Localization location in a lacunar angina. Lacooner angina - reasons, photos, symptoms and treatment in adults

Date: 19.10.2019

Call an acute infectious disease that affects almonds. The lacunar shape of an angina, as a rule, strikes the sky almonds, namely, the cracks in these organs, which are called lacunic or crypts. The lacuna permeate all the tissue of the almonds, they have a lot of branches in which the pus accumulates with an angina.

Lacooner angina is often caused by pathogenic microorganisms. A large level of incidence of data is occurring during the cold season. Together with a decrease in air temperature, the reactivity of the human body weakens. As a result, the defeat, the patient's condition deteriorates greatly, and hazardous complications may develop.

It goes more difficult than adults, so it is not recommended to treat them at home. If you have signs similar to purulent inflammation, we recommend urgently to go to the hospital. There you will be diagnosed and prescribed adequate treatment.

Causes of the disease

The reason for the development of inflammation in glasses is an increase in the pathogenicity of such bacteria:

beta hemolytic streptococcus from group A;
pneumococci;

Other microorganisms can also be the cause of lacunar angina, but the listed 3 species are the most common.

The factors provoking the emergence of an angina:

supercooling;
viral disease (, etc.);
anomalies in the development of almonds;
who were not treated for a long time;
lack of vitamins;
not healthy nutrition;
smoking and frequent consumption of alcohol.

Interesting fact! People who are accustomed to breathe mouth are more susceptible to infection with pathogenic microflora.

Is there a lacunar stranch diary and how is it transmitted?

Yes, the lacunar monitor is very contagious. Patients with such a diagnosis should be isolated into infectious branches.

Infection can occur by the household. Therefore, the patient needs to highlight separate dishes and objects of care.

The incubation period for lacunar angina ranges from 12 hours to 2 days. During this period, the patient does not know about his ailment, but can already infect others.

Lacooner Angry: Symptoms and Clinical Manifestations, Temperature for Lacooner Angry

The symptoms of lacunar angina include:

fever. The temperature rises almost immediately to the mark 38-39C. This is a natural response of the immune system to enter the infection in the human body. With increasing temperature, chills and muscle pain are also marked. The temperature within 38.5s is not as terrible, but when it rises to a critical level, cramps, nonsense or respiratory stop can begin. In this case, ambulance is necessary. In rare cases there is a lacunar angina without temperature;
sore throat. Arises as a result of swelling GRAND;
suffocation (the consequence of strong edema);
lymph nodes on the neck and jaws frighten and become painful;
headache.

Glands look hyperemen, plaques of white or gray appear on their surface. Initially, they are located in the lacunas, but then the distribution of almost the entire surface of the organ. The raids are easily removed, without damage to the tissue of almonds and bleeding.

Also, the manifestation of lacunar angina is the complication of the overall state of the person, weakness, decline in appetite, fatigue. Children's health often worse. They may have pain in the stomach, diarrhea, vomiting.

Important! With severe tonsillitis, pain appears in the lower back of the back and on the site of the projection of the heart, which may indicate heart or renal complications.

Diagnosis of lacunar angina

Therapist or otolaryngologist may diagnose. Initially, it collects the patient's history, conducts an external inspection, checks the state of the pharynx and larynx, makes palpation of lymph nodes. Also, a clinical analysis of blood and general urine analysis is prescribed for the diagnosis of lacunar angina. An analysis with a lacunar angina usually shows a strongly elevated level of leukocytes and accelerated ESP, protein is present in the urine.

It is good to make stars from the almond surface for bacteriological research. This method allows you to identify the pathogen that caused the disease, and on the basis of these data to assign a suitable antibiotic.

Additionally, it may be necessary to inspect the nose and ears, an immunological study, ECG. If an operation is planned, other necessary research may register, including X-ray and CT.

Treatment of lacunar angina: antibiotics, sprays, pills, etc.

When confirming the diagnosis, the question arises: or go to the hospital? This solution depends on the severity of the patient's condition. If the general condition of the patient is not very violated, the doctor may decide on his treatment at home. The patient gives the necessary appointments and only then let go. If it takes place in hard form or it is diagnosed in a child, there can be no speech about treatment at home.

With purulent tonsillitis, bedding is very important, abundant drinking and diet. The most important component of the treatment of lacunar angina is antibiotics that are necessary to eliminate the cause of inflammation, that is, bacteria.

More often uses such drugs:

"Supraks"
"Cefalexin"
"Azitromycin"
"Ceftriaxone".

In the hospital, they are usually injected intramuscularly or intravenously.

You can take at home, but only by appointing them to your attending physician. The course, as a rule, is 5-10 days and it must be passed to the end. If you see that one antibiotic does not help, it should be changed. For this, it is possible that the data of bacteriological analysis will be required.

The temperature at lacunar angina is knocked down by any antibodol, "antigrippine", "Arophen for children"), but prepare for the fact that it will stay a couple of days until the antibiotics begin to act.

Interesting to know! The duration of the disease with proper treatment is 5-10 days, but in children and in severe cases this period may increase to 2 weeks.

In addition to antibiotic therapy to eliminate the symptoms of lacunar angina, such means are used:

antihistamine preparations ("", "dexamethasone", "diazoline") to reduce the edema of the tonsils;
anti-inflammatory drugs to eliminate inflammation and relief symptoms in the throat. They can be assigned in the form of tablets or sprays for the throat. Sprays ("", "Kameton", "Givalex", "angina with calendula") are suitable for lacunar angina in adults and children not under 3 years;
antiseptics for the throat, which help to destroy bacteria at the local level and clean the oral cavity from pus and microbes. Some antiseptics can be ringed the throat (for this, such solutions like "Miramistin", "Orept", "Furacilin", "Chlorophyllipt", alcohol tinnubs of calendula or propolis), others - lubricate the almonds ("Lugolam" or iodine). Among the most popular - soda saline solution. It is available to everyone and has good cleansing properties. Also used the chamomile decoction everywhere. They are clamped with throat with an angina and also drink instead of tea. Please note that procedures should be carried out as often as possible, it is desirable once every 1-2 hours;
lollipops with anesthetic and antimicrobial effect ("Strepsils", "Faringosept", "Neo-Angine", "Rensa Lorspt Plus", "Trakhisan", "December"). They are used in addition to the listed drugs.

