Ua manaʻo paha ʻoe ua pehu koke ka wahi kokoke i kou pepeiao a ʻeha loa a hiki ʻole iā ʻoe ke hoʻopā aku? Ke piʻi nei anei kēia ʻeha, ʻoiai ke ʻike ʻoe i ka meaʻai ʻono a i ʻole ke kuha ʻoe i loko o kou waha? Hiki i kekahi poʻe ke ʻike i kēia pehu me ke kuni. Manaʻo ka poʻe he nui he pehu wale nō kēia e nalowale ana i hoʻokahi a ʻelua paha lā. Akā, he pilikia paha kēia me ka 'parotid gland', he ʻāpana koʻikoʻi loa ia o ko kākou kino. No laila, mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ke ʻano o ka Parotid Gland?
I ka ʻōlelo maʻalahi, ʻo ka parotid gland ko mākou salivary gland nui . ʻEkolu mau pālua o nā gland salivary nui i loko o ko mākou waha. ʻO ka pālua o nā gland nui loa ʻo ia ka parotid gland. Aia kēia mau gland ʻelua ma nā ʻaoʻao ʻelua o kou mau papālina, ma mua iki a ma lalo o kou mau pepeiao.
E noʻonoʻo i loko o ko kākou waha e like me ka mīkini e hana mau ana. Kamaʻilio kākou, ʻai, a moni i nā mea. I mea e hana maikaʻi ai kēia mīkini a mālie, pono ia i kahi mea e like me ka lubrication. ʻO ia ka mea i kapa ʻia ai ko kākou waha ʻo 'saliva'. ʻO ka mea nui loa a koʻikoʻi loa o nā hale hana nui e hana ana i kēia saliva ʻo ia ka parotid gland.
No laila he aha ka mea e hana ʻia i ka lawai i hana ʻia e kēia gland?
ʻAʻole kēia he wai wale nō. He nui nā hana koʻikoʻi āna e hana ai no ko kākou kino.
- Ka mālama ʻana i ka waha i pulu: Kōkua ka lawai i ka mālama ʻana i ko mākou waha i pulu a ʻaʻohe maloʻo, i hiki ai iā mākou ke ʻōlelo a ale maʻalahi i ka meaʻai.
- Kōkua i ka ʻai ʻana: Hoʻomaka ke kaʻina hana o ka ʻai ʻana i ka meaʻai a mākou e ʻai ai ma ka waha. ʻO ka luwa, i hana ʻia e ka parotid gland, aia kahi enzyme i kapa ʻia ʻo amylase . ʻO kēia ka mea e hoʻomaka ai i ka hana mua i ka ʻai ʻana i nā meaʻai starchy (e like me ka berena a me ka laiki) a mākou e ʻai ai ma ka waha.
- Hoʻēmi i nā bacteria ʻino i loko o ka waha: ʻO ko mākou waha ka home no nā miliona o nā bacteria. Hiki i ka luʻu ke kāohi i kēia mau bacteria ʻino a hoʻēmi i ka pilikia o nā maʻi waha.
- Mālama i ka pala niho: Holoi ka luʻu i nā ʻāpana meaʻai a hoʻopau i nā waikawa e hōʻino i nā niho. No laila, he mea nui ka luʻu no ka pale ʻana i ka pala niho.
Ua ʻike anei ʻoe? ʻO ka maʻamau, hana nā kelepa parotid ma kahi o 10% o ka nui o ka lawai i loko o ko mākou waha. Akā i ka wā e ʻai ai mākou, lilo kēia mau kelepa i ʻoi aku ka hana, e hoʻonui ana i ka hana lawai a hiki i ka 25%!
ʻAuhea maoli kēia ʻōmaka i loko o ko kākou kino a pehea kona ʻano?
