Waha ʻauwaha
ʻO Trench waha kahi maʻi e hiki ai i ka pehu (mumū) a me nā ulcer i nā gums (gingivae). ʻO ka hua ʻōlelo ʻauwaha ma muli o ke Kaua Honua Honua, i ka manawa maʻamau kēia maʻi ma waena o nā koa "i nā ʻauwaha."
He auwaha ke ʻano o ka waha auwaha o ka huʻi ʻana o ka gum (gingivitis). Loaʻa ka waha i ke kaulike o nā bacteria ʻokoʻa. Kū ka waha auwaha ke nui nā maʻi bacteria pathologic. Lilo ka maʻi ʻaʻai a ulu i nā maʻi maʻi ʻeha. Pili paha nā virus i ka ʻae ʻana i ka bacteria e ulu nui.
ʻO nā mea e hoʻonui ai i kāu makaʻu o ka ʻauwaha waha e komo pū me:
- Kaumaha koʻikoʻi (e like me ke aʻo ʻana no nā hoʻokolohua)
- Hema ka waha maikaʻi ʻole
- ʻAnoʻai maikaʻi ʻole
- Puhipaka
- ʻŌnaehana pale nawaliwali
- Pākuʻi ka niho, niho, a waha paha
ʻAkaʻi ka waha ʻauwaha. Ke hiki mai ia, pili pinepine ia i ka poʻe 15 a 35 mau makahiki.
Hoʻomaka e hoʻomaka koke nā ʻōuli o ka ʻauwaha. Pākuʻi ʻia lākou:
- Hanu ʻino
- ʻO nā ulcer like Crater ma waena o nā niho
- Fiva
- ʻOno maikaʻi ʻole i ka waha
- ʻIke ʻulaʻula a pehu
- ʻO ke kiʻi ʻoniʻoni hina ma nā gums
- Pepeiao ʻeha
- Kahe nui ʻana o ka gum i ka pane ʻana i nā kaomi a hoʻonāukiuki paha
E nānā ka mea mālama ola i kou waha no nā hōʻailona o ka ʻauwaha waha, e like me:
- ʻO nā ulcer like Crater i hoʻopiha ʻia me ka plake a me nā ʻōpala meaʻai
- Ka luku ʻia ʻana o nā kiko o ka gum ma nā niho
- ʻĀpala hamo
Aia paha he kiʻi ʻoniʻoni hina e ka nāhelehele gum i wāwahi ʻia. I kekahi mau hihia, he kuni paha a pehu nā lymph node o ke poʻo a me ka ʻāʻī.
Hiki ke lawe ʻia nā kukuna niho a i ʻole nā kukuna o ka maka e hoʻoholo ai i ka nui o ka maʻi a me ka nui o nā mea i luku ʻia.
Hiki ke hoʻāʻo ʻia kēia maʻi ma o ka hoʻohana ʻana i ka moʻomeheu swab culture.
ʻO nā pahuhopu o ka mālama ʻana e hōʻola i ka maʻi a hōʻoluʻolu i nā ʻōuli. Hiki i kāu kauka olakino ke kuhikuhi i nā lāʻau antibiotic inā he kuni kou.
Pono ka hoʻomaʻemaʻe o ka waha maikaʻi i ka mālama ʻana i ka waha auwaha. Palaki a palu pono i kou mau niho ma ka liʻiliʻi ʻelua mau manawa i ka lā, a ma hope paha o kēlā me kēia pāʻina a me ka wā moe, inā hiki.
Holoi ka wai paʻakai (hoʻokahi hapalua teaspoon a i ʻole 3 gram o ka paʻakai i 1 kīʻaha a i ʻole 240 milliliter o ka wai) e hōʻoluʻolu i nā gums ʻeha. Hoʻohana pinepine ʻia ka hydrogen peroxide e holoi i nā gums, e hemo pinepine i kaʻiʻo make a make paha. Kōkua ka holoi ʻana ʻo Chlorhexidine i ka mumū gum.
Hiki i nā mea hōʻemi hōʻeha over-the-counter ke hōʻemi i kou hōʻoluʻolu. Hiki i nā holoi ʻoluʻolu a i ʻole nā mea pale ke hoʻoliʻiliʻi i ka ʻeha, keu hoʻi ma mua o ka ʻai ʻana Hiki paha iā ʻoe ke noi i ka lidocaine i kāu gums no ka ʻehaʻeha loa.
Nonoi ʻia ʻoe e kipa aku i kahi kauka niho a hoʻomaʻemaʻe niho paha e hoʻomaʻemaʻe ʻia ai kou mau niho a e hemo ai ka pālule, i ka manawa e ʻoluʻolu ʻole ai kāu mau ʻiʻo. Pono paha ʻoe e kolo no ka hoʻomaʻemaʻe. Pono ʻoe i ka hoʻomaʻemaʻe niho pinepine a me nā loiloi a pau ka maʻi.
I mea e pale ai i ke ʻano o ka hoʻi ʻana mai, hāʻawi paha kāu mea hāʻawi iā ʻoe i nā ʻōkuhi pehea e:
- Mālama i ke olakino olakino maikaʻi, me kaʻai pono a me ka hoʻoikaika kino
- Mālama i ka hoʻomaʻemaʻe waha maikaʻi
- E hōʻemi i ke koʻikoʻi
- Uoki ka puhipaka
Pale i nā mea hoʻonāukiuki e like me ka puhipaka a me nā meaʻai wela a me nā mea ʻono.
Pane pinepine ka maʻi i ka lāʻau. Hiki ke hōʻeha loa ka maʻi a hiki ke mālama ʻia. Inā mālama ʻole ʻia ka waha auwaha, hiki i ka maʻi ke pāhola i nā pāpālina, nā lehelehe, a me ka iwi ā. Hiki iā ia ke luku i kēia mauʻaʻaʻa.
ʻO nā pilikia o ka auwaha waha:
- Make wai
- Kaumaha emi
- Lilo o nā niho
- ʻEha
- Gum maʻiʻaʻai (periodontitis)
- Ka hoʻolaha ʻana o ka maʻi
Kāhea aku i kahi kauka niho inā loaʻa iā ʻoe nā ʻōuli o ka waha auwaha, a i ʻole inā e ulu ka fiva a i ʻole nā hōʻailona hou aʻe.
Pākuʻi ʻia nā ana Preventive:
- ʻO ke olakino laulā maikaʻi
- ʻAiʻai maikaʻi
- ʻO ka hoʻomaʻemaʻe waha maikaʻi, e like me ka palaki ʻana o ka niho a me ka flossing
- Ke aʻo ʻana i nā ala e kū ai i ke koʻikoʻi
- ʻO ka hoʻomaʻemaʻe kahua niho ʻoihana maʻamau a me nā hōʻike
- Kaohi ʻana i ka paka
ʻO ka maʻi o Vincent; Huehue necrotizing ulcerative gingivitis (ANUG); Maʻi ʻo Vincent
- Anatomy kahua niho
- Anatomy waha
ʻO Chow AW. Nā maʻi o ka waha waha, ka ʻāʻī, a me ke poʻo. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 64.
Hupp WS. Nā maʻi o ka waha. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 1000-1005.
James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. Nā maʻi o nā membrane mucous. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 34.
Martin B, Baumhardt H, DʻAlesio A, Woods K. Nā maʻi waha. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 21.