Chronic tonsillitis - what is this disease ??
Answers:
MARGOT
Tonsillitis
Tonsillitis is called inflammation of the tonsils. In total in the throat there are six tonsils: two in the depth of the pharynx (they are not visible), one - in the uppermost part of the pharynx (this amygdala is called adenoids, it is only in children and almost completely disappears with age), one - at the root of the tongue and two at the sides of the entrance to the pharynx (palatine tonsils). The name of the last is glands. Inflammation of these tonsils is most often referred to when talking about tonsillitis. Tonsils are designed to perform the function of protection against infections. It is believed that they are the first barrier to the path of bacteria and viruses that enter the nasal cavity and mouth. However, sometimes they themselves can become a hotbed of inflammation, as it happens in tonsillitis.
Tonsillitis (inflammation of the tonsils) is divided into acute and chronic.
Chronic tonsillitis occurs with insufficiently well cured acute bacterial tonsillitis. Like most chronic diseases, it proceeds wavy: the periods of calm of inflammation are replaced by exacerbations of the process. The latter manifest themselves with the same symptoms as acute tonsillitis: the temperature rises, so-called plugs appear on the tonsils - lumps of yellow or white color. They are a mixture of pus, dead cells of the tonsils and bacteria. These plugs are a source of intoxication, which causes a rise in temperature and weakness. In the period of calm, the plugs may not be, but the tonsils look wrinkled, there are scars visible on their surface (they are normally smooth, pink, without any irregularities). These changes are the result of exacerbations in the past.
Chronic tonsillitis during an exacerbation is fraught with the same complications as angina. Therefore, his treatment must be carried out necessarily.
dmitriy Bahcheev
Chronic tonsillitis is a chronic inflammation of the palatine tonsils. Palatine tonsils - the body that takes an active part in the formation of immunobiological protective mechanisms of the body.
Sokolov Vitaly
For local treatment of tonsillitis apply:
Washing with special syringe depressions in the tonsils (lacunae) with antiseptic solutions (potassium permanganate, boric acid, iodinol). At the same time purulent contents are removed from the tonsils. The doctor repeats this procedure every other day. The course is 10-15 days.
Physiotherapeutic procedures are prescribed:
* UHF and microwave (electromagnetic oscillations of high and medium frequencies or ultrahigh frequencies). During the procedure, blood vessels expand, resulting in improved blood supply in the inflammation focus
* UV-irradiation (ultraviolet irradiation). After the procedure, the stability of tonsils increases to unfavorable factors (their barrier function is increased). Antimicrobial action promotes the abatement of the inflammatory process
* Ultrasonic therapy - increases blood supply, reduces inflammation, has a beneficial effect on the central nervous system
General therapy is aimed at strengthening the body as a whole. A lot of attention should be paid to the treatment of other chronic diseases of the body, which can be a source of infection. As you know, you need to first identify the cause and eliminate it, rather than try to reduce the symptoms. To choose a tactic of treatment of a tonsillitis the expert can only.
After that, vitamins are prescribed, the lack of which reduces the protective forces of our body. Most often these are multivitamin preparations, which include a complex of vitamins and minerals (Revit, Comlevit, Alphabet, etc.). With a pronounced weakening of the immune system, the doctor prescribes immunostimulating drugs. For example, an extract of Eleutherococcus liquid, the root of Echinacea purpurea (plant origin) or interferon leukocyte human, arbidol.
Antibacterial drugs are prescribed only by a doctor. More often they are used only during an exacerbation (sore throat). The doctor can prescribe antibiotics (ampicillin, cefazolin, erythromycin or others depending on the situation), sulfonamides (streptocide, for example).
If after 2-3 courses of conservative treatment of tonsillitis no improvement is observed, then resort to the surgical method - tonsillectomy (this is the removal of tonsils along with their capsule). This operation is performed under local anesthesia.
FRECKLE
Comparison of the human body with the mechanism of the clock, in which every detail fulfills its purpose, is very accurate. And there is nothing superfluous in this mechanism. Palatine tonsils, or as they are called in colloquial speech - glands, also play an important role in ensuring the normal functioning of the body. Tonsils are a protective barrier against pathogens. It is the tonsils that take the first blow when a person encounters an infection. Well, if a person is prepared for this blow - he was tempered, strengthened his immune system in various ways. However, it happens that by the time of the invasion of the infection, immunity is reduced, then inflammation of the tonsils can occur, which often leads to tonsillitis. In most cases, tonsillitis becomes chronic.
Treatment of tonsillitis and its chronic forms can be conservative or surgical. Chronic tonsillitis is treated by such methods as rinsing of the throat, irrigation, inhalation, the appointment of immunomodulators and so on. However, in order to cure chronic tonsillitis, it is important to constantly strengthen the immune system, since any malfunction in its work affects the protective functions of the tonsils.
Tonsillitis - symptoms, types, treatment and prevention
Sore throat is one of the most common symptoms for colds. This is easily explained - it is the throat that takes the first blow when infections, parasites and viruses enter the body. If the pain in the throat inflames the tonsils, then this disease is calledtonsillitis. The disease can proceed in acute form, then diagnose angina, and in advanced stages it develops into chronic tonsillitis. About 10% of the adult population is diagnosed with chronic tonsillitis, but this indicator is slightly higher for children - 15%.
This is a disease with which lor occurs most often. A high incidence rate is caused by the fact that most people are rather poorly informed about the mechanism the occurrence of angina, do not know about when and how the angina passes into the stage of chronic tonsillitis. And, worse, they are not informed about possible complications of tonsillitis. Quite often the situation is complicated by the wrong treatment, which patients themselves resort to.
Tonsils - a natural defense of the body
Tonsils are a lymphoid tissue that is located in the pharynx and nasopharynx. They take on the function of protecting the body, participate in the processes of blood formation and are most directly related to the development of immunity in the body. They become a barrier to infections that are trying to penetrate the body through the respiratory organs, that is, they take the first blow. To date, all the functions of the tonsils have not been fully studied yet.
There are several types of tonsils. The palatines, also known as tonsils, are a pair formation in the human throat. and adenoids are nasopharyngeal and pharyngeal tonsils. In addition there are two more tubal tonsils and one lingual. The numbering of the tonsils is used: , - these are palatine tonsils, 3 tonsil is pharyngeal (nasopharyngeal), 4 means lingual, and 5 and 6 are called tubal tonsils. Their structure and functions are identical. Their tissues consist of macrophages, and, just they, and absorb, neutralize those pathogens that try to penetrate the body. That is, macrophages provide the protective function of the tonsils. Here, lymphocytes are formed that glue the hostile antibodies and remove them from the human body. We will talk about palatine tonsils, since they are affected by tonsillitis.
Tonsils take the most active part in the metabolic processes of the body, therefore everything that penetrates into the tonsils is almost instantaneously transmitted to other organs. In order to verify this, a clear experiment is carried out under laboratory conditions. In the tissue of the tonsils, a dye is injected and, after a rather short time, this dye is found in the heart, lungs, liver, kidneys, ovaries and other organs. Proceeding from this information, it can be concluded that tonsils take a direct part in the development and life of the organism. Any malfunctions in the work of the tonsils are very perceptible throughout the body.
Causes of tonsillitis
Acute tonsillitis is usually bacterial in nature. Bacteria that caused tonsillitis are streptococci, meningococci, staphylococci, pneumococci, anaerobic organisms, hemophilic rod, stick of typhoid fever, provoke angina chlamydia, kabsiella, anthrax stick, Candida mushrooms, spirochaete of the oral cavity. But most often provoke the development of a pathogenic process in the field of palatine tonsils of streptococci and staphylococcus. As you know, all these infections perfectly coexist and multiply in polluted air.
There can be situations where the human body, more precisely, the tonsils are not able to fight with the infection. These are the so-called predisposing factors to tonsillitis. These factors are known to everyone: a decrease in immunity, hypothermia, beriberi, malnutrition. Contribute to the penetration of bacteria and microtrauma of the tonsils. It is also important to remember that with nasal breathing, the risk of getting angina is significantly less than when inhaled through the mouth. With persistent disruption of nasal breathing, chronic tonsillitis almost always develops. The reasons for such a violation may be an increase in the inferior nasal cavity, curvature of the nasal septums, polyps of the nose and others.
