Otuuyana ng’olya? Ka tuyige ku bulwadde bwa Frey's Syndrome!

Wali okirabye nti bw’olya, oluusi bw’olaba ekintu ekirimu eby’akawoowo, oba bw’olowooza ku kintu ekiwooma, otandika okutuuyana ku ludda olumu mu maaso naddala ku matama, ku njuyi zombi ez’akalevu oba okwetooloola amatu go? Oyinza n’okulaba ng’ekitundu ekyetoolodde ffeesi yo kifuuka kimyufu n’owulira nga kibuguma katono. Kino tekiba ng’okutuuyana mu mubiri gwo gwonna, wabula mu kitundu ekimu kyokka ekya ffeesi yo. Buno bwe bubonero obukulu obw’embeera y’obusimu etali ya bulijjo eyitibwa Frey’s Syndrome , gye tugenda okwogerako leero. Erinnya eryo liyinza okukuwulikika ng’eppya, naye kirungi okumanya.

Obulwadde bwa Frey kye ki?

Mu ngeri ennyangu, Frey syndrome mbeera ya busimu etatera kulabika . Kireeta entuuyo eziyitiridde mu kitundu ekimu mu maaso go, ebiseera ebisinga amatama go, ennyindo, ne/oba emabega w’amatu go , ng’olya, ng’olowooza ku mmere, n’oluusi n’okuwunyiriza emmere. Tekizingiramu kutuuyana mubiri gwonna. Era oluusi kiyinza okuvaako olususu okumyuuka oba okukyusa langi mu bitundu bino ebituuyana.

Embeera eno etera okubaawo ng’ekizibu ekiva mu kulongoosebwa. Kisinga kulabika oluvannyuma lw'okulongoosebwa endwadde zo ez'omugongo . Endwadde z’amalusu (parotid glands) ze nnywanto enkulu ezifulumya amalusu mu kamwa kaffe. Zisangibwa ku njuyi zombi eza ffeesi yaffe, wansi ddala ne mu maaso g’amatu gaffe. Endwadde zino zikola amalusu agayamba okukuuma akamwa kaffe nga kannyogovu n’okutuyamba okukamula n’okugaaya emmere.

Obulwadde bwa Frey’s syndrome bulina amannya amalala agawerako:

• Obulwadde bw'obusimu obuyitibwa auriculotemporal nerve syndrome''.
• Gustatory sweating (kino kitegeeza okutuuyana nga owooma)
• Gustatory hyperhidrosis (eno y’endowooza y’emu, hyperhidrosis kitegeeza okutuuyana okuyitiridde)
• Obulwadde bwa Baillarger
• Obulwadde bwa Dupuy

Embeera eno etuumiddwa "Frey's syndrome" okussa ekitiibwa mu Lucja Frey, omusawo w'obusimu Omupolandi eyasooka okugizuula mu 1923.

Embeera eno ya bulijjo etya?

Kizibu abanoonyereza okwogera ddala engeri obulwadde bwa Frey syndrome gye butera okubaawo, kubanga waliwo ebibulamu mu kuloopa embeera eno. Naye okunoonyereza okumu kulaga nti wakati wa 30% ne 50% ku balwadde abalongooseddwa parotidectomy bayinza okufuna obulwadde buno. Ekyo kitegeeza nti si buli muntu eyalongoosebwa ng’oyo nti ajja kubufuna, naye ebitundu ebimu ku buli kikumi bali mu bulabe.

Bubonero ki obulaga obulwadde bwa Frey syndrome?

Akabonero akakulu era akasinga okweyoleka mu mbeera eno kwe kutuuyana ennyo (hyperhidrosis) ng’olya oba ng’olowooza ku ky’okulya okumala ebbanga eddene . Kino era kiyitibwa Gustatory sweating''. Okutuuyana kuno kuva ku:

• Mu bitundu by’e Kammula
• Ku njuyi zombi ez’ekyenyi (temple) .
• Okwetoloola okutu

Ng’oggyeeko okutuuyana kuno, olususu mu bitundu ebyo nalyo luyinza okuwulira nga lumyufu era nga lubuguma .

