Pokud si pacient všimne jemného bílého povlaku na jazyku, nejedná se o patologický stav. Sliznice dutiny ústní se totiž neustále obměňuje, odlupují se odumřelé buňky, ty se promíchávají se slinami a zbytky potravy. Vytváří se povlak, pacient jej může spolykat, a pak mohou dráždit. Obvykle je sekret osídlen bakteriemi, může i značně zapáchat.
V tomto případě není nutné vyhledávat lékaře. Člověk musí dbát o hygienu dutiny ústní. Pravidelně a dokonale očistit chrup, dásně, ale i jazyk a tváře. Vhodné je také dostatečně pít ( nealkoholické nápoje). Proti zápachu se doporučuje používání ústních vod, žvýkání žvýkaček bez cukru apod.
Na sliznici tváří, ale i na jazyku se mohou vytvářet bělavé povlaky, které jdou lehce setřít. Jsou projevem infekce dutiny ústní kvasinkou Candida albicans. Toto onemocnění může vzniknout u novorozence, který se nakazí kvasinkou při porodu. U dospělých se s ním setkáváme především u lidí s insuficietní imunitou – u AIDS apod. Takovéto bělavé flíčky na tvářích a jazyku by měl vidět lékař. Dále se musí zjistit příčina poruchy imunity.
Bělavé plošky, opět na vnitřních tvářích a na sliznici jazyka, které nejdou jednoduše setřít, se označují jako leukoplakie. Leukoplakie může vzniknout z celé řady příčin, např. z kouření. Leukoplakie je výrazem dysplazie epitelu, měl by ji vidět lékař. Není to záležitost urgentní, ale vyšetření by se udělat mohlo. Některé leukoplakie ( ale rozhodně ne všechny) jsou prekancerózou – po určité době se z nich může vytvořit zhoubné nádory.
Pro jistotu je tedy vhodné lékaře vyhledat, přestat kouřit a pít destiláty. I nechat si ošetřit zuby může leukoplakii odstranit.
Diskuze o bílém povlaku na jazyku
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