Infecting tonsillitis can be airborne from a person who has an infectious disease or is the carrier of his pathogen. Quite often there is an alimentary route of infection. In this case, we are talking about infection through household items, products, that is, by direct contact with pathogens of tonsillitis. Perhaps self-infection. In the throat of a healthy person there are different infections, and as long as the immune system is normal, their activity is suppressed. But only there is a decrease in protective forces, hypothermia of the body, as the increased activity of these very pathogenic organisms begins to manifest. This way, self-infection of a person with angina is realized.
Clinic of acute tonsillitis
Isolate catarrhal, lacunar, follicular, fibrinous and phlegmous angina. Now we will tell about the main differences between these manifestations of acute tonsillitis.
Catarrhal angina- this is a superficial defeat of the palatine tonsils, this is one of the easiest forms of the disease. Usually, with proper treatment, catarrhal angina ends in recovery, but it can go to a more serious stage. It is characterized by a general intoxication of the body, which is manifested in an increase in body temperature, weakness. There is a headache, a sore throat, which is especially worse when swallowing. It can not be said that the patient's condition is very serious, but there is discomfort. The main and most unpleasant symptom is sore throat, since all the other symptoms recede into the background due to not very pronounced manifestation. Diagnosis of catarrhal angina is based on examination of the throat, which makes it possible to make a pharyngoscopic picture. There is puffiness and hyperimia of the tonsils, and the mucosa around them also has a similar appearance. A clear distinguishing feature of catarrhal pharyngitis from angina is the absence of redness of the sky and posterior wall in angina.
Lacunarandfollicularangina flow more heavily than catarrhal. Characteristic increase in pain in the throat, it can give in the ear. Because of severe pain in the throat, it is difficult to eat, so there is a lack of appetite. The body temperature rises to 40 degrees, there is a strong weakness, chills, pains the headache, can hurt in the lower back, limbs. There is an increase and soreness of regional lymph nodes.
Whenfollicularangina follicles are formed. They are formations of yellow or yellowish-white color, which appear through the hyperemia and swelling of the mucous membrane of the tonsils. The size of the follicles is no more than a pinhead. With the composition of a pharyngoscopic picture in follicular angina, a "starry sky" is marked. With palpation of the lymph nodes, not only their involvement and soreness is noted. In some cases, an enlargement of the spleen is possible. Follicular angina occurs 5-7 days. Among the symptoms, in addition to severe sore throat and fever, there may be diarrhea, vomiting, dullness of consciousness.
Forlacunar anginacharacteristic appearance of lacunae (purulent, white color formation on the mucous membrane of the tonsils). Gradually they expand and cover a significant part of the free surface of the tonsils. But the lacunae do not go beyond the tonsils. Lacunas are easily removed from the surface of the tonsils, while leaving no bleeding wounds. Lacunar angina develops on the principle of follicular, but is marked by a more severe course.
Fibrinous tonsillitisis accompanied by the formation of a continuous deposit (film), which has a white, yellow or yellowish white color. If the previous forms of sore throat were not accompanied by the spread of plaque beyond the tonsils, then with fibrinous angina, the raid goes beyond the amygdala. The film is formed already in the first hours of the onset of the disease, can proceed in parallel with the lacunar form of angina. With acute onset, fever, severe symptoms of intoxication, brain damage can occur.
Not commonphlegmonous angina. This type of tonsillitis is associated with the melting of the tonsil. Usually only one tonsil is damaged. It is characterized by a sharp pain when swallowing, there is a headache, chills, weakness, trismus of the masticatory muscles, abundant saliva. The temperature of the body is kept at 38-39 degrees. The patient has an unpleasant smell from his mouth. There is an increase in lymph nodes, their soreness. When examining the throat, reddening of the palate on one side, puffiness of the reddened area is noted, and the displacement of the palatine tonsil (slightly to the center and down) is also clearly visible. Due to the fact that the mobility of the soft palate on the affected side is sharply limited, then during the reception of liquid food, it can flow through the nose. If you do not start the treatment in time, then an abscess may form in about the almond tissues, this abscess is called the perintosylar abscess. He can open himself, and maybe have to resort to a surgical opening. After opening, the reverse development of the disease occurs. It happens that phlegmous angina tightens for several months, with an abscess is periodically formed. This process is usually caused by improper intake or administration of antibiotics.
Herpetic tonsillitisor herpetic tonsillitis accompanied by a rise in body temperature, abdominal pain, vomiting, pharyngitis and rashes, the formation of ulcers on the back of the throat or soft palate. The causative agent is the Coxsackie virus. Especially often they get sick with this form of tonsillitis in summer and autumn. Infection can occur fecal-oral and by contact. The source of the virus is a sick person and animals. To start the disease is characterized by an increase in body temperature, weakness, general malaise, irritability appears. Further, pain in the throat, abundant salivation, rhinitis begin to appear. Tonsils, the sky, the back wall of the pharynx begin to become covered with vesicles with serous contents that can start to ulcerate, swim, gradually dry out with the formation of crusts. There may be diarrhea, nausea, vomiting. Diagnosis of herpetic tonsillitis includes pharyngoscopic examination, and blood analysis.
Ulcerative necrotizing anginausually develops against a background of reduced immunity, beriberi. Its causative agent is a spindle-shaped rod that lives in the mouth of every person. People are elderly. People suffering from cardiac diseases, as well as the cause, can serve another infectious disease, which weakened the human immune system. Symptoms of ulcerative-necrotic tonsillitis differ from the symptoms of the forms of tonsillitis described above. The body temperature does not increase, there is no weakness, a bolus in the throat. But there is a sensation of an extraneous body in the throat, as if something is interfering. An unpleasant smell comes from the mouth. When examining the throat, you can see a plaque of green or gray color, which is located on the affected amygdala. After removing the plaque, a bleeding sore is exposed.
Clinic of chronic tonsillitis
Chronic tonsillitis is no longer an inflammatory process in the tonsils, but a serious pathology. Usually a chronic process begins after an angina (acute tonsillitis). Chronization of the process contributes to non-compliance with the rules of oral hygiene, the presence of carious teeth, frequent catarrhal diseases, chronic inflammation of the pharynx, nose. Diagnosis of chronic tonsillitis is made by analyzing the pharyngoscopic picture. Upon examination, the doctor sees changes in the tonsils, which is noticeable not with an armed eye: the tonsils are loose, enlarged, covered with purulent matter. And the submaxillary and cervical lymph nodes are markedly enlarged. Exacerbation of chronic tonsillitis occurs 2-3 times a year. As a result, a large amount of pus accumulates in the lacunae and they lose tonsils of their protective function.
Chronic tonsillitis is accompanied by an unpleasant smell from the mouth, unpleasant sensations in the throat when swallowing. The patient is worried about headaches, he often becomes irritable, fatigue rises sharply, dizziness occurs, and body temperature often rises to 37-37.5 degrees. And also during an exacerbation there can be a disturbance in the work of the urinary-genital, excretory system, disorders of the cardiovascular system, nervous disorders.
The danger of chronic tonsillitis is that it is the focus of infection in the body, which gradually destroys the immune system, so complications can begin to develop at any minute. To treat chronic tonsillitis is necessary and the best treatment can be prescribed only by a doctor. Do not wait for complications of the disease.
Tonsillitis in children
In view of the fact that the children's organism does not yet have a fully formed immune system, children are more susceptible to various kinds of infectious diseases. Getting into an organism an infection, the virus practically does not meet worthy resistance, therefore without problems it is introduced into the body and begins its parasitic life. And since it is the tonsils that take the first stroke, tonsillitis is also one of the most common childhood diseases. Many parents are tired of the frequent colds of their child, but not everyone knows that they can become the first step in the formation of chronic tonsillitis.Infection of the child usually occurs by airborne droplets, in contact with sick children, adults. It is important to note that the baby has a sore throat sometimes, as if for no reason. The thing is that for the unformed immunity of a child it is enough to sneeze once in the presence of a child. The most common pathogen is streptococcus and hemophilic rod.
