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Может протекать в острой или хронической форме [1](https://lorpremium.ru/stati/tonzillit)[11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/): \n* **Острый тонзиллит (ангина)** — возникает внезапно, часто в сопровождении высокой температуры, сильной боли в горле и общего ухудшения состояния [1](https://lorpremium.ru/stati/tonzillit). Продолжается в среднем 5–10 дней [1](https://lorpremium.ru/stati/tonzillit). \n* **Хронический тонзиллит** — формируется при рецидивах заболевания или неправильном лечении ангины [1](https://lorpremium.ru/stati/tonzillit). Воспаление становится постоянным, а миндалины превращаются в хронический очаг инфекции [1](https://lorpremium.ru/stati/tonzillit). Симптомы проявляются в виде обострений несколько раз в год [1](https://lorpremium.ru/stati/tonzillit).\n\n\n\n## Причины\nОсновная причина — **инфекция**, вызванная вирусами или бактериями [1](https://lorpremium.ru/stati/tonzillit)[6](https://mc21.ru/articles/tonzillit/). Чаще всего возбудителем становится бета-гемолитический стрептококк группы А, реже — стафилококки, аденовирусы и другие микроорганизмы [1](https://lorpremium.ru/stati/tonzillit). \n\nРазвитию болезни способствуют: ослабление иммунитета, хронические очаги инфекции в организме, переохлаждение, особенно в осенне-зимний период [1](https://lorpremium.ru/stati/tonzillit).\n\n## Симптомы\nЗаболевание может проявляться по-разному, в зависимости от формы и периода [1](https://lorpremium.ru/stati/tonzillit). **Некоторые симптомы острого тонзиллита**: \n* боль в горле, особенно при глотании [1](https://lorpremium.ru/stati/tonzillit)[11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* повышение температуры тела до 38–40°C [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* увеличение и болезненность шейных лимфатических узлов [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* покраснение и отёк миндалин [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* гнойные налёты на миндалинах (при бактериальной форме) [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* общая слабость, озноб, головная боль [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* потеря аппетита [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/); \n* трудности при дыхании (в тяжёлых случаях) [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/). \n\n**Хронический тонзиллит** имеет менее выраженные симптомы, но сопровождается частыми обострениями, неприятным запахом изо рта, дискомфортом в горле и быстрой утомляемостью [11](https://lorprof.ru/articles/otorinolaringologiya/simptomy-i-prichiny-diagnoza-tonzillit/).\n\n## Диагностика\nПри подозрении на тонзиллит необходимо обратиться к врачу-отоларингологу [1](https://lorpremium.ru/stati/tonzillit). **Диагностика включает**: \n* осмотр горла и глотки [1](https://lorpremium.ru/stati/tonzillit); \n* сбор анамнеза (как часто болеет человек, как протекает заболевание) [1](https://lorpremium.ru/stati/tonzillit); \n* мазок из зева (для определения группы возбудителя) [1](https://lorpremium.ru/stati/tonzillit); \n* общий анализ крови [1](https://lorpremium.ru/stati/tonzillit); \n* иногда — ПЦР, бакпосев, консультации смежных специалистов [1](https://lorpremium.ru/stati/tonzillit).\n\n## Лечение\n**Лечение тонзиллита зависит от формы заболевания** и причины воспаления [10](https://www.cnmt.ru/spravochnik-zabolevanij/tonzillit): \n* **Острый тонзиллит** — при бактериальном характере назначают антибиотики, дополнительно назначают полоскания глотки антисептиками, жаропонижающие препараты при высокой температуре, местные противовоспалительные средства, обильное питьё и постельный режим [1](https://lorpremium.ru/stati/tonzillit). \n* **Хронический тонзиллит** — основные подходы: промывание лакун миндалин антисептическими растворами, курсы местной и системной антибиотикотерапии, физиопроцедуры (УФО, лазеротерапия, ультразвук), применение иммуномодуляторов [1](https://lorpremium.ru/stati/tonzillit). \n\n**При частых рецидивах и угрозе осложнений** врач может рекомендовать хирургическое удаление миндалин — тонзиллэктомию [1](https://lorpremium.ru/stati/tonzillit). 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