Angular stomatitis. Kev qaug dab peg hauv cov ces kaum ntawm lub qhov ncauj: ua rau thiab kho

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Angular stomatitis. Kev qaug dab peg hauv cov ces kaum ntawm lub qhov ncauj: ua rau thiab kho
Angular stomatitis. Kev qaug dab peg hauv cov ces kaum ntawm lub qhov ncauj: ua rau thiab kho

Video: Angular stomatitis. Kev qaug dab peg hauv cov ces kaum ntawm lub qhov ncauj: ua rau thiab kho

Video: Angular stomatitis. Kev qaug dab peg hauv cov ces kaum ntawm lub qhov ncauj: ua rau thiab kho
Video: Contouring of the mandible, maxillary advancement /CASE 9 2024, Kaum ib hlis
Anonim

Ib tug neeg tsis muaj kev kawm kho mob feem ntau hloov cov lus ua haujlwm nyuaj nrog cov npe niaj hnub yooj yim. Yog li, piv txwv li, cov kab nrib pleb thiab qhov txhab uas "dho" cov ces kaum ntawm daim di ncauj yog hu ua jams. Qhov tseeb, qhov no yog qhov tshwm sim ntawm angular stomatitis. Tus kab mob no yog dab tsi thiab koj yuav tua tau li cas?

angular stomatitis
angular stomatitis

angular stomatitis yog dab tsi?

Nws yuav zoo li tias tshuaj yog txhob txwm sim ua kom cov neeg mob tsis meej pem los ntawm kev muab ntau lub npe rau ib txheej txheem. Daim npav hais tias: angular cheilitis, angular cheilitis, angular stomatitis, cheilosis, angular stomatitis, slit-zoo li impetiligo. Qhov tseeb, lawv txhua tus yog tib yam kab mob. Ntawd yog, txheej txheem me me hauv qhov ncauj kab noj hniav tshwm sim los ntawm cov tsos ntawm Candida poov xab zoo li fungi los yog streptococci, nrog rau kev tsim ntawm daim tawv nqaij tsis xws luag nyob rau hauv lub ces kaum ntawm lub qhov ncauj.

Ntau tus paub tseeb tias qhov no tsuas yog kev kho kom zoo nkauj xwb, thiab tsis txhob mus ntsib kws kho mob uas muaj teeb meem zoo sib xws. Feem ntau, nws muaj peev xwm tiv nrog qaug dab peg siv txoj kev improvised. Txawm li cas los xij, tsis txhob hnov qab tias nyob rau hauv lub xeev tsis saib xyuas, txhua yam kab mob yog qhov nyuaj rau kho. Ntxiv mus, ocov ces kaum ntawm daim di ncauj tuaj yeem yog cov tsos mob ntawm cov kab mob hauv lub cev ntau dua.

qaug dab peg nyob rau hauv cov ces kaum ntawm lub qhov ncauj ua rau thiab kev kho mob
qaug dab peg nyob rau hauv cov ces kaum ntawm lub qhov ncauj ua rau thiab kev kho mob

daim duab kho mob dav dav

Angular stomatitis tuaj yeem tshwm sim ntau txoj hauv kev, nyob ntawm daim ntawv ntawm cov kab mob lesion. Raws li twb tau hais lawm, nws tuaj yeem yog candidal lossis streptococcal. Feem ntau, tus kws kho mob xav tau tsis yog tsuas yog ib qho kev ntsuam xyuas ntawm daim tawv nqaij yaig, tab sis kuj yog ib qho kev ntsuam xyuas ntawm scrapings los ntawm qhov chaw ntawm qhov chaw cuam tshuam. Tsuas yog hauv txoj kev no nws tuaj yeem kuaj xyuas tau.

Thawj muaj qhov mob me me ntawm lub kaum ntawm lub qhov ncauj. Cov cheeb tsam kub hnyiab tau tawg thiab tawg tshwm, uas tej zaum yuav ntub los yog crusted. Qhov chaw ntawm qhov txhab pib khaus lossis ua rau kub hnyiab, thiab thaum noj lossis hais lus, tus neeg raug mob.

