Tonsillitis

Tonsillitis (amygdala) - inflammation of the tonsils. There are acute (see Angina) and chronic tonsillitis. As a rule, the term "chronic tonsillitis" applied to chronic inflammation of the tonsils, although a similar process may develop in others (for example, nasopharyngeal, speaking) the tonsils.
Chronic tonsillitis more often develops as a result of one-time or repeated Angin. However, there is the so-called besanceney chronic tonsillitis. Sometimes chronic tonsillitis precede scarlet fever, measles, diphtheria. Chronic tonsillitis contribute persistent obstruction of nasal respiration, diseases of the sinuses (see), carious teeth (see). Subjective symptoms are soft - feeling "uncomfortable" in the throat, tingling, burning. Sometimes a sore throat, radiating to the ear. Often patients mark spontaneous selection of tubes; bad breath. Objective symptoms: redness front of the Palatine arches, uneven ("hilly") surface tonsils, extended gaps (Fig. 1 and 2). When pressed shpatelem on the front palatal arch of the gaps are highlighted so-called cheesy "tube" or liquid pus, often with unpleasant smell. Less fixed characteristics - infiltration and swelling of the upper parts of the front of the Palatine arches and the angle formed the front and rear handles. Often determined by the fusion of the Palatine arches with almond. In some cases through mucous membranes appear whitish-yellow bubbles. Regional (deep neck) lymph nodes are often enlarged and more painful. Often tonsillitis accompanied subfebrile temperature.

chronic tonsillitis photo
Fig. 1. Chronic follicular tonsillitis. Fig. 2. Chronic lacunar tonsillitis. Fig. 3. Chronic tonsillitis (characteristic of the Transfiguration). Fig. 4. Chronic tonsillitis (the sign of Giza).

It should be stressed that the large size of the tonsils are not a sign of chronic tonsillitis; on the contrary, chronic inflammatory changes often develop small ("hidden") tonsils.
Differential diagnostics is carried out with faringomikoz (see). When faringomikoz in the mouths of the gaps are determined white, rather dense tabs in the form of thorns, consisting of keratinized epithelium and druses of fungus pathogen.
The most frequent complications of chronic tonsillitis are peritonsillar abscess, rheumatism, septic endocardit, infectious arthritis, jade, pyelitis.
Conservative treatment is mainly for uncomplicated forms of chronic tonsillitis. It is the systematic washing gaps with the help of special syringes (you can use a syringe to vnutrikvartirnyh injections). For washing use solutions penicillin, furatsilina, sulfanilamidov, citral and other treatment usually 12-15 washing, which produce in a day. After washing mouth cuticles gaps Lugol solution. Washing combined with UFO tonsils through a special tube currents UHF on the area of the regional lymph nodes.
Often appointed by rinsing and lubrication of the pharynx and tonsils are usually ineffective.
To "polufinalistam" methods include dissection of gaps (special knife or galvanometer).
In the absence of the effect of conservative treatment, and in complicated forms of chronic tonsillitis produce (in the absence of contraindications) complete removal of the tonsils is a tonsillectomy (see).