Makolo nthawi zambiri amadera nkhaŵa za matayala a ana awo, mwina chifukwa amawoneka aakulu kapena chifukwa chakuti amatha kupweteka kwambiri.
Koma sizikuwoneka ngati akatswiri a zachipatala a ENT amatenga tonsils (tonsillectomy) mofanana ndi momwe ankachitira.
Tonsillectomy
Nanga ndi liti pamene toni ziyenera kutuluka?
Ngakhale ziri zoona madokotala ambiri sali ofulumira kuchita tonsillectomy monga momwe zinalili kale, ana amatha kuchotsa toni zawo.
Ndipotu, tonsillectomy imakhalabe ntchito yaikulu kwambiri yomwe imachitika pa ana a ku United States, 'pamwamba papamwamba pamwamba pa kupeza makutu a khutu . Zizindikiro ziwiri zomwe zimagwiritsidwa ntchito popanga tonsillectomy zimaphatikizapo matronillitis aakulu kapena kukhala ndi zizindikiro zowonjezereka kwa miyezi isanu kapena isanu ndi umodzi, kapena matronillitis omwe nthawi zambiri amatchulidwa, omwe amatchulidwa kuti ali ndi matronillitis kasanu pachaka kapena katatu pa chaka kwa zaka zitatu.
Komabe, American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakono amalimbikitsa kuti ana aziganiza kukhala ndi toniillectomy ngati ali ndi:
- magawo asanu ndi awiri a matronillitis chaka chatha
- magawo asanu a matonillitis chaka chilichonse kwa zaka ziwiri zapitazi
- magawo atatu a matronillitis chaka chilichonse kwa zaka zitatu zapitazi
Ndi zochepa zochepa za matonillitis, akatswiri a American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakono amalimbikitsa kuyang'anira kuyembekezera.
Pitirizani kukumbukira kuti kafukufuku waposachedwapa, Tonsillectomy, ndi Adenotonsillectomy for Recrrent Throat Infection mwa Ana Omwe Amakhudzidwa, anatsimikizira kuti 'phindu lochepa lomwe limaperekedwa ndi tonsillectomy kapena adenotonsillectomy kwa ana omwe ali ndi vuto la kupweteka kwa khosi nthawi zambiri samawonekeratu kuopsa, komanso mtengo wa ntchito. ' Ndipo phunziroli linagwiritsanso ntchito ndondomeko zovuta kwambiri musanachite tonsillectomy, kuphatikizapo ana omwe anali ndi magawo asanu ndi awiri kapena ochuluka a matronillitis m'chaka chimodzi, zisanu kapena zina zambiri m'zaka ziwiri, kapena magawo atatu kapena ochulukirapo zaka zitatu zapitazi.
Kotero musadabwe ngati dokotala wanu wa ana sakufulumira kutchula mwana wanu kuti atulutsenso mwanayo, patapita zaka zingapo, mwana wanu angayambe kupeza zovuta zambiri za matayillitis monga momwe anachitira asanatulutse matani ake .
Matonillitis
Kodi matonillitis ndi chiyani? Ndi matenda a khosi, omwe angayambidwe ndi mabakiteriya a strep kapena kachilombo. Pamene mukuyambiranso kumangokhalira kugwedezeka, sikuti ndi chifukwa chokhacho kuti mutulutse matayala anu, ngati mwana wanu ali ndi pakhosi chifukwa chakuti ali ndi chimfine komanso kutayirira kwapakhosi, zomwe siziyenera kuwerengedwa ngati chiwombankhanga, kupatula pakhosi pake ali wofiira ndipo / kapena matani ake ali ndi pus (exudate) pa iwo.
