Zilonda za pakamwa

Pali mitundu yosiyanasiyana ya zilonda mkamwa. Amatha kupezeka paliponse pakamwa kuphatikiza pansi pakamwa, masaya amkati, nkhama, milomo, ndi lilime.

Zilonda za pakamwa zimatha chifukwa cha kukwiya kochokera:

• Dzino lakuthwa kapena losweka kapena mano oyenerera oyenerera
• Kukuluma tsaya, lilime, kapena mlomo
• Kutentha pakamwa panu ndi zakudya zotentha kapena zakumwa
• Kulimba
• Kutafuna fodya

Zilonda zoziziritsa zimayambitsidwa ndi kachilombo ka herpes simplex. Amapatsirana kwambiri. Nthawi zambiri, mumakhala achisoni, kumenyedwa, kapena kuwotcha zilonda zisanatuluke. Zilonda zozizira nthawi zambiri zimayamba ngati matuza kenako zimatuluka. Vuto la herpes limatha kukhala mthupi lanu kwazaka zambiri. Zimangowoneka ngati pakamwa pakumwa pomwe china chake chikuyambitsa, monga:

• Matenda ena, makamaka ngati pali malungo
• Kusintha kwa mahomoni (monga kusamba)
• Kupsinjika
• Kutuluka kwa dzuwa

Zilonda zamagalimoto sizopatsirana. Zitha kuwoneka ngati zilonda zotumbululuka kapena zachikaso zokhala ndi mphete yakunja yofiira. Mutha kukhala nawo, kapena gulu la iwo. Amayi amawoneka kuti amawapeza kuposa amuna. Zomwe zimayambitsa zilonda pakhungu sizikudziwika. Zitha kukhala chifukwa cha:

• Kufooka m'thupi lanu (mwachitsanzo, kuzizira kapena chimfine)
• Hormone amasintha
• Kupsinjika
• Kusowa mavitamini ndi michere m'zakudya, kuphatikiza vitamini B12 kapena folate

Nthawi zambiri, zilonda mkamwa zitha kukhala chizindikiro cha matenda, chotupa, kapena chifukwa chamankhwala. Izi zitha kuphatikiza:

• Matenda osokoneza bongo (kuphatikizapo systemic lupus erythematosus)
• Kusokonezeka kwa magazi
• Khansa yapakamwa
• Matenda monga matenda am'kamwa
• Chitetezo chofooka - mwachitsanzo, ngati muli ndi Edzi kapena mukumwa mankhwala mukatha kumuika

Mankhwala omwe angayambitse zilonda mkamwa ndi monga aspirin, beta-blockers, chemotherapy mankhwala, penicillamine, mankhwala a sulfa, ndi phenytoin.

Zilonda zapakamwa zimatha masiku 10 mpaka 14, ngakhale simukuchita kalikonse. Nthawi zina amakhala mpaka milungu 6. Zinthu zotsatirazi zingakupangitseni kuti mukhale bwino:

• Pewani zakumwa zotentha ndi zakudya, zokometsera ndi mchere, ndi zipatso.
• Gargle ndi madzi amchere kapena madzi ozizira.
• Idyani mazira owundana ndi zipatso. Izi ndizothandiza ngati muli ndi pakamwa poyaka.
• Tengani zothetsa ululu monga acetaminophen.

Zilonda zam'mimba:

• Pakani phala laling'ono la soda ndi madzi pachilondacho.
• Sakanizani gawo limodzi la hydrogen peroxide ndi gawo limodzi lamadzi ndikuthira izi ku zilonda pogwiritsa ntchito thonje.
• Pazovuta zazikulu, mankhwalawa amaphatikizapo gel fluocinonide (Lidex), anti-inflammatory amlexanox phala (Aphthasol), kapena chlorhexidine gluconate (Peridex) mouthwash.

Mankhwala ogulitsa, monga Orabase, amatha kuteteza zilonda mkamwa ndi m'kamwa. Blistex kapena Campho-Phenique itha kupatsa mpumulo wa zilonda zotupa ndi zotupa za malungo, makamaka zikagwiritsidwa ntchito chilonda chikayamba kuwonekera.

Kirimu ya Acyclovir 5% itha kugwiritsidwanso ntchito kuthandizira kuchepetsa kutalika kwa zilonda zozizira.

Kuti muthandize zilonda zozizira kapena zotupa za malungo, mutha kugwiritsanso ntchito ayezi pachilonda.

Mungachepetse mwayi wanu wopezera zilonda zapakamwa mwa:

• Kupewa zakudya kapena zakumwa zotentha kwambiri
• Kuchepetsa nkhawa ndikupanga njira zopumira monga yoga kapena kusinkhasinkha
• Kutafuna pang’onopang’ono
• Kugwiritsa ntchito mswachi wofewa
• Kuyendera dokotala wanu wamazinyo nthawi yomweyo ngati muli ndi dzino lakuthwa kapena losweka kapena mano ovekera bwino

Ngati mukuwoneka kuti mumakhala ndi zilonda zam'mimba pafupipafupi, lankhulani ndi omwe amakupatsani mwayi wokhudza kutenga folate ndi vitamini B12 popewa kuphulika.

Kupewa khansa yapakamwa:

• Musasute kapena kusuta fodya.
• Chepetsani zakumwa ziwiri patsiku.

Valani chipewa chachikulu. Valani mankhwala a milomo ndi SPF 15 nthawi zonse.

Imbani wothandizira zaumoyo wanu ngati:

• Zilondazo zimayamba mutangoyamba kumene mankhwala atsopano.
• Muli ndi zigamba zoyera padenga pakamwa panu kapena lilime lanu (izi zitha kukhala thrush kapena mtundu wina wamatenda).
• Pakamwa panu pakutha kumatenga milungu iwiri.
• Muli ndi chitetezo chamthupi chofooka (mwachitsanzo, kuchokera ku HIV kapena khansa).
• Muli ndi zizindikiro zina monga kutentha thupi, zotupa pakhungu, kutsitsa, kapena kuvutika kumeza.

Woperekayo akuyang'anirani, ndikuyang'anitsitsa pakamwa panu ndi lilime.Mudzafunsidwa mafunso okhudza mbiri yanu yamankhwala komanso zomwe mukudziwa.

Chithandizo chingaphatikizepo:

• Mankhwala omwe amaziziritsa dera monga lidocaine kuti achepetse ululu. (Musagwiritse ntchito ana.)
• Mankhwala ochepetsa tizilombo ta zilonda za herpes. (Komabe, akatswiri ena saganiza kuti mankhwala amapangitsa zilondazo kutha msanga.)
• Steroid gel yomwe mumayika pachilonda.
• Phala lomwe limachepetsa kutupa kapena kutupa (monga Aphthasol).
• Mtundu wapadera wa kutsuka mkamwa monga chlorhexidine gluconate (monga Peridex).

Aphthous stomatitis; Nsungu simplex; Zilonda zozizira

• Matenda apakamwa
• Zilonda za pakamwa
• Kutentha kwamatenda

Daniels TE, Jordan RC. Matenda mkamwa ndi malovu tiziwalo timene timatulutsa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 397.

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

Sciubba JJ. Zilonda zam'kamwa. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 89.