Ke manaʻo nei ʻoe i kahi ʻeha ʻē a pehu paha ma ke kihi o kou waha a i ʻole ma lalo o kou ʻāwae i ka wā e ʻai ai ʻoe, ʻoiai ke noʻonoʻo ʻoe i kahi mea ʻawaʻawa? Me he mea lā e emi ana ia i kekahi mau hola ma hope o kou pau ʻana i ka ʻai ʻana? Inā pēlā, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo nā pōhaku gland salivary, i ʻike ʻia ma ke ʻano lapaʻau ʻo "Sialolithiasis". Mai hopohopo, e ʻike hou kākou e pili ana i kēia i kēia lā.

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

I ka ʻōlelo maʻalahi, ʻo (Sialolithiasis) ka hoʻokumu ʻia ʻana o nā mea liʻiliʻi e like me ka pōhaku (Calculi) i loko o nā kelepa salivary i loko o ko kākou waha a i ʻole i loko o nā ducts e lawe ana i kēlā saliva i ka waha. Hiki i kēia mau pōhaku ke ālai i ke ala o ka saliva. ʻO ia ka manawa e hiki mai ai ka ʻeha a me ka pehu aʻu i ʻōlelo ai ma mua. Hoʻokumu pinepine ʻia kēia mau pōhaku i nā mea e like me ka calcium phosphate a me ka hydroxyapatite . Hiki i kēia ʻeha a me ka pehu ke loaʻa i kekahi manawa ma kekahi ʻaoʻao o ka maka, a i ʻole ma nā ʻaoʻao ʻelua.

Aia i hea kēia mau kelepa salivary i loko o ko kākou waha?

ʻEkolu ʻano nui o nā kelepa salivary i loko o ko kākou waha. E noʻonoʻo iā lākou he mau hale hana liʻiliʻi e hoʻolako mau ana i ko kākou waha me ka saliva.

Nā kelepa parotid: ʻO kēia nā kelepa salivary nui loa. Aia lākou ma mua 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 lalo o kou waha.
Nā kelepa submandibular: Aia kēia mau mea ma lalo o kou ʻāwae haʻahaʻa, ma ke kua iki o kou waha. ʻO ka mea kupanaha, 70% o ka nui o ka lawai i hana ʻia i loko o ko mākou waha ua hana ʻia e kēia mau kelepa submandibular .

Hiki ke hana ʻia nā pōhaku i loko o kekahi o nā kelepa salivary i ʻōlelo ʻia ma luna. Eia nō naʻe, ʻoi aku ma mua o 80% o nā pōhaku e hana ʻia i loko o ka kelepa submandibular . ʻO ke kahawai e lawe ana i ka saliva mai kēlā kelepa a i ka waha ua kapa ʻia ʻo ka Wharton's duct. Hiki nō hoʻi i nā pōhaku ke hoʻopaʻa ʻia i loko o kēlā kahawai. ʻOi aku ka haʻahaʻa o ka nui o nā pōhaku i loko o nā kelepa parotid, ma waena o 6% a me 15%. ʻOi aku ka haʻahaʻa o ka nui o nā pōhaku i nā kelepa ʻē aʻe, ʻo ia hoʻi nā kelepa sublingual, me kahi 2% wale nō i hōʻike ʻia.

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ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?

Hiki ke ulu nā pōhaku ʻili salivary i loko o kekahi. Eia nō naʻe, ʻoi aku ka maʻamau o lākou i nā kāne ma waena o 30 a me 60 mau makahiki. ʻO ka mea kupanaha, he mea kakaikahi loa lākou i nā keiki ʻōpio.

Pehea ka maʻamau o kēia?

ʻO ka ʻoiaʻiʻo, pehu nā kelepa salivary ( Sialadenitis )ʻOiai ʻo ke kumu nui o kēia mau pōhaku i manaʻo ʻia ʻo "Sialolithiasis", ʻaʻole kēia he kūlana maʻamau loa . E noʻonoʻo he hoʻokahi i loko o 30,000 mau kānaka e hoʻomohala i nā pōhaku i loko o kēia mau kelepa salivary.

