Kupisa muromo syndrome kunoratidzwa ne kusingaperi kupisa uye kurwadziwa mumuromo. Marwadzo anogona kukanganisa rurimi, matinji, miromo, mukati mematama, mukanwa kana kuwedzera kumuromo wese wemukanwa.
Marwadzo anogona kunge akanyanya, sekunge ari kupisa muromo. Zvisinei, kazhinji chikonzero cheizvi zviratidzo, izvo zvinoita kuti kurapa kuome zvikuru.
Chii chinonzi burning mouth syndrome?
El kutsva kwemuromo syndrome Chirwere chinoratidzwa nekupisa kwemuromo kwakajairwa, pasina maronda ari pachena emunharaunda kana systemic pathological shanduko.
Chiitiko chechirwere chacho chakakwirira kubva pamakore makumi mashanu uye muvakadzi.
Zvikonzero zvechirwere hazvisati zvanyatsojeka, asi zvimwe zvirwere zveuropathological zvakaonekwa munguva pfupi yapfuura izvo zvinogona kutungamirira kuratidzwa kwechirwere. Izvi zvinosanganisira kuora kwe trigeminal fibers oral peripherals, kuchinjwa kwemaitiro ekunzwisisa kwekuravira uye kurasikirwa kwepakati inhibitory michina pakutonga kuravira. kurwadziwa.
Kupisa muromo syndrome kunowanzoonekwa mukubatana ne psychosomatic disorders, kusashanda zvakanaka kwe salivary glands (nehunhu uye huwandu shanduko mumate) uye shanduko mu estrogenic state (sezvinoitika mu nguva ye postmenopausal).
epidemiology
Chirwere ichi chinokanganisa 3% yehuwandu (vanenge 1,5 miriyoni muItaly), kunyanya vakadzi, uye inotanga pa kunonoka kukura pakati pemakore 50 ne70.
Zvikonzero zvekupisa muromo
Panyaya yechirwere chepakutanga, zviratidzo zvinoratidzika kuva zvakabatana ine tsinga dzekunzwa uye kuravira (zvinogoneka neuropathic hwaro hwekutsva kwemuromo syndrome, ine kuchinjika kufara munzira yetrigeminal nociceptive padanho repakati uye / kana peripheral nervous system).
Mune yechipiri syndrome, kune rumwe rutivi, zviratidzo zvinobatanidzwa kune imwe kana akawanda epathologies anokonzera chirwere:
- airwave nemishonga kana pathologies akadai s. by Sjögren;
- oral mycoses;
- lichen planus yemuromo wemuromo;
- rurimi rwenzvimbo;
- zvikonzero zvepfungwa zvakadai sekuzvidya mwoyo, kuora mwoyo, pathophobia;
- kushaya zvokudya zvinovaka muviri zinc, iron, folate, thiamine, riboflavin, pyridoxine, kushomeka kwecobalamin;
- mazino prostheses nokuda kwekukakavadzana kwemhasuru uye matishu emumuromo uye nekutsamwisa nekuda kwekusawirirana chero kwezvinhu;
- kukuvara kwetsinga dzetsinga dzine chekuita nekuravira kwerurimi uye kudzora marwadzo, allergies kana maitiro kune zvekudya, zvinonaka, zvinowedzera;
- gastroesophageal reflux negastric acid inokwira mumuromo wemuromo;
- mishonga, kunyanya mamwe antihypertensives (ACE inhibitors);
- bruxism;
- endocrine kana kusaenzana kwehomoni senge chirwere cheshuga, hypothyroidism, kuenda kumwedzi;
- kushatirwa nemuromo nekuda kwetsika dzisiri dzechokwadi sekukwesha rurimi zvakanyanyisa, kushandisa zvinogezesa muromo zvakanyanya, kushandisa zvinwiwa zvine acid uye zvinodhaka.
Kana zvisingaite kumisikidza chaiyo yemuno organic uye / kana systemic chikonzero, kurapwa kune zviratidzo uye ine chirevo chemishonga inotarisirwa kuderedza marwadzo asingagumi (semuenzaniso, amitriptyline, carbamazepine , clonazepam y trazodone ) uye zvichida zvepfungwa zvemafomu pane psychosomatic.
Kuderedza kusagadzikana kunobatanidza nekupisa muromo syndrome Inoratidzwa kunwa kazhinji sips yemvura, chengetedza mucous membranes yakanyorova uye dzivisa zvinogumbura (sa kudya zvinonhuwira kana kupisa zvakanyanya, kushambidza muromo nedoro, ndimu muto y zvinwiwa zvine kabhoni).
