Adenoides of the third degree in children: treatment with traditional and folk remedies. Surgery

Practically 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 various toxins, bacteria, allergens, microbes and trigger a defense mechanism.

Classification of problems

Inflammation of adenoids specialists call 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 can say that the child has adenoids:

- 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.

With their increase, the accompanying problems also develop. Thus, adenoids of grade 3 in children cause difficulty in breathing, the hearing is noticeably worse. 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.

Symptoms 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:

- shortness of nasal breathing, the child breathes mainly with the mouth;

- protracted rhinitis;

- deterioration of sleep, snoring is heard;

- the appearance of nasal;

- indistinct speech;

- hearing loss;

- apathy, fast fatigue, lethargy;

- complaints of a headache.

Noticing one or more symptoms, it is desirable to show the child LOR. This doctor can establish an accurate diagnosis and, if necessary, prescribe a treatment.

Diagnosis of the disease

A routine visual examination is not enough to understand that adenoids are 3 degrees 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 ordinary polyclinics, as a rule, it is recommended to do roentgenography. With the help of this method, you can visualize the increase in 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.

Back rhinoscopy, which is carried out with a fibroscope and a nasal mirror, children almost do not. Although this method is considered harmless and informative.

Modern survey methods

To establish an accurate diagnosis and determine the degree of increase in nasopharyngeal tonsil can be done 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.

To carry it out, a small tube is inserted into the nasal cavity, at the end of which a 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 an absolutely useless formation, which is best removed. But they are not quite right. Of course, if a diagnosis is made of "adenoids of grade 3" in children, the doctor will recommend that they be removed. But in a number of cases, you can try to get rid of the problem with conservative methods.

Often, adenoids begin to expand against the background of persistent infectious diseases. They are part of the local immunity. The 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 the work of local immunity

Of course, excessively enlarged adenoids of the third degree in children can no longer fulfill their purpose. The outflow of lymph is disturbed, glandular tissues grow, and the inflammatory process practically does not subside.

In this case, adenoids can no longer be a barrier to bacteria. Mucus in the nasal cavity begins to linger because of malfunctions in the mucociliary apparatus. And in fact with it the significant part of the got microorganisms, dust particles, potential allergens is deduced.

Adenoids of the third degree in the child contribute to the fact that pathological microorganisms are delayed in the nasopharynx. In this case, local immunity is already suppressed by a constant inflammatory process. This is the main reason for the increased likelihood of developing the disease. 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

As a rule, most adenoids of grade 3 in children are recommended by most otolaryngologists. But choosing such a path, we must remember that they have the property to expand. Of course, this does not happen to everyone. But there are patients who have problems again after six months or a year.

Sometimes the nasopharyngeal tonsil increases 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 growth 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.

Conservative therapy

Before recommending to remove adenoids of grade 3 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, which must be used 5-7 days. Suitable "Naftizin", "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 diphenhydramine, potassium iodide are considered effective.

Surgery

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 those cases when:

- 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 you will not be able to remove the entire focus of infection.

Deletion 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 Beckman's adenotome. This 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 must sit with his head thrown back. She is held by the nurse, squeezing slightly from above so that the patient does not have an opportunity to rise. The nostrils are closed with cotton.

Adenot Beckman is injected into the pharynx. It is pushed upwards to the stop and the fabric is cut off 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.

Folk methods

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. This should be done 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.