Noma

Noma ke mofuta oa ntho e bohloko e senyang lera la molomo le lisele tse ling. E etsahala ho bana ba haelloang ke phepo e nepahetseng libakeng tseo bohloeki le bohloeki li haelloang.

Ha ho tsejoe hore na sesosa sa sona ke mang, empa noma e ka ba ka lebaka la mofuta o itseng oa baktheria.

Boloetse bona hangata bo hlaha ho bana ba banyenyane, ba nang le phepo e mpe haholo ba pakeng tsa lilemo tse 2 ho isa ho tse 5. Hangata ba bile le bokuli bo kang maselese, feberu e khubelu, lefuba kapa mofetše. Ba kanna ba ba le sesole sa 'mele se fokolang.

Mabaka a kotsi a kenyelletsa:

• Mofuta oa khaello ea phepo e nepahetseng o bitsoang Kwashiorkor, le mefuta e meng ea khaello ea phepo e nepahetseng ea protheine
• Bohloeki bo litšila le maemo a bophelo a litšila
• Mathata a kang maselese kapa kankere ea mali
• Ho lula naheng e tsoelang pele

Noma e baka tšenyo ea lisele tsa tšohanyetso e mpefalang kapele. Taba ea mantlha, marenene le lera la marameng lia ruruha mme li ba le liso. Liso li hlahisa mokelikeli o nkhang hampe, o baka phefumoloho e mpe le monko oa letlalo.

Tšoaetso e namela letlalong, 'me lisele tse molomong le marameng lia shoa. Sena se ka qetella se sentse lisele tse bonolo le lesapo. Ho senyeha ha masapo a potileng molomo ho baka ho holofala ha sefahleho le ho lahleheloa ke meno.

Noma le eona e ka ama litho tsa botona le botšehali, ea namela letlalong la setho sa botona (sena ka linako tse ling se bitsoa noma pudendi).

Tlhahlobo ea 'mele e bontša libaka tse ruruhileng tsa lera la ka maleng, liso tsa molomo le liso tsa letlalo. Liso tsena li na le mokelikeli o nkhang hampe. Ho ka ba le matšoao a mang a khaello ea phepo e nepahetseng.

Lithibela-mafu le phepo e nepahetseng li thusa ho thibela lefu ho mpefala. Ho ka etsoa opereishene ea polasetiki ho tlosa lisele tse senyehileng le ho aha bocha masapo a sefahleho. Sena se tla ntlafatsa ponahalo ea sefahleho le tšebetso ea molomo le mohlahare.

Maemong a mang, boemo bona bo ka ba kotsi haeba bo sa phekoloe. Ka linako tse ling, boemo bo ka fola ha nako e ntse e tsamaea, leha ho se kalafo. Leha ho le joalo, e ka baka mabali a maholo le bofokoli.

Mathata ana a ka hlaha:

• Ho holofala ha sefahleho
• Ho se utloise bohloko
• Ho thata ho bua le ho hlafuna
• Ho behwa ka thoko

Tlhokomelo ea bongaka ea hlokahala haeba ho hlaha liso tsa molomo le ho ruruha 'me li phehella kapa li mpefala.

Ho ntlafatsa phepo e nepahetseng, bohloeki le bohloeki ho ka thusa.

Cancrum oris; Gangrenous stomatitis

• Liso tsa molomo

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Mathata a Kim W. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. eds. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 684.

Srour ML, Wong V, Wyllie S. Noma, actinomycosis le nocardia. Ka: Farrar J, Hotez PJ, Junghanss T, Kang G, Lalloo D, White NJ, bahlophisi. Maloetse a Tropike a Manson. La bo23 la ed. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 29.