Symptoms of acute diseasefairly pronounced. The child usually complains that his throat hurts, while inspecting it is possible to detect his redness, a slight puffiness, possibly the presence of plaque. Quite small children become capricious, whiny, refuse food because of the pain in their throat. The child's body temperature is increased. Regional lymph nodes have signs of an inflammatory process - they are enlarged and painful. If tonsillitis occurs without purulent incrustation, then in this case, the child will be diagnosed with "catarrhal angina".
Treatment of acute tonsillitischildren can not without antibiotics, which should appoint a doctor. Among antibiotics, amoxiclav, cephalosporin series preparations and macrolides can be attributed. Engage in self-medication is very dangerous, so it is best that the drug is matched by a doctor. Do not neglect the gargling of the throat, for this purpose you can use and broths of chamomile, sage, calendula, and also pharmaceutical preparations. To relieve pain in the throat, you can use special aerosols, which also have an antiseptic effect. If you do not start timely and correct treatment of angina, then there is a high probability that it will flow into chronic tonsillitis.
Chronic tonsillitis in children is diagnosed quite often. Usually it is caused by self-medication and a refusal of antibiotics in the acute stage of tonsillitis. Parents, taking a decision to abandon the course of antibiotic therapy, only aggravate the state of the child, causing irreparable damage to his health. If the acute form of tonsillitis can be easily treated with medication, chronic tonsillitis often ends with a surgical procedure. Removal of both palatine tonsils is required only in the most extreme cases, but this is very undesirable, since after that the body is actually deprived of protective "gates", which are the tonsils. Usually, such cardinal measures are taken after ineffective drug treatment, which lasted quite a long time.
Conservative treatment of chronic tonsillitis in children provides for regular washing of lacunae of the tonsils, which allows for a continuous struggle with microorganisms that have settled there. For this purpose, antiseptic ointments, aerosols are prescribed by the doctor. Improve the state of the child's pain and physiotherapy procedures are also capable. In order that the weakened immunity could fight and resist pathogens, immunomodulatory therapy is prescribed. The complex of procedures is carried out 2 times a year.
Tonsillitis in pregnancy
Sore throat can occur in any person, regardless of age and sex. Unfortunately, future mothers, pregnant women, face the same danger. Tonsillitis during this period can harm not only the woman herself, but also the unborn child. If you do not start treatment on time, the consequences of this can be very deplorable.Causes of tonsillitis in pregnant women can be sore throat, which occurred before pregnancy, chronic tonsillitis. It will not be superfluous to mention the hypothermia and the lack of vitamins, since during pregnancy this is very important. In order not to harm a child, one must warmly dress before a walk in the cold season and enrich your diet with fruits and vegetables. A woman should try to avoid contact with people who have clear signs of a cold. Sinusitis and carious teeth also often cause tonsillitis during pregnancy. From all that has been said, we can conclude that planning pregnancy, a thorough examination before pregnancy is necessary if a woman wants to take out and give birth to a healthy child. Regular, balanced meals, warm clothes in the cold season, frequent walks in the fresh air, regular Visiting a doctor and monitoring their health should become the habits of a pregnant woman.
Pregnancy is accompanied by many changes in the body of a woman, including toxicosis, "jumping" of blood pressure, nausea, mood swings and much more. But exacerbation of chronic tonsillitis or the development of acute tonsillitis bring not only discomfort, but also are very dangerous. homedanger of tonsillitis in pregnancyIs that he can provoke a miscarriage. And in the late term of pregnancy, toxicosis can begin, which can negatively affect not only the condition of the woman, but also the child who should be born very soon.
If it so happened that the woman was ill already during pregnancy, then in no case should one engage in self-medication, starting to take medication or resorting to folk medicine. After all, all these drugs have side effects that can affect the child and worsen a woman's condition with various complications, including premature birth. Only a doctor can choose the most safe treatment regimen, in which it will be possible to get rid of tonsillitis without harming the child. The greatest danger for a child is provided by an antibiotic, but without it, the treatment of angina is impossible, so the doctor will prescribe the most sparing drug. The washing of the throat, its rinsing with various antiseptic compounds will accelerate the healing process. Physiotherapy procedures can work miracles, relieving painful pains in the throat. In extreme cases it is necessary to resort to tonsillotomy (surgical treatment of tonsillitis). It is possible to use inhalations, but only after consulting a doctor. You can rinse your throat with chamomile, cornflower, sage.
Do not neglect the planning of pregnancy, as in this case it will be possible to cure all the diseases before the most important and important period in life - the expectation of the birth of a child. Only in this case the woman will be able to fully adjust to her special situation, and she will not have to worry about the baby's health, taking different medications.
Treatment of tonsillitis
To date, medicine uses two methods of treatment of tonsillitis - medication and by surgical intervention. Quite often they resort to the second option today -surgical intervention, since this is a fairly simple quick relief from chronic tonsillitis. But at the same time, to remove the tonsils - this means to deprive the body of a natural barrier to infection on the way to penetration into the body. Many doctors are easier to do a simple operation than to lead a long course of drug treatment. The main thing is that the elimination of the source of chronic tonsillitis does not cause other diseases. After tonzilloktomii patients are more susceptible to infections, more often sick with bronchitis, laryngitis, various colds. Chronic laryngitis and pharyngitis can develop. Tonsillectomy reduces the protective function of the body. To date, there have been confirmed data that the removal of glands in childhood provoked a violation of puberty, menstrual function in girls.
From all that has been said above, it must be concluded that resorting to surgical treatment of chronic Tonsillitis follows only when there is no effect of conservative treatment. You can not do an operation just because. What is easier and faster can get rid of tonsillitis, because such a solution can bring on more serious problems. The indication for surgery is that the patient has a long time with tonsillitis, he starts a different a kind of complication, rheumatism appears, there are problems with the heart, blood vessels, kidneys and other organs.
Conservative methodshave many means. However, this fact can not be called a positive phenomenon, since it indicates their ineffectiveness in the treatment of tonsillitis. The infectious nature of the disease suggests that one can not do without antibiotics and antiseptics. A doctor can prescribe a certain group of antibiotics after a laboratory smear test was performed, in order to understand which microorganism caused the disease. Speaking of such a procedure as gargling, it should be noted that it is ineffective, because the effect only on the surface of the tonsils, while the infection itself hides a little deeper. Although it is also impossible to do without rinses, as they produce an antiseptic effect, destroying pathogenic organisms. A good effect is the washing of the pharynx by a doctor using special compounds and instruments.
One of the biggest and worst mistakes of patients is squeezing out pus and tubes with a spoon yourself. Very often, tonsils are injured in this way, which aggravates the patient's condition. This method is also used in the treatment of tonsillitis, but it should be done only by an experienced specialist.
Physiotherapeutic procedures have a beneficial effect on the condition of the tonsils, return them the ability to perform their protective and hematopoietic functions. These procedures include laser, ultrasound, ultraviolet exposure to inflamed areas. To enhance the effect, it is recommended to conduct in parallel stimulation of immunity, replenish the stores of vitamins in the body.
Vacuuming and exposure to low-frequency ultrasound is considered the most effective method, which is used to treat chronic tonsillitis. The effectiveness of treatment in this case reaches 90%, which is significantly higher than the operation for removing tonsils. The essence of the technique is that, with the help of vacuum, the purulent contents of the tonsils are sucked off, after which they should be washed with antiseptic solutions, which contain an antibiotic. After these procedures, the patient is expected to receive a low-frequency phonophoresis course. These procedures are completely painless, the course consists of 7-15 procedures. This is an excellent alternative to the removal of tonsils, so if the doctor advises you to lie down under the knife, then do not rush. Naturally, this technique can not completely replace tonsillotomy, but the indications for surgery should be very significant. And the painlessness of the procedure makes the procedure accessible even in the treatment of children's tonsillitis, also tonsillitis in pregnant women. After the course of treatment, the tonsils are not only not removed. But they also retain their functions, continuing to protect people from harmful organisms.
