RU2226379C2 - Method for treating chronic inspecific tonsillitis - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: twice or thrice weekly patient should alternately put the tips of middle fingers from the side of mouth cavity under analogous tonsils under visual control to perform per 2-3 pressing-slipping movements along each tonsil from the bottom upwards direction. This helps to increase efficiency, obtain stable results and, also, exclude side effects of medicinal therapy in patients with chronic inspecific tonsillitis due to activation of local protective mechanisms. EFFECT: higher efficiency. 3 ex

Description

The invention relates to medicine, in particular to otorhinolaryngology. Chronic non-specific tonsillitis is one of the most common infectious diseases of the upper respiratory tract, the most common among young and middle-aged people. The clinical course of the disease is characterized by frequent exacerbations and relapses. This is due to the frequent change of pathogens and their persistence in the affected palatine tonsils. An exacerbation or relapse of chronic nonspecific tonsillitis is usually preceded by a sensation of “sore throat” that appears in patients, which characterizes the activation of a pathogen persistent in the lacunae of the tonsils. From palatine tonsils, pathogenic microorganisms extend not only to other tonsils of the Pirogov-Waldeyer lymphatic pharyngeal ring and other parts of the upper respiratory tract, but also to the lower respiratory tract, as well as the lungs. The treatment of this disease is carried out by conservative or surgical methods (Lopotko I.A., Lakotkina O.Yu. Multivolume guide to otorhinolaryngology. - M., 1963; Preobrazhensky BS, Popova G.N. Angina, chronic tonsillitis and associated diseases. - M., 1970; Infectious diseases. / Under the editorship of V.S. Matkovsky and A.P. Kazantsev. - L .: VMedA, 1970; Soldatov IB Classification and principles of treatment of chronic tonsillitis. - M. , 1979).

A conservative method for the treatment of chronic nonspecific tonsillitis, as one of the analogues of the proposed method, includes the appointment of medications of various pharmacological groups and mechanisms of action (antibiotics, antimicrobial and nonspecific anti-inflammatory, hyposensitizing and immunocorrective agents, vitamins, etc.), reflexology methods (reflexotherapy, physiotherapy , various types of novocaine blockades, etc.), the corresponding regimen and diet. The disadvantages of the analogue are low efficacy, duration, and the frequent need for repeated courses of treatment, the development of complications and side effects of drug therapy, the negative attitude of patients to “taking pills,” the high likelihood of exacerbation and relapse of the disease (often occurring in the form of tonsillitis).

Another analogue of the proposed method is a surgical treatment method (tonsillotomy, tonsillectomy, lacunotomy, cryotherapy on tonsils, laser destruction, etc.), the implementation of which requires appropriate equipment and training. The disadvantages of this analogue are various complications inherent in surgical treatment (bleeding, suppuration, etc.), a high degree of likelihood of relapse and exacerbations, the presence of contraindications for surgery in some patients, and the most common of the surgical methods of treatment - tonsillotomy - is often accompanied by the occurrence of such an unpleasant complications like “dry” pharyngitis.

As a prototype of the proposed method for the treatment of chronic nonspecific tonsillitis, we chose lacunae washing with antiseptic solutions (Guide to Otorhinolaryngology. / Under the editorship of Soldatov IB - M., 1994; 2000 diseases from A to Z. Reference book-guide for a practitioner. - M ., 1998). Washing is carried out using a thin buzzard and a syringe every other day (for a course of 10-15 procedures). The disadvantages of the prototype are the preservation of relapses and exacerbations of the disease; low efficiency and duration of treatment, accompanied by significant time spent by both the patient and the medical staff; side effects of drug therapy.

The aim of the invention is to increase efficiency, achieve sustainable results, as well as the elimination of side effects of drug therapy in patients with chronic nonspecific tonsillitis by activation of local protective mechanisms.

The essence of the proposed method for the treatment of chronic nonspecific tonsillitis is as follows.

Treatment is carried out in the bathroom using a small mirror. The patient, holding a mirror in his left hand, opens his mouth. Seeing the right tonsil in the mirror, he independently directs a light source at it. Under visual control, the tip of the middle finger of his right hand, the patient brings from the side of the oral cavity under the right tonsil and performs a pressure-sliding movement along the tonsil in the direction from bottom to top, performing 2-3 such movements. The pressure on the tonsil should not cause unpleasant and painful sensations even with the onset of the inflammatory process, but at the same time it should be sufficient to highlight the contents of the tonsil lacunae. When performing pressing-sliding movements, a small amount of secretion is often visible from the tonsil, often with tiny masses. Then the patient, changing hands, performs similar actions with the tonsils of the opposite side, and rinses the mouth with water. At the beginning of treatment, the vomiting reflex may be disturbing, which fades away after 2-3 days and does not interfere with the treatment. When patients reach a certain skill, the need to use a mirror disappears.

The doctor explains to the patient the principle of treatment and teaches the described technique.

The proposed method of treatment is carried out both in the period of remission (2-3 times a week), and with exacerbation of chronic tonsillitis (daily 2-3 times, in the morning).

The effectiveness of the proposed method of treatment is demonstrated by the following clinical observations.

Ex. 1. Patient Sh., 29 years old, from childhood suffers from chronic nonspecific tonsillitis with frequent exacerbations and tonsillitis, especially in the autumn-spring period. The question of tonsillectomy was repeatedly raised, but as a child, parents refused surgery. The patient constantly conducted various methods of conservative treatment. At the same time, enlarged loose tonsils remained, inflamed after the action of provoking factors (hypothermia, wet feet, etc.). After training, he began to regularly conduct treatment with the claimed method, abandoning other methods. In the third week of treatment, I noticed a decrease in the size of the tonsils. Further, for more than 20 years, chronic nonspecific tonsillitis does not bother.

Another clinical example (2). Girl U., 9 years old, 4 years old, suffers from chronic nonspecific tonsillitis with frequent exacerbations and tonsillitis (despite the treatment), which is why she often misses classes at school recently. Due to the ineffectiveness of conservative treatment, she received a referral for surgery - tonsillectomy, tonsil hypertrophy is 3-4 degrees. Before surgical treatment, it was decided to apply the treatment of the claimed method, from the first days of which the girl noted an improvement. After 3 weeks, the phenomena of chronic nonspecific tonsillitis persistently subsided, tonsils significantly decreased and reached normal sizes. Over the next 5 years of monitoring the patient, there were no phenomena of chronic nonspecific tonsillitis, and she did not have tonsillitis. There is no need for surgical treatment.

Ex 3. Patient K., 36 years old, after suffering a sore throat for 3 years, is concerned about chronic nonspecific tonsillitis with frequent exacerbations, periodically there is a feeling of “sore throat”. Another exacerbation reached the clinical manifestations of angina with poor health, general weakness, headache and a temperature of up to 39 ° C. At the height of the disease, according to the recommendation, he began to apply the claimed method of treatment 2-3 times a day, "squeezing out muddy liquid with streaks of blood from the tonsils." In the future, after recovery, he continued this treatment for another month, applying it 1-2 times a week. Over the past year and a half, the patient does not bother with chronic nonspecific tonsillitis, there were no tonsillitis.

Thus, the application of the proposed method, which is easily reproducible, achieves stable results in treating patients: there is no need for both surgical and conservative treatment of chronic nonspecific tonsillitis, which can be permanently cured without the use of medications. In this case, regular exacerbations and relapses, including the extreme degree of their manifestation, tonsillitis, cease to disturb patients with chronic nonspecific tonsillitis.

In conclusion, it should be noted that existing methods of treating chronic nonspecific tonsillitis do not sufficiently take into account the idea of the MM system, underestimate the capabilities of the macroorganism, in particular the role of local immunity mechanisms in the development of the disease (Ariel B.M. Morphogenesis of the infectious process as a systemic problem. Diss. Dr. - L., 1980). The sensation of “sore throat” that appears in patients before the exacerbation of the process characterizes the beginning disruption of local defense mechanisms and the activation of infection persistent in the tonsils. The inventive method of treatment keeps the indices of local immunity at a high level, preventing the development of pathogenic microorganisms. One cannot ignore the negative attitude of patients to drug therapy, in particular to antibiotics, and from a medical point of view, having another more effective method of treatment, this position should be welcomed, since it primarily inhibits the formation of antibiotic-resistant strains of pathogens.

Claims (1)

A method of treating chronic nonspecific tonsillitis by affecting the tonsils, characterized in that the patient 2-3 times a week under visual control alternately brings the tips of the middle fingers from the side of the oral cavity under the tonsils of the same name and makes 2-3 pressing-sliding movements in each of them upward direction.