Zosintha pamlomo wamkamwa ndi shuga

Kudalira kwachindunji kwa kusasinthika kwa kusintha kwamkati pamlomo wamkati pamayendedwe a matenda a shuga, kutalika kwake ndi kukula kwa m'badwo wake. Odwala omwe ali ndi matenda ashuga amakhala ndi hyposalivation komanso pakamwa pouma, chomwe ndi chimodzi mwazizindikiro zazikuluzikulu za matenda ashuga. Khungu lowuma ndi ma mucous membrane amayamba chifukwa cha kuchepa kwa magazi chifukwa cha kuchuluka kwa magazi m'magazi. Njira za atrophic zimayamba m'matumbo a mucous ndi ma salivary motsutsana ndi maziko a micangiopathies komanso kuchuluka kwa mphamvu ya catabolic m'thupi (insulin ndi mahomoni a anabolic). Chifukwa cha kusintha kwa atrophic mu tiziwalo totsekemera - hyposalivation. Pseudoparotitis mu shuga amapezeka mu 81% ya milandu, pomwe pali kuwonjezeka kwa thumbo ta submandibular ndi parotid salivary. Mucosa wamkamwa ndi hyperemic, chonyezimira, kuwonda. Lilime, monga lamulo, limakutidwa ndi zokutira yoyera, yoyipa, ngati kuti yasweka, ndi chikhazikitso cha kusiyanasiyana ndi mapu amtundu, nthawi zina imakhala ndi ziphuphu, ngakhale nthawi zina pamakhala kufiyira kofiyira, “kovutidwa”. Mucosa wam'mimba komanso matenda am'mimba a shuga amachitika ndi ululu: glossalgia, paresthesia, chidwi champhamvu cha khosi la mano (kuwonetsa khosi la mano motsutsana ndi maziko a kufooka kwa mucosa). Hyposalivation kuphatikiza ndi kuchepa pakupanga mapuloteni amisala - zinthu zosakhudzana ndi chitetezo cha mthupi komanso kuperewera kwamatumbo amtundu zimayambitsa zovuta zingapo zopatsirana. Kuchulukitsa kwa microflora kumathandizira kupezeka kwa dzuwa kwa malovu. M'mikhalidwe yanjala yamphamvu, ntchito ya phagocytes, komanso maselo ena onse osagwira chitetezo m'thupi, ndi yovuta. Chifukwa chake, njira zopewera kutukusira kwamkamwa zimayambira mosavuta: catarrhal gingivitis ndi stomatitis mu shuga mellitus amapezeka 40.7% ya milandu. Mawonetsedwe a gingivitis - hyperemia, edema, ngati kufinya kwa gingival papillae, pali chizolowezi cha necrosis cha malire a gingival. Odwala omwe ali ndi matenda ashuga amadziwika ndi kukula kwa nthawi yayitali yodziwikiratu ya periodontitis, komanso kuyenda kwakukulu kwa dzino. Ichi ndi chifukwa chophwanya mapangidwe a mucopolysaccharides - gawo lofunikira la minofu ya minofu ndi mano ndi mapuloteni a zida za ligamentous a periodontium. Mavuto a osteosynthesis amachitidwanso chifukwa cha kuchepa kwa mphamvu ya mafupa a mafupa. Pa orthopantomogram, mtundu wosakanikirana wowononga minofu wamatsenga umatsimikiziridwa ndi predomical wa vertical mtundu wa chiwonongeko chopingasa, chokhala ngati khwangwala komanso mafupa okhala ngati mawonekedwe. Mukamayang'ana mano, munthu amatha kuzindikira kuwonjezeka kwa mano, kuphwanya kawirikawiri kwa mawonekedwe a minyewa - mano, odwala amadandaula kwambiri ndi chakudya chozizira komanso chakudya chotentha, ndiye kuti mano amkamwa, kuchuluka kwa tartar, kupuma koyipa kumawonjezeredwa. Zomveka kuchokera mkamwa zimachitika chifukwa cha ntchito ya microflora pamlomo wamkamwa komanso kuchuluka kwa matupi a ketone (beta-hydroxybutyric acid, acetoacetic acid, acetone, fungo la acetone) mthupi la odwala omwe ali ndi matenda osokoneza bongo.

Zilonda zamavuto kuchokera ku ma prostheses ndizotheka. Atrophic mucous nembanemba amavulala mosavuta, osavomerezeka. Zilonda za fungal za mucosa sizachilendo: pachimake pseudomembranous candidiasis, pachimake ndi matenda atrophic candidiasis, membal glossitis, yodziwika ndi hyperemia hypermia, khungu loyera la imvi pamaso pa lilime, kuwonongeka kwa paprikae. Angular fungal cheilitis (kukomoka kwa mycotic), ikuwonetsedwa ndi kupyola malire ofiira a milomo komanso kufinya kwamphamvu kwa dera la Klein, m'makona amlomo ndikulowetsedwa, ming'alu yosachiritsa. Odwala omwe ali ndi mawonekedwe osokoneza bongo a shuga, kukula kwa zilonda zam'mimba za mucous membrane ndizotheka. Pozungulira chilonda, mucous nembanemba sanasinthe, m'dera la zilonda zam'mimbazi mumalowetsedwa, kuchiritsidwa kumakhala kochepa komanso kwanthawi yayitali.

Tsiku Lowonjezeredwa: 2015-06-25, Views: 1991, Kuphwanya Copyright? ,

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Matenda a pakamwa mu shuga

Nthawi zambiri, kuwonetsa kwa matenda ashuga mumkamwa kumakhala zizindikiro zoyambirira za matenda oopsa. Chifukwa chake, anthu omwe ali ndi chizolowezi chochulukitsa shuga ayenera kusamala ndi kusintha kulikonse kwamano ndi mano.

Kudzifufuza pafupipafupi kudzakuthandizani kuzindikira matenda ashuga kumayambiriro ndikuyamba kulandira chithandizo munthawi yake, kuteteza kukula kwamavuto akulu, monga kuwonongeka kwa mtima ndi mitsempha, ziwalo zam'maso ndikuwonera m'munsi.

Kuwonongeka pamlomo wam'mimba m'magazi a shuga kumachitika chifukwa chaphokoso kwambiri mthupi. Chifukwa chake, ndi matenda ashuga, kuyamwa kwa michere yopindulitsa kumachepa ndipo magazi amathandizika m'mkamwa kumachepa, zomwe zimalepheretsa kuchuluka kwa calcium kokwanira kufikira mano ndikupangitsa enamel ya enamel kukhala yoperewera komanso yosalimba.

Kuphatikiza apo, ndi matenda ashuga, kuchuluka kwa shuga kumakwera osati m'magazi okha, komanso malovu, omwe amathandizira kufalitsa mabakiteriya omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizitha kupukusidwa. Kuchepa kwakukulu kwa kuchuluka kwa malovu kumangowonjezera zovuta zake.

Ndi matenda ashuga, matenda otsala amkamwa atha kukhala:

Periodontitis
stomatitis
makasitomala
matenda oyamba ndi fungus
lichen planus.

Periodontitis

Periodontitis imachitika chifukwa cha kukula kwa tartar pamano, zomwe zimayambitsa kutupa kwambiri m'mkamwa ndikupangitsa kuti mafupa awonongeke. Zoyambitsa zazikulu za periodontitis mu shuga mellitus ndizovuta kuzungulira m'matumbo am'mimba komanso kuchepa kwa zakudya. Komanso kukula kwa matendawa kumatha kukhudzidwa ndi ukhondo wowuma.

Chowonadi ndi chakuti, tartar imakhala ndi zinyalala za chakudya ndi zotaya zinyalala. Ndi kutsuka kocheperako kapena kosakwanira, tartar imawuma ndikuwonjezeka, kukhala ndi vuto pa chingamu. Zotsatira zake, minofu yofewa imayamba kuyatsidwa, kutupa, ndikuyamba kutuluka magazi.

Popita nthawi, matenda a chiseyeye amayamba kukula ndipo amapitilira njira yoyeretsa, yomwe imakwiyitsa mafupa. Zotsatira zake, minofu pang'onopang'ono imatsika, ndikuwulula koyamba khosi, kenako mizu ya mano. Izi zimapangitsa kuti mano ayambe kumasuka ndipo amatha kutuluka m dzenje la mano.

Kuchepa ndi kutupa kwa mano,
Kuchulukitsa kwamkamwa,
Kulimbikitsa kumverera kwa mano kukhala otentha, ozizira komanso wowawasa,
Mpweya woyipa
Kulawa koyipa mkamwa
Kutulutsa koyipa m'mimbamu,
Sinthani kukoma
Mano amawoneka motalika kwambiri kuposa kale. Pakapita nthawi, mizu yawo imayamba kuonekera.
Malo akulu akuwonekera pakati pa mano.

Makamaka, odwala amakhala ndi periodontitis omwe amalandila odwala matenda ashuga. Pofuna kupewa kufalikira kwa matendawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga ndikuyesetsa kuti isakhale yofanana ndi yofanana. Pazizindikiro zoyambirira za periodontitis, muyenera kufunsa dokotala wamano.

Stomatitis ndi nthenda yotupa yamkamwa yomwe imakhudza mano, lilime, mkati mwa masaya, milomo, komanso m'kamwa. Ndi stomatitis wodwala matenda a shuga, ma vesicles, zilonda kapena mawonekedwe a kukokoloka pa mucous membran mkamwa. Matendawa akamakula, munthu amatha kumva kupweteka kwambiri komwe kumamulepheretsa kudya, kumwa, kulankhula, ngakhale kugona.

Kuwoneka kwa stomatitis kwa odwala omwe ali ndi matenda ashuga kumachitika chifukwa chakuchepa kwa chitetezo chakumalo, chifukwa chomwe kuwonongeka pang'ono kwa mucosa mkamwa kumatha kubweretsa mapangidwe kapena zilonda zam'mimba. Stomatitis mu shuga imakhala yopatsirana ndipo imatha kupezeka ndi ma virus, bacteria wa pathogenic kapena bowa.

Stomatitis mu odwala matenda ashuga amathanso kuchitika chifukwa chovulala komanso kuvulala. Mwachitsanzo, wodwala akhoza kuluma mwangozi lilime lake kapena kukanda chingamu chake ndi mkate wowuma. Mwa anthu athanzi, kuvulala kotere kumachiritsa mwachangu, koma odwala matenda ashuga nthawi zambiri amadzazidwa ndikuwonjezeka, ndikugwira minofu yapafupi.

