Mu shuga mellitus, chifukwa cha shuga wambiri, odwala amakhala ndi ludzu komanso pakamwa lowuma. Izi zimapangitsa kuti pakhale njira yotupa pa mucous membrane, kuwonongeka kwa epithelium komanso mawonekedwe a zilonda pamalilime kapena mkati mwamasaya.
Vuto limodzi mwa anthu odwala matenda ashuga ndi lotupa komanso la nthochi. Kupweteka pakamwa kumapangitsa kuti kugona kugona komanso kudya, kutsuka mano kumabweretsanso vuto. Popeza chitetezo chochepa chimachepa mu matenda a shuga, matenda oterewa amadziwika ndi zovuta komanso amakhalanso obwereza.
Kuwonetsedwa kwa kuthana ndi vuto la patsekeke la mkamwa ndi shuga wowonongeka, chifukwa chake, pakuthandizira, muyenera kutsika shuga wamagazi ndikwaniritse magwiridwe ake. Madokotala a mano amapereka chithandizo chokhacho.
Oral candidiasis mu shuga
Nthawi zambiri, bowa wonga yisiti wamphesa wamtundu wa Candida amatha kupezeka m'matumbo a mucous mwa anthu. Samayambitsa zizindikiro za matendawa munthawi yachilengedwe yoteteza chitetezo. Kuchuluka kwa candidiasis mwa odwala matenda ashuga kumafika 75%.
Izi ndichifukwa choti njira zodzitetezera m'deralo kapena zina zikalephera, bowa amasintha katundu wawo, kukhala ndi mwayi wokula msanga komanso kuvulaza epouslium ya mucous. Kuchuluka kwa shuga m'magazi kumapangitsa kuti aberekenso.
Chinthu chachiwiri chomwe chikuthandizira ku candidiasis mu matenda osokoneza bongo ndi kuchepetsedwa kupulumuka ndi xerostomia (pakamwa pouma), monga chiwonetsero cha kusowa kwamphamvu kwa odwala matenda ashuga. Nthawi zambiri, malovu amachotsa tizilombo tating'onoting'ono ku mucous membrane ndipo amawalepheretsa kuti azitsatira.
Mawonekedwe a candidiasis amakula ngati zotsatirazi zimawonjezeredwa kwa matenda ashuga:
- Ukalamba.
- Chotsukanso mano kapena m'mphepete mwa mano: (kwa caries).
- Mankhwala othandizira.
- Kusuta.
- Kugwiritsa ntchito mankhwala a mahomoni, kuphatikizapo njira zakulera.
Matendawa amapezekanso mwa ana azaka zoyambirira za moyo, zizindikiro zake zimakulitsidwa mu odwala ofooka, omwe ali ndi matenda oopsa a shuga. Kuphatikizana ndi candidiasis kumakhala chizindikiro cha kuchepa kwa chitetezo chathupi.
The mucous membrane ya pamlomo patsekeke imakhala edematous, ofiira, ndipo madipozedwe amapezeka mawonekedwe oyera pokhotakhota pankhope pake, m'kamwa, m'masaya ndi milomo, pakuchotsa komwe kuvulala, kusokonekera ndipo magazi akutseguka. Odwala amakhala ndi nkhawa za kuwotcha komanso kupweteka pamkamwa wamkamwa, zovuta pakudya.
Lilime mu shuga komanso pachimake pachimake limakhala lofiira, lopindidwa, lokhala ndi mapira osalala. Nthawi yomweyo, odwala amadandaula za ululu ndi kuvulala akudya pamatumbo a mano: Lilime limapweteka ndipo silikugwira pakamwa, ndikudya, ndimaluma lilime langa.
Kuluma lilime m'maloto kumatha kubweretsa zilonda zam'mimba. Mkamwa wamkamwa wokhala ndi matenda awa umazindikira zakumwa zozizira kapena zotentha kwambiri, chakudya chilichonse chosasangalatsa. Nthawi yomweyo, ana amakana kudya, amayamba kudya, amakhala oledzera komanso oopsa.
Ngati njirayi imakhala yodwala, ndiye kuti mabowo ndi zilonda zowoneka bwino zimapangika pakamwa komanso mucous nembanemba wa masaya, wozungulira mutu wolowera m'maso. Plaque sichichotsedwa pakukula. Nthawi yomweyo, lilime limapweteka, limakhala loyipa, odwala amadandaula ndi pakamwa kowuma kwambiri.
