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How to wash the tonsils: 3 methods of cleansing the tonsils

Recognizing the need to prescribe antibiotics in the treatment of chronic tonsillitis, experts do not reject other methods of treating this pathology. Inflammation of the tonsils is caused and maintained by bacterial flora.

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Therefore, by solving the problem of evacuating bacteria along with the nutrient medium on which they grow, you can speed up the healing process.

For this purpose, ENT doctors use tonsil rinsing. Since the anatomical structure of these accumulations of lymphoid tissue is such that they contain multiple depressions (lacunae) and irregularities (crypts), excellent preconditions are created for the retention of food, dead epithelium and leukocytes on which staphylococci and streptococci multiply. It is important to rinse your tonsils promptly and thoroughly, leaving no chance for bacteria to flourish in the far corners.

Advantages of the method

  • Efficiency. There are clinically proven results of this treatment. It allows you to bring chronic tonsillitis into long-term stable remission.
  • Safety. The rinsing itself cannot cause injury to the pharyngeal mucosa or damage the tonsils.
  • Non-allergenic. There is no such risk of allergic reactions as with systemic use of antibiotics.
  • After such treatment, there is no dysbiosis or conditions for increased growth of fungal infection.
  • The price of treatment is affordable. In addition, the overall cost of treatment is reduced when using tonsil lavage.
  • A timely procedure can reduce the risk of needing surgery both now and in the future.
  • The method has no age or gender restrictions. Pregnancy is a contraindication only for the ultrasound version of the procedure.

Contraindications to hardware rinsing

  • Acute infectious diseases.
  • Hypertension 2B and 3 stages with frequent crises.
  • Active pulmonary tuberculosis.
  • Oncopathology.
  • Severe dysfunction of the autonomic nervous system.
  • Progressive atherosclerosis of coronary and cerebral vessels.
  • Decompensation of chronic cardiovascular and pulmonary pathologies.
  • Pregnancy up to three or more than seven months.
  • Retinal disinsertion.

Methods of carrying out

The photo shows a vacuum rinsing of the tonsils using a special nozzle

1. Using a syringe. The antiseptic solution is drawn into a twenty-gram syringe for rinsing and delivered to the tonsils in a stream.

  • cheap, no need to use physiotherapy equipment,
  • when using a disposable syringe, the problem of antiseptics is automatically solved,
  • there is an opportunity to try to rinse the tonsils at home yourself,
  • can be used for pregnant women.
  • it is not possible to wash away plaque from all gaps, since hard-to-reach places remain unwashed,
  • separate suction is required for pathological discharge,
  • washing the tonsils at home is not much better than regular rinsing, since it is impossible to carry out the procedure efficiently on your own without sufficient skill.

2. Vacuum rinsing of the tonsils using the “Tonsillor” apparatus. This device is multifunctional. Using the nozzle, an antiseptic solution is pumped and sucked out. The contents of the lacunae are removed along a pressure gradient.

  • complete cleansing of the tonsils not only from the surface, but also in the depths of the lacunae,
  • no additional tool required (suction),
  • after a course of procedures, tonsillitis recedes for a long time,
  • can be performed from the third to seventh months of pregnancy.
  • treatment is carried out on an outpatient basis,
  • contraindicated in the first trimester of pregnancy.

3. Deep hardware washing of the tonsils in combination with ultrasound and phonophoresis is a vacuum ultrasound method. Using the Tonsillor apparatus, ultrasound with a frequency of 26.5 kHz causes cavitation (the formation of gas bubbles with their subsequent collapse), which leads to the death of bacteria and the liquefaction of the pathological contents of the lacunae. The method is complemented by phonophoresis, that is, the introduction of medicinal substances into the tonsils using ultrasound.

  • deep cleansing is combined with the introduction of drugs that improve the sanitation and healing of inflammation,
  • the tonsils are completely cleansed, while the bacteria die and are removed along with what could serve them as food and shelter,
  • All stages of the procedure are carried out using the same apparatus.
  • Ultrasound procedures are contraindicated for pregnant women.

Medicines

Cannula for rinsing photo

Rinsing the tonsils can be done with any antiseptic solution suitable for mucous membranes. Requirements for the solution:

  • must be non-toxic
  • should not cause a chemical burn to the pharyngeal mucosa,
  • must have a wide spectrum of antiseptic action, that is, it must be bactericidal or bacteriostatic for the main pathogens of chronic tonsillitis: streptococci and staphylococci. In addition, it should ideally influence viruses and fungi, so that after the destruction of bacteria, the normal biocenosis of the pharynx is not disrupted,
  • the temperature of the solution should be comfortable so as not to cause a thermal burn with a solution that is too hot and not to provoke a drop in local immune defense with an excessively cold solution,
  • the solution should not be a known allergen for the body, so as not to cause an allergy.

The most commonly used solution is furatsilin. Miramistin, staphylococcal bacteriophage or pyobacteriophage can be used for the same purpose. It is also possible to wash the tonsils with chlorhexidine. Hydrocortisone ointment is used for phonophoresis.

Frequency of procedure

The need to rinse the lacunae of the tonsils can occur as often as chronic tonsillitis worsens or accumulations of pus, bacteria and dead cells cause discomfort in the patient (bad breath, difficulty eating). Before you start rinsing, you should visit a doctor. An experienced and competent ENT doctor will always be able to tell you how relevant the procedure is at a given time, and whether it makes sense to combine it with systemic antibiotics.

