In the pathogenesis of chronic tonsillitis important violation of the drainage function of the gaps, leading to colonization of pathogenic microorganisms. The mouth of the gaps are narrowed, that provokes the formation of traffic jams, is a collection of ottorgnuvshihsya epithelial cells, food particles, both living and dead microbes. In addition, the gaps are closing due to scarring - a consequence of acute inflammation in the throat. In the closed gaps created very favorable conditions for the preservation and reproduction of pathogenic microorganisms.
Diagnostics
Chronic tonsillitis is usually diagnosed by the presence of the triad symptoms:
- Giza - flushing the edges of the palatine arches
- Transfiguration - valikoobraznoe thickening (infiltration or hyperplasia), the edges of the front and rear arches
- Zach - edema of upper front and rear arches
In addition, signs of chronic tonsillitis are also
Cicatricial adhesions between the tonsils and palatine bows.
Loosened or scar-modified and sealed glands.
Caseous pus-tube or liquid pus in the gaps of the tonsils.
forms of chronic tonsillitis
According to the classification in 1975 are two main forms of tonsillitis: compensated and decompensated.
When there are only compensated form of local signs of chronic inflammation of the tonsils, the barrier function and reactivity are still such that the counterbalance, equalize the status of local inflammation, ie, compensate for it, so the expression of the general reaction of the organism does not arise.
With decompensated form of have not only local signs of chronic inflammation, and there are a sore throat, paratonzillity, paratonsillar abscesses, the disease in remote organs and systems (cardiovascular, urinary, reproductive, etc.)
Tonzillogennye Pathology
A detailed examination of the various pathologies is tonzillogennyh here