Yu dɔn ɛva fil se di say we de nia yu yes kin swel wantɛm wantɛm ɛn i kin fil pen so dat yu nɔ kin ivin tɔch am? I tan lɛk se dis pen kin bɔku, mɔ we yu si fayn fayn it ɔ we yu spit na yu mɔt? Sɔm pipul kin gɛt dis swɛlin wit fiva. Bɔku pipul dɛn kin tink se dis na jɔs swɛlin we go dɔn insay wan ɔ tu dez. Bɔt dis kin bi prɔblɛm wit di ‘parotid gland’, we na wan rili impɔtant pat na wi bɔdi. So nɔ wɔri, wi go tɔk bɔt dis na simpul we tide, di we we yu go ɔndastand.
Wetin na di Parotid Gland rili?
Fɔ tɔk am simpul wan, di parotid gland na wi men saliva gland . Tri pe big saliva gland dεm de na wi mכt. di big pe fכ gland dεm na di parotid gland. Dɛn tu gland ya de na di tu say dɛn na yu chɛst, smɔl bifo ɛn dɔŋ yu yes.
Tink bɔt di insay pat na wi mɔt lɛk mashin we de wok ɔltɛm. Wi kin tɔk, it, ɛn swɛla tin dɛn. Fɔ mek dis mashin wok fayn ɛn wok fayn, i nid sɔntin lɛk fɔ mek i gɛt lɔbrik. Na dat dɛn kɔl wi mɔt ‘saliva’. di big wan εn imכtant pan di men fכktri dεm we de mek dis saliva na di parotid gland.
So wetin kin apin to di saliva we dis gland de mek?
Dis nɔto jɔs wata. I de du bɔku wok we rili impɔtant fɔ wi bɔdi.
- Fɔ kip di mɔt wet: Saliva de ɛp fɔ mek wi mɔt wet ɛn nɔ dray, so wi kin tɔk ɛn swɛla it izi wan.
- Ep fכ digεst: Di prכsεs fכ digεst di it we wi de it de bigin na di mכt. Saliva we di parotid gland de mek gɛt wan ɛnzaym we dɛn kɔl amylase . dis na wetin de stat di fכs step fכ digεst di it dεm we gεt stach (lεk bred εn rays) we wi de it na mכt.
- I de ridyus di bad bad baktri dɛm we de na di mɔt: Na wi mɔt gɛt bɔku bɔku baktri dɛm. Saliva kin kɔntrol dɛn bad bad baktri ya ɛn ridyus di risk fɔ gɛt infɛkshɔn na yu mɔt.
- I de protɛkt di tut we de rɔtin: Saliva de was di tin dɛn we de insay di it ɛn i de mek di asid dɛn we de ambɔg di tit nɔ de igen. So, di saliva impɔtant fɔ mek di tut nɔ rɔtin.
Yu bin no? nכmal wan, di parotid gland dεm de prodyuz lεk 10% pan di tכtal saliva na wi mכt. bכt we wi it, dεn gland dεm ya de wok mכr, we de mek di saliva prodyushכn bכku te to 25%!
Usay dis gland de na wi bɔdi ɛn aw i tan lɛk?
As wi bin dɔn tɔk, dɛn tu gland ya de jɔs bifo ɛn dɔŋ yu yes, na di tu say dɛn na yu chɛst. Fɔ tɔk di kɔrɛkt tin, dɛn fɔ de ɔp yu ɔnda jaw. εvri wan pan dεn gland dεm ya de opin insay wan tכn tכb lεk dakt (`Stensen in dakt`). Na dis say di saliva we de kɔmɔt de kam insay yu mɔt. dis dakt de opin nia di כp molar tit dεm na yu כp jaw.
We i luk, i tan lɛk piramid we dɛn dɔn ɔpsayd. Di pat we de ɔp kin wayd ɛn i kin smɔl we i de go dɔŋ. Wan rili impɔtant nerv we de kɔntrol di filin dɛn na wi fes, we na di fes nerve , de rɔn tru di gland. dis nεv de sheb di gland to tu pat (superficial lobe εn dip lobe). Dis na di rizin we mek dɔktɔ dɛn kin rili tek tɛm we dɛn de du ɔpreshɔn pan di parotid gland. Bikɔs if da nɛv de pwɛl smɔl, wan say na di fes kin drɔp ɛn saliva kin lik kɔmɔt na di kɔna na di mɔt.
Wetin mek dis parotid gland de swel? Wetin na di tin dɛn we kin mek i apin?