Course duration

Since the main goal of therapy is to get rid of the infection and achieve remission of chronic tonsillitis, it is not enough to rinse the tonsils once. Although a thorough hardware procedure will remove the contents of the lacunae, we must remember that the process of microbial reproduction is ongoing. Also, the epithelium of the mucous membrane constantly sloughs off and the leukocytes that fight infection die off. In addition, food debris also forms food plugs in the tonsils. By the way, washing the plugs can also be done by those who do not have chronic tonsillitis.

Washing the tonsils is a course of treatment consisting of five to ten procedures. Since the doctor is responsible for the management of the patient and the result of treatment, he remains responsible and has the right to select the duration of the course of therapy and the medications that will be used. It is important for the patient to find a doctor whom he will trust and a clinic equipped with all the necessary tools and materials necessary to solve the assigned problems.

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Yesterday I did such a procedure for the first time and felt such relief; unfortunately, such a device is not available in all clinics. I found myself on a business trip in Astana, and they recommended a private clinic to me; now in my city I will look for a clinic with such equipment. Tonsillitis has been tormenting me for many years.

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Tonsils

The tonsils in the throat (from the Latin tonsillae) are represented by a small accumulation of lymphoid tissue localized in the nasopharyngeal and oral cavities. Clinicians simply call tonsils tonsils. Despite the fact that the main task of the tonsils is to strengthen the immune system, their absolute immunological role has not been reliably confirmed and the question of why tonsils are needed still remains open.

Structure

The tonsils or tonsils are non-voluminous formations consisting of lymphatic tissue. The anatomically correct location of the tonsils is the articulation of the pharynx with the nasopharyngeal cavity.

  • paired (palatal and tubal);
  • unpaired (pharyngeal and lingual).

The size of the tonsils does not exceed the size of a walnut (the formations received their name precisely because of their resemblance to a nut). Diagnosis and study of the tonsils is carried out endoscopically with special sensors that are immersed in the larynx to assess the condition of the tissues and their pathological changes.

What do the tonsils look like from an anatomical point of view? The structure of the tonsil tissue is porous, loose, and externally resembles a small honeycomb. This structure allows you to quickly pass and recognize pathogenic environments and remove them. With various diseases, pus can accumulate in the pores of the tonsil tissue, causing inflammation and swelling. The palatine paired tonsils, which have specific lacunae, are considered special.

The surface of the tonsils is covered with follicles, which contribute to the production of lymphocytes - the main antibodies in the human body. In inflammatory diseases of the throat and larynx, lymphocytes are part of the purulent exudate. The attachment of lymphocytes is associated with serious impairment of the functionality of the tonsils.

The pharyngeal tonsils also have special features, the surface of which is lined with multiple epithelial folds. The lingual ones are represented by two halves with a transverse groove, reminiscent of coffee beans.

The surface of the tonsil consists of small tubercles on top of a multiple epithelial layer. There are special depressions on it, which are the top of the salivary glands, from where saliva is released.

Functions

What are tonsils needed for in the human body? The organ has a complex anatomical structure, which is explained by the natural purpose assigned to them. There are two main functions of the tonsils:

  • Barrier protection. The tonsils are the first organ that responds to pathogenic microflora transmitted by airborne droplets. Bacteria and viruses enter the oral cavity and nasopharynx, where they are absorbed by the tissues of the tonsils and are identified by antibodies as pathogenic and conditionally pathogenic. The structures of the tonsils close bacteria in their multiple cavities and remove them from the body.
  • Immunostimulating function. Antibody-lymphocytes are formed in the tonsils, which exhibit resistance against harmful bacteria and viruses. It is antibodies that react to the penetration of potentially dangerous microorganisms into the body.

Despite the fact that the tonsils have already been well studied, there is still controversy in the medical community regarding the immunomodulatory function of the tonsils. On the one hand, the tonsils protect the body from primary infection, on the other hand, the porous structure of the tonsil tissue becomes a source of infection. In chronic tonsillitis, the tonsils are not at all able to fully carry out barrier-protective functions, playing a key role in the formation of internal intoxication and sepsis.

Major diseases

The inflammatory process in the tonsils is an infectious disease accompanied by severe damage to the pharyngeal ring. If people's local immunity is strong enough, the infection is quickly eliminated and eliminated from the body naturally. Otherwise, the inflammatory process poses a threat to the entire body.

There are two main forms of tonsillitis:

  • acute, occurring for the first time;
  • chronic, characterized by a long course and frequent episodes of exacerbation.

Inflammation rarely affects the pharyngeal and lingual tonsils. The main causes of chronic tonsillitis are frequent hypothermia, colds, acute respiratory infections and maintaining a low temperature. The long course of such conditions has a negative effect on the pulmonary structures, heart, kidneys, joints, and immunity. Inflammation in the tonsils is provoked by coccal infections, anaerobic microorganisms, chlamydia, mycoplasma, Haemophilus influenzae, fungal or viral infections.

In children, herpetic infection of the tonsils often occurs, accompanied by the appearance of small multiple bubbles with liquid on the mucous membranes of the organ. The disease is acute, characterized by fever, dyspepsia, and general deterioration of the condition.

Feasibility of removal

Removing tonsils in humans is a simple operation, the main indication for which is the ineffectiveness or impossibility of conservative treatment, as well as chronic tonsillitis.

