Ingaba umntwana wakho usoloko ephefumla ngomlomo wakhe? Isenokuba yi-adenoids evuvukileyo (i-Adenoiditis)!

Ngaba wakha waphawula ukuba umntwana wakho omncinci uhlala enempumlo egobhozayo, impumlo egobhozayo, kwaye ephefumla ngomlomo wakhe? Ngamanye amaxesha xa elele ebusuku, urhona njengendoda endala, akunjalo? Abanye oomama bathi, "Owu, gqirha, umntwana wam uhlala enempumlo egobhozayo nempumlo egobhozayo." Nangona sicinga ukuba ezi zinto zingumkhuhlane nje oqhelekileyo, ngamanye amaxesha oku kubangelwa kukudumba kwamadlala abizwa ngokuba yi-adenoids, ebizwa ngokuba yi -adenoiditis . Ngaba singathetha ngale nto ngokweenkcukacha?

Zithini kanye kanye ii-adenoids?

Ngamafutshane, ezi adenoids zii-glands ezimbini ezincinci ezifana nezicubu ze-lymphoid ezikwimpumlo yabantwana bethu, phezulu emqaleni, okanye ngokuchanekileyo, emva komngxuma wempumlo. Zicinge njengezilindi ezibamba iintsholongwane ezingena emizimbeni yethu. Oko kukuthi, ziyinxalenye ebalulekileyo yenkqubo yokuzikhusela yabantwana bethu. Ezi adenoids zikho ukuze zibambe iintsholongwane ezingafunekiyo, iibhaktheriya, kunye neentsholongwane ezingena emizimbeni yethu zisuka kwindawo esingqongileyo xa siphefumla kwaye sisitya, silwa nazo, kwaye sizikhusela ekuguleni.

Ngoko ke, yintoni i-adenoiditis? Kutheni isenzeka?

Ngoku uyaqonda ukuba ziyintoni na ii-adenoids kunye nokuba zibaluleke kangakanani. Ngoko ke, la madlala alwa neentsholongwane ngamanye amaxesha anokosulelwa ziintsholongwane, okanye anokudumba. Yiloo nto siyibiza ngokuba yi-adenoiditis ngokwezonyango. Ukuchaneka, oku kukudumba kwee-adenoids.

Kwenzeka ntoni xa oko kusenzeka? La madlala avuvukala aze abe makhulu. Emva koko indlela yomoya evumela ukuphefumla ngempumlo iqala ukuvaleka. Kuba nzima kumntwana ukuphefumla ngempumlo yakhe, aze aqalise ukuphefumla ngomlomo wakhe . Ngamanye amaxesha, unokubona umahluko xa uthetha impumlo yakho ivalekile.

Izizathu eziphambili ze-adenoids ezivuvukileyo

Kunokubakho izizathu ezininzi zokuba ezi adenoids zidumbe. Ngokuqhelekileyo, iqala ngolu hlobo:

1. Usulelo lwentsholongwane kunye neentsholongwane: Okokuqala, umntwana unokuba nosulelo lwentsholongwane , njengomkhuhlane, oluwenza buthathaka indlela ephezulu yokuphefumla. Emva koko, usulelo lwentsholongwane lunokuthatha indawo ebuthathaka. Xa usulelo olunjalo lusenzeka kabini ngokulandelelana, ii-adenoids zinokuba lula ukudumba.

• Iintsholongwane ezibangela umkhuhlane oqhelekileyo kunye nomkhuhlane.
• Iibhaktheriya ezibangela izifo ezifana ne -bronchitis , usulelo lwendlebe, i-pneumonia , kunye nosulelo lomphimbo (njenge- strep throat ).

2. Ii-Allergies: Abanye abantwana banokuba nee-allergies kwizinto ezifana nothuli, i-pollen, kunye nokutya okuthile. Ezi allergies zinokubangela ukuba ii-adenoids zidumbe.

