Before curing adenoids in a child without surgery, it is recommended to consult a doctor. This disease is diagnosed at the age of 1-15 years.

Medical indications

The pharyngeal tonsils are integral part immunity. They protect against microbes that tend to enter the body with inhaled air. Nasopharyngeal is well developed in children, as they grow older they decrease in size. If the inflammatory process has passed, then the amygdala returns to normal.

The consequences that occur with the growth of adenoids in children, pediatricians include difficult nasal breathing. The reasons for the development of this phenomenon, physicians include:

• chronic diseases of the upper respiratory tract;
• heredity;
• irrational nutrition;
• consequences of measles, diphtheria and scarlet fever.

The disease can be cured without surgery.

Before prescribing treatment, the pediatrician determines the stage of adenoid growth:

• 1st - the formations are small in size, they cover 1/3 of the vomer and choanae;
• 2nd - tonsils cover ½ of the vomer and choan. Children breathe through their mouths throughout the day, they have snoring;
• Grade 3 - the disease is severe.

Adenoids in children appear when common cold child. In this case, it is recommended to seek medical help. Parents cannot see the adenoids with the "naked" eye. To reduce them, the ENT examines the pharyngeal tonsil with a special mirror.

Treatment of the disease is prescribed taking into account the symptoms that have appeared:

• difficult breathing - constant or periodic nasal congestion with copious discharge;
• snot - over time, a runny nose can become chronic;
• snoring during sleep - occurs as a result of breathing through the mouth;
• not intelligible speech - observed with an increase in adenoids to large sizes;
• poor hearing - with the growth of the tonsils of the hole auditory tubes closed, which contributes to hearing loss.

To diagnose adenoids, doctors use the following methods:

1. Pharyngoscopy - used to assess the condition of the palatine tonsils and pharynx. This technique involves the use of a medical spatula.
2. Anterior and posterior rhinoscopy - a visual examination of the nasal passages of a small patient. For this use vasoconstrictor drops. A special mirror is used for posterior rhinoscopy. The doctor examines the nasal passages through the oropharynx.
3. X-ray - this technique is used to accurate diagnosis the disease in question. X-ray done in lateral view.
4. Endoscopy - a detailed examination of the nasopharynx. If this diagnosis is assigned to children younger age then anesthesia is used.

You can use both a conservative method to cure adenoids in a child without surgery, or surgery. Therapy is carried out by an otolaryngologist in each case individually. To suppress the inflammatory process little patient prescribe drops and special sprayers that are applied to the surface of the adenoids.

Modern treatment of the disease involves the removal of pus from the surface of the adenoids. This procedure must be performed by a physician. Otherwise, the pus will move to other parts of the nasopharynx. The solution, which is injected into the 1st nostril, is sucked off by vacuum through the 2nd nostril. Laser therapy is used to quartz the throat and nose. Local treatment adenoids in children is to take anti-inflammatory drugs and drugs with antimicrobial properties.

To alleviate the condition of the baby, vasoconstrictor drops are instilled into the nose (Nafthyzin, Sanorin). The course of treatment lasts 5-7 days. Then washed nasal cavity with the help of "Furacilin", tincture of horsetail or chamomile decoction. General treatment adenoids is to take vitamin complexes and antihistamines ("Suprastin").

You can not heat the adenoids. Otherwise, the condition of the baby will worsen. To improve the effectiveness of conservative treatment, complex therapy- taking medications with physiotherapy.

The last technique consists in ultraviolet irradiation of the nasopharynx, the use of a helium-neon laser, electrophoresis or UHF on the nose area. Adenotomy is considered effective way treatment of adenoids in children. Surgery is recommended as soon as the diagnosis is made. Physicians allocate the following indications for adenotomy:

• the presence of adenoids of the 2nd degree, which are not subject to conservative treatment;
• frequent otitis;
• snore;
• suffocation in sleep.

It is impossible to remove adenoids surgically with the development of certain diseases of the blood and skin in acute form. The operation is performed after the sanitation of the mouth and removal of the inflammatory process. If these conditions are not met, after surgical intervention the child may experience various complications.

Prevention of the growth of adenoids in children is to support immune system at the appropriate level. The child must comply with the sleep and nutrition rules. With the development of diseases oral cavity and upper respiratory tract timely treatment. To prevent the growth of the tonsils, it is recommended to harden the children's body.

Treatment of adenoids in children is mandatory and important process for which every parent should be prepared. To prevent backfire in the form of adenoiditis and hearing loss, and in order not to reach the operation, as the only way out of the situation, one must strictly follow medical recommendations.

To cure adenoids, complex therapy is needed, including medication, homeopathic and physiotherapeutic approaches, this is the only way to achieve lasting results.

Is conservative treatment effective?

Therapy for enlarged adenoids in a child should be prolonged, at least 2-3 months, to achieve a lasting result. The effectiveness of treatment depends on the competence of the doctor and the perseverance of the parents, otherwise the adenoids will not decrease, continuing to cause problems for the child.

