Indawo yobuso entekenteke futhi evezwe kakhulu, amakhona ezindebe angaba indawo yokucasuka okuncane, ukoma, amanxeba noma ukutheleleka okubizwa ngokuthi i-angular cheilitis. Zonke ngokuvamile zinobuthi kodwa azibukeki futhi kwesinye isikhathi zibuhlungu kule ndawo ehamba kakhulu okungumlomo.

Ikhoneni lezindebe libhekisa kulesi sibaya ngapha nangapha komlomo, lapho kuhlangana khona udebe olungenhla nodebe olungezansi.

Isomiso

Ukuvezwa emakhazeni, emoyeni, amakhona wezindebe, njengezindebe zalolo daba, angoma ngokushesha. Amakhona azoba bomvu, futhi athambekele ekuqhekekeni.

I-perlèche

Njengawo wonke ama-intetrigos, okusho ukuthi izindawo ezigoqiwe zomzimba, ikona lezindebe liyindawo ekahle yokutheleleka, ikakhulukazi i-mycotic, ikakhulukazi njengoba ivame ukumanziswa ngamathe. 

Kwenzeka ukuthi elinye noma womabili amakhona wezindebe ahlanganiswe yisikhunta noma amabhaktheriya, okudala izimpawu ezingabukeki njengoba zibuhlungu. Emakhoneni ezindebe, isikhumba siqala ukubonakala ngokubomvu nangokucwebezelayo, bese sigcina ngokuqhekeka. Izilonda ezincane zivamise ukuvuleka njalo, zophe bese zikhukhumala ngenxa yokunyakaza komlomo kaningi.

Amagciwane avame ukufakwa kule nkinga ebizwa nge-perléche noma i-angular cheilitis yegama layo lesayensi yi-fungus ama-candida albicans (sizobe sesikhuluma nge-candidal perlèche) ne-staphylococcus aureus (i-bacterial perlèche). Endabeni ye-candidal perlèche, ngokuvamile kuvame ukumbozwa okumhlophe ekhoneni lezindebe kodwa futhi nangaphakathi emlonyeni nolimi, okuvame ukuthinteka yi-candidiasis. Ukuba khona kwama-crust aphuzi kuncike kakhulu enkulungwaneni ngenxa ye-staphylococcus yegolide, ethola inqolobane yayo emakhaleni. Kungaba futhi ukutheleleka okuphezulu kwegciwane le-candidiasis. Okungavamile kakhulu, i-angular cheilitis ingabangwa i-herpes noma igciwane le-syphilis.

Ukutheleleka kuvame ukwenziwa ekhoneni lezindebe, kepha kubantu abangenakuzivikela noma ababuthakathaka, kungasakazeka ezihlathini noma ngaphakathi komlomo.

Izici ezahlukahlukene zithanda ukuvela kwe-angular cheilitis: umlomo owomile, iqiniso lokukhotha izindebe, ukusika okuncane ekhoneni lezindebe (ngesikhathi sokunakekelwa kwamazinyo noma ukuchayeka emakhazeni ngokwesibonelo) okuzoba yisango lamagciwane, amazinyo okufakelwa angafaneleki kahle, isifo sikashukela, imishanguzo ethile (ama-antibiotics, ama-corticosteroids, ama-immunosuppressants, ama-retinoids), iminyaka egcizelela amafolda ekhoneni lezindebe, ukuswela okuthile kokudla okunomsoco (i-omega 3, amavithamini iqembu B, uvithamini A, uvithamini D, i-zinc) . 

Ukwelapha isomiso

Ama-moisturizers akhethekile wezindebe noma isikhumba esiminyene angasetshenziswa ukukhuthaza ukuphulukiswa nokusiza ukubuyisela umgoqo wesikhumba we-hydro-lipid. Lawa ngokuvamile ama-creams asekelwe kupharafini noma amafutha amaminerali. Zingasetshenziswa nsuku zonke nokuvikela.

Imikhiqizo ethile yemvelo nayo iqashelwa ukukhuthaza inqubo yokuphulukisa:

• I-calendula oily macerate idume ngokuphulukisa kwayo kanye nezakhi zokubulala amagciwane, ilungele isikhumba esonakele nesicasukile. Faka amaconsi ambalwa kabili ngosuku emakhoneni ezindebe ezicasukile noma eziqhekekile;
• uju lungasetshenziswa futhi kule ndawo entekenteke ngenxa yezindawo zayo zokulwa namagciwane, ukulwa nokuvuvukala kanye nokuphulukisa. Okungcono ukhethe i-thyme noma uju lwe-lavender, oluzofakwa emgqeni we-millimeter eyodwa endaweni ecasuliwe;
• ibhotela le-shea lingasetshenziswa nsuku zonke ukuze kufakwe amanzi esikhumbeni kahle futhi ngaleyo ndlela kuvimbele ukuqhekeka kwamakhona ezindebe;
• i-aloe vera gel nayo yaziwa ngezindawo zayo zokuthambisa nokwelapha.

Ukwelashwa kwe-angular cheilitis

• Uma kwenzeka kuba ne-bacterial angular cheilitis, ukwelashwa kwendawo ngama-antibiotic okusekelwe ku-fucidic acid kungase kunqunywe. Kumele kuhambisane nokuhlanza nsuku zonke kwendawo ngensipho namanzi noma, uma kwenzeka i-superinfection, i-antiseptic yendawo (isibonelo se-chlorhexidine noma i-povidone iodine).

Esimweni lapho kutholakala khona inhlansi yokuhlunga, kuzokhonjwa ukhilimu wokubulala izinhlungu. Uma kunezimpawu ze-candidiasis yomlomo, kuzohlanganiswa nokwelashwa komlomo nokwasendaweni komlomo.

Ukuhlolwa komzimba kwanele ukuxilonga i-perleche. Ukuba khona koqweqwe olunombala woju ngokuvamile kubonisa iStaphylococcus aureus. Uma ungabaza, kungathathwa isampula yokunquma umsuka wokutheleleka.