Modern treatment of adenoids in children: new methods, sanatoriums

Treatment of adenoids in children is one of the main problems of modern medicine. This problem requires comprehensive research. There are no clear answers to the question of which method is considered the most effective. Some experts claim that the optimal method of treating adenoids is surgical removal. Others are sure that there is no need to rush with surgery, since there is conservative therapy that is no less effective. Some argue that the problem can only be solved by a radical method, while others argue that surgical methods will not only fail to solve the problem, but will also aggravate the pathology.

Modern medical literature contains information that a child may develop a large number of complications if adenoids are present. Long-term breathing problems may lead to complications not only of the physical condition, but also to a delay in psychomotor development. Various diseases of the nose, respiratory tract, and also a violation of the body structure may occur. With a persistent violation of psychomotor reactions, ventilation of the paranasal sinuses is also disrupted. Therefore, it is imperative to treat adenoids.

Today, medicine has various methods of treatment. You can choose the option that suits each specific child. Both conservative and surgical treatment have proven themselves well. Conservative treatment is represented by drug therapy, homeopathic and folk remedies, which are effectively combined with each other.

Hormonal treatment is also used, which have proven to be very effective, allowing to significantly improve the condition and prevent surgery. Today, hormonal therapy is considered relatively safe, since there are many drugs that do not have a systemic effect on the body. Accordingly, side effects practically do not occur. Modern drugs act only locally, so they very quickly relieve inflammation, swelling, and prevent further hyperplasia of adenoid tissue. With long-term use, they allow you to achieve a sustainable result.

Many specialists resort to laser therapy. In this case, the adenoids are not removed, but are directly affected by a laser. The inflammatory process is removed, swelling is eliminated, tissue hyperplasia goes away, as a result of which the growths are absorbed. In combination with hormonal therapy, it is possible to maintain the adenoids in a frozen state, as a result of which they will not grow. They may become slightly inflamed, or stop becoming inflamed altogether and begin to respond adequately to the infection.

Modern methods of treatment include their removal by various methods. Thus, open surgical techniques have long been relegated to the background. Today, laparoscopic techniques and laser removal are increasingly used. Many specialists prefer to first remove adenoids by traditional methods, and then conduct additional laser therapy. This will prevent the risk of further growth, and significantly reduce the inflammatory and infectious process.

Many doctors are in no hurry to remove adenoids, preferring to try all conservative methods first. This is based on the view that adenoids are a natural barrier to infection. Therefore, removal will make the body defenseless against various types of infection, and a person may suffer from infectious diseases for a long time.

At first, they try to try treatment with hormonal agents, physiotherapeutic procedures. Many children are helped by sanatorium treatment, which allows to stop inflammation rather quickly, localize the infectious process, reduce growths. Many try to use psychological approaches in the fight against adenoids. Thus, a positive approach, positive emotions, an optimistic attitude will help the child to activate his inner potential and overcome the disease.

Treatment of adenoid inflammation in children

Adenoids can be treated with both conservative and radical methods. Conservative methods involve the use of medications and physiotherapy. Homeopathic and folk remedies may be included in the complex therapy. Vitamins and hormonal agents may be prescribed if necessary.

Radical methods involve surgical intervention. If there are indications for surgery, adenoids are removed. They can also be removed in different ways, for example, the traditional method of adenotomy, endoscopic operations or laser removal. Today, many specialists prefer laser removal, since this method has virtually no contraindications and does not entail serious consequences and complications. Sanatorium treatment is practiced, which is especially helpful for children with chronic pathology.

Treatment of cough with adenoids in children

Cough with inflamed adenoids is mainly a consequence of an intense inflammatory process that affects the entire nasopharynx, spreading to the pharynx and trachea. In this case, irritation of the mucous membranes occurs, a natural reflex reaction occurs, in which the body tries to push out the swollen mucous membrane or the irritating factor.

Therefore, the main treatment should be etiological: it is enough to eliminate the cause of the cough, and it will go away on its own. Therefore, complex therapy is mainly used, specific antitussive treatment is not carried out.

Treatment usually includes the use of constrictor drops or spray. If necessary, drying agents are prescribed. Vibrocil and Otrivin are mainly used. The average course duration ranges from 5 to 7 days. Antimicrobial drugs are also additionally prescribed, for example: protargol, sodium sulfacyl, pinosol.

