Wednesday, 15 June 2011

Adik dan Tonsillitis

Dear Abang,

Saya dah hantar referal letter kat an nur tadi.

ni sket info pasal tonsillitis dari source: babycenter.com
Besides difficulty swallowing and a refusal to eat, signs that your toddler may have tonsillitis include:
  • A persistent sore throat -tak tahu 
  • Ear pain - tak tahu
  • Bad breath - memang mulut dia berbau
  • Snoring or mouth breathing while sleeping  -ni yanng paling obvious
  • An elevated fever and chills - kekadang ada
  • Enlarged glands in the neck and jawnampak 
  • Loss of voice -suara ok
  • Headache -tak tahu..
  • Drooling - air liur dia selalu meleleh kan.. ingat nak tumbuh gigi

If my toddler does have tonsillitis, will he need to get his tonsils out? (Harap-harap adik tak de kene operate)

Probably not. First of all, it's very unusual for a child younger than 3 years of age to have a tonsillectomy (see.. VERY UNUSUAL). And secondly, while tonsillectomies were commonly performed years ago, doctors now recognize that the tonsils play a role in filtering harmful bacteria and viruses, so they suggest removing them only when they're a chronic problem.

Surgery is usually recommended for a child who has:

  • seven or more episodes of tonsillitis in one year
  • five or more episodes of tonsillitis a year for two years
  • trouble breathing because of swollen tonsils and adenoids (the lymph tissue that sits behind the nose)
  • trouble swallowing
  • a tumor in the throat or nasal passage
In addition, if your child's swollen tonsils are accompanied by swollen adenoids, he could develop a condition called sleep apnea, which interrupts his breathing for seconds at a time while he's asleep.

If the doctor thinks that your child needs to have his tonsils and perhaps adenoids removed, she'll refer you to an otolaryngologist to discuss the surgery.

What does the operation involve?

Tonsillectomies are usually done on an outpatient basis, which means that your child will need to stay for only two to four hours after the surgery. In the unusual event that your toddler would need a tonsillectomy, though, he'd probably need to spend the night because of his young age. A child would also need to spend the night if he isn't drinking well after the surgery or has any chronic health problems that need monitoring.

Your child won't be allowed to eat or drink anything (even water) for about 12 hours before the operation. That's because if there's anything in his stomach, he may vomit it up under anesthesia, which could be dangerous. kesiannyer...

There will be nurses to take care of your toddler before and after the surgery, an anesthesiologist who will talk to you about the general anesthesia that will be administered in the operating room before surgery, and the surgeon.

The surgeon will remove the tonsils — and the adenoids if necessary — through your child's mouth, without making any cuts in his skin. The procedure takes about 30 to 45 minutes. Your child will probably be given intravenous fluids during and after the operation. He'll then be taken to the recovery room, where the nurses will monitor him until he's awake and doing well enough to head home (or to his hospital room).

Harap-harap sangat problem dia tak serius sampai kene buat tonsillectomies