Adenoides ntawm qib 3 nyob rau hauv cov menyuam: kev kho mob nrog cov tshuaj thiab cov tshuaj tua neeg. Kev kho mob phais

Xyaum 25 feem pua ntawm cov menyuam yaus thiab lawv niam lawv txiv tuaj yeem hnov hauv qhov chaw ua haujlwm ntawm tus kws kho mob uas tus me nyuam muaj adenoids. Cov formations no muaj nrog cov mucosa ntawm nasopharynx. Nyob rau hauv ib tug me nyuam noj qab haus huv, lawv txawj ua haujlwm. Nws yog tus adenoids uas xub tau ntsib ntau yam co toxins, kab mob, tsis haum, microbes thiab ua ib qho kev tiv thaiv mechanism.

Kev faib tawm ntawm cov teeb meem

O ntawm kws kho mob hu ua adenoids hu ua adenoiditis. Tab sis txawm nyob rau qhov tsis tuaj yeem ua tus txheej txheem kom nquag plias, lawv tuaj yeem tau nce. Tus kws kho mob yuav hais tias adenoids qib 2-3 cov me nyuam. Hauv qhov no, qhov no nasopharyngeal tonsil yuav ua teeb meem.

Otolaryngologists ntawm kev xeem yuav hais tias tus me nyuam muaj adenoids:

- 1 degree, yog tias lawv npog tsis ntau tshaj 1/3 ntawm nasopharynx, tsuas yog sab qaum ntawm tus kav qhib (phaj ua cov posterior sab hauv lub qhov ntswg) yog them;

- 2 degrees, raws li txoj cai, lub edema ua kaw ib nrab ntawm cov nasopharynx, 2/3 ntawm tus qhib hluav taws sib tshooj;

- 3 degrees, yuav luag tag nrho cov nasopharynx yog thaiv.

Nrog rau lawv cov kev nce, cov teeb meem sib txuas nrog kuj tsim. Yog li ntawd, adenoids Qib 3 cov me nyuam yog qhov ua rau ntawm ua tsis taus pa, lub rooj sib hais deteriorates markedly. Thaum hypertrophy ntawm theem 2 tshwm snoring nyob rau hauv ib tug npau suav, ib tug heev hnoos. Lub ntsev ua pa yog qhov cuam tshuam. Nrog adenoids ntawm qib 3, cua nkag mus hauv lub ntsws nkaus xwb los ntawm lub qhov ncauj.

Cov tsos mob ntawm tus kab mob

Yuav kom xav tias ib tug me nyuam muaj tsam tonsils, yog cov niam txiv. Feem ntau qhov teeb meem tshwm sim no tshwm sim rau cov me nyuam muaj hnub nyoog 3-7 xyoo. Tab sis nws kuj tuaj yeem cuam tshuam cov hluas. Cov pov thawj yog tias adenoids ntawm qib 2-3 hauv cov menyuam tau tsim, cov tsos mob nram qab no:

- qhov ua tsis taus pa ntawm qhov ntswg, tus me nyuam nqus pa nrog lub qhov ncauj;

- lub qhov muag ntswg rov qab ntswg dua;

- txhawj xeeb ntawm kev pw tsaug zog, snoring hnov;

- qhov tsos ntawm qhov ntswg;

- kev hais lus tsis tseeb;

- tsis hnov lus;

- apathy, ceev qaug zog, lethargy;

- kev tsis txaus siab ntawm mob taub hau.

Kev ceeb toom ib los yog ntau cov tsos mob, nws yog ntshaw kom qhia tus menyuam LOR. Tus kws kho mob no tuaj yeem tsim ib qho kev kuaj mob tseeb thiab, yog tias tsim nyog, muab kev kho mob.

Kev mob ntawm tus kab mob

Kev ntsuam xyuas kev niaj hnub tsis txaus kom nkag siab tias adenoids yog 3 degrees ntawm cov menyuam yaus. Tab sis feem ntau cov kws kho mob otolaryngologists tsis muaj cov cuab yeej los tsim ib qho kev kuaj mob tseeb. Lawv tsuas siv tau tus ntiv tes los siv. Tab sis nws yog suav hais tias uninformative. Hauv cov tsev kho mob zoo tib yam, raws li txoj cai, nws raug nquahu kom ua roentgenography. Nrog kev pabcuam ntawm hom no, koj tuaj yeem pom tau qhov nce hauv cov tonsils no, tabsis yog los txiav txim siab yog tias cov txheej txheem tsis ua haujlwm tsis ua haujlwm.

