Herpetic stomatitis yog ib yam kab mob kis tau los ntawm tus kab mob herpes. Piav qhia los ntawm kev sib cuag nrog cov kab mob herpetic yooj yim. Feem ntau, tus kab mob no provoked nyob rau hauv cov me nyuam los ntawm ib mus rau tsib xyoos, tab sis nws kuj tshwm sim nyob rau hauv cov tub ntxhais hluas thiab cov laus. Raws li txoj cai, lub foci yog nyob rau hauv lub mucous daim nyias nyias ntawm lub qhov ncauj kab noj hniav, daim di ncauj. Muaj peev xwm liab ciam teb ntawm daim di ncauj, liab ntawm daim tawv nqaij ze ntawm lub qhov ncauj. Tus kab mob tuaj yeem mob me, nruab nrab lossis hnyav.
Yuav ceeb toom li cas?
Cov tsos mob ntawm tus kab mob herpetic stomatitis suav nrog ua npaws. Yog tias tus kab mob me me, ua npaws yog subfebrile, nrog rau qhov sib txawv ntawm qhov sib txawv, qhov nce mus txog 40 degrees yog ua tau. Tus neeg mob muaj intoxication, qhia los ntawm lethargy, tsis qab los noj mov, pw tsaug zog thiab tsis xis nyob rau hauv lub plab zom mov.
Qhia qhov xav tau kev kho mob, cov tsos mob ntawm tus kab mob herpetic stomatitis yog qhov loj dua li qhov loj ntawm cov qog ntshav qog ntshav. Thaj chaw no mob heev. Raws li txoj cai, cov tshuaj tiv thaiv ntawm cov qog ntshav qab zib tau kho ua ntej cov pob khaus tshwm rau ntawm qhov ncauj mucosa.
Clinic Kab Mob
Lub tswv yim zoo ntawm daim duab kho mob yog muab los ntawm cov duab luam tawm hauv cov ntawv kho mob tshwj xeeb: herpetic stomatitis nyob rau hauv daim ntawv catarrhal feem ntau yog nrog kev yaig ze ntawm ntug ntawm cov pos hniav. Ntau foci ntawm erosive puas yog ua tau nyob rau hauv lub mucous daim nyias nyias - feem ntau lawv cov xov tooj ntau tshaj ib tug kaum os. Cov ntawv feem ntau yog puag ncig lossis oval, txoj kab uas hla - los ntawm ib millimeter mus rau tsib. Nws yog qhov ua tau rau kev sib koom ua ke ntawm thaj chaw, uas ua rau tsim kom muaj kev puas tsuaj loj. Cov txheej txheem hauv qhov no yog polycyclic. Raws li txoj cai, stomatitis provokes qhov chaw mob ntawm kev ua txhaum ntawm kev ncaj ncees ntawm cov mucous daim nyias nyias. Cov cheeb tsam no tau them nrog fibrinous secretions, muaj xim daj daj ntawm grey, thiab tau piav qhia ntawm cov npoo los ntawm ib lub ci liab ci.
Nyob rau hauv cov ntaub ntawv ntawm cov chaw kho mob cuam tshuam nrog cov kab mob kis, koj tuaj yeem pom cov duab ntawm herpetic stomatitis hauv cov menyuam yaus. Kawm lawv, koj tuaj yeem pom tias tus neeg mob yog tus cwj pwm los ntawm ntau cov pob liab liab nyob rau hauv daim ntawv ntawm cov hlwv me me ntawm daim tawv nqaij, ntawm cov ciam teb liab nyob ib puag ncig ntawm kev ua kom pom tseeb. Cov ntsiab lus ntawm cov hlwv yog cov khoom pob tshab, nws tuaj yeem suav nrog cov ntshav yog tias cov kab mob hnyav heev. Thaum cov pob khaus qhib, ib qho rwj tshwm, dhau sij hawm, cov ntaub ntawv ua pob nyob rau ntawm nws qhov chaw.
