Ke manaʻo nei ʻoe i ka ʻeha ʻē a i ʻole ka pehu ʻana ma kou papālina a i ʻole ma lalo o kou ʻāwae i ka wā e ʻai ana, ʻoiai ke noʻonoʻo nei i nā meaʻai ʻawaʻawa? Me he mea lā e mae ana ke ʻano i kekahi mau hola ma hope o kāu ʻai ʻana? Inā pēlā, ke hana nei paha ʻoe me nā pōhaku gland salivary, kahi ʻano i ʻike ʻia ma ke ʻano lapaʻau ʻo Sialolithiasis . Mai hopohopo; e hoʻomaopopo pono kākou i ke ʻano o kēia.
He aha nā pōhaku ʻōpū salivary (Sialolithiasis)? I ka ʻōlelo maʻalahi...
I ka ʻōlelo maʻalahi, ʻo Sialolithiasis e pili ana i ka hoʻokumu ʻia ʻana o nā ʻano liʻiliʻi e like me ka pōhaku i kapa ʻia he calculi i loko o kou mau kelepa salivary a i ʻole nā auwai e lawe ana i ka saliva i loko o kou waha. Hiki i kēia mau pōhaku ke ālai i ke kahe o ka saliva, e alakaʻi ana i ka ʻeha a me ka pehu aʻu i ʻōlelo ai ma mua. Hoʻohui pinepine ʻia kēia mau pōhaku me ka calcium phosphate a me ka hydroxyapatite . Hiki i ka hopena o ka ʻoluʻolu ʻole a me ka pehu ke hana ma kekahi a i ʻole nā ʻaoʻao ʻelua o kou maka.
Aia i hea kēia mau kelepa salivary i loko o kou waha?
ʻEkolu ʻano nui o nā kelepa i loko o kou waha e hana ana i ka lawai. E noʻonoʻo iā lākou he mau hale hana liʻiliʻi a koʻikoʻi e hoʻolako mau ana i kou waha me ka lawai.
- Nā kelepa parotid : ʻO kēia nā kelepa salivary nui loa. Aia lākou ma mua pono o kou mau pepeiao ma nā ʻaoʻao ʻelua o kou mau papālina.
- Nā kelepa Sublingual: E like me ka inoa e hōʻike nei, aia kēia ma lalo o kou alelo, ma ka papahele o kou waha.
- Nā kelepa Submandibular: Aia kēia mau mea ma lalo o kou ʻāwae haʻahaʻa, ma kahi iki ma ke kua o kou waha. ʻO ka mea kupanaha, hana kēia mau kelepa i 70% o ka nui o ka lawai i loko o kou waha .
Hiki ke hana ʻia nā pōhaku i loko o kekahi o kēia mau kelepa. Eia nō naʻe, ʻoi aku ma mua o 80% o nā pōhaku e loaʻa ana i loko o ka kelepa submandibular . ʻO ke kahawai e lawe ana i ka lawai mai kēia kelepa a i ka waha ua kapa ʻia ʻo Wharton's duct , kahi e hiki ai ke waiho ʻia nā pōhaku. ʻAʻole maʻamau nā pōhaku i loko o nā kelepa parotid, e kū ana ma kahi o 6% a 15% o nā hihia, ʻoiai he kakaikahi loa nā pōhaku i loko o nā kelepa sublingual, e helu ana no 2% wale nō o nā hihia i hōʻike ʻia.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
Hiki i kekahi ke loaʻa nā pōhaku kelepa salivary, akā ʻike pinepine ʻia kēia ʻano i nā kāne ma waena o 30 a me 60 mau makahiki . ʻO ka mea kupanaha, he mea kakaikahi loa ia i nā keiki.
Pehea ka maʻamau o kēia ʻano?
ʻOiai ʻo ka hoʻokumu ʻia ʻana o nā pōhaku (Sialolithiasis) ke kumu nui o ka pehu ʻana o ke kelepa salivary ( Sialadenitis ), ʻaʻole ia he maʻi maʻamau loa . Ma ke ʻano helu, hoʻopilikia ia i hoʻokahi i kēlā me kēia 30,000 poʻe.
He aha nā hōʻailona o nā pōhaku salivary gland?
ʻO ka hapa nui o ka manawa, hoʻonui ʻia nā hōʻailona i ka wā e ʻai ana . A laila e emi mālie ana lākou i kekahi mau hola ma hope o ka ʻai ʻana. ʻO kēia no ka mea e hoʻoulu ai ka nau ʻana i kāu mau kelepa salivary e hana i ka saliva hou aku, akā ke ālai nei ka pōhaku i ke kahe ʻana, e hoʻopaʻa ana i ka saliva i loko o ka gland a hana i nā hōʻailona.
- Ka pehu ʻana o ke kelepa salivary: ʻOi loa aku ma ka papālina a ma lalo paha o ka ʻāwae.
- Paʻakikī ke ale ʻana.
- Ka paʻakikī o ka wehe ʻana i kou waha.
- Waha maloʻo (Xerostomia).
- He ʻono ʻē i loko o kou waha.
- He puʻu ʻeha ma lalo o ke alelo.
