Doctor advises when to remove tonsils

NGUYỄN LY |

MSc. Dr. Van Thi Hai Ha - Ho Chi Minh City University of Medicine and Pharmacy Hospital - advises on effective treatment and prevention of tonsillitis complications in adults.

According to Dr. Hai Ha, tonsillitis - an inflammation of two lymph nodes located on both sides of the throat wall - is a fairly common disease in adults, accounting for about 11% of respiratory infections. However, many people take it lightly and do not treat it thoroughly, leading to many dangerous complications.

Common causes of tonsillitis are viral (accounting for 60 - 80%), followed by bacteria, fungi, gastroesophageal reflux, poor oral hygiene or rhinoplasty. tonsillitis can be acute (symptoms of widespread, high fever, severe sore throat, difficulty eating) or chronic (swallowing, bad breath, acne).

If not treated promptly, the disease can lead to complications such as around the tonsils, necklaces or distant complications such as low heart rate, acute nephropathy - especially if infected with group A blood clotting with beta.

In cases of viral inflammation, patients will often recover on their own after 3 - 5 days if they rest properly, keep warm, have a mouth full of antibacterial and drink enough water, said Dr. Ha. In cases of worsening bacteria, the doctor will consider using appropriate antibiotics.

For chronic tonsillitis, treatment focuses on controlling symptoms and underlying causes such as sinusitis and reflux. Patients need to maintain healthy living habits: clean their teeth thoroughly, limit alcohol, cold water, avoid substances that irritate the throat midlands.

tonsillation surgery is indicated in the following cases: suspected malicious tumor, excess tonsil causing sleep apnea, recurrent inflammation multiple times (≥6 times/year or ≥5 times/year for 2 consecutive years), prolonged bad breath due to pus accumulated in tonsils. The doctor also noted that people with blood clotting disorder, severe heart-lyng disease, or children under 4 years old should not have tonsils removed unless strictly prescribed.

Currently, there are many methods of cutting tonsils such as: traditional scissors, single-edged/double-edged electric knives, ultrasound, plasma, coblation. Each method has its own advantages and disadvantages, and will be chosen by the doctor to suit each patient. For example, traditional methods can cause more blood loss but less burns, while modern methods are less bleeding but can cause deeper scars after surgery.

Normally, patients are monitored 24 hours after surgery and can be discharged if there are no complications. However, if after surgery there are symptoms such as: prolonged high fever, bleeding in the throat, severe pain that does not improve, the patient needs to return to the hospital immediately for timely treatment.

tonsillitis in adults seems to be a simple disease, but if not properly cared for, it can cause many health consequences. Therefore, proactively examining when there are unusual signs, treating properly and preventing recurrence will help patients effectively control this disease.

NGUYỄN LY
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Trẻ 8 tuổi tưởng viêm amidan hóa ra bị u khoang họng phải

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Từ năm 3 tuổi, bé N.H.V ở Sơn Tây, Hà Nội được gia đình phát hiện có khối u nhỏ ở góc hàm phải. Trong vòng 5 năm, gia đình đưa bé đi khám ở các nơi nhưng đều được chẩn đoán là hạch viêm, viêm amidan theo dõi không can thiệp. Tuy nhiên, kích thước hạch ngày càng lớn, bệnh nhân sau đó đến khám tại Bệnh viện Tai Mũi Họng Trung ương và phát hiện bé bị u khoang bên họng phải.