Hnub no, kab mob sib kis ntawm qhov ncauj yog stomatitis. Qhov no pathology tau pom nyob rau hauv txhua tus neeg thib tsib ntawm lub ntiaj teb, thaum lub sijhawm ntawm tus kab mob tuaj yeem sib txawv. Hauv kev kho hniav, stomatitis feem ntau hu ua kev txhim kho ntawm cov txheej txheem inflammatory ntawm lub qhov ncauj mucosa thiab sab hauv ntawm lub puab tsaig. Ib qho mob yog ib qho tshuaj tiv thaiv ntawm tib neeg lub cev rau kev txhawb nqa sab nraud. Yav dhau los, tus kab mob no tau kuaj pom, raws li txoj cai, hauv cov menyuam yaus, tab sis niaj hnub no stomatitis ntawm lub puab tsaig yog nce pom hauv cov neeg laus. Dab tsi ua rau tus kab mob no thiab nws ua li cas, peb yuav xav txog hauv kab lus no.
Kev piav qhia
Tsis tau ntsib ib yam tshwm sim thiab tsis paub tias stomatitis zoo li ntawm sab plhu? Cov duab siv los ua cov duab kos rau kab lus yuav pab koj tsim koj tus kheej lub tswv yim txog tag nrho "kev ntxim nyiam" ntawm tus kab mob. Zoo siab, kuv yuav tsum hais, tsis txaus.
Tus kab mob tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm rwj nyob rau hauv lub qhov ncauj, nyob rau hauv lub puab tsaig. Nws kav mus txog kaum plaub hnub, tom qabuas feem ntau dhau mus yam tsis tau tso tseg. Nws yog ib qho tseem ceeb hais tias yog hais tias tus kab mob tsawg kawg ib zaug ua rau nws tus kheej hnov, muaj ib tug siab tshwm sim ntawm relapses, lub zaus ntawm uas yog variable heev. Raws li kev txheeb cais, tib neeg tig mus rau cov kws tshaj lij nrog cov kev tsis txaus siab no peb lossis plaub zaug hauv ib xyoos. Qee tus muaj kev txhawj xeeb txog kev mob stomatitis (hauv lub qhov ncauj ntawm lub puab tsaig, ntawm daim tawv nqaij ntawm daim di ncauj), uas cov kab mob tshiab tshwm sim thaum cov laus tseem tsis tau muaj sijhawm los kho. Tus kab mob no suav hais tias yog kis tau, txawm hais tias txhua yam nyob ntawm qhov ua rau nws tshwm sim.
Types of stomatitis
Ob tus menyuam yaus thiab cov neeg laus tuaj yeem kuaj pom muaj ntau hom kab mob no. Stomatitis ntawm lub puab tsaig yog heev heev (ib daim duab qhia lub ntsiab tshwm sim ntawm tus kab mob yog txuas). Nyob ntawm etiology, hom stomatitis hauv qab no yog qhov txawv:
1. Kab mob - tshwm sim vim muaj streptococci thiab staphylococci nyob rau hauv tib neeg lub qhov ncauj kab noj hniav, uas nkag mus rau muaj los ntawm qhov txhab ntawm lub puab tsaig.
2. Kev puas tsuaj - tshwm sim nrog rov raug mob ntawm cov mucous daim nyias nyias, nrog rau thaum muaj kab mob hniav, tawg ntawm cov hniav los yog malocclusion, tas li muaj cov pa luam yeeb.
3. Herpetic stomatitis - tshwm sim thaum tib neeg lub cev tsis muaj zog. Tib lub sijhawm, tus kab mob herpes, txawm tias tom qab kho tag nrho, tseem nyob hauv lub cev.
4. Candidiasis stomatitis ntawm lub puab tsaig nyob rau hauv lub qhov ncauj kab noj hniav feem ntau tshwm sim nyob rau hauv thaum yau. Qhov ua rau yog cov poov xab zoo li fungi, uas yog tsim los ntawm kev siv mus ntev.tshuaj tua kab mob, nrog rau kev txo qis hauv tib neeg kev tiv thaiv kab mob.
5. Allergic - tsim los ua cov tshuaj tiv thaiv ntawm lub cev rau ntau yam allergens.
6. Aphthous - tshwm sim los ntawm lub cev txawv teb chaws nkag mus rau hauv lub qhov ncauj thiab yog cov tshuaj tiv thaiv ntawm lub cev rau qhov khaus.
