Aphthous ulcer tseem hu ua stomatitis. Cov no yog qhov mob, kho qhov txhab uas tuaj yeem tshwm sim nyob qhov twg hauv lub qhov ncauj. Lawv tshwm sim ib zaug lossis hauv pawg. Txawm hais tias lawv tsis suav tias yog kab mob hnyav, lawv tseem muaj peev xwm ua rau muaj kev tsis xis nyob ntau.
Daim duab ntawm aphthous ulcer yog qhia hauv qab no.
YAbout pathology
Aphthous stomatitis yog ib qho mob ntawm qhov ncauj mucosa, uas yog tus cwj pwm los ntawm kev tsim ntawm ntau qhov mob (aphtha), nyob ntawm ib qho los yog tsim ua pab pawg. Feem ntau, aphthae nyob rau sab hauv ntawm daim di ncauj, lub puab tsaig, nyob rau pem hauv ntej ntawm lub qhov ncauj kab noj hniav. Kev swb tshwm sim nyob rau hauv kev cuam tshuam ntawm staphylococci, adenovirus, qhua pias, kab mob ntawm lub plab, hnyuv.
Nws mob heev rau haus, noj, yuav tsum muaj kev pab sai. Daim ntawv mob ploj mus hauv 2 lub lis piam, nyob rau hauv tsawg zaus cov caws pliav me me. Thaum lub sij hawm hloov mus rau hauv daim ntawv mob ntev, lub mucous daim nyias nyias swells, tig daj ntseg, qhov loj ntawm qhov txhab nce, cov quav hniav muaj ib tug qias neeg grey xim.
Tus kab mob no yogib qho ntawm cov kab mob sib haum xeeb ntawm qhov ncauj kab noj hniav, uas, raws li ntau qhov chaw, cuam tshuam los ntawm kaum mus rau plaub caug feem pua ntawm cov menyuam yaus thiab cov neeg laus ntawm ntau lub hnub nyoog. Ib tug yam ntxwv tsos mob ntawm hom stomatitis yog muaj aphthae ntawm lub mucous daim nyias nyias, uas yog, ulcerative defects. Cov mob mob uas kho tau dhau sijhawm tuaj yeem tshwm sim nyob qhov twg hauv lub qhov ncauj. Qhov txhab yog ib leeg lossis, hloov pauv, ntau yam.
Acute stomatitis
Iolate mob stomatitis. Nyob rau hauv cov ntaub ntawv no, o ntawm lub qhov ncauj mucosa yog pom, tiv thaiv uas nws nto txheej suffers thiab cov ntaub so ntswg yaig yog tsim. Qhov tshwm sim ntawm aphthae feem ntau yog nrog los ntawm kev kub hnyiab thiab qhov mob siab heev uas nce thaum noj mov, qhov nce hauv cov qog nqaij hlav tsis suav nrog, thiab qee qhov xwm txheej muaj qhov kub thiab txias. Aphthous ulcers kho tag nrho hauv kaum hnub hauv tib neeg.
Chronic form
Tus kab mob stomatitis yog tsim nyob rau hauv lub xub ntiag ntawm tsis muaj zog thiab lub zos tiv thaiv kab mob, raws li zoo raws li nyob rau hauv lub xub ntiag ntawm ntau yam kab mob pathologies, nyob rau hauv uas nws feem ntau ua mob thiab tshwm sim los ntawm lub sij hawm. Ib tug yam ntxwv tshwm sim ntawm exacerbation yog tsim ntawm ulcers nrog ib tug dawb los yog daj txheej nrog rau mucosal edema. Tus kab mob no qeeb, thiab cov tsos mob tshwm sim ib ntus thiab ploj mus.
Daim duab ntawm aphthous qhov ncauj rwj yog nthuav tawm saum toj no.
Yog vim li cas
Qhov ua rau stomatitis tseem tsis tau paub. Muaj ib qho kev xav tsis zoo uas tus kab mob yog ib qho ntawm cov kab mob herpes. Tsis zoo li nopathology, aphthous ulcers tsis tuaj yeem kis ntawm ib tus neeg mus rau lwm tus. Cov kws tshawb fawb ntseeg tias nws txhim kho los ntawm kev cuam tshuam ntawm lub cev tiv thaiv kab mob. Feem ntau stomatitis feem ntau pom nyob rau hauv cov poj niam dua li cov txiv neej. Tus kab mob no feem ntau tshwm sim thaum muaj hnub nyoog kaum thiab plaub caug. Nov yog cov laj thawj uas tuaj yeem ua rau muaj qhov tshwm sim ntawm qhov ncauj:
- Kev ntxhov siab lossis raug mob, xws li tom tus nplaig.
