Stomatitis yog ib qho mob ntawm qhov ncauj mucosa. Nws tsis txaus ntshai. Txhawm rau kuaj xyuas nws, tsis tas yuav muaj kev sim tshwj xeeb, vim tias kev kuaj xyuas yooj yim los ntawm kws kho hniav txaus.
Vim li cas thiaj tshwm sim? Cov tsos mob dab tsi qhia tias nws muaj? Yuav tiv thaiv qhov tshwm sim ntawm tus kab mob no li cas? Thiab qhov tseem ceeb tshaj - cov tshuaj dab tsi rau stomatitis yog qhov zoo tshaj plaws? Qhov no thiab ntau ntxiv yuav tau tham tam sim no.
Pathogenesis
Kev mob ntawm qhov ncauj mucosa tshwm sim rau ntau yam. Stomatitis tuaj yeem tshwm sim raws li tus kab mob ywj pheej lossis raws li cov tsos mob ntawm cov kab mob pathologies. Predisposing yam thiab tej yam tshwm sim (tsis paub tseeb pathogenesis) suav nrog:
- kev noj zaub mov tsis zoo thiab tsis muaj kev noj haus zoo.
- Kev nkag mus ntawm cov kab mob ntawm cov kab mob sib kis rau hauv tib neeg lub cev. Cov no suav nrog mycoplasmas, kab mob thiab kab mob.
- Hnub nyoog. Cov neeg laus thiab menyuam yaus yuav kis tus kab mob ntau dua.
- Qhov kub lossis kev puas tsuaj rau lub qhov ncauj.
- Lub cev qhuav dej los ntawm ntuav, raws plab, nce siab ntevua npaws, tso zis ntau ntxiv, haus dej tsis txaus thiab ntshav poob.
- Ntau dhau lossis tsis txaus qhov ncauj huv.
- Ntse haum lossis ua tsis tau cov hniav cuav.
- Kev noj tshuaj txo qis qaub ncaug.
- Smoking.
- Prodromal stage of HIV infection.
- Hormonal disorders / fluctuations.
- Tsis muaj folic acid lossis hlau, beriberi.
- Anemia.
- Kev muaj cov qog nqaij hlav hauv lub pharynx, qhov ntswg lossis caj dab.
- Kev mob tshwm sim ntawm kws khomob.
Tseem feem ntau ua rau tus kab mob no yog siv cov tshuaj ntxuav thiab tshuaj txhuam hniav, uas suav nrog sodium lauryl sulfate. Cov tshuaj no muaj cov nyhuv dehydrating. Cov ntaub so ntswg ntawm qhov ncauj qhuav tawm thiab ua rau muaj kev cuam tshuam rau ntau yam khaus - zaub mov acids, piv txwv li.
Symptoms
Ua ntej peb tig mus rau kev txiav txim siab ntawm cov tshuaj rau stomatitis, koj yuav tsum sau cov cim qhia tias muaj tus kab mob no. Nov yog qee cov tsos mob uas koj yuav tsum mus ntsib kws kho mob rau:
- me ntsis liab ntawm mucosa (thaum ntxov).
- Nyob rau hauv tib cheeb tsam thiab kub hnyiab me ntsis (kev loj hlob ntawm tus kab mob).
- Tshav pob oval lossis puag ncig.
Cov qauv no kuj muaj cov yam ntxwv tshwj xeeb. Tus yam ntxwv ntawm qhov mob tuaj yeem paub qhov txawv ntawm cov npe hauv qab no:
- Lawv ib leeg thiab ntiav.
- Koj tuaj yeem pom cov yeeb yaj kiab dawb lossis grey nyob nruab nrab. Nws nyias, tab sis ze rau qhov txhab.
- Kev kawm ntaub so ntswg zoo li noj qab nyob zoo, ib txwm.
- Lub rwj muaj cov npoo npoo ncig ntawm ciam teb liab (halo).
Cov "pob kws" no ua rau muaj kev tsis xis nyob. Lawv mob. Vim yog lawv noj thiab haus ib txwm tsis tau. Tseem muaj teeb meem thaum sim txav tus nplaig lossis daim di ncauj.
Yuav xaiv tshuaj li cas?