There are two types of surgical intervention:

  • tonsillotomy - partial excision of the pathological focus within healthy tissue;
  • tonsillectomy - complete removal of the tonsil.

In both cases, removal occurs under local anesthesia. In recent years, thanks to the latest gentle techniques, the recovery period is much faster.

Other indications for removal are:

  • severe acute episodes of tonsillitis;
  • pain in the projection of the heart muscle;
  • arrhythmias of various types;
  • joint pain;
  • persistence of persistent low-grade fever (temperature up to 37.5 ºС);
  • infectious damage to the heart muscles (myocarditis, pericarditis);
  • extensive sepsis;
  • symptoms of general intoxication with nausea, vomiting, malaise.

The main goal of surgical treatment is to eliminate the pathological symptoms of tonsillitis, relieve the inflammatory focus and prevent serious complications in relation to the entire body as a whole. Removing tonsils for tonsillitis has many contraindications, so it is carried out only after dynamic diagnosis of the patient’s condition.

Modern surgery offers a number of alternative methods for gentle removal of tonsils, including the use of cold plasma energy, laser scalpel, radioknife and cryosurgery. After a few days, patients can return to their normal lives.

Source: http://moylor.ru/gorlo/mindaliny/

Washing tonsils at home

Tonsil lavage is a procedure for the treatment of tonsillitis (angina follicularis), which is used over a long period of time. Despite the advanced achievements of medicine and pharmaceuticals, the procedure has not lost its relevance. The large palatine tonsils or tonsils are designed for protection and are responsible for the formation of immunity. They consist of a large number of pockets and ducts (lacunae), and during the development of inflammation in them, the tonsils become a breeding ground for bacteria and stop doing their job.

Rinsing the tonsil lacunae yourself at home

A cold is often accompanied by plaque formation and inflammation of the tonsils. The plaque usually takes on a gray-white color. To prevent the virus from spreading throughout the body, it is necessary to wash the tonsils at home.

At home, washing the lacunae of the tonsils is used for chronic or purulent forms of inflammation of the tonsils. This method is very effective, since infection and pus are removed from the lacunae using this method, which will not happen with regular rinsing.

To carry out this procedure, you need rivanol, furatsilin, boric acid, streptocide and an antibiotic solution. It has been proven that the use of the washing procedure significantly increases the patient’s chances of recovery, reduces the volume of the tonsils and eliminates inflammation in nearby lymph nodes.

A syringe is required to carry out the washing procedure. Remember: during treatment you should not take solid food, as it injures the inflamed tonsils and tonsils. Take the prepared furatsilin solution and put it into a syringe. You can prepare the solution at home, on your own. Take 100 milliliters of water and add one crushed furatsilin tablet to it. You can use saline solution or salted boiled water. It is necessary to irrigate the throat with a syringe.

You can also use a saline solution, since salt has an antibacterial effect. It is better, of course, to use sea salt for rinsing, using one teaspoon of salt per 1 glass of water. Swallowing the saline solution is prohibited; it must be spat out, since after irrigation it contains washed away bacteria from the tonsils. The procedure must be performed very often.

A solution containing alcohol for irrigation is chlorophyllipt. The peculiarity of this drug is that it does not destroy the microflora of the oral cavity, but acts only on pathological microorganisms. With the help of the drug, pain is relieved and inflammation is relieved, and the oral cavity is disinfected. To remove pus from the tonsils, you need to dilute chlorophyllipt in a ratio of one to ten or one to five with water. It is necessary to rinse the tonsils three times during the day.

You can use herbal decoctions: mint, oak bark, sage, chamomile, eucalyptus, calendula. But the most effective rinse will be by mixing one teaspoon of each herb together and pouring the mixture with two liters of hot water. You need to rinse your mouth 6 times a day.

Vacuum method of washing tonsils

This is a modern method that allows you to perfectly clean the pockets and ducts of pus using a vacuum. A suction device is applied to the tonsils, the lacunae are released under the influence of pressure, and then filled with a medicinal substance. This procedure gives better results compared to conventional mechanical washing. The course is calculated from 5 to 15 washes. Do the washing once twice a day. Even with a chronic disease, the effect of treatment is present for six months.

In addition to rinsing, do not forget about oral hygiene. After eating, it is recommended to rinse your mouth with boiled water. This procedure is necessary in order to prevent additional bacteria from entering the tonsils, as well as to remove any remaining food. Washing will be an unpleasant procedure for you. Remember, this is not a cure for a disease, but an elimination of its consequences. And we must remember that it is better to prevent a disease than to treat it later.

Washing using the device – Tonsillor

The ultrasound device Tonsillor occupies the top positions in the treatment of tonsillitis. Ultrasonic waves promote better penetration of medicinal dissolved components very deeply into the tissue. They destroy purulent and protein formations, suppress inflammation, promote resorption and pain relief, and relieve spasms in blood vessels. With the help of a vacuum, excellent suction of the bad contents of the lacunae occurs, and injury to the tissues themselves during the procedure is eliminated.

