In the article, we consider the effective treatment of follicular tonsillitis.
Untreated tonsillitis often leads a person to the fact that an infectious agent remains in the lymphoid tissues of the throat. The development of this dangerous microorganism can occur under the influence of absolutely any adverse irritant, because of which the sore throat can worsen again. Frequent cases of tonsillitis may indicate that the patient has a chronic form of angina, that is, a disease that requires treatment not only at the stage of relapse, but also outside periods of exacerbation.
What is the treatment of follicular tonsillitis? Let's figure it out.
Description of the disease
Follicular tonsillitis in a chronic form, and in another way it is also called tonsillitis, is a purulent inflammation of the tonsils of the tonsils in the throat. In adults, this pathology proceeds in the form of an exacerbation of a chronic inflammatory process in the tonsils. Also, the disease can act as a continuation of catarrhal inflammation.
Risk group
Various forms of tonsillitis, including follicular, are most often exposed to people aged seven to forty years. Much less commonly, tonsillitis can be found in individuals after forty. In this regard, it is interesting to note that people of the older age category are almost not exposed to tonsillitis. Usually, the pathogenesis is localized in the nasopharynx or in the larynx when its lymphoid tissue is affected. Follicular tonsillitis is a very common disease. Its reason is that tonsils are very vulnerable to pathogens.
Causes of sore throat
The main cause of chronic sore throat is considered previous acute tonsillitis.
In addition to this reason, the appearance of a chronic form of pathology can be affected by other factors, for example:
- The presence of foci of infection in a nearby organ in the form of caries, adenoids, sinusitis or rhinitis.
- Failure of normal breathing through the nose, which often occurs due to a curved septum, and in addition, as a result of the growth of polyps.
- Decreased healthy functioning of the immune system.
Loss of tonsil function
Against the background of prolonged chronic tonsillitis, tonsils lose their main ability to resist infection. The development of chronic tonsillitis is the main reason for the appearance of frequent pharyngitis, and in addition, bronchitis and other diseases of the internal organs, the most dangerous of which are rheumatism, endocarditis and systemic lupus erythematosus. Under the influence of a constant focus of infection, heart defects can develop, and in addition, the entire digestive system suffers. Thus, a harmless disease can cause a lot of trouble, which the patient will subsequently have to fight throughout his remaining life.
Symptoms
An exacerbation of follicular tonsillitis occurs up to several times a year, and in weakened patients this process can be observed every month. With an exacerbation of the disease, tonsillitis manifests itself with all its symptoms, which is often accompanied by acute tonsillitis, thus, the following symptoms are observed:
- The appearance of a feeling of pain with sore throat.
- Elevated body temperature.
- Angina affects the occurrence of symptoms of intoxication.
- The presence of plaque on tonsils.
- Enlarged lymph nodes that are under the jaw.
But at the same time, this is especially true for adult patients, chronic tonsillitis during the period of its relapse may not manifest itself in any way with obvious signs. All that can be observed is the presence of a slight deterioration in well-being with mild swallowing pains that go away in just a few days, which is possible even without the use of medication for chronic follicular tonsillitis. But this does not mean at all that the infection has disappeared from the body, but quite the contrary, it continues its development, causing parallel damage to health.
Symptoms without exacerbation
Outside the stage of exacerbation, the chronic form of the disease can manifest itself with an unpleasant odor, which is felt from the mouth, as well as the presence of periodic weakness. In children with a chronic form of angina, colds constantly occur. On examination, doctors see that the tonsils in the patient look quite swollen, and their tissues are loose, while the palatine arches are thickened.
Follicular tonsillitis treatment
It is recommended to treat chronic tonsillitis exclusively under the strict guidance of a doctor. Therapy is divided into a conservative course and surgical intervention. It is necessary not only to restore the function of the tonsils, but also to get rid of other foci of infection in the body. Angina in its chronic stage should be treated not only by the otolaryngologist, but also by a therapist with a dentist. Conservative treatment of follicular tonsillitis is carried out using a special technique and drugs.
