Burning mouth syndrome yana da halinsa na kullum kona da zafi a baki. Ciwon da zai iya shafar harshe, gumi, lebe, cikin kunci, ɓangarorin baki ko ya miƙe zuwa ga baki ɗaya.
Zafin na iya zama mai tsanani, kamar yana ƙone baki. Duk da haka, sau da yawa dalilin da bayyanar cututtuka, wanda ke sa jiyya da wahala sosai.
Menene ciwon bakin kona?
El ciwon baki Rashin lafiya ne da ke tattare da ƙona baki gabaɗaya, in babu bayyananniyar raunuka na gida ko sauye-sauyen tsarin ƙwayoyin cuta.
Yawan cutar ya fi girma daga shekara 50 da kuma mata.
Abubuwan da ke haifar da cutar har yanzu ba a san su ba, amma an gano wasu cututtukan neuropathic kwanan nan waɗanda zasu iya haifar da bayyanar cutar. Wadannan sun hada da degeneration na trigeminal fibers buccal peripherals, Canje-canje na hanyoyin tsinkaye na dandano da asarar hanyoyin hanawa na tsakiya akan sarrafa dandano. zafi.
Ana yawan ganin ciwon bakin kona tare da haɗin gwiwa cututtuka na psychosomatic, rashin aiki na salivary gland (tare da canje-canje masu ƙima da ƙididdiga a cikin saliva) da canje-canje a cikin yanayin estrogenic (kamar yadda yake faruwa a cikin lokacin postmenopausal).
epidemiology
Ciwon yana shafar kashi 3% na yawan jama'a (kimanin miliyan 1,5 a Italiya), galibi mata, kuma yana farawa a marigayi girma tsakanin shekaru 50 zuwa 70.
Dalilan kona baki
A cikin yanayin rashin lafiya na farko, alamun alamun suna da alaƙa tare da jijiyoyi masu hankali da dandano (mai yiwuwa neuropathic tushe na ƙona bakin ciwo, tare da canza excitability a cikin trigeminal nociceptive hanya a matakin na tsakiya da / ko na gefe juyayi tsarin).
A cikin ciwon na biyu, a gefe guda, alamun suna da alaƙa da ɗaya ko fiye daga cikin cututtukan da ke da alhakin ciwon:
- xerostomia ta kwayoyi ko cututtuka irin su s. ta Sjögren;
- mycoses na baka;
- lichen planus na bakin baki;
- harshen yanki;
- abubuwan tunani kamar damuwa, damuwa, pathophobia;
- rashin abinci mai gina jiki zinc, iron, folate, thiamine, riboflavin, pyridoxine, rashi cobalamin;
- prostheses na hakori don tashin hankali na tsokoki da kyallen takarda na baki da kuma haushi saboda duk wani rashin daidaituwa da kayan;
- lalacewar jijiyoyi na jijiyoyi masu alaka da dandano harshe da kuma kula da ciwo, allergies ko halayen abinci, dandano, additives;
- gastroesophageal reflux tare da acid na ciki yana tashi a cikin rami na baki;
- magunguna, musamman wasu masu hana hawan jini (ACE inhibitors);
- bruxism;
- endocrine ko rashin daidaituwa na hormonal kamar ciwon sukari, hypothyroidism, menopause;
- Haushin baki saboda halaye marasa daidaituwa kamar yawan goge harshe, yawan amfani da wankin baki, cin zarafi da abubuwan maye.
Idan ba zai yiwu a kafa takamaiman kwayoyin halitta da/ko sanadin tsari ba, jiyya alama ce kuma ya ƙunshi takardar sayan magungunan da aka yi niyya don rage ciwo mai tsanani (misali, amitriptyline, carbamazepine , clonazepam y trazodone ) kuma mai yiwuwa na tunanin mutum don siffofi akan tushen psychosomatic.
Don rage rashin jin daɗi da ke tattare da ciwon bakin kona An nuna su sha akai-akai sips na ruwa, kiyaye maƙarƙashiya mai laushi kuma ku guje wa haushi (kamar yadda comidas yaji ko zafi sosai, bakin rinses barasa, lemun tsami y abubuwan sha na carbon).