Denture stomatitis imayamba ndi kupanikizika kwa nthawi yayitali komanso kuyatsidwa kwa mucous nembanemba. M'mawu awa, malo ofiira otanthauzira bwino okhala ndi kuyanika pang'ono komanso kukokoloka pang'ono m'makona amlomo kumawonekera pa mucosa ya gingival. Lilime lokhala ndi matenda osokoneza bongo omwe ali pachithunzipa ndi ofiira, okhala ndi papillae wosalala.
Kuwonongeka kwa fungus kumlomo wamkamwa kumaphatikizidwa ndi kutupa kwa milomo yofiyira ya milomo, mawonekedwe a khunyu, komanso ziwalo zamkati ndi khungu zimakhalanso ndi kachilombo. Mwina chitukuko cha zokhudza zonse candidiasis ndi kufalikira kwa ziwalo zam'mimba, kupuma dongosolo.
Pankhani ya matenda oyambitsidwa ndi matenda ashuga, tikulimbikitsidwa kusintha kuchuluka kwa shuga m'magazi, popeza njira zina za hyperglycemia sizitha kugwira ntchito. Nthawi zambiri, mankhwalawa amachitika ndi mankhwala am'deralo: Nystatin, Miconazole, Levorin, mapiritsi omwe ayenera kuthetsedwa. Kukoma kosasangalatsa kumatha kuchepetsedwa ndikuwasisita ndi burashi ya stevia.
Amagwiritsidwanso ntchito ngati chithandizo (masiku osachepera 10):
- Mafuta antifungal mu mawonekedwe a ntchito.
- Mafuta okhala ndi yankho la Lugol, borax mu glycerin.
- Muzimutsuka ndi yofooka yankho la potaziyamu permanganate pa dilution 1: 5000.
- Chithandizo cha 0,05% Chlorhexidine kapena yankho la hexoral (Givalex).
- Aerosol Bioparox.
- Ntchito za kuyimitsidwa kwa Amphotericin kapena 1% Clotrimazole yankho.
Ndi matenda a candidiasis osachiritsika, omwe amabwerezedwanso, komanso kuwonongeka kwa khungu, misomali, maliseche, dongosolo la mankhwala amachitidwa.
Fluconazole, Itraconazole kapena Nizoral (ketoconazole) akhoza kulembedwa.
Anthu wowerengeka azitsamba wowerengeka azitsamba zamkati
Pofuna kupewa komanso kuchiza matenda a candidiasis, mankhwalawa angagwiritsidwe ntchito. Atha kupatsidwanso mankhwala othandizira pakapita nthawi mankhwala osokoneza bongo.
Chithandizo chotere chikuchitika mu masiku khumi, iwo akhoza kubwereza 2 pa mwezi, yopuma masiku 5. Mafuta ofunikira ndi ma phytoncides azomera ali ndi mphamvu yakuletsa. Kukonzekera kwazitsamba kumachepetsa ululu ndi kutupa, kuwonjezera mphamvu zoteteza mucous nembanemba.
Kuphatikiza apo, ma decoctions ndi kulowetsedwa kwa zitsamba, komanso timadziti tamadzimadzi ndi zakumaso zina zimathandizira kuti epithelization yolakwika ndi zilonda zam'mimba. Ndi Emperomycosis, tikulimbikitsidwa:
- Kusesa madzi a anyezi, chowawa kapena adyo katatu patsiku
- Muzimutsuka ndi kulowetsedwa kwa maluwa a calendula maola atatu aliwonse.
- Sungani madzi kuchokera ku kiranberi kapena viburnum pakamwa panu.
- Muzimutsuka karoti msuzi 4 pa tsiku.
- Kasanu patsiku, muzitsuka pakamwa panu ndi decoction ya St.
Muthanso kupaka thonje swab kwa zotupa zozikika mu msuzi wa aloe, sea buckthorn oil kapena rose m'chiuno. Potsukidwa gwiritsani ntchito decoction wa rosemary kapena khungwa la oak. Mizu ya Parsley ndi nthangala za katsabola zimagwiritsidwa ntchito ngati infusions pakugwiritsa ntchito mkati.
Mukamapatsa mankhwala osokoneza bongo, muyenera kusiyiratu zinthu zilizonse zokhala ndi yisiti, zotsekemera zilizonse (ngakhale ndi zotsekemera), zipatso zotsekemera, zakumwa zoledzeretsa zamkati ndi shuga, msuzi aliyense wogulidwa, zonunkhira, khofi wamphamvu komanso tiyi.
Ndikulimbikitsidwa kuti muzikhala ndi zakudya zamasamba ambiri ndi zitsamba, mafuta a masamba, komanso mkaka.
Ndizothandizanso kumwa misuzi ndi zakumwa zopanda zipatso popanda shuga kuchokera ku cranberries, blueberries ndi lingonberries.