Since bacterial lacunar angina undermines immunity, such immunomodulating drugs can be appointed to increase: "", "Interferon", "Inhabin", "Imudon", "Immunal".

The tightened purulent lacunar angina is treated with washing Lakun Almonds. Such a procedure helps to wash purulent plugs, disinfected lacuna and speed up recovery. The washing is carried out using a special syringe with a stupid needle, but a vacuum method is considered to be more efficient when the lacun content is sucking with a vacuum suction. The number of procedures required for cure may reach up to 10 times.

Extreme measures for lacunar tonsillitis involve surgical opening or removal of almonds. Lakunotomy is designed to remove purulent content from GRAND, together with the affected areas, while maintaining the organ. Such an operation can be carried out using a conventional scalpel or laser. Laser lacunotomy is safer and less traumatic.

The tonsilectomy is performed when there is a real threat to the development of complications, as well as with constant recurrences of the disease. After such an operation, a further rehabilitation course is required.

Antibiotics with lacunar angina make it possible to avoid these complications, so do not pull with their reception.

Prevention of lacunar angina

As the prevention of lacunar angina, it is necessary to take care of their immunite. Strengthen it with the help of healthy nutrition, hardening and sports, and harmful habits - exclude from your life.

Also remember that in cold weather it is important to dress warmly. This is especially true for children. In order to reduce the risk of viral disease, which in the future can provoke the occurrence of an angina, during the epidemic, avoid visiting the crowds or carry a protective mask, since the viruses are transmitted by air-droplet.

Informative video

On the surface of the almonds are grooved, which are called lacunas. Angina, in the process of which lacuna is infected and infected, called lacunar. This is a very severe form of bacterial tonsillitis, which in untimely therapy leads to undesirable consequences. Lacooner angina in children is treated only by antibiotics. In most cases, the disease occurs against the background of follicular angina and is often accompanied by inflammation and increasing cervical lymph nodes.

The causative agent of the disease is most often hemolytic streptococcus. It can be found in the microflora of almost every person. It lives in the mucous membrane of the nose, throat, in the thick intestine and breathing tracks. Bacteria has a form of a ball or oval and occurs only in pairwise or as chains. Not all types of streptococcus are dangerous, there are even useful for the body of bacteria. But the lacunar angina is caused by a hemolytic streptococcus group A, which can destroy red blood cells and highlights toxins and poison, dangerous to the human body. Lacooner angina in adults and children is caused by this bacterium in 90% of cases. Another pathogenic microorganism, which provokes a disease - golden staphylococcus. This species is most dangerous for a person and provokes purulent inflammatory processes. Less often tonsillitis cause:

pneumococci;
adenoviruses;
hemophilic stick;
meningokok;
candida fungus.

What ways are infected with:

Air-drip. Bacteria scatter in the air when coughing, sneezing or just when conversing. Basically, the angina is transmitted in closed rooms, without access of fresh air. It is almost impossible to pass the sorphine in this way on the street at low temperatures.
With direct bodily contacts - games, hugs, kisses. Even the usual maternal kiss of the child is dangerous, as in saliva contains a huge number of bacteria.
The household transfer path is in contact with dishes, hygiene and toys that have enjoyed the patient.

Most often, tonsillitis is transmitted through the air. But even staying in one room with the patient does not provide 100% infection. Since bacteria accompany a person almost all life, only certain negative factors can intensify them:

reducing local immunity: supercooling, intake of cold dishes and beverages, weakness after severe illness;
harmful habits: alcohol abuse, smoking, dependence on narcotic substances;
unfavorable environmental medium, air gas supply, work at an industrial enterprise;
permanent stress and emotional overvoltage at work.

The risk of angina is higher in people with the following diseases:

diabetes;
tuberculosis;
allergy;
hymorite;
rheumatism;
blood disease;
caries.

The incubation period of lacunar angina is not more than 2 days. Then the disease is developing very quickly, and after a few hours a healthy person can feel pronounced signs of the disease.

Airborne droplet.

Symptoms and signs of the disease

As a rule, lacuniary tonsillitis is transferred to adults easier than children. But in both cases, the disease suffers hard. Initial signs of lacunar purulent angina:

uncomfortable feelings in the throat;
an increase in lymph nodes;
overflow and feeling lumps in the throat.

After 2-3 hours, other symptoms are manifested:

hyperthermia (up to 40 ° C);
severe weakness and fatigue;
headache;
refusal of food;
lomotics in muscles and joints;
strong sore throat, which is enhanced by eating and swallowing saliva;
a significant increase in cervical lymph nodes;
sleep disturbance.

In rare cases, lacunar angina may be observed. Mostly, this is such an individual feature of the body. Children often have symptoms of intoxication:

nausea;
diarrhea;
vomiting.

The main sign of the lacunar angina in the child and the adult is to redness and swelling of the tissue of the throat and the appearance of purulent spots. First, the pus fills the lacuna, and then spreads to the entire surface of the almonds. A specific symptom is that the purulent flare is localized only on the surface of the almonds and does not concern other sections of the larynx. It is also easily removed by a special spatula and leaves blood or other traces. In some cases, the clinic of lacunar angina is characterized by:

convulsions;
chills;
tachycardia;
enhanced saludation;
breathing problems;
poles in the stomach.

