Otolaryngology outpatient and emergency departments often encounter such patients: [Doctor, my tonsils are inflamed again, which happened a few days ago. Yesterday, the fever reached 39 degrees. Please give me hanging water quickly! At the same time of prescribing the medicine for examination, the patient asked again: “Doctor, how can this problem be cured?” It is really too painful, should my tonsils be cut or not? The tonsil is the guardian of the human body. The pharynx is the common gateway of respiratory tract and digestive tract. The tonsils are a pair of loyal [guards] of the pharynx. Bacteria and viruses want to enter the body from here. Encountered the tonsils, The tonsils respond, Production of antibodies, Try to resist and destroy them. People usually call tonsils. In fact, it refers to the palatal tonsil in medical terms. It is an immune organ that people are very familiar with. The triangular tonsillar fossa located on both sides of the oropharynx. Acute tonsillitis is a very common pharyngeal infectious disease. It is especially common in children and adolescents. It is easy to get sick when seasons change and temperatures change. Pathogens are transmitted through droplets or direct contact. Cold, overwork, excessive alcohol and tobacco, and harmful gas stimulation can all become inducements. Recurrent attacks of acute tonsillitis are easy to lead to chronic tonsillitis. Chronic inflammation of tonsils not only loses resistance function, but also can become a shelter for invading bacteria and viruses, resulting in various concomitant diseases, such as rheumatic arthritis, rheumatic fever, myocarditis, nephritis, long-term low fever, etc. The article mentioned at the beginning is the most common tonsillitis, like this recurrent attacks, what should I do? When what considered tonsil removal? When chronic tonsillitis has repeated acute attacks and meets the following conditions, doctors will recommend tonsillectomy: 7-8 attacks within one year; An average of 3-5 attacks per year within 2 years; An average of 2-4 attacks per year within 3 years; More serious situation: Chronic tonsillitis has become the cause of myocarditis, nephritis, rheumatoid arthritis, etc. Does tonsillar enlargement in children need to be removed? Mom and Dad brought their children to see the doctor and asked: [Doctor, the physical examination doctor said that the child’s tonsils are very large. Can you help me see if it needs to be cut off? ] Children’s tonsils are prone to inflammation, Easily hypertrophic, This is a problem that troubles many parents. Tonsils are the first immune line of the throat. Arbitrary resection may reduce local immunity of respiratory tract, Therefore, tonsillectomy has its strict indications. Children around the age of 1, The autoimmune system is not yet mature, The tonsil plays a particularly important role in defense. Stimulated by external infection factors, The tonsil function gradually strengthens, The volume also increases with it. It reaches its peak at the age of 3 ~ 5, At this time, basically every child’s tonsils will get bigger. After puberty, As that immune function continue to improve, The tonsil function gradually decreased, And gradually shrink. These are usually normal changes. So tonsil hypertrophy is not a disease, But when the tonsils become hypertrophic, Children may suffer from dysphagia, resulting in low food intake, low weight and vague speech. At this time, the doctor’s advice is to remove the hypertrophic tonsillectomy or perform partial tonsillectomy. Alleviate swallowing and speech symptoms of children. Some children aged 3-10 will suffer from sleep snoring accompanied by mouth opening breathing. Even more, suffocation symptoms may occur. There are usually three reasons for snoring in normal children: Rhinitis, adenoid hypertrophy and tonsil hypertrophy. When tonsil hypertrophy constitutes one of the reasons for children’s sleep snoring with suffocation, tonsillectomy can be carried out on the basis of adenoidectomy to relieve children’s hypoxia symptoms at night. What if something grows on tonsils? [Doctor, I looked in the mirror and found something growing on my tonsil. Look, this is what. Do you want to cut it off? ] When benign tonsillectomy is found, tonsillectomy can be performed together with the tumor. For malignant tumors, the scope of surgery should be selected according to the advice of professional otolaryngologists. When should tonsillectomy not be performed? When tonsillitis is acute, surgery is generally not suitable and tonsillectomy should be performed 2-3 weeks after inflammation subsides. Patients have serious systemic diseases: such as nephritis, arthritis, heart disease, uncontrolled coagulation dysfunction, or severe uncontrolled hypertension patients are not suitable for surgery; It is not suitable for women to operate during menstruation, pre-menstruation and pregnancy. Tonsillectomy and postoperative knowledge tonsillectomy are the most common minor operations. Nowadays, with the development of science and technology, Its surgical instruments are also being upgraded, Ultrasonic scalpel, radio frequency scalpel and electric scalpel are widely used. These new surgical instruments can shorten the operation time, reduce intraoperative hemorrhage and damage to surrounding mucosa. A white membrane will appear on the tonsil surface on the second day after tonsil surgery. This is a normal reaction, rather than pus moss, has a protective effect on the wound surface. Tonsillar surgery should pay attention to diet control, generally speaking, eat cold fluid three days before surgery, and eat semi-fluid and soft food within two weeks after surgery, avoid scalding and hard food, so as not to scratch the white membrane or cause the white membrane to fall off in advance and cause tonsillar surgery hemorrhage.
