Adenoides of the third degree in children: treatment with traditional and folk remedies. Surgery
Almost 25% of children and their parents hear in the office of the otolaryngologist that the baby has adenoids. These formations are combined with the mucosa of the nasopharynx. In a healthy child, they actively function. It is the adenoids that first encounter different toxins, bacteria, allergens, microbes and trigger a defense mechanism.
Classification of problems
Experts call adenoid inflammation adenoiditis. But even in the absence of an active pathological process, they can be increased. The doctor can say that adenoids are 2-3 degrees in children. In this case, this nasopharyngeal tonsil can be harmful.
Otolaryngologists on examination may say that the adenoid child:
- 1 degree, provided that they cover not more than 1/3 of the nasopharynx, only the upper part of the opener( the plate that forms the posterior part of the nasal septum) is covered;
- 2 degrees, as a rule, the edema formed closes half of the nasopharynx, 2/3 of the opener overlap;
- 3 degrees, almost all of the nasopharynx is blocked.
When they increase, and accompanying problems. Thus, adenoids of the third degree in children cause difficulty in breathing, the hearing deteriorates noticeably. When hypertrophy of stage 2 appears snoring in a dream, a frequent cough. Nasal breathing is markedly disturbed. With adenoids of grade 3, air enters the lungs only through the mouth.
Signs of the disease
To suspect that the child has enlarged palatine tonsils, parents can also. Most often this problem occurs in children aged 3-7 years. But it can also disturb teenagers. Evidence is that adenoids of grade 2-3 in children have developed, the following symptoms:
- obstructed nasal breathing, the child breathes mainly with the mouth;
- prolonged recurrent rhinitis;
- deterioration of sleep, snoring is heard;
- the appearance of nasal congestion;
- indistinct speech;
- hearing loss;
- apathy, fast fatigue, lethargy;
- complaints about a headache.
Having noticed one or more symptoms, it is advisable to show the baby LOR.This doctor can establish an accurate diagnosis and, if necessary, prescribe a treatment.
Disease Conventional visual examination is not enough to understand that adenoids of grade 3 in children. But most otolaryngologists do not have the equipment to establish an accurate diagnosis. They can only use the finger method. But it is considered uninformative. In usual polyclinics, as a rule, it is recommended to do roentgenography. With the help of this method, you can visualize the increase of these tonsils, but to determine if the inflammatory process does not work out.
One of the diagnostic methods is pharyngoscopy. This examination of the oropharynx with a spatula and a special guttural mirror. Such a study allows you to assess the condition of the nasopharynx and identify adenoids of grade 2-3 in children. Treatment can be appointed after such an examination.
Anterior rhinoscopy can also be performed. It requires a special nasal dilator. During the procedure, you can assess the condition of the nasal passages, septum. If vasoconstrictive drugs are injected before the test, you can see the back of the nasopharynx and adenoids.
The back rhinoscopy, which is performed with a fibroscope and a nasal mirror, is almost never done for children. Although this method is considered harmless and informative.
Modern methods of examination
To establish an accurate diagnosis and determine the degree of increase in nasopharyngeal tonsil can be using computed tomography. This is quite an expensive method of examination, but it is informative. True, it is used very rarely.
The most progressive method is endoscopy. It is this method of diagnosis that can confirm that adenoids of the third degree in children. Photos of problem areas with this study is not difficult at all.
For its conduct in the nasal cavity a small tube is inserted at the end of which the video camera is located. With its help, you can not only determine the size of adenoids, but also to clarify their location. Also, the doctor can see if there is inflammation and to check whether this process is spreading to the auditory tubes.
Intended use of adenoids
Many parents mistakenly believe that nasopharyngeal tonsils are absolutely useless formation, which is better to clean. But they are not quite right. Of course, if a diagnosis of "adenoids of grade 3" is established in children, the doctor will recommend that they be removed. But in some cases, you can try to get rid of the problem with conservative methods.
Adenoids often begin to expand against the background of persistent infectious diseases. They are part of the local immunity. Nasopharyngeal tonsil is a kind of barrier that can cope with viruses before they penetrate the body. Local glandular immunity develops in this gland. It is a natural barrier to pathogenic microorganisms.
Adenoids in themselves are an important part of the immune system. If there is an opportunity to restore their work and stop the inflammatory process, then it should be used.
Failures in local immunity
Of course, excessively enlarged adenoids of the 3rd degree in children can no longer fulfill their purpose. Outflow of lymph is disturbed, glandular tissue grows, and the inflammatory process practically does not cease.
In this case, adenoids can no longer be a barrier to bacteria. The mucus in the nasal cavity begins to linger because of malfunctions in the mucociliary apparatus. And in fact with it the considerable part of the got microorganisms, dust particles, potential allergens is deduced.
