Adenoiditis
Description:
Adenoides (Latin adenoides, from other - Greek ἀδήν — gland and — a look; Xing.: adenoid vegetations, adenoid vegetations) — patholologically the increased pharyngeal (nasopharyngeal) almond causing difficulty of nasal breath, decrease in hearing and other frustration. Vegetations of an almond are caused by a hyperplasia of its adenoid tissue.
Adenoiditis symptoms:
4 extents of development of adenoides are known
* 0 degree — the pharyngeal almond has the normal physiological sizes.
* 1 degree — the expanded pharyngeal almond closes only an upper part of a share or height of the nasal courses.
* The 2nd degree — the increased pharyngeal almond closes 2/3 shares or heights of the nasal courses.
* The 3rd degree — the increased pharyngeal almond closes almost all share.
Adenoiditis — an inflammation patholologically corrupted (giperplazirovanny, hypertrophied) a pharyngeal (nasopharyngeal) almond (adenoides). Can meet separately or in combination with an inflammation of the increased palatine tonsils. The adenoiditis can be acute, subacute or chronic.
The adenoiditis is shown by temperature increase and sharp disturbance of nasal breath.
Symptoms: difficulty of nasal breath begins. At first only at night (puffing, snore), and then and in the afternoon. Also morning cough is observed (it can be the only symptom at a subacute adenoiditis). Also at a slow adenoiditis perhaps gradual decrease in hearing.
Mucous and purulent discharges from a nose, chronic dry cough are possible.
Adenoiditis reasons:
The pharyngeal almond is located in the arch of a nasopharynx and is a part of a lymphadenoid pharyngeal ring (together with lingual, pipe and palatine tonsils). At usual survey of a throat of this almond it is not visible, for its observation special LOR-tools are required.
Adenoid vegetations are eurysynusic at children and are most often observed aged from 3 up to 7 years. Development of adenoides is promoted by the diseases causing an inflammation of a mucous membrane of a nasal cavity and almonds (measles, scarlet fever, flu, acute and chronic inflammatory diseases of upper respiratory tracts, etc.).
Treatment of the Adenoiditis:
The ENT SPECIALIST the doctor is engaged in treatment.
Adenoides 1 and 2 degrees, an adenoiditis are treated conservatively (antiedematous and antiinflammatory drugs, washing of a nose by solutions of antiseptic agents, slime suction, laser therapy, ozonotherapy).
Adenoides 2 and 3 degrees are removed in the surgical way (adenotomy).
Usually appoint washing of a nose saline solutions (Aqua Maris, Dolfin) with the subsequent instillation of the drying drugs (oak bark, protargol, colloid silver, colloid silver). Obligatory treatment of associated diseases is necessary. Well laser therapy, a klimatolecheniye (visit of a salt cave) proved in treatment.
At treatment of rhinitis or sinusitis washing of a nose solutions (broths of herbs, mineral water, Furacilin, etc.) should be applied with care because of danger of a drift of an infection through an Eustachian tube in a tympanic cavity and in the okolonosovy bosoms which are not affected with an inflammation through their anastomosis. Such danger at children's age owing to features of a structure of ENT organs at children — a close arrangement of soustiya, more horizontal position of an acoustical pipe, the negative relation of the child to the procedure leading to a power route of administration of washing is especially high owing to what there is a liquid pressure surplus in a nasal cavity. Though the child who is not able to blow nose, perhaps, demands use of this method at treatment of rhinitis. The child at the age of 1.5 years can quite seize skill of a smorkaniye at due training by parents about what it is possible to consult at the otolaryngologist (according to personal practice of the otolaryngologist).
Important: Washing of a nose cannot be carried out just before an exit to the street. In warm season after washing it is necessary to stay in not less than half an hour, and in winter of an hour to two. It is connected with the fact that even at the correct washing a part of water gets into nasal bosoms and, at once having gone outside, you increase risk of overcooling of bosoms.