Monga lamulo, stomatitis, ngakhale popanda chithandizo chapadera, imazimiririka pakatha masiku 14. Koma kuchira kumatha kuthandizira kwambiri kudziwa zomwe zimayambitsa zilonda zamkati ndi kuzichotsa. Mwachitsanzo, ngati stomatitis idapangidwa chifukwa cha kuwonongeka kwa minyewa yofewa pakamwa ndi m'mphepete mwa dzino kapena kudzaza kosakwanira, ndiye kuti muchiritse muyenera kukaonana ndi dotolo wamano ndikuchotsa chilema.

Kuphatikiza apo, pa stomatitis, wodwalayo ayenera kupewa kudya zakudya zazonunkhira kwambiri, zotentha, zotsekemera komanso zamchere, komanso zopaka ndi zakudya zina zomwe zingawononge nembanemba ya pakamwa.

Kuphatikiza apo, ndizoletsedwa kudya zipatso, zipatso zowawasa ndi zipatso.

Monga tafotokozera pamwambapa, mwa anthu omwe ali ndi matenda ashuga, malovu mumakhala shuga wambiri, omwe amawononga thanzi la mano. Mkulu wama glucose amachititsa kuti pakhale mabakiteriya ambiri, omwe amayambitsa kuwonongeka kwa dzino.

Mabakiteriya ochita bwino amadya shuga, kuphatikiza umodzi womwe umasungunuka ndimatumba. Nthawi yomweyo, mabakiteriya azinthu zama metabolic, zomwe zimakhala ndi asidi - butyric, lactic komanso formic. Ma asidi awa amawonongera enamel ya dzino, zomwe zimapangitsa kuti zikhale zolimba komanso zimatsogolera pakupanga kwamatumbo.

M'tsogolomu, zowonongeka kuchokera ku enamel zimadutsa zimakhala zina za dzino, zomwe pamapeto pake zimatha kuwonongeka kwathunthu. Caries zomwe sizichiritsidwa posachedwa zimatha kubweretsa zovuta zambiri, zomwe zimadziwika kwambiri ndi pulpitis ndi periodontitis.

Matendawa amaphatikizidwa ndi kutupa kwambiri kwa chingamu ndi kupweteka kwambiri, ndipo amathandizidwa pokhapokha ngati akuchita opaleshoni, ndipo nthawi zina amatulutsa dzino.

Candidiasis kapena thrush ndi matenda amkamwa oyambitsidwa ndi yisiti ya Candida Albicans. Nthawi zambiri, candidiasis ya mkamwa imakhudza makanda ndipo samapezeka kawirikawiri kwa akuluakulu.

Koma kusintha komwe kumachitika pakamwa kamene kamapezeka mwa odwala onse omwe ali ndi matenda ashuga kumawapangitsa kuti atengeke kwambiri ndi matendawa. Kufalikira kotereku kwa ma candidiasis pakati pa odwala matenda ashuga nthawi yomweyo amakhudzidwa ndi zinthu zingapo - uku ndi kufooka kwa chitetezo chathupi, kuchuluka kwa glucose m'malovu, kuchepa kwa kuchuluka kwa malovu ndi pakamwa yowuma mosalekeza m'matenda a shuga.

Candidiasis mkamwa imadziwika ndi mawonekedwe a mucous nembanemba masaya, lilime ndi milomo ya zoyera zoyera, zomwe pambuyo pake zimakula ndikuphatikizana ndikupanga chovala chimodzi choyera. Nthawi yomweyo, zimakhala zamkamwa zimasanduka zofiirira ndikuyamba kupsa, zomwe zimapangitsa kupweteka kwambiri.

Zikakhala zowawa kwambiri, bowa amathanso kukhudza pakamwa, chingamu ndi matani, zomwe zimapangitsa kuti zikhale zovuta kwa wodwalayo kuti azilankhula, kudya, kumwa madzi komanso kumeza malovu. Nthawi zambiri matendawa amatha kupitirira apo ndipo amakhudza minyewa ya m'mimba, ndikupangitsa kupweteka kwambiri komanso kumva kupweteka pakhosi.

Kumayambiriro kwa matendawa, utoto wazoyera umachotsedwa mosavuta, ndipo pansi pake umatsegula utoto wofiyidwa wokhala ndi zilonda zambiri. Amapangidwa mothandizidwa ndi ma enzyme omwe amapatula yisiti - tizilombo toyambitsa matenda. Chifukwa chake, amawononga ma cell amkamwa ndikulowa mozama mu minofu yofewa.

Ndi candidiasis, wodwalayo amatha kuwonjezera kutentha kwa thupi ndipo pali zizindikiro za kuledzera. Uku ndikuwonetsa ntchito yofunika ya bowa yomwe imayamwa thupi la munthu ndi poizoni wawo.

Candidiasis amathandizidwa ndi dotolo wamano. Komabe, ngati matenda oyamba ndi fungus samangogwira pakamwa kokha, komanso khosi, ndiye kuti wodwalayo afunika kufunafuna thandizo la dokotala wopatsirana.

Khomo lokhala ndi matenda a shuga limafunikira chisamaliro chapadera, chifukwa ngakhale kuvulala kochepa, zinyalala za chakudya ndi tartar zimatha kuyambitsa matenda oyambitsidwa. Izi ndizofunikira kukumbukira kwa aliyense yemwe ali ndi matenda ashuga, chifukwa ndi shuga wambiri, ngakhale kutukusira pang'ono kwa mucous nembanemba kumachira pakapita nthawi.

Kuwonetsera kulikonse pamlomo wamatenda ovutikawo kuyenera kukhala chizindikiro kwa wodwalayo pakufika kwa dokotala wamano. Kuzindikirika kwakanthawi kovomerezeka kwa matenda ashuga ndi chithandizo chake choyenera ndi komwe kungapewe mavuto.

Ndikofunikanso kwambiri kwa odwala matenda ashuga kuti azilamulira kuchuluka kwa shuga m'magazi, chifukwa ndiwakuthwa kwambiri m'mwazi womwe ungayambitse kukula kwa zovuta zambiri za shuga, kuphatikizapo matenda amkamwa.

Mavuto az mano omwe angachitike kwa katswiri wa matenda ashuga amauza katswiri muvidiyoyi.

Zosintha pamlomo wamkamwa ndi shuga

Matenda a shuga ndi matenda omwe amadziwika ndi kuwonjezeka kwa shuga m'magazi chifukwa chazovuta insulin kapena kukula kwa insulin. Matenda a shuga angayambitse thanzi la wodwala, zomwe zimapangitsa kukulitsa matenda onse azovuta zonse.

Kukula kwakukulu kwa shuga m'magazi kumakhudza mkhalidwe wamkamwa, kumayambitsa matenda osiyanasiyana a mano, mano ndi mucous. Ngati simulabadira izi munthawi yake, ndiye kuti zitha kuwonongeka kwambiri pamkono wam'mlomo komanso ngakhale mano.

Pachifukwa ichi, odwala matenda ashuga ayenera kusamalitsa ukhondo wam'kamwa, kuyendera dotolo wamano nthawi zonse, ndikuwonetsetsa magazi awo. Kuphatikiza apo, odwala matenda a shuga ayenera kudziwa matenda omwe amakumana nawo pakamwa omwe angakumane nawo kuti azindikire matendawa munthawi ndikuyamba chithandizo chake.

Matenda a shuga ndi Pakamwa

Anthu omwe ali ndi matenda osokoneza bongo omwe ali ndi vuto loyang'anira bwino ali ndi chiopsezo chachikulu cha zovuta zamano ndi matenda a chingamu kuposa anthu opanda matenda a shuga. Izi ndichifukwa choti amatha kuchepetsa matenda.

Ngati muli ndi matenda ashuga, muyenera kuyang'anitsitsa zaukhondo wamkamwa komanso chisamaliro chokwanira cha mano, komanso kuyang'anira glucose wanu. Lumikizanani ndi dokotala wamano pafupipafupi momwe angakuthandizireni mano ndi mano anu kukhala athanzi.

Matenda a shuga ndi matenda ofala pakati pa anthu. Zizindikiro zoyambira ndi matenda amhuga zimatha kugwira ntchito pamlomo, choncho samalani kwambiri ndi kusintha kwamkamwa, izi zimathandizanso kuti muzindikire matenda oyamba ndi matenda ashuga.

Matenda ofala kwambiri amkamwa omwe amakhudza anthu omwe ali ndi matenda ashuga ndi awa: • periodontitis (gum) • stomatitis • caries • matenda oyamba ndi fungus • lichen planus (yotupa, yotupa ya autoimmune)

• Kuuma, kuyaka mkamwa (malovu otsika).

Matenda a shuga ndi Periodontitis

Periodontitis (matenda a chingamu) amayamba chifukwa cha matenda omwe amawononga mafupa mozungulira ndikuthandizira mano. Fupa ili limathandizira mano anu pachibwano ndipo limakupatsani kutafuna bwino. Bacteria ndi zinyalala zakudya zomwe zimayambitsa zolembedwa, chomwe chimayambitsa matenda amtundu.

Ngati chidikizo chikatsalira m'mano ndi mano, zimawuma, ndikupanga madongosolo olimba m'mano kapena tartar. Tartar ndi zolengeza zimakwiyitsa mano kuti azikhala ofiira, otupa komanso otuluka magazi. Kutupa kwa chingamu kumapitirira, mafupawo amawonongeka kwambiri. Mano ndi otayirira ndipo amatha kugwera okha kapena angafunikire kuchotsedwa.

Matenda a mpumulo ndiofala komanso oopsa mwa anthu omwe ali ndi matenda osokoneza bongo oyendetsedwa bwino. Izi ndichifukwa chakuti amakhala ndi nkhawa yochepa yoteteza kumatenda komanso kuchiritsidwa koyipa.

Ndikofunika kusamalira thanzi lanu la pakamwa ndikuwongolera shuga wamagazi anu kuti muchepetse matenda a chingamu. Uwu ndi msewu wanjira ziwiri. Kuchiza matenda a chingamu kumathandizanso kuti magazi a shuga azikhala bwino mwa anthu omwe ali ndi matenda ashuga, komanso mwa odwala omwe ali ndi shuga yamagazi, matenda am'kamwa amatha kuthandizidwa kwambiri.

