Aphthous stomatitis yog ib qho kab mob ntawm cov kab mob sib kis, uas ua rau mob rau ntawm cov nqaij mos. Lawv yog oval nyob rau hauv cov duab thiab npog nrog ib tug dawb txheej. Nyob rau ntawm lub periphery muaj ib tug kaj liab xim. Tus kab mob no muaj ntau dua rau cov menyuam yaus, tab sis qee zaum cov laus kuj raug kev txom nyem.
Dab tsi yog kab mob
Aphthous stomatitis hauv cov neeg laus muaj tsawg dua li cov menyuam yaus. Qhov tsim ntawm qhov txhab nyob rau hauv lub qhov ncauj kab noj hniav yog nrog los ntawm ntau qhov tsis xis nyob ntawm tus neeg mob, tshwj xeeb tshaj yog thaum noj mov. Tsis tas li ntawd, cov neoplasms tshwm sim yog nrog los ntawm kev hloov pauv ntawm cov qog ntshav qog ntshav thiab, qee zaus, qhov nce hauv lub cev kub.
Cov txheej txheem inflammatory yog nyob rau hauv lub qhov ncauj kab noj hniav, vim hais tias nyob rau hauv lub cheeb tsam no muaj ib tug loj tus naj npawb ntawm cov kab mob pathogenic, txawm hais tias nws yuav mus dhau nws. Yog tias kev tu cev tsis zoo, ces cov plaque muag hauv cov pos hniav thiab cov hniav. Nws yog nws uas muaj cov kab mob pathogenic. Yog tias lub cev tiv thaiv kab mob zoo li qub, ces nws tsis tso cai rau microflora loj hlob sai.
Aphthous stomatitisCov tsos mob los ntawm qee cov tsos mob, lub ntsiab ntawm uas yog tsim cov qhov txhab ntawm cov mucous membrane.
Vim txoj kev loj hlob
Qhov tseeb ua rau kev txhim kho ntawm aphthous stomatitis tsis tuaj yeem qhia meej meej. Txawm li cas los xij, cov kws tshaj lij tau pom ntau yam uas ua rau pom qhov mob xws li:
- Muaj tus kab mob staphylococcus lossis qhua pias, mob npaws, kab mob herpes, kab mob diphtheria hauv lub cev.
- Permanent hypothermia.
- Tsis muaj cov vitamins B, folic acid thiab selenium hauv lub cev.
- Ntau yam kab mob hniav.
- Kev puas tsuaj rau lub qhov ncauj mucosa.
- khoom noj tsis txaus ntseeg, tsis ua raws li kev noj haus.
- Muaj ntau cov tshuaj nyob rau hauv cov khoom tu cev, tshwj xeeb tshaj yog sodium lauryl sulfate.
- ntshav pathologies.
- tus cwj pwm phem.
- siv sijhawm ntev ntawm NSAIDs.
- Kev ua txhaum ntawm kev ua haujlwm ntawm lub plab thiab cov hnyuv.
- Zaj caj ces.
- Ntshai qaug zog.
- kev tsis haum tshuaj.
Ib txhia txoj kev, kev tiv thaiv txo qis hauv cov poj niam thaum lub sij hawm cev xeeb tub lossis thaum lub sij hawm yug me nyuam. Qhov no tuaj yeem ua rau muaj kev cuam tshuam rau kev loj hlob ntawm aphthous stomatitis.
Kev txhim kho theem thiab cov tsos mob
Aphthous stomatitis raws li ICD-10 muaj tus lej K12.0. Nws loj hlob zuj zus. Cov theem hauv qab no ntawm pathology tuaj yeem paub qhov txawv:
- thawj tus yog prodromal. ATthaum lub sij hawm no, tus neeg mob mob taub hau, tawm hws ua zog. Muaj qhov hloov pauv ntawm qhov kub thiab txias, uas tuaj yeem nce mus txog 39 degrees. Tus neeg mob xav tias txias, qaug zog heev, apathy. Yog tias koj nias lub nraub qaum ntawm lub taub hau, caj dab, tus kws kho mob tuaj yeem hnov cov qog nqaij hlav loj. Lub mucous daim nyias nyias ntawm lub qhov ncauj yuav qhuav, kaj liab. Inflammatory foci tshwm.
