Ua ʻike anei ʻoe i kēia mau mea e pili ana i ka lawai? E kamaʻilio kākou!

Ua noʻonoʻo hohonu paha ʻoe e pili ana i ka lawai i loko o kou waha? ʻAʻole paha, ʻeā? Akā, ua ʻike anei ʻoe, he wai kupaianaha kēia lawai e pāʻani ana i kahi hana koʻikoʻi loa i loko o ko kākou kino. Ke kamaʻilio kākou, ke ʻai kākou, ke hauʻoli kākou, ʻaʻole hiki ke hoʻokaʻawale ʻia kēia mau mea a pau mai ka mea i kapa ʻia he lawai. No laila, i kēia lā e kamaʻilio kākou e pili ana i kēia lawai, ʻo ia hoʻi ʻo `(Saliva)`, me nā kikoʻī hou aku .

He aha ka lawai? I ka ʻōlelo maʻalahi...

He wai ka lawai i hoʻokuʻu ʻia e nā kelepa salivary (i kapa ʻia hoʻi he mau kelepa salivary) i loko o kou waha. Kapa pinepine mākou iā ia he "saliva" a i ʻole "chalk." ʻOiai he wai ka hapa nui, aia nō hoʻi i loko o ia nā mea nui ʻē aʻe no ko mākou kino, e like me nā protein a me nā enzymes.

I kekahi manawa, hoʻāʻo nā kauka i kou lawai e ʻike ai i kou olakino. No ka laʻana, hiki iā lākou ke nānā i kāu mau pae cortisol, inā ua hoʻohana ʻoe i kekahi mau lāʻau lapaʻau (i nā hoʻāʻo lāʻau lapaʻau), a inā he mau virus kāu e like me ka HIV a i ʻole nā ​​​​maʻi ʻē aʻe. ʻAʻole anei he mea kupaianaha kēlā?

He aha nā pōmaikaʻi o ka squirrel no ko mākou kino?

ʻAʻole wale ka hū he wai. He kōkua nui ia ʻaʻole wale no ko kākou olakino waha, akā, no ko kākou olakino holoʻokoʻa hoʻi. E nānā i kēia mau pono.

Kōkua i ka mālama ʻana i ka waha a me ka puʻu i ka pulu a me ka ʻoluʻolu

Kōkua ka lawai i ka mālama ʻana i nā membrane palupalu (mucosae) i loko o kou waha i pulu a ʻaʻohe pili pū. Hoʻokumu pū ia i kahi papa pale i loko o kou waha, e pale ana iā ia mai nā mea ʻino e like me ka bacteria , nā mea ʻawahia, a me nā ʻeha.

Hoʻomaʻalahi i ka ʻai ʻana a me ke ale ʻana

E noʻonoʻo i ka paʻakikī o ke ale ʻana i ka meaʻai āu e ʻai ai inā maloʻo. Hoʻomaʻū ka lawai i ka meaʻai, e hana ana i pōpō liʻiliʻi (`(bolus)`), a e maʻalahi ai ke hele i lalo o ka puʻu, ʻo ia hoʻi, ma ke ala o ka esophagus (`(esophagus)`) a i loko o ka ʻōpū (`(stomach)`). Me ka ʻole o ka lawai, he hana paʻakikī loa ka ale ʻana i ka meaʻai.

Hoʻomaka ke kaʻina hana hoʻoheheʻe.

Ua ʻike anei ʻoe e hoʻomaka ka ʻai ʻana ma ka waha? Aia kekahi enzyme kūikawā i kapa ʻia ʻo amylase i loko o ka lawai. ʻO kēia ka mea e hoʻomaka ai ka ʻai ʻana i nā meaʻai starchy (e.g. laiki, berena) a mākou e ʻai ai. Kōkua kēia i ka ʻōpū.

Mālama i nā maʻi

Aia i loko o ka luwa kekahi enzyme koʻikoʻi ʻē aʻe i kapa ʻia ʻo lysozyme . Hoʻopau kēia i nā ʻano bacteria he nui a hoʻōki i ka laha ʻole ʻana o nā germs i loko o ka waha. I nā huaʻōlelo ʻē aʻe, hana ia ma ke ʻano he mea pale kūlohelohe no ko mākou waha.