Tam sim no nws tsim nyog nkag siab qhov txawv ntawm candida thiab streptococcal congestion.

ob daim di ncauj
ob daim di ncauj

kab mob Streptococcal

Angular stomatitis streptococcal daim ntawv no feem ntau tshwm sim rau cov menyuam yaus. Nws pib dheev thiab loj hlob sai heev. Thawj cov tsos mob yog qhov tshwm sim ntawm ib lossis ntau lub npuas. Nyob rau hauv lawv muaj ib tug ntshiab los yog pos huab kua. Tus kab mob Streptococcal yog ib txwm pom tseeb los ntawm sab nraud. Kev yaig tuaj yeem tshwm sim los ntawm ob qho tib si thiab los ntawm ib sab ntawm qhov ncauj kab noj hniav. Npuas yog nyob rau hauv cov ces kaum ntawm daim di ncauj los yog nyob deb ntawm lawv. Tom qab qee lub sijhawm, kev yaig ntawm cov mucous epithelium tshwm sim ntawm qhov chaw ntawm cov npuas tawg. Tom qab ntawd cov kab nrib pleb tsim dhau qhov kev yaig. Yog tias kev kho tsis tau pib raws sijhawm, ces cov kab nrib pleb tob zuj zus thiabmus txog txheej ntawm lymphatic capillaries. Tshem tawm ntawm qhov txhab tshwm, uas ua rau thickening thiab qhuav ntawm daim tawv nqaij. Ib qho inelastic crust yog tsim, uas tawg thaum koj xav tau qhib koj lub qhov ncauj dav, noj, lossis tham ib txwm. Tus neeg mob lub qab los noj mov tsawg zuj zus, kev noj qab nyob zoo zuj zus, khaus thiab kub hnyiab ntawm qhov chaw cuam tshuam tshwm sim.

streptococcal zaeda
streptococcal zaeda

YCandida lesion

Yog angular stomatitis yog candidal nyob rau hauv cov xwm, ces nws hlob qeeb. Qee zaum, qhov txhab yog nyob rau hauv cov ces kaum sab hauv ntawm daim di ncauj, thiab nws tsis pom los ntawm sab nraud. Yog hais tias cov txheej txheem inflammatory tau cuam tshuam rau sab nrauv ntawm daim di ncauj, ces lawv tuaj yeem suav hais tias yog reddish yaig, ncig los ntawm cov tawv nqaij daj ntseg. Cov ces kaum ntawm lub qhov ncauj tsis npog nrog ib tug crust, tab sis, ntawm qhov tsis tooj, tau ntub. Ib tug dawb curdled txheej tshwm rau ntawm lawv. Cov no yog cov khoom pov tseg ntawm fungus Candida. Thaum pib, daim ntawv candidal tsis muaj npuas, qhov no yog qhov tseem ceeb rau kev kuaj mob. Cov txheej txheem inflammatory yuav luag ib txwm ua los ntawm kev puas tsuaj rau ob lub qhov ncauj ntawm lub qhov ncauj.

Yog vim li cas zaeda

Rau qhov txwv tsis pub, streptococci thiab cov poov xab tuaj yeem pom ntawm daim tawv nqaij ntawm tus neeg noj qab nyob zoo. Txhawm rau qhib cov kab mob microflora, qee yam yuav tsum tau ua.

qaug dab peg hauv me nyuam dua li kho
qaug dab peg hauv me nyuam dua li kho

Qhov ua rau pom kev qaug dab peg raws li cov tsos mob ntawm tus kheej tuaj yeem yog:

  • mob rau ntawm daim tawv nqaij, xws li nyem pob ntxau ze ntawm lub ces kaum ntawm daim di ncauj;
  • tsis zoo qhov ncauj;
  • kho hniav tsis haumhniav hniav;
  • tais diav;
  • txiv hmab txiv ntoo thiab zaub;
  • hypothermia.

