IBD Haisi Kuedza Kumatumbo; Inogonawo Kuchinja Muromo Wako
Chirwere chechirwere chinokonzera chirwere (IBD) chinowanzotorwa sechimwe chinhu chinongogadzirisa chikamu chekudya, asi pane zvakawanda kune nyaya yacho. Chinhu chokutanga chokuyeuka ndechokuti muromo chikamu chegadziro rekudya, saka saka chinogona kuve chakakanganiswa neBD. Vamwe vanhu vane Crohn's disease kana ulcerative colitis vanogona kuva nemakumbo mumuromo, anonzi aphthous stomatitis .
Kunyange zvazvo zvisingashamisi, kune mamiriro ezvinhu apo vanhu vane Crohn's disease vakagumburwa naCrohn mumuromo.
Chimwe chikamu chemuromo chinokanganwa dzimwe nguva, zvakadaro, ndiwo mazino. Mazwi angasave akakanganiswa zvakananga neBD sezvinenge zvinyoro zvinyoro mukati memuromo, asi pane zvisiri izvo zvakasanganiswa, zvakadai semishonga uye noutano.
Chimwe chidzidzo chakaratidza kuti vanhu vane Crohn's disease vaida mamwe mazano kune vanachiremba wemazino kupfuura vanhu vane utano hwezera rakafanana. Izvo zvaiva zvechokwadi, kusvika pamwero muduku, wevanhu vane ulcerative colitis. Zvinorevei kune vanhu vane IBD ndechokuti pane izvo zvinoda kuisa pfungwa pakuchengetedza mazino ane utano, pamwe nekubata nedzimwe matambudziko IBD inounza.
Periodontitis uye IBD
Vanhu vane IBD vave vakaratidzirwa kuti vanowanikwa nenguvaontitis , utachiona hwehunhu huri pameno, kakawanda kupfuura vanhu vasina IBD. Periodontitis inotakura dambudziko rezino kurasikirwa, uye, naizvozvo, rinotungamirira kune dzimwe nzira kuenda kunechiremba wemazino kuti utarisire.
Kusvuta ndeimwe nyaya inobatanidza ngozi yetimesontitis kune vanhu vane IBD. Vanhu vane chirwere chaCrohn avo vanosvuta vakaratidzwa vane chirwere chakaipa kwazvo. Kusvuta ndeyewo ngozi yetimesontitis, uye vanhu vane Crohn's disease uye ulcerative colitis avo vanosvuta vanowedzera dambudziko ravo rekuvandudza mamiriro acho ezvinhu.
Inonyatsokurudzirwa kuti vanhu vane IBD vasasvuta kuti varege kudzivirira (kunyange avo vane ulcerative colitis).
Cavities uye IBD
Vanhu vane IBD vakave vakaratidzwawo kuti vane matanda akawanda kupfuura vanhu vasina IBD. Chimwe chidzidzo chakaratidza kuti vanhu vane chirwere cheCrohn vane huwandu hwakawanda hwemhando mbiri dzakasiyana dzebhakitiriya mumatope avo, Lactobacilli uye Streptococcus mutan . Chidzidzo chacho chakaratidza zvakare kuti vanhu vane chirwere cheCrohn vanonwa zvinwiwa zvakawanda zvine shuga pane kutarisira utano hwakanaka.
Ichi chigumisiro hachina kuitirwa kunyadzisa vanhu vane Crohn's nezvekudya kwavo, sezvo pane zvikonzero zvakanaka nei vanhu vane Crohn's chirwere vangagona kudya zvimwe zvinwiwa neshuga. Vanhu vane IBD vanogona kuva nechido chekunwa zvinonwiwa zvemanheru nekuda kwekushaiwa kwezvibereko muzvokudya kana zvinwiwa zvemitambo kurwisa kupererwa nemvura. Pane kudaro, iyi ndiyo imwe pfungwa yekuchengeta mupfungwa nezvehutano hwemuromo uye kuti zvakakosha kuwana nguva dzose yekuchengetedza kudzivirira.