- Kev cuam tshuam ntawm qee yam khoom noj (tshwj xeeb yog cov khoom noj muaj kua qaub xws li pineapples thiab txiv lws suav).
- Muaj mob tsev neeg.
- Hloov pauv hauv cov tshuaj hormones.
Risk factors
Qhov laj thawj uas ua rau muaj kev loj hlob ntawm qhov ncauj aphthous ulcers yog raws li hauv qab no:
- Muaj qhov tsis txaus ntawm cov hlau, folic acid thiab vitamin B12.
- Kev muaj kab mob xws li mob plab los ntawm Helicobacter.
- Qee yam kab mob plab hnyuv xws li Crohn's kab mob nrog rau cov kab mob plab.
- Kev kis kab mob hauv lub cev nrog tus kab mob AIDS.
- Behçet's disease.
Symptomatics
Cov tsos mob hauv qab no tuaj yeem tshwm sim tsis yog los ntawm stomatitis xwb. Cov kab mob hauv qhov ncauj, zoo ib yam li nws, tuaj yeem ua rau lwm yam kab mob txaus ntshai. Aphthous ulcers muaj qhov sib txawv. Lawv feem ntau tsim nyob rau sab hauv ntawm daim di ncauj thiab lub puab tsaig, nrog rau ntawm tus nplaig lossis hauv thaj tsam ntawm lub palate. Raws li txoj cai, peb tab tom tham txog qhib, me me greyish thiab o me ntsis qhov txhab,ncig los ntawm ib tug daj, dawb los yog liab ciam teb.
Tseem mob siab tshaj
Qee tus neeg mob tau aphthous stomatitis txog peb zaug hauv ib xyoos. Ntawm qhov tod tes, cov kab mob no tshwm sim txhua lub sijhawm. Feem ntau thawj peb lossis plaub hnub suav tias yog theem mob hnyav tshaj plaws, thiab tom qab ntawd lawv pib kho lawv tus kheej. Me me formations yog cov feem ntau hom. Lawv muaj tsawg tshaj li ib centimeter nyob rau hauv txoj kab uas hla thiab tshem tawm nyob rau hauv xya mus rau kaum plaub hnub, thiab feem ntau zoo tsis muaj caws pliav. Raws li rau cov kab mob loj, lawv yog ib centimeter los yog ntau tshaj nyob rau hauv txoj kab uas hla thiab tej zaum yuav tsis zoo rau ob peb lub lis piam, los yog txawm lub hli. Tom qab cov formations tawm lawm, caws pliav.
Yuav ua li cas kho aphthous ulcers yog txaus siab rau ntau. Tom ntej no, peb yuav tham txog kev kuaj mob.
Diagnosis
Tus kws kho mob feem ntau nug txog cov tsos mob thiab ua keeb kwm kev kho mob, kuaj lub cev, uas yog txoj hauv kev tseem ceeb kom paub qhov txawv ntawm aphthous loj los ntawm lwm yam, cov kab mob hnyav dua ntawm qhov ncauj. Qee zaum, cov kws kho mob tshwj xeeb coj cov qauv me me rau kev kuaj xyuas cov ntaub so ntswg (uas yog, lawv ua biopsy) lossis xaj kom kab lis kev cai loj hlob nrog kev kuaj ntshav. Kev kuaj mob yog qhov tseem ceeb tshwj xeeb tshaj yog rau kev kawm txog cov txheej txheem uas tsis kho tau ob lub lis piam lossis ntau dua. Tej zaum lawv yuav yog ib qho mob qog noj ntshav.
Kev kho mob
Ntau tus xav paub yog tias tus kab mob aphthous yuav kho nws tus kheej.
Cov qauv zoo li no feem ntau ploj ntawm lawv tus kheej hauv ib mus rau ob lub lis piam. Tsis tas yuav kho. Txawm li cas los xij, kev xaiv kev kho mob, tshwj xeeb tshaj yog rau qhov mob rwj, suav nrog cov hauv qab no:
- Noj tshuaj kho qhov ncauj, tshuaj ntxuav qhov ncauj lossis gels. Kev npaj xws li, piv txwv li, Lidocaine, nrog rau Amlexanox, Dimedrol rau yaug thiab Maalox, tuaj yeem siv txhua peb teev lossis tam sim ua ntej noj mov. Qhov no muab kev pab luv luv ntawm qhov mob tshwm sim los ntawm aphthous stomatitis. Tsis tas li ntawd, cov gels no tuaj yeem siv rau cov kab mob ntawm lawv tus kheej plaub zaug hauv ib hnub txhawm rau txhawm rau tshuaj loog hauv qhov ncauj thiab txo qhov mob. Dab tsi ntxiv yog siv los kho aphthous ulcer?
