The pig teammates snoring is not a problem, but also “broken” the baby, big and small snoring duet at night?
But this time, the pig teammates on the pillow don’t take the blame: the baby’s snoring is caused by the hypertrophy of the nasopharyngeal adenoids, and he “likes” snoring + opening his mouth at a young age Breathe + become ugly and stupid “N-piece set”.
As for adenoid hypertrophy, in order to make it clear, you have to go to the hospital for a rhinoscopy or X-ray.
Then the question came. After the baby was clearly diagnosed with adenoid hypertrophy, the time for parents to struggle came: “surgery or conservative treatment?”
Xiao Nan’s answer is: surgery or conservative treatment, it depends on the specific situation of the baby – quick questions and quick answers to help parents find the answers in their hearts.
1. What conditions can be treated conservatively?
The baby has no symptoms (or not obvious) of snoring, mouth breathing, or abnormal hearing, and may not be treated for a while, and some may heal on their own.
It is not long after the onset of the disease, usually <3 months, and drug treatment can be tried first.
<3-year-old baby is not easy to undergo surgery.
2. How to treat conservatively?
It’s time to take medicine:
Babies with mild symptoms are usually prescribed antihistamines, nasal corticosteroids (mometasone furoate, fluticasone), and antileukotrienes (montelukast). For babies with allergies, anti-allergic drugs such as oral cetirizine and loratadine are preferred. For those with obvious local symptoms, intranasal nasal spray hormones such as Nei Shuna and Fu Shuliang can be used in combination. Those with immune deficiency need to treat the primary disease symptomatically. Combined with repeated inflammation of the tonsils, drugs for the treatment of tonsils should be added, and bacterial culture of throat swabs and related examinations should be improved if necessary.
Life Care:
①Keep away from allergens.
②If you have a lot of runny nose, you can wash your nose or spray your nose.
③Exercise more outdoors, rest and eat regularly.
④Xiao Pangdun should actively lose weight and control his weight.
3. Under what circumstances do I need a surgical cut?
Severe symptoms, such as severe nasal obstruction.
Symptom duration >1 year and moderate nasal obstruction.
Conservative treatment did not work well and the tonsils were inflamed repeatedly.
If there is tonsil hypertrophy at the same time and it is likely to require tonsillectomy, 1 operation and 2 types of removal.
The benefit of the resection is far greater than the likely impact after the doctor’s assessment.
4. What happens if the operation is not performed?
The golden age of adenoidectomy is 5-6 years of age. After this stage, there is little point in performing surgery, but the cost will be greater.
1. The baby has an adenoid appearance and becomes ugly, and the good genes of parents are hoarse.
2. Decreased memory, inattention, and low learning efficiency.
3. Poor sleep quality affects height and may not be as tall as parents.
4. If the ground cover is serious, it is necessary to straighten the teeth, which is painful, painful and expensive.
5. Is the surgery risky? Will there be sequelae?
First of all, what Xiao Nan wants to say is that in theory, there is no operation with zero risk, even a minimally invasive operation. Adenoid surgery is a very routine operation and can be resolved within 30 minutes of actual operation. Apart from a very low probability of possible bleeding, there are generally no special risks and no long-term complications or sequelae.
②Current anesthesia and surgical techniques are very mature, and a general anesthesia will not affect the baby’s intelligence.
③The immunity may decrease in the short term, but it will return to normal in half a year.
6. Surgery = No recurrence once and for all?
After adenoidectomy, there is a certain probability of recurrence, such as in these cases:
①The excision is not thorough enough.
②The baby is too young, such as <2 years old.
③There are reasons such as allergic rhinitis and uncontrolled sinusitis after surgery, which affects the outcome of the surgery.
④Parents feel that they will be fine after the operation, and they are neglected in life.
However, the overall probability of recurrence is very low, and most babies’ symptoms will be significantly relieved.
7. How to care after surgery?
①On the day after the operation, the baby may snort louder, have secretions in the throat, and have a fever (or fever in the next two days), which is normal and will be fine in 1 day. (You can take antipyretics when it burns up).
②From the second day, you can give your baby liquid and easily digestible food.
③Do not exercise vigorously for the first 2 weeks after surgery.
④Diet, work and rest rules.
Finally, let me refute a rumor. The so-called use of breathing stickers or breathing bandages on the Internet to force the baby to shut up will affect sleep.Sleep, let the baby wake up, parents must not step on the pit.
I also hope that babies can be found early, diagnosed early and treated early. Surgery is still conservative treatment, comprehensive evaluation, and listen to the doctor.