Ese iyo urya ujya ubira ibyuya? Reka twige kuri Syndrome ya Frey!

Ese wigeze ubona ko iyo urya, rimwe na rimwe iyo ubonye ikintu gishyushye, cyangwa iyo utekereje ku kintu kiryoshye, utangira kubira ibyuya ku ruhande rumwe rw'isura yawe, cyane cyane ku matama yawe, ku mpande zombi z'akananwa kawe, cyangwa hafi y'amatwi yawe? Ushobora kandi kubona ko agace gakikije isura yawe gahinduka umutuku kandi kakumva gashyushye gato. Ibi si nko kubira ibyuya ku mubiri wawe wose, ahubwo ni mu gace runaka k'isura yawe gusa. Ibi ni byo bimenyetso by'ingenzi by'indwara idasanzwe y'imitsi yitwa Frey's Syndrome , tugiye kuvugaho uyu munsi. Izina rishobora kumvikana nk'ishya kuri wewe, ariko ni ngombwa kubimenya.

Indwara ya Frey ni iki?

Muri make, indwara ya Frey ni indwara idakunze kugaragara mu mitsi . Itera ibyuya byinshi mu gice runaka cyo mu maso, akenshi mu matama, mu misaya, no inyuma y'amatwi , iyo urya, utekereza ku biryo, ndetse rimwe na rimwe ndetse no mu mpumuro y'ibiryo. Ntabwo ikubiyemo ibyuya umubiri wose. Hari n'igihe ishobora gutera ubushyuhe cyangwa ibara ry'uruhu muri utwo duce tw'ibyuya.

Iyi ndwara ikunze kubaho nk'ingaruka mbi zo kubagwa. Ikunze kugaragara cyane nyuma yo kubagwa ku ngirabuzimafatizo zawe za parotide . Ingirabuzimafatizo za parotide ni zo ngirabuzimafatizo z'ingenzi mu kanwa kacu. Ziba ku mpande zombi z'isura yacu, hepfo no imbere y'amatwi yacu. Izi ngirabuzimafatizo zikora amacandwe, adufasha kugumana ubushuhe mu kanwa kacu kandi akadufasha guhekenya no gusya ibiryo.

Indwara ya Frey ifite andi mazina menshi:

• "Indwara y'imitsi ya Auriculotemporal"
• `Kubira ibyuya bishimishije` (ibi bivuga kubira ibyuya iyo uryoshye)
• `Gustatory hyperhidrosis` (iki ni igitekerezo kimwe, `hyperhidrosis` bivuze ibyuya byinshi)
• `Indwara ya Baillarger`
• "Indwara ya Dupuy"

Iyi ndwara yitwa "Frey's syndrome" mu rwego rwo guha icyubahiro Lucja Frey, inzobere mu by'imitsi yo muri Polonye wayivumbuye bwa mbere mu 1923.

Iyi ndwara ikunze kugaragara gute?

Biragoye ku bashakashatsi kuvuga neza uko indwara ya Frey syndrome ikunze kugaragara, kuko hari inenge zimwe na zimwe mu gutangaza iyo ndwara. Ariko hari ubushakashatsi bwerekana ko hagati ya 30% na 50% by'abarwayi bakorewe parotidectomy bashobora kurwara iyo ndwara. Ibyo bivuze ko atari buri wese wabazwe muri ubwo buryo uzayirwara, ariko igipimo runaka kiri mu kaga.

Ni ibihe bimenyetso by'indwara ya Frey?

Ikimenyetso nyamukuru kandi kigaragara cyane cy'iyi ndwara ni ukugira ibyuya byinshi (hyperhidrosis) iyo urya cyangwa utekereje kurya igihe kirekire . Ibi kandi byitwa "Gustatory sweating". Uku kubira ibyuya guterwa na:

• Mu gace ka Kammula
• Ku mpande zombi z'uruhanga (urusengero)
• Ku ruhande rw'ugutwi

Uretse ibyuya, uruhu rwo muri utwo duce rushobora no kumva rutukura kandi rushyushye .

