Modern treatment of adenoids in children: new methods, sanatoriums
Last reviewed: 23.04.2024
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Treatment of adenoids in children is one of the main problems of modern medicine. This problem requires a comprehensive study. Unequivocal answers to the question of which method to consider the most effective, does not exist. Some experts argue that the optimal method of treating adenoids is surgical removal. Others are sure that there is no need to hurry with the operation, since there is conservative therapy, which is no less effective. Some argue that it is possible to solve the problem only by a radical method, while others argue that operational methods not only do not solve the problem, but also exacerbate pathology.
Modern medical literature contains information that in the presence of adenoids can develop a large number of complications in the child. Prolonged respiratory failure can lead to complication of not only the physical condition, but also to the delay of psychomotor development. There may be various diseases of the nose, respiratory tract, as well as disruption of the body structure. With a sustained impairment of psychomotor reactions, ventilation of the paranasal sinuses is also impaired. Therefore, you need to treat adenoids.
Today, medicine has various methods of treatment. You can choose the option that suits every child. Well proven both conservative and surgical treatment. Conservative treatment is represented by drug therapy, homeopathic and alternative means, which effectively combine with each other.
Also, the treatment with hormonal drugs, which proved to be very effective, can significantly improve the condition and prevent surgery. Today, hormone therapy is considered relatively safe, because there are many tools that do not have systemic effects on the body. Accordingly, side effects practically do not arise. Modern drugs act only locally, so they quickly remove the inflammatory process, swelling, prevent further hyperplasia of the adenoid tissue. With long-term use, you can achieve a sustainable result.
Many specialists resort to laser therapy. In this case, the adenoids are not removed, but they are directly affected by a laser. The inflammatory process is removed, edemas are eliminated, hyperplasia of the tissue goes away, as a result of which the growths dissolve. In combination with hormone therapy, adenoids can be maintained in a frozen state, as a result of which they will not grow. They can become inflamed slightly, or completely cease to become inflamed and will respond adequately to infection.
Modern methods of treatment is also their removal by various methods. So, open operating techniques have long ago become secondary. Today, more and more often they resort to laparoscopic techniques, laser removal. Many specialists prefer to first remove adenoids by traditional methods, after which additional laser therapy. This will prevent the risk of further proliferation, significantly reduce the inflammatory and infectious process.
Many doctors are slow 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 for various types of infection, a person can be ill for a long time with infectious diseases.
First try to try the treatment with hormonal drugs, physiotherapy procedures. Many children are helped by sanatorium treatment, which allows you to quickly stop inflammation, localize the infection process, reduce sprouting. Many try to use psychological approaches in the fight against adenoids. So, a positive approach, positive emotions, optimistic mood, will help the child to activate his inner potential and overcome the disease.
Treatment of inflammation of adenoids in children
Adenoids can be treated with both conservative and radical methods. Conservative methods involve the use of medications, physiotherapy. The composition of complex therapy can include treatment with homeopathic and alternative means. Vitamins and hormones can be prescribed if necessary.
Radical methods involve surgical intervention. If there are indications for the operation, the adenoids are removed. They can also be removed in many ways, for example, using the traditional method of adenotomy, endoscopic surgery, or laser removal. Today, many specialists prefer laser removal, since this method has practically no contraindications and does not entail serious consequences and complications. Practiced sanatorium treatment, which is especially good for children with chronic pathology.
Treatment of cough in adenoids in children
Cough with inflamed adenoids is mainly a consequence of an intense inflammatory process that affects the entire nasopharynx, extends to the pharynx, trachea. This causes irritation of the mucous membranes, there is a natural reflex reaction, in which the swollen mucous, or irritating factor, the body tries to push out.
Therefore, the main treatment should be etiological: it is enough to eliminate the cause of the cough, and he will leave on his own. Therefore, mainly complex therapy is used, there is no specific antitussive treatment.
Treatment usually involves the use of a fever or spray. If necessary, prescribe drying agents. Apply mainly vibrating rod, otrivin. The average duration of the course varies from 5 to 7 days. Also additionally prescribed antimicrobial drugs, for example: protargol, sodium sulfacil, pinosol.
