Ib qho ntawm cov kab mob ENT feem ntau hauv cov menyuam yaus preschool yog qib 2 adenoids. Yog tias tus kab mob tsis raug kuaj pom thiab kho raws sijhawm, nws tuaj yeem ua rau muaj qhov tshwm sim loj. Txoj kev kho mob tshaj plaws yog kev phais, tab sis cov tshuaj yuav pab tau, tshwj xeeb tshaj yog thaum ntxov.
Dab tsi yog adenoids?
Adenoids yog tsim los ntawm kev loj hlob ntawm palatine tonsil, uas ua rau tsis xis nyob, thiab tus menyuam muaj teeb meem ua pa. Qhov no pathology yog kab mob thiab feem ntau pom nyob rau hauv cov me nyuam los ntawm 3 mus rau 7 xyoo. Nws yog cov ntaub so ntswg adenoid uas pab tiv thaiv cov kab mob uas nkag mus rau hauv lub cev thaum ua pa, thiab yog hom cuab rau lawv. Tab sis nyob rau hauv tus ntawm cov kab mob pathogenic, nws tuaj yeem o, tab sis thaum nws txhim kho, nws txo qis.
Ntau cov niam txiv tsis meej pem cov tsos mob ntawm tus mob khaub thuas thiab tsis xyuam xim tshwj xeeb rau nws, ntawm lawv tus kheejsim kho tus menyuam. Nws tsis tuaj yeem kuaj xyuas adenoids yam tsis muaj kev kuaj xyuas los ntawm tus kws kho mob otolaryngologist. Tsuas yog raws li nws cov txiaj ntsig, tus kws kho mob tau sau ntawv kho kom raug.
Muaj 3 tus kab mob:
- 1st degree - yog tias cov tonsil, tau nce, tsuas yog 1/3 ntawm cov choanas (qhov qhib sab hauv ntawm lub qhov ntswg). Ua pa nyuaj tsuas yog thaum hmo ntuj pw.
- Pathology ntawm qib 2 yog kuaj pom thaum lub qhov thaiv ntawm 1/2, thiab nws nyuaj rau cov menyuam yaus ua pa ib puag ncig.
- Ntawm 3rd degree ntawm cov nroj tsuag (overgrowth) loj heev uas lub qhov raug kaw los ntawm 2/3 los yog tag nrho. Tib lub sijhawm, muaj kev ua txhaum ntawm kev ua pa, hnov lus, hais lus.
Yog vim li cas
Ib yam kab mob uas muaj lub cev tsis muaj zog tiv thaiv kab mob ntau dua rau lawv tsim. Qib 2 adenoids raug tsim yog tias muaj cov xwm txheej no:
- nkag mus rau cov kab mob sib kis mus rau hauv lub cev thiab kev loj hlob ntawm cov kab mob, xws li hnoos hawb pob, mob khaub thuas, ua npaws liab;
- hereditary factor;
- kab mob ntev ntawm cov kab mob ua pa sab saud;
- kev tiv thaiv tsis zoo;
- tsis muaj kev kho mob tsim nyog rau thawj qib ntawm tus kab mob.
yam ntxwv tsos mob
Adenoids ntawm qib 2 yuav qhia tau los ntawm kev mob taub hau.
Koj tuaj yeem paub tias koj tus menyuam muaj teeb meem yog tias koj pom cov cim no:
- ua pa nyuaj ntawm lub qhov ntswg, tuaj yeem kuaj pom thaum hmo ntuj thiab nruab hnub;
- pab qhov ncauj ua pa;
- xav snoring, sniffling;
- kev puas tsuajpw tsaug zog;
- mob taub hau;
- tsev kawm ntawv tsis zoo;
- deterioration of memorization processes, txo cov xim.
Thaum kis tus kab mob thib ob, tus kab mob no tuaj yeem ua rau kub taub hau. Tej zaum kuj yuav muaj kua paug tawm ntawm cov sinuses nrog adenoids ntawm qib 2 hauv tus menyuam.
Diagnosis
Txhawm rau txiav txim siab qhov ua rau kom raug, kuaj xyuas kom raug thiab txheeb xyuas cov txheej txheem ntawm cov txheej txheem pathological, tus menyuam yuav tsum tau kuaj xyuas txhua yam tsim nyog, nrog rau sab laj nrog kws kho mob.
- Cov adenoids yog palpated thiab lawv qhov sib xws yog txiav txim siab. Tus kws kho mob tshuaj xyuas lub koov ntawm nasopharynx nrog ib daim iav tshwj xeeb. Nws kuj tseem yuav tsum tau coj mus rau hauv tus account tias yog tias tus menyuam muaj lub zog gag reflex, ces cov txheej txheem no yuav nyuaj heev.
