Violation of nasal breathing in children - adenoids: symptoms. We treat adenoids in children correctly without surgery

One of the most common diseases of the ENT organs that occur in children can be called adenoids. How to treat the pathology of the nasopharyngeal tonsils at home, if they are simply not noticed with the naked eye? Indeed, without consultations and regular monitoring by a specialist, the disease cannot be overcome.

On average, the age of patients susceptible to this disease ranges from 1-15 years. At the same time, children of kindergarten age are most often brought to the doctor with inflamed tonsils, and over the past ten years there has been a tendency to diagnose the disease in children under three years old.

Adenoids: a disease or a norm?

Before you understand how to treat adenoids in a child, you should pay attention to the various causes of this condition, which, in fact, cannot be called a disease. Many do not know, but adenoids and tonsils are the same organs that perform immune functions. As "guards" standing at the entrance to the respiratory tract, they prevent pathogens or harmful substances from entering the lungs. Enlargement of the tonsils is a local response of the body, which defends itself against the attacks of pathogenic viruses, bacteria, exhaust gases, chemical compounds in the air, etc. This is not a pathology, on the contrary, the development of adenoids is an indicator of the normal functioning of the immune system. In addition, in childhood (up to about 7 years), the activity of the tonsils is increased, which also should not cause serious worries.

Causes and symptoms of adenoiditis

However, not all parents have to deal with this phenomenon and learn how to treat adenoids in babies. Children who suffer from frequently enlarged tonsils in most cases have a genetic predisposition to the disease or constitutional features of the nasopharynx. And since the disease proceeds with minimal severity, or even its absence, the appeal to the doctor is postponed indefinitely. Enlarged tonsils do not cause an increase in body temperature, cough and runny nose may also be absent. With the development of adenoids, the child will feel discomfort during swallowing. But the problem with diagnosing pathology lies in the fact that children of early preschool age, who are at the highest risk of the disease, are not able to recognize the symptoms in themselves and report them to their parents. It is necessary to show the child to a doctor who will tell you if there is a problem and how to treat adenoids correctly with the following signs:

  • the baby has difficulty breathing through the nose;
  • most often his mouth is open, especially during sleep;
  • the absence of a runny nose or, conversely, a long, untreated rhinitis.

It is quite logical to ask why, then, to treat adenoids, if their increase is a normal protective reaction of the body. In the tonsils, lymphocytes, which are so necessary for the destruction of microbes, are produced. But the need to treat adenoids, as a rule, is caused by their intense growth, which can cause serious discomfort to the child. In advanced cases, when enlarged tissues close the lumen of the nasopharynx, children may develop hearing, breathing, and swallowing disorders. In the absence of adequate therapeutic measures, adenoid vegetation threatens the child with bite deformity, changes in the shape of the face, the development of speech with defects, and even changes in the chemical composition of the blood.

Surgery to remove adenoids: indications and contraindications

How to treat adenoids in a child 3, 7 or 15 years old? In all cases, there are only two options: surgically with the third degree of the disease or non-surgical. Adenoids in the early stages are treated with medication.

Removal of adenoids causes fear not only in children, but also in parents. In any case, the decision on the intervention of the surgeon should be made by the attending physician. Most often, adenotomy is resorted to when the life of a child with overgrown formations is problematic. In the chronic form of the disease (adenoiditis), on the contrary, it is recommended to treat adenoids without surgery. As a rule, indications for the removal of enlarged tonsils are frequent acute respiratory viral infections, otitis, relapses of the inflammatory process in the nasopharynx (at least 1 time in three months). The operation can become a non-alternative option even with the ineffectiveness of conservative treatment, serious violations of nasal breathing, up to its stop during sleep.

In addition, before treating adenoids in a child surgically, it is important to make sure that there are no contraindications. Adenotomy is not performed in the case of:

  • the presence in the childhood history of diseases of the blood and the cardiovascular system;
  • a cold or respiratory illness;
  • the spread of an influenza epidemic.

In addition, the removal of inflamed tonsils cannot prevent the re-growth of adenoid tissue. To start a relapse, the smallest insignificant part of the part of the adenoid left by the surgeon is enough. After removal of tissues in the nasopharynx, the likelihood of bleeding increases, therefore, within a few days after the intervention, it is important to limit the motor activity of a small patient, to minimize his exposure to the sun, in a stuffy room.

Before treating adenoids in a child at home, it is necessary to consult a doctor. The specialist should systematically examine the patient in order to monitor the implementation of medical prescriptions. There are many ways to deal with adenoiditis in children without surgery. The following are the most popular and effective.

What is the best way to rinse your nose?

Regardless of the degree of the disease, it is important to regularly rinse and moisten the nasal passages. Performing this procedure makes it easier to breathe, but it can be done no more than 4-5 times during the day. To wash the nose of a child, saline solutions are used, which are sold at a pharmacy or prepared at home on their own. The cooking scheme is elementary: 1 teaspoon of sea or common salt per 1 cup of warm boiled water. However, for the treatment of a child, pharmacy nasal remedies are more preferable. Their advantages:

  • one hundred percent sterility;
  • correct concentration (to treat nasal adenoids in a child, as a rule, 0.67% saline solutions are used - it is impossible to maintain such a proportion at home).

Among the drugs that are successfully used in the treatment of adenoids in children, it is worth noting:

  • "Aquamaris".
  • Aqualor.
  • "Salin".
  • "Humer".
  • Saline.

Tips for flushing the nasal passages with a syringe or syringe are completely wrong. It is impossible to listen to them if parents do not want to increase the risk of developing otitis media. That is why it is not recommended to wash the nose of children under 7 years of age with such devices.

It is advisable for infants and babies up to three years of age to moisten the mucous membrane with a saline solution by drip. After three to four years, priority should be given to drugs in the form of a spray. Only when the child learns to independently blow out the mucus from the nose, for more effective washing, you can use the Aquamaris or Dolphin systems.

Vasoconstrictors and antibiotics

With enlarged tonsils of the second degree, the use of vasoconstrictor drugs is added to moisturizing the mucous membrane and washing the nose, which will restore full breathing and eliminate swelling. Among the many drugs of this pharmacological group, babies are especially often prescribed:

  • Nazivin.
  • "Rinozolin".
  • "Naphthyzin".
  • "Nazol".
  • "Snoop".

It is worth noting: vasoconstrictor nasal drops and sprays should not be used for longer than 5-7 days. This rule applies not only to the treatment of adenoids, but also to any other diseases of the upper respiratory tract in children and adults. Such drugs are addictive, which can cause the development of chronic rhinitis.

In addition to vasoconstrictor drops, other nasal preparations are also used for adenoids of the second degree (for example, Albucid, which has an effective bacteriostatic effect on the nasopharyngeal mucosa). In case of complications or after surgery to remove the tonsils, patients are prescribed antibiotics of the amoxicillin group:

  • "Augmentin".
  • "Amoxiclav".
  • "Flemoxin".

Preparations for the treatment of adenoids

On a case-by-case basis, doctors may prescribe additional medications and give parents specific advice on how to treat adenoids in children. Komarovsky E. O., a well-known pediatrician, does not advise starting hormonal therapy for adenoids from the first days.

Such drugs have a number of contraindications, and therefore they are prescribed with caution to patients at any age. Most of them contain dexamethasone, which helps to quickly stop the symptoms even with a protracted course of the disease. However, steroid medications are addictive and have side effects. Children are often prescribed "Sofradex" - it is dripped into the nose for 7 days, after which it is recommended to switch to a course of inhalation.

