Chinyorwa
Methylene blue pamaronda emukanwa nekurwadza kwehuro: zvinotsigirwa neuchapupu
Tsvakurudzo yemethylene blue hairatidzi kuti inzira yakasimbiswa yokurapa kumba ronda rakajairika remukanwa kana huro inorwadza. Zvidzidzo zvemishonga yokusukurudza mukanwa inonyorerwa kurwadziwa kunokonzerwa nekurapwa kwegomarara, uye zvidzidzo zvinosanganisa dhayi nemidziyo yechiedza inoshandiswa pakurapa mazino, zvinobata matambudziko nemaitiro ekurapa akasiyana. Hazvigoni kusimbisa kukodzera kwekuzora ronda risati razivikanwa nomushonga wemvura unotengeswa muzvitoro.
Mubvunzo wokutanga unobatsira ndewokuti chii chiri kukonzera kurwadziwa. Ronda risina kudzika mukati medama, matonsils akazvimba, uye utachiona hwefungus zvose zvinogona kuita kuti kudya kurwadze. Kuva nechiratidzo ichocho chakafanana hakurevi kuti marapirwo azvo anogona kutsinhaniswa.
“Ronda remukanwa” rinorevei?
Ronda rinonzi canker sore ironda reaphthous, kureva pakatsemuka ganda rinofukidza mukati memukanwa pane imwe nzvimbo. Hazvirevi zvoga kuti pane utachiona hwemabhakitiriya kana hwefungus. Ronda rinokonzerwa nezino rakapinza kana kuruma dama rinogonawo kuvapo. Gwaro reNHS remaronda emukanwa rinosiyanisa maronda aya nemaronda eherpes anowanzobuda pamiromo uye rinotsanangura zvikonzero zvakati wandei, kusanganisira kukuvara nemamwe matambudziko eutano anenge aripo.
“Stomatitis” zvinoreva kuzvimba kwemukanwa. Iyi itsananguro yakafara, kwete zita rechisikwa chimwe chinokonzera utachiona. Chidzidzo chakanyorwa pasi pestomatitis chingava pamusoro pemaronda eaphthous anodzokorora, kuzvimba pasi pemazino ekugadzirwa, kana kukuvara kunokonzerwa nekurapwa kwegomarara. Kuverenga shoko iroro chete kunogona kutungamirira kukurudziro yokurapa inotsausa.
Tonsillitis inobata matonsils ari kumativi ehuro uye inogona kukonzerwa neutachiona hwemavhairasi kana hwemabhakitiriya. Mavara machena haaiti kuti ive yakafanana neutachiona hwefungus mukanwa. Oral thrush utachiona hwefungus mukanwa hunogona kukonzera zvigamba zvichena kana mukanwa mutsvuku unorwadza, uye hunorapwa nemishonga inorwisa fungus. Kutaridzika chete kungasakwana kuziva dambudziko racho.
Tafura yezviratidzo neuchapupu
Shandisa tafura iyi kuronga hurukuro nachiremba wemazino, mufamasi, kana chiremba. Chikamu chokutanga chinoratidza zvingangova zvikonzero, kwete dambudziko raunogona kuzvisarudzira kubva pamufananidzo.