After the appearance of the first symptoms, the treatment of lacunar angina can be carried out only under the supervision of the doctor. The average duration of the disease is from 5 to 9 days. Complete recovery occurs after 2 weeks.

Headache.

Diagnosis of the disease

Before starting the treatment of acute lacunar angina, the causative agent should be determined. Therefore, the doctor must conduct a survey and already according to the results of the tests, assign medicines. You also need to visit a number of specialists in order to correctly interpret the symptoms:

otolaryngologist;
therapist or pediatrician;
infectious system;
nephrologist;
rheumatologist.

First a clinical examination is held. What it includes:

history - evidence of the patient himself on the development of the disease, its duration and symptoms;
external inspection, palpation;
percussion of respiratory and cardiovascular systems.

As can be seen in the photo, the lacunar angina is characterized by yellow-white purulent exudate, which accumulates in the lacunas, so the doctor, first of all, examines the larynx and the throat. It is a pharyngoscopy that is a key diagnostic method. The procedure for removing the plaque by a medical spatula is also carried out. Laboratory diagnostic methods:

smear per microflora for bacteriological analysis;
general analysis of blood and urine;
blood chemistry.

An important role is played by differential diagnosis. After all, the symptoms of lacunar angina is similar to symptoms of follicular and catarrhal angina. It is also necessary to distinguish the disease from scarletna, ORVI, diphtheria or mononucleosis.

External inspection of the throat.

Treatment of lacunar angina with drugs

In most cases, the disease does not require hospitalization, the treatment of lacunar angina in children and adults is held at home. But independently write down medicines, especially antibiotics, it is impossible in any way. The disease therapy scheme includes several stages:

the main course - antibiotics;
preparations for elimination of symptoms;
local treatment;
compliance with diet, day mode, hygiene.

What drugs appoint a doctor to remove signs of the inflammatory process:

Antihistamines. Assigned to remove edema in the throat, as well as eliminating allergies, which is often manifested after taking antibiotics. Preferably prescribe: Suprastin, diazoline, Dimedrol. Improve the breath and remove swelling: Zirtek, Zoda, Zetrin, Clemastine.
Antipyretic. These drugs should be taken only at temperatures above 38 ° C. Effective: Nooofen, Naz, Ibucklin, Ibuprofen. It is not recommended to take in parallel with antibiotics - side effects are possible.
Medicines for improving immunity: immunal ,. Assigned individually.

In some cases, angina may be accompanied by fungal infection. This is due to the admission of antibiotics that violate the normal operation of the intestinal microflora. What medicines need to be taken:

Lev Room;
Fluconazole;
Ketoconazole.

One of the most efficient methods of treatment of angina is considered a regular rinse of the mouth. Drugs used for the procedure:

Fucylin;
potassium permanganate;
Tantuum Verde;
Cameton.

If you adhere to the treatment regimen, the symptoms of the anchina will disappear after a week. Lacooner angina, which is treated without the use of medicines, often becomes cause of serious complications.

Antibiotics in therapy

Antibiotics in therapy.

The course of antibacterial therapy depends on the shape, stage of angina and the individual characteristics of the patient's body. To begin with, the antibiotics of a wide range of action are prescribed:

Penicillins. These drugs have proven themselves in the fight against streptococci and staphylococci. The most effective preparations: Augmentin, Flemoclav, ampicillin, amoxicillin, ecoclav. The duration of treatment is no more than 2 weeks. The dosage depends on the patient's mass and age.
If the patient's body does not perceive penicillins, the doctor prescribes macrolides: Sumamed, azithromycin, erythromycin, clasid, zitrolide.
Cephalosporins are prescribed in difficult cases. Reception of drugs occurs intravenously or intramuscularly: cephalexin, ceftriaxone, cefazoline.

The selection of the optimal drug is a doctor's task.
Medicine always has backup options. If a certain antibiotic does not fit, there are alternative drugs.
Dosage and the duration of the course can not be changed. A smaller dose of the drug not only does not destroy the bacterium, but will make it stronger. Thus, bacteria strains resistant to antibiotics.

To avoid dysbacteriosis, the doctor parallels probiotics. Also recommended to eat correctly.

Local treatment

Bed regime.

Very important in the treatment of angina is to comply with a healthy diet and day mode:

Bed regime. Physical activity can increase the risk of complications. It is impossible to completely limit the child's mobility, but it is necessary to control so that it does not run and jump.
It is advisable to take as much liquid as possible: fastening tea with the addition of honey and lemon, fruit or berry fruits and compotes, bums from herbs, rosehip, non-carbonated mineral water.
Proper nutrition. Food should be very easy and soft to not injure and so inflamed almonds. It is also important not to load the liver. What is in purulent angina: porridge, broths and soups, pasta, eggs, pre-boiled or baked vegetables, low-fat fish and diet meat, boiled or baked fruits. It is impossible: fatty and sharp dishes, citrus fruits, confectionery, smoked and marinades.
Right microclimate in the room: daily wet cleaning, regular ventilation, air humidification.

The patient should be isolated and secured by personal objects of life and hygiene.

It is very important in the first days of the disease every hour rinse the throat. In addition to pharmacy preparations use:

chamomile;
soda or sea salt;
sage;
violet violet;
calendula;
eucalyptus;
beet or lemon juice;
sagebrush;
st. John's wort;
propolis.

These funds can be used both separately and in the complex. Useful in purulent sink will be the lubrication of the patient area with antiseptic solutions, washing the lacuna, receiving tablets and lollipops. What is categorically impossible to do with purulent angina:

carry the disease "on the legs";
refuse antibiotics;
smoke and drink alcohol;
put compresses or carry out other warming procedures;
making inhalation;
drink hard food.

