Created at:1/16/2025
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I-Leukoplakia yisimo lapho amaqakala amhlophe, abukhulu, evela ngaphakathi emlonyeni wakho angasuswa. La maqakala akhula lapho amaseli ekuqaleni komlomo wakho ekhula ngokushesha kunokujwayelekile, edala izindawo ezimhlophe eziphakamileyo ezizizwa ezihlukile kunezinye izicubu.
Cabanga njengendlela yomlomo wakho yokuzivimbela ekuthukutheleni okuqhubekayo. Nakuba amaqakala amaningi e-leukoplakia engeyingozi, amanye angathuthuka abe yomdlavuza ngokuhamba kwesikhathi, kungakho odokotela bewabheka ngokungathi sína futhi bawalandelela eduze.
Lesi simo sivame kakhulu futhi sithinta cishe ama-3% abantu abadala emhlabeni jikelele. Sivame ukubonakala kakhulu kubantu abadala kuno-40, nakuba singathuthuka kunoma iyiphi iminyaka lapho izimo ezifanele zikhona.
Uphawu olukhulu lwe-leukoplakia yiqakala elimhlophe noma elimnyama elivela ngaphakathi emlonyeni wakho. La maqakala azizwa ebukhulu futhi aphakamile uma uqhuba ulimi lwakho phezu kwawo, kuhlukile kakhulu kunokuzwa kokuthambile kwezicubu zomlomo ezempilo.
Nazi izimpawu eziyinhloko ongaziqaphela:
Abantu abaningi abazizwa bebuhlungu ekuqaleni ngamaqakala e-leukoplakia. Noma kunjalo, uma amaqakala ethukuthela ngokudla ukudla okunoshukela noma ukugeza amazinyo, angase azwe ebuhlungu noma ebuhlungu.
Kwezinye izimo ezingavamile, ungase uqaphele ukuzwela okushisayo noma ukuguquka kokunambitheka kokudla. Uma amaqakala evela umbala obomvu noma eba buhlungu ngaphandle kwesizathu esicacile, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha njengoba kungase kubonise ukuguquka okukhulu.
Odokotela bahlukanisa i-leukoplakia zibe izinhlobo ezimbili eziyinhloko ngokusekelwe ekuqaleni kokubukeka kwamaqakala nokuziphatha kwawo. Ukuqonda le mihlukana kusiza ekutholeni indlela engcono kakhulu yokulandelela nokuphatha.
I-leukoplakia ehlobene ibonakala njengamaqakala amhlophe, apholile, ane-texture efanayo kuwo wonke. La maqakala abonakala elingana futhi azizwa ethambile uma ethintwa. Lolu hlobo luvame kakhulu futhi ngokuvamile lunezingozi ezincane zokuthuthuka zibe yomdlavuza.
I-leukoplakia engahambelani ibonakala njengamaqakala angajwayelekile anemihlobiso nemibala ehlukahlukene. Ungase ubona izindawo ezimhlophe ezihlanganiswe namabala abomvu, noma amaqakala azizwa eziqine futhi eziqine. Lolu hlobo lunezingozi eziphezulu zokuba yomdlavuza futhi ludinga ukulandelelwa ngokucophelela.
Kukhona futhi uhlobo oluhlukile oluthi yi-hairy leukoplakia, ebonakala njengamaqakala amhlophe ane-surface e-fuzzy, enjengoboya. Lolu hlobo lubonakala kakhulu kubantu abanesistimu yokuvikela umzimba ebuthakathaka futhi lubangelwa yi-Epstein-Barr virus.
I-Leukoplakia ithuthuka lapho ukuqala komlomo wakho kuqhubeka kuthukuthele isikhathi eside. Umlomo wakho uphendula kule ntukuthelo eqhubekayo ngokukhiqiza amaseli engeziwe, aqala ukwakha amaqakala amhlophe ajwayelekile.
