Adenoids in adults treatment. adenoids in adults. Partial and complete removal in which cases is appropriate

Since a dozen years ago, it was believed that adenoiditis is an ailment that affects only children of primary and school age, but the number of diseases detected in the population of 20-50 years old is growing every year. This information gave reason to believe that the answer to the question "Do adults have adenoids" is positive. Has the disease become “old” or have new methods of examination appeared? How is adenoiditis treated in adult patients?

The vicissitudes of diagnosis

The reason for the "growing up" of adenoiditis lies in the possibilities of medicine. The anatomical structure of the nasopharynx of a child is very different from that of an adult.. The pharyngeal tonsil of adult patients is located much higher and “further” to the nose, therefore, it was not possible to identify the anomaly with the usual ENT instruments. Often, the doctor had only a special mirror at his disposal, with the help of which it was possible to see enlarged tissues only in babies.

Now, thanks to endoscopy, it is not difficult to identify adenoids in the nose in adults (see the photo of the pathological process in the site gallery). Diagnosis is carried out under local anesthesia using a thin and flexible tube, at the end of which a video camera is fixed. With its help, the doctor examines the nasopharynx in detail and slowly, literally by millimeter, determining the features and evaluating the overall picture of the pathology.

It was thanks to the development of endoscopic diagnostics in ENT practice that it became clear that adults suffer from adenoiditis equally with children. Literally every 3-4 people are subject to the growth of the pharyngeal tonsil in one form or another.

Symptoms of the disease

Violations in the structure and functioning of the amygdala give rise to obvious problems:

If earlier these symptoms were attributed to other pathologies, then after the invention of endoscopy and the widespread distribution of this technique around the world, it became clear who the true "culprit" of the troubles was.

What is dangerous adenoiditis in adult patients

Without medical assistance and treatment, the symptoms of adenoids in adults are exacerbated and supplemented by new manifestations, and the disease itself progresses to more serious stages. The result of this transformation is a strong deterioration in auditory perception., since the lymphoid tissue, growing, blocks the auditory meatus. At the same time, the patient feels congestion, as the people say - "the ears are stuffed with cotton."

Constant snoring combined with sleep apnea can provoke an increase in blood pressure, which is very dangerous for people suffering from pathologies of the heart and blood vessels, hypertension. In patients with allergic diseases especially of a permanent or seasonal nature, with adenoiditis, the state of health deteriorates sharply.

Adenoiditis can cause hearing loss

A constantly open mouth can be the source of incessant colds.. If in the sinuses of the nose during breathing the air is moistened and heated to optimal parameters, then when passing through the mouth it is processed slightly. Cold entering the bronchi can cause inflammation. And from an aesthetic point of view, an always ajar mouth is not a very pleasant sight.

At-risk groups

There are people who need to go to an ENT specialist at the slightest sign of adenoids. These include:

1. Former patients of the ENT department, especially those who once had adenoiditis in childhood, and then he disappeared somewhere.
2. People suffering from chronic diseases of the nasopharynx.
3. Allergy.
4. Patients who underwent surgical removal of the pharyngeal tonsil in childhood. It is possible that the tissue has grown back.

It is also desirable to find out heredity: if close relatives had problems with adenoids, the chance to get the same "sore" is very real.

Examinations and tactics of therapy

With symptoms of adenoids in the nose in adults, endoscopy, rhinoscopy, and radiography are performed to investigate and confirm the diagnosis. Since, in addition to increasing the tissues of the pharyngeal tonsil, the formation of polyps, cysts and other, more dangerous formations, a biopsy may be necessary.

With mild symptoms and a slight proliferation of the mucosa, it is possible to treat adenoids in adults without surgery. Conservative therapy is prescribed in the form of nasal agents with anti-allergic, anti-inflammatory and hormonal components. In this case, physiotherapeutic methods of influence are also shown.