Any procedures at home should be carried out only after consulting a doctor. Tonnsillit itself is not dangerous, but complications that gives a disease threatening not only to health, but also the life of the patient.

Complications of lacunar angina

With severe disease and late treatment, lacunar alarg may cause the following complications:

Most often, tonsillitis negatively affects the heart and joints, and provokes: rheumatism, myocarditis, endocarditis, pericarditis.
Kidney is another vulnerable place. Glomerulonephritis is a bilateral autoimmune defeat of the kidneys, in which their small vessels also suffer (girls).
Pneumonia arises when antibiotics did not affect and the infection dropped to the lower respiratory departments.
Also, angina may cause appendicitis. This is such an individual feature of the body to struggle with infection.
Parapesillitis and paratronzillar abscess - inflammation of paratronzillar fiber. With an abscess occurs its purulent melting.
Abscess is a dangerous opportunity for sepsis. Requires immediate hospitalization.
Flegmon - purulent inflammation of soft tissues.

Lacooner agnus often goes to the angina phlegmonous, which in turn causes:

sepsis;
meningitis;
heart pathology.

The purulent form of tonsillitis is dangerous for the possibility of such diseases:

otitis;
laryngitis;
rheumatic fever;
blood poisoning;
streptococcal shock;
highland swelling.

Very often it is the unwitting disease leading to undesirable consequences. Therefore, you should not engage in self-medication. If you contact the doctor, a positive result will appear in a few days.

Pneumonia.

Forecast

With timely and proper treatment, the lacunar alargin completely passes in 2 weeks the maximum and the patient returns to normal life. If you start the disease, the risk of complications is high enough. The effects of angina are dangerous not only for health, but also for the patient's life. It happens that the disease recurrences and goes into a chronic form. If conservative treatment does not help, surgical intervention needs. With the help of the laser, the fabrics around the lacuna are cut, which allows you to remove the pussy. If this method did not give results, then doctors recommend completely removing almonds.

Prevention of the disease

Within two weeks after the suffered disease, the patient should avoid exercise and supercooling. Two more months should be carefully observed over the slightest changes in the body, as the angina gives complications. It is impossible to absolutely avoid the disease, but you can minimize the chance of its occurrence. What is needed for this:

Fully eliminate all chronic inflammatory processes in the body.
Hard. You need to start gradually with a comfortable temperature body. Over time, the degree of water reduce.
Regularly rinse the throat with braveractions from herbs or soda solution.
Strengthen the immune system will help sports.
Healthy diet that must include cereal, vegetables, fruits, greens. It is better to eliminate semi-finished products, fast food, carbonated drinks.
In the cold season, take vitamins;
Every day walk in the fresh air, not less than 30 minutes
Follow the humidity and cleanliness in the room. Regularly air housing.

Lacooner angina is very hard tolerated by young children. Here are several prophylaxis rules to avoid illness:

follow the kid soap hands as often as possible;
thoroughly wash (preferably boiled water) vegetables and fruits before giving them to a child;
watch that nothing is more superfluous to go to the mouth of the baby;
do not send a sick child to a garden or school;
the period of rehabilitation after an angina should continue for at least 2 weeks.

A good result is given to consuming honey, propolis, violence, chasters from viburnum. If it is possible, it is advisable to relax on the sea in May and in September. Sea air and water strengthen immunity, especially children, and are excellent preventive measure against Angina.

What is lacunar agnus, and how to deal with it. Answers to these questions are in the video.

Lacooner Angry (lacuniary tonsillitis) - Acute inflammatory disease of the tonsils of infectious nature, characterized by filling their lacuna purulent content.

Most often, the infectious damage is subjected to palatal almonds, they are glands, because It is they are located in the oral cavity closest to the external environment. Nevertheless, other almonds are taken on the blow to themselves, the total, paternal and tube.

The most characteristic symptoms of lacunar angina is the presence of spilled purulent deposits on the surface of Lakun (almond crypts).

Sometimes the follicles of almonds are involved in the pathological process, in which case the diagnosis is made - follicular lacunar angina.

Other symptoms of lacunar angina are usually - Increased and high body temperature, enlarged cervical lymph nodes, general weakness and malaise, sore throat, especially when swallowing.

The main reason for lacunar angina - infection of almonds, rarely and fungus. However, if the immune system is not weakened, the infection practically cannot seriously harm almonds, more often causing their local inflammation.

According to statistics, the shankines are exposed most often from 7 to 40 years. In 90% of cases, the culprit of purulent angins are streptococci bacteria.

Development of lacunar angina

One of the main functions of the immune system is the protection of the body from adverse factors - infection, the thermoregulation disorders, etc.

An integral part of immunity is the lymphatic system, in the lymph nodes of which are produced by lymphocytes and other protective cells of immunity.

1.2. Antiviral drugs

Antiviral drugs are prescribed in the viral nature of an angina. However, the use of such drugs is usually a rather rare phenomenon - if the immune system cannot cope with the viral infection.

Treatment of viral infection is directed to an increase in the reactivity of the immune system and maintaining the body.

In addition, viral preparations are also selected based on diagnostic data, after detecting a specific pathogen.

Among the popular antiviral drugs can be distinguished - "", "Viferon", "Acyclovir".

1.3. Other methods of etiotropic therapy

Gargling. This procedure is aimed at a permanent flushing of purulent contents from the lacuna and the almond surface, so it must be done every 1-2 hours.

