How to cure tonsil inflammation?

Tonsils often inflammation, the old recipe, the practice is very simple, to kill a good chub wash, cut the fish belly, cut the fish belly plus the old tea **** steam, steamed after drinking soup on the line. Inflammation of the tonsils there is a very good earth method: quick results, pour half a cup of hot water and then a few drops of sesame oil gargle after swallowing, soon comfortable. Continuously continue for 3-5 days can be. A prescription of Chinese medicine: wild chrysanthemum, bean root, dandelion, eustoma, Panax quinquefolium, licorice, maitake. Boil water with a little bit of all, tonsil inflammation, drink a few times to get well. Reference dosage Dandelion 25 grams The rest 6 grams each. =============================== Many patients have symptoms of inflammation of the tonsils, and some are often inflamed, some people want to ask the doctor to give surgery to remove the tonsils. Then tonsil inflammation, in the end how to treat it? Tonsils contain infection-fighting cells and are a kind of lymphatic tissue in the pharyngeal cavity, on both sides of the pharyngeal and oral junction. Why are the tonsils inflamed Why are the tonsils always inflamed? The tonsils are considered one of the defense organs of the respiratory tract, filtering out germs and producing antibodies to protect the respiratory tract and esophagus from germs, and they are at their most developed between the ages of three and five. As with other lymph glands, if germs invade the body, it will enlarge and proliferate. This is why many respiratory infections are associated with redness and inflammation of the tonsils and lymph glands of the throat. If the inflammation of the tonsils is particularly severe, there will be pus. There are many pathogenic microorganisms that can invade the body and cause tonsillitis. Seventy percent of the infections are viral, such as rhinovirus, coronavirus, adenovirus, influenza virus, parainfluenza virus, enterovirus, etc. The remaining few are bacterial. The remaining few are caused by bacterial infections. Viral infections tend to be followed by bacterial infections, producing more severe clinical manifestations. Due to the different resistance of each organism and the different germs, tonsillitis has different symptoms with a variety of manifestations. In some cases, there are symptoms such as mild cold symptoms, swollen lymph nodes in the neck and mouth ulcers. Of course, there may also be more severe cold symptoms, general malaise, and so on. Sometimes the tonsils swell so much that they prevent the nose from breathing freely. Certain viruses may even cause the tonsils to swell to the point where there are symptoms of upper respiratory tract obstruction, making it difficult for the patient to breathe. Is it serious to have inflamed tonsils Is it considered serious to have tonsillitis? Will there be any adverse effects? Basically, tonsillitis itself is a very benign disease, however, the problem may lie in the pathogenic bacteria itself, the severity of the infection and the strength of the body's resistance. If the causative agent only causes a localized infection of the tonsils, the infection will pass and you will be fine. However, some pathogenic bacteria can have systemic effects, and then there may be a more complicated course of the disease or bad sequelae, such as arthritis, nephritis, myocarditis, endocarditis and so on. In the form of tonsillitis, it is quite straightforward, and the condition of the tonsils can be visualized by eye. Let the patient open his mouth wide and observe the changes in the tonsils and oropharynx to know whether there is tonsillitis. However, in addition to diagnosing tonsillitis, another important task for the doctor is to distinguish whether the infection is bacterial or viral, whether there is a systemic infection, and whether there are other complications. Often bacterial illnesses may need to be treated with antibiotics, while viral illnesses do not require antibiotics, and blood tests can be taken to help with the diagnosis if needed. These infections are contagious, so people with tonsillitis should try to stay out of the house if they can, and in severe cases, rest and get proper fluids. Some people have frequent recurrent infections and their tonsils become larger than normal, while others are born larger and become even larger with frequent infections. Tonsillectomy may be considered if it sometimes interferes with breathing or causes loud snoring while sleeping, or even affects the quality of sleep. When is it necessary to remove the tonsils? Tonsillectomy is necessary in the following cases: frequent episodes of tonsillitis, or when the tonsil lesions have a generalized effect on the health or interruption of schooling, as well as when it affects the hearing or breathing. However, sometimes a tonsillectomy is not necessary and if the diagnosis is doubtful, it is necessary to consider whether there is another problem. --------------------------------------- Indications for tonsillectomy include: four or more episodes of tonsillitis a year; three or more episodes of tonsillitis a year for two years; upper respiratory tract obstruction caused by enlarged tonsils, resulting in severe snoring, poor swallowing, and slurred speech; one or more episodes of Tonsillar abscess; tonsils have caused systemic diseases and become focal tonsils; repeated inflammation of tonsils causes recurrent or prolonged attacks of rhinitis, otitis media, bronchitis and so on. Surgery is performed under general anesthesia, and the tonsils are stripped and removed while the patient is in a deep sleep and has no pain perception. Most incisions heal naturally without stitches. Patients are usually hospitalized for more than 24 hours after surgery. Tonsillectomy is generally not considered to have any adverse effects in later life. ---------------------------- Tonsillectomy has both advantages and disadvantages Some parents, because their children often have inflammation of the tonsils, ask the doctor to give their children surgery to remove the tonsils, but the doctor will generally consider carefully. Why can't we just remove the tonsils? The tonsils are the largest lymphatic tissue in the pharynx. In childhood, it is an active immune organ, containing lymphocytes at all stages of development, such as T cells, B cells, phagocytes, etc. It is also an important organ for the immune system. Therefore, it has both humoral immunity, producing various immunoglobulins, and some cellular immunity. The immunoglobulin IgA produced by tonsils is highly immunogenic and can inhibit bacterial adhesion to the respiratory mucosa and inhibit the growth and spread of bacteria, as well as neutralize and inhibit viruses.IgA also enhances phagocytosis through complement activation. These are most active between the ages of two and five. From an immune point of view, tonsils should not be casually removed due to their immunizing effect on the body. Enlarged tonsils in children are a normal physiologic phenomenon and should not be removed if they are enlarged but do not interfere with respiration and swallowing and do not produce more severe clinical manifestations. This is because removal may affect the local immune response and reduce the body's ability to fight infection. Tonsillitis should be removed promptly if it is recurrent, interferes with breathing and swallowing, and causes diseases such as rheumatism and nephritis. Generally children's tonsillectomy should be carried out after the age of four, and it is more appropriate to wait for two weeks to three weeks after the inflammation subsides to be removed. However, if the attacks are too frequent to wait, surgery can be considered a few days after the attacks subside. --------------------------------------------------------- Tonsillectomy is an effective treatment, while others, such as crypt irrigation, electrosurgery, and immunotherapy, are of uncertain efficacy and may be used only in those for whom surgery is contraindicated. Tonsillectomy (tonsillectomy) Indications (a) Repeated acute episodes of chronic tonsillitis. (B) History of peritonsillar abscess. (C) Excessive hypertrophy of tonsils, which prevents swallowing and breathing and leads to nutritional disorders. (D) Patients with rheumatic fever, nephritis, arthritis, rheumatic heart disease, etc., who suspect that the tonsils are the focus of the disease. (E) Because of tonsil, proliferative body hypertrophy, affecting the function of the eustachian tube, resulting in chronic oozing otitis media, which is ineffective after conservative treatment. (F) People with diphtheria carrier, who are ineffective after conservative treatment. (G) Unexplained long-term low fever, and tonsils and chronic inflammation exists. (H) various benign tonsil tumors, malignant tumors should be carefully selected cases. Contraindications (A) acute tonsillitis attack, generally do not perform surgery, need to be 3-4 weeks after the inflammation subsides before surgery. (B) Blood disease, hypertension, heart disease with insufficient compensatory function, active tuberculosis, etc. are not suitable for surgery. (C) Rheumatic fever and nephritis are not suitable for surgery when the systemic symptoms are not controlled. (D) In poliomyelitis