Izimbangela ezivamile zihlanganisa:
I-Tabha ihlala iyimbangela ehamba phambili, ehambisana cishe nama-80% ezimo ze-leukoplakia. Amakhemikhali emikhiqizweni ye-tabha ahlukumeza ngokuqondile izicubu ezincane zomlomo wakho, ikakhulukazi lapho ukuvezwa kwenzeka nsuku zonke izinyanga noma iminyaka.
Izimbangela ezingavamile zihlanganisa ukutheleleka okuthile, izimo zokuziphatha komzimba, nokuntuleka kokudla. Kwezinye izimo ezingavamile, ukutheleleka kwe-human papillomavirus (HPV) kungase kubangele ukuthuthukiswa kwe-leukoplakia, ikakhulukazi kubantu abadala abancane.
Ngezinye izikhathi, odokotela abakwazi ukubona imbangela ethile, okuthiwa yi-leukoplakia idiopathic. Lokhu kwenzeka cishe ku-10-15% yezimo futhi ngokuvamile kuzixazulula ngokwalo uma izinto ezihlukumezayo zisusiwe.
Kufanele ubheke udokotela noma u-dentist ngokushesha nje lapho uqaphela amaqakala amhlophe emlonyeni wakho angahambi phakathi kwamasonto amabili. Ukubheka kwasekuqaleni kusiza ekuqinisekiseni ukuhlolwa okuqondile nokulandelwa, kukuhlinzeka ngesiphumo esingcono kakhulu.
Hlela i-aphoyintimenti ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo:
Ungalindi uma uqaphela noma yimaphi amaqakala abomvu namhlophe ahlanganisiwe, njengoba lolu hlobo ludinga ukunakekelwa kwezokwelapha ngokushesha. Ukuhlanganiswa kwemibala kungase kubonise ukuguquka okukhulu okudinga ukubhekwana okusheshayo nokuphathwa okungenzeka.
Ngisho noma amaqakala akho abonakala engenangozi, ukuhlolwa okujwayelekile kwezinyo kusiza ekutholeni noma yikuphi ukuguquka kwasekuqaleni. I-dentist yakho ingathatha izithombe zamaqakala futhi iwalandele ngokuhamba kwesikhathi, okubalulekile ekutholeni noma yikuphi ukuthuthuka okukhathazayo.
Izinto eziningi zingandisa amathuba akho okukhula kwe-leukoplakia, ezinye zilawuleka kakhulu kunokunye. Ukuqonda lezi zinto ezikhuphula ingozi kusiza ukwenza izinqumo ezilwemi ngokuvikela nokulandelwa.
Izinto ezikhuphula ingozi eziyinhloko zihlanganisa:
I-Tabha notshwala kudala ukuxuba okungaqondakali. Uma kusetshenziswa ndawonye, bandisa imiphumela yabo emibi kunokuyengeza nje, okwandisa kakhulu ingozi yakho.
Ezinye izimo zezokwelapha nazo zikhulisa ingozi yakho, kuhlanganise i-HIV / AIDS, isifo sikashukela, nezifo zokuziphatha komzimba. Lezi zimo zingase zibuthakathaka isistimu yakho yokuvikela umzimba noma zishintshe indlela umlomo wakho ophilisa ngayo ekuthukutheleni.
Kwezinye izimo ezingavamile, izinto zofuzo zidlala indima, ikakhulukazi emindenini enomlando womdlavuza womlomo. Abanye abantu bafa baze bathole ukuguqulwa kwe-gene okuthinta indlela imizimba yabo esebenza ngayo amakhemikhali e-tabha noma ukulungisa amaseli abonakele.
Inhlanganisela ebucayi kakhulu ye-leukoplakia iwukuthuthukiswa komdlavuza womlomo. Nakuba amaqakala amaningi e-leukoplakia ehlala elungile impilo yonke yomuntu, cishe ama-5-17% angaguquka abe yizicubu zomdlavuza ngokuhamba kwesikhathi.
Nazi izinhlanganisela eziyinhloko okufanele uzazi:
Ingozi yokuthuthukiswa komdlavuza ihluka kakhulu ngokusekelwe ohlotsheni nendawo ye-leukoplakia. Amaqakala angahambelani anezingozi eziphezulu, kuyilapho amaqakala ephansi lomlomo noma eceleni lolimi akhathaza kakhulu kunalawo emaphepheni.