To wash the nasal passages apply mainly a solution of sea salt, various antiseptics. The drugs of choice are furacilin, chlorhexidine. Wash your eyes over the washbasin and bath. The head is tipped forward, gently injected the tip of the syringe into the nasal passage and slowly poured into the solution. The flow is gradually increased. The solution should pour through the tongue through the open mouth.
It is considered quite effective to rinse the oral cavity and pharynx with herbal decoctions, medicinal preparations. The same drugs that are used for washing can also be used for rinsing. For rinsing, mainly anti-inflammatory and antiseptic agents are used. After rinsing and rinsing, the pharynx or nose is irrigated with a medicinal preparation, for example, bioparox, miramistin. If the local funds are ineffective, systemic therapy is prescribed, in which the medications are taken orally.
Treatment of a cold in adenoids in a child
With adenoids, a runny nose occurs quite often. To treat it purposefully is not worth it, because it will still be ineffective. It is necessary to eliminate the cause that caused it. So, if the body has a bacterial or viral microflora, it is necessary to carry out antiviral or antibacterial therapy. When excessive swelling and inflammation of the mucosa prescribed antihistamine, anti-inflammatory drugs. Locally, various drops are used, washing is carried out. If necessary, physiotherapy is used.
Treatment of hearing loss in adenoids
Hearing very often decreases with inflammation of the adenoids, because the ears are directly connected with the nasopharynx and nasal cavity through the Eustachian tube. Through it, the infection can be transmitted to the inner ear, and the inflammatory process also spreads. In addition, inflamed adenoids may overlap the mouth of the auditory tube, which makes it difficult to free air in the middle ear. As a result, the mobility of the tympanic membrane is lost, the hearing decreases.
Pass such violations immediately after the cause is eliminated. The degree of reduction can be different. Hearing loss of moderate severity often develops. Usually the hearing is checked in the doctor's office, but it can also be checked at home. To do this, whisper speech is used. The child normally hears a whisper through the entire room, that is, after 6 or more meters. When a child is engaged in a game, he should be called at a distance of 6 meters or more, in a whisper. In normal hearing, the child will hear and turn around. If he does not turn around, you should come closer and call again, and so on until the child knows exactly the distance on which he hears. It is advisable to check several times, at least three, to make sure that the distance is determined correctly and not by accident.
Treatment is predominantly etiological. Various medicines, homeopathic remedies are used. With a strong stuffy ear, a doctor performs such a procedure as blowing. The nose is washed. Throat must be rinsed. If this treatment is ineffective, prescribe drugs of systemic action, local hormonal drugs. The hearing will be restored immediately after the cause of the pathology has been eliminated, namely, inflammation and adenoid growth. Sometimes you have to resort to even surgical methods of treatment.
Treatment of temperature in adenoids in children
The temperature indicates an acute inflammatory process, or the attachment of a bacterial infection. Symptomatic treatment, that is, taking antipyretics, in this case will be an ineffective method of treatment, since it is necessary to eliminate the cause of the pathology. Then the temperature is normalized on its own. At the same time, if the temperature is too high, antipyretic agents should be given. In general, treatment should be comprehensive.
In general, the treatment regimen can be presented as follows: local treatment, systemic exposure, alternative methods in the absence of effect from the first two methods.
For local effects, nasal drops, nasal rinsing, mouth rinsing and nasopharynx are used. For lubrication and washing, vegetable oils are used with the addition of essential oils. Well proven saline solutions. Inhaled with nebulizer. If inefficiency is used hormonal drugs. Sprays based on sea water or silver ions are also often used.
It is important to exclude infection in the oral cavity. For this, consultation of the dentist is necessary. If necessary, sanitation of foci of infection is carried out. Treatment of inflammatory and allergic reactions is carried out. If there is a viral or bacterial infection, antiviral therapy, antibiotic therapy may be required. If these funds are ineffective, a course of physiotherapy and hormonal drugs are prescribed. You also need to follow a diet.
Treatment of adenoids in children with nebulizer
Today, more and more adenoids are treated with a nebulizer. Traditional inhalations are not very suitable for children, so the nebulizer remains one of the most convenient and popular methods. Previously, experts believed that the nebulizer is not suitable for the treatment of adenoids. And there were reasons for this. Thus, the drug is sprayed throughout the nasopharynx and pharynx, as well as along the respiratory tract. While the treatment of adenoids requires a local effect. But later, as practice showed, it turned out that it very effectively helps to fight the adenoid tissue and its proliferation. And this 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.