7. Gangrenous stomatitis - tshwm sim feem ntau nyob rau hauv cov neeg uas siv tshuaj narcotic, raws li zoo raws li beriberi, kab mob ntawm lub qhov ncauj kab noj hniav.
Yog vim li cas thiaj pom
Hnub no, cov kws tshaj lij hu xov tooj ntau yam uas tuaj yeem ua rau muaj kev loj hlob ntawm stomatitis. Nyob rau tib lub sijhawm, lub ntsiab ua rau kev loj hlob ntawm tus kab mob yog suav tias yog kev nkag mus rau hauv tib neeg lub cev ntawm ntau yam kab mob, ua rau o nyob rau hauv lub qhov ncauj kab noj hniav, ua rau ulcers nyob rau hauv nws ntau yam. Raws li koj paub, ib txwm muaj ntau cov kab mob hauv lub qhov ncauj, tab sis txhawm rau txhawm rau pib mob, yuav tsum muaj lwm yam ntxiv. Stomatitis nyob rau sab hauv ntawm lub puab tsaig tuaj yeem tshwm sim vim kev noj zaub mov tsis txaus, tsis muaj cov kab mob muaj txiaj ntsig hauv tib neeg lub cev, kev raug mob ntawm qhov ncauj, raug rau ntau yam tshuaj ntawm cov mucous membrane.
Ntau zaus, tus kab mob tshwm sim vim yog yam uas ib txwm ua thiab tsis ua raws li cov cai ntawm kev nyiam huv lossis ua txhaum txoj cai kev nyab xeeb:
- raug mob ntawm lub qhov ncauj vim yog tom lub plhu, noj khoom noj khoom haus, khawb lub plhu nrog cov hniav deformed lossis yas, hniav hniav;
- noj alkalis thiab acids rau hauv qhov ncauj kab noj hniav,ua rau cov tshuaj hlawv;
- ua txhaum ntawm kev nyiam huv, uas ua rau nkag mus rau cov kab mob pathogenic microbes thiab kis mus rau hauv lub qhov ncauj;
- haus thiab haus luam yeeb.
Qee zaum, stomatitis ntawm lub puab tsaig nyob rau hauv lub qhov ncauj kab noj hniav yuav tshwm sim vim muaj nyob rau hauv lub cev ntawm txhua yam kab mob, oncology, cuam tshuam ntawm lub plab hnyuv ib ntsuj av, thiab kuj yog tshwm sim los ntawm kev kho mob ntawm malignant. neoplasms (chemotherapy, hluav taws xob, thiab lwm yam). Feem ntau, stomatitis txhawj xeeb cov poj niam cev xeeb tub, txij li thaum lub sijhawm no kev hloov pauv hormonal hauv lub cev tshwm sim, thiab nws txoj haujlwm tiv thaiv txo qis. Qee cov kab mob ua npaws, ntshav poob hnyav thiab lub cev qhuav dej tuaj yeem ua rau mob ntawm cov mucosa.
Yog li, stomatitis ntawm lub plhu (sab hauv lub qhov ncauj) tuaj yeem pom tau tias yog hom teeb liab ntawm lub cev qhia tias muaj teeb meem kev noj qab haus huv. Qhov no tej zaum yuav yog kev loj hlob ntawm cov kab mob ntev, los yog txo qis hauv kev tiv thaiv kev ua haujlwm ntawm lub cev. Tau kawg, nws tsis pom zoo kom tsis quav ntsej cov "tswb" no (txawm tias cov tsos mob tsis zoo ploj mus ntawm lawv tus kheej hauv ob peb lub lis piam) - nrog kws kho mob raws sijhawm! Nws yuav sau ntawv muaj peev xwm, kho tau zoo thiab xaiv cov tshuaj uas haum rau koj.
Symptoms and signs
Nws yog qhov nthuav tias ntau hom stomatitis tuaj yeem pom lawv tus kheej hauv ntau txoj kev, muaj cov tsos mob sib txawv thiab cov cim qhia. Yog hais tias catarrhal stomatitis tshwm sim, ulcers thiab aphthae tshwm rau ntawm lub puab tsaig. Aphthae yog cov kab mob puag ncig, nyob rau sab saum toj ntawm uas muaj grey txheej. Lawv tsis mob, tsis uatsis xis nyob, tab sis nyob rau hauv cov ntaub ntawv ntawm lawv rov tshwm sim, caws pliav yog ua tau, kho rau ib tug ntev lub sij hawm, thaum lub puab tsaig yuav deformed. Feem ntau nrog stomatitis, lub puab tsaig swells, lub mucous daim nyias nyias hloov liab, ib tug dawb txheej tshwm.
