Adenoids yakakomba ingabatanidza: Zvinokonzera, chirwere, Zviratidzo neMarapirwo

The chikonzero kuti vabereki vari anenge atarisana kusachengeteka kukuru adenoiditis kusvikira mwana makore matatu okuberekwa, hahuwanikwi nemakore selectivity kuti zvokurwara zvavanosarudza. A Watershed riri panosangana vaviri nguva - musha kana mwana kunodzivirirwa kubva zvirwere inoshanda voga pakati pathogenic vamiririri kwezvakatipoteredza, uye magariro. The chechipiri mumatanho izvi upenyu kunosanganisira ake vari kufurirwa zvakatipoteredza. Somugumisiro, zvinogona ngozi utachiona anova, uye mutoro uri muviri mwana kunowedzera nguva zhinji.

Tonsils uye adenoids

Yezwi evanhu upenyu mwana kazhinji anotanga payakakurudzirwa, pamusoro colour ane simba rokuzvidzivirira. Atarisana akawandisa kujairika mikana yakawanda yokukurudzira kwemabhakitiriya hunhu, havana kujaira yakakuwandira ichi rwokuzvarwa kudzivirira mwana anotanga kutambura.

In nasopharyngeal shoma murume hurongwa ndiye amygdala, kuita mashandiro chipingamupinyi pakati kunze microbial kwezvakatipoteredza uye muviri kusimba vomwana. Mukana rwokudzivirira muviri hausi parinogumira, uye kana pasi pokudzora afunge zvinhu kunowedzera mutoro pamusoro amygdala, anotanga kuti nokukurumidza kukura, achiumba ari adenoids.

Pakazosvika mavambo kuyaruka adenoids atrophy pachavo, uye kuvawana vari mukuru kunogona apo neapo. Asi chero bedzi functionality riri yepamusoro basa, kutungamirira kuzvimba uye rikwanise adenoiditis anogona chero simba kudenhwa.

Panguva iyi, kuziva uye kusunga muitiro - wokutanga basa nevabereki uye nyanzvi utano. Kurasika nguva ari madiro mafungire utano mwana kunoita kuti kusingarapiki zvokurwara pakugadzirwa pamberi chikamu dehenya, chisingaperi rhinitis, tonsillitis, lockup chenyaya hombe kukura uye dzimwe hadzina kufambiswa zvakanaka.

Forms uye inosiyana adenoiditis

Kupatsanura adenoiditis chirwere kunosanganisira kuparadzana kubudikidza percolation chimiro, lesion mhando nekuomarara mamiriro:

1. Chenjera adenoids. The tembiricha inokwira pamwe kwenguva refu nguva anosvika 38 madhigirii, sezvamakaropafadzwa kuzvimba kusvika zvikamu zvose nhengo dzinobudisa mhete. The chenjera chimiro iri kuchengetwa pashure nechirwere ane mwana SARS uye zvimwe zvirwere kana bacteriological noutachiona. In pamberi vachiberekwa abnormalities zviri tonsils adenoids mu subacute muchimiro chinogona mubishi vacheche.
2. Chirwere adenoiditis yakataura wakawedzera nguva kwemwedzi mitanhatu. Symptomatology ari yekudyidzana overwritten akawanda hunhu chokuita nezvirwere pfava nekuti ichi mhando kuzvimba adenoids chinofukidza zvikamu zvose kufema turakiti uye pedyo zvomukati.

Uyezve, pakafunuka uye kunzwisisa kwakaita chirwere lesion vhoriyamu nasopharyngeal ndimbo vanofungidzira ufanane pathological ezvinhu:

1. I dhigirii - zvomoto ndimbo occludes chetatu nasal septum uye kufema turakiti.
2. II dhigirii - adenoids nemutemo chikamu septal mapfupa wechipiri.
3. Grade III - kusununguka zvomoto nhengo imwe-muzvitatu partition.
4. IV dhigirii - zvinoreva wakakwana kutadza kuita mweya kubva mumhino kwakakura nhau yacho nasal septum chokutsva.

zviratidzo

Chenjera adenoids muvana kunoratidzwa zviratidzo pachena zvokuti hauoni mutoo panguva mangwanani chaizvo mudariro hazvibviri. Kunyange asati wakawedzera node nodes pasi shaya ichatsiva uye achapindura ari kubatwa kurwadziwa, mwana kufema pakurara iri kuvhiringidzwa ngonono, uye nasal kubuda ichachinja unaku uye ruvara pamusoro gobvu, kuvengwa kwazvo nebhitumini.

