Як лікувати хронічний тонзиліт? – Популярні статті – Хвороби вуха, горла і носа – Енциклопедія –

Як лікувати хронічний тонзиліт? – Популярні статті – Хвороби вуха, горла і носа – Енциклопедія –

Як лікувати хронічний тонзиліт?

Вашій дитині потрібно видалити мигдалини # 187 ;, – таку рекомендацію ще не так давно давали лікарі абсолютно всім батькам, чиї діти не вилазили # 187; з ангін. Отоларингологи міркували логічно: немає мигдалин , немає і їх запалення, тобто тонзиліту.

Згідно зі статистикою, гланди (піднебінні мигдалини) були видалені у 50% дітей, народжених у 1970-1980-х роках. Звичайно, тонзиліту у них більше не було, але хворіти багато дітей не перестали, навпаки, частота захворювань верхніх дихальних шляхів у них збільшилася, а все тому, що результатом видалення мигдалин стало зниження захисних властивостей слизової оболонки ротоглотки.

Сьогодні лікарі вважають за краще лікувати хронічний тонзиліт куди менш радикально, залишаючи хірургічний метод на самий крайній випадок.

Піднебінні мигдалини (у просторіччі гланди) розташовані в поглибленні між м’яким небом і мовою, з боків від піднебінної фіранки. Вони входять до складу лімфоїдного глоткового кільця, завдання якого , створювати захисний бар’єр від хвороботворних мікроорганізмів, які намагаються проникнути в організм з повітрям або їжею, і повідомляти інформацію про них іншим органам імунної системи.

При часто повторюваних, затяжних і погано піддаються лікуванню запальних процесах мигдалини перестають справлятися зі своїми обов’язками # 187 ;. Мікроорганізми, що потрапили в них, не знищуються, а викликають запалення – тонзиліт. Спочатку гострий, більш відомий як ангіна, потім хронічний. За даними статистики, без попередньої ангіни, тонзиліт виникає не більш ніж в 2-3% випадків, такий тонзиліт називають безангинная # 187;.

Ознаки хронічного тонзиліту:

    невелике підвищення температури тіла (до 37,5 о С), з яким не вдається впоратися тижнями, а то місяцями; ангіни (гострі тонзиліти), що виникають частіше одного разу на рік; скупчення в лакунах мигдаликів білуватих сирнистий мас з неприємним запахом, так званих пробок # 187;.

Для видалення пробок # 187 ;, які служать осередком інфекції, призначають промивання лакун мигдалин. Однак поліпшення самопочуття при цьому зберігається недовго, і промивання доводиться повторювати регулярно. Крім цього при загостренні тонзиліту проводять повноцінний курс лікування антибіотиками.

Однак часто, незважаючи на лікування, мигдалини не відновлюють свою захисну функцію. Постійно існуючий вогнище стрептококової інфекції в мигдалинах може призвести до виникнення (і обваження перебігу) різних захворювань: гломерулонефриту, ревматизму, пороків серця, захворювань органів травного тракту і т. д.

На жаль, домогтися повного відновлення захисної прикордонної # 187; функції мигдаликів у хворого на хронічний тонзиліт, важко. Тому першочерговим завданням лікування стає підвищення системного (тобто загального) імунітету.

Єдиним иммуномодулятором, включеним в лікувально-діагностичні алгоритми лікування патологій ЛОР-органів, на сьогоднішній день, є вітчизняний високомолекулярний препарат Поліоксидоній. Він був розроблений фахівцями Інституту імунології ще на початку 90-х років XX століття, а з 1996 року широко застосовується в клінічній практиці медичних установ Росії.

Полиоксидоний діє безпосередньо на систему вродженого імунітету, підвищуючи активність природних клітин-кілерів. Причому за роки дослідження встановлено: препарат здатний підвищувати знижені показники імунітету, знижувати завищені, а по відношенню до нормальних – тримати нейтралітет. За цю властивість, вчені охрестили полиоксидоний інтелектуальним иммуномодулятором # 187 ;. Але одним лише впливом на імунну систему, дія Поліоксидонію не обмежується. Частки, що входять до складу його складної молекули, здатні сорбувати (збирати і пов’язувати) шкідливі речовини, а також нейтралізувати вільні радикали, йнують клітину. Тому полиоксидоний добре зарекомендував себе в якості детоксиканта і антиоксиданту.

Полиоксидоний добре поєднується практично з будь-якими групами лікарських засобів, у кілька разів посилюючи їх ефективність. Сьогодні препарат широко використовується в комплексній терапії таких захворювань як хронічний тонзиліт, отит, панкреатит, простатит і т. д. Вивчаються його властивості при полегшенні станів онкологічних хворих.

Враховуючи доведену ефективність та високий профіль безпеки препарату, в 2007 році, розпорядженням , Полиоксидоний включено до Переліку життєво необхідних і найважливіших лікарських засобів, а також рекомендований до застосування Президією Російської Асоціації алергологів та клінічних імунологів.

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