As a means for rinsing the throat, a weakly saline solution can be used, as well as informas based on plants with antiseptic properties - calendula, chamomile, sage. Among the drugs used to rinse the throat, solutions can be distinguished based on - "Furacillin", "Elyudril", "Rivalol", "Lugol", "Miramistin", "Jodinol", "Chlorophyllip".

Just remember that when rinsed the throat due to purulent angina, the fluid does not swallow so that the pus does not penetrate into the digestion organs, otherwise they can develop complications of the disease.

Washing lacuna. This procedure is aimed at a more targeted flushing of a pus from lacuna. The procedure is done using a syringe - a solution with antiseptic properties is introduced into the lacuna under pressure - a solution of furaticillin and others.

Pusa suction. In case of serious lesion, the tonsils of the Movement, its suction applies. The procedure is performed using a vacuum pump. At the same time, lacquer washed with a syringe, as described above.

2. Pathogenetic therapy

Pathogenetic therapy is aimed at the correction of the work of immune and other systems, which is necessary for speedy recovery.

Pathogenetic treatment of lacunar angina includes:

Immocorrection - drugs are used that increase immunity reactivity due to which the body is easier to cope with the disease and accompanying pathological processes. Especially important is the correction of the work of immunity in viral angina.

As immunocorectors, it is possible to allocate - "human immunoglobulin", "cytotek", "sandoglobin".

Vitaminotherapy - Additional admission helps strengthen the immune system, increase the resistance of the disease, normalize metabolism, reduce soreness and symptoms inherent.

Novocaine blockades - It is used to remove strong-pronounced throat. To do this, "Novocaine" is introduced into the mucous membrane. For a more pronounced action on anesthesia, "Lidokain", "Dicaine" is added to Novocaine. To extend the effect of the blockade, ethyl alcohol is also added to the novocaina, as well as 8% gelatin solution.

If necessary, the doctor can add antibiotic, vitamins and other drugs to Novocaine blockade.

Detoxification of the body. This event is aimed at removing infection and products of its livelihoods from the body. It is these components that are actually toxins (poison) that are actually toxins (poison), characteristic of infectious diseases -, loss of appetite, loss in joints, high body temperature, headaches, and a number of complications of the sore throat, which we have listed earlier in the article.

To eliminate the body of the toxins, it is necessary to drink abundant drinking (adding to drink) and receiving sorbents that bind toxins and remove them from the body - "Attaceyl", "activated carbon", "enterosgel".

Normalization of intestinal microflora. It is carried out to restore the useful microflora in the intestine, which in the case of the use of antibiotics partially dies along with pathogenic bacteria. If this is not done, there may be problems with digestion, accompanied by development and other complications.

For the restoration of the useful intestinal microflora, probiotics are used - "bifidbacterin", "Linex", "Lactobacterin", "Bificol" and prebiotics - "Duhalak", "Hilak-Forte".

Physiotherapeutic treatment. The physiothereders are used to remove the adhesions of the almonds, the normalization of metabolic processes, minimizing the symptoms of angina and the speedy recovery of the patient.

Among physioprocessed, lacunar tonsillitis can be allocated - inhalation, electrophoresis, UFO, UHF, magnetotherapy.

3. Symptomatic therapy

Lubrication of almonds. To remove the inflammatory process with almonds, perfects and minimizing pain in the throat, almonds are lubricated by invalid solutions, which are based on oil.

Sucking lollipops. Applied to the anesthesia of the throat and irrigation by almonds by antiseptic substances. Although many disputes go about such lollipops, because Many doctors argue that in the case of the use of such lollipops, infection and purulent contents fall into the stomach, after which the patient may have complications of the disease.

The most popular sucking lollipops against angina and other horror diseases - "Strepsils", "Faringosept", "Falimint".

Antipyretic means. Non-steroidal anti-inflammatory drugs (NSAIDs) are used to reduce the body temperature and removal of the inflammatory process in the almonds - "," ",", "", "Children's Panadol", "Children's Panadol".

Contraindications for removal GRAND - heart failure, renal failure, pregnancy, hemophilia, sharp phase of other infectious diseases.

5. Diet with lacunar angina

Compliance with the diet with an angina is necessary to remove the load on the body, which is present when eating heavy foods for food digestive organs. It is necessary for accumulating the forces by the body, which later will help him cope with the disease.

With an angina, it is impossible to use - sharp, oily, fried, smoked and very salt dishes.

In addition, it is necessary to abandon coarse, hard, cold and hot food, which is aimed at preventing additional irritation and injury to damaged tonsils.

Nutrition with shank should be balanced, filled with vitamins and. Prefer failed porridges, soups, broths, overhead vegetables and fruits.

For patients with sharp respiratory diseases (ORZ) M.I. Pevzner has developed a special diet menu -.

With the same purpose, save forces, as well as in epidemiological purposes - a patient with ARZ is recommended to observe the bed and semi-noar regime.

Treatment of lacunar angina at home

Sodo-saline solution. Dissolve in a glass of boiled warm water ½ h. Salt spoons, ½ h. Soda spoons and a few drops of iodine. Ice with a throat with a solution about 4-5 times a day. This remedy helps to lower the pain, mugging, to disinfect the almonds.

Beet juice. Mix each other 1 glass of grated beets and 1 tbsp. A spoonful of 6% apple vinegar, the tool is about 4 hours in a dark place, thoroughly strain it and enshrove the throat the juice obtained 3-4 times a day.

Collection. Make a collection of 4 parts of the roots, 4 pieces of leaves, 3 pieces of pine kidneys, 3 parts of eucalyptus leaves, 2 parts, 2 pieces of inflorescences and 2 parts of grass. Next, pour 3 tbsp. Collection spoons 500 ml of steep boiling water, thorough agent 45 minutes, strain it and use as "rinsing" for the throat - 3-4 times a day, or as inhalation.