3. Ukubuyela kwe-asidi emzimbeni:Ngamanye amaxesha, ii-adenoids zinokudumba xa i-asidi yesisu ibuyela emphinjeni ize yonakalise izicubu apho. Le yimeko ebizwa ngokuba yi -LPR (Laryngopharyngeal Reflux) .

Ngubani onokuthi abe ne-adenoiditis?

Le meko ibizwa ngokuba yi-adenoiditis ixhaphake kakhulu kubantwana abaphakathi kweminyaka emi-3 ne-7 ubudala. Abazali bayazi ukuba abantwana abakule minyaka banamathuba amaninzi okufumana umkhuhlane kunye nefiva. Oku kungenxa yokuba sele beza kuqala ukuya esikolweni baze badlale nabanye abantwana. Kwakhona, ii-adenoids zinkulu kakhulu kule minyaka. Ngoko ke, nokuba ukudumba okuncinci ngexesha elinjalo kunokubangela ukuvaleka okukhulu kwiimpumlo.

Oku kunqabile kakhulu kubantu abadala. Oku kungenxa yokuba ii-adenoids zihlala zincipha kwaye zibe ncinci emva kweminyaka esi-7. Kwiimeko ezininzi, ziyanyamalala ngokupheleleyo xa zifikelela ebudaleni. Nangona kunjalo, kuxhomekeke kubungakanani bezicubu ezisele, ii-adenoids kubantu abadala nazo zinokudumba ngenxa yezizathu ezichazwe apha ngasentla. Amaxesha amaninzi, ukukhula okungaqhelekanga okufana nomhlaza kunokubangela ukuba ii-adenoids kubantu abadala zidumbe. Oku kuxhaphake kakhulu kubantu abadala.

Kubalulekile: Nangona kuqhelekile ukuba ii-adenoids zikhule kubantwana abancinci, kubaluleke kakhulu ukuba nexhala xa ii-adenoids zomntu omdala zikhula.

Zeziphi iimpawu umntwana aza kuzibonisa xa efumana esi sifo?

Ukuba umntwana wakho une-adenoiditis, unokubona enye okanye ezingaphezulu kwezi mpawu zilandelayo:

• Umkhuhlane uyakhula.
• Ukuphefumla ngomlomo (ingakumbi ebusuku, ngelixa ulele).
• Impumlo yam ivakala ngathi ixinene kwaye ndihlala ndinayo impumlo egobhozayo.
• Ngamanye amaxesha indlela yomoya ingavalwa ngokupheleleyo (ukuvaleka kwempumlo) .
• Ndiziva ngathi i-mucus iyehla emqaleni, isoloko ikrwela umqala (i-Postnasal drip) .
• Ukurhona ebusuku . Ngamanye amaxesha kunokuvakala ngathi uyafuthaniseka.
• Umqala obuhkungu .
• Iintsana ezincanciswayo zinokuba nengxaki yokuncancisa kuba impumlo yazo ivalekile.
• Usulelo lwendlebe lunokwenzeka rhoqo.
• Xa uthetha, usenokuvakala ngathi uthetha ngempumlo yakho (ilizwi lempumlo).

Ziziphi iingxaki ezinokwenzeka ukuba ingxaki ye-adenoids iyaqhubeka?

Le yinto ekufuneka uyilumkele. Ukuba ii-adenoids zidumbile kwaye iindlela zomoya zihlala zivaliwe, ingxaki enye inokukhokelela kwiingxaki ezininzi.

Khawuthelekelele, xa kuba nzima ukuphefumla ngempumlo, umntwana uyaqhubeka nokuphefumla ngomlomo. Xa ephefumla ngomlomo ixesha elide kangaka , kukho ithuba elikhulu lokuba kubekho imingxunya emazinyweni kunye nokulunywa okungalunganga. Kuba xa umlomo uvulekile, amathe emlonyeni ayoma, nto leyo engalunganga kumazinyo. Ayipheleli apho, kodwa ikwachaphazela nophuhliso lwamathambo obuso.Oku kunokuchaphazela kwaye kutshintshe nokuma kobuso kancinci.