Zolemba za ntchito yasayansi pamutu wakuti "Kusintha pakhungu ndi mucosa mkamwa mu shuga mellitus ndi kupewa kwawo"

A.F. VERBOVOY, MD, pulofesa, L.A. SHARONOVA, Ph.D., S.A. BURAKSHAEV, Ph.D., E.V. KOTELNIKOVA, Ph.D. Samara State Medical University ya Unduna wa Zaumoyo wa Russia

ZINASINTHA KWA SKIN NDI MUSCULA

MU DZIKO LAPANSI NDIPONSO ZAULERE

Nkhaniyi imalongosola matenda omwe amapezeka pafupipafupi pakhungu ndi pakamwa mucosa mwa odwala omwe ali ndi matenda osokoneza bongo: njira zomwe zimachitika, njira zopewera.

Mawu ofunikira: matenda a shuga, ma dermatoses, matenda am'mimba ndi caries, kupewa.

A.F. VEREBOVOY, MD, Prof., L.A. SHARONOVA, PhD in Medicine, S.A. BURAKSHAEV, PhD mu Mankhwala, E.V. KOTELNIKOVA, PhD mu Mankhwala

Samara State Medical University ya Unduna wa Zaumoyo wa Russia

ZINSINTHA ZA SKIN NDI MALOSA WA MALOSA KU DIABETES Mellitus NDI KUKHULUPIRIRA KWAO

Munkhaniyo matenda omwe amatuluka kwambiri pakhungu amafotokozedwa ndipo khungu limatulutsa pakamwa kwa odwala omwe ali ndi matenda a shuga: njira zomwe zimatuluka, njira za prophylaxis.

Mawu osakira: shuga mellitus, dermatitis, matenda amkamwa ndi mucosa, kupewa.

Akatswiri ochokera ku World Diabetes Federation (IDF) akuneneratu kuti kuchuluka kwa odwala matenda ashuga kudzawonjezeka ndi 1.5 ndikufikira anthu 552 miliyoni pofika chaka cha 2030, ndipo kuchuluka kwa anthu omwe ali ndi matenda a metabolic adzakwera mpaka anthu 800 miliyoni. Kuchokera ku gulu ili kuti chiwerengero cha odwala omwe ali ndi matenda ashuga chimapangidwanso ndi 15% pachaka. Ndikofunika kudziwa kuti kwa wodwala m'modzi yemwe ali ndi matenda omwe adapezeka, pali wodwala m'modzi yemwe ali ndi matenda osadziwika. Nthawi zambiri matenda amtunduwu samapezeka munthawi yoyenera mwa abambo kuposa amayi 2, 3.

Mukamayang'ana wodwala, dokotala aliyense, kuphatikiza othandizira komanso endocrinologist, amakumana ndi zodandaula komanso kusintha kwa pathological kwa khungu ndi pakamwa. Kusintha kumeneku kwa matenda a shuga kumachitika mwa odwala ambiri ndipo nthawi zambiri ndi chimodzi mwazizindikiro zoyambirira za matendawa. Mawonekedwe amatha kupitilira, kubwerezedwa mwachilengedwe komanso motsutsana ndi matenda osokoneza bongo omwe amakhala osagwirizana ndi zovuta.

Popeza kufalikira kwa matenda ashuga, kuchuluka kwa zovuta za matenda a carbohydrate, kusintha pakhungu ndi mucosa mkamwa, zomwe zimapezeka mosavuta pakuwunika, zingathandize kuti wodwala azindikire panthawi yake.

Khungu laumunthu limagwira ntchito zambiri komanso zovuta kuzinthu zachilengedwe. Sizigwira ntchito pazokha, koma zimalumikizana kwambiri ndi ziwalo zamkati ndi machitidwe. Khungu ndiye chinthu chofikirika kwambiri pofufuza. Ndi mawonekedwe ndi mawonekedwe a pakhungu omwe nthawi zambiri amakhala chizindikiro cha zovuta zina zomwe zimayamba m'thupi, zomwe zimatha kufotokoza bwino za matendawa m'matenda ambiri amkati, kuphatikizapo matenda ashuga.

Khungu laumunthu limakhala ndi zigawo zitatu: khungu, khungu, kapena dermis, ndi mafuta onenepa, kapena a hypodermis.

Khungu limakhala ndi ntchito zingapo - zoteteza, zoonjezera, zotulutsa, zotupa, zoyamwa, zopumira, mothandizidwa ndi radiation ya ultraviolet, vitamini D3 imapangidwa mmenemo.

Ndi m'badwo, njira zamkati zam'mimba zimakhudzidwanso ndi khungu, kuchepa mphamvu kwa zinthu zowonongeka (makamaka ma ray a UV) kumawonjezeka, kutulutsa thukuta kumachepa, ndipo ntchito yamimba ya sebaceous imachepa. Ntchito yoteteza imavutika, kutayika kwa vitamini D kumawonjezeka .. Khungu limataya hydrophilicity, kuchepa kwamadzi, zotengera zama khungu - zonsezi zimayambitsa kukwiya kwake pang'onopang'ono, kuchepa kwa kutanuka, mawonekedwe a kupindika ndi makwinya a mpumulo wa khungu.

Pathogenesis yamatumbo a pakhungu la shuga imakhala yovuta. Zimatengera kuphwanya kwa chakudya cha carbohydrate, komabe, zinthu zina zimakhala ndi gawo lofunikira. Hyperglycemia imatsogolera kuchepa kwa madzi m'thupi komanso kuchepa kwa magazi, kuphwanya kukhazikika kwa ziwalo zam'mimba ndipo, chifukwa chake, mphamvu ya kagayidwe ka maselo amkhungu, maselo a sebaceous komanso thukuta. Kusintha kumeneku kumabweretsa kuphwanya kubwezeretsa kwakhazikika kwa khungu ndi kupanga filimu yamafuta yoteteza. M'mawonekedwe, izi zimawonetsedwa ndi kuuma kwambiri, kuchepa kwa khungu ndi turgor, mawonekedwe a peel ndi hyperkeratosis m'malo amkangano kapena kukakamiza.

Kukhalapo kwa hyperinsulinemia ndi insulin kukana mwa odwala kumayambitsa kumanga kwa insulin kwambiri ku ma receptor a insulin ngati kukula kwa chinthu cha 1 keratocytes ndi fibroblasts ndipo, chifukwa, ku epidermal hyperplasia (hyperkeratosis). Njira za Autoimmune zimagwira ntchito yofunika kwambiri kwa odwala omwe ali ndi vuto la matenda a shuga 1, pomwe magawo a khungu amawonongeka chifukwa cha chitetezo cha mthupi.

Mu matenda osalephera a shuga, kulephera kukhazikika ndi kumasula ma tryllyicide okhala ndi ma chylomicrons ambiri komanso osachepera milomo ya lipoprotein

Izi zingapangitse kuwonjezeka kwakukulu kwa plasma triglycerides ndi kudzikundikira kwawo pakhungu. Kuchepa kwa lipid metabolism kumathandizira kukulitsa komanso kupititsa patsogolo kwa arterosclerosis mwa odwala onse omwe ali ndi matenda osokoneza bongo.

Popeza kuchuluka kwa matenda ashuga, kuchuluka kwa zovuta za matenda a carbohydrate, kusintha pakhungu, mucosa wamkamwa, womwe umapezeka mosavuta pakuwunika, kungathandize kuti wodwala azindikire panthawi yake

Kuphatikiza pa zifukwa za metabolic, pakupanga kwamisempha pakhungu ndi zowonjezera zake, gawo lalikulu limaseweredwa ndi kuphwanya kwawo trophism chifukwa cha kukhalapo kwa angio- ndi polyneuropathy wodwala wodwala matenda a shuga. Kuchuluka kwa shuga m'magazi kwa nthawi yayitali kumatha kubweretsa kuwonongeka kwa magazi m'magazi akulu komanso m'matumbo ang'onoang'ono (ma capillaries), omwe amathandizira kupereka michere m'maselo a khungu - amapereka trophism. Kuphatikiza ndi atherosulinosis ya zombo zazikulu, izi zamavuto am'mimba zimathandizira kupanga zilonda zam'mimba. Odwala ambiri omwe amakhala ndi matenda osokoneza bongo a shuga osakwanira amakhala ndi vuto loti amatha kumva kupweteka m'miyendo kuti apweteke, kutentha ndi zotsatira zoyipa, kuphwanya kwa mawonekedwe a pakhungu, komwe kumadalira kupezeka mkati. Izi zimabweretsa kupangika kwa ma hyperkeratoses, kuphwanya khungu la trophic, kuvulala kwamtundu wam'munsi, nthawi zambiri osawonekanso kwa wodwalayo.

Pali lingaliro kuti maziko a kufooka kwa khungu ndi mitsempha yamagazi ndi machitidwe a mitsempha ndikumapangidwa kopitilira muyeso kwa ma radicals aulere, omwe oyambira kwambiri ndi superoxide. Zimasokoneza ntchito za mitochondria, zimapatsa mphamvu zamagetsi, ndipo zimabweretsa kufa kwa cell. Pankhaniyi, superoxide dismutase enzyme imateteza; ndi msampha wa superoxide. Komabe, mu shuga mellitus, mapangidwe a superoxide dismutase amachepetsedwa, ndipo izi ndi zina mwazomwe zimayambitsa khungu.

Angio- ndi neuropathy imawonjezera chiopsezo cha kuwonongeka pakhungu la odwala matenda ashuga, pomwe njira zamachiritso zimakhudzidwa. Kusintha uku, limodzi ndi matenda a hyperglycemia, kumathandizira kuti azilumikizana ndi chinthu chopatsirana - kachilombo ka bacteria ndi fungus.

Pakadali pano, mitundu yambiri ya ma dermatoses akufotokozedwa omwe amatsogolera matenda ashuga kapena amayamba motsutsana ndi matendawo. Pali magawo angapo a zotupa za khungu mu shuga mellitus (DM). Zimakhazikitsidwa pamakhalidwe azachipatala komanso zina mwazomwe zimachitika pakasintha kwa khungu. Zogawikazo sizosiyana ndipo zimangothandizana wina ndi mnzake. Chifukwa chake, malinga ndi gulu

Khlebnikova A.N., Marycheva N.V. (2011), matenda a pakhungu mu matenda osokoneza bongo agawika m'magulu akulu asanu:

1) dermatoses yolumikizana ndi matenda a shuga,

2) matenda a pakhungu omwe amayambitsidwa ndi matenda a shuga komanso insulin,

3) matenda a pakhungu omwe amagwirizana ndi angiopathy,

4) zotupa zapantopic,

5) matenda oyamba ndi bakiteriya.

