Ingabe izindebe zakho nezihlathi zakho zivuvukele? Ingabe lokho 'yi-Orofacial Granulomatosis'? Ake sixoxe ngalokhu!

Ingabe izindebe zakho, izihlathi, noma ezinye izindawo zobuso bakho ziyavuvukala ngokuzumayo? Ingabe ngezinye izikhathi uzizwa sengathi unamaqhubu amancane? Nakuba lokhu kungase kuzwakale kungavamile, empeleni kungaba yisimo sezokwelapha. Namuhla sizokhuluma ngesimo esibizwa ngokuthi 'i-Orofacial Granulomatosis' esibonisa izimpawu ezifanayo, okuyinto engavamile kodwa ebalulekile ukuyazi.

Kuyini 'i-Orofacial Granulomatosis'?

Kalula nje, i-'Orofacial Granulomatosis' yisimo sesikhumba esibangela ukuvuvukala kanye namaqhubu ebusweni bethu, ngaphakathi emlonyeni, ikakhulukazi ezindebeni nasezihlathini. Lokhu akuvamile. Ngezinye izikhathi la maqhubu angabonakala ngeso lenyama futhi angazwakala ngesandla.

Manje, uma lesi simo se-'Orofacial Granulomatosis' sikhawulelwe ezindebeni, kunezinhlobo eziningana zamagama akhethekile aso. Lawa ngamagama alandelayo:

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

Nakuba la magama engase azwakale eyinkimbinkimbi kancane, wonke asho into efanayo - okungukuthi, ukuvuvukala nokunamaqhubu kwezindebe okukhulunywe ngakho ngenhla.

Ubani onamathuba amaningi okuthola lesi simo?

Kulungile, manje ake sibone ukuthi ubani onamathuba amaningi okuthola i-'Orofacial Granulomatosis'. Empeleni lesi akusona isimo esivamile kakhulu. Sithinta abantu abangaphansi kuka-1% . Nakuba singathinta noma ubani wanoma yimuphi ubudala, sivame kakhulu kubantu abasha abaneminyaka ephakathi kuka-20 no-40 .

Enye into ukuthi lesi simo ngezinye izikhathi singavela sodwa (idiopathic), okusho ukuthi singavela ngaphandle kwanoma yisiphi esinye isifo. Kodwa-ke, ngezinye izikhathi singavela kanye nezinye izimo zezokwelapha. Isibonelo:

• Isifo sikaCrohn : Kungenzeka ukuthi uke wezwa ngalokhu, isimo sokuvuvukala kwamathumbu okungapheli.
• I-Sarcoidosis : Lesi futhi yisimo lapho kwakheka khona izigaxa ezincane zamaseli (ama-granuloma) ezingxenyeni ezahlukene zomzimba, ikakhulukazi emaphashini nasema-lymph node.
• Izifo ezihlukahlukene ezithelelanayo : Isibonelo, lokhu kungahlotshaniswa nezifo ezifana nesifo sofuba.

Elinye iqiniso elithakazelisayo ukuthi lesi simo esibizwa ngokuthi 'i-Orofacial Granulomatosis' sivame ukuhlotshaniswa nesimo sezinzwa esibizwa ngokuthi 'i-Melkersson-Rosenthal syndrome' . Lesi sifo sinezimpawu ezintathu eziyinhloko:

• Ukuvuvukala kobuso noma kwezindebe.
• Ulimi lungase lube nokubukeka okugobile noma imifantu ejulile (imifantu noma imifantu).
• Ukulahlekelwa umsebenzi wobuso ophindaphindayo, okusho ukungakwazi ukulawula ukubonakaliswa kobuso (`ukukhubazeka kobuso`).

Yini ebangela i-'Orofacial Granulomatosis'?

Iyini imbangela yangempela ye-'Orofacial Granulomatosis'?Ososayensi abakakazi kahle ukuthi yini ebangela lokhu, kodwa bayaqhubeka nokucwaninga ngakho. Okwamanje bacabanga ukuthi kunezimbangela eziningana ezingaba khona:

• Ukungezwani komzimba noma ukuzwela ekudleni okuthile : Isibonelo, izinto ezifana nesinamoni, ushokoledi, kanye nezinye izinto zokulondoloza ukudla.
• Ukutheleleka ngamagciwane noma ngesikhunta .
• Izinguquko ekusebenzeni kwesimiso somzimba sokuzivikela (izimpendulo zomzimba) zabantu abanezinkinga ezithile zofuzo .