Mālama i nā niho

He hana maikaʻi nō hoʻi ka lawē i ko kākou mau niho. ʻO ka calcium hydroxyapatite i loko o ka lawēPale kēia hui i ka nalowale ʻana o ka calcium mai nā niho (`(demineralization)`). Kōkua pū ka lawai i ka holoi ʻana i nā ʻāpana meaʻai i koe ma hope o ka ʻai ʻana. Eia kekahi, kōkua ka lawai i ka hōʻemi ʻana i ka pōʻino o nā niho mai nā meaʻai ʻakika a mākou e ʻai ai. Hoʻemi kēia mau mea a pau i ka pilikia o nā lua (`(cavities)`) a me nā maʻi ʻāʻī (`(gum disease)`).

Mālama i ka pH o ka waha i ke kaulike

Kōkua ka lawai i ka mālama ʻana i ka pH (kahi ana o ka acidity/alkalinity) i loko o ko kākou waha ma waena o 6.0 a me 7.5. Ke ʻai kākou i nā ʻano meaʻai like ʻole, ʻokoʻa nā waiwai pH o kēlā mau meaʻai. Kōkua ka lawai i ka hoʻihoʻi ʻana i ka pH o ka waha i ka pae kūpono ma hope o ka moni ʻia ʻana o ka meaʻai.

Kōkua i ka ho'ōla ʻana i nā ʻeha waha

Inā loaʻa iā ʻoe kahi ʻoki ma loko o kou papālina a i ʻole kahi ʻeha liʻiliʻi ma kou waha, hiki i ka kuha ke kōkua i ka ho'ōla wikiwiki ʻana. ʻO kēia no ka mea ʻo kekahi o nā protein a me nā mea ulu i loko o ka kuha e kōkua i ka hana hou ʻana i nā ʻiʻo a wikiwiki i ka ho'ōla ʻana o ka ʻeha.

Kōkua i ka ʻono ʻana i ka meaʻai

I mea e ʻono ai nā meaʻai maloʻo, pono lākou e pulu. A laila wale nō e hiki ai i nā ʻōpuʻu ʻono ma ko kākou alelo ke ʻike i ka ʻono. Hāʻawi ʻia kēia pulu e ka lawai.

ʻAʻole anei he mea kupanaha ka nui o ka hana a ka lawai no ko kākou kino? Me he mea lā he mea liʻiliʻi ia, akā e nānā i ka nui o kāna hana!

Pehea i hana ʻia ai kēia lawai? No hea mai ia?

Hoʻopuka ʻia ka lawai, e like me kā mākou i ʻōlelo ai ma mua, e nā kelepa salivary i loko o kou waha. Hana kēia mau kelepa i ka lawai a hoʻokuʻu iā ia i loko o kou waha ma o nā kahawai liʻiliʻi (ducts).

Loaʻa iā mākou ʻekolu mau pālua o nā kelepa salivary nui:

• Nā kelepa parotid: Aia kēia mau mea ma mua o kou mau pepeiao, kokoke i kou mau papālina. ʻO kēia nā kelepa salivary nui loa. Hoʻokahe ka saliva mai kēia mau kelepa i loko o kou waha kokoke i kou mau molars luna.
• Nā ʻōpū submandibular: Aia kēia mau mea ma kou ʻāwae haʻahaʻa. Hoʻokahe ʻia ka lawai mai kēia mau ʻōpū i loko o kou waha ma lalo o kou alelo.
• Nā ʻōpū sublingual: Aia kēia mau mea ma lalo o kou alelo, ma lalo o kou waha. Hoʻokahe ʻia ka lawai mai kēia mau ʻōpū i loko o kou waha ma lalo o kou alelo.

Hoʻopuka kēia mau kelepa nui ʻekolu i 90% o kā mākou lawai holoʻokoʻa. ʻO ke koena 10% mai nā haneli o nā kelepa lawai liʻiliʻi ʻē aʻe i loko o ka waha. Ma ka awelika, hana kahi pākeke ma waena o 0.5 a me 1.5 lita o ka lawai (ʻo ia hoʻi ma waena o 2 a me 6 kīʻaha) i kēlā me kēia lā.

Pehea e kāohi ʻia ai ka hana ʻana o ka lawai?

Hoʻokele nui ʻia ka hana ʻana o ka lawai e kā mākou ʻōnaehana nerve ponoʻī (ANS).ʻO kēia ka ʻōnaehana e kaohi ana i nā hana i manaʻo ʻole ʻia o ko kākou kino (e like me ka hanu ʻana a me ka puʻuwai) a kākou e noʻonoʻo ʻole ai. Hana kēia ʻōnaehana i ka wā e hiamoe ana a i ka wā e ala ana.