Ubunzima bokuphefumla bunokwenza kube nzima ukulala ebusuku. Ngamanye amaxesha ukuphefumla kuyayeka okwethutyana kuze kuqale kwakhona. Oku sikubiza ngokuba yi -'Obstructive Sleep Apnea' . Emva koko umntwana uba nobunzima bokunikel' ingqalelo emini, abe nobunzima bokugxila kumsebenzi wesikolo, kwaye oku kunokuchaphazela nobuchule bokufunda. Umntwana unokuziva ediniwe ngalo lonke ixesha.

Enye into kukuba ezi adenoids zidumbileyo zinokuvala iityhubhu ze-Eustachian, ezidibanisa indlebe ephakathi yomntwana nomva wempumlo. Ezi tyhubhu zinoxanduva lokulinganisa uxinzelelo ngaphakathi kwendlebe. Xa ezi tyhubhu zivalekile, zinokubangela ukufunxwa rhoqo kweendlebe, usulelo lweendlebe , kwaye ngamanye amaxesha ukulahlekelwa kukuva .

Ugqirha ufumanisa njani ngokuchanekileyo i-adenoiditis?

Xa usisa umntwana wakho kugqirha, baza kuqala bakubuze ngeempawu. Baza kukubuza imibuzo emininzi, efana nokuba iimpawu zikho ixesha elide kangakanani, indlela ezivakalelwa ngayo ebusuku, nendlela ezitya kwaye zisela ngayo. Emva koko, banokwenza uvavanyo olumbalwa ukuze bafumane ukuba unayo na i-adenoiditis kunye nokuba yintoni ebangela oko:

• Uvavanyo lomzimba: Ngamanye amaxesha ugqirha ufaka isibuko esincinci (njengeso sisetyenziswa ngoogqirha bamazinyo) entanyeni ukuze ajonge ukuba azikho na ii-adenoids ezivuvukileyo. Nangona kunjalo, oku kunokuba nzima ukukubona ngokuchanekileyo, ingakumbi kubantwana abancinci.
• I-Endoscopy: Le yeyona ndlela ilungileyo yokubona ii-adenoids. Oku kuquka ukufaka ngononophelo ityhubhu encinci, eguquguqukayo enekhamera kunye nokukhanya ekupheleni (okubizwa ngokuba yi-nasal endoscopy ) ngempumlo yakho uze ujonge ii-adenoids ngokusondeleyo. Oku kukuvumela ukuba ubone ukuba zidumbile kangakanani, zinkulu kangakanani, kwaye zivaliwe kangakanani iimpumlo. Oku kunokuba yinto engathandekiyo kancinci, kodwa akubuhlungu kakhulu.
• Ukuvavanya isampulu yobofu/ulwelo: I-throat swab (ebizwa ngokuba yi-throat culture ) ingathathwa ukuze kubonwe ukuba kukho iintsholongwane kuyo, ingakumbi iintsholongwane ezibangela i-strep throat .
• Uvavanyo lwe-allergy: Ukuba ugqirha ucinga ukuba unobangela wokudumba kukunganyamezelani komzimba, angenza novavanyo olunxulumene noko.

Ngamanye amaxesha i-X-ray ingathathwa ukuze kubonwe ubungakanani be-adenoids.

Zithini iindlela zokunyanga oku? Ngaba yinto ekufuneka uyoyike?

Unyango lwe-adenoiditis luxhomekeke kwisizathu.

Amaxesha amaninzi, xa i-adenoids idumba ngenxa yentsholongwane, amajoni omzimba omntwana ayayilwa nayo aze aphole kwiintsuku ezimbalwa okanye ngeveki. Ayifuni naluphi na unyango olukhethekileyo. Okufuneka ukwenze kukuthatha amayeza omkhuhlane kunye neentlungu zomzimba, uphumle ngokwaneleyo, kwaye usele ulwelo oluninzi.