Adenoids of the 3rd degree in the child contribute to the fact that pathological microorganisms linger in the nasopharynx. In this case, local immunity is already suppressed by a constant inflammatory process. This is the main reason that the likelihood of developing the disease increases. As a result, a vicious circle is formed: due to the increased nasopharyngeal tonsil, diseases become more frequent, and because of illnesses adenoids are even more proliferating.
Ways to solve problems
Typically, adenoids of grade 3 in children are recommended by most otolaryngologists. But choosing such a path, one must remember that they have the property of expanding. Of course, this does not happen to everyone. But there are patients who have a problem after six months or a year comes back again.
Sometimes, the nasopharyngeal tonsil is enlarged due to poor heredity. The propensity to overgrowth of this gland is transmitted at the gene level. Some babies are born with a weak ring of Valdeier. It includes lingual, tubal tonsils, as well as glands and adenoids.
Some doctors believe that the operation is optional. They offer their options on how to cure adenoids of grade 3 in a child. As a rule, complex therapy, directed suppression of inflammation and reduction of edema are necessary.
The proliferation of nasopharyngeal tonsils is an exclusively childish problem. In most adults this organ is atrophied. After all, from the age of 12, adenoids begin to decrease.
Before recommending the removal of grade 3 adenoids in children, qualified doctors will offer parents a set of measures aimed at removing edema and reducing inflammation. In some cases, they help to cope with the problem without surgery.
The doctor prescribes vasoconstrictive drops that need to be used for 5-7 days. Suitable "Naphthyzin", "Ephedrine", "Sanorin", "Galazolin" and other children's options. After instillation, it is necessary to rinse the nasal cavity. This can be done with the help of special antiseptic solutions, for example with "Furacilin" or "Dolphin".Do not confuse rinsing with irrigation.
Simultaneously with instillation and washing, a general treatment is prescribed. It should be aimed at strengthening immunity. Assign fortifying agents, vitamins, immunostimulants and antihistamines. Antiallergic medicines should be taken if adenoids of grade 3 in children are diagnosed. Treatment is necessary because of the fact that allergy is one of the main causes of the beginning of pathological changes in these tonsils.
Physiotherapy gives good results. Quartz nasopharyngeal cavity, helium-neon laser therapy, UHF and electrophoresis with a solution of dimedrol, potassium iodide are considered effective.
Many doctors, seeing adenoids of grade 3 in a child of 3 years, send it right away for surgery. But it is indicated in the case of unsuccessful attempts at conservative treatment. Also remove these tonsils in cases where:
- breathing through the nose is difficult or almost impossible;
- the child has permanent colds or infectious diseases, including tonsillitis, tonsillitis, pneumonia, otitis media;
- complications develop in the paranasal sinuses( known as sinusitis);
- there is a snoring and a delay in breathing during sleep.
Before the operation, it is necessary to stop the inflammatory process, otherwise the whole focus of infection can not be removed.
removal process Surgical treatment can be performed out-patient( in a regular clinic) or in a hospital hospital. The operation is done under local or general anesthesia. It lasts no more than 20 minutes, and the process of cutting the overgrown tissue takes up to 3 minutes. An operation is performed with the help of Beckman's adenotome. This is a special knife, made in the form of a ring, which captures the overgrown tissue of the nasopharyngeal tonsils. It is cut off in one motion.
During the operation the child should sit with his head thrown back. She is held by a nurse, squeezing slightly from above so that the patient does not have the opportunity to climb. The nostrils are closed with cotton.
Becken's adenotum is injected into the pharynx. It is pushed upwards to the stop and the fabric is cut with a sharp movement back and forth. After that, cotton wool covering the nasal passages is removed. After removal, the patient should blow his nose and breathe through his nose with a closed mouth.
But this is not the only option of how to cure adenoids of the 3rd degree in a child. A more modern method is endoscopic removal. Such an operation is performed under visual control, the doctor can well consider the location of the adenoids and completely remove them.
In addition to conservative and surgical treatment, there are also alternative therapies. Many parents drip into the nasal passages a mixture of 2 parts of beet juice and 1 part of honey. For 2-3 weeks it is necessary to dig in 5 drops several times a day.
You can also use aloe juice. But this treatment should last several months. It is enough to dig in 2-3 drops three times a day. Many recommend gargling with an infusion of eucalyptus leaves. Do this 3 times a day for six months.
There are other folk methods designed to reduce the swollen glandular tissue of the tonsils. You can drip sea buckthorn, eucalyptus oil or infusion, prepared from birch leaves.