Pakamwa pouma

Pakamwa pouma kumachitika ukapanda kupanga malovu okwanira. Izi zimapangitsa kuti pakamwa panu pakumva kuwuma komanso kusapeza bwino. Pakamwa pouma zomwe zikupitilira zitha kukhala chizindikiro cha matenda, ndipo zimatha kubweretsa mavuto pakamwa panu ndi mano.

Malovu amakuthandizani kuwononga ndi kumeza zakudya komanso kuteteza mano kuti asawonongeke. Kuperewera kwa malovu kumatha kubweretsa kumamatira, kowuma mkamwa ndi kukhosi. Malovuwo akhoza kukhala okulira kapena olimba. Zizindikiro zina zitha kuphatikiza:

• Milomo yosweka
• Lilime lowuma, lamwano, kapena laiwisi
• Kutaya kukoma
• Chikhure
• Kuwotcha kapena kumva kumva kukamwa
• Kumva ludzu
• Kulankhula kovuta
• Kuvuta kutafuna ndi kumeza

Malovu ochepa mkamwa mwako amalola kuti mabakiteriya opanga asidi achuluke. Izi zitha kubweretsa ku:

• Mpweya woipa
• Kuchulukitsa kwa mano a mano ndi matenda a chiseyeye
• Kuchulukitsa chiwopsezo cha matenda a yisiti (thrush)
• Zilonda za pakamwa kapena matenda

Pakamwa pouma kumachitika pamene tiziwalo timene timatuluka malovu sitimapanga malovu okwanira kuti pakamwa panu pakhale yonyowa kapena amasiya kupanganso zonse.

Zomwe zimayambitsa kufalikira pakamwa ndi izi:

• Mankhwala ambiri, akuchipatala komanso owerengera, monga antihistamines, decongestant, ndi mankhwala amikhalidwe kuphatikiza kuthamanga kwa magazi, nkhawa, kukhumudwa, kupweteka, matenda amtima, mphumu kapena zina zopumira, ndi khunyu
• Kutaya madzi m'thupi
• Mankhwala a radiation kumutu ndi m'khosi omwe amatha kuwononga tiziwalo timene timatulutsa
• Chemotherapy yomwe imatha kukhudza kupanga malovu
• Kuvulaza mitsempha yomwe imakhudzidwa ndikupanga malovu
• Mavuto azaumoyo monga Sjögren syndrome, matenda ashuga, HIV / Edzi, matenda a Parkinson, cystic fibrosis, kapena matenda a Alzheimer
• Kuchotsa tiziwalo timene timatuluka chifukwa cha matenda kapena chotupa
• Kusuta fodya
• Kumwa mowa
• Kugwiritsa ntchito mankhwala osokoneza bongo, monga kusuta chamba kapena kugwiritsa ntchito methamphetamine (meth)

Muthanso kukhala ndi mkamwa wouma ngati mukumva kupsinjika kapena kuda nkhawa kapena kuchepa madzi m'thupi.

Pakamwa pouma pamapezeka achikulire. Koma kukalamba sikumayambitsa pakamwa pouma. Okalamba amakhala ndi thanzi labwino komanso amatenga mankhwala ochulukirapo, zomwe zimawonjezera chiopsezo chakumwa pakamwa.

Yesani malangizowa kuti muchepetse zowawa mkamwa:

• Imwani madzi ambiri kapena madzi kuti musakhale ndi madzi okwanira.
• Yambani zipsu za ayezi, mphesa zakuda, kapena zipatso zopanda mazira zomwe zimathandiza kuti pakamwa panu pakhale chinyezi.
• Tafuna chingamu chopanda shuga kapena maswiti olimba kuti malovu ayambe kutuluka.
• Yesetsani kupuma kudzera m'mphuno mwanu osati pakamwa panu.
• Gwiritsani chopangira chinyezi usiku pamene mukugona.
• Yesetsani matebulo opangira kapena pakamwa kapena zonunkhira.
• Gwiritsani ntchito kutsuka mkamwa kuti muume mkamwa kuti muthandize kusisita pakamwa panu ndikukhala ndi ukhondo pakamwa.