Uku kubira ibyuya no gutukura k'uruhu bishobora kuba byoroshye cyane kuri bamwe, mu gihe ku bandi bishobora kuba bibi kandi bibabaza . Kubira ibyuya bishobora kwiyongera cyane cyane iyo urya ibiryo bituma amacandwe yawe ashyuha, urugero , ibiryo bishyushye (nk'indimu, tamarind), ibiryo biryoshye (pilipili mbisi, ifu ya chili), n'ibiryo by'umunyu . Tekereza uramutse uriye umuceri mwiza, cyangwa uriye umuceri hamwe n'isosi ya chili iryoshye, maze ukaza gutangira kubira ibyuya mu matama yawe!

Ibimenyetso bya Frey syndrome bikunze kugaragara mu mwaka wa mbere nyuma yo kubagwa ku gasabo k'imitsi, ariko kuri bamwe, ibimenyetso bishobora kutagaragara imyaka myinshi nyuma yo kubagwa.

Ni izihe ngaruka mbi z’inyongera za Frey syndrome?

Ibimenyetso bya Frey syndrome akenshi biba byoroshye. Ni ukuvuga ko nta ngaruka mbi nyinshi bitera. Ariko, kuri bamwe , ibyuya byinshi bishobora gutera kubabara cyane cyangwa guhangayika mu mibanire . Tekereza, niba uri hanze ujya gusangira n'inshuti hanyuma isura yawe igatangira kubira ibyuya mu gihe urimo kurya, ibyo bishobora kukubangamira gato, si byo se?

Niba wumva ufite stress kuko ubira ibyuya byinshi mu gihe urya, ni ngombwa cyane kubibwira muganga cyangwa umujyanama mu by’ubuzima bwo mu mutwe , nk’inzobere mu by’imitekerereze y’abantu.

Ni iki gitera indwara ya Frey syndrome?

Abahanga mu bya siyansi ntibaramenya impamvu nyayo ya Frey syndrome. Ariko, inyigisho yabo nyamukuru ni uko ibaho iyo ubwoko bubiri bw'imitsi hafi y'agahu k'imitsi ka parotide bwangiritse icyarimwe . Ubwo bwoko bubiri bw'imitsi ni "imitsi itera impumuro nziza" na "imitsi itera parasympathetic".

Izi ngingo zombi z’ubwonko zigize sisitemu yacu y’ubwonko yigenga (ANS) . Iyi ANS igenzura imikorere y’umubiri idakozwe ku bushake (nk’umuvuduko w’umutima n’igogora) tudashobora kugenzura tubizi.

Noneho, reba, imwe mu nshingano z'iyi mitsi ya `(parasympathetic)` ni ukugenzura imikorere y'uturemangingo tw'amacandwe yacu, ni ukuvuga ikorwa ry'amacandwe n'uturemangingo twa parotide. Ariko, iyi mitsi ya `(parasympathetic)` ntabwo igenzura uturemangingo tw'ibyuya byacu. Ibyo bikorwa n'ubundi bwoko bw'imitsi, imitsi ya `(sympathetic)`.

Abashakashatsi bemeza ko indwara ya Frey ibaho iyo imitsi yombi ya parasympathetic na sympathetic iri hafi y’uturemangingo twa parotide yangiritse icyarimwe.

Ubusanzwe, imitsi mito mu mibiri yacu ishobora gukira no kongera gukura iyo yakomeretse. Muri Frey syndrome, abahanga mu bya siyansi batekereza ko imitsi ya "parasympathetic" yangiritse.Ni nk'insinga ebyiri za telefoni zifatanye, kandi imitsi ya 'parasympathetic' ifitanye isano n'uturemangingo tw'ibyuya mu ruhu.

Kubera ubu buryo budasanzwe bwo "guhinduranya imiyoboro", imitsi isanzwe ikoresha uburyo bwa parasympathetic isanzwe imenyesha imiterere y'uturemangingo tw'amaraso ko twakoze amacandwe iyo turyohewe n'ikintu runaka, noneho itangira kugaragaza ko imiterere y'ibyuya "yatangiye kubira ibyuya."

Ingaruka z'ibi ni ukubira ibyuya byinshi mu gihe urya .

