Inflammation of the tonsils
Introduction
Introduction The cause of tonsillitis is not only a cold, excessive fatigue, seasonal changes and poor health. The symptoms of acute tonsillitis are sore throat and fever. It is characterized by easy to change chronic, and the symptoms will be more stable, but when it is tired, it will cause sore throat and prone to fever. Progressive, it can also cause complications such as otitis media or nephritis. It is best to have a doctor's diagnosis when severe pain persists for 2-3 weeks and there is no fever.
Cause
Cause
1. Acute tonsillitis is often a common violation of viruses and bacteria. In general, preschool children are prone to viral tonsillitis, and older children and adults are prone to bacterial tonsillitis. Many viruses that infect the upper respiratory tract (such as influenza, parainfluenza, and rhinoviruses) often cause viral tonsillitis.
2. Bacterial infections, including diphtheria and blushing fever. With the development of immunological preparations and antibiotics, such bacteria have become less. The tonsils can also be enlarged in patients with mononucleosis.
3, there are many reasons for tonsil inflammation, the pathogen of tonsillitis is mainly hemolytic streptococcus, other such as staphylococcus, pneumococcal, influenza bacillus and viruses can also be caused. The pathogen is introduced by droplets, direct contact, etc., and is usually hidden in the tonsil pit. When the body is weakened by fatigue, cold or other reasons, the pathogen rapidly multiplies and causes disease.
4, when the child has a cold, fever, tonsils are often inflamed, if repeated inflammation, it will prevent the toxins from the tonsils, easy to become "lesions."
5. There are pathogens in the pharynx and tonsil crypts of normal people. When certain factors reduce the body's defense ability, the pathogens existing in the body multiply, and the external pathogens take advantage of it, leading to acute tonsillitis.
6. Chronic tonsillitis is caused by repeated episodes of acute tonsillitis or poor drainage of the crypts, resulting in chronic inflammatory lesions in the tonsils and their parenchyma.
7, the pathogen of tonsillitis can be introduced by droplets or direct contact, usually hidden in the tonsil pit, once the body is tired due to fatigue, cold or other reasons, the pathogens rapidly multiply And cause tonsillitis.
Examine
an examination
Related inspection
Blood routine ear, nose, throat swab bacterial culture
Physical examination
1, acute illness, complexion flushing, bad breath, thick tongue coating, cervical lymph nodes, especially at the mandibular angle, the lymph nodes are often swollen and tender.
2, pharyngeal examination see tonsil congestion, swelling, the surface may have yellow-white purulent secretions, and sometimes the exudate can be fused into a membrane.
3, hematological examination: the total number of white blood cells increased, neutrophils increased.
Hematology examination
The total number of white blood cells increased and neutrophils increased.
Diagnosis
Differential diagnosis
Attention should be paid to the differentiation of pharyngeal diphtheria, scarlet fever, epidemic hemorrhagic fever, ulcerative membranous angina, mononuclear leukocytosis, granulocytic leukemia and lymphatic leukemia.
diagnosis
1. Open your mouth, lower your tongue, and make a "ah" sound. You can see the pink small meat mass on both sides of the throat. It is the tonsil, commonly known as the tonsil.
2. The tonsils develop from 10 months, and 4-8 years old is the peak of development. Therefore, the tonsils in this age group are slightly larger and stop developing around 12 years old.
3, tonsil is the portal of the respiratory tract, especially in childhood, is an active immune organ, and contains lymphocytes and immune cells at various developmental stages, can inhibit and eliminate pathogenic bacteria and viruses entering from the nose and mouth.
The main pathogen of acute tonsillitis is streptococcus. The symptoms are often acute fever, sore throat, and the pain is aggravated when swallowed and can be radiated to the ear.
Examination showed visible pharyngeal congestion, tonsil enlargement and pus. In children, the incidence of acute tonsillitis is very high, especially after 3 to 4 years of age, children and young people are more common, after 50 years of age due to atrophy of the tonsils, inflammation is rare.
