Ingabe unama-ulcer emlonyeni (i-Stomatitis)? Ake sixoxe ngalokhu ngokuningiliziwe!

Ingabe ngezinye izikhathi uthola izilonda emlonyeni ezibuhlungu kangangokuthi awukwazi ngisho nokudla? Noma uthola amabhamuza amancane ezindebeni zakho akukhathazayo? Lokhu yilokho esikubiza ngokuthi 'i-Stomatitis' noma izifo zomlomo. Akukho okufanele ukhathazeke ngakho, lokhu kuyinto eyenzeka kubantu abaningi. Ake sithole okwengeziwe ngakho namuhla.

Kuyini i-Stomatitis?

Kalula nje, i-stomatitis ukuvuvukala noma ukuvuvukala kwe -mucous membranes (okubizwa nangokuthi "i-mucous membranes" noma "i-mucosa") ngaphakathi emlonyeni wakho, okuhlanganisa nezindebe zakho. Empeleni, lesi simo siwela ngaphansi kwesigaba esikhulu se-"mucositis". I-"Mucositis" ibhekisela ekuvuvukeni kwalezi zicubu ze-mucous, hhayi emlonyeni wakho kuphela, kodwa kulo lonke uhlelo lwakho lokugaya ukudla ("indlela yesisu (GI)").

Cabanga ngakho, uma sithola inxeba endaweni ethile emzimbeni wethu, leyo ndawo iba bomvu, ivuvuke, futhi ibe buhlungu. Kwenzeka into efanayo ngaphakathi emlonyeni wethu. Uma lezi zinhlayiya ezithambile emlonyeni wethu zonakele nganoma iyiphi indlela, impendulo yemvelo yomzimba wethu iwukubangela lokhu kuvuvukala. Yingakho kubalulekile ukwazi lezi zimpawu. Esikhathini esiningi, izimbangela zalokhu kuvuvukala azizimbi kangako, futhi ziyaphola zodwa. Kodwa ngezinye izikhathi, kunezikhathi lapho kudingeka khona iseluleko sezokwelapha kanye nemithi.

Yiziphi izinhlobo eziyinhloko ze-stomatitis?

Kunezinhlobo ezahlukene ze-stomatitis. Ake sibheke izinhlobo ezivame kakhulu.

Izilonda zomlomo (izilonda ze-Canker / i-Aphthous Stomatitis)

Lezi yizona ezivame kakhulu. Zakheka emlonyeni wakho, ngezinye izikhathi ngaphakathi kwezindebe zakho, ngaphansi kolimi lwakho, noma ngaphakathi kwezihlathi zakho. Ngokuvamile zibukeka njengezilonda ezincane ezimhlophe ezinemiphetho ebomvu ezizungezile. Zingaba buhlungu kancane. Isibonelo, abanye abantu bathola lezi zilonda ngemva kokudla okuthile okubabayo noma ngemva kokungalali ngokwanele, akunjalo?

Amaqhubu ezindebeni (Izilonda Zomkhuhlane / I-Herpetic Stomatitis)

Lawa amabhamuza amancane, anamanzi avame ukwakheka ezindebeni noma eduze kwazo. Ngezinye izikhathi, kungavela i-blister eyodwa, noma kungavela ngamaqoqo. Abangelwa igciwane elibizwa ngokuthi `(Herpes Simplex Virus type 1 - HSV-1)`. Angathelelana futhi.

Ngaphezu kwalezi zinhlobo ezimbili eziyinhloko, kunezinye izinhlobo ezingavamile:

• I-Angular Cheilitis / I-Angular Stomatitis: Lokhu ukuvuvukala, imifantu, kanye nezilonda ezikhula emakhoneni omlomo wakho. Amakhona omlomo wakho aba bomvu, ome, futhi ngezinye izikhathi aphume igazi. Lokhu kungabangelwa nokuntuleka kwamavithamini athile.
• I-Thrush (i-Candidal Stomatitis): Lokhu kwenzeka lapho uhlobo lwesikhunta esibizwa ngokuthi i-Candida lukhula kakhulu emlonyeni. Ngokuvamile luvela njengamabala amhlophe olimini nangaphakathi kwezihlathi. Luvame kakhulu ezinganeni ezincane nakubantu abanamasosha omzimba abuthakathaka.
• I-Contact Stomatitis: Lokhu kungenzeka uma uthinta into ethile ebangela ukungezwani komzimba nayo, isibonelo, ukudla okuthile (kwabanye abantu, izinto ezifana nophayinaphu notamatisi), imithi, noma ngisho nomuthi wokuxubha amazinyo.
• I-Stomatitis yamazinyo okufakelwa:Lokhu kuvame ukwenzeka kubantu abasebenzisa amazinyo okufakelwa. Uphahla lomlomo luba bomvu futhi luvuvuke. Ngezinye izikhathi lokhu kungahambisana nesimo esibizwa ngokuthi "i-Candidal Stomatitis". Lokhu kubangelwa futhi ukungawahlanzi kahle amazinyo okufakelwa.
• I-Gingivostomatitis: Lokhu ukuvuvukala komlomo nezinsini okubangelwa ukutheleleka ngegciwane noma amagciwane. Izinsini zingavuvukala futhi zophe igazi.
• I-Nicotine Stomatitis: Lokhu kwenzeka kubantu ababhemayo noma abasebenzisa ugwayi. Kungabonakala njengamabala amhlophe, amabi ophahleni lomlomo. Uma lokhu kuqhubeka, kunengozi yomdlavuza.

