Adenoids pachimake: Zoyambitsa, Matendawa, Zizindikiro ndi Chithandizo

chifukwa kuti makolo pafupifupi anakumana ndi adenoiditis pachimake mpaka mwana wa zaka zitatu, sanama mu m'badwo selectivity zimakondweretsa kudwala. A okulira ili pamphambano ya Mmasiku awiri - panyumba pamene mwana zimatetezedwa ku matenda othandiza kudzipatula wothandizila tizilombo za chilengedwe, ndi chikhalidwe. Wachiwiri wa magawo awa a moyo kumaphatikizapo anakhala ku chilengedwe anzawo. Motero, kuopsa kwa matenda a AIDS umakhala ndi katundu pa thupi la mwanayo kumawonjezera nthawi zambiri.

Tonsils ndi adenoids

The kusintha kwa moyo chikhalidwe cha mwana kawirikawiri imayamba mwadzidzidzi, motsutsa likhale ndi chitetezo wofooka. Anakumana ndi nambala yaikulu sankadziwa zikuchitika chilengedwe bakiteriya, simuli amakonda kukana izi chitetezo wachibadwa wa mwana umayamba kuvutika.

Mu nasopharyngeal dongosolo mwamuna wamng'ono ndi amygdala, kuchita ntchito ya chotchinga pakati pa kunja chilengedwe tating'onoting'ono ndi thupi osalimba mwanayo. Kutheka kwa thupi zoteteza si malire, ndipo pamene mchikakamizo cha zinthu n'zothandiza kumawonjezera katundu pa amygdala, iwo akuyamba kukula mofulumira, zimapezeka adenoids lapansi.

Ndi chiyambi cha adenoids msinkhu manja okha, nakawapeza othyoka akhoza kukhala osowa kwambiri. Koma bola ngati magwiridwe ndi pa nsonga ya ntchito, kungachititse kuti kutupa ndi pachimake adenoiditis mungathe akatiputa aliyense wamphamvu.

Pa nthawi imeneyi, kudziwa ndi kudzagwira ndondomeko - ntchito yoyamba ya makolo ndi zachipatala. Anataya nthawi mtima nzitsi thanzi la mwana kumabweretsa kudwala sizingasinthe mu mapangidwe mbali kutsogolo a Chigaza, ndi aakulu rhinitis, zilonda zapakhosi, lockup wa chitukuko akukhudzidwira ndi monyanyira ena.

Maonekedwe ndi digiri ya adenoiditis

matenda gulu adenoiditis kumafuna kulekana ndi mawonekedwe percolation, mtundu chotupa ndiponso azikhala chikhalidwe:

1. Pachimake adenoids. Kutentha limatuluka ndi nthawi yaitali madigiri mpaka 38, momwe kutupa kufika zigawo zonse lymphatic mphete. Mawonekedwe pachimake zimawonedwa pambuyo matenda a mwana wa SARS ndi matenda ena opatsirana kapena bacteriological. Pamaso pa kuvutika kobadwa nako wa tonsils adenoids mu mawonekedwe subacute akhoza linatseka makanda.
2. Matenda adenoiditis taonera kuchuluka Kutalika kwa miyezi isanu ndi umodzi. Symptomatology ali kwambiri overwritten makhalidwe angapo kugwirizana matenda ENT chifukwa mtundu wa kutupa adenoids chimakwirira mbali zonse za kapepala kupuma ndi ziwalo pafupi.

Komanso lonse ndi zovuta za matenda chotupa buku nasopharyngeal tonsil amanena mlingo wa chikhalidwe pathological:

1. Ine digiri - chofuna tonsil occludes wachitatu wa m'mphuno septum ndi kapepala kupuma.
2. II digiri - adenoids itatsekedwa ndi gawo lachiwiri la septal fupa.
3. Kalasi III - lopanda limba chofuna ndi gawo limodzi la kugawa.
4. IV digiri - zikutanthauza kulephera wathunthu kuchita mpweya kuchokera mphuno mwa Kuphunzira kwambiri kutupa m'mphuno septum.

zizindikiro

adenoids pachimake ana chimaoneka zizindikiro zoonekeratu kuti osaganizira ndondomeko pa siteji m'banda n'zosatheka. Ngakhale pamaso pa kuchuluka lymph mfundo pansi pachibwano lidzaloŵa m'malo ndi angamvetsere kukhudza ululu, kupuma mwana akagona ndi mawu Nthaŵi zina mkonono umasonyeza, ndi amphuno kumaliseche kusintha kapangidwe ndi mtundu pa wandiweyani, chonunkha amatope.

