Koj daim di ncauj thiab koj ob sab plhu puas o? Puas yog qhov ntawd 'Orofacial Granulomatosis'? Cia peb tham txog qhov no!

Koj daim di ncauj, sab plhu, lossis lwm qhov ntawm koj lub ntsej muag puas o tuaj sai sai? Koj puas qee zaum xav tias zoo li cov pob me me? Txawm hais tias qhov no yuav zoo li txawv me ntsis, nws yeej yog ib qho mob. Hnub no peb yuav tham txog ib qho mob hu ua 'Orofacial Granulomatosis' uas muaj cov tsos mob zoo sib xws, uas yog qhov tsis tshua muaj tab sis tseem ceeb kom paub txog.

Orofacial Granulomatosis yog dab tsi?

Hais yooj yim xwb, 'Orofacial Granulomatosis' yog ib yam mob ntawm daim tawv nqaij uas ua rau o thiab muaj pob ntawm peb lub ntsej muag, sab hauv lub qhov ncauj, tshwj xeeb tshaj yog ntawm daim di ncauj thiab sab plhu. Qhov no tsis tshua muaj. Qee zaum cov pob no tuaj yeem pom nrog lub qhov muag liab qab thiab tuaj yeem kov nrog tes.

Yog tias qhov mob 'Orofacial Granulomatosis' no tsuas yog tshwm sim rau ntawm daim di ncauj xwb, ces muaj ntau lub npe tshwj xeeb rau nws. Lawv yog:

• `Cheilitis granulomatosa`
• Kab mob Granulomatous cheilitis
• Miescher cheilitis

Txawm hais tias cov npe no yuav zoo li nyuaj me ntsis, lawv txhua tus txhais tau tib yam - uas yog, qhov o thiab lumpy ntawm daim di ncauj.

Leej twg yuav muaj tus mob no ntau dua?

Zoo, tam sim no cia peb saib seb leej twg yuav muaj feem ntau dua los mob 'Orofacial Granulomatosis'. Qhov no tsis yog ib qho mob uas pom ntau. Nws cuam tshuam tsawg dua 1% ntawm cov pej xeem. Txawm hais tias nws tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov tub ntxhais hluas hnub nyoog ntawm 20 thiab 40 .

Ib qho ntxiv yog tias tus mob no qee zaum tuaj yeem tshwm sim nws tus kheej (idiopathic), txhais tau tias nws tuaj yeem tshwm sim yam tsis muaj lwm yam kab mob. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim nrog lwm yam mob. Piv txwv li:

• Kab mob Crohn : Tej zaum koj yuav tau hnov ​​​​​​txog qhov no, ib qho mob o ntawm txoj hnyuv.
• Sarcoidosis : Qhov no kuj yog ib qho mob uas cov qog me me ntawm cov hlwb (granulomas) tsim nyob rau hauv ntau qhov ntawm lub cev, tshwj xeeb tshaj yog nyob rau hauv lub ntsws thiab cov qog ntshav.
• Ntau yam kab mob sib kis : Piv txwv li, qhov no tuaj yeem cuam tshuam nrog kev kis kab mob xws li mob ntsws.

Lwm qhov tseeb nthuav yog tias tus mob no hu ua 'Orofacial Granulomatosis' feem ntau cuam tshuam nrog tus mob neurological hu ua 'Melkersson-Rosenthal syndrome' . Tus mob no muaj peb yam tsos mob tseem ceeb:

• O ntawm lub ntsej muag lossis daim di ncauj.
• Tus nplaig yuav muaj qhov zoo li nthwv dej lossis cov kab tob (ridges lossis grooves).
• Kev poob haujlwm ntawm lub ntsej muag rov tshwm sim, txhais tau tias tsis muaj peev xwm tswj tau lub ntsej muag qhia tawm ('lub ntsej muag tuag tes tuag taw').

Dab tsi ua rau muaj 'Orofacial Granulomatosis'?

Dab tsi yog qhov ua rau muaj 'Orofacial Granulomatosis' tiag tiag ?Cov kws tshawb fawb tseem tsis tau paub meej tias yog dab tsi ua rau nws, tab sis lawv tseem niaj hnub tshawb nrhiav nws. Tam sim no lawv xav tias muaj ntau yam ua rau muaj qhov no:

• Kev ua xua lossis kev tsis haum rau qee yam khoom noj : Piv txwv li, tej yam xws li cinnamon, chocolate, thiab qee cov tshuaj preservatives.
• Cov kab mob bacterial lossis fungal .
• Kev hloov pauv ntawm kev ua haujlwm ntawm lub cev tiv thaiv kab mob (kev teb tiv thaiv kab mob) ntawm cov neeg uas muaj qee yam kev tsis zoo ntawm caj ces .