Nrog aphthous stomatitis, aphthae thiab rwj ntawm ntau qhov ntau thiab tsawg tshwm sim, uas ua rau mob heev, thaum cov qog ntshav nce siab, tsis muaj zog thiab chim siab tshwm sim.
Herpes stomatitis (feem ntau tshwm sim ntawm lub plhu ntawm tus menyuam) yog ua npaws, ua rau lub plab tsis zoo, nrog rau kev qaug zog thiab qaug zog. Tus kab mob no kis tau los ntawm tus kab mob herpes.
Hauv kev tsis haum stomatitis, o ntawm cov nqaij mos ntawm qhov ncauj kab noj hniav tau sau tseg, uas ua rau nws nyuaj rau tus neeg nqos, thaum tus nplaig loj tuaj thiab feem ntau tsis haum rau hauv lub qhov ncauj. Tsis tas li ntawd, npuas tshwm nyob rau hauv tus neeg mob lub qhov ncauj, uas tawg tom qab ib co sij hawm thiab tig mus rau hauv ulcers. Cov kab mob rwj tuaj yeem ua ke los ua qhov txhab loj.
Cov kab mob stomatitis ntawm lub puab tsaig thiab palate yog qhov tshwm sim los ntawm o thiab cov tsos mob ntawm qhov sib sib zog nqus (rau pob txha). Yog tias tsis kho, tus kab mob ua rau cov nqaij mos necrosis.
Yog tias muaj mob stomatitis, erosions, abscesses, rwj lossis qhov txhab nrog txheej dawb tshwm rau ntawm thaj chaw cuam tshuam. Maj mam, thaj chaw pib o, liab thiab o tshwm sim. Qee zaum, cov ntaub so ntswg necrosis tuaj yeem ua tau, feem ntau tom qab raug mob hnyav. Feem ntau stomatitissab plhu sab hauv (cov duab qhia txog qhov tshwm sim ntawm tus kab mob no, muab tso rau nws me me, tsis kaj siab) ntawm qhov ncauj kab noj hniav yog nrog los ntawm cov kab mob fungal.
Nrog gangrenous stomatitis, tus neeg mob muaj mob hauv nws lub qhov ncauj, vim tias muaj cov kab mob necrotic. Cov ntshav txhaws zuj zus, tus neeg mob tsis noj thiab haus, nws tsim kev yaig thiab ua pob, lub cev kub nce, fistulas tsim ntawm cov pos hniav, puab tsaig, puab tsaig thiab tus nplaig. Cov ntaub so ntswg necrosis maj mam tsim, encephalitis thiab txawm tias ntshav lom tau.
Diagnosis
Nws yuav zoo li tias kev kuaj mob stomatitis yog ib txoj haujlwm yooj yim. Tab sis tus kab mob tuaj yeem tshwm sim los ntawm ntau yam kab mob thiab tshwm sim los ntawm ntau yam uas yuav tsum tau txiav txim siab los ntawm tus kws kho mob tuaj koom. Yog li ntawd, tus kws kho mob tshwj xeeb yuav tsum tau muab tshuaj ntsuam xyuas ntshav, kuaj ntshav rau cov piam thaj, thiab tseem ua PCR thiab bakposev los ntawm lub qhov ncauj. Kev soj ntsuam thiab kev soj ntsuam ntawm tus neeg mob kuj tseem ua rau muaj kev txheeb xyuas qhov xwm txheej ntawm tus kab mob. Ua ntej kev kuaj mob, txiav txim siab txog daim ntawv ntawm tus kab mob, coj mus rau hauv tus account cov txiaj ntsig ntawm kev sim, kev sim thiab anamnesis ntawm tus kab mob.
Kev kuaj mob ntawm cov poj niam cev xeeb tub
Kev kuaj mob tus kab mob no hauv cov poj niam cev xeeb tub tsis txawv ntau ntawm cov txheej txheem txheej txheem. Qhov txawv yog hais tias tus kab mob nyob rau hauv cov niam expectant kav ntev, tej zaum tag nrho cov cev xeeb tub. Qhov no yog vim qhov tseeb tias lub cev tiv thaiv kab mob ntawm cov poj niam hauv txoj hauj lwm tsis muaj zog, cov tshuaj hormonal hloov pauv.
