Abazali bahlala bexhalaba malunga neetoni zabo zezingane, nokuba zibonakala zikhulu okanye kuba zifumana imilambo emininzi.
Kodwa akubonakali ngathi iingcali ze-ENT ze-Patiatric zithatha iifoni (tonsillectomy) ngokubanzi njengoko zaziqhele.
Tonsillectomy
Ngoko xa iifoni zifuna ukuphuma?
Nangona inyaniso uninzi oogqirha abakhawuleziyo ukwenza i-tonsillectomy njengokuba bekunjalo ngaphambili, abantwana baqhubeka befumana iifoni zabo.
Enyanisweni, i-tonesillectomy ihlala yinto eqhubekileyo kakhulu eyenziwa kubantwana baseUnited States, 'ukubeka phezulu ngaphezu kokufumana iibhubhu zendlebe . Izibonakaliso ezibini eziqhelekileyo zetonyilomyomy ziquka i-tonsillitis engapheliyo okanye iimpawu eziqhubekayo kwiinyanga ezingaphezu kweethathu ukuya ezintandathu, okanye i-tonsillitis ephindaphindiweyo, edla ngokucaciswa njengokuba ne-tonsillitis ubuncinane amahlanu ngonyaka okanye kathathu ngonyaka ubuncinane iminyaka emithathu.
Ngakolunye uhlangothi, i-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck ikhuthaza ukuba abantwana bacinge ukuba babe ne-tonesillectomy ukuba bodwa ubuncinane:
- iziqendu ezisixhenxe ze-tonsillitis kunyaka owedlule
- iziqendu ezintlanu zeetonsillitis ngamnye ngonyaka iminyaka emibili edluleyo
- ezintathu iziqendu zeetonsillitis ngonyaka ngamnye kwiminyaka emithathu edlulileyo
Ngama-episodes ambalwa e-tonsillitis, iingcali kwi-American Academy ye-Otolaryngology - iNtloko kunye nokuChengwa kweNeck kukukhuthaza ukuba ulinde ukulinda.
Khumbula ukuba uphando olutshanje, i-Tonsillectomy, kunye ne-Adenotonsillectomy ye-Infraven Infection Enyantoni kwi-Childly Affected Children, yagqiba ukuba 'inzuzo ethobekileyo eyenziwa yi-tililomyomy okanye i-adenotonsillectomy kubantwana abachaphazelekayo ngokusesikweni kwintsholongwane yomqala yebhola kubonakala ingabonisanga ukuba iingozi, kunye neendleko zemisebenzi. Kwaye le nkqubo isetyenziselwe iindlela ezingakumbi ngaphambi kokuba zenze i-tonsillectomy, kuphela kubantwana abanobuqhetseba obisixhenxe okanye ngaphezulu kwi-tonsillitis konyaka omnye, ezintlanu okanye ngaphezulu kwiiphilo ezimbini kwiminyaka emibini, okanye ezintathu okanye ngaphezulu kwiimpawu ezintathu kwiminyaka emithathu edlulileyo.
Ngoko ungamangalisi ukuba umntwana wakho wezilwanyana akasakhawulezi ukuthumela umntwana wakho ukuba abuye abuye abuyele emva kwayo, emva kweminyaka embalwa, umntwana wakho angase aqale ukufumana iimeko ezininzi zeetonsillitis njengokuba wenza ngaphambi kokuba athathe iitoni zakhe .
I-tonsillitis
Yintoni i-tonsillitis? Ingulelo lomswakama, ongabangelwa yi-strep bactteria okanye intsholongwane. Ngethuba ukufumana umgca we-throp kwikhosi akusiyo kuphela isizathu sokufumana iifoni zakho, ukuba umntwana wakho unomqala ngenxa yokuba unobanda kunye nesinye sezithuba zomzimba, esingafanele sibale njengesiqhelo se-tonsillitis, ngaphandle kokuba umqala wakhe Ubomvu kunye / okanye iitoni zakhe zine-pus (exudate) kuzo.
Ukongezelela kwinani leentsholongwane zomlomo wakho umntwana ufumana unyaka ngamnye, unokucinga kwakhona malunga nokuba buhlungu okanye bunzima ngaphambi kokuqwalasela i-tonesillectomy. Ukuba umntwana wakho unempawu ezinzima kwaye ulahlekelwa iiveki zesikolo ngasinye xa efumana i-tonsillitis, ngoko unokuthi ukhawuleze ukufumana iitoni zakhe ngaphandle kokuba unempawu ezinzima.
