Kodi milomo ndi masaya anu atupa? Kodi ndi 'Orofacial Granulomatosis'? Tiyeni tikambirane za izi!

Kodi milomo yanu, masaya anu, kapena mbali zina za nkhope yanu zimatupa mwadzidzidzi? Kodi nthawi zina mumamva ngati tinthu tating'onoting'ono? Ngakhale izi zingamveke zachilendo, zitha kukhala matenda. Lero tikambirana za vuto lotchedwa `Orofacial Granulomatosis` lomwe limasonyeza zizindikiro zofanana, zomwe sizichitika kawirikawiri koma ndizofunikira kudziwa.

Kodi 'Orofacial Granulomatosis' ndi chiyani?

Mwachidule, `Orofacial Granulomatosis` ndi vuto la pakhungu lomwe limayambitsa kutupa ndi ziphuphu pankhope pathu, mkati mwa pakamwa, makamaka pamilomo ndi masaya. Izi sizichitika kawirikawiri. Nthawi zina ziphuphuzi zimatha kuwoneka ndi maso ndipo zimatha kumvedwa ndi dzanja.

Tsopano, ngati vuto la `Orofacial Granulomatosis` ili pamilomo yokha, pali mayina angapo apadera a dzina lake. Awa ndi awa:

• `Cheilitis granulomatosa`
• `Cheilitis ya Granulomatous`
• Miescher cheilitis

Ngakhale mayina awa angamveke ngati ovuta pang'ono, onse amatanthauza chinthu chimodzi - ndiko kuti, kutupa ndi ziphuphu zomwe zatchulidwa pamwambapa.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Chabwino, tsopano tiyeni tiwone yemwe ali ndi mwayi waukulu wopeza `Orofacial Granulomatosis`. Izi si zachilendo kwenikweni. Zimakhudza anthu osakwana 1% . Ngakhale kuti zimatha kukhudza aliyense wazaka zilizonse, zimapezeka kwambiri mwa achinyamata azaka zapakati pa 20 ndi 40 .

Chinthu china n'chakuti vutoli nthawi zina limatha kuchitika lokha (idiopathic), zomwe zikutanthauza kuti limatha kuchitika popanda matenda ena aliwonse. Komabe, nthawi zina limatha kuchitikanso limodzi ndi matenda ena. Mwachitsanzo:

• Matenda a Crohn : Mwina munamvapo za izi, matenda osatha a kutupa m'matumbo.
• Sarcoidosis : Iyi ndi matenda omwe ma cell (granulomas) amapangika m'malo osiyanasiyana a thupi, makamaka m'mapapo ndi m'malo olumikizirana mafupa.
• Matenda osiyanasiyana opatsirana : Mwachitsanzo, izi zitha kugwirizanitsidwa ndi matenda monga chifuwa chachikulu.

Chinthu china chosangalatsa ndichakuti vuto limeneli lotchedwa `Orofacial Granulomatosis` nthawi zambiri limagwirizanitsidwa ndi vuto la mitsempha lotchedwa `Melkersson-Rosenthal syndrome` . Matendawa ali ndi zizindikiro zitatu zazikulu:

• Kutupa kwa nkhope kapena milomo.
• Lilime likhoza kukhala ndi mawonekedwe ozungulira kapena mipata yozama (mitunda kapena mipata).
• Kutayika kwa ntchito ya nkhope mobwerezabwereza, kutanthauza kulephera kulamulira mawonekedwe a nkhope (`kufooka kwa nkhope`).

Kodi n’chiyani chimayambitsa ‘Orofacial Granulomatosis’?

Kodi chifukwa chenicheni cha 'Orofacial Granulomatosis' ndi chiyani?Asayansi sakudziwabe chomwe chimayambitsa izi, koma akupitilizabe kuzifufuza. Pakadali pano akuganiza kuti pali zifukwa zingapo zomwe zingachitike:

• Matenda a ziwengo kapena kusasangalala ndi zakudya zina : Mwachitsanzo, zinthu monga sinamoni, chokoleti, ndi zina zotetezera.
• Matenda a bakiteriya kapena bowa .
• Kusintha kwa ntchito ya chitetezo chamthupi (mayankho a chitetezo chamthupi) kwa anthu omwe ali ndi matenda enaake a majini .