Having enough experience and knowledge on how to treat adenoids in children without surgery, ENT specialists sometimes prescribe the Protargol silver preparation to a child. This tool has been popular among doctors for more than a dozen years. The principle of operation of nasal drops "Protargol" is to dry the surface of the enlarged tonsils and gradually reduce their size. This drug is recommended for use in case of accession of a bacterial infection. Unlike hormonal drops, the duration of the course of treatment with Protargol does not have strict restrictions.

Another remedy that is used to treat adenoids in a child is Lymphomyosot. It is also available in the form of drops, however, unlike the drugs described above, it is used sublingually (i.e., under the tongue) for a certain time before meals. It is not recommended to mix this drug with large amounts of liquid. The dosage depends on the age of the child and the weight of the child.

The use of hydrogen peroxide for inflamed tonsils

There are other ways to treat adenoids in patients of a younger age group. At home, you can use the simplest, but no less effective remedy - hydrogen peroxide. It has an antiseptic, bactericidal and disinfectant effect. To prepare the medicine, you will need other components (baking soda and calendula tincture).

Everything is thoroughly mixed, and the child's nose is dripped with the resulting composition. The procedure is carried out three times a day for 1-2 weeks. By the way, you can replace hydrogen peroxide with Chlorhexidine or Miramistin.

Additional measures in the treatment of the disease

In combination with conservative treatment of adenoids, physiotherapy will give an excellent result. To make breathing easier for the child, a course of procedures is prescribed:

  • laser therapy;
  • electrophoresis.

It is believed that with adenoiditis in children, Crimea and the Caucasus have ideal climatic conditions. An annual stay in these resort regions with the purest mountain air will only benefit the baby. At the same time, we must not forget about dietary restrictions. The diet of babies should be dominated by fresh vegetables, fruits, dairy products. Minimize, and if possible, exclude, preferably pastries and confectionery.

Aromatherapy is another way adenoids are treated for children. Reviews about him are contradictory. The negative effect of the procedure is most often due to the ignorance of parents about the tendency of their child to a particular product. If the baby does not have a pathological reaction to the oils presented below, you can safely bury any of them in the nasal passages. You can verify the safety of treatment using the simplest allergic test (test on the back of the hand). If there is no reaction, then the following essential oils are suitable for therapy:

  • lavender;
  • tea tree;
  • sage;
  • basil.

You can drip your nose with one of the oils or a mixture of them. In the latter case, it is important to make sure that there is no allergy to any of the components.

Learning to breathe through the nose!

For the treatment of adenoids in babies, they resort to massage of the collar zone, which improves blood flow to the vessels and tissues of the nasopharynx. In addition, the ability of the child to breathe correctly plays an equally important role. To teach a child to breathe properly, before a night or daytime sleep, they tie up his lower jaw with an elastic bandage, which will prevent him from opening his mouth and force him to take in air through his nose. You need to do this until the child begins to sleep with his mouth closed without a latch.

Knowing how to treat adenoids at home with the help of medicines, many people forget about breathing exercises. Of course, not all kids can do the exercises. But there is nothing difficult in such training. It is enough just to interest the child, to give the treatment event a playful form, and everything will certainly work out. Before proceeding, the main thing is to clear the child's nose of mucus. The simplest exercises:

  1. We close one nostril, and at this time it is necessary to take 10 deep breaths and exhalations with the free one. Then repeat the procedure, changing half of the nose. It is advisable to engage with the baby in the fresh air.
  2. We also close one nostril, for example, the right one. Free to inhale and hold your breath for a few seconds. Then close the left nostril, and release the right nostril and exhale. Repeat 10 times.

We treat adenoids in children with folk remedies

Alternative medicine is considered no less effective in the fight against adenoiditis. Folk remedies are completely safe for children if they do not contain components to which the child is intolerant. Among the funds that have been actively used for a long time, the most effective are:

  • Sea buckthorn oil. It relieves inflammation and moisturizes the nasopharyngeal mucosa. Before nasal use, it is advisable to warm up a bottle of oil in your hand or in a water bath. Course duration - 10-14 days.
  • Beet juice with honey. The mixture has an antiseptic and drying effect. To prepare the drops, you need the juice of one raw beetroot and a couple of teaspoons of honey, after the complete dissolution of which the product is considered ready for use.
  • Eucalyptus infusion. Helps to restore respiratory function and prevents the reproduction of pathogenic microflora. The infusion is prepared from eucalyptus leaves in the ratio: 2 tbsp. l. raw materials used 300 ml of boiling water. After an hour of infusion and straining, gargle several times during the day.

A specialist will help to make a competent decision about how to treat adenoids, folk or pharmacy remedies. Only with the unquestioning implementation of the recommendations of the ENT doctor will it be possible to save the child from the disease without surgery.

Today we will talk about a disease that is inherent in our children aged 3 to 12 years. These are the adenoids. They bring a lot of trouble and discomfort to both the children themselves and their parents.

The disease, in the early periods, can proceed unnoticed, however, its further progression can cause serious associated diseases, such as bronchitis, tracheitis, rhinitis, sinusitis, pharyngitis, otitis media, bronchial asthma ...

In addition, adenoids or adenoid vegetations can lead to neurological disorders such as frequent headaches, sleep disturbances, enuresis, IRR, speech disorders, and high fatigue. Yes, there are cases when the disease leads to a slowdown in physical and mental development.

The main way to deal with adenoids in advanced stages is surgery. However, before doing it, you should be re-diagnosed by another specialist. Perhaps the diagnosis was made incorrectly, and it is not necessary to operate.

The important point here is that an important organ of the immune system, which guards the health of the body as a whole, is removed. The consequences of surgery can be very negative.

Often, surgery can be avoided by undergoing treatment with Tibetan medicine. It allows you to completely get rid of the disease and from possible relapses. More on that below.

So, how to recognize the disease, we will talk about this later.

Symptoms of adenoids in children.

The main symptoms that help to recognize the disease are the following:

  • Frequent colds
  • Difficult nasal breathing, in the absence of a runny nose
  • Prolonged, refractory runny nose
  • Frequent mucous discharge from the nose
  • Dry cough in the morning
  • Sleep problems, snoring and sniffling
  • Headache
  • Hearing loss
  • Momentary cessation of breathing during sleep
  • Violation of concentration
  • lethargy
  • Voice loses its sound

It is worth noting that the disease develops slowly and goes through several stages. Unfortunately, parents notice that a child has deviations in the development of adenoids only when difficulty or lack of nasal breathing is pronounced.

Modern medicine distinguishes 3 stages or degrees of development of the disease. At the first stage, the child's adenoids are small, breathing is free, breathing difficulties are felt mainly at night. The child sleeps with his mouth open.

At the second stage, the child's adenoids are already significantly enlarged, the child breathes through the nose all the time and snores at night.

In the third stage, the adenoids in a child completely or almost completely cover the nasopharynx. The child does not sleep well, does not get enough sleep, gets tired quickly, attention is scattered. He has to constantly breathe through his mouth. A chronic runny nose develops, the voice becomes nasal.

At the first symptoms, and preferably on a regular basis, conduct a diagnostic examination of your child by a specialist. This will allow, in the event of a disease, to prevent its progression in the early stages.

Causes of adenoids.

Adenoid disease is an inflammatory process of a chronic nature associated with the growth of the lymphoid tissue of the nasopharyngeal tonsil.