Zizindikiro zina zidzakhala:

• kutentha kudumpha kapena Kuwonjezeka kwa madigiri 38;
• ndi mwana amayamba kutchula phokoso la "Snuffles" mawu "GUGN";
• kuwonongeka kwa kumva mwana - akufunsa kangapo poipa amaona adamva;
• m'mawa mwana akutsokomola popanda maofesi mokrotnyh;
• mwana amene angathe bwino kufotokoza chikhalidwe chake, angadandaule kuti chotupa pakhosi panga anamva zonse, nthawi zina limodzi ndi kumverera kwa zowawa.

Otchedwa "adenoid nkhope" amapezeka mwana chifukwa muyeso wa kunyalanyaza makolo zizindikiro za m'mbuyomo. Ana otere nthawi zonse zooneka wapadera ngati kapena phindu anadabwa nkhope mawu pa zomwe pakamwa ali nthawizonse theka lotseguka, ndipo anakweza pakati mlomo chapamwamba ndi mphuno aumbike kutupa tubercle. Mu nkhani ya kuchuluka salivation chibwano ana amenewa nthawi zonse yonyowa ndi salivate madzi.

Nthawi, mu nkhani iyi miyeso ndi Sadadzipangire, pali kusintha kasinthidwe mu chigaza cha. Ndi ndondomeko zosayenera kupuma amakhudza mapapo ndi fupa Kapangidwe ka chifuwa.

Zimayambitsa matenda

matenda zimachokeradi mu zingalowe, izo nthawizonse yoyamba kutupa kwa tonsil nasopharyngeal. Activators ndondomeko ndi tizilombo bowa kapena matenda tizilombo wothandizila monga mabakiteriya Staphylococcus aureus ndi Streptococcus. Chinthu china chofunika ndi mlingo wa chiwopsezo cha mwanayo kwa poyankha kugonjetsedwa kwa tizilombo. Choncho n'kofunika kwambiri kuti muphonye chiyambi cha ndondomekoyi, ndipo nthaŵi zonse ganizirani zinthu zomwe zingachititse kuti mapangidwe kudwala:

• pali ngozi SARS matenda kuchokera munthu wina;
• peremerzal mwana;
• matenda pafupipafupi anachititsa immunodeficiency;
• mu mbiri panali matenda aakulu opatsirana: fever kapena chikuku,
• Iwo wagwa mu rhinitis aakulu, matenda kupuma;
• pali zakudya m'thupi;
• osauka satsatira mkulu mfundo ukhondo;
• pamaso pa utsi mwana;
• pali kutchulidwa matupi awo sagwirizana tilinazo.

Zochokera maganizo odalirika a Dr. Komarovsky (mankhwala a ana pachimake adenoiditis unali mutu wa kukambirana m'maganizo kanema), tikhoza kunena kuti ambiri malipoti a kusintha matenda mawonekedwe aakulu chifukwa mankhwala wosayenerera SARS.

purulent adenoids

Mchikakamizo cha tizilombo toyambitsa matenda mauka, kapena pa maziko a immunodeficiency ambiri, chifukwa chimene thupi sangathe kukana maselo yachilendo, adenoids wayamba chimatuluka mafinya. Pambuyo kudzikundikira chiwiya madzi kudzipatula mankhwala ali ayanjane mu mmero, anayala mu sinuses, ndi kulowa ziwiya magazi limodzi, ngakhale kuyamba kuyenda mwa thupi, yothetsa pa matupi fyuluta - chiwindi ndi impso.

M'pofunikanso kukumbukira kuti nthawi imeneyi matendawa ndi kutambasuka achilengedwe a zizindikiro za nthenda pachimake owala, kutanthauza kuti siteji ya kuvunda kuvutika tonsils angathe kupewedwa.