- X-ray yuav qhia qhov loj ntawm adenoids. Tab sis tsis tas yuav maj nrawm nrog txoj kev kuaj no, vim tias tus me nyuam yuav tau txais ib koob tshuaj hluav taws xob.
- Endoscopy. Xws li ib txoj kev tuaj yeem ua rau nws tuaj yeem txiav txim siab qib ntawm pathology ntawm adenoids, txiav txim siab qhov xwm txheej thiab kev ua haujlwm ntawm Eustachian raj.
- Sau los ntawm pharynx. Txoj kev tshawb no yog ua thaum xav tias muaj kab mob. Tom qab lees paub tias muaj tus kab mob sib kis, nws yuav raug cog rau txhawm rau txiav txim siab txog qib ntawm rhiab heev rau cov tshuaj tua kab mob.
Muaj Teeb Meem
Ib qho teeb meem ntawm adenoids 2degree yog kev ua txhaum ntawm auditory perception.
Kab mob adenoids cuam tshuam rau tag nrho txoj kev loj hlob ntawm tus menyuam. Yog tias tsis kho kom raug, tus menyuam yuav muaj qhov tshwm sim loj thiab txaus ntshai:
- kev hais lus thiab tsis hnov lus;
- urinary incontinence;
- bronchial hawb pob;
- tshuaj tsis haum;
- ncua kev txhim kho kev nplua thiab tag nrho cov kev txawj tsav tsheb;
- kev puas siab puas ntsws.
Kuv puas xav tau kev phais rau qib 2 adenoids? Xav paub ntau ntxiv tom qab.
Cov cim qhia ntawm pathological o
Teeb meem nrog adenoid proliferation yog tshwj xeeb tshaj yog muaj feem xyuam rau cov me nyuam hnub nyoog ntawm ib xyoos mus rau 14-15 xyoo. Feem ntau, pathology tau pom nyob rau hauv cov menyuam yaus preschool. Cov tsos mob dab tsi tuaj yeem pom los ntawm cov niam txiv uas xav tias lawv cov menyuam muaj cov nroj tsuag adenoid? Cov niam txiv yuav tsum saib xyuas cov cim no:
- tus me nyuam tsaug zog qhib qhov ncauj;
- tus me nyuam feem ntau tsim cov hnoos qeev ntev, uas nyuaj rau kho;
- tus me nyuam ua pa ntawm qhov ncauj;
- hais lus ua qhov ntswg (qhov ntswg);
- tsis muaj qhov ntswg, tab sis txhaws ntswg;
- tsis hnov;
- urinary incontinence;
- tus me nyuam chim siab, qaug zog, poob qis hauv tsev kawm vim qhov txo qis hauv kev xav;
- kev ua pa ib ntus tuaj yeem tshwm sim thaum hmo ntuj;
- tus menyuam tsis kam ua si sab nraum zoov, vim nws ua pa nyuaj rau nws lub qhov ncauj;
- tus me nyuam feem ntau raug mob otitis media thiab mob khaub thuas.
Cov lus teb rau qib 2 adenoids hauv tus menyuam yuav raug nthuav tawm tom kawg ntawm kab lus.
Kev kho mob
Thaum tham txog kev kho mob, lawv feem ntau txhais tau hais tias kev phais tshem tawm ntawm adenoids, tab sis nws tseem ceeb heev uas yuav tsum nco ntsoov tias kev kho mob maj mam ua tau. Muaj ntau pluses hauv qhov kev kho mob no, xws li:
- tsis raug mob;
- zoo zam los ntawm tus menyuam;
- painless;
- tsis xav tau tshuaj loog.
Kev kho mob zoo li no feem ntau pib nrog kev tshem tawm cov tsos mob hnyav ntawm tus kab mob, tsis suav nrog cov cim qhia ntawm kev qaug cawv. Nyob rau hauv cov ntaub ntawv ntawm kub siab, antipyretics yuav tsum tau noj. Txhawm rau tshem tawm cov laj thawj ntawm tus kab mob, cov tshuaj tiv thaiv kab mob lossis tshuaj tua kab mob yog siv tom qab txiav txim siab tus kab mob. Txoj kev kho no kuj suav nrog:
- kev kho lub cev, kev siv lub cev, cov txheej txheem no yog ua los ntawm tus kws kho mob;
- kev kho mob, uas yog raws li kev tshem tawm ntau yam tshwm sim ntawm tus kab mob;
- Quartzation thiab laser kho.
Ntawm lwm yam, ua raws li cov cai no:
- guarantee khoom noj kom raug;
- kom koj tus menyuam haus dej ntau;
- saib nruj pw so.