Okutuuyana kuno n’okumyuuka kw’olususu kuyinza okuba okutono ennyo eri abamu, ate abalala kuyinza okuba okw’amaanyi era okutanyuma . Okutuuyana kuyinza okweyongera naddala ng’olya emmere efuula amalusu go agookya, okugeza , emmere enkaawa (nga lime, tamarind), emmere ey’akawoowo (chili embisi, chili powder), n’emmere erimu omunnyo . Teebereza singa olya pickle ennungi, oba okulya omuceere nga guliko chili sauce ow’akawoowo, era amangu ago n’otandika okutuuyana okuva ku matama!

Obubonero bw’obulwadde bwa Frey syndrome butera okulabika mu mwaka ogusooka oluvannyuma lw’okulongoosebwa enseke y’omumwa gwa nnabaana, naye mu bantu abamu, obubonero buyinza obutalabika okumala emyaka egiwerako oluvannyuma lw’okulongoosebwa.

Biki ebirala ebiyinza okuva mu bulwadde bwa Frey syndrome?

Obubonero bw’obulwadde bwa Frey syndrome butera okuba obutono. Kwe kugamba, tezireeta bulabe bungi. Kyokka, eri abantu abamu , okutuuyana okuyitiridde kuyinza okuleeta obuzibu obw’amaanyi oba okweraliikirira mu bantu . Teebereza bw’oba ​​ogenda okulya ekyeggulo n’emikwano gyo era ffeesi yo n’etandika okutuuyana ng’olya, ekyo kiyinza okukutawaanya katono, nedda?

Bw’oba ​​owulira situleesi olw’okutuuyana ekisusse ng’olya, kikulu nnyo okwogera n’omusawo oba omukugu mu kubudaabuda abantu ku bulamu bw’obwongo , gamba ng’omukugu mu by’empisa, ku nsonga eyo.

Kiki ekivaako obulwadde bwa Frey syndrome?

Bannasayansi n’okutuusa kati tebamanyi kituufu ekivaako obulwadde bwa Frey syndrome. Kyokka, endowooza yaabwe enkulu eri nti kibaawo ng’ebika by’obusimu bibiri ebiriraanye endwadde yo ey’omugongo byonoonese mu kiseera kye kimu . Ebika by’obusimu bino ebibiri bye bino: obusimu obusaasizi ne obusimu obuyitibwa parasympathetic nerves.

Enkola z’obusimu zino zombi za nkola yaffe ey’obusimu (ANS) . ANS eno efuga emirimu gy’omubiri egitayagala (nga omutima okukuba n’okugaaya emmere) gye tutasobola kufuga mu kumanya.

Kati, laba, ogumu ku mirimu gy’obusimu buno (parasympathetic) kwe kufuga emirimu gy’endwadde zaffe ez’amalusu, kwe kugamba, okukola amalusu okuva mu nnywanto z’amalusu. Naye obusimu buno (parasympathetic) tebufuga ntuuyo zaffe. Ekyo kikolebwa ekika ekyo ekirala eky’obusimu, obusimu obuyitibwa (sympathetic).

Abanoonyereza balowooza nti obulwadde bwa Frey bubaawo ng’obusimu bwombi obuyitibwa parasympathetic ne sympathetic obusimu obuli okumpi n’endwadde z’omubiri (parotid glands) gwonoonese mu kiseera kye kimu.

Mu budde obwabulijjo, obusimu obutono obuli mu mibiri gyaffe busobola okuwona ne buddamu okukula nga tufunye obuvune. Mu Frey syndrome, bannassaayansi balowooza nti obusimu obwonooneddwa parasympatheticKiringa waya z’essimu bbiri ezitabuka, era obusimu obuyitibwa ‘parasympathetic’ ne buyungibwa ku ntuuyo mu lususu.

Olw'okuba "rewiring" eno etali ya bulijjo, obusimu obuyitibwa parasympathetic nerves obutera okulaga endwadde za parotid okufulumya amalusu nga ziwooma ekintu kati zitandika okulaga endwadde z'entuuyo "okutuuyana."

Ekiva mu kino kwe kutuuyana ekisusse ng'olya .

Okugatta ku ekyo, obusimu obusaasira bufuga entambula y’omusaayi nga buziyiza n’okugaziya emisuwa gyaffe. Eno eyinza okuba nga y’ensonga lwaki olususu oluusi lumyufu (okufuumuuka) mu bulwadde bwa Frey syndrome.

