Oral mucositis - zizindikiro, chithandizo, kupewa

Mogwirizana ndi cholinga chake, Board of Editorial Board ya MedTvoiLokony imayesetsa kupereka zodalirika zachipatala mothandizidwa ndi chidziwitso chaposachedwa cha sayansi. Mbendera yowonjezerapo "Zofufuza Zomwe Zili" zikuwonetsa kuti nkhaniyi idawunikidwa kapena kulembedwa ndi dokotala mwachindunji. Kutsimikiza kwa magawo awiri awa: mtolankhani wazachipatala komanso dokotala amatilola kuti tipereke zomwe zili zapamwamba kwambiri mogwirizana ndi chidziwitso chamankhwala chamakono.

Kudzipereka kwathu m'derali kwayamikiridwa, pakati pa ena, ndi Association of Journalists for Health, yomwe inapatsa Bungwe la Editorial la MedTvoiLokony ndi mutu waulemu wa Mphunzitsi Wamkulu.

Kutupa kwa m'kamwa mucosa kumachitika chifukwa cha zinthu zosiyanasiyana zokhumudwitsa: makina pa kutafuna, thupi, kutentha kapena mankhwala. Zinthu izi zimathandizira kupanga mapangidwe otupa a foci, ma virus ndi mafangasi, komanso zilonda zam'mimba ndi kukokoloka. Makamaka, ukhondo wosayenera wamkamwa umawonjezera maonekedwe a zizindikiro.

Oral mucositis - zowopsa

Nthawi zambiri, m'kamwa mucositis akufotokozera pa unyamata, mimba ndi msinkhu wa kusintha kwa thupi. Kuphatikiza apo, kusintha kwa mucosa kumachitika: +

  1. matenda opatsirana (chikuku, rubella, scarlet fever, diphtheria, pox nkhuku, chifuwa chachikulu, matenda opatsirana a mononucleosis),
  2. matenda ambiri, mwachitsanzo, hematopoietic system (anemia, leukemia, kuchuluka kwa magazi),
  3. matenda a m'mimba,
  4. mu HIV,
  5. mu matenda a shuga,
  6. ndi kusowa kwa vitamini,
  7. m'matenda opatsirana pogonana,
  8. Matupi awo sagwirizana.

Chifukwa chofala kwambiri cha oral mucositis ndi aphthous stomatitis. Zilonda zapakamwa nthawi zambiri zimawoneka mosayembekezereka ndipo zimayambitsa nkhawa, chifukwa sitimakumbukira nthawi zonse zomwe zikanayambitsa mapangidwe awo. Zomwe zimapangitsa kuti pakhale zotupa zamtundu uwu, zomwe nthawi zambiri timayiwala, ndi:

  1. kupanikizika,
  2. kugwiritsa ntchito mankhwala otsukira mano ndi zotsukira pakamwa zomwe zili ndi sodium lauryl sulfate,
  3. matenda a celiac (matenda omwe amayamba chifukwa cha kusalolera kwa gluten komwe kuli mumbewu zambiri),
  4. kukhalapo kwa mabakiteriya Helicobacter pylorizomwe zimayambitsa matenda am'mimba ndi duodenum,
  5. kuchuluka kwa mahomoni mwa amayi omwe amayamba chifukwa cha kusamba kapena PMS (premenstrual syndrome),
  6. mabala ndi kuvulala koyambitsidwa ndi zingwe kapena mano osakwanira bwino,
  7. zovulala zobwera chifukwa chotsuka mano mwamphamvu kwambiri,
  8. kudya zakudya zowawasa ndi zokometsera,
  9. kuluma mosazindikira pamasaya,
  10. kusowa kwa mavitamini ofunikira m'thupi: iron, folic acid, zinc ndi vitamini B12,
  11. kusokonezeka kwa chitetezo chamthupi (mwachitsanzo, chifukwa chotenga ma immunosuppressants pambuyo pa kuwaika),
  12. chotupa choopsa,
  13. chemotherapy,
  14. autoimmune reactions (chitetezo cham'thupi chimaukira ma cell a thupi),
  15. kusagwirizana ndi zakudya zina, monga mtedza, tchizi, sitiroberi, khofi kapena mazira,
  16. matenda am'mimba, ulcerative colitis,
  17. systemic vasculitis,
  18. ziwengo ku zomera za bakiteriya zomwe zili mkamwa.

Kupititsa patsogolo mtundu wa zomera za bakiteriya m'kamwa, ndikofunikira kugwiritsa ntchito LACTIBIANE Buccodental Probiotic pamatenda am'kamwa ndi caries, omwe amapezeka pamtengo wabwino pa Msika wa Medonet.

