Nā mea kanu

Nā mea kanu

ʻO ka ulu ʻana o nā mea lymphoid i loko o ka nasopharynx, pāʻani nā adenoids i kahi kuleana pale i nā makahiki mua o ke ola. Ma muli o kā lākou hypertrophy a maʻi paha, pono ia i kekahi manawa e wehe iā lākou me ke kauka, me ka ʻole o ka hopena o ka ʻōnaehana pale.

Anatomy

ʻO Adenoids, a i ʻole adenoids, he ulu liʻiliʻi i loko o ka nasopharynx, ma ka palena kiʻekiʻe o ka puʻu, ma hope o ka ihu a ma ka piko o ka pā. Hoʻolālā lākou i ka makahiki mua o ke ola, hiki i kā lākou nui i waena o 1 a me 3 mau makahiki, a laila hoʻi hou a nalowale lākou ma kahi o 10 mau makahiki.

maʻi physio

Hana ʻia nā Adenoids i nā ʻano lymphoid e like me ko nā lymph node. E like me nā tonsil, no laila ke pāʻani nei nā adenoids i kahi kuleana pale: hoʻonohonoho hoʻonohonoho ʻia ma ka puka o ka ʻōnaehana hanu a loaʻa nā pūnaewele pale, kōkua lākou i ke kino e pale iā ia iho i nā bacteria a me nā mea hoʻomaʻi. He mea nui kēia kuleana i nā makahiki mua o ke ola o kahi keiki, ʻoi aku ka liʻiliʻi ma hope.

Nā Anomalies / Pathologies

Hypertrophy o adenoids

I kekahi mau keiki, hoʻonui pinepine ʻia nā adenoids. Hiki iā lākou ke kumu i ka pale o ka ihu, me ka hū ʻana a me ka apnea hiamoe i hiki ke hopena i ka ulu maikaʻi ʻana o ke keiki.

ʻO ka mumū / maʻi o nā adenoids

I kekahi manawa ʻo kēia hoʻonui ʻana i ka nui o adenoids ka lua i ka maʻi o ka viral a i ʻole ke koʻohune. Nui a koʻikoʻi i kā lākou kuleana pale, ulu nā adenoids, hoʻā ahi a lilo i maʻi. Hiki iā lākou ke hoʻopau i ke kaohi ʻana i nā paipu eustachian (canal e hoʻopili ana i ka hope o ka ʻāʻī i nā pepeiao) a hana i nā maʻi o ka pepeiao e ka hōʻiliʻili ʻana o ka wai serous i ka pepeiao. Allergies a i ʻole gastroesophageal reflux maʻi (GERD) hiki ke lilo i ke kumu o kēia hypertrophy.

Nā hōʻailona

ʻO Antibiotic therapy a i ʻole corticosteroids

Ma ke ʻano he lālani mua, e mālama ʻia ke kumu o kēia hypertrophy me ka lāʻau antibiotic inā he maʻi maʻi ia, he maʻi maʻi inā he maʻi āpau ia.

ʻO ka hemo ʻana o adenoids, adenoidectomy

I ka hanana o nā haunaele ulu a me / a i ʻole kūmau mau nā haunaele ma muli o ka hoʻonui ʻana o ke kumukānāwai i nā adenoids, hiki ke hoʻokō ʻia kahi adenoidectomy (ʻoi aku i kapa ʻia ʻo "adenoids"). Loaʻa iā ia o ka wehe ʻana i nā adenoids ma lalo o ka anesthesia āpau, pinepine pinepine ʻia ma kahi kumu maʻi maʻi.

Paipai pū ʻia ʻo Adenoidectomy i ke alo o ka pāpāho otitis paʻakikī a i ʻole kuleana no ka hoʻolohe ʻana i ka hoʻolohe ʻana i kū ʻole i ka lāʻau lapaʻau, a i ʻole nā ​​hihia o ka pāhola otitis pinepine pinepine (AOM) (ʻoi aku ma mua o 3 mau ʻāpana i kēlā me kēia makahiki) ma hope o ka holo pono ʻole o ka lapaʻau. E hoʻohui pinepine ʻia ia me kahi hana o nā tonsil (tonsillectomy) a i ʻole ke kau ʻana o kahi ventilator tympanic ("yoyo").

ʻAʻole pili kēia hana i ka ʻōnaehana pale pale o ke keiki, ʻoiai ʻo nā mea ʻoniʻoni lymphoid ʻē aʻe, e like me nā lymph node ma ke poʻo a me ka ʻāʻī, e lilo.

PalekanaEND_LINK

Pono nā ʻōuli ʻokoʻa i nā keiki e alakaʻi i ke kūkākūkā ʻana: nā pilikia hanu, ka pale ʻana o ka ihu, ka hanu ʻana o ka waha, ka ʻū ʻana, ka maʻi hiamoe, nā maʻi pepeiao hou a me nā nasopharyngitis.

ʻAʻole ʻike maka ʻia nā adenoids. E nānā iā lākou, e hana ke kauka ENT i kahi nasopharyngoscopy me kahi fiberscope maʻalahi. Kākau ʻia paha kahi x-ray ʻaoʻao lateral e nānā i ka nui o nā adenoids.

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