Tonsils and Adenoids

The first obstacle encountered by germs or allergens entering the mouth is the tonsil tissue and adenoid. Thanks to this ring, the body fights with microbes entering from the upper respiratory tract. However, these tissues grow as a result of some frequent infections and their structures change; as a result, they may become useless or even harmful to the body rather than providing benefits.

Tonsil infections are caused by viruses and bacteria. Sometimes, it starts viral first, then bacteria is added to it.

-(Group A) Beta hemolytic streptococci are the most common microbes in this region, they colonize the mouth and nasal passages. Tonsil infections due to streptococcus begin after 2 years of age. There is fever, widespread redness of the throat and tonsils, and then a white membrane on the tonsils and swelling of the lymph nodes in the neck. Throat culture and direct antigen test are performed. Throat culture is the most reliable of these tests. ASO The test is an antibody formed in the human body against streptolysin O secreted by this microbe. More than 200 Todds are significant. Indicates infection within 3-6 months.

In tonsil infections due to other microbes, the tonsil tissue may be covered with a white cover or there may be white inflammatory foci in the form of spots.

Scarlet fever develops due to endotoxins produced by streptococci. Sometimes the antibodies formed in the body against these streptococci can cause complications such as rheumatic fever and heart valve disorders.

During severe infections of the tonsils, the infection pierces the tonsil capsule and accumulates between the palate and the capsule, and peritonsillar abscess is formed.

– Chronic infections are most common between the ages of 6 and 15. After frequent infections, lymph tissues accumulate in the tonsil tissue and this leads to the development of frequent infection attacks. Tonsil stones are also formed after this accumulation of bacteria and tissue residues. It gives bad breath.

In which cases the tonsils are taken?
Conditions that require definitive surgery:
-Severe upper respiratory tract stenosis. B When the nostrils get narrow enough to kiss each other, it causes breathing problems. It makes snoring and this creates serious problems such as breathlessness during sleep. Irregular sleep and non-deep sleep impair the child’s development and psychology. Grumpy and hyperactive child picture develops.
-Abscess around the tonsils (peritonsillar abscess)
-Frequent recurrent infections; 7 acute attacks in the same year, 5 acute attacks per year in 2 consecutive years, 3 acute attacks per year in 3 consecutive years
– Convulsion due to infection
-People with heart valve disorders
– Frequent otitis media due to tonsillitis and adenoid inflammation

The adenoid begins to grow at the age of 4-5 years, especially at the age of the nest, as a result of the child’s frequent encounter with an environment of infection. It usually shrinks spontaneously during the developmental period. adenoid b Its growth prevents nasal breathing, and also causes infection by disrupting the discharge of the ears and sinuses. It causes hearing loss, snoring, mouth breathing, night coughs, nasal discharge, orthodontic disorders, facial development disorders and speech disorders.. The occurrence of all these problems are conditions that require adenoid removal. The adenoid is a cauliflower-shaped tissue behind the nose, in the upper part of the throat. The surgery takes place in the form of curettage of this tissue. Some time after the surgery (like 1 year) can grow again. It is not harmful to grow as long as it does not cause the same problems again. If the problem occurs again, the surgery can be repeated. Already in the age of development, it usually shrinks.

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