Tonsillitis in medicine is called inflammation of the tonsils( glands) located on the palate and in the pharynx, which lasts a long time. The disease belongs to the category of infectious - the cause of its occurrence are bacteria: streptococcus, staphylococcus, hemolytic pneumococcus, as well as viral and fungal infections.
Contents
- 1 Acute form
- 1.1 Helps in acute form
- 2 Chronic form
- 2.1 Help with chronic form
- 3 Features of care for children of different ages
- 4 Cough in tonsillitis
- 5 Dr. Komarovsky on
problem Acute form of
What are tonsils? This is an important part of the body's lymphoid system, which is a barrier to pathogens. They are clearly visible to the naked eye: if you ask the child to open his mouth wide and say a long "A", then on both sides of the throat on the back of his part you can see mucous clumps of lymphatic tissue of oval form - these are glands. They are on guard of health, catching harmful microorganisms and not passing them on.
But sometimes, when immunity is broken, the tonsils themselves become the object of attack of microbes, and then the source of infection for the whole organism. There is always the question of whether it is possible to cure.
Acute tonsillitis affects 50% of children between the ages of one and twelve years, but if you ask your parents if they are familiar with this disease, most will respond negatively. The reason for this is very simple: in people, inflammation of the glands is more often called angina. How to determine it in a child? Characteristic symptoms of angina are the following painful manifestations.
- Sore throat .With tonsillitis it is not just pink, but rich red. Tonsils increase in size, they often have a white coating, abscesses.
- The sudden increase in temperature .This symptom necessarily accompanies the inflammatory process in its very beginning, in the acute stage. The temperature is accompanied by headache, weakness, irritability, sweating, chills.
- Severe sore throat , worse when swallowed.
- The enlargement of the lymph nodes located on both sides below the ear, in the hollow below the lower jaw. When the baby is healthy, they are practically not probed, in the inflammatory process become much more, sticking under the skin like two small nuts. Unpleasant odor from the mouth.
The video tells about the symptoms and treatment of tonsillitis in children:
When one or more signs of the disease appear, you should not put the diagnosis yourself and self-medicate. Because the listed symptoms are characteristic not only for inflammation of the tonsils, but also for more dangerous diseases: diphtheria, infectious mononucleosis, leukemia. A timely visit of the doctor will allow to exclude them and proceed to an organized and consistent treatment.
Diagnosis of tonsillitis most often does not require special tests and examinations, so the diagnosis is made by a pediatrician or family doctor immediately after the examination.
Helps in the acute form of
Acute inflammation of the tonsils is a disease that can be treated out-patient, but antibacterial therapy is always prescribed. The drug for treating the baby and its exact dosage is determined by the doctor, while he takes into account a number of factors: age, weight, incidence of a particular child, and others.
The duration of treatment with an antibiotic is at least 5 days( usually 7-10).In no case should you stop taking the drug ahead of time, after seeing the first positive changes in the child's state of health. This is fraught with the development of complications and relapse of the disease.
In addition to dealing with the root cause of the disease, its treatment necessarily provides for the elimination of symptoms that cause a lot of discomfort to the child. To relieve pain in the throat, it is necessary to rinse it with medicinal( furatsilinom) and natural( broth chamomile, sage, calendula) antiseptics. Well helps to remove inflammation and painful sensations of a solution of soda( 1 teaspoon per glass of water). Here you can see the recipe for a solution for the throat and soda. The temperature of the solutions is not higher than 50 degrees, the rinsing frequency is 5-6 times a day. In some cases( usually for children who do not yet know how to gargle), the pediatrician may prescribe a local antibiotic. Effective in sore throat irrigation with special sprays( chlorophyllite, inhalipt, sebidine, etc.).
When the temperature rises two to three times a day, the antipyretic is indicated.
To various warming compresses, popular in the treatment of tonsillitis, should be treated with caution: in the presence of abscess on tonsils, heat is contraindicated, so they should be done only with the permission of the attending physician. It is important to remember that any initiative in the treatment of acute bacterial and viral diseases can lead to its transition to a chronic stage.
The video tells about the symptoms and treatment of chronic tonsillitis in children:
Chronic form
If you ignore doctor's appointments in an acute form of inflammation, interpret them at your discretion, shorten the time of taking antibiotics, try to completely replace them with folk remedies for tonsillitis -that tonsillitis will pass into the chronic stage. To get rid of it is much more difficult than from acute inflammation, so parents should do everything to prevent this. In chronic tonsillitis, the child's resistance to infections decreases, he often begins to have SARS and other viral diseases. The diagnosis is made by the doctor, based on a common clinical picture and analyzes.
