pakamwa youma

Pakamwa pouma ndikumverera komwe timadziwika kwa tonsefe. Ndi kulimbikira kapena kuuma pafupipafupi pakamwa, ndikofunikira kumvetsetsa chomwe chimayambitsa, ndipo, ngati kuli kofunikira, yambani chithandizo. Kuchotsa pakamwa youma nthawi zambiri kumatheka kokha chifukwa chochiza matenda-choyambitsa, chomwe chiyenera kukhala cholinga chenicheni. Mulimonsemo, kumverera kwa pakamwa pouma ndi chifukwa china choganizira thanzi lanu.

Kuwuma pakamwa ndi chifukwa chosakwanira hydration wa m`kamwa mucosa, makamaka chifukwa chosakwanira kupanga malovu. Nthawi zambiri, pakamwa pouma kumawonedwa m'mawa kapena usiku (ndiko kuti, mukagona).

Zowonadi, nthawi zambiri titamwa kapu yamadzi, timawona kuti kumva kwakamwa kowuma kwadutsa. Komabe, nthawi zina chizindikiro ichi chikhoza kukhala "chizindikiro choyamba" chosonyeza mavuto mu machitidwe ofunikira. Pankhaniyi, pakamwa youma ndi chifukwa kuonana ndi dokotala. Mu mankhwala, pakamwa youma chifukwa cha kutha kapena kuchepa kwa malovu amatchedwa xerostomia.

Chifukwa chiyani malovu abwino ndi ofunika kwambiri

Kutulutsa malovu mwachizolowezi ndi chimodzi mwazinthu zofunika kwambiri paumoyo wamkamwa. Izi ndichifukwa choti malovu amagwira ntchito zingapo zofunika kwambiri.

Choyamba, malovu amathandiza kuteteza zilonda zam'kamwa kuchokera ku zilonda ndi zilonda zomwe zikanatheka mukamatafuna chakudya. Malovu amachepetsanso ma asidi ndi mabakiteriya omwe amalowa m'kamwa ndipo amathandizira kusungunula zokopa.

Komanso, malovu nawo m`kati chimbudzi cha chakudya ndi chimodzi mwa zinthu zoteteza zimene zimathandiza kwambiri m`kati remineralization mano.

Chifukwa chiyani xerostomia ndi yowopsa?

Kusalowa bwino m'malovu komwe kumabweretsa kumva kouma mkamwa ndi vuto lalikulu. Pakhoza kukhala zifukwa zambiri za izo, komanso mayankho. Xerostomia, monga umboni ndi deta, nthawi zambiri amapezeka mwa akazi kuposa kugonana wamphamvu.

Kumverera kwa pakamwa pouma komwe kumachitika kamodzi kumakhaladi, mwina, chifukwa cha zinthu zina: ludzu, kutentha kosasangalatsa, zolakwika m'zakudya. Komabe, ngati pakamwa pouma nthawi zonse, sikoyenera kulimbana ndi kusapeza bwino ndikumwa madzi ochulukirapo. Kusakwanira salivation mu nkhaniyi kungasonyeze mavuto aakulu m'thupi, makamaka ngati akutsatiridwa ndi zizindikiro zina.

Choncho, "kumamatira" kwa malovu, kumverera kwachilendo kuti ngati pakamwa patsekedwa kwa nthawi yaitali, lilime likuwoneka ngati likukakamira kumwamba, liyenera kukhala tcheru. Choyambitsa chenjezo ndi kuuma kwa m'kamwa, kutsatiridwa ndi kuyaka ndi kuyabwa, roughness ya lilime ndi redness. Dokotala ayenera kufunsidwa ngati munthu, kuwonjezera pa kuyanika mucosa m'kamwa, akudandaula za mavuto ndi malingaliro a kukoma, kumeza kapena kutafuna. Pankhaniyi, kuchedwetsa malangizo achipatala sikuvomerezeka.