Ziyini izimpawu ze-stomatitis?

I-stomatitis ingabangela izimpawu ezahlukene kubantu abahlukene. Ake sibheke ezinye zezimpawu ezivame kakhulu:

• Ubomvu nokuvuvukala ngaphakathi emlonyeni.
• Ukwakheka kwe-blister encane (noma ama-blister amaningana) ezindebeni noma eduze kwazo.
• Izilonda ezingaphakathi emlonyeni. Lezi zivame ukuba mhlophe, zimpunga, noma ziphuzi ngombala . Zingase zibe nomngcele obomvu ozungezile.
• Amabala amhlophe noma ampunga olimini, ophahleni lomlomo, noma ngaphakathi kwezihlathi (ikakhulukazi ku-thrush).
• Umuzwa oshisayo olimini nasophahleni lomlomo.
• Umuzwa wobuhlungu obungapheli, ngezinye izikhathi obukhulu noma ukungakhululeki . Lokhu kungenza kube nzima ukudla, ukugwinya, ngisho nokukhuluma.
• Umoya omubi.
• Ngezinye izikhathi ungase uthole umkhuhlane.

Into ebaluleke kakhulu ukuthi, noma ngabe unesinye noma ezimbili zalezi zimpawu, ungazinaki. Ngezinye izikhathi kungaba yinto elula, kodwa ngezinye izikhathi udinga ukuthola iseluleko sezokwelapha.

Ziyini izimbangela ze-stomatitis?

Kunezimbangela eziningi ze-stomatitis. Ziningi izinto ezingaba nomthelela kukho, njengokutheleleka ngegciwane, ukulimala komlomo, kanye nokuntuleka kwesistimu yomzimba yokuzivikela. Ake sibheke lezi zimbangela ngokuningiliziwe.

