Anyone who has ever suffered from a sore throat, it is easy to imagine how much trouble can bring chronic tonsillitis - a disease that is diagnosed if the patient for the previous year was at least five episodes of tonsillitis.
Causes of chronic angina
It is believed that in most cases, chronic tonsillitis develops due to undertreated bacterial tonsillitis. Its cause may also be a disease or drugs that weaken the immune system and antibiotic resistance. The most common causative agents of this disease are Streptococcus species Streptococcus pyogenes.
Chronic tonsillitis in children
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It occurs much less frequently than in adolescents and adults. Furthermore, the likelihood of chronic angina increased in people exposed to ionizing radiation.
Symptoms of chronic tonsillitis
Signs by which you can diagnose chronic angina, is the frequency of angina episodes. Typically, the disease is diagnosed in people who have suffered from angina at least five times during the previous year, or at least three times a year for the previous two years.
For episodes of chronic angina characterized by the same symptoms as for normal viral or bacterial sore throat:
- Severe pain in the throat;
- Enlarged tonsils;
- Heat;
- Weakness;
- Headache;
- The redness of the throat and the formation of a light raid on the tonsils.
In patients with chronic angina often appears bad breath even between disease exacerbations
. In addition, people suffering from chronic tonsillitis, may experience constant weakness and fatigue, but it is not linked with the sore throat, and with the weakening of immunity, which was the cause of this disorder
. Reduced immunity makes the body more susceptible to various infections, so people with chronic angina can often hurt the common cold, flu, etc.
. In general, frequent infections are always an alarming sign, which in any case can not be ignored
. It is not necessary to hope that chronic angina pass itself - is much more likely that in the absence of treatment they lead to various complications, cope with the consequences of which would be extremely difficult
. Therefore, if you suspect a chronic sore throat as soon as possible to pass a medical examination
.
How to cure chronic angina
In the treatment of chronic angina need professional medical assistance; the use of home remedies in this disease is allowed only as an adjunct to treatment, which is prescribed by a doctor. In particular, it is useful to drink fruit and vegetable juices and take vitamins to strengthen the immune system, eat honey and garlic
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, Making inhalation and gargle during exacerbations of chronic angina. You can also drink herbal teas medicinal herbs, take non-prescription pain relievers and antipyretic drugs, and use the spray for the throat with propolis, antiseptics and analgesics. However, these tools only help to alleviate the symptoms of a sore throat, but do not eliminate the cause of chronic angina.
There are two main directions in the treatment of chronic angina - conservative and surgical. When deciding how to treat chronic angina in a particular case, the physician based on considerations of efficiency and maximum safety for the patient.
When conservative treatment your doctor may prescribe a lavage of lacunae of tonsils - it can be used substances such as chlorhexidine or boric acid. This procedure allows you to destroy the pathogens of chronic tonsillitis, which often live in the gaps of the tonsils. For maximum effect, it is usually necessary to carry out this procedure several times.
Besides, for the treatment of chronic angina often used antibiotics:
- Penicillin V - the drug of first choice treatment lasts for ten days;
- Macrolide antibiotics such as erythromycin and azithromycin - these drugs are prescribed to patients who are allergic to penicillin. The course of treatment lasts for five days.
If conservative treatment is not effective enough, it can be assigned tonsillectomy - operation, during which removes tonsils.
Mention of tonsillectomy have been found in ancient written sources, and this operation has been used successfully to this day. Despite the fact that this operation is quite easy and safe to carry it out by a doctor should be good reasons. Though tonsils and do not belong to the vital organs, they play a significant role in the functioning of the immune system, and their removal can make the body more vulnerable to certain infections.
As a rule, tonsillectomy is appointed only in cases corresponding to all of the following criteria:
- The presence of the classic symptoms of angina
Symptoms of angina - obvious and recognizable
during exacerbations of chronic angina;
- The patient had five or more episodes of angina in the previous year;
- The symptoms of angina appeared regularly, at least for one year;
- Episodes of angina occur with severe symptoms and interfere with a person to function properly - to study, work, and so on.
Tonsillectomy may also be recommended for patients who have chronic angina led to the development of sleep apnea
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.
In cases where there is doubt as to the need for tonsillectomy, doctors usually monitor patients, at least for six months and is carried out in this time of regular surveys.
During the ten days prior to tonsillectomy should not take aspirin, ibuprofen, naproxen and warfarin. Since tonsillectomy is done under general anesthesia in the morning before surgery can not eat and drink. Typically, the operation is fast, without complications, and the patient can go home a few hours after its completion. The recovery period lasts an average of seven to ten days, a sore throat can be stored up to two weeks. At this time, it is important to drink plenty of liquids - the lack of moisture in the cells slows down the recovery of tissues and leads to increased pain in the throat. In some patients a few days after the operation observed bleeding in the throat - how they are not strong, and pass quickly, but with heavy bleeding should see a doctor.
In the first days after the tonsillectomy patients may be needed taking pain medications. Typically, non-prescription analgesics, such as paracetamol and non-steroidal anti-inflammatory drugs are effective enough, but sometimes it takes more potent prescription painkillers.