Loet mieng

Tags: co tac dung, tai phat, dieu tri, vet loet, co khi, co the, an uong, mieng, thuoc, lam, thuong, dang


Viem loet vung niem mac mieng (nhiet mieng) rat hay gap o nhieu nguoi, dac biet o phu nu va tre em. Benh tuong chung nhu nhe va vo hai nhung nhieu khi keo dai, hay tai phat khien viec dieu tri tro nen phuc tap, gay dau rat mieng, an uong khong ngon, tham chi gay mat ngu, roi loan tieu hoa.

Tim hieu nguyen nhan va lua chon cac giai phap dieu tri

Viem loet vung niem mac mieng (nhiet mieng) rat hay gap o nhieu nguoi, dac biet o phu nu va tre em. Benh tuong chung nhu nhe va vo hai nhung nhieu khi keo dai, hay tai phat khien viec dieu tri tro nen phuc tap, gay dau rat mieng, an uong khong ngon, tham chi gay mat ngu, roi loan tieu hoa.

Nhung tre bi benh nay hay quay khoc, luoi an dan den suy dinh duong. Thong thuong benh keo dai 1-2 tuan moi khoi va co the tai phat theo chu ky o nhieu nguoi tao benh viem loet man tinh.

Nguyen nhan:

Thay doi cac yeu to thuan loi: uong khang sinh dai ngay, ruou bia, ca phe, hut thuoc la... lam mat can bang vi sinh lam cho niem mac mieng rat de bi ton thuong. Trieu chung co khi nang lam vet loet sung do, co mu, nong rat, dau nhuc, mieng kho, hoi.

Ton thuong co hoc: rang can, co sat do danh rang, kich thich..., sang thuong co khi rat lon, co tam mau vang, thuong o mat trong ma. Hinh anh co dau rang tac dong vao, day sau co khi lien quan den dinh nhon mui rang.

Vi khuan, virus, stress, can thang, suy giam mien dich... Loet trong mieng do sang chan, loet dang doi leo o mieng. Cac bac si chuyen khoa thuong nhac den mot dang loet mieng rat ua gap la Ap-to (aphtous ulcer), benh nay thuong tai phat va co khi duoc nhieu nguoi goi voi nhung ten goi khac nhau nhu viem mieng dang loet (ulcerative stomatitis) hay loet ap-to tai phat (recurrent aphtousulcer). Cac sang thuong nay xuat hien nhieu o moi, ma, san mieng, luoi, khau cai mem va co khi o ca tru amyldale, xuat hien lan dau khi o tre em, thuong o tuoi 10-20, roi thuong xuyen hon va nang them o nhung lan sau.

Dieu tri:

Thuong la giai quyet trieu chung tai cho, neu co sang chan hay benh ly di kem nhu nhiem trung, virus, cang thang tam ly, sau uong thuoc... can loai tru nhung nguyen nhan thu phat va yeu to gay benh.

Bac si chuyen khoa co khi cho Corticoid uong lieu thap, ngan ngay voi muc dich giam dau, khang viem va giam yeu to mien dich gay benh tram trong, tuy nhien viec tai phat va loet keo dai lam cho tan suat su dung Corticoid tang len, cong voi tinh trang an uong kem di, co the gay ra cac tac dung phu cua Corticoid. Can nhac dieu tri bang Corticoid lieu thap dang uong chi khi nao loet qua nhieu va nghi ngo do ap-to tai phat co lien quan den co che mien dich.

Giai phap cho nguoi benh loet mieng:

Ve sinh rang mieng ky luong, lam sach nhe nhang, lay di cac yeu to tai cho, viem nhiem, han che nhiem trung, giu vung sang thuong sach khong bam vun thuc an.

