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How to treat a sore throat in a pregnant woman. Gargles, sprays and tablets for sore throats in pregnant women. There is a separate list that includes

In previous articles, we talked about colds and SARS in pregnant women, but there is a group of respiratory and colds that are more severe and serious, and can cause more significant harm to the unborn child if they develop in a pregnant woman. These diseases include, in particular, tonsillitis. This is a fairly serious infection of the tonsils, even outside of pregnancy, as it requires active treatment, sick leave, and can lead to complications in the kidneys and heart.

During pregnancy, angina is especially dangerous both in itself and with drugs that are applicable during its treatment. Therefore, at the slightest suspicion that you may have a sore throat, or with a tendency to form a sore throat that existed before pregnancy, you should immediately consult a doctor and treat it correctly and in a timely manner, carefully selecting drugs and protecting the fetus from the negative effects of the disease as much as possible. and medicines. In addition, if there is chronic tonsillitis, it is necessary to carry out active prevention of its exacerbations, since exacerbations of chronic tonsillitis are equivalent in strength and severity to acute tonsillitis (acute tonsillitis).

What is called angina?

Doctors call angina an acute infectious and inflammatory infection, mainly caused by microbes (streptococci, staphylococci, opportunistic oral flora), less often by viruses. At the same time, an active acute inflammation is formed in the tonsils, causing a general infectious-allergic reaction from the whole organism. Basically, with angina, the lymphoid tissue of the pharynx is affected by inflammatory processes - these are the tonsils, the back wall of the pharynx and partially adenoids. Angina is transmitted through contact with patients by airborne droplets or direct contact (through kisses, common objects, dishes), through contaminated hands, common items, and even through food. But most often, angina is the result of the activation of one's own opportunistic microflora with a general decrease in immunity and the presence of foci of chronic infection in the mouth, nose or ear. Usually these are carious cavities of the teeth, chronic inflammation of the paranasal sinuses and purulent processes in the nose or ear.

It is worth remembering that not all diseases in the throat are the development of a sore throat, often these are ordinary pharyngitis (sore throat). Angina is mainly found in schoolchildren and preschoolers, or in individuals with a predisposition to angina and features of lymphoid tissue. This disease is usually accompanied by severe pain in the throat and the formation of abscesses on the surface of the tonsils, and you usually already know that you have had sore throats before. The diagnosis of "tonsillitis" or "acute tonsillitis" should be established by an ENT doctor at a polyclinic or an infectious disease specialist, and not by a general practitioner, although he can also make a preliminary diagnosis based on the clinical picture, with further clarification by the laboratory.

Symptoms of angina in pregnant women

In fact, the symptoms of sore throat during pregnancy do not differ from those in ordinary women, the process usually begins with hypothermia, stress, colds, weather changes, drinking cold liquids.
At the same time, an acute form of tonsillitis is formed with a sharp increase in temperature, sometimes up to 39-40 degrees, severe aching in the joints, muscle pain, there is a strong general weakness, malaise, headaches and appetite disappears sharply. Sometimes a sore throat in pregnant women, due to a strong suppression of the immune system, proceeds without fever, which is not a very good symptom for a woman. Sometimes a sore throat can even give nausea and vomiting due to pronounced changes in the throat and toxicosis.

There is a nasal sound in the voice, the lymph nodes in the lower jaw region sharply increase, they are very painful and tense when probed. In addition, the very first and most severe symptoms of angina, which occur most of all, are severe sore throats, in which it is difficult to swallow even saliva and liquids, it is difficult to talk, and even breathing is difficult. If you look into the throat, the tonsils are bright red, greatly enlarged, swollen, and milky white or yellow dots are visible on their surface - pustules. Sometimes abscesses can be larger, occupying all the gaps (depressions in the tonsils). If you find something similar in yourself, immediately go to bed and call a doctor at home.

Changes in the throat with angina in pregnant women

With angina, the most serious and pronounced changes occur in the throat and lymphopharyngeal ring. First of all, the process begins with catarrhal angina, which usually forms in the first days of the disease, sometimes ending at this stage. During the inspection of the throat, it is very red, very swollen, there may be severe dryness in the mouth, a thick white coating is noted on the tongue. As the condition worsens, follicular tonsillitis may occur with the appearance of yellowish point elements of pus in the region of the convex zones of the tonsils, at this stage the condition is usually sharply disturbed and a very severe sore throat occurs. Festering areas of the tonsil follicles can merge and form lacunar tonsillitis, while the tonsils increase in size more, areas of pus, yellowish or white in color, which consist of microbes, rejected cells and dead leukocytes, accumulate in the zone of recesses (crypts or lacunae). Such a sore throat is especially dangerous during pregnancy - it is difficult and leads to serious complications, giving damage to the heart and kidneys.

Why is angina dangerous during pregnancy?

Acute tonsillitis or tonsillitis in pregnant women is dangerous in itself, as a purulent-inflammatory process in the body, and in conditions of physiological immunodeficiency that develops during pregnancy, it can cause significant and irreparable harm to both the health of the woman herself and the condition of the unborn child. First of all, angina as a purulent process can give the mother such complications as:
- penetration of pus in the area of ​​tissues surrounding the pharynx into the pharyngeal space;
- the development of meningitis as a result of rupture of the purulent focus and the penetration of infection into the brain;
- the development of acute purulent otitis with the spread of infection to the middle ear cavity, as well as its complication with inflammation of the inner ear and the development of labyrinthitis;
- the development of sepsis, general microbial infection of the blood and its spread to all internal organs with the development of foci of secondary purulent infection.

