Tsis muaj leej twg ntawm peb xav ntau txog "nqaij qaub ncaug" hauv peb lub neej txhua hnub, puas yog? Peb xav tias nws tsuas yog ib yam dab tsi uas nyob hauv peb lub qhov ncauj xwb. Tab sis koj puas paub tias yog tsis muaj cov qaub ncaug no, koj yuav tsis muaj peev xwm noj mov, tham lus, lossis saj zaub mov? Nqaij qaub ncaug yog ib qho kua dej zoo kawg nkaus uas ua lub luag haujlwm tseem ceeb hauv peb lub cev. Cia peb tham txog nws kom meej, thiab yooj yim, hnub no.
Cov qaub ncaug muaj txiaj ntsig zoo li cas rau peb lub cev?
Cov qaub ncaug tsis yog tsuas yog me ntsis dej xwb. Nws ua haujlwm zoo rau peb txoj kev noj qab haus huv ntawm qhov ncauj thiab peb txoj kev noj qab haus huv tag nrho. Xav txog seb peb yuav ntsib teeb meem ntau npaum li cas yog tias peb poob cov qaub ncaug.
Hais yooj yim xwb, cov qaub ncaug yog tus tiv thaiv ntuj tsim hauv peb lub qhov ncauj thiab yog tus uas pib thawj kauj ruam hauv cov txheej txheem zom zaub mov.
Nov yog qee yam tseem ceeb uas tshwm sim nrog cov qaub ncaug.
| Cov haujlwm ua los ntawm cov qaub ncaug | Tsuas yog ib qho kev piav qhia xwb |
|---|---|
| Ua kom lub qhov ncauj thiab caj pas noo | Cov qaub ncaug yog yam uas ua rau peb lub puab tsaig, tus nplaig, thiab daim di ncauj tsis lo ua ke, ua rau peb hais lus tau yooj yim. Nws kuj ua haujlwm ua cov roj nplua nyeem uas tiv thaiv cov kab mob. |
| Ua kom yooj yim dua los zom thiab nqos zaub mov | Cov qaub ncaug ua rau cov khoom noj uas peb noj ntub, ua rau nws ua ib lub pob me me (bolus) thiab pab nws txav mus rau hauv caj pas. Yog tsis muaj cov qaub ncaug, kev nqos zaub mov yuav nyuaj heev. |
| Pib zom zaub mov | Cov enzyme amylase uas pom muaj nyob rau hauv cov qaub ncaug pib cov txheej txheem zom zaub mov ntawm cov khoom noj uas muaj hmoov txhuv nplej siab uas peb noj (xws li mov ci thiab mov) hauv qhov ncauj. |
| Kev tiv thaiv los ntawm kev kis kab mob | Cov tshuaj xws li lysozyme hauv cov qaub ncaug rhuav tshem cov kab mob phem hauv qhov ncauj thiab tswj cov kab mob hauv qhov ncauj. |
| Tiv thaiv cov hniav | Cov qaub ncaug ntxuav cov khoom noj uas seem tom qab noj mov. Nws kuj muab calcium (Calcium hydroxyapatite) rau cov hniav. Qhov no txo qhov kev pheej hmoo ntawm kev lwj hniav thiab kab mob ntawm cov pos hniav . |
| Kev sib npaug ntawm pH ntawm lub qhov ncauj | Qhov acidity ntawm cov khoom peb noj thiab haus sib txawv. Cov qaub ncaug tswj tau pH (acidity/alkaline) ntawm lub qhov ncauj ntawm ib qib twg. |
| Pab kom saj tau saj | Yuav kom peb tus nplaig saj tau cov khoom noj qhuav, nws yuav tsum muaj dej noo. Cov dej noo ntawd yog los ntawm cov qaub ncaug. |
Cov qaub ncaug no los qhov twg los?
Cov qaub ncaug yog tsim los ntawm cov qog qaub ncaug hauv thiab ib puag ncig peb lub qhov ncauj. Cov qaub ncaug uas cov qog no tsim tawm nkag mus rau hauv lub qhov ncauj los ntawm cov raj me me (cov kav dej). Peb muaj peb khub tseem ceeb ntawm cov qog qaub ncaug.
- Cov qog parotid: Cov no yog cov qog salivary loj tshaj plaws. Lawv nyob rau pem hauv ntej ntawm pob ntseg, hauv sab plhu. Lawv ntws cov qaub ncaug mus rau hauv qhov ncauj ze ntawm cov hniav sab saud.
- Cov qog sublingual: Cov no nyob hauv qab tus nplaig.
- Cov qog hauv qab ntawm tus nplaig: Cov no nyob hauv qab lub puab tsaig qis. Cov qaub ncaug los ntawm cov qog no ntws mus rau hauv qhov ncauj hauv qab tus nplaig.