Nangona kunjalo, ukuba kungenxa yesinye isizathu, ukudumba kuya kuncipha xa loo sizathu sinyangwa. Umzekelo:

• Ukuba ugqirha uqinisekisa ukuba lusulelo lwebhaktiriya, uya kunika amayeza okubulala iintsholongwane . I-Amoxicillin kunye nePenicillin zezona antibiotics zidumileyo ezinikwa rhoqo. La mayeza kufuneka athathwe kanye njengoko kumiselweyo, kangangeentsuku ezichanekileyo. Akuyongcinga ilungileyo ukuyeka ukuwasebenzisa phakathi.
• Ukuba kungenxa ye-allergy, ugqirha wakho unokukunika amayeza okulwa neentsholongwane okanye i-nasal steroid spray, efana neFlonase® .
• Ukunkcenkceshela impumlo nge-saline nasal wash kunceda ekukhupheni izinto ezibangela i-allergen okanye iintsholongwane kwaye kukwanceda ekunciphiseni ukuxinana kwempumlo.
• Ukuba une-acid reflux, ugqirha wakho unokukunika amayeza, anjenge -proton pump inhibitors (PPIs) okanye ii-H2 blockers .

Kuthekani ukuba amayeza awasebenzi? Ngaba kufuneka ndenze utyando (i-Adenoidectomy)?

Ngamanye amaxesha, nangona amayeza esetyenziswa, ukudumba kwe-adenoids kusenokuqhubeka. Okanye, ukuba une-adenoiditis exhaphakileyo, ebangela ukurhawuzelelwa rhoqo kwendlebe, okanye ubunzima bokuphefumla ebusuku (Obstructive Sleep Apnea), ugqirha wakho unokucebisa utyando , olubizwa ngokuba yi-adenoidectomy . Oku kubandakanya ukususwa kwe-adenoids evuvukileyo ngotyando. Olu tyando lwenziwa yingcali yendlebe, impumlo, nomqala (Otolaryngologist - ENT doctor) .

Ngoku usenokuba ucinga, 'Owu, ngaba ukususa inxalenye yenkqubo yokuzikhusela komzimba kungenza umntwana wam agule ngakumbi?' Ungakhathazeki . Oko akuyi kwenzeka. Enyanisweni, ii-adenoids yinxalenye encinci yenkqubo yokuzikhusela komzimba. Ukuzisusa akuyi kumenza umntwana wakho agule ngakumbi. Ezinye iinkqubo zokuzikhusela komzimba (ezifana neetoni kunye nee-lymph nodes) ziya kusebenza ngcono kwaye zikhusele umntwana wakho kwiintsholongwane. Enyanisweni, ukususa ii-adenoids ezivuvukileyo nezihlala zigula kunokwenza umntwana wakho agule kancinci.

Kwenzeka ntoni emva kotyando lwe-adenoids? Ingaba umntwana uphilile?

I-Adenoiditis iya kuphila ngokukhawuleza ukuba unobangela uyanyangwa. Ukuba yintsholongwane, iya kuphila malunga neveki. Umntwana uya kuqala ukuziva engcono kwiintsuku ezimbalwa emva kokuqala amayeza okubulala iintsholongwane. Nangona kunjalo, onke amayeza anikwe ngugqirha kufuneka anikwe ngokuchanekileyo nangexesha. Musa ukuyeka phakathi kuba nje uzive ungcono kancinci.

