Xerostomia yog ib qho tsis txaus ntawm cov qaub ncaug uas muaj nrog los ntawm qhov ncauj qhuav. Feem ntau, cov neeg mob yws yws ntawm qhov kub hnyiab hauv caj pas, nyuaj zom thiab nqos. Tsis tas li ntawd, tus neeg mob muaj kev ua txhaum ntawm kev xaav ntawm saj thiab qhov muaj qhov tsis tu ncua ntawm cov hlau hauv lub qhov ncauj.
Xerostomia (ua rau, cov tsos mob, kev kho mob tau piav qhia hauv tsab xov xwm no) feem ntau yog cov cim ntawm ntshav qab zib, Parkinson's disease, HIV, thiab lwm yam. Nws tuaj yeem ua rau muaj kev phiv ntawm qee yam tshuaj, tshuaj khomob, hluav taws xob raug.
Txoj kev vam meej ntawm kev tshem tawm xerostomia nyob ntawm qhov ua rau ua rau nws. Kev kho mob nrog rau kev siv tshuaj xws li Galantamine, Pilocarpine. Novocaine blockade thiab cov txheej txheem physiotherapeutic ntawm thaj tsam ntawm cov qog qaub ncaug kuj tau siv.
Ua rau kab mob
Xerostomia - yog dab tsi? Dab tsi yog vim li cas provoke nws? Cov qaub ncaug ua cov khoom siv rau lubricating lub qhov ncauj kab noj hniav. Nws pab txhawb cov txheej txheem ntawm zom thiabnqos zaub mov. Tsis tas li ntawd, nws pab tshem tawm cov teeb meem microbes thiab muaj cov nyhuv anti-inflammatory. Cov tshuaj muaj nyob rau hauv qaub ncaug pab txhawb rau remineralization ntawm enamel thiab neutralization ntawm alkalis thiab acids uas nkag mus rau hauv lub qhov ncauj kab noj hniav nrog zaub mov. Feem ntau, xerostomia yog ib qho kev mob tshwm sim ntawm qee yam tshuaj.
Dab tsi ua rau muaj kab mob xws li xerostomia?
qhov ncauj qhuav tshwm sim los ntawm:
- tshuaj kho raum, paj hlwb thiab ntshav qab zib;
- neuroleptics;
- diuretics;
- tshuaj tiv thaiv kab mob;
- tshuaj tsaug zog.
Yuav kom tshem tawm cov tsos mob, koj yuav tsum hloov cov tswv yim ntawm kev kho, thiab nws yuav tsum tsis txhob thab koj.
Cov neeg laus raug mob ntau dua rau qhov tshwm sim ntawm tus kab mob no vim yog siv ntau yam tshuaj ntawm ntau pawg kws tshuaj.
Kev sib xyaw ua ke ntawm heterogeneous txhais tau tias pab txhawb txoj kev loj hlob ntawm cov kab mob no kom ntau dua. Cov tsos mob ntawm xerostomia tuaj yeem raug sau tseg nyob rau hauv lub xub ntiag ntawm:
- mob ntshav qab zib;
- hlau deficiency anemia;
- mob ntshav siab;
- cystic fibrosis;
- mob caj dab rheumatoid;
- AIDS;
- Shane Syndrome.
Shane's syndrome yog tus cwj pwm los ntawm cov kab mob autoimmune uas ua rau cov txheej txheem dystrophic ntawm cov qog qaub ncaug, uas tau hais tawm hauv qhov ncauj qhuav thiab txo qis hauv lawv txoj haujlwm.
Muaj kab mob qog noj ntshav thiab lwm yam kab mob sib kistseem tuaj yeem ua rau cov tsos ntawm dryness ntawm qhov ncauj mucosa. Cov kab mob ua rau muaj kev cuam tshuam ntawm cov txheej txheem ntawm innervation thiab ntshav ncig, uas cuam tshuam rau tag nrho cov qaub ncaug.
Xerostomia (duab tuaj yeem pom hauv kab lus) kuj tau pom thaum lub sijhawm kho hluav taws xob, thiab txawm tias lub sijhawm luv luv tom qab nws tshem tawm. Tus kab mob no tshwj xeeb tshaj yog thaum irradiated oncological cov neeg mob nrog ib tug qog nyob rau hauv lub taub hau thiab caj dab.
Thaum cov qog qaub ncaug raug tshem tawm, xerostomia yog txheej txheem rov qab tsis tau. Txoj kev kho tsuas yog siv cov khoom uas pab kom moisturize lub qhov ncauj mucosa.