Zaeda raws li cov tsos mob ntawm lwm yam kab mob

Yog angular stomatitis yog cov tsos mob ntawm cov txheej txheem nyuaj, ces txoj hauv kev rau nws tshem tawm yuav tsum txawv. Kev qaug dab peg tuaj yeem yog cov tsos mob ntawm cov kab mob hauv qab no:

  • avitaminosis;
  • txhua yam anemia;
  • kis kab mob cuam tshuam nrog ua npaws ntev;
  • hypovitaminosis;
  • immunodeficiency xeev;
  • mob ntshav qab zib;
  • kev tsis haum;
  • mob plab zom mov.
tshuaj pleev los ntawm qaug dab peg
tshuaj pleev los ntawm qaug dab peg

Nyob rau hauv cov ntaub ntawv no, thaum tshem tawm jams nyob rau hauv lub ces kaum ntawm lub qhov ncauj, qhov ua rau thiab kev kho mob yuav tsum interconnected. Ua ntej tshaj plaws, kev kho mob yog qhia tawm tsam tus kab mob hauv qab, vim tsuas yog kev kho mob yuav tsis pab.

Kev kho mob

Raws li ib txwm muaj, kev kho mob ua ntej los ntawm kev kuaj mob thiab kuaj mob. Yog tias qhov qaug dab peg tsis yog ib qho tsos mob ntawm lwm tus kab mob, ces nws tus neeg sawv cev ua rau raug txiav txim. Rau daim ntawv candidal, yuav tsum tau teem caij ntawm cov tshuaj antimycotic, txij li thaum kev sib ntaus yuav mus nrog ib tug fungal kab mob. Tsis tas li ntawd, nws yuav tsum tau kho qhov chaw cuam tshuam ntawm daim tawv nqaij nrog antiseptics. Cov kws kho mob feem ntau sau cov tshuaj tiv thaiv kab mob Clotrimazole. Thiab rau kev kho tom ntej "Bepanten" thiab "D-panthenol".

tshuaj pleev los ntawm qaug dab peg
tshuaj pleev los ntawm qaug dab peg

Txhawm rau tshem tawm daim ntawv streptococcal, koj yuav xav tau cov tshuaj tua kab mob los ntawm qaug dab peg. Kev npaj ua kua "Stomatidin" pab tau zoo. Txhais tau tias xaivnyob rau hauv daim ntawv ntawm rinses los yog lotions. Nws sib npaug zoo cuam tshuam rau ob qho tib si streptococci thiab fungal flora. Cov tshuaj pleev tshuaj tua kab mob, xws li erythromycin, feem ntau tau sau tseg. Cov tshuaj pleev Vishnevsky paub zoo pab txhua tus.

Yog tias cov tshuaj pleev ib ce tsis daws cov ces kaum ntawm lub qhov ncauj, qhov ua rau thiab kev kho mob yuav tsum tau tshawb xyuas ntxiv thiab kho. Tej zaum nws yuav tsim nyog los sau cov vitamin complexes, immunomodulators lossis cov tshuaj ntxiv dag zog. Cov kab mob hauv qab no raug kho los yog kev tsis haum tshuaj raug tshem tawm, thiab kev kho mob ntawm angular stomatitis yog ua nyob rau tib lub sijhawm lossis thaum kawg ntawm kev kho lub ntsiab.

Yuav ua li cas rau tus menyuam

Cov menyuam yaus tsis xis nyob thiab ua haujlwm. Nws yog ib qho nyuaj rau lawv to taub hais tias ib tug me me qhov txhab ntawm lub ntsej muag yuav tsum tsis txhob kov nrog ob txhais tes, hais tias nws yuav tsum tsis txhob khawb thiab licked. Thaum qaug dab peg tshwm sim hauv tus menyuam, yuav kho li cas yuav tsum tau txiav txim los ntawm tus kws kho mob. Kev siv tshuaj tsis tswj xyuas yuav ua rau muaj kev phom sij loj rau tus menyuam. Feem ntau, peroxide lossis ci ntsuab kho mob yog txaus.

Kev kho mob angular stomatitis
Kev kho mob angular stomatitis

Yog tias kuaj pom daim foos candidal, uas tsis tshwm sim hauv cov menyuam yaus, tom qab ntawv tshuaj nystatin lossis levorin ointment. Cov me nyuam laus kuj yaug lawv lub qhov ncauj, thiab cov me nyuam yaus kho cov ces kaum ntawm lawv daim di ncauj nrog dej qab zib tov.