The method has undeniable advantages:

  • Unlike antibacterial drugs, bacteria do not and do not develop resistance to ultrasound.
  • Thanks to specific nozzles, tonsils can be washed in a targeted manner. Ultrasound removes the bacterial component mechanically and promotes high-quality penetration of the medicine into the empty spaces of the tonsils from pus. Thanks to this duet, the effect of treatment increases many times over.
  • The procedure takes little time and does not cause injury. The attachments cannot injure the oral mucosa, thereby eliminating the risk of infection entering the bloodstream. The device has attachments for treating children and adults.
  • The drug is used both during remission and during exacerbation of the disease. The drug makes it possible to reduce the dose of antibiotics without causing allergic reactions or dysbacteriosis. Reduces treatment time and reduces the risk of complications and the spread of infections to neighboring organs.
  • The only negative is that the drug is prohibited for use in the first 3 months of pregnancy.

Conclusion

If the patient has chronic tonsillitis, it is necessary to examine the entire mucous membrane of the patient’s oral cavity. It is necessary to stabilize the immune system, as well as restore the structure of the tonsils to normal. Using only rinses, it is unrealistic to achieve a good effect. That is why it is necessary to approach treatment comprehensively. Good health to you.

  • Author: Anastasia Petrovna Olkhovskaya
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Washing the tonsils: the essence of the procedure, indications, methods, is it possible at home?

Washing the tonsils is a professional procedure that allows you to get rid of purulent plugs in chronic tonsillitis. It is not recommended to do it yourself due to the risk of damaging delicate tissue; all operations require high precision. The essence of the method is to remove purulent contents from the lacunae of the tonsils using a stream of water or vacuum suction.

Indications for the procedure

Tonsils are small, oval-shaped organs. They consist of follicles (vesicles) separated by connective tissue. On the outside, the tonsils have a mucous membrane. There are many depressions (lacunae) in it. It is assumed that they serve to “filter” liquid, food, air - everything that enters the mouth. Lymphocytes, the cells of the immune system, mature in the follicles. They come to the surface of the gaps and neutralize the microbes that get there.

Sometimes, when the immune system is insufficiently active, lymphocytes “cannot cope.” Then the inflammatory process begins in the lacunae of the tonsils. Purulent contents accumulate there. This condition in the tonsils is called tonsillitis or tonsillitis. It can be acute or chronic. In the first case, antibiotics, local therapy measures and bed rest are effective.

In case of chronic tonsillitis, washing the lacunae of the tonsils becomes an alternative to surgery to remove them. To achieve a therapeutic effect, doctors advise doing it several times a year.

Also, lavage may be recommended for adenoids. This is the name of a pathologically enlarged pharyngeal tonsil. Depending on the degree of its growth, removal or conservative treatment (including washing) may be indicated.

Contraindications

The method is not used in the following cases:

  • The presence of infection in the active phase. This applies not only to inflammation of the tonsils, but to any purulent process in the oropharynx cavity. Even caries can be a reason for refusing to rinse. Since there is a high risk of spread of pathogenic microorganisms to neighboring tissues and organs during the procedure.
  • Oncological processes.
  • Pathologies of the retina. During detachment, any load can aggravate the process, including washing out the gaps.
  • I and III trimesters of pregnancy.
  • Heart disease, severe damage to blood vessels.
  • Hypertension. It is not an absolute contraindication; the doctor assesses the likelihood of a crisis and determines the possibility of carrying out the procedure.
  • Children's age (up to 3 years).
  • Allergy to the drugs used.

The vacuum method of washing is still allowed in the acute phase of tonsillitis, but only if the patient’s condition allows it.

Technique for washing tonsils

During the procedure, the doctor comes into direct contact with the lacunae. He directs a vacuum aspirator or a stream of water at them. As a result, purulent contents (plug) are removed from the tonsil.

Some experts believe that washing the lacunae does not lead to recovery, but only temporarily eliminates the symptoms. Tonsils in a healthy state are able to cleanse themselves. However, practicing ENT doctors talk about the gradual restoration of organ function after a series of rinses.

Before the procedure, patients must submit a smear for bacteriological culture from the nasal and throat cavities. For many, the procedure causes a strong gag reflex, especially when using a vacuum aspirator. To avoid this effect, you should not drink or eat food for two hours. Most clinics use local anesthesia (sprays with novocaine or lidocoine, which reduce sensitivity).

Some patients report severe pain during and after rinsing. In this case, you need to insist on freezing during repeated procedures. The total time of one wash is from 30 seconds to several minutes, depending on the degree of damage. Most often, both tonsils need to be cleared of plugs.

During the rinsing process, you should try to relax and breathe shallowly through your nose. If it is blocked, it is better to take vasoconstrictors in advance. The course of rinsing is prescribed by the doctor. Usually it comes down to 5-10 procedures, repeated daily.

Rinsing the tonsils with a syringe

Carrying out the procedure in a clinic setting

This method is the simplest and most common. At the moment, it is included in the list of free services under the compulsory medical insurance program. Syringe rinsing can be done in a regular clinic.

To carry out the procedure, the doctor uses a syringe without a needle with a cannula (a metal curved tube) attached to it. He inserts the nozzle directly into the lacuna, breaking the plugs if necessary.

The syringe contains a solution of an antiseptic drug - furatsilin, potassium permanganate, etc. The liquid is pumped into the lacuna, after which it is poured along with the purulent contents into the patient’s mouth. The patient is asked to spit it into a cuvette. In this way, the palatine tonsils are washed; the pharyngeal tonsils are quite difficult to reach even with a curved cannula.

