Ingaba imilebe yakho nezidlele zakho zidumbile? Ingaba yi-'Orofacial Granulomatosis' leyo? Makhe sithethe ngale nto!

Ngaba imilebe yakho, izidlele, okanye ezinye iindawo zobuso bakho ziyavuvukala ngequbuliso? Ngaba ngamanye amaxesha uziva ngathi unamaqhuqhuva amancinci? Nangona oku kunokuvakala kungaqhelekanga, kusenokwenzeka ukuba yimeko yezonyango. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-'Orofacial Granulomatosis' ebonisa iimpawu ezifanayo, nto leyo engaqhelekanga kodwa kubalulekile ukuyazi.

Yintoni i-'Orofacial Granulomatosis'?

Ngamafutshane, i-'Orofacial Granulomatosis' yimeko yesikhumba ebangela ukudumba kunye namaqhuma ebusweni bethu, ngaphakathi emlonyeni, ingakumbi emilebeni nasezidleleni. Oku kunqabile kancinci. Ngamanye amaxesha la maqhuma anokubonwa ngamehlo kwaye anokuviwa ngesandla.

Ngoku, ukuba le meko ye-'Orofacial Granulomatosis' iphelela emilebeni, kukho amagama akhethekileyo ayo. Lawa ngala:

• `I-Cheilitis granulomatosa`
• `I-granulomatous cheilitis`
• I-Miescher cheilitis

Nangona la magama esenokuvakala ngathi antsonkothile, onke athetha into enye - oko kukuthi, ukudumba nokunamaqhuqhuva kwemilebe okukhankanyiweyo apha ngasentla.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Kulungile, ngoku masibone ukuba ngubani onokuba nesifo se-'Orofacial Granulomatosis'. Esi asiyongxaki ixhaphakileyo. Sichaphazela ngaphantsi kwe-1% yabemi. Nangona sinokuchaphazela nabani na walo naluphi na ubudala, sixhaphake kakhulu kubantu abancinci abaphakathi kweminyaka engama-20 ukuya kwengama-40 .

Enye into kukuba le meko ngamanye amaxesha ingenzeka yodwa (idiopathic), oko kuthetha ukuba ingenzeka ngaphandle kwesinye isifo. Nangona kunjalo, ngamanye amaxesha ingenzeka ngokunxulumene nezinye iimeko zonyango. Umzekelo:

• Isifo sikaCrohn : Usenokuba ukhe weva ngale nto, imeko engapheliyo yokudumba kwamathumbu.
• I-Sarcoidosis : Le yimeko apho amaqhuma amancinci eeseli (iigranuloma) akheka kwiindawo ezahlukeneyo zomzimba, ingakumbi emiphungeni nakwii-lymph nodes.
• Izifo ezahlukeneyo ezisulelayo : Umzekelo, oku kunokunxulunyaniswa nezifo ezifana nesifo sephepha.

Enye into enomdla kukuba le meko ibizwa ngokuba yi-'Orofacial Granulomatosis' idla ngokunxulunyaniswa nesifo semithambo-luvo esibizwa ngokuba yi -'Melkersson-Rosenthal syndrome' . Esi sifo sineempawu ezintathu eziphambili:

• Ukudumba kobuso okanye imilebe.
• Ulwimi lunokuba nenkangeleko egosogoso okanye imingxunya enzulu (imiqolo okanye imingxunya).
• Ukulahlekelwa ngumsebenzi wobuso ophindaphindayo, oko kuthetha ukungakwazi ukulawula imbonakalo yobuso (`ukukhubazeka kobuso`).

Yintoni ebangela i-'Orofacial Granulomatosis'?

Yintoni unobangela wokwenene we-'Orofacial Granulomatosis'?Izazinzulu azikayazi kakuhle into ebangela oku, kodwa ziyaqhubeka nokuyiphanda. Okwangoku zicinga ukuba kukho izizathu ezininzi ezinokubangela oku:

• Ukunganyamezelani okanye ukungaziva kakuhle kokutya okuthile : Umzekelo, izinto ezifana nesinamoni, itshokholethi, kunye nezinye izinto zokugcina ukutya.
• Usulelo lweentsholongwane okanye lwefungus .
• Utshintsho kumsebenzi womzimba (iimpendulo zomzimba) zabantu abaneengxaki ezithile zemfuza .

