Children's tonsil surgery should weigh the pros and cons of the impact on children's health. If the above indications are met, of course, surgery is needed. If this is not the case, you should not have an operation. Because the tonsils in childhood are still functional under normal circumstances. After the age of four, the immune function is gradually replaced by other organs.
In addition, it should be reminded that tonsil hypertrophy is usually accompanied by hyperplasia, so it is necessary to routinely check whether the hyperplasia is hypertrophy before tonsil surgery to determine whether surgery is needed together.
2. Hello: Tonsils (also called tonsils) are a pair of almond-shaped lymphoid tissues, which have existed in everyone's pharynx since birth. The size of tonsils varies from person to person and is generally within the normal range. In the past, the medical profession thought that tonsil was a kind of redundant and useless tissue, which was harmful and useless, so doctors often mobilized sick children to remove it to remove the focus that induced disease infection. In fact, tonsils are also a part of lymphatic tissue of human immune system. In recent years, immunological studies have confirmed that tonsils are located on both sides of the oropharynx, which can produce phagocytes and have the immune function of defending and resisting the invasion of external bacteria. Therefore, moderate tonsillar hypertrophy is pathological, but a normal compensatory function and a physiological phenomenon of resistance to disease. As an adult, with the gradual improvement of the immune system, the tonsils will shrink immediately and complete their historical mission. But some people's tonsils are often inflamed. This kind of inflammation can be divided into acute and chronic. Acute tonsillitis has an acute onset, which is mostly caused by weak body resistance, cold or bacterial infection. The main symptoms are aversion to cold and fever, general malaise, tonsil enlargement, swallowing pain, sometimes vomiting or diarrhea, which can be cured in about a week. The symptoms of chronic tonsillitis are generally mild, and sick children often feel throat discomfort and mild obstruction. Another part of tonsil hypertrophy affects swallowing function and makes eating difficult. In particular, two large tonsils touch together to block the throat and hinder breathing. Hold your breath and snore when you are asleep, and you are often woken up. Recurrent acute tonsillitis can also induce some systemic diseases infected by streptococcus, such as nephritis, myocarditis, rheumatoid arthritis and rheumatic heart disease, which are harmful to human body. After each acute attack of tonsil, these complications will recur and get worse in different degrees, which is called focal tonsil in medicine. Obviously, it is harmful to keep this tonsil, and it can be considered to be removed at an appropriate time after the complications improve or stabilize. In clinical tonsillectomy, about 10% of the surgical complications will bring more pain to patients. Whether tonsillitis needs to be removed should be diagnosed in detail by the doctor and decided carefully after weighing the advantages and disadvantages. Tonsillectomy can be considered if.
(1) Acute tonsillitis occurs more than three times a year, resulting in a long-term low-grade fever.
(2) Chronic tonsillitis often causes nephritis, myocarditis, rheumatic fever and other systemic diseases.
(3) Chronic tonsillitis involving adjacent organs, such as recurrent otitis media and cervical lymphadenitis.
(4) Frequent colds, colds, sore throats, and many pus spots in the tonsil recess.
(5) The tonsils are extremely swollen, which has caused respiratory, swallowing, language and other functional disorders, especially respiratory tract obstruction, manifested as snoring or being awakened during sleep.
(6) Those with a history of abscess formation around tonsils.
The specific time of the operation should also be decided according to the doctor's opinion. Such as acute tonsillitis, or patients suffering from related diseases (such as tonsillitis, arthritis, myocarditis, rheumatic heart disease complicated with congenital heart disease and asthma, epilepsy, allergic purpura, psoriasis, chronic sinusitis, otitis media, etc.). ), should be in the symptoms disappear or treatment for a period of time, the indicators are normal after surgery. Suffering from hematopoietic diseases, low coagulation state, tonsil hypertrophy complicated with cor pulmonale, heart failure and pharyngitis sicca, it is not suitable for operation. It should be noted that for younger children, the immune function of tonsil is still in the most active period, and it also has an important function of defending against diseases. If it is not a focal tonsil or there is no local dysfunction, it is best not to remove the tonsil easily.
3. Only say that the child's tonsils are swollen, which can't be considered as a disease. As long as the child's tonsils are not inflamed repeatedly: fever, sore throat, it should be normal to be simply bigger. Some are completely familial. In fact, tonsils have the function of enhancing immunity in childhood, so it is generally advocated that tonsils should not be removed easily before childhood. The indications of tonsillectomy in children are: repeated frequent attacks, fever, sore throat, arthritis, nephritis, rheumatism and so on. Especially large tonsils affect sleep breathing, open mouth breathing during sleep, snoring and even cause obstructive sleep apnea syndrome. I think it's just that the flat peaches are bigger, so you can leave them alone. Wait until the child is older, because the tonsils will gradually shrink as people get older.