ʻAʻohe o kākou e noʻonoʻo nui ana i ka "luha" i ko kākou ola o kēlā me kēia lā, ʻeā? Manaʻo mākou he mea wale nō ia i loko o ko kākou waha. Akā, ua ʻike anei ʻoe me ka ʻole o kēia luha, ʻaʻole hiki iā ʻoe ke ʻai, kamaʻilio, a ʻono paha i ka meaʻai? He wai kupaianaha maoli ka luha e pāʻani ana i kahi hana koʻikoʻi loa i loko o ko kākou kino. E kamaʻilio pololei kākou e pili ana i ia mea, a maʻalahi hoʻi, i kēia lā.
He aha nā pono nui a ka kuha e hāʻawi mai ai i ko kākou kino?
ʻAʻole he wai liʻiliʻi wale nō ka hū. He lawelawe nui ia no ko kākou olakino waha a me ko kākou olakino holoʻokoʻa. E noʻonoʻo i ka nui o nā pilikia e kū mai ana iā kākou inā nalowale ko kākou hū.
I ka ʻōlelo maʻalahi, ʻo ka kuha ke mea pale maoli i loko o ko kākou waha a ʻo ia ka mea e hoʻomaka ai i ka hana mua o ke kaʻina hana ʻai.
Eia kekahi o nā mea nui e hana ʻia me ka lawai.
| Ka hana i hana ʻia e ka hū | He wehewehe wale nō |
|---|---|
| E mālama i ka waha a me ka puʻu i ka pulu | ʻO ka lawai ka mea e pale ai i ko kākou mau papālina, ke alelo, a me nā lehelehe mai ka pipili ʻana, e hiki ai iā kākou ke ʻōlelo maʻalahi. Hana pū ia ma ke ʻano he lubricant e pale aku ai i nā germs. |
| E maʻalahi ai ke nau a ale i ka meaʻai | Hoʻomaʻū ka lawai i ka meaʻai a mākou e ʻai ai, e hoʻolilo ana iā ia i pōpō liʻiliʻi (bolus) a kōkua iā ia e neʻe i lalo i ka puʻu. Me ka ʻole o ka lawai, he mea paʻakikī loa ke ale ʻana i ka meaʻai. |
| Hoʻomaka ka ʻai ʻana | Hoʻomaka ka enzyme amylase i loaʻa i loko o ka lawai i ke kaʻina hana hoʻoheheʻe ʻana o nā meaʻai starchy a mākou e ʻai ai (e like me ka berena a me ka laiki) i loko o ka waha. |
| Ka palekana mai nā maʻi | ʻO nā mea e like me ka lysozyme i loko o ka lawai e luku i nā bacteria ʻino i loko o ka waha a kāohi i nā germs waha. |
| Ke pale nei i nā niho | Holoi ka lawē i nā ʻāpana meaʻai ma hope o ka ʻai ʻana. Hāʻawi pū ia i ka calcium (Calcium hydroxyapatite) i nā niho. Hoʻemi kēia i ka pilikia o ka pala niho a me ka maʻi ʻāʻī . |
| Ke kaulike nei i ka pH o ka waha | ʻOkoʻa ka ʻakika o nā mea a mākou e ʻai ai a inu ai. Mālama ka luʻa i ka pH (ʻakika/alkaline) o ka waha ma kahi pae. |
| Kōkua i ka ʻono | I mea e ʻono ai ko kākou alelo i ka meaʻai maloʻo, pono ia e pulu. Hāʻawi ʻia kēlā pulu e ka kuha. |
No hea mai kēia lawai?
Hoʻopuka ʻia ka lawai e nā kelepa salivary i loko a puni o ko kākou waha. Komo ka lawai i hana ʻia e kēia mau kelepa i loko o ka waha ma o nā ʻōmole liʻiliʻi (ducts). Loaʻa iā kākou ʻekolu mau pālua nui o nā kelepa salivary.
- Nā kelepa parotid: ʻO kēia nā kelepa salivary nui loa. Aia lākou ma mua o nā pepeiao, ma nā papālina. Hoʻokahe lākou i ka saliva i loko o ka waha kokoke i nā niho o luna.
- Nā kelepaʻa sublingual: Aia kēia mau mea ma lalo o ke alelo.
- Nā ʻōpū submandibular: Aia kēia mau mea ma lalo o ka ʻāwae lalo. Hoʻokahe ʻia ka lawai mai kēia mau ʻōpū i loko o ka waha ma lalo o ke alelo.
