Yu kin swet we yu de it? Lɛ wi lan bɔt di sik we dɛn kɔl Frey’s Syndrome!

Yu dɔn ɛva notis se we yu de it, sɔntɛnde we yu si sɔntin we gɛt spays, ɔ we yu de tink bɔt sɔntin we fayn, yu kin bigin fɔ swet na wan say na yu fes, mɔ na yu chɛst, na yu tu say na yu chin, ɔ rawnd yu yes? Yu kin notis bak se di say we de rawnd yu fes kin rɛd ɛn fil wam smɔl. Dis nɔ tan lɛk we yu de swet ɔlsay na yu bɔdi, bɔt na wan patikyula say na yu fes nɔmɔ. Dis na di men sayn dɛm fɔ wan sik wae nɔr kin bɔrku pan nyurolɔjik wae dɛn kɔl Frey’s Syndrome , wae wi go tɔk bɔt tide. Di nem kin tan lɛk nyu tin to yu, bɔt i fayn fɔ no bɔt am.

Wetin na di sik we dɛn kɔl Frey’s Syndrome?

Fɔ tɔk am simpul wan, Frey syndrome na wan sik we nɔ kin apin so ɔltɛm na di nyurolɔjik . I kin mek yu swet pasmak na wan patikyula say na yu fes, bɔku tɛm na yu chɛst, yu tɛmpul, ɛn/ɔ biɛn yu yes , we yu de it, tink bɔt it, ɛn sɔntɛnde yu kin ivin smɛl it. I nɔ min se yu de swet ɔlsay na yu bɔdi. Sɔntɛnde i kin mek bak di skin flash ɔ chenj in kɔlɔ na dɛn say dɛn ya we de swet.

Dis sik kin apin bɔrku tɛm as sayd ɛfɛkt wae dɛn kin du ɔpreshɔn. I kin mɔs bi afta dɛn dɔn ɔpreshɔn yu parotid gland dɛn . di parotid gland dεm na di men saliva gland dεm na wi mכt. Dɛn de na di tu say dɛn na wi fes, jɔs dɔŋ ɛn bifo wi yes. Dɛn gland ya de mek saliva, we de ɛp fɔ mek wi mɔt wet ɛn ɛp wi fɔ it ɛn dayjɛst it.

Di sik we dɛn kɔl Frey’s syndrome gɛt bɔku ɔda nem dɛn:

• ``Aurikulotemporal nεv sεndrכm''.
• `Gustatory sweating` (dis de tɔk bɔt fɔ swet we yu de test)
• `Gustatory hyperhydrosis` (dis na di sem aidia, `hyperhidrosis` min se yu de swet pasmak)
• `Baillarger in sindrom`
• `Dupuy sindrom`

Dɛn kɔl dis sik "Frey's syndrome" fɔ ɔna Lucja Frey, we na wan Polish nyurolɔjis we bin fɔs no am insay 1923.

Aw dis sik kin kɔmɔn?

E tranga fɔ mek di wan dɛm wae de du risach fɔ tɔk bɔt aw kɔmɔn Frey syndrome de, bikɔs sɔm tin dɛm wae nɔr kin fayn fɔ ripɔt dis sik. Bɔt sɔm stɔdi dɛn sho se bitwin 30% ɛn 50% pan di sik pipul dɛn we dɔn du parotidectomy kin gɛt dis sik. Dat min se nɔto ɔlman we dɛn dɔn du dis kayn ɔpreshɔn go gɛt am, bɔt sɔm pasɛnt dɛn de pan denja.

Wetin na di sayn dɛm wae de sho se yu gɛt Frey syndrome?

Di men ɛn klia sayn fɔ dis sik na we yu de swet pasmak (hyperhidrosis) we yu de it ɔ tink bɔt fɔ it fɔ lɔng tɛm . Dɛn kin kɔl dis bak ``Gustatory sweating''. Dis swet kin kam bikɔs ɔf:

• Na di Kammula eria
• Na di tu say dɛn na di fɔɛd (tɛmpul) .
• Arawnd di yes

Apat frɔm dis swet, di skin na dɛn say dɛn de kin fil rɛd ɛn wam bak .