Izazinzulu zikholelwa ukuba oku kudumba kwenzeka kuba amaqhuma amancinci eeseli abizwa ngokuba yi-'granulomas' (eneneni amaqhuma amancinci enziwe ziiseli zenkqubo yomzimba yokuzikhusela) athintela inkqubo yethu ye-lymphatic . Cinga ngale ndlela: inkqubo ye-lymphatic yinkqubo yokukhupha amanzi esusa inkunkuma emzimbeni wethu. Ngoko ke xa le nkqubo iyeka ukusebenza kakuhle ngenxa yezi 'granulomas', ulwelo lwe-lymph luyaqokelelana luze lubangele ukudumba. Oku kubizwa ngokuba yi -'lymphedema' .

Zithini iimpawu zale meko?

Uphawu lokuqala noluqhelekileyo lwe-Orofacial Granulomatosis kukudumba okuthambileyo, okungenabuhlungu komlomo omnye okanye yomibini. Umlebe ongezantsi udla ngokudumba ngakumbi kunomlomo ophezulu. Oku kudumba kuyafika kudlule. Ngamanye amaxesha kunokuhlala iiveki okanye iinyanga. Ekuhambeni kwexesha, oku kudumba kunokuba ngerabha, kube nzima, kube buhlungu, okanye kube yinto engapheliyo.

Ukongeza kolu phawu luphambili, ezinye iimpawu ezininzi zinokubonakala:

• Imilebe eqhekekileyo .
• Ukuvuza amathe , ngamanye amaxesha ngendlela engalawulekiyo.
• Ulusu olomileyo, olubomvu, oluxobukayo olujikeleze umlomo wakho .
• Njengoko bekutshiwo ngaphambili, kukho imingxunya okanye iinduli elulwimini lwakho .
• Izilonda zomlomo okanye amaqhuma amancinci okanye amathegi esikhumba emlonyeni .
• Ubunzima bokuthetha okanye bokutya .
• Usenokudumba okanye ube namaqhuma emlonyeni, ezidleleni, kwiintsini, elulwimini, esilevini, emehlweni, ebunzini, okanye nasentlokweni yakho . Khawucinge nje ukuba oku kunokuba nzima kangakanani.

Ingaba i-'Orofacial Granulomatosis' iyasulela?

Umbuzo abantu abaninzi abanawo kukuba ingaba iyasulela na. I-Orofacial Granulomatosis inokusasazeka ukusuka kwelinye icala lobuso ukuya kwelinye. Oko kuthetha ukuba inokuqala emilebeni iye ezidleleni. Nangona kunjalo, ayisosifo esosulelayo . Ngoko ke akukho nto ifanele ixhalabe ngayo.

Ungayibona njani le meko?

Kaloku, le meko `Orofacial Granulomatosis` ifunyaniswa njani kanye kanye?

Ukuze afumanise oku, ugqirha wesikhumba uza kuhlola indawo apho kukho ukudumba.Kuthathwa iqhekeza elincinci lesikhumba lize lihlolwe ('i-biopsy'). Oku kufana notyando oluncinci. Emva koko ingcali yezifo ihlola eli qhekeza lesikhumba phantsi kwemakroskopu ukuze ibone ukuba kukho na 'ii-granulomas ezingezizo iiseli' (igama lezonyango lala maqhuqhuva eeseli). Ukuba zikhona, isifo siyaqinisekiswa.

Ukongeza kolu vavanyo luphambili, ugqirha unokwenza nezinye iimvavanyo ezimbalwa ukujonga ezinye iimeko zempilo, njengoko besixoxile ngaphambili ukuba oku kunokunxulunyaniswa nezinye izifo.

