Nyob hauv lub qhov ncauj noj qab nyob zoo, suav tsis txheeb cov kab mob nyob hauv ntuj tsim. Kev ua txhaum ntawm qhov sib npaug no tuaj yeem ua rau mob ntawm qhov ncauj mucosa nrog ntau hom kev tshwm sim. Ua rau, cov tsos mob, kev kho mob, kev tiv thaiv thiab cov duab ntawm stomatitis tuaj yeem kawm hauv kab lus no.
Definition
Stomatitis yog ib qho mob ntawm qhov ncauj mucosa, uas tshwm sim los ntawm cov tsos mob ntawm lub puab tsaig, cov pos hniav, tus nplaig, daim di ncauj thiab palate. Qhov no feem ntau yog ib qho mob uas cuam tshuam nrog liab, o thiab los ntshav ntawm qhov chaw cuam tshuam. Kev tiv thaiv thiab kev kho mob ntawm stomatitis feem ntau yog tsom rau kev txo cov tsos mob thiab tshem tawm cov teeb meem tshwm sim.
Ntau yam ntawm stomatitis
Muaj ntau hom kab mob o ntawm qhov ncauj mucosa. Lawv txawv ntawm cov tsos mob thiab ua rau. Muaj cov hom hauv qab nostomatitis:
- ua xua. Nws tshwm sim vim kev sib cuag nrog cov allergen. Muaj o, liab, rwj thiab yaig nyob rau hauv qhov ncauj kab noj hniav.
- Aphthous. tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev tiv thaiv qis, kab mob ntawm lub caj pas thiab qhov ncauj kab noj hniav, tuaj yeem tshwm sim los ntawm tus kab mob streptococcal. Ib qho cim tshwj xeeb yog qhov pom ntawm aphthae - ua pob khaus ntawm qhov ncauj mucosa.
- Nyob zoo. Tus kab mob kis tau los ntawm tus kab mob vesilovirus. Cov tsos mob tseem ceeb yog cov tsos ntawm cov hlwv dej hauv qhov ncauj kab noj hniav, thiab nyob rau hauv cov kab mob enterovirus - ntawm cov mucous ntawm lub qhov ncauj, xib teg thiab ko taw.
- Herpetic. Nws yog yus muaj los ntawm ib tug ntse nce nyob rau hauv kub, nce tsaug zog. Cov npuas ua rau ntawm qhov ncauj mucosa, uas tawg tom qab 3 hnub. Nrog gingivitis, qaub qaub.
- Catarrhal. Nws tshwm sim vim qhov ncauj tsis zoo. Cov tsos mob ntawm tus kab mob no tshwm sim nyob rau hauv cov tsos ntawm cov plaque dawb nyob rau hauv lub mucous daim nyias nyias, mob rhiab heev thiab ib tug tsis kaj siab tsw.
- Taumatic. Nws tshwm sim los ntawm ib qho los yog ntev lub cev cuam tshuam rau ntawm cov ntaub so ntswg, vim qhov tshwm sim ntawm cov mob tshwm sim tshwm sim ntawm qhov chaw ntawm kev puas tsuaj, uas tsis yog yam ntxwv ntawm lub xeev ntawm mucosa. Cov no tuaj yeem ua pob me me, mob, yaig, abscesses lossis qhov txhab npog nrog cov xim grey lossis xim dawb.
- mob plab. Nws yog tus cwj pwm los ntawm kev tsim cov kab mob nrog cov txheej grey, qhov tsos mob thiab ua npaws.
Kev tshwm sim
Ntau yam tuaj yeem ua rau stomatitis. Txawm li cas los, generalQhov tshwm sim rau kev hloov pauv hauv cov mucosa yog:
- poorly haum hniav hniav;
- hnav hniav ntev ntev;
- kab mob (xws li candidiasis);
- tshuaj tsis haum (xws li rau qee yam tshuaj);
- qhov ncauj qhuav (xerostomia);
- malnutrition (xws li vitamin B deficiency);
- tsis muaj zog tiv thaiv kab mob;
- kev kho mob tom qab mob qog noj ntshav.
Symptoms
Kab mob ntawm qhov ncauj mucosa tuaj yeem mob hnyav lossis mob ntev. Raws li qhov ua rau thiab cov kab mob stomatitis, cov tsos mob hauv qab no tshwm sim:
- redness;
- edema;
- burning;
- mob, tshwj xeeb tshaj yog thaum noj zaub mov kub, qaub lossis ntsim;
- plaque;
- ua pa tsis zoo;
- nce lossis txo qis qis;
- ntshav;
- mob pob khaus ntawm qhov ncauj;
- nyuaj nqos vim kev khaus khaus;
- dry mouth.