The video tells how to treat chronic tonsillitis in children:
Help with chronic form of
For treatment of chronic tonsillitis by specialists, sparing treatment( throat rinses, treatment of tonsils and back of the pharynx with antiseptics, resorption of antimicrobial tablets) is prescribed in combination with physiotherapy methods: ultraphonophoresis, UHF, microwave therapy, laser therapy. If such treatment does not help, tonsils become spreaders of diseases - antibacterial therapy is prescribed. If there is no result even after two to three courses of antibiotics, the doctor may recommend surgical intervention. The decision on the operation is taken in extreme cases, as the tonsils play an important role in the immune system throughout life, and their removal has a bad effect on the body's ability to resist the diseases.
There are several ways to remove glands:
- extracapsular tonsillectomy ( a routine operation performed by surgical blades);
- diathermy ( removal of tonsils and inflamed tissue around them with the help of radio-frequency energy);
- ablation - a method similar to the previous one, but less painful due to the use of lower temperatures;
- removal of tonsils by ultrasonic waves;
- removal of tonsils by laser.
Postoperative recovery after the application of any of these surgical methods takes a long time and is carried by the child hard enough due to pain and risk of bleeding. To alleviate the condition of the patient, he is prescribed painkillers, and to block a small bleeding helps rinse the throat with cold water. Also, the child is shown the use of solid food - it is difficult, but necessary for the early healing of wounds. For the same reason, a small patient is recommended frequent use of ice cream.
Features of care for children of different ages
When appointing a complex treatment for inflammation of glands, a pediatrician and an otolaryngologist take into account the age of the patient.
The picture shows how the child's tonsillitis looks:
- Child 1-3 years( years) life can not gargle, so parents are encouraged to drink it with a solution of chamomile, which has an antiseptic effect. Also at this age, instead of oral antipyretic drugs, it is better to use candles. Small patients are also offered immunomodulating drugs.
- Since 3 years it is possible to use tablets and lozenges for resorption, use antiseptic aerosols. A child at this age already needs to be taught how to gargle with herbal decoctions and medicines prescribed by a doctor. In recent years, in the treatment of tonsillitis specialists have abandoned iodine rinses - iodine can cause allergic reactions and dry delicate tissues of the tonsils.
- For children of any age, , antihistamines and probiotics are prescribed to mitigate the harmful effects of the antibiotic.
Learn how to get rid of the common cold during pregnancy.
Symptoms of asthmatic bronchitis: http: //prolor.ru/g/ simptomy-g / bronxit-u-vzroslyx-raspoznat-simptomy-i-vylechit.html.
Here you can read reviews about the use of albucid in the nose to children.
Cough in tonsillitis
One of the most common and painful side effects in acute inflammation of the glands is a cough. It can be wet, dry, spastic, or asthmatic, but in any manifestation, the cough causes a lot of discomfort to the child, increasing the pain in the throat. The most dangerous and unpleasant is a dry cough, whose attacks do not bring any relief. To help the patient, the doctor prescribes drugs and syrups that dilute sputum in the bronchi and promote its exit. It is necessary to monitor the humidity of the air - it should be moistened with special devices, spray or wet towels hung on batteries or chairs. Coughing attacks can also provoke dust, which should be disposed of by daily wet cleaning.
Doctor Komarovsky on the problem
Popular children's doctor Eugene Komarovsky, a special value in the treatment of tonsillitis makes it necessary to comply with the drinking regime. Parents often try to stuff the child with useful teas - with honey, lemon, ginger, raspberries, various broths. But we must not forget that the taste of the baby differs significantly from the taste sensations of an adult, and it is useless to prove to a sick child with a high temperature that he should drink tea with raspberries. Dr. Komarovsky insists that the child drink what he wants - juice, compote, mineral water - but drank in sufficient quantities. The temperature of the drink should be such that it does not burn the sore throat. Why is it so important? A liquid that enters the body during an illness is excreted through the pores in the form of sweat, taking with itself pathogenic viruses.
On the video, Dr. Komarovsky tells about tonsillitis in a child:
The doctor advises much less attention to eating - if the child does not have an appetite, then the body has directed all efforts to fight the infection, and it is not necessary to overload it with the need to digest food. Appetite will appear as soon as the disease begins to recede, but in this case, do not particularly zealous, immediately offering fatty and heavy meals. First time is better to observe a non-strict diet - less fried, sweet and smoked, more vegetables and fruits.
Many disputes always cause the need for water-prevention procedures. People of the older generation believe that you can not wash a child while he is sick - they say, so you can wash off all the protective barriers of the body. Dr. Komarovsky has long dispelled this myth;he argues that swabbing off the baby sweat and dirt is not just possible, but you need - this is the only way to clean the pores and allow the skin to breathe. In addition to tonsillitis, the child may have other throat disorders. Here you can read about the treatment of a throat in a child. Here you can find a list of drugs that can cure a dry cough in a child. Under this link you will find the symptoms of an allergic cough in a child. Here the symptoms of viral pharyngitis are described.