txiv beet). Peb tee yog instilled peb zaug ib hnub twg. Hoob kawm yog peb lub lis piam.
- Ytshuaj ntsuab yaug rau yaug: chamomile - 3 tsp, linden - 2 tbsp. - ncuav ib khob ntawm boiling dej, tawm rau 20 feeb, lim. Yaug cov nasopharynx peb zaug hauv ib hnub rau ib lub lis piam.
- Infusion: noj 100 g ntawm mint, wheatgrass, sage, coltsfoot, chamomile. Peb tablespoons ntawm sau ncuav 750 ml ntawm boiling dej. Insist 20 feeb, lim. Haus ib khob peb zaug ib hnub tom qab noj mov.
- Kev nqus pa rau adenoiditis yog ua tiav nrog cov roj yam tseem ceeb. Txiv qaub roj los yog eucalyptus roj yuav ua. Peb tee roj yog dripped rau hauv lub khob nqus tau pa. Ua pa tsawg kawg 10 feeb. Rau cov menyuam mos, koob tshuaj thiab lub sijhawm raug muab faib ua ib nrab.
ua pa ua pa
Yog li, yog tias koj pib kho adenoids nrog cov tshuaj pej xeem, cov zaub mov zoo tshaj plaws tsis tuaj yeem lav qhov kev tshem tawm tag nrho. Nyob rau tib lub sijhawm, siv kev ua pa ua pa. Nws pab kom tsis txhob muaj exacerbations thiab hloov mus rau lub sijhawm ntev. Yog tias adenoiditis yog mob ntev, kev ua pa ua pa ua kom lub qhov ntswg ua pa thiab tiv thaiv adenoid hypertrophy los ntawm kev tsim. Kev tawm dag zog yog ua thaum lub sij hawm tshem tawm. Lub hom phiaj tseem ceeb yog qhia tus menyuam ua pa kom zoo ntawm lub qhov ntswg, kom lub cev saturated nrog oxygen, lymph outflow tshwm sim. Raws li qhov tshwm sim, muaj qhov txo qis hauv adenoids. Hauv daim ntawv mob ntev ntawm adenoiditis, cov kev tawm dag zog hauv qab no muaj txiaj ntsig:
- Ua pa nrog ib lub qhov ntswg. Inhale nrog sab xis (lub sijhawm no peb tuav sab laug), exhalesab laug (lub sijhawm no, tuav sab xis).
- Nkauj ruam. Muab lub raj roj hmab tso rau hauv lub raj mis, qhov kawg rau hauv lub qhov ncauj. Tus me nyuam yuav tsum nqus los ntawm lub qhov ntswg, thiab exhale los ntawm lub raj. Gurgele li no rau tsib feeb. Inhale, exhale.
- Nkauj hmoob. Cia tus me nyuam xav tias nws yog ib tug hedgehog nrhiav txiv apples hauv cov nyom. Ua pa tob tob thiab tig koj lub taub hau mus rau sab xis, ces sab laug.
- Crane. Ua pa los ntawm lub qhov ntswg, caj npab stretch. Exhale, txo koj txhais tes.
- pob. Ua tsis taus pa, ua kom lub plab. Exhale - deflate lub plab.
Nws yog qhov zoo dua los ua kev ua pa thaum sawv ntxov. Ua ntej chav kawm, yaug koj lub qhov ntswg kom zoo, yaug nrog te.
Kev Tiv Thaiv
Yog tias pom muaj adenoids hauv cov menyuam yaus, kev kho mob hauv tsev yuav tsis muab cov txiaj ntsig tam sim ntawd. Yog xav paub ntxiv, nco ntsoov hu rau tus kws kho mob otolaryngologist. Ib tus kws paub txog kev paub yuav qhia koj txog txoj hauv kev zoo. Zoo, txhawm rau tiv thaiv adenoiditis, cov niam txiv yuav tsum ua raws li cov lus pom zoo:
- Mus ntsib koj tus kws kho mob tam sim yog tias koj pom tias snoring nyob rau hauv koj pw tsaug zog, congestion, qhib qhov ncauj, tsis hnov lus.
- Tshuaj khaub thuas yuav tsum kho kom kawg.
- Txhawb lub cev tiv thaiv, tiv thaiv kev tawv nqaij, kev kawm lub cev, kev noj cov vitamins, khoom noj kom zoo.
- txwv koj tus menyuam kom kis tau tus kab mob ua pa hnyav.
- Cov txheej txheem tu cev yuav tsum tau ua tas li - txhuam koj cov hniav, yaug koj lub qhov ntswg nrog cov tshuaj ntsev, gargling tom qab noj mov.
Adenoiditis tuaj yeem ua rau muaj qhov tshwm sim loj, cuam tshuamkev loj hlob, yog li cov niam txiv ntawm thawj qhov tsis txaus ntseeg yuav tsum tau qhia lawv tus menyuam rau tus kws kho mob.
