Tewali n'omu ku ffe alowooza nnyo ku "amalusu" mu bulamu bwaffe obwa bulijjo, nedda? Tukirowoozaako ng’ekintu kyokka ekiri mu kamwa kaffe. Naye obadde okimanyi nti singa tewaali malusu gano, tewandisobodde kulya, kwogera, oba kuwooma mmere? Amalusu mu butuufu mazzi ga kitalo agakola kinene nnyo mu mubiri gwaffe. Ka twogere ku nsonga eno ddala, era mu ngeri ennyangu, leero.
Migaso ki eminene entuuyo gye zituwa omubiri gwaffe?
Amalusu si mazzi matono gokka. Kikola obuweereza bungi eri obulamu bwaffe obw’omu kamwa awamu n’obulamu bwaffe okutwalira awamu. Teeberezaamu ebizibu bingi bye twandifunye singa tufiirwa amalusu.
Mu ngeri ennyangu, amalusu ge gakuuma obutonde mu kamwa kaffe era ge gatandika omutendera ogusooka mu nkola y’okugaaya emmere.
Bino bye bimu ku bintu ebikulu ebibeerawo n’amalusu.
| Omulimu ogukolebwa amalusu | Ennyinyonnyola yokka |
|---|---|
| Okukuuma akamwa n’emimiro nga binnyogovu | Amalusu ge gakuuma amatama gaffe, olulimi n’emimwa gyaffe obutakwatagana, ne kitusobozesa okwogera mu ngeri ennyangu. Era kikola ng’ekizigo ekikuuma obuwuka. |
| Okukwanguyiza okukamula n’okumira emmere | Amalusu gannyogoza emmere gye tulya, ne bagikola akapiira akatono (bolus) ne bagiyamba okukka mu mumiro. Awatali malusu, okumira emmere kyandibadde kizibu nnyo. |
| Okutandika okugaaya emmere | Enziyiza ya amylase esangibwa mu ntuuyo etandika okugaaya emmere erimu sitaaki gye tulya (nga omugaati n’omuceere) mu kamwa. |
| Obukuumi okuva ku yinfekisoni | Ebintu nga lysozyme mu ntuuyo bisaanyaawo obuwuka obw’obulabe mu kamwa ne bifuga obuwuka obw’omu kamwa. |
| Okukuuma amannyo | Amalusu ganaaza obutundutundu bw’emmere oluvannyuma lw’okulya. Era egaba calcium (Calcium hydroxyapatite) eri amannyo. Kino kikendeeza ku bulabe bw'okuvunda amannyo n'endwadde z'ennyindo . |
| Okutebenkeza pH y’akamwa | Asidi w’ebintu bye tulya n’okunywa byawukana. Amalusu gakuuma pH (acidity/alkaline) y’akamwa ku ddaala erigere. |
| Okuyamba okuwooma | Olulimi lwaffe okuwooma emmere enkalu, lwetaaga okuba nga lunnyogovu. Obunnyogovu obwo buweebwa amalusu. |
Amalusu gano gava wa?
Amalusu gakolebwa endwadde z’amalusu eziri mu kamwa kaffe n’okwetooloola. Amalusu agakolebwa endwadde zino gayingira mu kamwa nga gayita mu buyumba obutonotono (ducts). Tulina ebibiri ebikulu bisatu eby’endwadde z’amalusu.
- Parotid glands: Zino ze nnywanto z’amalusu ezisinga obunene. Zisangibwa mu maaso g’amatu, mu matama. Zifulumya amalusu mu kamwa okumpi n’amannyo aga waggulu.
- Endwadde eziri wansi w’olulimi: Zino zibeera wansi w’olulimi.
- Endwadde eziyitibwa submandibular glands: Zino zisangibwa wansi w’akawanga aka wansi. Amalusu agava mu nseke zino gakulukuta ne gayingira mu kamwa wansi w’olulimi.