Nebulizer performs many other functions, in particular, relieves irritation, eliminates pain, reduces swelling and flushing of tissues. All this significantly alleviates the patient's condition, eliminates the main symptoms of the inflammatory process, improves nasal breathing, eliminates spasm, normalizes the voice.
A great advantage is that the drug is delivered in the form of fine particles that are sprayed and settle on the inflamed areas, having a therapeutic effect on them. Intensive absorption of the drug with 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 bought a nebulizer for their child were satisfied. It is convenient enough to use, allows you to quickly prepare a solution of the desired concentration, without additional funds and preparations to conduct inhalation. You can use not only pharmaceutical products, but also mineral water, vegetable decoctions. Inhalation is carried out quickly, painlessly.
Many children like to spend them, because it attracts the appearance of the device and the unusual design of the packages. And parents prefer this method, because it is comfortable enough and does not require special training. The result is visible in 3-5 days. Doctors say that in children who make inhalations with the help of a nebulizer, recovery comes much faster, the rate of recovery reactions increases sharply, relapses are extremely rare.
Allow to relieve symptoms and prevent progression. Even 2 degrees can have a positive impact. In this case, only the doctor can determine the required drug, its concentration, dosage, the frequency of reception and the duration of the course.
The patient only has to follow several basic rules of procedure. As a basis, use only sterile solutions. Immediately before the start of the procedure, the temperature remains approximately 20 degrees. You can not resort to the use of essential oils, as well as infusions of herbs that contain large particles. One of the significant advantages of this device is its ability to use it in the period of acute illness, at elevated temperature, because it does not contain steam.
Mostly, inhalations use special medicines. Lazolvan can reduce the viscosity, promotes the liquefaction of mucus. It is used at risk of further development. In the event that the cause of growth is infection, various antibiotics are used. Apply Fluimutsil, which helps to remove puffiness and facilitate the respiratory process. Apply pulmicort, which can be used from 6 months of age. Derinat helps not only to eliminate inflammation and puffiness, but also to increase immunity. For moistening, you can use a variety of mineral water.
Also, the doctor will advise which nebulizer is best purchased. There are three types of instrument - compressor, ultrasonic, membrane. The choice of type of device depends on the type of drug that will be used. They can also differ in the dispersion - the diameter of the particles, which form an air suspension. The degree of dispersion depends on how deeply the medicines penetrate the respiratory tissues and the inflamed areas, are absorbed by the mucous membrane.
For the treatment of adenoids, it is better to use large-dispersed models of nebulizers. This will allow the particles of the drug to settle in the right areas, namely, on the back of the nasopharynx. These requirements are met by devices in which a compressor model of air injection under pressure is used. But sometimes doctors resort to ultrasonic or membrane nebulizers. Many modern devices have a special special built-in function that allows you to adjust the diameter of the created particles.
The technique of the procedure is quite simple: the suspension must be inhaled through the mouth exactly. You need to try to take the deepest breath. Then a delay of 2-3 seconds is made, and then exhaled through the nose. This ensures the necessary circulation of the drug and its penetration from the larynx into the deep sections of the respiratory tract.
New methods of treatment of adenoids in children
Relatively new methods are treated with local hormonal drugs that do not have systemic effects, but only affect the mucous membranes of the nose and adenoid proliferations. It is recommended to carry out inhalations by these means, since most of them are issued in the form of a nebulizer, which is a ready-made inhalation kit. Concentration of the preparation is prepared depending on the doctor's recommendations.
Many children are recommended to wash the nose and rinse the throat, which also significantly reduces the inflammatory process, eliminates the hyperplasia of the tissue. For this, special pharmaceutical preparations, alternative and homeopathic remedies are used.
Well-proven drops in the nose of different actions. Apply vasoconstrictor, drying and other means. Often, doctors prescribe special ointments and creams for the nasal cavity, which also help reduce the inflammatory process and prevent sprouting. Also very effective are various anti-allergic, anti-inflammatory drops. Well-established different drugs based on silver ions, for example, protargol. It is used for washing, instillation. Promotes rapid recovery of the mucous membrane, reduces the need for removal of adenoids.