Peb lub qog tseem ceeb no tsim 90% ntawm peb cov qaub ncaug. 10% seem yog tsim los ntawm ntau pua lub qog qaub ncaug me me uas nyob thoob plaws hauv qhov ncauj. Qhov nruab nrab, ib tus neeg laus tsim tau 0.5 txog 1.5 liv qaub ncaug ib hnub.
Yuav tswj cov qaub ncaug li cas?
Kev tsim cov qaub ncaug yog tswj los ntawm peb lub paj hlwb autonomic (ANS). Peb tsis tuaj yeem tswj qhov no nrog kev paub, nws tshwm sim yam tsis tas yuav ua dab tsi. Ob feem ntawm lub cev no cuam tshuam rau kev tsim cov qaub ncaug.
1. Lub paj hlwb sib koom tes
Qhov no yog qhov uas npaj peb rau tej xwm txheej ceev, kev ntshai, thiab kev ntxhov siab. Nws zoo li kev teb "sib ntaus lossis khiav". Thaum lub cev no ua haujlwm, cov qaub ncaug tuab thiab nplaum yuav tsim tawm.Yog vim li ntawd koj thiaj li xav tias koj lub qhov ncauj qhuav thaum koj ntshai, ntxhov siab, lossis muaj kev kuaj mob.
2. Lub paj hlwb parasympathetic
Lub cev no ua qhov txawv ntawm lwm lub cev. Nws yog qhov ua rau peb nyob twj ywm thiab so. Nws hu ua "so-thiab-zom." Thaum lub cev no ua haujlwm, nws tsim cov qaub ncaug dej. Cov qaub ncaug dej no yog qhov pab peb noj thiab nqos zaub mov.
Tsis tas li ntawd xwb, qee yam uas ua txhua hnub tuaj yeem ua rau muaj kev hloov pauv ntawm cov qaub ncaug:
- Thaum koj noj ib yam dab tsi qaub: Xav txog koj noj ib daim txiv nkhaus taw thiab me ntsis txiv qaub ntsuab. Koj lub qhov ncauj pib qaub ncaug, puas yog? Qhov ntawd yog vim tias cov khoom noj qaub ncaug muaj cov kua qaub ntau. Lub cev tsim cov qaub ncaug ntau dua los txo cov kua qaub ntawd thiab tiv thaiv koj cov hniav.
- Thaum xav txog zaub mov: Txawm xav txog zaub mov qab ua rau kuv lub qhov ncauj dej.
- Nruab hnub thiab hmo ntuj: Kev tsim cov qaub ncaug ntau thaum nruab hnub, tab sis thaum hmo ntuj, thaum peb pw tsaug zog, kev tsim cov qaub ncaug txo qis heev. Qhov no xav tias muaj feem cuam tshuam nrog peb lub cev lub voj voog txhua hnub (Circadian rhythm).
Cov lus nug feem ntau txog cov qaub ncaug yog dab tsi?
Qee yam mob, tshuaj, thiab kev kho mob tuaj yeem hloov qhov ntau thiab qhov xwm txheej ntawm cov qaub ncaug uas tsim tawm. Muaj ob qho teeb meem tseem ceeb: hyposalivation thiab hypersalivation. Ntawm cov no, hyposalivation yog qhov feem ntau.
Hyposalivation thiab qhov ncauj qhuav
Qhov no hu ua 'Hyposalivation'. Cov tsos mob uas tshwm sim los ntawm qhov no yog qhov ncauj qhuav '(Xerostomia).' Thaum tsis muaj cov qaub ncaug txaus, ntau yam teeb meem tuaj yeem tshwm sim.
| Cov teeb meem uas yuav tshwm sim vim yog cov qaub ncaug tsawg dua | |
|---|---|
| Ua pa phem (Halitosis) | Qhov ncauj thiab caj pas tsis xis nyob thiab mob |
| Kev lwj hniav thiab kab mob ntawm cov pos hniav ntau ntxiv | Nyuaj hais lus thiab nqos zaub mov |
| Nyuaj hnav cov hniav cuav | Kev pheej hmoo ntawm kev kis kab mob hauv qhov ncauj ntau ntxiv |
Dab tsi yog cov ua rau qhov ncauj qhuav?
- Qee yam mob:Kev qhuav dej (tsis muaj dej hauv lub cev), ntshav qab zib uas tswj tsis tau zoo, ntshav siab, HIV, Sjögren's syndrome, cov kab mob autoimmune xws li lupus.