At the second and third degree conservative tactics are ineffective and obviously dangerous with the loss of valuable time, so a radical approach is needed. Removal of adenoids in adults can be carried out, as well as in children, in three ways:

1. Laser exposure.
2. Endoscopic procedure.
3. Classic adenotomy.

First way involves direct irradiation of the pharyngeal tonsil and used in the second stage of pathology. It consists in a laser effect on the blood and lymphatic vessels located in the inflamed tissue, after which the severity of edema decreases. Due to this, the symptoms are eliminated, the state of health improves significantly, and nasal breathing is fully or partially restored. Popularly, this method is known as "laser drying".

With adenoiditis of the 2nd degree, which is not amenable to laser correction, and with a pathology that has reached stage 3, radical surgery is used.

How are adenoids removed in adults?

• With the help of a special knife in the form of a loop, fixed on a long thin tube, which captures and sharply cuts off excess tissue. Manipulation is very fast, takes about 2 minutes. The operation is called classical adenotomy. and is performed under general, often local anesthesia. If earlier such manipulations were literally carried out blindly, now video monitoring is provided in most clinics. After the intervention, the temperature may rise to 38 °, pain during the healing period of the wound, there is also a risk of re-adenoiditis.
• Through endoscopic adenotomy which is carried out with obligatory visual accompaniment. The method is accurate, bloodless, absolutely painless, takes as little time as classical excision.

Preferably endoscopic surgery, since the postoperative period is reduced in comparison with classical adenotomy, the risk of possible re-growth of tissues is no more than 2%, and complications after removal of adenoids in adults in this way are much less common. However, the decision regarding the specific method remains with the doctor.

What not to do after surgery

To make the rehabilitation period as calm and smooth as possible, it is recommended to adhere to the following tips:

These measures must be followed within 5-10 days after the operation.

With an increase in temperature after adenotomy against the background of poor health, you can use all antipyretics except aspirin(acetylsalicylic acid). Since this drug is famous for its effect on the hematopoietic system and is used to prevent thrombosis, it can provoke unnecessary bleeding.

Adenoiditis in adults is just as dangerous and unpleasant as in children. Do not rely on self-healing, homeopathy or folk remedies, seek medical help; lost time can result in hearing loss or other serious consequences.

What are adenoids? These are hypertrophied pharyngeal tonsils. A common disease occurs for various reasons, children are more likely to be affected than adults. Statistics show that hypertrophied tonsils are observed in 85% of babies.

Inflammation of the adenoids leads to a violation of nasal breathing. The disease often provokes other pathologies of the ENT organs. Against its background, tonsillitis, otitis, pneumonia can occur.

Adenoids in the throat must be treated in a timely manner, otherwise they will begin to increase, and serious complications may arise in the future.

Do adults have adenoids? Basically, this pathology is diagnosed in children from 3 to 10 years old, however, hypertrophied tonsils can be observed in both adults and the elderly.

Differences between the two diseases

Among all diseases of an infectious nature, hypertrophy of the tonsils is the most dangerous. Pathology is more common in children, since in early childhood the airways are not fully formed and are vulnerable. You need to know what is the difference between adenoids and adenovirus infection.

The differences are that adenoids have certain predisposing factors and often develop in children, while the infection mainly affects adults.

Adenovirus affects not only the tonsils, but also the mucous membranes of the throat, the eyes may be involved in the pathological process, which leads to the development of conjunctivitis, with the progression of this pathology, bad breath appears.

Adenoids are characterized by other complications. If the disease progresses, the regeneration of lymphoid tissue is disrupted, and later the follicles become atrophied.

Inflammation of the adenoids in children has a different etiology, the cause may be an infection. Some babies become infected from their mother while breastfeeding.

If the child has had infectious diseases, there is a possibility of hypertrophy of the tonsils. Also, the causes can be measles, scarlet fever, tuberculosis, syphilis.

Hypertrophy of the tonsils often occurs against the background of diseases that cause inflammation of the pharynx.

Predisposing factors are respiratory viral diseases, disorders affecting the endocrine system.

Hypovitaminosis can also provoke a diagnosis in a child. Adenoids and tonsils also become inflamed with fungal invasion caused by unfavorable living conditions.

In this case, there is a characteristic smell from the mouth. Also, the appearance may be associated with violations in the regulatory system of immunity.

