Zilonda zoyera ngati ukonde mkamwa? Tiyeni tiphunzire za Oral Lichen Planus!

Kodi munayamba mwayang'ana pagalasi ndikuona zilonda zoyera, zonga ukonde wa kangaude mkamwa mwanu, m'mbali mwa masaya anu, kapena pa lilime lanu? Mwina mkamwa mwanu mumatuluka magazi ndi kupweteka mukamatsuka mano anu kapena kudya chakudya chokometsera. Ndizachibadwa kumva mantha pang'ono mukaona chinthu chonga ichi. Koma musachite mantha. Lero tikulankhula za vuto lomwe lingayambitse izi, ndipo lomwe silidziwika bwino kwa anthu ambiri, koma ndilofunika kulidziwa. Ndi Oral Lichen Planus (OLP).

Mwachidule, kodi Oral Lichen Planus (OLP) ndi chiyani?

Oral Lichen Planus (OLP) ndi matenda osatha omwe amayambitsa kutupa mkamwa mwanu. Nthawi zambiri, matupi athu amatulutsa kutupa kuti amenyane ndi matenda ndikuchiritsa mabala. Koma mu OLP, chinthu china chosiyana pang'ono chimachitika. Chomwe chimachitika apa ndichakuti chitetezo cha mthupi lathu, chitetezo chamthupi, chimaukira molakwika mucous membrane yomwe ili mkati mwa pakamwa pathu. Mwachidule, zimakhala ngati chitetezo chathu chikuukira gawo lina la thupi lathu.

Choncho, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kupita kwa dokotala kuti akakupatseni upangiri. Ngakhale kuti palibe mankhwala athunthu a izi, pali mankhwala abwino kwambiri omwe angathandize kuchepetsa zizindikirozo ndikukupatsani mpumulo.

Pali mitundu iwiri ikuluikulu ya ma OLP.

Vutoli silili lofanana kwa aliyense. Titha kuzindikira mitundu iwiri makamaka.

Kodi inunso muli ndi zizindikiro izi?

Zizindikiro zimatha kusiyana malinga ndi mtundu wa matenda omwe muli nawo. Nthawi zina zizindikirozi zimabwera ndikutha, kaya zokha kapena ndi chithandizo, pakapita nthawi. Zitha kubwereranso pakapita nthawi.

• Zilonda zoyera ngati ukonde wa kangaude mkati mwa masaya kapena pa lilime.
• Madontho oyera pa lilime kapena mkamwa.
• Zilonda zopweteka pakamwa, pakamwa, kapena m'kamwa.
• Mkamwa wofiira kwambiri, wotupa.
• Ululu wochepa mpaka woopsa kwambiri mukatsuka mano anu, makamaka mukadya zakudya zowawasa, zokometsera, zamchere, kapena zolimba .

Anthu ena akhoza kukhala ndi OLP ya mkamwa komanso vuto la khungu lotchedwa Lichen Planus, lomwe limayambitsa kuyabwa, mabala a zipsera pakhungu, ziwalo zoberekera, kapena khungu la mutu.

N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa OLP. Koma tikudziwa kuti izi zikugwirizana ndi momwe chitetezo chathu chamthupi chimagwirira ntchito. Monga tanenera kale, maselo athu a chitetezo chamthupi amaukira mkati mwa pakamwa pathu.

Nthawi zina, vutoli likhoza kuchitika kapena kuipiraipira chifukwa cha zinthu zina.

Zoyambitsa

• Ziwengo: Ziwengo ku zakudya zina, mankhwala otsukira mano, zokometsera mu mankhwala otsukira mano (monga timbewu ta ...
• Mavuto a pakamwa: Kuwonongeka pafupipafupi kwa mucous nembanemba ya pakamwa chifukwa cha zinthu monga mano osakhazikika bwino komanso mano akuthwa.
• Mankhwala ena: Mankhwala ena monga mankhwala ochepetsa ululu (NSAIDs), mankhwala ena othamanga magazi (Beta-blockers), ndi ena opha mabakiteriya.
• Kuvulala pakamwa: Zinthu monga kuluma tsaya mwangozi.
• Kupsinjika Maganizo ndi Nkhawa: Ichi ndi chinthu chofunikira kwambiri. Anthu ambiri amadziwa kuchokera ku zomwe adakumana nazo kuti kupsinjika maganizo kukakula, zizindikiro za OLP zimawonjezekanso.
• Matenda ena: Zapezeka kuti pali mgwirizano pakati pa kupezeka kwa OLP ndi matenda monga Hepatitis B ndi Hepatitis C.

