「產兒科護理學-兒科疾病」扁桃腺tonsil

 扁桃腺切除(tonsillectomy)

一般來說,扁桃腺切除手術較常見於小兒科,除了因為兒童的免疫系統尚未發育完全,扁桃腺作為免疫系統的一部分,更容易受到細菌或病毒感染,導致反覆發作的扁桃腺炎,且相較於成人,兒童的扁桃腺相對較大,且咽喉空間較小,扁桃腺發炎時更容易引起呼吸困難、睡眠呼吸中止等嚴重問題。

Tonsillectomy is more commonly performed in children. This is because children's immune systems are still developing, making their tonsils, as part of the immune system, more susceptible to bacterial or viral infections. This can lead to recurrent tonsillitis. Additionally, children have relatively larger tonsils and smaller pharyngeal spaces compared to adults. When inflamed, the tonsils can cause more severe problems such as breathing difficulties and sleep apnea.

所以若部分兒童的扁桃腺炎反覆發作,且對藥物治療反應不佳,影響日常生活和學業,此時手術切除扁桃腺可能是一個較好的選擇,以及相較於成人,兒童的恢復能力較強,手術併發症的風險也相對較低。

因此,為了改善兒童的生活品質,降低併發症的風險,醫生會建議進行扁桃腺切除手術。

Therefore, for children with recurrent tonsillitis that doesn't respond well to medication and significantly impacts their daily life and studies, tonsillectomy may be a better option. Furthermore, children have a stronger recovery ability and lower risk of postoperative complications compared to adults. To improve a child's quality of life and reduce the risk of complications, doctors may recommend tonsillectomy.


術後飲食之護理指導

Postoperative Dietary Care

西瓜汁、番茄汁、檸檬汁和柳橙汁這幾種果汁都屬於酸性果汁,會刺激傷口,導致疼痛不適,甚至可能引起出血。

Juices like watermelon juice, tomato juice, lemon juice, and orange juice are acidic and can irritate the wound, causing pain and discomfort, and even potentially causing bleeding.

布丁和冰淇淋屬於冷飲,可以減輕咽喉腫痛,且質地柔軟,容易吞嚥,適合術後患者。

Pudding and ice cream are cold drinks that can alleviate throat soreness and are soft in texture, making them easy to swallow. They are suitable for post-operative patients.


綠茶和咖啡中的咖啡因具有利尿作用,可能導致脫水,且咖啡因也會刺激胃酸分泌,增加不適感。

Green tea and coffee contain caffeine, which has a diuretic effect and can lead to dehydration. Caffeine can also stimulate stomach acid secretion, increasing discomfort.

因此,術後飲食應以清淡、溫涼、軟質的食物為主,如布丁、冰淇淋、稀飯、麵條等。

Therefore, the post-operative diet should consist of bland, cool, and soft foods such as pudding, ice cream, porridge, and noodles.


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