Koj tus me nyuam puas feem ntau ua pa los ntawm lawv lub qhov ncauj? Tej zaum nws yog adenoids o (Adenoiditis)!

Koj puas tau pom tias koj tus menyuam yaus feem ntau muaj qhov ntswg ntws, qhov ntswg txhaws, thiab ua pa los ntawm nws lub qhov ncauj? Qee zaum thaum nws pw tsaug zog thaum hmo ntuj, nws pw tsaug zog zoo li ib tug txiv neej laus, puas yog? Ib txhia niam hais tias, "Auj, kws kho mob, kuv tus menyuam ib txwm muaj qhov ntswg ntws thiab qhov ntswg txhaws." Txawm hais tias peb xav tias cov no tsuas yog mob khaub thuas xwb, qee zaum qhov no tuaj yeem yog vim o ntawm cov qog hu ua adenoids, uas hu ua adenoiditis . Peb puas yuav tham txog qhov no kom ntxaws ntxiv?

Cov adenoids yog dab tsi tiag?

Hais yooj yim xwb, cov adenoids no yog ob lub qog me me zoo li cov nqaij ntshiv lymphoid nyob tom qab peb cov menyuam yaus lub qhov ntswg, nyob rau sab saum toj ntawm lub caj pas, lossis meej dua, tom qab lub qhov ntswg. Xav txog lawv zoo li cov neeg zov uas ntes cov kab mob uas nkag mus rau hauv peb lub cev. Ntawd yog, lawv yog ib feem tseem ceeb ntawm peb cov menyuam lub cev tiv thaiv kab mob. Cov adenoids no nyob ntawd los ntes cov kab mob tsis xav tau, cov kab mob me me, thiab cov kab mob uas nkag mus rau hauv peb lub cev los ntawm ib puag ncig thaum peb ua pa thiab noj mov, tawm tsam lawv, thiab tiv thaiv lawv kom tsis txhob mob.

Yog li, adenoiditis yog dab tsi? Vim li cas nws thiaj tshwm sim?

Tam sim no koj nkag siab txog cov adenoids yog dab tsi thiab lawv tseem ceeb npaum li cas. Yog li, cov qog no uas tawm tsam cov kab mob qee zaum tuaj yeem kis tus kab mob, lossis lawv tuaj yeem o. Qhov ntawd yog qhov peb hu ua adenoiditis hauv kev kho mob. Yog kom meej meej, qhov no yog o ntawm cov adenoids.

Thaum qhov ntawd tshwm sim, yuav ua li cas? Cov qog no o thiab loj zuj zus. Ces txoj hlab pa uas tso cai rau kev ua pa los ntawm lub qhov ntswg pib raug thaiv. Nws ua rau nyuaj rau tus menyuam ua pa los ntawm lawv lub qhov ntswg, thiab lawv pib ua pa los ntawm lawv lub qhov ncauj . Qee zaum, koj tuaj yeem qhia qhov txawv thaum koj tham nrog koj lub qhov ntswg raug thaiv.

Cov laj thawj tseem ceeb ntawm kev o ntawm adenoids

Muaj ntau yam ua rau cov adenoids no o. Feem ntau, nws pib zoo li no:

1. Kab mob kis los ntawm cov kab mob sib kis thiab cov kab mob me me: Ua ntej, ib tug me nyuam yuav muaj kab mob kis los ntawm cov kab mob me me , xws li mob khaub thuas, uas ua rau txoj hlab pa sab saud tsis muaj zog. Tom qab ntawd, kab mob me me tuaj yeem kis mus rau thaj chaw uas tsis muaj zog ntawd. Thaum muaj ob qho kab mob sib law liag, cov adenoids yuav o tuaj.

• Cov kab mob uas ua rau mob khaub thuas thiab mob ntsws.
• Cov kab mob uas ua rau muaj kab mob xws li mob ntsws ntsws (bronchitis) , mob pob ntseg, mob ntsws (pneumonia ), thiab mob caj pas (xws li mob caj pas strep throat ).

2. Kev Ua Xua: Ib txhia menyuam yaus yuav ua xua rau tej yam xws li hmoov av, paj ntoos, thiab qee yam khoom noj. Cov kev ua xua no kuj tuaj yeem ua rau cov adenoids o.