Qhia meej txog kev kuaj mob
Yog tias koj xav tias mob herpetic stomatitis, koj yuav tsum sab laj nrog kws kho mob kom txiav txim siab qhov tseeb thiab xaiv qhov kev kho kom zoo. Tus kws kho mob sau keeb kwm kho mob, qhia meej txog cov yam ntxwv ntawm tus neeg mob (ua ntej ntawm tag nrho cov, hnub nyoog), kev tshawb fawb soj ntsuammanifestations nyob rau hauv lub qhov ncauj kab noj hniav. Los ntawm thaj chaw cuam tshuam los ntawm yaig, scrapings raug coj mus kuaj cytological. Cov qauv yuav tsum tau muab coj los ua thawj xya hnub ntawm kev tshwm sim. Yog tias qhov ua rau tus kab mob yog tus kab mob herpetic, qhov tshwm sim ntawm cov ntaub so ntswg organic yuav muaj ntau lub cell tsim loj heev.
Histological kev tshuaj xyuas ntawm herpetic stomatitis yuav tshwm sim nws tus kheej li kab noj hniav intraepithelial thiab cov txheej txheem dystrophic ua raws li qhov xwm txheej zais pa - lawv npog cov txheej txheem spiny epithelial cell.
Yuav ua li cas?
Yuav ua li cas kho tus kab mob herpetic stomatitis, tus kws kho mob yuav qhia thaum kuaj pom tseeb. Tus kws kho mob yuav xaiv cov kev kho kom zoo. Nws suav nrog cov tshuaj tiv thaiv kab mob yog tias tus neeg mob thov kev pab hauv thawj lub lim tiam tom qab pib tus kab mob. Cov kev xaiv nrov yog cov tshuaj Acyclovir, Famciclovir, Bonafton. Hauv daim ntawv ntsiav tshuaj, cov tshuaj siv ib ntsiav tshuaj tsib zaug ib hnub. Lub sijhawm ntawm qhov kev zov me nyuam yog tsib hnub. Thaum tsis muaj cov tshuaj tiv thaiv, nws yog ib qho tsim nyog los sab laj tus kws kho mob kom hloov cov tshuaj uas muaj txiaj ntsig zoo dua rau qee kis. Daim ntawv thov tshuaj tiv thaiv kab mob hauv daim ntawv ntawm cov tshuaj pleev, gels, daim ntawv thov yog ua tau.
Thaum qhov kub siab, tus neeg mob tau sau tseg txhais tau tias txo nws thiab txo qhov mob ntawm qhov chaw puas los ntawm tus kab mob. Raws li txoj cai, kev kho mob herpetic stomatitis suav nrog kev siv tshuaj paracetamol, Panadol, Efferalgan, Tylenol. Yog tias tus neeg mob yog menyuam yaus, nws raug pom zoosiv suspensions thiab syrups, ntsiav tshuaj tau qhia rau cov neeg laus. Qhov ntau npaum li cas yog txiav txim raws hnub nyoog thiab qhov hnyav, lub zog ntawm kev tshwm sim. Piv txwv li, cov menyuam yaus raug muab tshuaj paracetamol 0.15 g peb zaug ib hnub.
Dab tsi yuav pab tau?
Kev kho mob herpetic stomatitis feem ntau yog siv cov tshuaj tiv thaiv kab mob. Syrups tau qhia rau menyuam yaus, cov ntsiav tshuaj tau qhia rau cov neeg laus. Cov npe nrov yog Tavegil, Claritin. Koj tuaj yeem siv "Suprastin" thiab "Fenkarol".
txhawm rau txhawm rau tiv thaiv kab mob, nws raug nquahu kom siv Imudon. Qhov no yog ib tug complex antigenic tshuaj complex, nyob rau hauv tus ntawm lub phagocytic nyhuv ntawm cov secretions ntawm cov qog qaub ncaug yog txhim khu kev qha, lub concentration ntawm lysozyme nyob rau hauv lub zais cia nce. "Imudon" muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj npaj rau resorption, nws yog siv rau cov zaub mov mus txog yim zaug ib hnub twg. Lwm cov tshuaj zoo yog sodium nucleinate.