- Yau koj lub qhov ncauj nrog tshuaj tua kab mob. Rau ntau yam formations, ib tug kua daim ntawv ntawm tetracycline yuav siv tau. Yaug ua plaub zaug hauv kaum hnub. Cov kua dej pab kho cov kab mob los ntawm kev tiv thaiv cov tshiab los ntawm kev tsim. Qee zaum, raws li kev mob tshwm sim, qhov kev kho mob no tuaj yeem ua rau muaj tus kab mob hu ua candidiasis. Kev kho mob ntawm aphthous ulcers nyob rau hauv lub qhov ncauj yuav tsum ua kom tiav thiab raws sij hawm.
- Noj corticosteroids. Rau qhov mob loj ntawm qhov txhab me me lossis loj, cov tshuaj steroids tuaj yeem muab tau, feem ntau yog cov kua dej uas yuav tsum tau yaug tom qab noj mov thiab thaum mus pw. Steroids txo qhov mob los ntawm cov kab mob loj.
prophylaxis
Qhov tshwm sim ntawm tus kab mob no tsis yog ib txwm tiv thaiv tau. Yuav kom txo tau qhov tshwm sim ntawm rwj, nws yog ib qho tsim nyog yuav tau nojCov kauj ruam tom ntej:
- Noj zaub mov kom zoo kom tsis txhob tom tus nplaig lossis sab plhu, uas tuaj yeem ua rau lub qhov ncauj khaus thiab ua rau cov kab mob no.
- Yog tias koj muaj kev ntxhov siab, koj yuav tsum tsis txhob noj cov zaub mov acidic xws li txiv lws suav lossis pineapple, uas tuaj yeem ua rau muaj kev tsim cov formations.
- Yog tias koj tsis tau txais cov hlau txaus, ntxiv rau cov vitamin B 12 thiab folic acid hauv koj cov zaub mov, nug koj tus kws kho mob txog yuav ua li cas thiaj li tau txais cov khoom noj kom raug. Qhov no yeej yuav pab kom tsis txhob tsim ntawm aphthous ulcers ntawm qhov ncauj kab noj hniav. Tab sis nws yog ib qho tsim nyog yuav tsum xyuam xim rau qhov tseeb tias kev noj cov khoom noj no hauv cov neeg mob uas tsis muaj qhov tsis txaus yuav tsis tiv thaiv stomatitis.
Aphthous plab hnyuv ulcers
Kab mob tuaj yeem tshwm sim hauv lub cev no. Lawv feem ntau tsim nyob rau hauv duodenum. Cov laj thawj tseem ceeb ntawm cov tsos mob no suav nrog cov caj ces, nrog rau kev kis tus kab mob Helicobacter pylori, txo kev tiv thaiv, nce acidity ntawm gastric kua txiv, duodenitis, tsis muaj zaub mov noj, kev ntxhov siab, kub hnyiab, raug mob thiab ntshav poob, nrog rau kev noj qee yam tshuaj..
Signs
Thaum lub sijhawm exacerbation, tus neeg mob yuav ntsib cov tsos mob hauv qab no:
- Qhov tshwm sim ntawm qhov mob hnyav hauv thaj av epigastric lossis hauv thaj chaw saum toj kawg nkaus.
- Tus yam ntxwv yog qhov tshwm sim ntawm qhov tsis xis nyob feem ntau ntawm lub plab khoob, thiab thaum hmo ntuj, uas tshwm sim vim qhov nce hauv cov concentration hauvhydrochloric acid nyob rau hauv lub plab. Feem ntau qhov mob yog txo los ntawm kev noj mov.
- Kev xav tsis zoo muab rau hauv qab lub xub pwg hniav, hauv cheeb tsam ntawm lub siab thiab nraub qaum.
- Heartburn yog ib txwm nrog belching, tsam plab, xeev siab, ntuav, cem quav, chim siab, pw tsaug zog, poob phaus (txawm tias tus neeg mob noj qab haus huv zoo).
