Izilonda Emlonyeni Unokuba Nobuhlungu Kodwa Akunzima Ngokuqhelekileyo
Abanye abantu abanezifo zesibindi sokuvuvukala (IBD) banokufumana iimpawu ezahlukahlukeneyo zamathumbu kunye neempawu ezikwimeko yazo yesisu. Ezi ziquka ukucaphukiswa kwesikhumba , iingxaki zamehlo, kunye nobuhlungu obudibeneyo , phakathi kwezinye. Enye yale miqathango yamathumbu e-intestinal is aphthous stomatitis, okanye izilonda emlonyeni. Kwabanye nge-IBD, izilonda zomlomo zingeyinye yeempawu zokuqala ukuba i-IBD ikwazi ukutshaya kwakhona.
Izilonda zamanzi, okanye i-aphthous ulcers, zizilonda ezibangelwa yi-aphthous stomatitis. Zingathi zibonakala zinobungozi, imeko engqongqo, kodwa phambi kwezinye ezininzi iingxaki ezenzeka nge-IBD ziyakucasula kwaye zibuhlungu. Ngethamsanqa bahlala bengenabungozi kwaye unyango lujoliswe ekunciphiseni ukuphazamiseka. I-Aphthous stomatitis ayikholelwa ukuba iyasasazeka kwaye ayikwazi ukusasazeka kwabanye abantu. Kukho izinto ezininzi ezinokwenziwa ukwenza izilonda zomlomo zingaphantsi kabuhlungu. Kuba abantu abane-IBD, ukufumana ukuvuvukala okubangelwa yi-IBD phantsi kolawulo kuya kubakhokelela ekulawuleni izilonda nokuvumela ukuba baphilise.
Iimpawu zezilonda zamlonyeni
I-Aphthous ulcers yizilonda ezingapheliyo kwi-mucosa (ibinzana) yomlomo. Zingabonakala naphi na emlonyeni, kodwa zifumaneka rhoqo ngaphakathi kwimilebe ephantsi okanye izihlathi, okanye kumacala okanye kwisiseko seelwimi. Zingadlulela kwiiveki ezi-1 ukuya kwezi-2 ukuya kwiinyanga.
Izilonda ziyakubonakala zihlophe okanye ziphuzi ngesiseko esibomvu, kunye necalulo elibomvu elivela xa liqala ukuphilisa. Zingahle zichazwe njengezibukeka njenge-blister.
Iimbangela zezilonda zamlonyeni
Ayaziwa ukuba kutheni i-anphthous stomatitis ingavela kwabanye abantu abane-IBD. Ezinye iingcamango ziquka uxinzelelo, ukusuleleka kwebhaktheriya, okanye ukuxhatshazwa.
Kukho unxibelelwano phakathi kokuphuhliswa kwe-aphthous stomatitis kwaye ibe ne-immune system. Ezinye izinto ezibangelwa i-aphthous stomatitis nazo ziquka ukungaphumeleli kweevithamini ezahlukeneyo kunye neemaminera (nangona ezi ziqhelekanga).
Ukuxilongwa kwezilonda zomlomo
Iimeko ze-aphthous stomatitis ezingenakunzima okanye ezibuhlungu akudingeki ukuba uvakashele othile ugqirha. Nangona kunjalo, kufuneka kuxoxwa ngeso sihlandlo esilandelayo kwi-gastroenterologist ephethe i-IBD. Ukuba izilonda ziba zikhulu, zibuhlungu kakhulu, okanye ziphilisa, udokotela wamazinyo okanye ugqirha kufuneka axoxwe. I-gastroenterologist inokugqiba ukuba izilonda ziyi-aphthous stomatitis, kwiimeko ezininzi nje ngokubonakala kwazo, kwaye ukuba uvavanyo olongezelelweyo okanye nayiphi na imvavanyo iyadingeka. Izilonda zomlomo zingabangelwa ezinye iimeko (ezinjenge- dermatitis yokunxibelelana , ukusuleleka kwe-herpes, isifo somnyawo -nomlomo, kunye ne-lupus) engadinga unyango ukuze bahlale bebonwa ngugqirha wokuxilongwa.
Ukuba izilonda zibonakala zixakeka, ugqirha unokuyalela izilingo ezifana nokubalwa kweeseli zegazi ; isantingi se-erythrocyte; kunye nesinyithi, ukulandelana, kunye namaB-12 amanqanaba. Inkcubeko okanye i- biopsy yezilonda nazo zingathathwa.
Ukunyanga i-Ulcers yeMouth
Amatyala amancinci ye-aphthous stomatitis ayifuni naluphi na unyango njengoko izilonda ziza kuziphilisa zodwa. I-anesthetics ye-headical efana ne-lidocaine imiselwe ngokuqhelekileyo ukukhululwa kwentlungu. Izilonda ezinobunzima zingaphathwa nge-corticosteroid yenkcazo ye-corticosteroid kwi-paste, i-cream, i-spray, okanye ihlanza. Ulwaphulo oluthile lwe-aphthous stomatitis, i-amlexanox, lusetyenziswa ngokuphindaphindiweyo ukuba kusetyenziswe i-topical, kunye neengxelo ezipapashiweyo ezibonisa ukusebenza kakuhle. Amacinci omlomo ayanciphisa inani leebhaktheriya emlonyeni angasetyenziswa kwakhona. Iimeko ze-aphthous stomatitis ezixhomekeke kwiimeko ezinzulu ezifana nokusuleleka ngoGawulayo zinokuphathwa ngamachiza omlomo.
Ukuba izilonda ziyacaphuka ngokutya ezithile, kunokudinga ukuba utshintsho ekudleni. Ukutya okuhlambulukileyo, okuyi-bland, okungekho-acidic (ngaphandle kweziqholo okanye ityuwa) kunokunciphisa ukucaphuka. Ukuphumelela kwi-chips chips kunokunciphisa intlungu. Olunye unyango, olunjengokusebenzisa ubisi lwe-magnesia kwizilonda okanye ukuhlanjululwa ngamanzi etyuwa, i- hydrogen peroxide ehlanjululwayo, okanye i-Benadryl (diphenhydramine) inokuba luncedo kwezinye iimeko. Ngezinye amaxesha ababulali bezinhlungu ba se tyenziswa, kodwa khumbula ukuba ii-NSAID zingabangela ukuhlaselwa kwe-IBD kwabanye abantu.
Ngenxa yokuba i-aphthous stomatitis ingaphinde ibe yingozi ngenxa yengozi, kubalulekile ukunyamekela ukuba ungalimi okanye ulimele ngaphakathi emlonyeni. Naliphi iingxaki zamazinyo (amazinyo aguqayo, iifowuni ezigulisa) ezingabangela okanye ezifakayo kwizilonda kufuneka ziqwalaselwe ngudokotela wamazinyo.
Kwiimeko ze-aphthous stomatitis ezibangelwa ukuhlaselwa kwe-IBD, izilonda zixazulula xa i-flare-up ilawulwa.