• Ukutheleleka: Imbangela eyinhloko ye-stomatitis ukutheleleka. Ngokuvamile, igciwane le-herpes elibizwa nge-HSV-1, elibangela izilonda zomkhuhlane, yilona elibangela lokhu. Amanye amagciwane (njenge-chickenpox), amabhaktheriya, kanye nesikhunta nawo angabangela i-stomatitis. Isibonelo, ngezinye izikhathi ungalithola leli gciwane ngokufaka izandla zakho emlonyeni wakho ngezandla ezingcolile noma ngokuhlanganyela ipuleti nomuntu othelelekile.
• Ukulimala komlomo: Uma ulwelwesi oluthambile lomlomo wakho lonakele nganoma iyiphi indlela, indlela yokuphulukisa yomzimba wethu iyaqala futhi ibangele ukuvuvukala. Isibonelo, amazinyo okufakelwa angafakwanga kahle akhuhla ingaphakathi lomlomo wakho, izinsini zakho ziyalimala uma uxubha amazinyo akho kakhulu, umlomo wakho uyasha ngemva kokuphuza into eshisayo, umlomo wakho uyachotshozwa uma udla ukudla okuqinile, noma ukushisa kokubhema ugwayi kungabangela lokhu.
• Ukusabela kokungezwani komzimba noma ukucasuka komlomo: I-mucositis yomlomo ingabangelwa izinto ozizwa ungezwani nazo noma izinto ezicasula umlomo wakho. Izibonelo zifaka phakathi amazinyo athile, izihlanzi zomlomo, izimonyo (isb. i-lipstick), kanye nokudla okubabayo. Abanye abantu bathola izilonda emlonyeni ngisho nangemva kokudla ukudla okufana nophayinaphu notamatisi, akunjalo? Kunjalo.
• Ukwelashwa: I-oral mucositis iwumphumela ovamile wezinye izindlela zokwelapha umdlavuza. Nakuba ukwelashwa okufana ne-chemotherapy kanye nokwelashwa ngemisebe kubulala amangqamuzana omdlavuza, kungalimaza namangqamuzana anempilo. Amangqamuzana akulezi zindwangu ezithambile emlonyeni asengozini enkulu yalo monakalo.
• Imithi: Eminye imithi ingabangela nokuvuvukala komlomo. Isibonelo, ama-beta-blockers (uhlobo lomuthi osetshenziselwa ukwelapha umfutho wegazi ophakeme), ama-immunosuppressants (imithi ecindezela amasosha omzimba), kanye nemithi engeyona i-steroidal anti-inflammatory (ama-NSAID) (ama-painkiller). Uma uba nezilonda emlonyeni ngemva kokuqala noma yimuphi umuthi omusha, kufanele utshele udokotela wakho.
• Izimo zesistimu: I-Stomatitis ingabangelwa nezifo ezithile ezithinta umzimba wonke . Isibonelo, isifo sikaBehçet (esibangela izilonda emlonyeni, izilonda zangasese, kanye nokutheleleka kwamehlo) kanye nesifo se-celiac (ukuzwela ku-protein gluten). I-Stomatitis ingabangelwa nayizimo zesikhumba ezifana ne-bullous pemphigoid kanye ne-lichen planus.
• Ukuntuleka kokudla okunempilo: I-stomatitis ingakhula uma umzimba wakho ungatholi izakhamzimba ezanele ukulungisa ulwelwesi lomlomo wakho olulimele. Lokhu kuyiqiniso ikakhulukazi uma untula izakhamzimba ezifana ne-folate, i-iron, i-vitamin B12, i-vitamin C, kanye ne-zinc. Uyazi ukuthi kubaluleke kangakanani ukudla ukudla okulinganiselayo, akunjalo?

Ubani osengozini enkulu yokuthola i-stomatitis?

Abanye abantu basengozini enkulu yokuthola i-stomatitis kunabanye. Ake sibone ukuthi bangobani:

• Abantu abangawahlanzi kahle amazinyo: Uma ungawanakekeli kahle amazinyo akho kanye nempilo yomlomo, usengozini enkulu yokuthola izifo. Ukuxubha amazinyo akho kabili ngosuku kanye nokuhlikihla nge-floss kungasiza ekunciphiseni le ngozi.
• Abantu abanomlomo owomile: Amathe afana nesivikelo solwelwesi oluthambile olungaphakathi kwemilomo yethu. Uma amathe engenele, kunethuba elikhulu lezilonda nokutheleleka emlonyeni. Umlomo owomile ungabangelwa imithi ethile noma izifo ezithile.
• Abantu abanezitho zomzimba ezibuthakathaka: Abantu abanezifo ezifana ne-HIV/AIDS, labo abathola ukwelashwa komdlavuza, noma labo abathatha imithi yokucindezela amasosha omzimba basengozini enkulu yokutheleleka ngenxa yesimiso sabo somzimba sokuzivikela esibuthakathaka.
• Abantu ababhemayo nabaphuza utshwala.
• Abantu abanezinga eliphezulu lokucindezeleka.

Yiziphi izinkinga ezingaba khona ze-stomatitis?

Ngezinye izikhathi, ubuhlungu nokuvuvukala okubangelwa yi-stomatitis kukhulu kangangokuthi awukwazi ngisho nokudla noma ukuphuza noma yini. Kuvamile ukuzizwa sengathi awudli ukudla. Kodwa-ke, uma ungatholi izakhamzimba noketshezi oludingwa ngumzimba wakho, kungaholela ezinkingeni ezinkulu zempilo njengokungondleki kahle kanye nokuphelelwa amanzi emzimbeni .

I-Stomatitis ingabangelwa ukutheleleka, kanti i-stomatitis nayo ingabangelwa ukutheleleka. Kungenzeka kanjani lokho? Uma kukhona inxeba emlonyeni, kunethuba elikhulu lokungena kwamagciwane. Lokhu kungaholela ekuvuvukeni okuqhubekayo kanye nomonakalo wezicubu. Ngezinye izikhathi lezi zifo zingangena egazini futhi zisakazeke emzimbeni wonke (i-sepsis), okuyisimo esiyingozi.

Ngakho-ke, kungcono ukubona udokotela bese ucela ukwelashwa ngaphandle kokulinda ukuthi isimo sibe sibi kakhulu.

I-stomatitis itholakala kanjani?

