sudden sharp pain in the throat, malaise, loss of appetite, and aches all over the body with a rapid rise in temperature - all these are signs of impending disaster in the tonsils.It is called purulent tonsillitis and is an acute infectious disease, provoked by infection of the cells of the mucous membrane of pathogenic microorganisms.As the infection spreads his progression in the gaps of the tonsils and introduced into the cells of the glandular tissue.It begins production of toxins that are absorbed into the blood, and provoke a general intoxication of the organism.Perhaps the spread of microorganisms through the lymphatic and circulatory system.Therefore, the most probable complications - connective tissue disease (myocarditis, endocarditis, rheumatism, arthritis) and urinary system (pyelonephritis, glomerulonephritis).Pneumonia and bronchitis on the background of festering sore throats are less common and may be related to the weakening of the immune system and the addition of a secondary pathogeni
purulent tonsillitis in children is quite common and leads to the development of chronic unilateral or bilateral tonsillitis.Meets carriage of Staphylococcus and Streptococcus (special danger is its hemolytic form).Ultimately, all of this can lead to the development of acquired heart defect nature of rheumatoid arthritis or juvenile.
purulent tonsillitis in adults, as well as the child, is an acute inflammation of the mucous and glandular tissue in the tonsils.In adults most often in the study of stroke is determined by the streptococcus throat.In the absence of timely adequate treatment may develop retropharyngeal abscess, in which you need urgent surgery.Less often than in children, in adults with purulent tonsillitis appear meningeal symptoms, and develops convulsions.The rest of this disease represents a serious danger for the human life and health.
Causes, consequences and complications of purulent tonsillitis
There is only one direct cause purulent tonsillitis - a streptococcal infection or staphylococcus.Infection occurs contact, household, or by airborne droplets.The high incidence of "family" of the epidemic, when when using the same cutlery as soon as possible the entire family was infected.The gap in the frequency of occurrence of typical symptoms in this case is from 1 to 5 days.
- failure to comply with hygiene rules;
- carriage of Staphylococcus or Streptococcus;
- weakened immune system;
- chronic thrush, candidiasis and other forms of intestinal dysbiosis.
been cases of frequent diseases purulent tonsillitis in cases of ongoing psychological stress load.In children, it occurs during the transition from nursery school to school during exams, when any problems in school and with peers.In adults, a higher incidence of suppurative inflammation in the throat may be due to the deterioration of the psychological environment at work and at home.A certain importance is smoking (including passive).Smoke and it contains pathogens worsen the condition of the mucous membranes of the throat, reduce their resistance to the introduction of microbial flora.In smokers purulent angina frequency is 3 times higher than that of persons excluded from his life impact of tobacco smoke.
purulent tonsillitis Complications develop in the absence of timely and adequate treatment.In children, the most severe complication in violation of the rules is a pre-diagnosis of diphtheria.This disease in its clinical picture similar to that in the acute stage of tonsillitis.On the tonsils visible plaque.Distinctive feature - diphtheria bacillus is capable of forming dense fibrous film that completely cover the respiratory tract.If untreated, the child may die from suffocation banal.
Other complications of purulent tonsillitis include:
- development of peritonsillar abscess with accumulation of pus behind the tonsils (requires immediate surgical dissection and constant supervision in a specialized hospital);
- rheumatism with the formation of the breed of the heart valves, cartilage damage joints, spondylosis development;
- meningitis and inflammation of the arachnoid membrane of the brain;
- acute renal failure on the background of long flowing severe generalized toxicity;
- secondary pyelonephritis and glomerulonephritis;
- toxic hepatitis;
- endocarditis, serous myocarditis, malfunction of the heart muscle.
Long-term effects of purulent tonsillitis may occur years or even decades.This is usually a chronic carrier of streptococcus or staphylococcus, which is detected at a random inspection.For example, 15% of women that arise on account of pregnancy in female consultation, the study found a smear of the throat hemolytic streptococcus.A Staphylococcus aureus is found in approximately 36% of women in this group.This condition is dangerous not only for the future health of the mother but also for the process of laying the internal organs of the fetus in utero.
contagious or not purulent tonsillitis?
destruction of pathogenic organisms of this type occur in the processing of hot vapor, ultraviolet rays and chlorine-containing solutions.It should be the allocation of individual cutlery and personal care products.After brushing brush soaked in a strong solution of baking soda.For communication with the patient is necessary to use a sterile gauze bandage.
