Watch out for tonsillitis

Cold weather is a condition for bacteria and viruses to cause tonsillitis to work. At the Ear - Nose - Throat specialist clinic of Cho Ray Hospital, the proportion of people with tonsillitis accounts for about 30% of the total number of patients coming to the examination (3 to 5 times higher than before).

It is worth noting that during this time, the number of patients with tonsils abscess caused more and more severe damage to the throat, larynx and windpipe.

Sore throat, mild fever, aches . may have tonsillitis

Tonsillitis is a common disease in both children and adults. Tonsillitis often manifests itself in symptoms such as: sore throat - feeling of swallowing or difficulty swallowing, mild fever, lethargy, body aches, bad breath, headache, some cases of feeling tension in the lower chin area due to lymphadenitis under the jaw and causing pain.

Unlike sore throat, tonsillitis when examining often see the lining in the red throat, especially the tonsils on both sides swell greatly, sometimes not large but swallowing problems because there are white dots like a lot of residue clinging on tonsils.

In children, tonsillitis can cause endocarditis and can also cause arthritis at low rates. In adults is usually tonsil abscesses, abscesses around the tonsils even abscess slipped down to the neck, rarer latex from tonsils can go down to the neck into the chest causing pus around the heart is very dangerous.

According to scientists, the cause is caused by bacteria, viruses or both. In particular, the bacteria that cause tonsillitis are usually: group A streptococci of Streptococci (GABHS) with a rate of over 40% of cases in adults and over 75% in children; In addition, other types such as Staphylococcus, Moraxella catarrhalis, Hemophilus Influenza, Mycoplasma pneumonia . also account for about 10%.

Besides germs, there are also about 10 different types of viruses that cause tonsillitis. Among them, 3 types of viruses are most common (accounting for 10% -20%) that are Adenovirus, Rhinovirus and EpsteinBar virus .

Avoid eating spicy, hot, sour . after surgery

Currently, there are two treatments for tonsillitis: medical treatment or tonsillectomy. In particular, the main method is still internal medicine with analgesics and antibiotics if caused by bacteria, because it is not invasive, safe.

Commonly used drugs belong to Beta-lactam group such as Penicilin V in the form of intramuscular injections, oral or injecting Amoxicilline + clavulanic acid (Augmentin, Amoxiklav .) . or new generation drugs of Cephalosporin group such as Cefuroxime (Zinnat, Zinnacep . .), Cefaclor (Ceclor), drug of Macrolides group (Zitromax, Claritron .) is also very effective if used twice a day, used in 10-14 days / batch in adults, so children should use drinking with the above time . In addition, need to rest, use throat medicine, brine warm water.

However, when the dosing method fails or in the case of multiple episodes of tonsillitis in the year (4-6 episodes, each episode lasting more than 2 weeks) or at least once the tonsils have pus inside ( abscess), swollen tonsillitis, which is too big for breathing or difficulty swallowing in children . people can use tonsillectomy surgery as directed by an ENT specialist.

Currently, tonsillectomy is usually performed with anesthesia because of its superiority over anesthesia, the incidence of anesthesia tonsillitis in Singapore and the United States is 100%. It is worth noting that tonsillectomy is an invasion, so patients need to follow the doctor's care regimen to avoid injury to the wound.

Normally, after cutting tonsils, patients stay in the hospital for 1 night and the next day leave the hospital. Meet the bleeding after cutting, stay 1-2 more days. Rarely, some people have bleeding after surgery on 7-10 days due to 'eyebrow' in the tonsil puncture, if it should occur, return to the nearest cut or BV to stop bleeding.

Do not speak after cutting, say immediately after 1 day to avoid pulling the scar of the throat muscles can affect the voice later. Food should be abstained from the doctor's prescription, specifically sour, spicy, hard and hot substances from 10-14 days. Do not go to crowded places like supermarkets, theaters, fairs.

In the first 1-2 weeks after surgery, it is very easy to infect the respiratory tract from others because the body of the tonsil is still "not strong". Drink plenty of water, eat or drink nutritious water such as juice, milk, and soup. Do not smoke or drink alcohol, beer because it is very irritating and coughing, not good for restoring the 'lining' of the throat after surgery. Normally, without bleeding after surgery, the patient can return to his normal work and study after a week.

According to Dr. NGUYEN TRONG MINH (Cho Ray Hospital)