Nrog kev kho mob tsis yog tshuaj, tus neeg mob yuav tsum noj zaub mov kom zoo. Nws yog ib qho tsim nyog yuav tsum noj zaub thiab txiv hmab txiv ntoo, nrog rau cov zaub ntsuab, thiab tsis suav nrog cov khoom noj kib, ntsim thiab cov kaus poom. Raws li txoj cai, kev noj haus No. 5 yog pom zoo, steamed thiab boiled zaub mov, nyob rau hauv ib tug semi-kua daim ntawv. Koj yuav tsum noj ntau zaus, hauv tsib koob tshuaj me me, tsis suav nrog cawv.
Nyob rau hauv cov txheej txheem ntawm kev kho tshuaj, cov tshuaj tau sau tseg uas txo cov kua qaub ntawm lub plab. Cov tshuaj antisecretory tuaj yeem raug sau tseg, thiab yog tias kuaj pom Helicobacter pylori, siv tshuaj tua kab mob. Hauv qee qhov xwm txheej, tawm tsam keeb kwm yav dhau los ntawm kev txhim kho cov teeb meem, kev kho phais yuav tsim nyog.
Raws li ib feem ntawm kev tiv thaiv, kev saib xyuas yuav tsum tau them rau qhov xwm txheej ntawm cov khoom noj khoom haus, nws yuav tsum sib npaug thiab ua tiav, nws yog ib qho tseem ceeb rau kev noj cov zaub mov uas muaj fiber ntau, tsis kam noj ntsim, rog thiab kib. Txhua yam kab mob hauv plab yuav tsum tau kho raws sijhawm.
Aphthous plab ulcer
Hais txog qhov mob hauv plab lawv hais tias thaum muaj qhov sib sib zog nqus ntawm daim nyias nyias ntawm lub cev,exciting mucous, nqaij nqaij. Pathology tuaj yeem kis mus rau tag nrho cov tuab ntawm phab ntsa. Xws li ib tug rwj tuaj yeem tsim nyob rau hauv ib feem ntawm lub cev. Yam uas ua rau muaj mob:
- Kev ntxhov siab hnyav.
- Zoo kev nyuaj siab.
- Kev siv tshuaj lossis lawv siv ntau ntau (peb tab tom tham txog glucocorticosteroids, antacids, tshuaj tsis-steroidal anti-inflammatory, tshuaj tua kab mob, cytostatics, antihypertensives).
- Immunodeficiency xeev (AIDS nrog rau cov tshuaj tiv thaiv kab mob).
- Kev noj zaub mov tsis raug lossis kev noj zaub mov tsis zoo (kev noj zaub mov kub lossis txias dhau ua ke nrog zaub mov tsis tu ncua).
- Kev cuam tshuam ntawm cov xwm txheej tshwm sim.
- Muaj cov kab mob loj heev (nyob rau hauv daim ntawv ntawm tuberculosis, kab mob siab, ntshav qab zib mellitus, cirrhosis, pancreatitis, Crohn's disease).
- Kev mob plab.
- Kev ua ntawm lwm yam kabmob ntawm lub plab.
Cov tsos mob tseem ceeb ntawm lub plab rwj yog mob, uas yog qhov ntse lossis kuj tseem me me. Qhov tshwm sim ntawm qhov tsis xis nyob, raws li txoj cai, yog txuam nrog kev noj cov khoom. Lub sijhawm pib ntawm cov tsos mob nyob ntawm qhov chaw ntawm lub plab. Yog hais tias nws nyob ze ntawm lub esophageal sphincter, ces tsis xis nyob yuav luag tam sim ntawd tom qab noj mov, tom qab peb caug feeb.
Kev kho mob
Tseem tsis ntev los no, txoj hauv kev tseem ceeb ntawm kev kho mob hauv qhov no yog kev phais. Muaj tseeb, tam sim no, ntau yam kev vam meejtshuaj, thiab kev kho mob ntawm tus kab mob yog feem ntau nqa tawm nyob rau hauv ib tug conservative txoj kev. Txij li thaum nyob rau hauv feem ntau lub sij hawm txoj kev loj hlob ntawm pathology tshwm sim nyob rau hauv ib tug tej yam kev mob ntawm nce acidity, txoj hauj lwm yooj yim rau ib tus kws kho mob gastroenterologist yog txo nws cov qib mus rau qhov tsim nyog tus nqi. Qhov kev ua haujlwm no tuaj yeem ua tau los ntawm antacids nrog rau histamine receptor blockers thiab proton twj tso kua mis inhibitors.
Ntau cov tshuaj niaj hnub no rau kev kho tus kab mob yog histamine H2 receptor blockers ua ke nrog inhibitors. Piv txwv li, "Ranitidine" ua rau cov hlwb tshwj xeeb nyob rau hauv lub plab mucosa, uas txhawb kev tsim cov kua qaub.