He aha nā hōʻailona o nā pōhaku salivary gland?

ʻO ka hapa nui o ka manawa, hoʻonui ʻia kēia mau hōʻailona ke ʻai mākou . A laila, e emi mālie ana lākou i loko o kekahi mau hola ma hope o ka ʻai ʻana. ʻO ke kumu o kēia, ʻoiai ke ʻai mākou a nau i ka meaʻai, hoʻoulu ʻia ko mākou mau kelepa salivary a hana i ka saliva hou aku. Akā ma muli o ka pōhaku, ʻaʻole hiki i ka saliva ke puka i waho a paʻa i loko o ka gland. ʻO ia ka manawa e ʻike ʻia ai kēia mau hōʻailona.

Ka pehu ʻana o nā kelepa salivary: Hiki i nā kelepa ke pehu, ʻoiai ma lalo o ka ʻauwae a me nā papālina.
Paʻakikī ke ale ʻana.
Ka paʻakikī o ka wehe ʻana i kou waha.
Waha maloʻo (Xerostomia).
He ʻono ʻē i ka waha.
Manaʻo e like me kahi puʻu ʻeha ma lalo o ke alelo.
ʻEha maka a pehu paha: Hoʻomaka pinepine kēia ma lalo o ka ʻauwae a puni paha ka pepeiao.

Eia nō naʻe, loaʻa paha i kekahi poʻe nā pōhaku kelepa salivary akā ʻaʻole ʻike i kekahi mau hōʻailona .

No ke aha e hana ʻia ai nā pōhaku o ke kelepa salivary? He aha nā kumu?

ʻO kēlā me kēia kūlana e hoʻomānoanoa ai a paʻa paha ko kākou lawai hiki ke alakaʻi i ke kūkulu ʻia ʻana o kēia mau pōhaku. ʻO nā kumu nui e kōkua ana:

Ka maloʻo ʻana: Ke loaʻa ʻole ka wai lawa i ke kino, hiki i ka lawai ke mānoanoa.
ʻO kekahi mau maʻi autoimmune : No ka laʻana, nā kūlana e like me lupus a me Sjögren 's syndrome.
Kekahi mau lāʻau lapaʻau: ʻOi aku ka poʻe e wehe i ka wai mai ke kino (Diuretics).
Puhi paka.
ʻEha a i ʻole ka ʻeha i nā kelepa salivary.
Inā ua loaʻa iā ʻoe ka radiation therapy ma ka ʻaoʻao waha.

I kekahi manawa, hiki ke hana ʻia nā pōhaku kelepa salivary me ke kumu ʻole.

He laha anei kēia maʻi mai ke kanaka a i ke kanaka?

ʻAʻole, ʻaʻole laha nā pōhaku salivary gland . Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi i loko o kou salivary gland ma muli o kahi maʻi a bacteria paha, hiki ke laha kēlā maʻi i nā poʻe ʻē aʻe. No laila pono ʻoe e makaʻala e pili ana i kēlā.

Pehea e ʻike ai ke kauka i kēia maʻi?

ʻO ka maʻamau, hiki i ke kauka akamai ke ʻike i kēia maʻi ma ka nānā ʻana iā ʻoe. E hoʻopā ke kauka i kou maka a me kou ʻāʻī, e nānā i nā puʻupuʻu i loko o kou waha, a e nīnau e pili ana i kou mōʻaukala olakino i hala a me nā hōʻailona āu e ʻike nei.

He aha nā hoʻokolohua ʻē aʻe e hana ʻia nei e ʻike pono ai i kēia?

I kekahi manawa, pono paha ke kauka e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona a i ʻole e ʻike pono i kahi o nā pōhaku. Ua kapa ʻia kēia mau mea he (Nā hoʻokolohua kiʻi).