ʻElua mau ʻāpana o ka ʻōnaehana nerve autonomic e hoʻopilikia i ka hana ʻana o ka saliva:

• ʻŌnaehana nerve aloha: Hoʻāla ʻia kēia ʻōnaehana i nā manawa pilikia, ʻoiai ke kaumaha a makaʻu paha mākou. Kāhea mākou iā ia ka pane "hakakā a lele paha". Ke hoʻoulu ʻia kēia ʻōnaehana, hoʻopuka ia i ka lawai mānoanoa a pipili. E hoʻomanaʻo i ka wā e maloʻo ai kou waha i ka wā e makaʻu ai ʻoe a hopohopo paha? ʻO kēia ke kumu.
• ʻŌnaehana nerve parasympathetic: Hana kēia i ka mea ʻē aʻe o ka ʻōnaehana ma mua. Na ia ke kuleana no nā kaʻina hana "hoʻomaha-a-ʻeli" o ke kino. Ke hoʻoulu ʻia kēia ʻōnaehana, hana ia i ka lawai wai a wai. ʻO kēia ʻano lawai ka mea e maʻalahi ai ka ʻai ʻana a me ke ale ʻana i ka meaʻai.

Ma keʻano laulā, ʻo ka hoʻoulu ʻana o ka ʻōnaehana nerve parasympathetic ka hopena nui loa a lōʻihi loa i ka hana ʻana o ka lawai.

Ke hoʻopilikia nei kekahi mau mea ʻē aʻe i ka hana ʻana o ka lawai?

ʻAe, hoʻopilikia kekahi mau meaʻai a me nā meaʻai o kēlā me kēia lā i ka nui o ka lawai i hana ʻia.

• Ke ʻai ʻoe i nā meaʻai ʻawaʻawa , hoʻonui ka nui o ka lawai i kāu mau kelepa salivary . ʻO kēia no ka mea ʻoi aku ka waikawa o nā meaʻai ʻawaʻawa. No laila, hoʻoheheʻe ka lawai keu i ka waikawa, e hōʻemi ana i ka pōʻino hiki ke hana i kou mau niho a me ka ʻōnaehana hoʻoheheʻe.
• Ke noʻonoʻo ʻoe e pili ana i ka meaʻai, ʻoiai kāu meaʻai punahele, hoʻomaka kou waha e kuha, ʻeā? Pili pū kēlā i kēia.
• ʻOi aku ka hana o nā ʻōpū salivary i ke ao. I ka pō, emi nui ka salivation. Manaʻo nā kānaka noiʻi he hana kēia e pili ana i ka rhythm kūlohelohe o ko mākou kino i kēlā me kēia lā (`(circadian rhythm)`).

He aha ka mea i loko o ka lawai?

He 99% ka wai o ka luhe, ʻo ke koena 1% he mau protein, electrolytes , a me nā mea ʻē aʻe.

Ua ʻike nā kānaka noiʻi ma mua o 1,000 mau ʻano protein i loko o ka lawai. Eia naʻe, aia ma kahi o 10% wale nō o lākou i loaʻa i ka hapa nui. He mau molekala nui a paʻakikī kēia mau protein e hana ana i nā hana he nui i loko o nā pūnaewele. Eia kekahi o nā ʻano nui o nā protein i loaʻa i loko o ka lawai:

• Amylase: ʻO kēia ka enzyme a mākou i kamaʻilio ai ma mua e kōkua i ka hoʻoheheʻe ʻana i nā kalapona. Hoʻopuka nui ʻia ia e ka pancreas a me nā kelepa salivary.
• Nā peptides waiwai i ka proline (PRPs): He ʻohana nui kēia o nā protein salivary i hana ʻia e nā kelepa parotid a me nā submandibular. Hana lākou ma kahi o 70% o ka huina o nā protein i loko o ka saliva. No ka laʻana, hana nā PRP acidic i kahi ʻili pale (pellicle) ma luna o ka ʻili o nā niho.
• Nā peptides pale kikowaena: He ʻāpana kēia o ka ʻōnaehana pale o ko mākou kino. He mea nui lākou no ke kaua ʻana i nā maʻi a me ka mumū.
• Nā Mucin: Mālama kēia mau protein nui i nā mea i loko o ka waha, e like me ke alelo a me nā ʻāʻī, pahee (lubricating). Hana lākou ma ke ʻano he pale kino e pale aku ai i nā bacteria ʻino, nā fungi, a me nā virus.
• ʻO IgA Secretory: He antibody kēia. Hoʻopaʻa ia a kāohi i nā germs ʻino (pathogens) a me nā germs ʻino ʻole (commensal microbes) i loko o ka waha. He ʻāpana koʻikoʻi ia o kā mākou ʻōnaehana pale.