If, in parallel with inflammation of the adenoids, the child is often and for a long time sick, you need to look for the cause. Perhaps this is the result chronic infection which can be detected by an immunologist. If there is no infectious agent, you need to increase immunity under the supervision of a pediatrician and carry out the therapy recommended by the ENT.

To reduce adenoids means to defeat the inflammatory process with the help of antimicrobial, anti-inflammatory and immunomodulatory drugs. You can try the treatment with homeopathic remedies, and folk recipes. The main thing is to do this under the supervision of a doctor, since one medicine is effective for a child, another can not only not help, but also harm.

Treatment should be carried out under the strict supervision of a doctor observing the child in dynamics

The issue of removing adenoids should be decided by the doctor only after the infectious process is suppressed. In most cases, when stable remission is achieved, surgery is unnecessary, so most doctors prefer conservative treatment adenoids in surgical children.

Medical therapy

Antibiotics for the treatment of adenoids are not prescribed, with the exception of cases when a bacterial infection joins the inflammation, and without its suppression it will not be possible to reduce adenoid vegetations. The basis of treatment is raising local and general immunity, cleansing the nose and maxillary sinuses from accumulations of mucus and the restoration of full breathing.

Often, in order to rid the child of mucous accumulations and improve breathing through the nose, it is enough to carry out just a few nasal lavages. The procedure is useful for a runny nose and for the prevention of colds and infections. You need to spend it in the bathroom. The child leans over the sink while the parent enters medicinal composition first in one nostril, then in the other.

The first procedures can be carried out by introducing liquid into the nose slowly, then increase the pressure. Washing with a jet has the best effect. For one wash, 3-4 sprays of liquid in each nostril will be enough.

For washing, you can use a rubber bulb or a special device.

What to wash? good effect give herbal decoctions:

• Mix dry herb coltsfoot, calendula and horsetail. Boil 15 grams of herbs in 25 ml of water, then leave for about 2-3 hours. Use for washing or instillation into the nose.
• Mix white rose petals, yarrow, licorice root, strawberry and birch leaves in equal parts, pour boiling water, cook. The decoction is prepared and applied in the same way as the first.
• Take in equal parts the grass of the series, duckweed, wormwood, St. John's wort, calamus root and clover flowers. Prepare a decoction and apply in the same way.

If the doctor has prescribed the use of medicinal drops or oils, their use will be much more effective after washing the nose, since the introduction of even the most effective drops into the nostril will not work if the nasal passages are clogged with mucus and pus.

Sea salt is also effective for washing. The composition can be prepared independently using pharmaceutical salt, or you can buy a ready-made spray or seawater-based rinsing system.

A common appointment is Rinofluimucil spray. It has a mucolytic (thinning) effect, clearing the sinuses of the infected contents, and relieves swelling from the tissues. The double effect of the drug allows you to clear the nose and make breathing easier.

Inhalations

How to treat adenoids with inhalation? There are many ways to do this. Inhalations will help achieve the following goals:

• reduce swelling of the mucosa;
• reduce inflammation;
• improve lymph flow and blood supply;
• increase local immunity.

Each of these tasks is achieved by using different medicines and herbal remedies. It is necessary to use a nebulizer for inhalation with adenoids. Steam inhalation in the period of exacerbation, they can only do harm, forcing the infection to go down to the lower respiratory tract.

Inhalation is an effective way to deal with adenoids

For inhalation, doctors often recommend the following drugs:

• Ambrobene - to thin and remove mucus, if inflammation of the adenoids accompanies a cough;
• Fluimucil - antibacterial drug, is prescribed for a pronounced inflammatory process;
• Derinat - increases local immunity;
• Hydrocortisone, Pulmicort - relieves swelling and hyperemia of the mucosa.

Dry inhalation is carried out by applying a drop on a cotton swab essential oil and inhaling its vapors for 10 minutes. You can also drop the oil on the heated salt, you get a salt inhalation (you need to breathe over the salt with essential oil for 5-10 minutes, covered with a towel). Thuja, fir, pine, mint, eucalyptus oil is suitable for these purposes.

Inhalations with Cycloferon have shown themselves to be a fairly effective way of adenoiditis and other diseases of the nasopharynx. It is an immunomodulator a wide range action with powerful effect. The drug is not available in the form for inhalation, but for these cases, an injection solution (1-2 ampoules) is taken, mixed with 4 ml of saline and inhaled.

You need to breathe for at least 5 minutes, the course is 10 days, 1 inhalation per day. Positive dynamics in the treatment of adenoids after a course of inhalation is noted by many parents.

Cryotherapy

Cryotherapy is modern way cure adenoids without surgery. Cryotherapy of adenoids is carried out using liquid nitrogen, more precisely, its effects on the enlarged amygdala, as a result of which it decreases in size. During the treatment, the doctor can destroy some areas of the vegetation, then they will fall off on their own and completely painlessly.

Indications for cryotherapy:

• adenoids 1-2 degree;
• recurrent or chronic runny nose;
• frequent infections and colds against the background of an enlarged tonsil.

The procedure begins with local anesthesia, then an endoscope with a mini-camera is inserted into the nasopharynx, the data from it is displayed on the monitor. Enlarged adenoids are treated with nitrogen vapor supplied through a tube. At the same time, steam comes out of the child's nostrils. The process is fast - a few sets of 5 seconds are enough.

