Mbak Yanis,
Mungkin amandel nya radang jadi gampang kena batuk
pilek. Amandel sendiri fungsinya untuk memberi petujuk
bahwa tubuh sedang melawan penyakit. Berikut artikel
tentang radang amandel dari Discovery channel, semoga
berguna.
Mamanya Dafi
Tonsillitis is an inflammation or infection of the
tonsils.
What is going on in the body?
The body has two sets of tonsils. One pair can be seen
at the back of the throat. These are called the
palatine or faucial tonsils. The other pair is at the
back of the tongue and cannot be seen by looking in
the mouth. These are called the lingual tonsils.
Tonsillitis usually means the inflammation or
infection of the palatine tonsils. But sometimes the
disease can involve the lingual tonsils and other
lymph nodes in the back of the throat.
What are the signs and symptoms of the infection?
Symptoms for acute tonsillitis include:
- the rapid onset of severe sore throat that worsens
over time.
- moderate to high fever.
- difficulty swallowing.
- red, enlarged tonsils that may or may not have pus
on
the surface or in the pits.
- swollen or tender lymph nodes below the jaw.
Symptoms for subacute tonsillitis can last from 3
weeks to 3 months. These include:
- somewhat enlarged tonsils.
- foul smelling, pasty, infected material that
collects
within the pits on the tonsils.
- fluctuating low-grade sore throat.
- bad breath.
- foul taste in the mouth.
- mildly swollen, tender lymph nodes.
- Symptoms for chronic tonsillitis include:
enlarged, mildly red tonsils that are scarred with
large pits.
- slightly enlarged lymph nodes that are not usually
tender.
- off and on sore throat.
What are the causes and risks of the infection?
Acute tonsillitis is typically caused by bacteria such
as streptococcal bacteria and Hemophilus or virus such
as adenovirus and Epstein-Barr virus, which causes
mononucleosis. Before there was a vaccine, diphtheria,
a very serious disease that produces a poison
throughout the body and a false membrane in the
throat, was a common cause of acute tonsillitis.
People can get acute tonsillitis by:
- coming into contact with someone who has strep
throat
or mononucleosis.
- having strep throat that develops into tonsillitis.
- sharing utensils or toothbrushes with people
infected by or carrying strep bacteria or
Epstein-Barr virus.
Acute tonsillitis can break out of the tonsil and
infect the tissue between the tonsil and the throat.
Subacute tonsillitis is most commonly caused by
actinomyces, a normal mouth bacterium that can cause
infection.
In chronic tonsillitis, there is a long-standing
infection that is almost always bacterial.
What can be done to prevent the infection?
The best way to prevent acute tonsillitis is to avoid
people who have strep throat or any of the bacterial
or viral infections that can lead to acute
tonsillitis. There is no way to prevent subacute or
chronic tonsillitis.
How is the infection diagnosed?
A doctor can diagnose this disease based on the
person's health record and a physical exam. Other
tests, like cultures of the material on the tonsils
and complete blood counts, help determine if it is
bacterial or viral.
If mononucleosis is involved, then the lymph nodes in
the neck, armpit or groin will be enlarged. The liver
and spleen also may be enlarged, and the mono spot
blood test may be positive. Definitive diagnosis
requires blood testing for antibodies against
Epstein-Barr virus.
A doctor can diagnose subacute tonsillitis and chronic
tonsillitis based on a person's health record and a
physical exam.
What are the long-term effects of the infection?
Subacute and chronic tonsillitis do not usually have
long-term effects. But, if the chronic infection
causes the tonsils to enlarge, the person may have
trouble swallowing or breathing when he or she is
asleep.
For the isolated acute bacterial or viral tonsillitis,
there are usually no long-term problems. Should the
bacterial infection be recurrent, tonsillectomy, or
surgically removing the tonsils, may be needed.
Likewise, if the subacute or chronic forms cause
enough symptoms, then the tonsils need to be removed.
What are the risks to others?
Strep, diphtheria, and Epstein-Barr infections are all
contagious.
What are the treatments for the infection?
Regardless of the cause of acute tonsillitis, pain
relievers, lots of fluids and fever control will make
the person more comfortable.
For acute tonsillitis caused by strep, antibiotics
will usually cure the infection. Unfortunately, some
strep bacteria are becoming resistant to penicillin.
This means higher doses of amoxicillin or a different
antibiotic need to be used.
Since antibiotics are not effective against viruses,
the only treatment is medicines to reduce fever and
pain. For people with severe symptoms, brief oral
steroids may be useful.
For individuals with mononucleosis, oral steroids may
help lessen the symptoms. If material has collected on
the surface of the tonsils that may become infected
with bacteria, antibiotics would help.
In subacute tonsillitis caused by actinomyces,
penicillin and clindamycin are effective. If these
antibiotics do not work, the patient can manually
remove or irrigate the infected material from the
tonsil pits. Otherwise, the tonsils should be removed.
In cases of chronic tonsillitis, antibiotics along
with oral steroids may resolve the infection. If not,
the tonsils should be removed.
What are the side effects of the treatments?
Side effects depend on the medicines used.
What happens after treatment for the infection?
Most viral episodes of tonsillitis will resolve
without further problems. Antibiotics should resolve
infection caused by strep or other bacteria.
--- [EMAIL PROTECTED] wrote:
>
>
> Dear netters,
>
> Anak saya (3 tahun) akhir-akhir ini gampang sekali
> terkena batuk (dan selalu
> disertai pilek & panas).
> Setiap dibawa ke dokter DSA-nya hanya bilang infeksi
> tenggorokan. Sembuh 2
> minggu, begitu minum es lagi langsung kena lagi.
> Hari Minggu kemarin hal yg sama
> terulang, dan Senin saya bawa ke DSA. Katanya
> amandelnya membesar.
> Diberi obat batuk, pilek, panas dan antibiotik.
> Biasanya 1-2 hari langsung
> turun. Tapi sekarang kok nggak.
> Saya mohon informasi rekan-rekan apakah gampang
> terkena batuk, pilek & panas
> memang gejala amandel ?
> Saya kok agak kurang yakin. Masalahnya anak saya
> mengeluh persendian tangan dan
> kakinya sakit (minta dipijit terus). Juga perutnya
> dibilang sakit ..... dan mual
> (mau muntah terus ... kadang memang sampai muntah).
> Saya takut ini gejala penyakit lain (panasnya tinggi
> +/- 39, dan konstan dari
> Minggu sampai pagi ini sebelum saya ke kantor
> panasnya belum turun). Semalam
> ditambah gusinya membengkak .... Saya jadi tambah
> khawatir ....
>
> Sekali lagi saya mohon informasi mengenai amandel.
> Saya takut gejala tersebut
> adalah gejala demam berdarah, atau sakit yang lain
> (rencananya nanti sore baru
> saya bawa ke DSA lain untuk cari second opinion).
>
> Maaf kepanjangan ....
>
> Terima kasih,
> Mamanya Ipam
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