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Familiar situation: the child is having difficulty breathing, breathing at night, and hearing is worse. It is constantly snotty. What about almonds: take it out or leave it out? When is it justified?
If it's too bigModerate growth of the tonsils in infancy and then regurgitation in adolescence - a natural process. The removal of a healthy throat tonsil (tonsillectomy) is only necessary in rare cases where the mucous membrane is enlarged so much that the two tonsils collapse and therefore inhibits breathing. Due to the difficulty breathing, the child sleeps poorly, gets tired during the day, and this condition can cause developmental delays.
Enlargement of the nasal tonsil causes more problems. This organ is located in the nasal cavity and is not normally seen in the throat. In small children, even if the diameter of the upper respiratory tract is too narrow, too large a nasal tonsil (adenoid vegetation) can quickly cause symptoms by blocking nasal breathing and ventricular ventilation.
The "adenoid" child has a characteristic facial expression: his mouth is wide open, his facial muscles soft. Enlarged nasal tonsils can also cause hearing loss because they block the lining of the lining and, due to changed pressure conditions, collapse of fluid in the tympanic membrane. This fluid can become infectious, causing acute or chronic otitis media.
Bad hearing inhibits the child's speech development. As the ventilation of the nasal thoracic caverns is insecure, facial inflammation is common and can cause recurrent infections that are difficult to cure, inflammation of the tonsils, and inflammation of the epidermis.
In these cases, removal of the nasal tonsil (adenotomy) is warranted. The majority of corns will preserve the age of the operation as much as possible. In younger children, it is only in the case of a febrile cold that the operation is carried out, in a barren state.
The removal of the nasal tonsil generally results in significant improvement. It often happens that only the nasal tonsil is removed in order to reduce or even eliminate the throat inflammation, and the significantly enlarged throat tonsil to regain its healthy size.
After nasal tonsillitis, the nasal passages, facial areas, and mid-ventricle ventilation are restored, reducing the number of "top-down" infections. For this reason, many babies will at first make the child less nasal tonsillectomy, and only remove the throat tonsils if the adenotomy does not fulfill their expectations.
When should you consult an ear-nose specialist?
If he is often sick
In any case, it should be avoided if an almond perforation develops. Throat tonsils are removed only when the age of three is very justified, and there is a doctor who will wait until the age of six.
Mûtét is due to a puddleOn a summer weekend, Bence, a year-old, began to feel head, throat, hot. His wakefulness has fallen asleep. They tried to wake me up, but they were barely successful, only very little liquid could be dictated. The next day they called a doctor who found inflamed tonsils and referred her to hospital for continued sleep and dehydration. Infusion and antibiotic treatment quickly improved her condition. The tonsils have also been repaired, but it has been found that the infection has spread to the surrounding tissues and developed there.
The operation took place six weeks after hospital care. Bence Bence was the first and only tonsillitis, and intervention could not be avoided. Because of the defective position of the tonsil, the pelvis cannot completely escape, and may explode again at any time. It is only after surgery that there is a chance of complete healing.
How is mыtét done?
When the medicine works, the anesthetic doctor places a bran in the vein in one operation so that you don't have to filter the little patient multiple times - this is how you will get the medicine. The anesthesia is infused and masked. A tube (tube) is inserted into the mouth, which ensures breathing during anesthesia and completely closes the airway in front of the blood. Nasal tonsil is nowadays not as "blind" as it is in old age. The doctor uses a special instrument to see the exact size of the tonsil through the endoscope and to make sure that it does not obstruct the larynx.
After removing the tonsils, wait for the awakening phase in the body until the icing is deep and even. Then the little patient goes to the waking room - or, if there is none, to the ward. Even after waking up, you can still get painkillers after waking up. You can drink liquid during the day, eat ice cream every day, and eat whatever poppy you want.
After swelling of the throat, swallowing can still be very painful, so for eight to ten days, we recommend consuming mainly pappy or lightly tangible food. From most hospitals, one can go home on the second day after surgery. After a week, a review is required. In nursery school ten days after the operation, the seedling can go, but after two weeks you can exercise and jump. Three weeks after nasal tonsillitis, a hearing test is performed to determine whether further intervention is needed.
Talk about it about a week or two before the expected date, but never scare it. Let's just say they don't do anything painful at the moment, and they give you a fur doctor before you go. Before school, we absolutely need to lie in the church together. It is important to stay calm when waking up, because if you wake up, you will definitely stick the panic in your baby.
- My older son was not anesthetized with almonds yet, he was just being witched. So it was faster. What do you need to anesthetize now?
Anesthesia makes interventions safer, allows time to accurately determine the size of the operating area, and prevents blood from reaching the airways.
- I heard that after the awakening, the kid could have a croup seizure. Can't this be somehow avoided?
This is a rare occurrence, which can occur if the tip of the tube is damaged and the mucous membrane of the mucosa swells when the tube is inserted. It is important that you have a competent anesthesiologist in your child's bed.
- Why can't you go home soon after the surgery?
On the first day, bleeding and vomiting are not uncommon and can only be safely dealt with under hospital conditions. "Overnight surgery" is unsafe for children with tonsillectomy.
- What does "almonds" mean?
Lymphatic elements remaining in the surgical area begin to proliferate and develop new tissue that works just like the original - and, unfortunately, usually causes the same symptoms. The throat is housed in a holster, so it's easy to remove it completely.
The nasal tonsil, on the other hand, does not have a lining, and there may be some fragments prone to reproduction. The chance of using the endoscope is low. The older the child is, the less currency is used to make the almonds "come back". It may be necessary to remove the "returned" almonds again.
- Why is the nasal tonsil removed automatically when it is really only necessary to remove the throat?
If the throat disappears, all the mucous membranes will remain on the nasal passages, which will almost certainly cause the nose to become enlarged. It is also true that the nasopharynx is also predominantly affected by the throat, although the reverse is not always the case.
- What do AST and CRP shortcuts in the report mean?
AST is the antistreptolysin titer. High AST values are indicative of multiple series Streptococcus infections. The CRP level test is used to detect the presence of a bacterial infection.
- What is the potential danger of an unreasonable almond?
Almonds play an important role in preventing and controlling infections. The child with tonsillitis and facial inflammation may have had infections with tonsillitis and pneumonia after tonsillitis.
Specialist: Dr. Csaba Réti, Chief Physician of the Reformed Church Bethesda Children's Hospital