Zvinhu zvine njodzi
Kazhinji, fomu rekutanga rinotanga nefomu pakarepo , pasina zvikonzero zvinokonzeresa, kunyangwe vaongorori vachisimbisa zvimwe zvinhu zvinogona kuwedzera njodzi yekuvandudza chirwere ichi:
- kuva “mukurumbira”, kureva kuti, zvidzidzo zvine a maitiro ekugara kuona zvimwe zvinonaka nekuda kwehuwandu hukuru hwekuravira buds mukati mutauro;
- chepamusoro kufema turakiti zvirwere;
- yapfuura mazino maitiro;
- mishonga;
- zviitiko zvehupenyu zvinoshungurudza;
- stress;
- zvinodhaka.
Clinical kuratidzwa, zviratidzo uye zviratidzo zvekupisa muromo syndrome
Zviratidzo zvekupisa muromo zvinosanganisira:
- kurasikirwa kwekuravira (ageusia);
- kuravira kunoshanduka nesimbi kana inovava kuravira (dysgeusia);
- muromo wakaoma;
- kuwedzera nyota;
- kurwadziwa kwemuromo kunowedzera zuva rose;
- kurira, chiveve mumuromo kana pamuromo werurimi;
- kupisa rurimi, matinji, miromo, mukati mematama, mukanwa.
Kurwadziwa kwacho has maitiro akasiyana; zvinogona kuva:
- zuva nezuva, kwete zvakanyanya pakutanga asi kuwedzera zvakanyanya mukati mezuva;
- kuenderera mberi kutanga mangwanani uye kuramba usingachinji zuva rose;
- zvisina kujairika zvinopa zvikamu zvekusavapo zvachose, kunyangwe kwemazuva mashoma.
Pasinei nokuti zviratidzo zvacho zvingava zvakaita sei, zviratidzo zvacho zvinowanzogara kwemakore kusati kwanyatsozivikanwa chirwere chacho uye kurapwa kwakakodzera kwatangwa.
Laboratory Investigations: Pathology Diagnostic Procedus
Hapana ongororo yekuona kuti munhu ane chirwere ichi here kana kuti chii chinokonzera kurwadziwa mukanwa. Basa rechiremba uye chiremba wemazino nderokubvisa pathologies inokonzera yechipiri syndrome. ari umboo zvekuita ndezvi:
- kukwana kwekemikari yeropa, kusanganisira thyroid basa, kudya kunovaka muviri, uye immune function;
- tsika yekuongorora mhango yemuromo, kutsvaga hutachiona, bhakitiriya uye fungal zvirwere;
- kuongororwa kwe allergy kana nhoroondo yekusangana kune allergens;
- salivation measurement kutarisa kuti mate akadzikira;
- psychological evaluation application yebvunzo dzekushushikana, kushushikana, mamwe epfungwa pathologies;
kana zvaratidzwa,
- pH-metry (kana impedance) kunyora chero chikamu chegastroesophageal reflux.
endoscopic radiology mifananidzo
Kana zvichidikanwa, ultrasound, computed tomography, MRI inoshandiswa.
kupisa muromo kurapwa
Iko hakuna nzira yakachengeteka yekurapa chirwere uye humbowo hwakasimba panzira dzinowanzo shandiswa husipo. Sezvo kusarudzwa kwerapi kunoenderana nezviratidzo uye zviratidzo, pamwe nekuvapo kwemamiriro ezvinhu anokonzera, zvakakosha kuziva chikonzero chaicho, kana chiripo. Kana chikonzero chacho chikasazivikanwa, kurapwa kwacho kune simba.
General dietary hutsanana matanho
Dzivisa fodya, chikafu chine mint kana sinamoni, chikafu chine spicy, chikafu chine acid sematomatisi, maranjisi, kofi, siyana mushonga wemazino, kuderedza kushushikana kwakanyanya.
Mishonga inosarudzwa mukupisa muromo syndrome
Zvisarudzo zvemishonga ndezvi:
- Clonazepam mushonga we antiepileptic.
- Alpha lipoic acid, antioxidant ine simba inogadzirwa nemusikirwo nemuviri.
- Antifungals ye candidiasis.
- Zvinodzvinyirira kufanana neSSRIs;
- Topiramate, iyo inoshanda pamatanho akasiyana-siyana ehutachiona hwehutachiona, kuvhara sodium uye calcium channels, kuwedzera GABA kusungirirwa uye kuderedza basa re postsynaptic glutamate.
- Zvivakwa B mavitamini (kunyangwe muchokwadi kuperevedza kwevhitamini yechokwadi vanongori varwere vane malabsorptive).
- Cognitive behavior therapy.
- Capsaicin-based products.
Kusvira Muromo Syndrome Matambudziko
Zvinogona kuva zvikonzero kana kuenderana nemarwadzo:
- matambudziko ekurara;
- irritability;
- kuora mwoyo;
- kufunganya;
- kusanzwa zvakanaka;
- kuderedza kushamwaridzana.