After the procedure, the tonsils are lubricated with Lugol's solution and collargol (a silver-based drug). The patient is advised to abstain from hard, scratchy foods for the entire treatment period. The effectiveness of the procedure largely depends on the professionalism of the doctors. An inexperienced specialist can damage the walls of the lacunae, which will ultimately lead to the spread of infection or the formation of scars that will worsen the condition and functioning of the tonsils.

Carrying out the procedure yourself

Some patients with chronic tonsillitis try to repeat the procedure at home. A syringe for washing tonsils can be purchased at a pharmacy. But despite the apparent simplicity, it is better to consult a doctor. It is impossible to maintain the required sterility at home, and a non-specialist can cause serious injury and cause the spread of the disease.

You should only decide to do it yourself if there is no other way out; remember that the consequences can be negative. To do this you need:

  1. To reduce the gag reflex, offer the patient to eat ice cream or suck on a piece of ice.
  2. Wipe the tonsils with a disinfectant solution.
  3. The patient needs to open his mouth as wide as possible and stick out his tongue.
  4. A stream of medicinal solution is directed to the tonsils in the areas of white spots. It may contain salt, furatsilin, and herbal decoctions. The solution should have a temperature of 37°-38°.
  5. During the procedure, the patient needs to breathe shallowly, through the nose or mouth.
  6. If vomiting occurs, rinsing is interrupted.
  7. Every few seconds it is necessary to spit out the medicinal solution.
  8. After the procedure, the patient needs to rinse his mouth.

Vacuum method of washing with the Tonzillor-MM apparatus

This method is considered more effective. There are several reasons for this:

Removal of pus is accompanied by exposure to ultrasound. Radiation helps drugs penetrate into the deeper layers of tissue.

  • Vacuum rinsing allows for more complete cleansing of lacunae.
  • The Tonsillor device is quite easy to use and less dependent on the doctor’s skills.
  • The entry of pus onto the susceptible surface of the mucous membrane or skin and the spread of inflammation are excluded.

    • Before the procedure, the patient is asked to lean back in the chair and open his mouth wide. After anesthesia, a vacuum suction cup is attached to the tonsil. The pus is removed. The selected drug is pumped into the lacunae under the influence of ultrasound.

    The purulent contents are evacuated through a special tube without contacting the patient’s oral cavity. After this, the tonsil is treated with an ozonized solution for 1 minute. This ensures expansion of the lacunae and their additional drainage. In addition, ultrasound inactivates pathogenic flora.

    The spent solution flows into a special collection. The stage lasts about 10 seconds, during which the patient will be asked not to breathe. The next stage is called impregnation. It involves soaking the tonsil tissue with a medicinal solution. The substance used may be antihistamines, antivirals or immunomodulators.

    The manufacturer informs “Sometimes, in some patients, after the procedure... moderate symptoms of exacerbation of the chronic process may occur, which are subjectively manifested by a slight sore throat, sore throat and low-grade fever.” In such cases, the course is interrupted for several days, after which it is resumed, provided that the patient’s condition does not suffer.

    Washing the pharyngeal tonsil with adenoids has some features:

    1. The whole procedure is generally shorter.
    2. Since access to the tonsil is difficult, a specially designed curved probe is used for washing.
    3. The number of procedures is limited. There should be no more than 5 washes performed daily in a row.

    Washing with UZOL device

    This domestic invention opens up new possibilities for conservative treatment of adenoids and chronic tonsillitis. It is based on the phenomenon of cavitation combined with the influence of ultrasound. When ultraacoustic vibrations pass through a liquid, bubbles are formed - cavities with air. When they collapse, a shock wave is formed, which damages the membranes (walls) of bacterial cells. This technique has no analogues; its effectiveness is twice that of other therapeutic methods.

    UZOL gathers in the city of Chelyabinsk, so the main location of this practice is the Urals. In other regions of Russia, the presence of a UZOL device in a regular clinic is rare. However, private medical centers purchase such equipment and can offer such services to their clients.

    The device itself resembles a pistol in appearance; a stream of medicinal solution is released from the “barrel”. The base is connected to a liquid reservoir. The patient should keep his head straight, moving it forward as much as possible. The doctor holds the tongue with a spatula without touching its root. The device is located a few centimeters from the patient’s mouth.

    The stream is directed to the tonsils. The processing time is about 5 minutes. The liquid flows into the oral cavity, and the patient spits it into the ditch. Each injection should be done while exhaling. To reduce the gag reflex, it is better for the patient to make the sound “a”.

    Side effects from rinsing

    The most common consequence that patients encounter is damage to the epithelium of the tonsils, scratches and irritations on their surface. After a course of procedures, it is painful for them to swallow, and solid food causes discomfort. This situation is possible due to the inexperience of the doctor or accidental movements of the patient during rinsing.

    The second possible reaction is an allergy to the components of the medicinal solution. It may be noticeable after the first procedures or result from the cumulation (accumulation) of certain compounds. Allergies can manifest themselves both locally (swelling and redness of the mouth) and generally (urticaria, rhinitis), since the drug is sometimes swallowed.

    Another possible problem is the spread of infection. Washing is not carried out during exacerbations precisely because of these risks. Pathogenic bacteria from the contents of lacunae can enter the mucous membranes of the mouth, pharynx, and respiratory tract and cause inflammation. After washing, bronchitis and sinusitis are common. The likelihood increases if you carry out the procedure yourself. The risk when using Tonsillor is minimal. At the same time, if swallowed, microorganisms will not cause harm to the gastrointestinal tract; they will not be able to survive in the acidic environment of the stomach.

