Kodi mumachita thukuta mukamadya? Tiyeni tiphunzire za Frey's Syndrome!

Kodi munayamba mwazindikirapo kuti mukamadya, nthawi zina mukamawona chinthu chokometsera, kapena mukaganizira za chinthu chokoma, mumayamba kutuluka thukuta mbali imodzi ya nkhope yanu, makamaka pamasaya anu, mbali zonse ziwiri za chibwano chanu, kapena kuzungulira makutu anu? Mungazindikirenso kuti malo ozungulira nkhope yanu amakhala ofiira ndipo amamva kutentha pang'ono. Izi sizili ngati kutuluka thukuta thupi lonse, koma pamalo enaake a nkhope yanu. Izi ndi zizindikiro zazikulu za matenda osowa amitsempha otchedwa Frey's Syndrome , omwe tikambirana lero. Dzinalo lingamveke latsopano kwa inu, koma ndi lofunika kudziwa.

Kodi Frey's Syndrome ndi chiyani?

Mwachidule, matenda a Frey ndi matenda osowa kwambiri amitsempha . Amayambitsa thukuta kwambiri pamalo enaake a nkhope yanu, nthawi zambiri masaya anu, akachisi, ndi/kapena kumbuyo kwa makutu anu , mukamadya, mukaganizira za chakudya, ndipo nthawi zina mumamva fungo la chakudya. Sizimakhudza thukuta thupi lonse. Nthawi zina zingayambitsenso kuyera kapena kusintha mtundu wa khungu m'malo otuluka thukuta awa.

Matendawa nthawi zambiri amapezeka ngati zotsatira zoyipa za opaleshoni. Amafala kwambiri mukamaliza opaleshoni ya parotid glands . Ma parotid glands ndi omwe amakhala mkamwa mwathu. Ali mbali zonse ziwiri za nkhope yathu, pansi ndi patsogolo pa makutu athu. Ma tinthuti amapanga malovu, omwe amathandiza kuti pakamwa pathu pakhale chinyezi komanso kutithandiza kutafuna ndi kugaya chakudya.

Matenda a Frey ali ndi mayina ena angapo:

• "Matenda a mitsempha ya Auriculotemporal"
• `Kutuluka thukuta kosangalatsa` (izi zikutanthauza kutuluka thukuta mukamadya)
• `Gustatory hyperhidrosis` (ili ndi lingaliro lomwelo, `hyperhidrosis` amatanthauza thukuta lopitirira muyeso)
• Matenda a Baillarger
• Matenda a Dupuy

Matendawa amatchedwa "Frey's syndrome" polemekeza Lucja Frey, katswiri wa mitsempha wa ku Poland yemwe adawazindikira koyamba mu 1923.

Kodi vutoli ndi lofala bwanji?

N'zovuta kwa ofufuza kunena momwe matenda a Frey syndrome amafalikira, chifukwa pali zofooka zina pofotokoza za matendawa. Koma kafukufuku wina akusonyeza kuti pakati pa 30% ndi 50% ya odwala omwe adachitidwa opaleshoni ya parotidectomy akhoza kukhala ndi matendawa. Izi zikutanthauza kuti si aliyense amene adachita opaleshoni yotereyi amene adzadwala matendawa, koma chiwerengero china chili pachiwopsezo.

Kodi zizindikiro za matenda a Frey ndi ziti?

Chizindikiro chachikulu komanso chodziwikiratu cha vutoli ndi thukuta lopitirira muyeso (hyperhidrosis) mukadya kapena kuganiza zodya kwa nthawi yayitali . Izi zimatchedwanso "Gustatory sweating". Thukuta ili limayamba chifukwa cha:

• M'dera la Kammula
• Mbali zonse ziwiri za mphumi (kachisi)
• Kuzungulira khutu

Kuwonjezera pa thukuta ili, khungu m'malo amenewo likhozanso kuoneka lofiira komanso lofunda .