Signs and symptoms of purulent tonsillitis
first signs of purulent tonsillitis can be expressed in mild hoarseness of voice, body aches, headache, difficulty in swallowing.After 10-12 hours of developing a full clinical picture.Usually the first symptoms prodromal period begins after the fatigue, for example, at the end of the working day or after visiting the school children.The person experiences discomfort, mild pain and tingling in the throat.And in the morning there are clinical implications.
Usually purulent tonsillitis typical symptoms include:
- strong fever, in which the body temperature rises rapidly;
- headache and dizziness, muscle weakness;
- emergence of severe pain in the throat, which is amplified when trying to swallow a liquid or solid foods;
- increase, pain and stiffness of the lymph nodes located under the lower edge of the jaw.
not typical symptoms of purulent tonsillitis - a cough and nasal congestion during the initial stage of the disease.However, after 2-3 days, and may experience these symptoms to the distribution mean of infection by the mucous membranes of the nasal cavity and larynx.
When viewed from the pharynx posterior wall visible redness and swelling of the tonsils (unilateral increase can be observed).On the affected side may be visible accumulation of pus pockets in the form of white spots and grainy.They can be removed with the help of a wooden stick.After their removal is eroded surface.After 2-3 hours white coating occurs again.
Depending on the shape and localization of purulent plaque secrete various forms of tonsillitis:
- Bluetongue - there is no plaque redness;
- follicular - pus bubbles concentrated in the lymphoid tissue, looks like a grainy surface;
- lacunar - characterized by an accumulation of secretions in the discharge channels located at the surface of the tonsils;
- abscess or diffuse form characterized by severe and rapid spread of infection over the entire surface and the thickness of the gland.
Over the course of the disease, it can move from one form to another.
To diagnose the need for careful study of smear from the throat to exclude diphtheria bacilli, which can lead to death.It is also important to test for sensitivity to antibiotic therapy.Throat swab is done immediately.After 5 days appointed general analysis of blood and urine tests, ECG, and on the testimony of test revmofaktor.
Standards of treatment of purulent tonsillitis
There medico-economic standards of treatment of purulent tonsillitis in children and adults.Available sick leave for a period of 10-14 days.It is recommended in cases of suspected cases of such infections cause disease doctor at home, because the patient is the source of infection and represents a danger to other patients clinic.The doctor is obliged on the second day after the diagnosis to make a return visit to assess the patient's condition and treatment correction circuit in accordance with the resultant research smear pharynx data.
Appointed strict bed rest and isolation from other family members for 5 days.It is recommended a special diet: all the dishes in a warm shabby, liquid form in small portions.It is necessary to use large amounts of fluid.Preference is given to an alkaline mineral water, warm milk with honey, cranberry juice, lemon water, fruit compote of fresh fruit and berries.
general scheme of treatment of purulent tonsillitis include the following activities:
- antibiotic therapy;
- symptomatic therapy;
- rutin and vitamin C in large quantities to strengthen the vascular wall;
Do not carry out any activities that are associated with the warming region of inflamed lymph nodes.Thus, you can trigger the development of lymphadenitis.
Than to treat purulent tonsillitis child?
Than to treat purulent angina - often the question takes into account the patient's age and form infections.Sowing important data on the sensitivity to antibiotics.In early childhood it is recommended to use antibiotics in combination with antimicrobial agents such as "Biseptolum-240" or "Co-trimoxazole."
Than to treat purulent angina child, can tell only pediatrician in each case.This is not a situation where you can use simple home remedies to deal with the common cold and the sudden cold.To treat this pathology can only physician, based on the data of laboratory diagnostics.Therefore, self-treatment is completely excluded.Do not risk the health and life of the baby.