E like me kā mākou i ʻōlelo ai ma mua, aia kēia mau kelepa ʻelua ma mua pono a ma lalo o kou mau pepeiao, ma nā ʻaoʻao ʻelua o kou mau papālina. I mea e pololei ai, pono lākou ma luna o kou ʻāwae haʻahaʻa. E wehe ana kēlā me kēia o kēia mau kelepa i loko o kahi ʻauwai lahilahi e like me ka paipu ('ʻauwai ʻo Stensen'). Maanei e komo ai ka lawai i hana ʻia i loko o kou waha. E wehe ana kēia ʻauwai kokoke i nā niho molar luna ma kou ʻāwae luna.
I ke ʻano, ua like ia me kahi pyramid i luna. He ākea ka ʻaoʻao o luna a ololi i kona iho ʻana. ʻO kahi aʻalolo koʻikoʻi loa e kāohi ana i nā manaʻo o ko kākou helehelena, ʻo ia ke aʻalolo maka , e holo ana ma waena o ka gland. Hoʻokaʻawale kēia aʻalolo i ka gland i ʻelua ʻāpana (superficial lobe a me deep lobe). ʻO ia ke kumu e akahele loa ai nā kauka i ka wā e hana ai i nā ʻoki ma ka parotid gland. No ka mea, inā ua hōʻino iki ʻia kēlā aʻalolo, hiki i kekahi ʻaoʻao o ka maka ke kūlou a hiki i ka lawai ke kahe mai ke kihi o ka waha.
No ke aha e pehu ai kēia ʻōpū parotid? He aha nā kumu?
ʻAe, e nānā kākou i ka pilikia o ka poʻe he nui. No ke aha e pehu koke ai kēia gland a lilo i ʻeha? Hiki ke loaʻa kekahi mau kumu nui no kēia. E wehewehe kākou iā lākou penei.
| Pilikia/kūlana | He wehewehe maʻalahi |
|---|---|
| Ka hoʻokumu ʻana o ka pōhaku salivary (Sialolithiasis) | ʻO kēia ke kumu maʻamau. Hōʻiliʻili nā minelala e like me ka calcium i loko o ka lawai a hana i nā pōhaku liʻiliʻi i loko o nā ducts e lawe ana i ka lawai. Ke ʻai ʻoe, hana ʻoe i ka lawai hou aku, a paʻa kēia mau pōhaku, e pale ana i ke kahe ʻana o ka lawai, e hoʻoulu ai i ka gland e pehu a hōʻeha nui. |
| Ka maʻi ʻana o ke kelepaʻi (Sialadenitis) | Hiki ke hoʻopili ʻia ka ʻōpū e nā bacteria a i ʻole nā virus. No ka laʻana, ʻo ke anu maʻamau, ʻo ka mumps, he maʻi viral ia o ka parotid gland. Hiki i nā maʻi bacteria ʻē aʻe ke hana iā ia e pehu, ʻulaʻula, a loaʻa ke kuni. |
| Ke kūkulu ʻia ʻana o nā puʻupuʻu i loko o ka gland | I kekahi manawa hiki ke ulu nā puʻupuʻu i loko o ke kelepa parotid. Mai hopohopo ke lohe ʻoe i kēia. Ma kahi o 80% o kēia mau puʻupuʻu he mau puʻupuʻu maʻamau, ʻaʻole maʻi kanesa. Hiki iā lākou ke ulu nui aʻe, akā ʻaʻole paha e ʻeha. |
| Ka maʻi ʻaʻai | He mea kākaʻikahi loa kēia. Eia nō naʻe, i kekahi manawa hiki i nā puʻupuʻu kanesa ke ulu i loko o kēia gland. ʻO ka maʻamau, ulu wikiwiki kēia mau mea, hiki ke ʻeha, a hiki ke hoʻoulu i ke kūlou ʻana o ka maka ma muli o ke kaomi ʻana ma ke aʻalolo maka. |
He aha nā hōʻailona maʻamau o kēia pilikia?
I ka hapa nui o ka manawa, ʻaʻohe mea he aha ke kumu, aia kekahi mau hōʻailona maʻamau. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, mai hoʻokuʻu iā ia me he mea maʻamau.
