I-Burning Mouth Syndrome

Burning mouth syndrome yisimo esiyinkimbinkimbi uma kuqhathaniswa uphawu lwaso oluyinhloko umuzwa ovuthayo. Lokhu kuzwa okunjengokushisa kungenzeka ngemva kokuphuza isiphuzo esishisayo kakhulu, isibonelo. Lesi simo sivame ukuvela ngokukhula okukhulu, nakuba kungase kube yizifo ezingelapheki kwezinye izimo. Ihlasela abaneminyaka ephakathi kanye nabadala, abesifazane yibona abathinteka kakhulu.

Iyini i-Burning Mouth Syndrome?

Isimo sezempilo esibizwa ngokuthi i-burning mouth syndrome sibonakala ngokuzwa ukushisa okuqhubekayo emlonyeni ongenayo incazelo ecacile. Ulimi, izindebe, izinsini, ulwanga, umphimbo, nezinye izifunda zomlomo ezivamile zingase zithintwe lobu buhlungu. Abantu abane-BMS syndrome ngokuvamile bathi ukusha kuba kubi kakhulu phakathi nosuku. Ungavuka ungekho ukuzwa okushisayo emlonyeni wakho, kodwa ngokuhamba kwesikhathi ngosuku, kungase kuqale ukulimaza. Ubuhlungu bungaphela uma usulele. Umjikelezo uqala futhi ngakusasa.

Izinhlobo Ezihlukene Zomlomo Ovuthayo Syndrome

I-BMS ihlukaniswe yaba izinhlobo ezimbili eziyinhloko:

• I-BMS Eyisisekelo (Idiopathic): Lolu hlobo lwenzeka uma singekho isimo sezempilo esibangela ukuvutha komlomo.
• I-BMS yesibili: Isimo sezempilo esingaphansi njenge-acid reflux siyimbangela yalokhu. Isifo somlomo ovuthayo singelapheka ezimweni eziningi.

Izimpawu Zokushiswa Komlomo

Ukuzwa ukushisa emlonyeni kuwuphawu oluyinhloko lwe-BMS. Izimpawu ezengeziwe zingase zibe:

• Umlomo omile
• Khulisa ukoma
• Ubuhlungu obushisayo, obushisayo, noma ukuluma emlonyeni.
• A ukunambitheka okubabayo noma okusansimbi
• Ukulahlekelwa ukunambitheka
• Umlomo ubundikindiki obufika budlule.
• Lezi zimpawu zingahlala njalo noma zifike zidlule, futhi zingase zibe zimbi kakhulu usuku lonke.

Izimbangela Zomlomo Ovuthayo

Burning mouth syndrome ingaba nembangela eyinhloko noma yesibili.

• I-Primary burning mouth syndrome: Ibizwa ngokuthi i-primary or idiopathic burning mouth syndrome lapho imbangela eyinhloko ingabonakali. Ngokwezifundo ezithile, izindaba zokunambitha nezinzwa ezihlobene nobuhlungu zingase zixhunywe ku-syndrome yomlomo ovuthayo.
• I-secondary burning mouth syndrome: Ngezinye izikhathi isimo sezokwelapha esicashile sibangela isifo somlomo ovuthayo. Ezimweni ezinjalo, kubizwa ngokuthi i-secondary burning mouth syndrome.
• Ukuntuleka kokudla okunomsoco: Ukuntuleka kwezakhi ezibalulekile ezifana vitamin B12insimbi, noma i-folic acid.
• I-Allergies noma ukusabela ekudleni: Ukungezwani komzimba nokudla okuthile, okunambithekayo, ezinye izithasiselo zokudla, imibala noma amakha, izinto zamazinyo, noma imikhiqizo yokuwasha umlomo.
• Izinguquko zeHormonal: Ikakhulukazi kwabesifazane be-postmenopausal.
• Ukulimala kwemizwa: Ukungasebenzi kahle kwemizwa elawula ukunambitheka nobuhlungu.
• Izimo zomlomo: Umlomo owomile noma izifo zomlomo.
• Izifo ze-Endocrine: Izifo ze-Endocrine, ezihlanganisa isifo sikashukela noma i-hypothyroidism, noma i-thyroid engasebenzi.
• Izici zengqondo: Ukucindezeleka, ukukhathazeka, nokucindezeleka.
• Kukhona nemithi ethile ebangela isifo somlomo esivuthayo.