Lam sach mieng that nhe bang mot ban chai mem, voi oxy gia nhe (1-1/2%) hay nuoc muoi am pha loang co ban san hay pha che ½ muong ca phe muoi vao mot ly nuoc am khoang 150-200ml. Khong nen dung cac chat ngam sat khuan mieng co nong do cao vi co the gay dau rat va sang thuong cang nang them. Tranh an cay, nong, nhieu gia vi, se lam vet loet nang them.

Khong chai rang voi kem chua sodium lauryl sulfate, hat het cac kem danh rang co chua chat tao bot, cac nghien cuu cho thay cac chat nay lam loet tram trong them.

Bo sung cac thuoc, thuc an co chua sat, acid folic, vitamin B12 va mot so vitamin nhom B khac, co the giup lanh loet. Khang sinh uong co the can neu co nhiem trung thu phat.

Thuoc boi:

Co kha nhieu thuoc boi ban tai pharmacy (OTC), dang gel, kem, co the co thuoc te tai cho nhu benzocaine, lidocaine, benzoin tincture, camphor, boi truc tiep len vet loet. Muc dich cac thuoc dang “gay te tai cho” nay la lam giam dau, giup an uong de dang hon, tuy nhien cung can luu y ve viec chinh nguoi benh lai can phai, hay lam ton thuong nhieu hon nua vet loet, vi khong co cam giac dau tai cho loet nua. Hon nua, thuoc te nay co khi lam han che mau nuoi vet thuong va lau lanh hon. Vi the dang gel “gay te tai cho” nay chi nen khuyen dung khi loet gay dau va kho khan khi an uong, muc tieu dieu tri hau nhu khong ro rang. Mot so thuoc boi dang paste (kem), co muc dich bao phu be mat vet loet, che chan vet loet bi kich thich do thuc pham tac dong den, lam loet giam di.

Mot so thuoc khac chua choline salicylate, lam giam dau khang viem, chat khang khuan nhu sulfat dong, iodine co tac dung lay di vun thuc an, mang bam canh vet loet, giup nhanh lanh thuong nhu carbamide peroxide, oxy gia muoi sodium perborate monohydrate.

Khang viem dang kem (triamcinolone acetonide - ORREPASTE):

Co tac dung tot khang viem, giam loet, han che sang thuong lan rong. Tai cac nha thuoc, hien dang co dang kem boi nay co tac dung rat tot la Orrepaste:

Khang viem, giam dau, bam dinh tot, tao mot lop bao phu tren be mat.

Kem khong bi troi di trong moi truong mieng ma van co tac dung giam loet, hieu qua tri lieu tot, dac biet voi cac vet loet nghi ngo do ap-to, nguyen nhan do thay doi yeu to mien dich.

Do min cao, huong bac ha, khong gay kich ung.

Nhu vay, loet mieng du don gian nhung cung co khi gay ra nhieu van de hay dau nhuc, kho chiu va ua tai phat. Nguoi benh co nhieu chon lua dieu tri, nhieu thuoc uong, boi, giam trieu chung nguyen nhan, tang de khang, ve sinh tai cho... Co the tu mua thuoc uong nhung cung can phai den bac si chuyen khoa neu sang thuong loet nang, gay bien chung dau nhuc, tai phat nhieu lan hay viem loet khong giam. Dieu nay rat can thiet cho viec cham soc suc khoe rang mieng va toan than noi chung.

Orrepaste, kem boi dieu tri loet mieng thuong duoc ban o cac nha thuoc.

BS. Nguyen Thanh Danh (Chuyen Khoa Rang Ham Mat)

Viet Bao

Tìm hiểu: co tac dung, tai phat, dieu tri, vet loet, co khi, co the, an uong, mieng, thuoc, lam, thuong, dang

Xem Bản Tiếng Việt Có Dấu: Loét miệng

Ban co the doc ban tieng Viet co dau cua bai viet Loét miệng bang cach nhan chuot vao duong dan tren.

Lien he ve tin Loet mieng

Nhan xet, hay lien he ve tin Loet mieng co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Loet mieng de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Tin suc khoe
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