Endwadde zino enkulu essatu zikola ebitundu 90% ku ntuuyo zaffe. Ebitundu 10% ebisigadde bikolebwa ebikumi n’ebikumi by’endwadde entonotono ez’amalusu ezisangibwa mu kamwa konna. Ku kigero, omuntu omukulu afulumya liita 0.5 ku 1.5 ez’amalusu buli lunaku.
Okufulumya amalusu kufugibwa kutya?
Okukola amalusu kufugibwa enkola yaffe ey’obusimu (ANS). Kino tetusobola kukifuga mu bumanyirivu, kibaawo mu ngeri ya otomatiki. Ebitundu bibiri eby’enkola eno bikosa okukola amalusu.
1. Enkola y’obusimu obusaasira
Kino kye kituteekateeka embeera ez’amangu, okutya, n’okunyigirizibwa. Kiba ng'okuddamu "okulwana-oba-okubuuka". Enkola eno bw’ekola, amalusu amanene era agakwatagana gavaamu.Eno y’ensonga lwaki owulira ng’akamwa kakaze ng’otidde, ng’olina obunkenke oba ng’olina ekigezo.
2. Enkola y’obusimu obuyitibwa parasympathetic nervous system
Enkola eno ekola ekintu ekikontana n’enkola endala. Kye kitukuuma nga tuli bakkakkamu era nga tuwummudde. Kiyitibwa "okuwummula-n'okugaaya." Enkola eno bw’ekola, efulumya amalusu ag’amazzi era ag’amazzi. Amalusu gano agalimu amazzi ge gatuyamba okulya n’okumira emmere.
Ate era, ebintu ebimu ebya bulijjo bisobola okuleeta enkyukakyuka mu kukola amalusu:
- Bw’olya ekintu ekikaawa: Kuba akafaananyi ng’olya akatundu k’emiyembe n’akatono aka lime. Akamwa ko katandika okufulumya amalusu, nedda? Ekyo kiri bwe kityo kubanga emmere enkaawa erimu asidi mungi. Omubiri gufulumya amalusu amalala okukendeeza asidi oyo n’okukuuma amannyo go.
- Bwe ndowooza ku mmere: Ne bwe ndowooza ku mmere ewooma kinfuula akamwa amazzi.
- Emisana n’ekiro: Amalusu gafuluma nnyo emisana, naye ekiro, bwe twebaka, amalusu gakendeera nnyo. Kino kirowoozebwa nti kikwatagana n’enzirukanya y’omubiri gwaffe eya buli lunaku (Circadian rhythm).
Bibuuzo ki ebitera okubuuzibwa ku ntuuyo?
Embeera z’obujjanjabi ezimu, eddagala n’obujjanjabi bisobola okukyusa obungi n’engeri y’amalusu agafuluma. Waliwo ebizibu bibiri ebikulu: okukendeera kw’amalusu n’okukendeera kw’amalusu. Ku bino, hyposalivation y’esinga okubeerawo.
Okukendeera kw’amalusu n’okukala mu kamwa
Kino kiyitibwa `Okufulumya amalusu`. Obubonero obuva mu kino kwe kukala akamwa `(Xerostomia).` Bwe waba tewabaawo malusu gamala, ebizibu eby’enjawulo bisobola okubaawo.
| Ebizibu ebiyinza okuva ku kukendeera kw’amalusu | |
|---|---|
| Okuwunya okuwunya (Halitosis) . | Obutabeera bulungi mu kamwa n’emimiro n’okulumwa |
| Okwongera okuvunda amannyo n’endwadde z’ennyindo | Okukaluubirirwa okwogera n’okumira emmere |
| Obuzibu mu kwambala amannyo ag’ekinnansi | Okwongera ku bulabe bw’okukwatibwa yinfekisoni z’omu kamwa |
Biki ebivaako akamwa okukala?
- Ezimu ku mbeera z’obujjanjabi:Okubulwa amazzi mu mubiri (obutaba na mazzi mu mubiri), sukaali atafugibwa bulungi, puleesa, siriimu, Sjögren’s syndrome, endwadde z’abaserikale b’omubiri nga lupus.