Clinical picture

An increase in hypertrophied tissue leads to a violation of nasal breathing, there is an unpleasant smell from the mouth. A characteristic symptom of the disease is a runny nose.

The temperature in the adenoids rises in case of inflammation, it can reach 38 ° C, in which case it is not necessary to bring it down.

The symptoms of adenoids in adults and children are similar: the voice becomes hoarse, the skin turns pale to make breathing easier, the person opens his mouth.

If the adenoids are treated untimely in a child, this leads to a violation of the development of the dentoalveolar system, a curvature of the nasal septum is possible.

A child with adenoids lags behind in physical development, if the disease progresses quickly, the voice becomes hoarse.

How to recognize adenoids, what else to look for? With the development of the disease, the sense of smell worsens, it becomes difficult for a person to distinguish smells. If the adenoids are enlarged, the patient has difficulty swallowing food.

Why are adenoids dangerous? Against the background of this disease, sinusitis may develop, and in the future, the functioning of the nasopharynx may be impaired.

One of the most dangerous consequences is anemia. Hypertrophied tonsils affect overall well-being.

Inflammation of the adenoids is accompanied by a sore throat. A person's sleep is disturbed, severe snoring appears. The emotional background suffers, the patient becomes prone to neuroses. Constant inhalation of unpurified air leads to tonsillitis.

The consequences of the disease can affect the functioning of the respiratory system and lead to inflammation of the lungs. If the mucus stagnates in the sinuses, a purulent process develops.

Adenoid vegetations affect the ear canal, the patient may experience otitis media, hearing loss. In some cases, pathology leads to anomalies in the development of the facial skeleton.

How to cure adenoids? It is necessary to remove hypertrophied tonsils. If therapy is postponed until later, malfunctions in the functioning of the organs and systems of the body may occur.

Complications of the disease

The chronic form of the disease is common, it often leads to inflammation of the palatine tonsils, otitis, pneumonia. It is impossible to allow sputum to accumulate in the throat, it is necessary to fight the disease in a timely manner. Ingestion of infected mucus leads to pathology of the gastrointestinal tract.

Adenoid vegetations often lead to purulent otitis media. Chronic adenoids can lead to purulent inflammation of the airways.

If mucus mixed with pus enters the larynx, a strong cough appears. With adenoids, lymph nodes increase, the temperature rises, and intense pain in the nasopharynx may occur.

Enlarged adenoids provoke nasopharyngeal angina, in its course it is similar to catarrhal. Body temperature can reach 40 °C.

Nasopharyngeal angina is characterized by obstruction of nasal breathing, pain is localized in the ears, cough has a paroxysmal character.

The consequences are reflected not only in physical, but also in mental health. Hypertrophy of the pharyngeal tonsils can lead to mental disorders. In a person with such a disease, memory worsens, a sleep disorder appears.

Hypertrophied tonsils affect the pituitary gland and lead to a violation of the somatic development of the body. The prevention of this pathology is extremely important.

Diagnostic measures

There are two methods for diagnosing adenoids: physical and instrumental. The physical examination is an examination of the throat. To confirm the alleged diagnosis, you need to perform a rhinoscopy, examine the blood and urine.

It is also required to perform a cytological examination of the pathological tissue. Diagnosis is not possible without a physical examination.

The attending physician carefully examines the nasopharynx and identifies pathological processes. What do adenoids look like?

In appearance, they resemble asymmetrical polyps, which have a soft texture and a rich pink color. In most cases, they have a wide base. Some patients have spherical polyps.

Where are the adenoids located? The formations are located on the vault of the nasopharynx, they lead to reddening of nearby tissues. With the progression of the disease, a purulent smell from the mouth occurs.

If adenoids are suspected, diagnosis is performed by such an effective method as endoscopic examination.

The procedure helps to identify inflammatory reactions occurring in the pharynx and directly in the adenoids. To confirm the diagnosis, the patient undergoes a comprehensive examination.

Note! Polyps in an adult are denser and lighter, fragments of mucus may be present on the surface of the pharynx. Mucus fills the nasopharynx and nasal passages.

Adenoids can lead to hypertrophy of the nasal concha. If the pathological process progresses, the doctor finds that the tonsils are enlarged.

With the development of the disease, the hypertrophic process affects the lymphoid follicles located behind the nasopharynx.

To confirm the diagnosis, a lateral x-ray of the nasal cavity is required, it will reveal the degree of hypertrophic process.

If a pathology is suspected in a small child, only a physical examination is performed, in the future, the doctor recommends excising the adenoids.

Differential diagnosis plays an important role in the diagnosis. Adenoid endoscopy and rhinoscopy can distinguish pathology from diseases with similar symptoms. Patients may confuse signs of adenoids with a tumor.

Therapy of the disease

Home therapy will not help defeat the disease and its consequences, but on the contrary, it will aggravate the situation, only the doctor knows how to treat the disease.

Consider how to treat adenoids. Therapy depends on the symptoms and stage of the disease. Medications are prescribed to make breathing easier.

Procedures using the KUF tube are also effective, breathing exercises for adenoids also give positive results, a set of special exercises is designed to improve the functioning of the respiratory system.

Many patients are interested in: are adenoids contagious or not? The disease is not transmitted from person to person if it does not occur against the background of other infectious diseases.

How to shrink adenoids? To do this, you need to take medications prescribed by a doctor, they will help ease nasal breathing and ensure the prevention of diseases associated with ENT organs.

Can adenoids grow back? With successful treatment, the disease does not relapse. In addition to the main drugs, there are many supportive procedures.

Treatment of adenoids in adults involves the use of nasal sprays, oxygen cocktails, the doctor may recommend ozone therapy. To soften the pathological tissue, you need to take medicines with phytoncides and vegetable oils.

Allergies and adenoids together cause even more physical discomfort. A person may experience sneezing, lacrimation. How to ease breathing with adenoids and eliminate allergy symptoms?

For treatment, Umckalor, Tonsilgon, Tonsilotren can be prescribed - these drugs in parallel help to eliminate bad breath.

How to get rid of adenoids forever? It is necessary to carry out an adenotomy, during which hypertrophied tonsils are removed.

The exception is those cases when the patient has contraindications to the surgical procedure. The operation is prescribed even in the initial stages for both children and adults.

For example, if an infant has difficulty suckling breast milk, surgery is necessary. The recurrence of polyps is unlikely.

Surgical intervention gives good results if lymphadenoid tissue accumulates near the auditory tube. It is necessary to improve the quality of life of the patient, to prevent purulent otitis media, rhinosinusitis, bronchial pathologies.

Contraindications for surgery

It is not prescribed if the hypertrophied pharyngeal tonsil has caused complications. If inflammatory or infectious pathologies, such as tonsillitis, are diagnosed, it is necessary to wait for recovery.

Carrying out the procedure

The operation is performed under general anesthesia, after which the patient is examined by an anesthesiologist. Antiseptic therapy provides prevention of purulent complications.

A week before the manipulation, the patient takes medications that help improve hemostatic parameters. The doctor prescribes drugs with vitamin C and calcium gluconate.

The surgical procedure can cause complications. In some patients, bleeding occurs after 2-3 hours, the reason is the incomplete removal of the pathological tissue.

If this symptom is detected, it is necessary to re-perform the operation, it is necessary to remove fragments of the remaining tissue. There are cases when the bleeding does not stop, then you need to perform a posterior nasal tamponade.

In the postoperative period, the temperature rises to subfebrile values ​​and lasts about 2 days. If it rises to critical levels, pneumonia or sepsis can be assumed, then it is urgent to call an ambulance.

Some patients experience bloody vomiting, which may indicate bleeding. In this case, the patient is taken to the clinic and the cause of this condition is identified.

If the surgery was carried out carelessly, bleeding occurs in the throat.

Damage to the mucous membrane can be caused by excessive pressure on the walls of the larynx. It is important to prevent cicatricial stenosis. If the child has congenital syphilis, the operation can lead to synechia and cicatricial deformities.

