Asthma - "airway disease" - one of the most frequent cause of hospitalization of children treated at the hospital in 1999. Asthma is one third of calls to the emergency department and the fourth leading cause of visits to the pediatrician.It is a common chronic disease has a dramatic impact on quality of life.
Asthma causes a large number of passes of the school, the frequent use of medications, requests for emergency assistance, disability, parents, and affects not only the life of a child, but his parents and family.
Asthma - a chronic inflammatory disease that causes hypersensitivity.Hypersensitivity leads to a narrowing and obstruction of the respiratory tract.This narrowing is caused by inflammation, often mediated by cellular components such as eosinophils, mast cells, T-lymphocytes, alveolar macrophages, neutrophils and epithelial cells.
The previous studies have shown that improving the flow of upper respiratory tract infections (tonsillitis, sinusitis, nasal congestion) positively affects the
Recent studies have shown that adenotonzilektomiya leads to an improvement of the upper respiratory tract, especially bronchial asthma.One explanation for this phenomenon is that the surgery reduces irritation to the respiratory system.This may be the result of lower microaspiration infectious secretions, whose presence in the tracheobronchial tree can trigger asthma symptoms.In other words, the removal of the adenoids and tonsils may reduce mucopurulent passage from the upper respiratory tract, which irritates the respiratory tract.
The effect adenotonzilektomii adenotomy, tonsillectomy on asthma in 38 patients with an average age of 5.4 years (2 to 12 years).The observation period after the operation was at least 5 years.Indications for surgery were obstructive sleep apnea, chronic tonsillitis, sinusitis and other comorbidities.Tonsils removed cryotechniques or electrocoagulation.Asthma was diagnosed by primary care physicians and pediatricians -pulmonologom.
After surgery, noted a decrease in the need for inhaled steroids, beta-2 agonists, and leukotriene regulators.Many patients no longer need to use systemic steroids.
indicator of asthma severity after surgery decreased from 2.12 to 0.74.The average number of days missed from school decreased from 7.76 to 3.28.And parents, respectively, with 7.35 to 1.8.
Children's Asthma Symptoms Alleviated After Removal of Tonsils, Adenoids May 29, 2005 American Society of Pediatric Otolaryngology (ASPO) http://www.aspo.us