Thukuta ndi kufiira kwa khungu kumeneku kungakhale kofatsa kwambiri kwa ena, pomwe kwa ena kungakhale koopsa komanso kosasangalatsa . Thukuta lingachuluke makamaka mukadya zakudya zomwe zimapangitsa malovu anu kukhala otentha, mwachitsanzo , zakudya zowawasa (monga mandimu, tamarind), zakudya zokometsera (chili chosaphika, ufa wa chili), ndi zakudya zamchere . Tangoganizirani ngati mutadya pickle yabwino, kapena kudya mpunga ndi msuzi wokometsera wa chili, kenako mwadzidzidzi kuyamba kutuluka thukuta m'masaya mwanu!

Zizindikiro za matenda a Frey nthawi zambiri zimawonekera mkati mwa chaka choyamba mutachita opaleshoni ya parotid gland, koma mwa anthu ena, zizindikiro sizingawonekere kwa zaka zingapo mutachita opaleshoni.

Kodi zotsatira zina zoyipa za Frey syndrome ndi ziti?

Zizindikiro za matenda a Frey nthawi zambiri zimakhala zochepa. Izi zikutanthauza kuti sizimayambitsa mavuto ambiri. Komabe, kwa anthu ena , kutuluka thukuta kwambiri kungayambitse kusasangalala kwambiri kapena nkhawa pagulu . Tangoganizirani, ngati muli kunja kukadya chakudya chamadzulo ndi anzanu ndipo nkhope yanu ikuyamba kutuluka thukuta mukudya, zimenezo zingakhale zosokoneza pang'ono, eti?

Ngati mukumva kupsinjika maganizo chifukwa chakuti mukudya thukuta kwambiri, ndikofunikira kwambiri kulankhula ndi dokotala kapena mlangizi wa zaumoyo wamaganizo , monga katswiri wa zamaganizo, za izi.

Kodi n’chiyani chimayambitsa matenda a Frey?

Asayansi sakudziwabe chomwe chimayambitsa matenda a Frey. Komabe, chiphunzitso chawo chachikulu ndi chakuti zimachitika pamene mitundu iwiri ya mitsempha pafupi ndi gland yanu ya parotid yawonongeka nthawi imodzi . Mitundu iwiriyi ya mitsempha ndi ``misampha yachifundo`` ndi ``misampha ya parasympathetic``.

Ma neuron system onsewa ndi a autonomic nervous system (ANS) . ANS iyi imalamulira ntchito za thupi zosafuna (monga kugunda kwa mtima ndi kugaya chakudya) zomwe sitingathe kuzilamulira mwadala.

Tsopano, onani, imodzi mwa ntchito za mitsempha ya `(parasympathetic)` iyi ndikuwongolera momwe glands zathu za malovu zimagwirira ntchito, ndiko kuti, kupanga malovu ndi glands za parotid. Komabe, mitsempha ya `(parasympathetic)` iyi silamulira glands zathu za thukuta. Izi zimachitika ndi mitsempha yamtundu wina, mitsempha ya `(sympathetic)`.

Ofufuza amakhulupirira kuti matenda a Frey amapezeka pamene mitsempha ya parasympathetic ndi sympathetic yomwe ili pafupi ndi ma glands a parotid yawonongeka nthawi imodzi.

Kawirikawiri, timitsempha ting'onoting'ono tomwe tili m'thupi lathu timatha kuchira ndikubwereranso tikavulala. Mu matenda a Frey, asayansi amaganiza kuti timitsempha ta ``parasympathetic`` tomwe tawonongekaZili ngati mawaya awiri a foni akukangana, ndipo mitsempha ya 'parasympathetic' imalumikizidwa ndi ma glands a thukuta pakhungu.

Chifukwa cha "kulumikizananso" kwachilendo kumeneku, mitsempha ya parasympathetic yomwe nthawi zambiri imasonyeza kuti ma glands a parotid amatulutsa malovu akalawa china chake tsopano imayamba kuwonetsa kuti ma glands a thukuta "atuluka thukuta."

Zotsatira zake zimakhala thukuta kwambiri mukamadya .

Kuphatikiza apo, mitsempha ya sympathetic imalamulira kuyenda kwa magazi mwa kufinya ndi kukulitsa mitsempha yathu yamagazi. Ichi chingakhale chifukwa chomwe khungu nthawi zina limasanduka lofiira (loyera) mu matenda a Frey.

Mitsempha imatenga nthawi kuti ikulenso pambuyo povulala, mwina ndichifukwa chake matenda a Frey nthawi zambiri amawonekera pakati pa miyezi 6 ndi 18 pambuyo pa opaleshoni.

Maopaleshoni ndi ngozi zomwe zingayambitse matenda a Frey

Matenda a Frey nthawi zambiri amayamba chifukwa cha kuwonongeka kwa mitsempha mwangozi panthawi ya opaleshoni ya parotidectomy . Komabe, vutoli likhozanso kuchitika chifukwa cha opaleshoni kapena ngozi zotsatirazi:

• Opaleshoni ya gland ya submandibular.
• Opaleshoni yokonza nsagwada yosweka (kusweka kwa mandibular).
• Ngozi zokhudzana ndi temporomandibular joint (TMJ).
• Opaleshoni yochotsa ma lymph nodes m'khosi.
• Kuvulala kwina kwakunja komwe kuli chiwalo cha parotid.

Kodi matenda a Frey amawapeza bwanji?

Kuti athandize kuzindikira matenda a Frey, dokotala wanu adzakufunsani za zizindikiro zanu, monga nthawi yomwe zinayamba. Adzakufunsaninso za matenda anu akale, ngati munachitidwa opaleshoni ya nkhope, kapena ngati munachitapo ngozi.

Mayeso omwe angathandize kuzindikira vutoli molondola amatchedwa `Minor starch-ayodini test` . Umu ndi momwe mungachitire mayeso awa:

1. Choyamba, dokotala adzagwiritsa ntchito ayodini m'malo omwe mukukayikira kuti mukutuluka thukuta.

2. Ikauma, ikani sitachi (monga sitachi ya chimanga) pamwamba.

3. Kenako, mudzapatsidwa chakudya kuti mulimbikitse malovu anu - nthawi zambiri chimakhala chowawasa (monga toffee wowawasa, chidutswa cha laimu).

Ngati muyamba kutuluka thukuta, sitachi imeneyo imanyowa ndipo imasanduka buluu kapena bulauni . Izi zitha kutsimikizira kuti muli ndi matenda a Frey. Ndi mayeso osavuta kwambiri, eti?

Kodi matenda a Frey amachiritsidwa bwanji?

Palibe mankhwala a matenda a Frey, kotero chithandizo chimayang'ana kwambiri pakuchepetsa zizindikiro. Ngati zizindikiro zanu ndi zochepa kwambiri, simungafunike chithandizo. Komabe, kwa iwo omwe ali ndi zizindikiro zazikulu, pali njira zingapo zochepetsera thukuta:

• Jakisoni wa Botox® (botulinum toxin):Iyi ndi njira yodziwika kwambiri yomwe madokotala amagwiritsa ntchito poletsa "kutuluka thukuta losasangalatsa." Jakisoni akaperekedwa, ma glands a thukuta omwe ali pafupi ndi malo omwe jakisoniyo amatsekedwa kwakanthawi. Anthu ambiri omwe amalandira jakisoniyu amanena kuti thukuta limakhala lochepa akamadya, amasanduka achikasu pang'ono, ndipo moyo wawo umakula bwino. Komabe, zotsatira zake zimachepa pakapita nthawi - nthawi zambiri pafupifupi miyezi 9 mpaka 12. Chifukwa chake, mungafunike kulandira jakisoni kachiwiri.
• Mankhwala oletsa kutupa m'thupi: Mankhwalawa amagwira ntchito pochepetsa ntchito ya timadzi ta thukuta. Ngakhale kuti ndi othandiza, amafunika kupakidwa pakhungu pafupipafupi.
• Mankhwala oletsa thukuta: Mankhwala ena oletsa thukuta angathandize kuchepetsa thukuta, koma mphamvu zake zimakhala zochepa. Monga mankhwala oletsa cholinergic, mankhwalawa amafunika kugwiritsidwa ntchito pafupipafupi.

Kawirikawiri, ngati njira izi sizithandiza, madokotala angalimbikitse opaleshoni. Izi zimaphatikizapo kudula mitsempha ina. Pali mitundu ingapo ya opaleshoni yotereyi.

Kodi matenda a Frey ndi vuto lalikulu?

Ngakhale kuti ndi zokhumudwitsa, matenda a Frey si owopsa pa thanzi lanu . Chifukwa chake, si vuto lalikulu m'lingaliro limenelo. Komabe, kutuluka thukuta kwambiri komwe simungathe kulamulira kungakhale kochititsa manyazi komanso kungakhudze thanzi lanu la maganizo . Monga tanenera kale, kungayambitse nkhawa ndi manyazi pagulu.

Ndikofunikira kufunafuna thandizo ngati mukuvutika ndi vutoli. Zinthu monga jakisoni wa Botox® zingathandize kuchepetsa thukuta kwambiri. Komanso, ngati zikukhudza thanzi lanu la maganizo, kungakhale bwino kuonana ndi katswiri wa zamaganizo kapena katswiri wa zamaganizo.

Kodi matenda a Frey angapewedwe?

Palibe chomwe mungachite kuti mupewe matenda a Frey. Madokotala amayesetsa kugwiritsa ntchito njira zina kuti apewe kuwonongeka kwa mitsempha panthawi ya opaleshoni ya nkhope. Koma njirazi sizigwira ntchito nthawi zonse. Njira iliyonse ili ndi zoopsa zake komanso zovuta zake, mwachitsanzo:

• Kuwonjezeka kwa nthawi yochitira opaleshoni.
• Mphamvu yopewera matenda a Frey imasiyana.
• Mwayi wa matenda a bala.
• Mavuto omwe angakhalepo pambuyo pa opaleshoni.

Dokotala wanu adzakambirana nanu zoopsa zilizonse, zotsatirapo zake, kapena mavuto omwe angakhalepo musanachite opaleshoni. Choncho, musaope kufunsa mafunso ndi kuuza dokotala wanu chilichonse chomwe chili m'maganizo mwanu .

Kodi muyenera kupita kwa dokotala liti?

Ngati zizindikiro zanu zikuipiraipira, kapena ngati mukumwa mankhwala a Frey syndrome ndipo sizikugwira ntchito, onetsetsani kuti mwalankhula ndi dokotala wanu . Iye angakuuzeni njira zina zomwe mungapeze.

Kutuluka thukuta kwambiri mukudya kungakhale kosasangalatsa komanso kokwiyitsa. Ngati matenda a Frey akusokoneza moyo wanu watsiku ndi tsiku, lankhulani ndi dokotala wanu za mankhwala omwe angakuthandizeni kuchepetsa thukuta lanu losasangalatsa.

Mwachidule, nazi zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba):

Chabwino, tiyeni tiwone zina mwa zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana:

• Matenda a Frey ndi matenda omwe amachititsa kuti nkhope (masaya, mphumi, ndi kuzungulira makutu) zichite thukuta ndipo nthawi zina zimakhala zofiira pamene munthu akudya kapena kuganizira za chakudya.
• Izi zimachitika kawirikawiri chifukwa cha kuwonongeka kwa mitsempha pambuyo pa opaleshoni pa ma glands a parotid.
• Zizindikiro zake zingakhale zofatsa kapena zowopsa.
• Izi zitha kuzindikirika ndi mayeso a `Minor starch-ayodini`.
• Ngakhale kuti palibe mankhwala athunthu, mankhwala monga jakisoni wa Botox® amatha kuchepetsa zizindikiro.
• Ngakhale izi sizikuvulaza thupi, zimatha kusokoneza maganizo. Choncho funsani thandizo ngati mukufuna thandizo.
• Ngati muli ndi zizindikiro izi kapena mukukayikira chilichonse, ndi bwino kufunafuna upangiri wa dokotala.

Ndikukhulupirira kuti izi zikuthandizani. Ngati mwakumanapo ndi vuto lofananalo, musazengereze kulankhula ndi dokotala za vutoli.

Matenda a Frey , thukuta pamene mukudya, thukuta losasangalatsa, opaleshoni ya parotid gland, thukuta la nkhope, matenda a mitsempha