Kawngpui (Stomatitis) i nei em? Hemi chungchang hi chipchiar takin sawi ila!

A chang chuan hmui ulcer na tak tak, ei pawh ei theih loh khawpa na i nei thin em? A nih loh leh i hmuiah hian blister te te i nei a, chu chuan a tibuai che em? Hengte hi ‘Stomatitis’ emaw, hmui natna emaw kan tih te hi a ni. Thil ngaihtuah tur a awm lo, hei hi mi tam tak chunga thil thleng a ni. Vawiin hian a chungchang hi i hrechiang zawk ang u.

Stomatitis tih hi eng nge ni?

A awlsam zawngin, stomatitis chu i hmui chhunga mucous membranes (``mucous membranes'' emaw ``mucosa'' tia koh bawk) inflammation emaw swelling emaw a ni a, i hmui pawh a tel. Strict takin sawi ila, he natna hi ``mucositis'' category lian zawkah a tla a ni. ``Mucositis'' tih hian heng mucous membrane te hi i hmuiah chauh ni lovin, i chaw ei dan zawng zawng (``gastrointestinal (GI) tract'') a inflammation a kawk a ni.

Ngaihtuah teh, kan taksa hmun dangah hliam kan neih chuan chu hmun chu a sen a, a hring a, a na bawk. Kan ka chhungah pawh chutiang bawk chu a thleng thin. Kan ka chhunga heng membrane nalh tak takte hi engti kawng pawhin a chhiat chuan kan taksain a natural response chu he inflammation hi a siam a ni. Chuvang chuan heng symptoms te hi hriat a pawimawh hle. A tam zawkah chuan he inflammation thlentu hi chutiang chuan a na lo va, anmahni chauhin an dam leh thin. Mahse a chang chuan, damdawi lam thurawn leh damdawi mamawh a awm fo thin.

Stomatitis chi hrang hrangte chu engte nge ni?

Stomatitis hi chi hrang hrang a awm a. A chi hrang hrang hman tlanglawn berte han thlir ila.

Kawng natna (Canker natna / Aphthous Stomatitis) .

Hengte hi a tam ber a ni. I hmui chhungah, a chang chuan i hmui chhungah emaw, i lei hnuaiah emaw, i hmui chhungah emaw an lo piang thin. A tlangpuiin hliam te tak te, var, a chhehvel ramri sen ang maia lang an ni. Tlemte chuan an hrehawm thei hle. Entirnan, mi thenkhat chuan thil rimtui tak tak an ei hnuah emaw, mut tlem hnuah emaw heng hliam hi an nei thin a ni lawm ni?

Ka hmuiah hliam (Cold Sores / Herpetic Stomatitis) a awm thin.

Chungte chu hmuiah emaw, a chhehvelah emaw, tui ang chi blister te tak te an ni. A châng chuan, blister pakhat chauh a lo lang thei a, a nih loh leh cluster-ah an lo lang thei bawk. An natna hrik pakhat `(Herpes Simplex Virus type 1 - HSV-1)` tih atanga lo chhuak an ni. Hri kai theih an ni bawk.

Heng chi lian pahnih bakah hian chi dang hmuh tur awm lo zawk pawh a awm a:

• Angular Cheilitis / Angular Stomatitis: Hei hi i hmui kil hrang hranga inflammation, cracks, leh sores lo awm thin a ni. I hmui kilte chu a sen a, a vawt a, a chang chuan thisen a chhuak bawk. Hei hi vitamin tlakchhamna thenkhat vang pawh a ni thei.
• Thrush (Candidal Stomatitis): Hei hi ka chhunga fungus chi khat Candida an tih chu a lo thang tam lutuk hian a thleng thin. A tlangpuiin leiah leh hmui chhungah hmun dum angin a lang. Naupang tê tê leh taksa hriselna chak loteah a tam zawk.
• Contact Stomatitis: Hei hi i allergy nei thil i tawn hian a thleng thei a, entirnan, ei tur thenkhat (mi thenkhat tan chuan pineapple leh tomato ang chi thil), damdawi emaw, toothpaste emaw pawh nise.
• Ha lem (Hanti) Stomatitis: 1.1.Hei hi ha lem hmangtute zingah a thleng fo thin. Kawng chung chu a sen a, a hring bawk. A châng chuan hei hi ``Candidal Stomatitis'' tih natna nen a inzawm thei bawk. Hei hi ha lem tihfai that loh vang pawh a ni.
• Gingivostomatitis: Hei hi virus emaw bacteria emaw infection avanga ka leh hmui a inflammation a ni. Gums a lo hring thei a, thisen a chhuak thei bawk.
• Nicotine Stomatitis: Hei hi zu in emaw, zuk leh hmuam hmang emaw te zingah a awm thin. Kawng chung lamah chuan a dum, a hring (rough patches) angin a lang thei. Hei hi a awm reng chuan cancer vei theihna a awm.

Stomatitis natna lan chhuahna chu engte nge ni?

Stomatitis hian mi hrang hrangah symptom hrang hrang a thlen thei. A lan chhuah dan tlangpui thenkhat han thlir ila:

• Ka chhunga sen leh hring .
• Ka hmui chungah emaw, a chhehvelah emaw, blister te tak te (or blister engemaw zat) lo awm.
• Kawng chhungah hliam pakhat emaw a aia tam emaw a awm. Chûngte chu a tlangpuiin var, a dum, a nih loh leh a sen an ni . An chhehvelah ramri sen an nei thei bawk.
• Leiah emaw, hmui chung lamah emaw, hmui chhungah (a bik takin thrush-ah) a dum emaw, a dum emaw a awm thei .
• Lei leh hmui chung lamah a kang .
• Natna emaw, lungawi lohna emaw nei reng, a châng chuan nasa tak neia hriatna . Hei hian ei leh in te, ei leh in te, tawng pawh a ti harsa thei a ni.
• Thâwk rimchhia.
• A chang chuan khawsik i nei thei bawk.

A pawimawh ber chu, heng symptoms pakhat emaw pahnih emaw i nei a nih pawhin ngaihthah suh. A châng chuan thil awlsam tak a ni thei a, mahse a châng chuan doctor thurâwn i zawn a ngai a ni.

Stomatitis hi engte nge ni?

Stomatitis hi a chhan tam tak a awm a. Thil tam takin a thlen thei a, chu chu virus infection, hmui hliam, leh immune system tlakchhamna te hi a ni. Heng chhan hrang hrangte hi chipchiar zawkin han thlir ila.