Byongeye kandi, imitsi ifata amaraso igenzura urujya n'uruza rw'amaraso binyuze mu kugabanya no kwagura imiyoboro y'amaraso. Iyi ishobora kuba ari yo mpamvu rimwe na rimwe uruhu ruhinduka umutuku (ruhinduka umucyo) muri Frey syndrome.

Imitsi ifata igihe kugira ngo yongere ikure nyuma yo kwangirika, ari na yo mpamvu indwara ya Frey ikunze kugaragara hagati y'amezi 6 na 18 nyuma yo kubagwa.

Kubagwa n'impanuka zishobora gutera indwara ya Frey

Indwara ya Frey ikunze guterwa no kwangirika k'imitsi mu buryo butunguranye mu gihe cyo kubagwa parotidectomy . Ariko, iyi ndwara ishobora no guterwa no kubagwa cyangwa impanuka zikurikira:

• Kubagwa kw'ingirabuzimafatizo zo munsi y'amagufwa.
• Kubagwa kugira ngo hakosorwe urwasaya rwavunitse (gucika kw'inyuma).
• Impanuka zijyanye n'ingingo z'ubuhumekero (TMJ).
• Kubagwa kugira ngo bakureho utunyangingo tw'imitsi mu ijosi.
• Ibindi bikomere byo hanze ku gace aho agahu k'imitsi gaherereye.

Ni gute indwara ya Frey ipimwa?

Kugira ngo agufashe gusuzuma indwara ya Frey, muganga wawe azakubaza ibimenyetso byawe, urugero nk'igihe byatangiriye. Azakubaza kandi indwara zawe za kera, niba warigeze kubagwa mu maso, cyangwa niba warigeze kugira impanuka.

Ikizamini gishobora gusuzuma neza iyi ndwara cyitwa `Ikizamini cya Minor starch-iyode` . Dore uko wakora iki kizamini:

1. Ubwa mbere, muganga azashyira umuti wa iyode mu bice by'isura yawe ukeka ko birimo ibyuya.

2. Nyuma y'uko byumye, shyiramo ifu (nk'ifu y'ibigori) hejuru.

3. Hanyuma, uzahabwa icyo kurya kugira ngo urusheho gutera imbaraga imitsi y'amacandwe yawe - akenshi ikintu kiryoshye (nk'ifi ishyushye, agace k'indimu).

Iyo utangiye kubira ibyuya, iyo sitashi iratoha igahinduka ubururu cyangwa umukara . Ibi bishobora kwemeza ko ufite indwara ya Frey. Ni ikizamini cyoroshye cyane, sibyo?

Indwara ya Frey ivurwa ite?

Nta muti uhari wa Frey syndrome, bityo ubuvuzi bwibanda cyane ku kugenzura ibimenyetso. Niba ibimenyetso byawe ari bike cyane, ushobora kudakenera kuvurwa. Ariko, ku bafite ibimenyetso bikomeye, hari uburyo bwinshi bwo kugenzura ibyuya:

• Inshinge za Botox® (uburozi bwa botulinum):Ubu ni bwo buryo bukunze gukoreshwa n'abaganga mu kugenzura "ibyuya bikabije." Iyo batanze uru rushinge, imisemburo y'ibyuya hafi y'aho baruteye irahagarara by'agateganyo. Abantu benshi baruterwa bavuga ko baruhira bike iyo barya, bagatakaza ububobere, kandi ubuzima bwabo burarushaho kuba bwiza. Ariko, ingaruka zabyo ziragabanuka uko igihe kigenda - akenshi hagati y'amezi 9 na 12. Kubwibyo, ushobora kongera kuruterwa.
• Imiti igabanya ubukana bw'ibinure: Iyi miti igabanya imikorere y'uturemangingo tw'ibyuya. Nubwo ifite akamaro, igomba gusigwa ku ruhu kenshi.
• Imiti igabanya ibyuya: Imiti imwe n'imwe igabanya ibyuya ishobora gufasha mu kugabanya ibyuya, ariko ingaruka zayo ni nto. Kimwe n'imiti igabanya ubukana bw'ibinure, iyi miti igomba gukoreshwa kenshi.

Ni gake cyane, iyo ubu buryo budafashije, abaganga bashobora kukugira inama yo kubagwa. Ibi bikubiyemo gukata imitsi imwe n'imwe. Hariho ubwoko butandukanye bw'ubwo buryo bwo kubaga.