Kev Tiv Thaiv
Txhua yam kab mob yooj yim tiv thaiv dua li kho. Kev tiv thaiv kev tiv thaiv los tiv thaiv kev loj hlob ntawm tus kab mob nosuav nrog cov kauj ruam hauv qab no:
- qhov ncauj huv si, tes;
- tso cawv thiab haus luam yeeb, tshuaj;
- mus ntsib kws kho hniav raws sijhawm thiab kho kab mob plab;
- tiv thaiv kev raug mob ntawm qhov ncauj;
- txwv tsis pub muaj kev sib cuag nrog cov neeg mob stomatitis.
Kev tiv thaiv yuav tsum tau ua tam sim tom qab tus menyuam yug los. Tom qab ntawd stomatitis ntawm lub puab tsaig ntawm tus me nyuam (cov duab ntawm cov menyuam yaus raug kev txom nyem los ntawm kev mob ua rau lub siab hlub thiab kev khuv leej) yuav tsis tshwm sim. Qhov tseem ceeb ntawm no yog kev saib xyuas ntawm qhov ncauj kab noj hniav thiab ua raws li kev noj zaub mov ntawm tus menyuam. Thaum lub hnub nyoog kawm ntawv preschool thiab kawm ntawv, cov menyuam yaus feem ntau raug tus kab mob no, yog li cov niam txiv yuav tsum piav qhia txog kev nyiam huv rau menyuam yaus.
Stomatitis ntawm lub plhu: kho
Nws tsis zoo li yuav kho tau stomatitis nrog cov tshuaj pej xeem ib leeg, kev npaj kho mob yog xav tau ntawm no, uas tshem tawm cov kab mob pathogenic, kho qhov txhab, rov qab acidity thiab microflora ntawm qhov ncauj mucosa. Feem ntau cov tshuaj tua kab mob, tshuaj tua kab mob, cov vitamins yog siv los ua tshuaj. Txoj kev kho mob rau stomatitis nyob ntawm nws cov etiology, ntau yam. Cia wb mus saib qhov teeb meem no.
Kev kho tus mob candidal stomatitis
hom kab mob no tau nthuav tawm hauv daim ntawv me me, yog li kev kho mob tuaj yeem kav ntev li ob peb hnub. Rau kev rov qab los, nws tsuas yog txaus los yaug lub qhov ncauj nrog cov tshuaj tua kab mob tshwj xeeb. Nws tuaj yeem yog poov tshuaj permanganate, tshuaj ntsuab infusions thiab decoctions, hydrogen peroxide,"Chlorhexidine", "Iodinol", "Furacilin" thiab lwm yam. Nws kuj raug pom zoo kom noj tshuaj txhawm rau tiv thaiv kab mob.
Kev kho mob herpes stomatitis
Ua ntej ntawm tag nrho, cov tshuaj immunostimulating thiab tshuaj tiv thaiv kab mob tau sau tseg. Nws tuaj yeem yog "Zovirax", "Anaferon" thiab lwm yam. Lugol, Zelenka, Cholisal yog siv los tshem tawm cov kab mob - lawv yuav tsum tau siv rau thaj chaw puas ob peb zaug hauv ib hnub nrog swab. Cov tshuaj tua kab mob kuj tseem siv tau: oxolinic, interferon thiab lwm yam. Tom qab noj mov, nws raug nquahu kom yaug lub qhov ncauj nrog decoction ntawm calendula.
Kev kho mob aphthous stomatitis
Yog tus me nyuam mob, lawv tau muab tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob. Zoo nyob rau hauv cov ntaub ntawv no, ib qho kev daws ntawm furacilin, gramicidin muab tshuaj yog haum. Tom qab noj mov, koj yuav tsum yaug koj lub qhov ncauj nrog infusions ntawm tshuaj ntsuab (chamomile, sage, oak bark). Cov neeg laus yog cov kws kho mob tshwj xeeb rau kev tshem tawm intoxication, txhim kho lub xeev ntawm kev tiv thaiv kab mob. Feem ntau cov tshuaj "Amiksin", "Diflucan", "Claritin", vitamins thiab immunostimulants. Txawm li cas los xij, tus kws kho mob yuav tsum tau muab tshuaj tua kab mob thiab tshuaj tua kab mob. Kev daws ntawm tannin yog siv los kho cov kab mob. Nws yog ib qho tseem ceeb heev uas yuav tau ua raws li kev noj zaub mov tshwj xeeb thaum lub sijhawm kho.