From the point of view of Tibetan medicine, the main cause of this disease is a violation or imbalance of the constitution "Mucus" in the body. And children with this prevailing constitution are also susceptible to the disease itself.

The Mucus system in the body is responsible for many important functions in the body, such as, for example, the functioning of the lymphatic system, immunity, the functions of the mucous surfaces of the respiratory tract, and others. And its greatest activity falls on children's age, therefore, the violation of its energy state falls on this period.

Factors that cause imbalance and can lead to disease are the following:

  • Frequent infectious and viral diseases
  • hypothermia
  • Prolonged exposure to dampness
  • Unhealthy food
  • Binge eating
  • Lack of physical activity
  • reduced immunity
  • Disorders in the lymphatic and (or) endocrine systems

As a result, mucus stagnation occurs due to an enlarged nasopharyngeal tonsil, which leads to a chronic focus of infections, and in the future can contribute to allergic diseases in children.

How to cure adenoids in children with Tibetan medicine.

The disease we are considering refers to cold diseases and occurs when the “mucus” system in the body is disturbed. Based on this, the task of Tibetan doctors is to restore this balance and "expel" the cold from the body.

For this, complex therapy is used, acting both from the outside and from the inside. Phytopreparations used for internal exposure have anti-inflammatory, immunomodulatory and restorative effects on the body.

"Hot" Tibetan herbs contribute to the removal of accumulated pus and mucus from the body, as well as activate the lymph flow, improve metabolic processes and the state of the nervous system.

Methods of external assistance to the body include self, moxibustion and others. The procedures are prescribed individually, depending on the condition of your child, the stage of the disease, his natural constitution.

External influence, through the above procedures, improves the functioning of the respiratory system, eliminates inflammatory processes, normalizes the functioning of the respiratory system, improves the functions of the mucous surfaces of the respiratory tract, and also relieves concomitant diseases.

Finally.

There is nothing superfluous in our body. This is a very smart and well-coordinated mechanism, where every "cog" is in its place. You should not disturb the balance of the body from childhood. In life, this will definitely affect the state of health. Yes, there are advanced situations when it is really impossible to do without the removal of adenoids.

However, is it worth it to do so? Doctors of traditional medicine may advise getting rid of them at different stages of the disease, but why get rid of the protective mechanism on the way bacteria enter the body when you can help it cope with the disease and recover.

Think about your children and grandchildren. This is our future. Do not condemn them to permanent chronic diseases. Seek help from Tibetan medicine. Get diagnosed and keep your kids healthy.

Health to you and your younger generation!

Surely, most of the parents sooner or later faced with the problem of adenoids in children. The child is difficult to tolerate the disease, especially if the disease has passed into a neglected state. One of the main symptoms is difficulty in nasal breathing. How to help the child in this case, how to ease breathing with adenoids?

Due to the lack of full nasal breathing, the baby's sleep is disturbed. Also, this condition adversely affects the overall development of the young organism and the work of internal organs in particular.

Function of the adenoids

The main task of the adenoids in the body is to protect and filter from infections that can enter through the inhaled air. In the absence of any disease, the tonsils are small. However, with the penetration of viruses or bacteria, the lymphatic tissue begins to gradually grow, which negatively affects the child's immunity.

Frequent bacterial and viral diseases "force" the baby's immunity to work in an active mode, provoking an increase in adenoids.

At an older age, the lymphatic tissue from which the adenoids are represented produces fewer lymphocytes. In this regard, the size of the tonsils gradually decreases. Most often, in adolescence, the adenoids in the nose atrophy due to their uselessness.

But there are also situations when the adenoids themselves are to blame for the baby’s poor health, which have grown to such a size that nasal breathing becomes almost impossible. It is during this period that various complications develop.

Symptoms of inflammation

Most parents have encountered the problem of inflammation of the lymphatic tissue in the nose of a child, just not everyone knows about adenoids. Therefore, the worsened state of his child does not in any way connect with hypertrophy of the tonsils.

Pathology may not show any signs for quite a long time, since you can see the enlarged tissue only with the help of a special mirror. The examination should be carried out by a specialist - an otolaryngologist. Before seeking help from a specialist, you need to know about the set of symptoms that may alert.

The following signs may indicate an inflammatory process:

  • Difficulty in nasal breathing is the main symptom. Parents should notice that their child is often with their mouth open, especially during active play. A full sleep is disturbed, the child does not sleep well, there is snoring. The danger of this symptom lies in the possible development of obstructive sleep apnea (sudden breath holding during sleep). Due to the lack of oxygen, the baby may often have nightmares.
  • Frequent runny nose, reflex cough. Due to the increase in lymphatic tissue, stagnation of blood in the soft tissues can occur, which provokes frequent colds. Cough is caused by the fact that, flowing down the nasopharynx, mucus irritates the larynx, tormenting the child with a constant cough. This is especially noticeable in the morning, when the mucus accumulated during the night begins to drain when the body wakes up.
  • Hyperemia of the sky. This symptom can be seen with the naked eye. Most often, hyperemia is accompanied by pain in the process of swallowing.
  • Frequent headaches that lead the child to irritability, lethargy. Due to the lack of oxygen, memory deteriorates, which negatively affects school performance. The child develops chronic fatigue.

Parents do not always notice the development of the disease in a timely manner and start it. The disease can turn into a chronic form, which can lead to structural changes in the skull, namely, the lower jaw begins to protrude forward, slightly narrowing. Also, due to inferior nasal breathing (not full chest), chest pathology may occur. This condition is characterized by the degeneration of the ribs into the shape of a triangular hill. The so-called "keel-shaped chest" is formed.

Methods that can make breathing easier

Rinsing your nose will help get rid of accumulated mucus.

In order to facilitate the breathing of a child through the nose, there are several methods of drug and non-drug nature:

  • nasal lavage and sinus cleansing;
  • medications;
  • nose massage;
  • breathing exercises.

Of course, in the case of severe hypertrophy of the tonsils, the above measures may be completely powerless. However, in the early stages of the disease, these methods will help the child breathe fully.

Nasal lavage

In the process of enlargement of the adenoids, the child develops hyperventilation, which, in turn, provokes more mucus secretion. The accumulated mucus interferes with normal breathing through the nose. The procedure for washing the nose is very good to get rid of accumulated mucus.

You can rinse the nasal passages with a saline solution, as well as decoctions based on medicinal herbs. If you doubt the effectiveness of traditional medicine, you can purchase a solution at any pharmacy.

Recipe for washing: you need to take the leaves of mint, chamomile and eucalyptus in equal amounts, pour boiling water and leave for 40-50 minutes. Then the infusion must be filtered, cooled and can be used for its intended purpose. In the same way, you can prepare an infusion of horsetail, which will help relieve swelling and irritation.

Medications

The modern pharmaceutical industry offers a huge selection of vasoconstrictor drugs that will help relieve inflammation and ease the child's nasal breathing. According to experts, the following intranasal preparations showed the best result:

  • Protargol;
  • Avamis;
  • Otrivin;
  • Polydex;
  • Nasonex.

These drugs, in addition to the vasoconstrictor effect, have an antiseptic and anti-inflammatory effect. It is worth noting that each drug has certain conditions for use, frequency and dosage. Only the attending physician can prescribe this or that drug.

Breathing relief massage

The next method that can improve nasal breathing is nasal massage. Massage techniques will help improve blood flow, as well as eliminate swelling.