The appearance of adenoids is most susceptible to children 3-15 years old. This is due to the immaturity of the immune system and frequent infections that penetrate the respiratory system. As you grow older, the growth of lymphoid tissue stops, and then the reverse process begins.

Adenoids in adults are diagnosed when the formation does not decrease by the due date and continues to grow, manifesting severe symptoms and requiring treatment. This pathology is relatively rare and requires clarification of the cause.

In contact with

Is there inflammation of the nasopharyngeal tonsil after 18 years?

The nasopharyngeal tonsil is a small gland made up of lymphoid tissue. It is formed in the womb, at 3-4 months of pregnancy. Together with other elements of the pharyngeal lymphatic ring, it provides the body with protection against penetration:

• adenoviruses;
• rhinoviruses;
• mushrooms;
• allergens and other foreign objects.

Adenoids are a pathology characterized by an increase in the nasopharyngeal tonsil, followed by hyperplasia (growth) of its tissue.

To make an accurate diagnosis at an early age, characteristic symptoms and a visual examination by an otolaryngologist are sufficient. In adults, the structure of the oral cavity changes, therefore, additional types of examination are required to detect inflammation of the adenoids.

Today, endoscopy is considered the gold standard for diagnosis. This is an instrumental research method, which is carried out using a flexible tube (endoscope) equipped with a video camera. Previously, when asked if there are adenoids in adults, doctors answered unequivocally no and considered hypertrophy of the pharyngeal tonsil as a disease that occurs only in pediatric practice. Now pathology is detected at any age, but after 18 years this rarely happens.

Symptoms and signs

Symptoms of adenoids in adults are divided into two groups - local and general. The first appear as the inflammation and growth of the organ of the lymphatic system, as well as squeezing the surrounding areas. The latter occur against the background of a lack of oxygen and affect the general well-being. During illness, people notice:

• difficulties with nasal breathing;
• night snoring;
• runoff of mucus, sometimes pus, in the back of the throat;
• decrease in the timbre of the voice, due to the overlap of the sinuses;
• hearing loss;
• impaired coordination of movements;
• headache;
• drowsiness;
• lethargy;
• cyanosis of the skin and nails.

It happens that the lack of treatment leads to other infectious diseases that affect the maxillary sinuses, tonsils and other organs. Against the background of inflammation of the adenoids in adults, chronic appears, and. These pathologies negatively affect the work of the whole organism and provoke:

• weakness and increased fatigue;
• increase in body temperature;
• loss of appetite, nausea;
• fluctuations in blood pressure, dizziness;
• joint pain.

Symptoms of inflammation of the adenoids in adults depend on the degree of hypertrophy of the lymphatic organ. The first is manifested by a violation of nasal breathing during sleep. The second provokes snoring, difficulties with the flow of air through the mouth and nasal cavity. The third is considered severe and leads to hearing loss, speech changes, and frequent infections of the ear, throat, and nose.

If you experience similar symptoms, you should consult a doctor. Without his consultation, the use of medications and folk remedies is not recommended. It happens that blockage of the nasopharynx and nasal passages leads to sudden cessation of breathing during sleep, cerebral edema and other serious consequences.

The reasons

The causes of symptoms and signs that indicate adenoids in an adult are varied. The risk group includes adults who treated inflammation of the adenoids in childhood. The disease is provoked by:

• frequent infectious diseases (flu, tonsillitis,);
• autoimmune pathologies (when the body's defense cells attack its own organs);
• decreased immunity against the background of chronic diseases (including the presence of the Epstein-Barr virus, herpes simplex, cytomegalovirus);
• hormonal imbalance (in violation of the thyroid gland, brain and reproductive organs in men and women);
• allergic reactions (regular contact with a provocative antigen, lack of treatment);
• poor environmental conditions;
• work in hazardous production;
• exposure to radiation;
• uncontrolled use of antibiotics without consulting a doctor;
• malnutrition (persistent nutritional deficiencies);
• genetic predisposition.

