Kur atsiranda aftos?
Aphtae can basically occur on any mucous membrane surface of the body. These are extremely painful mucous membrane damages, which are surrounded by an inflammatory rim and can be seen with the naked eye as small whitish-yellow mucous membrane wounds. Most aphthae are found in the following areas:
- Burnos gleivinė
- Dantenos
- Liežuvis
- Gomurys
- Migdolai
- And even in the genital area aphthae are not uncommon.
Aphtae, which develop on and/or under the kalba, the affected patients feel partially strongly limited in their quality of life due to the skausmas. The formation of aphthae in this form is usually triggered by a pūslelinė simplex infection (so-called oral thrush, (lat. Stomatitis aphthosa) and is characterized by a frequent recurrence after a one-time decay.
Especially stress situations, inner restlessness or feelings of disgust can provoke the reappearance of aphthae in the area of the kalba. In most cases, aphtae of the kalba are counted among the so-called “minor form” (small aphtae), whose size does not exceed a diameter of about one centimetre. Small aphthae usually heal within one to two weeks.
In rare cases, however, the size of aphtae in the area of the tongue, palate or lips can exceed a diameter of one centimetre. In such cases, the medical terminology refers to them as “major form” (large aphtae). Especially small children and infants stop eating and drinking as much as possible when aphtae are present on or under the tongue.
In addition to eating, speaking, touching the mucous membrane region, swallowing water and seilės is extremely painful. However, the skausmas felt by the respective patient is by no means dependent on the size of the aphtae; rather, the location of the mucous membrane injury plays a decisive role in influencing the patient concerned. For this reason, a single small aphtae, which has a diameter of only half a centimetre, can be perceived as much more painful in the area of the tip of the tongue than a large aphtae (diameter greater than one centimetre) which occurs on the mucous membrane of the cheek.
This fact shows that especially those aphtae which are located in the area of mechanically stressed mucous membranes cause skausmas particularly frequently. Exactly which food or food components lead to the irritation of aphtae ant liežuvio seems to be different for each person. Mostly, however, food seems to play a decisive role.
- Vaisiai
- Limonadas
- Koksas
- Riešutai
- Sweets (chocolate)
- Žalieji pomidorai
Taip pat lūpa, the occurrence of inflammatory mucous membrane injuries in the form of aphtae can be perceived as particularly disturbing by the affected patients. Similar to aphthae on and under the tongue, it is assumed that aphthae on the lūpa gali sukelti dedervinė simplex virus. If these mucous membrane injuries occur on the outside of the lūpa, the affected patients usually feel only slight to moderate pain.
Since aphtae on the outside of the lip can become very large in many cases, patients are particularly disturbed with regard to the aesthetics on them. Particularly painful aphthae of the lip are usually located on the inner side which is subject to high mechanical stress. The degree of pain with aphthae on the dantenos can be additionally increased during daily burnos higiena.
Contact of the affected mucous membrane areas with the toothbrush, dantų siūlas and/or interdental space brushes can cause irritation of the mucous membrane defect. Aphtae can basically occur on all mucous membranes, including the dantenos. In most cases, they appear as small roundish erosions with a white or yellow coating on the dantenos.
Aphthae of the gums can be particularly painful and cause a strong deginimas sensation in the affected patient. A connection between the frequent occurrence of aphthae of the gums and gingivitas has not been clearly proven. The reason for this is that gingivitas paprastai sukelia trūkumas burnos higiena and food residues that accumulate in the area of the gum line.
The causes of gingival aphthae are not clearly established, but it is assumed that several factors interact. In general, it cannot be assumed that the gums are particularly at risk from an aphtae. In most cases, wounds in the area of the gingiva also heal completely on their own, without the inflammatory processes spreading to the adjacent gums or žandikaulio kaulas.
While an aphtae is present on the gums, the affected patient should proceed particularly gently in daily burnos higiena and exert as little pressure as possible on the mucous membrane blister. An opened mucosal vesicle is usually much more sensitive to certain stimuli and causes much more pain. – In case of a weakened imuninė sistema, e.g. a cold or phases of increased stress
- It is now assumed that local gum injuries (for example, caused by mechanical stimuli such as brushing teeth that are too firm) can be provoked.
- In addition, people with severe nutritional deficiencies or deficiencies in vitamin B12, iron or folio rūgštis seem to develop aphtae in the gums much more frequently. – Furthermore, it has been found that smokers generally suffer less often from gum aphthae than non-smokers. In people who smoke regularly, aphtae on the gums occur particularly in phases of nikotinas ėduonis.
Be to, burna and tongue, aphtae can also be found in gerklės and tonsilla palatina (“tonsils”). However, they occur there somewhat less frequently. They are small (0.5mm) oval inflammations that usually occur where the oral gleivinė is not directly connected to the underlying bone.
Aphthae can occur once, but in most people they can recur repeatedly and cause unpleasant pain. It usually hurts more if the affected area is subjected to frequent mechanical stress. It is more unpleasant on the tongue than on the cheek.
Aphtae in gerklės belong to this category, because their location means that they come into contact with food or seilės every time they swallow, drink or eat, thus causing increased pain. No matter how deliciously prepared the food is, it can become a torture. The pain is usually deginimas and radiates over a larger area than the size of the aphtae.
ŽIV vystymosi priežastis aftos gerklėje area is, as with their other possible places of origin in the burnos ertmė, to be traced back to many causes and also not yet completely clarified. For example, they can be genetically predisposed, result from a previous injury or be favoured by a deficiency of vitamin B12, iron and/or folio rūgštis. Stress or the intake of highly acidic foods (fruit) can also lead to aftos gerklėje vietoveje .
The development of aphthae usually remains hidden from those affected until the first pain occurs when swallowing or even when speaking. From then on, it becomes unpleasant until healing, which can take up to two weeks. The pain is worst in the initial phase, but it slowly subsides over time.
Jeigu aftos gerklėje area, in addition to problems with swallowing, there is another problem with treatment, including home remedies. They are located very far back and are therefore difficult to reach and locate. Furthermore, touching them is very unpleasant because the gag reflex is triggered immediately. It is therefore difficult to apply a gel, ointment or a cotton swab soaked in ramunėlė tea to the affected area. It requires a lot of patience, caution and calm.
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