    After washing the tonsils, an exacerbation of a chronic disease may occur. It is difficult to say what exactly causes it, probably a slight decrease in local immunity during the treatment of organs. Patients may experience: fever up to 40°, swollen lymph nodes, severe weakness. In such cases, the course is interrupted until the patient's condition stabilizes.

    Washing the tonsils is an unpleasant procedure, but many patients evaluate its effect positively. It is invaluable as a hygiene measure. Even if washing does not lead to complete recovery, temporary relief gives the patient strength for further treatment and saves such an important organ of the immune system as the tonsils from premature removal.

    Source: http://uhonos.ru/gorlo/lechenie-gorla/promyvanie-mindalin/

    Palatine tonsils: what are they, why do they enlarge?

    The tonsils perform very important functions and are often attacked by bacteria and viruses, which is why they often become inflamed. And inflammation can lead to changes in the condition of the tonsils and their functioning.

    For what reasons can the palatine tonsils become enlarged? Can traffic jams form in them? And how is the treatment carried out?

    What are tonsils? How do they work?

    Palatine tonsils are accumulations of lymphoid tissue located on the lateral walls in the depths of the oral cavity between the palatine arches. In the photo it looks like two tubercles located on the sides of the nasopharynx. The main function of the tonsils is to protect against bacteria and viruses. It is in lymphoid tissue that immune cells are formed. In fact, tonsils are a kind of barrier to pathogenic microorganisms. But if the attacks of such microorganisms are too frequent, or for some reason immune cells cannot be formed in the required quantities, then the tonsils themselves turn into a focus of infection and provoke serious complications. In this case, the doctor may recommend complete removal of the tonsils, but such an operation is not indicated in all cases.

    Palatine tonsils differ from nasopharyngeal tonsils in that on their surface there are lacunae - depressions, which, in essence, are traps for bacteria (they can be seen in the photo). Pathogenic microorganisms settle in them, and antigens are released through the epithelium of the lacunae, which are necessary to effectively resist attacks from bacteria and viruses. But if the functions of the tonsils are impaired, bacteria in the lacunae can multiply. In this case, traffic jams may occur.

    Enlarged tonsils

    Enlargement of the palatine tonsils is a common problem that is most common among preschool children (this is due to the failure and inadequate functioning of the immune system).

    There are three degrees of magnification in total:

    1. In the first degree, the tonsil occupies a third of the space between the midline of the pharynx and the edge of the anterior palatine arch.
    2. In the second degree, the tonsil may occupy half the space indicated above.
    3. In the third degree, the tonsil can occupy almost the entire space (in some cases, the tonsils touch each other).

    Causes

    Among the causes of hypertrophy are the following:

    • Frequent colds. They can greatly undermine the immune system and disrupt the functioning of lymphoid tissue.
    • Chronic tonsillitis can lead to an increase.
    • Hypertrophy of the tonsils can be observed in other chronic diseases of the nasopharynx or upper respiratory tract, such as sinusitis, sinusitis, adenoiditis, and so on.
    • Frequent hypothermia of the tonsils or other effects on them (for example, thermal or chemical) can also lead to enlargement.
    • Metabolic disorders or endocrine diseases can be a negative factor.

    Manifestations

    • The photo shows that the tonsils become swollen and increase in size.
    • Sometimes traffic jams form.
    • Redness may occur.
    • With severe hypertrophy, breathing disturbances are observed. Sleep apnea may occur during sleep. A common occurrence is snoring.
    • The voice changes, it becomes nasal, rough.
    • Often there is discomfort in the nasopharynx, a sensation of a foreign body.

    Solution

    First of all, you need to find out the causes of hypertrophy, since treatment will consist of eliminating them. To determine these reasons, a study will be required, which may include a blood test, examination of the mucus flowing down the nasopharynx (or there is one) or the contents of the lacunae. Antiseptic and anti-inflammatory agents are used for rinsing or irrigation. If the disease is bacterial in nature, then it would be rational to take antibiotics (they are prescribed by a doctor after tests).

    If the palatine tonsils are permanently enlarged, then treatment will involve their partial or complete removal - tonsillectomy. This operation is indicated for the third degree of hypertrophy, as well as for frequent diseases of the nasopharynx. Removal is a serious and last resort measure, which in some cases allows you to forget about the problem. But it is worth noting that surgical treatment is not always effective. Firstly, lymphoid tissues tend to grow (in this case, repeated removal may be required). Secondly, after tonsillectomy, local immunity may significantly decrease, which will lead to frequent colds and infectious diseases of the upper respiratory tract and nasopharynx. A more gentle operation is lacunotomy (excision of lacunae).

    Traffic jams

    Blockages in the tonsils are an equally common problem. Most often they form in lacunae, but can also occur under the epithelial layer or even deep in the lymphoid tissues. The plugs can consist of pus formed as a result of inflammation (pus is accumulations of dead cells of the immune system involved in the fight against viruses and microbes, as well as bacteria themselves and tissue breakdown products), from particles of tissue of the tonsils and oral cavity, as well as from residues food.

    Traffic jams in the tonsils

    Causes

    Traffic jams can form for various reasons:

    • Acute tonsillitis (tonsillitis).
    • Chronic tonsillitis.
    • Frequent sore throats or other infectious diseases of the nasopharynx. Due to constant inflammation, the lacunae can become deformed, causing food debris to get stuck in them.

