Burning mouth syndrome libhekene ukusha okungapheli kanye nobuhlungu emlonyeni. Ubuhlungu obungathinta ulimi, izinsini, izindebe, ingaphakathi lezihlathi, ulwanga noma budlulele kuwo wonke umgodi womlomo.
Ubuhlungu bungaba bukhulu, njengokungathi kuvutha umlomo. Nokho, ngokuvamile imbangela izimpawu, okwenza ukwelapha kube nzima kakhulu.
Kuyini ukuvutha komlomo syndrome?
El ukuvutha komlomo syndrome Kuyisifo esibonakala ngokushiswa komlomo okuvamile, lapho kungekho izilonda ezisobala zendawo noma izinguquko ze-systemic pathological.
Izehlakalo zalesi sifo ziphezulu kusukela eminyakeni engu-50 nakwabesifazane.
Izimbangela zalesi sifo azikacaci, kodwa ezinye izifo ze-neuropathological zisanda kutholakala ezingase zibeke phambili ekubonakalisweni kwesifo. Lezi zihlanganisa ukuwohloka kwe imicu ye-trigeminal ama-buccal peripherals, ukushintshwa kwezindlela zokuzwa zokunambitha kanye nokulahlekelwa kwezindlela ezimaphakathi zokuvimbela ekulawuleni ukunambitha. ubuhlungu.
I-Burning mouth syndrome ivame ukubonakala ngokuhambisana nayo ukuphazamiseka kwengqondo, umsebenzi okhubazekile we izindlala zamathe (nezinguquko zekhwalithi nenani lamathe) kanye nezinguquko ku- isimo se-estrogenic (njengoba kwenzeka ku isikhathi se-postmenopausal).
i-epidemiology
I-syndrome ithinta u-3% wabantu (cishe izigidi ezingu-1,5 e-Italy), ikakhulukazi abesifazane, futhi iqala ngo sekwephuzile phakathi kweminyaka eyi-50 neyi-70.
Izimbangela zokuvutha komlomo
Endabeni ye-syndrome eyinhloko, izimpawu zibonakala zihlobene ngezinzwa nezinzwa zokunambitha (isisekelo se-neuropathic esingenzeka se-syndrome yomlomo ovuthayo, ene-excitability eguquliwe endleleni ye-nociceptive ye-trigeminal ezingeni le-central kanye / noma i-peripheral nervous system).
Ngakolunye uhlangothi, ku-syndrome yesibili, izimpawu zixhunyaniswa neyodwa noma ngaphezulu ye-pathologies ebhekene ne-syndrome:
- lephira ngezidakamizwa noma izifo ezifana s. ngu-Sjögren;
- mycoses ngomlomo;
- i-lichen planus yomlomo womlomo;
- ulimi lwendawo;
- izici ezingokwengqondo ezifana nokukhathazeka, ukucindezeleka, i-pathophobia;
- ukuntuleka komsoco i-zinc, insimbi, i-folate, i-thiamine, i-riboflavin, i-pyridoxine, ukuntula kwe-cobalamin;
- ama-prostheses wamazinyo wokungezwani kwemisipha nezicubu zomlomo kanye nokucasuka ngenxa yanoma yikuphi ukungahambisani nezinto;
- ukulimala kwemizwa yezinzwa ezihlobene nokunambitha kolimi nokulawula ubuhlungu, ukungezwani komzimba noma ukusabela kokudla, ukunambitheka, izithasiselo;
- i-reflux ye-gastroesophageal ne-asidi yesisu ekhuphukela emgodini womlomo;
- imithi, ikakhulukazi amanye ama-antihypertensives (ACE inhibitors);
- i-bruxism;
- ukungalingani kwe-endocrine noma kwe-hormonal njengesifo sikashukela, i-hypothyroidism, ukuya esikhathini;
- ukucasuka ngomlomo ngenxa yemikhuba engahlangani njengokuxubha ulimi ngokweqile, ukusebenzisa kakhulu iziwasha zomlomo, ukusebenzisa kabi iziphuzo ezine-asidi notshwala
Uma kungenakwenzeka ukusungula imbangela ethile yendawo kanye/noma yesistimu, Ukwelashwa kunezimpawu futhi iqukethe ukunikezwa kwezidakamizwa okuhloswe ngazo ukunciphisa ubuhlungu obungapheli (isibonelo, i-amitriptilina, i-carbamazepine , clonazame y i-trazodone ) futhi ngokunokwenzeka ezengqondo zamafomu ngesisekelo se-psychosomatic.
Ukunciphisa ukungakhululeki okuhambisana nesifo somlomo esivuthayo Kubonisiwe ukuphuza njalo phuza amanzi, gcina ulwelwesi lwamafinyila lumanzi futhi ugweme okucasulayo (njenge ukudla okubabayo noma kushisa kakhulu, imilomo yomlomo utshwala, ijusi kalamula y iziphuzo ezinekhabhoni).
Izici zobungozi
Ngokuvamile, ifomu lokuqala liqala ngefomu okuzenzekelayo , ngaphandle kokubangela izici, nakuba abacwaningi beqokomisa izici ezithile ezingase zandise ingozi yokuthuthukisa isifo:
- abe "i-supertaster", okungukuthi, izifundo ezine- isakhi sofuzo ukubona ama-flavour amaningi ngenxa yenani elikhulu lama-taste buds ulimi;
- izifo eziphezulu zokuphefumula;
- izinqubo zamazinyo zangaphambilini;
- imithi;
- izenzakalo zokuphila ezibuhlungu;
- ukucindezeleka;
- izidakamizwa.