Azindikire pachimake purulent adenoiditis ndithandizo mbali khalidwe:

• zonse m'mphuno kuchulukana mwana ndi zamoyo kopitirira mdima, mtundu earthy wa ntchofu;
• kuwonongeka mu khalidwe la kugona, mwana zambiri n'kudzuka ndi akagona si kutseka kwathunthu pakamwa;
• Kutentha kusungidwa mu madigiri 37,5;
• pali mutu kulimbikira;
• kuthothoka aliyense kumva;
• ana burp chikudutsa mu kulekana zambiri masanzi, ana okulirapo amadandaula nseru pafupipafupi, kupita ku chimbudzi ayamba kusakhazikika chifukwa kudzimbidwa kawirikawiri kapena m'mimba.

Zochizira pachimake purulent adenoiditis mu mawonekedwe a ntchito angapo nasopharyngeal makina ochapira ndi kwathunthu kwa mankhwala amene wapatsidwa.

subacute adenoiditis

Subacute adenoiditis monga aakulu, ndi chikhalidwe cha makhalidwe osakhazikika, ndi mapazi a kuchotsedwa ndiponso musabise. Koma mu nkhani ya umwana mofulumira miyeso achire amalembedwa kusintha ndi yotupa mphamvu mavuto kubwera mu masabata awiri. Vuto ili la adenoiditis pachimake pa chiyambi cha ndondomeko amapita limodzi ndi chitukuko cha angina lacunar.

Kutentha kwa mwana wodwala ndi subacute adenoiditis apitirize kukhalapo kwa patapita nthawi mofulumira zina zizindikiro, ndipo ngakhale mu nthawi ya kuchira. Kupenda thupi anasonyeza awonjezere, ndi ululu pa palpation wa khosi ndi submandibular lymph mfundo.

diagnostics

Mu kukhalapo kwa zizindikiro za mankhwala ndi wothandiza ana adenoiditis miyeso si nthawi zonse mogwirizana ndi matenda woona. Pa nthawi imene kuwonjezeka mfundo submandibular lymph amachita mbali kutchulidwa, makolo kuthamangira kusonyeza mwana wa mano. Full konzanso m'kamwa zina kumafunika nthawi wapatali, pamene mankhwala olondola a adenoiditis pachimake ayenera kuyamba pomwepo.

The katswiri, amene ayenera kulankhula ndi dandaulo pamene detects zizindikiro osachepera awiri kuchokera pamwamba pa mndandanda, ndi otolaryngologist. Mu nkhokwe ya dokotala ENT ali zida zonse chofunika kwa endoscopy, koma makolo ayenera kukhala okonzekera kuti pa Pofuna kulongosola matenda chofunika X-ray ndi zasayansi mayesero.

The Vuto lalikulu ndi thupi Kupenda losavuta ana ambiri, imene adokotala probes kukhudzana adenoids, njira chala. Koma njira imeneyi sikawirikawiri ankachita monga kuonera pathological excrescences kumbuyo rhinoscopy njira (galasi, kudzera pakamwa) kapena fiberscope (kusintha endoscope) akupereka chithunzi mwachilungamo wathunthu wa msinkhu ndi kuvuta matenda.

Khalidwe mbali matenda, kulola matenda kudwala ndi kudziwa adenoids ngati mwanayo ayenera kuchotsedwa, zikusonyezedwa mlingo wa kutupa kwa pharyngeal tonsil, maphunziro zamafinya zinangoti ndi kapangidwe (looseness, kachulukidwe) cha thupi la wodwalayo.

Ngati adenoids kumachitika mobwerezabwereza, ndipo pali kukayikirana kuti microflora wa tonsils satenga mankhwala linachokera swab chikhalidwe mucous chilengedwe bakiteriya ndi cholinga kusankha mankhwala okwanira mankhwala.

adenoiditis chithandizo

Vuto lalikulu akukumana madokotala Kupeza Vuto zizindikiro adenoiditis ana - matenda chithandizo kutsogolera amene nthawi zambiri likukhalira kuti SARS. Iyi ndi mbali ya ntchito ndi onse omwe cholinga ndi miyeso m'deralo ankaona kuti zochita umalimbana mpumulo zizindikiro chopweteka.