• Uvavanyo lwegazi ukujonga ukuba azikho na izifo ezifana nesifo sephepha.
• Ii-X-ray zesifuba ukujonga i-sarcoidosis.
• I-Colonoscopy (uvavanyo olusebenzisa ikhamera ukujonga ikholoni) kunye novavanyo lwegazi ukujonga isifo sikaCrohn.
• Uvavanyo lwepetshi lwenziwa ukujonga ukuba akukho allergies okanye ukuba kukho ukuva ubuhlungu. Oku kubandakanya ukufaka izinto ezithile eluswini ukuze kubonwe ukuba awuna allergy kuzo.

Inyangwa njani i-'Orofacial Granulomatosis'?

Ngoku makhe sibone indlela yokunyanga le `Orofacial Granulomatosis`. Asinguye wonke umntu oqala unyango ngoko nangoko. Ugqirha ugqiba ekubeni aqale unyango kwezi meko zilandelayo:

• Ukuba ukhathazekile kakhulu okanye ukhathazekile ngenkangeleko yakho .
• Ukuba kukho intlungu .
• Ukuba unengxaki yokusebenzisa ubuso okanye umlomo wakho ngokufanelekileyo, oko kukuthi, ukuthetha, ukutya, okanye ukusela .

Unyango oluqhelekileyo lwale meko kukusetyenziswa kohlobo lwamayeza abizwa ngokuba yi-`Corticosteroids` . Usenokuba ukhe waliva eli gama. Ezi luhlobo lwe-steroid. Uhlobo lwe-steroid olunikiweyo kunye nendlela enikwa ngayo ziya kwahluka ngokuxhomekeke kubukhali bemeko:

• Iisteroids ezisetyenziswa kwiindawo zokucoca : Ezi zinokufika njengezithambiso, iikhrimu, okanye izihlambi zomlomo.
• Iinaliti zeCortisone zifakwa ngqo kwindawo edumbileyo .
• Ii-steroids zenkqubo : Ngokuqhelekileyo, uhlobo lwe-steroid olunikiweyo lubizwa ngokuba yi-"Prednisone."

Ukongeza kwezi ndlela zonyango ze-steroid, ugqirha unokucebisa oku kulandelayo:

• Ukuba kukho izifo, zilwe nazo nge-'Antibiotics' .
• Ukuba kufunyenwe ukuba kukho i-allergy, uya kucelwa ukuba wenze utshintsho kwindlela otya ngayo ngokufanelekileyo .
• Ii-immunosuppressants : Ezi zinokunikwa njengeyeza lomlomo okanye njengonyango olusetyenziswa ngaphandle kwesikhumba.
• Ukuba ukudumba okungapheliyo kuphazamisa imisebenzi ebalulekileyo efana nokuthetha, ukutya, nokusela, utyando lunokwenziwa ukunciphisa ukudumba .

Ngaba ikho indlela ehlala ihleli yokunyanga oku?

Umbuzo abantu abaninzi abawubuzayo kukuba ingaba lukhona na unyango oluhlala luhleli loku. Ngelishwa, okwangoku akukho nyango oluhlala luhleli lwe-Orofacial Granulomatosis. Unyango lujolise kakhulu ekulawuleni iimpawu kunye nokunciphisa ukungonwabi okubangelwa sisigulana, ukunika intuthuzelo ethile.

Ngaba i-Orofacial Granulomatosis ingathintelwa?

Ekubeni unobangela ochanekileyo we-Orofacial Granulomatosis ungaziwa, okwangoku akukho ndlela iqinisekisiweyo yokuyithintela .

Iyintoni imbono yabantu abanale meko?

Ukunyanga le meko, `Orofacial Granulomatosis`, kunzima kancinci . Kungathatha iinyanga, kwaneminyaka, ukuba unyango lwangoku lubonise iziphumo. Oku kuthetha ukuba iziphumo zihamba kancinci kakhulu. Ngamanye amaxesha, unyango lusenokungancedi konke konke.

Kunqabile kakhulu, oko kukuthi, kunqabile kakhulu, le meko inokuphila ngequbuliso ngokwayo (`ukuxolelwa okuzenzekelayo`) ngaphandle konyango. Kodwa oko kunqabile kakhulu.

Uhlangabezana njani kakuhle nale meko?

