Tuesday, June 22, 2010

What everyone should know tonsillectomy

Almonds are one of the most misunderstood in the throat, not only for patients but many doctors as well. traditional doctrine maintains that the tonsils are glands that help fight throat infection. Why are most cases of repeated throat infections debt, tonsillectomy is one of the most frequently performed in the U.S.. As I reveal in the rest of this article, today many tonsillectomies are performed unnecessarily.At the same time there are still too many leave in the tonsils should be removed as a reality. Here's why.

What are tonsils?

Before I can clarify the conflicting evidence regard, I must first explain what tonsils are and what they do to merit removal, if at all.

Tonsils are lymphoid tissues, such as the glands in the neck, armpit or groin. They are part of the immune system and help learn what foreign policy and to help fight these antibodies involvedof infection. In young children are very sensitive lymphoid tissues and can greatly increase even after a cold or infection. If you have small children, I'm sure I'm with her complaints of neck pain when they have colds.

It 'also important to note, however, that the tonsils may swell reflux not only for a viral or bacterial infections, but also have allergies and acid. Each degree of irritation or inflammation can swell the tissues. This isnormal and happens to varying degrees in people after any type of infection, irritation or inflammation. As such, not all complaints of sore throat, viral or bacterial. There are many factors to an inflammation of the tonsils, which is why antibiotics are not effective in the treatment of neck pain.

What do tonsils do?

Almonds are part of Waldeyer's ring, a full circle of lymphatic tissue, which consists of two almonds on the side walls of the neck is done,Polyps, which are in the midline of the back of the nose and tongue, tonsils, located at the base of the tongue in the midline. In some cases, you will see little connection between all four glands, forming a complete circle. Everything you breathe in or swallow has to pass through this "Ring", you can learn that the body, entering the body. This process is most active in the age groups 3-6.

You know, what happens if the tonsils are infected, 's on your throatIt hurts, you have a fever, stiff neck glands (lymphoid glands, tonsils drain) and not sleeping well. From the common cold virus to bacteria and even allergies can lead to swollen tonsils. can damage the streptococcal bacteria are very common, but there is a particular burden called group A streptococci beta-hemolytic (GABHS), which for the tested and treated, because the toxins produced by this strain may have a heart or kidney. In theory you can not even give the bacteria GABHSYou wretch like symptoms, but when severe, doctors usually give you oral antibiotics to feel better in most cases.

If the tonsils means more than a sore throat

But there is another variable that occurs during infection, tonsil usually not appreciated that the tonsils may swell considerably. People have relatively narrow upper airway passages to start breathing, and even mild inflammation and swelling in the throat can close thisAirways even more, almost always leads to varying degrees of disability and awakening from sleep.

This means that not only affect your tonsils sore throat feels like, can also lead to sleep badly. Here's why.

If the inflammation and swelling caused by an infection of the tonsils causes your airways to reduce or completely blocked, and this in turn leads to stop breathing, it is awake to light sleep immediately, or hold your breath10 seconds or longer and then wake up. In the latter case, you should know what they called an "apnea" or "loss of breath." Most people have a lot of obstacles and brief awakenings that reason, if you have a cold, you can not sleep so well because you should throw and change more often than normal. Fortunately, in most situations, if the infection goes away, will return to normal.

However, there is still a piece of the puzzle, the feeling may keep you fromrather, this is the piece that many patients and many doctors and neglected. When you breathe, if only to stop temporarily, create a vacuum in the throat, where it will suck your stomach juices to the neck, literally. Small amounts of acid, bile, digestive enzymes and bacteria can cause you to stay swollen tonsils, making this vicious circle aggravating. Worse, gastric juices so you can continue your journey down the nose or lungs, causing much trouble SunThere is also a stuffy nose, then an effect of vacuum is created downstream, and the tongue may fall further behind.

some viruses as the cause of Epstein-Barr virus (that) the lymphatic tissue mononucleosis targeted attack and, therefore, has the unusually large tonsils.

This is one reason why patients with this disease have prolonged attacks of chronic fatigue.

Misleading neck pain

Most people (and doctors) are naturally assume that if your throat hurts, themeans that you have a sore throat. If antibiotics, which means that the works are given, so that the infection after all, was it? Not necessarily. One of the most commonly prescribed oral antibiotic called azithromycin (brand name is Z-Pak), which is a practical course of five days. One of the lesser known benefits of these drugs is that the stomach empties quickly. So, come from your gastric juices, throat feel better relativelyquickly, sometimes it works faster than expected from typical antibiotics. The problem with this drug is that it works only sometimes in some people, and the effect begins to wane after a few doses.