Sifo

I-BMS inzima ukuyixilonga. Ukuqeda izifo ezingase ziveze izimpawu ezifana ne-BMS, kuhlanganise nokutheleleka ngemvubelo yomlomo, kuyisinyathelo senqubo yokuxilongwa. Inqubo ingase ihlanganise:

• Amasiko omlomo noma ama-biopsies: Ukuhlolwa komlomo ukuze kutholakale ukutheleleka, ukoma, nanoma yisiphi esinye isimo.
• Ukuhlolwa kwegazi: Ukuhlola izimo ezifana nokuntuleka kokudla okunomsoco, ukuphazamiseka kwe-yegilo, noma ngisho nesifo sikashukela.
• Ukuhlolwa kwamathe: Ukuhlola ukugeleza kwamathe nokwakheka.
• Ukuhlolwa kokungezwani komzimba nezinto: Ukuhlonza ukungezwani okungaba khona.
• I-reflux yesisu ukuhlolwa: Lokhu kuzonquma ukuthi i-asidi yesisu sakho iphinde ibuyele phezulu emlonyeni wakho isuka esiswini.
• Ukuhlolwa kwesithombe: Udokotela wakho angakunikeza i-MRI, i-CT scan, noma olunye uhlolo lokucabanga ukuze akhiphe izinkinga zempilo.
• Ukuhlola impilo yengqondo: Kungase kudingeke uphendule imibuzo ethile ukuze uthole ukuthi ucindezelekile yini, ukhathazekile, noma uhlushwa ezinye iziyaluyalu ezinjalo.

Ukwelashwa Kwe-Mouth Syndrome Evuthayo

• Ukwelapha I-Burning mouth syndrome kungaba inselele futhi ngezinye izikhathi kuhilela ukungenelela okuningi. Uma udokotela wakho ekhomba ukuthi unesimo sempilo esicashile esidala i-BMS yakho, ukwelashwa kwalesi simo sezempilo kuyadingeka ukuze kuvinjelwe ukuzwa kokusha.
• Amanye amasu abalulekile okubhekana nawo ahlanganisa:
• Imithi: Ukunciphisa ukungakhululeki nokulawula izimbangela eziwumsuka.
• Izithako zamavithamini: Ukulungisa ukushoda.
• Ukugeza umlomo nokushintsha amathe: Ukuqabula umlomo kanye nokomisa okupholile.
• Ukwelapha ngokuziphatha: Le ndlela isetshenziselwa ukufunda amakhono okubhekana nokucindezeleka nokucindezeleka.
• Ukushintsha indlela yokuphila: Ukugwema ugwayi, utshwala, nokudla okucasulayo.

Izingozi Zezingozi

Okulandelayo ezinye izici ezingase zandise ubungozi be-BMS:

• Ubulili: Bonke abantu besifazane basengozini enkulu; nokho, kuvame kakhulu kwabesifazane abangemva kokuya esikhathini.
• Ubudala: Lesi simo sivame kakhulu ezigulini ezineminyaka engaphezu kwengama-50.
• Ukushoda kokudla okunomsoco: Ukushoda kwamavithamini namaminerali athile
• Izimo Ezingamahlalakhona: Njengesifo sikashukela noma izinkinga zegilo.
• Imithi: Imithi eminingana ingase ibangele i-BMS.

Izinkinga

Nakuba i-BMS ngokwayo ingafaki ukuphila engozini, ingaholela ezinkingeni ezimbalwa, ezihlanganisa:

• Ubuhlungu obuqhubekayo obuthinta imisebenzi yansuku zonke kanye nekhwalithi yokuphila.
• Ukugwema ukudla okuthile ngenxa yobuhlungu.
• Ukwanda kwengozi ukucindezeleka, ukukhathazeka, nokuhoxa emphakathini.