Obusimu butwala ekiseera okuddamu okukula oluvannyuma lw’okwonooneka, osanga y’ensonga lwaki obulwadde bwa Frey syndrome butera okulabika wakati w’emyezi 6 ne 18 oluvannyuma lw’okulongoosebwa.

Okulongoosebwa n’obubenje obuyinza okuvaako obulwadde bwa Frey syndrome

Obulwadde bwa Frey businga kuva ku busimu okwonooneka mu butanwa nga balongoosebwa parotidectomy . Wabula embeera eno era esobola okuva ku kulongoosebwa oba obubenje buno wammanga:

• Okulongoosa endwadde z’omumwa gwa nnabaana (submandibular gland).
• Okulongoosa okutereeza akawanga akamenyese (okumenya kw’omumwa gwa wansi).
• Obubenje obukwatagana n’ekiwanga (TMJ).
• Okulongoosa okuggyamu ennywanto z’amazzi mu bulago.
• Obuvune obulala obw’ebweru eri ekitundu awali enseke z’omubiri (parotid gland).

Obulwadde bwa Frey buzuulibwa butya?

Okuyamba okuzuula obulwadde bwa Frey syndrome, omusawo ajja kukubuuza ku bubonero bwo, gamba nga ddi lwe bwatandika. Era bajja kubuuza ku mbeera z’obujjanjabi gy’obaddemu emabegako, oba wali olongooseddwa mu maaso, oba wali ofunye akabenje ne ffeesi yo.

Okukebera okusobola okuzuula obulungi embeera eno kuyitibwa Minor starch-iodine test . Laba engeri y'okukolamu ekigezo kino:

1. Okusooka, omusawo ajja kusiiga eddagala lya ayodini mu bitundu bya ffeesi by’oteebereza nti bituuyana.

2. Bw’emala okukala, ssaako sitaaki (nga sitaaki wa kasooli) waggulu.

3. Ekiddako, ojja kuweebwa eky’okulya okusitula endwadde zo ez’amalusu – ebiseera ebisinga ekintu ekikaawa (nga toffee omukaawa, ekitundu kya lime).

Bw’otandika okutuuyana, sitaaki oyo ajja kufuka n’afuuka bbululu oba kitaka . Kino kiyinza okukakasa nti olina obulwadde bwa Frey syndrome. Kigezo kyangu nnyo, nedda?

Obulwadde bwa Frey bujjanjabwa butya?

Tewali ddagala lya Frey syndrome, n’olwekyo obujjanjabi businga kutunuulira kufuga bubonero. Singa obubonero bwo buba butono nnyo, oyinza obuteetaaga bujjanjabi. Wabula eri abo abalina obubonero obw’amaanyi, waliwo engeri eziwerako ez’okufuga entuuyo:

• Empiso za Botox® (obutwa bwa botulinum):Eno y’enkola esinga okukozesebwa abasawo okufuga okutuuyana okuva mu kunywa. Empiso eno bw’eweebwa, endwadde z’entuuyo eziri okumpi n’ekifo we bakuba empiso ziggwaawo okumala akaseera. Abantu abasinga abafuna empiso eno bagamba nti batuuyana kitono nga balya, bafuumuuka nnyo, era omutindo gw’obulamu bwabwe gutereera. Naye, ekikolwa kya kino kikendeera okumala ekiseera – ebiseera ebisinga nga emyezi 9 ku 12 . N’olwekyo, kiyinza okwetaagisa okuddamu okugikuba empiso.
• Topical anticholinergics: Eddagala lino likola nga likendeeza ku mirimu gy’endwadde zo ez’entuuyo. Wadde nga zikola bulungi, zeetaaga okuzisiiga enfunda eziwera ku lususu.
• Eddagala eriweweeza ku ntuuyo: Ebirungo ebimu ebiwunyiriza bisobola okuyamba okufuga entuuyo, naye ebivaamu biba bitono. Okufaananako n’eddagala eriweweeza ku cholinergics, lino lyetaaga okusiigibwa ennyo.

Si bulijjo nnyo, singa enkola zino teziyamba, abasawo bayinza okukuwa amagezi okulongoosebwa. Kino kizingiramu okusala obusimu obumu. Waliwo ebika by’okulongoosa ng’ebyo ebiwerako.