The child during the procedure does not experience unpleasant and uncomfortable sensations, and the process is carried out in the form of a game, which is important for psychological state baby.

Treatment of adenoids with homeopathy is carried out in order to increase resistance, strengthen the immune system, give the body strength and the ability to fight on its own. bacterial infections. Usually homeopaths prescribe medicines based on anatomical features child, the degree of neglect of the adenoids and other nuances.

Someone needs a low dosage of medicine, someone needs a higher one, so universal means not for all children.

Tui oil and drops of Riniltiks complexone are instilled locally into the nose. They relieve inflammation, restore the epithelium and reduce adenoid vegetations. Euphorbium compositum is a complex homeopathic preparation that has anti-allergic, reparative and anti-inflammatory properties. It is used to treat adenoids, chronic rhinitis, including allergic etiology, sinusitis and other pathologies of the nasopharynx.

The spray is injected into each nasal passage several times a day. It is effective as part of complex therapy aimed at eliminating adenoids. Parents who used this remedy claim that after a week of treatment they noticed a positive result.

Homeopathy for adenoids in children helps to strengthen the child's body as a whole and get rid not of the consequences of the problem (enlarged adenoids), but of its cause - reduced immunity and infectious diseases.

Homeopathic treatment of adenoids usually takes at least 3 months, but this method, in contrast to the operation, sparing and comfortable for the child

Buteyko Method

This technique is based on a set of exercises that includes breathing exercises. Many tests conducted by scientists confirm that the Buteyko method can reduce the manifestations of asthma, adenoids and other pathologies.

The application of the method involves regular training for several months. In general, this technique involves the restoration of respiratory function by relaxing the muscles. You need to breathe smoothly and slowly, but only through the nose.

The Buteyko Method has three rules:

• breathe only through the nose - even if this is not possible, during training it begins to unfold;
• equalize and reduce the force of breathing by relaxing the muscles;
• to not allow severe shortage air during exercise.

The technique for children was developed on the basis of the game with the help of educational pictures. The Buteyko method is practiced only in specialized clinics and gives excellent results in the treatment of adenoids.

Traditional medicine in the fight against pathology

You can treat adenoids at home with the help of folk recipes used in combination with the main therapeutic methods.

Treatment of adenoids with folk remedies involves the preparation various means for inhalations, ointments, decoctions

Here are some recipes for home therapy:

• St. John's wort ointment. Mix chopped herbs with unsalted butter 1:4. Add 5 drops of celandine juice there. Shake the composition poured into the bottle until a homogeneous emulsion is obtained. It should be instilled into the nostrils 2 drops three times a day.
• Ivy-shaped budra - boil a tablespoon of herbs in a glass of water for 10 minutes, then inhale the vapors of the resulting broth several times a day for 5 minutes. At temperature, the procedure is contraindicated.
• Clove fruits. Pour 10 fruits with a glass of boiling water, insist until dark brown. Ready composition you need to instill a few drops into the nose as often as possible during the day.
• Sea salt solution. A teaspoon is diluted in a glass warm water until complete dissolution. Rinse your nose twice a day.
• Celandine with interior pork fat. 2 tbsp Boil herbs in a glass of boiling water for 10 minutes. Strain after half an hour. 100 ml melted pork fat, mix with broth and put in the oven for 1 hour. To a teaspoon finished product you need to add 2 drops of celandine, soak pieces of cotton wool with this composition and insert them into the nostrils for 5-10 minutes. Repeat the procedure three times a day for 10 days.

You can apply these recipes after consulting with your doctor, because children often have allergies not only to drugs, but also to plants.

Surgical treatment

An operation for adenoids in children, called adenotomy, is performed after all attempts to cure the pathology conservative methods turned out to be ineffective. The decision is made by the doctor together with the child's parents. Many parents delay the operation to the last, fearing that it will pass without anesthesia and cause severe pain to the child.

Today, medicine has many methods of pain relief, ranging from local to general anesthesia. General anesthesia causes in some cases Negative consequences, so it is more often used local anesthesia in the form of lubrication or spraying of an anesthetic on the mucous membrane.

After the operation, the child may have a fever, this natural reaction organism. Some children complain of abdominal pain, stool disorders, vomiting with blood. Such phenomena occur if the child swallowed blood during the operation.

Immediately after surgery, many children report free breathing nose, which is burdened by "squishing" and nasality. These phenomena disappear within 10 days after the intervention, when the mucosal edema subsides.

Carrying out an adenotomy

In any case, whether to do an operation or not, than to treat adenoiditis, the decision is made jointly with the parents. But if all conservative methods have been tried, but there are no results, you should not torment the child and bring it to the appearance of physical and mental retardation, hearing loss and other serious complications.

Treatment of adenoids is a complex and lengthy process for which parents must be prepared. The operation is the most extreme measure that can be resorted to when other methods are ineffective. Only complex therapy (alternating medication, folk and homeopathic remedies) can help rid the child of adenoids and not bring him to the operating table.