- Qhov thib ob yog aphthous. Cov theem no yog tus cwj pwm los ntawm qhov tshwm sim ntawm cov kab mob me me, ntawm qhov chaw uas lub teeb grey txheej tshwm. Feem ntau lawv tuaj yeem pom ntawm tonsils, sab hauv ntawm daim di ncauj thiab lub puab tsaig. Ib qho kev kov rau thaj tsam cuam tshuam ua rau mob hnyav thiab tsis xis nyob. Kev noj mov nyuaj vim tus neeg mob tsis tuaj yeem zom tau.
- Thib peb - kho. Cov theem no tshwm sim ib lub lim tiam tom qab pib ntawm tus kab mob. Thaum lub sij hawm mob ua tiav, cov yeeb yaj kiab uas npog cov kab mob raug tshem tawm ntawm lawv tus kheej. Cov qhov txhab tau nruj, thiab cov pob liab liab tshwm nyob rau hauv lawv qhov chaw. Tom qab lwm 3-4 hnub, tsis muaj kab mob ntawm qhov txhab. Cov txheej txheem ntawm kev noj mov yog normalized, thiab qhov tsis xis nyob yuav ploj mus.
Tom qab qhov kawg rov qab ntawm qhov ncauj kab noj hniav, tsis muaj caws pliav, tshwj tsis yog daim ntawv ntawm cov kab mob deforming.
Cov qauv ntawm pathology
Cov hom kab mob aphthous stomatitis yog raws li hauv qab no:
- Fibrous. Nws yog tus cwj pwm los ntawm khaus, kub hnyiab, hloov hauv lub cev kub, tsim cov qhov txhab uas zoo li ntawm 2 lub lis piam. Cov kab mob zoo li no muaj nyob hauv lub qhov ncauj.
- Necrotic. Nws tshwm sim los ntawm somatic pathologies. Kev sib cuag puas ua rau mob hnyavmob. Cov kab mob pathological no kav ntev txog 4 lub lis piam. Cov hlwb tuag tau sau rau ntawm qhov ncauj mucosa, uas thaum kawg tau npog nrog txheej txheej epithelial.
- Granular. Yog vim li cas rau txoj kev loj hlob ntawm xws li aphthous stomatitis nyob rau hauv cov neeg laus yog qhov teeb meem ntawm lub functionality ntawm lub ducts ntawm cov qaub ncaug qog. Ua ntej, cov hlwv me me tshwm sim ntawm qhov chaw ntawm qhov txhab, uas hloov mus rau hauv aphthae, kho mus txog 20 hnub.
- Scarring. Daim ntawv no txhim kho nrog kev kho tsis raug ntawm aphthous stomatitis hauv cov menyuam yaus thiab cov neeg laus. Nyob rau hauv cov ntaub ntawv no, qhov luaj li cas ntawm qhov txhab nce mus rau 1.5 cm. Thaum lub sij hawm lub sij hawm, lawv yog them nrog connective ntaub so ntswg. Cov kab mob zoo li no kho tau ntev - mus txog 3 lub hlis.
- Deforming. Hom kab mob no yog qhov hnyav tshaj plaws, vim nws tau nrog kev hloov pauv tsis tau ntawm cov ntaub so ntswg hauv ob sab hauv ntawm daim di ncauj thiab palate. Kev kho tus kab mob no nyuaj heev. Tom qab ntawd, cov caws pliav tseem nyob ntawm daim tawv nqaij, ua rau tsis xis nyob.
- Recurrent aphthous stomatitis. Nws yog tus cwj pwm los ntawm qhov hnyav tas li thiab txo qis ntawm cov tsos mob.