Conservative treatment

Before starting treatment, it is important to analyze the symptoms, make a diagnosis and establish the true causes of inflammation of the adenoids in adults. For this, patients are prescribed a visual examination by an otolaryngologist - posterior and anterior rhinoscopy (examination of the nasal cavity), as well as pharyngoscopy (examination of the pharynx, tonsils).

Of the laboratory methods, a general blood and urine test, a bacteriological culture of the contents flowing from the nasal cavity into the pharynx, as well as a cytological examination are prescribed. Additionally apply:

• radiography of the nasopharynx in the lateral projection;
• endoscopic examination with simultaneous biopsy;
• computed tomography (CT).

The possibility of conservative and alternative treatment of adenoids in adults is determined by the doctor and depends on the degree of growth, the presence of concomitant pathologies, as well as the patient's well-being. This is true in the early stages of the disease, corresponding to the 1st degree of hypertrophy. Of the medicines used:

• vasoconstrictor drops in the nose (naphthyzine, otrivin);
• solutions for washing and drying (collargol, protargol);
• antibiotics (depending on the results of the antibiogram);
• antihistamines (suprastin, diazolin);
• vitamin complexes (pikovit, alphabet).

The list of physiotherapy procedures includes:

• laser treatment;
• electrophoresis;
• climatotherapy;
• inhalation.

With proper treatment of adenoids, as well as elimination of the cause, it is possible to reduce their size and subside symptoms. Despite this, many otolaryngologists believe that it is better to remove the inflamed tonsil in adults immediately in order to avoid dangerous consequences.

How are they removed?

The procedure for removing adenoids in adults and children is called adenotomy. The classic type of resection involves the use of a conventional scalpel. Removal is performed under local anesthesia, has a low cost and a high risk of complications.

To date, the classical method is rarely used, because new, safer types of minimally invasive surgical intervention have appeared, which are characterized by low trauma and a low risk of developing unpleasant consequences. The operation is performed under local or general anesthesia using an endoscope. The ability to display the image on the monitor helps to remove all lymphoid formation and exclude the possibility of recurrence. As a scalpel use:

• laser knife;
• cryodestructor;
• shaver;
• coblator.

How to remove adenoids in adults - the surgeon decides, taking into account the characteristics of the course of the disease and the wishes of the patient. The advantages of laser technology include:

• fast recovery;
• no bleeding;
• high-precision beam exposure to avoid damage to surrounding organs;
• minimal discomfort during and after removal.

The disadvantages of patients consider the high cost and the need to do several procedures with extensive growth. With inflammation of the pharyngeal tonsil, different laser removal techniques are used, namely:

1. coagulation. Used to eliminate large formations. The beam cauterizes the adenoid and leads to the death of the overgrown focus.
2. Interstitial coagulation. Indicated for inflammation of varying degrees. The laser tool evaporates submucosal tissue structures from the inside without affecting the membrane.
3. Destruction after classical excision. This technique eliminates large overgrown foci. First, pathological neoplasms are removed with a scalpel, and the remnants are evaporated with a laser.
4. carbon dioxide. Eliminates small adenoids by evaporation and smoothing of pathological areas. It is indicated for 1 and 2 degrees of the disease.

Cryodestruction or cryotherapy involves freezing the pathological formation with liquid nitrogen. Exposure to low temperatures leads to the death and gradual reduction of the hypertrophied lymphatic organ. Advantages of the procedure:

• bloodlessness;
• minimal trauma;
• directed impact on the affected areas;
• reduction in the size of the pathological focus;
• no need to administer anesthesia, because liquid nitrogen freezes nerve endings too.

Removal of adenoids in adults with cold plasma (coblation) is performed using an electrode that is in saline. It causes the destruction of the lymphoid neoplasm at the molecular level. Healthy areas are practically not affected. The advantages of the procedure are:

• the ability to remove small and large formations;
• painlessness and bloodlessness;
• minimal impact on surrounding tissues;
• fast recovery;
• efficiency;
• no serious consequences.