Good afternoon dear parents. Ekaterina Ivanova is in touch with you again. I know how acute the problem is for many of you. inflamed adenoids in children and their operation, so I decided today to talk about how to reduce adenoids in a child without surgery. To what extent is it possible and effective?

Many specialists, dealing with the treatment of adenoids in children, believe that surgical treatment can be postponed if there is a chance to cure the child in a conservative way.

The same opinion is shared by parents who want to eliminate the risk psychological trauma The child has.

Hypertrophy of the pharyngeal tonsil - dangerous disease which must be treated. I suggest you consider the best homemade recipes for eliminating this ailment:

Salt solution. Pour 10 g of the substance into a glass of warm boiled water. This medicine can be used daily, instilled into the child's nose. Such drugs are absolutely safe and are prescribed by many doctors for adenoiditis. varying degrees. For greater effect saline solution you need to gargle.

An infusion of St. John's wort flowers helps to cleanse the inflamed mucosa, eliminates swelling and reduces the overgrown adenoid tissue. After a week of regular use - three times a day, there is an improvement general condition child, nasal breathing normalizes and the volume of purulent secretion released from the sinuses decreases.

Everyone knows healing properties sea ​​clay. Make a liquid slurry of this substance by dissolving it with water, and smear both sides of the nose. healing mixture. Leave on for ten minutes, then wash these areas of skin with lukewarm water. Clay dilates blood vessels.

There are many recipes based on celandine, including for the treatment of adenoids. You can reduce adenoids in a child using the following recipe: pour dry or fresh grass with boiling water, boil for a quarter of an hour.

An hour later, after insisting and cooling, strain and drip their spout three times a day. To reduce adenoids, you can use a different recipe: add a quarter cup of decoction of celandine leaves to 50 g of pork fat, mix well.

Then place the mixture in an oven preheated to medium temperature for forty minutes to therapeutic mass thickened. After cooling, place the medicine in the refrigerator. Before each use, add a few drops of celandine decoction to the thick mixture.

Make two cotton swabs, dip them in this mixture and apply to the spout. The duration of the procedure is five minutes with a frequency of three times a day. The duration of therapy is two weeks.

To eliminate the symptoms of the disease, improve nasal breathing and eliminate purulent discharge with adenoiditis, a decoction of clove buds is used.

Pour twenty spice buds into a glass of boiling water, and leave to infuse until the tincture becomes saturated. Brown color. Strain and inject this remedy into the nasal passages for ten days.

Washing the nose with a healing mixture of honey and beetroot juice. mix Fresh Juice root crop with liquid honey in the same proportion. Strain so that there are no grains and vegetable residues in the composition.

Bury the nasal passages three times a day, a few drops. The prepared mixture is recommended to be used for no more than three weeks. It is necessary to store such medicine in the refrigerator.

Mixture medicinal herbs- peppermint leaves, St. John's wort flowers and oak bark helps to reduce adenoids at home. Mix a handful of each component, fill the floor with a liter of boiling water and let it brew for half an hour.

Strain the infusion and drip a few drops into the child's nose in the morning, lunch and evening hours.

Healing decoction of chamomile, eucalyptus leaves and birch helps to cure adenoids in a child without surgery.

Combine the herbs in equal proportions - 1 handful each and pour a liter of boiling water, boil for several minutes and close the lid tightly.

After half an hour, when the infusion is ready, strain, cool to room temperature and drip into the child's nose every day three times a day.

Inhalations

Almost all doctors, specialists in otolaryngology, are skeptical about inhalation procedures for adenoids and forbid them to be carried out.

But at the same time, such manipulations eliminate the inflammatory process of the overgrown lymphoid tissue on initial stage development of pathology.

Therefore, before starting such procedures, it is necessary to consult with the attending pediatrician or ENT.

Inhalations are of several types:

Salt. For their implementation, two components are used: sea salt and aroma oil. The child inhales vapors of heated salt, to which a couple of drops of any aromatic oil. The duration of this procedure is no more than seven minutes.

Dry. A couple of drops of any aromatic oil is applied to a clean cloth. The handkerchief is applied to the nose for five minutes.

Wet. To carry out wet inhalations, you need to do the following: sharpen the bath with warm water, add three drops of essential oil, such as fir or eucalyptus, to it. Such procedures can be combined with bathing a child.

Medical therapy

Folk methods and inhalations at home are certainly the most affordable and easiest way to reduce adenoids in children, but these methods are not always effective.

Therefore, let's consider the treatment of this pathology without surgery. drug therapy assigned by an experienced professional. In most cases, such treatment consists of a specific scheme using several drugs:

First of all, the child's nasal passages are washed with a solution of sea salt. Well proven: Humer, Dolphin, No-sol or Aqua-maris.

To eliminate inflammation and swelling of the nasopharynx, drugs are used: Euphorbium compositum, Lymphomyosot or Derinat.

To improve the discharge of mucus from the sinuses will help the homeopathic secretolytic remedy - Sinupret.

In combination with this therapy, the doctor prescribes to the child immunomodulating agents that increase immunity to various infections and help the body overcome the disease faster - Multi-tabs, Dzhungi or Vitrum.

