Kodi muli ndi zilonda pakamwa (Stomatitis)? Tiyeni tikambirane mwatsatanetsatane za izi!

Kodi nthawi zina mumadwala zilonda za mkamwa zomwe zimapweteka kwambiri moti simungathe kudya? Kapena mumadwala zilonda zazing'ono pamilomo zomwe zimakuvutitsani? Izi ndi zomwe timazitcha 'Stomatitis' kapena matenda a mkamwa. Palibe chodetsa nkhawa nacho, ichi ndi chinthu chomwe chimachitikira anthu ambiri. Tiyeni tidziwe zambiri za izi lero.

Kodi Stomatitis ndi chiyani?

Mwachidule, stomatitis ndi kutupa kapena kutupa kwa nembanemba ya mucous (yomwe imatchedwanso "mucous membranes" kapena "mucosa") mkati mwa pakamwa panu, kuphatikizapo milomo yanu. Kunena zoona, vutoli limagwera m'gulu lalikulu la "mucositis". "Mucositis" imatanthauza kutupa kwa nembanemba ya mucous iyi, osati mkamwa mwanu mokha, komanso m'thupi lanu lonse ('gastrointestinal (GI) tract').

Taganizirani izi, tikapeza bala kwinakwake pathupi lathu, malo amenewo amakhala ofiira, otupa, komanso opweteka. Zomwezo zimachitikanso mkamwa mwathu. Ngati nembanemba zofewa izi mkati mwathu zawonongeka mwanjira iliyonse, momwe thupi lathu limayankhira mwachibadwa ndiye zimayambitsa kutupa kumeneku. Ndicho chifukwa chake ndikofunikira kudziwa zizindikiro izi. Nthawi zambiri, zomwe zimayambitsa kutupa kumeneku sizikhala zazikulu kwambiri, ndipo zimachira zokha. Koma nthawi zina, pamakhala nthawi zomwe upangiri wachipatala ndi mankhwala amafunika.

Kodi mitundu ikuluikulu ya stomatitis ndi iti?

Pali mitundu yosiyanasiyana ya stomatitis. Tiyeni tiwone mitundu yodziwika bwino.

Zilonda za pakamwa (Zilonda za Canker / Aphthous Stomatitis)

Izi ndi zomwe zimapezeka kwambiri. Zimapanga mkamwa mwanu, nthawi zina mkati mwa milomo yanu, pansi pa lilime lanu, kapena mkati mwa masaya anu. Nthawi zambiri zimawoneka ngati zilonda zazing'ono zoyera zokhala ndi malire ofiira ozungulira. Zingakhale zopweteka pang'ono. Mwachitsanzo, anthu ena amadwala zilondazi akadya chinthu chokometsera kapena akapanda kugona mokwanira, eti?

Matuza pamilomo (Zilonda Zozizira / Herpetic Stomatitis)

Izi ndi matuza ang'onoang'ono, okhala ndi madzi omwe nthawi zambiri amapangika pamilomo kapena mozungulira milomo. Nthawi zina, matuza amodzi amatha kuwoneka, kapena amatha kuwoneka m'magulu. Amayambitsidwa ndi kachilombo kotchedwa `(Herpes Simplex Virus type 1 - HSV-1)`. Angathenso kupatsirana.

Kuwonjezera pa mitundu iwiri ikuluikulu iyi, palinso mitundu ina yosowa kwambiri:

• Angular Cheilitis / Angular Stomatitis: Uku ndi kutupa, ming'alu, ndi zilonda zomwe zimakula m'makona a pakamwa panu. Makona a pakamwa panu amakhala ofiira, ouma, ndipo nthawi zina amatuluka magazi. Izi zitha kuchitikanso chifukwa cha kusowa kwa mavitamini.
• Matenda a Thrush (Candidal Stomatitis): Izi zimachitika pamene mtundu wa bowa wotchedwa Candida wakula kwambiri mkamwa. Nthawi zambiri umawoneka ngati mabala oyera pa lilime ndi mkati mwa masaya. Umapezeka kwambiri mwa ana aang'ono ndi anthu omwe ali ndi chitetezo chamthupi chofooka.
• Kukhudzana ndi Stomatitis: Izi zitha kuchitika mukakumana ndi chinthu chomwe muli ndi vuto la ziwengo, mwachitsanzo, zakudya zina (kwa anthu ena, zinthu monga chinanazi ndi tomato), mankhwala, kapena ngakhale mano otsukira mano.
• Matenda a Stomatitis ya Mano Obisika:Izi zimachitika kawirikawiri mwa anthu omwe amagwiritsa ntchito mano opangidwa ndi mano. Denga la pakamwa limakhala lofiira komanso lotupa. Nthawi zina izi zimatha kutsagana ndi vuto lotchedwa ``Candidal Stomatitis''. Izi zimachitikanso chifukwa chosatsuka mano opangidwa ndi mano moyenera.
• Matenda a Gingivostomatitis: Uku ndi kutupa kwa mkamwa ndi mkamwa komwe kumachitika chifukwa cha kachilombo ka HIV kapena bakiteriya. Mkamwa ukhoza kutupa ndikutuluka magazi.
• Matenda a Nicotine Stomatitis: Izi zimachitika mwa anthu omwe amasuta kapena kugwiritsa ntchito fodya. Zingawoneke ngati mawanga oyera, okwinya pamwamba pa pakamwa. Ngati izi zipitirira, pali chiopsezo cha khansa.

