لوزهها دو غده کوچک در دو سوی گلو هستند از ورود میکربها به بدن از راه دهان جلو گیری میکنند لوزه کودکان بزرگ است اما با رشد آنها لوزههایشان کوچکتر میشود گاهی وقتها این اندام چرکین و دردناک میشوند نام این بیماری ورم لوزه است .
لوزهها بخشی از سیستم دفاعی بدن و غدد لنفاوی هستند ولی در شرایطی مانند عفونتهای تنفسی مکرر و تورم بیش از اندازه لوزهها تا حدی که مانع تنفس شوند جراحی و برداشتن آنها ( تونسیلکتومی ) توصیه میشود .
Tonsils are collections of lymphoid tissue facing into the aerodigestive tract. The set of lymphatic tissue known as Waldeyer's tonsillar ring includes the adenoid tonsil, two tubal tonsils, two palatine tonsils, and the lingual tonsil.
When used unqualified, the term most commonly refers specifically to the palatine tonsils, which are masses of lymphatic material situated at either side at the back of the human throat. The palatine tonsils and the nasopharyngeal tonsil are lymphoepithelial tissues located near the oropharynx and nasopharynx (parts of the throat).
Tonsils in humans include, from anterior (front), superior (top), posterior (back), and inferior (bottom):
These immunocompetent tissues are the immune system's first line of defense against ingested or inhaled foreign pathogens. However, the fundamental immunological roles of tonsils have yet to be understood. One theory proposes that the tonsillar crypts and possibly tonsilloliths are culture areas where bacteria and possibly viruses can grow (like in a Petri dish), possibly so the immune system is able to produce specific antibodies against them before they infect the organism, and/or possibly to produce useful metabolites (Schenker, unpublished).
Tonsils can become enlarged (adenotonsillar hyperplasia) or inflamed (tonsillitis) and may require surgical removal (tonsillectomy). This may be indicated if they obstruct the airway or interfere with swallowing, or in patients with frequent recurrent tonsillitis. However, different mechanisms of pathogenesis for these two subtypes of tonsillar hypertrophy have been described, and may have different responses to identical therapeutic efforts. In older patients, asymmetric tonsils (also known as asymmetric tonsil hypertrophy) may be an indicator of virally infected tonsils, or tumors such as lymphoma or squamous cell carcinoma.
Tonsillitis is a disorder in which the tonsils are inflamed (sore and swollen). The most common way to treat it is with anti-inflammatory drugs such as ibuprofen, or if bacterial in origin, antibiotics, e.g. amoxicillin and azithromycin. Often severe and/or recurrent tonsillitis is treated by tonsillectomy.
A tonsillolith is material that accumulates on the tonsil. They can range up to the size of a peppercorn and are white/cream in color. The main substance is mostly calcium, but they have a strong unpleasant odor because of hydrogen sulfide and methyl mercaptan and other chemicals.
Tonsil enlargement can affect speech, making it hypernasal and giving it the sound of velopharyngeal incompetence (when space in the mouth is not fully separated from the nose's air space). Tonsil size may have a more significant impact on upper airway obstruction for obese children than for those of average weight.