| Chiratidzo nedambudziko rinofungidzirwa | Magadzirirwo emethylene blue kana nzira inoshandiswa | Mamiriro ekushandiswa neuchapupu hwakakodzera | Mubvunzo wokubvunza nyanzvi |
|---|---|---|---|
| Ronda diki rinorwadza mukati medama kana muromo: ronda reaphthous kana rinokonzerwa nekukuvara | Kuzora kana kusukurudza kumba nomushonga usinganyatsozivikanwi zviri mauri | Zvidzidzo zvinoyedza zvakananga maronda akajairika akasimbiswa navanachiremba zvingadiwa. Zvakawanikwa pakurwadziwa kwemaronda ekurapwa kwegomarara hazvisimbisi kupora kana kudzivirirwa kwemaronda aya. | Iri ironda reaphthous rinodzokorora here, kana kuti riri kukonzerwa nezino, mudziyo wemukanwa, mushonga, kana rimwe dambudziko? |
| Kumedza kunorwadza pamwe nematonsils akazvimba: tonsillitis kana pharyngitis | Methylene blue inoshandiswa murabhoritari ichiitwa kuti ishande nechiedza, dzimwe nguva ichidzidzwa pamwe nezvimedu zvidikidiki zvesirivha | Mabhakitiriya akakuriswa kubva pamasampuli akatorwa muhuro uchapupu hwemurabhoritari. Haasi muedzo wokurapa huro dzevarwere. | Ongororo inoratidza utachiona hwemabhakitiriya here, uye kuongororwa kana kurapwa chaiko kunodiwa here? |
| Zvigamba zvichena kana kutsvuka kwakapararira mukanwa: utachiona hunogona kuva hweCandida | Chinhu chinoita kuti chiedza chishande pakurapa, chakanyatsotsanangurwa, pamwe nemidziyo yechiedza yemukiriniki | Zvidzidzo zvekurapa mazino kuvanhu vakasimbiswa kuti vane candidiasis zvinoyera kuchinja kwemaronda nehuwandu hwezvipuka zvinokonzera utachiona. Kusukurudza kumba kusina chiedza inzira yakasiyana. | Candida ndiyo iri kukonzera dambudziko here, uye ndeupi mushonga unorwisa fungus kana imwe nzira yokugadzirisa dambudziko yakakodzera? |
| Kurwadziwa kwakapararira paganda rinofukidza mukati memukanwa panguva yekurapwa nechemotherapy kana radiotherapy: mucositis | Mushonga wemethylene blue wokusukurudza mukanwa wakadzidzwa, uchiwedzerwa pakurapa kunobatsira murwere | Zvidzidzo zvekurapa gomarara zvinonyanya kuongorora kurwadziwa nekushanda kwemukanwa. Hazvisimbisi kurapwa kweutachiona hwakajairika hwehuro. | Zvingava mucositis ine chokuita nekurapwa, utachiona, kana zvose here, uye rubatsiro rwokuchengetedza mvura mumuviri kana kuderedza kurwadziwa runodiwa here? |
| Maronda anoramba aripo, asina kujairika, kana anoramba achidzoka, kusanganisira patani chena yakaita semambure | Hapana magadzirirwo emushonga anogona kusarudzwa kubva patsananguro iyi | Uchapupu hunonyatsoenderana nedambudziko rakazivikanwa hunodiwa. Tsvakurudzo yeoral lichen planus haigoni kushandiswa paronda rose. | Izvi zvinoda kuongororwa nenyanzvi yezvirwere zvemukanwa kana kuferefetwa kusati kwarapwa here? |
Zvakaratidzwa chaizvo nechidzidzo chokusukurudza mukanwa kuvarwere vegomarara
Muchidzidzo cha2022 chechikamu 2 chakagovera vanhu mumapoka zvisina kurongwa, vanhu vakuru 60 vaiva nemucositis yemukanwa yakakonzerwa nekurapwa kwegomarara vakapedza kurapwa. Mapoka matatu akapiwa mishonga yemethylene blue yokusukurudza mukanwa yaiva nehuwandu hwakasiyana hwemethylene blue, pamwe nokurapwa kwakajairika; boka rokuenzanisa rakapiwa kurapwa kwakajairika chete. Chinhu chikuru chakayerwa kwaiva kuchinja kwekurwadziwa mumazuva maviri, uye kushanda kwemukanwa kwakayerwawo.
Mapoka emethylene blue akava nekudzikira kukuru kwekurwadziwa paavhareji, kunyange zvazvo kuenzanisa rimwe boka rine imwe mwero wemushonga neboka rokuenzanisa kwakanga kuri pamuganhu wechiyero chinowanzoshandiswa kuona kukosha kwemusiyano muhuwandu. Vatori vechikamu vasere vakati vakatanga kunzwa kupisa, uye mumwe akarega kurapwa. Uyu waiva muedzo mudiki, wenguva pfupi, wokurwadziwa kwakaoma kune chokuita negomarara. Hauna kusimbisa kuti mushonga wokusukurudza wakabvisa utachiona, wakadzivirira kudzoka kwemaronda, kana kuti wakarapa vana vaiva nemaronda akajairika.