Izinhlanganisela ezingathi sína kodwa eziyinkinga zihlanganisa ukungakhululeki okuqhubekayo uma kudliwa ukudla okunoshukela noma okunomsoco. Abanye abantu bathola ukuthi amaqakala amakhulu ahlanganisa ikhono labo lokukhuluma ngokucacile noma ukumnandi izakhiwo ezithile zokudla.
Ngezinye izikhathi ezingavamile, i-leukoplakia ingase ihole ekuthukutheleni okuqhubekayo uma izicubu eziqine zichitha noma ziqothuka. Lokhu kutheleleka ngokuvamile kuphendula kahle ekwelapheni kodwa kungase kube buhlungu futhi kungase kucolise inqubo yokwelapha.
Izindaba ezinhle ukuthi i-leukoplakia ivame ukugwemeka ngokugwema izimbangela eziyinhloko zokuthukuthela komlomo. Izindlela eziningi zokuvikela zigxile ekususeni ukusetshenziswa kwe-tabha nokunciphisa ezinye imithombo yokuhlukumezeka okuqhubekayo.
Nazi izinyathelo zokuvikela eziphumelelayo kakhulu:
Ukuyeka ukusetshenziswa kwe-tabha kunikeza isivikelo esikhulu kakhulu e-leukoplakia. Ngisho noma usebenzise i-tabha iminyaka eminingi, ukuyeka manje kunciphisa kakhulu ingozi yakho futhi kungase kusize amaqakala akhona athuthuke noma aphele.
Ukunakekelwa okujwayelekile kwezinyo kudlala indima ebalulekile ekuvikeleni. I-dentist yakho ingabona futhi ilungise imithombo yokuhlukumezeka okungenzeka ngaphambi kokuba ibe yinkinga, njengomsebenzi wezinyo oqinile noma izinto zokugqoka ezingalungile.
Ukudla okunama-antioxidants amaningi avela ku-fruits namasipinashi kungase futhi kusize ekuvikeleni izicubu zomlomo wakho. Ezinye izifundo zikhomba ukuthi ukudla okwanele kwe-vitamin A ne-beta-carotene kusekela izicubu zomlomo ezempilo futhi kungase kunciphisa ingozi yomdlavuza.
Ukuhlolwa kwe-leukoplakia kuqala ngokuhlolwa okuhle komlomo wakho udokotela noma i-dentist. Bazobheka amaqakala eduze, bawathinte ngomunwe ogqokile, futhi babuze ngezimpawu zakho nezinto ezikhuphula ingozi.
Inqubo yokuhlola ngokuvamile ihlanganisa lezi zinyathelo:
Udokotela wakho kuqala uzam ukuqeda ezinye izimo ezingabangela amaqakala amhlophe, njenge-thrush noma i-lichen planus. Bangase bazame ngobumnene ukusula amaqakala ukuze babone ukuthi asuka yini, okuyobonisa ukuhlolwa okuhlukile.
Uma amaqakala ebukeka ekhathaza noma angathuthuki ngemuva kokususa izinto ezihlukumezayo, udokotela wakho uzokuncoma i-biopsy. Lokhu kuhlanganisa ukuthatha isampula encane yesicubu ukuze ihlolwe ngaphansi komkhiqizo ukuze ihlolwe amaseli angajwayelekile.
Kwezinye izimo, udokotela wakho angase asebenzise izibani noma ama-dye akhethekile ukuze abone kangcono amaqakala futhi athole noma yiziphi izindawo ezidinga ukunakekelwa okuqondile. Lezi zindlela zisiza ekuqinisekiseni ukuthi akukho lutho olukhulu olulahlekile ngesikhathi sokuhlolwa.
Ukwelashwa kwe-leukoplakia kuncike ebukhulu, indawo, nokuqala kwamaqakala, kanye nezinto zakho ezikhuphula ingozi. Isinyathelo sokuqala njalo ukususa umthombo wokuhlukumezeka owabangela amaqakala ukuba akhule.