Impaired qaub ncaug ntau lawm feem ntau tshwm sim los ntawm lub taub hau bruises thiab kev puas tsuaj rau lub hauv paus paj hlwb los ntawm cov tshuaj lom.
Atrophy ntawm cov qog qaub ncaug hauv lub hnub nyoog laus, sialoadenitis, Mikulich's kab mob yog cov kab mob loj heev uas qhov ua rau xerostomia nce ntxiv.
Xerostomia, uas yog lub sijhawm luv luv, kuj tshwm sim thaum tsis muaj kab mob hauv qab. Piv txwv li, nws tshwm sim ua txhaum ntawm qhov ntswg ua pa tshwm sim los ntawm polyps, curvature ntawm qhov ntswg septum.
Hauv cov neeg laus, vim tsis muaj zog ntawm cov leeg ntawm lub puab tsaig, xerostomia tshwm sim vim qhov tseeb tias tus neeg lub qhov ncauj qhib thaum hmo ntuj.
Nquag yaug qhov ncauj nrog cov tshuaj tua kab mob hnyav kuj ua rau muaj cov txheej txheem atrophic hauv thaj tsam ntawm cov qog ua kua qaub thiabcov tsos mob tshwm sim.
Symptoms of disease
Xerostomia, uas ua rau paub zoo, yog tus cwj pwm los ntawm qhov ncauj qhuav. Nrog rau qhov txo qis hauv cov dej hauv lub qhov ncauj nrog qaub ncaug, qhov kev pheej hmoo ntawm cov txheej txheem purulent nce, vim tias thaum tsis muaj qaub ncaug, microbes thiab cov kab mob muaj sia nyob thiab ua rau muaj kab mob ntawm cov nqaij mos ntawm qhov ncauj. Feem ntau lub qhov ncauj raug cuam tshuam los ntawm cov kab mob fungal.
Thaum lub qhov ncauj qhuav tshwm, saj kev cuam tshuam tshwm sim mus txog qhov ua tiav ntawm nws qhov kev nkag siab. Qib ntawm qhov tshwm sim ntawm tus kab mob tuaj yeem txiav txim los ntawm cov cim qhia.
pib theem pib tshwm sim li cas?
Nyob rau theem pib, cov qog qaub ncaug ze ntawm pob ntseg thiab hauv qab lub puab tsaig secrete ib txwm muaj kua qaub. Nyob rau theem no, lawv txoj haujlwm yog nyob rau hauv tus txheej txheem ntawm decompensation.
Lub qhov ncauj qhuav tuaj yeem thab tus neeg thaum tham ntev lossis thaum nkees dhau. Lub mucous daim nyias nyias ntawm lub qhov ncauj yog moist. Foaming yog sau nyob rau hauv cov qaub ncaug.
theem ob
theem tom ntej yog ib nrab decompensation. Cov tsos mob ntawm tus kab mob ua kom meej meej. Lawv tshwm sim raws li lub qhov ncauj qhuav tas li, nyuaj zom thiab nqos.
Tus neeg mob nyob rau theem no muaj qhov ua kom qhuav thaum noj mov. Yog li ntawd, tus neeg mob feem ntau haus dej. Cov mucous daim nyias nyias ntawm lub qhov ncauj tsis zoo moistened. Nws yog dyed lub teeb liab liab thiab glitters.
Cov cim ntawm theem peb
Tus kab mob xws li xerostomia tshwm sim li cas hauv theem peb? Qhov no yog ua ntejtag nrho txo qis hauv kev ua haujlwm ntawm cov qog ua kua qaub. Cov neeg mob yws ntawm excruciating dryness nyob rau hauv lub qhov ncauj, mob nyob rau hauv tus txheej txheem ntawm kev hais lus thiab zom. Cov tsos mob ntawm cov teeb meem xws li glossitis thiab stomatitis tau sau tseg.
qhov ncauj qhuav ua rau mob plab. Daim tawv nqaij ntawm daim di ncauj yuav qhuav thiab flaky. Qee zaum daim di ncauj ua crusty.
Yog tias xerostomia yog tshwm sim los ntawm kev ua haujlwm ntawm cov qog qaub ncaug, ces caries feem ntau tshwm ntxiv rau cov tsos mob tseem ceeb.
Thaum xerostomia tshwm sim, tus neeg mob yws yws nqhis dej, teeb meem nqos zaub mov, thiab ua pa tsis zoo. Cov neeg mob muaj feem xyuam rau angina. Thaum lub sij hawm rov qab los, hoarseness thiab mob hauv caj pas ua rau muaj kev cuam tshuam ntau heev thiab yog qhov ua rau kev hais lus tsis zoo.
