Bílý povlak na jazyku

19.8.2012 , Vladislava Králová

bily-povlak-na-jazyku.jpg - kopie
bily-povlak-na-jazyku.jpg - kopie
Bílý povlak na jazyku - pak li že se jedná o patologický příznak - se nejčastěji vyskytuje jako tzv. Soor - neboli bílý povlak na jazyku způsobený kvasinkou Candida albicans. V dětství je tento bílý povlak na jazyku vyskytuje celkem běžně a s jeho léčbou Vám poradí Váš dětský lékař. V dospělosti je pak tento kvasinkový bílý povlak jazyka spojen s poruchami imunity - například u pacientů po onkologické léčbě či u pacientů s HIV...

Bílý povlak na jazyku

Bílé skvrny na jazyku mohou být způsobeny například leukoplakií či moučnivkou. Nemusí se ale nutně jednat vždy o patologický stav. Pokud pozorujete na jazyku jemný povlak bílé barvy, který je snadno odstranitelný, nemusíte vyhledat lékaře. Sliznice jazyka se neustále obměňuje, odumřelé buňky na povrchu sliznice se odlučují. Následně se promíchávají se zbytky potravy a slinami a vytvářejí tak tenký bílý film. Tento sekret je pravidelně osídlen bakteriemi, které se fyziologicky v dutině ústní vyskytují, což způsobuje zápach, který může být někdy poměrně silný. Postup je jednoduchý. Základem je dokonalá hygiena dutiny ústní. Čistěte si opakovaně v průběhu dne nejen zuby, ale také dásně, povrch jazyku a tváře. Dále používejte ústní vodu a žvýkačky. Vhodné je také zvýšit příjem tekutin. Bělavý jazyk lze pozorovat také v průběhu angíny a spály. Zde samozřejmě dominují jiné příznaky jako horečka, bolest v krku, zduření patra a mandlí, atd.

Příčiny bílého povlaku na jazyku v dětství

Bílý povlak na jazyku může být způsobený také přemnožením kvasinky Candida albicans v dutině ústní. Onemocnění nazýváme moučnivka, nebo také soor. Tato kvasinka se v dutině ústní normálně vyskytuje, k jejímu přemnožení dochází buď u nejmenších dětí, nebo při oslabeném imunitním systému. Moučnivka u dětí je spojena s bělavým povlakem tváří a jazyka. Povlak nejde snadno setřít. O vhodné léčbě se poraďte s Vaším pediatrem. Možnou léčbou je potírání povlaku genciánovou violetí. Jedná se o protiplísňový roztok. Příznaky by měly odeznít do 3-4 dnů. Další možností je výplach dutiny ústní tee-trea olejem. Jako preventivní opatření proti návratu onemocnění, je vyvaření veškerých dudlíků a popřípadě i hraček. Je pravděpodobné, že kvasinky budou přítomné též na Vašich bradavkách. Pokud se vyskytnou příznaky jako pálení a svědění bradavek, které sílí po kojení, je nutné léčit i je. K ošetření se užívají masti s protiplísňovým účinkem.

Příčiny bílého povlaku na jazyku v dospělosti

V dospělosti se moučnivka vyskytuje, pokud se oslabí imunitní systém. Typickou příčinou je infekce HIV nebo užívání léků, které tlumí imunitní systém, tedy imunosupresiva. Imunitní systém účinně neudržuje rovnováhu systému a dochází k přemnožení kvasinek, které na tuto situaci čekají. Poruchu rovnováhy mezi organismy žijícími v dutině ústní může také narušit užívání antibiotik. S moučnivkou se setkáme také u chronických onemocnění jater. Léčba závisí na vyvolávající příčině. Tedy úprava funkce jater, vysazení antibiotik, úprava léčby imunosupresivy, atd. 

Leukoplakie

Další příčinou bílého povlaku na jazyku je leukoplakie. Jedná se o chorobné rohovatění dlaždicového epitelu v místě, kde zrohovatělý být nemá, tedy například na jazyku. Bílý povlak pevně lne a nelze jej snadno odstranit. Dochází vlastně k bělavému ztluštění sliznice. Ložiska jsou ostře ohraničena. Mezi rizikové faktory řadíme zejména kouření, dále alkohol, chronické dráždění sliznice. To může být způsobeno nevhodnou zubní protézou, opakovanými infekcemi sliznice dutiny ústní. Vyvolavatelem jsou kvasinky či virus Ebsteina-Baarové.

Bílý povlak na jazyku, opatření a léčba

Pokud trpíte podobnými příznaky, měli byste vždy kontaktovat lékaře. V léčbě se dle vyvolávající příčiny uplatňují antimykotika, antivirotika. Možná je též léčba chladem či chirurgická plastika postiženého místa. Stav není akutní, ale někdy se na jeho podkladě může vyvinout zhoubné onemocnění. Zvláštní jednotkou je vlasatá leukoplakie. Opět nalezneme ostře ohraničené bílé okrsky, které jsou ale na hranách jazyka a pouze v předních dvou třetinách jazyka. Souvisí s virem HIV či virem Epsteina-Baarové.

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12. března 2016 4:12

lola: Je mi 13 a mam bily jazyk kdyz po nem sjedu zuby vytecou sliny ..je to normalni?

9. března 2014 19:10

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