Ese wumva ububabare budasanzwe cyangwa kubyimba mu mfuruka y'umunwa wawe cyangwa munsi y'umusaya wawe iyo urya, cyane cyane iyo utekereje ku kintu gisharira? Ese bisa nkaho bigabanuka nyuma y'amasaha make urangije kurya? Niba ari uko bimeze, ushobora kuba ufite indwara yitwa "salvary gland stones", izwi mu buvuzi nka "Sialolithiasis". Ntugahangayike, reka tumenye byinshi kuri ibi uyu munsi.

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Sialolithiasis ni iki? Mu magambo make...

Mu magambo make, (Sialolithiasis) ni ukurema utuntu duto tumeze nk'amabuye (Calculi) mu miyoboro y'amacandwe mu kanwa kacu cyangwa mu miyoboro ijyana ayo macandwe mu kanwa. Ayo mabuye ashobora kuziba inzira y'amacandwe. Ni bwo ububabare n'ibibyimba navuze mbere bibaho. Ayo mabuye akenshi agizwe n'ibintu nka calcium phosphate na hydroxyapatite . Ubu bubabare n'ibibyimba rimwe na rimwe bishobora kubaho ku ruhande rumwe rw'isura, cyangwa ku mpande zombi.

Izi mvubura z'amacandwe ziri he mu kanwa kacu?

Hari ubwoko butatu bw'ingenzi bw'uturemangingo tw'amacandwe mu kanwa kacu. Tekereza ko ari inganda nto zihora zitanga amacandwe mu kanwa kacu.

Udukoko twa Parotide: Utu ni two dukoko duto cyane mu dukoko twacu. Duherereye imbere y'amatwi yawe, ku mpande zombi z'amatama yawe.
Udukoko two mu bwoko bwa Sublingual Glands: Nk'uko izina ribigaragaza, tuba turi munsi y'ururimi rwawe, hepfo y'umunwa wawe.
Udukoko two mu majosi: Tuba munsi y'umusaya wawe wo hasi, inyuma gato y'umunwa wawe. Igitangaje ni uko 70% by'amacandwe yose akorwa mu kanwa kacu akorwa n'utwo dukoko two mu majosi .

Amabuye ashobora kwibasira mu ngirabuzimafatizo zose zavuzwe haruguru. Ariko, amabuye arenga 80% akorera mu ngirabuzimafatizo yo munsi y'amata . Umuyoboro utwara amacandwe uva muri iyo ngirabuzimafatizo ujya mu kanwa witwa umuyoboro wa Wharton. Amabuye ashobora kandi kwibasira muri uwo muyoboro. Igabanuka ry'amabuye mu ngirabuzimafatizo zo mu bwoko bwa parotide riri hasi gato, hagati ya 6% na 15%. Igabanuka ry'amabuye mu zindi ngirabuzimafatizo, ni ukuvuga ngirabuzimafatizo zo mu bwoko bwa sublingual, ni rito cyane, aho hafi 2% gusa byavuzwe.

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Ni nde ushobora kugira iyi ndwara kurusha abandi?

Amabuye y’imitsi ashobora kumera ku muntu uwo ari we wese. Ariko, akunze kugaragara cyane ku bagabo bari hagati y’imyaka 30 na 60. Igitangaje ni uko aba make cyane ku bana bato.

Ibi ni ibisanzwe gute?

Mu by’ukuri, imiyoboro y’amacandwe irabyimba ( Sialadenitis )Nubwo impamvu nyamukuru y’aya mabuye ifatwa nk’"Sialolithiasis", iyi si indwara ikunze kugaragara muri rusange. Tekereza ko hafi umuntu umwe kuri 30.000 akura amabuye muri aya macandwe.

Ni ibihe bimenyetso by'utubuye tw'imitsi y'amacandwe?

Akenshi, ibi bimenyetso byiyongera iyo turya . Hanyuma, bigenda bigabanuka buhoro buhoro mu masaha make nyuma yo kurya. Impamvu ni uko iyo turya kandi tugahekenya ibiryo, imiyoboro yacu y'amacandwe irashishikazwa kandi igakora amacandwe menshi. Ariko kubera ibuye, amacandwe ntashobora gusohoka ngo afatirwe mu miyoboro. Ni bwo ibi bimenyetso bigaragara.

Kubyimba kw'uturemangingo tw'amacandwe: Uturemangingo dushobora kubyimba, cyane cyane munsi y'umusaya n'amatama.
Kugorwa no kumira.
Kugorwa no gufungura umunwa wawe.
Kuma k'umunwa (Xerostomia).
Uburyohe budasanzwe mu kanwa.
Kumva nk'ikibyimba kibabaza munsi y'ururimi.
Kubabara mu maso cyangwa kubyimba: Ibi bikunze kubaho munsi y'akananwa cyangwa hafi y'ugutwi.