Kuchotsa machenjezo ndi matenda adenoiditis ululu zimathandiza:

• Kusamba m'mphuno saline kapena mankhwala chopangidwa kuchokera izo. Pofuna kukwiyitsa, saline rinses analimbikitsa Njira ndi infusions ndi decoctions wa mankhwala kutsimikiziridwa monga antimicrobial. Awa: tchire, chamomile, calendula, liziwawa St. Yohane.
• Kusiya ntchofu kwa mphuno ntchito (mlingo osapitirira sabata) zikutanthauza kuti vasoconstriction m'deralo. Izi "Rinostop", "Dlyanos", "Nazol", "Naphthyzinum" (mwanayo). Njira ya ulimi akhoza kukhala aliyense, koma fogging ali ndi mwayi wa ntchito yogawa yunifolomu ya madzi.
• Antibayotiki apakhungu ana, madokotala kupitiriza mankhwala anayesedwa "sulfacetamide," koma kutengeka moto kuti amapezeka ana pamene tikugwiritsa ntchito zida, kupanga mankhwala ndi chopweteka mwanayo ndi makolo. Choncho, njira ina mankhwala akale kwa nthawi yaitali ndi bwino kuchita opopera "Izofra", "Bioparox" (ali nsonga ziwiri m'gulu - ulimi wothirira wa mphuno komanso pakhosi), "Polydex".

Kusankha mankhwala m'mphuno zochizira adenoiditis ankaona muyeso kuvomerezedwa, komanso kugwiritsa ntchito mankhwala, makamaka masiku ano pamene kusankha njira amalola pazipita kuganizira makhalidwe munthu wa thupi la mwanayo. Mwa mankhwala awa kumasula "Nazofan" "Avamys," "Flixonase". mwapadera ayenera kukhala mankhwala "Nasonex". Mu adenoids pachimake pa ana ntchito chida adzayesedwa wolungama ndi malangizo kuchipatala. Ndi bwino ngakhale ndi mankhwala ambiri a yopapatiza ndi yotakata sipekitiramu ntchito.

Kuposa mwana kuchitira pachimake adenoids wachiwiri ndi wachitatu digiri cha kapangidwe sing'anga kupezeka wasankha, koma pokhapokha njira zonse ndiwofatsa adzakhala kuweruzidwa, ndipo zotsatira zake zidzakhala poyerekeza ankaganizira, angafunse nkhani ya kuchotsa chofuna opaleshoni tonsil.

Zovuta ndi zotsatira

adenoids pachimake ana, amene anagwirizana gawo aakulu, ogwetsa monga boma psycho-maganizo a mwanayo. Ena amakhala mofulumira kwambiri, "anagubuduza" pa ntchito kusukulu, kusowa chidwi masewera, makamaka chilengedwe anzawo.

Makanda yatsoka adenoiditis - chodabwitsa osowa, koma monga kutchulidwa ndi sangathawe ndi maso. Mwana amakhala wosakhazikika, kulira pa kutsamwa, iye akukana chakudya. Kale Kudya chakudya zimadza mwa mawonekedwe a burp zambiri kapena masanzi.

Pamene akuthamanga mitundu ya matenda zotheka matenda a mavuto owopsa a purulent pachimake adenoiditis mwana - sepsis.

kupewa

Kuteteza adenoiditis ayenera kuyamba ndi kubadwa kwa mwana, ndi kupita nthawi zonse mpaka mwanayo ukufika unyamata. Kuwonjezera pa polojekiti mosalekeza khalidwe mwanayo akagona (ndi pakamwa chatsekedwa kapena kutsegula amagona, snores kapena mathalauza), m'pofunika nthawi bungwe ukhondo nasopharynx ofooka brine. Yapadera muyeso kufunika amasangalala ndi miliri fuluwenza, kapena pamene kuchezera sukulu ya mkaka mwana, komwe rhinitis kulikonse.

Chofunika kwambiri yopewera katundu tonsils ali chithandizo yake ya matenda aliwonse kupuma chifukwa cha mavairasi.