Cov kws tshawb fawb ntseeg tias qhov o no tshwm sim vim tias cov pob me me ntawm cov hlwb hu ua 'granulomas' (uas yog cov pob me me uas tsim los ntawm cov hlwb ntawm lub cev tiv thaiv kab mob) thaiv peb lub cev lymphatic . Xav txog nws zoo li no: lub cev lymphatic yog lub cev ntws dej uas tshem tawm cov khoom pov tseg ntawm peb lub cev. Yog li thaum lub cev no tsis ua haujlwm zoo vim yog cov 'granulomas' no, cov kua lymph tsim thiab ua rau o. Qhov no hu ua 'lymphedema' .

Cov tsos mob ntawm tus mob no yog dab tsi?

Cov tsos mob thawj zaug thiab feem ntau ntawm Orofacial Granulomatosis yog qhov o ntawm ib lossis ob daim di ncauj uas mos mos thiab tsis mob. Daim di ncauj qis feem ntau o dua li daim di ncauj sab saud. Qhov o no tuaj thiab ploj mus. Qee zaum nws tuaj yeem kav ntev li ntau lub lis piam lossis ntau lub hlis. Raws sijhawm, qhov o no tuaj yeem ua roj hmab, tawv, mob, lossis mus tas li.

Ntxiv rau qhov tsos mob tseem ceeb no, yuav muaj ntau lwm yam tsos mob ntxiv:

• Daim di ncauj tawg .
• Qaug dej qaug cawv , qee zaum tswj tsis tau.
• Daim tawv nqaij qhuav, liab, thiab tev tawm nyob ib ncig ntawm koj lub qhov ncauj .
• Raws li tau hais ua ntej lawm, muaj cov kab nrib pleb lossis cov kab ntawm koj tus nplaig .
• Mob qhov ncauj los yog cov pob me me los yog cov tawv nqaij sab hauv qhov ncauj .
• Nyuaj hais lus los yog noj mov .
• Tej zaum koj yuav o los yog muaj pob nyob rau hauv koj lub qhov ncauj, sab plhu, cov pos hniav, tus nplaig, lub puab tsaig, qhov muag, hauv pliaj, lossis txawm tias koj lub taub hau . Xav txog seb qhov no yuav tsis xis nyob npaum li cas.

Puas yog 'Orofacial Granulomatosis' kis tau?

Ib lo lus nug uas ntau tus neeg muaj yog seb nws puas kis tau. Orofacial Granulomatosis tuaj yeem kis tau los ntawm ib feem ntawm lub ntsej muag mus rau lwm qhov. Qhov ntawd txhais tau tias nws tuaj yeem pib ntawm daim di ncauj thiab txav mus rau sab plhu. Txawm li cas los xij, nws tsis yog kab mob sib kis . Yog li tsis muaj dab tsi yuav txhawj txog.

Yuav paub qhov mob no li cas?

Zoo, yog li cas thiaj kuaj tau tus mob 'Orofacial Granulomatosis' no?

Yuav kom paub qhov no, tus kws kho mob tawv nqaij yuav kuaj xyuas thaj chaw uas o.Yuav muab ib daim tawv nqaij me me coj mus kuaj (ib qho 'biopsy'). Qhov no zoo li kev phais me me xwb. Tom qab ntawd tus kws kho mob yuav kuaj daim tawv nqaij no hauv lub tshuab microscope kom pom tias puas muaj 'noncaseating granulomas' (lub npe kho mob rau cov pob no). Yog tias muaj, ces tus kab mob yuav raug lees paub.

Ntxiv rau qhov kev kuaj mob tseem ceeb no, tus kws kho mob kuj tseem yuav ua ob peb qhov kev kuaj ntxiv los xyuas seb puas muaj lwm yam mob, zoo li peb tau tham ua ntej lawm tias qhov no tuaj yeem cuam tshuam nrog lwm yam kab mob.