M'magulu ofotokozedwa ndi Andrea A. KaLus, Andy J. Chien, John E. OLerud (2012), magulu otsatirawa a zotupa zokhudzana ndi matenda a shuga amadziwika:

1) mawonetsedwe apakhungu a matenda osokoneza bongo omwe amaphatikizidwa ndi metabolic, mtima, kuchepa kwa mitsempha kapena matenda okhudzana ndi matenda a shuga. ),

2) matenda omwe amayambitsidwa ndi matenda osokoneza bongo omwe ali ndi matenda osokoneza bongo a pathogenesis (lipoid necrobiosis, granuloma wa chikhodzodzo, chikhodzodzo cha matenda ashuga, matenda a shuga).

Omwe ali pachiwopsezo chachikulu chotenga matenda ndi mapazi. Chifukwa cha kusokonezeka kwa mitsempha ya m'mitsempha (diabetesic neuropathy), matenda am'mitsempha amachepetsa, komanso kusokonezeka kwa magazi a capillary (microangiopathy) kumachepetsa kwambiri kubwezeretsanso khungu. Chifukwa cha neuro- ndi angiopathy, mapangidwe a minofu ndi mafupa amayambanso kuvutika: akamayenda, munthu amayika phazi mosasiyanitsa, ndipo katundu wamkulu amagwera mbali iliyonse ya phazi, akumupweteka - hyperkeratoses (chimanga, chimanga) ndipo ming'alu imawoneka, ndipo wotsatira ndi zilonda zam'mimba. Chifukwa chake, ngakhale kuvulala kwakung'ono, komwe sikunadziwike kwa nthawi yayitali, kumatha kubweretsa kukulitsa zovuta zovuta za matenda a shuga, matenda am'miyendo ya matenda ashuga, chifukwa chachikulu chodulira chakumapeto kwa shuga.

Hyperglycemia imabweretsa kuchepa kwa madzi m'thupi komanso kuchepa kwa magazi, kusokonekera kwa maselo a khungu ndipo, chifukwa chake, mphamvu kagayidwe ka maselo amkhungu, zotupa za thumaceous ndi thukuta

Pofuna kupewa michere yaying'ono ndi zotupa zina, wodwala matenda ashuga amafunika kuchita njira zosavuta zaukhondo tsiku lililonse. Kwa odwala matenda ashuga, zipinda za "matenda ashuga" amagwira ntchito m'makiriniki. Malamulo apadera osamalira miyendo akhazikitsidwa.

Masiku ano, odwala matenda a shuga amatha kupeza m'mafakiteriya chilichonse chomwe angafune kuti apatsidwe khungu. Kusankha kokwanira kwa zinthu zogwira ntchito komanso zotsika mtengo zingathandize kupanga chisamaliro chokwanira cha khungu

shuga ndi chizolowezi chabwino, kukonza moyo wa odwala ndi kupewa kukula kwa zovuta zingapo zazikulu. Mzere wokulirapo wa chisamaliro chapadera cha khungu la matenda ashuga ndi chitukuko cha Russia - angapo mafupa a DiaDerm.

Mu matenda osaletseka a shuga, kulephera kupukusa ndi kutulutsa ma chylomicrons ochepera kwambiri komanso ma lipoprotein omwe amadzaza ndi triglycerides kungayambitse kuwonjezeka kwakukulu kwa plasma triglycerides ndi kuchuluka kwawo pakhungu.

Malinga ndi kugwiritsidwa ntchito kogwiritsa ntchito zodzikongoletsera za mndandanda wa DiaDerm, womwe umachitika ku dipatimenti ya Dermatovenerology and Clinical Mycology ndi maphunziro a Laborator diagnostics ndi mycology RMAPO (Moscow), mwa odwala matenda a shuga pali kutanthauzira kwakukulu komanso konzanso khungu, komwe kumawonetsedwa mwakuthupi. Mwa odwala, komanso njira yoteteza khungu la mapazi a odwala ku matenda a mycotic ku Diaderm Protective Cream. Zotsatira za maphunziro owunika zimawonetsa kusintha kwa magwiridwe amtundu wa khungu (chinyezi, mafuta, pH, kuwala kwa laser) pogwiritsa ntchito mafuta a Diaderm Protential ndi Diaderm Softening.

Mu phunziroli, DiaDerm kirimu talcum ufa adawonetsedwanso kuti ndiwothandiza kwambiri pochotsa zotupa za pakhungu m'makola akulu pakhungu la odwala matenda a shuga. Kirimuyi imakhala ndi tanthauzo loti iyanika, ntchito yotsutsa-yotupa ndi antiseptic. Odwala onse adazindikira kugwiritsa ntchito kosavuta komanso mawonekedwe osangalatsa a talcum. Malinga ndi kuyerekezera kwapakati pa odwala, kuyanika kowonekera pogwiritsa ntchito mankhwalawa kumadziwika pambuyo pa nthawi 1-2. Zosasangalatsa zolumikizika kosakhudzana ndi kuyabwa, kumva kuwawa ndi kuwonjezeka kwamphamvu kunayimitsidwa patatha masiku 2-3 atayamba kugwiritsa ntchito.

Chifukwa chake, kugwiritsa ntchito pafupipafupi maimoni a DiaDerm ndizofunikira kwambiri popewa zilonda zapakhosi zam'mimba mwa odwala matenda a shuga, ndipo DiaDerm kirimu talc ikhoza kulimbikitsidwa pochizira thukuta kwambiri, zotupa za pakhungu ndi kupewa matenda ophatikizika a bacteria .

Zina mwa mndandandazi ndi izi: Diaderm foot cream Olimba 10% urea kuti muchepetse ma chimanga ndi chimanga, Diaderm body cream for regenerating tolement to the kuongeza machiritso a microdamage pakhungu (insulin jakisoni malo, capillary khungu sampling kusanthula), Diaderm dzanja ndi msomali zonona samalani ndi khungu louma kwambiri.

Diaultraderm mafuta amapangidwa makamaka kwa odwala matenda a shuga. Kuyesa kwabwino kunaperekedwa ndi ma Diaultraderm AKVA mafuta okhala ndi mawonekedwe apamwamba a super-oxide dismutase ndi Silver Dialethraderm omwe adayesedwa ku department of Endocrinology and Diabetesology ku department of Endocrinology and Diabetesology. Zawonetsedwa kuti kugwiritsa ntchito zonona tsiku lililonse kwa Diaultraderm Aqua zonona kumathandizanso khungu, kukhalanso ndi zotanuka, komanso kumachepetsa chiwonongeko. Pogwiritsa ntchito nthawi yayitali, kuchepa kwamphamvu kwa mapangidwe a ma hyperkeratoses kumadziwika. Odwala ambiri adapereka ndemanga zabwino pakugwiritsa ntchito zonona za Diaultraderm Aqua, ndikuwona mayamwidwe ake abwino komanso kuthamanga kwa kukwaniritsa mawonekedwe owoneka bwino.

Siliva Diametraderm Cream, yomwe ili, kuphatikiza pazachikhalidwe za urea komanso zotupa, siliva nitrate (wosagwiritsa ntchito cytotoxic antiseptic wokhala ndi zochitika zazikulu za bactericidal ndi fungicidal), adayesedwa mwa odwala omwe ali ndi ming'alu ya khungu ndi ma microcracks, makamaka m'malo ovuta. Potengera momwe ntchito ya kirimuyi ikuchira, machiritso amkhwimbi a pakhungu, kupumula kwamatenda akumudzi pokhapokha pakuwoneka zosakomera zonona. Mosiyana ndi kugwiritsa ntchito maantibayotiki am'deralo ndi antiseptics, kukonzekera siliva kungagwiritsidwe ntchito kwa nthawi yayitali popanda chiopsezo cha kupangidwa kwa tizilombo ta anti-antiotic.

Amakhulupirira kuti maziko a kutsekeka kwa khungu ndi mitsempha yamagazi ndi machitidwe a mitsempha ndi kupangika kopitilira muyeso kwa ma radicals aulere, omwe chachikulu ndi superoxide

Mu shuga mellitus, kusintha kumachitika pamlomo wamkamwa. Dongosolo la epithelial likucheperachepera, kukula kwa ma cellular kumachepetsedwa, ulusi wa elastic umakhuthala, mitolo ya collagen imamasulidwa. Ndi matendawa, kupumula kumasokonezeka (kutsika kwake ndi kuchuluka kwake), komwe kumapangitsa kuti chitukuko cha matenda a mucosa am'kamwa ndi ma caries, chikakamize odwala oterowo kufunsa dotolo wamano nthawi zambiri. Malinga ndi mabuku, thanzi la mano kwa odwala omwe ali ndi matenda a shuga amayamba kuwonongeka:

Pali njira yothamanga ya mano osatha mwa ana, limodzi ndi gingivitis.

■ Pali kusintha kwakumanga kwa tiziwalo tating'onoting'ono, kuchepa kwa magazi ndi kusintha kwamankhwala am'magazi momwe amapangira malovu, omwe, amachititsa, xerostomia (pakamwa pouma) komanso kukulitsa zovuta zina: ma caries angapo, candidiasis, halitosis.

Kuwonjezereka kwa caries, kuchuluka kwa matenda a mano, zonsezi zimagwirizanitsidwa ndi hemoglobin yayitali kwambiri.

Mothandizidwa ndi matenda a immunosuppression, matenda apakamwa a mucous (liphen planus, pafupipafupi aphthous stomatitis, ma bacteria apakhungu, ma virus ndi fungalitis), matenda opatsirana, zotupa zingapo nthawi ya periodontitis, halitosis, nthawi yokonza nthawi ya opaleshoni imatenga nthawi yayitali, ndipo imayipa kwambiri. kuphatikiza kolowerera.

■ Matenda amitsempha amadziwika m'matumbo amkati mwa mawonekedwe a stomatalgia (zizindikiro zazikulu zikuyaka mkamwa ndi lilime) komanso kupotoza kulawa, kukhalapo kwa nthawi yayitali kwa matenda a stomatalgia kumayambitsa kuphwanya kwa pakamwa, ndipo kuperewera kwa kukoma kumayambitsa Hyperphagia ndi kunenepa kwambiri, kulephera kutsatira chakudya, chifukwa odwala matenda a shuga amawonongeka pakulamulira kwa glycemic.

■ Kusintha kwa microflora ya patsekeke pamlomo imadziwika chifukwa chakuti periodontopathogenic flora imakulitsa insulin kukaniza minofu ndikuthandizira kuwonongeka kwa kagayidwe kazitsulo ka shuga, komanso kuchuluka kwa glucose m'magazi a gingival, kusokonekera kwa neutrophil, chemotaxis ndi phagocytosis, magwiridwe antchito a kubereka.