Ariko, hari abantu bashobora kugira amabuye mu mitsi y'amacandwe ariko ntibagire ibimenyetso .

Kuki amabuye y’imitsi y’amacandwe avuka? Ni izihe mpamvu?

Indwara iyo ari yo yose ituma amacandwe yacu aba menshi cyangwa menshi ishobora gutuma aya mabuye avuka. Ibintu by'ingenzi bigira uruhare muri ibi ni ibi bikurikira:

Kubura amazi mu mubiri: Iyo umubiri utabonye amazi ahagije, amacandwe ashobora kuba menshi.
Zimwe mu ndwara ziterwa n’ubwiyongere bw’umubiri : Urugero, indwara nka lupus na Sjögren 's syndrome.
Imiti imwe n'imwe: Cyane cyane iyo ikura amazi mu mubiri (Diuretics).
Kunywa itabi.
Gukomereka cyangwa gukomereka ku ruhu rw'amacandwe.
Niba warahawe ubuvuzi bw'imirasire mu kanwa.

Hari igihe amabuye y’imitsi y’amacandwe ashobora kwirema nta mpamvu igaragara.

Ese iyi ndwara yandurira ku muntu umwe?

Oya, amabuye y’urumogi rw’amacandwe ntabwo yandura . Ariko, niba urwaye indwara mu rumogi rw’amacandwe yawe bitewe na virusi cyangwa bagiteri, iyo ndwara ishobora kwandurira mu bandi. Bityo rero ugomba kubyitondera.

Ni gute umuganga amenya iyi ndwara?

Ubusanzwe, umuganga w’inararibonye ashobora gusuzuma iyi ndwara agusuzumye. Muganga azagukora ku maso no mu ijosi, arebe ko hari ibibyimba mu kanwa kawe, kandi akubaze amateka y’ubuzima bwawe bwa kera n’ibimenyetso ushobora kuba ufite.

Ni izihe suzuma zindi zikorwa kugira ngo hamenyekane neza ibi?

Hari igihe, muganga ashobora gukenera gukora ibindi bipimo kugira ngo yemeze ko arwaye cyangwa arebe neza aho amabuye ari. Ibi byitwa (Ibizamini byo gushushanya).

Imirasire ya X
Gupima CT (Isuzuma rya Computed Tomography)
MRI Scan (MRI - Ishusho ya Magnetic Resonance)

Hari igihe umuganga ashobora no gutegeka ko hakorwa isuzuma ry’imitsi y’amacandwe . Ibi bisaba gutera ingano nto y’ibintu bifite imirasire mu mitsi iri mu kuboko kwawe. Hanyuma, ushyirwa imbere ya kamera idasanzwe hanyuma hagafatwa amafoto. Nyuma y’iminota 45, umuganga azaguha ikintu gisharira, nk’indimu, kugira ngo amacandwe arusheho gukururwa. Hanyuma, uko amacandwe asohoka mu mitsi y’amacandwe, umuganga azafata andi mafoto kugira ngo arebe umubare w’amacandwe asigaye mu miyoboro y’amacandwe.

Ibi bivurwa bite?

Uburyo bwo kuvura amabuye y’urumogi rw’amacandwe bugenda butandukana bitewe n’ingano y’ibuye n’aho riherereye . Hari igihe rishobora kuvurwa n’imiti yo mu rugo. Hari igihe rikenera imiti. Hari n’igihe rishobora gusaba kubagwa byoroheje.

Ni ibihe bintu ushobora gukora mu rugo?

Akenshi, aya mabuye yo mu mitsi y'amacandwe akira ubwayo binyuze mu buryo bworoshye bwo kuvura mu rugo .

Ushobora kunywa amazi menshi , gushyiramo agakoresho gashyushye cyangwa gukanda buhoro buhoro ahantu hababara. Nanone , gukamura ibintu bishyushye nka lime cyangwa indimu bishobora kongera amacandwe no gufasha gukuramo ibuye.

Umuti wanditswe na muganga

Niba ufite indwara iterwa n'ibuye ry'uruvange rw'amacandwe, muganga wawe ashobora kukwandikira imiti irwanya udukoko . Ugomba gukoresha iyi miti neza neza nk'uko muganga wawe abikubwiye.

Uburyo bwo gukuraho amabuye bukorerwa kwa muganga

Niba ubuvuzi bwo mu rugo budakuyemo ibuye, muganga wawe ashobora kugerageza kurikuraho akoresheje igikoresho kidakomeye.