Tau kawg, txoj kev kho yog muab los ntawm kws kho mob. Cov tshuaj rau stomatitis nyob rau hauv cov neeg laus thiab cov me nyuam yog xaiv nyob ntawm seb qhov ua rau ntawm tus kab mob thiab nws daim ntawv. Yog tias qhov mob tshwm sim los ntawm kev ua xua, ib qho tshuaj tau sau tseg. Yog tias nws cov tsos mob tshwm sim los ntawm kev kis tus kab mob parasitic - tshuaj sib txawv kiag li.
Nws kuj yuav tsum tau muab sau tseg tias tag nrho cov tshuaj uas twb muaj lawm rau stomatitis nyob rau hauv lub qhov ncauj nyob rau hauv cov neeg laus thiab cov me nyuam muab faib ua ob pawg. Kev noj qee yam tshuaj yog txhawm rau tshem tawm qhov mob, thaum lwm tus yog txhawm rau txo qhov mob.
Ntawm no yog yam uas yuav tsum xav txog thaum xaiv cov tshuaj zoo rau koj tus kheej:
- Koj tuaj yeem tiv nrog candidal stomatitis los ntawm kev yaug koj lub qhov ncauj nrog dej qab zib los yog tshuaj ntsuab infusions. Cov menyuam yaus hauv qhov no yog cov tshuaj tiv thaiv kab mob, uas suav nrog Nystatin, Fluconazole, Malavit.
- Herpetic stomatitis yog kho los ntawm kev noj tshuaj tiv thaiv kab mob. Koj tuaj yeem siv tsis yog Acyclovir nkaus xwb, tab sis oxolinic ointment thiab Viferon.
- Yog tias kuaj pom tus kab mob tsis haum, ces siv tshuaj tiv thaiv -Parlazin thiab Suprastin.
- Yog tias muaj kab mob catarrhal, yaug nrog tshuaj tua kab mob - npaj nrog ci dej qab zib, borax lossis hydrogen peroxide. Ib qho tshuaj daws qhov mob zoo heev yog Instillagel thiab Kamistad gel.
- Yog tias ib tus neeg muaj mob stomatitis, ces nws yuav tsum tau mus kawm cov tshuaj immunostimulating nrog rau kev siv cov kev daws teeb meem rau cov dej ntawm cov mucous membrane. Cov tshuaj tiv thaiv kab mob kuj pom zoo - oxolinic thiab interferon.
- Txhawm rau tshem tawm cov kab mob ntawm daim ntawv ulcerative necrotic, trypsin thiab metronidazole tau sau.
- Solcoseryl ointment, noj cov vitamin complexes thiab tshuaj xws li Imudon pab kho aphthous stomatitis.
Tsis muaj kev kho mob thoob ntiaj teb kom tshem tau tus kab mob. Yog li ntawd, nws tsis pom zoo kom xaiv cov tshuaj rau stomatitis ntawm koj tus kheej. Ua ntej koj yuav tsum txiav txim seb qhov ua rau tus kab mob no.
Tshuaj zoo
Thaum xaiv cov tshuaj rau stomatitis nyob rau hauv lub qhov ncauj, ib tug yuav tsum coj mus rau hauv tus account ntau yam sib txawv, nrog rau muaj kev tsis haum tshuaj. Tus kws kho mob tau sau tshuaj, tau kawg, tom qab kuaj xyuas. Tab sis feem ntau yog cov hauv qab no:
- "Decatilene". Nws yog ib qho tshuaj tua kab mob zoo heev uas muaj tshuaj tua kab mob thiab tiv thaiv kab mob.
- Strepsils. Ib qho tshuaj tiv thaiv kab mob uas paub zoo uas tau tsim los ntawm lozenges. Nws active tshuaj yog lidocaine. Nrog kev siv cov lozenges li niaj zaus, cov tshuaj tshem tawmo thiab txo cov tsos mob mob.
- Y "Chlorophyllipt". Antibacterial ntsiav tshuaj. Nws kho ntau yam txheej txheem inflammatory thiab stomatitis ntawm ntau hom. Nrog ib tus neeg intolerance rau cov khoom, tej zaum yuav o ntawm daim di ncauj los yog tus nplaig.
