Va Inflammation In Children: Manifestations, Complications And Treatments

VA is a common disease in young children with congestion, discomfort, fatigue, anorexia ... If not recognized and treated promptly, the disease will develop into dangerous complications for the health of little.
What is VA and VA?
VA is the French acronym Végétations Adénoides, referring to the organization consisting of many white blood cells (lymphocytes) located in the palate, when breathing air will enter the nose, through VA and then into the lungs

. Normally the thickness of VA is about 4-5mm, not obstructing airway.
VA develops most strongly in children aged 6 months - 4 years and regresses from 5-6 years old onwards.
The VA keeps the bacterial recognition function, creating antibodies to destroy them Therefore, VA is exposed to bacteria on a regular basis and may be attacked by bacteria if the subject has weak resistance, unsanitary hygiene or due to seasonal changes in weather, dust, etc.



VA inflammation.
VA inflammation and manifestations
VA can be divided into acute VA and chronic VA.
Acute VA
This is an acute, purulent or purulent infection in the Lushka tonsil region.
Signs of acute VA include:
Sudden high fever: children develop a sudden high fever up to 40 - 41 degrees Celsius
Laryngospasm: small children with convulsions, earache
Nasal congestion: complete nasal congestion, runny nose on both sides, mucus mucus that becomes thick, milky, and abundant in infants. Snoring at night, a closed-nasal voice in older children.
Pus and nasal mucus: full of mucus in the nasal cavity, making it difficult to examine the nasopharynx through the nose first.
Swollen red throat: mucous membrane of the throat red, with a layer of white, yellow mucous covering the mucosa on the back of the throat from the arch down
Ears: shadow loss in the eardrum, becoming dull, slightly dented due to clogged eardrum
The small crane is at the angle of the jaw, the groove is palpable, is palpable by the hand, feels a bit sore
Blood tests show an increase in the number of white blood cells
Chronic VA infection
This is a condition where VA has become overgrowth or fibrosis after acute infection many times.




Chronic VA infection has the following characteristic signs: runny nose and chronic stuffy nose
When the VA mass is larger, it will cause congestion and runny nose, if it is used for long time, it will run regularly, runny nose will be yellow or green, runny nose (multiple infections)
Severe stuffy nose, stuffy nocturnal or stuffy all day or even completely blocked nose that has to breathe through mouth, speaks crying nasal voice
Complications of VA inflammation
Acute VA
The airway is clogged: the posterior nostril is blocked, nasal breathing is obstructed, stagnant fluid and pus are present in the nose.
The airways in the middle ear are clogged, causing acute otitis media, otitis media, puncture atrial ear can lead to hearing loss.
Progressing to chronic VA
There may be sleep apnea if the complication is severe
Difficulty sleeping, restless sleep, snoring, startled teeth grinding when sleeping or bedwetting
Mental and physical retardation in children: hearing loss, sluggishness, poor functioning
Chronic VA infection
Causes sinusitis, acute otitis media, laryngitis, tracheitis, bronchitis
Children cannot breathe through the nose, over the years the tip of the nose becomes smaller, the jaw bone is underdeveloped, the upper teeth are jagged, the chin protrudes and is bigger.
Children with physical and mental retardation
May have sleep apnea
Other complications include acute VA inflammation
Complications of inflammation VA
How to treat VA inflammation?
Two methods of treating VA inflammation can be applied to children: internal medicine and surgery.
Medical treatment: keep hygiene of nose and throat, drop nose and gargle with dilute salt water when going out or after eating, then combine using antibiotics, anti-inflammatory as directed by your doctor.
Surgical treatment: VA curettage
When will VA surgery be needed?
For young children, VA curettage is indicated in the following cases:
VA recurs many times (more than 5 times / year), lasting for a month
Complications Otitis media, bronchitis, sinusitis, digestive disorders and frequent diarrhea
The enlarged VA size causes prolonged nasal congestion, ineffective medical treatment, sleep apnea, difficulty swallowing, and difficulty speaking.
Contraindications to VA curettage in the following cases:
Patients with blood diseases, severe heart disease, developing tuberculosis
Acute nasopharyngitis infection
Viral infections such as influenza, measles, dengue fever ..



.
Patients with allergies, bronchial asthma, cleft palate ..
Drinking or being vaccinated
Is VA scraping dangerous?
VA is a common and safe technique, so it is NOT dangerous to the child and does not weaken the child's immune system.
Therefore, parents need to choose a reputable medical facility when performing this technique.
Scraping VA with new generation Plasma knife technology
When it comes to VA surgery or surgery for ear, nose, and throat diseases, many patients feel apprehensive and obsessed with fear of pain, loss of blood, immune system effects, long recovery time, cause many complications ...



.
But this fear is only true of traditional surgical methods using old technology such as cryotherapy, dissection with a cutlery or a unipolar or bipolar electric knife.
Currently the introduction of new generation Plasma knives has helped the surgical process of Ear - Nose - Throat become nh.

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