Chidzidzo cha2026 umo kurapwa kwaizivikanwa uye vanhu vasina kugoverwa mumapoka zvisina kurongwa chinowedzera mashoko anobatsira kunzwisisa nyaya iyi. Pakati pevarwere 43 vaigona kuongororwa, vanhu vakasarudza methylene blue kana mushonga wakajairika wokusukurudza mukanwa. Mapoka ose ari maviri akava nani mushure mekushandiswa kwemushonga, pasina musiyano wakakosha muhuwandu pakudzikira kwekurwadziwa pakati pemapoka. Kusarudza kwakaitwa nevarwere uye kusavapo kwekugoverwa mumapoka zvisina kurongwa zvinotadzisa kunyatsoenzanisa kuti kurapwa ndiko kwakakonzera shanduko here. Uchapupu hwakafara hwemishonga yokusukurudza pamucositis yegomarara hunobata dambudziko chairo rekurapa kunobatsira murwere.
Nei zvidzidzo zvinoshandisa chiedza zvisingatsigiri kuzora kumba
Kurapa kwephotodynamic kunosanganisa chinhu chinonzwa chiedza nokuchivheneka nechiedza chakanyatsotsanangurwa. Nzira inoyedzwa inosanganisira kupiwa kwechiedza nemaitiro anoitwa mukiriniki, kwete zita redhayi chete.
Chidzidzo chakagovera vanhu mumapoka zvisina kurongwa checandidiasis yemukanwa inokonzera kutsvuka chakaongorora varwere 41 vakapiwa mushonga wemvura une nystatin kana kurapa kwephotodynamic nemethylene blue. Chakaongorora maronda aionekwa mukiriniki uye zvipuka zvidikidiki zvakakuriswa murabhoritari. Zvinhu izvozvo zvakayerwa zvinobata candidiasis yakasimbiswa navanachiremba mumamiriro ekurapa mazino. Kudzikira kwemapoka ezvipuka murabhoritari kana kuva nani kweronda hakusimbisi kuti mushonga wemvura wekutengesa usina kunyatsotsanangurwa unoshanda semushonga wokungosukurudza mukanwa. Ongororo yeuchapupu hweCandida yemukanwa inosiyanisa kuvandudzika kunoonekwa mukurapwa nokubviswa kwezvipuka zvinokonzera utachiona.
Dambudziko rimwe chete rinoonekwa pane zvinotaurwa nezvehuro. Chidzidzo chemethylene blue inoitwa kuti ishande nelaser pamwe nezvimedu zvidikidiki zvesirivha chakatora masampuli muhuro dzevana 20, ndokuyedza kushanda kwayo pakurwisa mabhakitiriya murabhoritari, kunze kwemuviri. Vana vakapa masampuli; havana kurapwa nenzira yaiyedzwa. Vanyori vacho vakataura pachena kuti paidiwa rimwe basa retsvakurudzo vasati vafunga nezvekurapa vana.
Iyi mienzaniso inoratidza kuti nei tsvakurudzo yokurwisa utachiona ichifanira kuverengwa ichitariswa pamwe nedambudziko rakazivikanwa, magadzirirwo emushonga, nzira yokuuisa mumuviri, nechinhu chakayerwa. Mhedzisiro yakanaka mune mamwe mamiriro haipinduri mubvunzo wakasiyana wokurapa.
Magadzirirwo emushonga nekumedza zvinokosha
Bhodhoro rakanyorwa kuti “methylene blue” harirevi kuti rine mushonga wemukanwa. Huwandu hwemethylene blue, mvura inoshandiswa kuinyungudutsa, zvimwe zviri mauri, zviyero zvekugadzirwa, uye nzira yakatarirwa yokushandisa zvose zvinokosha. Mushonga wakanyungudutswa mumvura, wakagadzirirwa ganda, dhayi yemurabhoritari, chigadzirwa chetangi rehove, uye mushonga wokusukurudza mukanwa wakagadzirwa mufamasi hazvitsivi chimwe nechimwe nokuti chete zvine dhayi imwe chete. Kutaura kuti chigadzirwa chakachena hakupi mirayiridzo yokuchishandisa mukanwa kana uchapupu hwekubatsira kwacho.