- "Sebidin". Lwm txoj kev kho zoo rau stomatitis hauv qhov ncauj. Nws tuaj yeem tsis tsuas yog cuam tshuam nrog qhov mob no xwb, tab sis kuj muaj kev cuam tshuam rau cov kab mob staph thiab fungal.
- Y "Acyclovir". Cov tshuaj tua kab mob muaj txiaj ntsig zoo, kev siv tsis tu ncua uas tsis yog tsuas yog pab kho tus kab mob xwb, tab sis kuj tiv thaiv nws txoj kev rov qab los.
- Gexoral Tabs. Cov ntsiav tshuaj no muaj peev xwm tiv nrog ntau yam kab mob ntawm qhov ncauj mucosa vim lawv cov tshuaj tua kab mob thiab tshuaj tua kab mob. Muaj contraindications, yog li koj yuav tsum tau nyeem cov lus qhia ua ntej siv.
Txhua cov tshuaj uas tau teev tseg tuaj yeem pab tiv thaiv tus kabmob, tab sis nws yog nyob ntawm tus kws kho mob txiav txim siab seb cov tshuaj twg los kho stomatitis. Nws yuav xaiv cov tshuaj uas yuav tsis tsuas yog siv tau zoo tshaj plaws, tab sis kuj yuav tsis ua mob rau tus neeg.
Tshuaj pleev ib ce
Lus npe tshuaj zoo rau stomatitis, nws tsim nyog tham kom ntxaws txog cov tshuaj no. Muaj ntau cov tshuaj pleev uas tuaj yeem pab tshem tawm tus kab mob no, tab sis ntawm no yog cov txiaj ntsig zoo tshaj plaws:
- "Hlub". Cov khoom xyaw tseem ceeb ntawm cov tshuaj yog cetalkonium chloride thiab choline salicylate. Ointment relieves mobtshem tawm o, thiab kuj txo qhov kub thiab txias. Qhov tseem ceeb tshaj plaws, nws ua haujlwm li ntawm ob peb feeb tom qab thov.
- Oxolinic tshuaj pleev. Nws tuaj yeem hu ua universal, vim nws pab nrog ntau hom stomatitis. Tsis muaj contraindications. Cov cuab yeej no tau pom zoo siv txawm tias cov menyuam yaus thiab cov poj niam cev xeeb tub.
- "Nystatin". Cov tshuaj nquag ntawm cov tshuaj pleev no yog polyene antifungal tshuaj tua kab mob. Cov molecules ntawm tus neeg sawv cev no sai nkag mus rau tus kab mob daim nyias nyias thiab rhuav tshem nws. Siv cov tshuaj pleev kom tsawg heev. Thiab tsis yog ntawm thaj chaw cuam tshuam, tab sis ua ntej ntawm paj rwb ntaub plaub los yog gauze.
- Y "Acyclovir". Peb twb tau hais txog cov tshuaj zoo sib xws hauv cov ntsiav tshuaj. Ointment kuj tsim nyog mloog. Nws cov khoom yog ib qho analogue ntawm DNA (deoxyguanosine). Qhov sib xyaw ua ke no yooj yim tawm tsam DNA ntawm tus kab mob herpes thiab rhuav tshem nws cov qauv. Raws li qhov tshwm sim, nws tsuas tuaj yeem tsis muaj qhov cuam tshuam rau cov mucous.
- "Methyluracil". Ib qho tshuaj zoo uas pab tshem tawm stomatitis hauv lub qhov ncauj hauv cov menyuam yaus (tseem haum rau cov neeg laus). Cov tshuaj pleev txhim kho cov ntaub so ntswg, tshem tawm qhov mob thiab mob.
- "Solcoseryl". Qhov kev txiav txim zoo ib yam li cov tshuaj pleev, uas tau piav qhia hauv kab lus dhau los. Qhov no yog nyuj ntshav dialysate. Nws yog ib tug zoo heev tus neeg saib xyuas, stimulator ntawm txoj kev loj hlob ntawm cov hlwb tshiab thiab ib tug zoo heev antiseptic. Nws tsim ib zaj duab xis thiab nyob twj ywm ntawm cov mucosa rau ob peb teev.