Ukuba utyando lokususa i-adenoids (i-Adenoidectomy), ludla ngokwenziwa ngaloo mini kwaye ungaya ekhaya (utyando losuku). Kangangeentsuku ezimbalwa emva kotyando, umqala wakho usenokuba buhlungu kancinci, kwaye ungaziva ungakhululekanga xa usitya. Ugqirha uza kukunika amayeza okudambisa iintlungu ngenxa yoku. Udla ngokufuneka uphumle ekhaya ubuncinane iveki. Emva koko, umntwana angaya esikolweni aze adlale ngendlela eqhelekileyo. Abantwana abaninzi baziva bekhululekile emva kotyando, kwaye izinto ezinje ngokuphefumla ngempumlo nokulala zingcono kakhulu.

Ungamnyamekela njani umntwana wakho ekhaya? Ufanele uye nini kugqirha?

Xa unyamekela umntwana one-adenoiditis, kufuneka ube nothando kakhulu kwaye umkhathalele . Ukuze umncede azive ngcono, mnike amanzi amaninzi (afana namanzi, isuphu, ijusi yeziqhamo) kwaye ufumane ukuphumla okwaneleyo. Ukuba unesifo somqala, kukho amayeza aliqela asekhaya onokuwazama, njengokumnika ubusi obuncinci kunye nokugabha ngamanzi anetyuwa (ukuba umntwana wakho unako ukumelana nayo).

Eyona nto ibalulekileyo kukujonga rhoqo ukuba umntwana wakho uziva njani. Soloko ubuza, 'Unjani nyana/ntombi?' Oko kuya kumnceda azive ngcono. Ungamxelela ugqirha kanye kanye into ekufuneka umxelele yona.

Kwezi meko, ngokuqinisekileyo kuya kufuneka ubone ugqirha:

• Ukuba iimpawu aziphucuki okanye umkhuhlane awupheli emva kweentsuku ezimbini zokuqala amayeza okubulala iintsholongwane.
• Ukuba umntwana ubonakalisa iimpawu ezintsha, okanye ukuba iimpawu ezikhoyo ziya zisiba mbi (umz., izinga lokuphefumla elinyukayo, imilebe eluhlaza okwesibhakabhaka).
• Ukuba umkhuhlane uyaqhubeka nangona unikwe amayeza okunciphisa umkhuhlane.
• Ukuba umntwana unengxaki enkulu yokuphefumla.
• Ukuba bayala ukutya okanye ukusela, okanye ukuba bayahlanza.

Ngoko ke, masikhumbule ezona zinto zibalulekileyo, akunjalo?

Abantwana abaninzi bafumana i-adenoids evuvukileyo xa begula. Kodwa uninzi lwemikhuhlane neflu ziba ngcono ngokuhamba kwexesha. Ezinye izizathu - usulelo lweebhaktheriya, iingxaki ze-asidi yesisu, i-allergies - zinokunyangwa ngamayeza. Kodwa ukuba umntwana wakho udinga utyando, khumbula ukuba yinkqubo eqhelekileyo nephumelelayo. Umntwana unokuba sempilweni ngaphandle kwe-adenoids.

Abazali abaninzi abacingi ngegama lezonyango elithi 'adenoiditis' xa bebona iimpawu zomntwana wabo. Endaweni yoko, i-adenoids evuvukileyo inokubonakala ngathi ngumkhuhlane okanye umkhuhlane. Ekuhambeni kwexesha, inokubonakala ngathi zizifo eziphindaphindayo zendlebe. Kodwa okubaluleke ngaphezu kokwazi igama lezonyango kukwazi ukuba uza kubona nini ugqirha. Uninzi lwabantwana luyaphucuka ngokuhamba kwexesha. Kodwa ukuba iimpawu zihlala ixesha elingaphezu kweveki, okanye zinzima, fowunela ugqirha. Banokunceda umntwana wakho aphile ngokukhawuleza. Ndinqwenelela umntwana wakho ukuba aphile ngokukhawuleza!

I- Adenoids, i-adenoiditis, impilo yabantwana, umphimbo obuhlungu, impumlo evalekileyo, ukuphefumla komlomo, i-adenoidectomy