Izindlela zokwelapha ezivamile zihlanganisa:
Amaqakala amaningi e-leukoplakia athuthuka noma aphela ngokuphelele uma uyeka ukusebenzisa i-tabha futhi ususe ezinye imithombo yokuhlukumezeka. Le nqubo ingathatha amasonto ambalwa kuya ezinyangeni ezimbalwa, ngakho-ke isineke kubalulekile phakathi nalesi sikhathi sokuphila.
Uma amaqakala engaqali noma ebukeka ekhathaza, udokotela wakho angase akuncome ukususwa. Lokhu kungenziwa ngokususa ngokusebenza okulula, i-laser treatment, noma ukuqandisa nge-liquid nitrogen. Lezi zinqubo ngokuvamile zenziwa ehhovisi nge-anesthesia yendawo.
Kwamaqakala abonisa izimpawu zokuqala zokuguquka kwamaseli angajwayelekile, ukwelashwa okunamandla kungenzeka kudingeke. Udokotela wakho uzoxoxa nawe ngazo zonke izinketho futhi akusize uqonde izinzuzo nezingozi zendlela ngayinye.
Nakuba ukwelashwa kwezokwelapha kubalulekile kwe-leukoplakia, kunezinto eziningi ongenza ekhaya ukuze usekele ukwelapha futhi uvikele ukubhebhetheka kwesimo. Lezi zindlela zokunakekelwa ekhaya zisebenza kangcono kanye nokunakekelwa kwezokwelapha kochwepheshe.
Nazi izindlela zokuphatha ekhaya ezisiza:
Gxila ekudleni ukudla okuthambile okungayithukuthelisi amaqakala. Ukudla okuthambile njenge-yogurt, i-smoothies, namasipinashi avame ukwamukelwa kahle, kuyilapho ugwema izinto ezifana ne-chips, ama-citrus fruits, noma ukudla okushisayo kakhulu.
Gcina umlomo wakho uhlanzekile ngokuhlanza ngobumnene usebenzisa ibrashi ezinwele ezithambile. Uma i-toothpaste ejwayelekile izizwa iqinile kakhulu, zama inguqulo e-mild, engenaluthwala, noma ubuze i-dentist yakho ngezincomo.
Landelela amaqakala njalo ngokubuka esibukweni ngokukhanya okuhle. Qaphela noma yikuphi ukuguquka ebukhulu, umbala, noma i-texture, futhi ubike lokhu kudokotela wakho ngesikhathi sakho esilandelayo.
Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ukuhlolwa okuqondile kakhulu nokunakekelwa okufanele. Ukulungiselela okuhle futhi kusiza ukukhumbula imininingwane ebalulekile engase ithonye uhlelo lwakho lokwelapha.
Ngaphambi kwe-aphoyintimenti yakho, buza le mininingwane ebalulekile:
Yiba eqotho ngokusetshenziswa kwe-tabha notshwala, ngisho noma uyahlanya ngakho. Lolu lwazi lubalulekile ekutholeni ukuhlolwa okuqondile nokuphathwa, futhi udokotela wakho udinga imininingwane eqondile ukuze akusize ngokuphumelelayo.
Cabanga ukuletha umngani othembekile noma ilungu lomndeni kwi-aphoyintimenti. Bangakusiza ukukhumbula imininingwane ebalulekile futhi banikeze ukwesekwa ngokomzwelo, ikakhulukazi uma uzizwa ukhathazekile ngokuvakasha.
Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi se-aphoyintimenti. Imibuzo evamile ihlanganisa ukubuza ngengozi yomdlavuza, izinketho zokwelapha, nokuthi yini okulindelekile ngesikhathi sokunakekelwa okulandelayo.
I-Leukoplakia yisimo esilawuleka esiphendula kahle ekutholeni kwasekuqaleni nokuphathwa okufanele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukususa umthombo wokuhlukumezeka, ikakhulukazi i-tabha, kukuhlinzeka ngamathuba amahle kakhulu okuthuthuka.