- ʻEha a pehu paha ka maka: ʻO ka maʻamau ma lalo o ka ʻāwae a puni paha ka pepeiao.
Eia nō naʻe, ʻaʻole paha e ʻike kekahi poʻe me nā pōhaku kelepa salivary i nā hōʻailona iki .
No ke aha e hana ʻia ai nā pōhaku o ke kelepa salivary? He aha nā kumu?
ʻO nā mea āpau e hoʻomānoanoa ai a paʻa paha kou lawai hiki ke alakaʻi i ka hoʻokumu ʻia ʻana o nā pōhaku. ʻO nā kumu nui e kōkua ana:
- Ka maloʻo ʻana: ʻO ka inu ʻole ʻana i ka wai lawa e hiki ai ke hoʻomānoanoa i ka lawai.
- ʻO kekahi mau maʻi autoimmune : E like me Lupus a i ʻole Sjögren's syndrome .
- Kekahi mau lāʻau lapaʻau: ʻOi loa nā diuretics (nā pila wai).
- Puhi paka.
- ʻEha i nā kelepa salivary.
- ʻO ka radiation therapy i kuhikuhi ʻia ma ke poʻo a i ʻole ka ʻāʻī.
I kekahi manawa, hiki ke hana ʻia nā pōhaku me ke kumu ʻole maopopo.
He maʻi lele anei kēia?
ʻAʻole, ʻaʻole laha nā pōhaku kelepa salivary . Eia nō naʻe, inā alakaʻi nā pōhaku i kahi maʻi viral a bacteria paha ( Sialadenitis ), hiki ke laha aku kēlā maʻi ponoʻī. He mea nui e makaʻala i kēia.
Pehea e ʻike ai ke kauka i kēia maʻi?
ʻO ka maʻamau, hiki i ke kauka akamai ke ʻike i kēia kūlana i ka wā o ka hoʻokolokolo maʻamau. E pā lākou i kou maka a me kou ʻāʻī, e nānā i loko o kou waha no nā puʻupuʻu, a e nīnau e pili ana i kou mōʻaukala olakino a me nā hōʻailona kikoʻī.
He aha nā hoʻokolohua e hoʻohana ʻia no ka hōʻoia?
No ka hōʻoia ʻana i ka maʻi a i ʻole ke kuhikuhi ʻana i kahi o nā pōhaku, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi:
- Nā kukuna X
- Nā scan CT (Computered Tomography)
- MRI (Kiʻi Hoʻohālikelike Magnetic)
I kekahi mau hihia, e noi paha kāu kauka i kahi scan salivary gland . ʻO kēia ke komo ʻana i kahi liʻiliʻi o ka radioactive tracer i loko o kahi aa koko ma kou lima, a ukali ʻia e ke kiʻi ʻana me kahi kāmela kūikawā. Ma hope o 45 mau minuke, hiki ke hāʻawi ʻia iā ʻoe kahi mea ʻawaʻawa, e like me kahi kulu wai lemona, e hoʻoulu ai i ka hana saliva. A laila lawe ke kauka i nā kiʻi hou aʻe e ʻike i ka nui o ka saliva e kahe ana a i ʻole inā he mau mea i koe i loko o nā ducts.
Pehea e mālama ʻia ai?
ʻO ka mālama ʻana no nā pōhaku kelepa salivary e pili ana i ka nui o ka pōhaku a me kona wahi . I kekahi manawa ua lawa ka mālama ʻana ma ka home, a i kekahi manawa pono paha ka lāʻau lapaʻau a i ʻole kahi hana liʻiliʻi.
He aha kāu e hana ai ma ka home?
I nā manawa he nui, hoʻoholo kēia mau pōhaku iā lākou iho me ka mālama maʻalahi ma ka home .
Hiki iā ʻoe ke noho maikaʻi i ka wai , e kau i kahi ʻūlū mahana i ka wahi ʻeha, a lomilomi mālie paha . ʻO ka omo ʻana i nā mea ʻawaʻawa e like me nā lemona a i ʻole nā lime hiki ke kōkua i ka hoʻoulu ʻana i ka hana lawai, kahi e kōkua ai i ka hoʻokuke ʻana i ka pōhaku i waho ma ke ʻano kūlohelohe.
Nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka
Inā ua loaʻa iā ʻoe kahi maʻi ma muli o kahi pōhaku, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic . He mea nui e hahai i ke kaʻina hana o ka lāʻau e like me ke kuhikuhi ʻana.
Ka wehe ʻana i ka pōhaku ma ke keʻena
Inā ʻaʻole holomua nā lāʻau lapaʻau ma ka home, hiki i kāu kauka ke hoʻohana i kahi mea kani blunt e nānā pono i ka wahi a hoʻāʻo e wehe i ka pōhaku.
ʻoki kino
No nā pōhaku nui aʻe, pono paha ke ʻoki ʻana. I loko o kēia kaʻina hana, hiki i ke kauka lapaʻau ke hoʻohana i kahi kāmela liʻiliʻi i kapa ʻia he endoscope e ʻimi i ka pōhaku i loko o ka duct a wehe iā ia me ka hoʻohana ʻana i nā mea hana kūikawā. I kekahi manawa, pono paha kahi ʻoki liʻiliʻi.
