Acute and chronic tonsillitis can occur in a latent form for a long time without obvious symptoms.But this does not mean a complete state of well-being for the human health.The structure of the amygdala is that it quickly and efficiently develop pathogenic microflora and create for yourself a certain barrier.This leads to almost constant carriage of staphylococci and streptococci, which have a massive devastating effect on the immune system and all organs and systems of the human body.Thus, it is necessary to timely detect the typical symptoms of acute tonsillitis and hronchieskogo, in both children and adults.
Assessment of health made by several parameters.It is important to growth of lymphoid tissue, the presence of pathogenic organisms and the impact of this disease on the immune system.
Acute tonsillitis in
adults and children - is there a difference?
Acute tonsillitis in children more often becomes chronic, which may require tonsillectomy in conduction abnormalities mean the upper respiratory tract.Is there a difference between the forms of the infection in children and adults?Yes, in most cases, chronic inflammation of the tonsils in the child spontaneously stops upon reaching the age of onset of puberty.In patients older than 16 years of self-healing does not occur.It requires constant medical check-up and preventive treatment by antibiotics in the autumn and spring seasons.But this applies to cases of chronic disease with a relapsing course.In the acute form of a full recovery is possible with properly chosen scheme of antibacterial and antimicrobial therapy.
Causes and symptoms of acute tonsillitis in children and adult patients
main causes of the disease - infection of coccal flora and its penetration into lymphoid and glandular tissue of the tonsils.
Associated risk factors include:
- smoking, including passive;
- eating spicy, hot and irritating foods and alcoholic beverages;
- living in areas with polluted air;
- carriage of pathogenic organisms;
- presence of caries, periodontal disease and gastrointestinal disease.
- acute tonsillitis symptoms
- acute tonsillitis symptoms in children.
symptoms of tonsillitis in children and adults are mostly the same and include:
- increase in body temperature to 38 - 39 degrees Celsius;
- sharp chill with an ache in the major muscles, dizziness, weakness, drowsiness, headache;
- sore throat, sharp, sharp, increases with swallowing;It can be located on the left or on the right side;
- mild hoarseness;
- increase in submandibular lymph nodes on the side of the affected tonsil.
On examination revealed redness of the skin, enlarged tonsils and redness in the throat.Lymph nodes are dense, not soldered to surrounding tissues, moving and painful on palpation.Palpitations associated with symptoms of intoxication.Rales in the lungs, as well as the common cold is usually not observed.Other symptoms of tonsillitis can be detected in the case of joining a secondary form of the infection.
acute lacunar, follicular tonsillitis and pyogenic
The diagnosis is set to the primary classification of forms of the disease.Most often it occurs in the initial stage acute lacunar tonsillitis - pathogenic microflora affects the mucous membranes in the gaps and does not extend deep into the amygdala.On examination, visible white patches in the form of localized spots shaped gaps.If at this stage not started treatment, the disease is the development and proliferation of bacteria in the tissues.There is an acute follicular tonsillitis: the entire surface of the tonsils visible inflamed follicles, filled with purulent contents.This form is characterized by more severe and propensity to retsidirirovaniyu and the spread of infection in the back of the throat.Often complicated by otitis and sinusitis.In the absence of adequate treatment can join secondary pneumonia.
Acute suppurative tonsillitis is characterized by deep penetration of inflammatory processes in the glandular tissue and the appearance of total intoxication with the highest rates of hyperthermia, chills, headache and muscle pains.
necessary differential diagnosis to exclude diphtheria process.Are binding throat swab, crop on sensitivity to antibiotics, complete blood count, urinalysis, and ECG.
Standards for the treatment of acute tonsillitis in children
Treatment of acute tonsillitis in children diagnosed with the microbial flora of the coccal group begins with the use of antibiotics penicillin.In the absence of the desired effect within 3 days spend on the replacement of the drug product with a broad spectrum of action.This can be "azithromycin", "Ampioks" "Ciprofloxacin".Doses are calculated based on the child's age and body weight.
Required acetylsalicylic acid ( "aspirin") or other NSAID with a view to the prevention of rheumatic fever.The course of this treatment must not be less than 7 days.Appointed vitamin therapy with high doses of ascorbic acid, "Ascorutin".
Local can be used gargling, solution processing "Lugol" sea buckthorn oil, broth chamomile.Excellent help lozenges "Lizobakt" that have a pronounced antimicrobial action in the thickness of the glandular tissue of the tonsils.
In chronic tonsillitis treatment includes periodic sanitation of foci of inflammation and activities aimed at improving the body's defenses.In severe tonsil hyperplasia is a tonsillectomy.
How to treat acute tonsillitis in adults with antibiotics?
echenie acute tonsillitis in adults differs little from treatment regimens for children.Similarly appointed antibiotics broad-spectrum "Flemoksin Soljutab" to 0.5 g 3 times daily for 7 days, "Amoxiclav" on, 65 g 3 times a day, "Tsefangin" 1 g, 2 times a day for5 days.
Before treat acute tonsillitis, it is desirable to test for sensitivity to antibiotics.If necessary, the treatment can be supplemented by topical antimicrobial agent.This can be "Streptocide" powder "Miramistin" as spray irrigation, "Furatsilin" solution "Lugol".
Some assistance may have a lozenge, such as "Anti-angina", "Septolet", "Grammidin" and many others.All of them contain pain relievers and anti-microbial components.
correctly selected antibiotic for acute tonsillitis - is the basis for successful therapy, which is complemented by antihistamines ( "Suprastin", "Diazolin", "Tavegil", "Kestin", "Klaritidin" and many others), vitamin C, acetylsalicylic acid.
Appointed bed rest, drinking plenty of fluids, gargling every 30 minutes.Food must be warm and liquid.Recommended mineral water, warm milk with honey.