Ososayensi bakholelwa ukuthi lokhu kuvuvukala kwenzeka ngoba izigaxa ezincane zamaseli ezibizwa ngokuthi 'ama-granuloma' (empeleni amagaxa amancane akhiwa amaseli ohlelo lokuzivikela komzimba) avimba uhlelo lwethu lwe-lymphatic . Cabanga ngalokhu: uhlelo lwe-lymphatic luyisistimu yokukhipha amanzi esusa imfucuza emzimbeni wethu. Ngakho-ke lapho lolu hlelo luyeka ukusebenza kahle ngenxa yalezi 'granulomas', uketshezi lwe-lymph luyanqwabelana futhi lubangele ukuvuvukala. Lokhu kubizwa ngokuthi 'i-lymphedema' .

Ziyini izimpawu zalesi simo?

Uphawu lokuqala noluvame kakhulu lwe-Orofacial Granulomatosis ukuvuvukala okuthambile, okungenabuhlungu kwendebe eyodwa noma zombili. Udebe olungezansi luvame ukuvuvukala kakhulu kunodebe oluphezulu. Lokhu kuvuvukala kuyafika kudlule. Ngezinye izikhathi kungahlala amasonto noma izinyanga. Ngokuhamba kwesikhathi, lokhu kuvuvukala kungaba yirabha, kube nzima, kube buhlungu, noma kube unomphela.

Ngaphezu kwalesi sibonakaliso esiyinhloko, ezinye izimpawu eziningana zingabonakala:

• Izindebe eziqhekekile .
• Ukuvuza amathe , ngezinye izikhathi ngokungalawuleki.
• Isikhumba esomile, esibomvu, esixebukayo emlonyeni wakho .
• Njengoba kushiwo ngaphambili, kunemifantu noma imiphetho olimini lwakho .
• Izilonda emlonyeni noma amaqhubu amancane noma amathegi esikhumba emlonyeni .
• Ubunzima bokukhuluma noma ukudla .
• Ungase uvuvuke noma uqhume emlonyeni, ezihlathini, ezinsinini, olimini, esilevini, emehlweni, ebunzini, noma ngisho nasekhanda lakho . Cabanga ukuthi lokhu kungaba yinto engakhululekile kangakanani.

Ingabe i-'Orofacial Granulomatosis' iyathelelana?

Umbuzo abantu abaningi abanawo ukuthi ingabe iyathelelana yini. I-Orofacial Granulomatosis ingasakazeka kusuka kwenye ingxenye yobuso iye kwenye. Lokho kusho ukuthi ingaqala ezindebeni iye ezihlathini. Kodwa-ke, akusona isifo esithelelanayo . Ngakho-ke akukho okufanele ukhathazeke ngakho.

Ungasibona kanjani lesi simo?

Nokho-ke, lesi simo 'se-Orofacial Granulomatosis' sitholakala kanjani ngempela?

Ukuze ahlole lokhu, udokotela wesikhumba uzohlola indawo lapho kukhona khona ukuvuvukala.Kuthathwa ingxenye encane yesikhumba bese ihlolwa ('i-biopsy'). Lokhu kufana nokuhlinzwa okuncane. Ngemuva kwalokho udokotela wezifo uhlola le ngxenye yesikhumba ngaphansi kwesibonakhulu ukuze abone ukuthi kukhona yini 'ama-granuloma angenayo' (igama lezokwelapha lala maqhubu amangqamuzana). Uma ekhona, lesi sifo siyaqinisekiswa.

Ngaphezu kwalokhu kuhlolwa okuyinhloko, udokotela angase enze nezinye izivivinyo ezimbalwa ukuze ahlole ezinye izimo zezokwelapha, njengoba sixoxe ngaphambilini ukuthi lokhu kungahlotshaniswa nezinye izifo.