Shaver removal technique is the removal of unhealthy tissue using a micro-cutter (shaver or microdebrider). She cuts off the adenoid in parts and crushes it for subsequent suction with an aspirator. Removal of the neoplasm is performed under general or local anesthesia and lasts about 20 minutes. Benefits of using a microdebrider:

• elimination of adenoids of varying degrees;
• minimal impact on healthy tissues;
• no scarring and no risk of bleeding.

To date, all minimally invasive operations to remove adenoids in adults and children are performed using an endoscope. This technique allows you to remove the pharyngeal tonsil completely, to eliminate the likelihood of re-growth and other dangerous consequences.

Consequences of removal

After surgical treatment of adenoids in adults, unpleasant symptoms do not immediately go away. This is due to inflammation and swelling of the upper respiratory tract, which manifests itself as usual:

• a feeling of congestion;
• nasal voice;
• hearing loss and other symptoms.

It happens that after a classic resection, the patient is concerned about minor bleeding from the nasopharynx and nasal cavity. Damage to adjacent tissues leads to scarring and narrowing of the airway. Another unpleasant consequence of the removal of adenoids in adults is atrophic epipharyngitis, the consequences of which are:

• thinning of the mucous membrane of the nasopharynx;
• the appearance of dryness and bad breath.

Surgical manipulations lead to a decrease in local immunity. With insufficient sanitation (disinfection) of the upper respiratory tract, infectious tonsillitis, tonsillitis, pharyngitis and other diseases develop. To avoid postoperative infection and additional inflammation, antibiotics are prescribed. They need to be drunk in accordance with the doctor's recommendations. It happens that in addition to the main scheme, folk remedies are connected.

Surgical treatment of adenoids in adults is often well tolerated and patients quickly return to normal life. Unpleasant symptoms that occur after adenotomy are present for several days (depending on the chosen technique). When the inflammation and swelling go down, and the wounds scar, the patient feels better.

Folk remedies

Folk remedies from the green first-aid kit have long been used to treat adenoids, but doctors do not recommend using them without prior consultation.

This is due to the fact that without examination it is impossible to make a diagnosis and evaluate the dynamics of treatment. It happens that under inflammation of the adenoids in adults, other dangerous diseases are masked - cancer and polyps.

Often, folk remedies give results in combination with conservative or surgical methods. With independent use, the progression of the disease is possible, provoking the most severe consequences - respiratory arrest, lack of oxygen, deterioration of the body as a whole. In addition, individual medicinal herbs, like medicines, have an impressive list of contraindications and can cause serious consequences. For the treatment of adenoids and the unpleasant symptoms caused by them, the following are useful:

• freshly squeezed juice of carrots (200 gr.) and spinach (120 gr.) - drink every morning before meals;
• infusion of raspberry leaves, lime flowers, mint and sage (mixed in equal proportions, pour 40 grams of raw materials with boiling water and infuse in a thermos for 3 hours) - use 100 ml with a teaspoon of honey added to a warm drink;
• a decoction of anise seeds, oregano, linden, willow bark (1 tablespoon pour 400 ml of boiling water and leave for 20 minutes) - drink half a glass twice a day.

To avoid unpleasant consequences, before starting the treatment of adenoids in adults with folk remedies, you need to visit a doctor, tell him the symptoms and undergo an examination. With 1 degree of hypertrophy, phytopreparations are useful. If the formations are large, then the operation is performed first.

Useful video

Useful information about the treatment of adenoids can be found in the following video:

conclusions

1. Adenoids are always manifested by severe symptoms, so regular discomfort from the upper respiratory tract should alert.
2. When confirming the diagnosis, they resort to conservative and surgical methods of treatment.
3. With 2 - 3 degrees of hypertrophy, removal is indicated. Alternative methods are used only as part of complex therapy.

However, in recent years, otolaryngologists have increasingly discovered this pathology in adult patients.

What is the disease?

Adenoids are enlarged nasopharyngeal tonsils. Structurally, they are numerous folds formed from benign lymphoid tissue.

Normally, the nasopharyngeal tonsil performs the most noble function. Its cells produce special substances - immunoglobulins, which protect the respiratory and gastrointestinal tracts from infections. However, growing, the immune organ partially or completely blocks the respiratory openings, which leads to the development of complications.