Massage technique:

  1. With light circular movements, we begin to gently massage the wings of the nose.
  2. Above the upper lip, in the dimple, massage the area with translational movements for one minute.
  3. Slight pinching at the tip of the nose.
  4. The next massage zone, which should be gently massaged for 2 minutes, is biologically active points at the outer corner of the eye.
  5. The final action is the smooth massaging of the point between the baby's eyebrows.

This massage is recommended to be performed 3-4 times a day. Be careful if the child has a high body temperature, a purulent process develops and the child simply feels unwell, it is worth postponing the massage for another day.

Breathing exercises

Systematic breathing exercises can improve nasal breathing. To date, there are many different techniques based on a particular teaching. The most popular methods are according to Strelnikov, Buteyko.

The main breathing exercises that will help improve the well-being of the child:

  1. The child covers one nostril with his finger, and the second begins to breathe deeply. Then he closes another.
  2. The child is asked to breathe deeply through the nose, while turning the head to the sides.
  3. The kid needs to stretch his arms in front of him and bend forward for one, two or three, while exhaling noisily.
  4. The child needs to gently inhale air through the nose and inflate the stomach like a balloon. Then exhale slowly.

To arouse your child's interest in doing breathing exercises, do the exercises with your children. After gymnastics, breathe through your nose calmly.

There are many ways to help your child breathe easier. However, each parent chooses the appropriate method specifically for their baby. You can watch various videos on how to do breathing exercises correctly. On the Internet, you can find material on the proper care of the baby after the operation to remove the adenoids.

Adenoids in a child

The immune system in children is not as developed as in an adult, and sometimes is not able to cope with the protective functions of the body when attacked by viruses and infections. Due to this feature, children get ARVI and other diseases of viral etiology much more often and, as a rule, with complications. But unlike an adult, a child has a special, hidden protection that prevents bacteria and other "evil" from entering through the nasopharynx - these are adenoids or nasopharyngeal tonsils. Adenoids in a child are located on the mucous membrane of the nasopharynx behind the tongue hanging from the sky and are convex tonsils, consisting of lymphatic tissue. The most susceptible to inflammation of the lymphatic tissue of the tonsils are children aged 3-12 years, with age, the risk of enlarged adenoids decreases and gradually disappears.

Why does a child need adenoids?

The main function that adenoids perform is protection against infection that has penetrated with inhaled air. In the normal state, the tonsils are small, but in the presence of viruses and bacteria in the body, the lymphatic tissue that makes up the adenoids grows and doubles in size, thus, the immune system responds to the threat.

Frequent attacks of viruses and bacteria make the child's immune system work in an increased mode, which is the reason for the fact that adenoids in a child are much larger than in an adult. With age, the need for tonsils is reduced, and the lymphatic tissue stops secreting lymphocytes in such quantities, and at the same time, its size decreases. In some cases, the adenoids in the nose of adolescents atrophy because they are not needed.

But it also happens that the adenoids themselves become the cause of a deterioration in well-being, enlarged to sizes that make nasal breathing difficult, which leads to various complications.

Why does inflammation of the adenoids occur in children?

As already mentioned, the lymphatic tissue that makes up the nasopharyngeal tonsils increases in size if there is a need to stop the virus or bacteria that has entered the nasopharynx, after the baby has recovered, the size of the tonsils returns to normal. With frequent respiratory diseases, the adenoids in the child's nose do not have time to take on their original size and often become a target for the development of infection themselves. Inflammation of the adenoids occurs due to the impact of infections on their mucosa, the concomitant factors against which this process can develop are:

  • Susceptibility of the child to frequent episodes of infectious diseases affecting the upper respiratory tract - influenza, colds, tonsillitis.
  • Complications against the background of a child suffering from measles, diphtheria and whooping cough.
  • Immunity weakened by antibiotics.
  • Hereditary factors affecting the structural disorders of the lymphatic tissue.
  • The general unfavorable environment for the child: polluted air, poor quality water, malnutrition.
  • The transfer of infectious diseases by the mother and the use of antibiotics during the period of gestation in the first semester of pregnancy.

Hypertrophy of the adenoids, followed by an inflammatory process against the background of infections of the nasopharynx, is called adenoiditis.

Symptoms of inflammation of the adenoids and possible complications

Many parents, not encountering such problems in childhood, simply do not know what adenoids are, and therefore do not associate the deterioration of the child's condition with their hypertrophy. The disease has no external manifestations for a long time, since adenoids can be seen only with the help of a special tool - a mirror. Adenoiditis in children can be diagnosed during examination by an otolaryngologist, but before going to the doctor's office, parents should be alerted by a combination of symptoms indicating that something is wrong with the baby's nasopharynx.

Inflamed adenoids have the following symptoms:

  • Difficulty breathing through the nose. The baby often opens his mouth when playing active games or when concentration is required. The child's sleep is also disturbed by breathing problems, there is snoring. The seriousness of this condition lies in the fact that obstructive sleep apnea (holding the breath during sleep) can develop, the child does not have enough oxygen, often nightmares suffocate him in his dreams.
  • Prolonged presence of the tonsils in an enlarged state provokes stagnation of blood in the vessels of the soft tissues, which leads to frequent runny nose, and reflex cough that occurs when nasal mucus flows into the nasopharynx and irritation of the soft tissues of the larynx. Basically, the cough torments the child in the morning, because the throat is irritated by the mucus accumulated during the night.
  • Hyperemia of the palate is accompanied by pain during swallowing.
  • The child often has a headache, memory worsens, lack of oxygen can affect academic performance and lead to chronic fatigue.

There are frequent cases of otitis media and hearing impairment, because it is not possible to determine adenoids in a child immediately, hypertrophied tonsil tissues create pressure on the auditory tubes and lead to inflammation of the Eustachian tube.

In the chronic form of adenoiditis and the absence of treatment in a child, the structure of the skull may change, the lower jaw narrows and protrudes slightly forward. Difficulty breathing not on a full chest leads to a pathology of chest development, which manifests itself outwardly as a "keeled chest" - the degeneration of cartilage and ribs in the form of a triangular elevation.

Diagnosis of adenoids

It is impossible to determine the disease on your own without knowing what the adenoids look like. If the child has symptoms, it is necessary to come for an examination to a specialist. In addition to a visual examination during which the doctor takes smears from the nasopharynx to determine the degree of damage to the lymphatic tissue, an x-ray of the nasopharynx is prescribed, which will show the adenoids and the degree of their hypertrophy. Additional blood tests will show the number of lymphocytes in the plasma.

Hardware diagnostics can be carried out using an endoscope.

Degrees of hypertrophy of the tonsils

Hypertrophy of the nasopharyngeal tonsils has three degrees of severity corresponding to the size of the adenoids and the consequences that such a pathology can lead to. Depending on the degree of adenoiditis, treatment is prescribed.

  • Adenoids of the 1st degree - in the picture, the radiologist can see the overlap of the posterior lumen with tonsils by 1/3, which leads to chronic rhinitis and difficulty breathing at night. In this case, the operation is out of the question, to wash the nasopharynx and relieve inflammation, protargol is used for adenoids. The silver ions included in it also have a bactericidal effect that reduces the amount of infection in the nasopharynx, and the vasoconstrictive abilities of these drops make breathing easier.
  • Adenoids of the 2nd degree - the overlap of the lumen of the nasopharynx by a little more than half, while breathing through the mouth, snoring and sleep apnea are observed. Over time, the shape of the jaw may change in the child, the voice changes like with a runny nose. Treatment in this case is also carried out conservatively with the use of anti-inflammatory and antibacterial agents. Among corticosteroids that relieve inflammation, Avamys has proven itself well in adenoids, it is prescribed to children over 6 years old and only for a short period of time to alleviate the patient's condition. Children of younger preschool age are prescribed nasonex for adenoids, which, in addition to the anti-inflammatory effect, significantly reduces the release of escudate and is hypoallergenic.
  • Adenoids of the 3rd degree in children - closing the lumen by 98%, while the child has the opportunity to breathe only through the mouth, which significantly affects the supply of oxygen to the lungs and leads to oxygen starvation, decreased brain activity, anemia, as well as other pathological changes. In this case, an operation to remove the tonsils is indicated - adenotomy.