Hazvinyatsozivikanwa kana kana maitiro emishonga yeBDI angakanganisa utano hwemuromo. Vanhu vazhinji vane IBD vanorapwa ne-steroids, zvakadai sa prednisone, panguva yezvirwere zvezvirwere. Prednisone inogona kuenzaniswa nehuwandu hwehutachiona hwemasango emeno, asi hapana tsvakurudzo kune vanhu vane IBD, kunyange zvazvo kune anecdotal report.
Kuwana Kuchengeteka Kwemhedzisiro Yakanaka
Kubvarura mazino hazvisi zvisizvo kune vanhu vakuru, kunyanya kana pane zvimwe zvinhu zvakawanda zvinoshanda. Vanhu vane IBD vatotanga kuona vanachiremba vakasiyana-siyana nguva dzose uye vanogona kunge vane dambudziko rezvemari rinofanira kufamba naro. Kuwana meno kucheneswa kaviri pagore kana kuchengetedza mamwe matambudziko omuromo kunowedzera kukonzera pasi pasi pezvinhu zvinotangira, zvinonzwisisika.
Zvisinei, sezvizhinji zvehutano hwehutano, hutano hwakakodzera hunochengetedza huchava hukuru hunokosha mukudzivirira matambudziko emangwana. Kushambira nekuputika kaviri pazuva kunokurudzirwa kutarisirwa kwemukanwa kune vakawanda vakwegura, asi vanhu vane IBD vanofanira kubvunza vanachiremba vemazino kana kumwe kutarisirwa kwezuva nezuva kunokosha.
Kuwana wamazino ane ruzivo nevarwere vane IBD vanotora nguva. Zvingave zvakakosha kubvunza gastroenterologist nekuda kwekurudziro kune imwe nzvimbo yekuita mazino maitiro ane ruzivo nevarwere vane IBD kana zvimwe zvirwere zvisingaperi. Mamwe mazinyo emitambo anogona kushevedza kushandiswa kwemishonga inorwisa mabhakitiriya kana kuti kwete-steroidal anti-inflammatory drugs (NSAIDs) uye gastroenterologist inofanira kuchengetwa muchigadzirwa apo madhiragi aya anoshandiswa. Izvi ndezvekuti ma antibiotics neNSAID zvose zvakaratidzwa kukonzera matambudziko kune vamwe vanhu vane IBD, zvakadai sehurhara kana kunyange kupisa-up.
Shoko Rinobva
Zviri kuwedzera kunzwisisa kuti IBD inobata munhu wose. Izvi zvinosanganisira muromo nemeno, kunyange zvingasava chikamu chemuviri uyo vanhu vakawanda vane IBD vakanyanya kufunga. Zvakakosha kutaura ne gastroenterologist nezvekuwana chiremba wemazino anogona kubatsira kwete chete kana pane matambudziko, asiwo nekuchengetedzwa kwekudzivirira. Zvinogoneka kuti vanhu vane IBD vangave vachida kurongedza kucheneswa kana kuva netsika yekuchengetedza yemuromo, kunyanya kare kana mushure mekuvhiyiwa. Kuudza chiremba wemazino nezveBD uyewo nezvemishonga chero ipi zvayo inokoshawo, kunyanya kana maitiro emeno anodiwa.
> Sources:
> Brito F, de Barros FC, Zaltman C, et al. "Kuwandisa kwenguvaontitis uye DMFT index kune varwere vane Crohn's disease uye ulcerative colitis." J Clin Periodontol . 2008 Jun; 35: 555-560.
> Grössner-Schreiber B, Fetter T, Hedderich J, et al. "Kuwanda kwemazino emazino uye periontal zvirwere kune varwere vane chirwere chinoputira chirwere: chiitiko-control study." J Clin Periodontol . 2006 Jul; 33: 478-84.
> Johannsen A, Fored MC, Håkansson J. "Kushandiswa kweDental Treatment muvarwere vane Inflammatory Bowel Disease, Register Register." PLoS One. 2015; 10: e0134001.