This is an automatically translated article.
VA is a triangular-shaped lymphoid tissue, located at the back of the nose and throat, regularly exposed to pathogens in the air and in food before entering the body to be stimulated to create immunity, so VA or have an infection.1. What is VA curettage?
VA curettage a commonly used procedure to remove nasopharynx lymphatic tissue. VA curettage is often performed along with tonsillectomy.
VA curettage will only be mentioned by an otolaryngologist after a prolonged pathological process. However, that does not mean that all cases require VA curettage. Therefore, VA curettage is only indicated and contraindicated when:
Indications:
Inflammation of varicose veins is so large that it interferes with the child's breathing, causing the child to breathe through the mouth and snore. When eating, children have difficulty swallowing, have digestive disorders, glomerulonephritis. VA repeats many times a year (≥ 5 times/year). VA with medical treatment does not go away, accompanied by otitis media with fluid retention, recurrent acute otitis media, chronic otitis media with atrial perforation and chronic sinusitis. Contraindications:
Absolutely contraindicated in children with blood disease, heart disease, progressive tuberculosis and cleft palate. Relative contraindications for children with acute inflammation such as fever, cough; diarrhea, boils, vaccinations and in epidemic areas.
2. Age can cure VA for children
VA curettage in children is usually around 20 months of age or older and usually under 5-6 years of age. Occasionally, an older child aged 6-7 years still has residual VA that requires curettage.
VA curettage, tonsillectomy is not dangerous because this is a common and safe surgical technique. At the same time, it does not weaken the child's immune system. Because VA is just one of the immune cells of the baby's respiratory tract. In addition to the VA, there are many other natural immune systems located under the respiratory mucosa.
Vasectomy is performed in an outpatient setting under general anesthesia. During surgery, the surgery usually takes 30-60 minutes. The child was anesthetized through a mask, then intubated and carefully monitored throughout the surgery. The tonsils and VA are removed orally so there will be no incisions in the face or neck.
After surgery, the child can go home on the same day of surgery.
3. Child care before and after curettage
Before curettage of varicose veins:Vasectomy is done by mouth and before surgery, parents need to follow the following rules:
In 7-10 days before surgery, do not give children any medicine to drink. anti-inflammatory drugs such as: Ibuprofen, Indomethacin and naproxen. 10 days before surgery, inform the specialist doctor of any medicines the child is taking. Parents need to prepare thermometers and antipyretics at home for the postoperative period. Reassure the child so that he or she is not worried or afraid before surgery. Follow the baby's diet before surgery as prescribed by the doctor. Children under 12 months old can use formula 6 hours before surgery and breast-feed 4 hours before surgery. Children over 12 months old are not allowed to eat anything from 0:00 on the day of surgery. Children of all ages can drink plain water about 2 hours before surgery. If the child has to take regular medication as prescribed by the doctor, give the child the medicine with a little water on the morning of the surgery. After VA curettage:
After VA curettage, the child will have a sore throat that lasts for one to two weeks. Therefore, children need to drink a lot of water to avoid dehydration; Having enough water in the body will help reduce the pain. For two weeks after surgery, do not give your child hot, spicy foods or hard and crunchy foods. Should drink warm water and light food will help the child's throat more comfortable. Suitable menus and drinks for children include: Warm water, juice, Gatorade, Jell-O, Ice cream, yogurt, pudding, warm chicken or beef broth, soft cooked meat and vegetables. Children should avoid running and jumping activities for a week after surgery. Children can return to school within three to four days if they feel ready. Currently, at Vinmec International Hospital, the method of tonsillectomy and VA curettage is applied by the Coblator system, which helps children to have much less pain compared to traditional surgery and surgery with unipolar or bipolar electric knife. Children recover quickly after 4-5 days of treatment. The advantages of this technique are fast surgery time, no blood loss, good hemostasis, no postoperative burns, no swelling, and gentle postoperative process.
For advice and treatment of tonsillectomy, VA curettage for children, you can contact the nationwide Vinmec hospital and clinic system HERE.
See more:
How does VA scraping happen? What to pay attention to before - during - after surgery? Is VA curettage dangerous? When to cure VA for babies? Signs and complications of children with acute VA