Uzoyibona Nini Udokotela

Uma uba nomuzwa ovuthayo emlonyeni wakho ongadambi ngemva kwamahora ambalwa kufanele ufune usizo lwezokwelapha ikakhulukazi uma unomlomo owomile, ukunambitheka kwensimbi noma ukoma okwandile. Ukulawulwa okungcono kwezimpawu kuyafezeka uma lesi sifo sitholwa kusenesikhathi futhi selashwa ngokushesha.

Ukuvimbela I-Burning Mouth Syndrome

Okwamanje, ayikho indlela eqinisekisiwe yokugwema uphawu olwaziwa ngokuthi umlomo oshisayo. Kodwa-ke, okulandelayo yizindlela ezizokusiza unciphise ubuhlungu bakho:

• Gwema intuthu
• Thatha ukudla okuncane okushisayo noma okune-acidic
• Xubha amazinyo akho
• Thatha iziphuzo ze-carbonated kancane
• Ncipha ukucindezeleka

Isiphetho

Kungase kube lula ukwelapha nokuqeda lesi simo uma umuntu eqonda ukuthi i-Burning Mouth Syndrome imayelana nani. Uma usola ukuthi une-BMS, kufanele uthintane nochwepheshe ukuze uthole ukuxilongwa okuningiliziwe kwesimo kanye nohlelo lomuntu siqu lomsebenzi. 

Imibuzo Evame Ukubuzwa

Q1. Ingabe ukushisa komlomo we-syndrome kuyisimo esibucayi?

Izimpendulo. I-Burning Mouth Syndrome ayifaki ukuphila engozini, kodwa ingabangela ukungakhululeki okukhulu, kuthinte izinga lempilo. Kungase kuholele ebuhlungwini obungapheli, ubunzima bokudla, kanye nezinkinga ezingokwengqondo, okudinga ukuxilongwa okufanele nokuphathwa ukuze kukhululeke ngokushesha isifo somlomo esivuthayo kanye nenhlalakahle ethuthukisiwe.

Q2. Yikuphi ukuntula kwamavithamini okubangela ukuvutha komlomo syndrome?

Izimpendulo. Amaminerali ahlanganisa i-iron ne-zinc, kanye namavithamini B1, B2, B6, B12, ne-folic acid, angakwazi ukufaka isandla ekwakhiweni kwe-Burning Mouth Syndrome. Lokhu kushiyeka kungase kuthinte ukusebenza kwezinzwa futhi kubangele ubuhlungu obukhulu.

Q3. Ingabe isifo somlomo ovuthayo siyathathelwana?

Izimpendulo. Isimo somlomo ovuthayo asitheleleki. Kuyisifo esingatheleleki esivame ukubangelwa izinkinga zempilo ezicashile, ukulimala kwezinzwa, noma ezinye izimbangela ezingasuleleki. Angeke isuke kumuntu iye komunye.

Q4. Kuthatha isikhathi esingakanani ukuthi isifo somlomo esivuthayo siphele?

Izimpendulo. I-Burning Mouth Syndrome ingaqhubeka izinyanga noma ngisho neminyaka. Ubude besikhathi buhluka kakhulu, kuye ngembangela ewumsuka nokusebenza kokwelashwa kokuzwa komlomo ovuthayo. Abanye abantu bangase bathole impumuzo phakathi namasonto, kanti abanye bangase babekezelele izikhathi ezinde zokungakhululeki.

Q5. Imaphi amavithamini alungele ukushisa umlomo syndrome?

Izimpendulo. I-ayoni, i-folic acid, namavithamini B—ikakhulukazi i-B12—aphakathi kwamavithamini alungele ukushiswa kwesifo somlomo. Ngokubhekana nanoma yikuphi ukuntula okungase kubhebhethekise lesi sifo, la mavithamini angasiza ekudambiseni umuzwa ovuthayo.

UDkt. Unmesh Takalkar

MS, MEDS FUICC, FAIS, FIAGES, FACG, FASGE, MSSAT
Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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