Complications of tonsillitis
Complications of tonsillitis can be both local and common. To local complications of tonsillitis concernsparatonsillar abscess, which is characterized by inflammation of the tissues that surround the palatine tonsils. This complication is diagnosed most often in people aged 15 to 30 years. It appears a few days after acute tonsillitis or after another exacerbation of the chronic form of the disease. Periodically, there are peritonsillar abscesses. Pain in paratonsillitis is usually one-sided, there is a headache, difficulty in swallowing, body temperature rises, it overcomes weakness, lethargy, weakness.Regional lymphadenitismanifested in the form of increased, painful, swollen regional lymph nodes. There is a risk that there will be a degeneration of the parenchymal tissue with the loss of tonsils of their functions, that is, tonsils will stop coping with their work (this is one of those cases where surgical removal can not be done without removing glands).Common complications of tonsillitis are rheumatism, joint inflammation, myocarditis, kidney disease.Rheumatismis one of the most formidable complications of tonsillitis. It was found that this disease in more than half of the cases was preceded by tonsillitis (acute form or exacerbation of the chronic form), pharyngitis, rhinitis, and scarlet fever. Signs of rheumatism can be traced in 3-4 weeks after the beginning of angina or exacerbated chronic tonsillitis. It is also noted that there is a certain feature of rheumatism caused by infectious diseases from so-called "true" rheumatism. With "true" rheumatism, only the joint bag is affected. And if rheumatism is caused by an infectious disease, the process also affects the cartilaginous, bone tissue of the joint apparatus.
90% of cardiovascular diseases appear against rheumatism. In view of the fact that rheumatism is a consequence of the inflammatory process in the palatine tonsils, complications such asmyocarditisandendocarditiscan be called a complication of tonsillitis. Angina or exacerbation of chronic tonsillitis necessarily accompanied by signs that indicate a malfunction in the work of the heart. Experimentally, the relationship between the palatine tonsils and the heart was studied. For this purpose, the experimental animal was used: turmeric was injected into tonsils and the ECG was changed. The data from these studies confirmed the relationship between these bodies. At the beginning of this article, we cited a similar example, only in this case a dye was used, which manifested itself in all other organs of the experimental animal.
Tonsilocardial syndromeis also known astonsillar degeneration of the myocardium, this complication, which is recognized throughout the world, as a consequence of chronic tonsillitis. In patients, dyspnea appears, there is a sense of disruption in the heart muscle, and with physical exertion, heartbeats are significantly accelerated. Tachycardia and signs of a disturbed heart rhythm are often detected.
In view of the fact that in chronic tonsillitis there is a large number of bacteria in the body, allergenic shifts can occur. As a result, the skin appears rashes, similar to urticaria, accompanied by itching and hyperemia of the skin. Requires treatment with antiallergic drugs.
Prophylaxis of tonsillitis
Prevention is the best method of treatment, because it helps to prevent the development of a pathological process. This is especially true when it comes to tonsillitis. To get sick with quinsy is not difficult, because it is provoked by microorganisms that are everywhere and they are just waiting for the moment when the protection is weakened to pounce on the body. Treating from acute tonsillitis or fighting chronic is quite unpleasant, and also involves additional losses of time and expenditure of funds. But the preventive measures practically do not create discomfort, and some of them are completely free.The main task of prevention is to prevent the decrease of immunity. Particular attention should be paid to local immunity, that is, the condition of the palatine tonsils. It is necessary to exclude as much as possible the possibility of their damage. Damages they can get because of the effects of dry, cold air, rough, dry, solid food. When exposed to colds, the risk of getting tonsillitis increases. Not the least role in the prevention of angina plays and hardening of the tonsils. To this end, you can periodically use cold drinks ice cream. It is important to remember that it is possible to temper the throat only when a person or a child is healthy. One of the main conditions for the proper effect of cold on the throat is the consumption of these foods or drinks in small sips, but not at a salvo.
Prophylaxis of chronic tonsillitis should begin with the improvement of the oral cavity, the removal of pathogens. It is necessary to give special attention to the recovery of nasal breathing, if there are problems with this. For the purification of tonsils, regular washings with antiseptic agents that are specifically designed for the treatment and prevention of tonsillitis can be resorted to. It has already been said that rinsing the throat does not have the proper effect, since it affects the surface of the tonsils. But if there is no possibility to visit Laura in order to perform lavage washing, rinsing at home will be a good alternative. To prepare the solution you can use furatsillin, due to its antibacterial properties, it adversely affects staphylococci and streptococci. It is possible that the doctor will prescribe other preparations for rinsing with tonsillitis then it is better to apply them. To prevent tonsillitis, you can alternate rinsing of the throat with solutions of medicines with decoctions of herbs (chamomile, sage, calendula). The frequency of prophylactic rinses is two times a day, in addition to rinse the throat after each meal. These procedures continue for a month, then you can take a break for several months.
Massage - one of the effective methods of preventing tonsillitis. It is necessary to raise a little the chin and perform light stroking movements along the chin in the direction from the jaw to the chest. This massage is useful to make before each exit on the street, especially in the cold season, and also after something cold was eaten or eaten. Beginning to accustom the throat to the cold, this should be done gradually, and in time it will be possible to go out safely in winter to the street without a scarf and not be afraid to get sick after a portion of ice cream.
The basis of strong immunity is a correct, balanced diet. It is better to refuse fast food, half-finished products, snacks on the go. As much as you are in a hurry, but there must always be time to cook and eat healthy food. The diet should be enriched with vitamins, microelements, easy, easily digestible food. Especially carefully should make a diet for chronic tonsillitis, so it is desirable to abandon the rough, dry food, as it can damage the delicate tonsils.
A healthy lifestyle is the basis of strong immunity, allows you to forget about tonsillitis.
medportal.su
What is this illness or disease a tonsillitis from what she?
Answers:
r t
In other words - angina. And vsmysle from what it?
The causative agent more often - streptococcus
Valentina
Throat
Madam
angina
Dok Rolf
Sore throat is normal, low immunity.
Julia Julina
it's a bot. the same questions, but before he was called Lily
Agube Totrov
Streptococcal infection in the tonsils of the pharynx. Chronic or acute?
♍Galina Zhigunova♍
Causes of tonsillitis
If the inflammation of the tonsils occurs due to bacterial infection, it begins to inhibit the development of immunity, which in turn leads to the development of tonsillitis. The formation of persistent immunity can sometimes be inhibited due to improper antibiotic treatment or because of taking medication to knock down the temperature, when it is not very high (37-37.5 degrees).
The cause of tonsillitis can be violations of nasal breathing in diseases such as adenoids (in children), curvature of nasal septums, polyps in the nose and stuff. The causes of tonsillitis of a local nature are often infectious foci in the nearest organs, for example, sinusitis (purulent) or chronic adenoiditis.
It is worth noting that a very important role during chronic tonsillitis is a decrease in immunity, namely allergic a condition that can become the root cause or, quite the contrary, just be a consequence of chronic tonsillitis.
Here in detail:
http://www.ayzdorov.ru/lechenie_tonzilit_chto.php
I personally earned chronic tonsillitis forever, while I lived exactly ten years with diapers in a practically unheated corner apartment with a panel five-story hruschevka. I also had boils in my ears and nose, here it is the result of streptococcal infection and weakening of immunity.
ewgeny gasnikov
By the way, an interesting point: chronic tonsillitis is often an occupational disease working in farm. industry in the production of antibiotics.
Tonsillitis chronic - what is it? Symptoms and treatment. How to cure chronic tonsillitis forever?
Almost everyone faced such a problem as sore throat during a cold. Tonsils increase, become swollen and red - this is quite normal in this state, but there are cases when their inflammation develops against a background of complete health. In this case, doctors diagnose "tonsillitis chronic." What is this disease? try to understand our article. Some underestimate the seriousness of the problem, but in vain.
The essence of the disease
Everyone in the throat has tonsils, which can be affected by the inflammatory process. If the inflammation is almost constant, then they say that there is chronic tonsillitis. ICD 10 includes it, as well as the acute form of the disease, into independent nosological forms that have their own code:
- Code J03.
- J35.0.
