Whether the tonsils should be cut or not


The child's tonsils are always inflamed, and the child is sick every two or three days to run to the hospital, which makes many parents worry about it. But do not cut, parents are quite tangled. Should you cut your tonsils or not?

Don't look down on swollen tonsils

Why can tonsillitis cause such a serious condition? This starts with the special structure of the amygdala itself.

The tonsil is located in the triangular tonsil fossa between the palatine lingual arch and the palatine pharyngeal arch on both sides of the oropharynx, guarding the first barrier between the human body and the outside world, and playing a role in childhood!

When the body's resistance is low, it is easy to be attacked by bacteria and inflammation, beta hemolytic streptococcus is the most important enemy to attack the tonsils.

Inflammation at the beginning of the attack, there is sore throat, fever, fatigue, poor appetite, the disease can be aggravated after high fever, headache, back and limb pain and other symptoms, children will be shown as flushing face, unwilling to speak, halitosis, you can see tongue fur, tonsils swollen, surface exudates like tofu residue, even into a false film, mandibular Angle can feel swollen lymph nodes.

Mild illness, you can rest in bed, liquid diet, drink more water, strengthen nutrition, gargle with warm sugar water; The condition is aggravated, you need to go to the hospital for anti-infection treatment, penicillin is generally the first choice for treatment, a course of 5-7 days, but it must be reminded that parents do not stop taking the drug themselves, because antibiotics have the principle of sufficient amount and sufficient course!

Tonsillectomy should not be determined according to the condition

Tonsillitis is not terrible, terrible is not treated after the serious complications. It turns out that after repeated inflammation of the tonsils, a series of inflammatory molecules are produced, and these inflammatory molecules combine with some antibodies in the body to form an immune complex, just like a destructive molecule found an invisibility cloak in the human body, the body can not find, can not clear these destructive molecules, they can go everywhere with the blood flow in the body, where they go to destroy.

If it reaches the heart, it may lead to acute pericarditis or acute endocarditis. In the joints, it leads to acute arthritis; Like the above Xiaoming is the destruction of molecules to the kidney, resulting in acute glomerulonephritis and acute kidney failure and a series of twists and turns, and finally had to remove the tonsils, the cause was removed, and the nephritis soon recovered.

Many parents think that tonsil is an immune organ, resolutely can not cut! But should the tonsils be cut? It has to depend on the condition!

Tonsillar immune function is gradually active with age, especially at the age of 3-5, and significant increase is a normal physiological phenomenon that does not require treatment. After puberty, immune activity tends to decline and gradually shrink. Under normal circumstances, tonsillectomy is not recommended for children under the age of 4.

However, in the following cases, surgery must be considered:

  1. Tonsil inflammation occurs repeatedly, 7 times in a single year, or more than 5 times a year for two consecutive years, and operation is performed 2-3 weeks after the onset of inflammation. If the inflammation occurs frequently and cannot be waited for long, the operation will be performed after the inflammation subside, and the inflammation will invade the surrounding structure and appear peritonsil abscess;

  2. Hypertrophy of tonsils, obstruction of swallowing, breathing and pronunciation, sleep apnea hypopnea syndrome, chronic hypoxia in children, affecting physical and intellectual development;

  3. Tonsillitis as a focus leads to diseases of other vital organs of the body, such as acute nephritis, myocarditis, etc.;

  4. There are new organisms on the tonsils and diphtheria bacteria in the tonsils, which are also indications of tonsil surgery.

How to prevent tonsillitis

Prevent tonsillitis, usually to strengthen exercise, enhance physical fitness; Avoid catching cold to prevent colds; Less overtime, less stay up late, avoid excessive fatigue and resistance decline; Gargle frequently, pay attention to oral hygiene; Keep your mouth shut, eat less spicy and irritating food, and replenish water.

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