Uma uya kudokotela, angase avame ukubona izinhlobo ezivamile ze-stomatitis, njengezilonda zomqala kanye nezilonda zomkhuhlane, ngokushesha. Ukukhuluma ngomlando wakho wezokwelapha kanye nezimpawu kungasiza ekuxilongweni. Isibonelo, uma welashwa umdlavuza, udokotela wakho angase acabange ukuthi izilonda zomlomo wakho ziwumphumela ongemuhle wokwelashwa kwakho. Uma unezimpawu kwezinye izingxenye zomzimba wakho, hhayi emlonyeni wakho kuphela, kungaba uphawu lwesifo esithinta umzimba wakho wonke.

Ngezinye izikhathi kudingeka ukuhlolwa ukuze kutholakale i-stomatitis. Lokhu kufaka phakathi:

• Ukuthatha isampula esilondeni bese ulihlola ukuthi alinazo yini izifo ezibangelwa amagciwane, amagciwane, noma isikhunta.
• Ukuhlolwa kwegazi kwenziwa ukuhlola impilo yakho iyonke noma ukuhlola izifo ezithinta umzimba wonke. Isibonelo, bangahlola ukuntuleka kokudla okunempilo.
• Ukuhlolwa kokungezwani komzimba kwenziwa ukuze kubonakale ukuthi imbangela ye-stomatitis iyi-allergy yini.
• Ngezinye izikhathi, uma ezinye izivivinyo zingaphelele, kungase kuthathwe i-biopsy (isampula yezicubu) ukuze kuhlolwe isimo esibucayi. Lokhu kwenziwa kaningi, njengokuthi inxeba aliphili futhi lisekhona.

Uma izilonda zomlomo wakho zibangelwa yikhemikhali noma into ecasulayo, kungathatha isikhathi ukuyiqonda. Isibonelo, uma udokotela wakho ecabanga ukuthi isihlanzi somlomo osisebenzisayo sibangela izilonda, angasikisela ukuthi usishintshe bese ebona ukuthi izilonda ziyathuthuka yini.

Iphathwa kanjani i-stomatitis?

I-Stomatitis iyelashwa kuye ngokuthi iyini imbangela. Ukuze ilaphe ngokuphelele i-stomatitis, imbangela yenkinga kumele yelashwe noma ilawulwe. Nazi ezinye izindlela zokwelapha:

• Imithi ethengiswa ngaphandle kwemithi kadokotela (OTC) ingathengwa ekhemisi yezilonda ezibangelwa yizinhlungu kanye nezilonda zomkhuhlane.
• Imithi yokwelapha izifo. Isibonelo, imithi yokulwa namagciwane, imithi elwa namagciwane, kanye nemithi elwa namagciwane. Lokhu kufanele kuthathwe udokotela kuphela.
• Thatha amavithamini noma izithasiselo ukuqinisekisa ukuthi uthola izakhamzimba ozidingayo (isib. amavithamini B, C, insimbi).
• Gwema ukudla noma imikhiqizo ebangela ukuvuvukala emlonyeni wakho.
• Kuze kube yilapho izilonda zomlomo sezipholile, gcina umlomo wakho ungenawo amagciwane ayingozi. Isibonelo, ukuxubha amazinyo akho njalo ngebhulashi lamazinyo elithambile bese uhlanza umlomo wakho ngamanzi anosawoti (1/2 ithisipuni likasawoti enkomishini yamanzi afudumele) izikhathi eziningana ngosuku.
• Nciphisa ubuhlungu: Ungaphuza imithi yokubulala izinhlungu njenge-paracetamol.

Okwamanje, udokotela wakho angase ancome ezinye izindlela zokwelapha ezithile ukusiza ukulawula ubuhlungu. Izibonelo zifaka phakathi izibulala-zinhlungu zangaphandle, izihlanzi zomlomo ezenziwe ngokukhethekile (ezingase zibe nemithi yokubulala izinhlungu, imithi yokunciphisa i-asidi, kanye nemithi yokulwa namagciwane), kanye ne-corticosteroids (uhlobo lomuthi onciphisa ukuvuvukala - ngesimo sokhilimu noma amaphilisi).

Kuthiwani uma uthola i-stomatitis?

Ezinye izinhlobo ze-stomatitis ziyaphola zodwa. Isibonelo, izilonda ezivuvukalayo kanye nezilonda zomkhuhlane zivame ukuphola zingakapheli amasonto amabili, ngokuvamile ngaphandle kwemithi. Imithi ingakusiza ukuthi ululame ngokushesha. Kodwa-ke, ngoba ayikho ikhambi legciwane le-herpes elibangela izilonda zomkhuhlane, lezi zilonda zingabuya ngokuphindaphindiwe empilweni yakho yonke. Kodwa ngokuvamile azibi kakhulu.