Nws tseem pom zoo kom siv cov vitamin complexes uas ua rau lub cev muaj peev xwm los tua cov kab mob. Nrog herpetic stomatitis, Ascorutin yog suav tias yog tshwj xeeb tshaj yog muaj txiaj ntsig, nws raug sau tseg rau ob tus menyuam yaus thiab cov neeg laus. Nws raug nquahu kom haus cov vitamin C txhua hnub - tsawg kawg peb zaug hauv ib hnub rau 0.1 g lossis ntau dua. Tsis yog tsuas yog cov khoom siv tshuaj zoo xwb, tab sis kuj yog qhov chaw ntawm ascorbic acid.
tshuaj kho mob
Txhawm rau txo qhov tshwm sim ntawm tus mob herpetic stomatitis hauv cov menyuam yaus thiab cov neeg laus, siv cov tshuaj loog hauv zos. Qhov kev xaiv nrov tshaj plaws yog daim ntawv thov kev thov.pyro-, trime-, lidocaine. Rau cov tshuaj pleev ib ce siv ob feem pua tshuaj. Thov daim ntawv thov ib nrab teev ua ntej noj mov.
Tom qab txhua pluas noj, yuav tsum kho lub qhov ncauj nrog tshuaj tua kab mob. Siv cov tshuaj chlorhexidine, furacilin lossis potassium permanganate. Cov no tuaj yeem yuav ntawm txhua lub tsev muag tshuaj, thiab tus nqi rau lawv yog tsawg heev, yog li ib yam dab tsi los ntawm cov npe teev nyob rau hauv cov khoom pab thawj zaug ntawm yuav luag txhua tus.
Txhawm rau ntxuav cov foci ntawm kev yaig los ntawm cov ntaub so ntswg necrotic, koj tuaj yeem siv cov khoom siv enzymes. Cov kev daws teeb meem ntawm trypsin, chymotrypsin tau ua pov thawj lawv tus kheej zoo. Txhawm rau txhawb kev tsim kho ntawm cov epithelium, nws raug nquahu kom siv cov tshuaj vitamin roj, cov roj ntuj - hiav txwv buckthorn, aub sawv. Txhim kho cov txheej txheem ntawm cov epithelial npog "Solcoseryl", "Tykveol" thiab "Karotolin". Ntawm kev muag khoom, cov kev npaj tau sawv cev los ntawm cov tshuaj pleev, gels thiab cov tshuaj pleev tshwj xeeb, uas yog tus cwj pwm los ntawm kev muaj peev xwm ua kom muaj zog ntxiv thaum siv rau cov mucous membranes ntawm qhov ncauj kab noj hniav.
Yuav ua li cas ntxiv?
Kev kho tus mob herpetic stomatitis hauv cov menyuam yaus thiab cov neeg laus feem ntau suav nrog kev siv tshuaj kho hauv zos kom tsis txhob kis kab mob. Cov tshuaj no zoo tshaj plaws hauv thawj lub lim tiam tom qab pib cov tsos mob thawj zaug. Koj tuaj yeem siv tshuaj pleev, ua daim ntawv thov nrog cov kev daws teeb meem. Lub sijhawm ntawm cov txheej txheem yog kwv yees li ib nrab teev, qhov zaus yog mus txog xya zaus hauv ib hnub, lub sijhawm ntawm qhov kev zov me nyuam yog txog ib lub lis piam. Nrov tshuaj - Acyclovir, Bonafton nyob rau hauv daim ntawv ntawm cov tshuaj pleev, raws li zoo raws lihelepin, alpizarin tshuaj pleev thiab muaj florenal. Rau kev siv hauv zos, leukocyte interferon yog siv los tiv thaiv kev ua haujlwm ntawm cov kab mob. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm ib tug tov rau daim ntaub ntawv los yog tshuaj pleev.
Txhawm rau tiv thaiv kev ua haujlwm ntawm cov txheej txheem inflammatory hauv herpetic stomatitis hauv cov neeg laus, cov menyuam yaus siv Cholisal, Mundizal gel. Cov tshuaj no muaj salicylates, vim tias qhov mob ua rau tsis muaj zog, cov txheej txheem inflammatory ua haujlwm tsawg. Cov khoom muaj cov nyhuv antimicrobial.
