The izilonda zomphimbo zincane izilonda okukha phezulu okuvame ukwakheka kulwelwesi lwamafinyila ngaphakathi kugcwele : phakathi kwezihlathi, ulimi, ingaphakathi lezindebe, ulwanga noma izinsini. Izilonda zomdlavuza zingavela nasezithweni zangasese, kodwa kuyaqabukela. Lokhu kuzobhekana kuphela nezilonda zomdlavuza emlonyeni.

Lapho izilonda ze-canker zenzeka ngokuphindaphindiwe, kubizwa ngokuthi i-aphthosis. Igama elithi stomatitis lisho ukuthi kukhona ukuvuvukala kolwelwesi lwamafinyila ngaphakathi emlonyeni.

The izilonda emlonyeni zivamile: cishe u-17% wabantu unaso esikhathini esithile empilweni yabo. Ngokuvamile ukuqubuka kokuqala kwezilonda zomdlavuza kubonakala ngesikhathiebuntwaneni. Khona-ke, izimpawu zibuya ngezikhathi ezithile, bese zinyamalala unomphela phakathi neminyaka engamashumi amathathu.

Izilonda zomdlavuza zingazibonakalisa ngezindlela eziningi.

• Ifomu elincane : Izilonda eziyisiyingi ezi-1 kuye kwezingu-5 (2 mm ukuya ku-1 cm ububanzi) eziphola ngokwemvelo ezinsukwini ezingu-7 kuya kwezingu-14 ngaphandle kokushiya isibazi. Izilonda zomdlavuza zivela kuleli fomu kuma-80% ezimweni.
• Ifomu elikhulu noma elinzima : Izilonda ezinkulu (ezingaphezu kuka-1 cm ububanzi), ezinemiphetho engavamile, ezingathatha amasonto angu-6 ukuphola futhi ngokuvamile zishiya izibazi.
• I-Herpetiform noma ifomu le-miliary : Izilonda ezincane ezingu-10 kuya kwezingu-100 (ezingaphansi kuka-3 mm ububanzi) ezinamakhonsathi angavamile ahlangana kancane kancane, bese kwakheka indawo enezilonda, ephikelela isonto eli-1 kuya kwangu-2 ngaphandle kokushiya isibazi.

Evolution

Ubuhlungu ngokuvamile buhlala izinsuku ezi-2 kuya kwezi-5. Kodwa-ke, izilonda zingathatha isonto eli-1 kuya kwezintathu ukuze ziphole.

kwesifo

Izilonda ze-canker ziyizilonda eziyindilinga noma eziyisiyingi ezibuhlungu futhi zenzeka lapho kuqubuka.

Ukuze enze ukuxilongwa kwe-canker sore, udokotela uncike ezicini eziningana:

• ingemuva eliphuzi (“ibhotela elisha”) noma elimpunga,
• isisekelo esingenisiwe (singathatha i-canker sore phakathi kweminwe futhi sinomuzwa wokuthi yonke indawo ifakwe ngobuhlakani),
• imiphetho ebukhali futhi izungezwe i-halo ebomvu ngokugqamile.

Lapho kuvela izimpawu ezifana nalezo zezilonda emlonyeni okuphindaphindiwe, okungcono bonana nodokotela. Uzokwenza ukuhlolwa okuphelele kwezokwelapha, okuzomvumela ukuba enze ukuxilongwa.

Uma, ngaphezu kwezilonda zesikhumba, ububomvu bamehlo, ubuhlungu obuhlangene, isifo sohudo esiqhubekayo, noma ubuhlungu besisu bukhona, kubalulekile bonisana ngaphandle kokulibala.

Izilonda ezifana nomdlavuza zingabangelwa isifo esingelaphekinjengesifo samathumbu okuvuvukala (isifo sikaCrohn noma i-ulcerative colitis), isifo se-celiac, noma Isifo sika-Behçet.

Ngaphezu kwalokho, izilonda zomdlavuza zingabukeka njenge- i-mucosite : ukuvuvukala kolwelwesi lomlomo ngezinye izikhathi okudala izilonda ezincane. Abantu abanamasosha omzimba abuthaka (ngenxa yokutheleleka nge-HIV noma ukwelashwa komdlavuza, isibonelo) banamathuba amaningi okuba nezilonda okungase kuthiwe ngephutha nezilonda.

Izimbangela

Izimbangela i-aphthous stomatitis azikaqini kahle. Izilonda zomdlavuza aziyona imvelaphi ethathelwanayo, ngakho ayithelelani. Kunezici eziningana, kuhlanganise nofuzo, ezingaba nomthelela kulokhu.

Nokho, ososayensi baye baphawula izici ezivame ukuvela izimpawu zokuqala kubantu abane.

• Isilonda esincane emlonyeni. Kungabangelwa ukulingana okubi kwe-prosthesis yamazinyo, ngokuhlinzwa ngomlomo, ngokusebenzisa amandla kakhulu isixubho, ngokuluma isihlathi, njll.
• Ukukhathala ngokomzimba kanye ukucindezeleka. Lokhu kuvame ukwandulela ukuqala kwezilonda zomdlavuza.
• Ukungezwani nokudla noma ukungezwani komzimba. Ukuphinda kwezilonda ze-canker kanye nokungezwani nokudla noma ukungezwani komzimba (isibonelo, ekhofini, ushokoledi, amaqanda, amantongomane, ushizi, ukudla okune-acidic kakhulu nezivimbelakuvunda, njll.) kubikwe ezincwadini zesayensi. njenge-benzoic acid ne-cinnamaldehyde)^1-4 .
• Ukuntuleka kokudla kuvithamini B12, zinc, folic acid noma iron.
• Ukuyeka ukubhema. Izilonda zomdlavuza zingenzeka ngesikhathi sokuyeka ukubhema.
• Ukutheleleka ngebhaktheriya Helicobacter pylori, amagciwane afanayo angabangela isilonda esiswini noma emathunjini amancane.
• Ezinye izidakamizwa. Izidakamizwa ezingezona ukuvuvukala (i-ibuprofen nezinye), i-beta blockers (i-propranolol nezinye) kanye ne-alendronate (emelene ne-osteoporosis) zingabangela izilonda ze-canker.
• Izinguquko zeHormonal ezihlobene nomjikelezo wokuya esikhathini, kungenzeka. Izilonda zomdlavuza zivame ukuvela ngesikhathi sokuya esikhathini, kodwa lesi sixhumanisi asiqiniseki.

Inothi. Ukusetshenziswa kwefayela le- i-toothpaste equkethe sodium dodecyl sulfate (ubizwa i-sodium lauryl sulfate, ngesiNgisi), okuyisithako kuningi lokuxubha amazinyo, singandisa ingozi yokuthola izilonda zomdlavuza. Kungenza ingaphakathi lomlomo libe sengozini enkulu yokulimala ngokususa ungqimba oluyisivikelo oluwumugqa. Nokho, le hypothesis isazoqinisekiswa. Izivivinyo ezimbalwa zomtholampilo ezincane ziphakamisa ukuthi ukusetshenziswa kwe-toothpaste ngaphandle i-sodium dodecyl sulfate inciphisa imvamisa yezilonda ze-canker^5-7 . Kodwa-ke, ucwaningo lwakamuva lomtholampilo lwaphetha ngokuthi uhlobo lokuxubha amazinyo olusetshenzisiwe aluzange lube nomthelela ezilonda zomdlavuza.⁸.