IBD Siima pa Matumbo; Ikhozanso Kukhudza Pakamwa Pako
Matenda opweteka kwambiri (IBD) amawoneka ngati chinthu chomwe chimakhudza kagawo kake, komatu pali zambiri pa nkhaniyo. Chinthu choyamba kukumbukira ndi chakuti mkamwa ndi gawo la chilakolako cha m'mimba, choncho akhoza kuthandizidwa ndi IBD. Anthu ena omwe ali ndi matenda a Crohn's or ulcerative colitis angakhale ndi zilonda m'makamwa , otchedwa aphthous stomatitis .
Ngakhale si zachilendo, palinso anthu omwe ali ndi matenda a Crohn omwe adamva kutupa kwa Crohn pakamwa.
Mbali imodzi ya pakamwa imene imaiwala nthawi zina, ndi mano. Mankhwala sangasokonezedwe mwachindunji ndi IBD monga matenda ofewa mkati mwa pakamwa, koma m'malo mwake amakhudzidwa mwachindunji, monga mankhwala ndi zakudya.
Kafukufuku wina adawonetsa kuti anthu omwe ali ndi matenda a Crohn amafunikira njira zowonjezereka kwa dokotala wa mano kuposa anthu abwino omwe ali ndi zaka zofanana. Zomwezo zinali zoona, ngakhale pang'ono, kwa anthu omwe ali ndi zilonda zam'mimba. Izi zikutanthawuza kwa anthu omwe ali ndi IBD kuti pakufunika kukhala ndi cholinga chokhala ndi thanzi labwino, komanso kuthana ndi mavuto ena omwe IBD imabweretsa.
Periodontitis ndi IBD
Anthu omwe ali ndi IBD asonyezedwa kuti ali ndi nthawi yotchedwa epontontitis , matenda a chifuwa cha mano, mobwerezabwereza kuposa anthu opanda IBD. Periodontitis imakhala ndi chiopsezo cha dzino, ndipo, motero, imayendetsa maulendo ambiri kwa madokotala kuti azisamalira.
Kusuta ndi vuto limodzi lomwe limapangitsa kuti anthu omwe ali ndi IBD aziopseza nthawi. Anthu omwe ali ndi matenda a Crohn omwe amasuta amasulidwa kuti ali ndi matenda oopsa kwambiri. Kusuta ndi kachilombo koyambitsa matenda a periodontitis, ndipo anthu omwe ali ndi Crohn's disease ndi ulcerative colitis omwe amasuta amachulukitsa chiopsezo chawo chokhala ndi vutoli.
Zimalimbikitsidwa kuti anthu omwe ali ndi IBD asasute fodya kuti athe kupewa mavuto (ngakhale omwe ali ndi zilonda zam'mimba).
Cavities ndi IBD
Anthu omwe ali ndi IBD adasonyezanso kuti ali ndi zikopa zambiri kuposa anthu omwe alibe IBD. Kafukufuku wina wasonyeza kuti anthu omwe ali ndi matenda a Crohn ali ndi kuchuluka kwa mitundu iwiri ya mabakiteriya m'matumbo awo, Lactobacilli ndi Streptococcus mutan . Phunzirolo linasonyezanso kuti anthu omwe ali ndi matenda a Crohn amamwa zakumwa zambiri zomwe zimakhala ndi shuga kusiyana ndi kuwonetsa thanzi labwino.
Chotsatira chimenechi sichinali kutanthawuza manyazi anthu omwe ali ndi Crohn za zakudya zawo, chifukwa pali zifukwa zabwino zomwe anthu omwe ali ndi matenda a Crohn amatha kumwa zakumwa zambiri ndi shuga. Anthu omwe ali ndi IBD angafunike kumwa zakumwa zamadzimadzi chifukwa cha kusowa kwa zakudya m'zakudya kapena zakumwa za masewera olimbitsa thupi. M'malo mwake, ichi ndi chinthu chinanso choyenera kukumbukira zaumoyo wam'thupi komanso kuti ndibwino kupeza chithandizo chodziletsa nthawi zonse.