Tus nplaig hloov xim liab, cov kab nrib pleb tshwm nyob rau ntawm kaum ntawm lub qhov ncauj, uas cov kab mob nkag tau yooj yim.
Nyob rau theem ntawm kev them nyiaj thiab decompensation, tus neeg mob yws ntawm dryness hauv qhov ntswg. Pathological txheej txheem nyob rau hauv lub periodontium kuj ua tau.
Yog tus neeg mob hnav cov hniav uas tshem tau, ces muaj teeb meem hauv lawv txoj kev siv thiab feem ntau raug mob ntawm qhov ncauj mucosa.
Diagnosis
Xerostomia yog ib qho tsos mob ntawm kev mob hnyav hauv lub cev. Nws qhov kev kuaj mob suav nrog kev npaj cov ncauj lus kom ntxaws anamnesis txhawm rau txheeb xyuas qhov tshwm sim hauv qab uas ua rau muaj teeb meem no. Tus kws kho mob nug tus neeg mob kom ntxaws txog txhua yam tshuaj uas nws noj. Tsis tas li ntawd, ultrasound ntawm cov qog ua kua qaub thiabsialography.
Txoj Kev Kho Mob
Kev kho mob ua rau muaj txiaj ntsig zoo ntawm tus neeg mob tus mob. Tom qab tshem tawm ntawm kev kho mob, cov tsos mob ntawm tus kab mob rov qab los. Yog li ntawd, tus kws kho hniav yuav tsum txiav txim seb qhov laj thawj ntawm tus mob no.
Xerostomia yog ib yam mob uas tuaj yeem tshwm sim los ntawm qee yam tshuaj lossis lub cev qhuav dej. Hauv qhov no, nws raug kho sai sai.
Tus mob tshwm sim los ntawm kev kho hluav taws xob yuav luag tsis tuaj yeem tshem tawm, vim tias hluav taws xob tuaj yeem cuam tshuam cov qaub ncaug.
Ntau tus xav paub yuav ua li cas xerostomia tshem tawm, yuav kho tus kab mob li cas? Pathogenetic therapy yog tsom rau tshem tawm qhov ncauj qhuav. Txhawm rau txhim kho tus neeg mob qhov xwm txheej zoo, cov kev daws teeb meem ntawm potassium iodide tau sau tseg. Kuj tseem siv "Pilocarpine" lossis "Galantamine". Lubrication ntawm lub qhov ncauj kab noj hniav nrog kua vitamin A ua rau txo qis ntawm dryness thiab kho ntawm rwj thiab me me tawg. Novocaine blockade ntawm thaj tsam ntawm cov qog qaub ncaug nyob ze ntawm pob ntseg thiab hauv qab lub puab tsaig, nrog rau kev siv cov txheej txheem physiotherapy (galvanotherapy, electrophoresis, vibration massage) tuaj yeem txhim kho tus neeg mob tus mob txawm tias muaj pathology ntawm decompensated. stage.
ntsuas kev tiv thaiv
Xerostomia, qhov ua rau thiab kev kho mob uas tau piav qhia hauv tsab xov xwm no, yuav tsum muaj kev tiv thaiv. Yog tias koj muaj kab mob pathology, koj yuav tsum txwv tsis pub noj cov khoom qab ntsev thiab qhuav, nrog rau cov dej qab zib uas muaj caffeine thiab qab zib.
Cawv cawv thiab tshuaj ntxuav qhov ncauj uas muaj cawv,pab kom qhuav ntawm mucosa thiab ua rau hyposalivation.
Cov neeg uas muaj xerostomia tau qhia kom tso tseg cov cwj pwm tsis zoo, siv cov khoom uas ua kom lub qhov ncauj moisturize, nrog rau cov txhuam hniav los ntxuav cov hniav nrog cov txhuam hniav kom tsis txhob raug mob rau cov mucous qhuav. Kev siv cov tshuaj txhuam hniav tshaj lij yog pom zoo. Cov hniav yuav tsum tau txhuam peb zaug ib hnub twg. Nws raug nquahu kom zaws sab hauv ntawm lub puab tsaig thiab cov pos hniav nrog tus nplaig.
