Malo osalimba komanso owoneka bwino a nkhope, m'makona a milomo amatha kukhala malo owopsa pang'ono, kuuma, mabala kapena matenda otchedwa angular cheilitis. Zonse nthawi zambiri zimakhala zabwino koma zosawoneka bwino ndipo nthawi zina zimakhala zowawa pamalo oyenda kwambiri awa omwe ndi pakamwa.

Ngodya ya milomo imatanthawuza kupindika uku kumbali zonse za pakamwa, pamphambano ya mlomo wapamwamba ndi wapansi.

Chilala

Poyang'aniridwa ndi kuzizira, mphepo, ngodya za milomo zimatha, monga milomo, kuuma mofulumira. Kenako ngodyazo zidzakhala zofiira, ndipo zimakonda kusweka.

Chilichonse

Monga ma intetrigos onse, ndiye kuti madera opindika a thupi, ngodya ya milomo ndi malo abwino ochizira matenda, makamaka mycotic, makamaka popeza nthawi zambiri imakhala yonyowa ndi malovu. 

Zimachitika kuti ngodya imodzi kapena zonse ziwiri za milomo imayendetsedwa ndi bowa kapena mabakiteriya, zomwe zimayambitsa zizindikiro zomwe sizikuwoneka ngati zowawa. Pamakona a milomo, khungu limayamba kuoneka lofiira ndi lonyezimira, ndiyeno limatha kusweka. Zilonda zing'onozing'ono zimakonda kutseguka nthawi zonse, zimatuluka magazi kenako ndi nkhanambo chifukwa cha kusuntha kwapakamwa pafupipafupi.

Tizilombo tambiri timene timayambitsa matenda otchedwa perléche kapena angular cheilitis a dzina lake lasayansi ndi bowa. candida albicans (tidzalankhula za candidal perlèche) ndi staphylococcus aureus (bacterial perlèche). Pankhani ya candidal perlèche, nthawi zambiri pakona ya milomo pamakhala zokutira zoyera komanso mkati mwa mkamwa ndi lilime, zomwe nthawi zambiri zimakhudzidwa ndi candidiasis. Kukhalapo kwa chikasu chachikasu kumatsamira kwambiri ku perlèche chifukwa cha staphylococcus yagolide, yomwe imapeza posungira pamphuno. Itha kukhalanso bakiteriya superinfection ya candidiasis. Nthawi zambiri, angular cheilitis imatha kuyambitsidwa ndi kachilombo ka herpes kapena chindoko.

Matendawa nthawi zambiri amapezeka pakona ya milomo, koma mwa anthu omwe alibe chitetezo chokwanira kapena ofooka, amatha kufalikira kumasaya kapena mkamwa.

Zinthu zosiyanasiyana zimathandizira kuwoneka kwa angular cheilitis: pakamwa pouma, kunyambita milomo pafupipafupi, kadulidwe kakang'ono pakona ya milomo (panthawi yosamalira mano kapena kuzizira mwachitsanzo) komwe kudzakhala khomo la majeremusi, mano osayenerera, matenda a shuga, mankhwala ena (mankhwala opha maantibayotiki, corticosteroids, immunosuppressants, retinoids), zaka zomwe zimagogomezera makona a pakona ya milomo, kuperewera kwa zakudya (omega 3, mavitamini B, vitamini A, vitamini D, zinki) . 

Chithandizo cha chilala

Mafuta apadera a milomo kapena khungu lophwanyika angagwiritsidwe ntchito kulimbikitsa machiritso ndikuthandizira kubwezeretsa khungu la hydro-lipid chotchinga. Izi nthawi zambiri zimakhala zopaka mafuta opangidwa ndi parafini kapena mafuta amchere. Angagwiritsidwe ntchito tsiku ndi tsiku kupewa komanso.

Zinthu zina zachilengedwe zimadziwikanso kuti zimalimbikitsa machiritso:

• calendula oily macerate imadziwika chifukwa cha machiritso ake komanso antiseptic, yabwino kwambiri pakhungu lowonongeka komanso lokwiya. Ikani madontho angapo kawiri pa tsiku kumakona a milomo yowopsya kapena yosweka;
• Uchi ungagwiritsidwenso ntchito pamalo osalimbawa chifukwa cha antimicrobial, anti-yotupa komanso machiritso. Ndibwino kusankha uchi wa thyme kapena lavender, womwe umagwiritsidwa ntchito pamtunda wa millimeter imodzi pa malo okwiyitsa;
• batala wa shea angagwiritsidwe ntchito tsiku ndi tsiku kuti azitsitsimutsa khungu bwino ndipo motero amalepheretsa kuphulika kwa ngodya za milomo;
• gel aloe vera amadziwikanso chifukwa cha kunyowa komanso kuchiritsa kwake.

Chithandizo cha angular cheilitis

• Pankhani ya bakiteriya angular cheilitis, chithandizo chamankhwala chochokera ku fucidic acid chikhoza kuperekedwa. Ayenera limodzi ndi kuyeretsa tsiku ndi tsiku m'deralo ndi sopo ndi madzi kapena, ngati superinfection, m'deralo antiseptic (chlorhexidine kapena povidone ayodini Mwachitsanzo).

Pakakhala candidial perlèche, kirimu cha antifungal chidzaperekedwa. Ngati zizindikiro za candidiasis m'kamwa, izo zimagwirizana ndi m`kamwa ndi m`deralo antifungal mankhwala pakamwa.

Kuyeza kwa thupi ndikokwanira kuti muzindikire perleche. Kukhalapo kwa nkhanambo zamtundu wa uchi nthawi zambiri kumawonetsa Staphylococcus aureus. Ngati mukukayika, chitsanzo chingatengedwe kuti mudziwe komwe matendawa amachokera.