Nā kukuna X
Nā scan CT (nā scan Tomography i hoʻopili ʻia)
MRI Scan (MRI - Magnetic Resonance Imaging)

I kekahi manawa, e kauoha paha ke kauka i kahi scan salivary gland . ʻO kēia ke komo ʻana i kahi liʻiliʻi o ka mea radioactive i loko o kahi aa koko ma kou lima. A laila, e kau ʻia ʻoe i mua o kahi kāmela kūikawā a lawe ʻia nā kiʻi. Ma hope o 45 mau minuke, e hāʻawi ke kauka iā ʻoe i kahi mea ʻawaʻawa, e like me ka lime, e hoʻoulu i ka hana saliva. A laila, i ka puka ʻana o ka saliva mai nā gland salivary, e lawe ke kauka i nā kiʻi hou aʻe e ʻike i ka nui o ka saliva i koe i loko o nā ducts.

Pehea e mālama ʻia ai kēia?

ʻOkoʻa ka mālama ʻana no nā pōhaku kelepa salivary ma muli o ka nui o ka pōhaku a me kona wahi . I kekahi manawa hiki ke mālama ʻia me nā lāʻau lapaʻau home. I kekahi manawa pono ka lāʻau lapaʻau. I kekahi manawa, pono paha ke ʻoki liʻiliʻi.

He aha nā mea hiki ke hana ma ka home?

ʻO ka hapa nui o ka manawa, e ho'ōla ʻia kēia mau pōhaku kelepa salivary iā lākou iho me nā lāʻau lapaʻau maʻalahi ma ka home .

Hiki iā ʻoe ke inu i ka nui o ka wai , e kau i kahi ʻūlū mehana a lomilomi mālie paha i ka wahi ʻeha. Eia kekahi , ʻo ka omo ʻana i nā mea ʻawaʻawa e like me ka lime a i ʻole ka lemona hiki ke hoʻonui i ka hana ʻana o ka lawai a kōkua i ka hoʻokuke ʻana i ka pōhaku i waho.

Lāʻau lapaʻau i kuhikuhi ʻia e ke kauka

Inā loaʻa iā ʻoe kahi maʻi i hoʻokumu ʻia e ka pōhaku salivary gland, hiki i kāu kauka ke kuhikuhi i nā antibiotics . Pono ʻoe e hoʻohana i kēia mau lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.

Nā hana wehe pōhaku i hana pololei ʻia ma ke keʻena o ke kauka

Inā ʻaʻole hiki i nā lāʻau lapaʻau home ke hoʻohemo i ka pōhaku, e hoʻāʻo paha kāu kauka e wehe i ka pōhaku ma ka nānā mālie ʻana i ka wahi me kahi mea kani blunt.

ʻoki kino

Pono paha e wehe ʻia nā pōhaku nui ma ke ʻoki kino. Ma kēia kaʻina hana, hoʻokomo ke kauka lapaʻau i kahi mea liʻiliʻi e like me ke kāmela i kapa ʻia he endoscope i loko o kou ʻauwai bile e ʻike ai i kahi o ka pōhaku. A laila wehe ʻia ka pōhaku me kahi mea hana kūikawā. I kekahi manawa hiki ke hana ʻia kahi ʻoki liʻiliʻi.

Ke wehe ʻana i ka salivary gland iā ia iho

He mea kākaʻikahi loa, inā pinepine kēia pilikia, inā paʻakikī ke wehe ʻana ma o nā ʻano hana ʻē aʻe ma muli o kahi o ka pōhaku, a inā hoʻomau nā hōʻailona koʻikoʻi, hiki i nā kauka ke hoʻoholo e wehe i ke kelepa salivary ponoʻī ma ke ʻoki ʻana.

Aia kekahi mau ala e pale aku ai i ke kūkulu ʻia ʻana o nā pōhaku i loko o kēia mau kelepa salivary?

ʻO ka ʻoiaʻiʻo, ʻaʻole hiki ke pale loa i kēia. Akā, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana.