Dziwani kuti pakamwa youma siwowopsa monga momwe zingawonekere. Mwachitsanzo, kumawonjezera kwambiri chiopsezo chokhala ndi gingivitis ndi stomatitis, ndipo kungayambitse mkamwa dysbacteriosis.

Mpaka pano, akatswiri sangathe kutipatsa mwatsatanetsatane gulu komanso mndandanda wathunthu wa zomwe zingayambitse kuuma kwa oral mucosa. Komabe, mokhazikika, madokotala amagawa zonse zomwe zimayambitsa kuyanika kwa mucosa m'kamwa kukhala pathological and non-pathological.

Gulu loyamba la zimayambitsa limasonyeza matenda osowa chithandizo. Ponena za zifukwa zomwe siziri matenda a khalidwe, zimagwirizanitsidwa, choyamba, ndi njira ya moyo wa munthu.

Pathological zimayambitsa youma pakamwa

Kumverera kwa pakamwa pouma kumatha kulumikizidwa ndi ma pathologies akulu m'thupi. Kwa ena a iwo, xerostomia ndi chimodzi mwa zizindikiro zazikulu, kwa ena ndi chiwonetsero chofanana. Panthawi imodzimodziyo, n'zosatheka kutchula matenda onse popanda kupatulapo omwe angayambitse mavuto ndi salivation. Choncho, nkhaniyi ingoyang'ana pa zomwe pakamwa pouma ndi chimodzi mwa zinthu zofunika kwambiri.

Matenda a salivary gland pathologies

Vuto lofala kwambiri ndi zotupa za salivary ndi kutupa kwawo. Kungakhale parotitis (kutupa kwa parotid salivary gland) kapena sialadenitis (kutupa kwa gland ina iliyonse ya salivary).

Sialoadenitis ikhoza kukhala matenda odziyimira pawokha kapena kukhala ngati vuto kapena chiwonetsero cha matenda ena. Njira yotupa imatha kuphimba chithokomiro chimodzi, tiziwalo timene tiwiri tating'ono tating'onoting'ono, kapena zotupa zingapo zimatha.

Sialoadenitis imayamba, nthawi zambiri chifukwa cha matenda omwe amatha kulowa mu gland kudzera m'mitsempha, mitsempha yamagazi kapena magazi. Sialoadenitis yosapatsirana imatha kukhala ndi poizoni ndi mchere wazitsulo zolemera.

Kutupa kwa salivary gland kumawonetseredwa ndi ululu umene umatuluka ku khutu kuchokera kumbali yomwe yakhudzidwa, kuvutika kumeza, kuchepa kwakukulu kwa salivation ndipo, chifukwa chake, pakamwa pouma. Pa palpation, kutupa komweko m'dera la salivary gland kumatha kuzindikirika.

Chithandizo chimaperekedwa ndi dokotala. Nthawi zambiri, chithandizo chimaphatikizapo mankhwala oletsa tizilombo toyambitsa matenda kapena antibacterial, ma blockades a novocaine, kutikita minofu, ndi physiotherapy.

Matenda opatsirana

Ndi anthu ochepa amene ankaganiza kuti pakamwa youma akhoza kukhala chimodzi mwa zizindikiro za chiyambi cha chimfine, tonsillitis kapena SARS. Matendawa amatsagana ndi malungo ndi thukuta kwambiri. Ngati wodwalayo sawonjezera kuchuluka kwa madzi m'thupi mokwanira, amatha kuuma pakamwa.

Matenda a Endocrine

Kusatulutsa malovu okwanira kungasonyezenso kulephera kwa endocrine. Chifukwa chake, odwala ambiri omwe adapezeka ndi matenda a shuga amadandaula kuti pakamwa pouma nthawi zonse, kuphatikiza ndi ludzu lalikulu komanso kukodza kwambiri.

Zomwe zimayambitsa zizindikirozi ndi kuchuluka kwa shuga m'magazi. Kuchuluka kwake kumayambitsa kuchepa kwa madzi m'thupi, kuwonetseredwa, mwa zina, ndi xerostomia.

