Source: http://www.ycwb.com/ePaper/ycwb/html/2011-04/26/content_1095525.htm
Medical guidance: Chen Wenyong, deputy chief physician of the Department of Otorhinolaryngology, Guangdong Provincial Hospital of Traditional Chinese Medicine
3-year-old Xiao Bo always snored at night, and his mother took him to the hospital, which was diagnosed as a common adenoidal hypertrophy in children. The doctor said that the disease must be operated on, but Xiao Bo's mother hoped that the child would not be stabbed at such a young age. "Can you please help to see if there is a non-surgical way to cure adenoid hypertrophy?" Xiao Bo's mother posted online for help.
The reporter made an understanding of this and found that Dr. Chen Wenyong of the Department of Otolaryngology of Guangdong Provincial Hospital of Traditional Chinese Medicine had different views. He believes that although the operation is immediate, it requires children to do general anesthesia, which is more risky than adults, and it is better to be cautious. Most of his patients are treated conservatively unless severe snoring has caused adenoidal facial appearance, or prolonged snoring has been ineffective after conservative treatment for a period of time. There are only about 20% to 30% of such children.
Excessive hypertrophy of adenoids is the "disease"
Many parents have this question: What is adenoids? In fact, the scientific name of the adenoids is "pharyngeal tonsils", and the tonsils we often call "palatine tonsils", they are the portal of the oropharynx.
Chen Wenyong, deputy chief physician of the Department of Otorhinolaryngology of Guangdong Provincial Hospital of Traditional Chinese Medicine, said that all children's adenoids will gradually enlarge from birth, reaching their peak at 5-7 years old, and with the improvement of other immune organs, they will slowly shrink by the age of 10, so it is called physiological hypertrophy. Normally, physiological hypertrophy of the adenoids does not lead to snoring, because snoring is often caused by narrowing of the respiratory tract, and physiological hypertrophy is not enough to reach such a narrow level. However, constant infection and inflammation of the respiratory tract will make the adenoids larger than normal hypertrophy, and when this "normal" limit is exceeded, it is easy to stuff the nose and snore.
Long-term snoring is a disease, patients will always open their mouths to breathe, sleep on their stomachs and lead to "adenoidal face", that is, the upper lip is upturned, the lower lip falls, the lips become thicker, the hard palate becomes higher, the teeth are occluded, due to long-term hypoxia, it will also lead to sluggish eyes and mental development.
Not every patient needs surgery
When it comes to seeing that the child is adenoidal hypertrophy, the doctor recommends surgery, which is now a common phenomenon. "If I were a parent, it would be difficult for me to make up my mind in the face of such a choice." Chen Wenyong said that after all, the operation is traumatic, the child also needs to undergo general anesthesia, the risk is greater than that of adults, so it is better to consider that in the case of symptoms are not very serious, it is better to treat conservatively.
It is understood that conservative treatment mainly includes two aspects: First, the cause treatment of Western medicine, most of which use vasoconstrictors, nasal hormones and antibiotics to jointly solve inflammation and let the adenoids reach the level of normal hypertrophy. The second is that Chinese medicine looks at the dialectical use of physical fitness, which can be taken internally, can also be used externally with traditional Chinese medicine sprays, as well as acupuncture, moxibustion and other means. Chen Wenyong said that where there are many ways to treat a disease, it means that there is no method of special effect, and it may be necessary to comprehensively treat to be effective, and parents must have this psychological preparation. In addition, conservative treatment can avoid the risk of surgery, but it is not as immediate as surgery, it may take a week or two fast, and it is normal to spend three or four months slowly, and I hope that parents will be patient.
Adenoids may also re-proliferate after surgery
Snoring that seriously causes adenoidal facial appearance, or if snoring for a long time is still ineffective after a period of conservative treatment, only surgery can solve the problem. Experts said that adenoidal surgery is generally recommended to be done over 5 years old, there are some serious two or three years old can also be done, the key is to weigh the pros and cons, can not be delayed do not delay.
Adenoid surgery is now mostly done endoscopically, with little trauma and little bleeding. However, after the child's operation, it may be because of crying, coughing, phlegm and other irritating wound bleeding, parents should pay attention to try to ease the child's emotions, but also pay attention to keep warm, do not let the child cold, in order to reduce the re-stimulation of the adenoids.
Many parents are worried that the operation will lead to a decline in their children's immunity, and feel that they should give their children a good supplement for a period of time after the operation. Chen Wenyong said that people's adaptability is very strong, cut off a part of the adenoids, other immune organs can still compensate, so it will not have much impact on resistance, desperately give children to eat ginseng, bird's nest and other supplements is completely unnecessary. It is recommended to start with a balanced diet and appropriate exercise to enhance the child's physique and carry out the necessary care, which is the most important.
Chen Wenyong also stressed that the adenoids are lymph node tissue, and after a part is removed, if the child has repeated colds and inflammatory infections in the respiratory tract, it is still possible to increase and become hypertrophic again.