- First of all, lacunae are washed using aseptic solutions. This procedure is necessary in order to remove plugs and all pathogens from the tonsils. The procedure for washing the gaps in modern medicine is mainly carried out by an apparatus called Tonsillor. With its help, you can enter medicinal solutions. The medicine is administered by means of an ultrasonic nozzle in order to ensure its dispersion over the entire area of the submucosal layer.
- Laser therapy makes it possible to reduce edema with inflammatory processes in the tonsils.
- Performing ultrasonic irradiation is considered the oldest method, but at the same time it is effective for the rehabilitation of a chronic focus of infection. Ural federal district not only contributes to the destruction of bacteria, but also enhances blood supply along with nutrition in the treated area, which has a positive effect on the speedy regeneration of cells.
Drug treatment
It is also necessary to treat chronic tonsillitis with the help of drugs. Drug therapy should be aimed at eliminating the infection, and in addition, at the general restoration of the functioning of the entire immunity. Based on this, the doctor may prescribe the following treatment:
- The use of antibiotics. Against the background of the chronic form of the disease, it is necessary to carry out bacterial inoculation of microflora, which is taken from the tonsils. Only on the basis of such an analysis will the doctor be able to accurately choose the most effective antibiotics. Antibacterial therapy is always prescribed in the presence of a pronounced exacerbation of the disease, and during remission it is necessary to carry out treatment up to the complete elimination of the pathogen. As a rule, antibiotics often use drugs such as Sumamed or Cefazolin. Preparations for the treatment of follicular tonsillitis are constantly being improved.
- Against the background of antibiotic therapy, it is very important to conduct a course of probiotics. Such drugs will contribute to the restoration of intestinal microflora, which will positively affect the general condition of the immune system as a whole. For these purposes, as a rule, a course of Linex or Bifidum is prescribed.
- During an exacerbation, it is advisable to use solutions intended for gargling, for example, Miramistin or Dioxidin. In addition, sprays that are suitable for inhalation are used, as well as absorbable tablets.
- Immunostimulating treatment is always suitable in the treatment of chronic infection. In order to increase local immunity in the area of the oral cavity, the drug "Imudon" is prescribed.
Treatment for children under two years
In children under two years of age, the treatment of follicular tonsillitis is practically no different from the treatment of older children.
Antibiotics are prescribed in a dosage that is calculated individually depending on body weight. In addition, the child needs probiotics in order to restore the intestinal microflora.
Means for lowering the temperature are prescribed according to the indications (if it is above 38 º). In children, a convulsive syndrome is possible, if it is not reduced. Such small children are suitable candles or syrups.
Various rinses, lozenges for lozenges and tablets are not suitable for the child. It is permissible to lubricate the tonsils with the Lugol solution using a finger and gauze.
Most often, this age category is prescribed "Flemoxin Solutab" in the form of a suspension.
Therapy for children of two years of age
It also shows the use of antibiotics prescribed by a doctor. Mandatory bed rest whenever possible. You should also give your baby more fluid to remove toxins from the body. But no need to give drinks with gas. Food should be light, high in vitamins. She should not injure a sore throat. Antipyretic drugs are also used, but the temperature should be brought down only in extreme cases, when it is above 38-38.5. It is required to ventilate the room daily and clean with a damp cloth.
An important point in the treatment of follicular tonsillitis in children of 2 years - follicles cannot be squeezed out.
Features of the treatment of children 4 years old
Treatment of follicular tonsillitis in children 4 years of age is a little easier.
Kids can already gargle on their own, but you need to do this under the supervision of an adult. Ready-made antiseptic solutions are sold in pharmacies, but they are easy to make with your own hands. For example, "Furacilin" is often used.
Means such as Miramistin and Chlorhexidine can also be used. They irrigate the oropharynx or treat the tonsils with a finger and a gauze swab.
Solutions of chamomile, oak bark, calendula, sage are also suitable for rinsing. These plants have antiseptic, anti-inflammatory and wound healing effects.
Treatment for 10 years old children
For the treatment of follicular tonsillitis in children 10 years of age and older, you can use:
- Hexoral;
- "Proposol";
- Givalex;
- Lugol Spray.
Also, they can safely give tablets for resorption. They have a detrimental effect on microbes, as a result of which the pain when swallowing disappears, signs of inflammation decrease. They are composed of an antibacterial component that quickly destroys the causative agent of the infection, if used in combination with antibiotics in tablets.
