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глоточная (носоглоточная) миндалина** [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). Это не отдельный орган, а гипертрофированная (разросшаяся) ткань миндалины, которая входит в состав лимфоидного глоточного кольца Вальдейера-Пирогова [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). \n\nАденоиды расположены в своде носоглотки, практически по центру черепа, прямо позади носовой полости [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). В отличие от гланд, их невозможно увидеть невооружённым глазом при простом осмотре горла — для этого требуется специальное зеркало или эндоскоп [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/).\n\n\n\n## Причины\nАденоиды — результат чрезмерного иммунного ответа на хроническое воспаление в носоглотке [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). Некоторые причины: \n* **Частые инфекции** (ОРВИ, грипп, корь, скарлатина) [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). Постоянное воздействие вирусов стимулирует активацию лимфоидной ткани, вызывая её чрезмерное разрастание [2](https://klinika-zdorovie.ru/articles/chto-takoe-adenoidy/). \n* **Аллергические реакции** и атопический дерматит, которые способствуют длительному воспалению слизистых оболочек [2](https://klinika-zdorovie.ru/articles/chto-takoe-adenoidy/). \n* **Генетическая предрасположенность** — определённые генетические особенности увеличивают риск избыточного роста лимфоидной ткани [2](https://klinika-zdorovie.ru/articles/chto-takoe-adenoidy/). \n* **Неблагоприятные экологические факторы** (загрязнённый воздух, табачный дым) [2](https://klinika-zdorovie.ru/articles/chto-takoe-adenoidy/)[8](https://medicinadeti.ru/statyi/adenoidy_u_detey_simptomy_prichiny/).\n\n## Симптомы\nНекоторые симптомы аденоидов: \n* **Затруднённое носовое дыхание** — в зависимости от степени увеличения аденоидов дыхание может быть затруднено только ночью или круглосуточно [10](https://www.MedCentrServis.ru/disease/adenoidy/). \n* **Храп и апноэ** — в более тяжёлых случаях может наблюдаться апноэ — кратковременные остановки дыхания во время сна [10](https://www.MedCentrServis.ru/disease/adenoidy/). \n* **Носовой голос (гнусавость)** — из-за перекрытия носовых ходов изменяется тембр голоса, речь становится гнусавой [10](https://www.MedCentrServis.ru/disease/adenoidy/). \n* **Хронический кашель** — воспалённые аденоиды способствуют накоплению слизи в носоглотке, которая стекает в горло и вызывает кашель, особенно ночью [10](https://www.MedCentrServis.ru/disease/adenoidy/). \n* **Снижение слуха** — увеличенные аденоиды могут блокировать слуховые трубы, что ведёт к нарушению вентиляции среднего уха и снижению слуха [10](https://www.MedCentrServis.ru/disease/adenoidy/).\n\n## Диагностика\nОкончательный диагноз может установить только врач-оториноларинголог [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). Для диагностики используют, например: \n* **Эндоскопию носоглотки** — позволяет визуализировать лимфоидную ткань и точно определить степень её разрастания [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). \n* **Рентгенографию носоглотки**, но она менее информативна и даёт лучевую нагрузку [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/).\n\n## Лечение\nЛечение зависит от степени гипертрофии и осложнений [5](https://alfazdrav.ru/zabolevania/otorinolaringologiya/adenoidy/). 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