M'mayendedwe apadziko lonse komanso apanyumba othandizira odwala matenda ashuga, samayang'aniridwa pang'ono paubwenzi wa matenda ashuga komanso matenda am'kamwa, ngakhale odwala, atalandira chidziwitso chofunikira, amatha kuyera bwino kwambiri, zindikirani zoyamba za kusintha kwamatenda, angagwiritsidwe ntchito ngati katswiri wamano chisamaliro, chomwe chingateteze thanzi la mano ndikuwongolera glycemic control. Matenda opatsirana a periodontal omwe amapezeka motsutsana ndi maziko a somatic pathology amakhala ndi njira yayitali yodwala, yomwe nthawi zambiri imalephera kulandira chithandizo, ndipo, ngakhale atasintha njira zodziwonera, njira zambiri zochiritsira komanso njira zochitira opaleshoni komanso chidwi chopewa kupewa, kukhalabe vuto lalikulu pakubwezeretsa kwamakono.

Monga lamulo, patatha zaka 55, anthu ambiri odwala matenda ashuga samakhalanso ndi mano awo. Pambuyo pakuwonjezera mano, njira yochiritsira bala imakhala yovuta kwambiri komanso yayitali. Pofuna kusiyanitsa kukula kwa zovuta pamkamwa wamkamwa, ndikofunikira kulipiritsa odwala matenda a shuga, komanso kulimbikitsa odwala omwe ali ndi matenda ashuga kuti azitsatira mosamalitsa zofunikira zingapo za ukhondo.

Kuchita bwino kumawonetsedwa ndi kuphatikiza komwe kumagwiritsidwa ntchito popangira mankhwala apakamwa posamalira matenda a shuga a DiaDent. Kuyesedwa kwa zamankhwala pamaziko a MMU SP # 7 a Samara, chithandizo ndi mano a prophylactic ndi ma rinses a DiaDent mndandanda wa odwala omwe ali ndi matenda osokoneza bongo awonetsa kuti ali ndi vuto loyeretsa, amachotsa phula komanso amakhala ndi vuto lothana ndi kutupa, komwe kumawonetsedwa pakuchepetsa kwa ministal periodices. Zinapezeka kuti ndikugwiritsa ntchito nthawi yayitali odwala omwe ali ndi shuga

DiaDent Nthawi zonse dzino latsoka linali ndi kuthekera kwambiri kuyeretsa, ndipo DiaDent Yogwiritsa ntchito mano ndikutsukanso inali yodziwikiratu kuti ndi yotakasuka komanso yotsutsa. Thupi lawo siligwirizana kapena kupweteketsa komwe kumachitika chifukwa cha mano ophunzirira ndi milomo yamkamwa pakamwa pakamwa mwa odwala omwe ali ndi matenda osokoneza bongo sanapezeke.

M'mayendedwe apadziko lonse komanso apanyumba othandizira odwala omwe ali ndi matenda ashuga, chidwi chochepa chimaperekedwa ku ubale wa matenda ashuga komanso matenda am'kamwa, ngakhale odwala, atalandira chidziwitso chofunikira, amatha bwino kuyeretsa pakamwa

Pamaziko a Center for Preventive Dentistry ndikuchita nawo dipatimenti Yothana ndi Mano a State Medical University. Wophunzira I.P. Pavlova ku St. Petersburg pachipatala chowerengera odwala adawonetsa kuti DiaDent mankhwala opaka mkamwa ndi othandizira komanso prophylactic kuwongolera ukhondo wamkamwa tsiku ndi tsiku, womwe umafotokozedwa pochepetsa pakamwa komanso kupewa kutulutsa matenda opatsirana, kuphatikiza candidiasis. Ndi chida chothandiza kwambiri osati kokha kwa odwala omwe ali ndi matenda ashuga, komanso kwa anthu omwe ali ndi vuto la xerostomia komanso chiwonetsero chofanana cha halitosis.

Chifukwa chake, kuyang'anira matenda ashuga, kusunga malamulo osavuta aukhondo, mayeso othandizirana ndi madokotala a mano ndi ma periodontists, chidwi mosamala ndi kusankha kwa mankhwala othandizira pakamwa kumathandizira kupewa kuyambika kwa matenda owopsa a pakamwa oyambitsidwa ndi matenda akuluakulu - matenda ashuga, komanso amathandizanso kukulitsa chiphuphu matenda ashuga omwe.

1. Zotsatira za kukhazikitsidwa kwa gawo la “Matenda a shuga” mu Federal chandamale “Kuteteza ndi kuwongolera matenda akuluakulu am'chaka cha 2007-2012”. Mkonzi. I.I. Dedova, M.V. Shestakova. Matenda a shuga. Kutulutsa kwapadera, 2013: 2-46.

2. Agogo II, Shestakova MV, Galstyan GR. Kukula kwa matenda ashuga amtundu wa 2 mwa anthu akuluakulu ku Russia (Phunziro la Nation). A Diabetes Mellitus, 2016, 2 (19): 104-112.

3. Dedov II, Shestakova M, Benedetti MM, Simon D, Pakhomov I, Galstyan G. .. Kuyambika kwa Type 2 matenda a shuga a mellitus (T2DM) m'gulu la anthu akuluakulu achi Russia (NATION kuphunzira), Kafukufuku wa Matenda a shuga ndi Njira Yazachipatala, 2016.

4. Khlebnikova A.N., Marycheva N.V. Zina za mankhwala akunja a khungu matenda mwa odwala matenda ashuga. Dermatology ya Clinical ndi Venereology, 2011, 6: 52-58.

5. Calus Andrea A., Chin Andy J., Olerud John E. Matenda a shuga ndi matenda ena a endocrine. Mkonzi. A.A. Kubanova, O.L. Ivanova, A.A. Kubanova, A.N. Lviv Dermatology ya Fitzpatrick muzochitika zamankhwala: mu ma vols 3. M: Binom, 2012: 1594-1604.

6. Naumova V.N., Maslak E.E. Matenda a shuga ndi matenda a mano: mavuto azidziwitso ndi chithandizo cha odwala omwe ali m'makliniki a mano. Mankhwala Othandiza, 2013, 4 (72): 10-14.

Matenda a shuga ndi stomatitis

Stomatitis, dzina lodziwika pakatupa ndi ululu wamkamwa, limatha kusokoneza zochitika zina za anthu - kudya, kuyankhula, ndi kugona. Stomatitis imatha kupezeka paliponse pamkamwa, kuphatikiza mkati mwa masaya, mano, lilime, milomo, komanso m'kamwa.

Stomatitis ndi chilonda chakaso chachikaso chokhala ndi mphete yakunja yofiira kapena gulu la zilonda zamkati pamkamwa, nthawi zambiri pamkamwa kapena m'masaya, komanso lilime.

Palibe amene amadziwa zomwe zimayambitsa zilonda zam'mimba, koma mikhalidwe yambiri imathandizira pakukula kwawo, mwachitsanzo, mankhwala ena, kuvulala kwamkamwa, kuperewera kwa zakudya, nkhawa, mabakiteriya kapena ma virus, kusowa tulo, kuchepa thupi mwadzidzidzi, komanso zakudya zina monga mbatata , zipatso za citrus, khofi, chokoleti, tchizi ndi mtedza.

Stomatitis imatha kuphatikizidwanso ndi kuchepa kwakanthawi kwa chitetezo chathupi chifukwa cha chimfine kapena chimfine, kusintha kwa mahomoni, kapena kuchepa kwa vitamini B12 kapena folic acid. Ngakhale kuluma mwachangu mkati mwa tsaya kapena kudula ndi chidutswa chakudya kumatha kuyambitsa zilonda. Stomatitis imatha kukhala chifukwa cha chibadwa ndipo imayesedwa ngati matenda a autoimmune.

Zilonda zapakhomo, monga lamulo, sizikhala kuposa milungu iwiri, ngakhale osalandira chithandizo. Ngati zifukwa zingadziwike, dokotalayo amatha kuthandizira. Ngati zifukwa sizingazindikiridwe, ndiye kuti mankhwalawo ndi kuchepetsa matendawa.

Chithandizo cha stomatitis kunyumba, njira zotsatirazi zingathandize kuthetsa ululu ndi kutupa kwa zilonda zamlomo:

Pewani zakumwa zoziziritsa kukhosi ndi zakudya, komanso zamchere, zonunkhira komanso zakudya zopatsa zipatso. • Gwiritsani ntchito ma pinkiller ngati tylenol.

• Tsitsani pakamwa panu ndi madzi ozizira kapena poyamwa madzi oundana ngati mukumva pakamwa panu.

Matenda a shuga ndi mano

Magazi a shuga m'magazi akapanda kulamulidwa bwino, odwala matenda ashuga amatha kukhala ndi glucose yambiri m'malovu ndi pakamwa owuma. Izi zimapangitsa kuti zolembera zizikula pameno, zomwe zimapangitsa kuti mano awonongeke komanso kuwola mano.

Plaque imatha kuchotsedwa bwino ndikuyeretsa mano ndi mano m'kamwa kawiri pa tsiku ndi chotsukira mano ndikutsukira mano ndi fluoride. Gwiritsani ntchito zotsukira pakati kapena lansalu tsiku lililonse kuyeretsa zinyalala za chakudya pakati pa mano anu. Kusamalidwa bwino kwamano kumalepheretsa kuwola kwa mano ndi matenda a chingamu.

Matenda a shuga ndi fungal matenda amkamwa

Oral candidiasis (thrush) ndi matenda oyamba ndi fungus. Matendawa amayamba chifukwa cha kufalikira msanga kwa yisiti ya Candida Albicans. Zina zomwe zimayambitsidwa ndi matenda ashuga, monga glucose okwanira kumisempha, kusagwirizana ndi matenda, komanso mkamwa owuma (malovu otsika), zimatha kuyambitsa candidiasis pamlomo wamkamwa (thrush).

Makungu amkati mwa pakamwa amayambitsa mawanga oyera kapena ofiira pakhungu la pakamwa, zomwe zimatha kubweretsa kusamvana ndi zilonda zam'mimba. Kukhala ndiukhondo pakamwa komanso kuwongolera bwino shuga (magazi a shuga) ndikofunikira kwambiri pakuthandizira bwino kwa mankhwala amkamwa a candidiasis. Dokotala wamano amatha kuchiza matendawa popereka mankhwala a antifungal.

