Isifo sofuba

Incazelo jikelele yalesi sifo

I-Stomatitis noma i-mucositis yisifo esaziwa ngamazinyo. I-Stomatitis iqondwa njengeqembu lonke lezifo ezinemvelaphi ehlukene, ezihlukile ngezimpawu zokwelashwa kanye nohlobo lwalokho ezenzeka khona. Lezi zifo zihlangene ukuvuvukala necrosis kwezicubu ulwelwesi lwamafinyila emlonyeni.

I-Mucositis ingaba yisifo esizimele, noma ingahambisana nezinye izifo - umkhuhlane, i-scarlet fever nezinye.

Ngokwezibalo, ngaphezu kuka-80% wabantu bake bahlushwa i-mucositis okungenani kanye empilweni yabo. Ukusabalala okwandile kwe-stomatitis namuhla kungenxa yesimo semvelo esingenampilo kanye nokuzivikela komzimba okwenziwe buthaka kubantu.

Izinhlobo nezimpawu ze-stomatitis

Ukuze ukwelashwa kusebenze, kufanele kutholakale uhlobo lwe-mucositis futhi kungemva kwalokho kuphela lapho kufanele kunikezwe khona izidakamizwa:

1. 1 i-herpetic - Ngaleli fomu le-stomatitis, i-keratinized mucous membrane (izindebe, izinsini, ulwanga) ziyahlupheka. Ekuqaleni, kubonakala ngamabhamuza amancane, ulwelwesi lwamafinyila luba bomvu futhi luvuvukale. Ngemuva kwezinsuku eziyi-1-2, amabhamuza aqhume futhi abe nezilonda ezibuhlungu ezinesikhungo esimhlophe endaweni yazo. Izingane ezingaphansi kweminyaka emithathu ubudala zithambekele kulolu hlobo lwe-stomatitis futhi zivame ukuqhubeka ngendlela ebukhali. Ngenxa yokuzwa okubuhlungu okungapheli, izingane azilali kahle, azinazwelo, zenqaba ukudla;
2. 2 i-aphthous kwehluka ekubukeni kokugxila ekufeni noma kwe-aft kwezicubu ezinomunyu nezincane. Lolu hlobo lwe-stomatitis luthinta izindebe, ulimi, nesifunda se-hyoid. I-aphthous mucositis ivame ukuthatha ifomu elingapheli futhi yandiswa yi-hypothermia noma ngemuva kokudinwa ngokweqile ngokomzwelo;
3. 3 qotho - ukucasula amakhowe we-Candida. I-fungal stomatitis ibonakala ngokumbozwa okumhlophe olimini, imifantu ezindebeni nasemakhoneni omlomo. Isikhunta sohlobo lweCandida sikuyo yonke indawo - ekudleni, ezitsheni, ezindaweni, futhi uma kugcinwa imithetho yenhlanzeko, akuyona ingozi. Ngaphezu kwezicubu ezivuthayo ezifayo nokugqokwa okumhlophe kokungqubuzana okusontekile, isiguli sikhathazekile ngomkhuhlane, ubuthakathaka obujwayelekile kanye nokugula;
4. 4 okubuhlungu - kuvame ukuthinta izingane, lapho izingane zihluthwa, izinsini zilimele futhi ingane ingahle ibe nomkhuhlane;
5. 5 i-catarrha - umoya omubi, izilonda zomlomo ezinokuqhakaza okumpunga;
6. 6 Amakhemikhali eba ngenxa yokuxhumana kwezicubu ze-mucosal ezinamakhemikhali, ukwakheka kwezilonda ezibuhlungu emlonyeni;
7. 7 imishini kubonakaliswa ukuvuvukala kolwelwesi lwamafinyila namanxeba emlonyeni.

Izimpawu ezijwayelekile, noma ngabe zivela kuphi, zifaka:

• ukuvuvukala nokuvuvukala kwezicubu zomlomo emlonyeni;
• ukwanda kwamathe;
• umoya onukayo;
• izinsini zokopha;
• Izilonda zomlomo ezibuhlungu ezinzima kakhulu lapho ukhuluma futhi udla
• ukunambitheka okungathandeki emlonyeni;
• mhlawumbe ukwanda kwezinga lokushisa;
• ama-lymph node avuvukile.

Izizathu zokuthuthukiswa kwe-stomatitis

Izizathu ezisusa ukukhula kwe-mucositis zihlukaniswe ngamaqembu alandelayo:

1. 1 wendawo – lokhu kubandakanya ukungalandeli imigomo yenhlanzeko, ukubhema kanye nemikhiqizo yenhlanzeko esezingeni eliphansi;
2. 2 ngaphakathi kufaka phakathi: ukungezwani komzimba, ukuphazamiseka komzimba, ukuphazamiseka kwe-hormonal ngesikhathi sokunqamuka kokuya esikhathini nokukhulelwa, ukwehla kokuzivikela komzimba, ukuthambekela kofuzo, i-hypo- noma i-hypervitaminosis, ukuphazamiseka kwethambo lamathumbu noma uhlelo lwezinhliziyo;
3. 3 zangaphandle - i-hypothermia eyeqile, i-chemotherapy, ukucindezeleka okukhulu, ukuthatha imishanguzo ethile, ukukhipha izinyo, ukubopha okungafanele noma imiqhele, ukuluma izinsini noma ulimi, ukudla ukudla okubabayo.