Okay, naw mek wi luk di prɔblɛm we bɔku pipul dɛn gɛt. Wetin mek dis gland kin swel wantɛm wantɛm ɛn i kin fil pen? Bɔku men rizin dɛn kin de fɔ dis. Mek wi brok dem daun laik dis.
| Prɔblɛm/kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Saliva ston fɔmɛshɔn (Sialolithiasis) . | Dis na di tin we kin mek pɔsin gɛt dis sik. Minral dεm lεk kalsiכm we de insay saliva de kכmכt εn fכm sכm sכm stכn dεm insay di dakt dεm we de kכri saliva. We yu it, yu de mek mɔ saliva, ɛn dɛn ston ya kin stɔp, ɛn dis kin mek di saliva nɔ kɔmɔt, ɛn dis kin mek di gland swel ɛn mek yu fil pen bad bad wan. |
| Infεkshכn na di gland (Sialadenitis) . | Di gland kin gɛt baktri ɔ vayrɔs. fכ egzampl, di kכmכn kol, mכmp, na wan vayral infεkshכn na di parotid gland. Ɔda baktri infɛkshɔn kin mek bak i swel, rɛd, ɛn gɛt fiva. |
| fכmeshכn כf tכmכro dεm na di gland | sכmtεm tכmכro kin divεlכp na di parotid gland. Nɔ fred we yu yɛri dis. כlmost 80% pan dεn tכmכro dεm ya na nכn kεnsar, nכmal tכmכro dεm. Dɛn kin gro big, bɔt dɛn nɔ kin fil pen. |
| Kansa | Dis nɔ kin apin so ɔltɛm. Bɔt sɔntɛnde, kansa tumbu kin kam na dis gland. Dɛn tin ya kin gro kwik kwik wan, kin mek yu fil pen, ɛn kin ivin mek yu fes drɔp bikɔs ɔf prɛshɔn pan di fes nerve. |
Wetin na di sayn dɛm wae de sho dis prɔblɛm?
Bɔrku tɛm, ilɛk wetin de mek pɔrsin gɛt dis sik, sɔm kayn sik kin de wae kin kam pan pɔrsin. If yu gɛt wan ɔ mɔ pan dɛn tin ya, nɔ dismis am as nɔmal tin.
- di swel na di chεk εn di jaw εria: di sayd na di chεk nia di yes de swεla wan wan כ sכmtεm.
- Pen: Pen kin kam wit swel. Di pen kin bɔku mɔ we yu tink bɔt fɔ it, it, ɔ tink bɔt sɔntin we gɛt sɔl . Dis na bikɔs di saliva we dɛn kin mek kin bɔku.
- Fiva: If infekshɔn de, di bɔdi kin wam ɛn fiva.
- I nɔ izi fɔ opin yu mɔt: We yu swel, i kin mek i nɔ izi fɔ opin ɛn lɔk yu mɔt.
- Dray mɔt: If wan pan di saliva dakt dɛn blok, yu kin gɛt dray mɔt.
- Bad teist na yu mɔt: If pus dɔn fɔm bikɔs ɔf infekshɔn, yu kin gɛt bad teys ɔ smel na yu mɔt.
Aw dɔktɔ kin fɛn dis?
We yu go to dɔktɔ wit dɛn sik ya, di fɔs tin we i go du na fɔ aks yu kwɛstyɔn dɛn. I go aks yu kwɛstyɔn dɛn bɔt aw lɔng di swɛlin dɔn de, aw di pen tan, if i kin wɔs we yu de it, ɛn if yu gɛt fiva.
Dɔn, dɛn go tek tɛm chɛk yu fes, yu chɛst, ɛn yu jaw. Dɛn go chɛk fɔ si if i swel, i gɛt sɔri-at, i wam, ɛn i de fil pen. Dɛn go chɛk yu mɔt bak fɔ si if i rɛd, yu gɛt pus, ɔ if yu gɛt wata we de kɔmɔt na di saliva gland dɛn.
Bɔku tɛm, dis fɔs ɛgzam go mek di dɔktɔ no gud gud wan bɔt di prɔblɛm. Bɔt sɔntɛnde, dɛn kin nid fɔ du mɔ tɛst fɔ no di rayt tin we mek i apin.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, wetin yu kin du wit am? |
|---|---|
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | Dɛn kin aks yu fɔ mek dɛn du ɔltra saund skan, CT skan, ɔ MRI skan fɔ si wetin de apin insay di gland. Dis kin sho klia wan if ston, tumbu, ɔ wan kɔlekɛshɔn fɔ pus de. |
| Nidul Bayɔpsi | If pɔsin we dɛn tink se gɛt tumbu, di dɔktɔ go yuz fayn nidul fɔ tek sɔm sɛl dɛn frɔm di swɛlin ɛn sɛn dɛn na di lɛb. Dis go ɛp fɔ no if dɛn gɛt kansa ɔ nɔ gɛt kansa. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di we aw dɛn de trit yu, dipen pan wetin mek yu gɛt prɔblɛm.