    A study of traffic jams will help to find out the exact causes and begin treatment.

    Symptoms

    One of the symptoms of traffic jams is bad breath.

    • In most cases, traffic jams are clearly visible in the photo and upon inspection. They can have different sizes (from 1-2 to 5-6 millimeters) and shades (from white and yellowish to gray, brown and even greenish).
    • The patient may feel discomfort, a sensation of plaque or a foreign body.
    • If treatment and removal of plugs is not timely, an unpleasant putrid odor from the mouth may appear.

    Solution

    If purulent plugs appear due to tonsillitis, then treatment for this disease will be required. For bacterial infections, antibiotics are used. Local therapy may include rinsing or irrigating the tonsils with antiseptics (Miramistin, Chlorhexidine), anti-inflammatory or antibacterial agents (Bioparox).

    Removing traffic jams can be done at home. You can use a cotton swab or your own finger wrapped in a bandage. On an outpatient basis, removal can be done by rinsing with a syringe or a special device. To avoid recurrence, regular rinsing with antiseptics is carried out.

    If plugs appear again and again, then surgical treatment may be prescribed - lacunotomy or excision (removal) of lacunae. After such an operation, the lacunae cease to become clogged due to significant expansion (this is noticeable in the photo), and the palatine tonsils continue to perform their functions. Laser lacunotomy is more often prescribed, which eliminates the possibility of bleeding. In addition, radio wave lacunotomy is also used.

    The information is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

    Source: http://medlor.ru/zabolevaniya-gorla/nyobnye-mindaliny-chto-eto-takoe-pochemu-oni-uvelichivayutsya/

    Treatment of sore throat

    Tonsil lacunae: washing of caseous and purulent tonsil plugs

    Diseases of the nasopharynx area are widely known in medical circles and among ordinary patients of ENT offices. They are a matter of concern in the off-season, when the body is weakened by adaptation to changes in ambient temperature, high humidity and a variety of atypical living conditions.

    What does our defense consist of?

    Due to the fact that the human immune system can successfully overcome various inflammatory, infectious, microbial and other atypical pathologies, it is especially important to know what mechanisms protect against numerous risks. Experts consider the lymphoepithelial ring to be important and significant in the immune system, one of the important fragments of which is the tonsils. It is especially important to monitor the inflammatory processes of these organs. Numerous lacunae in the tonsils present an excellent opportunity for infection or pathogenic microorganisms to take root and develop. An additional nutrient medium is the loose parenchymal tissue of the tonsils, where viruses and other pathogens find shelter and soil for reproduction.

    Features of tonsil pathology

    The characteristics of the immune system largely shape the ability of the human body to resist diseases of various types. There are several parts of the immune system located in different parts of the human body. It consists of lymph nodes, the appendix, lymphatic accumulations in the intestinal area, and the spleen. The tonsils, as a formation in the closest contact, have to be the first obstacle to pathogenic microorganisms. Dust, pollution from the atmosphere and water, bacteria from food and other sources settle on them. The simple procedure of washing the lacunae of the tonsils allows you to avoid the settling and rooting of pathogens. The tonsils represent a special system, which is characterized by certain physiologically important functions:

    • Barrier. There are processes of destruction of microorganisms that enter the mouth from the outside or are already in the body. Risk factors include various forms of caries, periodontitis, gingivitis, and chronic tonsillitis.
    • Immunogenic. Tonsil follicles provide a unique environment for the maturation of lymphocytes and their differentiation into T and B groups.

    Due to the peculiarities of the anatomy, after the processes of phagocytosis, purulent clots of a special type are formed, plugs in the lacunae of the tonsils, which must be removed after a certain period of time. They play a protective role for the lacunar surface from new infection until the pathogenic flora is suppressed with the help of immune factors and drug treatment.

    What is next to the tonsils?

    For any manifestation of the inflammatory process in the nasopharynx area, it is necessary to contact an ENT doctor, who can, by prescribing diagnostic procedures, determine the type and possible danger of the pathogen, the exact localization of the source of infection. This is due to the fact that the tonsils are not a single formation, but create entire structures. They consist of the lingual palatine, tubal, and pharyngeal tonsils. The course of a sore throat or other inflammatory process is complicated by the breakthrough of purulent contents from the lacunae into the peritonsillar tissue; the formation of a peri-tonsillar diffuse abscess occurs quickly against a background of high temperature. It is very important to sanitize the lacunae of the palatine tonsils. If the procedures are not carried out or are not thorough enough, with a clear picture of infection, the abscess in the stage of active abscess will break into a blood vessel. This is the reason for the development of dangerous diseases of the circulatory and nervous system - advanced sepsis, streptococcal meningitis, Lemierre's syndrome. It manifests itself in the form of jugular vein thrombosis with metastases of purulent contents into various systems and organs.

    A little about care and treatment

    Tonsil plugs are clearly visible even during an initial visual examination, and at a certain stage of development, their heads are noticeably higher than the level of the surrounding tissue. The modern practice of washing allows you to get rid of them within several procedures and successfully reduce the impact of infection on the patient’s body.