Applied various drugs of systemic action, in particular, anti-inflammatory, antihistaminic, antibacterial and antiviral. If necessary, appoint immunocorrecting agents.
Only in case of ineffectiveness of conservative therapy resort to surgical treatment. A relatively new method of removing adenoids is removal using a microdebird (shaver). This method significantly improves the quality of adenotomy.
Shaver is an electromechanical console with attached handles, which contain tips and pedals. These devices enable the milling cutter to be driven, rotated, or stopped. Also, you can easily change the direction of rotation, choose a different mode. The tip is represented by a hollow fixed part and a blade that rotates around it. I connect the suction hose to one of the handle channels. A negative pressure is created, with which the adenoid tissue is removed. In this case, through one nostril, a shaver is inserted, which is advanced up to the nasopharynx, and an endoscope is placed in the second nosopharynx to control the removal process. The image can be visualized on the screen.
This method has many advantages, it allows to reduce the recovery period, significantly reduces the risk of infection and inflammation, prevents the development of complications.
A new method is breathing exercises and relaxation practices that allow not only to reduce the inflammatory process and strengthen the respiratory muscles, but also to significantly reduce the size of the growths. This is a secondary effect. An important role in treatment and rehabilitation is given to therapeutic physical education, yoga therapy.
Treatment of adenoids by laser in children
Today, this is one of the most effective methods, which is often used in the treatment of adenoids. It allows you to quickly and painlessly remove adenoid vegetation. The advantage of the method is that it is low-traumatic, does not require anesthesia. Only local anesthesia is performed. After surgery, lesions are minimal, the recovery period is significantly shorter compared to traditional surgical methods.
Significantly reduces the risk of infection. There are almost no complications and inflammatory processes. Bleeding does not occur. Also a big plus of the method is that there are no repeated sprouting. The child can go home on the same day. After about a week the child is fully restored.
This method can carry out operations for children from any age. Contraindications are practically absent. Operation of laser removal of adenoids can be carried out even if the child has low coagulability, since the operation is practically bloodless, does not affect the blood vessels. This is due to the fact that the laser is an extremely precise instrument that acts solely on the target, without affecting the surrounding tissues.
There are several types of laser, so the doctor always has the opportunity to choose the optimal method of exposure, which will have a minimum of negative consequences. For example, in some cases, a carbon dioxide laser is used (for small adenoids). It allows you to evaporate the liquid from the very expansion, and the fabric is just gradually smoothed. If the adenoid size is very large, laser coagulation is used.
In addition to removal, the laser can be used to treat adenoids. The process is quite lengthy. The essence of it is a long-term exposure to inflamed tissue, resulting in reduced inflammation, eliminates swelling, respectively, the size of adenoid proliferations decreases.
Many surgeons use the traditional method of removing adenoids, after which the laser surgery site is processed. This allows you to reduce the risk of developing an infectious, inflammatory process. Also, the probability of repeated overgrowth is significantly reduced.
Long-term pre-training does not require such an operation. The recovery period also does not require serious procedures and restrictions. But still within a week it is better to limit physical activity, not to overexert, to minimize the use of various harmful products, including: fatty, sharp, smoked dishes.
It is necessary to avoid both hypothermia and overheating. Do not go to saunas, baths. A hot bath at this time is also not worth taking. Avoid prolonged stay in hot, stuffy places, the room should be regularly ventilated.
A minimal drug therapy may be required to restore the mucous membrane. Usually prescribe desiccating and vasoconstrictive drops for the nose. Sometimes prescribed physiotherapy, vitamin therapy. A positive effect can be achieved with regular physical and respiratory exercises.
Cryotherapy of adenoids in children
It is a method of treating adenoids using ultra-low temperatures. The most commonly used liquid nitrogen. It has a freezing effect, removes the inflammatory process, eliminates puffiness. With the help of this method, the damaged mucous membranes are treated.
Sanatorium treatment of adenoids in children
Today, sanatorium treatment is gaining popularity. This is due to its high efficiency. In the sanatoriums they are treated with physiotherapeutic means, they widely use the resources of climatotherapy, natural environment. Apply salt mines, herbal medicine, treatment with leeches, fish, sanitize foci of infection and normalize the microflora. Apply various traditional and non-traditional means, for example: aromatherapy, balneotherapy, thallasotherapy, color treatment.
