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Chronic tonsillitis – chronic, proceeding with aggravations, an inflammation of palatal almonds (tonsils) as a result of frequent quinsies. At a disease pain when swallowing is noted, irritation in a throat, an unpleasant smell from a mouth, increase and morbidity of submaxillary lymph nodes. Being the chronic center of an infection in an organism, reduces immunity and can cause development of pyelonephritis, infectious endocarditis, rheumatism, polyarthritis, an adneksit, prostatitis, infertility, etc.

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Chronic tonsillitis

Chronic tonsillitis – chronic, proceeding with aggravations, an inflammation of palatal almonds (tonsils) as a result of frequent quinsies. At a disease pain when swallowing is noted, irritation in a throat, an unpleasant smell from a mouth, increase and morbidity of submaxillary lymph nodes. Being the chronic center of an infection in an organism, reduces immunity and can cause development of pyelonephritis, infectious endocarditis, rheumatism, polyarthritis, an adneksit, prostatitis, infertility, etc.

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Reasons

Palatal almonds together with other lymphoid formations of a pharyngeal ring protect an organism from the pathogenic microbes getting together with air, water and food. Under certain conditions bacteria cause in almonds an acute inflammation – quinsy. As a result of the repeating quinsies chronic tonsillitis can develop. In some cases (about 3% of all number of patients) chronic tonsillitis is initially chronic disease, that is arises without the previous quinsies.

The risk of development of chronic tonsillitis increases at immune violations. The general and local resilience of an organism goes down after the postponed infectious diseases (scarlet fever, measles, etc.) and when overcooling. Besides, the wrong treatment by antibiotics or unjustified reception of febrifuges can influence the general immune status of an organism at quinsy and other infectious diseases.

Development of a chronic inflammation of palatal almonds is promoted by violation of nasal breath at a polypose of a nasal cavity, increase in the lower nasal sinks, a curvature of a nasal partition and adenoides. Local risk factors of development of chronic tonsillitis are the infection centers in the next bodies (adenoidit, antritis, carious teeth). In the patient's almonds with chronic tonsillitis about 30 various pathogenic microorganisms can come to light, however, in the depth of lacunas pathogenic monoflora (staphylococcus or a streptococcus), as a rule, is found.

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Classification

Allocate simple (compensated) and toksiko-allergic (dekompensirovanny) forms of chronic tonsillitis. The Toksiko-allergichesky Form (TAF), is in turn subdivided into two subforms: TAF 1 and TAF 2.

  • Simple form of chronic tonsillitis. At a simple form of chronic tonsillitis local signs of an inflammation prevail (puffiness and a thickening of edges of handles, liquid pus or purulent traffic jams in lacunas). Increase in regionarny lymph nodes can be observed.
  • Toksiko-allergichesky form 1. The general toksiko-allergic manifestations join local signs of an inflammation: bystry fatigue, periodic indispositions and slight increases of temperature. From time to time there are joint pains, at an exacerbation of chronic tonsillitis – pain in heart without violations of normal picture ECG. The periods of restoration of respiratory diseases become long, long.
  • Toksiko-allergichesky form 2. Functional violations of action of the heart with change of picture ECG join the listed above displays of chronic tonsillitis. Violations of a warm rhythm are possible, long subfebrilitt. Functional violations in joints, vascular system, kidneys and a liver come to light. The general join (the acquired heart diseases, infectious arthritises, rheumatism, tonzillogenny sepsis, a number of diseases of uric system, thyroid and a prostate gland) and local (pharyngitis, parapharyngitis, paratonzillyarny abscesses) the interfaced diseases.
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Symptoms

The poor symptomatology is characteristic of a simple form of chronic tonsillitis. Patients are disturbed by feeling of a foreign matter or awkwardness when swallowing, a pricking, dryness, an unpleasant smell from a mouth. Almonds are inflamed and increased. Out of an aggravation the general symptoms are absent. Frequent quinsies (to 3 times a year) with the long period of recovery which is followed by fatigue, an indisposition, the general weakness and slight increase of temperature are characteristic.

At a toksiko-allergic form of chronic tonsillitis of quinsy develop more often 3 times a year, often are complicated by an inflammation of the next bodies and fabrics (paratonzillyarny abscess, pharyngitis, etc.). The patient constantly feels weakness, fatigue and an indisposition. Body temperature remains subfebrilny for a long time. Symptoms from other bodies depend on existence of these or those interfaced diseases.

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Complications

At chronic tonsillitis of an almond from a barrier on the way of spread of an infection turn into the tank containing a large number of microbes and products of their activity. The infection from the struck almonds can extend on an organism, causing damages of heart, kidneys, a liver and joints (the interfaced diseases).

The disease changes a condition of immune system of an organism. Chronic tonsillitis directly or indirectly influences development of some collagenic diseases (dermatomiozit, the sklerodermiya, nodular periarteriit, system red a wolf cub), skin diseases (eczema, psoriasis) and damages of peripheral nerves (radiculitis, pleksit). Long intoxication at chronic tonsillitis is risk factor of development of a hemorrhagic vaskulit and trombotsitopenichesky purples.

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Diagnostics

The diagnosis of chronic tonsillitis is exposed on the basis of the characteristic anamnesis (the repeating quinsies), the given objective survey of the otolaryngologist and additional researches.

On a faringoskopiya hyperaemia, a thickening of edges and puffiness of palatal handles comes to light. The union of palatal handles with a triangular fold and almonds is possible. The loosening of almonds is quite often observed (especially at children). Lacunas of almonds contain pus, sometimes – with an unpleasant smell. Often increase in regionarny lymph nodes comes to light.

At a toksiko-allergic form of chronic tonsillitis the comprehensive examination of the patient directed to detection of the interfaced diseases and assessment of expressiveness of pathology is conducted.

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treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

Tactics of treatment of chronic tonsillitis is chosen depending on a form and a stage (an aggravation, a latent current) of a disease. Conservative therapy includes local impact on the struck almonds and the general actions directed to strengthening of an organism and increase in the immune status.

Local treatment includes washing of almonds and rinsing by solutions of anti-septic tanks. In almonds inject antiseptic and antibacterial drugs. Apply sosatelny tablets – oroseptik, use local immunomodulators. The aromatherapy is recommended by essential oils of a tea tree, a cedar, lavender and eucalyptus (inhalation and rinsing). It is necessary to carry out sanitation of an oral cavity, nasal cavity and okolonosovy bosoms.

Antibiotics are used only at a process aggravation. At the latent course of chronic tonsillitis antibiotics are not shown as they suppress immunity, break structure of flora of an oral cavity and digestive tract. Immunostimulators and immunokorektor are applied both at an aggravation, and in a latent phase of a disease. Modern medicines and medicines of a natural origin are used (, propolis, a camomile, a ginseng).

Surgical removal of almonds (tonzillektomiya) is shown at TAF 2 and in case lymphoid fabric as a result of a long inflammation is replaced with connecting fabric. Carrying out a laser lakunotomiya is possible. At development of a complication of chronic tonsillitis in the form of paratonzillyarny abscess, make its opening.

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Chronic tonsillitis - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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