To wash the nasal passages, a solution of sea salt and various antiseptics are mainly used. The drugs of choice are furacilin and chlorhexidine. Eyes are washed over a washbasin and a bathtub. The head is tilted forward, the tip of the syringe is carefully inserted into the nasal passage and the solution is slowly poured in. The stream is gradually increased. The solution should flow out over the tongue through the open mouth.

Rinsing the mouth and throat with herbal decoctions and medicinal preparations is considered quite effective. The same preparations that are used for rinsing can also be used for rinsing. Anti-inflammatory and antiseptic agents are mainly used for rinsing. After rinsing and rinsing, the throat or nose is irrigated with a medicinal preparation, for example, bioparox, miramistin. If local remedies are ineffective, systemic therapy is prescribed, in which medicinal preparations are taken orally.

Treatment of a runny nose with adenoids in a child

With adenoids, a runny nose occurs quite often. It is not worth treating it purposefully, since it will still be ineffective. It is necessary to eliminate the cause that caused it. So, if there is bacterial or viral microflora in the body, it is necessary to carry out antiviral or antibacterial therapy. With excessive swelling and inflammation of the mucous membrane, antihistamines and anti-inflammatory drugs are prescribed. Various drops are used locally, and rinsing is carried out. If necessary, physiotherapy procedures are used.

Treatment of hearing loss in a child with adenoids

Hearing is often reduced by inflammation of the adenoids, since the ears are directly connected to the nasopharynx and nasal cavity through the Eustachian tube. Through it, infection can be transmitted to the inner ear, and the inflammatory process can spread. In addition, inflamed adenoids can block the opening of the auditory tube, which makes it difficult for air to pass freely into the middle ear. As a result, the mobility of the eardrum is lost, and hearing is reduced.

Such disorders disappear immediately after the cause is eliminated. The degree of hearing loss may vary. Moderate hearing loss often develops. Usually, hearing is tested in a doctor's office, but it can also be tested at home. Whispered speech is used for this. A child normally hears a whisper across the room, that is, 6 meters or more away. When a child is playing, he should be called from a distance of 6 meters or more, in a whisper. With normal hearing, the child will hear and turn around. If he does not turn around, it is worth coming closer and calling again, and so on until the child knows exactly the distance at which he can hear. It is advisable to check several times, at least three times, to make sure that the distance is determined correctly and not by chance.

Treatment is mainly etiological. Various medications and homeopathic remedies are used. If the ear is heavily blocked, the doctor performs a procedure called blowing. The nose is washed. The throat must be gargled. If such treatment is ineffective, systemic drugs and local hormonal agents are prescribed. Hearing will be restored immediately after the cause of the pathology is eliminated, namely, inflammation and adenoid growth. Sometimes it is even necessary to resort to surgical methods of treatment.

Treatment of temperature in adenoids in children

Temperature indicates an acute inflammatory process or the addition of a bacterial infection. Symptomatic treatment, that is, taking antipyretic drugs, will be an ineffective treatment method in this case, since it is necessary to eliminate the cause of the pathology. Then the temperature will normalize on its own. However, if the temperature is too high, antipyretic drugs should be given. In general, treatment should be comprehensive.

In general, the treatment regimen can be presented as follows: local treatment, systemic action, alternative methods if the first two methods are ineffective.

For local effects, nasal drops, nasal lavage, mouth and nasopharynx rinsing are used. Vegetable oils with essential oils are used for lubrication and rinsing. Saline solutions have proven themselves well. Inhalations are carried out using a nebulizer. If ineffective, hormonal drugs are used. Sprays based on sea water or silver ions are also often used.

It is important to exclude an infection in the oral cavity. For this, a dentist consultation is necessary. If necessary, the foci of infection are sanitized. Inflammatory and allergic reactions are treated. If there is a viral or bacterial infection, antiviral therapy and antibiotic therapy may be required. If these remedies are ineffective, a course of physiotherapy and hormonal drugs are prescribed. You also need to follow a diet.

Treatment of adenoids in children with a nebulizer

Today, adenoids are increasingly treated with a nebulizer. Traditional inhalations are not quite suitable for children, so the nebulizer remains one of the most convenient and popular methods. Previously, specialists believed that a nebulizer was not suitable for treating adenoids. And there were reasons for this. Thus, the drug is sprayed throughout the nasopharynx and pharynx, as well as the respiratory tract. While the treatment of adenoids requires local action. But later, as practice has shown, it turned out that it is very effective in fighting adenoid tissue and its growths. And such spraying, on the contrary, helps to eliminate the inflammatory process in the entire nasopharynx, and as a result, the inflammation of the adenoid tissue also decreases.