• Kev kuaj ntshav los xyuas seb puas muaj kab mob xws li mob ntsws.
• Cov duab X-ray hauv siab los xyuas seb puas muaj sarcoidosis.
• Kev kuaj mob plab hnyuv (kev kuaj mob ua nrog lub koob yees duab sab hauv plab hnyuv) thiab kev kuaj ntshav los kuaj xyuas tus kab mob Crohn.
• Kev kuaj thaj ua rau daim tawv nqaij puas ua xua lossis puas muaj kev fab tshuaj. Qhov no suav nrog kev siv qee yam tshuaj rau ntawm daim tawv nqaij kom pom tias koj puas ua xua rau lawv.

Yuav kho tus mob 'Orofacial Granulomatosis' li cas?

Tam sim no cia peb saib seb yuav kho qhov 'Orofacial Granulomatosis' no li cas. Tsis yog txhua tus pib kho tam sim ntawd. Tus kws kho mob txiav txim siab pib kho mob rau cov xwm txheej hauv qab no:

• Yog koj txhawj xeeb heev los yog tu siab txog koj qhov tsos .
• Yog tias muaj mob .
• Yog tias koj muaj teeb meem siv koj lub ntsej muag lossis lub qhov ncauj kom raug, uas yog, hais lus, noj mov, lossis haus dej .

Kev kho mob feem ntau rau tus mob no yog siv ib hom tshuaj hu ua 'Corticosteroids' . Tej zaum koj yuav tau hnov ​​lub npe no. Cov no yog ib hom tshuaj steroid. Hom tshuaj steroid uas muab thiab txoj kev uas muab yuav txawv nyob ntawm qhov hnyav ntawm tus mob:

• Cov tshuaj steroids sab nraud : Cov no tuaj yeem los ua cov tshuaj pleev, tshuaj pleev, lossis cov tshuaj ntxuav qhov ncauj.
• Cov tshuaj Cortisone txhaj tshuaj yog muab ncaj qha rau thaj chaw o .
• Cov tshuaj steroids rau txhua lub cev : Feem ntau, hom tshuaj steroid uas muab rau yog hu ua "Prednisone."

Ntxiv rau cov kev kho mob steroid no, tus kws kho mob kuj tseem yuav pom zoo cov hauv qab no:

• Yog tias muaj kev kis kab mob, siv cov tshuaj tua kab mob (Antibiotics) los tua lawv .
• Yog tias pom tau tias muaj kev ua xua, koj yuav raug hais kom hloov koj cov zaub mov noj kom raug .
• Cov tshuaj tiv thaiv kab mob : Cov no tuaj yeem muab ua tshuaj noj lossis ua kev kho mob sab nraud.
• Yog tias qhov o tuaj tas li cuam tshuam rau cov haujlwm tseem ceeb xws li kev hais lus, kev noj mov, thiab kev haus dej, yuav muaj kev phais kom txo qhov o .

Puas muaj kev kho mob tas mus li rau qhov no?

Ib lo lus nug uas ntau tus neeg nug yog seb puas muaj kev kho mob mus tas li rau qhov no. Hmoov tsis zoo, tam sim no tsis muaj kev kho mob mus tas li rau Orofacial Granulomatosis. Kev kho mob feem ntau yog tsom mus rau kev tswj cov tsos mob thiab txo qhov tsis xis nyob uas tus neeg mob ntsib, muab qee qhov kev nplij siab.

Puas tiv thaiv tau qhov Orofacial Granulomatosis?

Vim tias qhov ua rau Orofacial Granulomatosis tsis paub meej, tam sim no tsis muaj txoj hauv kev los tiv thaiv nws .

Cov neeg uas muaj tus mob no xav li cas?

Kev kho tus mob no, 'Orofacial Granulomatosis', nyuaj me ntsis . Nws yuav siv sijhawm ntau lub hlis, txawm tias ntau xyoo, rau kev kho mob tam sim no kom pom cov txiaj ntsig. Qhov no txhais tau tias cov txiaj ntsig qeeb heev. Qee zaum, cov kev kho mob yuav tsis pab dab tsi li.

Tsis tshua muaj, uas yog, tsis tshua muaj, qhov mob no tuaj yeem zoo dua tam sim ntawd ('kev zam txim sai sai') yam tsis muaj kev kho mob. Tab sis qhov ntawd tsis tshua muaj.

Koj ua li cas thiaj daws tau qhov teeb meem no zoo?