Oral lichen planus mwa odwala matenda ashuga
Nthawi zambiri, matendawa amapezeka mwa azimayi azaka 30 mpaka 50 ndipo amakhudza mano, milomo, zigawo zakumbuyo za mucous membrane, masaya olimba ndi lilime. Fangayi siyopatsirana ndipo imagwirizanitsidwa ndi kuphwanya chitetezo chokwanira kwa ma cell.
Kuphatikizidwa kwa matenda ashuga, kuthamanga kwa magazi ndi lichen planus imatchedwa Grinshpan's syndrome. Itha kuchitika ndi vuto la mucosal ndi mano kapena m'mphepete mwa dzino, ndikudzaza kosayenera.
Mukamagwiritsa ntchito zitsulo zosiyanasiyana za ma prosthetics, zimapangitsa mawonekedwe a galvanic pomwepo ndikusintha kapangidwe ka malovu. Izi zimayambitsa kuwonongeka kwa mucous nembanemba. Nkhani za lichen planus polumikizana ndi opanga mafilimu ndi golide ndi kukonzekera kwa tetracycline afotokozedwa.
Pali mitundu ingapo ya matendawa:
- Mwachizolowezi - timiyala ting'onoting'ono tating'ono, tikalumikizana timapangika zingwe.
- Exudative-hyperemic - motsutsana ndi kumbuyo kwa membrane wofiyira komanso wa m'maso, ma papulo otuwa amawonekera.
- Hyperkeratotic - malo obiriwira otuwa omwe amakhala pamwamba pa pepala louma komanso loyipa.
- Erosive-ulcerative - zolakwika zingapo zam'mimba komanso kukokoloka kwa magazi kumakutidwa ndi zolembera za fibrinous. Ndi mawonekedwe awa, odwala amadandaula kuti mwadzidzidzi adadwala mkamwa ndipo panali chidwi champhamvu.
- Fomu ya ng'ombe yamphongo imaphatikizidwa ndi matuza onenepa okhala ndi nkhani zamagazi. Amatseguka m'masiku awiri ndikusiya kukokoloka.
Kufufuza kwakale kumachitika kuti apange matenda.
Mitundu ya asymptomatic ndi mapepala amodzi safuna chithandizo chamankhwala ndikusowa pamene shuga ikulipiridwa. Mitundu yotupa ndi yotupa imathandizidwa ndi ma pinkiller akumidzi. Kuti muchepetse machiritso, vitamini E amagwiritsidwa ntchito ngati njira yothetsera mafuta ndi methyluracil.
M'mitundu yoopsa, mahomoni a corticosteroid amadziwikiridwa kwanuko limodzi ndi mankhwala antifungal kuti aletse candidiasis. Ndi chitetezo chochepetsedwa, Interferon kapena Myelopid imagwiritsidwa ntchito.
Ngati chizolowezi chomwa mankhwalawa chikapezeka, ndiye kuti ma antihistamines amagwiritsidwa ntchito (Erius, Claritin).
Kupewa Matenda a shuga
Pofuna kupewa kuwonongeka pamlomo wamkamwa, kukonzanso pafupipafupi ndikuchotsa zoopsa: makhola, lakuthwa m'mano a dzino, kuthamanga kwodzaza, pulpitis ndikofunikira. Mano osankhidwa molakwika ayenera kusinthidwa.
Odwala omwe ali ndi matenda ashuga ayenera kusiya kusuta komanso kudya zakudya zazonunkhiritsa komanso zotentha, ndipo sayenera kumwa zakumwa zoledzeretsa, maswiti ndi zinthu zina za ufa, kutsatira zakudya zosavomerezeka. Kusamalira mano anu ndi mano anu ndikofunikira.
Kutulutsa pakamwa panu pakatha chakudya chilichonse ndikulimbikitsidwa. Chifukwa chaichi, simungagwiritse ntchito ma elixirs okhala ndi mowa, omwe amachititsa kuti ziume za mucous ziume. Mutha kubala maluwa a chamomile kapena calendula, sage. Kuthandizira madera ofiira, mafuta a sea buckthorn kapena Chlorophyllipt mafuta amagwiritsidwa ntchito.
Zomwe zikusonyezedwanso ndi physiotherapy mu mawonekedwe a electrophonophoresis kapena phonophoresis kuti achepetse ziwalo za mucous. Pamaso pa zovuta zamanjenje, ma tranquilizer, mankhwala azitsamba ozizira valerian, peony ndi mamawort adayikidwa. Kanema yemwe ali munkhaniyi akufotokozerani zomwe zingakhudze zilankhulo.
