Čepy vypadají jako bílé hrudky nebo hrbolky na mandlích a jsou známkou akutně probíhající nebo chronické angíny. Při akutním zánětu má pacient silné bolesti v krku, hrdlo a mandle jsou zarudlé. Na mandlích se mohou u povrchovějšího zánětu vyskytovat povlaky a když zasahuje zánět hlouběji, tvoří se tzv. čepy.
Jedná se o zánětlivý hlenohnisavý sekret společně s odloupanými buňkami sliznice a bakteriemi, nejčastěji streptokoky. Takto nemocný člověk by měl navštívit lékaře, aby mu udělal výtěr (stěr právě z oněch povlaků nebo čepů) a předepsal antibiotika.
Chronický zánět mandlí většinou nepůsobí pacientovi žádné potíže, není ani nikterak nebezpečný, někdy může ale obtěžovat zápachem z úst. Čepy jsou zde odrazem špatného samočištění mandlí, v nichž se usazují zbytky potravy a také jinak neškodné bakterie, které se vyskytují v dutině ústní přirozeně a zabírají tak místo škodlivějším bakteriím. Podílejí se na rozkladu zbytků potravy a tím bohužel i na tvorbě zubního kazu. Zlikvidovat čepy na mandlích tvořené těmito bakteriemi je někdy velmi obtížné, ať se snažíme dbát o ústní hygienu sebevíc.
Vyzkoušejte ústní vodu, různá antiseptika, kloktání heřmánku nebo je možné čepy vytlačit prsty.
Diskuze o čepech na mandlích
Diskuse o koronaviru v ČR
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