Asayansi amakhulupirira kuti kutupa kumeneku kumachitika chifukwa cha tinthu tating'onoting'ono ta maselo otchedwa `granulomas` (omwe kwenikweni ndi tinthu tating'onoting'ono tomwe timapangidwa ndi maselo a chitetezo chamthupi) timatseka dongosolo lathu la lymphatic . Taganizirani izi motere: dongosolo la lymphatic ndi njira yotulutsira zinyalala m'thupi lathu. Chifukwa chake dongosololi likasiya kugwira ntchito bwino chifukwa cha `granulomas` awa, madzi am'thupi amasonkhana ndipo amachititsa kutupa. Izi zimatchedwa `lymphedema` .

Kodi zizindikiro za vutoli ndi ziti?

Chizindikiro choyamba komanso chodziwika bwino cha Orofacial Granulomatosis ndi kutupa kofewa, kosapweteka kwa milomo imodzi kapena yonse iwiri. Mlomo wapansi nthawi zambiri umatupa kwambiri kuposa mlomo wapamwamba. Kutupa kumeneku kumabwera ndikutha. Nthawi zina kumatha kwa milungu kapena miyezi. Pakapita nthawi, kutupa kumeneku kumatha kukhala ngati rabara, kolimba, kopweteka, kapena kosatha.

Kuwonjezera pa chizindikiro chachikulu ichi, zizindikiro zina zingapo zingawonekere:

• Milomo yosweka .
• Kutulutsa madzi , nthawi zina mosalamulirika.
• Khungu louma, lofiira, lotuluka mkamwa mwanu .
• Monga tanenera kale, pali mipata kapena zitunda pa lilime lanu .
• Zilonda pakamwa kapena matuza ang'onoang'ono kapena mabala a pakhungu m'kamwa .
• Kuvutika kulankhula kapena kudya .
• Mungakhale ndi kutupa kapena ziphuphu mkamwa mwanu, m'masaya, m'kamwa, m'lirime, pachibwano, m'maso, pamphumi, kapena ngakhale m'mutu mwanu . Tangoganizirani momwe izi zingakuvutitsireni.

Kodi `Orofacial Granulomatosis` imapatsirana?

Funso lomwe anthu ambiri ali nalo ndi lakuti kodi ndi matenda opatsirana? Matenda a m'kamwa amatha kufalikira kuchokera mbali imodzi ya nkhope kupita ku ina. Izi zikutanthauza kuti amatha kuyambira pamilomo ndikusunthira ku masaya. Komabe, si matenda opatsirana . Choncho palibe chodetsa nkhawa.

Kodi mungazindikire bwanji vutoli?

Chabwino, kodi vuto la `Orofacial Granulomatosis` limapezedwa bwanji?

Kuti adziwe izi, dokotala wa khungu adzayang'ana malo omwe kutupa kuli.Kachidutswa kakang'ono ka khungu kamatengedwa ndi kufufuzidwa ('biopsy'). Izi zili ngati opaleshoni yaying'ono. Kenako katswiri wa matenda amafufuza khungu ili pansi pa maikulosikopu kuti awone ngati pali 'granulomas' zomwe sizili ndi kachilombo (dzina lachipatala la zotupa za maselo awa). Ngati zilipo, matendawa amatsimikiziridwa.

Kuwonjezera pa mayeso akuluakulu awa, dokotala angachitenso mayeso ena angapo kuti aone ngati pali matenda ena, monga momwe tidanenera kale kuti izi zitha kugwirizanitsidwa ndi matenda ena.