Izinhlobo ze-mucositis:

• viral - kuhambisana nezifo ezinjengalezi: i-herpes virus, isimungumungwane, ukutheleleka nge-enterovirus;
• okwelapha i-stomatitis ivela njengokuphendula komzimba ekuphuzeni imithi ethile;
• ray - ukulimala kwezicubu zamangqamuzana ngesikhathi sokwelapha ngemisebe;
• isikhunta - ukucasula ukhunta (njengoCandida);
• Amakhemikhali - kwenzeka lapho ulwelwesi lwamafinyila luhlangana namakhemikhali (i-alkalis, i-acid, i-hydrogen peroxide);
• igciwane - ngenxa isenzo amagciwane ugcunsula, isifo sofuba, streptococcus nabanye;
• i-catarrha Kwenzeka lapho kungekho inhlanzeko, itartar namazinyo amabi, izikelemu, nokuphazamiseka kwendlela yamathumbu nakho kungayicasula;
• okufakelwa - ukuvuvukala kwezicubu ngaphansi komqhele, okubangelwa amagciwane angena ngaphansi komqhele noma ukungezwani komzimba nezinto zokwenziwa.

Ungangenwa yi-mucositis ngamaconsi asemoyeni nangokuxhumana - ngokuxhawulana, izingubo, izitsha, amathawula, amathoyizi.

Izinkinga ze-stomatitis

I-mucositis etholakale ngesikhathi ayibeki ingozi enkulu yezempilo, kepha ukwelashwa okungalungile noma okungakafiki kungaholela emiphumeleni elandelayo:

1. 1 ukuthuthukiswa kokutheleleka kwesibili;
2. 2 ezimweni ezisezingeni eliphakeme, ukushuba kanye ne-laryngitis;
3. 3 tonsillitis;
4. 4 ukuhamba nokulahleka kwamazinyo;
5. 5 izinsini ezophayo;
6. Ukungazinzi kwengqondo okungokomzwelo okungu-6.

Ukuvimbela i-Stomatitis

Ukuze uvimbele ukuthuthukiswa kwe-mucositis, kufanele:

• unakekele ukuqinisa amasosha omzimba;
• Izikhathi ezi-2 ngonyaka ukuthi zihlolwe udokotela wamazinyo;
• xubha amazinyo akho kabili ngosuku, hlambulula umlomo wakho njalo emva kokudla;
• ukwelapha ngesikhathi esifanele izifo ezithathelwanayo nezifo zomgudu wamathumbu;
• shintsha ibhulashi lamazinyo ngesikhathi esifanele (njalo ezinyangeni ezingu-2-3);
• gwema ukuxhumana neziguli ezine-stomatitis;
• zama ukungalimazi izicubu ezinamafinyila;
• phatha ngesikhathi esifanele amazinyo amabi;
• hlanza amazinyo okufakelwa nsuku zonke bese uwakhipha ebusuku;
• ngomlomo owomile, sebenzisa indawo yamathe;
• sebenzisa umuthi wokuxubha nokugeza umlomo okunconywe udokotela wamazinyo;
• geza izandla kaningi ezinganeni;
• yeka ukubhema;
• ungathathi ama-antibiotic ngaphandle kweseluleko sikadokotela.

Ukwelashwa kwe-stomatitis emithini esemthethweni

Ukusebenza kokwelashwa kwe-mucositis ngqo kuya ngokuthi kutholakale kanjani kusenesikhathi. Ngakho-ke, uma uzizwa ungakhululekile emlonyeni wakho, akufanele uzenzele imishanguzo, kufanele uxhumane nodokotela ngokushesha ozonquma izivivinyo ezilandelayo:

1. 1 ukuhlaziywa kwegazi jikelele;
2. 2 histological ukuhlaziywa cytological;
3. Ucwaningo lwe-3 PCR;
4. Ukuhlolwa okungu-4 kwe-intradermal kwemvubelo yama-allergen.

Ukwelashwa okuyisifo se-stomatitis kufaka phakathi ukusetshenziswa kwe-antipyretics. Kunconywa nezakhi zamavithamini, ama-immunostimulants, ama-antiviral agents asetshenziselwa i-virus mucositis. Nge-stomatitis esibuhlungu, i-antimeptics, ukuhlanza nokusetshenziswa ngezidakamizwa ezilwa nokuvuvukala kunqunyiwe. Ukunciphisa izinhlungu nge-stomatitis, kunconywa ama-analgesics. Ukwelashwa kufanele kuhloswe ekuthuthukiseni i-epithelialization yezicubu ezinama-mucous.^[3]… Ukuqeda i-edema, udokotela ubeka imishanguzo yokulwa negciwane.

Uma ukwelashwa okujwayelekile kuhlala kungasebenzi, kusetshenziswa ukwelashwa kwe-glucocorticoid. Ngakho-ke, ungasusa ngokushesha izinhlungu futhi usheshise inqubo yokwelashwa.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!