Chisamaliro cha mano ndi mano

Ngati muli ndi matenda a shuga, kuti muchepetse mavuto ndi mano ndi mano anu, muyenera:

• Tsatirani malangizo a dokotala ndi zakudya zomwe madokotala amapereka kuti magazi anu asakhale oyandikira kwambiri momwe zingathere. • Sambani mano anu ndi mano anu bwino bwino kawiri tsiku lililonse ndi mano opaka fluoride. • Gwiritsani ntchito floss yamano kapena kuyeretsa kwapakati tsiku lililonse kuyeretsa pakati pa mano. • Pitani kwa dokotala wa mano anu pafupipafupi kuti mupeze malangizo a chisamaliro choyenera panyumba, kuzindikira msanga komanso kuchiza matenda am'kamwa kuti mano anu azikhala ndi thanzi. Pewani pakamwa pouma - imwani madzi ambiri ndikutafuna chingamu chopanda shuga kuti mulimbikitse kupanga malovu.

Matenda a shuga - chiwonetsero cha milomo

Pamtima pa matenda a shuga ndikuphwanya kagayidwe kake ka zakudya m'thupi. Pambuyo pake, ndi matendawa, matenda osiyanasiyana a mapuloteni ndi mafuta amalumikizana. Pafupipafupi, zizindikiro za matendawa pamlomo zimawerengedwa kuti ndi oyambilira a matendawa.

Xerostomia. Kumva kuuma pamlomo wamkati kumadetsa nkhawa madokotala atangoyamba matenda ashuga. Nthawi zambiri odwala amadandaula chifukwa cha ludzu. Ndi cholinga chowunika pamlomo wamkamwa, mucous nembanemba amatha kukhala wouma kapena wofowoka pang'ono, wonyezimira, pakhoza kukhala pang'ono hyperemia. Kuuma kwapang'onopang'ono kwa mucosa wamlomo mu shuga kumawerengedwa kuti ndi chifukwa cha kusowa kwamadzi. Ngakhale, ngati munthu ali ndi xerostomia, izi sizitanthauza kuti ali ndi matenda ashuga, chifukwa pakamwa youma amathanso kukhala ndi matenda a Mikulich, matenda a Sjogren, matenda a dongosolo lamanjenje ndi matenda ena ambiri.

Glossitis ndi catarrhal stomatitis. Kutupa kwa mucosa yonse ya pakamwa kapena ziwalo zake zina m'matenda a shuga kumatha kuchitika chifukwa cha matenda, kusatetezeka kwake, popeza mikhalidwe yotchinga ya mucous imaphwanyidwa, ndipo dysbacteriosis imayamba. Munjira iyi, ndikofunikira kuti muchepetse malovu - pambuyo poti palibe chinyezi. Madandaulo a odwala nthawi zambiri okhudza kupweteka akamadya chakudya, makamaka cholimba komanso chotentha. Mukawunikira, nembanemba yauma, yaundana, pamakhala kukokoloka ndi zotupa.

Paresthesia wa mucosa. Komanso chizindikiro choyambirira cha matenda ashuga, komanso xerostomia. Makamaka, paresthesia samasiyana ndi paresthesia m'matenda ena - mantha am'mimba, m'mimba. Mphamvu yoyaka ya nembanemba ya mucous imaphatikizidwa ndi kuyabwa kwa khungu mbali zina za thupi - mwachitsanzo, ziwalo. Matenda amtundu wamsempha amaphatikizira neuralgia ndi neuritis, zomwe nthawi zambiri zimakumana ndi matenda a shuga. Nthawi zambiri, odwala amazindikira kuchepa kwamkoma kwamchere, wokoma komanso wowawasa. Koma kumayambiriro kwa chithandizo, kusintha kwantchito kumeneku kumasowa.

Zikavuta kwambiri, zilonda zam'mimba zimatha kukhala pamlomo wamkamwa, womwe umadziwika ndi njira yayitali komanso kuchiritsa pang'onopang'ono.

Ndiye kuti, zosintha zonsezi pamwambazi zitha kukhala ndi matenda ashuga, koma nthawi yomweyo zimatha kukhala chizindikiro cha matenda ena, kotero kusiyanitsa matenda ashuga ndikofunikira kwambiri. Chithandizo chiyenera kupita limodzi - endocrinologist ndi dokotala wamano. Chithandizo chakomweko cha mkamwa, popanda chithandizo cha matenda a shuga sichingabweretse zotsatira. Ndi kuwonongeka kwamkati pamlomo wamkamwa, chithandizo chamankhwala chimayikidwa - ngati mankhwalawa amayamba kuzindikiridwa, mankhwala antifungal amalembedwa - nystatin, levorin, etc., kudya mavitamini.

Lilime la matenda ashuga: chithunzi cha zilonda zamlomo

Mu shuga mellitus, chifukwa cha shuga wambiri, odwala amakhala ndi ludzu komanso pakamwa kowuma. Izi zimapangitsa kuti pakhale njira yotupa pa mucous membrane, kuwonongeka kwa epithelium ndi mawonekedwe a zilonda pamalilime kapena mkati mwamasaya.

Vuto limodzi mwa anthu odwala matenda ashuga ndi lotseguka ndi ndere. Kupweteka pakamwa kumapangitsa kuti kugona kugona komanso kudya, kutsuka mano kumabweretsanso vuto. Popeza chitetezo chochepa chimachepa mu shuga mellitus, matenda oterewa amadziwika ndi zovuta komanso amakhalanso obwereza.

Kuwonetsedwa kwa zotupa zamkamwa zamkati zimayenda bwino ndi matenda osokoneza bongo, chifukwa cha mankhwalawa, muyenera kutsika shuga wamagazi ndikukwaniritsa magwiridwe ake. Madokotala a mano amapereka chithandizo chokhacho.

Oral candidiasis mu shuga

Nthawi zambiri mwa anthu, bowa wonga yisiti wa mtundu wa Candida amatha kupezeka pa nembanemba. Samayambitsa matenda muzobisika lamthupi lanu. Kuchuluka kwa candidiasis mwa odwala matenda ashuga kumafika 75%.

Izi ndichifukwa choti, pamene njira zodzitchinjiriza ndi chitetezo cham'deralo zitafooka, bowa amasintha katundu wawo, kukhala ndi mwayi wokula msanga komanso kuvulaza epithelium 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 dzino: (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. Kujowina candidiasis kumakhala chizindikiro chakuchepa 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 komanso kutulutsa magazi. Odwala amakhala ndi nkhawa za kuwotcha ndi 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. Plaque sichitha kuchotsedwa pakukanda. 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 osavuta kufotokoza omwe ali ndi kuyera pang'ono komanso kukokoloka 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.
Kugwiritsa ntchito kuyimitsidwa kwa Amphotericin kapena 1% yankho la clotrimazole.

Ndi matenda a candidiasis osachiritsika, omwe amabwerezanso, komanso kuwonongeka kwa pakhungu, misomali, maliseche, dongosolo la mankhwala amachitidwa.

Fluconazole, Itraconazole kapena Nizoral (ketoconazole) akhoza kulembedwa.

Anthu wowerengeka azitsamba wowerengeka azitsamba zamkati

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Pofuna kupewa komanso kuchiza matenda a candidiasis, mankhwalawa angagwiritsidwe ntchito. Atha kupangidwanso kuti akonzedwenso pambuyo pochita mankhwalawa antifungal.

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, kuonjezera chitetezo cha 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 zopanda yisiti, zotsekemera zilizonse (ngakhale zokhala ndi zotsekemera), zipatso zotsekemera, mizimu ndi zakumwa zozizilitsidwa 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 timadziti 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, kusaya kwa mucosa, mkamwa yolimba komanso lilime. Mpweya uwu sukupatsirana ndipo umagwirizanitsidwa 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'mimba, ma papulo otuwa amawonekera.
Hyperkeratotic - malo obiriwira oyimilira omwe amatuluka pamwamba pa khungu lowuma komanso loyipa.
Erosive-ulcerative - zolakwika zingapo zam'mimba komanso kukokoloka kwa magazi kumakutidwa ndi zolembera za fibrinous. Ndi mawonekedwe awa, odwala amadandaula kuti adadwala mwadzidzidzi pakamwa ndipo pamakhala chidwi champhamvu.
Fomu ya ng'ombe yamphongo imaphatikizidwa ndi matuza akuthwa okhala ndi 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 ndi kudya zokometsera ndi zakudya zotentha, komanso osamwa zoledzeretsa, maswiti ndi zinthu zina za ufa, kutsatira zakudya zosavomerezeka. Kusamalira mano 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. Mafuta a sea buckthorn kapena Chlorophyllipt mafuta amagwiritsidwa ntchito pofuna kuchiza matenda.

Physiotherapy mu mawonekedwe a electrophoresis kapena phonophoresis amasonyezedwanso kuti muchepetse kuuma kwa zimagwira mucous. Pamaso pa zovuta zamanjenje, ma tranquilizer, mankhwala azitsamba ozizira valerian, peony ndi mamawort adayikidwa. Kanema yemwe ali munkhaniyi akufotokozerani zomwe zingakhudze zilankhulo.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Matenda a pakamwa mu shuga

Matenda a shuga ndi matenda ovuta. Pachigawo choyamba cha mapangidwe ake, mutha kuphunzira za zizindikiro zomwe zimakhudza milomo yamkamwa. Pakamwa pakamwa, kuwotcha, kugona. Zinthu izi zimafooketsa thupi matenda ena asanakwane.

Matenda a shuga amasokoneza kukula kwa michere, amasokoneza magazi kupita m'matumbo. Pachifukwa ichi, calcium yochepa imaperekedwa m'mano, ndipo enamel ya dzino imakhala yochepa komanso yocheperako. Kuchulukitsa kwa shuga m'misempha kumathandizira pakupanga ndi kubereka kwa bacteria wa pathogenic, zomwe zimapangitsa kuti pakhale matenda akuluakulu amkamwa.

Kuwonetsera kwa shuga mumkamwa wamkamwa kumadziwika ndi kupweteka kwambiri, kutupa kwa mano. Chithandizo chothandiza ndikuchita opareshoni, kuchotsa dzino lomwe lakhudzidwa. Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala panthawi yake ndikuwongolera boma la shuga.

Zizindikiro

Pa gawo loyambirira la matenda apakamwa, ndikofunikira kufunafuna chithandizo chamankhwala.

Zizindikiro za periodontitis ndi:

redness ndi kutupa kwa mano,
gamu magazi
ozindikira kwambiri ozizira, otentha, wowawasa,
fungo loipa
kulawa koyipa (kukoma kwa magazi, komwe ndi kofanana ndi kukoma kwachitsulo)
kutulutsa kwatsuka kwa mano,
kusintha kwa kukoma,
kufotokozera mizu
kapangidwe ka malo pakati pa mano.