Aniline dyes tuaj yeem siv tau los kho sai. Cov tshuaj feem ntau siv cawv, nrov npe hu ua Zelenka. Lawv kho cov ciam teb liab ntawm daim di ncauj thiab kev puas tsuaj rau daim tawv nqaij.
Course nuances
Nrog herpetic stomatitis, nws yog ib qho tsim nyog yuav tsum noj zaub mov. Tsis txhob siv cov khoom uas ua rau lub qhov ncauj mucosa los yog irritate cov ntaub so ntswg. Nws tau pom tias haus dej huv ntau yam tsis muaj tshuaj ntxiv.
Thaum ua raws li qhov kev pab cuam tsim los ntawm tus kws kho mob, qhov kev cia siab yog qhov zoo. Raws li txoj cai, kev kho kom tiav yog ua tau hauv ib lub lis piam lossis ob zaug. Cov pob khaus feem ntau tsis tsim.
mob khaub thuas
Nyob rau hauv daim ntawv no, herpetic stomatitis nyob rau hauv cov me nyuam, cov neeg laus yog heev nthuav. Nws tshwm sim nws tus kheej yog tias ib tug neeg ntawm qee kis tau kis tus kab mob herpes yooj yim. Thaum tsis muaj cov tshuaj tiv thaiv kab mob hauv cov hlab ntsha uas tuaj yeem cuam tshuam kev ua haujlwm ntawm tus kab mob, kev rov ua dua ntawm tus kab mob tau pom. Qhov tshwm sim ntawm qhov tshwm sim yog qhov tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej ntawm kev txo qis hauv kev tiv thaiv kab mob, uas tuaj yeem ua taunqa lwm yam txhoj puab heev, hauv zos. Feem ntau, cov kab mob tshwm sim nrog hypothermia, lom lom, muaj kev ntxhov siab, tawm tsam keeb kwm ntawm lwm tus kab mob.
Cov kev tshawb fawb tshwj xeeb tau txheeb xyuas tsib theem hauv kev txhim kho tus kab mob. Ua ntej, ib kauj ruam incubation, ces lub sij hawm prodromal, tom qab uas tus kab mob tshwm sim, ploj mus thiab rov qab los yog convalescence tshwm sim. Thaum lub sij hawm thib ob, tus neeg mob hnov mob tsis xis nyob, cov qog nqaij hlav loj tuaj, qhov kub thiab txias tau siab dua li qub, cov qaub ncaug yog nquag tsim, thiab foci ntawm qhov mob tuaj yeem pom ntawm qhov ncauj mucosa.
Sijhawm dhau los, cov npuas ntawm tus kheej tshwm sim, ua pob ua pob nyob ib sab thiab qhib sai sai. Thaj chaw no dhau los ua qhov tseem ceeb ntawm kev yaig. Cov npoo ntawm cov cheeb tsam yog scalloped, qhov mob yog mob, nyob rau hauv lub mucosa nyob rau hauv feem ntau o.
Txoj kev ntawm rooj plaub
Qhov hnyav ntawm tus mob herpetic stomatitis nyob rau hauv cov menyuam yaus thiab cov neeg laus yog txiav txim siab los ntawm cov xwm txheej ntawm tus neeg, tus naj npawb ntawm foci, qib ntawm lawv qhov kev puas tsuaj. Nrog lub cev tsis muaj zog, tus kab mob no hnyav heev. Qhov no kuj muaj tseeb rau cov neeg uas raug kev txom nyem los ntawm ntau yam kab mob. Cov pab pawg no yog tus cwj pwm los ntawm kev rov ua haujlwm tsis tu ncua, vim tias daim ntawv tuaj yeem hloov mus rau qhov tsis tu ncua.
Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm aphthous thiab chronic herpetic stomatitis. Kev tshwm sim ntawm tus kab mob yog me ntsis zoo li kev tsis haum tshuaj, erythema, syphilis. Txhawm rau kom paub meej qhov kev kuaj mob, tus kws kho mob soj ntsuam cov tsos mob, ua rau kev soj ntsuam cytological ntawm cov tshuaj tau los ntawm cov vesicles.