No less dangerous can be complications from the heart in the form of myocarditis and the development of heart defects, rheumatism and joint damage, kidney damage with the development of pyelonephritis or glomerulonephritis. On the part of the baby's body, complications are also quite possible due to the resulting intoxication, since there is a sharp redistribution of blood between the placenta and the woman's body. In this case, the delivery of nutrients to it is disturbed, the growth and development of the child slows down. With angina in the early stages of pregnancy, malformations in the development of individual systems or organs can occur, the occurrence of angina before 12 weeks of pregnancy is especially dangerous, since the development of the disease can provoke a miscarriage.

Treatment methods for angina

First of all, if you really get a sore throat during pregnancy or suspect it in yourself, it is worth remembering that self-treatment for sore throat is prohibited even in the absence of pregnancy, as this is an insidious and dangerous disease. During pregnancy, it becomes several times more dangerous and more difficult to diagnose and treat, so the treatment of this disease should be entrusted only to an experienced doctor. The thing is that angina is a microbial-inflammatory process and it must be treated, first of all, with antibiotics, which during pregnancy can only be prescribed very carefully and not all in a row. That is why self-medication, especially with regard to antibiotics, can be extremely dangerous for a child. Many of the antibiotics can significantly disrupt the growth and development of the baby, especially in early pregnancy. The doctor will take into account all the features of the clinical picture, the duration of pregnancy and the severity of the condition, and will prescribe the most effective and safe of the antimicrobial drugs in a short but effective course, will monitor the presence of complications and the dynamics of the process.

The doctor will prescribe drugs based on the timing of pregnancy, today there are many modern and effective drugs that do not harm the fetus and the mother's body, especially during the second and third trimesters of pregnancy. With the exact and strict observance of all recommendations from the first days of the disease, angina can be treated at home, and a combination of an antibiotic with local preparations and traditional medicine is usually prescribed. Penicillins or cephalosporins are usually prescribed during pregnancy, usually Augmentin or Amoxiclav, Zinnat. But tetracyclines are strictly prohibited for pregnant women, as well as Levomycetin. Usually, antibiotics are prescribed in tablets, syrups or powders; antibiotic injections for angina are not practiced. Tomorrow we will continue our discussion of the correct treatment for angina in pregnancy.


Angina is an acute infectious disease in which inflammation of the elements of the pharyngeal ring and palatine tonsils occurs. Another name for this pathology is acute tonsillitis. The occurrence of tonsillitis in the first trimester of pregnancy threatens with serious complications and increases the risk of an unfavorable outcome for both the woman and her baby.

Causes

Angina is an infectious disease. In 90% of cases, the causative agent of acute tonsillitis is b-hemolytic streptococcus group A (GABHS). Much less often, the examination reveals Staphylococcus aureus, pneumococcus, or other microorganisms. Often the culprit of a sore throat is a mixed pathogenic flora (mixed infection).

Angina can also be of viral origin. The causative agents of the disease are Coxsackie viruses, herpes, adenoviruses. In rare cases, yeast-like fungi of the genus Candida are found in combination with other pathogenic microorganisms.

Risk factors for developing angina:

  • hypothermia;
  • trauma to the tonsils;
  • violation of nasal breathing;
  • exacerbation of chronic diseases, leading to a decrease in general and local immunity;
  • chronic inflammatory processes in the oral cavity (chronic tonsillitis, dental caries);
  • living in an ecologically unfavorable area (polluted air);
  • excessive dryness of the air.

Pregnancy itself is a serious provoking factor for the development of acute tonsillitis. It is known that in anticipation of the baby, the immune system of a woman ceases to cope with its load. There is a physiological weakening of the body's defenses. Against this background, any infectious processes easily occur, including tonsillitis. After the birth of a child, immunity in most cases is restored within the next 6 months.

Mechanisms for the development of angina

Penetration of pathogenic microorganisms occurs through the upper respiratory tract. The primary focus of inflammation is formed in the lymphoid tissue of the nasopharynx. Quite often, a sore throat occurs shortly after an acute respiratory viral infection as a result of a natural decrease in immunity. Most pathogens of known SARS reduce the protective properties of the oral mucosa and contribute to the penetration of other microorganisms into this area.

GABHS is a microorganism that is most often found in angina. These bacteria have a unique property to be fixed on the surface of the palatine tonsils and other elements of the lymphoid tissue of the oral cavity. Streptococci secrete a special toxin that increases a person's susceptibility to this microorganism, which provokes the development of all the symptoms of angina and its complications.

The action of b-hemolytic streptococcus is not limited to the oral cavity. Toxins that enter the bloodstream disrupt the functioning of all internal organs. The maximum impact falls on the cardiovascular and nervous systems, as well as the organs of the urinary tract. Autoimmune processes are triggered, leading to the synthesis of aggressive antibodies that work against your own body. This is how all serious complications of streptococcal angina develop: rheumatism, glomerulonephritis, myocarditis and others.

GABHS is the causative agent of not only tonsillitis, but also scarlet fever. Scarlet fever is more common in childhood. Pregnant women usually already have immunity against this disease. When they meet again with streptococcus, they develop a specific sore throat. Scarlet fever during pregnancy is extremely rare.

Angina develops not only with exogenous (external), but also with endogenous (internal) infection. This is possible in women suffering from chronic tonsillitis. Against the background of a decrease in the body's defenses, its own infection is activated and all the symptoms of a sore throat appear. Quite often, chronic tonsillitis worsens in the first trimester of pregnancy, including in the very early stages shortly after the conception of a child.

Symptoms

The incubation period for angina lasts from 12 to 72 hours and is determined by the type of pathogen. The onset of the disease is always acute. The body temperature rises, there is severe pain in the throat (especially when swallowing). The cervical lymph nodes are enlarged. The severity of the manifestations of angina will depend on the form of the disease and the general reactivity of the organism.