The nebulizer also performs many other functions, in particular, it relieves irritation, eliminates pain, reduces swelling and hyperemia of tissues. All this significantly alleviates the patient's condition, eliminates the main symptoms of the inflammatory process, improves nasal breathing, eliminates spasm, and normalizes the voice.

A big advantage is that the medicine is delivered in the form of finely dispersed particles that are sprayed and settle on the inflamed areas, exerting a therapeutic effect on them. Intensive absorption of the drug by the inflamed tissues occurs. Due to this property, the risk of side effects is significantly reduced, since the drug does not have a systemic effect.

Many parents who purchased a nebulizer for their child were satisfied. It is quite convenient to use, allows you to quickly prepare a solution of the desired concentration, without additional means and preparations to carry out inhalation. You can use not only pharmaceuticals, but also mineral waters, herbal decoctions. Inhalation is carried out quickly, painlessly.

Many children like to do them, because they are attracted by the appearance of the device and the unusual design of the packages. And parents prefer this method, because it is quite comfortable and does not require special preparation. The result is noticeable in 3-5 days. Doctors note that children who do inhalations with a nebulizer recover much faster, the speed of recovery reactions increases sharply, relapses are extremely rare.

They help alleviate symptoms and prevent progression. Even stage 2 can have a positive effect. However, only a doctor can determine the necessary medication, its concentration, dosage, frequency of administration and duration of the course.

The patient only needs to follow a few basic rules of the procedure. Only sterile solutions should be used as a base. Immediately before the procedure, the temperature is maintained at approximately 20 degrees. You cannot resort to the use of essential oils, as well as herbal infusions that contain large particles. One of the significant advantages of this device is the possibility of using it during an acute illness, at an elevated temperature, since it does not contain steam.

Special medications are mainly used as part of inhalations. Lazolvan helps to reduce viscosity and helps to liquefy mucus. It is used when there is a risk of further development. If the cause of the growth is an infection, various antibiotics are used. Fluimucil is used, which helps to relieve swelling and facilitate the breathing process. Pulmicort is used, which can be used from the age of 6 months. Derinat helps not only to eliminate inflammation and swelling, but also to increase immunity. Various mineral waters can be used for moisturizing.

The doctor will also advise which nebulizer is best to buy. There are three types of devices - compressor, ultrasonic, membrane. The choice of the type of device depends on the type of drug that will be used. They can also differ in dispersion - the diameter of the particles that form an air suspension. The dispersion indicators determine how deeply the drugs penetrate into the respiratory tissues and inflamed areas, are absorbed by the mucous membrane.

For the treatment of adenoids, it is better to use coarse-dispersed models of nebulizers. This will allow the particles of the drug to settle in the desired areas, namely, on the back of the nasopharynx. These requirements are met by devices that use a compressor model of air injection under pressure. But sometimes doctors resort to ultrasonic or membrane nebulizers. Many modern devices have a special built-in function that allows you to adjust the diameter of the particles created.

The technique of the procedure is quite simple: the suspension must be inhaled through the mouth evenly. You need to try to take the deepest possible breath. Then hold for 2-3 seconds, then exhale through the nose. This ensures the necessary circulation of the medicine and its penetration from the larynx into the deep parts of the respiratory tract.

New methods of treating adenoids in children

Relatively new methods are considered to be treatment with local hormonal agents that do not have a systemic effect, but act exclusively on the mucous membranes of the nose and adenoid growths. It is recommended to carry out inhalations with these agents, since most of them are produced in the form of a nebulizer, which is a ready-made inhalation kit. The concentration of the drug is prepared depending on the doctor's recommendations.

Many children are recommended to wash their nose and gargle, which also significantly reduces the inflammatory process and eliminates tissue hyperplasia. For this purpose, special pharmaceuticals, folk and homeopathic remedies are used.