Yuav pab tus neeg mob li cas?
Yog tias tus kab mob herpetic stomatitis tshwm sim nyob rau hauv daim ntawv ntev, kev kho mob yog tsom rau kev tiv thaiv kev rov qab los. Nws yog ib qho tsim nyog los txheeb xyuas tam sim thiab kho txhua yam kab mob, inflammatory foci nyob rau hauv lub cev (tsis hais txog ntawm thaj chaw hauv cheeb tsam). Tshwj xeeb mloog yog them rau lub qhov ncauj kab noj hniav. Kev tawg yuav muaj ntau dua yog tias daim di ncauj qhuav, tawg, yog li nws yog ib qho tseem ceeb los daws cov xwm txheej hauv zos.
Ib tshuaj tiv thaiv kab mob polio yuav tau txais txiaj ntsig yog tias qhov rov muaj dua siab dua. Daim ntawv thov tsuas yog ua tau raws li kev saib xyuas ntawm tus kws kho mob, raws li cov chaw tsim khoom pom zoo cov tswv yim, chav kawm.
Cov txiaj ntsig zoo tau pom los ntawm kev siv gamma globulin, deoxyribonuclease. Tus neeg mob tau pom cov vitamin C hauv cov koob tshuaj loj. Qee zaum, nws yog qhov tsim nyog rau kev siv helium. Rau qhov no, cov khoom siv tshwj xeeb yog siv - neon lasers.
hnub nyoog sib tw: nta
Kwv yees li 80% ntawm cov menyuam yaus raug kev txom nyem los ntawm herpetic stomatitis ntawm qee lub sijhawm thaum lawv tseem yau. Kev kis kab mob tshwm sim tsis yog los ntawm kev sib cuag nrog tus neeg nqa khoom ntawm tus kab mob, tab sis kuj yog los ntawm aerosol txhais tau tias. Feem ntau, thawj tus kab mob tshwm sim nyob rau lub sij hawm thaum tus me nyuam txoj kev tiv thaiv tsis muaj zog. Qhov no tshwm sim hauv daim ntawv mob hnyav.
Yuav kom paub meej qhov xwm txheej, tus menyuam yuav tsum tau qhia rau tus kws kho mob. Tus kws kho mob yuav tshuaj xyuas tus neeg mob, nug cov niam txiv txog qhov tshwm sim ntawm tus kab mob. Txhawm rau txheeb xyuas qhov kev kuaj mob, lawv tuaj yeem raug xa mus kuaj: PCR, immunofluorescence, kev tshuaj xyuas kab mob.
Feem ntau, tus menyuam mob pib mob hnyav, qhov kub thiab txias nce, rwj thiab hlwv hauv qhov ncauj. Cov cheeb tsam no muaj kev txhawj xeebmob. Cov qaub ncaug ua kom khov. Nrog stomatitis tshwm sim los ntawm tus kab mob herpetic, tus me nyuam yuav pw tsaug zog. Ib qho teeb meem tshwm sim yog gingivitis.
Kev kho cov menyuam yaus: nta
Kom txo tau tus neeg mob tus mob, tus kws kho mob muab tshuaj pleev, yaug, tshuaj pleev. Yog hais tias ib tug me nyuam yaus mob heev, cov niam txiv yuav tsum tau kho qhov chaw cuam tshuam nrog paj rwb swabs, vim hais tias cov me nyuam tseem tsis tau kawm yuav ua li cas yaug lawv lub qhov ncauj. Lub hom phiaj tseem ceeb ntawm chav kawm yog txhawm rau txo qhov mob, txo qhov mob, tiv thaiv kev kis tus kab mob thiab txhawb cov txheej txheem rov ua dua tshiab.