Tsis tas li ntawd, pathology tshwm sim hauv cov ntawv mob hnyav thiab mob ntev. Hauv thawj kis, rwj tshwm sim sai sai. Hom kab mob no tshwm sim hauv cov neeg ua xua, cov neeg muaj kab mob hauv plab. Aphthae muaj ntau qhov sib txawv. Nyob rau hauv mob aphthous stomatitis, rwj tshwm sim ib ntus, thiab cov tsos mob tsis tau hais, tab sis cov tsos mob kuj muaj zog heev. Nws tshwm sim nrog kev txo qis hauv kev tiv thaiv kab mob thiab yog tus cwj pwm los ntawm kev kho mob ntev ntawm qhov txhab.
Cov tsos mob ntawm pathology
Cov tsos mob ntawm aphthous stomatitis hauv daim ntawv mob hnyav yog raws li hauv qab no:
- Kev qaug zog, tsis muaj zog.
- mob lub qhov ncauj uas cuam tshuam kev noj mov.
- Kub nce.
- Apathy, kev nyuaj siab.
- Kev tshaib plab vim mob.
- Cov tsos mob ntawm qhov mob me me liab liab ntawm lub qhov ncauj, qhov loj ntawm qhov tsis tshaj 5 hli.
Nyob rau hauv daim ntawv mob ntev ntawm pathology, rwj kho tau qeeb dua, cov kab mob tsis zoo zuj zus mus. Thaum lub sij hawm no, lub qhov ncauj mucosa yog heev rhiab heev, muaj ib tug kub hnyiab, khaus, mob. Tus neeg mob tsis tuaj yeem txhuam nws cov hniav ib txwm, nws nyuaj rau nws tham thiab noj. Cov qog ntshav hauv cheeb tsam loj tuaj.
Diagnosis
Ua ntej pib kev kho mob ntawm aphthous stomatitis (daim duab tuaj yeem pom hauv tsab xov xwm), nws yuav tsum tau kuaj xyuas thiab txiav txim siab txog hom kab mob, nrog rau qhov ua rau nws tshwm sim. Yog tias tsis muab tshem tawm, ces cov tsos mob yuav rov qab los dua.
Kev kuaj mob yog ua los ntawm kws kho hniav. Txoj hauv kev tseem ceeb los txiav txim siab txog cov kab mob pathology yog kev kuaj xyuas sab nraud ntawm lub qhov ncauj kab noj hniav, nrog rau cov kab mob kab mob ntawm cov smear. Kev kuaj ntshav kuj tseem ua tau, uas yuav kuaj pom tus neeg sawv cev ntawm pathology. Thaum mus ntsib kws kho mob, tus neeg yuav tsum piav qhia txog cov tsos mob, ntev npaum li cas cov tsos mob pib. Qhov no yuav ua rau tus kws kho mob txiav txim siab qhov hnyav ntawm tus kab mob, nws daim ntawv, thiab kuj tau sau ntawv kho mob zoo.
Txoj kev loj hlob ntawm pathology hauv menyuam yaus
Aphthous stomatitis hauv cov menyuam yaus (kev kho mob tsuas yog tom qab kuaj xyuas kom meej) yog ib qho kev mob tshwm sim heev. Nws tshwm sim los ntawm cov kab mob pathogenic: staphylococci, streptococci. Cov tsos mob tseem ceeb ntawm tus kab mob yog cov pob liab liab ntawm lub qhov ncauj mucosa, uas nws thiaj li hloov mus ua cov kab mob me me.
Stomatitis tuaj yeem yog qhov teeb meem ntawm cov kab mob xws li qhua pias, mob khaub thuas. Qee zaum, aphthae los ntawm sab hauv ntawm qhov ncauj kab noj hniav tuaj yeem txuas mus rau cov ces kaum ntawm lub qhov ncauj. Yog tias thaum xub thawj tus menyuam muaj qhov siab tshaj plaws ntawm 3 qhov erosions, tom qab ntawd lawv tus lej tuaj yeem nce mus rau 10.