E inu i ka wai kūpono no kou kino.
E pale i ka puhipaka.
E mālama pono i ka hoʻomaʻemaʻe waha (ka palaki ʻana i kou mau niho, ka holoi ʻana i kou waha, a pēlā aku).

Inā hoʻomaka ʻoe e ʻeha a paʻa paha i loko o kou mau kelepa salivary, e omo koke i kahi mea ʻawaʻawa a lomilomi mālie i ka wahi e hoʻoulu ai i ke kahe ʻana o ka saliva . E kōkua kēia i ka wehe ʻana i kahi pōhaku liʻiliʻi inā e hana ana.

He aha ka mea e hiki mai ana i kekahi me kēia maʻi? He aha kāu e manaʻo ai?

Inā ua ālai ʻia kekahi o kou mau kelepa salivary, hiki iā ʻoe ke ʻeha a pehu paha ma kahi o ka kelepa i kou wā e ʻai ai. ʻO ka maʻamau, mau kēia mau hōʻailona no hoʻokahi a ʻelua paha hola a laila e emi iho i ka manawa e ʻai ai ʻoe i kāu ʻai aʻe.

He kūlana anei kēia e maikaʻi koke ai?

ʻAe, ʻo ka hapa nui o ka manawa. E hoʻōla ʻia ka Sialolithiasis ma kāna iho me nā lāʻau lapaʻau maʻalahi ma ka home (e like me nā ʻūlū mahana, ka lomilomi, a me ka omo ʻana i nā mea ʻawaʻawa) . Eia nō naʻe, inā hoʻomau ʻoe i nā hōʻailona me ka nānā ʻole i kēia mau lāʻau lapaʻau ma ka home, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia? He mea weliweli anei ia?

Inā ʻaʻole mālama ʻia, hiki i kēia maʻi (Sialolithiasis) ke alakaʻi i nā maʻi, nā bacteria, a me nā abscesses . Hiki i kēia mau mea ke pālahalaha a hiki i loko o ka ʻāʻī. No laila, inā loaʻa iā ʻoe ka ʻeha mau o ka maka a me ka pehu, e ʻike pono i ke kauka.

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomau kāu mau hōʻailona no nā pule ʻelua a ʻoi , a inā e ʻulaʻula a ʻeha ka ʻili ma luna o ka gland , e kāhea aku i ke kauka no ka ʻōlelo aʻo.

He ʻelua mau mea ʻokoʻa anei ʻo (Sialolithiasis) a me (Sialadenitis)? He aha ka ʻokoʻa?

ʻAe, ʻoiai hiki ke huikau iki kēia mau mea ʻelua, aia kahi ʻokoʻa iki.

ʻO Sialolithiasis: Pili kēia i ke kūkulu ʻia ʻana o nā pōhaku (calculi) i loko o nā kelepa salivary a i ʻole nā auwai salivary.
Sialadenitis: ʻO kēia ka wā e pehu ai a maʻi paha kahi ʻōpū salivary .

Hiki i nā pōhaku kelepa salivary (Sialolithiasis) ke hoʻoulu i ka pehu/maʻi o nā kelepa salivary (Sialadenitis), akā ʻaʻole kēia e hana mau ʻia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO nā pōhaku ʻōpū salivary (Sialolithiasis) kahi kūlana kahi e ālai ʻia ai kahi ʻōpū salivary e kahi pōhaku. ʻAʻole kēia he kūlana koʻikoʻi a hiki ke mālama pinepine ʻia me nā lāʻau lapaʻau maʻalahi ma ka home. Inā he maka ʻeha a pehu paha kou e ʻoi aku ka ʻino ke ʻai ʻoe, hiki ke lilo i Sialolithiasis. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike i ke kumu pololei a loaʻa i ka lāʻau kūpono inā pono . Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia!

Hoʻokumu ʻia nā pōhaku i loko o nā kelepa salivary i loko o ka waha a hōʻeha i ka ʻeha? (Sialolithiasis) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!