Raws li txoj cai, thawj qhov kev ntsuas yog decontamination. Koj tuaj yeem siv cov khoom lag luam lossis tshuaj kho pej xeem - infusions, decoctions ntawm cov nroj tsuag tshuaj. Ntawm cov khw muag tshuaj, Furacilin, Rivanol feem ntau siv. Kev kho mob yog rov ua dua txhua peb teev. Cov txiaj ntsig zoo qhia tau hais tias "Miramistin". Yog hais tias tus me nyuam twb paub yuav ua li cas yaug nws lub qhov ncauj, cov txheej txheem yog nqa tawm plaub zaug ib hnub twg. Lub sij hawm ntawm yaug yog ib feeb. Lwm txoj hauv kev siv yog tshuaj tsuag cov mucous ntawm lub qhov ncauj nrog lub raj mis tsuag.
Kawm txuas ntxiv
Tom qab ntxuav lub qhov ncauj kab noj hniav thiab tshuaj tua kab mob, koj tuaj yeem siv cov tshuaj pleev kom txo tau qhov mob thiab nres cov haujlwm ntawm cov kab mob pathological. Siv oxolinic, bonafton, interferon tshuaj pleev. Qee zaum cov kws kho mob pom zoo kom tso tseg cov tshuaj pleev nrog florenal, tebrofen.
Txhawm rau kom rov tsim dua tshiab, lub tsev muag tshuaj aerosols thiab tshuaj pleev yog tsim nyog. Koj tuaj yeem siv "Tantum Verde" thiab "Proposol". ZooCov tshuaj "Ingalipt" tau ua pov thawj nws tus kheej. Thaum lub sijhawm mob hnyav tshaj plaws tau dhau mus, koj tuaj yeem siv rosehip thiab hiav txwv buckthorn roj, kua txiv hmab txiv ntoo thiab pulp ntawm aloe nplooj ua tus neeg saib xyuas qhov txhab.
Yog tias nws tsis tuaj yeem mus ntsib kws kho mob, thawj cov tsos mob ntawm tus kab mob herpetic stomatitis tsis tshua pom, nws tsim nyog siv tshuaj pleev los txo cov tsos mob. Tsim nyog cov tshuaj analgesic hauv zos - "Kalgel", "Cholisal". Cov menyuam yaus raug tso cai nyiaj "Kamistad" thiab "Dentinoks".
Koj tuaj yeem txhawb lub cev tiv thaiv kab mob thiab txhim kho tag nrho cov xwm txheej ntawm lub cev los ntawm kev siv cov tshuaj tiv thaiv kab mob. Cov no qhia ntau dua yog tias tus kab mob ntws mus rau hauv daim ntawv ntev. Immunomodulators yog ib txoj hauv kev zoo los tiv thaiv kev rov qab los. Ib qho tshuaj uas nrov yog Amiksin.
Txoj kev kho mob
Txhawm rau kom muaj kev tiv thaiv hauv zos, koj tuaj yeem siv cov tshuaj txhuam hniav tshwj xeeb rau menyuam yaus. Lawv muag hauv yuav luag txhua lub tsev muag tshuaj thiab muaj lysozyme, lactoferrin, qabzib oxidase. Txhawm rau tshem tawm tus kab mob sai sai, koj tuaj yeem siv Zovirax. Cov menyuam yaus tau pom cov ntsiav tshuaj ntawm qhov ncauj nrog kev so plaub teev, qhov koob tshuaj yog 0.2 g. Lub sijhawm ntawm qhov kev zov me nyuam yog tsib hnub. Koj tuaj yeem siv tshuaj pleev, cream. Yog tias stomatitis nyuaj heev, nws yuav tsum tau siv "Acyclovir" intravenously. Cov tshuaj yog muab los ntawm ib tug dropper nyob rau hauv kev saib xyuas ntawm ib tug kws kho mob.
Cov tshuaj tua kab mob tau muab tshuaj yog tias qhov kub nce mus txog 38 degrees thiab siab dua. Ntawm tus nqi qis tuaTsis tas yuav tsum muaj qhov kub thiab txias, vim tias cov tshuaj tua kab mob inhibit qhov tsim ntawm interferon, thiab yog li ntawd tsis muaj zog ntawm kev ua haujlwm ntawm lub cev.