Cia peb xav txog kev kho mob ntawm qib 2 adenoids.
Txoj kev phais
Nws yuav tsum tau nco ntsoov tias yog tias tus menyuam tau kuaj pom tus kab mob no, ces kev ua haujlwm tsis raug sau tseg rau txhua kis. Cov lus qhia rau kev phais yog:
- bronchial hawb pob;
- nquag adenoiditis thiab sinusitis;
- pronounced signs of pw tsaug zog;
- urinary incontinence;
- mob hnyav ua pa ntawm qhov ntswg;
- ceeb toom lag hauv kev xav thiab kev loj hlob ntawm lub cev;
- apnea.
Yog tias qhov kev txiav txim siab ua qhov kev phais, ces nws yuav tsum ua raws li tag nrho cov kws kho mob cov tshuaj ua ntej thiab tom qab ua haujlwm. Koj kuj yuav tsum nco ntsoov txog kev noj qab haus huv, noj zaub mov kom raug, pw so thiab huab cua ntshiab.
Feem ntau cov haujlwm yog ua los ntawm cov txheej txheem no:
- electrocoagulation;
- laser;
- los yog coblation.
Txoj kev nrov tshaj plaws rau kev tshem tawm qib 2 adenoids hauv cov menyuam yaus yog laser adenoidectomy. Txoj kev no muaj cov nyhuv analgesic hauv zos, suav hais tias tsis tshua muaj kev puas tsuaj, tuaj yeem tiv tau yam tsis muaj qhov tshwm sim tsis zoo, thiab muaj lub sijhawm kho kom rov zoo sai.
Kev Tiv Thaiv
Txhawm rau tiv thaiv kev tsim cov kab mob zoo li no, nws yog ib qho tsim nyog yuav tsum kuaj pom cov cim raws sijhawm thiab ua raws li cov cai yooj yim:
- thaum cov txheej txheem inflammatory tshwm sim hauv lub cev, koj yuav tsum nrhiav kev pab tam sim ntawm tus kws tshaj lij;
- yog tias tus menyuam muaj mob hnyav, yuav tsum ua kom ntseeg tau tias qhov kev tawm tsam hnyav heev npaum li qhov ua tau;
- nce tus menyuam kev tiv thaiv los ntawm kev ua lub cev tsis tu ncua thiab ua kom tawv nqaij;
- tawm mus nrog koj tus menyuam ntau zaus - huab cua thiab hnub da dej tuaj yeem ua tau zoocuam tshuam rau cov xwm txheej ntawm lub cev;
- zam qhov chaw muaj neeg coob, tshwj xeeb tshaj yog thaum muaj tus kabmob kis;
- kom paub meej tias tus menyuam chav ib txwm muaj cov av noo thiab kub zoo;
- tsis txhob pib adenoids ntawm thawj qib, kho lawv ua ntej.
Txij li tam sim no paub tias adenoids ntawm qib thib ob yog dab tsi, koj yuav tsum nco ntsoov qhov yuav tsum tau kuaj tus kab mob hauv lub sijhawm. Tsis tas yuav ntshai tias tus me nyuam yuav raug sau npe ua haujlwm. Nws yuav tsum nco ntsoov tias qhov thib ob-degree adenoids tuaj yeem kho tau nrog kev saib xyuas hauv txhua kis.
Kev tshuaj xyuas txog qib 2 adenoids
Kho lossis tshem tawm - feem ntau cov lus nug no raug nug los ntawm cov niam txiv uas nws tus menyuam muaj adenoids. Txhua leej txhua tus paub tias muaj peev xwm rov tshwm sim tom qab kev phais, yog li xyaum tsis muaj leej twg txaus siab rau qhov kev cia siab no, thiab tsis muaj leej twg xav muab tus menyuam rau hauv tes ntawm cov kws phais. Cov niam txiv txaus siab qhia lawv tus kheej cov kev paub dhau los: pathology tuaj yeem kho tsis tau kev phais. Raws li kev txheeb xyuas, kev kho mob ntawm qib 2 adenoids nrog homeopathy thiab laser muab cov txiaj ntsig zoo.
Ntau tus niam txiv paub tseeb tias tsis muaj dab tsi superfluous hauv lub cev. Thiab qee tus kws kho mob pom zoo nrog lawv. Yog li ntawd, tsis txhob maj mus tshem tawm adenoids phais. Nws yog ib qho tsim nyog los koom nrog hauv kev kho mob, muab cov kev kho mob nrog cov tshuaj pej xeem thiab sim tiv thaiv tus menyuam los ntawm kev kis kab mob. Txoj hauv kev no yuav ua rau muaj txiaj ntsig zoo.