    Caseous plugs in the lacunae of the tonsils are effectively washed out and eliminated with solutions of antibiotics, furatsilin, potassium permanganate, boric acid, miramistin, iodinol. A solution of sea salt in distilled water often works great. These procedures are local in nature; to achieve complete therapeutic success, washing the lacunae of the palatine tonsils is combined with the following purposes:

    • Taking antibacterial drugs orally or by injection.
    • Complex use of desensitizing agents.
    • Active restorative treatment.
    • A gentle type of daily routine and deep quality sleep.
    • Walking in the fresh air without physical activity.

    Modern methods of treating tonsils make it possible to obtain excellent, stable results and prevent many serious diseases. But the best treatment for tonsillitis, tonsillitis and inflammation of the adenoids is prevention and attention to one’s own health.

    Source: http://etoangina.ru/lakuni-mindalin-promyvanie-kazeozny/

    Washing the lacunae of the tonsils

    The palatine tonsils are the largest of the tonsils located in the pharynx and are a collection of lymphoid tissue. Inside the tonsils there are numerous “pockets” and ducts called lacunae. It is in them that, during chronic tonsillitis and sore throat, pathological contents accumulate, represented by desquamated epithelium, dead leukocytes and microbes. Such contents, called “plugs,” are a favorable environment for the proliferation of pathogenic bacteria, which can lead to exacerbation of chronic diseases of the pharynx. Therefore, washing the lacunae of the tonsils is one of the methods of conservative treatment of chronic tonsillitis, which allows you to maintain the disease in remission.

    The indication for washing the lacunae of the tonsils is the presence of purulent contents in them in case of chronic tonsillitis. It should be noted that even in healthy people, “plugs” can be found in the ducts of the tonsils, which is due to the structural features of the tonsils. In this case, they self-clean and no rinsing is required. The procedure will be ineffective if the palatine tonsils are located deep between the arches.

    Rinsing the tonsils during pregnancy is not contraindicated; during the procedure, the doctor uses one of the medicinal solutions approved for use in expectant mothers.

    Today, there are several ways to wash the tonsils.

    Flushing with a syringe

    This is the most common and accessible way to perform this procedure. For this, the doctor needs a “larynx” syringe with a special curved cannula and a blunt needle. The procedure is performed by a doctor under visual supervision. The otorhinolaryngologist inserts a needle into the tonsil lacuna and rinses it with a medicinal solution under pressure.

    This method has a number of disadvantages. Small lacunae cannot be rinsed with such a syringe, since the needle has a certain diameter, and inserting it into small “pockets” can lead to injury to the tonsil tissue. Under the pressure of a stream of medicinal solution, some “plugs” may not be washed out of the lacunae, but fall into their deeper layers. But the biggest drawback is the trauma to the lymphoid tissue of the tonsils. Even the most experienced doctor can cause microtrauma, which over time can lead to scarring of the mucous membrane of the tonsils and a deterioration in their natural evacuation function.

    Vacuum rinsing of tonsils

    This method of rinsing the tonsils is more effective than rinsing with a syringe. During the procedure, vacuum aspiration of the contents of the lacunae occurs, which, after cleansing, are filled with medications.

    Today, many clinics use a special device, Tonsillor, to rinse the lacunae of the tonsils. Cleaning the “pockets” of pathological contents occurs under the simultaneous influence of ultrasound, vacuum and medicinal solution, therefore rinsing the tonsils with Tonsillor is considered the most effective. The lacunae of the organ are washed completely, thanks to vacuum aspiration of the “plugs,” and ultrasound helps improve regenerative processes.

    Washing tonsils at home

    This procedure is usually performed by a doctor in a clinic. It is difficult to wash the tonsils on your own at home; in addition, you can injure the tissue of the organ, which will lead to a worsening of the disease. Not long ago, devices called irrigators appeared, designed for rinsing the oral cavity at home. It is possible to use such an irrigator to rinse the tonsils, but the patient must be aware that the quality of the procedure will be much worse than when rinsed by a specialist. The procedures are performed almost blindly, and the principle of the method is similar to rinsing with a syringe (a stream of water or an antiseptic solution is supplied under pressure through a special nozzle).

    Frequently asked questions related to the tonsil rinsing procedure

    How many treatments are needed?

    There is no clear answer to this question. Doctors recommend performing 7–10 procedures and believe that performing less than 5 washes is pointless. In severe cases, even after 10 procedures, a small amount of “plugs” may remain in the gaps.

    Is pain relief provided?

    Typically, rinsing the tonsils is done without anesthesia, since the procedure does not cause severe discomfort to the patient. But in some cases, for example, at the personal request of the patient, a solution of lidocaine is applied topically to children with increased sensitivity and gag reflex.

    How to prepare for the procedure?

    An hour before visiting an otolaryngologist, it is not recommended to eat or drink. After rinsing, you should also refrain from eating for 2-3 hours. During the course of treatment, it is advisable not to eat rough food, which can injure the mucous membrane of the tonsils.

    Are there any special features of oral hygiene during the course of treatment?

    When washing, traumatization of the tissues of the palatine tonsils is possible, which can contribute to the occurrence of an inflammatory process in them, therefore, during the course of treatment it is necessary to carefully observe oral hygiene. In addition to thoroughly brushing your teeth, it is recommended to gargle after each meal; it is better to use chamomile or sage decoctions for this.

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    Commentary “Rinsing tonsil lacunae”

    Anatoly

    Nice article, thanks! They would also write what solution to use for washing.

    Source: http://otolaryngologist.ru/199