Yuav luag 25% ntawm cov menyuam yaus thiab lawv niam lawv txiv hnov hauv lub chaw kho mob otolaryngologist tias tus menyuam lub adenoids loj tuaj. Cov txheej txheem no ua ke nrog cov nasopharyngeal mucosa. Nyob rau hauv ib tug me nyuam noj qab nyob zoo, lawv nquag ua hauj lwm. Nws yog cov adenoids uas yog thawj zaug ntsib ntau yam co toxins, kab mob, allergens, microbes thiab tso ib tug tiv thaiv mechanism.
Kev faib cov teeb meem
Kab mob ntawm adenoids kws tshaj lij hu ua adenoiditis. Tab sis txawm tias tsis muaj cov txheej txheem pathological, lawv tuaj yeem nce ntxiv. Tus kws kho mob tuaj yeem hais tias adenoids yog 2-3 degrees hauv cov menyuam yaus. Hauv qhov no, qhov no nasopharyngeal tonsil tuaj yeem tsim teeb meem.
Otolaryngologists tuaj yeem qhia rau ntawm kev kuaj xyuas tias tus menyuam muaj adenoids:
- 1 degree, muab hais tias lawv npog tsis pub ntau tshaj 1/3 ntawm lub nasopharynx, tsuas yog sab sauv ntawm lub vomer (phaj uas ua rau sab nraum qab ntawm lub qhov ntswg septum) yog them;
- Qib 2, feem ntau yog edemanpog ib nrab ntawm lub nasopharynx, 2/3 ntawm vomer overlap;
- 3 degrees, yuav luag tag nrho cov nasopharynx raug thaiv.
Thaum lawv nce, nrog cov teeb meem tshwm sim. Yog li, adenoids ntawm qib 3 hauv cov menyuam yaus ua rau ua pa nyuaj, hnov lus tsis zoo. Nrog rau theem 2 hypertrophy, snoring tshwm hauv npau suav, nquag hnoos. Qhov ntswg ua pa yog qhov tsis zoo. Nrog rau qib 3 adenoids, huab cua nkag mus rau hauv lub ntsws tsuas yog los ntawm lub qhov ncauj xwb.
Signs of disease
Cov niam txiv tuaj yeem xav tias tus menyuam muaj palatine tonsils loj. Feem ntau qhov teeb meem no tshwm sim hauv cov menyuam yaus hnub nyoog 3-7 xyoo. Tab sis nws kuj tuaj yeem thab cov hluas. Cov tsos mob hauv qab no qhia tias adenoids ntawm 2-3 degrees tau tsim hauv cov menyuam yaus:
- ua pa nyuaj, tus menyuam ua pa los ntawm qhov ncauj;
- protracted recurring nam paum;
- pw tsaug zog tsis zoo, snoring yuav hnov;
- zoo li nasality;
- lus luag ntxhi;
- hnov tsis hnov lus;
- apathy, nkees, lethargy;
- mob taub hau tsis txaus siab.
Pom ib lossis ntau cov tsos mob, nws raug nquahu kom qhia tus menyuam mus rau ENT. Tus kws kho mob no tuaj yeem kuaj xyuas qhov tseeb thiab, yog tias tsim nyog, sau tshuaj kho.
kuaj mob
Kev kuaj pom ib txwm tsis txaus kom nkag siab tias qib 3 adenoids hauv cov menyuam yaus. Tab sis feem ntau cov kws kho mob otolaryngologist tsis muaj cov cuab yeej los kuaj xyuas qhov tseeb. Lawv tsuas siv tau tus ntiv tes xwb. Tab sisnws yog suav hais tias yog uninformative. Hauv cov chaw kho mob zoo tib yam, raws li txoj cai, lawv pom zoo kom x-rays. Nrog rau txoj kev no, koj tuaj yeem pom qhov nce ntawm cov tonsils, tab sis txiav txim siab yog tias cov txheej txheem inflammatory tsis tuaj.
Ib txoj kev kuaj mob yog pharyngoscopy. Qhov no yog ib qho kev ntsuam xyuas ntawm lub oropharynx nrog ib tug spatula thiab ib daim iav tshwj xeeb laryngeal. Txoj kev tshawb no tso cai rau koj los ntsuas qhov mob ntawm nasopharynx thiab txheeb xyuas adenoids ntawm 2-3 degrees hauv cov menyuam yaus. Kev kho mob tuaj yeem raug sau tseg tom qab qhov kev kuaj ntawd.
Kev kho hniav sab nrauv tuaj yeem ua tau. Nws yuav tsum tau tshwj xeeb qhov ntswg dilator. Thaum lub sij hawm txheej txheem, koj tuaj yeem ntsuas qhov mob ntawm qhov ntswg qhov ntswg, septum. Yog tias cov tshuaj vasoconstrictor tau tsim ua ntej kev kawm, koj tuaj yeem pom tom qab ntawm nasopharynx thiab adenoids.
Posterior rhinoscopy, uas yog siv lub fiberscope thiab daim iav qhov ntswg, yog xyaum tsis ua rau menyuam yaus. Txawm hais tias txoj kev no suav hais tias tsis muaj kev phom sij thiab tsis paub.
cov txheej txheem xeem niaj hnub
Tsim kom muaj kev kuaj mob kom raug thiab txiav txim siab qib ntawm qhov loj ntawm nasopharyngeal tonsil siv suav tomography. Qhov no yog ib txoj hauv kev kim kim ntawm kev ntsuam xyuas, tab sis nws yog cov ntaub ntawv. Muaj tseeb tiag, lawv siv nws tsawg heev.
Txoj kev vam meej tshaj plaws yog kev kuaj mob endoscopic. Nws yog txoj kev kuaj mob no uas tso cai rau peb kom paub meej tias qib 3 adenoids hauv cov menyuam yaus. Cov duab ntawm thaj chaw teeb meem hauv txoj kev tshawb no tsis yog qhov nyuaj ua.
Rau nwsib lub raj me me tau muab tso rau hauv qhov ntswg qhov ntswg, qhov kawg ntawm lub koob yees duab video nyob. Nrog nws cov kev pab, koj tuaj yeem tsis tsuas yog txiav txim siab qhov loj ntawm adenoids, tab sis kuj qhia meej lawv qhov chaw. Tsis tas li ntawd, tus kws kho mob tuaj yeem pom tias puas muaj mob thiab xyuas seb cov txheej txheem no txuas mus rau cov hlab ntsha puas.
Lub Hom Phiaj ntawm adenoids
Ntau tus niam txiv yuam kev ntseeg tias cov nasopharyngeal tonsils yog ib qho tsim tsis muaj txiaj ntsig uas yuav tsum tau muab tshem tawm. Tab sis lawv tsis yog lawm. Tau kawg, yog tias kev kuaj mob ntawm qib 3 adenoids tau tsim hauv cov menyuam yaus, tus kws kho mob yuav pom zoo kom tshem tawm lawv. Tab sis qee zaus, koj tuaj yeem sim tshem tawm qhov teeb meem los ntawm kev saib xyuas.
Ntau zaus, adenoids pib loj hlob tawm tsam keeb kwm ntawm kev kis kab mob tsis tu ncua. Lawv yog ib feem ntawm kev tiv thaiv hauv zos. Cov nasopharyngeal tonsil yog ib yam kab mob uas tuaj yeem tiv nrog cov kab mob ua ntej lawv nkag mus rau hauv lub cev. Lub cev tiv thaiv kab mob hauv zos tsim nyob rau hauv lub caj pas no. Nws yog ib qho kev thaiv ntuj rau cov kab mob.
Adenoids lawv tus kheej yog ib feem tseem ceeb ntawm kev tiv thaiv kab mob. Yog tias muaj lub sijhawm los kho lawv txoj haujlwm thiab ua kom cov txheej txheem ua kom zoo, ces nws yuav tsum tau siv.
Tsis muaj kev tiv thaiv hauv zos
Tau kawg, qhov loj tshaj qib 3 adenoids hauv cov menyuam yaus tsis tuaj yeem ua tiav lawv lub hom phiaj. Cov dej ntws tawm ntawm cov qog ntshav yog cuam tshuam, cov qog nqaij hlav loj hlob, thiab cov txheej txheem inflammatory siv tsis tau.
Nyob hauv qhov noadenoids tsis tuaj yeem ua qhov cuam tshuam rau cov kab mob. Mucus nyob rau hauv lub qhov ntswg kab noj hniav pib linger vim muaj kev cuam tshuam nyob rau hauv kev ua hauj lwm ntawm mucociliary apparatus. Tab sis nws yog nrog nws tias ib feem tseem ceeb ntawm cov kab mob hauv kab mob, cov plua plav, cov khoom ua xua raug tshem tawm.
Adenoids ntawm qib 3 hauv tus menyuam ua rau muaj qhov tseeb tias cov kab mob pathological nyob rau hauv nasopharynx. Nyob rau tib lub sijhawm, kev tiv thaiv hauv zos twb raug txwv los ntawm cov txheej txheem inflammatory tas li. Qhov no yog qhov laj thawj tseem ceeb uas yuav ua rau muaj tus kab mob nce ntxiv. Raws li qhov tshwm sim, lub voj voog vicious raug tsim: vim qhov loj ntawm nasopharyngeal tonsil, cov kab mob ua ntau zaus, thiab vim yog cov kab mob, cov adenoids loj hlob ntau dua.
Txoj kev daws teeb meem
Raws li txoj cai, feem ntau cov kws kho mob otolaryngologist pom zoo kom tshem tawm qib 3 adenoids hauv cov menyuam yaus. Tab sis xaiv txoj kev no, peb yuav tsum nco ntsoov tias lawv yuav loj hlob tuaj. Tau kawg, qhov no tsis tshwm sim rau txhua tus. Tab sis muaj cov neeg mob uas muaj teeb meem rov qab los tom qab rau lub hlis lossis ib xyoos.
Qee lub sij hawm tus nasopharyngeal tonsil loj vim tsis zoo los ntawm noob neej. Lub propensity loj hlob no caj pas yog kis nyob rau hauv lub gene theem. Qee tus menyuam yug los nrog lub nplhaib Waldeyer tsis muaj zog. Nws suav nrog lingual, tubal tonsils, nrog rau tonsils thiab adenoids.
Qee tus kws kho mob ntseeg tias kev phais yog xaiv tau. Lawv muab lawv tus kheej cov kev xaiv los kho cov qib 3 adenoids hauv tus menyuam. Raws li txoj cai, txoj kev kho nyuaj yog xav tau los txo qhov mob thiab txo edema.
Kev loj hlob ntawm nasopharyngeal tonsils yog ib qho teeb meem tshwj xeeb rau menyuam yaus. Hauv cov neeg laus feem ntau, cov kabmob no atrophies. Tom qab tag nrho, pib txij thaum muaj hnub nyoog 12 xyoos, adenoids pib txo.
Kev Tiv Thaiv Kev Tiv Thaiv
Ua ntej pom zoo kom tshem tawm cov qib 3 adenoids hauv cov menyuam yaus, cov kws kho mob tsim nyog yuav muab cov niam txiv cov txheej txheem txhawm rau txo qhov o thiab txo qhov mob. Qee zaum, lawv pab daws qhov teeb meem yam tsis tau phais.
Tus kws kho mob tau sau cov tshuaj vasoconstrictor, uas yuav tsum tau siv 5-7 hnub. Haum "Naftizin", "Ephedrine", "Sanorin", "Galazolin" thiab lwm yam me nyuam txoj kev xaiv. Tom qab instillation, nws yog tsim nyog los yaug lub qhov ntswg kab noj hniav. Qhov no tuaj yeem ua tau nrog kev pab ntawm cov tshuaj tua kab mob tshwj xeeb, piv txwv li, Furacilin lossis Dolphin. Tsis txhob cuam tshuam nrog dej ntws.
Ib txhij nrog instillation thiab ntxuav, ib qho kev kho dav dav raug sau tseg. Nws yuav tsum tau tsom rau kev ntxiv dag zog rau lub cev tiv thaiv kab mob. General tonics, vitamins, immunostimulants thiab antihistamines raug sau tseg. Cov tshuaj antiallergic yuav tsum tau noj yog tias qib 3 adenoids raug kuaj pom hauv cov menyuam yaus. Qhov kev kho mob no yog qhov tsim nyog vim qhov kev ua xua yog ib qho ntawm cov laj thawj tseem ceeb ntawm qhov pib ntawm kev hloov pauv hauv cov tonsils.
Physiotherapy kuj muab cov txiaj ntsig zoo. Quartz kho ntawm nasopharyngeal kab noj hniav, helium-neon laser kho, UHF thiab electrophoresis nrog ib tug daws ntawm diphenhydramine, poov tshuaj iodide yog xam tau tias yog zoo.
kho mob phais
Ntau tus kws kho mob, pom qib 3 adenoids hauv tus menyuam muaj 3 xyoos, xa nws mus rau kev phais tam sim. Tab sis nws yog qhia nyob rau hauv cov ntaub ntawv ntawm tsis ua tiav kev sim ntawm kev saib xyuas kev kho mob. Kuj tshem cov tonsils no thaum:
- ua pa ntawm qhov ntswg yog qhov nyuaj lossis yuav luag ua tsis tau;
- tus menyuam muaj mob khaub thuas tas li lossis kis kab mob, suav nrog tonsillitis, tonsillitis, mob ntsws, otitis media;
- txhim kho cov teeb meem hauv paranasal sinuses (lub npe hu ua sinusitis);
- muaj snoring thiab ua pa tuav thaum pw tsaug zog.
Ua ntej kev phais, yuav tsum ua kom cov txheej txheem inflammatory, txwv tsis pub nws yuav tsis muaj peev xwm tshem tawm tag nrho cov ntsiab lus ntawm kev kis tus kab mob.
txheej txheem tshem tawm
Kev phais tuaj yeem ua rau tus neeg mob sab nraud (hauv tsev kho mob tsis tu ncua) lossis hauv tsev kho mob hauv tsev kho mob. Kev ua haujlwm yog ua tiav hauv zos lossis kev tshuaj loog. Nws kav tsis ntev tshaj 20 feeb, thiab cov txheej txheem ntawm kev txiav tawm cov ntaub so ntswg overgrown yuav siv sij hawm txog 3 feeb. Kev ua haujlwm yog ua nrog kev pab los ntawm Beckman's adenotome. Qhov no yog ib tug tshwj xeeb riam, ua nyob rau hauv daim ntawv ntawm ib tug nplhaib, uas captures lub overgrown ntaub so ntswg ntawm nasopharyngeal tonsil. Nws txiav tawm hauv ib qho lus tsa suab.
Thaum lub sijhawm ua haujlwm, tus menyuam yuav tsum zaum nrog nws lub taub hau pov rov qab. Nws tuav los ntawm tus kws saib xyuas neeg mob, nias me ntsis los ntawm saum toj kom tus neeg mob tsis muaj lub sijhawm los sawv. Tib lub sijhawm, lub qhov ntswg kaw nrog paj rwb.
Beckman's adenotome tau muab tso rau hauv caj pas. Nws tau nce mus txog qhov nres thiab cov ntaub yog txiav tawm nrog lub zog ntse rov qab thiab nqis. Tom qab ntawd, cov paj rwb ntaub plaub npog qhov ntswg qhov ntswgraug tshem tawm. Tom qab tshem tawm, tus neeg mob yuav tsum tshuab lub qhov ntswg thiab ua pa ntawm lub qhov ntswg nrog lub qhov ncauj kaw.
Tab sis qhov no tsis yog tib qho kev xaiv ntawm yuav kho qib 3 adenoids hauv tus menyuam li cas. Ib txoj hauv kev niaj hnub no yog kev tshem tawm endoscopic. Xws li kev ua haujlwm yog ua raws li kev tswj xyuas qhov muag, tus kws kho mob tuaj yeem pom qhov chaw ntawm adenoids thiab tshem tawm tag nrho.
Txoj kev ua neeg
Ntxiv nrog rau kev saib xyuas thiab kev phais mob, kuj tseem muaj lwm txoj hauv kev kho. Ntau tus niam txiv drip ib qho sib xyaw ntawm 2 feem ntawm beetroot kua txiv thiab 1 feem zib mu rau hauv lawv qhov ntswg. Rau 2-3 lub lis piam, nws yog ib qhov tsim nyog los instill 5 tee ob peb zaug ib hnub twg.
Koj tuaj yeem siv kua txiv aloe. Tab sis xws li kev kho mob yuav tsum kav ob peb lub hlis. Nws yog txaus rau instill 2-3 tee peb zaug ib hnub twg. Muaj coob tus neeg xav kom gargling nrog ib tug infusion ntawm eucalyptus nplooj. Qhov no yuav tsum tau ua 3 zaug hauv ib hnub rau rau lub hlis.
Muaj lwm txoj hauv kev pej xeem tsim los txo cov qog nqaij hlav o ntawm cov tonsils. Koj tuaj yeem drip dej hiav txwv buckthorn, eucalyptus roj los yog ib qho infusion ua los ntawm birch nplooj.