- Cov Tshuaj: Cov tshuaj rau kev nyuaj siab thiab kev ntxhov siab, cov tshuaj ua xua (antihistamines), qee cov tshuaj tua kab mob, qee cov tshuaj ntshav siab (beta-blockers), thiab cov tshuaj kho mob qog noj ntshav tuaj yeem ua rau qhov ncauj qhuav.
- Kev kho mob hluav taws xob: Kev kho mob hluav taws xob, tshwj xeeb tshaj yog rau cov mob qog noj ntshav taub hau thiab caj dab, tuaj yeem ua rau cov qog qaub ncaug puas tsuaj thiab txo cov qaub ncaug tsim tawm.
Kev ua kom cov qaub ncaug ntau dhau
Qhov mob no hu ua 'Hypersalivation' lossis 'Sialorrhea'. Qhov no yog thaum cov qog salivary tsim cov qaub ncaug ntau dua li qhov tsim nyog. Qhov no tuaj yeem ua rau ntuav. Cov menyuam mos ntuav vim lawv tsis tuaj yeem tswj lawv cov leeg nqaij hauv qhov ncauj kom zoo.
Qaug dej ntau dhau ua rau mob thiab tawg ntawm ces kaum ntawm lub qhov ncauj (Angular cheilitis). Thaum mob hnyav, cov qaub ncaug ntau dhau no tuaj yeem nkag mus rau hauv txoj hlab pa thiab ua rau muaj mob xws li mob ntsws los ntawm kev nqus pa.
Dab tsi yog cov ua rau muaj kev nce ntxiv ntawm cov qaub ncaug?
- Cov qhov ncauj uas tsis kho: Cov hniav lwj ua rau cov kab mob loj hlob hauv qhov ncauj. Lub cev yuav tsim cov qaub ncaug ntau dua los sim ntxuav cov kab mob no tawm.
- Kab mob plab (GERD): Thaum cov kua qaub hauv plab nce mus rau hauv caj pas, lub cev tsim ntau cov qaub ncaug los tiv thaiv lub qhov ncauj ntawm cov kua qaub ntawd.
- Xeev siab thiab ntuav: Thaum koj tab tom yuav ntuav, koj cov qog qaub ncaug yuav tsim ntau cov qaub ncaug kom tiv thaiv cov kua qaub hauv plab kom tsis txhob ua rau koj lub qhov ncauj puas.
- Cev Xeeb Tub: Thaum cev xeeb tub, kev hloov pauv ntawm cov tshuaj hormones thiab xeev siab tuaj yeem ua rau cov qaub ncaug ntau ntxiv ib ntus.
- Qee cov tshuaj: Qee cov tshuaj siv los kho cov kab mob hlwb (piv txwv li, Clozapine) tuaj yeem ua rau muaj cov qaub ncaug ntau ntxiv ua ib qho kev phiv.
Kuv puas yuav tsum mus ntsib kws kho mob txog tej yam zoo li no?
Yog, yeej muaj tseeb tiag. Yog tias koj lub qhov ncauj qhuav tas li lossis cov qaub ncaug ntws tas li, tsis txhob tsis quav ntsej nws. Mus ntsib koj tus kws kho mob tam sim ntawd. Nws tuaj yeem kuaj koj thiab nrhiav seb yog dab tsi ua rau koj. Nws yuav yog tshuaj uas koj noj, lossis nws yuav yog ib qho tsos mob ntawm lwm yam mob. Thaum txiav txim siab qhov ua rau, koj tus kws kho mob tuaj yeem sau ntawv kho mob kom raug.
Muaj ib txhia neeg uas muaj cov qaub ncaug tuab thiab nplaum. Qhov laj thawj tseem ceeb rau qhov no yog vim lawv lub cev qhuav dej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum haus dej ntau . Txawm li cas los xij, yog tias qhov teeb meem tseem muaj, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov qaub ncaug yog ib qho kua tseem ceeb rau kev noj qab haus huv ntawm peb lub qhov ncauj thiab lub cev. Nws pab zom zaub mov, tiv thaiv cov hniav, thiab tiv thaiv kev kis kab mob.
- Qhov ncauj qhuav (tsis muaj qaub ncaug) tsis yog ib yam uas yuav tsum tau saib yooj yim. Nws tuaj yeem ua rau cov hniav lwj thiab lwm yam kab mob hauv qhov ncauj.
- Kev tsim cov qaub ncaug ntau dhau (drooling) tuaj yeem yog ib qho kev mob tshwm sim ntawm qee yam mob lossis tshuaj.
- Yog tias koj muaj teeb meem ntev nrog cov qaub ncaug (qhov ncauj qhuav, qaub ncaug ntau dhau, qaub ncaug tuab), nco ntsoov tham nrog koj tus kws kho mob txog qhov ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus