Thaum koj noj mov, koj puas hws? Cia peb kawm txog Frey's Syndrome!

Koj puas tau pom dua li thaum koj noj mov, qee zaum thaum koj pom ib yam dab tsi ntsim, lossis thaum koj xav txog ib yam dab tsi qab, koj pib hws ntawm ib sab ntawm koj lub ntsej muag, tshwj xeeb tshaj yog ntawm koj lub puab tsaig, ntawm ob sab ntawm koj lub puab tsaig, lossis nyob ib ncig ntawm koj pob ntseg? Koj kuj tseem yuav pom tias thaj chaw nyob ib puag ncig koj lub ntsej muag liab thiab sov me ntsis. Qhov no tsis zoo li hws thoob plaws koj lub cev, tab sis tsuas yog nyob rau hauv ib cheeb tsam tshwj xeeb ntawm koj lub ntsej muag. Cov no yog cov tsos mob tseem ceeb ntawm tus mob neurological tsis tshua muaj hu ua Frey's Syndrome , uas peb yuav tham txog hnub no. Lub npe yuav zoo li tshiab rau koj, tab sis nws tsim nyog paub txog.

Frey's Syndrome yog dab tsi?

Hais yooj yim xwb, Frey syndrome yog ib qho mob tsis tshua muaj neeg mob hauv lub paj hlwb . Nws ua rau hws ntau dhau rau ib qho chaw tshwj xeeb ntawm koj lub ntsej muag, feem ntau yog koj lub puab tsaig, lub tuam tsev, thiab/lossis tom qab koj pob ntseg , thaum koj noj mov, xav txog zaub mov, thiab qee zaum txawm tias hnov ​​​​​​ntxhiab zaub mov. Nws tsis cuam tshuam nrog kev hws thoob plaws koj lub cev. Nws kuj tseem tuaj yeem ua rau ntsej muag liab lossis hloov xim ntawm daim tawv nqaij hauv cov chaw hws no.

Qhov mob no feem ntau tshwm sim los ntawm kev phais mob. Nws yog feem ntau tom qab phais mob rau koj cov qog parotid . Cov qog parotid yog cov qog salivary tseem ceeb hauv peb lub qhov ncauj. Lawv nyob rau ob sab ntawm peb lub ntsej muag, nyob rau hauv qab thiab nyob rau pem hauv ntej ntawm peb pob ntseg. Cov qog no tsim cov qaub ncaug, uas pab kom peb lub qhov ncauj noo thiab pab peb zom thiab zom zaub mov.

Frey's syndrome muaj ntau lub npe ntxiv:

• "Auriculotemporal nerve syndrome"
• 'Qaug zog hws' (qhov no txhais tau tias tawm hws thaum saj)
• 'Gustatory hyperhidrosis' (qhov no yog tib lub tswv yim, 'hyperhidrosis' txhais tau tias tawm hws ntau dhau)
• Kab mob Baillarger
• 'Dupuy syndrome'

Tus mob no hu ua "Frey's syndrome" los ua kev hwm rau Lucja Frey, tus kws kho mob hlwb Polish uas tau txheeb xyuas thawj zaug hauv xyoo 1923.

Tus mob no feem ntau tshwm sim li cas?

Nws nyuaj rau cov kws tshawb fawb hais tias Frey syndrome no feem ntau tshwm sim li cas, vim muaj qee qhov tsis txaus ntseeg hauv kev tshaj tawm txog tus mob no. Tab sis qee qhov kev tshawb fawb qhia tias ntawm 30% thiab 50% ntawm cov neeg mob uas tau phais parotidectomy yuav muaj tus mob no. Qhov ntawd txhais tau tias tsis yog txhua tus neeg uas tau phais zoo li no yuav muaj tus mob no, tab sis qee feem pua ​​​​​​muaj kev pheej hmoo.

Cov tsos mob ntawm Frey syndrome yog dab tsi?

Cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws ntawm tus mob no yog hws ntau dhau (hyperhidrosis) thaum koj noj mov lossis xav txog kev noj mov ntev . Qhov no kuj hu ua "Gustatory sweating". Qhov hws no yog tshwm sim los ntawm:

• Nyob rau hauv thaj tsam Kammula
• Ob sab ntawm lub hauv pliaj (lub tuam tsev)
• Nyob ib ncig ntawm pob ntseg

Ntxiv rau qhov tawm hws no, daim tawv nqaij hauv cov cheeb tsam ntawd kuj tseem yuav liab thiab sov .

