Nrog ntau yam kab mob cuam tshuam rau daim di ncauj, cheilitis tsis yog qhov kawg. Pathology feem ntau kuaj pom hauv cov neeg muaj hnub nyoog 50 txog 60 xyoo. Muaj ntau ntau yam ntawm nws. Hauv tsab xov xwm niaj hnub no, peb yuav ua tib zoo saib ntawm glandular cheilitis.
Kev piav qhia tus kab mob
Glandular cheilitis yog ib yam kab mob ntawm cov hniav. Nws yog feem ntau to taub raws li congenital los yog kis tau pathologies nyob rau hauv cov qauv ntawm cov qog salivary. Raws li qhov tshwm sim ntawm cov kev hloov tsis tu ncua, qhov zais cia yog tsim nyob rau hauv ntau ntau. Cov txheej txheem txawv txav, raws li txoj cai, tsuas yog txuas mus rau ntawm daim di ncauj.
Txiv neej raug kev txom nyem los ntawm qhov tshwm sim ntawm tus kab mob 2 zaug ntau dua li kev sib deev ncaj ncees. Qhov kev pheej hmoo ntawm nws txoj kev loj hlob nce nrog kev tu cev tsis zoo, muaj cov foci nquag ntawm qhov ncauj, thiab cov neeg haus luam yeeb. Tsis muaj kev kho mob raws sij hawm tuaj yeem ua rau kev hloov pauv ntawm pathology mus rau hauv cov txheej txheem malignant.
Ntau yam kab mob
Nws raug lees txais hauv kev kho mobPaub qhov txawv ob hom mob:
- Pib daim foos. tshwm sim raws li tus kab mob ywj pheej. Liab dots nrog dilated ducts nyob rau saum npoo ntawm daim di ncauj, tshaj cov qaub ncaug accumulates.
- daim ntawv thib ob. Nws yog qhov tshwm sim ntawm lwm yam teeb meem kev noj qab haus huv. Daim duab kho mob yog ua tiav los ntawm o ntawm daim di ncauj thiab mob thaum kov. Cov kua qaub nrog impurities ntawm cov kua paug tuaj yeem tshwm sim ntawm mucosa. Lub qhov ncauj qhib txhua lub sijhawm.
Qhov laj thawj tseem ceeb
Primary glandular cheilitis yog qhov tshwm sim ntawm qhov tshwm sim pathology ntawm cov qog qaub ncaug. Yog tias cov niam txiv twb tau muaj tus kab mob no, qhov tshwm sim ntawm nws qhov rov tshwm sim hauv cov menyuam yaus yog yuav luag 100%. Txawm li cas los xij, cov tsos mob tseem ceeb tshwm sim hauv cov neeg mob tsuas yog tom qab 20 xyoo.
Daim ntawv thib ob tuaj yeem txhim kho raws li qhov teeb meem ntawm cov kab mob hauv qab no:
- Ysystemic lupus erythematosus;
- lichen planus;
- leukoplakia.
Kev khaum tas li ntawm qhov ncauj mucosa nrog rau cov kab mob no. Qhov tshwm sim yog kev loj hlob ntawm glandular cov ntaub so ntswg, nce secretion ntau lawm. Qhov kev pheej hmoo ntawm cheilitis theem nrab nce nrog cov kab mob ntev ntawm qhov ncauj kab noj hniav (periodontitis, kab mob periodontal), cov hniav tsis zoo.
daim duab kho mob
Cov tsos mob ntawm glandular cheilitis yog qhov nyuaj rau kev nkag siab nrog lwm yam kab mob. Nws pib nws txoj kev loj hlob nrog cov tsos ntawm liab dots ntawm ciam teb ntawm daim di ncauj. Qhov no yog lub qhov ncauj ntawm cov kab mob salivary qog. Yog hais tias daim di ncauj maj mam blotted nrog ib tug napkin, tom qab ib pliag, cov tee dej zais cia yuav tawm hauv qhov chaw no. Qhov no tshwm sim vim muaj cov qaub ncaug ntau ntxiv. Daim di ncauj yog moisturized tas li, tab sis vim yog cov kua evaporation, daim tawv nqaij pib tawg thiab tev tawm.