In addition to the main treatment, it is necessary to comply with a number of very important measures that will also help eliminate childhood pathology:

Compliance with sleep and nutrition;

Frequent stays on the street;

hardening;

Respiratory gymnastics in order to preserve nasal breathing and prevent further hypertrophy of the pharyngeal tonsil.

Physiotherapy

Physiotherapeutic manipulations are an auxiliary "weapon" in the treatment of inflamed adenoids.

Electrotherapy, laser therapy and light therapy are procedures that help eliminate mucosal edema, remove inflammation of the adenoids and increase protective functions body during illness.

Remember that any treatment aimed at reducing the adenoids must be agreed with the attending pediatrician or ENT. Only a competent medical approach, your endurance, patience and compliance with all doctor's prescriptions will help you avoid surgery and cure adenoids in a conservative way.

I hope this article helps you and your kids. See you soon!

In the body there are groups of cells that perform some common and similar functions, these cells are called "tissues". There are cells responsible for the production of immunity and forming the so-called. lymphoid tissue. Consists entirely of lymphoid tissue thymus, she (tissue) is in the intestine, in bone marrow. Opening your mouth in front of a mirror, you can see formations consisting of lymphoid tissue - tonsils- the most important organs lymphoid system. These tonsils are called palatine.
The palatine tonsils can increase in size - such an increase is called hypertrophy of the palatine tonsils; they can become inflamed - inflammation of the tonsils is called tonsillitis. Tonsillitis can be acute or chronic.
palatine tonsils not the only lymphoid formations of the pharynx. There is one more amygdala, which is called pharyngeal . It is impossible to see it when examining the oral cavity, but it is not difficult to imagine where it is located. Again, looking into the mouth, we can see the back wall of the pharynx, climbing up it, it is easy to reach the vault of the nasopharynx, and it is there that pharyngeal tonsil .
The pharyngeal tonsil, and this is already clear, also consists of lymphoid tissue. The pharyngeal tonsil can grow in size, and this condition is called " hypertrophy of the pharyngeal tonsil".
An increase in the size of the pharyngeal tonsil is called adenoid growths, or simply adenoids. Knowing the basics of terminology, it is easy to conclude that doctors call inflammation of the pharyngeal tonsil adenoiditis .
Diseases of the palatine tonsils are quite obvious. Inflammatory processes (tonsillitis, acute and chronic tonsillitis) - are easily detected already when examining the oral cavity. With the pharyngeal tonsil, the situation is different. After all, looking at it is not easy - only a doctor (otolaryngologist) can do this with the help of a special mirror: a small round mirror on a long handle is inserted deep into the oral cavity, up to rear wall pharynx, and in the mirror you can see the pharyngeal tonsil. This manipulation is only theoretically simple, since "inserting" the mirror very often causes "bad" reactions in the form of retching, etc.
At the same time, a specific diagnosis - " adenoids"- can be put without unpleasant examinations. The symptoms that accompany the appearance of adenoids are very characteristic and are due, first of all, to the place where the pharyngeal tonsil is located. pipes connecting the nasopharynx with the middle ear cavity, and, secondly, the nasal passages end there.
An increase in the size of the pharyngeal tonsil, taking into account the described anatomical features, forms two main symptoms indicating the presence of adenoids, - nasal breathing and hearing loss.
It is quite obvious that the severity of these symptoms will be largely determined by the degree of enlargement of the pharyngeal tonsil (otolaryngologists distinguish between grade I, II, and III adenoids).
The main, most significant and most dangerous consequence of adenoids is permanent violation nasal breathing. A noticeable obstruction to the passage of the air stream leads to breathing through the mouth, and therefore to the fact that the nose cannot perform its functions, which, in turn, are very important. The consequence is obvious - untreated air enters the respiratory tract - not purified, not warmed and not humidified. And this greatly increases the likelihood inflammatory processes in the pharynx, in the larynx, in the trachea, in the bronchi, in the lungs (tonsillitis, laryngitis, tracheitis, bronchitis, pneumonia).
Constantly difficult nasal breathing is also reflected in the work of the nose itself - congestion occurs, swelling of the mucous membrane of the nasal passages, persistent colds, sinusitis often occurs, the voice changes - it becomes nasal. Violation of the patency of the auditory tubes, in turn, leads to hearing loss, to frequent otitis media.
Children sleep with open mouth, snore, complain of headaches, often suffer from respiratory viral infections.
The appearance of a child with adenoids is depressing - a constantly open mouth, thick snot, irritation under the nose, handkerchiefs in all pockets ... Doctors even came up with a special term - "adenoid face."
So, adenoids are a serious nuisance, and the nuisance, mainly for children, is of its own. maximum size the pharyngeal tonsil reaches the age of 4 to 7 years. During puberty lymphoid tissue significantly decreases in size, but by this time it is already possible to "earn" a very large number of serious sores - both from the ears, and from the nose, and from the lungs. Thus, the wait-and-see tactics - they say, we will tolerate until the age of 14, and then, you see, it will resolve itself - is definitely wrong. Action is needed, especially given the fact that the disappearance or reduction of adenoids in adolescence- the process is theoretical, but in practice there are cases when adenoids have to be treated even at the age of 40.