Kupanga kusintha kwa zakudya zanu kungathandize:

• Idyani chakudya chosavuta komanso chosavuta kutafuna.
• Phatikizani zakudya zoziziritsa kukhosi. Pewani zakudya zotentha, zokometsera komanso acidic.
• Idyani zakudya zokhala ndi madzi ambiri, monga omwe ali ndi nsuzi, msuzi, kapena msuzi.
• Imwani zakumwa ndi zakudya zanu.
• Idyani mkate wanu kapena chakudya china chokhwima kapena chosakhazikika mumadzi musanameze.
• Dulani chakudya chanu muzidutswa tating'ono kuti mukhale osavuta kutafuna.
• Idyani zakudya zazing'ono ndikudya pafupipafupi.

Zinthu zina zimatha kuyipitsanso pakamwa, choncho ndibwino kupewa:

• Zakumwa zosakaniza
• Caffeine wochokera ku khofi, tiyi, ndi zakumwa zozizilitsa kukhosi
• Mowa womwa mowa komanso mowa umatsuka
• Zakudya zamchere monga lalanje kapena msuzi wa manyumwa
• Zakudya zowuma, zowuma zomwe zingakhumudwitse lilime lanu kapena pakamwa
• Fodya ndi fodya

Kusamalira thanzi lanu lakamwa:

• Floss kamodzi patsiku. Ndibwino kuti muzitsuka musanatsuke.
• Gwiritsani ntchito mankhwala otsukira mano otsukira mano ndipo tsukani mano anu ndi mswachi wofewa. Izi zimathandiza kupewa kuwonongeka kwa enamel ndi mano.
• Sambani pambuyo pa chakudya chilichonse.
• Sanjani nthawi zonse kukayezetsa ndi dokotala wa mano. Lankhulani ndi dokotala wanu wamankhwala za kangati kuti mukapimidwe.

Lumikizanani ndi omwe amakuthandizani ngati:

• Muli ndi pakamwa pouma osachoka
• Mumavutika kumeza
• Mumamva kutentha pakamwa panu
• Muli ndi zigamba zoyera mkamwa mwanu

Chithandizo choyenera chimaphatikizapo kudziwa chomwe chimayambitsa pakamwa pouma.

Wopereka wanu adza:

• Unikani mbiri yanu yazachipatala
• Pendani zizindikiro zanu
• Onani mankhwala omwe mukumwa

Wopereka wanu atha kuyitanitsa:

• Kuyesa magazi
• Kujambula zojambula zamatenda anu amate
• Kuyeserera kwa malovu kuti muyese kupanga malovu mkamwa mwako
• Mayesero ena pakufunika kuti mupeze choyambitsa

Ngati mankhwala anu ndiye omwe akukuyambitsani, omwe akukupatsani akhoza kusintha mtunduwo kapena mankhwalawo. Wothandizira anu amathanso kukupatsani:

• Mankhwala omwe amalimbikitsa kutulutsa kwa malovu
• Malovu omwe amalowa m'malo mwa malovu am'kamwa mwanu

Xerostomia; Matenda a pakamwa; Matenda amkamwa; Pakamwa thonje; Hyposalivation; Kuuma pakamwa

• Zilonda zamutu ndi khosi

Cannon GM, Adelstein DJ, Gentry LR, Harari PM. Khansa ya Oropharyngeal. Mu: Gunderson LL, Tepper JE, olemba., Eds. C.zowoneka bwino ma radiation Oncology. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 33.

Hupp WS. Matenda am'kamwa. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 949-954.

Nyuzipepala ya National Institute of Dental and Craniofacial Research. Pakamwa pouma. www.nidcr.nih.gov/health-info/dry-mouth/more-info. Idasinthidwa mu Julayi 2018. Idapezeka pa Meyi 24, 2019.