{"id":4494,"date":"2016-03-25T07:10:18","date_gmt":"2016-03-25T07:10:18","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=4494"},"modified":"2016-03-25T07:21:14","modified_gmt":"2016-03-25T07:21:14","slug":"amigdalita-cronica","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/","title":{"rendered":"Amigdalita cronic\u0103"},"content":{"rendered":"

Amigdalita cronic\u0103<\/strong> reprezint\u0103 inflama\u0163ia cronic\u0103 a amigdalelor palatine ap\u0103rut\u0103 \u00een urma infec\u0163iilor acute repetate ale acestora. Amigdalita cronic\u0103 este favorizat\u0103 de c\u0103tre structura criptic\u0103 a amigdalelor (acel aspect \u201eciuruit\u201d al amigdalei), de bolile infecto-contagioase, de alergie, de poluarea atmosferic\u0103, de condi\u0163iile de via\u0163\u0103 necorespunz\u0103toare. Exist\u0103 mai multe forme ale amigdalitei cronice: hipertrofic\u0103 (m\u0103rit\u0103 de volum), sclero-atrofic\u0103 (mic\u015forat\u0103 de volum), cazeoas\u0103 (criptic\u0103) \u015fi infec\u021bia de focar.<\/p>\n

Diagnosticul se formuleaz\u0103 pe 3 criterii: anamneza (interviul pacientului), aspectul clinic al amigdalelor \u015fi testele paraclinice. Din anamnez\u0103 se poate afla c\u00e2te episoade acute a prezentat pacientul (amigdalite acute sau angine eritemato-pultacee), existen\u0163a unor fenomene la distan\u0163\u0103 (complica\u0163ii cardiace, articulare, renale). Din punct de vedere subiectiv, acuzele pacientului pot s\u0103 nu fie specifice pentru amigdalita cronic\u0103: senza\u0163ie de corp str\u0103in \u015fi jen\u0103 \u00een g\u00e2t, tuse seac\u0103, halen\u0103 fetid\u0103 (miros nepl\u0103cut), gust nepl\u0103cut, iar c\u00e2teodat\u0103 pacientul poate elimina dopuri cazeoase, dure. La copii mai pot ap\u0103rea tulbur\u0103rile de \u00eenghi\u0163ire, jena la respira\u0163ie (se asociaz\u0103 adesea cu vegeta\u0163iile adenoide), modific\u0103ri ale vocii (voce amigdalian\u0103). La examenul clinic se constat\u0103 aspectul specific al amigdalelor palatine (hipertrofiate, atrofice sau criptice), colora\u0163ia ro\u0219ie a st\u00e2lpilor amigdalieni anteriori (pilieri), a depozitelor cazeoase pe suprafa\u0163a amigdalelor, prezen\u0163a unor adenopatii (inflama\u0163ia unor ganglioni din regiune). Testele paraclinice recomandate sunt: probele inflamatorii (fibrinogen, proteina C reactiv\u0103, VSH, ASLO), hemoleucograma \u0219i exsudatul faringian (fiind semnificativ\u0103 prezen\u021ba streptococului beta-hemolitic de grup A).<\/p>\n

Tratamentul amigdalitei cronice este chirurgical, cu excep\u021bia cazurilor cu contraindica\u021bii absolute sau relative. Se poate efectua amigdalectomie (\u00eendep\u0103rtarea chirurgical\u0103 a acestora),\u00a0 amigdalotomie (\u00eendep\u0103rtarea par\u0163ial\u0103 a \u0163esutului amigdalian) sau criptoliz\u0103 amigdalian\u0103 (distrugerea criptelor amigdaline). \u00cen spitalul Arcadia se efectueaz\u0103 toate aceste interven\u0163ii chirurgicale, sub anestezie general\u0103. Ultimele dou\u0103 tipuri de opera\u021bii sunt efectuate cu ajutorul radiofrecven\u0163ei \u2013 metod\u0103 caracterizat\u0103 printr-o precizie deosebit\u0103, s\u00e2ngerare redus\u0103, suferin\u0163\u0103 minim\u0103, recuperare rapid\u0103. Postoperator, pacientului i se pot administra tratamente antiinflamatorii \u0219i antalgice \u015fi i se recomand\u0103 s\u0103 evite consumul de alimente dure (ce pot r\u0103ni sau declan\u015fa s\u00e2nger\u0103ri locale ale zonei operate) sau de b\u0103uturi fierbin\u021bi. Recuperarea se face \u00een termen de 7 zile dup\u0103 interven\u021bie.<\/p>\n