There are several types of angina:

catarrhal

Main symptoms:

  • moderate fever;
  • general weakness, chills, malaise;
  • perspiration and dryness in the throat;

With catarrhal tonsillitis, the palatine tonsils increase in size. There is diffuse hyperemia (redness), swelling. A purulent plaque appears on the surface of the tonsils. Hyperemia can be limited only to the tissue of the tonsils or spread to the soft and hard palate, as well as the back wall of the pharynx. The course is favorable, all symptoms disappear within 1-3 days with appropriate treatment. In case of inadequate therapy, catarrhal angina may pass into another form.

Follicular

Symptoms:

  • an increase in body temperature to 39 ° C and above;
  • pronounced signs of general intoxication: weakness, chills, headaches and muscle pain;
  • severe pain when swallowing;
  • difficulty in swallowing food;
  • enlargement and sharp soreness of the cervical lymph nodes.

The condition of a pregnant woman with follicular angina is significantly impaired. On examination, enlarged and swollen palatine tonsils, soft palate and palatine arches are visible. Purulent follicles are formed on the tonsils - small yellowish vesicles. The follicles open, but the purulent plaque does not extend beyond the tonsils. Recovery occurs after 5-7 days with timely therapy.

Lacunar

Symptoms of lacunar tonsillitis are similar to those of the follicular form of the disease. The woman's condition is serious, body temperature often rises to 40 °C. A yellowish purulent plaque and a thin film appear on the surface of the tonsils. The plaque does not go beyond the tonsils and is easily removed with a spatula. The duration of the disease is up to 7 days.

fibrinous

Fibrinous tonsillitis develops as a complication of other forms of the disease. The general condition of the woman is disturbed, severe pain in the throat persists. Purulent plaque goes beyond the tonsils, spreading to the soft and hard palate. Perhaps the development of serious complications in the first days of the disease, up to the defeat of the meninges of the brain.

Phlegmonous

Phlegmonous tonsillitis is an intratonsillar abscess and occurs as a complication of other forms of acute tonsillitis. It is extremely rare during pregnancy.

Symptoms:

  • severe sore throat when swallowing, talking;
  • forced position of the head;
  • trismus of masticatory muscles (inability to open the mouth);
  • high body temperature;
  • soreness of regional lymph nodes.

With phlegmonous angina, the lesion is usually unilateral. There is a melting of the tissues of the tonsil, swelling, displacement of the tongue in the healthy direction. Smoking is a predisposing factor in the development of phlegmonous tonsillitis. Surgical treatment: opening the abscess and washing the cavity with antibacterial drugs.

Gerpangina

Herpetic sore throat occurs when it is affected by enteroviruses. The main symptoms of acute tonsillitis are accompanied by signs of damage to the digestive tract (nausea, vomiting, abdominal pain). Characterized by an increase in body temperature to 39-40 ° C, pronounced signs of general intoxication of the body. The current is favorable. With adequate therapy, recovery occurs 3-5 days from the onset of the disease.

Complications of pregnancy and consequences for the fetus

Many infectious diseases occur early in pregnancy. Shortly after the conception of a child, a change in the hormonal background and a natural decrease in the body's defenses occur. Immune suppression is necessary in order to allow a woman to bear and give birth to a child. Otherwise, the body of the expectant mother will perceive the embryo as a foreign agent, which will inevitably lead to a miscarriage.

Quite often, angina occurs for a period of 2-4 weeks, even before the expected menstruation is delayed. During this period, many women do not yet know about the onset of pregnancy and in no way associate the malaise that has arisen with the conception of a child. Often, the expectant mother begins taking antibiotics and other potent drugs that can affect the development of the embryo. Such therapy for up to 4 weeks can lead to spontaneous miscarriage or the formation of congenital malformations of the fetus.

Angina, which occurred at a period of 4-12 weeks, is also not very favorable for a woman and her baby. During this period, the expectant mother is already usually aware of her changed situation, and will not take drugs that are prohibited in the early stages of pregnancy. But even adequate therapy does not guarantee a favorable outcome of pregnancy. Bacteria and viruses that have penetrated the embryo can disrupt its normal development and lead to the formation of malformations of internal organs incompatible with life. The shorter the gestational age, the higher the likelihood of an adverse outcome for the fetus.

High body temperature and general intoxication of the body is another unfavorable factor that interferes with the normal course of pregnancy. It is known that a temperature increase above 37.5 ° C significantly increases the risk of spontaneous miscarriage for up to 12 weeks. Termination of pregnancy can occur in the midst of a sore throat or a few weeks after recovery.

Despite all the possible risks, angina in the early stages is not a reason for an artificial abortion. It is impossible to predict in advance how the disease will affect the condition of the woman and the fetus. In many cases, angina goes away without any significant consequences for the baby. Pregnancy in this case proceeds safely and ends with the birth of a healthy child in due time.

How to reduce the risk of adverse effects on the fetus?

  1. Before taking any drugs, make sure that you are not pregnant - donate blood for hCG or do a home test. Relevant for women planning to conceive a child.
  2. If pregnancy is confirmed, do not take any medications without consulting your doctor. Many drugs are prohibited in the first trimester as potentially dangerous for the development of the fetus.
  3. Be careful with the methods of traditional medicine. Some herbal preparations can cause miscarriage in early pregnancy.
  4. Use all available non-drug means to alleviate the condition with angina (heavy drinking, bed rest, etc.).
  5. If the condition worsens and signs of a threatened abortion appear (bleeding, pain in the lower abdomen), be sure to consult a doctor.

Treatment Methods

Treatment of angina in the first trimester of pregnancy is associated with certain difficulties. At this time, many drugs are prohibited for use. Some drugs can provoke a miscarriage, others lead to the formation of abnormalities in the development of the internal organs of the fetus. Taking any drugs in early pregnancy is possible only in consultation with the doctor.