Kuti muchepetse mawonekedwe a matendawa, ndikofunikira kugwiritsa ntchito mankhwala ovuta. Mulingo wa shuga uyenera kuyang'aniridwa mosamala ndi glucometer, ndipo ndandanda yomwa mankhwalawa yoperekedwa ndi endocrinologist iyeneranso kuwonedwa. Zakudya zamadzimadzi zimakhala ndi gawo lofunikira. Muyenera kumwa ma decoctions ndi ma infusions a zitsamba zamankhwala omwe amathandizira kuchepetsa kuchuluka kwa shuga ndikuwonjezera kamvekedwe ka thupi.

Kuvulala kwa gland ya salivary

Xerostomia ikhoza kuchitika ndi zovuta zowopsa za sublingual, parotid kapena submandibular glands. Kuvulala kotereku kungayambitse kuphulika kwa gland, komwe kumadzaza ndi kuchepa kwa salivation.

Sjogren's Syndrome

Matenda a Syndrome kapena Sjögren ndi matenda omwe amawonetseredwa ndi zomwe zimatchedwa kuti zizindikiro zitatu: kuuma ndi kumverera kwa "mchenga" m'maso, xerostomia ndi mtundu wina wa matenda a autoimmune.

Matendawa amatha kuchitika mwa anthu azaka zosiyanasiyana, koma odwala oposa 90% ndi oimira ofooka apakati ndi okalamba.

Mpaka pano, madokotala sanathe kudziwa zomwe zimayambitsa matenda kapena njira zake. Ofufuza akuwonetsa kuti autoimmune factor imathandizira kwambiri. Kutengera kwa majini nakonso ndikofunikira, chifukwa matenda a Sjogren nthawi zambiri amapezeka mwa achibale apamtima. Zikhale momwemo, kusokonezeka kumachitika m'thupi, chifukwa chake ma glands a lacrimal ndi salivary amalowetsedwa ndi B- ndi T-lymphocytes.

Kumayambiriro kwa matendawa, pakamwa pouma kumawonekera nthawi ndi nthawi. Pamene matendawa akupita patsogolo, kusapezako kumakhala pafupifupi kosalekeza, kumakulitsidwa ndi chisangalalo ndi kukambirana kwautali. Kuwuma kwa mucosa m'kamwa mu Sjogren's syndrome kumaphatikizanso ndi moto ndi zilonda za milomo, mawu osamveka komanso ma caries omwe akupita patsogolo.

Ming'alu imatha kuwoneka pamakona a pakamwa, ndipo ma submandibular kapena parotid salivary gland amatha kukula.

Kutaya madzi m'thupi

Popeza malovu ndi amodzi mwa madzi a m’thupi, kusapanga malovu okwanira kungayambitsidwe ndi kutaya kwambiri madzi ena. Mwachitsanzo, m`kamwa mucosa akhoza adzauma chifukwa pachimake m`mimba, kusanza, mkati ndi kunja magazi, amayaka, ndi lakuthwa kuwonjezeka kutentha kwa thupi.

Matenda a m'mimba

Dry pakamwa pamodzi ndi kuwawa, nseru ndi woyera ❖ kuyanika pa lilime zingasonyeze matenda a m`mimba thirakiti. Izi zikhoza kukhala zizindikiro za biliary dyskinesia, duodenitis, kapamba, gastritis ndi cholecystitis.

Makamaka, nthawi zambiri mucosa wamkamwa umauma pakangoyamba kuwonekera kwa kapamba. Ichi ndi matenda obisika kwambiri omwe amatha kukhala osawoneka kwa nthawi yayitali. Ndi kuwonjezereka kwa kapamba, flatulence, zowawa, komanso kuledzera zimayamba.