The assignment of diseases to their codes makes it easier to keep statistics and dispensary records of patients.
The development of chronic inflammation occurs under the influence of many forms of microorganisms, which in a healthy person are almost always present. But a number of factors provoke their mass reproduction, which leads to an exacerbation of the disease.
In the throat, a person has a lymph glotoklotochnoe ring, which includes 7 tonsils, but it is the palatines most often inflamed.
Tonsils belong to the lymphoid organ, which actively provides immunobiological protection of the body. Periodic inflammatory processes lead to the formation of immunity, especially this function is expressed in babies.
Quite often, a companion of colds is angina, in which case it is said that there is acute tonsillitis. Chronic tonsillitis proceeds slightly softer, does not have such pronounced symptoms, but most often develops through the fault of poorly treated angina.
A mild manifestation of symptoms is not an excuse to delay treatment. Chronic tonsillitis and pharyngitis (an inflammatory process on the pharyngeal mucosa) can lead to serious complications, which will be discussed further.
For what reason does the disease develop?
Doctors otolaryngologists often argue that virtually the entire population has chronic tonsillitis. In a sense, one can agree with this, because on tonsils, every person is inhabited by a huge number of bacteria, but if the body is completely healthy, it does not allow multiply pathogenic microorganisms, quickly suppresses their growth, but in the presence of inflammatory process or weakened immunity this can not be done.
Disease of chronic tonsillitis is not formed immediately, it all begins with an acute phase, it can go on into chronic for the following reasons:
- Poorly treated angina is one of the main causes of chronic tonsillitis. Most of us, as soon as the sore throat subsides, the temperature recedes, stop drinking medicines, antibiotics, and this is a big mistake. Chronic tonsillitis and pharyngitis recede, but they do not give up their positions completely, so they will soon return again.
- Constant pharyngitis, to which many simply do not pay attention and believe that no special treatment is required, will necessarily lead to the development of a chronic form of the disease.
- Non-compliance with oral hygiene and disgusting teeth will necessarily lead to the development of chronic tonsillitis. The constant presence of pathogenic microflora in the oral cavity leads to this.
- Chronic form of rhinitis or periodically exacerbated allergic rhinitis may result in tonsillitis.
- Prolonged disruption of nasal breathing can lead to the development of tonsillitis chronic. That it is connected, for example, with adenoids, many also do not guess. Twisted nasal septum, polyps also can cause that.
As can be seen from the above, quite a lot of reasons can provoke the development of the disease, which must necessarily be treated.
Types of chronic tonsillitis
To answer the question of how to cure chronic tonsillitis once and for all, it is necessary to understand that it can manifest itself in different ways. Doctors note two options for the development of events:
- Tonsillitis after treatment is a little quiet and it seems that he managed to get rid of it, but it's only necessary to get a little cold or to soak up your legs, as he is here.
- In the second variant, the inflammatory process does not stop, it can subside, the patient even feels quite tolerable, goes to work, but the doctor notes that everything is not in order.
Both options require medical intervention to find effective measures to combat this ailment.
In medical circles, there are two forms of chronic tonsillitis:
- Compensated. It manifests a slight inflammation of the tonsils, a sore throat, the general condition of the patient is normal. Doctors say in such cases that the tonsils compensate for the inflammation and generally cope with their function.
- Decompensated form of chronic tonsillitis usually manifests itself not only with pain in the throat, angina develops, other organs are involved in the process.
Any form of tonsillitis can lead to infection of the whole body, so do not delay with a visit to the ENT doctor.
Symptomatic of chronic tonsillitis
If there is chronic tonsillitis, then such patients can often complain of an unreasonable sore throat, which occurs not only when swallowing, but also during yawning. Painful sensations can appear after eating an ice cream or a cold drink, which is not uncommon in the summer, it turns out that the person himself provokes an exacerbation of tonsillitis.
If there is chronic tonsillitis, the following symptoms usually appear:
- Frequent choking in the throat and pain when swallowing.
- There is a feeling that there is a foreign object in the throat.
- Cough.
- The temperature in chronic tonsillitis often rises nearer to the evening.
- The patient feels fast fatigue.
- There is drowsiness.
- Frequent attacks of irritability.
- There is shortness of breath, heart rhythm may break.
- Appears white coating on the tonsils and purulent plugs.
When all these signs appear, patients try to get rid of them as soon as possible, but it is more important to find out the cause that triggered the inflammatory process. This can only be done by a competent specialist who recognizes chronic tonsillitis. How to permanently and without complications get rid of this disease - a question that the doctor is asked to ask
Establishing diagnosis
To make the correct diagnosis in the presence of chronic tonsillitis is not at all easy. The doctor first examines the patient and listens to his complaints. The patient's anamnesis is also studied. Next, the doctor palpates the lymph nodes and examines the tonsils.
On this statement, the diagnosis does not end, since the symptoms can resemble other diseases. Therefore, the doctor will take for analysis the allocation of lacunae. If the purulent discharge has an unpleasant odor and mucous structure, then, most likely, the patient has tonsillitis chronic. What is it is this disease, you can conclude on the basis of a whole complex of symptoms and symptoms.
To clarify the diagnosis, the doctor will pay attention to the general condition of the patient's body and the available deviations from the norm. If there is a chronic form of tonsillitis, the edges of the palatine arches will be thickened, cicatricial adhesions between the amygdala and the arch are seen. The tonsils themselves have a loosened appearance, in the lacunae are purulent plugs or secretions.
Additional blood tests for antibodies to streptococcus may be required. Only after the diagnosis of "chronic tonsillitis" is confirmed, the doctor can prescribe the necessary treatment.
Therapy of chronic tonsillitis
To get rid of the chronic form of the disease will have to try hard. Doctors, as a rule, recommend to carry out complex treatment, only so it is possible to achieve, that the chronic symptoms have weakened the tonsillitis:
- Treatment (photo demonstrates this) local is one of the first. To do this, rinse with medicinal solutions and herbal infusions.
- Flushing of the lacunae of the tonsils. During this procedure, the purulent plugs are washed away. For its carrying out use antibacterial and disinfectant solutions, for example, "Furatsilin", "Miramistin", "Chlorhexidine".
- Antibacterial therapy, which consists of taking antibiotics, which are selected taking into account the sensitivity of microflora.
- Physiotherapeutic procedures.
- Removal of tonsils.
The greatest effect is provided only by complex therapy, which is desirable to be carried out twice a year.
Physiotherapeutic treatment
Physiotherapy is most effective during remission of the disease. The best results are shown by the following methods:
- Laser therapy. Due to its antibacterial and anti-inflammatory effect on tonsils this method gives excellent results.
- The use of short-wave UV radiation for the throat and oral cavity.
- Ultrasonic exposure, through which it is possible not only to act on the source of infection, destroying structure of the appeared curdled mass, but also to irrigate the tonsils with antibacterial solutions.
- Inhalation with moist steam, but it must be remembered that at high temperatures this procedure is contraindicated. To conduct inhalation, you can use infusions of herbs.
- Phonophoresis of vitamins also gives a good effect.
The combination of physiotherapeutic methods of treatment with medications and local therapy gives good results. In another way to get rid of this insidious disease forever will not work.
Surgical intervention
Sometimes the question of how to cure chronic tonsillitis forever, some doctors recommend tonsillectomy, that is, the removal of tonsils. But it is worth remembering that one should not rush to get rid of them, this can lead to even more serious consequences. Although there are situations where the removal of tonsils is necessary, usually the indication for the operation is:
- If the disease worsens up to 4-5 times a year.
- If the inflammatory process is transferred to neighboring tissues.
- There is a danger of infection of blood.
- There are signs of damage to the kidneys or heart muscle.
As a result, tonsils can be removed completely or only partially, when the doctor dissects the overgrown tissues.
It is necessary to remember that for tonsillectomy there are contraindications, to which one can include:
- Leukemia.
- Hemophilia.
- Tuberculosis in an open form.
- Heart defects.
- Jade and some other pathologies.
If the operation is necessary, but there are serious contraindications to its conduct, the patient is recommended a cryogenic method of therapy.
