UNoma

UNoma luhlobo lwesilonda esitshabalalisa inwebu yangaphakathi yomlomo kunye nezinye izihlunu. Iyenzeka kubantwana abangondlekanga kwiindawo apho ucoceko kunye nococeko lusilela.

Oyena nobangela awaziwa, kodwa i-noma inokubangelwa luhlobo oluthile lweebhaktheriya.

Esi sifo sihlala senzeka kubantwana abancinci, abangondlekanga kakhulu abaphakathi kweminyaka emi-2 ukuya kweyi-5. Rhoqo babe nesifo esifana nemasisi, umkhuhlane obomvu, isifo sephepha, okanye umhlaza. Banokuba namajoni omzimba abuthathaka.

Izinto zomngcipheko zibandakanya:

• Uhlobo lokungondleki olubizwa ngokuba yiKwashiorkor, kunye nezinye iindlela zokungondleki
• Ugutyulo lwelindle kunye neemeko zokuphila ezingcolileyo
• Ukuphazamiseka okufana nemasisi okanye ileukemia
• Ukuhlala kwilizwe elisaphuhlayo

UNoma ubangela ukutshabalalisa izicwili ngesiquphe okuya kusiba mandundu ngokukhawuleza. Okokuqala, iintsini kunye nokufakwa kwizihlathi kuya kudumba kwaye kuphuhlise izilonda (izilonda). Izilonda zivelisa umjelo onuka kakubi, ubangele ukunuka komphefumlo kunye nevumba lolusu.

Usulelo lusasazeka kulusu, kwaye izicubu ezisemilebeni nasezidleleni ziyafa. Oku kunokutshabalalisa izicwili kunye nethambo. Ukutshatyalaliswa kwamathambo ajikeleze umlomo kubangela ukukhubazeka ebusweni kunye nokulahleka kwamazinyo.

UNoma unokuchaphazela namalungu esini, asasazeka kulusu lwamalungu (ngamanye amaxesha ibizwa ngokuba yi-noma pudendi).

Uvavanyo lomzimba lubonisa indawo ezivuthayo zeembumba, izilonda zomlomo, kunye nezilonda zolusu. Ezi zilonda zinomjelo onuka kakubi. Kukho ezinye iimpawu zokungondleki.

Amayeza okubulala iintsholongwane kunye nokutya okufanelekileyo kunceda ekunqandeni esi sifo ukuba sibe mandundu. Utyando lweplastikhi kunokuba yimfuneko ukususa izicubu ezonakalisiweyo kunye nokwakha ngokutsha amathambo obuso. Oku kuya kuphucula ukubonakala kobuso kunye nomsebenzi womlomo kunye nomhlathi.

Kwezinye iimeko, le meko ingaba yingozi xa inganyangwa. Ngamanye amaxesha, imeko inokuphola ngokuhamba kwexesha, nangaphandle konyango. Nangona kunjalo, inokubangela ukonakala kakhulu kunye nokukhubazeka.

Ezi ngxaki zinokwenzeka:

• Ukukhubazeka kobuso
• Ukungakhululeki
• Kunzima ukuthetha nokuhlafuna
• Ukubekwa wedwa

Unonophelo lonyango luyafuneka ukuba izilonda zomlomo kunye nokudumba kuyenzeka kwaye kuyaqhubeka okanye kuya kusiba mandundu.

Ukuphucula isondlo, ucoceko, kunye nococeko kunokunceda.

Cancrum oris; Isifo sokudumba kwangaphambi kwesigaqa

• Izilonda zomlomo

I-Chjong CM, i-Acuin JM, iLabra PJP, uKhan AL. Ukuphazamiseka endlebeni, empumlweni nasemqaleni. Ku: Ryan ET, Hill DR, Solomon T, Aaronson NE, Endy TP, ii-eds. IHunter’s iTropical kunye neZifo eziSasazekayo eziSulelayo. IPhiladelphia, PA: Elsevier; 2020: isahl 12.

Ukuphazamiseka kukaKim W. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 684.

Srour ML, Wong V, Wyllie S. Noma, actinomycosis kunye nocardia. Ku: Farrar J, Hotez PJ, Junghanss T, Kang G, Lalloo D, White NJ, ii-eds. Izifo zeTropical Manson. Umhla we-23. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 29.