Angina is different from most diseases of the nasopharynx that is a common infectious disease with severe local inflammatory changes in the tissues of the pharynx lymphadenoid, often in the tonsils. A common disease in medicine for topical application of little help.

What is different from tonsillitis chronic tonsillitis

Angina - an acute inflammation of the palatine tonsils, which begins often after overall or localized supercooling example, if a person in bad weather freezes or drink iced water. As a result, blood circulation, including in the area of ​​the tonsils, which leads to the active reproduction of conditionally pathogenic, always dwelling in the area of ​​the tonsils. The inflammatory process begins with catarrhal symptoms - redness and swelling Prevention and treatment of edema - it is important to understand the root cause   tonsils, but then in most cases, the process becomes purulent: in the lymphoid tissue of the tonsils or in the gaps of pus appears that with blood can get into any body and give serious complication. High fever and impaired general condition of the body. During angina should be bed rest - it prevent the development of complications in other organs.

Chronic tonsillitis - is inflammation of the tonsils, which develops gradually. The main function of the tonsils is to detain and neutralize infection and prevent its inhalation. Therefore, all the infectious agents that a person breathes air, accumulate in the tonsils, causing them long flowing inflammatory process. Until such time as the palatine tonsils are able to keep the infection and not allow it to spread throughout the body, it is considered to be compensated chronic tonsillitis, and he is being treated by a variety of medication, including topical antibiotics. Once the tonsils cease to deter the onset of infection in the body and themselves become a hotbed of infection, chronic tonsillitis is considered to be decompensated and tonsils to be removed.

Tactics of treatment of angina and chronic tonsillitis

Since sore throat is a common infectious disease, the treatment it should be common: bed rest, drinking plenty of fluids and antibiotics by mouth or by injection. For general treatment added Only gargle in order to remove it from pus.

Can I apply for angina bioparoks?

It is possible, but only in combination with a total antibiotic or a primary, catarrhal stage, before the formation of pus. As a rule, need to use antibiotics Bioparox the appointment of the general operation there, so with angina it is rarely used.

Chronic tonsillitis treated by an otolaryngologist. First of all, appointed by the general treatment, strengthens the immune system Immunity - types and characteristics in children in adults . Changes in the tonsils treated primarily locally using a variety of medicines and physiotherapy.

In the scheme of treatment of chronic tonsillitis fits perfectly antibiotic Antibiotics - whether they will help you in the foreseeable future?   Topical bioparoks. It is used in chronic tonsillitis as part of a short course of treatment, not more than 7 - 10 days. Like any other antibiotic, appointed in chronic disease bioparoks requires a preliminary study on the sensitivity to infectious agents. Without this analysis, to treat chronic infectious-inflammatory processes are not necessary, as you can achieve the opposite effect: kill the microflora in the tonsils, which inhibit the reproduction of conditionally pathogenic. If the latter is not sensitive to bioparoks, it will actively multiply and amplify the inflammatory process. This process is called superinfection.

How to use bioparoks for the treatment of chronic tonsillitis

Bioparoks can not use unchecked, chronic tonsillitis Chronic tonsillitis - inflammation of the tonsils   it may appoint a doctor. When used properly, this drug, it can be a great help in the treatment of chronic tonsillitis.

Bioparoks Assign an adult to one session every 4 hours, children - in the same dose every 6 hours. One session - four inhaled through the mouth. For this special tip is used for the oral cavity. It is put on the bottle placed in the mouth, as close as possible to the tonsils and lock lips. Then turn the tip to one side and a double-irrigate the amygdala, and then - in the opposite direction and irrigate a second amygdala also double.

After the treatment tip is removed and washed in running water.

Bioparox - is an antibiotic that may appoint a doctor.

Galina Romanenko

If tubercle bacilli were in the human body, they will stay there forever. These germs can simply be within the lymph nodes under the watchful eyes "supervision" of the immune system that does not allow them to multiply, or to cause lung disease, or, more rarely, other organs. Secondary tuberculosis can develop in patients who have had previous open tuberculosis, and cured and those who in the first months or years after infection with mycobacteria were dormant. Recently, researchers have found that the cause of secondary tuberculosis can also be reinfection.

Pathogenesis of secondary tuberculosis

After the first contact of the body with the tubercle bacillus, the following occurs:

• The lymph nodes appear exudative lesions, which usually heal quickly;
• It begins to produce antibodies to the bacteria of tuberculosis;
• Tuberculin skin test gives a positive result - usually after 4-9 weeks after infection.

If a person's immune system is weak and lymph node tissue does not heal fast enough, primary tuberculosis develops, in most cases, affect the lungs .  Most patients (90%) this does not occur, and flows into latent tuberculosis form .  The vast majority of infected people are living with latent TB all my life, and much of it may not even realize .  Sick open tuberculosis are being treated, then the TB bacteria have also become inactive and can never not show .  However, a small number of people through a more or less long period of time, despite the acquired after the initial infection cellular immunity develops secondary tuberculosis .  This is especially true in young adults, whose immunity is weakened by diseases, potent medications (eg, immunosuppressants), or bad habits .

Extrapulmonary secondary TB are much more common than primary, but pulmonary infection remains the most common type of secondary tuberculosis.

Symptoms

Typically, secondary pulmonary tuberculosis causes the same symptoms as the primary, although they may be more pronounced. Typical symptoms of pulmonary tuberculosis - a cough for two or more weeks, coughing up sputum, and / or coughing up blood, fever, weight loss, lack of appetite. People who previously had tuberculosis, usually quick to recognize these symptoms and seek medical attention immediately. If extrapulmonary TB, depending on which body has affected the disease, there may be very different symptoms, such as swollen lymph nodes, abdominal pain, chest pain Chest pain is one symptom - a lot of diseases , Pain during urination, hematuria (blood in urine), headache, confusion, liver enlargement, voice changes, shortness of breath, heart palpitations, and so on.

Diagnosis of secondary tuberculosis

If the patient was previously diagnosed tuberculosis, make the Mantoux test is not necessary; otherwise diagnostics begins with tuberculin skin test. Secondary pulmonary tuberculosis is usually diagnosed using radiography and sputum. For the diagnosis of extrapulmonary tuberculosis secondary may need a bronchoscopy Bronchoscopy - unpleasant but necessary , Computed tomography, magnetic resonance imaging, biopsy, urinalysis.

Treatment

Secondary tuberculosis treated with such anti-TB drugs, rifampicin, ethambutol, pyrazinamide, and isoniazid. To get rid of the disease, need treatment, at least two different medications, but in many cases assigned to receive once the four drugs.

During treatment should refrain from drinking alcohol and paracetamol. Antitubercular drugs like acetaminophen and ethyl alcohol leads to a heavy load on the liver, and their combination may result in serious liver disease.

Tell your doctor if you notice the following side effects of anti-TB drugs: jaundice, loss of appetite, dark urine, nausea, rash, itching, fever for three days or more; vomiting, abdominal pain, dizziness, tinnitus, joint pain Joint pain - how to understand what is going on? , Memory loss, blurred vision, tingling in the fingers or toes, numbness in the mouth area.

Surgery is the treatment of tuberculosis is seldom used, but the secondary tuberculosis probability that it will need to be slightly higher than in the primary. Operation can be assigned, for example, with strong pulmonary hemorrhage, secondary tuberculous meningitis, or tuberculosis pericardium. Skeletal tuberculosis Tuberculosis - a full recovery is not guaranteed Which affects the joints, sometimes it leads to such severe damage that successful treatment is impossible without surgery.