Hoʻopuka kēia mau kelepa nui ʻekolu i 90% o ko kākou lawai. ʻO ke koena 10% i hana ʻia e nā haneli o nā kelepa lawai liʻiliʻi e loaʻa ana ma loko o ka waha. Ma ka awelika, hana kahi pākeke i 0.5 a 1.5 lita o ka lawai i kēlā me kēia lā.
Pehea e kāohi ʻia ai ka hana ʻana o ka lawai?
Hoʻokele ʻia ka hana ʻana o ka lawai e kā mākou ʻōnaehana nerve autonomic (ANS). ʻAʻole hiki iā mākou ke kaohi i kēia me ka ʻike, hana koke ia. ʻElua mau ʻāpana o kēia ʻōnaehana e pili ana i ka hana ʻana o ka lawai.
1. ʻŌnaehana nerve aloha
ʻO kēia ka mea e hoʻomākaukau ai iā mākou no nā pilikia, ka makaʻu, a me ke kaumaha. Ua like ia me ka pane "hakakā a lele paha". Ke hoʻāla ʻia kēia ʻōnaehana, hana ʻia ka lawai mānoanoa a pipili.ʻO ia ke kumu e manaʻo ai ʻoe ua maloʻo kou waha ke makaʻu ʻoe, hopohopo, a i ʻole e loaʻa ana kahi hoʻokolohua.
2. ʻŌnaehana nerve parasympathetic
Hana kēia ʻōnaehana i ka mea kū'ē i nā ʻōnaehana ʻē aʻe. ʻO ia ka mea e hoʻomau ai iā mākou i ka mālie a me ka hoʻomaha. Ua kapa ʻia ʻo "rest-and-digest." Ke hoʻāla ʻia kēia ʻōnaehana, hana ia i ka kuha wai a wai. ʻO kēia kuha wai ka mea e kōkua iā mākou e ʻai a ale i ka meaʻai.
Eia kekahi, hiki i kekahi mau mea o kēlā me kēia lā ke hoʻololi i ka hana ʻana o ka lawai:
- Ke ʻai ʻoe i kahi mea ʻawaʻawa: E noʻonoʻo e ʻai ana ʻoe i kahi ʻāpana mango a me kahi lime liʻiliʻi. Hoʻomaka kou waha e kuha, ʻeā? No ka mea, he nui ka waikawa o nā meaʻai ʻawaʻawa. Hoʻopuka ke kino i ka kuha hou aku e hōʻemi i kēlā waikawa a pale i kou mau niho.
- I ka noʻonoʻo ʻana i ka meaʻai: ʻOiai ka noʻonoʻo ʻana i ka meaʻai ʻono e hoʻoheheʻe ai koʻu waha i ka wai.
- Ao a me ka pō: Kiʻekiʻe ka hana ʻana o ka lawai i ke ao, akā i ka pō, i ka wā e hiamoe ai kākou, emi nui ka hana ʻana o ka lawai. Manaʻo ʻia e pili ana kēia i ke kaʻina hana o kēlā me kēia lā o ko kākou kino (Circadian rhythm).
He aha nā nīnau maʻamau e pili ana i ka lawai?
Hiki i kekahi mau kūlana olakino, nā lāʻau lapaʻau, a me nā lāʻau lapaʻau ke hoʻololi i ka nui a me ke ʻano o ka lawai i hana ʻia. ʻElua mau pilikia nui: hyposalivation a me hypersalivation. ʻO kēia mau mea, ʻo ka hyposalivation ka mea maʻamau.
Hyposalivation a me ka waha maloʻo
Ua kapa ʻia kēia ʻo 'Hyposalivation'. ʻO ka hōʻailona e loaʻa mai ana mai kēia, ʻo ia ka waha maloʻo '(Xerostomia).' Ke lawa ʻole ka lawai, hiki ke loaʻa nā pilikia like ʻole.
| Nā pilikia e kū mai ana ma muli o ka emi ʻana o ka saliva | |
|---|---|
| Hanu ʻino (Halitosis) | ʻO ka ʻeha a me ka ʻeha o ka waha a me ka puʻu |
| Hoʻonui ʻia ka pala niho a me ka maʻi ʻāʻī | Ka paʻakikī i ka ʻōlelo ʻana a me ka moni ʻana i ka meaʻai |
| Ka paʻakikī ke kau ʻana i nā niho kuʻi | Hoʻonui ʻia ka pilikia o nā maʻi waha |
He aha nā kumu o ka waha maloʻo?