• Kuyezetsa magazi kuti aone ngati pali matenda monga chifuwa chachikulu.
• X-ray ya pachifuwa kuti muwone ngati pali sarcoidosis.
• Colonoscopy (kuyesa komwe kumachitika pogwiritsa ntchito kamera mkati mwa m'matumbo) ndi kuyeza magazi kuti aone ngati pali matenda a Crohn.
• Mayeso a patch amachitika kuti aone ngati pali ziwengo kapena kukhudzidwa ndi khungu. Izi zimaphatikizapo kugwiritsa ntchito zinthu zina pakhungu kuti muwone ngati muli ndi ziwengo nazo.

Kodi `Orofacial Granulomatosis` imachiritsidwa bwanji?

Tsopano tiyeni tiwone momwe tingachiritsire `Orofacial Granulomatosis` iyi. Si aliyense amene amayamba chithandizo nthawi yomweyo. Dokotala amasankha kuyamba chithandizo pazochitika zotsatirazi:

• Ngati mukuda nkhawa kwambiri kapena muli ndi chisoni ndi mawonekedwe anu .
• Ngati pali ululu .
• Ngati mukuvutika kugwiritsa ntchito nkhope kapena pakamwa panu moyenera, kutanthauza kulankhula, kudya, kapena kumwa .

Chithandizo chofala kwambiri cha vutoli ndi kugwiritsa ntchito mtundu wa mankhwala otchedwa `Corticosteroids` . Mwina munamvapo dzinali. Awa ndi mtundu wa steroid. Mtundu wa steroid woperekedwa ndi momwe umaperekedwera zimasiyana malinga ndi kuopsa kwa vutoli:

• Ma steroid opaka m'kamwa : Izi zitha kubwera ngati mafuta odzola, mafuta odzola, kapena zotsukira pakamwa.
• Jakisoni wa Cortisone amaperekedwa mwachindunji pamalo otupa .
• Ma steroid a m'thupi : Kawirikawiri, mtundu wa steroid woperekedwa umatchedwa "Prednisone."

Kuwonjezera pa ma steroid awa, dokotala angalimbikitsenso zotsatirazi:

• Ngati pali matenda, limbanani nawo ndi `Antibiotics` .
• Ngati mwazindikira kuti muli ndi vuto la ziwengo, mudzapemphedwa kusintha zakudya zanu moyenera .
• Mankhwala oletsa chitetezo chamthupi : Mankhwalawa angaperekedwe ngati mankhwala omwa kapena ngati mankhwala opaka pakhungu.
• Ngati kutupa kosatha kukusokoneza ntchito zofunika monga kulankhula, kudya, ndi kumwa, opaleshoni ikhoza kuchitidwa kuti ichepetse kutupa .

Kodi pali mankhwala ochiritsira izi?

Funso lomwe anthu ambiri amafunsa ndi lakuti kodi pali mankhwala ochiritsira matendawa ? Tsoka ilo, pakadali pano palibe mankhwala ochiritsira a Orofacial Granulomatosis. Chithandizo makamaka cholinga chake ndi kuchepetsa zizindikiro ndikuchepetsa kusasangalala komwe wodwala amakumana nako, ndikumupatsa chitonthozo.

Kodi Orofacial Granulomatosis ingapewedwe?

Popeza chifukwa chenicheni cha Orofacial Granulomatosis sichikudziwika, pakadali pano palibe njira yotsimikizika yopewera izi .

Kodi chiyembekezo cha anthu omwe ali ndi vutoli ndi chotani?

Kuchiza vutoli, `Orofacial Granulomatosis`, n'kovuta pang'ono . Zingatenge miyezi, ngakhale zaka, kuti mankhwala omwe alipo pano awonetse zotsatira zake. Izi zikutanthauza kuti zotsatira zake zimakhala zochedwa kwambiri. Nthawi zina, mankhwalawo sangathandize konse.

Kawirikawiri, ndiko kuti, kawirikawiri, vutoli limatha kuchira mwadzidzidzi lokha (`kuchira mwadzidzidzi`) popanda chithandizo chilichonse. Koma zimenezo n'zosowa kwambiri.

Kodi mumachita bwanji bwino ndi vutoli?

Kukhala ndi vuto limeneli, `Orofacial Granulomatosis`, kungakhale kovuta kwambiri . Lingakhudze mawonekedwe anu, ntchito ya pakamwa panu, komanso lingakhale ndi zotsatirapo zambiri zamaganizo. Koma pali njira zina zokuthandizani kuthana ndi vutoli:

• Maphunziro a uphungu : Izi zingathandize kwambiri polankhula za momwe mukumvera komanso momwe mukumvera komanso momwe mungawathetsere.
• Magulu Othandizira : Iyi ndi mwayi wabwino wolumikizana ndi ena omwe akukumana ndi mavuto ofanana ndi kugawana zomwe akukumana nazo. Izi zikuthandizani kumva ngati simuli nokha.
• Zochita zoganizira bwino : Zinthu monga kuganizira ndi kuyang'ana kwambiri makhalidwe anu abwino, zomwe mwakwaniritsa.
• Kuchita nawo zinthu zosangalatsa : Ndikofunikira kukhala ndi anzanu komanso abale anu othandizana nawo komanso omvetsetsa kuti musamve ngati muli nokha.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Ngati mwadzidzidzi mukumva kufooka kapena kufooka mbali iliyonse ya nkhope yanu, muyenera kufunsa upangiri wa dokotala nthawi yomweyo . Komanso, ngati muwona mikwingwirima kapena mizere pa lilime lanu, monga tafotokozera kale, muyeneranso kudziwitsa dokotala wanu za izi . Zizindikiro izi zitha kukhala zizindikiro za matenda a Melkersson-Rosenthal omwe takambirana kapena vuto lina lalikulu.

Matenda a Orofacial Granulomatosis ndi matenda osowa kwambiri pakhungu omwe angayambitse kutupa kwa milomo, pakamwa, ndi mbali zina za nkhope yanu. Chifukwa chake ngati muli ndi kutupa pankhope panu, ndi bwino kupita kwa dokotala kuti akupatseni chithandizo choyenera. Palibe mankhwala a Orofacial Granulomatosis, koma mankhwala monga corticosteroids angathandize kuchepetsa zizindikiro.

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Chabwino, takambirana zambiri za `Orofacial Granulomatosis`. Nazi zinthu zosavuta kukumbukira:

• Matenda a m'kamwa ndi matenda osowa omwe amayambitsa kutupa ndi ziphuphu pankhope, makamaka milomo ndi masaya.
• Choyambitsa chenicheni cha izi sichinadziwikebe , koma ziwengo, matenda, majini, ndi mavuto a chitetezo chamthupi akuganiziridwa kuti ndi omwe amachititsa izi.
• Chizindikiro chachikulu ndi kutupa kwa milomo. Komabe, zilonda pakamwa, kusintha kwa lilime, komanso kuvutika kudya ndi kulankhula kungachitikenso.
• Izi sizopatsirana .
• Njira yaikulu yodziwira matendawa ndi biopsy ya khungu.
• Mankhwala a Corticosteroids nthawi zambiri amagwiritsidwa ntchito ngati mankhwala. Nthawi zina opaleshoni ingafunike.
• Ngakhale pakadali pano palibe mankhwala okhazikika, zizindikiro zimatha kuchepetsedwa .
• Ngati mwaona kuti nkhope yanu yayamba kuoneka ngati yasokonekera mwadzidzidzi kapena lilime lanu lasintha kwambiri, pitani kwa dokotala nthawi yomweyo .

Musaiwale, ngati muli ndi zizindikiro izi, musamachite manyazi kapena kuziopa. Funsani dokotala nthawi yomweyo. Chofunika kwambiri ndikupeza matenda molondola ndikupeza chithandizo choyenera. Komanso, kukhala olimba m'maganizo ndikofunikira kwambiri mukakumana ndi vuto ngati ili.

Kutupa kwa nkhope , kutupa kwa milomo, granulomatosis ya m'kamwa, matenda a khungu, ziphuphu, matenda a Melkersson-Rosenthal, corticosteroids