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1. Role of VA, Amidan
These are two of the Lymphomas belonging to the Waldeyer ring (including the VA or the palatine tonsils, the tonsils or the tonsils of the palate, the tonsils of the tympanic membrane, the tonsils of the tongue) that are responsible for identifying bacteria, creating antibodies to destroy when they are infected. they re-invade. Because of such an important role in the development of the immune system, it is not recommended to appoint VA curettage, indiscriminate tonsillectomy.2. When should VA, tonsillectomy
Inflammation of the VA many times will increase the volume, leading to obstruction of the posterior nasal passage, causing nasal congestion, causing nasal congestion in children, prolonged blowing of mucus, when infected, the nose may turn green-yellow. Overexposure of VA also affects the ventilation function of the eustachian tube, causing otitis externa. At this time, the child will have a stuffy nose, prolonged blowing of the nose, poor sleep, poor hearing, even leading to facial deformation that the medical literature calls the VA face. In that case, VA not only fails to do its immune function, but also causes many other consequences and needs to be removed.When the tonsils are acutely inflamed, it will cause fever, swollen tonsils, sore throat, in some locations, especially if the bacteria are group A streptococcus, it can lead to complications of glomerulonephritis, rheumatism, and rheumatic heart disease. When the tonsils are overblown, they will cause snoring, stop breathing at night, and easily cause vomiting in children. Therefore, when the tonsils are inflamed many times a year (more than 5 times/year) or develop too much, causing complications such as glomerulonephritis, rheumatism or abscesses around the tonsils, they should be removed.
Many parents worry after tonsillectomy, VA curettage, how the body's immune function will be. Firstly, there are many other organs involved in the immune system, after removing the tonsils and removing the VA, these organs will work stronger to make up for the deficiency further in the specific circumstances as above. The tonsils no longer play an immune role, but even become a hidden source of infection of the body.
Khi nào nên nạo VA, cắt Amidan
3. How to cut the VA and cut the tonsils?
These surgeries should be performed under anesthesia in well-equipped medical facilities with a team of skilled surgeons and anesthesiologists because although these are just simple surgeries, they are not impossible. have accidents. At what age should surgery be performed? Currently, age is no longer an obstacle in this type of surgery, in the world it is performed both for 6-month-old children and 65-year-olds if indicated. What time of year? Because the majority of children are children, parents often choose in the summer when their children are absent from school, this will lead to overcrowding and consequent conditions for care and cleaning of machinery, equipment, and even doctors. Doctors are not guaranteed. The advice in this case is to take advantage of short vacations even weekends and choose facilities that are well equipped and not overcrowded to perform surgery. Using which method? VA curettage should be performed under endoscopic guidance and curettage with a HUMMER cutter - suction allows the maximum removal of VA tissue through injection without causing damage to adjacent organs such as the eustachian tube, the posterior nose. For tonsillectomy, it is recommended to use a Coblator machine because the temperature at the cutting point is low, so there is little damage, good hemostasis and less pain after surgery.
Sau khi nạo VA nên cho trẻ ăn thức ăn mềm và không la hét nhiều
4. Care after curettage of varicose veins, tonsillectomy
If only curettage of the VA alone, the child can be discharged from the hospital within a day after monitoring a few hours from the end of the surgery. Children eat and drink normally that night and usually after only 3-4 days of nasal irrigation, they are completely stable. After tonsillectomy, they can also go home the same day, but it is best to stay in the hospital for 1 night for monitoring. Patients can speak and eat right after the surgery, but not for 5-6 days as is still believed. However, in the first few days, you should eat soft foods and do not scream much because it can lead to premature pseudomembranous detachment and bleeding.
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