Child with adenoid hypertrophy, surgery or conservative treatment? One article to solve the entanglement of parents

time:2023-02-03 author:Sneeze
Child with adenoid hypertrophy, surgery or conservative treatment? One article to solve the entanglement of parents

Even if the pig teammates snored, they "broken" the baby, big and small snoring duet at night? But this time, the pig teammates on the pillow don't take the blame: the baby's snoring is caused by the hypertrophy of the adenoids in the nasopharynx, and he "likes" snoring at a young age + opens your mouth to breathe + becomes ugly and stupid "N-piece set ". Regarding adenoid hypertrophy, if you want to make it clear, you have to go to the hospital for a nasal endoscopy or an X-ray. Then the question came. After the baby was clearly diagnosed with adenoid hypertrophy, it was time for parents to struggle: "Surgery or conservative treatment?" Xiaonan's answer is: surgery or conservative treatment, it depends on the baby's specific situation— - Ask and answer quickly, help parents find the answer in their hearts.
  • What conditions can be treated conservatively?
  • If the baby has no symptoms (or not obvious) of snoring, mouth breathing, or abnormal hearing, it may not be treated for the time being, and some may heal on their own.
  • It is not long after the onset of the disease, usually <3 months, and drug treatment can be tried first.
  • <3-year-old baby is not easy to undergo surgery.
  • 2. How to treat conservatively? The medicine should be taken:
    • Babies with no obvious symptoms are usually prescribed antihistamines, nasal glucocorticoids (mometasone furoate, fluticasone), antileukotrienes (montelukast) ). For babies with allergies, anti-allergic drugs such as oral cetirizine and loratadine are preferred. For those with obvious local symptoms, intranasal nasal spray hormones such as Nei Shuna and Fu Shuliang can be used in combination. Those with immune deficiency need to treat the primary disease symptomatically. Combined with repeated inflammation of the tonsils, drugs for the treatment of tonsils should be added, and bacterial culture of throat swabs and related examinations should be improved if necessary.
    Life care: ①Keep away from allergens. ② If you have a lot of snot, you can wash your nose or spray your nose. ③ more outdoor exercise, rest and diet, etc. ④ Xiaopangdun should actively lose weight and control his weight. 3. What is the need for surgery?
  • Severe symptoms, such as severe nasal obstruction.
  • Symptoms persisted for >1 year and had moderate nasal obstruction.
  • The effect of conservative treatment was poor, and the tonsils were repeatedly inflamed.
  • If there is tonsil hypertrophy at the same time and it is likely to require tonsillectomy, one operation and two types of excision are required.
  • The benefit of resection was far greater than the likely impact after physician assessment.
  • 4. What happens if the operation is not performed? The golden age of adenoidectomy is 5-6 years old. After this stage, it is not meaningful to perform surgery, but the cost will be greater.
  • The baby has an adenoid face and becomes ugly, and the good genes of the parents are ho ho.
  • Memory loss, inattention, and low learning efficiency.
  • Poor sleep quality affects height, maybe not as tall as my parents.
  • If the ground cover is serious, it is necessary to straighten the teeth, which is painful, painful and expensive.
  • 5. Is the surgery risky? Will there be sequelae?
    • First of all, what Xiaonan wants to say is that in theory, there is no surgery that has zero risk, even a minimally invasive surgery. Adenoid surgery is a very routine operation and can be resolved within 30 minutes of actual operation. Apart from a very low probability of possible bleeding, there are generally no special risks and no long-term complications or sequelae.
    ②At present, the anesthesia and surgical techniques are very mature, and a general anesthesia will not affect the baby's intelligence. ③ Immunity may decline in the short term, but it will return to normal in half a year. 6. Surgery = Once and for all, there will be no recurrence? After adenoidectomy, there will be a certain probability of recurrence. For example, in these cases: (1) The removal is not thorough enough. ②The baby is too young, such as <2 years old. ③There are reasons such as allergic rhinitis and sinusitis after surgery that are not well controlled, which affect the effect of surgery. ④My parents feel that they will be fine after the operation, and they are neglected in life. However, the overall probability of recurrence is very low, and most babies' symptoms will be significantly relieved. 7. How to care after surgery? ①On the day after the operation, the baby may snort louder, have secretions in the throat, and have a fever (or fever in the next two days). ②From the second day, you can give your baby liquid and easily digestible food. ③ Do not exercise vigorously for the first 2 weeks after surgery. ④ diet, work and rest rules. Finally, to refute a rumor, the so-called use of breathing stickers or breathing bandages on the Internet to force the baby to shut up will affect sleep and cause the baby to wake up. Parents, don't step on the pit. I also hope that babies can be found early, diagnosed early and treated early. Surgery is still conservative treatment, comprehensive evaluation, and listen to the doctor.
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