Kuphatikiza pa chiwerengero cha matenda a mmero mwana wanu amapeza chaka chilichonse, mungaganizirenso momwe iwo ali ofatsa kapena ovuta asanaganizire tonsillectomy. Ngati mwana wanu ali ndi zizindikiro zoopsa ndipo amasowa sukulu nthawi iliyonse akadwala matronillitis, ndiye kuti mwangoyamba kutulutsa zizindikiro zake ngati kuti ali ndi zizindikiro zambiri zofatsa.
Zizindikiro zina zowonjezera kupeza toniillectomy zingaphatikizepo kukhala ndi abscess yamtunduwu nthawi ziwiri kapena zambiri kapena kukhala ndi cervical adenitis chifukwa cha matayillitis aakulu.
Kugonana ndi Apnea
Chifukwa china chachikulu chimene ana amachotsera matayala awo ndi chakuti ndi aakulu kwambiri ndipo iwo, pamodzi ndi adenoids akulu, akuyambitsa matenda obisala ogona .
Ana omwe ali ndi OSA nthawi zambiri amadwala, ndipo ayenera kuti 'anagwira ntchito yopuma pamene akugona, ankaona kuti apnea, tulo tomwe sitinathetse tulo, diaphoresis, enuresis, cyanosis, kugona kwapatsiku, ndi khalidwe kapena maphunziro osokonekera.
Pambuyo pozindikira kuti OSA imatsimikiziridwa, ana awa amapeza matoniillectomy ndi adenoidectomy (T & A), mosiyana ndi ana omwe ali ndi matenda akuluakulu amtundu wambiri, amene nthawi zambiri amangotulutsa matani awo.
Miyeso Yaikulu
Kuphatikiza pa kugonana kwa kugona, matani akuluakulu (obstructive tonsil hyperplasia) nthawi zina amachititsa kudyetsa ndi kumeza mavuto, kulephera kupambana, kupuma pakamwa, ndi mavuto a kulankhula.
Ana awa amafunikanso tonsillectomy.
Zimene Mukuyenera Kudziwa
- Ngati mukuganiza kuti mwana wanu ali ndi matenda ambiri a mmero kapena kuti matani ake ndi aakulu kwambiri, funsani dokotala wanu wa ana kuti atumizidwe kwa katswiri wachipatala wa ENT kuti akambirane ngati tonsillectomy ingakhale yoyenera.
- Komabe, ngati dokotala wanu akulangiza tonsillectomy, koma mukukayikira kuchitidwa opaleshoni, ndiye funsani ngati kuli koyenera kuyembekezera pang'ono.
- Kumbukirani kuti matayiloni a mwana nthawi zambiri amakhala ochepa akamakula ndipo ana amakhala ndi matenda ochepa pamene akula, choncho mwana wanu akhoza kuchotsa mavuto ake asanayambe kuwachotsa.
- Popeza kugona tulo ndi vuto lalikulu, simukufuna kudikirira kuti mwanayo apite ndipo muyenera kuyambiranso ndi T & A ngati dokotala akufotokoza.
Zotsatira
American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. Malangizo Othandizira Amagulu: Tonsillectomy mu Ana. Otolaryngology - Kuperekera Mutu ndi Magulu 2011 144: S1.
American Academy of Pediatrics. Kupeza Kuthandizira Kwachipatala Kuzindikira ndi Kuyang'anira Kuthandizira Ana Kugonana ndi Matenda a Apnea Syndrome. PEDIATRICS Vol. 109 No. 4 April 2002, masamba 704-712
Discolo CM. Zizindikiro zokhudzana ndi toniillectomy. Kachilombo ka Ana Am'mwera Am - 01-APR-2003; 50 (2): 445-58
Paradaiso Jack L. MD. Tonsillectomy ndi Adenotonsillectomy kwa Throat Infection Posakhalitsa kwa Ana Okhudzidwa. PEDIATRICS Vol. 110 No. 1 July 2002, tsamba 7-15
Pizzuto MP. Nkhani zowonjezereka m'mabuku otolaryngology. Pachipatala chakummwera kwa Am Am-01-AUG-1998; 45 (4): 973-91