Matendawa amakakamizika ndi njira yosalamulirika ya matenda ashuga.

Periodontitis Therapy

Chithandizo cha Periodontitis chimaphatikizapo kuyeretsa kwa mano kuchokera kumiyala ndi ma deposits, kugwiritsa ntchito antiseptic.

Woopsa matendawa, njira za opaleshoni zimagwiritsidwa ntchito. Zikatero, kuchotsa mano m'kamwa kumatha, pambuyo pake ndimatsuka m'matumba.

Stomatitis ndi njira yotupa mkamwa yomwe imapezeka pamilomo, masaya, lilime, mkati mwa masaya, mano. Mu shuga mellitus, vesicles, zilonda, ndi kukokoloka mawonekedwe mkamwa. Wodwalayo amamva kupweteka komwe kumamulepheretsa kudya, kumwa, ndipo nthawi zina kumadzetsa kusowa tulo. Mapangidwe a stomatitis amakhudzidwa ndimankhwala, kupsinjika, kuperewera kwa chakudya, kusowa tulo, kuchepa thupi mwadzidzidzi.

Matenda a shuga amachepetsa ntchito yoteteza chitetezo cha mthupi, zomwe zimayambitsa matenda a stomatitis. Nthawi zina chimakhala chobadwa nacho, chopsinjika ndi mavairasi, mabakiteriya okhala ndi matenda, bowa.

Zomwe zimayambitsa matendawa ndikuvulala komwe kumachitika, mwachitsanzo, kuchokera pakudya pamatumbo owuma, komanso wodwala amatha kuluma nsonga ya lilime.

Kuvuta kwamatenda amkamwa ndikuti ndi matenda ashuga, stomatitis samachira.

Pamene stomatitis ndi yothandiza:

kupatula kumwa zakumwa zotentha, zamchere ndi zonunkhira, zakudya za acidic,
gwiritsani ntchito ma pinkiller
nadzatsuka ndi madzi ozizira, mutha kuyamwa chidutswa cha ayezi kuti muchepetse mphamvu zotentha.

Ndikofunikira kutsatira malingaliro a dotolo kuti athandizire kuchiritsa kwa mabala pamlomo wamkamwa.

Kutalika kwa matendawa popanda mankhwala ndi masabata awiri. Ndi mankhwala othandizira, mungathe kuthana ndi matendawa nthawi yochepa. Mutha kutsuka ndi tincture wa khungwa la oak, calendula, chamomile, yankho la furatsilina.

Ngati stomatitis imasiyidwa kuti isachiritsidwe, ndiye kuti matenda amayamba kuwonekera nthawi ndi nthawi.

Kuphatikiza apo, kukulitsa kwa matenda ammimba kumakhudza kuwoneka kwa matenda ena (rheumatism, matenda a mtima).

Kuwonetsedwa kwa matenda a shuga kumabweretsa vuto pakapanda mano mkati mwa kamwa. Saliva imakhala ndi shuga wambiri, yomwe imatha kuwononga mano. Shuga wophwanyika uyu ndi njira yodziwira mabacteria omwe amapanga enamel ya mano.

Bacteria amadya shuga ndikuwasiya zinthu zonyansa monga mawonekedwe a butyric, lactic, formic acid. Acid imakwiyitsa mapangidwe a caries. Ndi chithandizo chachedwa, dzino lonse limawonongeka. Pulpitis, periodontitis imatha kuchitika.

Maonekedwe a matendawa amakhudzidwa ndi kupezeka kwa shuga pamasamba, kufooka chitetezo chokwanira, komanso pakamwa pouma. Gwero la candidiasis ndi yisiti bacteria. Mu shuga, chovala choyera chachikulu chimaphimba milomo, lilime, ndi masaya. Choyamba, kachidutswa kakang'ono kamavindikirira patsekeke pamlomo, kenako amakula. Momwe zikhalidwe zikuyendera, zolembera zimaphimba chingamu, thambo, matani, pomwe madera omwe akhudzidwa amangophatikizana.

Chovala chonga filimu chimatha kuchotsedwa mosavuta. Pansi pake pali khungu lofiira, zilonda zomwe zimavulala mosavuta ndikutuluka magazi.

Pachifukwa ichi, zimakhala zovuta kuti wodwala azilankhula, kumwa, kudya chakudya, kumeza. Nembanemba yamkamwa imadzaza ndi kufiyira. Wodwalayo amamva kugunda kwamphamvu, kuyimitsidwa, kuwonongeka.

Candidiasis imadziwika ndi kuwonjezeka kwa kutentha, zizindikiro za kuledzera kwa thupi zimawonekera.

Ming'alu imawoneka pakona kuzungulira pakamwa, yokutidwa ndi zokutira yoyera, mamba.

Therapy motsutsana ndi candidiasis imayikidwa ndi dotolo wamano, mwa mawonekedwe owopsa, kufunsira ndi katswiri matenda opatsirana ndikofunikira. Ndikofunika kukumbukira kuti njira yochizira imapitilira pang'onopang'ono ndi matenda ashuga, koma ngati wodwalayo ali ndi chizolowezi chosuta, izi zimapangitsa kuti kuchira kukhale kosavuta.

Wodwala amatchulidwa antibacterial (mapiritsi, makapisozi), antimicrobial, antiparasitic mankhwala, mankhwala olimbitsa chitetezo cha mthupi. Ndikulimbikitsidwa kugwiritsa ntchito mafuta onunkhira, ma rinses (Fukortsin, Iodinol) kuti muchepetse zizindikiro, ma compress amatha kutsetsa minofu ndi yankho. Ndikofunika kupukusa lozenges ndi antibacterial action. Ndikulimbikitsidwa kugwiritsa ntchito mankhwala ovuta.

Kuzindikira lilime

Kuchuluka kwa lilime m'matenda a shuga ndikovuta. Pathology imakhudza nsonga, mbali zam'munsi komanso zotsika za chiwalo, nthawi zina zosasangalatsa zomveka pamilomo yapamwamba zimawonjezeredwa. Kuchepetsa mphamvu kumapangitsa kuti pakhale kutuluka komanso kuyambitsa lilime.

Njira ya dzanzi, kuwonjezera pa zolephera mu dongosolo la endocrine, imayendetsedwa ndi zinthu zambiri:

mimba
matenda amtima.

Mkhalidwe wamadzimadzi umatha kukhala ndi mawonekedwe owopsa momwe mphamvu ya chiwalo imatayika pang'ono kapena kwathunthu.

Kupewa ndi malingaliro

Ndikofunikira kuyang'ana mwadongosolo komanso kukhazikika kwa shuga. Chofunikira ndikutsatira kwa zakudya zomwe zimachepetsa shuga. Ndikofunika kudya zamasamba ndi zipatso zambiri.

Ndikulimbikitsidwa kuti mukayendere dotolo wamano kuti mukaone ngati mwachita bwino 2 pachaka. Kupukuta mano anu bwino bwino kawiri pa tsiku, kusankha kupangira dzino loyera. Ndikulimbikitsidwa kugwiritsa ntchito dossint yameno kuti muyeretse kusiyana pakati pa mano kuchokera ku zotsalira za chakudya. Tsitsi lachigonedwe liyenera kusankhidwa bwino kuti lisamvulaze mano.

Ndikofunika kupewa zizolowezi zoipa (kusuta, mowa), kumwa madzi okwanira. Muyeneranso kusamala ndi mtundu wa madzi, ndikofunikira kumwa madzi oyera. Kuti muchite izi, mutha kukhazikitsa mbewu zamankhwala pamapa, kugwiritsa ntchito zosefera zosiyanasiyana, ndi zina zambiri. Gwiritsani ntchito chingamu chopanda shuga kuti mulimbikitse kupanga malovu.

Ndikofunika kutsuka pakamwa panu pakudya. Mutha kugwiritsa ntchito decoction yazitsamba (chamomile, calendula, sage). Ngati wodwala yemwe ali ndi matenda am'mimba atuluka mano, ayenera kutsukidwa bwino ndi mankhwala othandizira.

Ndikofunika kuyang'anira ukhondo wamkamwa, chifukwa kutulutsa pang'ono kungayambike. Nthawi zonse muziyang'aniridwa komanso kulandira chithandizo chanthawi yake.

Matenda a mano: mano enieni, chisamaliro ndi kupewa

Shuga mellitus, ngati matenda achilengedwe, amakhudza thupi lonse komanso kagayidwe kake. Chithunzi chake cha chipatala chili chodzaza ndi ma syndromes. Mkamwa wamkamwa siwokha - gawo logwira ntchito la mano. Sizachilendo kuti dotolo wamano akhale woyamba kuzindikira matenda a shuga mwa wodwala ndikuwonetsera kwawo mkamwa.Mano a mtundu 2 a shuga amatha kuwola ndi kutuluka matenda asanapezeka.

Mitsempha ya pakamwa m'matenda a shuga amtundu uliwonse imakhala ndi mawonekedwe apadera, makamaka chifukwa cha matenda ndi zizindikiro zomwe zimayenderana ndi matenda awa. Izi ndi monga: matenda a periodontal, kugwidwa m'makona amkamwa, kutukusira kwa mucous mkamwa ndi lilime, xerostomia, hyposalivation ndi kusintha kosiyanasiyana m'mano.

Matenda a Periodontal ndi periodontitis

Awa ndi matenda awiri ofanana momwe matenda a periodontal amasinthira m'matumbo (ziwalo zonse kuzungulira dzino lomwe limazigwira). M'mabuku amakono, mawu akuti periodontitis amagwiritsidwa ntchito nthawi zambiri. Pafupipafupi a periodontitis aukali mwa odwala matenda ashuga amachokera ku 50 mpaka 90%.

Periodontitis imayamba ndi matenda a chingamu. Zizindikiro zoyambirira: kumverera kwa kutupira mano, kuwonjezeka kutentha kwawo. Pambuyo pake, kutulutsa magazi m'kamwa, mano.

Ndi matenda ashuga, mano amatenga utoto wofiirira, pomwe pali zizindikiro za cyanosis. Papilla pakati pa mano adatupa ndikuwukha magazi pang'ono pakukwiya. The gingiva exfoliates, ndikupanga matumba okhazikika. Amayamba kutukuka, kenako kutuluka.

Mano amayamba kuyenda. Ndi mtundu wankhanza wamatendawa, mano amasunthira ndikusunthira kuzungulira kwake. Izi zimabweretsa kukulira kwazinthuzo pamlomo wamkamwa. Mu shuga, ndizodziwika kuti mano amatha.