Note that for many people, cold and sinus infections, always begin in the throat, with a tingling, sore throat, accumulation of mucus, hoarseness, cough and post-nasal drip, which are all symptoms of the throat, acid reflux. Then, as swelling in the throat has worsened, moreFruit juices should be placed on the neck, creating more swelling. If tonsils are larger than normal, then the narrowing of the neck will be stronger, and you hold your breath more often. If this process continues, the end result of bronchitis or sinusitis will be classical.

Normally, almonds fall glands very small for the time you're an adult, but for some people, are enlarged. One possible explanation is that they are subjected to repeated attackscan get the inflammation of the gastric juice and gastric juice as large tonsils.

A rite of passage?

In the 50 to 70, was a fact that if you had your tonsils were removed. The number of tonsillectomies has declined significantly since then, but recently it up. The main reason for the tonsillectomy was time to recurrent infections, but now obstructed breathing is the most common indication.

We now know that even mild degrees ofThe sleep-breathing problems in children, a variety of problems, from bed wetting and ADHD, behavioral disorders and problems with asthma.

A recent study published in the journal Pediatrics indicates that approximately 50% of children with ADHD can be treated with adenotonsillectomy (this is when you remove both the adenoids and tonsils has been). Several studies report significant improvements in children's cognitive, behavioral, memory and sustained attention scores after tonsillectomy. My son was Jonassubstantial improvements after his tonsillectomy.

Not all children with ADHD have a sleep-related breathing problems, but since there is such a common condition that can be treated, it is worth at least be considered if the child has ADHD. People have always wondered why a stimulant medication like Ritalin helps children concentrate and still quiet. The answer is that they are sleepy.

Poor sleep quality can also be a child refine their senses and cause changes in the involuntary nervous systemSystem, he or she have balance problems or are allergic to certain forms of sensory input such as touch, noise or odors.

The Truth About Tonsillectomy

Unfortunately, not all children are subject, the improvement of tonsillectomy. A recent meta-analysis combining several studies have shown that tonsillectomy a total of about two thirds had significant benefits. Some children have something good, but not as good as some others. The explanation is that the tonsils are not the only part ofequation. By definition, if the tonsils are large, then your jaw will be smaller. I found in my book, Sleep, broken jaw that modern humans smallest of our ancestors a few hundred years ago, referred mainly to a change in our diet (organic food from the ground or oceans have foods with refined sugar). bottle is another modern Western phenomenon that has proven to strengthen this process. If you need to start small jaw, you have moreInflammation of the throat of the mechanism that I used, that predispose described enlarged tonsils. Having large tonsils caused more obstacles, so that a vacuum effect that can also reduce the shoes, especially a small child jaws are relatively soft and malleable.

A recent study showed that only with tonsillectomy, compared orthodontic palatal expansion has been equally effective. If both procedures were performed, the results were additive. ThisStudy shows that dental and orthodontic problems may be important considerations, long before the parents to support braces for their kids.

Outgrowing almonds

Some of you may wonder if the tonsils are an important part of the immune system, why remove them? Most of his early education of your immune system occurs before the age of 6. Or at the time, or much later if tonsils so big that they hinder literally breathe in the night, in fact, notThey think this is another important issue that must be done, right? Doctors also say that children grow up "out of it." Yes, in most cases will be, but based on all previous studies, there is ample evidence that, before growing "out" can be possible long-term consequences, including the risk of developing obstructive sleep apnea, heart disease, heart attack and stroke in adulthood.

I once heard a talk at a national meeting of the sleep in whichall children who underwent tonsillectomy increases dramatically. The results of this study is disturbing that children who are not questions of sleep-breathing children who underwent tonsillectomies never be completely up to the control children in terms of cognitive and behavioral measures taken. This means that there is some degree of permanent brain damage. Fortunately, the brain of children very adaptable and can be very well compensated.

In noLinks to support routine tonsillectomies for all children. But if your child is one of the questions I mentioned in this article, or if you're on the fence that the child should be some kind of treatment must be subjected to such questions certainly worth thinking about.

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