Features of chronic tonsillitis in children
If chronic tonsillitis in a child is found, treatment should be started immediately. Given the characteristics of the child's body, therapy should be selected carefully, especially for antibacterial drugs.
Conservative treatment of tonsillitis in children should start with observing the correct regime of the day and diet. An important factor is the carrying out of hardening procedures.
Parents should, if possible, eliminate all factors that could provoke an exacerbation of the disease. The use of local remedies gives a good effect if done in a timely and regular manner.
Tonsils can be lubricated with "Lugol", and also use colloidal silver. During therapy, doctors often prescribe antiallergic drugs, since an unexpected reaction of the body is possible. Especially it concerns antibiotics, which children should be prescribed carefully.
Physiotherapeutic procedures in children also give good results (laser therapy, electrophoresis, magnetotherapy).
In the chronic form of tonsillitis in children, pediatricians often prescribe bacteriophages, therapy with their use is quite effective. But it must be borne in mind that in the acute form of the disease it is better to give preference to antibiotics.
Considering that the treatment of tonsillitis is a long process, you can think about therapy with homeopathic medicines. Many parents leave good reviews about the Vokar facility. It should be taken 1 drop per year of life of the child, pre-diluted in water. Multiplicity of admission up to 8 times a day with exacerbation, during remission enough three times.
In the treatment of chronic tonsillitis in children, as well as in adults, it is important to remember that only an integrated approach to therapy can give the desired effect.
Tonsillitis in pregnant women
It is desirable to treat all existing diseases before pregnancy, but if there are chronic pathologies that make themselves felt in an interesting situation, then therapy should not be postponed. Chronic tonsillitis during pregnancy requires treatment, but only under the strict supervision of a doctor.
Given the interesting situation of a woman, a doctor can prescribe such procedures as:
- Treatment of tonsils with antiseptic compounds.
- In the specialist's office, a woman is washed with throat and tonsils with special medicines.
- At home, it is recommended to rinse your throat with medicinal herbs.
- Sprays and tablets for resorption are prescribed.
A pregnant woman is not allowed to take many medications, so it is very important to observe the regime of the day, proper nutrition, more vitamin preparations. If during pregnancy there is an exacerbation of the disease, it is recommended:
- Often gargle with a solution of salt, soda and a few drops of iodine.
- Do inhalations with medicinal herbs, for example, with sage.
- A warm drink with honey and lemon is recommended.
- For rubbing the tonsils, you can use "Chlorfillipt" or a tincture of propolis.
- At elevated temperature, you can take a pill "Paracetamol."
During pregnancy, the most important thing when dealing with chronic tonsillitis is not to harm the baby, so all means should be selected only by the attending physician.
If it is not very serious about this pathology, then tonsillitis can provoke even congenital malformations in the baby, and in serious cases pregnancy fading and miscarriages.
Traditional medicine for the treatment of chronic tonsillitis
If there is chronic tonsillitis, treatment with folk methods gives good results in combination with drug therapy. It should be noted that treatment should be carried out long and regularly. Folk doctors recommend using the following recipes for rinsing:
- Insist 2 tbsp. l. dry yarrow in 200 ml of boiling water. Infusion to use in warm form several times a day.
- Dissolve 3-4 drops of basil oil in a glass of boiled water and rinse with a composition.
- Prepare a mixture of 1 tbsp. spoons of lime flowers, 2 spoons of oak bark, 3 spoons of chamomile, and pour it all with a liter of boiling water. After cooling, add a teaspoon of honey. Rinse three times a day after meals.
You can suggest recipes for lubricating the tonsils:
- Mix aloe and honey juice in equal proportions and lubricate every day for two weeks of tonsils, at 3 and 4 weeks, you can carry out the procedure every other day.
- For processing tonsils, you can use fir oil up to 5 times for 3 days, and you can also drop 1 drop into the nose.
- Babies are perfect for lubricating the tonsils mixture of 1 part radish juice and 3 parts honey. Simultaneously, you can take inward broth chamomile, mint, marigold for general strengthening of immunity.
There is a mass of folk recipes to ease the condition during exacerbation of chronic tonsillitis, but we must remember that therapy is usually lengthy.
Complications of chronic tonsillitis
If tonsillitis itself is an unpleasant disease, but generally not dangerous, then in the absence of therapy it can give quite serious undesirable consequences. Chronic tonsillitis complications is caused by the following:
- People often become frequent companions of the angina.
- This disease has a negative effect on the cardiovascular system.
- Gets and digestive system, as the intestinal microflora suffers, the mucous membrane is in an inflamed condition.
- Development of pyelonephritis and other pathologies of the kidneys is not uncommon.
- There may be attacks of suffocation.
- With chronic tonsillitis joints begin to suffer, development of rheumatism, arthritis is just around the corner.
- Through the fault of this disease, depression develops.
From all that has been said, it is important to remember that a sufficiently serious diagnosis is "tonsillitis chronic". That this disease necessarily needs timely therapy should not cause any doubt.
Prevention
Prevent the development of the disease can be preventive measures. Among them are the following:
- Healthy lifestyle.
- Physical load in moderate amounts.
- Hardening procedures.
- Reception of funds that strengthen the immune system, for example, drugs "Immunal", "Imudon" and others.
If you do not allow to exacerbate chronic tonsillitis, complications will not be terrible.
The bottom line is that any disease needs timely treatment. Even a seemingly innocuous disease can lead to serious consequences that will require longer-term therapy. Take care of your health and treat it with a sense of responsibility.
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How to treat chronic tonsillitis?
For some strange reason, chronic tonsillitis is considered a non-serious disease, which affects everyone. But it gives rise to many problems in later life. Rheumatism, polyatritis, cholecystitis, nephritis and many other diseases have received a push from inflammation of the tonsils.
Where is the disease born?
On the sides of the throat, in its depth are pinkish formations, similar to almonds. Hence the name - the tonsils. Their surface is covered with furrows - these are lacunae. Small particles of food and microbes settle in them. For pathogenic bacteria and microbes, tonsils can be a trap, and can become a shelter. It depends on the health of the tonsils. During the meal, everything that has accumulated in the lacuna is swallowed. On tonsils are formed special substances that play a protective role. They destroy pathogenic bacteria and microbes, preventing them from entering the human body. This is the first barrier of the immune system.
What contributes to the development of the disease?
Chronic tonsillitis and pharyngitis begin to develop against a background of reduced immunity.This is one of the main reasons, because of which the disease develops in the future. Infection from diseased tonsils constantly poisons a person, that's what is dangerous for chronic tonsillitis. This continuous intoxication confuses human immunity, the body's response to the infection becomes inadequate, that is, the allergy process starts. This consequence of chronic tonsillitis allowed to recognize it as an infectious-allergic pathology. With a good treatment of tonsillitis, you can get rid of allergy, for example, from allergic itching.
Causes of the disease:
- chronic infections in the throat (caries, sinusitis)
- deficiency of B vitamins;
- lack of ascorbic acid;
- chronic tonsillitis;
- hereditary predisposition;
- poor quality of drinking water;
- smoking;
- abuse of alcoholic beverages.
Chronic tonsillitis can last for years, not reminding oneself, without forcing a person to urgently begin treatment.
What examinations are conducted?
The conclusion about the disease is put on the basis of a medical examination by a pediatrician or a therapist. What is chronic tonsillitis can be said immediately by examining the throat. Increased tonsils, sprinkled with whitish dots of purulent discharge, immediately indicate the correct diagnosis. In some cases, they request a general blood test, make prints from the surface of the tonsils and a smear from the pharynx to the flora and sensitivity to antibiotics. Additionally, an analysis is performed for the C-reactive protein.The main symptoms are:
- a small temperature (37.2-37.5 °), can last for a long time, up to several months;
- headache turning into the ear or neck;
- increased lymph nodes;
- sensation of a lump in the throat;
- bad breath;
- coughing up of purulent plugs;
- shortness of breath and swallowing;
- tonsils on a kind loose with whitish impregnations of pus.