Nakuba amathuba okukhula komdlavuza angase azwe ekhathaza, ukulandelwa okujwayelekile nokuphathwa okusheshayo kwamaqakala akhathazayo kunciphisa kakhulu le ngozi. Abantu abaningi abane-leukoplakia abathuthuki babe yomdlavuza, ikakhulukazi uma belandela izincomo zedokotela wabo.
Ukuhlanganyela kwakho okusebenzayo ekwelapheni kwenza umehluko omkhulu esiphumeni. Ngokuyeka ukusetshenziswa kwe-tabha, ukugcina ukuhlanzeka komlomo okuhle, nokugcina i-aphoyintimenti yezinyo eziqondile, uthatha izinyathelo ezinamandla zokuvikela impilo yakho.
Khumbula ukuthi i-leukoplakia ngokuvamile ithuthuka kakhulu uma izinto ezihlukumezayo zisusiwe. Hlala unesineke ngenqubo yokwelapha futhi ugcine ukuxhumana okuvulekile neqembu lakho lokunakekelwa kwezokwelapha nganoma yikuphi ukukhathazeka noma ukuguquka okuqaphela.
Yebo, i-leukoplakia ingaphela yodwa, ikakhulukazi uma usususa umthombo wokuhlukumezeka owubangela. Cishe ama-60-80% amaqakala athuthuka noma axazulule ngokuphelele ngemuva kokuyeka ukusetshenziswa kwe-tabha nokunciphisa ezinye izinto ezihlukumezayo. Le nqubo yokwelapha ngokuvamile ithatha amasonto ambalwa kuya ezinyangeni ezimbalwa, ngakho-ke isineke kubalulekile ngenkathi izicubu zakho zomlomo ziphulukana.
Cha, i-leukoplakia ayihlali iyomdlavuza, futhi amaqakala amaningi awabi yomdlavuza. Cishe ama-5-17% kuphela amaqakala e-leukoplakia aguquka abe yomdlavuza ngokuhamba kwesikhathi. Noma kunjalo, ngoba le ngozi ikhona, odokotela balandelela wonke amaqakala e-leukoplakia ngokucophelela futhi bangase bancome i-biopsy noma ukususwa kwamaqakala abukeka ekhathaza noma angathuthuki ngokwelashwa oluqondile.
Ukucindezeleka akubangeli i-leukoplakia ngokuqondile, kodwa kungase kuhlanganyele emikhweni ebangela. Abantu abacindezelekile bangase bakhulise ukusetshenziswa kwe-tabha, baphuze utshwala oluningi, noma bathuthukise imikhuba yokukhathazeka njengokuhlanza imphephe noma ukuhlafuna amazinyo. Le mikhuba ehlobene nokucindezeleka ingase ihole ekuthukutheleni okuqhubekayo okubangela ukuthuthukiswa kwe-leukoplakia.
I-Leukoplakia ngokuvamile ithuthuka kancane kancane izinyanga noma iminyaka yokuhlukumezeka okuphindaphindayo. Ngeke uqaphele amaqakala akhula ebusuku, kodwa uyaqaphela ukuthi abonakala kancane njengoba umlomo wakho uphendula ekuthukutheleni okuqhubekayo. Isikhathi esiqondile sihluka kuye ngamandla nokuphindaphinda kokuhlukumezeka, abantu abasebenzisa i-tabha enkulu ngokuvamile bathuthukisa amaqakala ngokushesha kunabasebenzisi abancane.
Yebo, i-leukoplakia ingabuya ngemuva kokwelashwa uma uqala imikhuba eyayiyibangela ekuqaleni noma uthuthukisa imithombo emisha yokuhlukumezeka komlomo. Kungakho ukuguqulwa kwesitayela sokuphila isikhathi eside, ikakhulukazi ukugwema i-tabha notshwala, kubalulekile ekuvimbeleni ukubuyela. Ukuhlolwa okujwayelekile kwezinyo kusiza ekutholeni noma yimaphi amaqakala amasha ngokushesha lapho elashwa kakhulu.