The healing power of stones, minerals, plants, and natural elements is used. Water and cryogenic procedures are applied. The positive impact is provided by music, various sounds, including the sounds of nature. There is a special sound-vibration therapy. The main things in treatment are breathing exercises. Include yogoterapiyu, other health practices, therapeutic physical culture, meditative and relaxation practices, massage and manual therapy, acupuncture and reflexology.
Sanatoriums for treatment of adenoids in children
Treatment of adenoids is conservative, or surgical, in which the inflamed tissue is simply removed from the body. Many doctors are inclined to believe that the removal of adenoids can be unsafe, because they protect the body from infection. By removing them, we deprive the body of natural protection. In addition, adenoids usually disappear in the adolescent period. Therefore, it is worth trying conservative treatment. It must necessarily be complex, it will take time and patience. However, this will avoid the operation.
Today, treatment is conducted in sanatoriums, which allows the child to avoid stress and psycho-emotional stress from prolonged stay in the hospital. Accordingly, treatment becomes more effective, and recovery is much faster.
Today there are many sanatoriums that offer a variety of treatment and rehabilitation programs. For children with adenoids it is necessary to choose sanatoria located in the coastal zone, since the marine climate is most favorable for a child suffering from adenoids. Well-established sanatoriums of the Crimea, the Caucasus.
In the sanatoriums offer aromatherapy, massage, various hydroprocedures, salt rooms. For aromatherapy, natural plant extracts and essential oils are used. If necessary, the adenoids and tonsils are lubricated with Lugol's solution, the oils are washed with nasopharynx with various medicines. Assign inhalation with a high content of certain vitamin, minerals. Seawater is used for various procedures. They use herbal medicine, medicinal teas, oxygen cocktails.
Many sanatoriums practice bathing in special pools with sea water, as well as adding phytocomponents and salts. Some practice swimming in the high seas with mandatory immersion in water and ingesting water particles. Apply thermal springs, medicinal and mineral springs, natural resources, such as minerals, clays, natural artesian water, mud. The positive effect is taking baths with radon water and rinsing the throat and nasopharynx in these areas.
Treatment of adenoids in children at sea
It is better to conduct medical and preventive measures in the conditions of a sanatorium at sea. First, it will provide treatment in a calm, relaxing environment, which facilitates relaxation, rapid recovery, the accumulation of forces and the mobilization of internal reserves to fight the disease. It has long been noted that in sanatoria, the recovery in children comes much faster than in a hospital or even at home.
Secondly, the marine climate has a very favorable effect on the health of children suffering from diseases of the respiratory system. And, thirdly, at sea the child receives a lot of positive emotions, which is extremely important for the child. Positive emotions contribute to a quick recovery.
Today has many opportunities for organizing treatment at sea. Sanatoriums offer various conditions, programs, prices. It is worth to look at the sanatoriums of the Crimea, the Caucasus, because it is here that the climate is most favorable for children suffering from adenoiditis. In general, any resort located in a zone with warm, moist air and uniform daily temperature is suitable, with slight fluctuations. The sun rays reflected from the surface of the sea have a positive effect. They replace standard physiotherapy in an outpatient setting.
The use of aero-helio-thalassotherapy, presented, mainly by bathing in the sea, dosed stay in the fresh air, as well as solar and air baths. It is practiced inhaling sea salt and sleeping at the sea, which replaces inhalation with a nebulizer and aerosol.
Mountain resorts affect the body with rarefied air, a lot of ultraviolet light, low temperatures. This normalizes the work of the respiratory system, blood circulation. Forest resorts provide an impact on the body with plant isolates, needles, phytoncides and other natural components.
Treatment of adenoids in children at sea includes the impact of various resort factors: the actual climate, therapeutic mud, mineral waters, stones, minerals, seawater, seaweed.
Physiotherapy with adenoids in children
Treatment of adenoids in children often requires the appointment of physiotherapy procedures. The most effective are UFO, UHF, electrophoresis, laser therapy. Calcium chloride is prescribed for electrophoresis. Positively affects aromatherapy, cryotherapy.