- Metrogil Denta. Ib qho tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob tua kab mob, suav nrog cov uas ua rau stomatitis. Nws txoj hauv kev yog ua ke nrog kev txais tostshuaj tua kab mob.
- Kamistad. Ib qho tshuaj zoo heev rau stomatitis hauv cov neeg laus, uas muaj cov tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Txhawm rau kom muaj txiaj ntsig zoo dua, nws raug nquahu kom rub nws mus rau hauv cov mucous membrane. Cov menyuam yaus hnub nyoog qis dua 12 xyoos yuav tsum tsis txhob siv.
- Viru-Merz Serol. Lub ntsiab active ingredient ntawm cov tshuaj no rau stomatitis yog tromantadine, uas muaj peev xwm txawm tiv nrog herpes. Tshem tawm qhov kub hnyiab, khaus thiab mob.
- Tebrofen tshuaj pleev. Nws muaj cov nyhuv antiviral. Ib qho tshuaj zoo rau kev kho mob stomatitis, lub sijhawm yuav tsum tsis pub tshaj 7 hnub, tab sis yuav tsum tau siv peb zaug hauv ib hnub. Kev kho yog ua nrog ceev faj - cov kev mob tshwm sim tuaj yeem tshwm sim hauv daim ntawv ntawm kev tsis haum dermatitis.
Txhua tus neeg siv tshuaj pleev ib ce, ua ntej siv, nws yog ib qho tsim nyog yuav tsum tau kho cov mucous ntawm lub qhov ncauj nrog tshuaj tua kab mob. Thiab siv cov khoom tsuas yog tom qab cov tshuaj tua kab mob dries.
Kev daws thiab concentrates
Muaj peb yam tshuaj zoo rau qhov ncauj thrush hauv cov neeg laus uas yuav tsum tau xav txog. Cov no yog cov pheej yig tab sis zoo kho:
- Iodinol. Lub raj mis me me muaj cov tshuaj molecular iodine, uas muaj ntau qhov kev ua haujlwm. Yav dhau los, lawv tau kho nrog varicose ulcers, tshuaj burns, postoperative pustules thiab mob tonsillitis. Cov tshuaj no muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob thiab, qhov tseem ceeb, nws yog qhov tsim nyog rau kev kho mob ntawm cov menyuam yaus thiab cov neeg laus. Koj tsuas yog yuav tsum tau dilute hauv ib khob dej 50 ml,sib tov, thiab ces yaug koj lub qhov ncauj nrog lub resulting muaj pes tsawg leeg. Koj tuaj yeem ua tshuaj pleev ib ce.
- "Sodium tetraborate". Lwm txoj kev kho zoo rau stomatitis hauv cov neeg laus. Nws yog ib qho tshuaj glycerin uas muaj txiaj ntsig zoo rau cov ntaub so ntswg, ua kom lawv kho. Nws kuj yog ib qho tshuaj antiseptic thiab anti-inflammatory tshuaj. Lawv yuav tsum tau lubricate cov paj rwb swab thiab smear rau qhov mob.
- "Fukortsin". Nov yog lwm txoj kev kho rau stomatitis uas tuaj yeem pab tau. Cov khoom siv no muaj xws li acetone, fuchsin, boric acid thiab resorcinol. Xws li ib tug complex ntawm tshuaj muaj ib tug qhuav thiab antimicrobial nyhuv. "Fukortsin" yuav tsum tau siv rau cov ntawv sau npe. Tab sis cov tshuaj no rau stomatitis rau cov me nyuam tsis yog siv. Lawv thiab cov poj niam cev xeeb tub raug txwv tsis pub siv.
Tshuaj rau me nyuam
Saum toj no, nws tau piav qhia meej yuav ua li cas kho stomatitis hauv cov neeg laus. Muaj ntau yam tshuaj, tab sis tsis yog txhua tus ntawm lawv tsim nyog rau cov menyuam yaus. Tab sis txawm tias cov me tshaj plaws yuav tsum tau noj cov tshuaj tiv thaiv kab mob thiab cov tshuaj tiv thaiv kab mob txhawm rau tshem tawm cov kab mob no.
Cov menyuam yaus raug tso cai kho nrog cov tshuaj hauv qab no:
- Antiviral: "Viferon" thiab "Acyclovir". Rau cov menyuam yaus hnub nyoog tshaj ob xyoos, qhov koob tshuaj yuav tsum zoo ib yam li cov neeg laus. Rau leej twg yau, nws yog ib nrab.
- Y Antiseptic: Miramistin. Yaug koj lub qhov ncauj nrog cov tshuaj 4 zaug hauv ib hnub rau 1 feeb, lossis kho cov kab noj hniav nrog cov ntaub qhwv ntsej muag dipped hauv cov tshuaj.
- Symptomatic: tshuaj tiv thaiv kab mob yog tiasTus me nyuam kub siab tshaj 38 ° C. Ntawm tus nqi qis, lawv qhov kev noj haus tsis tsim nyog, vim tias lawv txo qis kev tsim cov interferons thiab tsim kev cuam tshuam rau kev tsim cov kev tiv thaiv tag nrho.
- Immunomodulatory: sodium nucleinate, "Amiksin", "Immunal", "Imudon". Txawm hais tias cov menyuam yaus, muaj cov tshuaj txhuam hniav tshwj xeeb, kev siv uas yog tsom rau kev tiv thaiv ntawm qhov ncauj mucosa. Lawv muaj pes tsawg leeg muaj xws li qabzib oxide, lysozyme, lactoperoxidase, lactoferrin. Nws raug pom zoo kom them sai sai rau cov pastes hu ua SPLAT - lawv suav tias yog qhov ua tau zoo tshaj plaws.
- Y Antiallergic: Tavegil, Diazolin, Claritin, Suprastin.
Ntxiv rau cov nyiaj teev tseg, tseem yuav tsum tau muab cov vitamins rau menyuam yaus. Kev siv tshuaj tua kab mob, tshuaj tua kab mob, thiab tshuaj tua kab mob tsuas yog tso cai rau cov mob hnyav xwb.
Raws li txoj cai, tus kws kho mob menyuam yaus tsuas yog qhia rau lawv yog tias tus kab mob kis tau los ntawm kev kis kab mob, lossis kab mob gingivitis pib tsim. Nws yog qhov zoo dua, tau kawg, ua nrog kev kho lub cev (UV irradiation) thiab kev tiv thaiv tsis tu ncua ntawm qhov ncauj kab noj hniav.
tshuaj ntau yam
Cov tshuaj uas yooj yim rau siv thiab kuj tsim nyog rau feem coob ntawm cov neeg mob yuav tsum tau muab tso rau hauv ib daim ntawv cais. Cov no suav nrog:
- painkillers: Lidocaine Asept, Kamistad-gel, Instillagel, Theraflu Lar, Stopangin 2A.
- Y Antiseptic thiab anti-inflammatory: Faringosept, Sebidin, Lyzobakt,"Stomatofit", "Holisal".
- Kho: Solcoseryl-paste, methyluracil 10% tshuaj pleev, Carotolin, Olazol, Propolis spray, hiav txwv buckthorn thiab rosehip roj.
Qee yam ntawm cov tshuaj uas tau teev tseg yog ntuj biostimulants thiab tshuaj tua kab mob. Lwm tus yog cov tshuaj ntau yam nrog ntau yam kev ua ub no.
Txawm li cas los xij, yog tias koj txiav txim siab pib noj qhov no lossis qhov kev kho ntawd yam tsis muaj kev sab laj kho mob ua ntej, koj yuav tsum nyeem cov lus qhia tsawg kawg. Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev kawm cov npe ntawm contraindications thiab qhov tshwm sim tshwm sim.
kev kho neeg zoo
Cov npe saum toj no muaj ntau yam tshuaj uas tuaj yeem pab kho tus kab mob hauv kev sib tham. Tab sis ntau tus neeg paub tseeb tias qhov kev kho zoo tshaj plaws rau stomatitis tseem yog cov tshuaj pej xeem. Lawv tuaj yeem siv tau thiab. Yog hais tias tsis yog raws li lub ntsiab tshuaj, ces raws li ib tug prophylactic kom paub meej. Nov yog cov zaub mov nrov tshaj plaws:
- Crushed Oak bark nyob rau hauv tus nqi ntawm 20 grams, ncuav ib khob ntawm boiling dej thiab ua noj rau 15 feeb. Tom qab ntawd tshem tawm, txias thiab lim. Siv decoction rau yaug.
- Ib txhais tes ntawm tshuaj yej rose petals yuav tsum tau nchuav nrog ib khob ntawm boiling dej thiab cia nws brew rau 10 feeb. Yaug koj lub qhov ncauj nrog infusion tom qab txhua pluas noj.
- Nyob rau hauv sib npaug proportions, mix sage, calendula, eucalyptus, chamomile, aloe thiab yarrow. Koj tuaj yeem ntxiv willow bark thiab me ntsis celandine. Rov ua cov kauj ruam ntawm thawj daim ntawv qhia. Kuj tseem siv los yaug.
- St. John's wort coarsely tws, loosely sau ib hub nrog nws thiab ncuav tshaj kho mobcawv. Qhov piv yuav tsum yog 1 mus rau 10. Rau 14 hnub, xa cov tincture yav tom ntej mus rau qhov chaw tsaus, txias. Lim tom qab lub sijhawm. Ntxiv 40 tee rau ib nrab khob dej thiab yaug koj lub qhov ncauj ob zaug ib hnub.
- Hla 3-4 cloves qej los ntawm xovxwm. Ntxiv mis nyuj (1 tablespoon) rau hauv gruel. Kho cov mucous daim nyias nyias nrog cov tshuaj pleev kom tsawg kawg peb zaug ib hnub twg.
- Cua ib diav kua zib ntab hauv da dej. Ntxiv rau qhov qub roj txiv roj, nqaij qaib nqaij nyoos thiab novocaine 0.5% (ib qho ampoule yuav txaus). Sib tov kom huv si thiab siv los lubricate qhov chaw cuam tshuam.
- Sau ib khob nrog ib nrab crushed burdock cag, ncuav kub sunflower roj, nyiam dua unrefined (100 ml yog txaus). Tso rau infuse rau ib hnub. Tom qab ntawd boil thiab ua noj rau 15 feeb. Cov tshuaj pleev no tuaj yeem siv tau rau ntawm daim tawv nqaij.
Qhov txiaj ntsig ntawm cov nyiaj no nyob hauv lawv lub hauv paus chiv keeb. Tab sis, txawm li cas los xij, yog tias tus kab mob ua rau tsis xis nyob, ces nws yog qhov zoo dua los noj cov tshuaj uas kws kho mob tau sau tseg. Lawv yuav ua hauj lwm sai dua, thiab cov nyhuv yuav muaj zog dua.
Kev Tiv Thaiv
Yav dhau los, ntau tau hais txog yuav kho stomatitis. Cov tshuaj tsis pheej yig, thiab cov txheej txheem rov qab yuav siv sij hawm ntau, yog li nws yooj yim dua los tiv thaiv kev loj hlob ntawm tus kab mob. Kev tiv thaiv suav nrog:
- Txiav cawv thiab haus luam yeeb, lossis txo cawv thiab nicotine rauyam tsawg kawg nkaus.
- Smart oral care.
- kho mob raws sijhawm ntawm cov kab mob cuam tshuam nrog plab hnyuv.
- Hloov rau txoj kev noj qab haus huv.
- khoom noj muaj txiaj ntsig.
- txwv kev sib cuag nrog cov neeg mob stomatitis.
- ntxuav tes.
- Kev tiv thaiv kev raug mob mucosal.
- mus ntsib kws kho hniav tsis tu ncua (tsawg kawg ib xyoos ib zaug).
- Ua tus me nyuam cov khoom ua si.
- Ntxawm ntxuav.
Txhua yam saum toj no yuav pab kom tsis txhob muaj kab mob stomatitis thiab ntau lwm yam kab mob. Thiab yog tias cov tsos mob ntawm tus kab mob tau ua rau lawv tus kheej hnov, ces koj yuav tsum tam sim mus rau npe mus kuaj nrog tus kws kho mob tshwj xeeb.