Cabbage. Scroll slightly cabbage sheet, attach it to the throat and in the bronchi area, putting on top of a woolen handkerchief or scarf. The cabbage leaf will not only help cope with the sore throat, but also stabilize the body temperature.

Basilic oil. Dissolve in a glass of warm boiled water a few drops of oil from the basilica (you can search in pharmacies). Ice with a throat with a solution 3-4 times a day. This remedy will help cope with various inflammatory diseases of the oral cavity and throat.

Aloe. Fill the glass container by half crushed leaves, the rest of half, i.e. Back add sugar sand. Tie the throat of the gauze capacity and retain it for 3 days to insist, after strain and press the juice. The resulting syrup drink 1 teaspoon 3 times a day. Course - before recovery.

Natural antiseptics. Fill 2 hours. Spoons of chamomile pharmacy, or, or sage glass boiling water. Throw the means for 30 minutes, strain and use as rinsing for the throat, 3-4 times a day.

Prevention

The prevention of lacunar angina includes:

Avoiding the supercooling of the body;
Cold liquid can not drink salvo;
Compliance;
Full nutrition, giving preference to products with high capacity of vitamins and minerals;
Active lifestyle;
Compliance with Work / Recreation / Sleep, you need to get enough sleep;
Avoiding, or learn to overcome them;
Timely cleaning of air conditioners, air cleaners, vacuum cleaners, humidifiers and other climatic equipment;
Timely wet cleaning at the place of stay - at least 2 times a week;
Patients in the OSR allocate for personal use of separate dishes, kitchen appliances, underwear;
Avoiding places to visit places with great accumulation of people during the greatest distribution of ORZ;
Do not leave on Samotek, especially infectious nature, because They can become not only a focus for the development of the ARZ, but also a negative factor lowering the protective functions of the body.

What doctor will you turn to an angina?

Video

Human, the ages of the almonds serve as a protection authority and are located in the Rothoglotka. The surface of them has many recesses or lacunas, which go into the thickness of the fabric, the area of \u200b\u200bthe ducts can be compared only with the wall of the rotogling, it is approximately 350 square centimeters. Almond Square is not so big enough, it is necessary so that there is a greater contact of lymphoid fabric with microorganisms. With inflammation of this fabric, lacunar angina develops, it will be discussed further.

It is an acute lacunar aneg of purulent inflammation of the cavity of the lacuna of palatal almonds. It is found in all ages, but especially often in children and teenagers. In an adult, a chronic infection of the oral cavity is exacerbated and is diagnosed up to 50 years. At an older age, the risk of disease is reduced. The risk of getting sick remains all year round, however, the peak falls from October to January.

Causes of occurrence

The development of an angina does not happen just so, for this there are certain reasons that can be primary or secondary. At primary include:

streptococci;
staphylococci;
fungi;
viruses.

The secondary option is developing with the defeat of the surrounding tissues. It is found at:

scarlay;
tuberculosis defeat.

There are also several ways for which infection is carried out. Total three of them:

airborne drip;
with food;
domestic.

Among the reasons to note are the factors that predispose to the development of pathology. Such factors are:

Symptoms

Before treating the lacunar angina, it is necessary to determine the symptoms that the disease can occur. Symptoms develop very quickly and accompanied by an increase in temperature from 38 to 39 and even 41 degrees. Possible daily fluctuations in temperature in the range of 2-5 degrees.

Inxication is sharply and rapidly, such a state is manifested by weakness, headache, fatigue, the appetite disappears, sleep is disturbed. Tonnsillitis pain in the throat is manifested, especially during swallowing, worried and break joints, muscles.

Also is also manifested by redness of the cheek, while the nose and the upper lip remain pale. But the mucous membranes give very bright symptoms, they acquire a bright red color, especially in the area of \u200b\u200balmonds, sky arcs and a soft sky. In the lacuna on the slogan almonds there is an accumulation of a pus, which is called traffic jams. Supplement symptoms, increased lymph nodes on the neck and under the lower jaw. The heart begins to beat faster that wears the name of tachycardia and is 90 shots per minute or more.

Special diagnostics

In addition to the information that symptoms give, the diagnosis must be confirmed by special research that conducts the attending physician. It is shown to have sowing on the flora and its sensitivity to antibacterial drugs. A stroke is also made, which is studied under the microscope. With suspected viral nature of the disease, a polymerase chain reaction is shown, which will help to establish the pathogen if this is a virus. Among them can be:

adenoviruses;
herpes virus;
cytomegalovirus.

A person has little, just to find out the symptoms that the disease is manifested. Additionally, the doctor is interested in information on how it started and after which he traced. The period from the moment the appearance of the first symptoms and with which the human development is connected.

Treatment of the disease

Regardless of which severity are symptoms, a person is shown to hospitalize in the hospital. In order to successfully cure pathology, bedding is shown, as well as the maximum restriction of the number of contacts with sore threshing. At that time, food should be warm, rubbed and not acute, but drinking liquids need as much as possible.

Methods, with which the treatment of lacunar angina is being treated in adults, the same for other options for the disease. It is starting with conservative treatment, and if the almonds become more and preventing normal breathing, then the operation is shown about their removal.

Antibacterial agents

This group of drugs is used under the condition of the microbial cause of the development of the disease. At the initial stage, the use of the preparations of a wide range of action is shown less often, sulfonamides are used. With the help of antibacterial drugs, microorganisms are destroyed, but under the condition that these are bacteria. For viruses, this group of drugs does not affect any influence. If everything is chosen correctly, then the complete destruction of the pathogen is achieved with minimal side effects.

Often used preparations are drugs:

cephalosporin row;
macrolides;
fluoroquinolones.

