Monday, June 6, 2011

Adenoid acute

Adenoid inflammation is acute, sometimes the amygdala pharyngeal Lushka effusion can occur in isolation or associated to rhinitis and / or angina.Sudden onset or rapidly progressive and frequently associated febrile episodes (high of 39-40 C), febrile convulsions, loss of appetite (sacderea appetite), sometimes diarrhea.
Symptoms:
The period includes the status type feverish symptoms reverse curve, materials with high values, nasal obstruction, muco-purulent discharge and visible in the oropharynx.Characteristics of fever are: hooks morning, and reverse type being recorded during the big climb of several hours. It is associated agitation and polipnee.
Obtructie nose will cause typical signs - type oral breathing (child sits with his mouth open), especially during sleep and the supine position that favors and noisy breathing (snoring sleep).This is prevented and nutrition.
Purulent discharge may be called the anterior or posterior rhinorrhea, viewed from back of neck examination (examination by ENT specialist throat swab).
POSITIVE DIAGNOSIS:
Diagnosis arises with the clinical and ENT specialist examination of the cavum which will highlight the hypertrophied pharyngeal tonsil (increased volume due to increased size of tissue contained cells respectively).
TREATMENT:
Febrile syndrome will be removed by the administration of paracetamol in dosage shield and 40-60mg/kgc/zi.
Febrile seizures will prevent using sedatives, like phenobarbital at a dose of 4 mg / kg / day.
The use and dezobstructie ephedrine nasal solution 0, 5-1% in saline, instilled intranasally before meals to improve breathing and restore appetite.
Treatment of acute bacterial infection of the tissue is adenoidian medication with antibiotics: ampicillin and CEFALOCOR over 5-7 days.
Antibiotic therapy in adenoid is energetic and extended to prevent common complications, otoscope for examination is made and ear complications (otitis masks antibiotics).
The majority of cases have a favorable evolution.
Disease complications are:- Otitis media;- Rinobronsita;- Laryngitis;- Adena regional cervical;- Digestive disorders such as diarrhea parenteral.

No comments:

Post a Comment