Lumikizanani ndi oral mucositis

Contact stomatitis ndi momwe thupi la munthu limakhudzira zowawa kapena ziwengo zomwe zimayambitsa:

  1. mankhwala ena apakhungu (monga ma steroids)
  2. zopangira zomwe zimapezeka mu zodzoladzola, monga zopaka milomo kapena zopaka milomo,
  3. kusuta,
  4. kutafuna chingamu
  5. zonunkhira zina,
  6. zinthu zomwe zili mumafuta, monga margarine,
  7. zosakaniza zotsukira mkamwa ndi zotsukira mkamwa.

Kuchiza kumayang'ana pokonzekera SeptOral Med mouthwash, yomwe ingagulidwe ku Msika wa Medonet pamtengo wotsatsa, idzathandizira kukonzanso kwa mucosa wamlomo.

Zizindikiro za stomatitis

Zizindikiro za matenda ena a pakhungu nthawi zina zimawonekera nthawi imodzi m'kamwa (pemphigus, lichen planus, lupus erythematosus, erythema multiforme). Zotupa za mucosa wapakamwa zitha kukhala pamalo enaake mkamwa kapena kuphimba gawo lonse la mkamwa. Odwala ena amamva kuyabwa ndi kumva kulasalasa pakamwa patangopita masiku angapo kuti zilondazo ziwoneke.

The chifukwa foci kutupa kungakhale ndi maonekedwe osiyana: vesicles, redness, ndi kukokoloka ndi zilonda. Kutupa kumayambitsa kupweteka ndipo kumapangitsa kuti zikhale zovuta kudya ndi kulankhula. Kuonjezera apo, ana aang'ono amatha kukhala okwiya komanso olira kwambiri.

Kutupa si zachilendo limodzi ndi mpweya woipa.

Tizilombo matenda nthawi zambiri kuonekera pa m`kamwa mucosa. Tikhoza kupereka chitsanzo zotupa za herpeticzomwe, zitatenga kachilombo ka herpes simplex, pamikhalidwe yabwino (dzuwa lamphamvu, matenda a malungo), zimawonekeranso mu mawonekedwe a herpes wa milomo.

Mu AIDS, zizindikiro za m'kamwa ndi:

  1. thrush,
  2. leukoplakia waubweya,
  3. kwambiri periodontal kusintha.

Kachilombo kamene kamayambitsa kusintha kwa mucosa wapakamwa ndi varicella zoster virus.

Nthomba zimachitika makamaka nthawi zambiri ana, ndi kusintha m`kamwa patsekeke mu mawonekedwe a thovu, ndipo pambuyo anang`ambika, kukokoloka pa palatine arches ndi m`kamwa akhoza patsogolo maonekedwe a kuphulika kwa khungu.

Shingles - opezeka makamaka akuluakulu, nthawi zambiri zimayambitsa kupweteka kwambiri, ndi kusintha khalidwe m`kamwa patsekeke nkhawa madera innervated ndi wachiwiri ndi wachitatu nthambi ya trigeminal mitsempha.

Njerewere wamba zimayambitsidwa ndi papillomavirus. Kusintha kwa khungu, makamaka pa zala za manja, nthawi zambiri kumayambitsa maonekedwe a kuphulika kofanana pamlomo wa mucosa.

Zilonda zobwerezabwereza amapezeka pafupifupi 5-25% ya anthu. Chifukwa cha kuchuluka kwa kuphulika kwa matenda, kusintha kosatha kumeneku kumakhala kosalekeza makamaka kwa odwala komanso kovuta kwambiri kuchiza.

Kutenga candida albicans

Maantibayotiki omwe amagwiritsidwa ntchito kwambiri pano, komanso ma cytostatics mu khansa ndi ma immunosuppressants, amayambitsa bowa ngati yisiti m'kamwa, komwe candida albicans, yomwe mu mawonekedwe a saprophytic imapezeka mu 40-50% ya anthu athanzi. Chithunzi cha candidiasis chimapangidwa ndi mawonekedwe amtundu waubweya kapena mawonekedwe a erythematous.

Kusintha kwa mucosa m'kamwa kumayendera limodzi ndi zizindikiro zotsatirazi:

  1. kuyaka kapena kuyaka mwadzidzidzi chifukwa cha kusonkhezera, mwachitsanzo, mukamadya zakudya zokhala ndi zonunkhira zotentha ndi zowawasa;
  2. ululu,
  3. kuyabwa
  4. kusokonezeka kwa salivation, makamaka mu mawonekedwe a kuchepa salivation, kuchititsa kuuma kwa mucosa.