To reduce temperature

This group of drugs is shown when temperatures increase above 38 degrees. It is believed that if the temperature is lower, the body is able to withstand infections independently. As antheroid anti-inflammatory drugs are used antheroiding agents. They reduce the inflammatory process, sore throat, the pain in the head, which is typical for the angina.

Independently prescribed drugs of this group is unacceptable, since a side effect is possible in a complex with penicillins. There is also a risk of development or exacerbation of ulcerative disease, subject to uncontrolled reception.

In childhood, similar preparations are used in the form of a syrup or suspension with a pleasant taste. The duration of the temperature knocking is from 3 to 4 days, after which the state should gradually normalize.

Antihistamine bands

With the lacunar form of angina, the reception and this group of drugs is shown. It is worth noting that in combination with macrolides they are able to have a toxic effect on the heart. The tools contribute to the decrease in the adhesion of the almonds, pharynx, reduce the risk of a spasm of the larynx, breathing improves after their reception. The reception of this group is also shown in the treatment of angina in childhood, as well as people who are prone to different types of allergic reaction.

Local treatment of the disease

To achieve the maximum positive effect, local action preparations are used during an angina. Using rinsing, disinfection of the mucous membrane is carried out, the symptoms of the disease are reduced and the most importantly, purulent plugs are washed out, clutching almonds.

As a local treatment option, absorbing tablets are used in the thoroughtry, as well as irrigation products. The doctor may also assign a loyalty, lollipops that will allow to disinfect the throat, and therapeutic components will fall directly into the place of inflammation. There are several funds that can be successfully applied as a local treatment:

Rinsing using furacin solutions, by appointment of a doctor, boric acid. Excellent allows you to eliminate traffic jams with soda solution, hydrogen peroxide, pale pink manganese.
Rinsing can be prepared on the basis of salt or soda with water, with the addition of iodine.
Perfectly help reduce inflammation with angina medicinal herbs, for example, chamomile and sage.
Positively affects the mucous membrane of the almonds with sea water, which can be freely found in the pharmacy.
Special preparations are also applied for the purpose of irrigation, they are selected at the discretion of the doctor.

Folk recipes

The funds of traditional medicine from a positive side have largely proven themselves, but they are recommended to use them only after agreeing with the attending physician, as well as the addition of the appointed treatments. There are several recipes that will help speed up the process of recovery.

First you can try to melt the creamy spoonful of oil and add the same amount of honey, the pinch of kitchen soda and, stirring, bring to a state when everything becomes a homogeneous consistency. It is used in warm form, it must be dissolved on a teaspoon for three times a day in the oral cavity.

For the second recipe, a glass of pre-heated water will be required, in which a spoon of honey and a teaspoon of apple vinegar dissolves. The throat is powered by a solution for a day four times.

A teaspoon of apple vinegar is added to the glass of freshly squeezed beet juice. The remedy is heated, and then it is potholes for a minute. The procedure is repeated four times during the day.

The healing properties of propolis have known a long time ago, he established himself from a positive side and with an angina. His piece with an angina need to chew over five minutes three times a day.

It is useful to rinse the cavity of the throat with a tincture based on propolis, after dissolving it with water.

Alkaline mineral water is poured into the nebulizer, after which inhalation is carried out for 10 minutes. The whole procedure is repeated three times a day with the goal of mitigating the mucous membrane and the tonsils, the pain gradually leaves.

A spoon of grated ginger is added to the glass of boiled black tea, only the root of this plant has healing properties. Then the glass is put on a lemon. After 20 minutes, it is necessary to drink warm tea, the liquid is recommended for some time in the oral cavity in order to get rid of the angina.

Operation with angina

In the event that frequent recurrences of the lacunar or other shape of an angina occur, the surgical intervention is shown. It can be performed in several versions, the most simple of which is cleaning the lacuna and the chapels from purulent content. Used for this purpose, diathermocoagulation and Halvanokousty Lakun.

In recent years, lacine lacuna lacquer has acquired wide popularity and their cold processing. After the procedure, the modified areas are combined, resulting in a prevention of exacerbation. If all of the methods described above did not bring the result, the aligned almonds are removed, the operation is called tonsilectomy.

The diagnosis of angina, as well as a method of treatment, is carried out only by a doctor, otherwise there is a risk of developing complications up to death. When first suspicion of the disease, it is better to apply for help from a specialist, and then finally cure. Equally important is the prevention of relapses.

The most severe form of acute tonsillitis is lacunar angina. The disease is an inflammatory process in the lacunas of almonds, accompanied by a purulent raid. The defeat takes place in the sky, pipe, piping, paternal almonds. In contrast to the follicular angina (which has small purulent formations), this form there is a complete filling of the infected portion of the GNOM. Rarely these two forms can develop simultaneously.

The disease most often occurs in children (5-12 years). If a lacunar agnus in adults was formed, then the reason is often associated with the existing chronic lesion of the almonds or occurs in combination with other forms of acute tonsillitis.

Angry is primary (the defeat of the tonsils arises due to the invasion of infection in their tissue), or occurs through complications of chronic tonsillitis. Treatment of lacunar angina in adults and children is usually not without antibiotics.

Photo GRAND with lacunar angina

The pathological process occurs most often in the autumn-winter period. Being near the sick person is dangerous. Purulent lacunar angina is a contagious disease, which is transmitted by air-droplet: during sneezing, cough, conversation, through various items (toys).

Lacuna-filled lacuna in most cases are observed in palace almonds. The causative agents of the disease are mainly beta hemolytic streptococci. Also as a result of pneumococci, Klebsiella, staphylococci, hemophilic wand.