How quickly cure purulent tonsillitis:, antibiotics and "Sumamed»
So, before quickly heal festering sore throat, you should still see a doctor and make an analysis of the smear from the throat to eliminate the cases of diphtheria.Then you should consult with an infectious diseases specialist, who will tell you which antibiotics for purulent tonsillitis have the highest efficiency.This material can be found about the main drugs that are present in modern medical practice.But it should be understood that the choice of such a drug is carried out individually.Although there is broad-spectrum drugs.In all honesty, "Sumamed" with purulent tonsillitis gives the quickest results with minimal risk to human health.This is due to the fact that "Sumamed" dosage in this disease is one tablet once.However, acetylsalicylic acid at 500 mg three times a day should continue for 7 - 10 days.
The standard treatment regimen may be used and other antibacterial agents of purulent tonsillitis:
- «Benzinpenitsillin" is mainly used in the form of intramuscular injections in severe disease in children and adolescents (daily dose of 2 400 000 units divided into 4 injections);
- «Azithromycin" or "Azitral" 250 mg 1 time a day for patients aged 12 years and 125 mg for children over 6 years;
- «Amoxicillin" 500 - 1000 mg 3 times a day for 6 days;
- «Amoxiclav" for children from 6 months to a syrup and soluble tablets with banana flavor on the basis of 15 mg per kilogram of body weight each full baby in a day;
- «Ciprofloxacin" or "Tsiprolet" 500 mg 2 times a day for an adult and 250 mg 2 times a day for children older than 3 years;
- «TSifran" 1 c.2 times a day intramuscularly.
Antibiotics for purulent tonsillitis can complement the antimicrobial agents, such as "Biseptolum - 480", "Metronidazol", "Trichopolum"."Streptocide" may be used for topical application in the form of powders.
How to rinse the throat and handle with purulent tonsillitis, "Lugol»
throat with purulent tonsillitis - is the main source of infection and pain.It is therefore important to know how to handle purulent tonsillitis, because of this rate of recovery depends on the mucous membranes.The most commonly used variety of sprays, which irrigate mucosa and tonsils.It drugs have antimicrobial and regenerative properties.Among the most popular can be called "Kameton", "Bioporoks", "Geksoral", "Miramistin", "chlorophyllin", "Stopangin" and many others."Lugol" with purulent tonsillitis can be used as a spray solution, and to lubricate the tonsils.
also appointed rinse every 30 minutes at a time when the patient is awake.Before you rinse the purulent tonsillitis, it is necessary to moisten the mouth weak solution of soda.
The following are the basic tools than gargling with purulent tonsillitis:
- hydrogen peroxide solution with a concentration of 3% allows you to quickly and effectively sterilize the external surfaces of the throat and tonsils;
- «Iodinol" at a concentration of 1% can be used no more than 6 times a day;
- solution of magnesium permanganate (potassium permanganate);
- decoction of chamomile with the addition of sea buckthorn oil;
- boric acid in warm dilution water to a concentration of 2%;
- infusion and decoction of calendula flower with the addition of eucalyptus oil;
- «Rotokan" is sold in the form ready to rinse, you can replace "Stomatofitom";
- «Furatsilin" - diluted 1 tablet per 150 ml of warm water.
Sometimes at home using a triple rinse solution.It includes 5 drops of iodine, half a teaspoon of salt and soda in a glass of water.
How to cure purulent tonsillitis in children (treatment)
Many parents are wondering how to cure purulent tonsillitis in children after repeatedly having typical relapses after 2 - 3 months.The fact that very often in childhood, the disease is atypical symptoms.Quickly the main symptoms subside and the child is ready to return to an active lifestyle.As a result, the complete elimination of the disease agent does not occur.Streptococcus and Staphylococcus adaptable to antibiotic therapy, and the risk for forming carriers of these bacteria.Externally, it is expressed in chronic tonsillitis.Increased amygdala - a constant source of pathogenic microbial flora.
It is therefore important to know the difference between the treatment of purulent tonsillitis in children, what resources are necessary and how to prevent recurrence of disease.
First of all, a course of antibiotics should be carried out exactly as many days as prescribed by the doctor."Aspirin" taken 3 times a day for at least 7 days.After the treatment it is important to re-throat swab, and make sure the infection is completely defeated.