In Europe, it is customary to separate the condition in which the lumen of the nasal passages closes, fully calling it the 4th degree of adenoiditis.

How to make breathing easier with adenoids?

With hypertrophy of the adenoids in children, hyperventilation occurs, which leads to increased secretion of mucus, which does not at all contribute to the normal breathing of the baby through the nose. To eliminate excess mucus, the nasal passages are washed with saline solutions and folk remedies based on herbs. So eucalyptus leaves, peppermint and chamomile in equal amounts are poured with boiling water and insisted for about an hour. Then the infusion is filtered, cooled, and the nose is washed with adenoids. They also use infusions of horsetail that relieve puffiness and thin the mucus.

The unique Buteyko method for adenoids helps to remove excess mucus, normalize nasal breathing, relieve swelling and much more. With its help, many managed to cure adenoids without surgery. The essence of the method is to increase the depth of inspiration, which leads to the prevention of hyperventilation. Over time, the number of breaths increases, and the amplitude of the breath is brought back to normal, which allows you to breathe so constantly, and not periodically. As a therapeutic technique, Buteyko recommends using some yoga positions during breathing exercises, which stimulate the flow of oxygen with blood to vital organs and normalize the state of the body. Anyone who, after applying the method of therapeutic breathing, got rid of the disease forever, knows firsthand what adenoids are in children and how they can affect the development and functioning of the whole organism as a whole.

onethree.ru

Are your children unable to breathe freely? Maybe it's the adenoids!

Let's start with the fact that it is almost impossible to raise a child and never hear from a doctor "Yes, you have adenoids" - it's almost impossible. A person has not two tonsils, but six. Three of them are very small. The large ones are in the nasopharynx, and the palatine tonsils become inflamed - there are two of them, this is called tonsillitis. The third tonsil is in the middle of the sky and at the top. Right behind your nose. This is what is called adenoids.

You can see them only with a special mirror. If this tonsil is enlarged in the mouth, we will see it; if it is enlarged in the nose, we will hear it. The baby will snore, sniff and talk through the nose.

What are adenoids?

This is part of the lymph of the pharyngeal ring, part of the lymphoid system, since the newborn begins his life with mother's milk, he has a certain formation - lymphoid tissue. And this is a pathological growth of the pharyngeal tonsil. It occurs due to various infections, malnutrition or due to allergies. Breathing through the nasal passage is disturbed, nasality appears, in the most serious cases, inflammation can put pressure on the openings of the auditory tubes and cause hearing loss, sometimes significant.

Where are they located?

They are located on the back wall, next to the nasopharynx. Thus, their increase leads to difficulty breathing. If, upon examination of the patient, it turns out that both nostrils are breathing, then the likelihood that they need to be removed is extremely small! At the time of inspection - they are not large. But there is a high degree of probability that by spring they will increase.

seasonality

In autumn and winter, children go to schools and kindergartens. They become infected with various viral diseases, and with a viral infection, inflammation of the adenoid tissue occurs, this is called acute adenoiditis. With this inflammation, the tonsil increases in size. But, the patient recovered, and he is discharged to school or kindergarten. Although the adenoids have not yet returned to normal. After some time, you again become infected with a viral infection, which in turn further enlarges the amygdala. This is not repeated once. Chronic infections of the nasopharynx occur due to the fact that you are not cured, it becomes infected with a new virus.

After external recovery - no fever, runny nose, cough, good mood and appetite, he should not be discharged to school or kindergarten, but go outside with him.

It is important to breathe fresh air, in which there is no viral infection, to communicate with friends in the fresh air.

Please note that in summer they get sick much less often than in the rest of the year, and this is due to the fact that there is more fresh air, communication with children takes place on the street, all rooms are constantly ventilated. The concentration of viral infection drops sharply. And by September, the inflammation decreases, and becomes within the normal range. But in September, kindergarten and school again. Everything starts over. The appearance of adenoids in children depends on social factors. Parents live and educate their children according to the principle "We'd better remove it, but we'll be excellent students."

Principles of development of adenoids in children

Intensive growth of lymphoid tissue continues up to 6 years of age. Extremely rare up to 7-8 years. Further, they begin to decrease. Doctors are trying to delay removal. If you remove them in 2-3 years, there is no guarantee that they will not begin to grow rapidly again. Lymphoid tissue is able to grow further.

As a rule, children get better and better after six, and parents, usually not understanding the problems, call it "we outgrew the sores."

Prevention

The higher the concentration of viruses in the air (the more dust it contains, the drier, warmer), the greater the load on the immune system. It is necessary to ensure that the mucous membranes of the nose do not dry out. Their timely moisturizing, maintaining the right atmosphere leads to the fact that they have a mild degree, and moderate adenoiditis. But do not forget that you can not overdo it with washings. The result can be a strong drying of the nasopharynx and washing away of a special secret, as well as an excessively strong jet of spray for washing can provoke otitis media.

There are no pills to suppress or cure this lymphatic buildup (unless they are allergic). But prevention can and should be done. Ventilate the room, walk more often and moisten the nasal mucosa.

When is surgery necessary?

The operation is the last measure to deal with them, which should be used only as a last option, and only if there are the following symptoms and indications for removal:

  1. Complete absence of nasal breathing;
  2. Night snoring;
  3. Restless sleep, or insomnia;
  4. Shortness of breath at night;
  5. Hearing impairment;
  6. Recurrent otitis;
  7. Chronic sinusitis;
  8. Deformation of the facial skeleton.

When it was not possible to do without an operation, it is known for certain that there are no medical consequences (except for positive consequences). The only thing to be wary of is if the removal occurred at an early age, they may grow back. Since the lymphoid scan has the ability to recover.

Steps you can take at home

You can help the patient slow down the course of the disease:

  1. A solution of soda and alcohol tincture of propolis. In one glass of boiled water, stir 1/4 teaspoon of baking soda and add 15-20 drops of a 10% propolis solution. Mix all this thoroughly and then wash your nose with this mixture 3-4 times a day;
  2. A decoction of field horseweed. 2 tablespoons of horseradish - put in a container, fill with water and put on fire for 5-7 minutes. Remove from heat and leave for 2-3 hours. With this solution, it is necessary to wash the nasopharynx 2-3 times a day for a week. So you make breathing easier and relieve the inflammatory process.
  3. The use of thuja oil for adenoids in children. With a constant runny nose, the tissue thickens. Nasal congestion is very difficult to treat - thuja is an indispensable drug. Thuja has an antiseptic and immunomodulatory effect. It is necessary to use 15% essential oil (not 100% cosmetic). Its use should be at least 6-7 weeks. Instill 2-3 drops into each nostril and repeat 2-3 times a day, repeat the course in a month. However, be careful, thuja oil causes an allergic reaction in some.