What factors contribute to the appearance of adenoids?

• Heredity - at least if the parents suffered adenoids, the child, to one degree or another, will also face this problem.
• Inflammatory diseases of the nose, throat, pharynx - and respiratory viral infections, and measles, and whooping cough, and scarlet fever, and tonsillitis, etc.
• Eating disorders - especially overfeeding.
• Tendency to allergic reactions, congenital and acquired immune deficiency.
• Violations of the optimal properties of the air that the child breathes - very warm, very dry, a lot of dust, impurities harmful substances(environmental situation, excess household chemicals).

In this way, parental actions to prevent adenoids, are reduced to correction, and even better, to the initial organization of a lifestyle that contributes to normal functioning immune systems, - feeding according to appetite, physical activity, hardening, limiting contact with dust and household chemicals.
But if there are adenoids, it is necessary to treat - the consequences are too dangerous and unpredictable, if you do not interfere. At the same time, the main thing is lifestyle correction and only then remedial measures.
Everything ways of treatment adenoids are divided into conservative (there are many of them) and operational (it is one). Conservative methods often help, and the frequency of positive effects is directly related to the degree of adenoids, which, however, is quite obvious: the smaller the pharyngeal tonsil, the easier it is to get the effect without the help of surgery.
The choice of conservative methods is great. These are general strengthening agents (vitamins, immunostimulants), and nasal lavage special solutions, and instillation of a wide variety of agents with anti-inflammatory, anti-allergic and antimicrobial properties.
If conservative methods do not help, the question of surgery is on the agenda. Operation removal of adenoids is called "adenotomy". By the way, and this is fundamentally important, indications for adenotomy are determined not by the size of adenoid growths, but specific symptoms. In the end, due to the specific anatomical features of a particular child, it also happens that grade III adenoids only moderately interfere with nasal breathing, and grade I adenoids lead to a significant hearing loss.

What you need to know about adenotomy:

• The essence of the operation is the removal of the enlarged pharyngeal tonsil.
• The operation is possible both under local and general anesthesia.
• Operation duration - one of the shortest: 1-2 minutes, and the process of "cutting off" - a few seconds. A special annular knife (adenotome) is inserted into the region of the nasopharyngeal vault, pressed against it, and at this moment the adenoid tissue enters the adenoid ring. One movement of the hand - and the adenoids are removed.

The simplicity of the operation is not evidence of the safety of the operation. Possible complications due to anesthesia, and bleeding, and damage to the palate. But all this happens infrequently.
Adenotomy is not emergency operation. It is advisable to prepare for it, undergo a normal examination, etc. Operation is undesirable during influenza epidemics, after acute infectious diseases.
The recovery period after the operation proceeds quickly, well, perhaps for 1-2 days it is advisable not to “jump” very much and not eat hard and hot.
I draw attention to the fact that regardless of the qualifications of the surgeon, it is completely impossible to remove the pharyngeal tonsil - at least something will remain. And there is always a chance that the adenoids will appear (grow) again.
The reappearance of adenoids is an occasion for serious parental thought. And it’s not at all about the fact that a bad doctor “got caught”. And about what all doctors taken together will not help if the child is surrounded by dust, dry and warm air, if the child is fed with persuasion, if the TV is more important than walking, if not physical activity if... If it is easier for mom and dad to take the child to an otolaryngologist than to part with their favorite carpet, organize hardening, sports, and sufficient exposure to fresh air.

Adenoids are an enlargement of the pharyngeal tonsil. It is located at the very beginning of the pharynx - in its nasal part. During a normal examination of the pharynx in a child, it cannot be seen. To identify adenoids, you need to contact an ENT doctor for special procedures that will help evaluate them.

Pediatrician

For parents who are faced with a diagnosis of adenoids in their child, the first thing that comes to mind is an operation. But do not fall into despair. In cases where no absolute readings to surgery (listed below), for a start, you can try to be treated with other conservative methods. This article will discuss how to reduce adenoids in a child without surgery.

Surgery should not be postponed in the following cases:

• if the child cannot fully breathe through the nose;
• poor sleep in a baby due to snoring and respiratory failure. Especially if shortness of breath occurs and the worst is short-term apnea, that is, respiratory arrest;
• when a child begins to hear poorly and his middle ear very often becomes inflamed;
• repeated episodes of inflammation of the paranasal sinuses;
• with the formed so-called "adenoid" face. But it is better, of course, not to bring it to this and to perform the operation already before irreversible changes in the bones of the skull occur;
• prolonged bleeding from the nasal cavity.

If the above conditions are not yet present, then it is necessary to try to cure adenoids in a child without surgery.

In ancient times, when adenoids appeared, they were necessarily removed. Therefore, grandparents can “advise” you. But as a result of many studies, it has been proven that this should not be done without absolute indications, since the pharyngeal tonsil also has an important function - participation in immunity.

Used to treat adenoids in children medications locally or orally, physiotherapy, as well as folk remedies. You can use all of this in combination or separately.