Nasal drops of various actions have proven themselves well. Vasoconstrictors, drying agents and other agents are used. Doctors often prescribe special ointments and creams for the nasal cavity, which also help reduce the inflammatory process and prevent growths. Various anti-allergic, anti-inflammatory drops are also quite effective. Various preparations based on silver ions, such as protargol, have proven themselves well. It is used for rinsing and instillation. It promotes rapid restoration of the mucous membrane, reduces the need for adenoid removal.

Various systemic drugs are used, in particular, anti-inflammatory, antihistamine, antibacterial and antiviral. If necessary, immunocorrective agents are prescribed.

Only in case of ineffectiveness of conservative therapy do they resort to surgical treatment. A relatively new method of removing adenoids is removal using a microdebrider (shaver). This method allows to significantly improve the quality of adenotomy.

The shaver is an electromechanical console with handles attached to it, which contain tips and pedals. These devices make it possible to set the cutter in motion, ensure its rotation or stop it. It is also easy to change the direction of rotation, select another mode. The tip is represented by a hollow fixed part and a blade that rotates around it. I connect a suction hose to one of the channels of the handle. Negative pressure is created, with the help of which the adenoid tissue is removed. In this case, the shaver is inserted through one nostril, which is advanced all the way to the nasopharynx, an endoscope is placed in the second, which allows you to control the removal process. The image can be visualized on the screen.

This method has many advantages, allows to reduce the recovery period, significantly reduces the risk of infection and inflammation, and prevents the development of complications.

A new method is breathing exercises and relaxation practices, which allow not only to reduce the inflammatory process and strengthen the respiratory muscles, but also to significantly reduce the size of growths. This is a secondary effect. An important role in the treatment and recovery is given to therapeutic exercise, yoga therapy.

Laser treatment of adenoids in children

Today, this is one of the most effective methods, which is often used in the treatment of adenoids. It allows for fairly quick and painless removal of adenoid vegetations. The advantage of the method is that it is low-traumatic and does not require anesthesia. Only local anesthesia is administered. After the operation, damage is minimal, the recovery period is significantly shorter compared to traditional surgical methods.

The risk of infection is significantly reduced. There are practically no complications or inflammatory processes. Bleeding does not occur. Another big advantage of the method is that there are no repeated growths. The child can go home on the same day. In about a week, the child is fully recovered.

This method can be used to perform operations on children of any age. There are virtually no contraindications. Laser adenoid removal surgery can be performed even if the child has low coagulability, since the surgery is virtually bloodless and does not affect blood vessels. This is because the laser is an extremely precise instrument that acts exclusively on the target without affecting surrounding tissues.

There are several types of laser, so the doctor always has the opportunity to choose the optimal method of action, which will have the least negative consequences. For example, in some cases, a carbon dioxide laser is used (for small adenoids). It allows you to evaporate the fluid from the growth itself, and the tissue is simply gradually smoothed out. If the size of the adenoids is very large, laser coagulation is used.

In addition to removal, the laser can be used to treat adenoids. The process is quite lengthy. Its essence lies in the long-term impact on the inflamed tissue, as a result of which the inflammatory process is reduced, swelling is eliminated, and, accordingly, the size of the adenoid growths decreases.

Many surgeons use the traditional method of removing adenoids, after which the site of the operation is treated with a laser. This reduces the risk of developing an infectious, inflammatory process. The likelihood of recurrent growths is also significantly reduced.

Such an operation does not require long preliminary preparation. The recovery period also does not require serious procedures and restrictions. But still, during the week it is better to limit physical activity, not to overexert yourself, minimize the consumption of various harmful products, including: fatty, spicy, smoked dishes.

It is necessary to avoid both hypothermia and overheating. You should not visit saunas or baths. You should also not take a hot bath at this time. You should avoid prolonged stays in hot, stuffy places, the room should be regularly ventilated.

Minimal drug therapy aimed at restoring the mucous membrane may be required. Drying and vasoconstrictive nasal drops are usually prescribed. Physiotherapy and vitamin therapy are sometimes prescribed. A positive effect can be achieved with regular physical and breathing exercises.

Cryotherapy of adenoids in children

It is a method of treating adenoids using ultra-low temperatures. Liquid nitrogen is most often used. It has a freezing effect, relieves inflammation, and eliminates swelling. This method is used to treat damaged mucous membranes.