Nyob rau hauv ib tug me nyuam, stomatitis yog nrog los ntawm nce salivation, tsis qab los noj mov, hloov nyob rau hauv lub cev kub, irritability. Feem ntau hauv cov menyuam yaus, cov kab mob zoo li no tshwm sim vim muaj cov txheej txheem sib kis uas ua rau lub cev tsis muaj zog. Hypovitaminosis tuaj yeem ua rau muaj kev loj hlob ntawm stomatitis.
Kuj, tus menyuam cov qog nqaij hlav loj, nws tsis tuaj yeem noj zaub mov kub, qaub thiab qab zib. Tsis tas li ntawd, cov menyuam yaus tsis txhob hais lus ib txwm, vim qhov txheej txheem no ua rau mob. Daim ntawv mob ntev ntawm aphthous stomatitis yog ib qho zoo rau cov menyuam yaus hnub nyoog qis dua 4 xyoos. Lub sijhawm tseem ceeb ntawm exacerbation yog lub caij nplooj zeeg thiab caij nplooj ntoos hlav, thaum kev tiv thaiv tsis muaj zog.
Txoj kev kho mob ib txwm muaj ntawm pathology
Kev kho mob aphthous stomatitis yog nqa tawm tom tsev. Nws suav nrog kev siv tshuaj ntawm qhov ncauj los rhuav tshem cov kab mob microflora, nrog rau cov tshuaj hauv zos rautshem tawm tom qab. Tus neeg mob tau muab cov tshuaj hauv qab no:
- Immunomodulators: "Amiksin", "Immunal". Tsis tas li ntawd, ib tug neeg yuav tsum tau noj cov vitamins B thiab C, folic acid, thiab riboflavin. Cov nyiaj no yuav ua rau lub cev tiv thaiv kab mob.
- Antihistamines uas txo qhov yuav ua rau muaj kev tsis haum: Tavegil.
- nyiaj hauv zos. Lawv tshem tawm cov tsos mob ntawm pathology: mob, o, kho qhov qub microflora ntawm qhov ncauj kab noj hniav. Ntawm no, cov tshuaj yuav tsum tau muaj kev sib txawv ntawm kev ua: tshuaj tua kab mob (potassium permanganate daws, Miramistin, hydrogen peroxide), yaug lub qhov ncauj los yog tshuaj tua kab mob: Lugol's solution, Hexoral, antifungal agents ("Dekamin"). Txij li thaum daim ntawv mob stomatitis yog nrog los ntawm qhov mob, cov ntaub so ntswg raug cuam tshuam nrog Lidochlor lossis Anestezin ua ntej noj mov. Txhawm rau kho qhov txhab, "Solcoseryl", "Actovegin" yuav tsum tau.
- Txhawm rau ntxuav lub cev ntawm cov co toxins, koj yuav tsum siv cov tshuaj sodium thiosulfate.
Yog tias tus neeg mob tus mob stomatitis yog tus cwj pwm los ntawm kev rov ua haujlwm tsis tu ncua, tom qab ntawd thaum lub sijhawm exacerbation nws yog ib qho tsim nyog los kho cov kab noj hniav nrog cov ntsiab lus xws li: Oracept, Tantum Verde.
Kev kho mob aphthous stomatitis suav nrog kev noj zaub mov. Tus neeg mob yuav tsum tsis txhob noj ntsev thiab qaub, khoom noj khoom haus. Nws yog qhov zoo dua los noj grated cream soups,steamed zaub, kua cereals. Cov zaub mov uas ua rau muaj kev tsis haum tshuaj tsis suav nrog hauv cov ntawv qhia zaub mov. Raws li kev haus dej haus, tus neeg mob tau pom zoo kom dej dawb, tsis muaj qab zib, tshuaj yej tsis muaj suab thaj.
zaub mov txawv teb chaws
Aphthous stomatitis tuaj yeem kho tsis tau tsuas yog nrog tshuaj, tab sis kuj nrog cov tshuaj pej xeem. Txawm li cas los xij, cov kauj ruam no yuav tsum tau pom zoo nrog tus kws kho mob tuaj koom. Cov zaub mov hauv qab no yuav pab tau:
- Rosehip lossis hiav txwv buckthorn roj. Aphthas tau ua tiav nrog cov cuab yeej no txog li 4 zaug txhua hnub.
