Angina

Angina

(from Latin ango – squeeze, soul), acute infectious disease with a predominant lesion of the palatine tonsils. The causative agent is more often streptococcus. Angina is one of the most common diseases, especially in childhood and young age. The emergence of angina contributes to the cooling of the body, the presence of chronic inflammation of the tonsillar tonsillitis (tonsillitis).

Angina

Catarrhal

(the easiest) begins with a slight swelling of the tonsils; the mucous membrane of the pharynx turns red; there is dryness in the throat, then there is pain when swallowing. The temperature in adults usually rises slightly, in children it can rise to 40 ° C. The disease lasts 3-5 days. With lacunar angina, all manifestations are more pronounced. The temperature quickly builds up, there is a pain in the throat, weakness, headache. In the deepening of the tonsils (lacunae), purulent plugs are formed, protruding to the surface of the tonsils. Follicular angina usually begins with a sudden chill, an increase in temperature to 39-40 ° C, a sharp pain in the throat. Soon there is an ache in the limbs and back, headache, a sense of general frustration. On swollen and reddened tonsils, a large number of round yellowish points – suppurated small lobules of the amygdala (follicles). Under unfavorable conditions (reduced resistance of the body, severity of infection), angina can go into phlegmonous angina – purulent inflammation of the tissues surrounding the amygdala, and the formation of an abscess. The temperature rises to 39-40 ° C, there are chills, general weakness; the pain in the throat (more often on the one hand) is rapidly growing, sharply increasing when swallowing, opening the mouth, which often forces the patient to refuse to take nurse and drink. With phlegmonous tonsillitis, surgical intervention is often necessary. With angina, complications can occur – joint, kidney, heart disease.

Treatment

– Bed rest, warm (not hot) liquid nutritious food (vegetable soups and mashed potatoes, liquid porridges, kissels, compotes), vitamins, frequent warm drink (milk, sweet tea with milk) is mandatory. On the neck – a warm bandage or warming compress; gargling of the throat with disinfectant solutions (2% boric acid: common salt, potassium permanganate – weakly-colored), sulfonamide preparations, in severe cases – antibiotics. A sick sore throat should have a separate dish, avoid close contact with others, especially children, so as not to infect them. Prevention of angina is systematic hardening, timely treatment of diseases of the pharynx and mouth (adenoidal lesions, chronic tonsillitis, dental patients). Angina can be not only an independent disease, but also one of the symptoms of some common infectious diseases (scarlet fever, diphtheria), as well as manifestations of diseases blood (leukemia). Therefore, at the first signs of sore throat should consult a doctor. There are many misconceptions associated with angina. What do doctors think about them?

Any sore throat is a sore throat.

Sore throat can be not only with angina, but also with pharyngitis. Angina is an acute inflammatory process in the palatine and other tonsils of the pharynx, and pharyngitis is an inflammation of its posterior wall. With angina, antibiotics are mandatory, and with pharyngitis, it is often enough to use folk remedies. If you have an infection accompanied by pharyngitis, then the appointment of antibiotics is not justified. It can lead to a decrease in immunity, the destruction of useful microflora of the nasopharynx and intestines. Another danger of unjustified antibiotic treatment is the emergence of drug-resistant varieties of bacteria.

Angina is a problem only in people with a weak throat.

Actually, sore throat can “knock” everyone, including an absolutely healthy throat. It often happens in unoccupied people, not accustomed to changes in temperature and humidity. However, it is noted that the number of patients with angina decreases significantly after 30 years of age. This phenomenon is associated with the changing features of immunity.

Angina infects only with close contact with the patient, for example, when kissing.

The main way of transmission of sore throats is airborne, so infection can spread when talking at close range. In rooms with low temperature and high humidity, the risk of “migration” of microbes is particularly high. There is another way of infecting angina – food, that is, through food. In milk, minced meat, vegetables, compotes, jelly, mashed potatoes can get microbes from small pustules on the skin of hands. There are cases when several dozen people were infected from the infected hands of the cook with angina. Therefore, you can not use common utensils, one towel and a handkerchief with a sick person. Ill with a sore throat in an acute period you need to have as few contacts as possible. However, the “infectiousness” of angina is not absolute. It is only less than 15 percent. It is lower than that of influenza and other acute respiratory infections. There are many cases where healthy people kissed patients with angina and did not become infected. The whole thing is in the state of the human immune system.

Angina

Angina can be moved on legs or lie down for a couple of days at home.

Many people are not serious about this disease. Think, it will hurt your throat, a couple of days the temperature will hold. However, unlike viral pharyngitis, angina is dangerous because of its unpredictable consequences. Infection can penetrate into the ears, the maxillary sinuses, the heart and cause inflammation in these organs. Complications of frequent angina may be rheumatism and heart defects developing on its background. Sometimes after a sore throat there are serious kidney diseases. Very dangerous are local complications: inflammation of the tissues around the tonsils. Penetration of infection into surrounding tissues leads to the formation of an abscess, which requires surgical treatment. An untreated infection can lead to recurrence of the disease and, in the future, to chronic tonsillitis. In addition, the symptom of angina can mask such a formidable disease as diphtheria. The earlier diphtheria is detected, the more chances for successful cure from it without consequences. Because the pathogens of diphtheria excrete the strongest toxins, which immediately begin to affect the heart and kidneys. One hundred percent answer to the question: angina or diphtheria? – gives only a special smear. Therefore, if you have a sharp pain in the throat and a high fever, you should definitely consult a doctor.