Washing the nasal cavity

A local effect on the enlarged pharyngeal tonsil is more effective than oral medication. This is achieved by washing the nasal cavity with various medicinal solutions(another name is "irrigation therapy"). With the help of this method, harmful microorganisms and mucous discharge that have settled there are removed from the surface of the mucous membrane of the overgrown tonsil. It is usually prescribed as monotherapy for the first degree of adenoids.

How to rinse your nose?

You can prepare a solution for irrigating the nasal cavity yourself. The proportions are as follows: 1 glass of water cooled to room temperature and 1 teaspoon of table or sea salt. But the advantage is given to ready-made pharmaceutical preparations. Since the salt concentration in them is chosen very precisely, the solution is sterile and always ready for use. These drugs are known to everyone and are represented by a variety of lines:

• "Aqualor",
• "Aquamaris",
• "Physiomer",
• "Marimer",
• "Humer"
• "Otrivin Sea",
• "Septo Aqua"
• "Salin"
• "Dolphin"
• physiological saline (0.9% sodium chloride solution).

How to rinse the nasal cavity correctly?

1. The child's head should be turned to the side.
2. Insert the tip of the sprayer into the upper nasal passage (relative to the horizontal position of the head), irrigate the nasal cavity with a solution and suction the mucus with a special aspirator if the child is small. If the baby is large, then let him blow his nose on his own.

For babies under 2 years old, drugs are used only in the form of drops. Older than 2 years, you can use the spray.

1. Repeat the same with the second nasal passage.
2. The procedure must be done 3-4 times a day, for 7-10 days in several courses.

With adenoids of the second degree, treatment with other groups of drugs is possible. Before using the following drugs, it is necessary to wash the nasal cavity with the above method.

Vasoconstrictors

With severe swelling of the tonsils, ENT - the doctor prescribes vasoconstrictor drugs. For the smallest, they are available in the form of drops with a low concentration of the vasoconstrictor component, and for larger children - in the form of sprays and a percentage active substance will be higher. These medicines are also known to everyone: Nazivin, Nazol, Xymelin, Otrivin and many others.

You should not use this group of drugs lightly - you need to use it strictly according to the doctor's prescription 3-4 times a day for no more than 5, maximum 7 days, as there is a risk of developing addiction to the drug.

Hormonal drugs

It is possible that the doctor will prescribe medicines based on hormones, especially with concomitant allergies. More often it is "Avamis", "Nasonex" from 2 years old, "Nazarel", "Flixonase" - from 4 years old and "Nasobek" - from 6 years old.

Antiseptics and antibiotics

In the case of infection, it is possible to develop inflammation of the overgrown pharyngeal tonsil - adenoiditis. The cause of inflammation can be both viruses and bacteria. Then additional groups of drugs are already used.

Antiseptics

• "Miramistin", "Octenisept", "Chlorhexidine" - sprays in the nasopharynx;
• Albucid, Argolife, Protargol, Collargol or Sialor - nose drops.

Antibiotic nasal spray

• "Isofra";
• "Polydex with phenylephrine".

Folk remedies for the treatment of adenoids

With the help of folk remedies, you can also achieve success.

• Instillation of sea buckthorn, tea or eucalyptus tree oils into the nose. They have natural anti-inflammatory, antiseptic, antimicrobial and, to some extent, vasoconstrictive actions. Before use, the vial with the drug is heated in the hand and instilled into the pre-washed nasal passages. Apply 4-5 times a day for 10-15 days.
• Washing the nasal cavity with decoctions medicinal herbs: mother - and stepmothers, chamomile, St. John's wort, horsetail or succession, morning and evening, for a week or 10 days. With their help, you can eliminate the inflammation of the nasopharynx. Herbs can be collected and dried on their own, but it is better to use pharmacy ready-made fees.
• Aloe thanks to its unique chemical composition has anti-inflammatory and antimicrobial action. But most of all, the regenerating effect is appreciated - aloe relieves irritation of the mucous membrane of the nasopharyngeal cavity, which often occurs with adenoids. 2-3 drops of juice are instilled 3 times a day, lasting from 2 weeks to a year.

Treatment with herbal solutions and decoctions for many parents may be much preferable so as not to burden the child. chemicals. But you need to be careful, as the risk of developing allergic reactions is high.

• Certainly, ethnoscience not without bee products. There are many recipes with their use.

In a glass of boiled cooled water, add 15 drops of 10% propolis tincture and half a teaspoon baking soda. Gargle 3 times a day for 7 days. The same solution can be used to wash the nose.

Also, the use of honey inside has restorative action on the child's body. Baby with good immunity it will be easier to deal with adenoids.

If the baby is allergic to bee products, the use of the above methods is excluded.

Homeopathy for adenoids

Alternative medicine is also widely used to treat pathological processes nasopharynx. It is used in combination with traditional preparations for 1-2 degrees of adenoid vegetations.