3. Mob kua qaub rov qab los:Qee zaum, cov adenoids kuj tseem tuaj yeem o thaum cov kua qaub hauv plab ntws rov qab mus rau hauv caj pas thiab ua rau cov nqaij ntawd raug mob. Qhov no yog ib qho mob hu ua LPR (Laryngopharyngeal Reflux) .

Leej twg yuav muaj feem mob adenoiditis tshaj?

Tus mob no hu ua adenoiditis feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 3 thiab 7 xyoo. Cov niam txiv paub tias cov menyuam yaus hnub nyoog no yuav mob khaub thuas thiab kub taub hau ntau dua. Qhov no yog vim lawv tab tom yuav pib mus kawm ntawv thiab ua si nrog lwm tus menyuam. Tsis tas li ntawd, cov adenoids loj tshaj plaws thaum muaj hnub nyoog li no. Yog li, txawm tias me me o tuaj yeem ua rau muaj kev txhaws ntau hauv cov hlab ntsha.

Qhov no tsis tshua muaj rau cov neeg laus. Qhov no yog vim tias cov adenoids feem ntau yuav ntsws thiab me dua tom qab muaj hnub nyoog 7 xyoo. Feem ntau, lawv ploj mus tag thaum lawv loj hlob tuaj. Txawm li cas los xij, nyob ntawm seb cov nqaij tseem tshuav ntau npaum li cas, cov adenoids hauv cov neeg laus kuj tuaj yeem o tuaj rau cov laj thawj uas tau hais los saum toj no. Tsis tshua muaj, cov kev loj hlob tsis zoo xws li mob qog noj ntshav kuj tuaj yeem ua rau cov adenoids hauv cov neeg laus o tuaj. Qhov no feem ntau tshwm sim rau cov neeg laus.

Tseem Ceeb: Txawm hais tias nws yog ib qho ib txwm muaj rau cov adenoids loj hlob hauv cov menyuam yaus, nws yog ib qho tseem ceeb heev uas yuav tsum txhawj xeeb yog tias cov neeg laus cov adenoids loj hlob.

Yog tias tus menyuam muaj tus kab mob no, yuav muaj cov tsos mob li cas?

Yog tias koj tus menyuam muaj mob adenoiditis, koj yuav pom ib lossis ntau yam ntawm cov tsos mob no:

• Kub taub hau tshwm sim.
• Ua pa los ntawm qhov ncauj (tshwj xeeb tshaj yog thaum hmo ntuj, thaum pw tsaug zog).
• Kuv lub qhov ntswg txhaws thiab kuv lub qhov ntswg ntws tas li.
• Qee zaum txoj hlab pa raug thaiv tag (qhov ntswg txhaws) .
• Zoo li cov hnoos qeev ntws los ntawm caj pas, thiab khawb caj pas tas li (Postnasal drip) .
• Ua pa tsaug zog thaum hmo ntuj . Qee zaum nws yuav zoo li koj ua tsis taus pa.
• Mob caj pas.
• Cov menyuam mos uas haus mis niam yuav muaj teeb meem noj mov vim lawv lub qhov ntswg raug txhaws.
• Kab mob pob ntseg tuaj yeem tshwm sim ntau zaus.
• Thaum koj hais lus, tej zaum koj yuav zoo li koj tab tom hais lus los ntawm koj lub qhov ntswg (lub suab ntawm qhov ntswg).

Yog tias qhov teeb meem adenoids tseem muaj, yuav muaj teeb meem dab tsi tshwm sim?

Qhov no yog ib yam uas yuav tsum tau ceev faj txog. Yog tias cov adenoids o thiab cov pa tsis tu ncua raug thaiv, ib qho teeb meem tuaj yeem ua rau muaj ntau yam teeb meem ntxiv.

Xav txog seb, thaum nws nyuaj rau ua pa los ntawm lub qhov ntswg, tus menyuam tseem ua pa los ntawm lub qhov ncauj. Thaum ua pa los ntawm lub qhov ncauj ntev heev , muaj feem ntau yuav muaj cov qhov hauv cov hniav thiab tom tsis sib luag. Vim tias thaum lub qhov ncauj qhib, cov qaub ncaug hauv lub qhov ncauj qhuav, uas tsis zoo rau cov hniav. Tsis yog li ntawd xwb, tab sis nws kuj cuam tshuam rau kev loj hlob ntawm cov pob txha ntsej muag.Qhov no tuaj yeem cuam tshuam thiab txawm tias hloov pauv lub ntsej muag me ntsis.