Kunzi mushonga “unozorwa panzvimbo” hakuvimbisiwo kuti hapana unomedzwa. Uya nemudziyo chaiwo kana pepa rawo rinotsanangura chigadzirwa kumufamasi kana kunyanzvi yakanyora mushonga. Mashoko ekunyorera methylene blue inopiwa mutsinga anotaura njodzi dzakakomba dzine chokuita nemishonga inokanganisa serotonin, kushomeka kweG6PD, uye pamuviri. Mashoko iwayo emushonga unobayiwa haayeri njodzi yekushandiswa chaiko mukanwa; anotsanangura kuti nei kuongorora kunoenderana nenzira yekushandisa kusingagoni kutsiviwa nokungofungidzira kuti kuishandisa panzvimbo hakukuvadzi.
Kana munhu akamedza netsaona mushonga usingazivikanwi magadzirirwo awo kana huwandu hwawo, bata sangano rinopa mashoko ezvechepfu kana rubatsiro rwechimbichimbi rweutano, uchipa chigadzirwa, huwandu hunofungidzirwa, nguva, nezera remunhu. Usaita kuti munhu arutse. Nhungamiro yeNHS yezvechepfu inotsanangura kuti nei kubatwa nechinhu chinofungidzirwa kuti chinokuvadza kuchida zano nokukurumidza kunyange zviratidzo zvisati zvatanga.
Mibvunzo pamusoro pevacheche nevana
Kana gwaro remushonga kana chinyorwa chakanyorwa noruoko chisina kujeka, kumbira akanyora mushonga kana mufamasi ari kuupa kuti asimbise dambudziko rakazivikanwa, magadzirirwo chaiwo emushonga, nzira yakatarirwa yokushandisa, nemirayiridzo usati waushandisa. Usazvivakira hurongwa hwokushandisa mushonga kubva muchidzidzo chevanhu vakuru kana pane zvakaitika kune mumwe mubereki. Mwana mudiki angasakwanisa kusukurudza nekupfira zvakavimbika, uye kunetseka kwemucheche pakudya kunochinja maongororwo enyaya yacho.
Gwaro reuchapupu pamusoro pevana rinobata kushaikwa kwemashoko uku kunoenderana nezera. Mibvunzo yepamuviri nekuyamwisa inodawo kuongororwa kwayo. Mumamiriro ose aya, pokutangira panobatsira ndicho chigadzirwa chaicho nedambudziko reutano, sezvinotsanangurwa mumibvunzo yokubvunza nyanzvi yezveutano pamusoro pemethylene blue.
Nguva iyo kuongororwa kunofanira kutanga
Tsvaga rubatsiro rwechimbichimbi kana paine kunetseka kufema, kutadza kumedza, kuyerera kwemate nokuti kumedza kwakanganisika, kufema kune ruzha rwakakwira, kana zviratidzo zvakakomba zviri kuwedzera nokukurumidza. Tsvaga zano nokukurumidza kana paine kupera kwemvura mumuviri, fivha yakanyanya, kana huro inorwadza kumunhu ane simba rokudzivirira zvirwere rakaderera. Izvi ndizvo zviratidzo zveNHS zvinoda rubatsiro rwakawedzerwa pakurwadza kwehuro, kwete mamiriro okuyedza mushonga wehuro.
Ronga kuongororwa nachiremba wemazino kana chiremba kana ronda rapfuura mavhiki matatu, risina kujairika kana richibuda ropa, kana richiwedzera kurwadza nekutsvuka. Huro inorwadza isingavandudziki pashure pevhiki inodawo kuongororwa. Maronda machena akaita semambure anoramba aripo angada imwe nzira yokuziva dambudziko, kusanganisira kuongorora mamiriro anotaurwa mutsvakurudzo yeoral lichen planus.
Pazviratidzo zvisina zvimwe zvinonetsa, mufamasi anogona kubatsira kusarudza nzira yakakodzera yokuderedza kurwadziwa. Sarudzo inofanira kutevera chikonzero chinofungidzirwa, zera remunhu, nemishonga yaanoshandisa, kwete ruvara rwemushonga wechivanhu.