Degrees of adenoids and their treatment

There are several degrees:

  • The first, when there are problems with breathing through the nose, sleeps restlessly at night, as breathing is difficult.
  • The second is when the air obstruction is so strong that snoring appears in a dream, often breathes through the mouth and does not get enough sleep (as a result, he is irritable, tired, lethargic). Mucus that flows down the back of the nasopharynx straight into the throat, causing a slight cough.
  • Third, the complete absence of nasal breathing. The mouth is constantly open, and the mucus that flows down the back wall causes coughing and irritation. In this case, the disease appears frequently and takes a long time, as a rule, with a complication of hearing and complaints of smut pain.

Not all children are susceptible to this disease. More often, it occurs in babies, the so-called "Lymphatics", i.e. who are susceptible to lymphedema. They are easily exposed to a stressful situation, they enter it, and with an increased perception of negative factors, a child develops persistent lymphatic soreness. Throughout the body, but also in particular in the area of ​​​​the nasal passages, since they are subjected to cooling. With the right treatment, you can cope with this problem without resorting to the help of surgeons. Any surgical intervention is a huge stress for the child's body, and the sooner you start solving this problem, the more likely it is to do without surgical intervention.

Incorrect use of various drugs can lead to lymphostasis.

At the initial stage of treatment, it is necessary to restore the reaction of the body, making it correct.

  1. To begin with, with colds, the patient should have a discharge from the nose. If congestion occurs, then there is already a threat. Therefore, it is very important to remove congestion and make the discharge appear. Of the variety of drugs in the pharmacy, only 10% are truly correct and effective. It is necessary to abandon vasoconstrictor drugs.
  2. If it is not possible to relieve congestion, the next step is to start using stronger devices, given that it may be inflammation of the adenoids. At this stage, you can not self-medicate, be sure to consult a doctor.

IMPORTANT! Inflamed adenoid tissues that are not removed, if there are indications for removal, can also affect mental development, as this leads to a decrease in blood supply and prevents oxygen from entering the anterior lobe of the brain.

Reviews from moms

Here are some testimonials from mothers who have tried treatment and prevention at home:

  • “My son is 3.5 years old, for the first time we encountered a diagnosis of adenoids, six months ago. We had severe nasal congestion, sometimes at night he coughed and snored. The doctor prescribed an x-ray, which showed 1-2 degrees. The doctor said that it would be better to remove. But somehow we were afraid of the operation, and decided to consult with a homeopath. He prescribed us thuja oil, told us how to take it. And now it has become much easier for him, of course, he has not completely recovered, but his breathing is free at night, there is no more coughing. Exacerbates only during illness. In a word, I advise you to try it if you are not in a critical situation, and consult with several doctors. Surgery is the last option.”
  • “We tried thuja oil after reading reviews on the Internet. As I realized later, this was not the right decision. My son had a severe allergic reaction and all therapy had to be canceled as the congestion got worse.”
  • “My daughter is 2 years old, we were tormented by constant coughing, as if it were tickling in the throat. Very frequent coryza, which quickly descended into the lungs and caused obstruction. Turning to the otolaryngologist, he prescribed us to wash the nose with sea water, and homeopathic drops. He said that the child's adenoids were enlarged, but reassured him, he said that since spring is approaching, their increase is more likely due to an allergic reaction than to something else. Thank God, we managed without surgery, now it's almost five, and the doctor said that they are gradually decreasing and returning to normal. And with age they will disappear altogether.

VashOrganism.ru

Adenoids in children: treatment by Dr. Komarovsky

First of all, parents should understand what such a disease is. Adenoids are lymphoid tissue in the human nasopharynx. The pathology itself develops due to swelling of the nasopharynx, which leads to the blocking of the airways, which greatly complicates the process of enriching the body with oxygen.

Children's doctor Yevgeny Komarovsky notes that with due attention and care for children, such a disease does not pose a serious danger. It is enough to constantly be observed by a doctor, observing the prescribed measures of therapy and prevention. Adenoids can present in three stages, each with more severe symptoms and consequences.

The first stage is a mild form, when children have a little rapid and labored breathing, and they can sleep with their mouths open. If during this period the baby does not have respiratory or viral diseases of a different nature, then you should see a doctor.

The second stage is of moderate severity. In this situation, a sick child may begin to snore during sleep, and breathing becomes intermittent. Periodically, respiratory arrest may occur, which leads to disruption of the cardiovascular system. Usually, in children during this period, their mouths are already open quite often, which is caused by the need to consume more oxygen.

The third is a severe degree, when the adenoids have increased so much that the patient can no longer breathe through the nose. The mouth is constantly open, sleep becomes very restless. Periodically, children develop a cough, as the nasopharynx dries up.

Dr. Komarovsky warns parents that it is better to prevent such a pathological condition than to subsequently treat. Most often, adenoids become inflamed in the period from 3 to 7 years. The disease can be caused by measles, influenza, scarlet fever, or chronic pathologies that affect the upper respiratory tract. For this reason, the manifestation of adenoids may be accompanied by symptoms of the corresponding diseases.

Dr. Komarovsky also claims that signs of adenoids usually appear due to violations of sanitary standards in the premises, inflammation of the nasopharynx and the ingestion of harmful bacteria on the mucous membrane. Also, the manifestation of the disease can be caused by malnutrition and due to too dry air in the room. Symptoms can be manifested by pain in the ears, partial deformity of the face, signs of otitis media are possible.

Usually the symptoms of adenoids are obvious, but in order to properly begin to treat the pathology, it is necessary to diagnose the respiratory tract in sick children.

Diagnostics


Normal and enlarged adenoids in the figure

When the first symptoms of adenoids are detected, Dr. Komarovsky strongly recommends that you consult a doctor. Diagnosis will allow you to accurately diagnose the pathology that prevents the normal breathing of children. First of all, an examination by a doctor begins with a visual examination of the nasopharynx and palpation of the throat. By probing the throat, the doctor may detect an atypical inflammation of the tonsils.

Dr. Komarovsky believes that the most effective diagnostic methods are x-ray examinations. Pictures of the nasopharynx will allow you to carefully examine the position of the walls of the respiratory tract, fixing the localization of the tumor. Also, computed tomography, endoscopy, rhinoscopy (posterior and anterior) are used as diagnostic methods.

Usually, several methods of examination are used in combination for greater reliability of the diagnosis. After determining the adenoids, the doctor prescribes a way to treat the pathology.

Video "Chronic tonsillitis"

Treatment according to Komarovsky

Dr. Komarovsky identifies two main methods of treating adenoids - conservative medication and radical (surgical intervention). It is possible to treat with a conservative approach if the pathology has not become severe. For this, inhalations are usually used. Inhalations with adenoids help relieve inflammation and swelling. Also, with inhalation, treatment with antihistamines, anti-inflammatory, antiseptic and anesthetic agents are prescribed.

Komarovsky recommends the use of inhalations as a preventive measure. Inhalations allow you to moisturize the nasopharynx, soften the mucous membrane of the larynx, and by reducing swelling, make breathing easier for sick children. Inhalation is usually used with herbal preparations that have anti-inflammatory properties.

Together with periodic inhalations, nasal lavage is used with special phyto-solutions. Conservative methods of treatment can eliminate the symptoms of adenoids if the pathology has not reached a large size. Otherwise, inhalation and potent drugs will not be highly effective.

When to remove

Dr. Evgeny Komarovsky says that in most cases, surgery can be avoided. The operation is performed when the adenoids completely block the nasopharynx, which leads to heavy breathing of the patient even through the mouth. A radical method of treating adenoids is not used with a significant increase in the tonsils, but with acute symptoms that complicate the child's breathing process.

