The tonsils, located at the meeting point of the digestive and respiratory tracts, produce lymphocytes and antibodies, which have the function of resisting bacteria and resisting viruses, and are an immune organ of the human body.
When the body’s resistance decreases due to excessive fatigue, cold, etc., the defense function of the tonsils also decreases and is susceptible to bacterial infection and inflammation.
A. Inflammation of the tonsils can be contagious
The main causes of acute tonsillitis are two: a direct infection and a decrease in immunity that causes pathogenic bacteria to take advantage of the situation and cause acute inflammation.
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Second, acute inflammation of the tonsils how to do
Acute tonsillitis, need to go to the hospital for treatment, doctors usually choose one or more of the following treatment methods together.
1.General treatment
Patients should get enough rest, keep away from the causative factors, eat a light diet, eat liquid food, drink more water, enhance nutrition and unblock the bowels. Forbid to eat spicy, barbecue, greasy, quit smoking and alcohol.
2.Antibiotic treatment
Most patients with elevated total white blood cell count and neutrophil count in routine blood tests are generally treated with penicillin and second-generation cephalosporin antibiotics.
If a periportal abscess has been formed, third-generation cephalosporin antibiotics can be given intravenously; when anaerobic bacterial infection is considered, metronidazole can be combined at the same time, or quinolone antibiotics can be used alone for treatment.
Depending on the severity of the patient’s condition, oral medication or intravenous medication can be used.
3.Symptomatic treatment
Patients with fever can be given physical cooling, those with high fever can be given non-steroidal anti-inflammatory drugs, those with sore throat can be treated with pain-relieving drugs, containing drugs, and gargling with alkaline gargles.
4.Surgical treatment
For those who have formed perifollicular abscess, abscess incision and drainage is feasible. After the acute infection subsides, the tonsils can be surgically removed at an optional stage.
3. To surgically remove tonsils or not
If you have one of the following conditions, it is recommended that tonsillectomy be performed to remove the tonsils.
1, recurrent acute attacks of chronic tonsillitis: more than 4 to 5 times a year, or multiple episodes of peri-tonsillar abscesses.
2, affecting life: excessive tonsillar hypertrophy, which hinders swallowing, respiratory function and ambiguous speech.
3. chronic tonsillitis triggers other diseases: for example, causing rheumatic fever, nephritis, arthritis, rheumatic heart disease, or diseases of the nose, ears, throat and other adjacent organs.
4, patients with tonsillar keratosis or diphtheria with bacteria, who have been ineffectively treated with medication.
5.Various benign tonsil tumors: If it is a malignant tumor of the tonsils, it needs to be evaluated by a doctor and may be treated with radiotherapy first, not necessarily with immediate surgery, and needs to be chosen carefully.
If the tonsils are simply enlarged and do not cause other local and systemic discomfort, the tonsils may not be removed.
4.What cases are not suitable for tonsillectomy
In the following cases, it is necessary to carefully consider whether to remove the tonsils.
1. When there is an acute inflammation of the tonsils, as well as when there is an acute disease, a cold or an epidemic. It is better to have tonsillectomy 2 to 3 weeks after the inflammation has subsided.
2. some patients with hematopoietic system diseases, hypocoagulation, poorly controlled hypertension, heart disease, active tuberculosis, etc. are not suitable for surgery.
3, patients with dry or atrophic pharyngitis if not very necessary, it is best not to cut, otherwise the symptoms of pharyngitis may be aggravated after surgery.
4, surgery is not recommended during pregnancy.
5, when the doctor assesses that the risk is greater than the benefit, it is also not recommended to do.