Azimayi ali ndi mwayi wochuluka wopeza matendawa katatu kapena kanayi kuposa amuna. Nthawi zambiri amapezeka kwambiri mwa anthu azaka zapakati pa 30 ndi 70.

Kodi ndi mavuto ati omwe angakhalepo chifukwa cha OLP?

OLP nthawi zambiri si vuto loopsa, koma pali zinthu zingapo zomwe muyenera kuzidziwa.

1. Kuvutika kudya: Ngati ululu ukupangitsa kuti kudya kukhale kovuta, pakapita nthawi, kuchepa thupi ndi kusowa zakudya m'thupi kungachitike.

2. Matenda: Pakamwa pamayamba zilonda, chiopsezo cha matenda a bakiteriya kapena yisiti (monga thrush) chimawonjezeka.

3. Chiwopsezo cha khansa ya mkamwa: Ichi ndi chomwe anthu ambiri amachiopa. Kafukufuku wasonyeza kuti anthu ochepa kwambiri omwe ali ndi OLP, pakati pa 1% ndi 4%, ali pachiwopsezo chotenga khansa ya mkamwa. Chiwopsezochi chimakhala chachikulu pang'ono mwa anthu omwe ali ndi OLP yotupa (mtundu wopweteka, wotupa zilonda).

Kodi dokotala amazindikira bwanji izi? Ndipo chithandizo chake ndi chiyani?

Mukapita kwa dokotala, adzayang'ana pakamwa panu mosamala. Nthawi zambiri, mutha kuzindikira OLP mukangoona zizindikiro. Komabe, nthawi zina, kuti mutsimikizire matendawa ndikuchotsa matenda ena (monga matenda a yisiti kapena leukoplakia), chidutswa chaching'ono kwambiri cha chilondacho chingatengedwe kuti chikayesedwe (biopsy) .

Cholinga chachikulu cha chithandizo ndikuchepetsa zizindikiro ndikukupatsani mpumulo. Ngati simukumva ululu kapena kusasangalala, simungafunike chithandizo chilichonse.

Mankhwala

• Corticosteroids: Izi ndi zomwe zimagwiritsidwa ntchito kwambiri. Zitha kugwiritsidwa ntchito ngati gel kapena mafuta odzola pa zilonda. Ngati izi sizikulamulira vutoli, zitha kuperekedwanso ngati mapiritsi kapena jakisoni wakumwa. Izi zimagwira ntchito poletsa kugwira ntchito mopitirira muyeso kwa chitetezo cha mthupi ndikuchepetsa kutupa.
• Zoletsa Calcineurin: Ngati corticosteroids sizigwira ntchito, mtundu uwu wa mankhwala (mu mawonekedwe a kirimu) ungalimbikitsidwe.
• Mankhwala Ochepetsa Ululu: Kuti muchepetse ululu, mutha kupereka mankhwala ochepetsa ululu kapena zakumwa zoziziritsa kukhosi monga Lidocaine.

Zinthu zomwe tingathe kuchita tokha (Kusintha kwa moyo)

Monga mankhwala, kusintha pang'ono m'miyoyo yathu ya tsiku ndi tsiku kungathandize kwambiri kuthetsa zizindikirozi.

• Chepetsani zakudya zokometsera, zowawasa, zamchere, komanso zolimba (monga mabisiketi, tchipisi) momwe mungathere.
• Siyani kusuta fodya ndi kumwa mowa kotheratu. Izi zimakwiyitsanso ma mucous nembanemba mkamwa mwanu.
• Gwiritsani ntchito burashi ya mano yofewa .
• Gwiritsani ntchito mankhwala otsukira mano ofatsa opanda kukoma kokoma (mint, sinamoni).
• Sinthani kupsinjika maganizo . Zinthu monga kusinkhasinkha, yoga, ndi kuchita zinthu zomwe mumakonda zingakhale zothandiza kwambiri.
• Ngati mukuganiza kuti mankhwala aliwonse omwe mukumwa ndi omwe akuyambitsa vutoli, lankhulani ndi dokotala wanu za vutoli. Musasiye kumwa mankhwala popanda upangiri wa dokotala wanu.