Almost all parents have similar considerations: the child''s tonsils are repeatedly purulent, and it is best to cut them off after listening to the doctor. But another doctor of internal medicine said, as conservative as possible, tonsils have a certain defense function. Will cutting result in low immune function? Instead, it will aggravate the condition? Surgical operations also have surgical risks and require anesthesia. Is this surgical value not worth moving?...

　　After reading the letter from the child’s parents, I want to talk about my personal experience and some clinical Experience may help parents with similar situations. Of course, I am not persuading all children to undergo surgery. Whether they need surgery or whether they can be operated. You need the surgeon around you to help you weigh the pros and cons and negotiate with you.

　　I used to be a child who often loves tonsil suppuration. I remember the ENT doctor around me said that it is best to remove it. Unfortunately, my parents are not doctors, plus fear of surgery, all opposed to surgery, and later One winter of college, my tonsils became purulent and caused acute myocarditis, and I had a full month of hanging needles. But at the time, I didn''t realize that the tonsils were strange.

　　 Later, when I became a doctor, I saw a lot of cases similar to my situation, and slowly realized the truth: any organ of the human body is not redundant, but in any case Not absolute. To think about disease requires dialectical thinking. If when a certain site is repeatedly ill (such as repeated tonsil suppuration) or an acute onset (such as acute appendicitis), and a certain site becomes an infection focus, this time, the harm is greater than the benefit, and it is more important to remove it than to retain it. So the year before last, I made up my mind to remove my own tonsils (because of the purulent in winter), after removing it, my winter was much better. This truth is simple to say, but when it is done, it will be fettered by many factors.

　　One of my suggestions and experience (for reference only):

　　1. Tonsils are purulent repeatedly (at least three times). You should first find out the reason and see if your child drinks before going to bed Milk habits? Are there any factors such as anemia, malnutrition or immune deficiency, you need to go to the hospital to see a doctor. The incentive is removed, and the procedure of surgery is naturally eliminated.

　　2. Parents should understand the characteristics of tonsil development. Children’s tonsils start to develop from 10 months, and the peak period of development is 4-8 years old. ), stopped developing around 12 years old. and so. It is very important for children to develop mouthwash after meals and to brush their teeth before going to bed.

　　3. Among the children with enlarged tonsils, a considerable number of children are allergic, such as eczema and urticaria, allergic rhinitis, constipation, etc. This type of child, except for the tonsils, There may also be adenoid hypertrophy (open mouth breathing and sleep snoring) and even asthma. Therefore, the child''s repeated illnesses are not only related to tonsil infection, but also related to his own special allergic constitution. At this time, many times, light anti-inflammatory injections are not enough, and anti-allergic treatment needs to be given in combination with the situation.

　　4. Tonsils are purulent and should not be taken lightly. The longest comorbid diseases include myocarditis and nephritis. Therefore, when your child is sick, don’t only make blood routine. Wait.

　　5. Tonsillar suppuration combined with high fever does not retreat. Also pay attention to rule out whether it is combined with viral infection. Clinically, infectious mononucleosis caused by EB virus infection, or Kawasaki disease, sometimes also manifests as Your child''s tonsils are purulent, so a seemingly simple disease may be misdiagnosed.

　　6. Will the tonsil affect the immune function of the human body after removal? At present, there is no evidence that the removal of the tonsils can affect the immune function of the child. Overall, this operation is still very safe.

　　 In short, the child’s tonsils are repeatedly purulent, and the child needs to be taken to the hospital for the doctor of internal medicine and the doctor of surgery to listen to their comprehensive opinions and formulate the most suitable plan for their child.

　　 (Surgical tonsillectomy indications are as follows, please consult the surgeon for details):

　　(1) Chronic tonsillitis recurrent acute attack.

　　 (2) Those with a history of abscesses around the tonsils.

　　(3) The tonsils are hypertrophic, hindering swallowing and breathing, leading to nutritional disorders.

　　 (4) Patients with rheumatic fever, nephritis, arthritis, rheumatic heart disease, suspected tonsils as lesions.

　　 (five) due to hypertrophy of tonsils and proliferative bodies, which affects the function of the eustachian tube and causes chronic exudative otitis media, which is not effective after conservative treatment.

　　 (6) Diphtheria carriers, those who have failed conservative treatment.

　　(VII) Unexplained long-term hypothermia, and chronic inflammation of tonsils.

　　 (8) Various benign tumors of tonsils, cases should be carefully selected for malignant tumors.

　　Contraindications

　　(1) When acute tonsillitis occurs, surgery is generally not performed, and the operation needs to be 3-4 weeks after the inflammation subsides.

　　 (2) Blood diseases, high blood pressure, heart disease with insufficiency, and active tuberculosis are not suitable for surgery.

　　(3) Rheumatoid fever and nephritis are not suitable for surgery when systemic symptoms are not under control.

　　 (4) In poliomyelitis and flu, women''s menstrual period and menstrual period are temporarily not suitable for surgery.

　　 (five) patients with family members of patients with immunoglobulin deficiency or high incidence of autoimmune diseases. Those with a white blood cell count below 3000.