You can cope with sore throats with home remedies, such as rinsing your throat.

Home remedies for angina are effective only at the first stages of the disease. Even before the doctor’s arrival, it’s good to start treatment yourself. At a high temperature, you can take an antipyretic medicine: koldreks, fervex, panadol, efferalgan or nurofen. Preference should be given to those medicines that are available in the form of powders or effervescent tablets. They are easier to swallow. You can apply and antipyretic candles – efferalgan or cefekon H. All these drugs will simultaneously reduce the pain in the throat and reduce the temperature. You can also dissolve in the mouth antiseptics in candies, lozenges or resorption tablets that have antimicrobial activity. Now there are new forms of drugs for the treatment of throat diseases – sprays. Gargle with throat is undoubtedly necessary, this procedure speeds up recovery. It is better to use infusions of herbs – chamomile, eucalyptus, marigold or sage. In the early days of the disease mouth rinses are useful, with a warm solution of soda, prepared from the calculation of one teaspoon per glass of water. However, antiseptics from rinses, candies and spray can not get inside the amygdala, into its tissue. Namely, there is a multiplication of “malignant” bacteria. That’s why antibiotics for angina are the most important and necessary drugs.

If there are antibiotics at home, you can start treatment yourself and not call a doctor.

With a sore throat, there can not be a standard set of medicines. Appoint a doctor should a doctor.Throughout the world and in our country, the resistance of microbes to antibiotics is growing. It arises for various reasons, including because of uncontrolled use of drugs. Ideally, before taking the medicine, a smear is taken from the patient’s throat. It is needed to find out which bacteria caused the disease. A smear also reveals the sensitivity of microbes to certain medications. Before receiving the results of a smear, antibiotics of a broad spectrum of action are usually prescribed. They act on the main groups of bacteria that cause angina. It takes about three days to check the effectiveness of this or that drug. If there is no result, another must be assigned. To pick up the necessary antibiotic and to estimate its efficiency can only the expert. Staying “one on one” with angina is not recommended because of the fact that with this disease you need a checkup. Analyzes of urine and blood, cardiogram will show whether there are any complications.

A long course of antibiotics is useless. Once the temperature becomes normal, treatment can be stopped.

Some complications of angina develop during the recovery period. It takes time to completely destroy pathogens. Therefore, according to modern ideas, the minimum duration of treatment for angina with antibiotics is 10 days. This statement is true for the vast majority of antimicrobial agents. The only exception is modern azithromycin, or sumamed. It’s enough to take 5 days. In addition to the duration, it is very important to comply with the regimen of taking the drug. Some people think that if the medicine is prescribed 3 times a day, you can drink it at 10 am, at lunch time and at 6 pm. This is not true. For antibiotics, it is very important that there is an equal time between doses. That is, the “3 times a day” scheme implies that you should drink tablets at 8 am, 4 pm and about midnight. During the treatment of sore throats, drink softening tea for the throat. To make it, in ordinary or herbal tea, add the infusion of althea roots and honey. Recovery after a sore throat is normal body temperature for 5 days, no pain in the throat and soreness when probing the lymph nodes of the neck. Blood tests, urine and electrocardiogram should be normal. In order to maximally protect yourself from complications of angina, two more weeks after recovery, you must beware of hypothermia and avoid heavy physical exertion. With an increase in body temperature or the appearance of some other abnormalities within 1-2 months after a sore throat, you should always consult a doctor.

Is it easy to treat sore throats with cough drops?

Perhaps the only substances in the candy that are able to help to some extent with throat disease are menthol or eucalyptus oils, which have been used for several centuries as anti-inflammatory and disinfectants. As for the ability of “cough drops” to heal throat diseases, it is only in the initial stages of the disease that they to some extent contribute to the prevention of the development of the disease. But in the midst of sore throat or pharyngitis, they can cause only a brief relief. Independently, however, can not cure a sore throat.

Chronic tonsillitis can be cured by yourself, regularly removing corks from the tonsils.

In fact, in no case can you remove plugs, squeezing them with a spoon, a spoke (and sometimes this) and other improvised means. The injury of tonsillar tissue, the introduction of infection, as well as the possibility of confusing corks with suppurated follicles with exacerbation of sore throat, can lead to serious consequences.

Angina

To avoid angina and chronic tonsillitis, you need to remove the tonsils.

Such a position for a long time was dominant in the medical environment. However, according to recent data, the removal of tonsils in a significant percentage of cases does not guarantee getting rid of diseases of the pharynx. Inflammation of the posterior wall, nasopharyngeal and lingual tonsils.In addition, surgery is a radical intervention in the functioning of the body. Its consequences may not always be favorable. In addition, palatine tonsils – the body of the immune system, which in humans has a protective function. That is why many doctors try to first use all possible non-operative methods of treatment. And only in extreme cases, when the tissue of the tonsils ceases to fulfill its functions due to constant inflammation, a decision is made about the operation.

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