Zilonda M'kamwa Zingakhale Zowawa Koma Sizovuta Kwambiri
Anthu ena omwe ali ndi matenda opatsirana kwambiri (IBD) amatha kuzindikira zizindikiro zosiyanasiyana za m'mimba komanso zizindikiro za m'mimba mwawo. Izi zingaphatikizepo kukwiya kwa khungu , mavuto a maso, ndi ululu wofanana , pakati pa ena. Chimodzi mwa ziwalo za m'mimba mwake ndi aphthous stomatitis, kapena zilonda m'kamwa. Kwa ena ndi IBD, zilonda za m'kamwa zikhoza kukhala chimodzi mwa zizindikiro zoyambirira zomwe IBD ikhoza kuyambiranso.
Zilonda zam'madzi, kapena zilonda za aphthous, ndizo zilonda zomwe zimayambitsa nthenda yotchedwa aphthous stomatitis. Zingawoneke ngati zosavuta, zochepa, koma pokhala ndi mavuto ena ambiri omwe amabwera ndi IBD angakhale okhumudwitsa komanso opweteka. Mwamwayi iwo amakhala opanda vuto ndipo chithandizochi chikufuna kuchepetsa mavuto. Aphthous stomatitis sakhulupirira kuti ndi yopatsirana ndipo sangathe kufalikira kwa anthu ena. Pali zinthu zambiri zomwe zingachititse kuti zilonda za pakamwa zisapweteke kwambiri. Kwa anthu omwe ali ndi IBD, kupeza kutupa koyambitsa IBD kumawathandiza kuchepetsa zilondazo ndikuwathandiza kuchiritsa.
Zizindikiro za Zilonda za M'kamwa
Zilonda za aphthous ndi zilonda zopanda kanthu mu mucosa (chikhomo) cha pakamwa. Zikhoza kuoneka paliponse pakamwa, koma zimapezeka mkatikati mwa milomo kapena masaya, kapena pambali kapena m'munsi mwa lilime. Zitha kukhala masabata 1 mpaka 2 mpaka miyezi.
Zilonda zikhoza kuoneka zoyera kapena zachikasu ndi zofiira zofiira, zomwe zimayambira pamene zimayamba kuchiza. Zingathenso kutchulidwa kuti zikuwoneka ngati zotupa.
Zimayambitsa Zilonda za M'kamwa
Sidziwika chifukwa chake aphthous stomatitis angaoneke mwa anthu ena omwe ali ndi IBD. Zina mwazinthu zikuphatikizapo kupanikizika, matenda a bakiteriya, kapena kupwetekedwa mtima.
Pakhoza kukhala mgwirizano pakati pa chitukuko cha nthenda yotchedwa aphthous stomatitis ndi kukhala ndi chitetezo cha m'thupi. Zina zomwe zingayambitse aphthous stomatitis zimaphatikizanso kufooka kwa mavitamini osiyanasiyana ndi mchere (ngakhale izi si zachilendo).
Kusanthula kwa Zilonda za M'kamwa
Nthenda ya aphthous stomatitis yomwe sivuto kapena yopweteka sizimafuna kupita kwa dokotala. Komabe, ziyenera kukambidwa pa ulendo wotsatira kwa gastroenterologist amene akuchiza IBD. Ngati zilonda zikuluzikulu, zopweteka kwambiri, kapena osachiritsa, dokotala wa mano kapena dokotala ayenera kufunsidwa. Gastroenterologist angadziwe ngati zilondazo ndizochotsa mitsempha yotchedwa aphthous stomatitis, nthawi zambiri maonekedwe awo, ndipo ngati pakuyesedwa kapena kuchipatala kuli kofunikira. Zilonda zam'mimba zingayambidwe ndi zina (monga kukhudzana ndi dermatitis , matenda a herpes, matenda a mapazi-ndi-pakamwa, ndi lupus) omwe angafunikire chithandizo kotero kuti nthawi zonse aziwoneka ndi dokotala wa matenda.
Ngati zilonda zikuwoneka zovuta, dokotala akhoza kulamula mayesero monga kuwerenga kwathunthu kwa maselo a magazi ; mlingo wa erythrocyte; ndi chitsulo, masewera, ndi ma B-12. Chikhalidwe kapena chikhalidwe cha zilonda zingathenso kuthandizidwa.
Kuchiza Zilonda za M'kamwa
Matenda ofooketsa aphthous stomatitis sangathenso kulandira chithandizo ngati zilonda zidzachiritsira zokha. Mankhwala otsegula m'mimba monga lidocaine amamasuliridwa kawirikawiri kuti amve kupweteka kwa m'deralo. Zilonda zovuta zikhoza kuperekedwa ndi topical corticosteroid mu phala, kirimu, utsi, kapena kutsuka. Chithandizo chapadera cha aphthous stomatitis, amlexanox, nthawi zina chimatchulidwa kuti agwiritsidwe ntchito pamasewero, komanso kafukufuku wofalitsidwa omwe amasonyeza bwino. Mphuno zamphongo zomwe zimachepetsa kuchuluka kwa mabakiteriya m'kamwa zingagwiritsidwe ntchito. Milandu ya aphthous stomatitis yomwe ikukhudzana ndi vuto lalikulu lomwe limakhalapo ngati kachilombo ka HIV lingapangidwe ndi mankhwala am'kamwa.
Ngati zilonda zakwiya ndi zakudya zina, pangakhale kusintha kwa zakudya. Zakudya zofewa, zopanda pake, zopanda mavitamini (popanda zonunkhira kapena mchere) zingachepetse kukwiya. Kupindula pamapiko a ayezi kungachepetse ululu wina. Mankhwala ena, monga kugwiritsa mkaka wa magnesia ku zilonda kapena kuchapa ndi madzi amchere, kuchepetsedwa kwa hydrogen peroxide , kapena Benadryl (diphenhydramine) angakhale othandiza nthawi zina. Opha ululu nthawi zina amagwiritsidwa ntchito, koma kumbukirani kuti ma NSAID angayambitse anthu ena ku IBD.
Chifukwa aphthous stomatitis ingakhalenso yoipitsitsa chifukwa cha kupsyinjika, ndikofunika kuti musamalume kapena kuvulaza mkati mwa pakamwa. Matenda alionse a mano (mano opunduka, magetsi osayenera) omwe angayambitse kapena kupereka kwa zilonda amayenera kulankhulidwa ndi dokotala wa mano.
Milandu ya aphthous stomatitis yomwe imayambitsidwa ndi IBD, zilondazi zimatsimikiza kuti zowonongeka zikulamulidwa.