Kuyini ukushisa komlomo, izimbangela, izimpawu nokwelashwa
-Delile
I-Burning mouth syndrome, noma i-SBA, ibonakala ngokushiswa kwanoma yisiphi isifunda somlomo ngaphandle kwezinguquko ezibonakalayo zomtholampilo. Lesi sifo sivame kakhulu kwabesifazane abaphakathi kweminyaka engama-40 nengama-60 ubudala, kodwa singenzeka kunoma ngubani.
Kulesi sifo, kunezinhlungu eziba zimbi usuku lonke, umlomo owomile nokunambitheka kwensimbi noma okumunyu emlonyeni, kubalulekile ukuxhumana nodokotela wamazinyo noma i-otolaryngologist ukuhlola izimpawu nokwenza ukuxilongwa, okwenziwa ngokuya ngezimpawu, umlando womtholampilo wesiguli kanye nemiphumela yezivivinyo ezifuna ukuthola imbangela yesifo.
Ukwelashwa kwenziwa ngokwesizathu futhi kuhlose ukunciphisa izimpawu, futhi kungenziwa ngokusetshenziswa kwemithi noma ukuguqulwa kwendlela yokuphila, okungukuthi, ngokudla okunempilo nokungaqukethe ukudla okubabayo, ngaphezu kwemisebenzi ekhuthaza ukuphumula, ngoba ukucindezeleka kungaba esinye sezimbangela ze-SBA.
Izimpawu eziyinhloko
Izimpawu zesifo somlomo esivuthayo zingavela ngokuzumayo noma ziqhubeke, kube nobuhlungu obukhulu emlonyeni, kuguquke ekunambithekeni, njengokunambitheka kwensimbi noma okumunyu, nomlomo owomile, owaziwa nangokuthi i-xerostomia, lezi zimpawu zaziwa njenge-symptomatic triad we-SBA. Kodwa-ke, abantu abane-syndrome abanayo i-triad njalo, futhi ezinye izimpawu zingavela, njenge:
- Ukuzwa okuvuthayo ngolimi, izindebe, ngaphakathi kwezihlathi, izinsini, ulwanga noma umphimbo;
- Ukoma okwandayo;
- Ukuzwa noma ukuzwa okushisayo emlonyeni noma olimini;
- Ukuphelelwa isifiso sokudla;
- Ubuhlungu obukhula phakathi nosuku;
- Shintsha inani lamathe akhiqiziwe.
Izimpawu zingavela noma yikuphi emlonyeni, zivame kakhulu kunqenqemeni lolimi nasemaphethelweni omlomo womlomo. Kwezinye izimo, ubuhlungu be-SBA buvela emini futhi bunamandla okuqhubeka, okungaphazamisa nokulala. Ngaphezu kwalokho, ezinye izimo zengqondo zingavumela ukushiswa nokushiswa komlomo, njengokudla okubabayo noma ukudla okushisayo kanye nokungezwani, ngokwesibonelo.
Yazi ezinye izimbangela zokusha ngolimi.
Izimbangela ezingaba khona zesifo
Izimbangela zesifo sokusha komlomo azimisiwe kahle, kepha zingahlukaniswa zibe yizinhlobo ezimbili eziyinhloko, isifo sokuqala somlomo esivuthayo nesesibili:
- Isifo somlomo esivuthayo sokuqala noma idiopathic, lapho izimpawu zibhekwa khona, kodwa imbangela ebangela ukuthi ingabonakali. Ngaphezu kwalokho, kulolu hlobo lwe-SBA abukho ubufakazi bemitholampilo noma belebhu ukuqinisekisa imbangela ye-SBA;
- Isifo sokusha somlomo sesibili, lapho kungenzeka khona ukuthola imbangela yesifo, okungenzeka kube ngenxa yokungezwani komzimba, ukutheleleka, ukuntuleka kokudla okunempilo, i-reflux, izitho zomzimba ezingalungisiwe kahle, ingcindezi, ukukhathazeka nokudangala, ukusetshenziswa kwemithi ethile, isifo sikashukela kanye nesifo sikaSjögren , ngaphezu kokushintsha kwezinzwa ezilawula ukunambitheka nobuhlungu.
Ukuxilongwa kwesifo somlomo ovuthayo kufanele kwenziwe ngudokotela ngokusho kwezimpawu ezethulwe ngumuntu, umlando womtholampilo nomphumela wokuhlolwa okuningana, okufana nokubalwa kwegazi, ukuzila ukudla kweglucose, isilinganiso sensimbi, i-ferritin ne-folic acid, isibonelo, inhloso yokuthola ukuswela kokudla, izifo noma izifo ezingalapheki ezingadala i-BMS.
Ngaphezu kwalokho, udokotela anga-oda ukuhlolwa kwezifo ezizimele kanye nokuhlolwa kokungezwani komzimba nemikhiqizo yamazinyo noma yokudla, isibonelo.
Yelashwa kanjani
Ukwelashwa kwesifo sokusha komlomo kwenziwa ngokususelwa embangela, nokulungiswa kokufakelwa kwamazinyo, ukwelashwa esimweni se-SBA okubangelwa ukuphazamiseka kwengqondo, noma ukwelashwa kwezidakamizwa esimweni se-SBA okubangelwa i-reflux kanye nokutheleleka kunganconywa.
Endabeni ye-SBA ebangelwa ukungezwani komzimba, kubalulekile ukukhomba imbangela yokungezwani komzimba nokugwema ukuxhumana. Endabeni yesifo esivele ngenxa yokushoda kokudla okunempilo, kuvame ukukhonjiswa ukwesekwa kokudla okunempilo, okufanele kwenziwe ngokuyalelwa ngudokotela.
Ngezikhathi zobunzima, okungukuthi, lapho ubuhlungu bukhulu kakhulu, kuyathakazelisa ukuncela iqhwa, njengoba iqhwa lingagcini nje ngokuqeda izinhlungu, kodwa futhi lisiza ukumanzisa umlomo, livimbele i-xerostomia, ngokwesibonelo. Ngaphezu kwalokho, kubalulekile ukugwema izimo ezingavuna ukuqala kwezimpawu, njengokuxineka, ingcindezi, ukukhuluma kakhulu nokudla ukudla okubabayo, isibonelo.