Angina therapy is usually done at home. Hospitalization in a hospital is indicated only for severe forms of acute tonsillitis, as well as for the development of complications (including obstetric ones). To eliminate the inflammatory process in the nasopharynx, antibacterial drugs are prescribed. In the first trimester, it is possible to use penicillins and cephalosporins as the safest for the embryo. The choice of a specific drug, dosage and duration of administration are determined by the doctor based on the form of angina and the severity of the condition of the expectant mother. The course of treatment lasts from 5 to 10 days.

In severe fever with chills, antipyretic drugs (ibuprofen or paracetamol) are prescribed. Aspirin during pregnancy is prohibited! Take antipyretics strictly according to the instructions and in no case exceed the indicated dosage. Paracetamol and ibuprofen have one unpleasant property - they can provoke a miscarriage in the first trimester of pregnancy. That is why such drugs are prescribed only at a body temperature above 38.5 ° C. With moderate fever, you can do without the use of antipyretic drugs.

For local therapy, antiseptic sprays or lozenges are used. The range of drugs for sore throats in the first trimester of pregnancy is very limited. Lizobakt, Laripront, Miramistin and some other means are allowed for use. Before using any drug, it is not superfluous to consult a doctor and read the instructions for the drug.

In the first trimester of pregnancy, great importance is given to non-drug therapy. With angina, the following recommendations will help alleviate the condition:

  1. Drink more fluids: fruit drinks, compotes, tea. Drinks should be warm, but not hot. Hot drink irritates the oral mucosa and worsens the condition with angina.
  2. Eat only easily digestible food (preferably in the form of cereals and mashed potatoes, so as not to injure the mucous membrane). Refuse spicy, salty, spicy foods until complete recovery.
  3. Stay in bed if your body temperature is high.
  4. Don't forget to ventilate the room.
  5. Humidify the room. Dry air irritates the nasopharyngeal mucosa and slows down recovery.
  6. Do not forget about daily wet cleaning. If you feel unwell, entrust the cleaning to your spouse or other relatives.

Specific prevention of angina has not been developed. To increase the overall resistance of the body, you should eat rationally throughout pregnancy, move more and be in the fresh air more often. It is necessary to carefully monitor the condition of the oral cavity, treat foci of chronic infection in time (including carious teeth). In the autumn-winter period, to maintain immunity, it is recommended to take complex vitamins designed specifically for pregnant women.



Angina during pregnancy is one of those dangerous diseases, complications after which can affect the developing fetus.

It is no secret that during pregnancy a woman's immunity is significantly reduced and the female body is prone to various ailments, including inflammatory processes.

As soon as the expectant mother begins to experience discomfort in the throat: soreness and soreness, headaches, weakness, inflammation and swelling of the tonsils, high fever, joint and muscle pain, this is a reason to immediately consult a doctor.

The essence of the problem

Angina (tonsillitis) is an infectious lesion of the mucous membrane of the tonsils, caused by staphylococcus or streptococcus viruses.

You can get infected with them by airborne droplets or by household means, through dirty products, dishes or hands.

There are the following types of tonsillitis:

  1. Bacterial tonsillitis, caused by adenovirus, is the most common and easily treatable type of sore throat. Accompanied by fever, reddening of the tonsils and pain when swallowing. With timely treatment, recovery occurs in a few days and does not affect the development of the child.
  2. With catarrh, pain in the joints and muscles, headaches, lack of appetite, fatigue, sore throat when swallowing and talking.
  3. causes the development of ulcers on the mucous membrane of the tonsils. It has 3 subspecies: follicular - with pustules on the tonsils; lacunar, when a yellow film envelops the tonsils; necrotic - a complicated form of purulent tonsillitis, accompanied by necrosis of the mucous epithelium of the tonsils, is treated by removing the affected tonsils. Purulent tonsillitis during pregnancy is the most dangerous, as it can cause the development of bronchitis, sinusitis, otitis media and have a negative impact on both the mother and the fetus.

Tonsillitis during pregnancy proceeds somewhat differently than in an ordinary person. This is due to hormonal changes that occur in the body in pregnant women.

During this period, the entire immune system of a woman is aimed at preserving the fetus and reacts in a special way to the entry of a harmful virus into the body.

For example, the temperature can rise to 40 °C. The response to medications can also be different.

Symptoms of the disease

Infectious lesions of the tonsils in the initial stages are very similar to a cold or other ailments. To do this, it is necessary to clearly classify the symptoms of the disease:

  • the temperature rises to 39-40 ºC;
  • increased sweating;
  • headaches and pain in the joints;
  • lymph nodes are enlarged, painful swallowing is noted;
  • lack of appetite, impotence;
  • redness of the throat and whitish pustules on the tonsils (with purulent tonsillitis).

The sooner you start treatment of tonsillitis during pregnancy, the more favorable the outcome of the disease. The lack of proper therapy threatens with complications in the heart or kidney system, damage to the joints.

Angina during pregnancy can have undesirable consequences for the mother and child.

The greatest in the early stages of pregnancy, since the 1st trimester is an important period for the fetus, during which the development of many organs of the baby takes place.

Possible consequences of angina during pregnancy

In the medical literature there are detailed descriptions of how dangerous tonsillitis is during pregnancy:

  • a woman develops severe toxicosis, accompanied by frequent, up to 5-7 times a day, bouts of vomiting and dehydration;
  • purulent tonsillitis during pregnancy in the first trimester can cause fetal developmental disorders;
  • physiological pathologies of fetal development;
  • stopping the development of the fetus (fading);
  • sudden miscarriage and open bleeding.

Tonsillitis and pregnancy in the later stages can cause the development of the following pathologies in the expectant mother:

  • inflammation of the heart muscle (myocarditis);
  • brain damage;
  • damage to the whole body by toxins;
  • kidney pathology;
  • violation of cardiac activity;
  • difficult childbirth due to weakness.

If you know how to treat tonsillitis during pregnancy, all these problems can be avoided, but it is important not to waste time here.