Ezinye izibonakaliso ezithintekayo zokufumana i-tonesillectomy zingabandakanywa ukuba ne-absitillar abscess ezimbini okanye ngaphezulu okanye zibe ne-cervical adenitis ngenxa ye-tonsillitis engapheliyo.
I-Apnea yokulala
Esinye isizathu esikhulu sokuba abantwana bafumane iitoni zabo ngaphandle kukuba zikhulu kakhulu kwaye zona, kunye ne-adenoids ezinkulu, zibangela ukuphazamiseka kwe-apnea yokuphazamiseka .
Abantwana abane-OSA badla ngokukhawuleza, kwaye banokuthi baqhubele ukuphefumula ngexesha lokulala, baqaphele ukuphazamiseka kokulala, i-diaphoresis, i-enuresis, i-cyanosis, ukulala ngokugqithiseleyo emini, kunye nokuziphatha okanye iingxaki zokufunda (kubandakanywa ukungabikho kwengxaki / ukuphazamiseka kwempilo).
Xa ukuxilongwa kwe-OSA kuqinisekiswa, aba bana bafumana i-tonesillectomy kunye ne-adenoidectomy (i-T & A), ngokungafani nabantwana abanamayeza amaninzi, abaqhele ukufumana amathoni abo ngaphandle.
Iitoni ezinkulu
Ukongezelela ukulala kwe-apnea, iitoni ezinkulu (ukuphazamiseka kweetoniy hyperplasia) ngamanye amaxesha kunokukhokelela ekudleni nasekugwineni iingxaki, ukungaphumeleli, ukuphefumla umlomo kunye neengxaki zokuthetha.
Aba bana banokufuna i-tonsillectomy.
Oko Kufuneka Ukwazi
- Ukuba ucinga ukuba umntwana wakho unobungozi obuninzi bomjoqo okanye ukuba iifoni zakhe zikhulu kakhulu, zibuze udokotela wakho wezilwanyana ukuba uthunyelwe kwi-ENT yeengcali zezilwanyana ukuxubusha ukuba i-tonsillectomy iyakufaneleka.
- Ngakolunye uhlangothi, ukuba ugqirha wezilwanyana uncomeka i-tonsillectomy, kodwa unganqikaza ukuba utyunjwe, ngoko ubuze ukuba kuyafaneleka ukuba ulinde ixesha elide.
- Gcina ukhumbule ukuba iifoni zezingane ziza kubakho zincinci xa zikhula kwaye abantwana baninzi bafumana izifo ezincinci njengoko bekhula, ngoko umntwana wakho angadlulisa iingxaki zakhe phambi kokuba afune ukuzithatha.
- Ekubeni i-apnea yokulala yimeko embi, awufaneli ukulinda umntwana wakho ukuba ahlawule kwaye kufuneka uqhube phambili kunye ne-T & A ukuba ugqirha wakho ubonisa oko.
Imithombo
I-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Isikhokelo soMsebenzi weCliniki: I-Tonesillectomy kwi-Children. I-Otolaryngology - Ukunyuka kweNtloko kunye neNeck 2011 144: S1.
I-American Academy yePediatrics. Isikhokelo seZiklinikhi zoLwazi kunye nokuPhathwa koLondolozo lwabantwana lwe-Sleep Apnea Syndrome. PEDIATRICS Vol. 109 No. 4 uEpreli 2002, iphe. 704-712
Discolo CM. Izibonakaliso ezithintekayo kwi-tonesillectomy. I-Clinical Pliniatr North Am - 01-APR-2003; 50 (2): 445-58
IParadesi uJack L. MD. I-Tonsillectomy kunye ne-Adenotonsillectomy ye-Infraven Infection Recurrent in Children's Affectedly Infected. PEDIATRICS Vol. 110 Ngo-1 Julayi 2002, iphepha 7-15
MP yePizzuto. Izihloko eziqhelekileyo kwi-otolaryngology yabantwana. I-Clinical Pliniatr North Am - 01-AUG-1998; 45 (4): 973-91