Pharyngeal tonsil hypertrophy
Introduction
Brief introduction of pharyngeal tonsil hypertrophy Pharyngeal tonsil hypertrophy, also known as adenoidvegetation, is a pathological hypertrophy of the pharyngeal tonsils, often arising from pharyngeal infections and repeated inflammatory stimuli. It is more common in cold, humid and climate-changing areas. Childhood acute infectious diseases, malnutrition and physical factors can also be induced. Although this disease is a childhood disease, it has a profound impact on the normal development and health of the body. basic knowledge The proportion of illness: 37% Susceptible people: no idiopathic people Mode of infection: non-infectious Complications: cold
Cause
Pharyngeal tonsil hypertrophy
Cause:
Bacterial infections are more common due to bacterial and viral infections. The pathogens are mostly hemolytic streptococcus, staphylococcus, pneumococci. The disease is often secondary to acute tonsillitis, especially in acute cases of chronic tonsillitis. Due to the inflammation of the tonsils in the tonsils, especially the crypts on the tonsils, the worms are blocked, and the bacteria or inflammatory products destroy the epithelial tissues, invade deep, penetrate the tonsil capsule, and enter the gap around the tonsils.
Prevention
Pharyngeal tonsil hypertrophy prevention
General treatment pay attention to nutrition, prevent colds, improve the body's immunity.
First, pay attention to the environment
The temperature difference between the air-conditioned room and the outdoor room should not be too large, and the temperature can not be adjusted too low, generally not lower than 25 degrees Celsius. When going out, first open the door at the door for half a minute, then go out. Also maintain the appropriate temperature and humidity in the living room, the air should be kept fresh, the temperature is 18-22 degrees Celsius, the relative humidity is 45%-55%. Some babies are too hot after sweating, like cold water punch, then you must control your child, because the skin is cold, the pores suddenly close, resulting in imbalance of body temperature regulation, rapid onset.
Second, love oral hygiene, develop good habits
Parents should urge their children to brush their teeth every morning and evening, rinse their mouths after meals, and avoid food residues in the mouth. Eat on time, drink plenty of water, eat more vegetables, fruits, not partial meat, especially not to eat fried chicken, fried fish, because these foods are hot food, children eat easy to "get angry", resulting in tonsillitis .
Complication
Pharyngeal tonsil hypertrophy Complications
Systemic symptoms are mainly chronic poisoning symptoms and neurological reverse symptoms, manifested as poor nutritional development, chicken breast, anemia, weight loss, low fever, indigestion, fatigue, headache, inattention, boredom, irritability, temperament, nighttime sleep Grinding teeth, enuresis, etc.
Symptom
Pharyngeal tonsil hypertrophy symptoms Common symptoms tonsil hypertrophy, nasal congestion, snoring, inattention, ear suffocation, low fever, tinnitus
Ear symptoms
As the pharyngeal tonsil hypertrophy and inflammatory secretions of the nasopharynx accumulate, the eustachian tube is blocked, and non-suppurative or suppurative otitis media can be complicated, resulting in hearing loss and tinnitus, ear nausea.
2. Nasal symptoms
Pharyngeal tonsil hypertrophy often accompanied by rhinitis, sinusitis, patients with nasal congestion, runny nose, mouth breathing, salivation, speech with occlusive nasal sounds, sleep snoring and other symptoms.
3. Respiratory infection symptoms
Because inflammation does not work, secretions stimulate the respiratory mucosa, often causing throat, trachea and bronchitis, so patients may have throat discomfort, voice changes, cough, spit, asthma, low fever and other symptoms.
4. "Adenoid appearance"
Due to long-term mouth breathing, affecting facial bone development, the maxillary bone is long and narrow, the hard palate is narrowed, the teeth are externally protruding, the dentition is not complete, the bite is bad, the mandible is drooping, the lip is thick, the upper lip is upturned, the lower lip is hung, the outer lip is pulled down, and the nose is pulled. The lips are shallow and flat, with apathetic, facial expressions dull, dull, and become the so-called "adenoid face".
5. Systemic disease
Mainly for chronic poisoning symptoms and neurological reverse symptoms, manifested as poor nutritional development, chicken breast, anemia, weight loss, low fever, indigestion, fatigue, headache, inattention, boredom, irritability, temperament, nighttime sleep molars, Enuresis and so on.
6. Partial inspection
It can be seen that the pharynx is congested, and the posterior pharyngeal wall is accompanied by inflammatory purulent secretions. The nasopharyngeal part can be touched and there is a soft lymphoid mass on the posterior wall of the nasopharynx. No bleeding, the neck can reach the swollen lymph nodes. .
Examine
Examination of pharyngeal tonsil hypertrophy
Check the mouth and see the adhesion between the soft palate and the posterior wall of the pharynx. The uvula often disappears. There is often a small passage leading to the nasopharynx. The bend probe is inserted into the opening to detect the size of the passage and the scar. In the extended situation, the finger can be used to touch the mouth and the thickness of the scar and the thickness of the scar. The nasal cavity has more secretions. A little cotton in the front nostril can detect the presence or absence of the nasopharynx, such as the soft palate and the posterior pharyngeal wall. There are small holes between them, you can indirect nasopharyngoscopy to understand the extent and extent of nasopharyngeal scar adhesion.
Diagnosis
Diagnosis and diagnosis of pharyngeal tonsil hypertrophy
According to the history, symptoms, body disease is easy to diagnose, through pediatric fiber nasopharyngoscopy and X-ray nasopharynx radiography or CT examination, is helpful for diagnosis, attention should be paid to the posterior nasopharyngeal tumor, such as lymphosarcoma Identification.