- Ka pehu ʻana o ka papālina a me ka ʻāwae: Pehu koke a mālie paha ka ʻaoʻao o ka papālina kokoke i ka pepeiao.
- ʻEha: Hele mai ka ʻeha me ka pehu. Hoʻonui ka ʻeha ke noʻonoʻo ʻoe e pili ana i ka ʻai ʻana, ka ʻai ʻana, a i ʻole ka noʻonoʻo ʻana i kahi mea ʻawaʻawa . ʻO kēia no ka mea e piʻi ana ka nui o ka lawai i hana ʻia.
- Kuni: Inā he maʻi, hiki i ke kino ke wela a kuni.
- Ka paʻakikī i ka wehe ʻana i kou waha: Hiki i ka pehu ke paʻakikī i ka wehe ʻana a me ka pani ʻana i kou waha.
- Waha maloʻo: Inā paʻa kekahi o nā kahawai salivary, hiki iā ʻoe ke loaʻa ka waha maloʻo.
- ʻOno ʻino i ka waha: Inā ua hana ʻia ka pus ma muli o kahi maʻi, loaʻa paha iā ʻoe kahi ʻono ʻino a ʻala ʻino paha i loko o kou waha.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe i ke kauka me kēia mau hōʻailona, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe. E nīnau ʻo ia iā ʻoe e pili ana i ka lōʻihi o ka pehu ʻana, pehea ke ʻano o ka ʻeha, inā e ʻoi aku ka ʻino ke ʻai ʻoe, a inā he kuni kou.
A laila, e nānā pono ʻia kou helehelena, kou mau papālina, a me kou ʻauwae. E nānā lākou no ka pehu ʻana, ka palupalu, ka mehana, a me ka ʻeha. E nānā pū lākou i kou waha no ka ʻulaʻula, ka pus, a i ʻole ka kahe ʻana mai nā kelepa salivary.
I ka hapa nui o ka manawa, e hāʻawi kēia hoʻokolohua mua i ke kauka i kahi manaʻo maikaʻi o ka pilikia. Eia nō naʻe, i kekahi manawa pono paha nā hoʻokolohua hou aʻe e hōʻoia i ke kumu pololei.
| Inoa o ka hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e hana ai me ia? |
|---|---|
| Nā Hoʻāʻo Kiʻi | E noi ʻia paha ʻoe e hana i kahi scan ultrasound , CT scan, a i ʻole MRI scan e ʻike i nā mea e hana nei i loko o ka gland. Hiki i kēia ke hōʻike maopopo inā he mau pōhaku, he puʻupuʻu, a i ʻole he hōʻiliʻili ʻana o ka pus. |
| Biopsy nila | Inā he kānalua no kahi puʻupuʻu, e hoʻohana ke kauka i kahi nila lahilahi e lawe i kekahi mau ʻāpana mai ka pehu a hoʻouna iā lākou i ka hale hana. E kōkua kēia i ka hoʻoholo ʻana inā he maʻi kanesa lākou. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka mālama ʻana e pili ana i ke kumu o kou pilikia.
- Inā he maʻi ia: Inā he maʻi bacteria, e kuhikuhi kāu kauka iā ʻoe i nā antibiotics kūpono. E hāʻawi pū lākou iā ʻoe i ka lāʻau lapaʻau no ke kuni a me ka ʻeha.
- Inā liʻiliʻi loa ka pōhaku, e ʻōlelo paha kāu kauka iā ʻoe e inu i ka wai nui, e ʻai i kahi mea ʻawaʻawa e like me ka toffee a i ʻole ka lemona. E kōkua kēia i kou lawai e kahe a kōkua i ka hoʻokuke ʻana i ka pōhaku i waho. Hiki iā ia ke aʻo iā ʻoe pehea e lomilomi ai i ka gland. Akā pono ʻoe e nīnau i ke kauka ma mua o ka hoʻāʻo ʻana i kēia mau mea ma kāu iho. Inā ʻaʻole holo pono kēia mau mea, pono paha ʻoe e hana i kahi ʻoki liʻiliʻi e wehe ai i ka pōhaku.