It is important to clearly know how to treat angina during pregnancy. First of all, adherence to strict bed rest and drinking plenty of water.

Food should be soft so as not to injure the already inflamed mucous membrane of the tonsils.

Due to the fact that most drugs prescribed for sore throat are contraindicated during the period of bearing a child, the treatment of angina in pregnant women is somewhat different from traditional therapy.

Treatment of tonsillitis in the first trimester

In the first 3 months, the embryo forms the heart, blood vessels, digestive organs, and the nervous system.

During this period, if angina was detected during pregnancy, treatment is complicated by the fact that many drugs cannot be taken because of the risk of harming the developing fetus.

Antibiotics are prescribed of a certain type, harmless to the baby, but after passing the analysis to determine the type of virus and its sensitivity to antibacterial drugs.

It is important to remember that antibiotic use should not be interrupted when improvement occurs for fear of harming the child.

The course must be completed to kill all germs. Otherwise, harmful microorganisms develop resistance to the drug.

Treatment can be done at home. It should include the following aspects:

  • strict bed rest;
  • the diet should be dominated by foods containing proteins and vitamin C;
  • drink plenty of water (at least 100 g of warm water per hour) - tea with honey and lemon, juices, dried fruit compote, non-carbonated mineral warm water. Chicken broth is very useful during this period, which saturates the stomach and at the same time replenishes the loss of fluid;
  • relieve fever without the use of drugs - wipe with warm water, apply cold compresses to the forehead, wash your face with cool water, only Panadol and Paracetamol can be antipyretic;
  • Gargle 4-5 times a day with a decoction of chamomile or sage, soda-salt solution;
  • inhalation with a decoction of chamomile and sage, mint, pine buds, potatoes, but take with caution no more than 3-4 minutes.

Treatment of angina in the 2nd trimester

Angina during pregnancy in the second trimester is treated in the same way as indicated above. The 2nd trimester of fetal development makes it possible to use drugs with local effects directly on the affected areas.

These drugs include Furacilin, Antiangin.

Furacilin is the safest and most effective drug with antibacterial, antiseptic and regenerating effect.

Rinses with a solution of furacilin for 5-6 days completely kill pathogenic microorganisms (2 powdered Furacilin tablets are added to 1 glass of hot water until completely dissolved, rinsed for 4 minutes every 3-4 hours).

However, this remedy in rare cases has side effects - allergies, nausea and vomiting, dizziness, bleeding.

Antiangin lozenges have a good antimicrobial and analgesic effect.

The antiseptic Chlorhexidine contained in the preparation destroys the viruses of pneumococci, staphylococci and streptococci. The effect is felt a few minutes after ingestion.

Therapy for tonsillitis in the 3rd trimester

Treatment of tonsillitis in pregnant women in the third trimester is much easier to treat, since almost all organs in the fetus are already formed.

But the 3rd trimester of pregnancy when infected with viruses is dangerous because the disease can lead to the development of a weakening of labor activity.

Inflammatory processes of the mucous glands in the last stages are treated as follows:

  • antibiotics are prescribed (Penicillin, Erythromycin, Sumamed, Gentamicin);
  • local antiseptics - Anti-angin;
  • gargling and inhalation with pharmaceutical herbs, with the addition of fir, eucalyptus oil, soda-saline solution, Furacilin, Miramistin;
  • diet therapy - products with a high content of various vitamins, irritating dishes are excluded - salty, spicy, sour.
  • to flush out toxins from the body - drink plenty of water.

ethnoscience

If a woman has pregnancy and tonsillitis suddenly, there are effective and safe for expectant mothers traditional medicine recipes aimed at relieving pain, inflammation and destroying pathogenic microbes.

In any case, all folk remedies are used after consultation with the attending physician.

Some methods of alternative treatment of pregnant women with angina:

  1. Grind a few lemons in the peel with sugar. Take the present mixture in 1 tsp. 5 times a day. It is a good anti-inflammatory and antiseptic, strengthens the body, saturates it with vitamin C.
  2. Add finely chopped head of garlic to 1 glass of apple juice, boil for 5 minutes. Drink warm up to 3 glasses a day.
  3. In a grated gruel of 1 apple and 1 onion, add 2 tbsp. l. honey. Take 0.5 tsp. 3 times a day.
  4. Decoctions for inhalation - from unpeeled potatoes (with the addition of a few drops of turpentine), a soda-salt mixture with the addition of 2 drops of iodine.
  5. Gargling - with a decoction of chamomile and sage, a solution of propolis (1 tablespoon of propolis in 1 glass of warm water, rinse every hour), infusion of marshmallow (2 tablespoons pour 500 ml of boiling water and leave for 2 hours), beer mixture ( Mix 1 liter of hot beer with 1 glass of yarrow juice, gargle and drink 1 glass 3 times a day), 1 glass of beetroot juice with the addition of 1 tbsp. l. vinegar (rinse 5 times a day), etc.
  6. Throat treatment - with an alcohol-saline solution (mix 100 g of vodka with 2 tablespoons of coarse salt, lubricate the tonsils 6 times every half an hour), a mixture of 1.5 g of novocaine, 100 ml of alcohol, 2.5 g of menthol, 1.5 g of anestizine, lubricate the neck 3 times a day and wrap it with a warm scarf.

Prevention of angina in pregnant women

To avoid infection with a sore throat, pregnant women must perform the following procedures and adhere to some rules:

  • regularly ventilate and humidify the room;
  • for eating and drinking use individual utensils;
  • do not communicate with sick people;
  • strengthening immunity by taking special vitamin and mineral complexes for pregnant women, drinking more fresh fruit juices;
  • when visiting crowded places, lubricate the nose with oxolin ointment and put on a gauze mask;
  • compliance with oral hygiene;
  • timely treatment of diseases of the teeth and oral cavity (stomatitis, caries, gingivitis, etc.);
  • use of antibacterial personal care products;
  • if there is a family member with a sore throat in the house, regularly fumigate the air in the room with aromatic oils of tea tree or fir, eucalyptus, orange;
  • when using heaters, place water containers in the room.