Types of tonsillitis
At the very beginning of the disease, the immune system still continues to cope with the infection, therefore, signs of pathology are not easily detected. This is a compensated form of the disease - there are no complications, lymph nodes do not increase, but the number of lymphocytes is reduced and blood formation decreases.The intoxication continues and grows, and already in the central nervous system the center of stagnant excitation is formed. This is already subcompensated tonsillitis. You can see changes in the tests, angina begins, lymph nodes increase, joints begin to ache. The most serious form of the disease is decompensated tonsillitis. It is characterized by general allergization, low level of immunity. Exacerbations begin in the form of permanent angina and paratonzillitis. There are accompanying diseases - nephritis, rheumatism, etc.
Tonsils are very sensitive to changes in temperature and the environment. Frequent respiratory diseases weaken them, the protective function decreases. Symptoms of such inflammation can be seen by opening your mouth wide. Tonsils will be cyanotic in color, with purulent impregnations. Disease-causing microbes that fill lacunae will constantly be carried along with the flow of blood throughout the body, infecting internal organs. An increase in tonsils leads to a violation of swallowing and breathing, so in severe cases they are removed. Most often, the disease occurs in children.
Possible consequences of the disease
Sluggish disease without the necessary treatment leads to the fact that the infection descends lower into the respiratory tract. So pharyngitis joins the chronic tonsillitis. Few people will associate depressive mood with tonsils. But it is in them that microbes multiply, which produce toxins that affect the nervous system.In many cases, the administration of lacunae drugs in the form of emulsions, pastes. With this method, the drug should stay on the affected surface longer. The tonsils are injected, especially the procedure performed by the nozzle, which has a lot of needles. Good help lubricating lacunae and gargling. Among the physiotherapy methods, inhalations, laser therapy, microwave therapy, magnetotherapy, UHF and microwave were widely used.
Possible complications:
- Angina leads to the pathologies of the heart (acquired defects, myocarditis).
- Vesicles are affected, including the brain, headaches begin, migraines.
- The stomach and intestines suffer. Begin or exacerbate gastritis, colitis.
- Skin diseases develop. This is an acne, atopic dermatitis and others.
- All lung diseases become aggravated and poorly treated.
- The negative influence is exerted on the accommodative apparatus of the eye, weakens it, and these are the causes of myopia. The conjunctivitis and blepharitis is worse to treat.
- The liver and bile excretory system is affected. Cholangitis and cholecystitis begin.
- The function of the pancreas is weakened, this can lead to the onset of diabetes mellitus.
- Thyroid gland deteriorates. Perhaps the onset of thyrotoxicosis (increased hormone formation).
- Kidneys are affected. Develops pyelonephritis, glomerulonephritis, etc.)
Complications of chronic tonsillitis affect all internal organs and systems of the body. Constant infection through sick tonsils creates new diseases, in fact tonsils are connected almost with all organs.
Complex treatment
To treat only one tonsillitis is inexpedient. It is necessary to fight with all oral infections. Treatment can be conservative and surgical. The task of the doctor and the patient is to make every effort to preserve the tonsils and restore their functions without prompt intervention. The treatment is carried out for a long time, even if the symptoms do not appear in chronic tonsillitis, inflammation can continue inside the lacunae. On average, treatment should be carried out for about three years, and the course of treatment should be held twice a year.
Removal of the tonsils is performed in a decompensated form, when repeatedly conducted conservative treatment did not yield any results, and the risk of serious complications is great.
Surgical treatment has negative consequences. In the future, can develop diseases of the nose and paranasal sinuses, this may entail a decrease in immunity. Otolaryngologists all over the world are inclined to medication method of treatment.
A good result is the washing of lacunae. This can be done in two ways. The first is with a syringe. It is done to the patient, if it is impossible to do it in another way because of the increased emetic reflex. But this method has a number of significant drawbacks. The pressure from the syringe is not so strong that it thoroughly rinses all cavities of the lacunae. The procedure is carried out by a special needle, which can prick the inner surface of the palatine tonsil.
In practice, the device "Tonzilor" is more often used and ultrasound medicinal irrigation is performed. First, the doctor launches the tonsils from the plaque, it is done with physiological solution with the help of a modified nozzle. Immediately after this, the washed tissues are exposed to low-frequency ultrasound. Through a special tip of the device, a solution of medicines is carried out, which, due to ultrasound, is converted into a finely dispersed suspension. She forcefully strikes the tonsils and the back wall of the larynx, the medicine flows into lacunae. At the last stage, the tonsils are lubricated with lugol, which has a strong disinfecting effect.
help yourself
Together with the procedures that were prescribed in the hospital, each patient can carry out health improvement at home. But all your actions should be discussed with your doctor. For example, gargling is very useful. This can be done with solutions of chamomile, eucalyptus, marigold, oak bark. But an important condition is the rinsing frequency. On tonsils, any solution is delayed for a maximum of 15 minutes, so to achieve the result, gargle every 30 minutes. Let it be only 2-3 sips, but often.
It is useful to eat a certain amount of honey. In adults, it is 1 tablespoon, the child has 1 dessert spoon. Do this without hurrying up, slowly dissolving. Best 3 times a day for half an hour before meals. It is useful to chew natural honey combs if the honey is well tolerated and there is no allergy to it. Lubrication with almond oil helps a lot. Do this 5 times a day for about 3 days with a cotton swab soaked in this oil. To enhance the effect, you can drip 1 drop of the same oil into each nostril.
As prevention of chronic tonsillitis is very useful rest on the sea. The inhalation of sea air and the rinsing of the throat with sea water are good. But it is desirable to avoid high humidity. Spring and autumn are the most suitable time to treat throat disease.
Useful simple massage movements: slightly raise your chin, iron from both sides of the throat in the direction from the lower jaw to the chest. It's good to do it before going out on the street in cold weather, or when eating something cold. This massage helps to avoid spasm from contact with the cold, improves blood supply to the tonsils and is a good prevention of this disease.
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Tonsillitis: Definition, Symptoms and Signs of Disease
- Causes
- Bacterial tonsillitis
- Viral tonsillitis
- Treatment
The term "tonsillitis" refers to the infection of the palatine tonsils.
Your tonsils are small, oval-shaped tissues located on either side of the back of the throat.
They are part of the immune system and help protect the rest of the body from microorganisms that enter the mouth.
But sometimes viruses or bacteria attack the tonsils themselves. If this happens, you will feel sick for a few days.
Sometimes the infection penetrates beyond the tonsils, causing sinus, rhinitis, bronchitis and other diseases.
Many different bacteria and viruses can lead to tonsillitis.
In addition, you can easily get infected from sick people. Therefore, the answer to the question "is contagious is tonsillitis" is affirmative.
- Bacteria that most often cause tonsillitis are called streptococci. These bacteria can also cause sore throat without affecting the tonsils.
- Without special tests, it is impossible to say what causes the disease, bacteria or viruses. Symptoms are the same.
Treatment
Surgical Antibiotics Drugs In Pregnancy In Children Folk RemediesIf you have one episode of tonsillitis, doctors call it acute tonsillitis. But if you regularly (five or more times per year) are sick with tonsillitis, this is a sign of chronic tonsillitis.
Symptoms of chronic tonsillitis occur in children more often than in adults. Girls can suffer from his relapses more often than boys.
Symptoms and signs of tonsillitis
Symptoms of tonsillitis include:
- persistent sore throat;
- redness of the glands and throat;
- hoarseness;
- difficulty of feeding (children);
- pain when swallowing;
- fever;
- redness of the eyes;
- headache, dizziness, weakness;
- pain in the abdomen (due to swelling of the lymph nodes in the abdominal cavity);
- cough;
- coryza;
- increased cervical lymph nodes;
- white patches on the tonsils;
- pain in the ear (from nerves that are in the back of the throat and go to the ear).
Less common signs of tonsillitis:
- vomiting;
- constipation;
- "Fluffy" language (with a touch),
- "Rotten" smell from the mouth;
- problems with opening the mouth.
Bacterial, viral and purulent tonsillitis: causes
How does bacterial tonsillitis occur?
Bacterial tonsillitis (photo above) can be caused by a variety of different bacteria, but most often its cause is group A streptococcus bacteria. Tonsillitis can be acute and chronic.