Ib qho ntawm cov kev kuaj pom yog pharyngoscopy. Qhov kev ntsuam xyuas ntawm lub oropharynx nrog lub tshuab raj thiab cov iav tshwj xeeb daim iav. Xws li txoj kev tshawb no tso cai rau koj los ntsuam xyuas tus mob ntawm nasopharynx thiab txheeb cov adenoids ntawm qib 2-3 hauv cov me nyuam. Kev kho mob tuaj yeem raug xaiv tom qab soj ntsuam tas li.

Cov kab mob ua ntej rhinoscopy tuaj yeem ua tau. Nws yuav tsum tau tshwj xeeb ntswg dilator. Thaum lub sij hawm tus txheej txheem, koj tuaj yeem soj ntsuam qhov kev mob ntawm qhov ntswg, cov kua nplaum. Yog tias cov tshuaj vasoconstrictive yog txhaj ua ntej qhov kev kuaj, koj tuaj yeem pom sab nraud ntawm nasopharynx thiab adenoids.

Tom qab rhinoscopy, uas nqa tawm nrog lub fibroscope thiab lub iav qhov ntswg, cov me nyuam yuav luag tsis ua. Txawm hais tias hom no yog suav hais tias tsis muaj mob thiab qhia tawm.

Kev tshawb nrhiav niaj hnub no

Txhawm rau tsim kom muaj tus kab mob tseeb thiab txiav txim seb qhov kev nce qib hauv nasopharyngeal tonsil tuaj yeem siv tau ua cov tomography. Qhov no yog ib qho tseem ceeb ntawm txoj kev xeem, tab sis nws yog kev qhia. Tseeb, nws yog siv heev tsawg.

Cov txheej txheem hnyav tshaj plaws yog qhov kev tshawb xyuas xaus. Nws yog hom kev kuaj no uas tuaj yeem lees paub tias adenoids ntawm qib peb hauv cov menyuam yaus. Cov duab teeb meem nrog txoj kev tshawb no tsis yog txhua yam.

Yuav kom nqa nws tawm, ib lub me me yog muab tso rau hauv qhov ntswg, qhov kawg ntawm lub koob yees duab video nyob hauv. Nrog nws cov kev pab koj tsis tuaj yeem txiav txim siab txog qhov loj me ntawm adenoids, tab sis kuj tseem ceeb rau lawv qhov chaw. Tsis tas li ntawd, tus kws kho mob tuaj yeem pom yog tias muaj mob thiab kuaj xyuas seb qhov txheej txheem no yog kis mus rau lub rooj sib tham.

Kev siv cov adenoids

Ntau tus niam txiv tau to taub hais tias nasopharyngeal tonsils yog ib qho tsim tsis tiav, uas yog qhov zoo tshaj plaws muab tshem tawm. Tab sis lawv tsis heev. Qhov tseeb, yog tias kev kuaj mob ntawm "adenoids ntawm qib 3" hauv cov menyuam, tus kws kho mob yuav pom zoo kom lawv raug tshem tawm. Tab sis nyob rau hauv ib tug xov tooj ntawm cov neeg mob, koj muaj peev xwm sim kom tshem ntawm qhov teeb meem nrog conservative txoj kev.

Feem ntau, adenoids pib nthuav tawm rau tom qab ntawm cov kab mob pheej muaj kab mob. Lawv yog ib feem ntawm kev tiv thaiv hauv zos. Tus nasopharyngeal tonsil yog ib hom thaiv uas tiv thaiv kab mob ua ntej lawv nkag mus rau hauv lub cev. Cov kab mob glandular hauv zos tsim tawm hauv lub caj pas no. Nws yog ib qho kev thaiv teeb meem rau cov kab mob pathogenic.

Adenoids nyob rau hauv lawv tus kheej yog ib qho tseem ceeb hauv lub cev. Yog hais tias muaj caij nyoog los mus kho lawv txoj haujlwm thiab nres qhov txheej txheem inflammatory, ces nws yuav tsum raug siv.

Kev tsis ua hauj lwm hauv kev ua hauj lwm ntawm kev tiv thaiv hauv zos

Ntawm cov hoob kawm, feem ntau ntawm cov menyuam kawm ntawv qib siab thib ob hauv cov menyuam yaus tsis tuaj yeem ua tiav lawv lub hom phiaj. Qhov tawm ntawm lymph yog cov cuam tshuam, cov ntaub so ntswg glandular loj hlob tuaj, thiab cov txheej txheem ntawm kev ua haujlwm tsis tuaj yeem koom.