Adenotomy is performed under the influence of local or general anesthesia. The duration of the operation can be up to 15 minutes. This method of treatment is carried out using a surgical instrument (ring-shaped knife), with which the adenoids are cut out.

This method of treatment is not always safe for the patient, since complications after the operation are possible - the consequences of anesthesia or a damaged palate. The recovery period can last from a few days to two weeks. During this period, you should not eat food that can irritate the throat. It is also recommended to take vitamins and immunostimulants.

Video "Folk methods of treatment"

In the video, you will learn how to cure adenoids in your child using improvised means and folk methods. Effective and real methods of treatment are given.

LechimDetok.ru

How to treat adenoids in a child at home

At an early age, physiological processes often occur in children, which can temporarily disrupt the functioning of a particular organ or system. Adenoids are not uncommon, since the causes of such a disease are often found during the development of the child. The inflammatory process affects the lymphoid tissues on the mucous membrane of the nasopharynx. As a result, swelling develops, which leads to partial (mild) or complete blockage of the airways (severe) in the nasopharynx.

Due to the fact that the pathology concerns the respiratory system, parents should carefully monitor how their children breathe during the day. The first symptoms will be manifested in respiratory failure. Since the features of the physiological structure of a child at an early age suggest a narrow lumen in the airways and nasopharynx, swelling of the tissues may occur with the slightest inflammatory processes.

For this reason, with adenoids in children, breathing through the mouth often begins. During a night's sleep, a sick child may begin to snore. Also, inhalation of air may be accompanied by some delays. As less oxygen enters the body, breathing through the mouth allows you to replenish the balance by facilitating the flow of air into the lungs. Because of the adenoids, children may develop hoarseness and shortness of breath. Depending on the degree of swelling of the lymphoid tissues, the frequency of breathing through the mouth will also change.

With an exacerbation of the pathology in the daytime and at night, a dry cough may appear. The reason for this is the drying of the throat. During sleep, a sick child always breathes through his mouth, often tossing and turning. With swelling of the mucous membrane in the nasopharynx, the patient rarely develops snot. Often, pathology is diagnosed in children under 6 years of age after respiratory viral or infectious diseases. After the child has been cured, one should not lose vigilance, but carefully observe the condition of the baby for several days.

A severe form of adenoids is usually indicated by hearing loss, constant drowsiness, and frequent otitis media. These symptoms are manifested due to the fact that the adenoids block the mouth of the auditory tube. With the disease, physical activity is significantly reduced. If treatment is not started in a timely manner, then children may develop impaired speech, as well as undergo a process of changing the shape of the face. To avoid the serious consequences of the pathology, you should contact your doctor at the first manifestation of characteristic symptoms. After the diagnosis, a diagnosis will be made, and a course of treatment will be prescribed.

Video "Treatment Instructions"

How to treat at home

It is possible to cure adenoids in children without surgical intervention. It is possible to treat pathology at home using traditional and traditional medicine if the inflammatory processes are not severe.

To effectively treat adenoids, complex treatment should be used. Often the doctor prescribes nasal lavage with various solutions. This method is quite effective. It is necessary to put the sick child on his side, and then drip the solution into each nostril for a couple of drops. For this, a medical syringe without a needle is used. Ready saline solution can be prepared independently or purchased at a pharmacy. Washes can be based on sea or ocean salt water, which is sold in bottles with a special dispenser. Be sure to ensure that after the introduction of the solution, it does not leak out in children. Otherwise, the procedure will be ineffective.

Adenoids should also be treated with anti-inflammatory drugs. They help to remove puffiness in a short period of time, and make breathing easier for a sick child. Collargol, Lymphomyosot, Protargol and others are used as a drug for treatment. Some medicines are based on medicinal herbs.

If parents are going to treat adenoids in children at home, then the doctor will recommend the use of special inhalations. For inhalation, various drugs are used. To treat pathology, anti-inflammatory, antibacterial, antihistamine and anesthetic properties are used. With the help of inhalation, a couple of solutions settle on the mucous membrane of the nasopharynx, having a positive effect.

Children can be treated in this way after examination by a doctor. He must prescribe drugs so as not to worsen the patient's condition during therapy. Treatment with inhalations and nasal instillation will moisten the mucous membrane of the respiratory tract, relieve swelling, soften tissues in the larynx, and remove harmful viruses that have settled in the nasopharynx.

It is advisable to carry out the procedures every 2-3 hours in order to prolong the effect on mucous tissues. If the treatment at home will be normal, then the child will not need physiotherapy. With an exacerbation of adenoiditis, as well as with ineffective treatment of a child by traditional methods, the doctor may prescribe an operation to remove the adenoids. The radical method of therapy is highly effective, but may also have some negative consequences after the operation of the patient.

To speed up the process of treating the patient, preventive measures should be taken - a wet frill in the room, ventilation, air humidification, adherence to the daily routine and proper nutrition.

Folk remedies

You can also treat adenoids with the help of traditional medicine. Usually, the composition of medicines includes natural products, plants and their derivatives. Folk remedies are used for instillation of the nose with adenoiditis and for compresses.

It is possible to treat a patient with compresses after agreement with the attending physician. You need to take a piece of cotton fabric, wrap it with a mixture of pork fat and nightshade color. Then you need to put a compress on the sick child's neck. You can also use ragwort stems. The compress should be kept for about 20 minutes. Repeat the process every few hours. If you treat adenoiditis only with the help of folk remedies, then the proper result will not be achieved quickly. Therefore, an integrated approach to therapy is required.

Video "School of Dr. Komarovsky - adenoids"

In the popular TV show of Dr. Komarovsky, you will learn how to quickly cure this respiratory disease. Popular methods and techniques are described.

Any child in the nasopharynx has a pharyngeal tonsil, which is part of the lymphoid ring. This lymphoid tissue is of great importance in the formation of immunity in children. But, with its growth in the nasopharynx, contrary to the expected increase in immune forces, the child becomes susceptible to frequent colds, nasal congestion.

Such children snore at night like "adult men". So the topic of our conversation today is devoted to the cause of this phenomenon - adenoids in a child and sleep apnea as a result of a pathological increase in the pharyngeal tonsil.

Let's talk about the degree of adenoid enlargement, their diagnosis, signs and symptoms, as well as how to treat a child (baby) at home without surgery, including medical and folk remedies, or how to prepare for surgery if necessary.

Adenoid enlargement has three degrees: in the first degree, the child looks healthy, only catarrhal diseases visit him more often than usual. In the second degree, the child often catches a cold, in the morning, even in a healthy state, he is disturbed by a dry cough, at night breathing becomes difficult, snoring, dark circles appear under the eyes, appetite decreases and memory deteriorates.

The third degree of adenoids is visible to the naked eye: an ever-open mouth, a voice with a nasal tone (French pronunciation), bad breath, and at night, “heroic” snoring is heard from his bed, interrupted by a short-term lull. Such a child does not get out of colds, often chronic diseases of other organs (lungs, kidneys, joints) join. And this is not surprising, because adenoids are a chronic focus of infection in the body, creating favorable conditions for the development of other diseases.

Adenoid vegetations are observed already from the age of 6-7 months, reaching a maximum growth by 4-5 years of age, and after 7 years, under favorable conditions, they undergo reduction and reverse development.