In addition, the lacunar form of an angina may initially be due to viruses (adenoviruses, enteroviruses). They reduce the body's resistance, which is actively beginning to multiply microorganisms on the almond mucosa. The viruses themselves are not called angina, they can only weaken immunity (local and general). In the presence of strong immunity, the disease appears less often, and therapy proceeds easier and faster. In people with diabetes, rheumatism, chronic sinusitis, caries, tuberculosis, periodontal disease, the risk of infection is higher.

In children, the disease is observed after the primary connection with various stamps of staphylococcus and streptococcus. Acute lacunar agrint may form in connection:

supercooling or use of cold drinks, food;
reduction of the general resistance of the body;
congenital insufficient development GRAND;
humidity or sharp pressure drops;
stress, overwork;
overall air pollution (production waste, dust, gas);
chronic diseases of ENT organs.

It happens because microorganisms remain in the center of chronic infection in the body (nasal sinuses, teeth, nasopharynk, gums), from here and fall into almonds.

Lacooner angina in adults often occurs with regular irritation of the mucous membranes by smoke of cigarettes, taking alcoholic beverages, in children - in connection with the defective treatment of acute tonsillitis.

Symptoms

The incubation period of this disease depends on the type of stimulus and can be a couple of days. Symptoms grow very quickly, sometimes in a few hours. Typically, the first signs are pain in the throat and the high body temperature (39-40 ° with purulent angina).

The photo on the right is shown the most important symptom of lacunar angina: purulent raid on glambles

Local status of lacunar angina, patients have some symptoms:

redness and inflammation of the sky meck, almonds;
headaches, break joints, chills, weakness;
sensation of a lump in the throat when swallowing, an hour and sore throat;
sleep disorder, loss of appetite;
jews on almonds;
children appear disorders of digestion, pain in the stomach, diarrhea, vomiting;
reduced performance;
sometimes - tachycardia, tingling in the heart;
abundant salivation;
increased lymph nodes.

In children, the body is weaker than adult, therefore, for them, the acute lacunar angina represents a serious danger. This is associated with high temperature, strongest intoxication and serious complications. But if you know, correctly how to treat a lacunar angina at home, then symptoms can already decrease by 3-4 days. The duration of the disease is 5-9 days.

Lacooner angina occurs very rarely, the body of each person is individual and reacts in different ways to the resulting infection.

The symptoms of the lacunar disease are very similar to other forms of tonsillitis, so the doctor will correctly diagnose and prescribe treatment.

Possible complications

The infection spreads through the respiratory tract and often causes the formation of pneumonia, bronchitis. Invalid therapy contributes to the occurrence of a chronic form of pathology, in most cases with complicated consequences. Also, during severe flow or late complications, abscesses may appear, mediastinitis, paraphalitis, sepsis.

A tonsillitis caused by a diphtheria stick occurs quite hard. If it does not carry out therapy in time can cause the death of the patient.

The presence of infectious disease and existing frills contributes to the reproduction of bacteria by the human body, they settle on the lungs, bones, heart. The consequences of such breeds are very dangerous, pyelonephritis (kidney inflammation) occur. Conjugated diseases are rheumatism, staphylococcal meningitis, jade, myocarditis, arthritis, etc.

Methods of treatment

The main thing in the treatment of lacunar angina is an integrated approach! Compliance with the diet is no exception, some products are able to annoy the glands and complicate the course of the disease!

How to treat the disease right and what? Whatever distillery, lacunar or follicular, therapy is almost the same. Effective treatment for lacunar angina in adults and children is based on the overall mode. Before decreasing the temperature, it is necessary to observe the bed mode. This will help together with medication, quickly cope with the disease and prevent possible complications. Therefore, at the first similar symptoms (redness and increase of almonds), you should contact a specialist who will write down the correct treatment.

Cereal the disease is possible by medicine and local way. During the course of the disease, a certain diet should be followed: to use a lot of fluid, there are no salty, sharp, pickled meals (they are able to annoy the almonds and provoke even more swelling). It is necessary to delete allergic products from its diet (chocolate, nuts, sweets, etc.) - can increase the swelling of lymphoid tissue.

Local therapy

Often, soda-salt solution is used to rinse the throat

Purulent lacunar angina is treated with local means:

Rinse. To get rid of microorganisms, rinse the throat with solutions of antiseptics (chlorhexidine, hydrogen peroxide, Miramistin, boric acid, etc.). Good for rinsing use solutions of salt, soda, oak cortex, sage.
Inhalers. It is very effective to use inhalers (bioparox, inhalipte, tantuum verte).
Lugol. Lubricate the throat for decontamination of almonds.
Remaining tablets with antiseptic effects (phaliament, ceated, gramicidine, streptils).
Physiotherapy (UHF, microclast treatment).

Medicia treatment of angina

Therapy includes the following ways:

Antibiotics with lacunar angina are simply necessary. Most effective, as for staphylococcus, streptococcus, are antibiotics with penicillin angina (in the absence of allergies). It is possible to use cephalosporins (supraks, ceftriaxone) and macrolides.
Antipyretic preparations (aspirin, Panadol, paracetamol, Effergangan, Nurofen).
Antihistamines (Supratin, Diazolin, Tueva). Contribute to reducing swelling, as well as softening pain when swallowing.
Polyvitamins for improving immunity.
Immunostimulants (Ribomunyl, etc.).
Antiviral drugs (arbidol, cycloferon), in the presence of viral angina.

Antibiotics with an angina should be drunk during the week, even if the state has improved. Upon completion of antibiotics, it is necessary to drink lactobacillia, bifidobacteria to replenish the intestinal microflora.

To avoid the appearance of any form of an angina, you must, first of all, strengthen your immunity, walk in the fresh air, to use vitamins, carry out the medical gymnastics and not to translate. ()