Some recommendations on how to treat chronic tonsillitis

Chronic tonsillitis is a disease of the entire body, which is characterized by nonspecific inflammation of the tonsils of allergic or infectious etiology.

To date, the main causative chronic tonsillitis is the hemolytic streptococcus of group A, but recently other bacterial microorganisms have been detected during bacteriological examination of tonsillitis, such as: staphylococci, pneumococci, anaerobic bacteria, viruses, fungus. The most dangerous for the human body remains streptococcus group A, as the structure of its membranes is similar to the structure of many tissues of our body and, when the immune system produces antibodies against the bacterium, antibodies can not distinguish the body's tissues from streptococcus, affecting various organ organs.

The cause of chronic tonsillitis almost to this day can not be clarified to the end. There is a theory that a chronic process is established after several attacks of sore throat, in other cases it is believed that the chronic process develops from the very beginning, passing an acute period and remission. Other scientists believe that a person acquires infected tonsils since birth.

The question of how to treat chronic tonsillitis is prescribed to itself by every otolaryngologist, since this disease is extremely difficult to treat. Patients, exhausted by hundreds of drugs, constant exacerbations of angina involuntarily ask themselves the question of whether it is possible to cure chronic tonsillitis? In the formation of chronic tonsillitis, factors such as the general human condition, its resistance to the environment, the virulence of the bacterium and many other factors play an important role. Therefore, complex treatment is established. To completely cure chronic tonsillitis, drugs should affect the local level, as well as the entire body. For the full treatment use the drug method and surgical intervention. The choice of this or that method depends on the stage of indigestion of tonsillitis.

Medication is used in the following cases:

- compensated form of tonsillitis;

- Transient form of chronic tonsillitis;

- uncompensated tonsillitis, in case the patient refuses surgical treatment, or simply the patient is not fit for surgery because of his state of health

Drug treatment should be conducted in systematic courses 2 to 3 times a year. Washes lacunae with antiseptic (1% Dioxydin solution, 1: 5000 furatsilina or 0.01% - 100 ml Miramistin, chlorhexidine and others). After washing lacunae, tonsils are treated with lugol, you can use a variety of sprays for the throat. Drug treatment is carried out at the level of the whole organism, for this, patients are given vitamin C at 0.3-0.5 three times a day for a month. Anti-allergic drugs (suprastin, dimidrol, pipolphen) are administered, for example, dimidrol should be taken at 0.05 g, or one tablet 1 to 2 times a day. This course of treatment is carried out for 10 to 15 days and is repeated 2 to 3 times a year, mainly in winter, spring and autumn. You should also monitor the temperature of food, you should drink a large amount of warm tea (cold and hot dishes should be avoided). In the period of remission, the patient is prescribed physioprocedures. It is also important that all existing chronic processes are cured in the body, since they can be the cause of new exacerbations. Appointed drugs that increase immunity and resistance of the body to the external environment (pyrogenal, ribomunil, tonzinal, tonsilgon).

Antibiotics are used only for exacerbation of the disease - augmentin, cefaclor, ceftriaxone, etc. It is best to check which drugs the bacteria are more vulnerable to.

Since it is not always possible to treat chronic tonsillitis with a medicamentous method, the doctor resorts to surgical intervention. There are some points on which the physician often focuses, to select a patient for amygdalectomy (i.e., excision of the tonsils):

- 3 tonsillitis for one year, lasting three years in a row;

- 4-5 cases of angina during the year, 2 years in a row;

- more than 6 cases of exacerbation of chronic tonsillitis within one year;

- occurrence of peripheral complications;

Peritonsillar abscesses.

These factors indicate an uncompensated form of tonsillitis. In such cases, the question of how to treat chronic tonsillitis is no longer asked, but proceeds immediately to amygdalectomy, that is, complete removal of the tonsils. The operation reduces the risk of complications that could occur without surgery. If complications have already been present (rheumatism, glomerulonephritis, cardiopathy, peritonsillar abscess, etc.), after the removal of tonsils, the course of these diseases improves and is easier to treat.

Chronic tonsillitis is a serious illness leading very often even to a person with disability, if he does not do the treatment on time. It was found that group A hemolytic streptococcus can be caused by about 130 diseases, often of an autoimmune nature, which means that even if the bacterium is completely removed from the body, the disease caused by it will continue to be present. Standard rules on how to treat chronic tonsillitis practically do not exist, in most cases, treatment is selected individually.