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  • Hypertrophy of tonsils in children: symptoms and treatment

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    Tonsils are formations that are made up of cells of the lymphatic tissue. The larynx amygdala( adenoid or third tonsil) is located behind the tongue and the soft sky, at the back of the nasopharynx. The palatines are symmetrically located in the oropharynx, start from the soft palate and end with the base of the tongue.

    Tonsils are part of the human immune system. Their location is interrelated with the tasks performed in the body. There is a multiplication of cells of the immune system, eliminating the microorganisms that get trapped or inhaled. Their function is to destroy inhaled pathogens and pathogens.

    Allergies, upper respiratory tract infections and esophageal-pharyngeal reflux can lead to a problem such as tonsillar hypertrophy in children( or an increase), as a result of which the latter are colonized by bacterial colonies. This disease most often occurs in children from three to ten years. At the older age, spontaneous contraction is observed, associated with the process of maturation of the immune system.

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    Symptoms of tonsil hypertrophy in children

    Among the most common signs of an increase in tonsils are periodic infectious processes in the upper respiratory tract, which require antibiotic treatment, a sharp increase in body weight, sleep disturbances, and hearing impairment( as a result of accumulation of fluid inside the tympanic membrane).If your child sleeps restlessly, sweats, snores, wakes up with a cough or coughs during sleep, and when he wakes up, complains of a headache - immediately consult a doctor.

    There are three degrees of hypertrophy of the palatine tonsils: 1 , 2 and 3. When assessing the degree of their increase, the doctor takes into account the occupied space between the middle line of the pharynx and the border of the anterior palatine arch. In the case of filling each amygdala with one third of this space, hypertrophy of the palatine tonsils of the 1st degree develops.

    If the tonsils occupy two-thirds of this space, then the child has hypertrophy of palatine tonsils of the 2nd degree. The third degree is filling the tonsils with the whole space. The fact that the enlarged spaces fill the space in the oropharynx has a negative effect. Hypertrophy of tonsils of 2 degrees and 3 prevents normal breathing and prevents free movement of food.

    Treatment of



    disease In acute inflammation, systematic treatment is usually performed, which is aimed at eliminating the signs( symptoms) of the disease and strengthening immunity. If it is a bacterial infection, penetration of pathogens into a child's organism, then, most often, antibiotic treatment is required.

    In case of an allergy or esophageal-pharyngeal reflux, an individual approach is required, as if a child allergist or gastroenterologist should prescribe the treatment exactly. In any case, it is recommended to consult an otolaryngologist who will determine how to cure your baby's tonsils.

    Operation for hypertrophied tonsils

    There are two types of operations: adenotomy( complete removal of adenoids) and tonsillotomy( diminished tonsil tonsils).Before carrying out both types of operations, the pediatrician must assess the general state of well-being and the health of the child. It is necessary to do blood tests( including coagulation analysis).The operation lasts from ten to thirty minutes, when it is carried out, general anesthesia is applied. In the absence of complications, the child is discharged from the hospital on the day of the operation.

    Repeated surgery to remove is a very rare phenomenon that mainly affects children with serious impairments in the immune system or esophageal-pharyngeal reflux. But these diseases do not necessarily lead to the growth of tonsils. According to the doctors, adenotomy does not lead to a decrease in protection of immunity, and tonsillectomy, on the contrary, leads to increased vulnerability to infections within six months after the procedure.

    Do not forget that these diseases need a thorough diagnosis, because you need to answer the question whether the cause of the disease is the repeated influence of pathogens on the body with a young immature immune system. If this is the case, then the operation is likely to help. But do not forget about a special group of children who are allergic and immune disorders and need treatment for the underlying disease.

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