Whether to delete tonsils?
Palatine tonsils, like the entire lymphatic tissueour body, serve to fight the pathogens that come from the environment. Microbes that are in the inspired air, settle on the mucous membrane of the nasopharynx and pharynx. Here, in the mucous membrane of the tonsils, the development of antibodies begins, which have a harmful effect on microorganisms. Thus, the tonsils prevent the development of many diseases. Therefore, if you have a dilemma - whether to remove the tonsils, it's worth thinking about everything.
In what cases are the tonsils removed?
The patient and his attending physician often have a question about whether it is possible to remove tonsils, because in some cases this is a difficult problem.
When it is necessary to operate without delaypatient about tonsillitis? This is necessary in those cases when complications begin to develop - cardiac defect, glomerulonephritis, arthritis, paranzitolar abscesses. In all these situations, the removal of tonsils, both adults and children, is done immediately.
There is one more specific criterion: if 2 or even 3 courses of conservative treatment did not have any positive effect, and the disease continues to progress, then tonsillectomy (removal of the tonsils) can not be avoided.
A very difficult question: is it worth it or not to remove tonsils from children? After all, this lymphoid organ is very important for the formation of the immune system in a child. In this case, doctors wait for the puberty period of the child, applying up to this point only conservative treatment.
However, if there are complications - pain in the kidneys, joints, heart, and even discovered the diseases themselves of these organs, then immediately it is necessary to save the life of the child and remove tonsils.
How the tonsils are removed
In Western clinics, the removal of tonsils occursunder general anesthesia. In Russia, the operation of tonsillectomy until recently was performed under local anesthesia or without anesthesia at all. Tonsillectomy without anesthesia is a great stress for the adult body, and for the child especially.
If the removal of tonsils is usedanesthesia, then the perception of pain is blocked. However, the very use of general anesthesia implies the use of special equipment and devices that are necessary to protect the respiratory tract from blood. For this, a laryngeal mask is used, but most often an intubation tube.
Another type of anesthesia that is used for tonsillectomy is sedation. However, sedation does not protect the respiratory organs from the possible ingress of blood into them.
An alternative to all types of anesthesia describedabove, is the removal of tonsils under local anesthesia. This type of anesthesia is considered the safest for tonsillectomy. Therefore, in that hospital, where you need to remove tonsils you or your children, you should not insist on conducting an operation under general anesthesia.