Kubaga

Amabuye manini ashobora gukenera gukurwaho mu buryo bwo kubaga. Muri ubu buryo, umuganga w’inzobere ashyiramo icyuma gito gisa na kamera cyitwa endoscope mu muyoboro w’inkondo y’umura kugira ngo amenye aho ibuye riri. Hanyuma iryo buye rikurwaho hakoreshejwe igikoresho cyihariye. Hari igihe hashobora gucibwamo gato.

Gukuraho imvubura y'amacandwe ubwayo

Ni gake cyane, iyo iki kibazo kibaye kenshi, niba aho ibuye riri bituma bigorana kurikuraho hakoreshejwe ubundi buryo, cyangwa niba ibimenyetso bikomeye bikomeje, abaganga bashobora gufata icyemezo cyo kubaga icyuma cy’amacandwe ubwacyo.

Ese hari uburyo bwo kwirinda kwirema kw'amabuye muri izi mvubura z'amacandwe?

Mu by’ukuri, ntibishoboka gukumira burundu ibi. Ariko, ushobora kugabanya ibyago byo kurwara.

Nywa amazi ahagije ku mubiri wawe.
Irinde kunywa itabi.
Komeza kugira isuku mu kanwa (koza amenyo yawe neza, koza mu kanwa, nibindi)

Niba utangiye kumva ububabare cyangwa uburibwe mu mitsi y'amacandwe yawe, hita unyunyuza ikintu gisharira hanyuma ugikore witonze kugira ngo amacandwe atembera neza . Ibi bizafasha gukuraho ibuye rito niba ririmo gukorwa.

Ni iki kigendekera umuntu ufite iyi ndwara? Ni iki wakwitega?

Iyo imwe mu ngirabuzimafatizo zawe z'amacandwe izibye, ushobora kugira ububabare cyangwa kubyimba ahantu iyo ngirabuzimafatizo iherereye iyo urya. Ibi bimenyetso akenshi bimara isaha imwe cyangwa ebyiri hanyuma bigashira igihe urya ifunguro ritaha.

Ese iki ni ikibazo kizahita gikemuka?

Akenshi, yego. Sialolithiasis izakira ubwayo iyo ivuwe mu rugo (nk'imiti ishyushye, gukanda, no gukamura ibintu bishyushye) . Ariko, niba ukomeje kugira ibimenyetso nubwo wavuwe mu rugo, ni byiza kujya kwa muganga.

Bigenda bite iyo idavuwe? Ese ni akaga?

Iyo itavuwe, iyi ndwara (Sialolithiasis) ishobora gutera indwara zandura, bagiteri, n'ibibyimba . Ibi bishobora no gukwirakwira mu ijosi. Kubwibyo, niba uhora ubabara mu maso kandi ukabyimba, menya neza ko wagana muganga.

Ni ryari ngomba kujya kwa muganga?

Niba ibimenyetso byawe bikomeje mu gihe kirenga ibyumweru bibiri , cyangwa uruhu rwo hejuru y’agahu rukagira umutuku kandi rukababaza , hamagara muganga kugira ngo akugire inama.

Ese (Sialolithiasis) na (Sialadenitis) ni ibintu bitandukanye? Itandukaniro ni irihe?

Yego, nubwo ibi byombi bishobora kwitiranywa gato, hari itandukaniro rito.

Sialolithiasis: Ibi bivuga ku ikorwa ry'amabuye (calculi) mu mvubura z'amacandwe cyangwa imiyoboro y'amacandwe.
Sialadenitis: Ibi bibaho iyo agahu k'amacandwe kabyimbye cyangwa kanduye .

Amabuye y’inkangu z’amacandwe (Sialolithiasis) ashobora gutera kubyimba/kwandura imikaya y’amacandwe (Sialadenitis), ariko ibi si ko bibaho buri gihe.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Amabuye y’imitsi y’amacandwe (Sialolithiasis) ni indwara aho imitsi y’amacandwe ifungana n’ibuye. Ubusanzwe iyi si indwara ikomeye kandi akenshi ishobora kuvurwa n’imiti yoroshye yo mu rugo. Niba ufite ububabare mu maso cyangwa kubyimba birushaho kwiyongera iyo urya, bishobora kuba Sialolithiasis. Kubwibyo, ni byiza kujya kwa muganga kugira ngo umenye impamvu nyayo kandi ubone ubuvuzi bukwiye nibiba ngombwa . Ntugahangayike, hari uburyo bwiza bwo kuvura ibi!

Ese amabuye avuka mu mitsi y'amacandwe mu kanwa agatera ububabare? (Sialolithiasis) Reka tubiganireho birambuye!