One of the significant places in the treatment of adenoids in children without surgery is thuja oil. It is rich healing substances, which relieve inflammation and inhibit the further growth of the pharyngeal tonsil. In addition, it has an antimicrobial, healing and vasoconstrictive effect. Homeopathic preparations based on thuja oil:

• "Edas - 801" - drops in the nose;
• "Tuya GF" - drops in the nose;
• "Tuya DN" - drops and ointment for laying in the nasal passages;
• "Job - baby" ("Barberry - comp") - granules for oral administration. Additionally contains fruits dried barberry, pierced-leaved stem and iodine;
• "Euphorbium compositum" incorporates a mixture of homeopathic active ingredients. It has anti-inflammatory, anti-allergic, healing and moisturizing effect. It is produced in the form of a spray (therefore, it is allowed only from 4 years old);

"Job - baby" and "Euphorbium compositum" contain iodine, so drugs are contraindicated in patients with thyroid diseases.

• "Lymphomyosot" - combined herbal remedy. V official instructions the drug states that its use is possible from 18 years of age. But children's otorhinolaryngologists often prescribe "Lymphomyosot" to children in connection with high efficiency. Available in drops for oral administration, as well as in ampoules with a solution for intramuscular injection.

Although there is an opinion that this group does not have any side effects, it is still worth fearing, since the basis of medicines are herbal ingredients which can cause allergies in children.

Breathing exercises

If the child is often sick colds and he has adenoids, then in addition to the main treatment, it is necessary to start gymnastics for the respiratory tract. Regular exercises for 3-4 months help to improve blood flow, increase the tone of smooth muscles in the respiratory organs, eliminate congestion in the paranasal sinuses and eliminate hypoxia, saturating the cells of the body with oxygen.

There are many exercises for the respiratory organs. One of the most effective is gymnastics according to the Buteyko method. It is easy to perform for both adults and children.

• Close the child's right nostril. Ask to take a slow deep breath, and then exhale through the left nostril. Make sure your baby's mouth is closed. It is necessary to teach him to breathe only through his nose. Repeat the exercise with the left nostril.
• Close the child's right nostril. Let the child take a deep breath with the left side and hold the breath for a couple of seconds. At this time, you will release the right and close the left nostril. Ask your child to exhale slowly.
• Pinch the child's nose completely. Count to ten and open your nostrils. Ask your child to take deep breaths and exhale 10 times through the nose.
• Do the same as in the previous exercise, only inhalation and exhalation is done through the mouth.
• Count to 5 and ask your child to inhale through their nose. Count to 5 again and have the child exhale through the mouth.

Before performing gymnastics, rinse the nasal cavity.

Inhalations for adenoids

By inhaling various drugs, further growth of the tissue of the pharyngeal tonsil can be delayed.

• Take a handkerchief or cotton pad, drop 2-3 drops of essential oil on it and put it for 10 minutes in the room where the child plays. You can use thuja, fir, eucalyptus or mint oil.
• Fill up the bath warm water and drip 5-7 drops of oil into it and let the baby breathe in the fumes for about 10-20 minutes.
• Heat sea salt in a frying pan and add 3 drops of oil to it. It is necessary to make a quick inhalation and a slow exhalation for 5 minutes. This type inhalation is effective for colds, as it has a drying effect.
• With severe inflammation, the doctor may prescribe inhalations to relieve swelling. saline, hormonal drug"Pulmicort", antibiotic "Fluimucil - antibiotic IT" through a nebulizer.

Includes a lot effective methods, which have a beneficial effect on the enlarged pharyngeal tonsil, and is used as an addition to the main drug therapy.

Electrophoresis - the use of electrical impulses to deliver drugs to the pharyngeal tonsil, such as potassium iodide, silver nitrate, novocaine, prednisolone.

Often used to treat adenoids in children ultraviolet irradiation. Its main effects are: drying of the nasal mucosa, elimination of edema, destruction of pathogenic microbes. Irradiation is carried out intranasally.

Ultrahigh-frequency - therapy is carried out externally. Special plates are applied to the side surfaces of the neck and at an angle mandible. The procedure inhibits the further development of inflammation in the pharyngeal tonsils, relieves pain, and strengthens local immunity.

Laser therapy is the most effective method physiotherapy. Adenoids are treated with a helium-neon laser using a light guide inserted into the nasal cavity. The procedure itself is painless, but requires complete immobility of the patient. laser therapy has a biostimulating effect on the adenoids.

conclusions

There are many various ways to reduce enlarged tonsils without the use of surgery. But not all methods may be suitable for your child. Most often positive results can be achieved with timely diagnosis and at the time of the initiated complex treatment. Adenoids of 1 and 2 degrees are easily amenable to therapy. With 3 degrees of vegetation, most likely, you will need to remove the tonsil. In any case, the doctor should deal with the diagnosis and treatment. Only a specialist will select an effective and safe therapy that will help your baby.

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Graduated from the Bashkir State medical University Federal Agency for Health and social development, Ufa, specialty doctor, internship in pediatrics, advanced training courses Russian National Research Medical University. N. I. Pirogov (RNIMU) with a degree in pediatrics. I work in the State Budgetary Institution of Healthcare of the Republic of Bashkortostan Central city ​​Hospital city ​​of Sibay, children's clinic, local pediatrician.