- Eddagala: Eddagala eriwonya okwennyamira n’okweraliikirira, eddagala eriweweeza ku alergy (antihistamines), eddagala erimu eriweweeza ku bulumi, eddagala erimu erya puleesa (beta-blockers), n’eddagala eriweweeza ku kookolo bisobola okuvaako akamwa okukala.
- Obujjanjabi bw’amasannyalaze: Obujjanjabi bw’amasannyalaze naddala ku kookolo w’omutwe n’ensingo busobola okwonoona endwadde z’amalusu n’okukendeeza ku kufulumya amalusu.
Okufulumya amalusu mu ngeri esukkiridde
Embeera eno eyitibwa `Hypersalivation` oba `Sialorrhea`. Wano we wabaawo endwadde z’amalusu ezifulumya amalusu mangi okusinga bwe kyetaagisa. Kino kiyinza okuvaako okufulumya amalusu. Abalongo abato bafuuwa amalusu kubanga tebasobola kufuga bulungi binywa bya kamwa.
Okufulumya amalusu ekisusse kiyinza okuvaako amabwa agaluma, agakutuse mu nsonda z’akamwa (Angular cheilitis). Mu mbeera enzibu, amalusu gano agasukkiridde gasobola okuyingira mu mifulejje gy’empewo ne galeeta embeera nga aspiration pneumonia.
Biki ebivaako amalusu okweyongera?
- Ebituli ebitajjanjabiddwa: Okuvunda kw’amannyo kuleetera obuwuka okukula mu kamwa. Omubiri guyinza okufulumya amalusu amalala nga gugezaako okufulumya obuwuka buno.
- Gastritis (GERD): Asidi w’olubuto bw’alinnya mu mumiro, omubiri gufulumya amalusu amalala okukuuma akamwa okuva ku asidi oyo.
- Okuziyira n’okusesema: Bw’oba ogenda okusesema, endwadde z’amalusu zifulumya amalusu amalala okutangira asidi w’olubuto okwonoona akamwa.
- Olubuto: Mu kiseera ky’olubuto, enkyukakyuka mu busimu n’okuziyira bisobola okwongera okukola amalusu okumala akaseera.
- Eddagala erimu: Eddagala erimu erikozesebwa okujjanjaba endwadde z’obwongo (e.g., Clozapine) liyinza okuleeta okweyongera kw’amalusu ng’ekizibu.
Nsaana ndabe omusawo ku kintu nga kino?
Yee, ddala. Bw’oba olina akamwa akakala oba okufulumya amalusu obutasalako, tobibuusa maaso. Laba omusawo wo amangu ago. Asobola okukukebera n’amanya ekikuleetedde. Kiyinza okuba eddagala ly’omira, oba akabonero k’embeera endala ey’obujjanjabi. Bw’amala okuzuulibwa ekivaako, omusawo asobola okukuwa obujjanjabi obutuufu.
Abantu abamu bafuna amalusu amanene era agakwata. Ensonga enkulu eyinza okuvaako kino eyinza okuba nga yaggwaamu mazzi mu mubiri. N’olwekyo, kikulu nnyo okunywa amazzi amangi . Kyokka ekizibu bwe kisigala, kiba kirungi n’oyogera n’omusawo ku nsonga eno.
Obubaka Obutwala Awaka
- Amalusu mazzi makulu nnyo eri obulamu bw’akamwa kaffe n’omubiri gwaffe. Ayamba okugaaya emmere, akuuma amannyo n’okulwanyisa yinfekisoni.
- Akamwa akakalu (obutaba na malusu) si kintu kya kutwalibwa ng’ekitono. Kiyinza okuvaako amannyo okuvunda n’endwadde endala ez’omu kamwa.
- Okufulumya amalusu ekisusse (okufulumya amalusu) kiyinza okuba ekizibu ekiva mu mbeera z’obujjanjabi oba eddagala ezimu.
- Bw’oba olina ekizibu ky’amalusu ekiwangaala (akamwa akakalu, amalusu agasukkiridde, amalusu amanene), kakasa nti oyogera n’omusawo wo ku nsonga eyo.
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