Oral mucositis - izimpawu, ukwelashwa, ukuvimbela

Okuqukethwe okuqinisekisiwe

Ukuvuvukala kwe-mucosa yomlomo kuvela ngenxa yezizathu ezihlukahlukene ezicasulayo: umshini ngesikhathi sokuhlafuna, ngokomzimba, okushisayo noma kwamakhemikhali. Lezi zici zifaka isandla ekwakhekeni kwe-foci yokuvuvukala, izifo ezibangelwa amagciwane kanye nefungal, kanye nezilonda kanye nokuguguleka. Ikakhulukazi, ukuhlanzeka komlomo okungalungile kwandisa ukubukeka kwezimpawu.

I-mucositis yomlomo - izici eziyingozi

Ngokuvamile, i-mucositis yomlomo iqala ngesikhathi sokukhula, ukukhulelwa kanye neminyaka yokunqamuka kokuya esikhathini. Ngaphezu kwalokho, izinguquko zesici ku-mucosa zenzeka:

1. kwezinye izifo ezithathelwanayo (isimungumungwane, i-rubella, i-scarlet fever, i-diphtheria, i-pox yenkukhu, ukukhwehlela, i-mononucleosis ethathelwanayo),
2. ezifweni ezijwayelekile, isb uhlelo lwe-hematopoietic (i-anemia, i-leukemia, ukwanda kokuthambekela ukopha),
3. izifo zesistimu yokugaya ukudla,
4. ekuthelelekeni nge-HIV,
5. kushukela,
6. ngokuntuleka kwamavithamini,
7. ezifweni ezithathelwana ngocansi,
8. izifo zomzimba.

Isizathu esivame kakhulu se-oral mucositis i-aphthous stomatitis. Izilonda emlonyeni zivame ukuvela ngokungalindelekile futhi zibangele ukukhathazeka, ngoba asikhumbuli njalo ukuthi yini engabangela ukwakheka kwazo. Izici ezibeka phambili ekwakhekeni kwalolu hlobo lwezilonda zesikhumba, futhi esivame ukuzikhohlwa, yilezi:

1. ingcindezi,
2. ukusebenzisa imithi yokuxubha kanye ne-mouthwash equkethe i-sodium lauryl sulfate,
3. isifo se-celiac (isimo esibangelwa ukungabekezelelani kwe-gluten equkethwe okusanhlamvu okuningi),
4. ukuba khona kwamagciwane Helicobacter pyloriokubangela ngokuyinhloko izifo zesisu kanye ne-duodenal,
5. ukuguquguquka kwe-hormonal balance kwabesifazane okubangelwa umjikelezo wokuya esikhathini noma i-PMS (premenstrual syndrome),
6. ukusikeka kanye nokulimala okubangelwa izisekelo noma amazinyo okufakelwa angafakwanga kahle,
7. ukulimala okubangelwa ukuxubha amazinyo kakhulu,
8. ukudla ukudla okumuncu nokubabayo,
9. ukuluma equlekile esihlathini,
10. ukuntuleka kwamavithamini adingekayo emzimbeni: insimbi, i-folic acid, i-zinc ne-vitamin B12,
11. ukuphazamiseka kwe-immune (isb ngenxa yokuthatha ama-immunosuppressants ngemva kokufakelwa),
12. isimila esiyingozi,
13. ukwelashwa ngamakhemikhali,
14. ukusabela kwe-autoimmune (amasosha omzimba ahlasela amaseli omzimba),
15. ukungezwani nokudla okuthile, isb. amantongomane, ushizi, ama-strawberry, ikhofi noma amaqanda,
16. isifo sofuba, i-ulcerative colitis,
17. i-systemic vasculitis,
18. ukungezwani nezitshalo zebhaktheriya ezisemlonyeni.

Ukwenza ngcono ikhwalithi yezitshalo zebhaktheriya emgodini womlomo, kufanelekile ukusebenzisa i-LACTIBIANE Buccodental Probiotic yokutheleleka komlomo womlomo kanye nama-caries, atholakala ngentengo evumayo eMakethe ye-Medonet.

Xhumana ne-oral mucositis

I-contact stomatitis yindlela yokusabela komzimba womuntu ezintweni ezicasulayo noma ezingezwani nazo ezibangelwa:

1. imithi ethile ye-topical (isb. i-steroids)
2. izithako ezitholakala kuzimonyo, njengama-lip balms noma ama-lipstick,
3. ukubhema,
4. ushingamu
5. ezinye izinongo,
6. izinto eziqukethwe kumafutha, isb imajarini,
7. izithako zomuthi wokuxubha nokugeza umlomo.

