Vabereki vanowanzoshushikana nevana vavo toni, zvichida nokuti vanoita sevakuru kana nekuti vanowana strep throat yakawanda.
Asi hazviratidzi sevechiremba veEIDS vane chirwere chetachiwana vanotora matoni (tonsillectomy) zvakanyanya sezvavakashandisa.
Tonsillectomy
Saka apo matafura anoda kubuda kupi?
Kunyangwe ichokwadi vese vanachiremba havasi ivo vanokurumidzira kuita tonsillectomy sezvavakange vari munguva yakapfuura, vana vachiri kuwana matanho avo kunze.
Kutaura zvazviri, 'tonsillectomy inoramba iine hurumende yakanyanya kufanana inoshandiswa kune vana muUnited States,' kunongororwa pamusoro pekunzwa nzeve dzekunzwa . Zviratidzo zviviri zvakajairika zvemasayillectomy zvinosanganisira zvirwere zvisingagumi kana kuti zviratidzo zvinopfuurira kwemwedzi inopfuura mitatu kusvika kumitanhatu, kana kuti tonsillitis yakadzoka, iyo inowanzotsanangurwa seine tonsillitis kanenge katanhatu mugore rimwe chete kana katatu pagore kwemakore matatu.
Kune rumwe rutivi, American Academy of Otolaryngology - Musoro uye Neck Surgery inokurudzira kuti vana vafunge kuva ne tonillectomy kana vane:
- zvikamu zvinomwe zvematonillitis mugore rapfuura
- zvikamu zvishanu zvematoniyiti gore negore kwemakore maviri akapfuura
- zvikamu zvitatu zvematoniyiti gore negore kwemakore matatu apfuura
Nezvikamu zvishomanana zvematoniyiti, nyanzvi dzeAmerican Academy yeOtolaryngology - Musoro uye Neck Surgery vanokurudzira kurinda kumirira.
Ramba uchiyeuka kuti kuongorora kwechangobva kuitika, Tonsillectomy, uye Adenotonsillectomy yeChirwere Chine Utachiona muMwana Akabatwa Nevana, vakagumisa kuti 'rubatsiro runononoka runopiwa ne tonsillectomy kana adenotonsillectomy kuvana vanoenzaniswa nehutachiona hwehupuro hunogara hunoita sekunokonzera kukanganisa, uye mari yebasa racho. ' Uye chidzidzo ichi chakashandisa zvikonzero zvakanyanyisa kutsvaga tisati taita tonsillectomy, kungosanganisira vana avo vaiva nezvikamu zvinomwe kana zvimwe zvikamu zvetonillitis mugore rimwe chete, zvishanu kana kupfuura zvikamu mumakore maviri, kana zvitatu kana zvimwe zvikamu mune rimwe nerimwe remakore matatu apfuura.
Saka usashamisika kana chiremba wevana vako asingakurumidze kutaurira mwana wako kuti abudise matonho ake zvakare, mushure memakore mashomanana, mwana wako angangotanga kuwana matambudziko akawanda eatonillitis sezvaakaita asati atora toni yake kunze .
Tonsillitis
Chii chinonzi tonsillitis? Iyo utachiona hwehuro, iyo inogona kuve yakakonzerwa ne strep bacteria kana chirwere. Kunyange zvazvo iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waenda , kana mwana wako ane chirwere chepamusoro nokuti ane hutano uye zvimwe zvinokonzera mushure, izvo hazvifaniri kuverengwa sechiitiko che tonsillitis, kunze kwekumusoro kwehuro uyewo mutsvuku uye / kana matani ake ane pus (exudate) pavari.
Mukuwedzera kune uwandu hwehutachiona hwemaperembudzi mwana wako anowana gore roga rega, unogonawo kufunga pamusoro pekuti unyoro kana kuti hukuru zvakadini vasati vafunga tonsillectomy. Kana mwana wako ane zviratidzo zvakakomba uye anoshaya vhiki yechikoro nguva dzose paanowana tonsillitis, iwe unogona kunge uchingokurumidza kukurumidza kutora toni dzake kunze kwekuti ane zviratidzo zvishoma.