The following drugs are approved for use in the treatment of follicular tonsillitis: Faringosept, Lizobakt, Grammidin.
But the “Septolette” and “Strepsils” are appointed from 12 years old.
When treating follicular tonsillitis in asthma, it is important to remember that moderate and severe degrees of the disease provoke severe swelling, which can lead to suffocation, therefore, therapy should be carried out in a hospital.
Tonsil Removal
What else involves the treatment of follicular tonsillitis in children 2 years old? Pathology often requires surgical intervention, which involves partial or complete removal of the tonsils. Often, doctors prefer to treat tonsillitis with the method of EHF. As part of this method, the inflamed tissue is removed, which reduces the size of the gaps, but the main functions of the tonsils are preserved. Against the background of timely access to a doctor, treatment is mainly performed by conservative methods.
Differences of angina of lacunar and follicular and treatment will be discussed below.
Differences
Lacunar angina is characterized by a purulent coating of yellow-white color, which is located in the recesses of the tonsils. Unlike lacunar, in follicular pus it forms on the lining of the tonsils, in shape resembles vesicles of light yellow color. When merging, tonsillar abscesses form.
This separation of tonsillitis is very superficial, it is based on the external picture of the disease.
Therapy of these forms of angina has slight differences. Since lacunar tonsillitis is accompanied by abscesses in the recesses, then removing them at home will lead to the fact that the inflammatory process begins in deeper tissues, which will aggravate the course of the disease. Removal of pus should be done by a doctor. He, using a special syringe with an antiseptic, flushes every lacuna from pus. The surface of the tonsils is vacuum-cleaned.
Methods of pathogenetic treatment
As part of the treatment of tonsillitis, doctors use drugs that are aimed at correcting the mechanisms of pathogenesis. Thus, immunity correction is carried out along with vitamin therapy, as well as antihistamines and physiotherapeutic manipulations.
- Carrying out immunocorrection. This method is widely used in the case of tonsillitis of viral etiology.
- The implementation of vitamin therapy. This technique is used in combination with a diet and the correct daily routine.
- The use of antihistamines. Sore throats can cause sensitization of the body, in this regard, the use of appropriate drugs is justified in case of allergic complications.
- Carrying out novocaine blockades. In some situations, novocaine blockades are used as a means of pathogenetic treatment.
- Conducting physiotherapeutic manipulations. Against the background of follicular tonsillitis, tonsil irradiation is prescribed along with applications of medications and inhalations.
Tonsillectomy as one of the treatment methods
Often, in the presence of a chronic focus of infection, doctors resort to surgical methods of treatment. Surgical removal of tonsils is a widely used manipulation. A tonsillectomy, which involves removal of the tonsils, is performed under local and sometimes general painkillers. True, this manipulation is not shown to everyone. In this regard, there are absolute as well as relative contraindications. Absolute contraindications are hemophilia along with renal and heart failure, and in addition, severe metabolic disorders and the like. Relative contraindications in this case are pregnancy, exacerbated infectious diseases, and so on.
What are the likely consequences?
The appearance of a peritonsillar abscess, which sometimes turns out to be an aggravating consequence of follicular tonsillitis, can also be complicated by the development of infectious toxic shock, sepsis, streptococcal meningitis or Lemierre syndrome (pharyngeal abscess, which is complicated by sepsis and thrombophlebitis of the internal jugular veins). In this regard, this pathology is best treated in a hospital setting under the continuous supervision of doctors.
In addition, one of the most serious complications of the disease is streptococcal otitis media. In addition, local complications that affect closely located organs include acute laryngitis along with phlegmon of the neck and lymphadenitis.
In addition to purulent pathologies, the consequences of chronic follicular tonsillitis can be metatonsillar complications, which include glomerulonephritis along with pyelonephritis, acute rheumatic fever, myocarditis, orchitis, arthritis, vasculitis, chorea, cholecystocholangitis and syndrome.
Conclusion
And in conclusion, it should be emphasized that chronic sore throat, including follicular, is a rather insidious disease that threatens with serious complications, and therefore it is impossible to take it lightly, but it is necessary to treat it without fail.