Diagnosis: signs and symptoms

Diagnosis of adenoids is simple: the child has difficulty breathing through the nose, he must be constantly reminded of the need to close his mouth and breathe through his nose. He fulfills his mother's request, but after a few minutes he forgets about it and breathes through his mouth again. Almost all year round, with the exception of the hot summer months, he walks with a wet nose, blowing profuse mucous or mucopurulent discharge. His speech is nasal, there is a decrease in hearing, frequent otitis media. If treatment is not carried out in a timely manner, then a deformation of the face (adenoid face) is quickly formed. Children with adenoids often get respiratory infections. At the same time, they are often worried about a dry, agonizing cough, mainly at night when the child is in a horizontal position. This is easily explained: swollen adenoids or mucus flowing down from them irritate the receptors of the posterior pharyngeal wall, which reacts to irritation with an exhausting cough. The same cough can occur on the street due to irritation of the pharyngeal mucosa with cold, not warmed and not moistened air in the nasal passages.

A serious clinical symptom of adenoids is night snoring, leading to respiratory arrest during sleep, that is, the development of obstructive sleep apnea syndrome.

In addition to respiratory pauses, such children have restless sleep with frequent changes in body position and erratic movement of the legs (“you kicked all night again”), talking in your sleep and night terrors, increased sweating and morning lethargy, dry mouth and enuresis. In the daytime, there is increased drowsiness or, on the contrary, pronounced excitability.

Consequences and complications

A child with adenoids differs from his peers in a slow reaction, absent-mindedness, inattention in class, unmotivated aggressiveness, since a violation of nasal breathing leads to an insufficient supply of oxygen to the brain tissue.

Often, children suffering from OSAS are stunted from their peers, since the most active production of growth hormone occurs during sleep, the quality of which is sharply reduced.

Long-term effects of sleep apnea include changes in the cardiovascular system that occur during adolescence, namely: arterial hypertension, rhythm and conduction disturbances, left ventricular myocardial hypertrophy.

All these serious complications can develop from such a common, and therefore ignored by many parents, condition as adenoids. Do not wave your hand lightly: “Just think, adenoids. Who doesn't have them? Grow up - will pass.

Sleep disturbance at any age requires finding out the cause and taking immediate measures to eliminate it.

How to treat adenoids in a child without surgery

So, you suspected adenoids in your child and turned to an ENT doctor who confirmed your suspicions. What to do next?

With adenoids of the first degree, no one will insist on surgical treatment. Try to deal with them in a conservative way. For instillation into the nose, you will be prescribed a 2% solution of protargol, thuja oil, 6-8 drops in each nasal passage daily at night for 2 weeks, inhalation of a 2% solution of lomuzol, 1 inhalation dose in each nostril 4-6 times per day for 10 days. Sofradex has a good effect, 2-3 drops in each nostril 3-4 times a day for a week. Do not be confused by the inscription on the bottle: drops for eyes and ears. Sofradex has been used for a long time and very successfully for instillation into the nose for adenoids and allergic rhinitis. The drug Polydex (anti-inflammatory, antiseptic and decongestant) has the same effect.

The child should receive sufficient doses of vitamins, especially C, A and group B, as well as trace elements - calcium, potassium, phosphorus.

Teach your child to rinse the nasopharynx before instilling the medicine. But only children over 4-5 years old are capable of this, and even then not all. Perform this procedure in the bathroom.

Fill a rubber bulb with a warm wash solution and insert into the child's nasal passage. In this case, the child stands with his mouth open, his head tilted over the tub or sink.

Start rinsing by lightly pressing the can so as not to frighten the child,

gradually increasing pressure. The liquid should pour out of the other nostril.

Then repeat the procedure through the other nasal passage.

For one washing, 200-250 ml of liquid will be required. You can use a 2% solution of baking soda, a 0.9% solution of table salt, a decoction of chamomile, St. John's wort, calendula, sage. A good effect is given by washing the nasopharynx with sea water.

If there is no sea in the vicinity of your city, prepare a healing solution of sea salt: 2 teaspoons of salt in a glass of warm water.

Currently, various devices and cylinders for washing noses and spouts are widely represented in pharmacies. The same procedure can be performed in the otolaryngologist's office. In medical language, it is called "rinsing the nose by moving the liquid", and in the people it was dubbed cuckoo, because during the procedure it is necessary to say "ku-ku, ku-ku" to avoid getting liquid into the throat.

Rinse your baby's nose with a pipette: dropper full of the flushing solution into both nostrils, and then force him to blow his nose properly. After that, you can bury the medicine in the nose. To get drops on the adenoids, lay the child on his back with his head thrown back. Now inject the medicine and ask the child to remain in this position for 5-7 minutes.

This procedure, unpleasant for the baby, should be carried out 2-3 times a day for 15-20 days. Only then will there be an effect.

A few more solutions from natural medicine folk remedies for washing that you can prepare at home:

  1. 1 teaspoon of table salt, 1 teaspoon of baking soda, 2 drops of iodine in a glass of water;
  2. half a teaspoon of soda and 20 drops of an alcohol solution of propolis in a glass of water;
  3. 2 teaspoons of oak bark, 1 teaspoon of St. John's wort, 1 teaspoon of mint brew with boiling water (1 cup), cool and strain.

In the treatment of adenoids, an effective method is not only surgery, but also physiotherapy procedures that help relieve swelling (ultrasound, quartz, UHF), as well as a modern laser that is effective and safe.

Treatment of adenoids with surgery

If the child still needs surgery, it should be performed during a quiet period when the child is healthy.

And this is not easy to do with his frequent "colds". After the illness, at least 3 weeks must pass to reduce the risk of complications to zero. The operation goes smoothly in most cases. The child does not feel pain because local anesthesia is applied. True, then, when the “freeze” departs, pain will appear, but you will have to be patient.

And to make the postoperative period easier, surround the patient with care and attention. Offer him his favorite ice cream, but not in kilograms, but in a small spoon and slowly, stretching the pleasure. For a few days, the child will have a stuffy nose due to postoperative swelling, but after two weeks, all troubles will be left behind. Sometimes, out of ingrained habit, he continues to breathe through his mouth, and you have to be reminded of the need for nasal breathing. But soon you will see that at night he breathes quietly, his sleep has become calm, the usual morning cough has disappeared, his character has changed for the better.

You are glad and happy, and the child is most happy: now he does not urinate in the bed!

Related videos

Surgery to remove adenoids at EMC Children's Clinic

It is known that the most common ENT disease in children is adenoid hypertrophy, the obvious signs of which are prolonged difficulty in nasal breathing and snoring during sleep. In most cases, when contacting a doctor with such symptoms, the child is diagnosed with adenoids. Having received advice from several specialists and having tried different treatment regimens, many parents are faced with the inevitability of an operation to remove the adenoids (adenotomy). The question of where this will be done safely and efficiently, without pain and stress for the child, traditionally remains open.

In the new video of the EMC Children's Clinic, otorhinolaryngologist-surgeon Ivan Vetkov talks about how successful adenoid surgery is performed in the EMC and why children are shown to eat a lot of ice cream after this operation.

How to treat adenoids in children: folk remedies and recipes

In most cases, treatment is possible only by removing the adenoids by a doctor, but you can slow down the process of the disease at home. We remind you that only a doctor can correctly diagnose and prescribe qualified treatment!

Adenoids: degrees, symptoms and treatment - Dr. Komarovsky's School

Even the most cheerful showman Vadim Michkovsky became sad when adenoids were found in his daughter. In today's program, Dr. Komarovsky will tell him about this disease. Why is it dangerous? What are the treatments? And he will also answer additional questions from worried moms and dads.