Kodi zizindikiro za stomatitis ndi ziti?

Matenda a Stomatitis angayambitse zizindikiro zosiyanasiyana mwa anthu osiyanasiyana. Tiyeni tiwone zina mwa zizindikiro zodziwika bwino:

• Kufiira ndi kutupa mkati mwa pakamwa.
• Kupangidwa kwa chithuza chaching'ono (kapena matuza angapo) pamilomo kapena mozungulira.
• Zilonda chimodzi kapena zingapo mkati mwa pakamwa. Izi nthawi zambiri zimakhala zoyera, imvi, kapena zachikasu . Zingakhalenso ndi m'mphepete wofiira kuzungulira.
• Madontho oyera kapena imvi pa lilime, padenga la pakamwa, kapena mkati mwa masaya (makamaka mu thrush).
• Kumva kutentha pa lilime ndi padenga la pakamwa.
• Kumva kupweteka kosalekeza, nthawi zina koopsa kapena kusasangalala . Izi zingapangitse kuti zikhale zovuta kudya, kumeza, komanso kulankhula.
• Mpweya woipa.
• Nthawi zina mungadwale malungo.

Chofunika kwambiri n’chakuti, ngakhale mutakhala ndi chimodzi kapena ziwiri mwa zizindikirozi, musazinyalanyaze. Nthawi zina zingakhale zosavuta, koma nthawi zina muyenera kufunafuna upangiri wa dokotala.

Kodi ndi zinthu ziti zomwe zimayambitsa stomatitis?

Pali zifukwa zambiri zomwe zimayambitsa stomatitis. Zinthu zambiri zingayambitse vutoli, monga matenda opatsirana ndi mavairasi, kuvulala pakamwa, komanso kusowa kwa chitetezo chamthupi. Tiyeni tiwone zifukwazi mwatsatanetsatane.

• Matenda: Chifukwa chachikulu cha stomatitis ndi matenda. Nthawi zambiri, kachilombo ka herpes kotchedwa HSV-1, komwe kamayambitsa zilonda zozizira, ndiye komwe kamayambitsa matendawa. Mavairasi ena (monga nkhuku), mabakiteriya, ndi bowa angayambitsenso stomatitis. Mwachitsanzo, nthawi zina mungatenge matendawa poika manja anu mkamwa mwanu ndi manja odetsedwa kapena pogawana mbale ndi munthu amene ali ndi kachilomboka.
• Kuvulala pakamwa: Ngati mkamwa mwanu mwawonongeka mwanjira iliyonse, njira yochiritsira thupi lathu imayamba ndipo imayambitsa kutupa. Mwachitsanzo, mano opangidwa molakwika amakanda mkati mwa pakamwa panu, mkamwa mwanu mumavulala mukatsuka mano anu mwamphamvu kwambiri, pakamwa panu pamatentha mukamwa chinthu chotentha, pakamwa panu pamasweka mukadya chakudya cholimba, kapena kutentha kochokera ku kusuta ndudu kungayambitse izi.
• Matenda a ziwengo kapena kuyabwa mkamwa: Matenda a mkamwa amatha kuchitika chifukwa cha zinthu zomwe muli ndi ziwengo kapena zinthu zomwe zimakwiyitsa mkamwa mwanu. Zitsanzo zikuphatikizapo mankhwala ena otsukira mano, zotsukira mkamwa, zodzoladzola (monga milomo), ndi zakudya zokometsera. Anthu ena amadwala zilonda mkamwa ngakhale atadya zakudya monga chinanazi ndi tomato, sichoncho? Nzoona.
• Mankhwala: Matenda a mucositis opweteka pakamwa ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwala ena a khansa. Ngakhale kuti mankhwala monga chemotherapy ndi radiation therapy amapha maselo a khansa, amathanso kuwononga maselo athanzi. Maselo omwe ali m'maselo ofooka awa omwe ali mkati mwa pakamwa ndi omwe amatha kukhudzidwa kwambiri ndi matendawa.
• Mankhwala: Mankhwala ena angayambitsenso matenda a mucositis m'kamwa. Mwachitsanzo, beta-blockers (mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi), immunosuppressants (mankhwala omwe amaletsa chitetezo chamthupi), ndi mankhwala oletsa kutupa (NSAIDs) (mankhwala opha ululu). Ngati mukumva zilonda pakamwa mutayamba kumwa mankhwala atsopano, muyenera kuuza dokotala wanu.
• Matenda a m'thupi: Stomatitis ingayambitsidwenso ndi matenda ena omwe amakhudza thupi lonse . Mwachitsanzo, matenda a Behçet (omwe amayambitsa zilonda pakamwa, zilonda zoberekera, ndi matenda a maso) ndi matenda a celiac (kukhudzidwa ndi mapuloteni a gluten). Stomatitis ingayambitsidwenso ndi matenda a pakhungu monga bullous pemphigoid ndi lichen planus.
• Kusowa zakudya: Stomatitis ingayambe ngati thupi lanu silikupeza michere yokwanira yokonza mkamwa mwanu womwe wawonongeka. Izi ndi zoona makamaka ngati mulibe michere yokwanira monga folate, iron, vitamini B12, vitamini C, ndi zinc. Mukudziwa kufunika kodya zakudya zopatsa thanzi, eti?