Up to 5-7 years of age, the nasopharyngeal tonsil serves as the main filter on the way of enemy bacteria. Then her duties are taken over by the palatine tonsils. It was previously believed that, having fulfilled its role in the body, by puberty, the nasopharyngeal lymphoid tissue completely resolves or atrophies to the size of a small tubercle, so there could be no talk of any adenoids in patients older than 14–16 years. In addition, the complex structure of the nasopharynx in adults and the meager set of examination tools in the past seriously hampered the correct diagnosis. Only with the advent of endoscopic methods of research, adenoids began to be detected in every 5th adult patient.

Why does it occur?

Since doctors began to diagnose the adult form of pathology not so long ago, there is little information about it in the official medical literature. Two main questions remain: why does the nasopharyngeal tonsil persist after puberty in some people, and what triggers its growth?

Some doctors suggest that changes in the ecology and the nature of the diet of modern man are to blame. The abundance of microbes, dust and allergens in the surrounding air and food consumed cause the amygdala to "linger" in the adult body and continue to perform its protective functions.

An increase in the same organ, as in childhood, most often provokes infectious processes:,. In an effort to protect the body from a viral attack, the lymphoid tissue begins to increase its volume. The more often respiratory diseases occur, the greater the likelihood of pathological changes in the amygdala.

Russian scientists also suggest that inflammation of the gastrointestinal tract and endocrine disorders can contribute to the development of pathology. Often, adenoids are found in patients who have had.

Symptoms and complications

The main symptom of the disease is. Growing, the adenoids block the nasal openings, which makes the patient almost constantly. Chronic lack of oxygen, in turn, can lead to a weakening of thought processes, memory impairment, fatigue, and malfunctions in the cardiovascular system. The problems are exacerbated at night: many patients also hold their breath during sleep (apnea).

Large adenoids, blocking the airways by more than half, disrupt the outflow of mucus, which is produced by the paranasal sinuses. As a result, fertile ground is formed for the development of the inflammatory process -. The condition is accompanied by copious discharge from the nostrils, nasal congestion, fever. Due to the close proximity to the auditory tract, the infection can provoke. With frequent adenoiditis, inflammation passes to the respiratory organs: bronchitis develops.

Diagnostics

Diagnosis is based on clinical findings and endoscopy, biopsy, or computed tomography findings.

The endoscopy procedure is performed under local anesthesia. The doctor inserts a special tube-endoscope into the patient's nasopharyngeal cavity, through which he examines the surface of the tonsil. In order to differentiate adenoid formations from, angiofibroma or, a specialist takes a piece of tissue for histological examination.

Computed tomography of the sinuses is performed using vertical scanning devices. The radiologist helps the patient to fix the head in the desired position, then takes a picture. The whole procedure does not take even 10 seconds. An absolute contraindication to tomography is.

Treatment Methods

The only radical method of getting rid of adenoids is. Conservative therapy (homeopathy, herbal medicine, physiotherapy, etc.) brings the patient only temporary relief, but does not eliminate the cause of the disease.

To date, in surgery, there are two ways to remove adenoids (adenotomy):

1. With the use of a special surgical instrument - adenotome. The operation is performed in a hospital under local anesthesia. The doctor inserts a thin ring-shaped knife (adenotome) into the patient's nasal cavity, with which it captures and cuts off the adenoids. The procedure takes about 20 minutes to complete. The disadvantage of the method is that the doctor is forced to perform all the manipulations blindly, so there is a risk that the nasopharyngeal cavity is not completely and will grow again in the future.
2. using an endoscope. A tube is inserted into the nasal cavity, at the end of which there is a television camera (endoscope). The image from the camera is transmitted to the operating screen, which allows the surgeon to fully control his actions. Using microsurgical instruments, the doctor removes the tonsil through the nose or mouth. The operation is performed under general anesthesia and lasts 30-60 minutes.

After adenotomy, the patient is observed for 2-3 days, then discharged home. To make the healing process go faster, the doctor may prescribe vasoconstrictor drops.