Ua pa nyuaj ua rau nws nyuaj pw tsaug zog thaum hmo ntuj. Qee zaum ua pa nres ib pliag thiab tom qab ntawd rov pib dua. Peb hu qhov no ua 'Obstructive Sleep Apnea' . Tom qab ntawd tus menyuam muaj teeb meem mloog thaum nruab hnub, muaj teeb meem tsom ntsoov rau kev ua haujlwm hauv tsev kawm ntawv, thiab qhov no kuj tseem tuaj yeem cuam tshuam rau kev kawm. Tus menyuam kuj tseem yuav nkees txhua lub sijhawm.

Ib qho ntxiv yog tias cov adenoids no o tuaj yeem thaiv cov raj Eustachian, uas txuas tus menyuam pob ntseg nruab nrab mus rau tom qab ntawm lub qhov ntswg. Cov raj no yog lub luag haujlwm rau kev sib npaug ntawm lub siab hauv pob ntseg. Thaum cov raj no raug thaiv, lawv tuaj yeem ua rau pob ntseg ntau zaus, mob pob ntseg , thiab qee zaum tsis hnov ​​​​lus .

Tus kws kho mob yuav kuaj mob adenoiditis li cas kom raug?

Thaum koj coj koj tus me nyuam mus rau kws kho mob, lawv yuav xub nug koj txog cov tsos mob. Lawv yuav nug koj ntau lo lus nug, xws li cov tsos mob tau muaj ntev npaum li cas, lawv xav li cas thaum hmo ntuj, thiab lawv noj thiab haus li cas. Tom qab ntawd, lawv yuav ua ob peb qhov kev kuaj mob kom paub seb koj puas muaj adenoiditis thiab dab tsi ua rau nws:

• Kev kuaj lub cev: Qee zaum tus kws kho mob yuav muab ib daim iav me me (zoo li cov uas cov kws kho hniav siv) ntxig rau hauv caj pas kom kuaj seb puas muaj cov adenoids o. Txawm li cas los xij, qhov no yuav nyuaj rau pom tseeb, tshwj xeeb tshaj yog rau cov menyuam yaus.
• Kev Siv Endoscopy: Qhov no feem ntau yog txoj hauv kev zoo tshaj plaws los saib cov adenoids. Qhov no suav nrog kev ntxig ib lub raj nyias nyias, yoog tau nrog lub koob yees duab thiab lub teeb nyob rau ntawm qhov kawg (tseem hu ua kev siv nasal endoscopy ) los ntawm koj lub qhov ntswg thiab saib ze rau cov adenoids. Qhov no tso cai rau koj pom tseeb tias lawv o npaum li cas, lawv loj npaum li cas, thiab cov txoj hlab ntsha raug thaiv npaum li cas. Qhov no tuaj yeem ua rau tsis xis nyob me ntsis, tab sis nws tsis mob heev.
• Kuaj cov kua qaub/kua dej: Yuav muab ib daim ntaub so caj pas (hu ua kev kuaj mob caj pas ) coj mus saib seb puas muaj cov kab mob hauv, tshwj xeeb yog cov kab mob uas ua rau mob caj pas .
• Kev kuaj mob ua xua: Yog tias tus kws kho mob xav tias qhov ua rau o yog kev ua xua, nws kuj tseem yuav ua kev kuaj mob ntsig txog qhov ntawd.

Qee zaum yuav muaj kev thaij duab X-ray kom pom qhov loj ntawm cov adenoids.

Yuav muaj kev kho mob dab tsi rau qhov no? Puas yog ib yam dab tsi uas yuav tsum ntshai?

Kev kho mob rau adenoiditis nyob ntawm seb ua li cas.