Cov khoom qab zib tsis muaj qab zib kuj ua kom cov qaub ncaug ntau lawm. Feem ntau, cov neeg mob uas muaj xerostomia yog qhia kom zom cov pos hniav, uas kuj nce qib ntawm salivation. Tab sis cov chews uas tsis muaj qab zib yuav tsum tau siv los txo qhov feem ntawm cov hniav lwj.
Tom qab cov tsos mob ntawm tus kab mob tau raug tshem tawm, kev rov qab los yuav tsum tau zam, uas ua tiav los ntawm kev ua raws li tus kws kho mob cov lus qhia thiab noj tshuaj kom raug. Cov tshuaj uas yuav tsis txo qis salivation yuav tsum tau siv.
Thaum ua noj, qhia kom ntxiv txuj lom thiab kua txob liab rau lawv.
Moisturize cua hauv chav tsev ntau zaus.
kev kho neeg zoo
Puas muaj peev xwm tshem tawm cov kab mob xws li xerostomia nrog cov tshuaj pej xeem? Yuav kho tus kab mob li cas yam tsis siv tshuaj? Raws li txoj cai, ntau yam tshuaj ntsuab rinses yog siv. Kev haus dej ntau ntxiv thaum nruab hnub kuj pom zoo. Tib lub sijhawm, nws raug nquahu kom haus nws hauv qhov me me.
dej ntau ntau
Txoj kev no yog qhov yooj yim tshaj plaws. Nws pab kom moisturize lub qhov ncauj mucosa. Nws raug pom zoo kom haus dej txias rosehip broth, nrog rau qaub lingonberry los yog kua txiv cranberry. Nrog cov hniav tsis hnov tsw thiab cov pos hniav, koj tuaj yeem nqus cov dej khov. Yog hais tias qhov ncauj qhuav yog tshwm sim los ntawm hangover, ces koj yuav tsum haus dej ntxhia dej nrog txiv qaub kua txiv nyob rau hauv ib tug ratio ntawm 2: 1. Haus hauv me me sips.
Npaj yaug
Txoj kev xaiv rau lub hom phiaj no yuav tsum tau ua kom ceev faj. Cov tshuaj feem ntau muaj cawv, yog li lawv tsis haum rau tshem tawm qhov ncauj qhuav.
Muaj ntau yam zaub mov rau yaug:
- Lub qhov ncauj yuav tsum tau yaug nrog dej ntawm calendula, chamomile lossis sage. Koj tuaj yeem siv cov tshuaj ntxuav tes uas muaj fluoride.
- Dav siv roj rosehip thiab tshuaj ntsuab sau. Blueberries, calamus paus, sage thiab chamomile yog noj. Txhua tsob nroj yog brewed nyias. Rau 1st. dej yog noj 1 tbsp. ib diav. Tus neeg sawv cev yog infused rau 40 m, tom qab ntawd nws yog lim. Nrog rau txhua qhov infusion, lub qhov ncauj yog rinsed nyob rau hauv lem, thiab blueberries noj.
Hauv lub tsev muag tshuaj koj tuaj yeem yuav cov tshuaj "Chlorophyllipt". Cov tshuaj no yog instilled rau hauv lub qhov ntswg peb zaug ib hnub twg. Rosehip roj yog dripped ua ntej, thiab ces "Chlorophyllipt". Tom qab cov txheej txheem, koj yuav tsum pw. Kev kho mob yog 10 hnub.
kab mob prognosis
Qhov kev cia siab ntawm tus kab mob xws li xerostomia (kev kho mob, tshuaj tau piav qhia hauv tsab xov xwm no) nyob ntawm tus kab mob hauv qab no, nrog rauqib ntawm kev ua txhaum ntawm kev ua haujlwm ntawm cov qog ua kua qaub. Nyob rau hauv txhua rooj plaub, tsuas yog ua tiav cov txheej txheem atrophic, nws muaj peev xwm ua tiav qhov kev txhim kho tseem ceeb hauv tus neeg mob tus mob mus txog kev kho kom tiav.
Zoo kawg
Yog li, hauv kab lus peb tau teb cov lus nug: "Xerostomia - nws yog dab tsi?" Kev kho mob raug xaiv raws li tus kab mob hauv qab uas ua rau nws. Piv txwv li, thaum muaj ntshav qab zib mellitus, cov tshuaj yuav raug sau tseg uas normalize ntshav qabzib. Qhov no yuav txhawb nqa cov qaub ncaug li qub.
Pathology tsis tuaj yeem raug ntaus nqi rau ib tus kab mob sib txawv. Nws yog ib qho cim qhia tias mob hnyav hauv lub cev.