Ma waho aʻe o kēia, aia i loko o ka lawai nā ​​​​mea olaola ʻē aʻe:

• Glucose (kō)
• Urea (he ʻōpala)
• ʻO Cortisol (ka "hormone kaumaha")
• Nā hormones wahine (e.g. estrogen, testosterone)
• Nā mea kikoʻī i kou ʻano koko.

He aha nā pilikia olakino maʻamau e pili ana me ka lawai?

Hiki i kekahi mau kūlana olakino a me nā mālama lapaʻau (e like me kekahi mau lāʻau lapaʻau, radiation therapy) ke hoʻopilikia i ka nui a me ka maikaʻi o kou lawai.

ʻO nā pilikia salivary nui ʻelua, ʻo ia ka hyposalivation a me ka hypersalivation. ʻO ka hyposalivation ka mea maʻamau. Hiki i kēia mau kūlana ʻelua ke lilo i manawa pōkole a i ʻole ka maʻi mau.

Ka emi ʻana o ka salivation (hyposalivation)

ʻO ke ʻano kēia, ʻaʻole lawa ka lawai o kāu mau kelepa salivary. Ua kapa ʻia kēia he xerostomia , ʻo ia hoʻi ka waha maloʻo .

He aha ka mea e hana ʻia ke emi iho ka lawai?

Ke emi iho ka hana ʻana o ka lawai, hiki ke loaʻa nā pilikia like ʻole :

• Hanu ʻino (halitosis)
• ʻO ka ʻeha o ka waha a me ka puʻu
• Nā pilikia olakino waha: nā lua, ka pala niho, nā maʻi waha ʻē aʻe
• ʻO ka ʻoluʻolu ʻole no ka poʻe e komo ana i nā niho kuʻi
• Ka paʻakikī o ka ʻōlelo ʻana a me ka moni ʻana

He aha nā kumu o ka emi ʻana o ka lawai?

ʻO ka maloʻo wai kekahi kumu nui. Eia kekahi:

• ʻO kekahi mau kūlana autoimmune: No ka laʻana, ʻo Sjögren's syndrome, lupus, rheumatoid arthritis.
• Nā maʻi viral: `(HIV)`, hepatitis C `(hepatitis C)`.
• Diabetes Mellitus: ʻO kēia ke kumu e piʻi mau ai ke kiʻekiʻe o ke kō koko, e alakaʻi ana i ka dehydration.
• ʻO ka maʻi o Alzheimer.
• Ke koko kiʻekiʻe (hypertension).

Eia kekahi, hiki i ka waha maloʻo ke lilo i hopena ʻaoʻao o nā lāʻau lapaʻau he 500 a ʻoi aku . ʻO kekahi o nā lāʻau lapaʻau maʻamau e hoʻoulu ai i ka waha maloʻo:

• Nā lāʻau lapaʻau a me nā antidepressants e hoʻēmi i ka hopohopo.
• Anticholinergics: Hāʻawi ʻia kēia mau mea no kekahi mau kūlana, e like me ka incontinence urinary, ka overactive bladder, a me COPD.
• Nā antihistamines, decongestants, a me kekahi mau lāʻau ʻeha.
• ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe, e like me nā beta-blockers.
• Nā lāʻau lapaʻau chemotherapy no ka maʻi kanesa.
• Nā lāʻau lapaʻau no ka maʻi o Parkinson.

ʻO ka radiation therapy no nā maʻi ʻaʻai poʻo a me ka ʻāʻī kekahi kumu nui o ka emi ʻana o ka lawai.

Hoʻonui ʻia ka salivation (hypersalivation)

Ua kapa ʻia hoʻi kēia he sialorrhea . ʻO kēia ka wā e hana nui ai nā kelepa salivary i ka saliva. Hiki i kēia ke kumu o ka drooling. Eia naʻe, ʻaʻole ʻo ka salivation nui wale nō ke kumu o ka drooling. Hiki nō hoʻi kēia ke hana inā nāwaliwali kekahi mau ʻiʻo i loko o ka waha a i ʻole ka puʻu. ʻO ia hoʻi ke kumu e drooling ai nā pēpē.