Feem ntau, thaum cov adenoids o vim yog tus kab mob, tus menyuam lub cev tiv thaiv kab mob yuav tawm tsam nws thiab kho nws hauv ob peb hnub lossis ib lub lim tiam. Nws tsis tas yuav muaj kev kho mob tshwj xeeb. Txhua yam koj yuav tsum ua yog noj tshuaj rau qhov kub taub hau thiab mob lub cev, so kom txaus, thiab haus dej ntau.

Txawm li cas los xij, yog tias nws yog vim lwm yam ua rau, qhov o yuav txo qis thaum kho qhov ua rau ntawd. Piv txwv li:

• Yog tus kws kho mob lees paub tias nws yog kab mob bacterial, nws yuav sau ntawv kom muab tshuaj tua kab mob rau. Amoxicillin thiab Penicillin yog cov tshuaj tua kab mob nrov tshaj plaws uas feem ntau sau ntawv kom muab. Cov tshuaj no yuav tsum tau noj raws li tau sau tseg, rau pes tsawg hnub. Nws tsis yog lub tswv yim zoo kom tsis txhob noj ib nrab hnub.
• Yog tias nws yog vim muaj kev ua xua, koj tus kws kho mob yuav sau ntawv kom muab tshuaj antihistamines lossis tshuaj tsuag rau hauv qhov ntswg, xws li Flonase® .
• Kev ntxuav qhov ntswg nrog cov dej ntsev pab ntxuav cov tshuaj ua xua lossis cov kab mob thiab tseem pab txo qhov ntswg txhaws.
• Yog koj muaj mob kua qaub ncaug rov qab los, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj, xws li cov tshuaj proton pump inhibitors (PPIs) lossis H2 blockers .

Yog tias tshuaj tsis ua haujlwm, kuv puas yuav tsum tau phais (Adenoidectomy)?

Qee zaum, txawm tias noj tshuaj los xij, qhov o ntawm cov adenoids yuav tseem muaj. Los yog, yog tias koj muaj adenoiditis ntau zaus, uas ua rau pob ntseg ntau zaus, lossis ua pa nyuaj thaum hmo ntuj (Obstructive Sleep Apnea), koj tus kws kho mob yuav pom zoo kom phais , hu ua adenoidectomy . Qhov no suav nrog kev phais tshem tawm cov adenoids o. Kev phais no yog ua los ntawm tus kws kho mob pob ntseg, qhov ntswg, thiab caj pas (Otolaryngologist - ENT doctor) .

Tam sim no koj yuav xav tias, 'Auj, puas yog tshem ib feem ntawm lub cev tiv thaiv kab mob yuav ua rau kuv tus menyuam muaj feem mob ntau dua?' Tsis txhob txhawj . Qhov ntawd yuav tsis tshwm sim. Qhov tseeb, cov adenoids tsuas yog ib feem me me ntawm lub cev tiv thaiv kab mob. Kev tshem tawm lawv yuav tsis ua rau koj tus menyuam muaj feem mob ntau dua. Lwm qhov ntawm lub cev tiv thaiv kab mob (xws li cov tonsils thiab cov qog ntshav) yuav ua haujlwm zoo dua thiab tiv thaiv koj tus menyuam ntawm cov kab mob. Qhov tseeb, kev tshem tawm cov adenoids uas o thiab feem ntau mob yuav ua rau koj tus menyuam muaj feem mob tsawg dua.

Tom qab phais mob adenoids tas, yuav muaj li cas? Tus me nyuam puas zoo?

Yog tias tus mob adenoiditis kho tau qhov ua rau mob. Yog tias nws yog tus kab mob, nws yuav zoo dua li ib lub lim tiam. Tus menyuam yuav pib zoo dua li ob peb hnub tom qab pib noj tshuaj tua kab mob. Txawm li cas los xij, txhua yam tshuaj uas tus kws kho mob tau sau tseg yuav tsum tau muab raws nraim thiab raws sijhawm. Tsis txhob tsum ib nrab vim tias koj xav tias zoo dua me ntsis.