Abubuwan haɗari
Yawancin lokaci, nau'i na farko yana farawa da tsari maras wata-wata , ba tare da haifar da abubuwa ba, ko da yake masu bincike sun nuna wasu abubuwan da za su iya ƙara haɗarin haɓaka ciwon daji:
- zama "supertaster", wato, batutuwa masu a kwayoyin halittar jini don gane ƙarin dandano saboda yawan abubuwan dandano a ciki harshe;
- cututtuka na numfashi na sama;
- hanyoyin hakora na baya;
- magunguna;
- abubuwan da suka faru na rayuwa masu rauni;
- damuwa;
- kwayoyi.
Bayyanar cututtuka, alamun cututtuka da alamun ciwon bakin kona
Alamomin kunar bakin sun hada da:
- asarar dandano (ageusia);
- dandano yana canzawa tare da ɗanɗano na ƙarfe ko ɗanɗano mai ɗaci (dysgeusia);
- bushe baki;
- ƙãra ƙishirwa;
- ciwon baki da ke ci gaba a cikin yini;
- tingling, numbness a cikin baki ko a kan tip na harshe;
- ƙonewa a cikin harshe, gumi, lebe, ciki na kunci, palate.
Ciwon yana alamu daban-daban; zai iya zama:
- kullum, ba mai tsanani da farko ba amma yana kara muni a rana;
- ci gaba da farawa da safe kuma dagewa ba canzawa ko'ina cikin yini;
- wanda bai bi ka'ida ba wanda ke gabatar da sassan rashi gaba daya, ko da na 'yan kwanaki.
Ko da wane irin nau'in bayyanar cututtuka, alamun suna da yawa na tsawon shekaru kafin a gano ainihin ganewar asali kuma a fara maganin da ya dace.
Binciken dakin gwaje-gwaje: Hanyoyin Ganewar cututtuka na Pathology
Babu gwaje-gwaje don sanin ko mutum yana da wannan ciwo ko kuma abin da ke haifar da ciwo a baki. Matsayin likita da likitan hakora shine ware cututtukan cututtukan da ke da alhakin cututtukan na biyu. da pruebas yi su ne:
- cikakken tsarin sinadarai na yau da kullun na jini, gami da aikin thyroid, adadin abubuwan abinci mai gina jiki, da aikin rigakafi;
- nazarin al'ada na rami na baka, neman kamuwa da kwayar cuta, kwayoyin cuta da fungal;
- gwajin rashin lafiyar jiki idan akwai tarihin bayyanar da allergens;
- ma'aunin salivation don bincika raguwar kwararar miya;
- aikace-aikacen kima na tunani na gwaje-gwajen damuwa, damuwa, sauran cututtukan tunani;
idan aka nuna,
- pH-metry (ko impedance) don tattara duk wani lamari na reflux gastroesophageal.
Hotunan radiyo na endoscopic
Idan ya cancanta, ana amfani da duban dan tayi, na'urar daukar hoto, MRI.
kona baki far
Babu wata hanya mai aminci don magance ciwo kuma tabbataccen shaida akan hanyoyin da aka fi amfani da su sun rasa. Tun da zaɓin magani ya dogara da alamu da alamun cututtuka, da kuma kasancewar duk wani yanayi mai tasowa, yana da mahimmanci don gano ainihin abin da ya faru, idan akwai. Idan ba a gano dalilin ba, maganin yana da tasiri.
Gabaɗaya matakan tsabtace abinci
A guji taba, abinci tare da mint ko kirfa, abinci mai yaji, abinci mai ɗanɗano irin su tumatir, lemu, kofi, bambancin man goge baki, rage yawan damuwa.
Magungunan zabi a cikin ciwon bakin kona
Zaɓuɓɓukan magani sune:
- Clonazepam wani maganin antiepileptic.
- Alpha lipoic acid, mai karfi antioxidant samar ta halitta ta jiki.
- Antifungals ga candidiasis.
- Kusanci kamar SSRIs;
- Topiramate, wanda ke aiki a matakai daban-daban na watsawar neuronal, toshe sodium da tashoshi na calcium, ƙara yawan taro na GABA da rage aikin postsynaptic glutamate.
- Mai rikitarwa bitamin B (ko da yake a gaskiya rashi na bitamin na gaskiya marasa lafiya ne kawai marasa lafiya).
- Maganin halayyar fahimta.
- Capsaicin na tushen samfurori.
Matsalolin Ciwon Baki
Suna iya zama sanadin ko kuma suna da alaƙa da ciwon:
- rashin barci;
- rashin jin daɗi;
- bakin ciki;
- damuwa;
- rashin jin daɗi;
- rage zamantakewa.