- If na infekshɔn: If na baktriyal infekshɔn, yu dɔktɔ go gi yu di rayt antibayɔtik . Dɛn go gi yu mɛrɛsin bak fɔ fiva ɛn pen.
- If di ston rili smɔl, yu dɔktɔ kin tɛl yu fɔ drink bɔku wata, it sɔntin we sɔl lɛk tɔfi ɔ lɛmon. Dis go ɛp yu saliva fɔ flɔ ɛn ɛp fɔ push di ston kɔmɔt. I kin tich yu bak aw fɔ masaj di gland. Bɔt yu fɔ rili go to dɔktɔ bifo yu tray dɛn tin ya fɔ yusɛf. If dɛn tin ya nɔ wok, yu go nid fɔ du smɔl ɔpreshɔn fɔ pul di ston.
- if tכmכro de: If tכmכro de, di bεst tritmεnt na כpεrayshכn (`Parotidectomy`) fכ pul di tכmכro כ pat pan di gland.
- If na kansa: If dɛn kɔnfyus se kansa, dɛn kin nid fɔ tek redyushɔn ɔ kemotɛrapi apat frɔm di ɔpreshɔn.
Wetin wi go du fɔ mek dɛn gland ya gɛt wɛlbɔdi?
Wi nɔ kin rili ebul fɔ avɔyd ɔl dɛn prɔblɛm ya, bɔt sɔm simpul tin dɛn de we wi kin du fɔ mek wi saliva gland dɛn gɛt wɛlbɔdi.
- Drink bɔku wata ɔl di de: We yu nɔ gɛt wata na yu bɔdi na wan pan di rizin dɛn we kin mek yu gɛt ston na yu saliva. So, mek shɔ se yu drink di wata we yu nid ɔl di de.
- Gɔm ɔ tɔfi we nɔ gɛt shuga: We yu it dɛn tin ya, dat kin mek yu gɛt saliva, ɛn dis kin ɛp fɔ mek di tiub dɛn klin.
- Nɔ smok:Smok kin afɛkt di wok we di saliva gland dɛn de du ɛn i kin mek pɔsin gɛt kansa.
- Ridyus kafin ɛn rɔm: Dɛn tin ya kin mek di bɔdi nɔ gɛt wata, so i bɛtɛ fɔ lɛ yu nɔ yuz am.
- Tek kia ɔf yu mɔt hajɛns: Fɔ brus yu tit tu tɛm insay di de ɛn kip yu mɔt klin kin ɛp fɔ mek yu nɔ gɛt infɛkshɔn.
Fɔ dɔn, if yu parotid gland dɔn swel ɛn i de fil pen, nɔ ignore am. Bɔrku tɛm, dɛn tin ya na tin dɛm wae pɔrsin kin wɛl ɔltogɛda wit simpul tritmɛnt. Bɔt sɔntɛnde, sɔntin lɛk ɔpreshɔn kin nid fɔ du. So, if yu gɛt ɛni kwɛstyɔn ɔ dawt, di bɛst tin fɔ du na fɔ go to yu dɔktɔ ɛn gɛt advays.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di swel ɛn pen na di chɛst nia di yes lɛk aw i nɔmal. I kin bi prɔblɛm wit di parotid gland.
- If di pen go bɔku, mɔ we yu de it ɔ tink bɔt sɔntin we sɔl, na strɔng sayn fɔ se i kin bi bikɔs ɔf ston dɛn we de na di saliva dakt dɛn (sialolithiasis).
- If yu gɛt dɛn sik ya, nɔ fɔ de na os, gɛs ɔ abop pan wetin yu de rid na di Intanɛt nɔmɔ. Fɔ tru, yu go si yu dɔktɔ.
- Mɔs pan di prɔblɛm dɛn we de na di parotid gland kin izi fɔ trit wit antibayɔtik ɔ simpul mɛrɛsin we dɛn kin yuz na os. So, i impɔtant fɔ mek yu go to dɔktɔ di rayt advays kwik kwik wan ɛn yu nɔ fɔ fred.
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