This is an automatically translated article.
The article was professionally consulted by Specialist Doctor II Le Thanh Cam - Pediatrician - Pediatrics - Neonatology Department - Vinmec Danang International General Hospital. Dr. Cam has 15 years of experience working in the field of Pediatrics and used to work at the Department of Pediatrics - Danang Hospital and Danang Center for Obstetrics and Gynecology. His strength is in the diagnosis and treatment of pediatric pathologies, resuscitation, pediatric emergency.Acute VA is a fairly common disease in children. The disease, if not treated promptly and properly, will progress to chronic disease, affecting the development of the body, making children tired, lazy, sleepy, and less intelligent. So when children have VA, how should they be treated properly?
1. What is acute VA?
V.A (Végétations Adénoides) is a lymphoid organization located in the nasopharynx, a part of the Waldeyer lymphatic ring, also known as the Luschka tonsils - this is the body's protective barrier in the nasopharynx. V.A. thrives at a young age and begins to regress from 5-6 years on.
Acute viral hepatitis is an acute, exudative or purulent infection of the tonsils of Lushka at an early age, which can also occur in older children and adults (but is rare).
2. How does acute viral hepatitis manifest?
2.1. Systemic symptoms
In infants, sudden onset, high fever 40 degrees Celsius - 41 degrees Celsius, often accompanied by violent reactions such as glottis spasm, convulsions.
In older children, there may also be a sudden onset of high fever, accompanied by laryngospasm, ear pain and sometimes meningeal reactions, but the course is milder in neonates.
Sốt cao là một triệu chứng của viêm V.A cấp
2.2. Physical symptoms
Children with stuffy nose, infants can completely stuff their nose, have to breathe through the mouth, breathing fast, irregular rhythm, stop eating, stop feeding.
Older children do not have a completely blocked nose but snore, especially at night, with a closed nasal voice.
In adults, if there is a sore throat behind the uvula, tinnitus, hearing loss.
2.3. Physical symptoms
+ Examination of the nasal cavity may show pus filled with mucus, it is impossible or difficult to examine the nasopharynx through the nose first. In older children, if the nasal mucus is aspirated in the nasal cavity, and drugs are applied to shrink the nasal mucosa, the V.A. organization can be seen on the roof of the dome covered with mucus pus.
+ Examination of the pharynx shows red mucosa, a layer of white, yellow mucus covering the mucosa of the back wall of the throat, flowing down from the dome.
+ Ear examination: the tympanic membrane loses its shadow, becomes opaque gray, slightly concave due to tubal occlusion, the symptom is very valuable to diagnose V.A.
+ Small lymph nodes can be palpated at the angle of the jaw, carotid sulcus, sometimes even behind the sternum - clavicle - mastoid muscle, slightly painful, no inflammation around the lymph nodes.
+ Back endoscopy or indirect posterior nasopharynoscopy with a small mirror in older children and adults will see the V.A organization in the roof of the nose - the throat is red, swollen, big, covered with pus and mucus.
3. Treatment of acute viral hepatitis
3.1. The principles of treatment
For acute viral hepatitis, mainly treat symptoms, improve health, use antibiotics only when infection is suspected or threatened with complications.
3.2. Specific treatment
+ Treatment with nasal suction, nasal drops to ease breathing and mild antiseptic (ephedrin 1%, argyron 1%) used for young children.
+ Nasal nebulizer: corticosteroids and antibiotics.
+ Systemic antibiotics: used for severe cases and complications.
+ Support the body.
+ In cases of prolonged acute inflammation, the physician must palpate the dome to release pus collected in the V.A. or cure the "hot" V.A with the condition that high-dose antibiotics are given before and after treatment, but very sparingly. possess.
3.3 When is V.A curettage needed?
It can be seen that only in cases of prolonged acute VA and with high dose antibiotics before and after treatment, VA curettage can be performed, but this case is very rare. In most cases of acute VA, the treatment is still carried out with measures such as nasal suction, nasal drops, nasal aerosol, systemic antibiotics.
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Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.
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