Ukubonakaliswa komtholampilo, izimpawu kanye nezimpawu ze-syndrome yomlomo ovuthayo
Izimpawu zokusha komlomo zihlanganisa:
- ukulahlekelwa ukunambitheka (ageusia);
- ukunambitheka kuyashintsha ngokunambitheka kwensimbi noma okubabayo (dysgeusia);
- umlomo owomile;
- ukwanda kokoma;
- ubuhlungu bomlomo obuqhubeka usuku lonke;
- ukushoshozela, ukuba ndikindiki emlonyeni noma esihlokweni solimi;
- ukushisa ngolimi, izinsini, izindebe, ngaphakathi ezihlathini, ulwanga.
Ubuhlungu unayo amaphethini ahlukene; kungaba:
- nsuku zonke, hhayi kakhulu ekuqaleni kodwa kuba kubi kakhulu phakathi nosuku;
- ukuqala okuqhubekayo ekuseni nokuphikelela kungashintshi usuku lonke;
- okungajwayelekile okuveza izigaba zokungabikho ngokuphelele, ngisho nezinsuku ezimbalwa.
Kungakhathaliseki ukuthi ziyini iphethini yezimpawu, izimpawu zivame ukuhlala iminyaka ngaphambi kokuba kutholakale ukuxilongwa okufanele futhi kuqalwe ukwelashwa okufanele.
Uphenyo Lwelabhorethri: Izinqubo Zokuxilongwa Kwe-Pathology
Azikho izivivinyo zokunquma ukuthi umuntu unaso yini lesi sifo noma ukuthi yini ebangela ubuhlungu emlonyeni. Indima kadokotela kanye nodokotela wamazinyo ukukhipha ama-pathologies abhekene ne-syndrome yesibili. I-Las ubufakazi okumele ukwenze:
- umjikelezo ophelele wamakhemikhali egazi, okuhlanganisa ukusebenza kwe-thyroid, umthamo wesici somsoco, nokusebenza komzimba;
- ukuhlolwa kwesiko lomgodi womlomo, ukufuna izifo ezibangelwa amagciwane, amagciwane kanye nefungal;
- ukuhlolwa kwe-allergies esimweni somlando wokuchayeka ezinto ezingezwani nomzimba;
- ukulinganisa ukugeleza kwamathe ukuhlola ukugeleza kwamathe okuncishisiwe;
- ukusetshenziswa kokuhlolwa kwengqondo kokuhlolwa kokukhathazeka, ukucindezeleka, amanye ama-pathologies engqondo;
uma kubonisiwe,
- i-pH-metry (noma i-impedance) ukuze ibhale noma yisiphi isiqephu se-reflux ye-gastroesophageal.
izithombe ze-radiology endoscopic
Uma kunesidingo, kusetshenziswa i-ultrasound, i-computed tomography, i-MRI.
ukwelashwa komlomo ovuthayo
Ayikho indlela ephephile yokwelapha i-syndrome futhi ubufakazi obuqinile ezindleleni ezisetshenziswa kakhulu abukho. Njengoba ukukhethwa kokwelashwa kuncike kuzo zombili izimpawu nezimpawu, kanye nokuba khona kwanoma yiziphi izimo ezivusa amadlingozi, kubalulekile ukukhomba isiqalo esiqondile, uma sikhona. Uma imbangela ingabonwa, ukwelashwa kungokomzimba.
Izinyathelo ezijwayelekile zokuhlanzeka kokudla
Gwema ugwayi, ukudla okuneminti noma isinamoni, ukudla okubabayo kakhulu, ukudla okune-asidi okufana notamatisi, amawolintshi, ikhofi, imithi yokuxubha amazinyo ehlukahlukene, kunciphisa ukucindezeleka ngokweqile.
Izidakamizwa zokuzikhethela ku-syndrome yomlomo ovuthayo
Izinketho zomuthi yilezi:
- I-Clonazepam isidakamizwa se-antiepileptic.
- I-Alpha lipoic acid, i-antioxidant enamandla ekhiqizwa ngokwemvelo ngumzimba.
- I-Antifungal ye-candidiasis.
- Abacindezeli njengama-SSRIs;
- I-Topiramate, esebenza emazingeni ahlukene okudluliswa kwe-neuronal, ivimbela iziteshi ze-sodium ne-calcium, ikhulise ukugxila kwe-GABA futhi inciphise umsebenzi we-postsynaptic glutamate.
- Izakhiwo Amavithamini B (nakuba empeleni ukushoda kwamavithamini kwangempela kuyiziguli ezine-malabsorptive kuphela).
- Ukwelashwa kokuziphatha kwengqondo.
- Imikhiqizo esekwe kuCapsaicin.
Izinkinga Zokuvutha Komlomo
Kungaba yizimbangela noma zihlobane nobuhlungu:
- ukuphazamiseka kokulala;
- ukucasuka;
- ukucindezeleka;
- ukukhathazeka;
- ukuphazamiseka kokuzwa;
- ukunciphisa ukuhlalisana kwabantu.