Nyob nrog tus mob no, 'Orofacial Granulomatosis', tuaj yeem nyuaj heev . Nws tuaj yeem cuam tshuam rau koj qhov tsos, koj lub qhov ncauj ua haujlwm, thiab nws kuj tseem tuaj yeem muaj ntau yam kev cuam tshuam rau kev puas siab puas ntsws. Tab sis muaj qee txoj hauv kev los pab koj daws qhov mob no:

• Kev sib tham txog kev sab laj : Qhov no tuaj yeem pab tau zoo heev rau kev tham txog koj txoj kev xav thiab kev xav thiab kawm paub tswj hwm lawv.
• Cov Pab Pawg Txhawb Nqa : Qhov no yog ib lub cib fim zoo los sib txuas lus nrog lwm tus uas tab tom dhau los ntawm cov xwm txheej zoo sib xws thiab sib qhia cov kev paub dhau los. Qhov no yuav pab koj xav tias koj tsis nyob ib leeg.
• Kev cob qhia kom xav zoo : Tej yam xws li xav txog thiab tsom mus rau koj cov yam ntxwv zoo tshaj plaws, cov kev ua tiav uas koj tau ua.
• Koom nrog kev ua ub ua no hauv zej zog : Nws yog ib qho tseem ceeb uas yuav tsum siv sijhawm nrog cov phooj ywg thiab tsev neeg uas txhawb nqa, nkag siab zoo kom koj tsis txhob xav tias koj nyob ib leeg.

Thaum twg koj yuav tsum nrhiav kev pab kho mob?

Yog tias koj tam sim ntawd muaj qhov tsis muaj zog lossis tuag tes tuag taw hauv ib qho ntawm koj lub ntsej muag, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd . Tsis tas li ntawd, yog tias koj pom cov kab lossis cov qhov ntawm koj tus nplaig, raws li tau hais ua ntej, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd . Cov tsos mob no yuav yog cov cim ntawm Melkersson-Rosenthal syndrome uas peb tau tham txog lossis lwm yam mob hnyav.

Kab mob Orofacial Granulomatosis yog ib yam mob tawv nqaij uas tsis tshua muaj uas ua rau koj daim di ncauj, qhov ncauj, thiab lwm qhov ntawm koj lub ntsej muag o. Yog li ntawd, yog tias koj muaj qhov o ntawm koj lub ntsej muag, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom kuaj mob thiab kho kom zoo. Txawm hais tias tsis muaj kev kho mob mus tas li rau Orofacial Granulomatosis, kev kho mob xws li corticosteroids tuaj yeem pab txo cov tsos mob.

Dab tsi yog yam tseem ceeb tshaj plaws uas peb yuav tsum coj los tsev los ntawm zaj dab neeg no?

Zoo, yog li peb tau tham ntau txog 'Orofacial Granulomatosis'. Nov yog qee yam yooj yim uas yuav tsum nco ntsoov:

• Orofacial Granulomatosis yog ib qho mob tsis tshua muaj uas ua rau o thiab muaj pob ntawm lub ntsej muag, tshwj xeeb tshaj yog daim di ncauj thiab sab plhu.
• Qhov ua rau qhov no tseem tsis tau pom tseeb , tab sis kev ua xua, kev kis kab mob, noob caj noob ces, thiab teeb meem ntawm lub cev tiv thaiv kab mob yog cov yam ua rau muaj qhov teeb meem no.
• Cov tsos mob tseem ceeb yog daim di ncauj o. Txawm li cas los xij, qhov ncauj mob, kev hloov pauv ntawm tus nplaig, thiab nyuaj rau noj mov thiab hais lus.
• Qhov no tsis yog kis tau .
• Txoj kev kuaj mob tseem ceeb yog kev kuaj tawv nqaij.
• Cov tshuaj Corticosteroids feem ntau siv los kho. Qee zaum yuav tsum tau phais mob.
• Txawm hais tias tam sim no tsis muaj kev kho mob mus tas li los xij, cov tsos mob tuaj yeem tswj tau .
• Yog koj pom koj lub ntsej muag poob qis lossis koj tus nplaig hloov pauv txawv txawv, mus ntsib kws kho mob tam sim ntawd .

Tsis txhob hnov ​​qab, yog tias koj muaj cov tsos mob no, tsis txhob txaj muag lossis ntshai lawv. Nrhiav kev pab kho mob tam sim ntawd. Qhov tseem ceeb tshaj plaws yog kuaj mob kom raug thiab nrhiav kev kho mob kom raug. Tsis tas li ntawd, kev ua kom lub siab muaj zog yog qhov tseem ceeb heev thaum daws qhov teeb meem zoo li no.

o ntawm lub ntsej muag, o ntawm daim di ncauj, orofacial granulomatosis, dermatoses, nodules, Melkersson-Rosenthal syndrome, corticosteroids