Qhov kev tawm hws thiab liab ntawm daim tawv nqaij no tuaj yeem tsis hnyav heev rau qee tus, thaum rau lwm tus nws tuaj yeem hnyav thiab tsis xis nyob . Kev tawm hws tuaj yeem nce ntxiv tshwj xeeb tshaj yog thaum noj cov khoom noj uas ua rau koj cov qaub ncaug kub, piv txwv li , cov khoom noj qaub (xws li txiv qaub ntsuab, txiv lws suav), cov khoom noj ntsim (txiv kua txob nyoos, hmoov txiv kua txob), thiab cov khoom noj ntsev . Xav txog yog tias koj noj ib lub txiv lws suav zoo, lossis noj mov nrog cov kua txob ntsim, thiab tam sim ntawd pib tawm hws ntawm koj lub puab tsaig!

Cov tsos mob ntawm Frey syndrome feem ntau tshwm sim hauv thawj xyoo tom qab phais mob ntawm lub qog parotid, tab sis qee tus neeg, cov tsos mob yuav tsis tshwm sim rau ob peb xyoos tom qab phais.

Cov teeb meem ntxiv ntawm Frey syndrome yog dab tsi?

Cov tsos mob ntawm Frey syndrome feem ntau tsis hnyav heev. Qhov ntawd yog, lawv tsis ua rau muaj kev phom sij ntau. Txawm li cas los xij, rau qee tus neeg , kev tawm hws ntau dhau tuaj yeem ua rau tsis xis nyob lossis ntxhov siab hauv zej zog . Xav txog, yog tias koj tawm mus noj hmo nrog cov phooj ywg thiab koj lub ntsej muag pib tawm hws thaum koj noj mov, qhov ntawd tuaj yeem ua rau muaj kev ntxhov siab me ntsis, puas yog?

Yog tias koj ntxhov siab vim koj tawm hws ntau dhau thaum noj mov, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog kws kho mob lossis tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb , xws li tus kws kho mob hlwb, txog qhov ntawd.

Dab tsi ua rau muaj tus mob Frey syndrome?

Cov kws tshawb fawb tseem tsis tau paub meej tias Frey syndrome yog dab tsi . Txawm li cas los xij, lawv lub tswv yim tseem ceeb yog tias nws tshwm sim thaum ob hom hlab ntsha ze ntawm koj lub qog parotid raug puas tsuaj tib lub sijhawm . Ob hom hlab ntsha no yog "cov hlab ntsha sympathetic" thiab "cov hlab ntsha parasympathetic"

Ob lub paj hlwb no yog ib feem ntawm peb lub paj hlwb autonomic (ANS) . Lub ANS no tswj cov haujlwm ntawm lub cev uas tsis xav ua (xws li lub plawv dhia thiab kev zom zaub mov) uas peb tsis tuaj yeem tswj tau.

Tam sim no, saib seb, ib qho ntawm cov haujlwm ntawm cov hlab ntsha '(parasympathetic)' no yog los tswj cov haujlwm ntawm peb cov qog salivary, uas yog, kev tsim cov qaub ncaug los ntawm cov qog parotid. Txawm li cas los xij, cov hlab ntsha '(parasympathetic)' no tsis tswj peb cov qog hws. Qhov ntawd yog ua los ntawm lwm hom hlab ntsha, cov hlab ntsha '(sympathetic)'.

Cov kws tshawb fawb ntseeg tias Frey's syndrome tshwm sim thaum ob qho tib si cov hlab ntsha parasympathetic thiab sympathetic ze ntawm cov qog parotid raug puas tsuaj tib lub sijhawm.

Feem ntau, cov hlab ntsha me me hauv peb lub cev tuaj yeem kho thiab rov loj hlob thaum raug mob. Hauv Frey syndrome, cov kws tshawb fawb xav tias cov hlab ntsha "parasympathetic" uas puas lawmNws zoo li ob txoj xov tooj sib txuas ua ke, thiab cov hlab ntsha 'parasympathetic' txuas nrog cov qog hws hauv daim tawv nqaij.

Vim yog qhov "kev txuas dua tshiab" no, cov hlab ntsha parasympathetic uas feem ntau qhia rau cov qog parotid kom tsim cov qaub ncaug thaum lawv saj ib yam dab tsi tam sim no pib qhia rau cov qog hws kom "hws."

Qhov tshwm sim ntawm qhov no yog tawm hws ntau dhau thaum noj mov .

Tsis tas li ntawd xwb, cov hlab ntsha sympathetic tswj cov ntshav ntws los ntawm kev ua kom peb cov hlab ntsha nqaim thiab nthuav dav. Qhov no tej zaum yog vim li cas qee zaum daim tawv nqaij thiaj li liab (flushing) hauv Frey syndrome.

