When To Tonsillectomy?

Tonsillitis is a very common disease, leading the throat disease. The disease can progress acutely or chronic, especially very recurrent and can cause dangerous complications for the patient. However, it is not always a case of having tonsillectomy.
Mr. Nguyen Thanh Cong (Go Vap, HCMC) had a sore throat but did not go to the doctor but bought medicine on his own

. After taking the medicine for 3 consecutive weeks, the patient could not go to the hospital, but the doctor said that he had chronic tonsillitis. At that time, he thought that just cutting away the tonsils would make him sore from now on. However, the doctor advised him not to remove the tonsils quickly, because the tonsils are also a useful part of the body, requiring treatment to cure the disease rather than see the inflammation is removed as many people have long misunderstood
When to cut
Dr.



Phuc said that the tonsils are a lymphatic organization located on the sides of the throat, have the immune function, against the invasion of bacteria, increase resistance to help protect the upper respiratory tract, against agents. cause infection. The tonsils also produce IgG antibodies, which are essential for the immune system. Therefore, amputation is not a problem. When the tonsils become inflamed, the first thing to do is treat them as directed by your doctor. The International Organization for Ear, Nose and Throat has set out the following criteria as a basis to consider whether or not tonsillectomy should be removed:
- Patients with acute tonsillitis 3 times / year or more.
- Enlarged tonsils cause airway obstruction, snoring, sleep apnea, pronounced abnormalities
- Abscess of tonsils.




- Spitting out pusy, smelly pus.
- Tonsillitis causes other complications.
However, in some cases the patient will not be indicated for tonsillectomy, such as: the patient is suffering from additional medical conditions such as diabetes, hypertension, coagulopathy, pregnant women ... In this case, the patient needs to complete treatment for the acquired disease before proceeding with tonsillectomy.
When to tonsillectomy?
MSc. BS.



CK2 Vo Quang Phuc - Deputy Director of Ho Chi Minh City Nose Hospital HCM
Complications may be encountered after surgery
Like other surgeries, tonsillectomy can also lead to potential complications, even if done using modern methods. One of the most common complications after tonsillectomy is the bleeding of the patient, including early bleeding (within 24 hours) and late bleeding (after 24 to 7 days).
According to Dr. Phuc, after the surgery, if you see a lot of fresh blood every time, fast pulse, feeling short of breath, the patient should go to the hospital immediately to be examined and treated by the doctor in a timely manner, not arbitrarily use medicine or self-cure at home.
Correct injuries
The problem of care after tonsillectomy is very important. By that time, the patient's body is often tired, weak, painful, including susceptible to infections and affecting the voice if not cleverly preserved. Advice from ENT specialists for patients after tonsillectomy:
- Lie on your side, if there is anything in your mouth, gently push your tongue out. To avoid bleeding wounds, limit spitting.




- Eat foods that are thin, cold, and not sour, spicy, or hot during the first 10 days.
- When tonsillectomy in particular and otorhinolaryngology in general, should not fly for a month. Because of a sudden change in pressure when the aircraft lands, the tonsillectomy will bleed.
- Do not speak too loud, scream.
- You can go to work after 1-2 days of rest.
- Eat enough nutrients.
- Rinse mouth gently to avoid bleeding wounds..

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