- Decoction ntawm chamomile, calendula, cinquefoil los yog St. John's wort rau yaug. Cov tshuaj no muaj cov tshuaj tua kab mob thiab kho qhov txhab.
- Yuav lub qhov ncauj nrog cawv tinctures ntawm tshuaj ntsuab. Rau cov txheej txheem, nws yuav tsum tau yaj 20 tee hauv 0.5 khob dej.
- Fresh aloe kua txiv. Nws tuaj yeem siv ncaj qha rau thaj chaw cuam tshuam.
- Y Propolis tincture. Ua ntej kev kho mob, nws yog qhov zoo dua los yaug koj lub qhov ncauj nrog hydrogen peroxide diluted hauv dej.
- tshuaj ntsuab sib xyaw: 3 feem ntawm chamomile, sage thiab mint, 1 feem ntawm fennel txiv hmab txiv ntoo yog poured rau hauv 100 ml dej thiab boil rau txog 25 feeb ntawm tsawg tshav kub. Yaug koj lub qhov ncauj nrog cov tshuaj no txog li 5 zaug hauv ib hnub.
Cov tshuaj kho neeg pej xeem rau kev kho mob aphthous stomatitis hauv cov neeg laus (daim duab yuav qhia cov tsos mob ntawm tus kab mob) tsis yog panacea. Txawm li cas los xij, lawv siv hauv kev kho mob nyuaj yuav ua rau koj ua tiav cov txiaj ntsig zoo sai dua.
Yuav muaj teeb meem thiab tiv thaiv kab mob
Aphthous stomatitis hauv cov neeg laus, yog tias tsis kho, tuaj yeem ua rau muaj teeb meem loj. Tus neeg mob cov hniav pib poob tawm, cov pos hniav los ntshav, thiab ib qho kab mob thib ob koom nrog. Tsis tas li ntawd, tus neeg mob tsim lub suab nrov, laryngitis. Sij hawm dhau mus, tus kab mob tuaj yeem nkag mus rau hauv cov hlab ntsha thiab kis mus thoob lub cev.
Hauv cov menyuam yaus uas muaj tus kab mob stomatitis, cov hniav enamel raug rhuav tshem sai dua, kev tiv thaiv poob qis. Tus me nyuam nyob rau hauv rooj plaub no yuav raug rau ntau yam kab mob pathologies. Thiab tseem muaj tus kab mob no tsis yog tsuas yog mob lub cev xwb, tab sis kuj muaj kev puas siab puas ntsws.
Txhawm rau tiv thaiv koj tus kheej los ntawm aphthous stomatitis, koj yuav tsum ua raws li kev tiv thaiv hauv qab no:
- Nco lub qhov cua hauv chav thiab ua kom ntub dej hauv nws.
- Nyob sab nraum zoov thiab ntxiv dag zog tiv thaiv los ntawm cov vitamins thiab khoom noj kom zoo.
- Cov txheej txheem tawv yuav pab tau.
- txhuam koj cov hniav tsis tu ncua.
- Ntxiv mus, txhawm rau rhuav tshem cov kab mob microflora, koj tuaj yeem siv tshuaj tua kab mob.
- Ua raws li cov cai ntawm kev tu tus kheej. Ntxuav tes, zaub thiab txiv hmab txiv ntoo, thiab ntxuav cov nqaij thiab ntses kom txaus yuav tiv thaiv cov kab mob nkag mus rau hauv lub cev.
- Kho kho hniav raws sijhawm, nrog rau cov kab mob sib kis uas ua rau txo qis hauv kev tiv thaiv.
Nrog kev kho kom raug, aphthae tuaj yeem kav ntev li 5 hnub, tab sis koj yuav tsum tsis txhob koom nrog kev kho tus kheej. Ua ntej koj yuav tsum paub qhov laj thawj ntawm kev txhim khopathology thiab tshem tawm nws.
