Acute tonsillitis is an acute bacterial infectious disease that occurs in the tonsils, with inflammation of the surrounding mucosa and lymphoid tissues, and is a very common pharyngeal disease. So what is the cause of acute tonsillitis and how is it treated?
What is the cause of acute tonsil?
1. Type B hemolytic streptococcus is the main pathogenic bacteria, non-hemolytic streptococcus, staphylococcus, pneumococcus pneumoniae, influenza bacilli and adenovirus, herpes virus can cause. Sometimes bacterial viruses are mixed. Anaerobic and Gram-negative infections have increased in recent years. Pharyngeal and tonsil crypts in normal people (the pharyngeal mucosa and tonsils have many small nests that are invisible to the naked eye and a few large nests that are visible to the naked eye). There are many pathogens in the body. These bacteria multiply, secrete toxins, destroy the tonsils and pharyngeal mucosal epithelium, invade the parenchymal tissue, and cause inflammatory reactions.
2. The factors that cause the decline of low resistance are: cold, damp, overworked, excessive tobacco and alcohol, harmful gas stimulation and chronic lesions such as nasal cavity and nasopharynx (such as acute, chronic rhinitis and sinusitis).
3. The disease is contagious, and its transmission mode: air droplet transmission and contact transmission. Outbreaks can occur when groups gather.
How is acute tonsillitis treated?
1. Treatment of acute tonsillitis:
Mainly using supportive therapy, intake to maintain sufficient water and heat to clear away heat and relieve pain. If you cannot get enough calories and fluids by mouth, you need intravenous fluids, antibiotics, and pain management. Home intravenous therapies can be performed at an eligible home health service provider or the patient has the ability to ingest independently from the mouth to ensure water intake. Glucocorticoids can be administered intravenously to reduce pharyngeal edema.
2. Airway obstruction:
Nasal airway equipment may need to be placed, glucocorticoids given intravenously, and oxygen given. Use detection equipment to observe the patient's airway obstruction until the infarction is resolved.
3. Indications for surgery:
Chronic or recurrent tonsillitis (streptococcal carrier status) in patients who have had streptococcal pharyngitis 6 times in 1 year, 5 times in 2 consecutive years, or 3 or more tonsil and / or adenoid infections each year in 3 years However, patients with β-lactamase resistance should be given tonsillectomy despite appropriate drug treatment.
Tonsillitis and its complications are more common. Most patients with bacterial tonsillitis are treated with antibiotics, and surgery is used to treat infections and difficult-to-treat complications. To better understand the immunological mechanism of tonsillitis, actively investigate the pathogenicity and drug resistance of bacteria and viruses, and explore new technologies for the treatment of tonsillitis, enabling doctors to continue to build long-term experience.
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