- Inā he puʻupuʻu: Inā he puʻupuʻu, ʻo ka lāʻau maikaʻi loa ka ʻoki ʻana (`Parotidectomy`) e wehe i ka puʻupuʻu a i ʻole kekahi ʻāpana o ke gland.
- Inā he maʻi ʻaʻai ia: Inā ua hōʻoia ʻia ka maʻi ʻaʻai, pono paha ka radiation therapy a i ʻole chemotherapy ma waho aʻe o ke ʻoki ʻana.
He aha kā mākou e hana ai e mālama i ke olakino o kēia mau ʻōpū?
ʻAʻole hiki iā mākou ke pale aku i kēia mau pilikia a pau, akā aia kekahi mau mea maʻalahi hiki iā mākou ke hana e mālama i ke olakino o ko mākou mau ʻōpū salivary.
- E inu i ka wai he nui i ka lā a pau: ʻO ka maloʻo ʻana kekahi o nā kumu no ka hoʻokumu ʻia ʻana o nā pōhaku salivary. No laila, e hōʻoia e inu i ka nui o ka wai e pono ai i ka lā a pau.
- ʻAi ʻūpā a toffee paha me ke kō ʻole: ʻO ka nau ʻana i kēia mau mea e hoʻoulu ai i ka hana ʻana o ka lawai, kahi e kōkua ai i ka mālama ʻana i nā ʻōmole maʻemaʻe.
- E pale i ka puhipaka:Hoʻopilikia ka puhipaka i ka hana o nā kelepa salivary a he kumu pilikia ia no ka maʻi kanesa.
- E hōʻemi i ka caffeine a me ka waiʻona: Hiki i kēia ke hoʻomaloʻo i ke kino, no laila ʻoi aku ka maikaʻi o ka kaupalena ʻana i kā lākou hoʻohana.
- E mālama i kou hoʻomaʻemaʻe waha: ʻO ka palaki ʻana i kou mau niho i ʻelua manawa i ka lā a me ka mālama ʻana i kou waha i ka maʻemaʻe e kōkua i ka pale ʻana i nā maʻi.
ʻO ka mea hope loa, inā pehu a ʻeha kou kelepa parotid, mai hoʻowahāwahā iā ia. ʻO ka hapa nui o ka manawa, he mau mea kēia e hiki ke ho'ōla piha ʻia me nā lāʻau lapaʻau maʻalahi. Akā i kekahi manawa, pono paha kekahi mea e like me ke ʻoki ʻana. No laila, inā he mau nīnau a kānalua paha kāu, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka a loaʻa ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- Mai hoʻowahāwahā i ka pehu a me ka ʻeha ma ka papālina kokoke i ka pepeiao e like me ka mea maʻamau. He pilikia paha ia me ka parotid gland.
- Inā piʻi aʻe ka ʻeha, ʻoiai i ka wā e ʻai ai a i ʻole ka noʻonoʻo ʻana i kahi mea ʻawaʻawa, he hōʻailona ikaika ia e hiki ke kumu ʻia e nā pōhaku i loko o nā ʻauwai salivary (sialolithiasis).
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e pale i ka noho ʻana ma ka home, ke kuhi ʻana a i ʻole ka hilinaʻi wale ʻana i kāu mea e heluhelu ai ma ka pūnaewele. E ʻike pono i kāu kauka.
- Hiki ke mālama maʻalahi ʻia ka hapa nui o nā pilikia o ke kelepa parotid me nā lāʻau antibiotic a i ʻole nā lāʻau lapaʻau maʻalahi ma ka home. No laila, he mea nui e ʻimi i ke aʻo lapaʻau kūpono i ka wā hikiwawe me ka ʻole o ka hopohopo.











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