Hauv qee tus neeg mob, daim duab kho mob tau cuam tshuam nrog khaus khaus hnyav. Cov tawv nqaij zoo li keratinized thiab tsis noj qab haus huv, nrog rau lub sij hawm ib tug yam ntxwv crust tshwm nyob rau ntawm daim di ncauj. Cov xim dawb dawb tuaj yeem tshwm nyob ib ncig ntawm lub qhov ncauj ntawm cov qog qaub ncaug - foci ntawm leukoplakia.
Qhov tshwm sim feem ntau yog ib daim ntawv ntawm cheilitis lossis Volkmann's disease. Daim di ncauj thawj zaug o, ua rhiab, ces mob hnyav tshwm. Thaum kuaj, daim tawv nqaij zoo li thinned. Lub epithelium yog them nrog ntau purulent foci. Nyob rau hauv palpation, compacted salivary qog yog txhais tau zoo. Tom qab nias, ib qho zais nrog impurities ntawm cov kua paug yog pom. Cov chav kawm nyuaj ntawm Volkmann's cheilitis yog qhia los ntawm cov tsos mob ntawm kev qaug dab peg ntawm lub cev, nce hauv cov qog ntshav submandibular.
Txoj kev kuaj mob
Tus kab mob muaj cov yam ntxwv kho mob daim duab. Txawm li cas los xij, txhawm rau txheeb xyuas qhov kev kuaj mob ua ntej, cov neeg mob tau muab tshuaj biopsy ntawm cov qog qaub ncaug, ua raws li kev kuaj mob histological. Cov khoom tau txais yog kawm nyob rau hauv lub chaw kuaj mob. Nrog glandular cheilitis, hypertrophy ntawm cov qog qaub ncaug raug kuaj pom ib txhij nrog cov inflammatory infiltrate hauv cov ducts. Qee tus neeg mob tsis muaj kev hloov pauv ntawm cov ntaub so ntswg epithelial, thaum lwm tus muaj acanthosis (tawv tawv nqaij hyperpigmentation).
kev kho mob
Kev kho tus kab mob kev noj qab haus huv yog nqa tawm hauv ob theem. Ua ntej, tus neeg mob tau sau tshuaj tiv thaiv kab mob, uas yog siv rau hauv daim ntawv thov nrog emulsions thiab tshuaj pleev. Nyob rau hauv parallel, kev kho mob ntawm concomitant ailments yog nqa tawm. Lawv kuj ua cov ntawv thov nrog enzymes ("Lysozyme", "Chimopsin"). Lub compress yog muab tso rau ntawm qhov chaw cuam tshuam rau 15 feeb ib hnub ib zaug. Ntau yam aerosols yog siv los ua dej rau daim di ncauj. Cov hauv qab no tau lees paub tias muaj txiaj ntsig zoo tshaj plaws: "Panthenol", "Livian". Cov txheej txheem raug pom zoo kom rov ua dua plaub zaug hauv ib hnub, thiab lub sijhawm ntawm ib qho yuav tsum yog li 25 feeb.
Nyob rau theem thib ob, thaum tus kab mob ua purulent, lawv mus rau electrocoagulation lossis kev phais phais. Cov tshuaj tua kab mob kuj tau qhia. Cov ntsiab lus ntxiv txog cov kev kho mob no yuav tham hauv qab no.
Txawm hais tias tus kab mob no zoo li cas, txhua tus neeg mob tau sau tshuaj vascular los txhim kho lawv txoj kev noj qab haus huv tag nrho. Ib qho ntawm cov no yog Vinpocetine. Cov lus qhia rau kev siv thiab nqi - cov no yog cov teeb meem tseem ceeb uas cov neeg mob txhawj txog. Cov tshuaj no yog qhia rau kev coj cwj pwm lossis lwm yam kev mob ntawm tus kheej, pw tsaug zog thiab kev xav tsis zoo. Nws qhov kev txiav txim yog tsom rau kev so ntawm phab ntsa ntawm cov hlab ntsha, txhim kho cov ntshav ncig thiab nws cov khoom rheological.
Daim ntawv thov pib nrog kev qhia txog cov tshuaj intravenously. Tom qab tus neeg mob zoo lawm, nws raug xa mus rau cov ntsiav tshuaj. Qhov no yog raws nraim li cov lus qhia rau kev siv tswv yim rauVinpocetine. Tus nqi ntawm cov tshuaj txawv ntawm 70 mus rau 300 rubles rau 50 ntsiav tshuaj, nyob ntawm seb lub teb chaws ntawm keeb kwm.
