UNoma

UNoma uhlobo lwesilonda esibulala ulwelwesi lwamafinyila lomlomo nezinye izicubu. Kwenzeka ezinganeni ezingondlekile kahle ezindaweni lapho ukuthuthwa kwendle nokuhlanzeka kushoda khona.

Imbangela ngqo ayaziwa, kodwa noma kungenzeka ukuthi kungenxa yohlobo oluthile lwama-bacteria.

Lesi sifo sivame ukwenzeka ezinganeni ezisencane, ezingondlekile kahle ezineminyaka ephakathi kwengu-2 kuya kwengu-5. Kaningi ziye zaba nokugula okufana nesimungumungwane, imfiva ebomvu, isifo sofuba noma umdlavuza. Kungenzeka futhi ukuthi banamasosha omzimba abuthakathaka.

Izici zobungozi zifaka:

• Uhlobo lokungondleki olubizwa ngeKwashiorkor, nezinye izinhlobo zokungondleki kahle kwamaprotheni
• Ukuhlanzeka kwendle nezimo zokuphila ezingcolile
• Ukuphazamiseka okufana nesimungumungwane noma i-leukemia
• Ukuhlala ezweni elisathuthuka

UNoma ubangela ukubhujiswa okungazelelwe kwezicubu okuya ngokuya kube kubi kakhulu. Okokuqala, izinsini nolwelwesi lwezihlathi kuyavuvukala bese kuba nezilonda (izilonda). Izilonda ziba nomsele onuka kabi, obangela ukunuka komoya nephunga lesikhumba.

Ukutheleleka kusakazeka esikhunjeni, bese izicubu ezisezindebeni nasezihlathini ziyafa. Lokhu kungagcina kuqede izicubu namathambo athambile. Ukucekelwa phansi kwamathambo azungeze umlomo kudala ukukhubazeka kobuso nokulahleka kwamazinyo.

INoma nayo ingathinta izitho zangasese, isabalale iye esikhunjeni sangasese (lokhu kwesinye isikhathi kubizwa nge-noma pudendi).

Ukuhlolwa komzimba kukhombisa izindawo ezivuthayo zezingqamuzana ezinomunyu, izilonda zomlomo, nezilonda zesikhumba. Lezi zilonda zinomsele onuka kabi. Kungaba khona ezinye izimpawu zokungondleki.

Imithi elwa namagciwane kanye nokudla okufanele kuyasiza ekunqandeni lesi sifo ukuba sibi kakhulu. Ukuhlinzwa kwepulasitiki kungadingeka ukususa izicubu ezibhujisiwe nokwakha kabusha amathambo obuso. Lokhu kuzothuthukisa ukubukeka kobuso nokusebenza komlomo nomhlathi.

Kwezinye izimo, lesi simo singabulala uma singelashwa. Ngezinye izikhathi, lesi simo singaphola ngokuhamba kwesikhathi, ngisho nangaphandle kokwelashwa. Noma kunjalo, kungadala izibazi ezinzima nokukhubazeka.

Lezi zinkinga zingenzeka:

• Ukukhubazeka kobuso
• Ukungakhululeki
• Kunzima ukukhuluma nokuhlafuna
• Ukuzihlukanisa

Ukunakekelwa kwezokwelapha kuyadingeka uma izilonda zomlomo nokuvuvukala kwenzeka futhi kuqhubeka noma kuba kubi kakhulu.

Ukwenza ngcono ukudla okunomsoco, inhlanzeko nokuhlanzeka kungasiza.

Cancrum oris; I-Gangrenous stomatitis

• Izilonda zomlomo

Chjong CM, Acuin JM, Labra PJP, Chan AL. Izindlebe, ikhala, nomphimbo. Ku: Ryan ET, Hill DR, Solomon T, Aaronson NE, Endy TP, eds. Izifo Ezithathelwanayo ZaseHunter. IPhiladelphia, PA: Elsevier; 2020: isahluko 12.

UKim W. Ukuphazamiseka kolwelwesi lwamafinyila. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. ama-eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 684.

Srour ML, Wong V, Wyllie S. Noma, actinomycosis kanye nocardia. Ku: Farrar J, Hotez PJ, Junghanss T, Kang G, Lalloo D, White NJ, ama-eds. Izifo zaseTropical Manson. Umhla ka-23. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 29.