Yog koj muaj kev phais kom tshem tawm cov adenoids (Adenoidectomy), feem ntau nws yuav ua tiav tib hnub thiab koj tuaj yeem mus tsev (phais ib hnub). Ob peb hnub tom qab kev phais, koj lub caj pas yuav mob me ntsis, thiab koj yuav xav tias me ntsis tsis xis nyob thaum noj mov. Tus kws kho mob yuav muab tshuaj tua kab mob rau koj rau qhov no. Feem ntau koj yuav tsum so hauv tsev tsawg kawg ib lub lim tiam. Tom qab ntawd, tus menyuam tuaj yeem mus kawm ntawv thiab ua si li qub. Ntau tus menyuam xav tias zoo siab heev tom qab kev phais no, thiab tej yam xws li ua pa los ntawm lub qhov ntswg thiab pw tsaug zog zoo dua.

Yuav ua li cas saib xyuas koj tus menyuam hauv tsev? Thaum twg koj yuav tsum mus ntsib kws kho mob?

Thaum saib xyuas ib tug me nyuam uas muaj tus kab mob adenoiditis, koj yuav tsum hlub thiab ua tib zoo mloog . Yuav kom pab tau lawv zoo dua, muab dej rau lawv haus ntau (xws li dej, kua zaub, kua txiv hmab txiv ntoo) thiab so kom txaus. Yog tias lawv mob caj pas, muaj ntau yam kev kho mob hauv tsev uas koj tuaj yeem sim ua, xws li muab zib ntab rau lawv me ntsis thiab yaug nrog dej ntsev (yog tias koj tus me nyuam ua tau).

Qhov tseem ceeb tshaj plaws yog xyuas seb koj tus menyuam xav li cas. Nug ib txwm tias, 'Koj nyob li cas, tus tub/ntxhais?' Qhov ntawd yuav pab kom lawv zoo siab dua. Koj tuaj yeem qhia tus kws kho mob txog yam koj xav qhia rau nws.

Hauv cov xwm txheej no, koj yuav tsum mus ntsib kws kho mob:

• Yog tias cov tsos mob tsis zoo dua lossis kub taub hau tsis ploj mus tom qab ob hnub ntawm kev pib siv tshuaj tua kab mob.
• Yog tias tus me nyuam muaj cov tsos mob tshiab, lossis yog tias cov tsos mob uas twb muaj lawm zuj zus tuaj (piv txwv li, ua pa sai dua, daim di ncauj xiav).
• Yog tias qhov kub taub hau tseem muaj txawm tias tau muab tshuaj txo qhov kub taub hau los xij.
• Yog tus me nyuam ua pa nyuaj heev.
• Yog tias lawv tsis kam noj mov los yog haus dej, los yog lawv ntuav.

Yog li ntawd, cia peb nco ntsoov tej yam tseem ceeb tshaj plaws, puas yog?

Muaj ntau tus menyuam yaus uas mob adenoids o. Tab sis feem ntau mob khaub thuas thiab mob ntsws yuav zoo dua thaum lub sijhawm dhau mus. Qee qhov ua rau - kab mob bacterial, teeb meem kua qaub hauv plab, ua xua - tuaj yeem kho tau nrog tshuaj. Tab sis yog tias koj tus menyuam xav tau kev phais, nco ntsoov tias nws yog ib qho kev phais mob uas siv ntau thiab ua tau zoo. Ib tug menyuam yaus tuaj yeem noj qab nyob zoo yam tsis muaj adenoids.

Muaj ntau tus niam txiv tsis xav txog lo lus kho mob 'adenoiditis' thaum lawv pom lawv tus menyuam cov tsos mob. Hloov chaw, cov adenoids o tuaj yeem zoo li mob khaub thuas lossis mob ntsws. Raws li lub sijhawm dhau mus, lawv tuaj yeem zoo li mob pob ntseg rov tshwm sim. Tab sis qhov tseem ceeb tshaj qhov paub lo lus kho mob yog paub thaum twg yuav tsum mus ntsib kws kho mob. Feem ntau cov menyuam yaus zoo dua raws sijhawm. Tab sis yog tias cov tsos mob kav ntev dua ib lub lim tiam, lossis hnyav, hu rau kws kho mob. Lawv tuaj yeem pab koj tus menyuam zoo dua sai sai. Xav kom koj tus menyuam me zoo sai sai!

` Adenoids, adenoiditis, kev noj qab haus huv ntawm menyuam yaus, mob caj pas, ntswg txhaws, ua pa ntawm qhov ncauj, phais adenoidectomy