• Infection: Stomatitis thlentu ber chu infection a ni. A tam zawkah chuan herpes virus HSV-1 an tih, khawsik natna thlentu hian a mawhphurtu a ni. Virus dang (chickenpox ang chi), bacteria leh fungi te pawhin stomatitis a thlen thei bawk. Entirnan, a chang chuan he natna hi i kai thei a, kut bawlhhlawh hmanga i hmuiah kut dah emaw, hri kai tawh nen plate khat insem emaw hmangin i kai thei bawk.
• Kawng hliam: I hmui lining nalh tak chu engti kawng pawhin a chhiat chuan kan taksa damna mechanism a kick lut a, inflammation a siam thin. Entirnan, ha lem fit tha lo chuan i hmui chhungah a hnawih a, i ha i silfai lutuk chuan i hmui a hliam a, thil lum i in hnuah i hmui a kang a, chaw khauh i ei laiin i hmui a tikehsawm a, a nih loh leh cigarette zuk avanga lumna hian hetiang hi a thlen thei a ni.
• Allergic reaction emaw, hmui natna emaw: Oral mucositis hi thil i allergy emaw, i hmui ti na thei thil emaw avanga lo awm thei a ni. Entirnan, ha damdawi thenkhat, hmui silna, cosmetics (e.g. lipstick), leh ei tur rimtui tak tak te hi a ni. Mi thenkhat chuan pineapple leh tomato ang chi chaw ei hnuah pawh hmuiah ulcer an nei thin a ni lawm ni? Chu chu a dik a ni.
• Enkawl dan: Oral mucositis hi cancer enkawlna thenkhata side effect awm fo a ni. Chemotherapy leh radiation therapy ang chi enkawlna hian cancer cell a tihlum laiin, cell hrisel te pawh a tichhe thei bawk. Ka chhunga heng membrane nalh tak tak chhunga cell te hi a bik takin he chhiatna hi an tawk nasa hle.
• Damdawi: Damdawi thenkhat hian oral mucositis a thlen thei bawk. Entirnan, beta-blockers (thisen sang enkawlna atana hman thin damdawi chi khat), immunosuppressants (immune system titawptu damdawi), leh nonsteroidal anti-inflammatory drugs (NSAIDs) (painkillers) te. Damdawi thar eng pawh i ei tan hnua i hmui natna i neih chuan doctor hnenah i hrilh tur a ni.
• Systemic conditions: Stomatitis hi natna thenkhat atanga lo awm thei a ni a, chu chuan taksa pum a nghawng thei bawk . Entirnan, Behçet natna (ka natna, serh natna, leh mit natna thlentu) leh celiac natna (protein gluten laka sensitivity) te hi a ni. Stomatitis hi vun natna bullous pemphigoid leh lichen planus te vang pawh a ni thei.
• Nutritional deficiencies: I taksain i ka chhunga lining chhia siamthatna tur nutrients a neih tlem chuan Stomatitis a lo awm thei. Hei hi a bik takin folate, iron, vitamin B12, vitamin C, leh zinc te ang chi nutrients i tlakchham chuan a dik hle. Ei leh in inthlau tak ei a pawimawh zia i hria a ni lawm ni?

Tute nge stomatitis vei theihna sang zawk?

Mi thenkhat chu midang aiin stomatitis vei an hlauhawm zawk. Tute nge an nih i en ang u:

• Ha sil tha lo mi: I ha leh hmui hriselna i enkawl that loh chuan natna hrik i vei theihna a sang zawk. Ni khatah vawi hnih ha sil leh flossing hian he hlauhawmna hi a tihziaawm thei a ni.
• Kawng vawt nei mi: Saliva hi kan hmui chhunga membrane nalh tak takte venna coating ang a ni. Saliva a awm tlem chuan ka chhungah hliam leh natna hrik awm theihna a sang zawk. Kawng vawt hi damdawi thenkhat emaw, natna thenkhat emaw avanga lo awm thei a ni.
• Immune system chak lote: HIV/AIDS ang natna vei te, cancer enkawl mek te, immunosuppressant damdawi ei thin te hi an taksa chak lohna avanga natna hrik kai an awlsam zawk.
• Meizial zu leh zu in thinte.
• Stress level sang tak nei te.

Stomatitis avanga harsatna awm thei te chu engte nge ni?

A chang chuan stomatitis vanga natna leh hliam hi a na lutuk a, ei leh in pawh i ei thei lo. Chaw ei skip ang maia inhriat hi thil pangngai tak a ni. Mahse, i taksa mamawh nutrients leh fluids i hmuh loh chuan hriselna lama harsatna lian tak tak, malnutrition leh dehydration te a thlen thei a ni .

Stomatitis hi infection vang a ni thei a, stomatitis pawh hi infection vang a ni thei bawk. Engtin nge chu chu a theih ang? Ka chhunga hliam a awm chuan hrik luh theihna chance a sang zawk. Hei hian inflammation a thlen belh thei a, tissue a tichhia thei bawk. A chang chuan heng natna hrik te hi thisenah lutin taksa pum puiah a darh thei (sepsis), chu chu natna hlauhawm tak a ni.