and influenza, women's menstrual period and menstruation should not be operated temporarily. (E) Patients with immunoglobulin deficiency or high incidence of autoimmune diseases among their family members. Those with white blood cell count below 3000. Preoperative preparation (1) Carefully inquire about the medical history and physical examination, paying special attention to the inquiry about the history of bleeding and the examination of bleeding and coagulation mechanism. (B) Blood, urine and stool routine coagulation time. (C) chest X-ray, electrocardiogram. General anesthesia, liver and kidney function tests. (D) general anesthesia, preoperative fasting, the use of local anesthesia, preoperative discretion to eat a small amount of food or fasting. Subcutaneous injection of atropine half an hour before operation. (Squeeze cut method is exempted). Patients who are nervous can take sedatives. Surgical methods: peeling method and squeezing and cutting method. (I) Dissection method (1) Anesthesia and position: If local anesthesia is used, take the sitting position or semi-sitting position; if the pharyngeal reflex is sensitive, spray 1% kainic acid in the pharynx, and then infiltrate anesthesia with 1% nufcaine (plus 1:1000 adrenaline) in the submucosa of lingual palatine arches and pharyngeal palatine arches, as well as the peritonsilic area around the outer tonsils. (1) Incision: Hold the tonsil with tonsillar forceps and pull it inward and upward to expose the mucosal folds between the free edge of the lingual and palatal arches and the tonsils, and incise the mucous membrane here with a curved sharp knife and incise the mucous membrane between the pharyngopalatine arches and the tonsils in a backward direction. (2) Stripping: Insert the vascular forceps or stripper into the incision of the glossopalatine arch and free the upper pole of the tonsil upward and backward, then clamp the upper pole of the tonsil with tonsil clamps, and then use the stripper to detach the tonsil from its peritonsillar periphery from upward and downward until its lower pole. (3) Excision of tonsils: put the steel wire of tonsil coiler around the tonsil, at the same time, lift the tonsil upward, press the steel wire downward, tighten the steel wire coil, and then strangle the root part of the lower pole of the tonsil, and then excise the tonsil completely. (4) Hemostasis: immediately after excision of the tonsils, the tonsil fossa was compressed with a large cotton ball for hemostasis, and ligation was given when bleeding from blood vessels was seen. Finally, use the palatal arch to pull the tongue and palatal arch, fully expose the tonsil fossa for inspection, such as bleeding has completely stopped, and there is no residual tonsil tissue, one side of the operation is completed. Use the same method to remove the opposite side of the tonsils. 3. During general anesthesia, the patient lies on his back with his head tilted back, a small pillow under his shoulder, and the surgical bed is swung down so that the head is slightly lower than the chest to avoid aspiration of blood into the airway during the operation. Placement of Taiwan Vickers-type cotter, pay attention not to crush the tongue and lips, do not crush down the teeth. (B) squeeze cut method (guillotine method) 1. Anesthesia: general anesthesia or local anesthesia. 2. 2. Operation: the patient to take the supine or sitting position, the assistant will be fixed in the head, placed into the mouthpiece, the operator to tongue depressor pressure tongue, exposing the lower pole of the tonsil, the right hand holding squeeze cutter, from the lower pole of the tonsil into the set, and then rotate the knife ring, so that it is located in the tonsil and pharyngeal and palatal arches between the tonsils and the upper pole of the tonsil into the set, and to the lingual palatal arches to the direction of the tonsil lifting, which is the tonsil in the lingual palatal arches under the bulge into a "mass". At this time, the tonsil bulges into a "lump" under the tongue and palate arch, that is, with the left thumb or forefinger to squeeze the "lump" into the ring, and then tighten the knife handle, push the knife pole forward, so that the blade cuts into the end of the knife ring, and then cuts down the tonsil with a rapid and powerful twisting and lifting action. The contralateral tonsil is removed in the same way. The assistant quickly turns the patient's head to the side, so that he or she can spit out the blood. The hemostasis method is the same as the stripping method. Postoperative treatment (a) The patients are in lateral position. Local anesthesia patients