Obulwadde bwa Frey mbeera ya maanyi nnyo?

Wadde nga kinyiiza, obulwadde bwa Frey si bwa bulabe eri bulamu bwo obw’omubiri . N’olwekyo, si mbeera ya maanyi mu ngeri eyo. Kyokka, okutuuyana okuyitiridde kw’otosobola kufuga kuyinza okukuswaza era kuyinza n’okukosa obulamu bwo obw’omutwe . Nga bwe kyayogeddwako emabegako, kiyinza okuleeta okweraliikirira mu bantu n’okuswala.

Kikulu okunoonya obuyambi bw’oba ​​olina obulwadde buno. Ebintu ng’empiso za Botox® bisobola okuyamba okufuga entuuyo eziyitiridde. Ate era, bwe kiba nga kikosa obulamu bwo obw’omutwe, kiyinza okuba ekirungi okugenda ew’omusawo oba omukugu mu by’empisa.

Obulwadde bwa Frey syndrome busobola okuziyizibwa?

Mu butuufu tewali ky’oyinza kukola kuziyiza Frey syndrome. Abasawo abalongoosa bagezaako okukozesa obukodyo obumu okwewala obusimu okwonooneka nga balongoosa ffeesi. Naye obukodyo buno tebukola bulungi bulijjo. Buli bukodyo bulina akabi n’obuzibu bwayo, okugeza:

• Okwongera ku budde okutuuka ku kulongoosebwa.
• Obulung’amu bw’okuziyiza obulwadde bwa Frey bwawukana.
• Emikisa gy’okukwatibwa obulwadde bw’ebiwundu.
• Ebizibu ebiyinza okuvaamu oluvannyuma lw’okulongoosebwa.

Omusawo akulongoosa ajja kwogera naawe ku bulabe bwonna, ebizibu ebiyinza okuvaamu, oba ebizibu ebiyinza okuvaamu nga tonnalongoosebwa. Kale, totya kubuuza bibuuzo n’okubuulira omusawo wo ekintu kyonna ekikuli mu birowoozo .

Ddi lw’osaanidde okulaba omusawo?

Singa obubonero bwo bweyongera okusajjuka, oba bw’oba ​​omira obujjanjabi bw’obulwadde bwa Frey syndrome ate nga tebukola, kakasa nti oyogera n’omusawo wo . Asobola okukubuulira ebirala by’osobola okukola.

Okutuuyana ennyo ng’olya kiyinza okukunyiiza n’okunyiiza. Singa obulwadde bwa Frey butaataaganya obulamu bwo obwa bulijjo, yogerako n’omusawo wo ku bujjanjabi obuyinza okukuyamba okuddukanya entuuyo z’owooma.

Mu bufunze, bino bye bintu bye twetaaga okujjukira (Take-Home Message):

Okay, kale katutunuulire ebimu ku bintu ebikulu bye tulina okujjukira okuva mu bye twogeddeko:

• Obulwadde bwa Frey’s Syndrome bulwadde obuleetera ffeesi (amatama, ekyenyi, n’okwetooloola amatu) okutuuyana n’oluusi okumyuuka ng’olya oba ng’olowooza ku mmere.
• Kino kisinga kuva ku busimu okwonooneka oluvannyuma lw’okulongoosebwa endwadde z’omugongo.
• Obubonero buyinza okuba obutono oba obw’amaanyi.
• Kino kiyinza okuzuulibwa n'ekigezo kya Minor starch-iodine test.
• Wadde nga tewali kuwona mu bujjuvu, obujjanjabi ng’empiso za Botox® busobola okufuga obubonero.
• Wadde nga kino tekiba kya bulabe mu mubiri, kiyinza okunyigiriza mu nneewulira. Kale funa obuyambi bw’oba ​​obwetaaga.
• Bw’oba ​​olina obubonero buno oba ng’olina okubuusabuusa kwonna, kiba kirungi okugenda ew’abasawo amagezi.

Nsuubira nti amawulire gano gakuyamba. Bw’oba ​​obaddeko ekintu ekifaananako bwe kityo, tolwawo kwogera n’omusawo ku nsonga eyo.