He aha ka mea e hana ʻia ke nui loa ka lawai?

Inā nui a lōʻihi paha ka drooling, hiki iā ia ke hoʻoulu i nā pilikia olakino. No ka laʻana, hiki iā ia ke hana i kahi maʻi ʻili i kapa ʻia ʻo angular cheilitis, kahi e hoʻoulu ai i nā ʻeha ʻeha a māwae ma nā kihi o ka waha. I kekahi mau hihia koʻikoʻi, hiki i ka lawai nui ke komo i loko o nā ala ea (aspiration), e hana ana i ka suffocation a i ʻole ka aspiration pneumonia .

He aha nā kumu o ka hoʻonui ʻia o ka salivation?

Hiki i kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi nā lāʻau antipsychotic, ke hoʻoulu i ka salivation nui ma ke ʻano he hopena ʻaoʻao. ʻO kahi laʻana ka lāʻau Clozapine.

Eia kekahi, hiki i kēia mau kūlana ke hoʻonui i ka salivation:

• Nā lua i mālama ʻole ʻia: Hiki i nā lua ke hoʻoulu i ka ulu ʻana o ka bacteria i loko o ka waha, hiki ke hoʻoulu i nā kelepa salivary e hana i ka saliva hou aʻe i ka hoʻāʻo ʻana e hoʻomaʻemaʻe i ka waha.
• ʻO ka maʻi reflux Gastroesophageal (GERD): ʻO kēia ka manawa e holo hou ai ka waikawa o ka ʻōpū i loko o ka esophagus. A laila hana nā kelepa salivary i ka saliva hou aʻe e pale aku i ka waikawa mai ke kahe hou ʻana i luna i loko o ka waha.
• Ka luaʻi: ​​Ke manaʻo ʻoe e luaʻi, hana hou kāu mau kelepa salivary i ka saliva e pale aku i ka waikawa o ka ʻōpū e hele mai me ka luaʻi mai ka hōʻino ʻana i loko o kou waha.
• Hāpai keiki: I ka wā hāpai keiki, hiki ke hoʻonui ʻia ka hana ʻana o ka lawai no kekahi manawa. Hoʻoulu nui ʻia nā kelepa salivary i kēia manawa. Eia kekahi, hiki i ka nausea i ka wā hāpai ke hoʻonui i ka hana ʻana o ka lawai.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka no ka pilikia o ka lawai?

Inā maloʻo kou waha a nui paha ka salivation, a hoʻomau ia, e ʻike pono i ke kauka. Hiki iā ia ke nānā iā ʻoe, e hana i nā hoʻokolohua hou aʻe inā pono, a hoʻoholo i ke kumu. A laila hiki iā lākou ke kuhikuhi i ka lāʻau kūpono.

No ke aha i mānoanoa ai koʻu lawai?

Lilo ka lawai i mānoanoa a pipili, maʻamau ke emi ka nui o kona wai. I kekahi manawa, hiki ke ʻike ʻia kēia manaʻo "mānoanoa" a "pipili" ke hui pū ʻia ka lawai me ka mucus.

Hiki ke loaʻa kekahi mau kumu no kēia. Nā mea e like me ka maloʻo ʻana o ka wai, ka puhi paka, a me nā maʻi ʻaleka mau. ʻO ka mea nui e hana ai e hōʻemi i ka mānoanoa o kou lawai, ʻo ia ka inu ʻana i ka wai he nui. Eia nō naʻe, inā he lawai mānoanoa mau kou, he manaʻo maikaʻi ke kamaʻilio me ke kauka. Aia paha kekahi kumu ʻē aʻe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka hū kahi mea a mākou e noʻonoʻo ʻole ai, ke ʻole mākou e nui a liʻiliʻi paha. Eia nō naʻe, he wai hana nui ia e pono ai ko mākou olakino. Inā he mau hopohopo a nīnau paha kāu e pili ana i kou hū a i ʻole ke olakino waha, mai hilahila a makaʻu paha e kamaʻilio me kāu kauka. Hiki iā ia ke kōkua iā ʻoe.

He hoʻomaka maikaʻi ka waha olakino i ke kino olakino! No laila, mai poina i ka waiwai o ka lawai.

ʻO ka lawai, nā ʻōpū lawaiʻa, ke olakino waha, ka waha maloʻo, ka hoʻonui ʻia o ka lawaiʻa, ka ʻai ʻana