In the past, severe bacterial infections, such as diphtheria and rheumatic fever, were the trigger for the onset of the disease. Fortunately, these days this happens very rarely due to vaccination and improved treatment of these diseases.
- Tonsillitis is transmitted in the same way as a cold and flu. It is contained in millions of tiny droplets, which when coughing or sneezing "come out" of the nose and mouth of the infected person. Other people inhale these drops and become infected.
- You can get bacterial tonsillitis by touching the place where such a drop landed, and then touching your face.
How does viral tonsillitis occur?
Microorganisms that cause viral tonsillitis include:
- rhinoviruses - viruses that cause colds;
- influenza virus;
- parainfluenza virus - causing laryngitis and croup;
- enteroviruses - cause diseases of the hands, feet and mouth;
- Adenovirus is a common cause of diarrhea;
- measles virus.
It is important to know
In rare cases, viral tonsillitis can be caused by the Epstein-Barr virus, which causes inflammation of the glands. If so, the patient will probably feel very bad. During the medical examination, enlarged lymph nodes along the entire body and enlarged spleen will be revealed.
How does purulent tonsillitis occur?
Acute purulent tonsillitis is an acute non-specific inflammation of the palatine tonsils, often accompanied by pharyngitis. It is more common in children and adults under the age of 20 years. This disease requires compulsory treatment.
The main causes of purulent tonsillitis are:
- beta-hemolytic streptococcus;
- Pneumococcus;
- a stick of influenza.
Pathogens are usually hidden in the tonsils and are activated when the human immunity is weakened by fatigue, cold or other causes. Then the pathogens quickly multiply and cause the disease.
Symptoms of purulent tonsillitis:
- basically - a sore throat;
- pain when swallowing, often with irradiation in the ear;
- chills;
- heat;
- visible edema of the tonsils;
- visually visible spots of pus.
This condition can often lead to an abscess of palatine tonsils.
Treatment of tonsillitis: bacterial tonsillitis and antibiotics
Antibiotics are used in the case of bacterial tonsillitis, whose treatment with their help is usually successful. But with viral illness, treatment with such drugs is useless.The antibiotics of the penicillin group are most often prescribed. People who are allergic to penicillin can be treated with erythromycin. Reviews about erythromycin are pretty good, but you should not self-medicate. This drug should be taken only as directed by a doctor.
Treatment with oral antibiotics in duration takes 10 to 14 days.
- Drugs containing antibiotics can be prescribed if the symptoms of tonsillitis become worse with time or the patient has a high temperature for a long time.
- Studies have shown that treatment with antibiotics from tonsillitis can reduce the time of illness by about a day.
- They also reduce the risk of complications, such as rheumatism, although complications in the treatment of viral and bacterial tonsillitis are rare in any case.
- Diarrhea, skin rash or indigestion - frequent, but minor side effects of admission.
How to treat bacterial tonsillitis in addition to antibiotics
Home treatment
Treatment at home Folk remedies Rinse throat Inhalation Diet Propolis Chlorophyllipt Massage of tonsils Sea-buckthorn oil CollectionNo.37 LugolIn addition to taking antibiotics, patients who want to know how to treat bacterial tonsillitis should provide their body with adequate sleep.
- Patients should respond promptly to weather changes to maintain normal indoor humidity and prevent the body from subcooling.
- Exercises that improve the body's ability to fight the disease are very useful in tonsillitis. But the degree of physical activity should be adjusted by the attending physician or the physiotherapist. Overstrain in tonsillitis is not the best help and so to the suffering organism.
- Refrain from smoking during illness.
- How to treat bacterial tonsillitis quickly and easily? Drink plenty of liquids (not alcohol) and eat semi-liquid foods at room temperature. Hot water or tea can temporarily increase unpleasant sensations in the throat.
- Try to eat and drink regularly, even if your throat hurts. Hungry and dehydrated people experience symptoms such as headache and fatigue.
Viral tonsillitis and its treatment
If tonsillitis is caused by a virus, it is likely that the immune system will cope with it for several days.
At the same time, there are a number of things that you can do to help yourself or your child while treating viral tonsillitis.
- With the help of paracetamol or ibuprofen, symptoms such as pain and fever can be alleviated. When taking medication, do not disregard the instructions on the package. Otherwise, you can incorrectly calculate the dose, then the remedy will not work or will have a strong side effect.
- Patients with indigestion, stomach ulcers, kidney disease or asthma should not take ibuprofen.
- If you are pregnant, give up ibuprofen and take only paracetamol in accordance with the instructions of a gynecologist or midwife.
- Children under the age of 16 should not take aspirin.
- Means such as lozenges and sprays (for example, Miramistin Spray) are often used in the treatment of viral tonsillitis, as gently soothe the unpleasant sensations in the throat.
- Some people believe that gargling with a soft antiseptic solution can help alleviate sore throat, although there are no serious clinical studies regarding the effectiveness of the solution.
Than and how to treat tonsillitis in adults and children
If you have repeated attacks of tonsillitis or it interferes with daily life, the doctor can suggest the removal of tonsils.This will be done during an operation known as tonsillectomy.
Most often it is carried out in case of tonsillitis in children.
Many doctors believe that than to treat tonsillitis regularly, it is better to get rid of it once and for all.
- Removal of the tonsils is carried out under general anesthesia, you will sleep during the procedure.
- Your mouth will remain open so that the surgeon can see your tonsils.
- The surgeon will use a special scissors to remove the tonsils and then apply the soluble sutures to the wound.
Preparations
Miramistin Dioxydin BioparoxThan to treat a tonsillitis radically? Tonsillectomy is the answer to this question. This operation can be carried out in several ways:
- With the help of surgical instruments. This is the most common method, in which a surgical blade is used to remove tonsils.
- Diathermy. In this case, a probe is used that creates heat from the electric current to destroy tissue around the tonsils and remove the tonsils themselves. At the same time, heat seals the blood vessels and stops bleeding.
- "Cold" ablation. The method operates on the same principle as the previous one, but uses a lower temperature (60 ° C). It is considered less painful than diathermy.
How to treat tonsillitis in adults: recovery after tonsillectomy
For those who suffer from tonsillitis and are interested in how to treat tonsillitis in adults once and for all, the answer is one - the removal of tonsils.
- On average, after the operation, recovery takes 5 to 7 days. You may feel uncomfortable for up to two weeks after the operation.
- People who have undergone tonsillectomy should refrain from attending work for two weeks. This will reduce the chance to "pick up" the infection from a sick colleague.
- Speaking about how to treat tonsillitis in adults, we can not fail to mention that after tonzlelektomii need to drink a lot liquid, but avoid acidic drinks such as orange juice, as they will "sting" the unhealed throat.
- It is important after removing the glands to brush your teeth regularly, it helps fight infection in the oral cavity.
- Pain sensations usually occur within the first week after the operation and gradually disappear for the second week. Pain in the ear is a side effect of tonsillectomy and does not give cause for concern.
It is worth noting
After the tonsils have been removed, a white coating appears in the throat. Once the throat is completely healed, it will gradually disappear. This process will take about two weeks.
Than to treat tonsillitis in a small child
Sore throat is a classic symptom of tonsillitis, but it may be difficult for parents to understand that the child has a sore throat if he can not speak yet. Watch for a decrease in appetite and saliva. Sometimes a child with tonsillitis may experience excessive salivation, because it hurts to swallow.
Than to treat a tonsillitis at the child till two years? The best treatment is symptomatic help.
- Acetaminophen or ibuprofen can help relieve pain and fever.
- Offer the baby soft foods, such as bananas or pudding, and exclude from his diet tough foods such as toast.
- Encourage fluid intake. With tonsillitis, the organism of babies can easily become dehydrated, because they do not want to drink, if swallowing causes them discomfort. Let them drink gradually, but often. Soup, ice cream and fruit ice cream are also counted as liquids.
Talking about how to treat tonsillitis in a child, it is important to say and about what to treat is not worth it. Antibiotics are usually not prescribed in the treatment of tonsillitis, because these drugs treat bacteria, and most cases of tonsillitis are caused by the virus.
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