In the event of the first signs of a sore throat during pregnancy, it is better to consult a doctor without delay.

In no case should you self-medicate, let alone let the disease take its course, in order to avoid unpleasant consequences and the loss of a child.

The tonsils perform a vital function. In fact, it is a kind of barrier to infections: viruses, bacteria and fungi. When a highly contagious infection enters the human body, inflammation of the tonsils can occur. This disease is called tonsillitis (in other words -).

Most often, tonsillitis develops against a background of reduced immunity. That is why pregnant women may experience this disease. it is possible from a sick person by airborne droplets or by contact. Also, the tonsils suffer in case of hypothermia (hypothermia) and excessive consumption of cold drinks.

Other causes and risk factors for sore throat in pregnancy are:

  • various diseases of the throat or nose;
  • injury to the tonsil (for example, solid food);
  • diseases of the teeth and gums;
  • lack of vitamins.

Tonsillitis leads to a functional disorder of the tonsils, they swell, become inflamed. From the mucous membrane begins to stand out mucopurulent exudate. Some forms of the disease are accompanied by suppuration in the tonsils. Undoubtedly, the symptoms that angina causes have a bad effect on the condition of the pregnant woman. If left untreated, there is a risk of infection spreading, suppuration of surrounding tissues, and even inflammation of the brain.

Angina during pregnancy: consequences for the fetus in the first, second and third trimester

It is dangerous, since at this time there is an active development of the child's organs. A strong temperature and intoxication of the body can lead to oxygen starvation and the appearance of deviations, therefore, at the end of treatment, you need to undergo an examination (ultrasound scan, take a blood test, etc.). Also, angina in pregnant women in the early stages worsens the manifestation of toxicosis.

Tonsillitis not only affects the health of the unborn child, but also directly threatens his life (it can cause a miscarriage), and if the infection gets into the bloodstream, it is possible to infect the fetus.

Not as dangerous as the first one. Due to a weakened immune system, the risk of joining other ailments increases. In addition, they can remember chronic illnesses.

How does angina affect the fetus during pregnancy? Malformations at this time are no longer terrible, but complications of the disease can provoke premature birth or difficulties during childbirth. For these reasons, a woman in this position with inflammation of the tonsils is best treated in a hospital under the supervision of doctors.

Angina: its types, types, forms, severity

There are 3, which are determined depending on the causative agent of the disease:

  1. . Most often caused by bacteria, less often - or pneumococci.
  2. . It can occur when infected, various and, with the herpes virus, etc. The viral form of angina is more common in children.
  3. . Often it is provoked by Candida fungi.

It also differs in its clinical manifestations and pharyngoscopy picture.

The main subspecies of this disease include:

  1. . It is characterized by swelling of the tonsils and serous discharge.
  2. . It is distinguished by the presence of pus in the follicles of the tonsils. It looks like whitish or yellowish raised spots on the mucous membrane.
  3. Inflammation in the lacunae and follicles of the tonsils. It is distinguished by the appearance of a light coating.
  4. fibrinous. Fibrinous layers appear on the tonsils. They can combine and completely cover the tonsils and even go beyond them.
  5. Phlegmonous. It is characterized by the formation of pus inside the tonsils. The abscess after a while opens into the oral cavity. If it is located deep, then there is a risk of formation of a paratonsillar abscess.

The rarer types of tonsillitis include fungal, and,. As a rule, the disease affects the palatine tonsil, but there are also tonsillitis of atypical localization (angina of the lateral ridges, tonsillitis of the floor of the mouth, lingual or tubal tonsil).

Symptoms and manifestation of angina

With inflammation of the tonsils, pain immediately occurs, discomfort in the throat, dry cough. Quite often, the first sign of a sore throat in pregnant women is a fever. Due to headaches and weakness, performance is impaired. All these changes negatively affect the general state of health.

Symptoms of sore throat in pregnancy may include:

  • sore throat of varying intensity;
  • white patches on the tonsils or throat;
  • difficulty swallowing or eating;
  • excessive sweating;
  • loss of appetite;
  • enlargement of the lymph nodes;
  • labored breathing;
  • bad breath;
  • nausea;
  • cough.

Interesting fact! in most cases it reaches critically high levels and varies from 37 to 39 and above degrees.

Diagnosis of angina

If you notice the listed signs in yourself, then you need to contact a therapist (in severe cases, the help of an otolaryngologist may be required). Diagnosis of angina in pregnant women, in fact, as in non-pregnant women, consists of examining the throat with the help of special mirrors. This procedure is called pharyngoscopy. Also, the doctor should examine the nasal passages, nasopharynx and ears of the patient, as these organs are often affected simultaneously.

When examining the throat, signs such as:

  • red, swollen tonsils. The palate, the walls of the throat, the tongue, the palatine arches may also be inflamed;
  • plaque on the mucous membrane (white, yellowish or grayish) and on the tongue.

In the process of pharyngoscopy, the doctor must take swabs from your throat for further analysis for microflora and bacterial culture. They will show which bacteria caused inflammation of the tonsils. This information is important for proper antibiotic prescribing. Without analysis data, the doctor has to prescribe the drug at random, and the expectant mother does not need it: why put yourself at risk unnecessarily?

Important! Complications of tonsillitis during pregnancy can be avoided if you consult a doctor in time and start treatment.

Angina during pregnancy: treatment at all stages

Since bacterial tonsillitis is most common, doctors often prescribe antibiotics. Antibiotics for pregnant women are contraindicated, but they cannot be dispensed with, especially if there is a threat to the mother and fetus. The only case when such drugs are not needed is with a mild viral infection, as it passes on its own.

