Treatment of adenoids should be carried out in the early stages, despite the fact that at first glance, enlargement of the tonsils does not seem to be a dangerous pathology. But a sluggish process can worsen, turn into a purulent infection, which can spread from the nasopharynx between the fascia of the neck downward, quickly reaching the mediastinum. In this case, therapeutic methods may not be enough, and then an operation will be required..
The feasibility of removing adenoid growths has been the subject of fierce debate in the medical community for many years.. Most clinicians agree that active conservative treatment is needed..
Adenoids and adenoiditis To understand the principles of treatment, it is necessary to distinguish adenoids from adenoiditis, since the pathogenesis in these cases is different, and pathologies require a different approach..
Adenoids are enlargements of the pharyngeal tonsil Adenoids, they are also adenoid growths, are enlarged pharyngeal tonsils, which, due to their diameter, block the air flow, making breathing difficult and causing various complications.
Adenoiditis is an inflammation of the adenoids that develops in response to the ingress of an infectious agent into the lymphatic tissue (and the amygdala is nothing more than a large area of \u200b\u200blymphatic tissue that takes part in the body's immune response and belongs to the Pirogov-Waldeyer ring, the first protective barrier at the entrance.
Symptoms of adenoiditis can be similar to adenoids, but it is important to carry out differential diagnosis in order to choose the correct treatment tactics. Adenoids persist for a long time, and their inflammation is unstable, it arises, develops and disappears - sometimes spontaneously, sometimes under the influence of anti-inflammatory therapy. The second difference is that with adenoiditis, as with any inflammation, there is a classic systemic reaction of the body, which is manifested by significant redness of the mucous membrane, increased mucus secretion, increased body temperature, general malaise, changes in the blood test (leukocytosis and a shift in the leukocyte formula to the left). The comparative short duration of this process is not its main feature and should not deprive you of vigilance - any inflammatory process in this area is dangerous with delayed complications. The next difference is that adenoiditis responds better to conservative therapy..
Treatment of adenoids should be carried out in the early stages, when it can be done by therapeutic methods.. In the later stages of therapy, it may not be enough, and then surgery will be required.
The proliferation of adenoids arises as a response to frequent respiratory diseases or allergic reactions, then they speak of compensatory hypertrophy of lymphoid tissue. Due to the adenoids, breathing through the nose suffers significantly, hypoxia occurs, deformation of the nasal concha. This process can last for years, and a hypertrophied node can last a lifetime.. This type of pathology is less susceptible to drug therapy, and the most common method of treatment is surgical removal, the pros and cons of which will be discussed below..
How to treat adenoids in adults? The actual treatment is divided into pathogenetic, aimed at getting rid of the root cause of the disease, and symptomatic, the main purpose of which is to alleviate the patient's condition, improve the quality of his life.. Conservative therapy consists in taking drugs of the following groups:.
antibacterial agents. The cause of inflammation and hypertrophy of the tonsils is often a bacterial infection, so antibiotics may be prescribed for adenoids. They are used both in tablets and in the form of a solution, they are included in the complex of preparations for the rehabilitation of the tonsils.;
anti-inflammatory drugs together with pain relievers are used to reduce pain, reduce swelling, eliminate inflammation;
vasoconstrictor - the basis of symptomatic treatment, relieve puffiness, increase ventilation, prevent hypoxia. Can be used throughout the course of the disease in the form of nasal drops or a nebulizer (this form of administration is especially good for the rapid delivery of the drug to the target organ and high bioavailability). This helps to restore airway patency, improve well-being, reduce the possibility of reflex vasospasm, prevent fibrotic changes after massive inflammation;
antiallergic drugs - histamine blockers can reduce allergic manifestations, prevent hypertrophy, relieve allergic rhinitis (runny nose), eliminate edema, improve nasal breathing.
The proliferation of adenoids arises as a response to frequent respiratory diseases or allergic reactions, then they speak of compensatory hypertrophy of lymphoid tissue.
Important! You can not select therapy yourself, based on reviews of the treatment of adenoids. Before starting treatment, you should contact an ENT doctor who will establish an accurate diagnosis, the degree of the disease, organic and functional disorders and, depending on these factors, will select the optimal treatment.. Perhaps the disease will be at such a stage that it will not be necessary to use systemic drugs, and the treatment will consist in inhalation and regular sanitation of the oral cavity, or it may be so that therapeutic treatment will not be shown, and you will have to resort to surgery.
How to treat adenoids in children? The disease occurs much more often in childhood, on the one hand, due to the immaturity of the immune system, on the other, due to the high proliferative capacity of tissues, i.e.. their propensity to grow. Inflammatory processes in children are more acute.
Adenoids in children are dangerous in their consequences. If an adult has an enlarged tonsil, it brings discomfort and increases the risk of bacterial infection, but does not cause damage that will last for life.. In children, due to long-term disturbed breathing, cerebral hypoxia occurs - if the brain does not receive oxygen, it works worse and develops. Six months of a hypoxic state discard the child in development, he begins to lag behind his peers.
Long-term existing adenoids form an " The mucous membrane thickens, changes, the child breathes through the mouth. The so-called adenoid face is formed - a constantly open mouth, an elongated oval of the face, an irregular bite.
Adenoids, enlarged in childhood and not cured in time, make a person prone to chronic diseases of the upper respiratory tract for life, since there is practically no barrier protecting them from infectious agents.
Due to the adenoids, breathing through the nose suffers significantly, hypoxia occurs, deformation of the nasal concha. This process can last for years, and a hypertrophied node can last a lifetime..
The treatment regimen for adenoids in children is somewhat different from that in adults.. It is determined after the otolaryngologist examines and determines the degree of proliferation of the adenoids. The scheme includes the following activities:.
rinsing the nasal passages with antiseptics and isotonic solutions, which allows you to remove the contents of the cavity, cleanses it, disinfects and helps relieve inflammation;
inhalation procedures - inhalers or nebulizers with vasoconstrictor and anti-inflammatory drugs are convenient for use in children, they allow you to quickly deliver the drug directly to the site of exposure without any unpleasant sensations for the child. Warming inhalations with warm (but not hot)! ) air with a minimum amount of pharmacological preparations, as well as inhalation of mineral water;
other physiotherapy procedures.
Physiotherapy occupies a separate place in the treatment of pediatric adenoid vegetations - these are non-invasive methods that help provide additional conditions for resolving the pathological process. The main method is therapeutic electrophoresis, which allows the place to inject drugs deep into the tissues, directly into the focus of hypertrophy or inflammation, and not just apply them to the surface - this action of antiseptics, antiallergic and antibacterial drugs in the thickness of the tonsil is the most effective.
UHF therapy is also used, t. treatment with ultra-high frequency current. It does not damage tissues, while it has an excellent biological effect, which consists in improving the blood supply to the area, uniform heating of the tissue thickness.
Ultraviolet irradiation is used to completely destroy pathogenic microflora in the nasal cavity. The disadvantage of this method is the shallow penetration of UV rays, therefore, UV radiation is usually combined with other antiseptic procedures.
Due to adenoid growths and shortness of breath in children, there is a deformation of the nasal passages. The mucous membrane thickens, changes, the child breathes through the mouth. The so-called adenoid face is formed.
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