Kev tiv thaiv kab mob stomatitis, tsis hais qhov ua rau ntawm tus kab mob, yuav tsum tau pib nrog kev tu kom huv ntawm qhov ncauj. Kev saib xyuas kom raug ntxiv yuav pab txo qhov kev pheej hmoo ntawm kev rov tshwm sim ntawm pathology.
Diagnosis
Thaum muaj mob ntawm lub qhov ncauj mucosa, nws yuav tsum tau sab laj nrog kws kho hniav kom kuaj xyuas qhov chaw cuam tshuam. Siv cov mucosal smear hauv chav kuaj, koj tuaj yeem txiav txim siab:tshwm sim los ntawm kev kis kab mob lossis qee yam kab mob. Tej zaum yuav xav tau ib daim ntaub so ntswg. Cov khoom yog noj tsuas yog nyob rau hauv lub zos tshuaj loog. Hauv qee kis mob stomatitis, yuav tsum tau kuaj ntxiv. Txhawm rau ua qhov no, tus kws kho mob tuaj yeem sau tshuaj ntsuam ntshav dav dav rau lymphocytes, ESR, hlau, folic acid.
Kev kho thiab tiv thaiv
Stomatitis hauv cov menyuam yaus thaum mob me tsis tas yuav muaj kev ntsuas tshwj xeeb. Feem ntau, cov pob liab liab thiab lwm yam tsos mob ploj mus ntawm lawv tus kheej. Koj tus kws kho mob yuav sau cov tshuaj loog kom txo tau qhov mob. Cov kab mob loj tuaj yeem kho nrog tshuaj pleev, tshuaj tsuag, nyob ntawm seb hom kab mob. Koj tuaj yeem siv cov dej yaug kom txo tau cov kab mob hauv koj lub qhov ncauj. Cov neeg mob aphthous stomatitis cuam tshuam nrog mob hnyav xws li kab mob HIV tuaj yeem kho nrog tshuaj noj qhov ncauj.
Yog tias koj qhov txhab yog vim muaj kev tsis haum rau qee yam khoom noj, koj yuav tsum hloov koj cov zaub mov. Cov khoom noj mos, tsis tawv, tsis muaj qaub (tsis muaj txuj lom lossis ntsev) yuav pab txo qis kev khaus. Kev nqus dej khov yuav pab txo qee qhov mob. Lwm yam kev kho mob, xws li siv magnesia los yog yaug nrog dej ntsev diluted nrog hydrogen peroxide, tej zaum yuav pab tau.
Vim stomatitis tuaj yeem tshwm sim los ntawm kev cuam tshuam ntawm lub cev, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas kom tsis txhob raug mob rau sab hauv ntawm lub qhov ncauj.ntxiv. Txhua yam teeb meem ntawm kev kho hniav (cov hniav carious lossis cov hniav tawg, cov hniav tsis zoo) uas yuav ua rau lossis ua rau muaj mob yuav tsum tau kho ntawm tus kws kho mob lub sijhawm. Txhawm rau tiv thaiv stomatitis, cov neeg siv cov khoom siv prostheses, crowns, braces yuav tsum tau mus ntsib kws kho hniav tsis tu ncua.
Kev kho mob rau cov neeg laus
Kev kho mob thiab tiv thaiv stomatitis hauv cov neeg laus nyob ntawm qhov kev kuaj mob. Rau cov kab mob kis kab mob, cov tshuaj tiv thaiv kab mob feem ntau raug sau tseg, rau kev kis kab mob - tshuaj tua kab mob. Gargling nrog tshuaj tua kab mob, tshuaj tua kab mob, thiab/los yog tshuaj astringent kuj yuav pab tau kom txo tau qhov mob.
Nrog rau kev kho mob, nws raug nquahu kom tshem tawm qhov ua rau muaj qhov tshwm sim xws li haus luam yeeb lossis haus cawv. Tsis tas li ntawd, kev tu lub qhov ncauj yuav tsum ua tib zoo saib. Cov kev ntsuas no ua rau muaj txiaj ntsig zoo rau kev zam kev mob ntawm qhov ncauj mucosa yav tom ntej.
Kev tiv thaiv menyuam yaus
Kwv yees li 90% ntawm cov menyuam yaus tau ntsib qhov mob ntawm qhov ncauj mucosa. Muaj ntau ntau txoj hauv kev los tiv thaiv stomatitis, hauv qab no uas yuav pab tiv thaiv tus kab mob rov qab.
- Koj tus menyuam yuav tsum zam txhua qhov kev sib raug zoo nrog cov neeg uas muaj mob lossis pob pob. Yog li ntawd, yog hais tias ib tug ntawm cov niam txiv muaj herpes, nws yuav tsum tau piav qhia yog vim li cas khawm thiab hnia yuav ua tsis tau tej yam kab mob.
- Yog tias koj tus menyuam muaj kab mob herpetic stomatitis, zamkis tus kab mob mus rau lwm tus me nyuam.