Ndani ali pachiwopsezo chachikulu chotenga stomatitis?

Anthu ena ali pachiwopsezo chachikulu chotenga matenda a stomatitis kuposa ena. Tiyeni tiwone omwe ali:

• Anthu omwe satsuka mano awo bwino: Ngati simusamalira mano anu bwino komanso thanzi la mkamwa, muli pachiwopsezo chachikulu chotenga matenda. Kutsuka mano anu kawiri patsiku komanso kutsuka mano ndi floss kungathandize kuchepetsa chiopsezochi.
• Anthu omwe ali ndi pakamwa pouma: Malovu ali ngati chophimba choteteza nembanemba yofewa mkati mwa pakamwa pathu. Ngati malovuwo sakwanira, pamakhala mwayi waukulu wa zilonda ndi matenda mkamwa. Pakamwa pouma pakhoza kuyambitsidwa ndi mankhwala enaake kapena matenda enaake.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe ali ndi matenda monga HIV/AIDS, omwe akulandira chithandizo cha khansa, kapena omwe akumwa mankhwala oletsa chitetezo chamthupi amakhala pachiwopsezo chachikulu chotenga matenda chifukwa cha kufooka kwa chitetezo chamthupi.
• Anthu osuta fodya komanso kumwa mowa.
• Anthu omwe ali ndi nkhawa kwambiri.

Kodi ndi mavuto otani omwe angabwere chifukwa cha stomatitis?

Nthawi zina, ululu ndi kutupa komwe kumachitika chifukwa cha stomatitis zimakhala zazikulu kwambiri kotero kuti simungathe kudya kapena kumwa chilichonse. Ndizachibadwa kumva ngati simukufuna kudya. Komabe, ngati simulandira michere ndi madzi omwe thupi lanu limafuna, zingayambitse mavuto akulu azaumoyo monga kusowa zakudya m'thupi komanso kusowa madzi m'thupi .

Stomatitis ingayambitsidwe ndi matenda, ndipo stomatitis ingayambitsidwenso ndi matenda. Kodi zimenezi zingatheke bwanji? Ngati pali bala mkamwa, pamakhala mwayi waukulu woti majeremusi alowe. Izi zingayambitse kutupa ndi kuwonongeka kwa minofu. Nthawi zina matenda amenewa amatha kulowa m'magazi ndikufalikira m'thupi lonse (sepsis), lomwe ndi vuto loopsa.

Choncho, ndi bwino kupita kwa dokotala ndikupempha chithandizo popanda kudikira kuti vutoli lipitirire.

Kodi stomatitis imachiritsidwa bwanji?