will be instructed to flow the secretion from the mouth along the corner of the mouth, do not swallow, in order to observe whether there is bleeding. General anesthesia patients should be noted whether there is a swallowing movement before awakening, if so, should check whether there is bleeding. (ii) Three hours after the operation, you can eat fluids, and after six hours, you can gargle with salt water. When the wound is painful, cold compresses can be applied to the neck. (c) On the second day after surgery, a white film appears on the wound, which is a normal reaction. The white membrane starts to fall off about 5~7 days after the operation, the wound forms granulation, and the surface epithelium starts to grow. If the white film is dirty gray, it should be noted that there is a possibility of infection, and antibiotics can be used and gargle with 0.5~1% hydrogen peroxide solution. Surgical complications and their treatment (a) bleeding: bleeding within 24 hours after surgery for primary bleeding, more common, mostly occurring within 6 hours after surgery, may be the lack of meticulous surgery, the remnants of the left body or hemostasis is not complete, or anesthesia in the vasoconstriction of adrenaline after the disappearance of the vasodilatation of vasodilatation; it may also be the original has been bleeding small bleeding points, due to pharyngeal activity, coughing or a momentary increase in blood pressure, etc. caused by Bleeding, lack of vitamin C, reduced levels of prothrombin, sudden changes in the weather, can also promote postoperative bleeding. Secondary bleeding, often occurring 5 to 6 days after surgery, mainly when the white membrane begins to fall off, bleeding occurs due to swallowing hard food abrasion, which can be prevented if attention is paid. If the bleeding is secondary to infection, the treatment should be strengthened, such as anti-infection. 1. If there is blood clot in the tonsil fossa, it should be taken out and pressurized with gauze ball for 10-15 minutes. When checking the bleeding point, attention should be paid to the hidden place above and below the tonsil fossa, and there are bleeding points below near the root of the tongue and behind the tongue and palate arch, which are more difficult to see. If there are obvious bleeding points, use vascular forceps to clamp the ligation to stop bleeding. 2. Diffuse bleeding, available hemostatic powder, gelatin sponge attached to the pressure on the bleeding. Ineffective when available sterilized gauze ball filling pressure in the tonsil fossa, the tongue and palate arch and pharyngeal palate arch 3 ~ 4 stitches, gauze left in the tonsil fossa 24 hours. 3. Sometimes the patient will swallow the blood, which accumulates in the stomach without being noticed, and after arriving at a considerable amount of blood, sometimes a large amount of blood can be vomited out suddenly, and the patient's pulse counts frequently, and the patient's face is pale, and cold sweat and other early shock phenomena should be taken to replenish fluids, transfusion and hemostasis and other measures, and active resuscitation. 4. Surgical injury to the internal carotid artery: rare, if not handled in time can lead to hemorrhage and death. The main prevention of surgical stripping of tonsils should be close to the tonsils outside the membrane stripping, separation should not be too deep, the adhesion of the tissue should not be cut with knives and scissors. Once the unfortunate occurrence, immediate compression to stop bleeding, and from the neck outside the internal carotid artery suture. (ii) Wound infection: patients with low resistance, poor aseptic operation or postoperative bleeding can be combined with wound infection. The performance of the wound surface does not grow white membrane, or the white membrane is dirty and incomplete, the pharynx is congested, swollen, and the pharyngeal pain is heavy, sometimes accompanied by fever. Apply sufficient antibiotics and 0.5-1% hydrogen peroxide gargle. (C) In addition, it can be complicated with lung abscess, bronchopneumonia, pulmonary atelectasis, deep neck abscess or cellulitis, and respiratory foreign body. Prevention: The first step is to strengthen the body's resistance, and pay attention to the combination of work and rest. Many people often work night shifts, which can easily lead to tonsil inflammation. Secondly, we should reduce the stimulation of tobacco and alcohol, and develop good study and living habits. At the same time, should also actively treat the neighboring organs of the disease, such as acute and chronic rhinitis.

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