Dis swet ɛn rɛd we di skin kin rɛd kin rili smɔl fɔ sɔm, ɛn fɔ ɔda pipul dɛn i kin rili bad ɛn nɔ kin fil fayn . Swet kin bɔku mɔ we yu de it tin dɛn we de mek yu saliva wam, fɔ ɛgzampul , it dɛn we gɛt sɔl (lɛk laym, tamarind), it dɛn we gɛt spays (raw chili, chili paoda), ɛn it dɛn we gɛt sɔl . Imajin if yu it fayn pikɛl, ɔ it rays wit spaysi chili sos, ɛn wantɛm wantɛm yu bigin fɔ swet frɔm yu chɛst!

Di sayn dɛm fɔ Frey syndrome kin apin insay di fɔs ia afta dɛn dɔn ɔpreshɔn di parotid gland, bɔt pan sɔm pipul dɛm, di sayn dɛm nɔ kin apia fɔ sɔm ia afta dɛn dɔn du di ɔpreshɔn.

Wetin na di ɔda bad tin dɛm wae kin kam wit Frey syndrome?

Bɔrku tɛm, de sayn dɛm wae de sho se yu gɛt Frey syndrome nɔr kin pasmak. Dat min se, dɛn nɔ de kɔz bɔku bad tin. Bɔt fɔ sɔm pipul dɛn , if dɛn swet pasmak, dat kin mek dɛn nɔ fil fayn ɔ dɛn kin wɔri bɔt ɔda pipul dɛn . Imajin, if yu de go dina wit yu padi dɛn ɛn yu fes bigin fɔ swet we yu de it, dat kin mek yu mɔna yu smɔl, nɔto so?

If yu de fil strɛs bikɔs yu de swet pasmak we yu de it, i rili impɔtant fɔ tɔk to dɔktɔ ɔ pɔsin we de gi advays bɔt yu maynd , lɛk pɔsin we de stɔdi bɔt pɔsin in maynd, bɔt dat.

Wetin kin mek pɔsin gɛt Frey syndrome?

Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt Frey syndrome. Bɔt di men tin we dɛn kin tɔk na dat i kin apin we tu kayn nɛv dɛn we de nia yu parotid gland kin pwɛl di sem tɛm . dis tu kayn nεv dεm na di ``sympathetic nerves`` εn di ``parasympathetic nerves``.

Dɛn tu nεv sistεm ya de pan wi כtonom nεv sεstem (ANS) . dis ANS de kכntro di invכlכntary bכdi fכnshכn dεm (lεk di at rεt εn digεsshכn) we wi nכ kin kכntro wit kכnsεns.

naw, luk, wan pan di wok we dεn `(parasympathetic)` nεv dεm de du na fכ kכntrכl di aktiviti fכ wi saliva gland dεm, dat na di prodyushכn fכ saliva bay di parotid gland dεm. כltu, dεn `(parasympathetic)` nεv dεm ya nכ de kכntro wi swet gland dεm. dat na dat כda kayn nεv, di `(sympathetic)` nεv dεm de du am.

Risach pipul dεm biliv se Frey’s syndrome kin apin we di parasympathetic εn sympathetic nerves dεm we de nia di parotid gland dεm dεn dכn pwεl di sem tεm.

Nɔmal wan, di smɔl smɔl nɛv fayv dɛn na wi bɔdi kin wɛl ɛn gro bak we wi wund. insay Frey syndrome, sayɛnsman dεm tink se di damej ``parasympathetic`` nεv fayb dεmi tan lεk se tu tεlifon waya dεm de tכn, εn di ‘parasympathetic’ nεv dεm de kכnekt to di swet gland dεm na di skin.

biכs fכ dis כnusual "riwayring," di parasympathetic nεv dεm we nכmal fכ signal di parotid gland dεm fכ prodyuz saliva we dεn tεst sכmtin naw de stat fכ signal di swet gland dεm fכ "swet."

Di rizin fɔ dis na we yu de swet pasmak we yu de it .

Apat frɔm dat, di simpatik nɛv dɛn kin kɔntrol di blɔd we de flɔ bay we dɛn kin mek wi blɔd vesel dɛn kɔnstrikt ɛn big. Dis kin bi di rizin wae mek sɔmtɛm di skin kin tɔn rɛd (flush) pan Frey syndrome.

di nεv dεm kin tek tεm fכ gro bak afta dεn dכn dכn dכn, na dat mek di Frey syndrome kin apin bכku tεm bitwin 6 εn 18 mכnt afta dεn כpεrayshכn.