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Sanatorium treatment of adenoids in children

Today, sanatorium treatment is becoming increasingly popular. This is due to its high efficiency. Sanatoriums treat with physiotherapy, widely use climate therapy and natural environment resources. They use salt mines, phytotherapy, leech and fish treatment, conduct sanitation of infection foci and normalization of microflora. Various traditional and non-traditional means are used, for example: aromatherapy, balneotherapy, thalassotherapy, color therapy.

The healing power of stones, minerals, plants, and natural elements is used. Water and cryogenic procedures are used. Music and various sounds, including sounds of nature, have a positive effect. There is a special sound-vibration therapy. The main treatment is breathing exercises. They include yoga therapy, other health practices, therapeutic physical training, meditative and relaxation practices, massage and manual therapy, acupuncture and reflexology.

Sanatoriums for the treatment of adenoids in children

Treatment of adenoids can be conservative or surgical, in which the inflamed tissue is simply removed from the body. Many doctors are inclined to believe that removing adenoids may be unsafe, since they provide protection for the body from infection. By removing them, we deprive the body of natural protection. In addition, adenoids usually disappear during adolescence. Therefore, it is worth trying conservative treatment. It must be comprehensive, it will require time and patience. However, this will allow you to avoid surgery.

Today, treatment is carried out in sanatoriums, which allows the child to avoid stress and psycho-emotional tension from a long stay in the hospital. Accordingly, treatment becomes more effective, and recovery occurs much faster.

Today there are many sanatoriums that offer various treatment and rehabilitation programs. For children with adenoids, it is necessary to choose sanatoriums located in the seaside area, since the sea climate is most favorable for a child suffering from adenoids. Sanatoriums in Crimea and the Caucasus have proven themselves well.

The sanatoriums offer aromatherapy, massage, various hydrotherapy procedures, salt rooms. Natural plant extracts and essential oils are used for aromatherapy. If necessary, adenoids and tonsils are lubricated with Lugol's solution, the nasopharynx is washed with oils and various medicinal products. Inhalations with a high content of some vitamins and minerals are prescribed. Sea water is used for various procedures. Phytotherapy, medicinal teas, oxygen cocktails are used.

Many sanatoriums practice bathing in special pools with sea water, as well as with the addition of phytocomponents and salts. Some practice bathing in the open sea with mandatory immersion under water and swallowing of water particles. Thermal springs, healing and mineral springs, natural resources such as minerals, clays, natural artesian waters, muds are used. Taking baths with radon water and gargling the throat and nasopharynx with these areas has a positive effect.

Treatment of adenoids in children at sea

It is better to carry out treatment and preventive measures in a sanatorium by the sea. Firstly, this will provide treatment in a calm, relaxing environment, which promotes relaxation, rapid recovery, accumulation of strength and mobilization of internal reserves to fight the disease. It has long been noted that in sanatoriums, children recover much faster than in a hospital or even at home.

Secondly, the sea climate has a very beneficial effect on the health of children suffering from respiratory diseases. And thirdly, at sea the child gets a lot of positive emotions, which is extremely important for the child. Positive emotions contribute to a quick recovery.

Today there are many opportunities for organizing treatment at sea. Sanatoriums offer various conditions, programs, prices. It is worth taking a closer look at the sanatoriums of Crimea, the Caucasus, since it is here that the climate is most favorable for children suffering from adenoiditis. In general, any resort located in an area with warm, humid air and uniform daily temperature with minor fluctuations is suitable. The sun's rays reflected from the sea surface have a positive effect. They replace standard physiotherapy in a polyclinic.

Aero-helio-thalassotherapy is used, represented mainly by bathing in the sea, dosed stay in the fresh air, as well as sun and air baths. Inhalation of sea salt and night sleep by the sea are practiced, which replaces inhalations with a nebulizer and aerosol products.

Mountain resorts affect the body with rarefied air, a large amount of ultraviolet radiation, and low temperatures. This normalizes the functioning of the respiratory system and blood circulation. Forest resorts provide the body with plant secretions, pine needles, phytoncides, and other natural components.

Treatment of adenoids in children at sea includes the influence of various resort factors: the climate itself, therapeutic mud, mineral waters, stones, minerals, sea water, seaweed.

Physiotherapy for adenoids in children

Treatment of adenoids in children often requires the appointment of physiotherapeutic procedures. The most effective are UFO, UHF, electrophoresis, laser therapy. Calcium chloride is prescribed for electrophoresis. Aromatherapy and cryotherapy have a positive effect.