Mukapita kwa dokotala, nthawi zambiri amatha kuzindikira mitundu yodziwika bwino ya stomatitis, monga zilonda zam'mimba ndi zilonda zozizira, nthawi yomweyo. Kulankhula za mbiri yanu yachipatala ndi zizindikiro kungathandizenso kupeza matenda. Mwachitsanzo, ngati mukulandira chithandizo cha khansa, dokotala wanu angaganize kuti zilonda zam'kamwa mwanu ndi zotsatirapo zina za chithandizo chanu. Ngati muli ndi zizindikiro m'thupi lanu, osati pakamwa pokha, zitha kukhala chizindikiro cha matenda ena omwe amakhudza thupi lanu lonse.

Nthawi zina mayeso amafunikanso kuti adziwe matenda a stomatitis. Izi zikuphatikizapo:

• Kutenga chitsanzo kuchokera pachilonda ndikuchiyesa ngati chili ndi mavairasi, mabakiteriya, kapena bowa.
• Mayeso a magazi amachitidwa kuti aone ngati muli ndi thanzi labwino kapena ngati muli ndi matenda omwe amakhudza thupi lonse. Mwachitsanzo, amatha kuwona ngati pali zakudya zoperewera.
• Mayeso a ziwengo amachitidwa kuti aone ngati chomwe chimayambitsa stomatitis ndi ziwengo.
• Nthawi zina, ngati mayeso ena sakudziwika bwino, biopsy (chitsanzo cha minofu) ingatengedwe kuti ione ngati pali vuto lalikulu. Izi zimachitika kawirikawiri, monga ngati bala silinachiritsidwe ndipo likadalipo.

Ngati zilonda za mkamwa mwanu zayamba chifukwa cha mankhwala kapena chinthu chokwiyitsa, zingatenge nthawi kuti muzindikire. Mwachitsanzo, ngati dokotala wanu akuganiza kuti chotsukira mkamwa chomwe mukugwiritsa ntchito chikuyambitsa zilonda, angakulangizeni kuti musinthe ndikuwona ngati zilondazo zikuchira.

Kodi stomatitis imachiritsidwa bwanji?

Stomatitis imachiritsidwa kutengera chomwe chayambitsa. Kuti munthu achiritse stomatitis kwathunthu, chomwe chayambitsa vutoli chiyenera kuchiritsidwa kapena kulamulidwa. Nazi njira zina zochiritsira:

• Mankhwala ogulitsidwa kunja kwa chipatala (OTC) angagulidwe ku pharmacy a zilonda za m'mimba ndi zilonda zozizira.
• Mankhwala ochizira matenda. Mwachitsanzo, mankhwala oletsa mavairasi, maantibayotiki, ndi mankhwala opha mavairasi. Izi ziyenera kumwedwa ndi dokotala yekha.
• Imwani mavitamini kapena zowonjezera kuti mutsimikizire kuti mukupeza michere yomwe mukufuna (monga mavitamini B, C, ndi iron).
• Pewani zakudya kapena zinthu zomwe zimayambitsa kutupa mkamwa mwanu.
• Mpaka zilonda za mkamwa zitachira, yesetsani kutsuka mano anu kuti pakamwa panu pasakhale mabakiteriya oopsa. Mwachitsanzo, kutsuka mano anu nthawi zonse ndi burashi yofewa ndikutsuka pakamwa panu ndi madzi amchere (supuni imodzi ya mchere mu kapu ya madzi ofunda) kangapo patsiku.
• Kuchepetsa ululu: Mutha kumwa mankhwala ochepetsa ululu monga paracetamol.

Pakadali pano, dokotala wanu angakulangizeni njira zina zothandizira kuchepetsa ululu. Zitsanzo zake ndi monga mankhwala oletsa ululu, mankhwala otsukira pakamwa opangidwa mwapadera (omwe angakhale ndi mankhwala ochepetsa ululu, mankhwala oletsa asidi, ndi mankhwala oletsa antihistamine), ndi corticosteroids (mtundu wa mankhwala omwe amachepetsa kutupa - monga mafuta kapena mapiritsi).

Kodi chimachitika ndi chiyani ngati stomatitis imayamba?

Mitundu ina ya stomatitis imadzichiritsa yokha. Mwachitsanzo, zilonda za m'mimba ndi zilonda zozizira nthawi zambiri zimachira mkati mwa milungu iwiri, nthawi zambiri popanda mankhwala. Mankhwala angakuthandizeni kuchira mwachangu. Komabe, chifukwa palibe mankhwala a kachilombo ka herpes komwe kamayambitsa zilonda zozizira, zilondazi zimatha kubwereranso mobwerezabwereza m'moyo wanu wonse. Koma nthawi zambiri sizimakhala zoopsa.