Tsis tas li, txoj kev kho nyuaj suav nrog kev teem sijhawm ntawm tranquilizers thiab sedatives ("Phenazepam"), vitamin thiab ntxhia complexes. Txhua tus neeg mob yuav tsum rov xav txog kev tu cev ntawm lub qhov ncauj, tso tseg tus cwj pwm phem.
Muab kev tshawb pom ntxov ntawm cheilitis thiab kev kho mob muaj peev xwm, qhov kev cia siab rau kev rov zoo yog qhov zoo. Txwv tsis pub, txoj kev pheej hmoo ntawm kev tsim mob qog noj ntshav squamous nce ntxiv.
Surgery
Electrocoagulation tau lees paub tias yog txoj kev txhim khu kev qha tshaj plaws ntawm kev kho mob qog noj ntshav. Thaum lub sij hawm tus txheej txheem, ib tug siv quav ciab electrode, uas yog tso ncaj qha mus rau hauv lub depths ntawm lub salivary caj pas. Kev siv cov coagulation superficial tuaj yeem ua rau lub cyst tuav.
Yog tias thaum lub sijhawm kuaj mob ntau tus kab mob pathological tau tshwm sim hauv tus neeg mob, lawv raug pom zoo kom txiav tawm. Thaum lub sijhawm ua haujlwm, ib qho oval incision yog ua raws Klein kab. Tom qab ntawd cov ntaub so ntswg hypertrophied yog husked, thiab tom qab ntawd catgut sutures yog siv. Kev phais yog ua nyob rau hauv cov tshuaj loog, ua rau cov txheej txheem tsis mob.
Tus kab mob txaus ntshai yog dab tsi?
Cheilit yog ib yam kab mob uas tsis txaus siab, qhov tshwm sim uas ua rau tib neeg lub neej tsis zoo. Ntxiv nrog rau qhov mob tshwm sim vim muaj kab nrib pleb hauv lubtawv nqaij, teeb meem tshuaj pleev ib ce tshwm sim. Lub ntsej muag yuav tsis ntxim nyiam, thiab cov pob khaus thiab cov pob khaus ntawm daim di ncauj zoo li ntxim nyiam.
Cheilit tsis yog kab mob precancerous. Txawm li cas los xij, thaum tsis muaj kev kho mob lossis raug cuam tshuam rau cov teeb meem tsis zoo, malignant degeneration ntawm cov ntaub so ntswg thiab kev loj hlob ntawm leukoplakia yog ua tau. Yog li ntawd, nws yog ib qho tsim nyog tsis quav ntsej txog cov tsos mob thawj zaug ntawm qhov mob.
Txoj Kev Tiv Thaiv
Tiv thaiv kom tsis txhob tshwm sim ntawm tus kab mob thawj zaug. Thaum ib tug me nyuam yug los, nws twb muaj tej yam txawv ntawm cov qog qaub ncaug.
Cov ntaub ntawv keeb kwm ntawm glandular cheilitis nyob rau hauv feem ntau cov neeg mob nrog daim ntawv thib ob qhia tias cov kab mob tuaj yeem zam tau. Nws txoj kev tiv thaiv los ntawm kev tu cev kom zoo thiab kev saib xyuas qhov ncauj, kev kho hniav raws sij hawm thiab lwm yam teeb meem.
Zoo kawg
Glandular cheilitis yog ib yam kab mob loj heev. Nws yog tus cwj pwm los ntawm kev hloov pauv pathological hauv cov qog ua kua qaub, uas yog nrog los ntawm kev tsim cov kua qaub ntau ntxiv thiab lwm cov tsos mob tsis zoo. Tus kab mob tuaj yeem muaj ob hom: congenital thiab kis tau. Nws tsis tuaj yeem tiv thaiv qhov tshwm sim ntawm thawj zaug.
Acquired teb zoo rau kev kho kom zoo. Hauv tshwj xeeb yog mob hnyav, kev phais mob yuav tsum tau ua. Tsis muaj kev kho mob thiab tsis saib xyuas thawj cov tsos mob ntawm pathology tuaj yeem ua rau muaj kev loj hlob ntawm leukoplakia, cov txheej txheem malignant.