Hypotension

Kuuma pakamwa pamodzi ndi chizungulire ndi chizindikiro chofala cha hypotension. Pankhaniyi, chifukwa ndi kuphwanya kufalitsidwa kwa magazi, zomwe zimakhudza mkhalidwe wa ziwalo zonse ndi glands.

Ndi kuchepa kwa kuthamanga, pakamwa pouma ndi kufooka nthawi zambiri zimavutitsa m'mawa ndi madzulo. Malangizo kwa anthu omwe akudwala hypotension nthawi zambiri amaperekedwa ndi othandizira; mankhwala angathandize normalize mlingo wa magazi ndi kuthetsa dryness wa m`kamwa mucosa.

chikhalidwe

Kuuma pakamwa ndi maso, kugunda kwa mtima ndi chizungulire kungakhale zizindikiro za kusamba kwa amayi. Kuchepa kwa kupanga mahomoni ogonana kumakhudza chikhalidwe chonse. Makamaka, panthawiyi, mucous nembanemba zonse zimayamba kuuma. Kuti asiye kuwonetseredwa kwa chizindikiro ichi, dokotala amalangiza mankhwala osiyanasiyana a m'thupi komanso osagwiritsa ntchito mahomoni, sedatives, mavitamini ndi mankhwala ena.

Dziwani kuti matenda onse omwe ali pamwambawa ndi aakulu, ndipo kuyanika kwa mucosa m'kamwa ndi chimodzi mwa zizindikiro zawo. Choncho, kudzifufuza nokha ndi malovu osakwanira sikuvomerezeka. Chifukwa chenicheni cha xerostomia chidzatsimikiziridwa ndi katswiri pambuyo pa njira zingapo zowunikira.

Zomwe Zimayambitsa Nonpathological Pakamwa Kouma

Zomwe zimayambitsa kuuma kwapakamwa kosakhala ndi pathological nthawi zambiri zimagwirizanitsidwa ndi moyo womwe munthu amakhala nawo:

1. Xerostomia ikhoza kukhala chizindikiro cha kuchepa kwa madzi m'thupi. Chifukwa chake munkhaniyi ndikuphwanya malamulo akumwa. Nthawi zambiri, mucosa mkamwa umauma ngati munthu amadya madzi osakwanira pa kutentha kwakukulu kozungulira. Pankhaniyi, vutoli ndi losavuta kuthetsa - zokwanira kumwa madzi ambiri. Kupanda kutero, zotsatira zowopsa ndizotheka.
2. Kusuta fodya ndi kumwa mowa ndi chifukwa china chomwe chimachititsa kuti pakamwa pakhale youma. Anthu ambiri amadziwa kusapeza bwino m'kamwa, komwe kumawonekera m'mawa pambuyo pa phwando.
3. Xerostomia ikhoza kukhala chifukwa chogwiritsa ntchito mankhwala angapo. Chifukwa chake, pakamwa youma ndi zotsatira za mankhwala a psychotropic, okodzetsa ndi mankhwala oletsa khansa. Komanso, mavuto ndi malovu akhoza kuyambitsa mankhwala kuchepetsa kuthamanga ndi antihistamines. Monga lamulo, zotsatirazi siziyenera kukhala chifukwa chosiyiratu kumwa mankhwala. Kumverera kwa dryness ayenera kwathunthu kutha pambuyo mankhwala anamaliza.
4. The m`kamwa mucosa akhoza kuuma pamene kupuma m`kamwa chifukwa cha m`mphuno kupuma matenda. Pankhaniyi, tikulimbikitsidwanso kumwa madzi ambiri ndikugwiritsa ntchito madontho a vasoconstrictor kuti achotse mphuno yothamanga mwamsanga.

Kuuma pakamwa pa mimba

Nthawi zambiri xerostomia akufotokozera akazi pa mimba. Iwo ali ndi chikhalidwe chofanana, monga lamulo, amadziwonetsera m'magawo otsiriza ndipo ali ndi zifukwa zingapo nthawi imodzi.

The zitatu zikuluzikulu zimayambitsa kuyanika wa m`kamwa mucosa amayi apakati ndi kuchuluka thukuta, kuchuluka pokodza ndi kuchuluka zolimbitsa thupi. Pankhaniyi, xerostomia amalipidwa ndi kuchuluka kumwa.

Komanso, pakamwa youma amatha kuchitika chifukwa chosowa potaziyamu kapena kuchuluka kwa magnesium. Ngati kusanthula kutsimikizira kusalinganika kwa zinthu zotsatizana, chithandizo choyenera chidzathandiza.

Nthawi zina amayi apakati amadandaula youma pakamwa pamodzi ndi zitsulo kukoma. Zizindikiro zofananira ndizofanana ndi matenda a shuga a gestational. Matendawa amadziwikanso kuti gestational shuga. Choyambitsa matenda a shuga a gestational ndi kuchepa kwa chidwi cha maselo ku insulin yawoyawo, zomwe zimayambitsidwa ndi kusintha kwa mahomoni pa nthawi yapakati. Ichi ndi vuto lalikulu lomwe liyenera kukhala lofunikira pakuyezetsa ndi kuyezetsa kuti mudziwe kuchuluka kwa shuga m'magazi.

Kuzindikira Zomwe Zimayambitsa Pakamwa Pakamwa

Pofuna kudziwa zofunikira kuti kuyanika kwa mucosa m'kamwa, katswiriyo choyamba ayenera kufufuza bwinobwino mbiri ya wodwalayo kuti adziwe zomwe zingayambitse chizindikiro choterocho. Pambuyo pake, dokotala adzapereka mayeso ndi mayeso omwe ali ofunikira kuti atsimikizire kapena kutsutsa zomwe zimayambitsa xerostomia.

Kuzindikira zifukwa zazikulu zomwe zimayambitsa kuyanika kwa mucosa m'kamwa kungaphatikizepo mndandanda wa maphunziro, mndandanda weniweni womwe umadalira matenda omwe angakhalepo.

Choyamba, ngati malovu osakwanira amapezeka, m'pofunika kudziwa ngati wodwalayo ali ndi matenda omwe amasokoneza kugwira ntchito kwa glands za salivary. Pachifukwa ichi, computed tomography ikhoza kuperekedwa, yomwe ingathandize kuzindikira ma neoplasms, maginito a maginito, komanso kufufuza zamtundu wa malovu (ma enzyme, immunoglobulins, micro- ndi macroelements).

Kuphatikiza apo, biopsy ya tiziwalo timene timatulutsa malovu, sialometry (kafukufuku wa kuchuluka kwa malovu), ndi kafukufuku wa cytological. Mayesero onsewa athandiza kudziwa ngati malovu akugwira ntchito moyenera.

Komanso, wodwalayo amapatsidwa mankhwala ambiri mkodzo ndi magazi, amene angasonyeze magazi m`thupi ndi pamaso kutupa njira. Ngati akuganiziridwa kuti ali ndi matenda a shuga, kuyezetsa magazi kwa glucose kumalamulidwa. Ultrasound imatha kuwonetsa zotupa, zotupa, kapena miyala mu gland ya salivary. Ngati matenda a Sjögren akukayikira, kuyesa kwa magazi kwa immunological kumachitika - kafukufuku yemwe amathandiza kuzindikira matenda omwe amagwirizana ndi kuchepa kwa thupi, komanso kuzindikira matenda opatsirana.

Kuwonjezera pa zomwe zili pamwambazi, dokotala akhoza kupereka mayesero ena, malinga ndi momwe wodwalayo alili komanso mbiri yake.

Kuuma pakamwa pamodzi ndi zizindikiro zina

Nthawi zambiri, zizindikiro zotsatizana nazo zimathandiza kudziwa mtundu wa matenda omwe amayambitsa kuchepa kwa salivation. Tiyeni tione ambiri a iwo.

