TONSILITIS

	T
	TONSILITIS
	*TONSILITIS*

TONSILITIS

Tonsilitis

The term tonsilitis makes reference to the inflammation of the palatal tonsils.

The palatal tonsils are acúmulos of linfoideo weave that along with other weave structures identical conform the denominated ring of Waldeyer.

The palatal tonsils are located in orofaringe, that is the portion of the pharynx that is located immediately behind the mouth.

Even though it is not known well which is its function, thinks that along with the rest of linfoides structures, the tonsils constitutes forward edge of defense and immunological answer (when contacting and recognizing a great amount of microorganisms and antigens) before the pathogens by via aerial.

Factors of risk

The cold and the changes of temperature.

The agglomerations.

Prevention

To avoid cooling.

Not to take very cold foods.

To avoid buccal infections.

Diagnosis and treatment

Diagnosis:

It is made by means of clinical history and the exploration of the patient.

In certain circumstances, it can be required to make seriados analyses of blood, or even cultures of the secrecciones amigdalares.

Treatment:

General measures

Rest, while the fever lasts.

If this does not respond the antithermal ones suitably, takes baths from lukewarm water.

Medication

The restoration of the treatment, like in all the diseases, corresponds to the doctor once examined and valued the ailment, since although in most of the cases it does not present/display greater problem, it can originate serious complications, or it masks pictures of greater importance.

In last instance and if it requires treatment with antibiotics, the selection of most appropriate corresponds to the doctor, than he will be different according to the responsible pathogenic agent who, as well, will produce pictures with clinical differences that will make suspect him one or another germ and apply according to each case the election antibiotic. Analgesic and antithermal for the symptoms.

Diet

In general, the liquid abundant symptoms can be alleviated administering to the patient, to avoid the soft dehydration, and diets.

Amigdalectomía

The amigdalectomía, that is the extirpation of the palatal tonsils, is not made with as much frequency as before.

Nowadays, it is possible to be said that it is an indication that is not in disuse although yes she is more restrictive and it needs since it is not made unless serious complications take place, like infections that extend to other parts of the body, or a very high frequency of anginas with general affectation.

Complications

Opportunistic diseases and infections.

Rheumatic Fever.

States of immunodeficiency.

Prognosis

Generally good, with no need of surgical performance, safe in the cases, more and more infrequent, of the appearance of sistémicas complications.

Causes

The inflammatory or infectious processes that affect the palatal tonsil produce the tonsilitiss or anginas. This last term etimológicamente comes from "the angor" word and means "constrictivo pain".

Usually they are more frequent in the children, appearing its greater incidence between the 3 and 6 years and decaying its frequency as of the 10 years.

The germs that cause are virus or bacteria. Of special importance and frequency in these ages he is estreptococo B-hemolítico, by the remote complications that can cause (Rheumatic Fever).

Signs and symptoms

Pain throat. Foods cannot be swallowed.

Plates blanquecinas on or around the tonsils, that are inflamed.

Fever, that in some cases can be very high.

As a rule, when the causes of the disease are the virus, the symptoms usually are less intense and last less time than the bacterial tonsilitiss, although always there are exceptions, like, for example, in the infectious mononucleosis.

In principle, all angina must be considered like bacterial. Within them, most frequent they are the produced ones by streptococo B-hemolítico that can be responsible for important and serious complications as reumatismos you will articulate, cardiac affectations, of the kidney or septicemias.

This disease usually is pronounced with pain throat, that can spontaneous or be caused by the swallowing (act to swallow), in addition to inflammation of the throat or pharynx and a febrile state, reaching in the young elevated temperatures of 39 or 40°C.

In addition, it presents/displays chills sometimes and digestive annoyances, abdominal pain and vomits.

In the exploration we were with reddening and inflammation of the tonsils and the pharynx with or without plates blanquecinas on the same ones.

He is frequent that appears cervical ganglia or adenopatías.

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