Yog tias qhov tom yog vim muaj kev fab tshuaj rau ib yam khoom, ces cov niam txiv yuav tsum ua tib zoo tshem cov khoom khib nyiab los ntawm cov ces kaum ntawm lub qhov ncauj thiab tshem tawm ntawm cov khoom noj.

tshuaj ntsuab

Hauv cov xwm txheej yooj yim, nws txaus los siv cov tshuaj pej xeem. Muaj ntau, nrhiav tauangular stomatitis, kev kho mob yog nqa tawm tom tsev. Lub ntsiab kev taw qhia yog soften lub crust thiab kho qhov txhab. Cov khoom hauv qab no yuav ua:

  1. zaub roj. Txhawm rau kom cov tawv nqaij mos, cov roj huv huv tuaj yeem siv rau ntawm qhov chaw yaig. Ib tug hiav txwv buckthorn, txiv ntseej los yog linen version yog zoo suited. Tab sis tshuaj yej tsob ntoo roj tuaj yeem siv tsis tau tsuas yog ua kom muag muag, tab sis kom tua kab mob rau thaj tsam cuam tshuam. Hauv qhov no, cov ntawv thov luv luv tau ua. Ob peb tee ntawm cov tshuaj yej tsob ntoo roj yog siv rau ib daim ntaub qhwv thiab thov rau 2-5 feeb.
  2. tshuaj vitamin-nourishing hauv tsev. Ib diav ntawm zib mu, 10 tee roj ntses thiab 2 tee ntawm kua vitamin A thiab E sib tov rau hauv ib lub thawv me me, qhov kev xaiv zoo tshaj yog siv rau yav tsaus ntuj thiab tawm mus txog thaum sawv ntxov.
  3. Koj tuaj yeem tawm tsam cov jams los ntawm rub lawv ob peb zaug hauv ib hnub nrog kua txiv aloe.
  4. Infusions npaj los ntawm cov tshuaj ntsuab kuj tsim nyog rau kev kho mob. Hauv qhov no, chamomile, sage, oak bark yog siv tau. Kev ntxuav yuav tsum tau ua 3-5 zaug hauv ib hnub.
  5. Tawm tsam tawm tsam angular stomatitis psyllium kua txiv. Cov nroj tsuag tau sau tseg ntawm txoj kev tsis khoom, ntxuav thiab hauv av. Cov kua txiv hmab txiv ntoo yog squeezed tawm ntawm lub resulting slurry, uas yog siv los txhuam thiab pleev.
  6. Propolis tuaj yeem siv rau kev kho mob. Yog tias qhov no yog dej cawv, tom qab siv cov tshuaj tua kab mob, cov roj emollient raug siv.
  7. tshuaj zoo yog pob ntseg. Nws tsis yog aesthetically pleasing heev, tab sis zoo txaus. Siv tshuaj sulfur ntau zaus hauv ib hnub.
  8. Muaj cov tshuaj tua kab mobqej tshiab. Koj tuaj yeem siv daim hlau nyias lossis av gruel rau cov qhov txhab ntawm cov ces kaum ntawm lub qhov ncauj.
angular cheilitis
angular cheilitis

Yog hais tias improvised txhais tau tias tsis tuaj yeem pom cov txiaj ntsig hauv ob peb hnub, ces nws tsis tsim nyog rau kev pheej hmoo. Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob, thiab siv cov tshuaj ib txwm siv ntxiv rau kev kho mob tseem ceeb.

tiv thaiv kab mob

Txhawm rau tiv thaiv angular stomatitis, yog tias nws tsis yog cov tsos mob cuam tshuam nrog lwm tus kab mob, nws txaus los ua ntu zus thiab ua tib zoo ua cov txheej txheem tu cev, mus ntsib kws kho hniav ib xyoos ob zaug txhawm rau tshuaj xyuas lub qhov ncauj thiab kuaj pom caries lossis periodontitis. Tsis tas li ntawd, cov tais diav qias neeg thiab cov diav sib koom yuav tsum tsis txhob sib koom.

Pom zoo: