Kei te rongo koe i te mamae rerekē, i te pupuhi rānei i tō paparinga, i raro rānei i tō kauae i a koe e kai ana, ina koa ka whakaaro koe ki ngā kai kawa? Kei te ahua memeha haere te kare i muri i ētahi haora i tō kai? Mena koinā, tera pea kei te pāngia koe e te kōhatu o te repe huware, he mate e mōhiotia ana i te taha hauora ko te Sialolithiasis . Kaua e manukanuka; kia mārama tātou he aha tēnei.
He aha ngā Kōhatu Repe Huware (Sialolithiasis)? He māmā noa iho...
I te whakarapopototanga, ko te Sialolithiasis e pā ana ki te hanganga o ngā hanganga iti, rite ki te kōhatu e kiia nei ko ngā calculi i roto i ō repe huware , i ngā awa rānei e kawe ana i te huware ki roto i tō waha. Ka taea e ēnei kōhatu te aukati i te rere o te huware, ka puta te mamae me te pupuhi i kōrerotia e au i mua ake nei. He maha ngā wā ka hangaia ēnei kōhatu ki te konupūmā phosphate me te hydroxyapatite . Ko te hua o tēnei, ka puta te mamae me te pupuhi i tētahi taha, i ngā taha e rua rānei o tō mata.
Kei hea ēnei repe huware i roto i tō waha?
E toru ngā momo repe matua o tō waha e whakaputa ana i te huware. Whakaarohia rātou he wheketere iti, nui e tuku tonu ana i te huware ki tō waha.
- Ngā repe parotid : Koinei ngā repe huware nui rawa atu. Kei mua tonu i ō taringa i ngā taha e rua o ō paparinga.
- Ngā repe o raro i te arero: E ai ki te ingoa, kei raro i tō arero ēnei, i te papa o tō waha.
- Ngā repe submandibular: Kei raro iho i tō kauae o raro ēnei, he paku whakamuri ki muri o tō waha. He mea whakamiharo, e 70% o te huware katoa i roto i tō waha ka puta mai i ēnei repe.
Ka taea te hanga kōhatu i roto i tētahi o ēnei repe. Heoi, neke atu i te 80% o ngā kōhatu ka puta i te repe submandibular . Ko te awa e kawe ana i te huware mai i tēnei repe ki te waha e kiia ana ko te awa o Wharton , ka taea hoki te noho ki reira ngā kōhatu. He iti ake te kitea o ngā kōhatu i roto i ngā repe parotid, e puta ana i te 6% ki te 15% o ngā take, engari he tino onge ngā kōhatu i roto i ngā repe sublingual, e 2% noa iho o ngā take kua pūrongohia.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ka taea e te tangata katoa te pāngia e ngā kōhatu o te repe huware, engari ko te nuinga o te wā ka kitea tēnei mate i roto i ngā tāne i waenga i te 30 me te 60 tau te pakeke . He mea whakamiharo, he tino onge tēnei i roto i ngā tamariki.
He pēhea te noa o tēnei āhuatanga?
Ahakoa ko te hanganga kōhatu (Sialolithiasis) te tino take o te pupuhi o te repe huware ( Sialadenitis ), ehara i te mea tino noa . E ai ki ngā tatauranga, tata ki te kotahi i roto i te 30,000 tāngata ka pāngia.
He aha ngā tohu o te puta o ngā kōhatu i roto i te repe huware?
I te nuinga o te wā, ka kaha ake ngā tohu i te wā e kai ana . Kātahi ka memeha haere i muri i ētahi haora i te kai. Nā te ngaungau ka whakaoho i ō repe huware kia nui ake te huware, engari ka ārai te kōhatu i te rere, ka mau te huware ki roto i te repe, ka puta ai ngā tohu.
- Te pupuhi o te repe huware: Ina koa i te paparinga, i raro rānei i te kauae.
- Te uaua ki te horomi.
- Te uaua ki te whakatuwhera i tō waha.
- Waha maroke (Xerostomia).
- He reka rerekē i roto i tō waha.
- He puku mamae i raro i te arero.
- Te mamae o te kanohi, te pupuhi rānei: I raro i te kauae, i te taha rānei o te taringa i te nuinga o te wā.
Heoi, ko ētahi tāngata he kōhatu i roto i te repe huware , kāore pea rātou e kite i ngā tohu .
He aha i puta ai ngā kōhatu i roto i te repe huware? He aha ngā take?
Ko ngā mea katoa e matotoru ai, e pūmau ai rānei tō huware, ka arahi pea ki te hanganga o te kōhatu. Ko ngā mea matua e whai wāhi ana ko:
- Te matewai: Ka matotoru ake te huware i te kore e inu i te nui o te wai.
- Ētahi mate pūnaha ārai mate : Pērā i te Lupus, i te mate Sjögren rānei.
- Ētahi rongoā: Tērā pea ko ngā rongoā whakaheke toto (ngā pire wai).
- Te momi hikareti.
- Te whara ki ngā repe huware.
- Te rongoā irahiko e aro ana ki te mahunga, ki te kaki rānei.
I ētahi wā, ka puta mai ngā kōhatu, kāore he take mārama.
He mate hopuhopu tēnei?
Kāo, ehara ngā kōhatu o te repe huware i te mea hopuhopu . Heoi, ki te arahi ngā kōhatu ki tētahi mate huaketo, mate kitakita rānei ( Sialadenitis ), tera pea ka horapa taua mate. He mea nui kia tūpato ki tēnei.
Me pēhea te tātaritanga a te tākuta i tēnei mate?
I te nuinga o te wā, ka taea e te tākuta mātau te tautuhi i tēnei āhuatanga i roto i tētahi tirotiro o ia rā. Ka pāngia tō mata me tō kaki, ka tirohia te roto o tō waha mō ngā puku, ā, ka pātai atu mō tō hītori hauora me ngā tohu motuhake.
He aha ngā whakamātautau e whakamahia ana hei whakaū?
Hei whakaū i te mate, hei tautuhi rānei i te wāhi o ngā kōhatu, ka tono pea tō tākuta i ngā whakamātautau whakaahua:
- Ngā hihi-X
- Ngā matawai CT (Tomography Rorohiko)
- MRI (Whakaahua Āhua Aukume)
I ētahi wā, ka tono pea tō tākuta kia tirohia te repe huware . Ko te werohanga o tētahi iti o te matū radioactive ki roto i tētahi uaua i roto i tō ringa, ā, muri iho ka tangohia he whakaahua mā te whakamahi i tētahi kāmera motuhake. I muri i te 45 meneti pea, ka hoatu pea he mea kawa ki a koe, pērā i te pata wai rēmana, hei whakaoho i te whakaputa huware. Kātahi ka tangohia e te tākuta ētahi atu whakaahua hei tirotiro i te nui o te huware e rere ana, mēnā rānei kei te toe tonu i roto i ngā awaawa.
Me pēhea te rongoā?
Ko te maimoatanga mō ngā kōhatu repe huware e whakawhirinaki ana ki te rahi o te kōhatu me tōna wāhi . I ētahi wā he rawaka te tiaki kāinga, i ētahi wā ia me rongoā, me mahi rānei i tētahi tikanga iti.
He aha tāu e taea ai te mahi i te kāinga?
I te nuinga o te wā, ka ea ēnei kōhatu i a rātou anō mā te tiaki ngāwari ki te kāinga .
Ka taea e koe te noho makuku tonu , te tāpiri i tētahi kōpeke mahana ki te wāhi mamae, te mirimiri mārie rānei. Mā te ngote i ngā mea kawa pēnei i te rēmana, i te raima rānei ka āwhina i te whakaoho i te whakaputanga huware, ka āwhina pea tēnei ki te pana noa i te kōhatu ki waho.
Ngā rongoā i whakaritea e tō tākuta
Mena kua pāngia koe e te mate urutā nā te kōhatu, ka tohua pea e tō tākuta he rongoā paturopi . He mea nui kia whai i te huarahi rongoā kia rite ki ngā tohutohu.
Te tango kohatu i te tari
Mena kāore e angitu ngā maimoatanga kāinga, ka whakamahia pea e tō tākuta he taputapu pakari hei tirotiro mārire i te wāhi ka ngana ki te tango i te kōhatu.
Pokanga
Mō ngā kōhatu nunui, me mahi pokanga pea. I tēnei mahi, ka whakamahia pea e te taote pokanga he kāmera iti e kiia nei ko te endoscope hei kimi i te kōhatu i roto i te awaawa, ā, ka tangohia mā te whakamahi i ngā taputapu motuhake. I ētahi wā, ka hiahiatia he tapahi iti.
Te tango i te repe huware
I ngā wā tino onge—pērā i te wā e hokihoki mai ana te raruraru, kāore e taea te tango i te kōhatu mā ētahi atu huarahi, ki te pāngia rānei koe e ngā tohu kino, pumau—tērā pea ka tūtohu te tākuta kia tangohia pokanga te repe huware e pāngia ana.
He huarahi hei ārai i ngā kōhatu o te repe huware?
Ahakoa kāore e taea te ārai katoa i ēnei āhuatanga, ka taea e koe te whakaiti i tō tuponotanga:
- Kia nui te makuku o te tinana.
- Kaua e kai hikareti.
- Kia mau tonu te akuaku o te waha (te paraihe, te miro niho, me te whakamahi i te wai horoi waha).
Ki te tīmata koe ki te mamae, ki te piri rānei i te rohe o ō repe huware, ngana tonu ki te ngote i tētahi mea kawa, ka mirimiri mārie i te rohe hei whakaoho i te rere . I ētahi wā, ka āwhina tēnei ki te tango i tētahi kōhatu iti e tipu haere ana i mua i te raru.
He aha ngā mea ka taea e te tangata whai mate pēnei te tumanako?
Mena ka aukatia te repe huware, tera pea ka pāngia koe e te mamae, e te pupuhi rānei i te taha o te repe i te wā e kai ana. Ko te tikanga ka roa ēnei tohu mō te haora, e rua rānei, kātahi ka memeha tae noa ki tō kai e whai ake nei.
Ka whakatauhia e ia anake?
Ae, i te nuinga o te wā. Ka ea te sialolithiasis mā te tiaki kāinga ngāwari pēnei i te whakamāhana i ngā kōpeke, te mirimiri mārie, me te ngote i ngā monamona kawa . Heoi, ki te mau tonu ngā tohu ahakoa ēnei mahi, ko te toro atu ki te tākuta te huarahi pai rawa atu.
Ka aha mēnā ka waiho kia kore e rongoatia? He mea morearea?
Ki te kore e rongoatia, ka arahi pea te Sialolithiasis ki ngā mate me te hanganga o ngā whewhe . Ka horapa pea ēnei mate ki roto i te kaki. Nō reira, ki te mamae tonu tō kanohi, ki te pupuhi rānei, me toro atu koe ki te tākuta.
Āhea koe me toro atu ki te tākuta?
Mena ka roa atu i te rua wiki te roa o ō tohumate, ā, kāore he whakapainga , ka whero rānei te kiri i runga i te repe, ā, ka tino kino haere te mamae, me whakapā atu koe ki tētahi kaiwhakarato hauora mō ētahi tohutohu.
He rite tonu te Sialolithiasis me te Sialadenitis ? He aha te rerekētanga?
Ae, he maha ngā wā ka pōhēhētia ēnei e rua, engari he rerekētanga nui:
- Sialolithiasis: E pā ana ki te hanganga o ngā kōhatu (calculi) i roto i ngā repe huware, i ngā awa rānei.
- Sialadenitis: E pā ana ki te mumura, te mate rānei o te repe huware.
Ka taea e te sialolithiasis te arahi ki te sialadenitis (mumura/mate o te repe), engari kāore tēnei e tupu i ngā wā katoa.
Karere Whakamutunga mō te Tango ki te Kāinga
Ka puta te sialolithiasis ina āraia te awa huware e te kōhatu. Ehara i te mea nui te nuinga o te wā, ā, ka ea i te nuinga o te wā mā te tiaki kāinga. Mēnā ka pāngia koe e te mamae o te kanohi, e te pupuhi rānei e kino haere ana i te wā kai, tera pea he Sialolithiasis . Ko te mahi pai ko te toro atu ki te tākuta kia whiwhi ai i te tātaritanga tika me te maimoatanga tika mēnā e tika ana. Kaua e manukanuka; kei Nirogi Lanka ngā maimoatanga whai hua!