Stomatitis ndi glossitis

Chifukwa cha kuchepa kwa chitetezo m'deralo, zilonda zam'mimba nthawi zambiri zimawonekera pamasaya, milomo, m'kamwa, ndi mano. Ichi ndi stomatitis. Chizindikiro china cha matenda ashuga ndi kusintha chilankhulo. Glossitis ndikutulutsa lilime. Odwala omwe ali ndi matenda ashuga, lilime ndi lovuta, ndipo zilonda zamtundu wa mapu amomwe zilili (chilankhulo). Nthawi zambiri lilime limaphimbidwa ndi loyera.

Palinso "chilankhulo". Pamaliropo pamakhala zotsatira za mtundu wina wa papilime wa lilime ndi zolemba zamtundu wina.

Xerostomia ndi hyposalivation

Mu Chilatini, xerostomia amatanthauza "kamwa youma". Mtundu woyamba wa 1 komanso wa matenda ashuga 2, chimodzi mwazowoneka bwino zamatenda ndi ludzu komanso pakamwa pouma. Hyposalivation, kapena kuchepa kwa kuchuluka kwa malovu omwe amatsekeredwa, kumalumikizidwa ndi kuwonongeka kwa tiziwalo tamadonthono. Amachulukana kukula, amayamba kupweteka. Matendawa amatchedwa "pseudo-parotitis."

Kusintha kwa mano

Ngakhale mineralized ndi yolimba mano metabolism kumachitika. Kusintha kwa ma metabolic chifukwa cha mtundu 1 komanso matenda amtundu wa 2 samakhudzanso matumbo okha, komanso mano.

Thupi limakhala ndi zinthu zoteteza ku caries: kuphatikizidwa kwa mankhwala a enamel, kutsika kwake, malovu, tizilombo tothandiza timene timakhala mkamwa.

Kusintha kwa mtundu wamadzi amkamwa mu shuga, chiopsezo cha caries chikuwonjezeka. Glucose amapezeka malovu, omwe ndi "chakudya" cha mabakiteriya aciagenic. Ma microorganic achulukitsa, amasintha pH ya malovu, omwe amachititsa kuti enamel awonongeke - chimodzi pambuyo pa chinzake, chitetezo cha anticariogenic chili pamavuto. Choyamba, pakakhala matte oyera amawoneka padzino, zomwe zimapangitsa kuti pakhale mano m'diso lakuda. Izi zimawonongedwa enamel ndi dentin.

Kupitilira kwa nthawi yayitali kwa caries ndi periodontitis kumatha ndi mankhwala a mafupa.

Ndi matenda a shuga, wodwalayo amathanso kupatsidwa mankhwala othira mano. Matenda a shuga sikuti tikulephera kulowererapo.

Anthu omwe ali ndi matenda ashuga amatha kuthekera kuposa kukhala ndi hypoplasia ya mano, ulesi, komanso kuchuluka kwa mafupa.

Hypoplasia ya mano ndi chodabwitsa chachikulu cha dzino. Izi matenda amatsenga ali ndi mitundu yambiri, ena omwe amafanana ndi ma caries.
Vuto linalake lolepheretsa kupezeka palokha limapezeka mwa ana omwe ali ndi matenda ashuga 1. Njira ya chithandizo choyenera ithandizira pano.
Kuchuluka kwa abrasion kukusonyeza kusakhazikika kwa minofu ya mano. Vutoli limatsatiridwa ndi kusokonekera kwa mano, komwe kumawatsogolera kukamwa. Pazifukwa zomwezo mu shuga - khosi la dzino limakhala hypersensitive.

Kusamalira pakamwa

Kusamalira moyenera kumathandiza kupewa mavuto ambiri omwe atchulidwa pamwambapa.

Samalani ndi nthawi yaukhondo. Mano a shuga amayenera kutsukidwa katatu patsiku mukatha kudya.
Gwiritsani ntchito zinthu zina zaukhondo: malasha amiyendo, chotsani thandizo ndi kutafuna chingamu. Kugwetsa pakamwa ndi njira yofunika kwambiri kwa matenda ashuga.
Ngati muli ndi mano, musamalire bwino. Ayenera kutsukidwa ndikutsukidwa.

Kuteteza Matenda

Mankhwala amakono amakonda kupewa matenda, mmalo mowachiza. Sikuti dokotala aliyense wa opaleshoni sangatulutsidwe matenda a shuga, chifukwa odwala otere amakhala pachiwopsezo cha zovuta zina kuphatikizapo hypoglycemic coma.

Ndikofunikira kuyang'anitsitsa shuga wamagazi, komanso kutsatira zakudya ndi mankhwala a insulin.
Ndi matenda a shuga, chithandizo cha mano sichiyenera kuchedwetsa. Caries ndi periodontitis zimapita patsogolo mwachangu ndi matendawa.
M'malo shuga mukamaphika ndi zotsekemera zotsekemera, monga ngati aspartame. Izi sizingothandizanso kuchepetsa shuga m'magazi, komanso kuchepetsa chiopsezo cha kuwola kwa mano.
Osadumpha mayeso okonzekera matenda a mano. Muyenera kupita kwa dokotala osachepera 2 pachaka.
Chitani zolimbitsa thupi zokwanira. Zimawonjezera chitetezo chathupi chonse, zomwe zikutanthauza kuti zimapewetsa matenda.

Kusamalidwa kwapamwamba kokha komanso kulandira chithandizo kwakanthaŵi kungakuthandizeni kuti mano anu azikalamba kwambiri.

Kusintha kwa ziwalo ndi minyewa yamkamwa yam'mimba mu shuga.

Kusintha kwa ziwalo ndi minyewa yamkamwa yam'mimba mu shuga. - gawo Maphunziro, Semester nephrology, endocrinology, hematology D.I. Trukhan, I.A. Odwala a Viktorova omwe ali ndi Matenda a shuga Amadziwika ndi kudalira kwamphamvu kwa kufooka kwa Thupi.

Odwala matenda a shuga mellitus, kudalira mwachindunji kuopsa kwa kusintha kwamkati pamlomo wamkati panthawi ya matendawa, kupezeka kwa zovuta komanso zaka za wodwalayo ndizodziwika. Chimodzi mwazizindikiro zoyambirira za matendawa ndi kamwa louma komanso hyposalivation.

Ziwalo ndi minyewa yamkamwa ya m'magazi a odwala omwe ali ndi matenda osokoneza bongo amakhala pansi pa carbohydrate yambiri, chifukwa cha kuchuluka kwa shuga m'magazi amkamwa.

Mucosa wamkamwa ndi hyperemic, chonyezimira, kuwonda. Lilime nthawi zambiri limaphimbidwa ndi zokutira yoyera, yoyipa, yodziyimira, nthawi zina ndi malo a hyperkeratosis. Hypertirophtikus komanso zojambula zina za malilime a malilime, zitha kuzindikirika ndi mtundu wa red-violet (“lilime la beetroot”).

Kutheka kwa xanthomatosis ya mucosa yamlomo: maulendo angapo oyenda a mtundu wa lalanje wachikasu kuyambira mutu wamphaka mpaka mtola, wopezeka pang'onopang'ono komanso wowonekera pamwamba, ndikusunthika kosasinthika.

Mawonetseredwe a dyskeratosis amawonetsedwa mwa mawonekedwe a leukoplakia: poyamba kuwonekera ndi kuyamwa kwa mucous nembanemba, ndiye kuti zolembera zimawonekera, zikupita patsogolo mwachangu ndi mapangidwe a zophukira zamkati, ming'alu ndi zilonda zam'mimba.

Catarrhal stomatitis ndi glossitis nthawi zambiri zimachitika chifukwa chofewa komanso kufooka kwa matenda a mucous membrane.

Zizindikiro za gingivitis mu matenda ashuga zimaphatikizapo hyperemia, edema, ngati kufinya kwa gingival papillae, chizolowezi cha gingival margin necrosis. Ife mu kafukufuku wochitidwa ku Department of Therapeutic Dentistry of the Omsk State Medical Academy tawona kuti odwala omwe ali ndi matenda amtundu wa I, kuchuluka kwa cholozera cha PMA kumadalira msinkhu wa odwala, kutalika kwa matendawo, komanso kupezeka kwa matenda ashuga a shuga.

Kwa odwala matenda a shuga, kukula kwa nthawi yayitali yofotokozedwa ndi periodontitis, ndikusunthika kwambiri kwa dzino ndikuwonjezereka kuchokera m'matumba a periodontal, ndizodziwika.

Ndi chiphuphu chokwanira cha matenda ashuga, zotupa zam'mlomo zam'mimba zimadziwika kwambiri - pachimake pseudomembranous candidiasis, pachimake komanso chovuta cha atrophic candidiasis, glalitis yodziwika bwino. Angular fungal cheilitis (kukomoka kwa mycotic) amadziwika ndi kuwonda kwa milomo yofiyira ya milomo komanso kufinya kwamphamvu kwa dera la Klein, kulowetsedwa, ming'alu yayitali yochiritsa m'makona amkamwa.

Kusintha kwa atrophic kumapezeka mu tiziwalo tating'ono. Mu 43.3% ya odwala omwe ayesedwa matenda a shuga a mtundu woyamba, tinazindikira ma antibodies athu a minyewa.

Ndi matenda ashuga, glossalgia, paresthesia, komanso kukhudzika kwamphamvu kwa mano m'khosi. Mononeuropathy ya trigeminal nerve (V pair) ndi nkhope yamtundu (VII pair) ndikuwonetsera kwa matenda ashuga a polyneuropathy.

Zambiri pokhudza kuwola kwa mano ndizotsutsana kwambiri. Tikamawerenga kapangidwe kake ndi zinthu zomwe zimagwiritsidwa ntchito pakamwa, tanena kuti mumkamwa mumasokoneza momwe machitidwe a de- and remineralization amasokonezekera. Njira ya demineralization imakhalapo chifukwa chakuchepa kwa kuchuluka kwa malovu ogumuka ndi pH yamadzimadzi amkamwa, kuwonjezeka kwa kuchuluka kwa sediment ndikugwiritsa ntchito kwake ndi demineralizing ntchito, komanso kuchuluka kwa glucose. Zosintha pakapangidwe ndi kutulutsa kwamakamwa pakamwa mwa odwala omwe ali ndi mtundu wa matenda a shuga I amellon amathandizika molumikizana ndi mawonekedwe azachipatala a matendawa. Chifukwa chake, chithandizo chokwanira cha matenda ashuga chiyenera kuonedwa ngati chodzitchinjiriza pakukula kwa zovuta.