Preparations with penicillin, which are prescribed primarily to all patients with tonsillitis, are the least toxic, so they can also be used by pregnant women. These are drugs such as "", "Gramox", "Amofast", "", "". They cause minimal harm to the body and are active against most bacteria that cause tonsillitis.

Other pregnant women are given in cases where amoxicillin does not help or the patient is allergic to it. Then they can prescribe Azithromycin or Cefazolin. They have a wider spectrum of action, but more side effects. However, no adverse effects on the fetus have been identified.

High temperature with angina in pregnant women (especially in the first trimester) can harm the fetus, so it must be brought down without fail. For this, "" is optimal. It can be drunk every 4 hours, but not more than 4 times a day.

In addition, the treatment of angina during pregnancy should include:

  • bed rest;
  • regular treatment of the tonsils with an antiseptic;
  • taking vitamins to maintain immunity.

If a sore throat in pregnant women is not cured by the listed methods, there is a threat of spreading pus or overlapping of the larynx, then the treatment will include tonsillectomy (removal of the tonsils). This operation can be performed with a scalpel or other alternative methods (laser, etc.).

Important! Surgical treatment of angina in pregnant women in the 3rd trimester is not carried out.

Gargles, sprays and tablets for sore throats in pregnant women

To eliminate pain, burning and sore throat, you can gargle, or use anti-inflammatory and analgesic sprays or lozenges:

  1. Strepsils. Available in tablets and spray form. This drug may have a different effect, depending on the composition. For example, Strepsils Plus lollipops have an antiseptic and analgesic effect, while Strepsils Menthol further reduces inflammation in the throat.
  2. "Ingalipt". This spray contains an antibiotic and natural oils of peppermint and eucalyptus, which have an anti-inflammatory effect and soothe pain.
  3. Lugol Spray. It contains iodine, known for its antiseptic properties. It is active against bacteria and fungi. "Lugol Spray" can be used in the 2nd and 3rd trimester.
  4. Spray "Panavir". It destroys viruses and bacteria, relieves inflammation, strengthens the immune system and promotes the regeneration of the mucous membrane.
  5. Tablets "Ajisept" is a combined antiseptic drug.
  6. "Angi sept dr. Taysa". They have an antimicrobial, anti-inflammatory effect, relieve irritation. They come with the addition of sea buckthorn, sage, honey, lemon.

What can you gargle with?

The most elementary way is to make a solution from a glass of warm water, 1 tsp. soda and 1 tsp. salt. Antiseptics such as Furacilin, hydrogen peroxide, Miramistin, Angilex and various tinctures (propolis, calendula, etc.) are also suitable. Washing should be done 1 time in 1-2 hours.

There is another effective way to gargle. For 1 cup boiling water 1-2 cloves of garlic. Squeeze the garlic through the spadefoot into boiling water and leave to infuse until completely cooled. Then gargle with this infusion throat. Repeat the procedure 3-4 times a day.

During rinsing, harmful bacteria, as well as mucus, are washed out. The throat will be completely disinfected, which cannot be achieved by using a spray. It is best to combine different medicines.

Alternative treatment and nutrition for angina in pregnant women

Safer for a woman who is preparing to become a mother are traditional methods of treatment. However, even they can lead to complications, so it is recommended to consult a doctor before use.

Some of the popular treatments for tonsillitis include:

  • washing the throat using decoctions of herbs (chamomile, calendula, St. John's wort, sage);
  • . You can add sage, eucalyptus, thyme, chamomile, and other herbs or essential oils to the water. Inhalations are considered more effective with the help of a special device - a nebulizer. Various drugs can be added to it, including antibiotics;
  • garlic treatment. Garlic is a natural antibiotic that can help reduce the symptoms of a sore throat in pregnancy. You can chew a clove of garlic without swallowing it. Use onions along with garlic for added effectiveness;
  • lubricating the throat with honey mixed with aloe juice (2 tbsp honey and 1 tsp juice). This tool helps reduce swelling and inflammation, and also has an antiseptic effect.

How to bring down the temperature during pregnancy without pills?

It is necessary to drink plenty of fluids and wipe yourself with a cloth soaked in vinegar with warm water.

Also, during an illness, it is important to adhere to the rules of nutrition. pregnant women should be as useful as possible, saturated with vitamins. You can not lead the body to exhaustion. In order not to damage an already irritated throat, eat food in the form of mashed potatoes or soups.

A warm drink is very useful, in particular a decoction of chamomile, tea with raspberries, lemon, ginger, cinnamon, linden, or warm milk with honey.

It is worth noting! It is not possible to cure a sore throat during pregnancy if it is of a bacterial nature. Bacteria can only be treated with antibiotics.

How to prevent angina?

To prevent angina during pregnancy, use the following tips:

  • wash your hands regularly, especially if you work in a large team, and always after coming from the street;
  • avoid contact with sick people. If one of the family members gets sick, then the expectant mother needs to be very careful not to get infected. In no case do not use one dish! And when visiting the hospital, use a protective face mask;
  • gargle once a day with antiseptics to prevent the infection from spreading;
  • Strengthen your immune system with special vitamins for pregnant women;
  • it is advisable not to drink cold drinks if you have a tendency to tonsillitis.

Finally, it is worth noting that it is possible to treat a sore throat for pregnant women at home, but not always. If the doctor advises to go to the hospital, then it is better to listen to him in order to protect yourself and your child.

Informative video:

During pregnancy, a woman's immunity is weakened, so the risk of contracting various infections increases many times over. One of the most dangerous among them is angina: it can lead to serious complications in the mother and developmental defects in the fetus, so it is important to take this common disease seriously. If a sore throat is diagnosed in pregnant women, how to treat this disease without risk to the baby?