Hauv qhov no, adenoids yuav tsis ua ib qho thaiv kom kab mob. Mucus nyob hauv qhov ntswg qhov yuav pib ua si vim qhov ua rau lub plab hnyuv. Thiab qhov tseeb nrog nws qhov tseem ceeb ntawm txoj kev tau txais cov kab mob hauv lub cev, cov plua tshauv, tej qhov ua kom tsis haum.

Adenoids ntawm qib peb hauv tus me nyuam ua rau kom paub tseeb tias cov kab mob pathological kab mob qeeb hauv nasopharynx. Hauv qhov no, kev tiv thaiv ntawm lub zos twb tau suppressed los ntawm ib tus txheej txheem inflammatory. Qhov no yog qhov tseem ceeb tshaj plaws rau kev nce ntxiv ntawm kev tsim kab mob. Vim li ntawd, lub voj voog tsim yog tsim tau: vim muaj cov nasopharyngeal tonsil ntau dua, kab mob ua rau ntau heev, thiab vim muaj mob adenoids muaj ntau dua proliferating.

Txoj kev daws teeb meem

Raws li txoj cai, feem ntau cov adenoids ntawm qib 3 hauv cov menyuam yaus raug nquahu los ntawm cov kws kho hniav feem ntau. Tab sis xaiv txoj kev li no, peb yuav tsum nco ntsoov tias lawv muaj cov cuab yeej los mus nthuav tawm. Ntawm chav kawm, qhov no tsis tshwm sim rau txhua tus neeg. Tab sis muaj cov neeg mob uas muaj teeb meem dua tom qab 6 lub hlis lossis ib xyoos.

Qee lub sij hawm cov nasopharyngeal tonsil nce vim yog pluag heredity. Lub propensity rau overgrowth ntawm no caj pas yog kis tau ntawm cov noob theem. Qee tus me nyuam yug nrog lub nplhaib tsis muaj zog ntawm Valdeier. Nws muaj xws li lingual, tubal tonsils, thiab qog thiab adenoids.

Qee cov kws kho mob ntseeg hais tias txoj haujlwm yog nyob ntawm koj xaiv. Lawv muab lawv cov kev xaiv rau kev kho cov adenoids ntawm qib 3 hauv tus menyuam. Raws li txoj cai, txoj kev kho mob, qhia kev tua ntawm kev mob thiab yuav txo tau kev mob nkeeg.

Kev loj hlob ntawm nasopharyngeal tonsils yog qhov teeb meem me nyuam yaus tshwj xeeb. Hauv feem coob ntawm cov neeg laus no qhov hnyuv raug. Tom qab tag nrho, los ntawm lub hnub nyoog 12 xyoos, adenoids pib txo.

Txhaj tshuaj kho

Ua ntej yuav kom tshem tawm cov adenoids ntawm qib 3 hauv cov menyuam yaus, cov kws kho mob uas tsim nyog yuav muab rau cov niam txiv txog kev tshem tawm cov ntshav thiab txo qhov mob. Qee zaum, lawv tuaj yeem pab daws qhov teeb meem tsis muaj kev phais.

Tus kws kho mob sau cov vas ntshav plawv, uas yuav tsum tau siv 5-7 hnub. Haum "Naftizin", "Ephedrine", "Sanorin", "Galazolin" thiab lwm cov menyuam xaiv. Tom qab instillation, nws yuav tsum tau yaug qhov ntswg qhov ntswg. Qhov no yuav ua tau nrog kev pab los ntawm kev daws teeb meem tshwj xeeb antiseptic, xws li "Furacilin" lossis "Ntses ntses". Tsis txhob muab tshuaj yaug nrog dej.

Ib txhij nrog instillation thiab ntxuav, ib qho kev kho mob. Nws yuav tsum tau tswj ntawm kev txhawb nqa kev tiv thaiv. Muab cov neeg ua haujlwm txhawb nqa, cov vitamins, immunostimulants thiab antihistamines. Yuav tsum tau noj tshuaj Antiallergic yog tias adenoids qib 3 hauv cov menyuam raug kuaj. Kev kho mob yog qhov tsim nyog vim qhov tseeb tias kev tsis haum tshua yog ib qho tseem ceeb ntawm kev pib ntawm kev hloov cov qoob loo ntawm cov tonsils no.

Physiotherapy muab cov txiaj ntsig zoo. Pib yog kvartsevanie nasopharyngeal kab noj hniav, Helium-neon laser txoj kev kho, UHF thiab electrophoresis dimedrola tshuaj, poov tshuaj iodide.