Kwezinye izinhlobo ze-stomatitis, ukululama kwakho kuzoncika embangela. Izimbangela eziningi zingelashwa noma zilawulwe.

Ingabe i-oral mucositis ingavinjelwa?

Nakuba singenakukwazi ukuvimbela zonke izimbangela ze-stomatitis, kunezinto esingazenza ukunciphisa ingozi:

• Ukuxubha amazinyo akho kabili ngosuku ngebhulashi lamazinyo elithambile , ukuxubha amazinyo nsuku zonke, nokuhlanza amazinyo njalo .
• Ukudla ukudla okunempilo (izithelo, imifino kanye nemifino eminingi) nokuphuza amanzi anele nsuku zonke.
• Gwema ukubhema nokusebenzisa ugwayi (futhi uma usuvele ubhema, zama ukuyeka).
• Gwema ukwabelana ngokudla, iziphuzo, kanye ne-lip balm nomuntu onesifo somkhuhlane, futhi gwema ukuxhumana naye eduze, njengokuqabulana kanye nocansi lomlomo.
• Qaphela lapho udla ukudla okubabayo nokushisayo neziphuzo .
• Ukuzama ukunciphisa ukucindezeleka (ukuzindla, ukuvivinya umzimba, njll.).

Kufanele ngimbone nini udokotela?

Uma unesilonda emlonyeni futhi amasosha omzimba wakho ebuthakathaka (amasosha omzimba abuthakathaka) , bona udokotela ngokushesha. Uma ungumzali noma umnakekeli wengane esanda kuzalwa futhi ubona isilonda esibandayo emlonyeni wengane yakho, bona udokotela wezingane ngokushesha. I-Stomatitis ingaholela ezifweni ezinkulu kulezi zimo.

Futhi, uma unesilonda emlonyeni esingapholi ngemva kwezinsuku eziyi-10-14 , futhi unezinye izimpawu ezifana nalezi, hlela isikhathi sokubonana nodokotela:

• Uma umkhuhlane ungaphezu kwama-degree Celsius angu-38 (ama-degree Fahrenheit angu-100.4).
• Uma unezimpukane noma ubomvu esikhumbeni sakho.
• Uma unezinhlungu zamehlo, ubomvu, umbono ofiphele, noma ukuvuvukala.
• Uma izilonda emlonyeni zenzeka njalo.
• Uma ubuhlungu obukhulu kangangokuthi awukwazi ukugwinya ukudla.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Iyini imbangela yokuthi ngibe ne-stomatitis?
• Ingabe lokhu kuzoziphilisa ngokwakho? Noma kuzothatha isikhathi esingakanani?
• Hlobo luni lokwelashwa engiludingayo ukuze ngilulame lokhu?
• Yikuphi ukwelashwa okungasiza ekunciphiseni izimpawu kuze kube yilapho ukuvuvukala kuphola? Ingabe kukhona izinto engingazenza ekhaya?
• Yini okufanele ngiyenze ukuze ngivimbele lokhu ukuthi kungenzeki futhi?
• Ingabe ngidinga ukushintsha noma yini ngalokho engikudlayo nengikuphuzayo?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Stomatitis, noma i-oral mucositis, yisimo esingajabulisi neze, kungakhathaliseki ukuthi imbangela iyini. Izimpawu zezilonda zomlomo kanye nama-blister zingaba namahloni ngezinye izikhathi. Izindaba ezinhle ukuthi lokhu kungakhululeki kuvame ukuba okwesikhashana, futhi ukuvuvukala kuzothuthuka ngokuhamba kwesikhathi. Kuye ngembangela, ungasheshisa inqubo yokuphulukiswa ngemithi etholakala ngaphandle kwemithi kadokotela noma kadokotela.

Into ebaluleke kakhulu ukuthi uma unesilonda emlonyeni esingeke siphole, noma uma unezinye izimpawu ezingavamile, qiniseka ukuthi ubona udokotela. Angathola imbangela futhi akuncomele ukwelashwa okuzokusiza. Ukunakekela impilo yomlomo wakho kubaluleke kakhulu! Ngoba umlomo onempilo uyisiqalo esihle somzimba onempilo.

Izilonda zomlomo , i-Stomatitis, i-mucositis yomlomo, izifo zomlomo, amabhamuza ezindebe, izilonda ze-canker, izilonda zomkhuhlane, ukuvuvukala komlomo, impilo yomlomo, izifo zomlomo