• Ukuhlolwa kwegazi ukuhlola izifo ezifana nesifo sofuba.
• Ama-X-ray esifubeni ukuhlola i-sarcoidosis.
• I-Colonoscopy (ukuhlolwa okusebenzisa ikhamera ukubheka i-colon) kanye nokuhlolwa kwegazi ukuhlola isifo sikaCrohn.
• Ukuhlolwa kwe-patch kwenziwa ukuhlola ukuthi kukhona yini ukungezwani komzimba noma ukuzwela. Lokhu kuhilela ukufaka izinto ezithile esikhumbeni ukuze kubonakale ukuthi awunayo yini i-allergy kuzo.

Iphathwa kanjani i-'Orofacial Granulomatosis'?

Manje ake sibone ukuthi singayelapha kanjani le 'Orofacial Granulomatosis'. Akuwona wonke umuntu oqala ukwelashwa ngokushesha. Udokotela unquma ukuqala ukwelashwa ezimweni ezilandelayo:

• Uma ukhathazekile kakhulu noma udabuke ngokubukeka kwakho .
• Uma kukhona ubuhlungu .
• Uma unenkinga yokusebenzisa ubuso noma umlomo wakho ngendlela efanele, okungukuthi, ukukhuluma, ukudla, noma ukuphuza .

Ukwelashwa okuvame kakhulu kwalesi simo ukusetshenziswa kohlobo lomuthi olubizwa ngokuthi `ama-Corticosteroids` . Kungenzeka ukuthi uke wezwa leli gama. Lezi zinhlobo ze-steroid. Uhlobo lwe-steroid olunikezwayo nendlela olunikezwa ngayo kuzohluka kuye ngokuthi isimo sibucayi kangakanani:

• Ama-steroid asetshenziswa endaweni yokugcoba : Lawa angafika njengama-ointments, ama-creams, noma ama-mouthwash.
• Imijovo ye-Cortisone inikezwa ngqo endaweni yokuvuvukala .
• Ama-steroid ajwayelekile : Ngokuvamile, uhlobo lwe-steroid olunikezwayo lubizwa ngokuthi "i-Prednisone."

Ngaphezu kwalezi zindlela zokwelapha ze-steroid, udokotela angase futhi ancome okulandelayo:

• Uma kukhona izifo, zilwe nazo nge-'Antibiotics' .
• Uma kutholakala ukuthi kukhona ukungezwani komzimba, uzocelwa ukuthi wenze izinguquko ekudleni kwakho ngokufanele .
• Ama-immunosuppressants : Lawa anganikezwa njengemithi yomlomo noma njengokwelashwa okufakwe esikhumbeni.
• Uma ukuvuvukala okungapheli kuphazamisa imisebenzi ebalulekile njengokukhuluma, ukudla, nokuphuza, ukuhlinzwa kungenziwa ukuze kuncishiswe ukuvuvukala .

Ingabe ikhona ikhambi elihlala njalo lalokhu?

Umbuzo abantu abaningi abawubuzayo ukuthi ngabe ikhona yini ikhambi elihlala njalo lalokhu. Ngeshwa, okwamanje alikho ikhambi elihlala njalo le-Orofacial Granulomatosis. Ukwelashwa kuhloswe kakhulu ukulawula izimpawu nokunciphisa ukungakhululeki okubangelwa yisiguli, okuhlinzeka ngenduduzo ethile.

Ingabe i-Orofacial Granulomatosis ingavinjelwa?

Njengoba imbangela eqondile ye-Orofacial Granulomatosis ingaziwa, okwamanje ayikho indlela eqinisekisiwe yokuyivimbela .

Iyini imbono yabantu abanalesi simo?

Ukwelapha lesi simo, i-'Orofacial Granulomatosis', kuyinkimbinkimbi kancane . Kungathatha izinyanga, ngisho neminyaka, ukuthi ukwelashwa kwamanje kubonise imiphumela. Lokhu kusho ukuthi imiphumela ihamba kancane kakhulu. Ngezinye izikhathi, ukwelashwa kungase kungasizi ngalutho.

Akuvamile kakhulu, okungukuthi, akuvamile kakhulu, lesi simo singaba ngcono ngokuzumayo ngokwaso (`ukuthethelelwa okuzenzakalelayo`) ngaphandle kokwelashwa. Kodwa lokho akuvamile kakhulu.

Ubhekana kanjani kahle nalesi simo?