Kev kho mob phais

Ntau tus kws kho mob, pom cov adenoids ntawm qib 3 hauv tus me nyuam muaj 3 xyoos, xa nws tam sim ntawd rau kev phais. Tab sis nws yog qhia nyob rau hauv cov ntaub ntawv ntawm unsuccessful sim ntawm conservative kev kho mob. Tsis tas li ntawd tshem cov cov tonsils no thaum:

- ua pa ntawm lub qhov ntswg yog qhov nyuaj lossis yuav luag tsis yooj yim;

- tus me nyuam muaj mob khaub thuas los yog muaj kab mob kis mob, nrog rau tonsillitis, tonsillitis, mob ntsws o, mob ntsws oob;

- muaj teeb meem tshwm sim hauv lub txiaj ntsim ntawm kev ua kom muaj hnub nyoog (yog hu ua sinusitis);

- Muaj qeeb thiab qeeb ua pa thaum pw tsaug zog.

Ua ntej kev khiav hauj lwm, nws yog ib qhov tsim nyog yuav tsum tau nres txoj kev mob siab, yog tias koj yuav tsis muaj peev xwm tshem tawm tag nrho lub hom phiaj ntawm tus kab mob.

Txoj kev tshem tawm

Kev kho phais tuaj yeem ua tau rau tus neeg mob sab nrauv (hauv ib lub chaw kuaj mob) lossis hauv tsev kho mob. Txoj haujlwm yog ua raws li hauv zos lossis tshuaj loog. Nws tsis pub tshaj 20 feeb, thiab cov txheej txheem txiav cov ntaub so ntswg yuav siv li 3 feeb. Ib lub lag luam yog ua nrog Beckman's adenotome. Qhov no tshwj xeeb riam, ua nyob rau hauv daim ntawv ntawm ib lub nplhaib, uas captures cov ntaub so ntswg ntawm nasopharyngeal tonsils. Nws raug txiav tawm hauv ib lub suab.

Thaum lub sijhawm ua haujlwm, tus menyuam yuav tsum zaum nrog nws lub taub hau muab pov tseg. Nws tuav los ntawm tus kws ntsuas mob, nyem me ntsis ntawm saum toj no kom tus neeg mob tsis muaj lub sijhawm los sawv. Lub qhov ntswg yog kaw nrog paj rwb.

Adenot Beckman yog txhaj rau hauv lub pharynx. Nws raug thawb kom siab mus txog qhov chaw nres thiab cov ntaub ntuag hla tawm nrog lub zog khiav nrawm. Tom qab ntawd, cov paj rwb yuav tsum npog cov qhov ntawm lub qhov ntswg. Tom qab tshem tawm, tus neeg mob yuav tsum tshuab nws lub qhov ntswg thiab ua pa ntawm nws lub qhov ntswg nrog lub qhov ncauj kaw.

Tab sis qhov no tsis yog qhov kev xaiv ntawm kev kho kab mob hauv cov qib 3 ntawm tus me nyuam. Ib txoj kev lag luam niaj hnub yog qhov kev tshem tawm qhov kawg. Xws li ua haujlwm hauv kev tswj xyuas pom kev, tus kws kho mob tuaj yeem xav txog qhov chaw ntawm cov adenoids thiab tshem tawm tag nrho.

Txoj kev haiv neeg

Ntxiv nrog rau kev kho kev txuag thiab phais mob, tseem muaj lwm txoj kev kho mob. Muaj ntau tus niam txiv ntog mus rau hauv cov pa ntawm qhov ntswg qhov sib tov ntawm 2 qhov chaw ntawm beet kua txiv thiab 1 feem ntawm zib mu. Rau 2-3 lub lis piam nws yog ib qhov tsim nyog yuav tau khawb hauv 5 tee ntau zaus ib hnub.

Koj tseem tuaj yeem siv kua txiv piam thaj. Tab sis qhov kev kho mob no yuav tsum kav ntev ntau lub hlis. Nws yog txaus kom khawb hauv 2-3 tee peb zaug ib hnub twg. Muaj coob tus pom zoo tias gargling nrog ib tug Txoj kev lis ntshav ntawm eucalyptus nplooj. Qhov no yuav tsum tau ua 3 zaug ib hnub rau 6 lub hlis.

Muaj lwm hom kev tsim tawm los ua kom cov nqaij mos ntawm cov pob txha o tuaj. Koj muaj peev xwm drip hiav txwv buckthorn, eucalyptus roj los yog infusion, npaj los ntawm birch nplooj.