Pofuna kuchepetsa zovuta zizindikiro za kutupa m`kamwa mucosa, ndi ofunika ntchito SeptOral Profilactic otsukira m`kamwa magazi m`kamwa, amene regenerates mucosa ndi kumalimbitsa enamel ndi kupewa chitukuko cha caries. Pamutu, mutha kugwiritsa ntchito SeptOral Med Gel kuti mukhumudwitse mucosa yapakamwa yokhala ndi zinthu zotsitsimula komanso zosinthika.

Chithandizo cha stomatitis

Thandizo loyamba kunyumba pochiza mitundu yosiyanasiyana ya stomatitis ingakhale yotsuka pakamwa ndi infusions wa tchire, chamomile, rose, linden kapena linseed. Ndi bwino kugwiritsa ntchito odana ndi yotupa ndi analgesic kukonzekera kuti m`deralo mankhwala ochititsa kwenikweni, mwachitsanzo lozenges, aerosol. Ngati zizindikiro sizikuyenda bwino mkati mwa masiku 2-3, funsani dokotala wamano kuti akuthandizeni. Komano, pamene kusintha kuonekera pa m`kamwa mucosa, onse a chikhalidwe cha protuberance kapena mtanda, komanso chilonda, m`pofunika kukaonana ndi mano mwamsanga.

  1. Chongani Dentosept mouthwash

Oral mucositis wa ma virus amathandizidwa ndi oral antiviral agents (acyclovir) kapena mankhwala apakhungu. Pakakhala kutentha thupi - mankhwala a antipyretic amaperekedwa. Komano, pankhani ya kukhudzana ndi stomatitis, wodwalayo ayenera kupatulidwa ndi zolimbikitsa, ndipo zikavuta kwambiri, topical kapena oral glucocorticosteroids iyenera kuperekedwa.

Pazinthu zotupa mkamwa, ndikofunikira kugwiritsa ntchito madzi amoyo a Dermes, omwe mungagule pamtengo wabwino pa Msika wa Medonet.

Zilonda zapakamwa ziyenera kuchiritsidwa ndi kuyanika ndi kulimbitsa kukonzekera. Nthawi zina mankhwala opha tizilombo amaperekedwanso. Ngati zilonda zamkamwa ndi zazikulu komanso zopweteka kwambiri, dokotala angalimbikitse kugwiritsa ntchito:

  1. gel osakaniza aphthae (kuchepetsa ululu),
  2. zowonjezera zakudya,
  3. ma rinse omwe ali ndi tetracyclines kapena glucocorticosteroids.

Pochiza kutupa kwa m'kamwa, mwachitsanzo, gel osakaniza mano kutupa kwa mucosa m'kamwa ndi m'kamwa Dentomit® gel osakaniza, amene mungagule pa mtengo wabwino pa Medonet Market, zingathandize.

Momwe mungapewere ndikuchotsa mucositis mkamwa?

Popewa komanso kuchepetsa kutupa kwa mucosa wapakamwa, kumakhudzidwa kwambiri ndi:

  1. kusiya kusuta fodya,
  2. tsiku ndi tsiku, njira zaukhondo mwadongosolo (tikulimbikitsidwa kugwiritsa ntchito burashi yofewa ndi mankhwala otsukira mano popanda zinthu zotulutsa thovu),
  3. kudya zakudya zambiri zamkaka, masamba ndi zipatso (zakudya ziyenera kukhala ndi zinc, iron ndi vitamini B12),
  4. kuchepetsa kudya kwa carbohydrate,
  5. kupewa zakudya ndi zakumwa zomwe zimakulitsa kusamva bwino kwa wodwalayo, mwachitsanzo, kudya zakudya zotentha, zokometsera, zamchere ndi zokometsera;
  6. kuyamwa ayisikilimu ndi kudya ayisikilimu (kuchepetsa matenda),
  7. kumwa zakumwa zoziziritsa kukhosi zopanda kaboni,
  8. kumwa mankhwala opha ululu, monga paracetamol.

Kuthandizira chithandizo ndi kupewa kutupa kwa mucosa wapakamwa, ndikofunikira kugwiritsa ntchito SeptOral Profilactic antifungal mouthwash kwa periodontitis ndi mkamwa wotuluka magazi, womwe ungagulidwe pamtengo wotsatsa pa Msika wa Medonet.

Siyani Mumakonda