Angina is an infectious disease that is manifested by inflammation of the lymphadenoid tissue in the throat. However, not every sore throat is a symptom of a sore throat: similar symptoms occur, so you should definitely visit a doctor to make an accurate diagnosis.

In addition to increasing sore throat, sore throat is accompanied by the following symptoms:

  • Temperature increase. It is the intense heat that poses the greatest danger to the fetus: it can cause placental abruption, which ends in miscarriage. In addition, due to a strong increase in temperature, oxygen starvation of the fetus is possible, leading to irreparable consequences.
  • Difficulty swallowing, hoarseness of voice. This is one of the most common symptoms by which angina is determined.
  • General weakness due to intoxication. In no case should you carry the disease on your legs, and if you have a sore throat and fever, you should immediately take action.

The doctor will evaluate the enlargement of the tonsils, a plaque appears on them, by which it is possible to determine which specific type of angina has to be dealt with. Acute tonsillitis is usually also accompanied by an increase in submandibular lymph nodes, which indicates an inflammatory process.

How can angina be treated for pregnant women?

The main method of treatment is antibacterial therapy, which involves the appointment of antibiotics. Today, there are those who do not penetrate the placenta into the body of the fetus and do not harm it, but only a doctor can choose the full course of treatment and prescribe the dosage. Self-medication in this matter is very dangerous, since some types of drugs can lead to malformations.

Penicillin group: these are drugs such as Ampicillin, Amoxiclav and some other drugs. Cephalosporins (Cefazolin) and Erythromycin may also be prescribed. In some cases, Sumamed is prescribed. Antibiotics of the tetracycline group and Levomycetin are not prescribed for pregnant women, as they are dangerous for the fetus.

When the temperature rises, it is important to take the right measures and prevent the body of the mother and child from suffering from heat:

  • Aspirin is strictly forbidden to take: it promotes blood thinning, provokes placental abruption and internal bleeding.
  • However, you can use Paracetamol and Panadol: Paracetamol quickly reduces the temperature, in addition, it does not have a harmful effect on the body of the mother and baby.

An additional method is local exposure: these are various lozenges. They also help improve overall well-being. The choice today is quite wide: these are Strepsils, Decatilen, in addition, you can use various sprays to irrigate the pharynx. It is only important to strictly observe the dosage in order to prevent excessive use of drugs. In addition to timely medication, it is important to follow other doctor's recommendations.

Patients are shown bed rest and heavy drinking: while fruit drinks and acidic juices are not suitable, as they irritate the mucous membranes.

The best option is warm (but not hot) milk with honey, you can also drink ginger tea. It is important to observe the diet: foods should be easy to digest and nutritious. These are various soups and broths, mostly vegetable, protein foods and fresh fruits should be present in the diet. It is best to avoid fatty foods. as they are slowly digested and delay recovery.

Alternative methods of treatment of angina in pregnant women

In parallel with taking the drugs prescribed by the doctor, you can use folk remedies that will not harm the baby, but will help to cope with the disease. There are several options for such procedures:

  1. The most effective method is gargling with a decoction of sage or chamomile. It helps reduce inflammation, relieves pain and improves overall health. At the same time, decoctions of medicinal herbs are harmless and harmless to the fetus.
  2. You can drink rosehip broth: it contains a large amount of vitamin C and helps to strengthen the immune system. Drinking plenty of fluids removes toxins from the body, so recovery will be faster.
  3. To reduce the temperature without Aspirin, you can use wiping with water and vinegar: this tool has been tested for a long time, and it has shown its effectiveness.
  4. For you can use not Miramistin and other antibiotics, but. It helps to remove plaque and alleviate the condition.

It is important to remember that various thermal procedures are contraindicated for pregnant women: hot foot baths are unacceptable in the first trimester, as they can lead to spontaneous miscarriage.

More information about angina can be found in the video.

In addition, you can not carry out inhalations and put warm compresses. The main principle when choosing methods is not to harm the child and mother, so it is important to strictly follow the doctor's recommendation.

You can not replace one method with another, for example, take instead of antibiotics. The doctor will prescribe the correct dosage of medicines that will not harm either the mother or the baby.

It is important not to delay the visit to the doctor for a long time, as complications can occur suddenly, and the consequences can be difficult to predict. If you have a sore throat and a fever, you should not go to work: it is better to stay at home and call a doctor. In most cases, angina ends with the patient's recovery without consequences, but sometimes it leads to various negative phenomena.

The most formidable among them is heart disease: the body fights the disease by producing antibodies, which can then begin to negatively affect the body. Also, a complication of angina is myocarditis: inflammation of the heart muscle, which can occur a few weeks after the disease itself, if you move it on your feet and do not drink the medicine prescribed by your doctor.

In addition, joint damage is possible due to infection in the connective tissue: rheumatism causes severe pain and limited mobility. There is swelling of the joints with reddening of the skin, and the pain may be wandering.

Treatment can take a long time, medications and physical therapy will be required, and many methods are not applicable during pregnancy.

For the fetus, hypoxia can become the most terrible complication: due to a lack of oxygen, various malformations occur, and CNS damage is possible.

Here are some simple preventive measures that can help you avoid serious consequences:

  1. It is advisable to avoid contact with sick people. In the off-season, it is better not to attend mass events, avoid crowding and minimize travel by public transport. If the epidemiological situation worsens in the city, it is better not to be shy to wear a gauze mask on the street and in public places.
  2. You need to try to strengthen the immune system: taking vitamin C and eating fresh fruits reduces the risk of disease, and taking care of yourself will not be difficult at all.
  3. Chronic foci of infection in the oral cavity should not be allowed: caries should be treated in time and prevented.

The expectant mother should be especially attentive to her health: taking care of herself will help the baby be born healthy and prevent any consequences of infectious diseases. Simple measures and following the recommendations of the doctor will ensure the normal development of the fetus.