About Tonsillitis

Tonsillitis - protracted inflammation in the tonsils. Separates in the gaps may be purulent, cheesy, accumulate in the convoluted with ridges, narrow gaps, to form the so-called foul-smelling cork. Process occurring in the gaps of the tonsils, until a certain time under the control of the organism, ie, there is a constant passive and active drainage gaps tonsils, along with the activity of macrophages, which prevent inflammation of the tonsils, helps build immunity against many pathogens were in the oral cavity and pharynx, along with air, food and music. The balance between the pathogenic flora and active safety features of the organism may fail for many reasons, resulting in growing various intensity of inflammation (it captures only the surface epithelium of oral surface of the tonsils without fracture), passing on the epithelium of lacunae of tonsils, with its destruction and the formation of necrotic raids; suppuration follicles tonsils. Developed katarrhal, gap or tonsillitis. Lacunary and tonsillitis have their own clearly defined clinical, morphological and microbiological aspects, and mix them with the manifestations of pharyngitis can not, especially in terms of approach to treatment. According to modern concepts, angina - an acute infectious-allergic disease, and treatment options in patients with angina should be precisely these positions. The presence and stable retention in the gaps of tonsils suppurating lymph is the determining factor in how a diagnosis "chronic tonsillitis, and in choosing the appropriate method of treatment - conservative or surgical.

Symptoms of tonsillitis

The persistence of infections tonsillitis is an indication that the body's immune system can not cope with their functions. Constant, but the lack of activation of nonspecific defense mechanisms often cause an inflammatory reaction, but not enough to quell infectious agents. Undoubtedly, the nature of pathogenic flora plays an important role in the emergence of a sore throat, but also the background against which it occurs, also affects the clinic of the disease. Therefore, to appoint and the therapy should be given all of the identified features in each case (time to onset angina, patient's age, frequency of exacerbations, concomitant diseases: general and of the ENT organs, clinical manifestations, including the oropharynx, the nature of the flora previously being treated, its effectiveness).

Currently, great attention is paid to the role of the streptococcus group A in the occurrence of acute tonsillitis and pharyngitis, although among bacterial pathogens is still dominated by b-hemolytic streptococcus. For example, assume that in late autumn and spring is group A streptococci cause disease in 40% of children and 10% of adults. In addition, there is a perception that the vast majority of cases limfadenoidnogo ring throats in children is determined by a viral infection, features of which is prolonged and relapsing course, lack of efficacy of conservative anti-inflammatory action and a tendency to hyperplasia of the palatine and pharyngeal tonsils. Usually diagnosed tonsillitis, the doctor puts the "rule of thumb, only on the basis of clinical experience, and appoints antibacterial treatment without regard to whether antiviral therapy. This not only slows the healing process, but also can reduce the protective properties of the mucous membrane of the pharynx, since under the influence of antibiotics disappears a-hemolytic streptococcus, generating bakteritsin - a natural antibiotic. It is penicillin more than cephalosporins, inhibit this useful oropharyngeal flora and allow pathogenic streptococcus take its place in the epithelium of both the tonsils and the entire pharynx. Therefore, inefficient (too early and without flora) of antibiotics leads to a decrease in antibacterial immunity and promotes recurrent angina.