Ke wehe ʻana i ka ʻōpū salivary
I nā hihia kakaikahi loa—e like me ka wā e hana hou ai ka pilikia, ʻaʻole hiki ke wehe ʻia ka pōhaku ma nā ʻano ʻē aʻe, a inā ʻike ʻoe i nā hōʻailona koʻikoʻi a mau loa—hiki i ke kauka ke ʻōlelo aku i ka wehe ʻana i ke kelepa salivary i hoʻopilikia ʻia.
Aia kekahi mau ala e pale aku ai i nā pōhaku salivary gland?
ʻOiai ʻaʻole hiki ke pale loa iā lākou i nā manawa a pau, hiki iā ʻoe ke hōʻemi i kou pilikia:
- E hoʻomaʻū pono i ka wai.
- E pale i ka puhipaka.
- E mālama i ka maʻemaʻe waha maikaʻi (ka palaki ʻana, ka hoʻohana ʻana i nā mea holoi waha, a me ka flossing).
Inā hoʻomaka ʻoe e ʻeha a paʻa paha ma kahi o kou mau kelepa salivary, e hoʻāʻo koke e omo i kahi mea ʻawaʻawa a lomilomi mālie i ka wahi e hoʻoulu ai i ke kahe ʻana . Hiki i kēia ke kōkua i kekahi manawa e hoʻohemo i kahi pōhaku liʻiliʻi e ulu ana ma mua o ka lilo ʻana i pilikia.
He aha ka mea e hiki ai i kekahi me kēia maʻi ke manaʻo?
Inā ua ālai ʻia kahi ʻōpū salivary, hiki iā ʻoe ke ʻike i ka ʻeha a i ʻole ka pehu kokoke i ka ʻōpū i ka wā ʻai. ʻO ka maʻamau, mau kēia mau hōʻailona no hoʻokahi a ʻelua paha hola a laila e emi a hiki i kāu ʻai aʻe.
Ke hoʻoholo nei ia ma kāna iho?
I ka hapanui o nā hihia, ʻae. Hoʻopau pinepine ʻia ka Sialolithiasis me ka mālama maʻalahi ma ka home e like me nā ʻūpā mehana, ka lomilomi mālie, a me ka omo ʻana i nā mea ʻawaʻawa . Eia nō naʻe, inā hoʻomau nā hōʻailona me kēia mau hoʻāʻo ʻana, ʻo ka ʻike ʻana i ke kauka ke ala hana maikaʻi loa.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia? He mea weliweli anei?
Inā ʻaʻole mālama ʻia, hiki i ka Sialolithiasis ke alakaʻi i nā maʻi a me ke kūkulu ʻia ʻana o nā abscesses . Hiki i kēia mau maʻi ke pālahalaha hohonu i loko o ka ʻāʻī. No laila, inā loaʻa iā ʻoe ka ʻeha mau o ka maka a i ʻole ka pehu ʻana, pono ʻoe e nīnau i ke kauka.
Āhea ʻoe e ʻike ai i ke kauka?
Inā hoʻomau kāu mau hōʻailona no nā pule ʻelua a ʻoi me ka ʻole o ka hoʻomaikaʻi ʻana , a inā e ʻulaʻula ka ʻili ma luna o ka gland a ʻike ʻoe i ka ʻeha nui a ʻoi aku ka ʻino, pono ʻoe e hoʻokaʻaʻike aku i kahi mea mālama ola no ka ʻōlelo aʻo.
He like anei ka Sialolithiasis a me ka Sialadenitis ? He aha ka ʻokoʻa?
ʻAe, ua huikau pinepine kēia mau mea ʻelua, akā aia kahi ʻokoʻa maopopo:
- ʻO Sialolithiasis: Pili i ka hoʻokumu ʻia ʻana o nā pōhaku (calculi) i loko o nā kelepa salivary a i ʻole nā ducts.
- ʻO Sialadenitis: Pili i ka mumū a i ʻole ka maʻi o kahi gland salivary.
Hiki i ka Sialolithiasis ke alakaʻi i ka Sialadenitis (ka mumū/ka maʻi o ke gland), akā ʻaʻole kēia e hana i nā hihia a pau.
Leka Hoʻihoʻi Hope Loa
Hana ʻia ka Sialolithiasis ke ālai ʻia kahi ʻauwai salivary e kahi pōhaku. ʻAʻole ia he mea nui a hoʻoponopono pinepine ʻia me ka mālama maʻalahi ma ka home. Inā ʻike ʻoe i ka ʻeha o ka maka a i ʻole ka pehu e ʻoi aʻe ana i ka wā ʻai, he Sialolithiasis paha ia. ʻO ka hana maikaʻi loa, ʻo ia ke ʻike i ke kauka e loaʻa ai kahi hōʻailona pololei a me ka lāʻau kūpono inā pono. Mai hopohopo; loaʻa nā lāʻau lapaʻau kūpono ma Nirogi Lanka!