Zvimwe zviratidzo zvinotapukira zvekuwana tonsillectomy zvinogona kusanganisira kuva nechimwe chevhavharidzi yekubvisa mairi maviri kana kupfuura kana kuva nekervical adenitis nekuda kwechirwere chetonillitis.
Kurara Apnea
Chimwe chikonzero chikuru chinoita kuti vana vawane mishoni yavo ndeyekuti yakakura zvikuru uye ivo, pamwe chete neadenoid huru, vari kukonzera kuvhiringidza kupona kwepnea .
Vana vane OSA vanowanzochera, uye vangangodaro 'vakashanda kufema munguva yehope, vakaona kuberekwa, kuparara kusingabatsiri, diaphoresis, enuresis, cyanosis, kurara kwezuva masikati, uye maitiro kana zvinetso zvekudzidza (kusanganisira kukanganisa-kukanganisa / kusaora mwoyo).
Pane imwe nguva kufungidzirwa kweASA kunotsigirwa, vana ava vanowanzowana zvose tonsillectomy uye adenoidectomy (T & A), kusiyana nevana vane zvirwere zvakawanda zvemasimba, avo vanowanzotora toni dzavo kunze.
Matani Makuru
Kunze kwekurara kwepabonde, matani makuru (obstructive tonsil hyperplasia) dzimwe nguva zvinotungamirira mukudya uye kumedza matambudziko, kukundikana kubudirira, kupisa mumuromo, uye zvinetso zvekutaura.
Vana ava vangadawo tonsillectomy.
Zvaunoda Kuziva
- Kana iwe uchifunga kuti mwana wako ave ane hutachiona hwemakumbo akawanda kana kuti toni dzake dzakanyanya kukura, bvunza chiremba wevana kuti utumire kune chirwere chechirongwa cheET chirwere chekukurukurirana kana chikwata chekugadzirira chikazova chakakodzera.
- Kune rumwe rutivi, kana chiremba wevana vako vachirumbidza tonsillectomy, asi iwe unotya kuvhiyiwa, zvino bvunza kana zvingava zvakakodzera kumirira kwechinguva chiduku.
- Gara uchiyeuka kuti toni dzemwana dzichawanzoita zvishoma kana dzichikura uye vana vanowanzowana zvirwere zvishomanana sezvavanokura, saka mwana wenyu angangodarika matambudziko ake asati aita kuti atore.
- Sezvo kurara kwepabhesi chirwere chakakomba, iwe hawanzodi kumirira mwana wako kuti aende mberi uye iwe unofanirwa kuenderera mberi neT & A kana chiremba wako anoratidza izvozvo.
Sources
American Academy of Otolaryngology - Musoro uye Neck Surgery. Clinical Practice Guideline: Tonsillectomy muvana. Otolaryngology - Musoro uye Neck Surgery 2011 144: S1.
American Academy of Pediatrics. Clinical Practice Guideline Diagnosis uye Mutungamiri Wehutano Hwakadzivisa Kurara kweApnea Syndrome. PEDIATRICS Vol. 109 Nha. 4 April 2002, peji 704-712
Discolo CM. Zvirwere zvinotapukira kune tonsillectomy. Pediatr Clinic North Am - 01-APR-2003; 50 (2): 445-58
Paradhiso Jack L. MD. Tonsillectomy uye Adenotonsillectomy yeNharo Yakakonzerwa neAkawanda muvana vane hanya nevana. PEDIATRICS Vol. 110 Nha. 1 July 2002, mapeji 7-15
Pizzuto MP. Nyaya dzinowanzowanikwa muhutachiona hwehutano. Pediatr Clinic North Am - 01-AUG-1998; 45 (4): 973-91