Chuvang chuan thil awmdan a chhe zual hun nghak lova Doctor rawn pan a, inenkawlna zawng hi a tha ber a ni.

Engtin nge Stomatitis hi an hriat theih?

Doctor i pan chuan stomatitis chi hrang hrang, cancer natna leh khawsik natna te chu a hmunah a hre thei fo thin. I medical history leh symptoms chungchang sawi hian diagnosis-ah pawh a pui thei bawk. Entirnan, cancer enkawl i nih chuan i doctor chuan i hmui natna hi i enkawlna avanga side effect a ni tih a ngaihtuah mai thei. I hmui chauh ni lo, i taksa peng dang dangah symptom i neih chuan i taksa pum pui tichhe thei systemic disease chhinchhiahna a ni thei.

A chang chuan stomatitis hriat theih nan test neih a ngai thin. Chung zingah chuan:

• Hliam atanga sample lak a, virus, bacterial, fungal infection a awm leh awm loh test .
• Thisen test hi i hriselna zawng zawng enfiah nan emaw, taksa pumpui nghawng thei natna a awm leh awm loh enfiah nan emaw tih thin a ni. Entirnan, ei leh in lama harsatna an neih leh neih loh an enfiah thei.
• Stomatitis awm chhan hi allergy a nih leh nih loh enfiah nan allergy test an nei thin.
• A châng chuan test dang a chiang lo a nih chuan biopsy (tissue sample) lak a, a natna khirh tak a awm leh awm loh enfiah theih a ni . Hei hi tih a tlem hle a, chu chu hliam a dam lo a, a la awm reng ang chi hi a ni.

I hmui natna hi chemical emaw, irritant emaw avanga lo awm a nih chuan, a hriat theih nan hun rei tak a ngai mai thei. Entirnan, i doctor chuan i hmui silna hian hliam a thlen niin a ngai a nih chuan, thlak danglam a, hliam a dam leh that loh en turin a rawt thei a ni.

Stomatitis hi engtin nge enkawl a nih?

Stomatitis hi a chhan a zirin enkawl a ni. Stomatitis tihdam vek tur chuan harsatna thlentu hi enkawl emaw, thunun emaw a ngai a ni. Enkawl dan tur thenkhat chu hetiang hi a ni:

• Canker natna leh khawsik natna tan damdawi dawrah over-the-counter (OTC) damdawi lei theih a ni.
• Infection tan damdawi. Entirnan, antiviral, antibiotics, leh antifungals te. Hengte hi Doctor chauhin ei tur a ni.
• I mamawh tur nutrients (e.g. vitamin B, C, iron) i hmuh theih nan vitamin emaw supplement emaw ei thin ang che.
• I hmuiah inflammation thlentu ei tur emaw thil siam emaw atanga hla taka awm .
• Kawng natna a dam hma chuan i hmuiah bacteria tha lo a awm loh nan hmui faina tha tak hmang thin ang che . Entirnan, toothbrush nem tak hmanga ha silfai fo a, ni khatah vawi tam tak tui chi (tui lum no khatah chi teaspoon 1/2) hmangin i hmui silfai thin ang che.
• Natna tihziaawmna: Paracetamol ang chi natna tidamtu damdawi i ei thei.

Chutih lai chuan, i doctor chuan natna thunun tûra ṭanpui tûrin enkawlna chiang tak tak ṭhenkhat a rawt thei ang. Entirnan, topical anesthetics, a bik taka siam hmui silna (painkiller, antacids, leh antihistamines te pawh a awm thei), leh corticosteroids (damdawi chi khat, inflammation tihziaawmna - cream emaw pill emaw ang chi) te hi a ni.

Stomatitis i vei chuan eng nge thleng?

Stomatitis chi thenkhat chu anmahniin an dam thei. Entirnan, cancer natna leh khawsik natna hi kar hnih chhungin a dam tlangpui a, a tam zawkah chuan damdawi tel lovin a dam thin. Damdawi ei hian i dam thuai thei a ni. Mahse, khawsik natna thlentu herpes virus damdawi a awm loh avangin heng hliamte hi i dam chhungin a lo lang leh thei a ni. Mahse an serious lo tlangpui.

