Noma

Noma imhando yechironda chinoparadza mafinya emukanwa uye zvimwe zvinyama. Zvinoitika muvana vasina kudya zvinovaka muviri munzvimbo dzisina utsanana nehutsanana.

Chikonzero chaicho hachizivikanwe, asi noma inogona kunge iri nekuda kwerumwe rudzi rwehutachiona.

Dambudziko iri rinowanzoitika muvana vadiki, vasina kudya zvakakwana zvinovaka muviri vari pakati pemakore maviri kusvika mashanu. Kazhinji vane chirwere chakadai segwirikwiti, fever, tibhii, kana gomarara. Ivo vanogona zvakare kuve vasina simba immune immune.

Njodzi zvinhu zvinosanganisira:

• Rudzi rwekushaya zvinovaka muviri runonzi Kwashiorkor, uye mamwe marudzi eprotein akakomba ekushaya zvinovaka muviri
• Utsanana husina kutsarukana uye hupenyu hwakasviba
• Kukanganisika senge gwirikwiti kana leukemia
• Kugara munyika iri kusimukira

Noma inokonzeresa kukuvara kwetishu inokurumidza kuwedzera kuipa. Chekutanga, matadza uye marata ematama anozvimba nekukura maronda (maronda). Maronda acho anokura kunhuhwirira kwakasviba, zvichikonzera mweya wakaipa uye hwema hweganda.

Hutachiona hunopararira kune ganda, uye zvinyama mumiromo nematama zvinofa. Izvi zvinogona pakupedzisira kuparadza zvinyoro zvinyama uye bone. Kuparara kwemapfupa akakomberedza muromo kunokonzeresa kuora kwechiso uye kurasikirwa nemazino.

Noma inogona zvakare kukanganisa nhengo dzesikarudzi, ichipararira kune ganda rekubereka (iyi dzimwe nguva inonzi noma pudendi).

Kuongorora kwemuviri kunoratidza nzvimbo dzakaputika dzemumate, maronda emumuromo, uye maronda eganda. Izvi maronda zvine kunhuhwirira kwakasviba. Panogona kunge paine zvimwe zviratidzo zvekushaya kudya zvinovaka muviri.

Mishonga inorwisa mabhakitiriya uye kudya kunovaka muviri kunobatsira kumisa chirwere ichi kubva pakuwedzera. Kuvhiya kwepurasitiki kunogona kudikanwa kuti ubvise zvinyama zvakaparadzwa uye kugadzirisa mapfupa echiso. Izvi zvichavandudza kutaridzika kwechiso uye mashandiro emuromo uye shaya.

Mune zvimwe zviitiko, chirwere ichi chinogona kuuraya kana chikasarapwa. Dzimwe nguva, mamiriro acho anogona kupora nekufamba kwenguva, kunyangwe pasina kurapwa. Nekudaro, zvinogona kukonzeresa kukuvadza kukuru uye hurema.

Aya matambudziko anogona kuitika:

• Kuremara kwechiso
• Kusagadzikana
• Zvakaoma kutaura uye kutsenga
• Kuiswa kwemurwere kwake ega

Kuchengetwa kunodikanwa kana maronda emuromo nekuzvimba kuchiitika uye kuchiramba kana kutowedzera.

Kuvandudza chikafu, utsanana, uye hutsanana zvinogona kubatsira.

Cancrum oris; Anoparadza stomatitis

• Maronda emuromo

Chjong CM, Acuin JM, Labra PJP, Chan AL. Nzeve, mhino, nehuro kusagadzikana. Mu: Ryan ET, Chikomo DR, Solomon T, Aaronson NE, Endy TP, eds. Hunter's Tropical uye Inobuda Zvirwere Zvirwere. Philadelphia, PA: Elsevier; 2020: chits. 12.

Kim W. Kushungurudzika kweiyo mucous membranes. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 684.

Srour ML, Wong V, Wyllie S. Noma, actinomycosis uye nocardia. Muna: Farrar J, Hotez PJ, Junghanss T, Kang G, Lalloo D, White NJ, eds. Manson's Tropical Zvirwere. 23rd ed. Philadelphia, PA: Elsevier Saunders; 2014: chitsiko 29.