Izimpawu ze-stomatitis

Izimpawu zezinye izifo zesikhumba ngezinye izikhathi zivela ngesikhathi esisodwa emlonyeni womlomo (i-pemphigus, i-lichen planus, i-lupus erythematosus, i-erythema multiforme). Izilonda zomlomo we-mucosa zingase zibe endaweni ethile emlonyeni noma zimboze yonke indawo yomlomo. Ezinye iziguli zithola ukulunywa nokugubha emlonyeni ezinsukwini ezimbalwa ngaphambi kokuvela kwezilonda.

I-foci ebangelwa ukuvuvukala ingase ibe nokubukeka okuhlukile: ama-vesicles, ubomvu, nokuguguleka kanye nezilonda. Ukuvuvukala kubangela ubuhlungu futhi kwenza kube nzima ukudla nokukhuluma. Ngaphezu kwalokho, izingane ezincane zingacasuka kakhulu futhi zidale izinyembezi ngokweqile.

Ukuvuvukala akuvamile ukuhambisana nomoya omubi.

Izifo ezibangelwa amagciwane zivame ukuzibonakalisa ku-mucosa yomlomo. Singanikeza isibonelo izilonda ze-herpeticokuthi, ngemva kokutheleleka ngegciwane le-herpes simplex, ngaphansi kwezimo ezivumayo (ukukhanya kwelanga okunamandla, izifo ezivuthayo), ziphinde zivele ngendlela i-herpes yezindebe.

Ku-AIDS, izimpawu zesici emlonyeni womlomo yilezi:

1. i-thrush,
2. i-leukoplakia enoboya,
3. izinguquko ezinzima ze-periodontal.

Igciwane elivamile elidala izinguquko ku-oral mucosa yi-varicella zoster virus.

Inqubulunjwana kwenzeka ikakhulukazi ezinganeni, futhi izinguquko emlonyeni womlomo ngendlela yama-bubbles, futhi ngemva kokuphuka kwazo, ukuguguleka kwama-arches e-palatine kanye nolwanga kungase kwandulele ukubonakala kokuqhuma kwesikhumba.

Ama-shingles - atholakala ikakhulukazi kubantu abadala, ngokuvamile abangela ubuhlungu obukhulu, futhi izinguquko zesici emgodini womlomo zikhathaza izindawo ezingavinjelwa amagatsha esibili nesithathu se-trigeminal nerve.

Izinsumpa ezivamile zicushwa ngu i-papillomavirus. Izinguquko esikhumbeni, ikakhulukazi eminwe yezandla, ngokuvamile ziholela ekubukeni kokuqhuma okufanayo ku-mucosa yomlomo.

Izilonda zomdlavuza ezivamile zitholakala cishe ku-5-25% wabantu. Ngenxa yemvamisa yokuqhuma kwezifo, lezi zinguquko ezingapheli ziphikelela ikakhulukazi ezigulini futhi kunzima kakhulu ukwelapha.

Ukutheleleka Candida albicans

Imithi elwa namagciwane esetshenziswa kabanzi njengamanje, kanye ne-cytostatics kumdlavuza kanye nama-immunosuppressants, yenza kusebenze isikhunta esifana nemvubelo emlonyeni womlomo, Candida albicans, okuyifomu le-saprophytic elitholakala ku-40-50% yabantu abanempilo. Isithombe se-candidiasis sakhiwe nge-blooms enoboya obuhlukile noma ngesimo se-erythematous.

Izinguquko ku-mucosa yomlomo zihambisana nezimpawu ezilandelayo:

1. ukushiswa okuzenzakalelayo noma ukusha ngaphansi kwethonya lezinto ezivusa amadlingozi, isb lapho udla ukudla okunezinongo ezishisayo nezimuncu,
2. ubuhlungu,
3. ukulunywa
4. ukuphazamiseka kwe-salivation, ikakhulukazi ngendlela yokunciphisa amathe, okubangela ukomisa kwe-mucosa.