Ukuphila nalesi simo, i-'Orofacial Granulomatosis', kungaba nzima kakhulu . Kungathinta ukubukeka kwakho, ukusebenza komlomo wakho, futhi kungaba nemiphumela eminingi yengqondo. Kodwa kunezindlela ezithile zokukusiza ukubhekana nalesi simo:

• Izikhathi zokwelulekwa : Lokhu kungaba usizo kakhulu ekukhulumeni ngemizwa yakho nokufunda ukuthi ungayilawula kanjani.
• Amaqembu okusekelana : Leli yithuba elihle lokuxhumana nabanye ababhekene nezimo ezifanayo nokwabelana ngolwazi. Lokhu kuzokusiza uzizwe sengathi awuwedwa.
• Izivivinyo zokucabanga okuhle : Izinto ezifana nokucabanga nokugxila ezimfanelweni zakho ezinhle kakhulu, impumelelo oyenzile.
• Ukuhlanganyela emisebenzini yomphakathi : Kubalulekile ukuchitha isikhathi nabangani nomndeni abasekelayo nabaqondayo ukuze ungazizwa uwedwa.

Kufanele ufune nini iseluleko sezokwelapha?

Uma uzizwa ubuthakathaka noma ukhubazekile ngokuzumayo kunoma iyiphi ingxenye yobuso bakho, kufanele ufune iseluleko sezokwelapha ngokushesha . Futhi, uma ubona imifantu noma imisele olimini lwakho, njengoba kushiwo ngaphambili, kufanele futhi wazise udokotela wakho ngakho . Lezi zimpawu zingase zibe izimpawu zesifo i-Melkersson-Rosenthal esixoxe ngaso noma esinye isimo esibi.

I-Orofacial Granulomatosis yisifo sesikhumba esingavamile esingabangela ukuvuvukala kwezindebe zakho, umlomo, nezinye izingxenye zobuso bakho. Ngakho-ke uma uvuvukile ebusweni bakho, kungcono ukubona udokotela ukuze uthole ukuxilongwa okufanele kanye nokwelashwa. Ayikho ikhambi le-Orofacial Granulomatosis, kodwa ukwelashwa okufana ne-corticosteroids kungasiza ekunciphiseni izimpawu.

Yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, ngakho-ke sesikhulume kakhulu nge-'Orofacial Granulomatosis'. Nazi ezinye izinto ezilula okufanele uzikhumbule:

• I-Orofacial Granulomatosis yisimo esingavamile esibangela ukuvuvukala kanye namaqhubu ebusweni, ikakhulukazi izindebe nezihlathi.
• Imbangela yangempela yalokhu ayikatholakali okwamanje , kodwa ukungezwani komzimba, izifo, izakhi zofuzo, kanye nezinkinga zesistimu yomzimba wokuzivikela komzimba kucatshangwa ukuthi kuyizinto ezibangela lokhu.
• Uphawu oluyinhloko ukuvuvukala kwezindebe. Kodwa-ke, izilonda emlonyeni, izinguquko olimini, kanye nobunzima bokudla nokukhuluma nakho kungavela.
• Lokhu akuthelelani .
• Indlela eyinhloko yokuxilonga i-biopsy yesikhumba.
• Ama-corticosteroids avame ukusetshenziswa njengokwelashwa. Ngezinye izikhathi ukuhlinzwa kungadingeka.
• Nakuba okwamanje kungekho ikhambi elihlala njalo, izimpawu zingalawulwa .
• Uma ubona ukulahlekelwa ubuso ngokuzumayo noma ushintsho olungavamile olimini lwakho, bona udokotela ngokushesha .

Ungakhohlwa, uma unalezi zimpawu, ungabi namahloni noma uzesabe. Funa iseluleko sezokwelapha ngokushesha. Into ebaluleke kakhulu ukuxilonga lesi sifo ngendlela efanele bese ucela ukwelashwa okufanele. Futhi, ukuhlala uqinile engqondweni kubaluleke kakhulu lapho ubhekene nesimo esinjengalesi.

Ukuvuvukala kobuso , ukuvuvukala kwezindebe, i-granulomatosis ye-orofacial, ama-dermatoses, ama-nodules, i-Melkersson-Rosenthal syndrome, ama-corticosteroids