Zvimwe zviratidzo richava:

• tembiricha akasvetuka kana rakadzikama kuwedzera kusvika 38 madhigirii;
• mwana anotanga kududza manzwi "Snuffles" inzwi "GUGN";
• Kushatiswa mwana kunzwa - akakumbira kakawanda kuipa anoona akanzwa;
• mangwanani mwana kukosora pasina mokrotnyh mahofisi;
• mwana anogona kutsanangura zvakajeka ezvinhu ake, anganyunyuta kuti bundu iri pahuro wangu ainzwa nguva dzose, dzimwe nguva zviri pamwe nokunzwa marwadzo.

Vanonzi "chiso adenoid" rinowanikwa mwana nokuda yokunyanyisa wokuramba vabereki zvose yapfuura zviratidzo. vana akadaro nguva dzose anokosha kuoneka akafanana kana maturo akashamisika zvaanoita chiso chake, panguva iyo muromo anogara hafu akazaruka, uye amutswa pakati rokumusoro muromo uye mhino aumbwa zvimba tubercle. Kana yakawedzera salivation chirebvu vana yakadaro nguva dzose nokupfunha mura salivate.

Nokufamba kwenguva, kana iri nyaya matanho zvisina kutorwa, pane configuration kuchinja dehenya. By kukodzera kufema kwacho kunokanganisa mumapapu uye mapfupa nemamiriro pachipfuva.

Zvinokonzera chirwere

The chirwere hariwanikwi mune Vacuum, nguva dzose pakurukurwa kuzvimba nasopharyngeal ndimbo. Activators mugadziriro pathogenic notumwe kana kutapukirwa noutachiona nevasori zvakadai utachiona anonzi Staphylococcus aureus uye Streptococcus. Chimwe chinokosha ndechokuti ukuru susceptibility mwana kuti pavakanzwa kukundwa zvigare. Saka zvinokosha zvikuru kuti arege kurasikirwa kutanga kwacho, uye nguva dzose funga ezvinhu zvingaita kuti paumbwe zvokurwara:

• pane ngozi SARS noutachiona mumwe munhu;
• peremerzal mwana;
• chirwere kakawanda kunokonzerwa immunodeficiency;
• munhau paiva zvakakomba zvinotapukira: tsvuku nefivhiri kana gwirikwiti;
• It yaita chisingaperi rhinitis, zvirwere zvokufema;
• pane zvokudya;
• Magariro regai kundosangana vakawanda utsanana mitemo;
• pamberi mwana noutsi;
• pane anzi sema nehanya.

Pachishandiswa chiremera maonero Dr. Komarovsky (Mabatirwo rikwanise adenoiditis vana rakanga nyaya yake private vhidhiyo kukurukura), tinogona kutaura kuti vakawanda vakaudza zviitiko hosha yezwi chirwere fomu nokuda rwakakwana kurapa nokuda SARS.

purulent adenoids

Nokupesvedzera utachiona Chlamydia, kana maererano vakawanda immunodeficiency, nokuda izvo muviri haakwanisi kuramba masero vatorwa, adenoids anotanga ooze pus. Pashure kuunganidza hombe kwazvo emura fuma voga vari akatura kupinda huro, vakapararira sinuses, uye kupinda nhumbi ropa pamwe chete, kunyange vanotanga kuenda kuburikidza nomuviri, pakugadzirisa pamusoro Sefa miviri - chiropa uye neitsvo.

Zvinokosha kuyeuka kuti Danho iri chirwere wechisikigo kuwedzera zviratidzo inobwinya aibuda chakasimba, izvo zvinoreva kuti kunenge kuora rirwadze tonsils zvinogona kudziviswa.