Ukuze unciphise izimpawu ezinzima zokuvuvukala kwe-mucosa yomlomo, kufanelekile ukusebenzisa i-SeptOral Profilactic toothpaste yezinsini ezophayo, evuselela i-mucosa futhi iqinise koqweqwe lwawo futhi ivimbele ukukhula kwe-caries. Ngokuyinhloko, ungasebenzisa i-SeptOral Med Gel ye-mucosa yomlomo ecasukile enezakhiwo ezipholile nezivuselelayo.

Ukwelashwa kwe-stomatitis

Usizo lokuqala ekhaya ekwelapheni izinhlobo ezahlukene ze-stomatitis lungabandakanya ukugeza umlomo nge-infusions ye-sage, i-chamomile, i-rose, i-linden noma i-linseed. Kubuye kunconywe ukusebenzisa amalungiselelo e-anti-inflammatory kanye ne-analgesic anomphumela wendawo wokubulala izinzwa, isib. ama-lozenges, i-aerosol. Uma izimpawu zingathuthuki phakathi kwezinsuku ezingu-2-3, thintana nodokotela wamazinyo ukuze uthole iseluleko. Ngakolunye uhlangothi, lapho izinguquko zivela ku-mucosa yomlomo, kokubili uhlobo lwe-protuberance noma isigaxa, kanye ne-ulceration, kuyadingeka ukuthintana nodokotela wamazinyo ngokushesha.

1. Hlola i-Dentosept mouthwash

I-oral mucositis yemvelo yegciwane iphathwa nge-oral antiviral agents (i-acyclovir) noma amalungiselelo e-topical. Uma kwenzeka umkhuhlane - izidakamizwa ze-antipyretic zinikezwa. Ngakolunye uhlangothi, esimweni sokuxhumana kwe-stomatitis, isiguli kufanele sihlukaniswe nama-ejenti azwelayo, futhi ezimweni ezinzima kakhulu, i-glucocorticosteroids ye-topical noma yomlomo kufanele inikezwe.

Ezimweni ezivuvukalayo emlonyeni, kufanelekile ukusebenzisa ijusi ephilayo kaDermes, ongayithenga ngentengo evumayo eMakethe yeMedonet.

Izilonda emlonyeni kufanele zelashwe ngokumiswa nokuqinisa amalungiselelo. Ngezinye izikhathi izixazululo ze-antibiotic nazo zinikezwa. Uma izilonda emlonyeni zinkulu futhi zibuhlungu kakhulu, udokotela angase atuse ukusetshenziswa:

1. ama-gels ukuhlukanisa i-aphthae (ukunciphisa ubuhlungu),
2. izithako zokudla,
3. amarinse aqukethe i-tetracyclines noma i-glucocorticosteroids.

Ekwelapheni ukuvuvukala komlomo womlomo, isibonelo, ijeli yamazinyo yokuvuvukala kwe-mucosa yomlomo nezinsini i-Dentomit® gel, ongayithenga ngentengo enhle eMakethe ye-Medonet, izosiza.

Indlela yokuvimbela nokuvimbela i-mucositis yomlomo?

Ekuvimbeleni nasekunciphiseni ukuvuvukala kwe-mucosa yomlomo, kuthonywa kakhulu:

1. ukuyeka ukubhema ugwayi,
2. nsuku zonke, izinqubo zokuhlanzeka ezihlelekile (kunconywa ukusebenzisa ibhulashi lamazinyo elithambile kanye nezixubho ngaphandle kwezinto ezinogwebu),
3. ukudla inani elikhulu lokudla kobisi, imifino nezithelo (ukudla kufanele kube nenani elikhulu le-zinc, insimbi ne-vitamin B12),
4. ukunciphisa ukusetshenziswa kwama-carbohydrate,
5. ukugwema ukudla neziphuzo ezenza isiguli singaphatheki kahle, okungukuthi ukudla okushisayo, okubabayo, okunosawoti kanye nezinongo;
6. ukuncela ama-ayisikhilimu nokudla u-ayisikhilimu (ukunciphisa ukugula),
7. ukuphuza iziphuzo ezipholile ezingenayo i-carbonated,
8. ukuthatha amaphilisi ezinhlungu, isb i-paracetamol.

Ukusekela ukwelashwa nokuvimbela ukuvuvukala kwe-mucosa yomlomo, kufanelekile ukusebenzisa i-SeptOral Profilactic antifungal mouthwash ye-periodontitis nezinsini ezophayo, zingathengwa ngentengo yokukhangisa eMakethe ye-Medonet.