Ngalande pakamwa

Pakamwa pakamwa ndi kachilombo kamene kamayambitsa kutupa (kutupa) ndi zilonda m'kamwa (gingivae). Mawu oti ngalande amachokera kunkhondo yoyamba yapadziko lonse lapansi, pomwe matendawa anali ofala pakati pa asirikali "ngalande."

Pakamwa pakamwa ndi mtundu wopweteka wa chingamu (gingivitis). Pakamwa pake pamakhala mabakiteriya osiyanasiyana. Ngalande pakamwa imachitika pakakhala mabakiteriya ochulukirapo. Nkhama zimatenga kachilombo ndipo zimayamba ndi zilonda zopweteka. Mavairasi atha kukhala nawo polola kuti mabakiteriya akule kwambiri.

Zinthu zomwe zimawonjezera chiopsezo chanu cha ngalande monga:

• Kupsinjika kwamaganizidwe (monga kuphunzira mayeso)
• Ukhondo wovuta wamlomo
• Chakudya choperewera
• Kusuta
• Chitetezo chofooka
• Kakhosi, dzino, kapena pakamwa

Ngalande pakamwa ndiyosowa. Zikachitika, nthawi zambiri zimakhudza anthu azaka 15 mpaka 35.

Zizindikiro za ngalande pakamwa nthawi zambiri zimayamba mwadzidzidzi. Zikuphatikizapo:

• Mpweya woipa
• Zilonda zonga zokhotakhota pakati pa mano
• Malungo
• Kukoma koipa pakamwa
• Nkhama zimawoneka zofiira komanso zotupa
• Kanema wakuda pamankhwalawa
• Nkhama zopweteka
• Kutaya magazi kwambiri poyankha kukakamizidwa kapena kukwiya kulikonse

Wopereka chithandizo chamankhwala adzayang'ana mkamwa mwanu ngati ali ndi zitsime pakamwa, kuphatikizapo:

• Zilonda zonga zangodya zodzaza ndi zolengeza ndi zinyalala za chakudya
• Kuwonongeka kwa chingamu minofu kuzungulira mano
• Nkhama zotupa

Pakhoza kukhala kanema wa imvi woyambitsidwa ndi minofu ya chingamu yosweka. Nthawi zina, pamatha kukhala malungo ndi zotupa zamagulu am'mutu ndi m'khosi.

Mano x-ray kapena x-ray kumaso angatengedwe kuti adziwe momwe matendawa aliri oopsa komanso kuchuluka kwa minofu yomwe yawonongeka.

Matendawa amathanso kuyesedwa pogwiritsa ntchito chikhalidwe cha khosi.

Zolinga zamankhwala ndikuchiza matenda ndikuthana ndi zofooka. Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala opha tizilombo ngati muli ndi malungo.

Ukhondo wabwino m'kamwa ndi zofunika zochizira ngalande pakamwa. Sambani ndi kutsuka mano bwino kawiri patsiku, kapena mukatha kudya komanso mukagona, ngati zingatheke.

Mitsuko yamadzi amchere (theka la supuni ya tiyi kapena magalamu atatu amchere mu chikho chimodzi kapena mamililita 240 a madzi) amatha kutontholetsa nkhama. Hydrogen peroxide, yomwe amagwiritsira ntchito kutsuka m'kamwa, nthawi zambiri amalimbikitsidwa kuchotsa minofu yakufa kapena yakufa. Kutsuka kwa chlorhexidine kumathandizira ndi kutupa kwa chingamu.

Kuchepetsa kupweteka kwapafupipafupi kungachepetse kusowa kwanu. Zotsitsimula kapena zokutira zimatha kuchepetsa kupweteka, makamaka musanadye. Mutha kuthira lidocaine m'kamwa mwanu kuti mupweteke kwambiri.

Mutha kufunsidwa kuti mukachezere dotolo wamano kapena woyeretsa mano kuti akatsukire mano mwaluso ndikukuchotsani chikwangwani, nkhama zanu zikangotsika pang'ono. Mungafunike kuchita dzanzi poyeretsa. Mungafunike kuyeretsa mano ndi kuyezetsa magazi pafupipafupi mpaka matendawa atachotsedwa.

Pofuna kuti vutoli lisabwererenso, omwe amakupatsani akhoza kukupatsani malangizo a momwe mungachitire:

• Khalani ndi thanzi labwino, kuphatikizapo zakudya zoyenera komanso kuchita masewera olimbitsa thupi
• Sungani ukhondo wabwino pakamwa
• Kuchepetsa nkhawa
• Lekani kusuta

Pewani zopsa mtima monga kusuta ndi zakudya zotentha kapena zokometsera.

Matendawa nthawi zambiri amamvera chithandizo. Matendawa amatha kukhala opweteka kwambiri mpaka atachiritsidwa. Ngati ngalande sizichiritsidwa mwachangu, matendawa amatha kufalikira masaya, milomo, kapena nsagwada. Itha kuwononga ziwalozi.

Zovuta zamtsinje zimaphatikizapo:

• Kutaya madzi m'thupi
• Kuchepetsa thupi
• Kutha mano
• Ululu
• Matenda a chingamu (periodontitis)
• Kufalikira kwa matenda

Lumikizanani ndi dokotala wamazinyo ngati muli ndi zipsinjo za pakamwa, kapena ngati malungo kapena zizindikiro zina zatsopano zikuyamba.

Njira zodzitetezera zikuphatikiza:

• Thanzi labwino
• Chakudya chabwino
• Ukhondo wabwino wam'kamwa, kuphatikizapo kutsuka mano kwathunthu ndi kutsuka
• Kuphunzira njira zothanirana ndi kupsinjika
• Kuchita kuyeretsa mano nthawi zonse komanso mayeso
• Kuleka kusuta

Matenda a Vincent; Pachimake necrotizing ulcerative gingivitis (ANUG); Matenda a Vincent

• Matenda a mano
• Kutulutsa pakamwa

Chow AW. Matenda am'kamwa, khosi, ndi mutu. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas ndi Bennett's Mfundo ndi Kuchita kwa Matenda Opatsirana. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 64.

Hupp WS. Matenda am'kamwa. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier; 2020: 1000-1005.

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Kusokonezeka kwa ma mucous membranes. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: chap 34.

Martin B, Baumhardt H, D'Alesio A, Matenda amlomo a Woods K. Mu: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 21.