Kev kho mob stomatitis
Kev kho tus mob stomatitis yuav tsum ua kom tiav. Ua ntej ntawm tag nrho cov, nws yog ib qhov tsim nyog kom tsis txhob raug tus kab mob allergen. Tus neeg mob tau txais kev noj haus, dej ntxhia tsis suav nrog kev noj haus. RauKev kho mob ntawm hom kab mob no, tshuaj tua kab mob (Suprastin, Clarotadin, thiab lwm yam) thiab cov vitamins ntawm pab pawg B, C thiab PP. Koj kuj yuav tsum noj folic acid. Cov cheeb tsam uas mob tau raug pom zoo kom kho ib yam li kev kho mob ntawm lwm hom stomatitis.
Kev kho mob stomatitis
Txawm li cas los xij ntawm qhov mob ntawm qhov ncauj kab noj hniav, cov txheej txheem kho tau raug sau tseg. Kev kho mob yuav tsum pib nrog kev tshem tawm qhov ua rau muaj tus kab mob. Tom qab ntawd ua raws li kev kho mob ntawm qhov ncauj kab noj hniav. Txhawm rau ua qhov no, siv cov tshuaj raws li hydrogen peroxide lossis tshuaj furacilin. Tsis tas li ntawd, tus neeg mob yuav muab tshuaj los tiv thaiv kab mob, txo qhov mob. Tib cov kev kho mob yog siv ntawm no raws li nyob rau hauv kev kho mob ntawm lwm yam stomatitis. Cov tshuaj tua kab mob feem ntau siv.
Kev kho kab mob stomatitis
Yog hais tias nrog stomatitis lub puab tsaig yog o thiab rwj tshwm nyob rau hauv lub qhov ncauj kab noj hniav, tshuaj tua kab mob, raws li zoo raws li tshuaj tiv thaiv. Hauv txoj cai, txoj kev kho mob yog tib yam li rau lwm hom kab mob. Nyob rau hauv qhov kev tshwm sim ntawm cov ntaub so ntswg necrosis, kev phais kev phais yog tsim nyog, tom qab uas tus kws kho mob sau cov kev kho mob tsim nyog. Immunostimulants ua lub luag haujlwm tseem ceeb - lawv pab tiv thaiv tus kab mob sai dua.
Kev kho mob gangrenous stomatitis
Kev kho tus kab mob no tsuas yog ua hauv tsev kho mob xwb. Tus neeg mob tau hloov nrog cov ntshav, cov chaw cuam tshuam raug tshem tawm los ntawm kev cuam tshuam kev phais. Tus kws kho mob prescribes ib tug complex ntawm cov vitamins, pom zoo kom txhim khokev noj haus, lub qhov ncauj kab noj hniav yog ntxuav nrog poov tshuaj permanganate, tshuaj tua kab mob yuav tsum tau muab. Nws yog ib qho nyuaj heev los kho gangrenous stomatitis, feem ntau cov neeg tuag los ntawm tus kab mob no, yog li nws yog qhov zoo dua tsis txhob cia cov teeb meem, tab sis kho tus kab mob raws sij hawm.
kev kho mob zoo tshaj plaws
Raws li twb tau sau tseg lawm, kev kho mob nyob ntawm etiology, hom thiab hom kab mob, nrog rau cov yam ntxwv ntawm tus neeg mob. Tom qab ua kev tshawb fawb thiab kev sim kuaj thiab kuaj mob, tus kws kho mob tuaj koom xaiv txoj kev kho mob txhawm rau tshem tawm cov tsos mob ntawm tus kab mob, nrog rau kev tiv thaiv kev rov qab los. Cov chav kawm ntawm kev kho mob suav nrog kev siv tshuaj ntawm ntau yam teebmeem:
- tshuaj kho mob;
- anti-inflammatory;
- tshuaj tiv thaiv kab mob;
- tshuaj tiv thaiv kab mob;
- immunomodulators;
- vitamin therapy.
Tus kws kho mob tus kheej xaiv cov txheej txheem txhawm rau txhawm rau tshem tawm tus kabmob.
Stomatitis niaj hnub no tsis yog ib yam kab mob txaus ntshai, tab sis tsis txaus siab. Nws txoj kev loj hlob tuaj yeem tiv thaiv tau, thiab kev kho kom raug thiab raug xaiv raws sijhawm ua rau nws tuaj yeem rov qab los ntawm lub cev thiab tsis pub tus kab mob tuaj yeem cuam tshuam koj dua.