Cov hlab ntsha siv sijhawm los rov qab loj hlob tom qab raug mob, uas yog vim li cas Frey syndrome feem ntau tshwm sim ntawm 6 thiab 18 lub hlis tom qab phais.

Kev phais thiab kev raug mob uas tuaj yeem ua rau Frey syndrome

Frey's syndrome feem ntau yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha thaum lub sijhawm phais parotidectomy . Txawm li cas los xij, tus mob no kuj tuaj yeem tshwm sim los ntawm cov kev phais lossis kev raug mob hauv qab no:

• Kev phais mob qog nqaij hlav hauv qab mandibular.
• Phais mob kom kho qhov tawg ntawm lub puab tsaig (mandibular fracture).
• Cov xwm txheej cuam tshuam nrog lub pob qij txha Temporomandibular (TMJ).
• Phais kom tshem tawm cov qog ntshav hauv caj dab.
• Lwm yam kev raug mob sab nraud rau thaj chaw uas cov qog parotid nyob.

Yuav kuaj mob Frey's syndrome li cas?

Yuav kom pab kuaj tau tus mob Frey syndrome, koj tus kws kho mob yuav nug koj txog koj cov tsos mob, xws li thaum twg lawv pib. Lawv kuj yuav nug txog koj cov mob yav dhau los, seb koj puas tau phais lub ntsej muag, lossis koj puas tau raug xwm txheej.

Ib qho kev kuaj uas tuaj yeem kuaj pom qhov mob no tau zoo hu ua 'Minor starch-iodine test' . Nov yog yuav ua li cas ua qhov kev kuaj no:

1. Ua ntej, tus kws kho mob yuav muab cov tshuaj iodine pleev rau ntawm koj lub ntsej muag uas koj xav tias tawm hws.

2. Tom qab nws qhuav lawm, muab hmoov txhuv nplej siab (xws li hmoov txhuv pob kws) rau saum.

3. Tom ntej no, koj yuav tau noj ib yam dab tsi los txhawb koj cov qog qaub ncaug - feem ntau yog ib yam dab tsi qaub (xws li toffee qaub, ib daim txiv qaub ntsuab).

Yog koj pib tawm hws, cov hmoov txhuv nplej ntawd yuav ntub thiab hloov mus ua xiav lossis xim av . Qhov no tuaj yeem lees paub tias koj muaj Frey syndrome. Nws yog ib qho kev kuaj yooj yim heev, puas yog?

Yuav kho tus mob Frey's syndrome li cas?

Tsis muaj kev kho rau Frey syndrome, yog li kev kho mob feem ntau yog tsom mus rau kev tswj cov tsos mob. Yog tias koj cov tsos mob tsis hnyav heev, koj yuav tsis tas yuav kho. Txawm li cas los xij, rau cov neeg uas muaj cov tsos mob hnyav, muaj ntau txoj hauv kev los tswj kev tawm hws:

• Kev txhaj tshuaj Botox® (botulinum toxin):Qhov no yog txoj kev uas cov kws kho mob feem ntau siv los tswj "kev hws tawm." Thaum txhaj tshuaj no, cov qog hws ze ntawm qhov chaw txhaj tshuaj yuav raug kaw ib ntus. Cov neeg feem coob uas tau txhaj tshuaj no hais tias lawv hws tsawg dua thaum noj mov, ntsej muag tsis liab, thiab lawv lub neej zoo dua. Txawm li cas los xij, qhov cuam tshuam ntawm qhov no yuav txo qis raws sijhawm - feem ntau yog li ntawm 9 txog 12 lub hlis . Yog li ntawd, koj yuav tsum tau txhaj tshuaj dua.
• Cov tshuaj anticholinergics rau ntawm daim tawv nqaij: Cov tshuaj no ua haujlwm los ntawm kev txo cov haujlwm ntawm koj cov qog hws. Txawm hais tias lawv ua haujlwm tau zoo, tab sis lawv yuav tsum tau siv rau ntawm daim tawv nqaij ntau zaus.
• Cov tshuaj tua hws tawm: Qee cov tshuaj tua hws tuaj yeem pab tswj kev tawm hws, tab sis lawv cov teebmeem tsis hnyav heev. Ib yam li cov tshuaj anticholinergics, cov no yuav tsum tau siv ntau zaus.

Tsis tshua muaj, yog tias cov txheej txheem no tsis pab, cov kws kho mob yuav pom zoo kom phais. Qhov no suav nrog kev txiav qee cov hlab ntsha. Muaj ntau hom kev phais zoo li no.