- Kekahi mau kūlana olakino:ʻO ka maloʻo ʻana (nele i ka wai i loko o ke kino), ka maʻi diabetes i kāohi pono ʻole ʻia, ke koko kiʻekiʻe, ka maʻi HIV, ka maʻi Sjögren, nā maʻi autoimmune e like me lupus.
- Nā lāʻau lapaʻau: ʻO nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo, nā lāʻau lapaʻau allergy (antihistamines), kekahi mau lāʻau ʻeha, kekahi mau lāʻau koko kiʻekiʻe (beta-blockers), a me ka chemotherapy maʻi kanesa hiki ke hana i ka waha maloʻo.
- Lapaʻau radiation: ʻO ka lāʻau radiation, ʻoi aku hoʻi no nā maʻi ʻaʻai poʻo a me ka ʻāʻī, hiki ke hōʻino i nā kelepa salivary a hōʻemi i ka hana saliva.
Ka lawai nui ʻana
Ua kapa ʻia kēia ʻano he ʻano ʻo 'Hypersalivation' a i ʻole 'Sialorrhea'. ʻO kēia ka manawa e hana ai nā kelepa salivary i ka saliva ma mua o ka mea e pono ai. Hiki i kēia ke kumu o ka drooling. ʻO nā pēpē ʻōpio e drool no ka mea ʻaʻole hiki iā lākou ke hoʻomalu pono i ko lākou mau ʻiʻo waha.
Hiki i ka salivation nui ke hana i nā ʻeha ʻeha a māwae ma nā kihi o ka waha (Angular cheilitis). I nā hihia koʻikoʻi, hiki i kēia saliva ke komo i loko o nā alaloa a hoʻoulu i nā kūlana e like me ka aspiration pneumonia.
He aha nā kumu o ka hoʻonui ʻia o ka salivation?
- Nā lua i mālama ʻole ʻia: ʻO ka pala o ka niho ke kumu o ka ulu ʻana o ka bacteria i loko o ka waha. Hiki i ke kino ke hana i ka lawai hou aku i ka hoʻāʻo ʻana e hoʻopau i kēia mau bacteria.
- ʻO Gastritis (GERD): Ke piʻi aʻe ka waikawa o ka ʻōpū i loko o ka puʻu, hana ke kino i ka lawai hou aku e pale i ka waha mai kēlā waikawa.
- Ka luaʻi a me ka luaʻi ʻana: Ke kokoke ʻoe e luaʻi, hana hou kāu mau kelepa salivary i ka saliva e pale aku i ka waikawa o ka ʻōpū mai ka hōʻino ʻana i kou waha.
- Hāpai keiki: I ka wā hāpai, hiki i nā loli hormonal a me ka nausea ke hoʻonui i ka hana ʻana o ka saliva no kekahi manawa.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo (e.g., Clozapine) hiki ke hoʻonui i ka hana ʻana o ka lawai ma ke ʻano he hopena ʻaoʻao.
Pono anei au e ʻike i ke kauka no kekahi mea e like me kēia?
ʻAe, ʻoiaʻiʻo nō. Inā maloʻo mau kou waha a i ʻole ka salivation, mai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka. Hiki iā ia ke nānā iā ʻoe a ʻike i ke kumu o ia mea. Hiki paha he lāʻau lapaʻau āu e lawe nei, a i ʻole he hōʻailona paha ia o kekahi maʻi ʻē aʻe. Ke hoʻoholo ʻia ke kumu, hiki i kāu kauka ke kuhikuhi i ka lāʻau kūpono.
Loaʻa i kekahi poʻe ka lawai mānoanoa a pipili. ʻO ke kumu nui o kēia, ʻo ia ka maloʻo o ka wai. No laila, he mea nui loa ka inu ʻana i ka wai he nui . Eia nō naʻe, inā hoʻomau ka pilikia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e pili ana i ia mea.
Leka Lawe-Home
- He wai koʻikoʻi ka lawē no ke olakino o ko kākou waha a me ke kino. Kōkua ia i ka hoʻoheheʻe ʻana i ka meaʻai, pale i nā niho, a hakakā i nā maʻi.
- ʻAʻole hiki ke lawe māmā ʻia ka waha maloʻo (nele i ka lawai). Hiki iā ia ke alakaʻi i ka pala niho a me nā maʻi waha ʻē aʻe.
- ʻO ka hana nui ʻana o ka lawai (drooling) hiki ke lilo i hopena ʻaoʻao o kekahi mau kūlana olakino a i ʻole nā lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kahi pilikia lōʻihi me ka lawai (waha maloʻo, lawai nui, lawai mānoanoa), e kamaʻilio pono me kāu kauka e pili ana i ia mea.
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