Ɔpreshɔn ɛn aksidɛnt dɛn we kin mek pɔsin gɛt Frey syndrome

Di sik we dɛn kɔl Frey’s syndrome kin kam bikɔs ɔf aksidɛnt we di nerve dɛn dɔn pwɛl we dɛn de pul di parotidectomy . Bɔt dis sik kin kam bak bikɔs ɔf dɛn ɔpreshɔn ɔ aksidɛnt ya:

• Ɔpreshɔn we dɛn kin du na di sabmandibular gland.
• Ɔpreshɔn fɔ fiks wan jaw we dɔn brok (mandibular fracture).
• Aksidɛnt dɛn we gɛt fɔ du wit di tɛmporomandibular jɔyn (TMJ).
• Ɔpreshɔn fɔ pul di limf no dɛn na di nɛk.
• כda ekstenal trauma to di εria usay di parotid gland de.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Frey’s syndrome?

Fɔ ɛp fɔ no if yu gɛt Frey syndrome, yu dɔktɔ go aks yu bɔt di sik dɛn we yu gɛt, lɛk we dɛn bigin. Dɛn go aks bak bɔt di sik dɛn we yu bin gɛt trade, if dɛn dɔn du ɔpreshɔn pan yu fes, ɔ if yu dɔn ɛva gɛt aksidɛnt.

wan tεst we kin kכrekt fכ no dis kכndyushכn dεn kכl am di `Minor starch-iodine test` . Na dis na aw fɔ du dis tɛst:

1. Fɔs, di dɔktɔ go put ayodin sɔlvushɔn na di say dɛn na yu fes we yu tink se de swet.

2. Afta i dray, put stach (lɛk kɔn stach) pan am.

3. Nεks, dεn go gi yu sכmtin fכ it fכ stimulate yu saliva gland dεm – כltεm na sכmtin we sכl (lεk sכl tכfi, wan pis laym).

If yu bigin fɔ swet, da stach de go wet ɛn tɔn blu ɔ brawn . Dis kin kɔnfirm se yu gɛt Frey syndrome. Na wan rili simpul tɛst, nɔto so?

Aw dɛn kin trit di sik we dɛn kɔl Frey’s syndrome?

Nɔr mɛrɛsin nɔr de fɔ Frey syndrome, so di tritmɛnt de mɔr fɔ kɔntrol di sayn dɛm. If yu sik nɔr kin rili so, yu nɔr kin nid tritmɛnt. Bɔt fɔ di wan dɛn we gɛt siriɔs sik, bɔku we dɛn de fɔ kɔntrol di swet:

• Botox® (botulinum toxin) injεkshכn dεm:dis na di mכst kכmכn we dכkta dεn kin yuz fכ kכntrכl ``gustatory sweating.`` We dεn gi dis injεkshכn, di swet gland dεm nia di say we dεn injεkshכn de dεaktiv fכ sכm tεm. Bɔku pipul dɛn we kin gɛt dis injɛkshɔn kin se dɛn nɔ kin swet bɛtɛ we dɛn de it, dɛn nɔ kin blush bɛtɛ, ɛn dɛn layf kin bɛtɛ. כltu, di ifekt fכ dis de dכn ova tεm – כltεm arawnd 9 to 12 mכnt . So, yu kin nid fɔ gɛt di injɛkshɔn bak.
• Topical anticholinergics: Dɛn mɛrɛsin ya de wok bay we dɛn de ridyus di wok we yu swet gland dɛn de du. Pan ɔl we dɛn kin wok fayn, dɛn nid fɔ put dɛn na di skin ɔltɛm.
• Topical antiperspirants: Sɔm diodorant kin ɛp fɔ kɔntrol di swet, bɔt dɛn ifɛkt nɔ kin so. Lɛk anticholinergics, dɛn nid fɔ put dɛn tin ya ɔltɛm.

Na smɔl tɛm nɔmɔ, if dɛn we ya nɔ ɛp, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn. Dis min se yu fɔ kɔt sɔm nerv dɛn. Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du dis kayn ɔpreshɔn.