Puas yog Frey's syndrome yog ib qho mob hnyav?

Txawm hais tias Frey's syndrome tsis ua rau koj lub cev tsis zoo . Yog li ntawd, nws tsis yog ib qho mob hnyav. Txawm li cas los xij, kev tawm hws ntau dhau uas koj tswj tsis tau tuaj yeem ua rau txaj muag thiab kuj tuaj yeem cuam tshuam rau koj lub hlwb . Raws li tau hais ua ntej, nws tuaj yeem ua rau muaj kev ntxhov siab thiab txaj muag.

Yog tias koj muaj teeb meem nrog tus kab mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab. Tej yam xws li kev txhaj tshuaj Botox® tuaj yeem pab tswj kev tawm hws ntau dhau. Tsis tas li ntawd, yog tias nws cuam tshuam rau koj txoj kev noj qab haus huv ntawm lub hlwb, nws yuav yog lub tswv yim zoo kom mus ntsib kws kho mob lossis kws kho mob hlwb.

Puas tiv thaiv tau tus kab mob Frey syndrome?

Yeej tsis muaj dab tsi uas koj ua tau los tiv thaiv tus kab mob Frey syndrome. Cov kws phais neeg sim siv qee txoj kev los tiv thaiv kev puas tsuaj rau cov hlab ntsha thaum lub sijhawm phais lub ntsej muag. Tab sis cov txheej txheem no tsis yog ib txwm ua tau zoo. Txhua txoj kev muaj nws cov kev pheej hmoo thiab qhov tsis zoo, piv txwv li:

• Lub sijhawm ntev dua rau kev phais.
• Qhov ua tau zoo ntawm kev tiv thaiv Frey's syndrome sib txawv.
• Muaj feem yuav kis tau kab mob ntawm qhov txhab.
• Tej zaum yuav muaj teeb meem tom qab phais.

Koj tus kws phais yuav tham txog tej yam txaus ntshai, tej yam tshwm sim tsis zoo, lossis tej yam teeb meem uas yuav tshwm sim nrog koj ua ntej phais. Yog li ntawd, tsis txhob ntshai nug cov lus nug thiab qhia rau koj tus kws kho mob txog txhua yam uas koj xav txog .

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj cov tsos mob hnyav zuj zus tuaj, lossis yog tias koj tab tom noj tshuaj kho mob Frey syndrome thiab nws tsis ua haujlwm, nco ntsoov nrog koj tus kws kho mob tham . Nws tuaj yeem qhia koj tias muaj lwm txoj kev xaiv dab tsi rau koj.

Yog tias koj tawm hws ntau dhau thaum noj mov ces yuav ua rau koj tsis xis nyob thiab chim siab. Yog tias tus mob Frey's syndrome cuam tshuam rau koj lub neej txhua hnub, nrog koj tus kws kho mob tham txog kev kho mob uas yuav pab tau koj tswj koj qhov kev tawm hws.

Hauv kev xaus lus, ntawm no yog cov yam peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev):

Zoo, yog li cia peb saib qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Frey's Syndrome yog ib qho mob uas ua rau lub ntsej muag (sab plhu, hauv pliaj, thiab ib ncig ntawm pob ntseg) hws thiab qee zaum tig liab thaum noj mov lossis xav txog zaub mov.
• Qhov no feem ntau yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha tom qab phais mob rau cov qog parotid.
• Cov tsos mob yuav tsis hnyav heev los yog tsis hnyav heev.
• Qhov no tuaj yeem txheeb xyuas tau los ntawm 'Minor starch-iodine test'.
• Txawm hais tias tsis muaj kev kho kom zoo tag nrho los xij, kev kho mob xws li kev txhaj tshuaj Botox® tuaj yeem tswj cov tsos mob.
• Txawm hais tias qhov no tsis ua rau lub cev puas tsuaj los xij, nws tuaj yeem ua rau lub siab ntxhov siab. Yog li nrhiav kev pab yog tias koj xav tau.
• Yog koj muaj cov tsos mob no los yog koj tsis paub meej tias yog dab tsi, ces zoo tshaj plaws mus nrhiav kev pab kho mob.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj tau muaj ib qho kev paub zoo sib xws, tsis txhob yig nrog kws kho mob tham txog qhov ntawd.

Frey 's Syndrome, tawm hws thaum noj mov, tawm hws saj, phais mob qog parotid, tawm hws ntsej muag, teeb meem ntawm lub paj hlwb