Pa mitundu ina ya stomatitis, kuchira kwanu kudzadalira chomwe chinayambitsa. Zifukwa zambiri zimatha kuchiritsidwa kapena kulamulidwa.

Kodi matenda a m'kamwa angapewedwe?

Ngakhale sitingathe kupewa zinthu zonse zomwe zimayambitsa stomatitis, pali zinthu zomwe tingachite kuti tichepetse chiopsezo:

• Kutsuka mano anu kawiri patsiku ndi burashi yofewa ya mano , kutsuka mano tsiku lililonse, komanso kutsuka mano nthawi zonse .
• Kudya zakudya zopatsa thanzi (zipatso, ndiwo zamasamba, ndi masamba ambiri) ndikumwa madzi okwanira tsiku lililonse.
• Pewani kusuta fodya ndi kugwiritsa ntchito fodya (ndipo ngati mwayamba kale kusuta fodya, yesani kusiya).
• Pewani kugawana chakudya, zakumwa, ndi mankhwala opaka pakamwa ndi munthu amene ali ndi chimfine, ndipo pewani kukhudzana naye, monga kupsompsonana ndi kugonana pakamwa.
• Samalani mukamadya zakudya zotentha, zokometsera komanso zakumwa zotentha .
• Kuyesa kuchepetsa nkhawa (kusinkhasinkha, kuchita masewera olimbitsa thupi, ndi zina zotero).

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zilonda pakamwa ndipo chitetezo chanu cha mthupi chili chofooka (chosakhazikika m'thupi) , pitani kwa dokotala nthawi yomweyo. Ngati ndinu kholo kapena wosamalira mwana wakhanda ndipo mwawona chilonda chozizira pakamwa pa mwana wanu, pitani kwa dokotala wa ana nthawi yomweyo. Stomatitis ingayambitse matenda oopsa pazochitikazi.

Komanso, ngati muli ndi chilonda cha mkamwa chomwe sichichira patatha masiku 10-14 , ndipo muli ndi zizindikiro zina ngati izi, konzani nthawi yoti mukaone dokotala:

• Ngati malungo ali pamwamba pa madigiri 38 Celsius (madigiri 100.4 Fahrenheit).
• Ngati muli ndi matuza kapena ziphuphu pakhungu lanu.
• Ngati muli ndi ululu m'maso, kufiira, kusawona bwino, kapena kutupa.
• Ngati zilonda za mkamwa zimachitika pafupipafupi.
• Ngati pali ululu waukulu moti simungathe kumeza chakudya.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndichifukwa chiyani ndili ndi stomatitis?
• Kodi izi zichira zokha? Kapena zitenga nthawi yayitali bwanji?
• Ndi chithandizo chamtundu wanji chomwe ndikufunika kuti ndichiritse izi?
• Ndi mankhwala ati omwe angathandize kuchepetsa zizindikiro mpaka kutupa kutatha? Kodi pali zinthu zomwe ndingachite kunyumba?
• Kodi ndiyenera kuchita chiyani kuti izi zisachitikenso?
• Kodi ndiyenera kusintha chilichonse pa zomwe ndimadya ndi kumwa?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Stomatitis, kapena oral mucositis, ndi vuto losasangalatsa kwambiri, mosasamala kanthu za chifukwa chake. Zizindikiro za zilonda zam'kamwa ndi matuza nthawi zina zimakhala zochititsa manyazi. Nkhani yabwino ndi yakuti kusasangalala kumeneku nthawi zambiri kumakhala kwa kanthawi kochepa, ndipo kutupa kumachepa pakapita nthawi. Kutengera ndi chifukwa chake, mutha kufulumizitsa njira yochiritsira pogwiritsa ntchito mankhwala operekedwa ndi dokotala kapena mankhwala olembedwa ndi dokotala.

Chofunika kwambiri ndichakuti ngati muli ndi zilonda pakamwa zomwe sizichira, kapena ngati muli ndi zizindikiro zina zachilendo, onetsetsani kuti mwawonana ndi dokotala. Iye angapeze chomwe chikuyambitsa ndikukupatsani chithandizo chomwe chingakuthandizeni. Kusamalira thanzi la pakamwa panu ndikofunikira kwambiri! Chifukwa pakamwa pabwino ndi chiyambi chabwino cha thupi labwino.

Zilonda za pakamwa , Stomatitis, mucositis ya pakamwa, Matenda a pakamwa, matuza a pakamwa, Zilonda za khansa, Zilonda zozizira, Kutupa pakamwa, Thanzi la pakamwa, Matenda a pakamwa