Yu tink se di sik we dɛn kɔl Frey’s syndrome na siriɔs sik?

Pan ɔl we i kin mek yu vɛks, di sik we dɛn kɔl Frey’s syndrome nɔ de ambɔg yu bɔdi wɛlbɔdi . So, i nɔto siriɔs sik insay da we de. Bɔt if yu swet pasmak we yu nɔ ebul fɔ kɔntrol, dat kin mek yu shem ɛn i kin afɛkt yu maynd wɛlbɔdi bak . As wi bin dɔn tɔk, i kin mek pipul dɛn wɔri ɛn shem.

E fayn fɔ aks fɔ ɛp if yu de sɔfa wit dis sik. Tin dɛm lɛk Botox® injɛkshɔn kin ɛp fɔ kɔntrol di swet we pasmak. Dɔn bak, if e de afɛkt yu maynd wɛl bɔdi, i go fayn fɔ go to dɔktɔ ɔr saikɔlɔjis.

Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl Frey syndrome?

Natin nɔr de fɔ rili du fɔ mek yu nɔr gɛt Frey syndrome. Di dɔktɔ dɛn we de du ɔpreshɔn kin tray fɔ yuz sɔm we dɛn fɔ mek dɛn nɔ pwɛl di nerv dɛn we dɛn de du ɔpreshɔn pan di fes. Bɔt nɔto ɔltɛm dɛn we ya kin wok fayn. Ɛni tɛknik gɛt in yon risk ɛn bad tin dɛn, fɔ ɛgzampul:

• Inkris tɛm fɔ ɔpreshɔn.
• Di fayn we aw fɔ mek pɔsin nɔ gɛt di sik we dɛn kɔl Frey’s syndrome kin difrɛn.
• Chans fɔ mek yu gɛt wund infɛkshɔn.
• Sɔm prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn.

Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu wit ɛni prɔblɛm, sayd ɛfɛkt, ɔ prɔblɛm dɛn we kin apin bifo dɛn du di ɔpreshɔn. So, nɔ fred fɔ aks kwɛstyɔn ɛn tɛl yu dɔktɔ ɛnitin we de na yu maynd .

Ustɛm yu fɔ go to dɔktɔ?

If yu sik de wɔs, ɔr if yu de tek tritmɛnt fɔ Frey syndrome ɛn i nɔr de woke, mek shɔ se yu tɔk to yu dɔktɔ . I kin tɛl yu us ɔda tin dɛn we yu go ebul fɔ du.

If yu swet pasmak we yu de it, dat kin mek yu nɔ fil fayn ɛn i kin mek yu vɛks. If Frey’s syndrome de ambɔg yu ɛvride layf, tɔk to yu dɔktɔ bɔt di tritmɛnt dɛm wae go ɛp yu fɔ kɔntrol yu gustatory sweating.

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

Okay, so lɛ wi luk sɔm pan di impɔtant tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Frey’s Syndrome na wan sik wae de mek yu fes (chɛst, fɔrɛst, ɛn rawnd di yes) swet ɛn sɔmtɛm i kin tɔn rɛd we yu de it ɔr de tink bɔt it.
• dis kin kכmכn fכ di nεv dεm we dεn dכn pwεl afta dεn dכn כpεrayshכn pan di parotid gland dεm.
• Di sayn dɛm kin bi smɔl ɔr kin tranga.
• dis kin bi wit di `Maynɔr stach-ayodin tεst`.
• Pan ɔl we dɛn nɔ gɛt kɔmplit mɛrɛsin, tritmɛnt dɛn lɛk Botox® injɛkshɔn kin kɔntrol di sayn dɛm.
• Pan ɔl we dis nɔ de ambɔg wi bɔdi, i kin mek wi fil bad. So gɛt ɛp if yu nid am.
• If yu gɛt dɛn sik ya ɔ yu gɛt ɛni dawt, i go fayn fɔ mek yu go to dɔktɔ.

A op se dis infɔmeshɔn go ɛp yu. If yu dɔn gɛt dis kayn tin, nɔ shem fɔ tɔk to dɔktɔ bɔt dat.

` Frey’s Syndrome, swet we yu de it, gustatory sweating, parotid gland ɔpreshɔn, fes swet, nyurolɔjik dizayd