Matenda am'mimba

Kufotokozera kwathunthu kwa matendawa

Stomatitis kapena mucositis ndi matenda odziwika bwino a mano. Stomatitis imamveka ngati gulu lonse la matenda ochokera kosiyanasiyana, amasiyana ndi zizindikiritso zamatenda ndi momwe amapangira. Matendawa amalumikizana ndi kutukusira ndi necrosis yaminyewa yam'kamwa.

Mucositis atha kukhala matenda odziyimira pawokha, kapena atha kutsagana ndi matenda ena - chimfine, scarlet fever ndi ena.

Malinga ndi kafukufuku, anthu opitilira 80% adadwala mucositis kamodzi pa moyo wawo. Kukula kwa stomatitis masiku ano kumachitika chifukwa cha zovuta zachilengedwe komanso kufooketsa chitetezo cha anthu.

Mitundu ndi zizindikilo za stomatitis

Kuti mankhwalawa akhale othandiza, mtundu wa mucositis uyenera kupezedwa ndipo pambuyo pake mankhwalawo ayenera kuperekedwa:

1. 1 zitsamba - ndimtundu wa stomatitis, keratinized mucous nembanemba (milomo, nkhama, m'kamwa) zimavutika. Poyamba, zimawonekera mumathambo ang'onoang'ono, nembanemba imakhala yofiira komanso yotupa. Pambuyo masiku 1-2, thovu limaphulika ndipo zilonda zopweteka zimakhala ndi malo oyera pakati pake. Ana ochepera zaka zitatu amatha kukhala ndi mtundu uwu wa stomatitis ndipo nthawi zambiri umakhala wovuta. Chifukwa cha kumva kuwawa kosalekeza, makanda sagona tulo tofa nato, alibe chidwi, amakana kudya;
2. 2 aphthous amasiyana mawonekedwe am'mimba kapena aft pamatumba am'mimba ndi amtendere. Mtundu uwu wa stomatitis umakhudza milomo, lilime, ndi dera la hyoid. Aphthous mucositis nthawi zambiri imatenga mawonekedwe osachiritsika ndipo imakokomezedwa ndi hypothermia kapena itatha mavuto am'maganizo;
3. 3 osadziwika - kukwiyitsa bowa wa Candida. Fungal stomatitis imawonetsedwa ndi chovala choyera pa lilime, ming'alu pamilomo ndi m'makona am'kamwa. Bowa la mtundu wa Candida lili paliponse - pachakudya, mbale, pamalo, komanso ngati malamulo aukhondo asungidwa, sizowopsa. Kuphatikiza pa zotupa zotupa komanso zotupa zoyera zosasinthasintha, wodwalayo ali ndi nkhawa za malungo, kufooka kwathunthu ndi malaise;
4. 4 zowawa - nthawi zambiri zimakhudza ana, makanda akayamba kupukuta mano, nkhama zimavulala ndipo mwana amatha kutentha thupi;
5. 5 matenda a catarrha - mpweya woipa, zilonda zam'kamwa ndi pachimake chakuda;
6. 6 mankhwala akufotokozera chifukwa cha kukhudzana ndi zimakhala mucosal ndi mankhwala, zilonda zopweteka mawonekedwe mkamwa;
7. 7 mawotchi akuwonetseredwa ndi kutupa kwa nembanemba wam'mimba ndi mabala mkamwa.

Zizindikiro zodziwika, ngakhale zitachokera kuti, ndi izi:

• kutupa ndi kutupa kwaminyewa pakamwa;
• kuchuluka salivation;
• fungo loipa;
• nkhama zotuluka magazi;
• Zilonda zam'kamwa zopweteka zomwe zimakhala zovuta kwambiri polankhula ndi kudya
• zosasangalatsa kukoma m'kamwa;
• mwina kuwonjezeka kwa kutentha;
• zotupa zam'mimba zotupa.

Zifukwa zakukula kwa stomatitis

Zifukwa zomwe zimayambitsa kukula kwa mucositis zimagawidwa m'magulu otsatirawa:

1. 1 m'deralo - izi zikuphatikizapo kusatsatira mfundo zaukhondo, kusuta fodya ndi zinthu zaukhondo;
2. 2 mkati monga: thupi lawo siligwirizana, kagayidwe kachakudya matenda, matenda m'thupi pa kusintha kwa thupi ndi mimba, utachepa chitetezo chokwanira, chibadwa chamatenda, hypo- kapena hypervitaminosis, kusokonezeka kwa mundawo m'mimba kapena dongosolo lamtima;
3. 3 kunja - hypothermia yochulukirapo, chemotherapy, kupsinjika kwakukulu, kumwa mankhwala ena, kuchotsa mano, kulumikizana molakwika kapena akorona, kuluma m'kamwa kapena lilime, kudya zakudya zokometsera.

Mitundu ya mucositis:

• tizilombo - amatsagana ndi matenda monga: herpes virus, chikuku, matenda a enterovirus;
• mankhwala stomatitis imachitika ngati momwe thupi limayankhira mukamwa mankhwala ena;
• ray - kuwonongeka kwa minofu ya mucous panthawi ya radiation;
• fungal - kuputa bowa (monga Candida);
• mankhwala - kumachitika mucosa amakumana ndi mankhwala (alkalis, zidulo, hydrogen peroxide);
• mabakiteriya - chifukwa zochita za mabakiteriya a chindoko, chifuwa chachikulu, streptococcus ndi ena;
• matenda a catarrha akufotokozera pakalibe ukhondo, tartar ndi mano zoipa, mphutsi, kusokonezeka kwa thirakiti m'mimba amathanso kukwiyitsa;
• chobayira - kutukusira kwa ziphuphu pansi pa korona, chifukwa cha mabakiteriya omwe amalowa pansi pa korona kapena zosavomerezeka kuzinthu za prosthesis.

Mutha kutenga kachirombo ka mucositis ndimadontho oyenda pandege komanso kudzera mwa kugwirana chanza, zovala, mbale, matawulo, zoseweretsa.

Zovuta za stomatitis

Matenda a mucositis omwe akupezeka panthawi yake sangayambitse thanzi, komabe, chithandizo cholakwika kapena chosachedwa kutha kubweretsa zotsatirazi:

1. 1 chitukuko cha matenda yachiwiri;
2. 2 muzochitika zapamwamba, hoarseness ndi laryngitis;
3. Zilonda zapakhosi 3;
4. 4 kuyenda ndi kutayika kwa mano;
5. 5 nkhama zotuluka magazi;
6. Kusakhazikika kwamalingaliro a 6.

Kupewa matenda a chiwindi

Pofuna kupewa kukula kwa mucositis, muyenera:

• kusamalira kulimbitsa chitetezo cha m'thupi;
• 2 pachaka kuti akayesedwe ndi dokotala wa mano;
• tsukani mano kawiri pa tsiku, tsuka mkamwa mukatha kudya;
• kuthandizira panthawi yake matenda opatsirana ndi matenda am'mimba;
• sinthani mswachi munthawi yake (miyezi 2-3 iliyonse);
• pewani kulumikizana ndi odwala omwe ali ndi stomatitis;
• yesetsani kuvulaza zotupa;
• muzichitira mano ake panthaŵi yake;
• yeretsani mano tsiku lililonse ndikuchotsa usiku;
• pakamwa pouma, gwiritsani m'malo mmalo;
• gwiritsirani ntchito mankhwala otsukira mkamwa ndi kutsuka m'kamwa kovomerezedwa ndi dokotala wa mano;
• sambani manja pafupipafupi kwa ana;
• kusiya kusuta;
• musamwe maantibayotiki popanda malangizo a dokotala.

Chithandizo cha stomatitis mu mankhwala ovomerezeka

Mphamvu ya chithandizo cha mucositis chimadalira momwe adadziwira kale. Chifukwa chake, ngati mkamwa mwanu simukuyenda bwino, simuyenera kudzipangira mankhwala, muyenera kufunsa adotolo omwe akupatseni mayeso awa:

1. 1 kusanthula magazi kwathunthu;
2. 2 histological ndi cytological kusanthula;
3. Kafukufuku wa 3 PCR;
4. 4 mayesero a intradermal a yisiti ma allergen.

Chithandizo chodziwika bwino cha stomatitis chimaphatikizapo kugwiritsa ntchito antipyretics. Mavitamini a mavitamini, ma immunostimulants amalimbikitsidwanso, othandizira ma virus amagwiritsidwa ntchito kwa ma mucositis a virus. Ndi traumatic stomatitis, mankhwala a antimeptics, kutsuka ndi kugwiritsa ntchito mankhwala odana ndi zotupa amapatsidwa. Pofuna kuchepetsa ululu ndi stomatitis, analgesics amalimbikitsidwa. Chithandizo ayenera umalimbana bwino epithelialization wa mucous zimakhala.^[3]... Kuthetsa edema, adotolo amakupatsirani mankhwala ochepetsa thupi.

Ngati mankhwala oyenera amakhalabe osagwira ntchito, mankhwala a glucocorticoid amagwiritsidwa ntchito. Chifukwa chake, mutha kuchotsa msanga zowawa ndikufulumizitsa kuchira.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!