Diseases of the respiratory tract
Among the most dangerous diseases of the respiratory tract is angina. Angina( acute tonsillitis) is an infectious disease with local manifestations in the form of acute inflammation of one or more components of the lymphadenoid pharyngeal ring, most often of the tonsils. Streptococcus, getting into the oral cavity and pharynx with food, water and air, settles on the mucous membrane of palatine tonsils. With a lowered local and general resistance of the organism and with a high damaging ability of the microbe, the first stage of inflammation can develop - catarrhal angina. This is the initial form of the disease. It is characterized by reddening and mild puffiness of the tonsil mucosa without any overlaps and raids.
With the penetration of microbes into the tissue of the amygdala, suppuration of individual follicles begins. Such pustules can merge together, forming larger purulent clusters. They are usually located above the mucous membrane of the amygdala, radiating through it in the form of yellow rounded points and grains on the background of pronounced reddening of the mucous membrane, and do not remove the spatula. This form of sore throat is called follicular. Suppurated follicles, ras-
laid close to the surface and covered with a thin layer of surface cells, can be opened, leaving on the surface of the tonsils quickly healing ulcers. The second form of purulent sore throat-lacunary-is characterized by the appearance in the mouths of lacunas of filthy purulent deposits or inflammatory fluid. On the surface of the tonsils there are islands of dirty-gray filmy overlays. These films do not go beyond the amygdala, they can be easily removed with a spatula. The mucous membrane under such overlays is red, swollen. Tonsils with lacunar angina take the form of a "geographical map".However, in some cases, the entire tonsil is covered with a continuous dense coating. This angina is called fibrinous, or draining.
Patients with angina are usually treated at home. Hospitalization is restricted to patients with severe illness or complications, as well as those who have difficulty in excluding diphtheria of the oropharynx. Recommended bed rest for 5-6 days, mechanically sparing diet, multivitamins. Treatment consists in penicillin therapy, as streptococcus is sensitive to this drug. However, depending on certain conditions, the use of other antibacterial drugs is not ruled out. It should be noted that the dosage and duration of treatment should be sufficient to prevent complications. To rinse the oropharynx, broths of medicinal herbs and disinfectant solutions are recommended, including medicinal infusions on beer.