Wanikidza chenjera purulent adenoiditis rubatsiro rwakadaro mamirire zvinhu:

• Kugara nasal kuzara mwana pamwe kunopfuurira shanduka ari murima, ndewevhu ruvara madzihwa;
• kudzikira mune mhando kurara, mwana kazhinji anopepuka uye pakurara haavhariri chose muromo;
• Temperature wakachengetwa mukati 37.5 madhigirii;
• pane kuramba nomusoro;
• nekusangana chero kusanzwa;
• Vana vaduku burp kupfuure kupinda kuparadzana zhinji namarutsi, vana vakura chokunyunyuta pamusoro kakawanda kuda kurutsa, kuenda chimbuzi kuva kwemashifiti nokuda kakawanda kupatirwa kana manyoka.

Nokuti pakurapa rikwanise purulent adenoiditis muchimiro yokushandisa siyana nasopharyngeal wokuwachisa uye rizere nzira inorwisa mabhakitiriya ushandiswe.

subacute adenoiditis

Subacute adenoiditis sezvo chirwere, ndiko chimiro isina zvatariswa, pamwe tsoka remissions uye zvazvo. Asi zvakaitika nokukurumidza kuitwa kuchirapa matanho akacherekedza uvandudze pamwe anogumbura kudzikira emuchina vasvika mavhiki maviri. kuomesa ichi rikwanise adenoiditis pakutanga kwacho Rinodzika kufanana kukura lacunar angina.

The tembiricha mwana kushivirira subacute adenoiditis anogona kuramba kuvapo kwenguva yakati pashure kunyangarika vamwe zviratidzo, uye kunyange pakupora nguva. Kuongorora Physical akaratidza kuwedzera, achirwadziwa palpation kwemitsipa uye submandibular node nodes.

Diagnostics

In pamberi zviratidzo vana adenoiditis kurapwa uye kutsigira nezviyero havasi nguva dzose tichifambirana nechirwere wechokwadi. Muzviitiko apo kuwedzera submandibular node nodes anoita raidudzwa chinhu, vabereki vanomhanya kuratidza mwana kuti wemazino. Full kunaya muromo dzimwe nguva anotora nguva yakawanda inokosha, apo yakarurama dambudziko rikwanise adenoiditis vanofanira kutanga pakarepo.

Mazvikokota, uyo vanofanira kupindira chichemo kana anoona zviratidzo zviviri kubva pamusoro pamazita, chiri otolaryngologist. Mune zvombo zviri pfava chiremba ane zvose zvaidiwa zvokushandisa kuti endoscopy, asi vabereki vanofanira kugadzirira chokwadi kuti kuti kujekesa chirwere waida X-ray uye mumarabhoritari nemiedzo.

Dambudziko guru riri nyore wenyama kuongorora vana vazhinji, apo chiremba Yatanga Kuongorora kuti adenoids vachionana, munwe nzira. Asi nzira iyi haawanzopiwi kwaiitwa sezvo kuona pathological excrescences veshure rhinoscopy rinoreva (girazi, kubudikidza muromo) kana fiberscope (kusanduka endoscope) anopa mufananidzo nokururamisira kwakakwana pakati chechetere uye kunzwisisa kwakaita chirwere.

The maitiro zvekuchipatara features, vachibvumira rokuongorora zvokurwara uye kuona kana mwana anofanira kubviswa adenoids, zvinoratidzwa ukuru mumatenhere pharyngeal ndimbo, dzidzo chinoda kugadziriswa uye mamiriro (looseness, arambe achirema) muviri murwere.

Kana adenoids kunoitika kakawanda, uye pane fungidziro kuti microflora kuti tonsils asingadi kutora mishonga, achatorwa swab kuti tsika mucous kwemabhakitiriya ezvinhu nechinangwa kusarudzwa pokugara asingaurayiwi mishonga.

adenoiditis kurapwa

Huru dambudziko vanachiremba mu diagnosing adenoiditis zviratidzo vana - kurapwa kutungamirira zvirwere, izvo kazhinji anozova SARS. Zviri chikamu vakawanda-chinangwa mabasa nezviyero veko vanoonekwa kuti zviito zvainanga zororo anorwadza zviratidzo.