Chifukwa chake, kuyanika kwa mucous nembanemba kuphatikiza dzanzi ndi kutentha lilime kumatha kukhala zotsatira zoyipa za kumwa mankhwala kapena chiwonetsero cha matenda a Sjogren. Komanso, zizindikiro zofanana zimachitika ndi nkhawa.

Kuyanika kwa mucous nembanemba komwe kumachitika m'mawa mutatha kugona kungakhale chizindikiro cha matenda opuma - munthu amapuma pakamwa pa nthawi ya kugona, chifukwa kupuma kwa mphuno kumatsekedwa. Ndizothekanso kudwala matenda a shuga.

Pakamwa pouma usiku, kuphatikizapo kugona kosakhazikika, kungasonyeze chinyezi chosakwanira m'chipinda chogona, komanso mavuto a metabolic. Muyeneranso kuwunikanso zakudya zanu ndikukana kudya chakudya chachikulu mutangotsala pang'ono kugona.

Kusakwanira kwa salivation, kuphatikiza ndi kukodza pafupipafupi komanso ludzu, ndi chifukwa chowonera kuchuluka kwa shuga m'magazi - umu ndi momwe matenda a shuga amadziwonetsera okha.

Kuyanika kwa mkamwa mucosa ndi nseru kungakhale zizindikiro za kuledzera, kuchepa kwakukulu kwa shuga m'magazi. Zizindikiro zofananira nazonso zimadziwika ndi kukomoka.

Ngati m`kamwa uphwetsa pambuyo kudya, zonse zokhudza pathological njira mu malovu tiziwalo timene timatulutsa, amene salola kupanga kuchuluka kwa malovu zofunika chimbudzi cha chakudya. Kuwawa m'kamwa, kuphatikizapo kuuma, kungasonyeze kutaya madzi m'thupi, kumwa mowa ndi fodya, ndi vuto la chiwindi. Pomaliza, pakamwa pouma pamodzi ndi chizungulire zingakhale chifukwa choyezera kuthamanga kwa magazi.

Zizindikiro zowonjezera pa kuyanika kwa patsekeke pakamwa zimathandizira kuchepetsa mwayi wopezeka ndi matenda olakwika, komanso musalole kuti ma pathologies apangidwe. Ichi ndichifukwa chake mukamachezera dokotala, muyenera kumufotokozera mwatsatanetsatane momwe mungathere ndi zomverera zomwe mwakhala nazo posachedwa. Izi zithandiza kudziwa matenda olondola ndikusankha njira zochiritsira zolondola.

Momwe mungathanirane ndi pakamwa pouma

Monga tanenera pamwambapa, xerostomia si matenda odziimira okha, koma amasonyeza matenda enaake. Nthawi zambiri, ngati dokotala asankha chithandizo choyenera cha matenda omwe amayambitsa, pakamwa pakamwa amasiyanso kuwuma.

M'malo mwake, palibe chithandizo cha xerostomia ngati chizindikiro chosiyana. Madokotala amatha kulangiza njira zingapo zomwe zingathandize kuchepetsa mawonetseredwe a chizindikiro ichi.

Choyamba, yesani kumwa madzi ambiri. Panthawi imodzimodziyo, muyenera kusankha zakumwa zopanda shuga popanda mpweya. Komanso onjezerani chinyezi m'chipindamo ndikuyesera kusintha zakudya zanu. Nthawi zina mucosa m`kamwa youma chifukwa cha mchere wambiri ndi yokazinga zakudya mu zakudya.

Chotsani zizolowezi zoipa. Mowa ndi kusuta pafupifupi nthawi zonse zimayambitsa kuyanika kwa mkamwa.

Chewing chingamu ndi lollipops ndi zothandizira zomwe zimalimbikitsa kupanga malovu. Chonde dziwani kuti sayenera kukhala ndi shuga - pamenepa, pakamwa pakamwa pamakhala zovuta kwambiri.

Zikachitika kuti osati mucosa wapakamwa wokhawowuma, komanso milomo, ma balms onyowa amathandizira.

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