Stomatitis chi dang tan chuan i dam lehna tur chu a chhan danah a innghat ang. A chhan tam tak chu enkawl emaw, thunun theih emaw a ni.

Oral mucositis hi ven theih a ni em?

Stomatitis thlentu zawng zawng hi kan veng thei lo nain, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:

• Ni khatah vawi hnih ha brush nêm tak hmanga ha sil , nitin floss hmanga ha tihfai, leh ha tihfai fo thin.
• Ei leh in inthlau (balanced diet ) ei (thei, thlai, leh greens tam zawk) leh nitin tui in tam.
• Meizial zu leh zuk leh hmuam hman loh tur (i hman tawh chuan bansan tum ang che).
• Khawsik natna nei tan ei leh in, leh lip balm te insem loh tur a ni a, anmahni nena inzawmna nghet tak, infawh leh oral sex ang chi te pawh pumpelh tur a ni.
• Chaw leh in tur spicy, lum tak tak ei hian fimkhur rawh .
• Stress tihziaawm tum (meditation, exercise, etc.).

Engtikah nge Doctor ka hmuh ang?

I hmui ulcer i neih a, i immune system a chak lo (immunocompromised) , doctor pan nghal rawh. Nausen piang thar nu leh pa emaw, enkawltu emaw i nih a, i naute hmuiah khawsik hliam i hmuh chuan naupang doctor pan nghal rawh. Stomatitis hian heng case-ah hian natna khirh tak tak a thlen thei a ni.

Tin, i hmui ulcer ni 10-14 hnuah pawh a dam lo a nih chuan , leh hetiang symptom dang i neih chuan doctor hmu turin appointment siam rawh:

• Khawsik hi 38 degree Celsius (100.4 degree Fahrenheit) aia sang a nih chuan.
• I vunah blisters emaw rash emaw i neih chuan.
• Mit na, a sen, mit a fiah, emaw, a hring emaw i neih chuan.
• Kawngkhar natna a awm fo chuan.
• Chaw ei theih loh khawpa natna a awm chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Stomatitis ka neih chhan hi eng nge ni?
• Hei hian a mah chauhin a tidam dawn em ni? A nih loh leh eng chen nge a daih ang?
• Hei hi tihdam nan hian eng ang enkawlna nge ka mamawh?
• Eng enkawlna nge inflammation a dam hma loh chuan symptoms tihtlem nan a pui thei ang? In lama ka tih theih tur a awm em?
• Hetiang thil hi a thlen leh loh nan eng nge ka tih ang?
• Ka ei leh in chungchangah eng emaw tihdanglam ka ngai em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Stomatitis, or oral mucositis hi a chhan chu eng pawh ni se, a nuam lo hle. Kawng ulcer leh blisters symptoms te hi a chang chuan a zahthlak thei hle. Thu lawmawm tak chu he hrehawmna hi rei lo te chhung chauh a ni tlangpui a, hun kal zelah inflammation hi a lo tha chho zel dawn a ni. A chhan azirin over-the-counter emaw, prescription damdawi emaw hmangin damna chu i ti chak thei a ni.

A pawimawh ber chu i hmui ulcer dam lo tur i neih chuan, a nih loh leh symptom dang danglam tak i neih chuan Doctor pan ngei ngei tur a ni. A chhan chu a zawng chhuak thei a, i ṭanpui thei tur enkawlna a rawt thei bawk. I hmui hriselna enkawl hi a pawimawh hle! A chhan chu ka hrisel hi taksa hrisel tan bul tanna tha tak a ni.

` Kawng natna, Stomatitis, Oral mucositis, Kawng natna, hmui vun, Canker natna, Khawsik natna, Kawng natna, Ka hriselna, Ka natna