Ese indwara ya Frey ni indwara ikomeye?

Nubwo ibabaza, indwara ya Frey ntabwo ari ikibazo gikomeye ku buzima bwawe bw'umubiri . Kubwibyo, ntabwo ari ikibazo gikomeye muri ubwo buryo. Ariko, ibyuya byinshi udashobora kugenzura bishobora gutera isoni ndetse bishobora no kugira ingaruka ku buzima bwawe bwo mu mutwe . Nkuko byavuzwe mbere, bishobora gutera imihangayiko n'isoni mu mibanire y'abantu.

Ni ngombwa gushaka ubufasha niba uhanganye n'iyi ndwara. Ibintu nk'inshinge za Botox® bishobora gufasha mu kugabanya ibyuya byinshi. Nanone, niba bigira ingaruka ku buzima bwawe bwo mu mutwe, byaba byiza ugiye kureba umuganga w'indwara z'imitekerereze cyangwa imitekerereze y'abantu.

Ese indwara ya Frey ishobora kwirindwa?

Nta kintu na kimwe ushobora gukora kugira ngo wirinde indwara ya Frey. Abaganga bagerageza gukoresha uburyo bumwe na bumwe kugira ngo wirinde kwangirika kw'imitsi mu gihe cyo kubaga mu maso. Ariko ubu buryo ntibugira ingaruka nziza buri gihe. Buri buryo bufite ingaruka n'ibibi byabwo, urugero:

• Kongera igihe cyo kubagwa.
• Uburyo bwo kwirinda indwara ya Frey bugenda butandukana.
• Amahirwe yo kwandura igikomere.
• Ingorane zishobora kubaho nyuma yo kubagwa.

Umuganga wawe uzabaga azakubwira ingaruka zose, ingaruka mbi, cyangwa ingorane zishobora kubaho mbere yo kubagwa. Rero, ntutinye kubaza ibibazo no kubwira muganga wawe ikintu cyose kiri mu mutima wawe .

Ni ryari ukwiye kujya kwa muganga?

Niba ibimenyetso byawe birushaho kwiyongera, cyangwa niba urimo gufata imiti ya Frey syndrome kandi ikaba idakora, menya neza ko wavugana na muganga wawe . Ashobora kukubwira andi mahitamo ushobora kugira.

Kubira ibyuya byinshi mu gihe urya bishobora kubangamira kandi bikakubabaza. Niba indwara ya Frey ibangamira ubuzima bwawe bwa buri munsi, ganira na muganga wawe ku miti ishobora kugufasha guhangana n'ibyuya bikabije.

Muri make, dore ibintu tugomba kwibuka (Ubutumwa bwo kujyana mu rugo):

Sawa, reka turebe bimwe mu bintu by'ingenzi tugomba kwibuka mu byo twavuzeho:

• Indwara ya Frey ni indwara ituma mu maso (amatama, mu gahanga, no mu nkengero z'amatwi) ibyuya ndetse rimwe na rimwe bigahinduka umutuku iyo umuntu arya cyangwa atekereza ku biryo.
• Ibi bikunze guterwa no kwangirika kw'imitsi nyuma yo kubagwa ku ngirabuzimafatizo za parotide.
• Ibimenyetso bishobora kuba byoroheje cyangwa bikomeye.
• Ibi bishobora kugaragazwa n'ikizamini cya `Minor starch-iyode test`.
• Nubwo nta muti wuzuye uhari, uburyo bwo kuvura nko gutera Botox® bushobora kugenzura ibimenyetso.
• Nubwo ibi bitangiza umubiri, bishobora kugutera agahinda mu byiyumvo. Shaka ubufasha niba ubukeneye.
• Niba ufite ibi bimenyetso cyangwa ufite gushidikanya, ni byiza gushaka inama kwa muganga.

Ndizera ko aya makuru azagufasha. Niba warigeze guhura n'ikibazo nk'iki, ntugatinye kubibwira muganga.

Indwara ya Frey , kubira ibyuya mu gihe urya, kubira ibyuya bikabije, kubagwa ingirabuzimafatizo z'imitsi, kubira ibyuya mu maso, indwara z'imitsi