Supine breathing

Introduction Hypertrophy of the pharyngeal tonsils can cause poor breathing on the back. Pharyngeal tonsil hypertrophy, also known as adenoid hypertrophy (adenoid vegetation). The disease is a pathological hypertrophy of the pharyngeal tonsil, often arising from pharyngeal infections and repeated inflammatory irritation. It is more common in cold, humid and climate-changing areas. Childhood acute infectious diseases, malnutrition and physical factors can also be induced. Although the disease is a childhood disease, it has a profound impact on the normal development and health of the body.

Cause

Reasons for supine breathing:

Often caused by pharyngeal infections and repeated inflammatory irritation.

an examination

Related inspection

Otolaryngology CT examination

Check diagnosis of supine breathing:

It is easy to diagnose according to medical history, symptoms, and physical symptoms. Diagnosis by pediatric fiber nasopharyngoscopy and X-ray nasopharynx radiography or CT examination. It is necessary to distinguish from the nasopharyngeal tumors, such as lymphosarcoma.

1. Ear symptoms: due to pharyngeal tonsil hypertrophy and inflammatory secretions of the nasopharynx, the eustachian tube is blocked, can be complicated by non-suppurative or suppurative otitis media, resulting in hearing loss and tinnitus, ear nausea.

2. Nasal symptoms: pharyngeal tonsil hypertrophy often accompanied by rhinitis, sinusitis. The patient has nasal congestion, runny nose, mouth breathing, salivation, speech with occlusive nasal sounds, sleep snoring and other symptoms.

3. Respiratory tract infection symptoms: due to inflammation, secretions stimulate the respiratory mucosa, often cause throat, trachea and bronchitis, so patients may have symptoms of pharyngeal discomfort, voice changes, cough, spit, asthma, hypothermia.

4. "Adenoid appearance": due to long-term mouth breathing, affecting facial bone development, the maxilla is long and narrow, and the hard ankle is narrowed. The teeth are protruding, the teeth are not well-formed, the bite is bad, the mandible is drooping, the lips are thick, the upper lip is upturned, the lower lip is suspended, the outer jaw is pulled down, and the nasolabial groove is shallow. Adding a sense of languidness, dull facial expression, dullness, the so-called "adenoid face".

5. Systemic diseases: mainly chronic poisoning symptoms and neurological reverse symptoms. The performance is poor nutrition, chicken breast, anemia, weight loss, low fever, indigestion, fatigue, headache, inattention, irritability, irritability, temperament, nighttime sleep molars, enuresis and so on.

6. Local examination: visible pharyngeal congestion, inflammatory purulent secretions attached to the posterior pharyngeal wall. The nasopharynx can be touched and there is a soft lymphoid mass on the posterior wall of the nasopharynx, without bleeding. The neck can swollen to the enlarged lymph nodes.

Differential diagnosis

Symptoms of susceptibility to supine breathing:

Chest breathing: also known as rib breathing, horizontal breathing. This breathing method relies on the lateral expansion of the ribs to inhale, and the ribs are lifted by the intercostal muscles to enlarge the thorax. In other words, when inhaling, the shoulders are lifted up, and the breath is absorbed shallowly, so it is also called shoulder breathing method, clavicle breathing method or high chest breathing method. Many people are used to breathing only with chest. This type of breathing is mainly the expansion and contraction of the chest, and the movement of the diaphragm is small. In this way, the breathing is concentrated in the upper and middle parts of the lungs, and the lower part of the lungs is less likely to move due to less movement, and the lungs are atrophied or even fibrotic. Because of this, many elderly people are prone to pneumonia.

Sitting breathing: refers to the state in which the patient is forced to take a sitting position or a semi-recumbent position in order to reduce breathing difficulties. This is a more serious manifestation of heart failure, and there is obvious pulmonary congestion in the presence of sitting breathing.

Open mouth breathing: children with adenoid hypertrophy, rhinitis, severe nasal septum deviation, etc., because the nasal cavity or the nasal cavity is partially or completely blocked, the ventilation is not smooth, the child will breathe, and the mouth breathing will cause the child to have a jaw. Sudden deformity. Check the adenoid face, the hard palate is high and narrow, the posterior nasal examination shows that the nasopharynx has a pink, lobulated lymphoid tissue block, the nasopharyngeal palpation can touch the soft mass, if necessary, can be used as X-ray nasopharynx A slice that helps diagnose.

Tidal breathing: Also known as Cheyne-Stokes breathing, both respiratory rhythm changes and respiratory amplitude changes. From shallow to slow, then from deep to shallow, followed by an apnea, so repeated. Each tidal breathing cycle can be as long as 30s to 2 minutes, and the apnea can last for 5 to 30 seconds.

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