Whether it is necessary to delete tonsils at a chronic tonsillitis
Decreased immunity often leads to diseases such as angina, which in turn creates the ground for the formation and development of chronic tonsillitis.When stating such a diagnosis, many patients believe that it is necessary to remove tonsils in the shortest possible time.
Influence of chronic tonsillitis on the body
Tonsillitis of chronic form refers to diseases of an infectious and allergic nature with the presence of prolonged inflammation of the tissues of the tonsils that are located in the oropharynx.In structure they are represented by a soft, porous lymphoid tissue with tubules.On the question whether it is worth removing tonsils in chronic tonsillitis, experts say that there are no superfluous organs in the human body, and therefore one should carefully weigh all the indications and approach the question carefully.
The appearance of acute tonsillitis in a child contributes to the development of stable immunity in the body.And its decline is due to frequent cases of angina caused by pathogenic bacteria.
Chronic tonsillitis in a child
In chronic tonsillitis, soft lymphoid tissue of the tonsils replaces the connective tissue with scars, which subsequently narrows and closes the tubules to form purulent plugs in them.In the formed places various components, like microbes, particles of food and other accumulate.
For the life of microbes, the disease of chronic form creates ideal conditions, while the protective functions are reduced, for which glands are responsible.They turn into a provider of infection and intoxication, gradually increasing in size.As a result, there are complications, disorders of the immune system.Affected by the body, infections trigger the mechanism of manifestation of allergic reactions, aggravating the patient's condition.
Types of the disease
In modern medicine, several types of chronic tonsillitis are classified according to classification: compensated, subcompensated, decompensated .In the first case, almond tissues become inflamed, and glands perform protective functions and the body is able to cope with infections.The second type of tonsillitis is characterized by a combination of local forms with recurrent angina without signs of complications.The third type of pathology is characterized by manifestations of local symptoms and the presence of various diseases.
Complications of chronic tonsillitis include the appearance of rheumatism, kidney disease, and cardiovascular system in chronic forms.To avoid various kinds of complications and serious diseases, it is necessary to be treated systematically.Decompensated appearance with ineffective multiple course of treatment is eliminated by surgical operation .As a rule, the disease occurs in patients in childhood, as children are more likely to catch colds.
Need to remove
So whether it is necessary to remove glands in chronic tonsillitis at the present time, if the pharmaceutics is ready to offer alternative treatment options, is a question that often worries patients on the consultation.In the recent past, tonsils have been removed to virtually all people with chronic tonsillitis, especially when the glands grow 2-3 degrees .Tonsils, according to many experts, perform certain functions up to 5 years, and in the future their action ceases and therefore can be removed without problems.Previously, operations were carried out from 3 years, and are currently performed when a person reaches the age of five.
Doctors do not refer to the diagnosis categorically today with the mandatory operation.Initially, conservative treatment options are applied, thanks to a wide range of medicines.Many of the proposed drugs can reduce tonsils.If you treat in a complex with physiotherapy procedures, you can achieve positive results in a short time.
Laser tonsil removal
The glands are removed only in certain cases, as:
- angina attacks the patient at least 4 times a year;
- the emergence of pathological processes, like the defeat of internal organs based on the disease of chronic form;
- development of an abscess after a sore throat;
- no positive effect after treatment with medicines and physiotherapy.
The decision to remove tonsils is taken by the ENT - a doctor, taking into account the clinic of inflammation in the throat, as well as the body's immune forces.
Methods of performing the operation
The tonsils are removed partially or completely by two options: tonsillotomy, or tonsillectomy.In addition to the standard operation, the devices are used with the aim of less traumatism and a quick recovery period. Several ways are performed to remove partially in order to maintain basic functions, to facilitate breathing, or when complete removal is not possible:
- use of liquid nitrogen;
- laser application with cauterizing action.
The tonsils are treated with local anesthetic preparations, after death by the action of the hardware mechanisms they are removed.The methods are painless and have no bleeding, but pain after surgery and temperature increase for a short time are possible.
Complete removal or tonsillectomy is also performed in several ways that are most suitable for patients:
- Surgical operation;
- destruction by laser;
- electrocoagulation.
Surgical method for the removal of mendalin
The surgical method is traditionally carried out using a wire loop and scissors with the introduction of general anesthesia.The shortcomings of the procedure include the duration of the recovery period, possible bleeding and the appearance of serious complications associated with life-threatening conditions.During the operation, you should remove the lymphoid tissue completely, in order to prevent further outgrowth.
Trust the operation only to an experienced, proven surgeon.As in the partial removal of glands, a carbon laser device is used in full, or an infrared laser.Gentle procedure is carried out on an outpatient basis, painless, with no blood and fast wound healing.Possible burns of healthy tissue near the affected area with pain after the procedure.
For definitive tonsillectomy, there are certain contraindications:
- infectious diseases in acute stage;
- blood poorly functioning;
- Diabetes Mellitus;
- heart disease, such as tachycardia, hypertension in severe form, angina pectoris;
- pregnancy period from 6 to 9 months;
- is a tuberculosis disease.
Advantages and disadvantages of operation
For patients who are often troubled by throat disorders, the question of whether to remove glands in chronic tonsillitis is of concern. Surgical intervention on tonsils is characterized by certain advantages and disadvantages.
The attending physician must take a weighted, calculated decision.
The advantages of the operation can be described by factors such as:
- excludes the risks of various complications in the field of renal, cardiovascular diseases and a number of others;
- is absent from the resumption of sore throat;
- restoration of the swallowing process;
- no source of infection;
- improvement of the body.
10 days after removal of tonsils
But it should be noted that the consequences after the removal of the glands have a negative effect:
- occurrence of bleeding during surgery;
- incomplete removal of glands present a chance of repeated proliferation of lymphatic tissue;
- to replace frequent cases of angina occur bronchitis, pharyngitis.
To remove tonsils or not for chronic tonsillitis is a serious decision that is made on consultation with a specialist, based on the general condition of the body.When determining the need for an operation, a comprehensive examination is conducted with the delivery of tests, the implementation of a cardiogram and referral to other specialists.
After surgery or conservative treatment, it is important to carry out measures to strengthen immunity.In addition to taking vitamin complexes and medications prescribed by a specialist, one should adhere to simple rules, how regularly it takes to strengthen immunity, to abandon bad habits like smoking, alcohol, to conduct hardening procedures, to establish a full diet, exercise.