Sindidziwe bwinobwino momwe mankhwala a IBD angakhudzire thanzi labwino. Anthu ambiri omwe ali ndi IBD amachiritsidwa ndi steroids, monga prednisone, pa matenda awo. Prednisone ikhoza kugwirizanitsidwa ndi chiopsezo chowonjezeka cha ziwalo za mano, koma palibe kufufuza kwa anthu omwe ali ndi IBD, ngakhale kuti pali malipoti ovomerezeka.
Kupeza Chisamaliro Chokamwa Momveka
Kupewera dokotala wamazinyo si zachilendo kwa akuluakulu, makamaka ngati pali zinthu zina zambiri kuntchito. Anthu omwe ali ndi IBD amawona madokotala osiyanasiyana nthawi zonse ndipo akhoza kukhala ndi mavuto aakulu azachuma akuyenda nawo. Kupeza mano kutsukidwa kawiri pa chaka kapena kusamalira mavuto ena amkati kumapangitsa kuti pakhale mndandanda wa zinthu zofunika, zomwe zimamveka bwino.
Komabe, monga mbali zambiri za chisamaliro chaumoyo, kusamala koyenera kudzakhala chinthu chofunikira kwambiri pakupewa mavuto amtsogolo. Kusakaniza ndi kukwapula kawiri pa tsiku kumalimbikitsa chisamaliro chamankhulidwe kwa anthu ambiri achikulire, koma anthu omwe ali ndi IBD ayenera kupempha madokotala a mano ngati chithandizo china chilichonse cha tsiku ndi tsiku chili chofunikira.
Kupeza dokotala wodziwa mano amene ali ndi odwala omwe ali ndi IBD akhoza kutenga nthawi. Zingakhale zopindulitsa kufunsa gastroenterologist kuti apereke malangizo kwa malo ammidzi omwe amapezeka ndi odwala omwe ali ndi IBD kapena matenda ena aakulu. Njira zina za mano zimatha kugwiritsa ntchito mankhwala osokoneza bongo kapena mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi gastroenterologist ziyenera kusungidwa pamene mankhwalawa akugwiritsidwa ntchito. Izi ndi chifukwa antibiotics ndi NSAID zonse zasonyezedwa kuti zimayambitsa mavuto kwa anthu ena omwe ali ndi IBD, monga kutsegula m'mimba kapena ngakhale kutayirira.
Mawu Ochokera
Zimamveka bwino kuti IBD imakhudza munthu yense. Izi zimaphatikizanso pakamwa ndi mano, ngakhale kuti sizingakhale mbali ya thupi lomwe anthu ambiri omwe ali ndi IBD akuyang'anitsitsa. Ndikoyenera kuyankhula ndi gastroenterologist pokhudzana ndi kupeza dokotala yemwe sangathandize kokha ngati pali mavuto, komanso ndi chithandizo chodziletsa. Ndizotheka kuti anthu omwe ali ndi IBD angafunikire kukonza zoyeretsa kapena kukhala ndi chizolowezi chodziletsa pakamwa, makamaka asanayambe kapena opaleshoni. Kuuza dokotala wamankhwala za IBD komanso za mankhwala aliwonse ndi ofunikira, makamaka ngati njira za mano zimayenera.
> Zotsatira:
> Brito F, wa Barros FC, Zaltman C, et al. "Kuchulukanso kwa nthawi yotchedwa periodontitis ndi DMFT akuwerengera odwala omwe ali ndi matenda a Crohn's and ulcerative colitis." J Clin Periodontol . 2008 Jun; 35: 555-560.
> Grössner-Schreiber B, Fetata T, Hedderich J, et al. "Kukula kwa matenda a mano ndi matenda a periontal kwa odwala omwe ali ndi matenda opweteka kwambiri: kuphunzira kolamulira." J Clin Periodontol . 2006 Jul; 33: 478-84.
> Johannsen A, Fored MC, Håkansson J. "Kugwiritsa Ntchito Mankhwala Opaleshoni kwa Odwala Opatsirana Matenda Opatsirana, Ophunzira Phunziro." PLoS One. 2015; 10: e0134001.