Nokubviswa zviratidzo uye adenoiditis marwadzo chirwere inobatsira:

• Washing nasal sesaline kana zvigadzirwa kugadzirwa kubva pairi. Kuti varege kutsamwisa, sesaline rinses akakurudzira Alternate pamwe infusions uye decoctions makwenzi, rikaratidzwa sezvo inorwisa utachiona. Ava: somuzivi, chamomil, calendula, St. Johani mhanga.
• Kumisa madzihwa kubva mhino kushandiswa (mwero kwete kupfuura pavhiki) zvinoreva kuti vemo vasoconstriction. Izvi "Rinostop", "Dlyanos", "Nazol", "Naphthyzinum" (mwana). Nzira inoshandiswa kunogona upi asi fogging ane mukana yunifomu kuparadzira mvura.
• Of kukamura uchishandisa mishonga vana, vanachiremba kuramba taurira kuongororwa "sulfacetamide," asi yokupisa manzwiro kuti kunoitika muvana paaishandisa maturusi kuita kurapa uye zvinorwadza nokuda mwana uye vabereki. Saka, imwe nzira kune vekare mushonga kwenguva refu uye zvinobudirira nokuita bhurandi "Izofra", "Bioparox" (ane mazano maviri aisanganisira - yokudiridzira mhino uye pahuro), "Polydex".

Kudomwa nasal steroids kuti kurapa adenoiditis nezvomunda fanira nechiyero, uyewo kushandisa inorwisa mabhakitiriya, kunyanya Munguva ichangopfuura, pakatanga kusarudzwa nzira anobvumira kufadza kufunga munhu zvatariswa muviri wemwana. Pakati mishonga izvi kusunungura "Nazofan" "Avamys," "Flixonase". Special kutarisirwa kuva zvinodhaka "Nasonex". In chenjera adenoids vana kushandisa chokushandisa ichi dzinoruramiswa yokuora nhungamiro. Uyewo kugarisana zvakanaka zvinodhaka dzakawanda yakamanikana uye chakarondedzera basa.

Pane mwana kubata chakasimba adenoids mwero kunzwisisa rechipiri uye rechitatu, riri kupinda chiremba anosarudza, asi chete pashure kuchinja nzira zvose ichamboedzwa, uye tichava yakaderera pane zvaaitarisira, zvinogona kusimudza nyaya kubviswa zvomoto ndimbo kuvhiyiwa.

Matambudziko uye migumisiro

Chenjera adenoids kuvana, uyo akabatana mune chirwere chokutambudzika, mwoyo sezvo psycho-kunetsa mwana. Vamwe anova zvikuru nokukurumidza, "achifinyamisa" riri Zvaakanyora chikoro, kurasikirwa kufarira mitambo, kunyanya kufurirwa zvakatipoteredza.

In vacheche chiitiko adenoiditis - isingawanzowanikwi chakajairika, asi zviri sezvo raidudzwa uye havagoni kutiza akarinda maziso. Kid anova kunzvaira, achidanidzira panguva kukachidzwa, iye anoramba kutora zvokudya. Nechekare Kudya zvokudya kazhinji unouya muchimiro burp zvakawanda kana mumarutsi.

Kana kumhanya marudzi chirwere inobvira zvokuongorora pamusoro matambudziko anoitika rikwanise purulent zvikuru ngozi adenoiditis mwana - sepsis.

dziviriro

Kudzivirira adenoiditis kutange nokuberekwa mwana, uye uende dzose nguva kusvikira mwana anotanga kuyaruka. Kuwedzera kune chichiitwa richiona mwana wacho maitiro pakurara (ane namahwindo kana muromo akavata, snores kana unokutakwairirai), zvakakodzera nguva nenguva kuronga kutsvinda nasopharynx simba brine. Zvikuru kushanda chiyero inahwo pamwe yokuSpain matenda, kana apo achishanyira kukireshi mwana, apo rhinitis kwose kwose.

Zvikuru mukudzivirira mutoro pamusoro tonsils ane yakakodzera kurapwa chero zvirwere zvokufema zvinokonzerwa nemavhairasi.