Ukuphila nale meko, `Orofacial Granulomatosis`, kunokuba nzima kakhulu . Ingayichaphazela inkangeleko yakho, ukusebenza komlomo wakho, kwaye inokuba nemiphumo emininzi yengqondo. Kodwa kukho ezinye iindlela zokukunceda ujongane nale meko:

• Iiseshoni zokunika iingcebiso : Oku kunokuba luncedo kakhulu ekuthetheni ngeemvakalelo zakho kunye nokufunda indlela yokuzilawula.
• Amaqela enkxaso : Eli lithuba elihle lokunxibelelana nabanye abajongene neemeko ezifanayo nokwabelana ngamava. Oku kuya kukunceda uzive ngathi awuwedwa.
• Imithambo yokucinga ngendlela eyakhayo : Izinto ezinje ngokucinga nokugxila kwiimpawu zakho ezilungileyo, impumelelo oyenzileyo.
• Ukuthatha inxaxheba kwimisebenzi yoluntu : Kubalulekile ukuchitha ixesha nabahlobo kunye nosapho oluxhasayo noluqondayo ukuze ungaziva uwedwa.

Ufanele ufune nini ingcebiso kagqirha?

Ukuba ngequbuliso ufumana ubuthathaka okanye ukushwabana komzimba nakweyiphi na indawo yobuso bakho, kufuneka ufune ingcebiso kagqirha ngoko nangoko . Kwakhona, ukuba ubona imiqolo okanye imingxunya kulwimi lwakho, njengoko bekutshiwo ngaphambili, kufuneka wazise ugqirha wakho ngayo . Ezi mpawu zisenokuba ziimpawu zesifo sikaMelkersson-Rosenthal esixoxe ngaso okanye esinye isifo esinzima.

I-Orofacial Granulomatosis sisifo esingaqhelekanga solusu esinokubangela ukudumba kwemilebe yakho, umlomo, kunye nezinye iindawo zobuso bakho. Ngoko ke ukuba kukho ukudumba ebusweni bakho, kungcono ukubona ugqirha ukuze ufumane unyango olufanelekileyo. Akukho nyango lwe-Orofacial Granulomatosis, kodwa unyango olufana ne-corticosteroids lunokunceda ukunciphisa iimpawu.

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Kulungile, ngoko ke sithethe kakhulu nge-'Orofacial Granulomatosis'. Nazi izinto ezilula ekufuneka uzikhumbule:

• I-Orofacial Granulomatosis yimeko engaqhelekanga ebangela ukudumba kunye namaqhuma ebusweni, ingakumbi imilebe kunye nezidlele.
• Isizathu esichanekileyo soku asikafunyanwa , kodwa ii-allergies, usulelo, i-genetics, kunye neengxaki zenkqubo yomzimba yokuzikhusela zithathwa njengezona zinto zinegalelo.
• Uphawu oluphambili kukudumba kwemilebe. Nangona kunjalo, izilonda emlonyeni, utshintsho kulwimi, kunye nobunzima bokutya nokuthetha nako kunokubakho.
• Oku akusuleli .
• Eyona ndlela iphambili yokuxilonga yi-skin biopsy.
• Ii-corticosteroids zihlala zisetyenziswa njengonyango. Ngamanye amaxesha utyando lunokufuneka.
• Nangona okwangoku kungekho nyango luhlala luhleli, iimpawu zinokulawulwa .
• Ukuba ubona ukulahleka ngequbuliso kwembonakalo yobuso okanye utshintsho olungaqhelekanga kulwimi lwakho, bonana nogqirha ngoko nangoko .

Ungalibali ukuba, ukuba unezi mpawu, ungabi neentloni okanye uzoyike. Funa ingcebiso kagqirha ngoko nangoko. Eyona nto ibalulekileyo kukufumanisa isifo ngokuchanekileyo kwaye ufumane unyango olufanelekileyo. Kwakhona, ukuhlala uqinile engqondweni kubaluleke kakhulu xa ujongene nemeko efana nale.

Ukudumba kobuso , ukudumba kwemilebe, i-orofacial granulomatosis, iidermatoses, amaqhuqhuva, iMelkersson-Rosenthal syndrome, ii-corticosteroids