\"dr.<\/a>
dr. Daniel Rusu, medic specialist ORL, Arcadia Iasi <\/em><\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

Amigdalita cronic\u0103 reprezint\u0103 inflama\u0163ia cronic\u0103 a amigdalelor palatine ap\u0103rut\u0103 \u00een urma infec\u0163iilor acute repetate ale acestora. Amigdalita cronic\u0103 este favorizat\u0103 de c\u0103tre structura criptic\u0103 a amigdalelor (acel aspect \u201eciuruit\u201d al […]<\/p>\n","protected":false},"author":4,"featured_media":4496,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[67,384],"tags":[],"class_list":["post-4494","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-orl"],"yoast_head":"\nAmigdalita cronic\u0103 - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"Amigdalita cronic\u0103\u00a0reprezint\u0103 inflama\u0163ia cronic\u0103 a amigdalelor palatine ap\u0103rut\u0103 \u00een urma infec\u0163iilor acute repetate ale acestora. Amigdalita cronic\u0103 este favorizat\u0103 de c\u0103tre structura criptic\u0103 a amigdalelor (acel aspect \u201eciuruit\u201d al amigdalei), de bolile infecto-contagioase, de alergie, de poluarea atmosferic\u0103, de condi\u0163iile de via\u0163\u0103 necorespunz\u0103toare. Exist\u0103 mai multe forme ale amigdalitei cronice: hipertrofic\u0103 (m\u0103rit\u0103 de volum), sclero-atrofic\u0103 (mic\u015forat\u0103 de volum), cazeoas\u0103 (criptic\u0103) \u015fi infec\u021bia de focar.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Amigdalita cronic\u0103 - Jurmed - Pacienti\" \/>\n<meta property=\"og:description\" content=\"Amigdalita cronic\u0103\u00a0reprezint\u0103 inflama\u0163ia cronic\u0103 a amigdalelor palatine ap\u0103rut\u0103 \u00een urma infec\u0163iilor acute repetate ale acestora. Amigdalita cronic\u0103 este favorizat\u0103 de c\u0103tre structura criptic\u0103 a amigdalelor (acel aspect \u201eciuruit\u201d al amigdalei), de bolile infecto-contagioase, de alergie, de poluarea atmosferic\u0103, de condi\u0163iile de via\u0163\u0103 necorespunz\u0103toare. Exist\u0103 mai multe forme ale amigdalitei cronice: hipertrofic\u0103 (m\u0103rit\u0103 de volum), sclero-atrofic\u0103 (mic\u015forat\u0103 de volum), cazeoas\u0103 (criptic\u0103) \u015fi infec\u021bia de focar.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Pacienti\" \/>\n<meta property=\"article:published_time\" content=\"2016-03-25T07:10:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-03-25T07:21:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2016\/03\/amigdalita-cronica.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"500\" \/>\n\t<meta property=\"og:image:height\" content=\"333\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"ralucab\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"ralucab\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\"},\"author\":{\"name\":\"ralucab\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35\"},\"headline\":\"Amigdalita cronic\u0103\",\"datePublished\":\"2016-03-25T07:10:18+00:00\",\"dateModified\":\"2016-03-25T07:21:14+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\"},\"wordCount\":398,\"commentCount\":2,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2016\/03\/amigdalita-cronica.jpg\",\"articleSection\":[\"Articole\",\"ORL\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/\",\"name\":\"Amigdalita cronic\u0103 - Jurmed - Pacienti\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/amigdalita-cronica\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2016\/03\/amigdalita-cronica.jpg\",\"datePublished\":\"2016-03-25T07:10:18+00:00\",\"dateModified\":\"2016-03-25T07:21:14+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35\"},\"description\":\"Amigdalita cronic\u0103\u00a0reprezint\u0103 inflama\u0163ia cronic\u0103 a amigdalelor palatine ap\u0103rut\u0103 \u00een urma infec\u0163iilor acute repetate ale acestora. 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