- Nco ntsoov koj tus menyuam ntxuav tes tas li.
- Khaws cov khoom ua si kom huv si thiab tsis txhob muab rau lwm tus menyuam.
- Tsis txhob cia menyuam sib faib tais, khob lossis tais diav.
- Tsis txhob cia koj tus menyuam hnia lwm tus menyuam.
Kev tiv thaiv kab mob hauv cov neeg laus
Ntxiv rau kev kho hniav thiab qhov ncauj txhua hnub, cov kws tshaj lij pom zoo ua raws qee cov cai rau kev tiv thaiv thiab kho tus mob stomatitis hauv cov neeg laus, piv txwv li:
- Yuav tsum siv qhov ncauj qhov ncauj;
- zam cov khoom qab ntsev, ntsim zaub mov, cawv, haus mis nyuj txias;
- zam qhov xwm txheej ntxhov siab;
- noj sedatives;
- yog tias koj hnav zawv plaub hau lossis hniav hniav, koj yuav tsum sab laj nrog koj tus kws kho hniav txog qhov muaj peev xwm siv lawv thaum thiab tom qab kho;
- noj txhua yam tshuaj kom txog thaum kawg ntawm chav kawm.
Nws tsim nyog nco ntsoov tias ntau hom kab mob stomatitis tuaj yeem kis tau. Ntxuav koj ob txhais tes kom huv si ua ntej thiab tom qab noj mov, xaiv nyias cov tais diav thiab cov tais diav, cov khoom siv tu cev.
Aphthous stomatitis
Ib yam zoo sib xws ntawm stomatitis yog mob nrog tsim ntawm aphthous ulcers nyob rau hauv lub qhov ncauj kab noj hniav.
Ntxiv mus, tej zaum yuav muaj: kub taub hau, ua daus no, o cov qog nqaij hlav, o. Nws kuj yuav nce ntxivsalivation, mob thiab kub hnyiab tshwm sim. Aphthous stomatitis feem ntau tshwm sim hauv cov menyuam yaus. Qhov no yog vim qhov tseeb tias lawv rub txhua yam rau hauv lawv lub qhov ncauj. Vim tsis xis nyob, tus me nyuam yuav tsis kam noj zaub mov, ua tsis taus pa thiab capricious.
Kev Tiv Thaiv ntawm aphthous stomatitis muaj nyob rau hauv kev soj ntsuam cov cai hauv qab no:
- Ua ntej, koj yuav tsum ntxuav koj txhais tes ntau zaus. Tsis tsuas yog ua ntej noj mov, tab sis kuj nruab nrab ntawm cov pluas noj. Yog tsis muaj dej nyob ze, siv cov tshuaj tua kab mob.
- Nws pom zoo kom noj cov zaub mov ntxiv nrog cov vitamins, zinc thiab hlau. Piv txwv li, vitamin B12 tuaj yeem tiv thaiv qhov rov tshwm sim ntawm stomatitis thiab tsim cov kab mob purulent.
- Rau cov neeg muaj qhov tsis hnov tsw, nws raug nquahu kom siv tshuaj txhuam hniav thiab tshuaj ntxuav qhov ncauj nrog txo sodium lauryl sulfate.
- Raws li cov kws kho hniav cov lus pom zoo, kev siv txhuam hniav ultrasonic ntawm qhov siv qis yuav pab txo qis kev ua haujlwm ntawm aphthous ulcers.
- Tsis tas li, txhawm rau txo qhov kev pheej hmoo ntawm stomatitis, nws raug nquahu kom siv cov tshuaj txhuam hniav nrog cov enzymes (amiloglycosidase thiab qabzib oxidase). Cov enzymes no inhibit cov kab mob loj hlob, zom cov tartar thiab rov ua kom zoo li qub.
- Tsis txhob ntshai. Nws raug nquahu kom so ntau dua thiab sim zam qhov xwm txheej ntxhov siab.
- Kev haus luam yeeb thiab haus cawv muaj txiaj ntsig zoo hauv kev tawm tsam aphthous stomatitis.
YHerpetic stomatitis
Kev Tiv Thaivkab mob muaj nyob rau hauv ib ntus cais ntawm tus neeg raug tsim txom. Koj tsis tuaj yeem hnia thiab puag tus neeg uas muaj kab mob herpetic. Nws raug nquahu kom siv cov khoom sib cais ntawm cov tais diav, cutlery. Sib cais cov khoom siv, xws li phuam, yuav tsum tau muab rau tus neeg mob. Yog tias pom muaj tus kab mob herpetic stomatitis hauv tus menyuam, cov niam txiv yuav tsum txwv tus menyuam kev sib cuag nrog lwm tus menyuam. Tsis tas li ntawd, yuav tsum kho cov khoom ua si nrog tshuaj tua kab mob txhua hnub.
