Unodikitira here kana uchidya? Ngatidzidzei nezveFrey's Syndrome!

Wakamboona here kuti paunodya, dzimwe nguva paunoona chimwe chinhu chinonaka, kana paunofunga nezvechimwe chinhu chinonaka, unotanga kudikitira kune rumwe rutivi rwechiso chako, kunyanya pamatama ako, kumativi ese echirebvu chako, kana kutenderedza nzeve dzako? Unogonawo kuona kuti nzvimbo yakatenderedza chiso chako inotsvuka uye inonzwa ichidziya zvishoma. Izvi hazvina kufanana nekudikitira muviri wako wese, asi munzvimbo chaiyo yechiso chako chete. Izvi ndizvo zviratidzo zvikuru zvechirwere chetsinga chisingawanzoitiki chinonzi Frey's Syndrome , chatiri kuzotaura nezvacho nhasi. Zita racho rinogona kunzwika seritsva kwauri, asi zvakakosha kuziva nezvaro.

Chii chinonzi Frey's Syndrome?

Zvichitaurwa zviri nyore, chirwere cheFrey chirwere chisingawanzoitiki chetsinga . Chinokonzera kudikitira kwakanyanya munzvimbo chaiyo yechiso chako, kazhinji matama ako, temberi, uye/kana kuseri kwenzeve dzako , paunodya, uchifunga nezvechikafu, uye dzimwe nguva kutonhuhwidza chikafu. Hazvisanganisi kudikitira muviri wese. Dzimwe nguva zvinogona kukonzera kusviba kana kuchinja ruvara rweganda munzvimbo idzi dzine dikita.

Dambudziko iri rinowanzo itika semhedzisiro yekuvhiyiwa. Rinonyanya kuitika mushure mekuvhiyiwa pamagland ako eparotid . Magland eparotid ndiwo magland makuru emate ari mumuromo medu. Ari kudivi rega rega rechiso chedu, pasi nepamberi perenzeve dzedu. Magland aya anoburitsa mate, ayo anobatsira kuchengetedza muromo wedu wakanyorova uye anotibatsira kutsenga nekugaya chikafu.

Frey's syndrome ine mamwe mazita akati wandei:

• "Auriculotemporal nerve syndrome"
• `Kudikitira kunofadza` (izvi zvinoreva kudikitira kana uchiravira)
• `Gustatory hyperhidrosis` (iyi ipfungwa imwechete, `hyperhidrosis` zvinoreva kudikitira zvakanyanya)
• ``Dambudziko raBaillarger``
• "Dupuy syndrome"

Chirwere ichi chinonzi "Frey's syndrome" vachikudza Lucja Frey, chiremba wepfungwa wekuPoland uyo akatanga kuchiziva muna 1923.

Dambudziko iri rakajairika zvakadii?

Zvakaoma kuti vaongorori vataure kuti chirwere cheFrey syndrome chakajairika sei, nekuti pane zvimwe zvikanganiso pakutaura nezvechirwere ichi. Asi zvimwe zvidzidzo zvinoratidza kuti pakati pe30% ne50% yevarwere vakavhiyiwa parotidectomy vanogona kuva nechirwere ichi. Izvi zvinoreva kuti havasi vese vakavhiyiwa zvakadaro vachachiwana, asi chikamu chakati chevanhu vari panjodzi.

Ndezvipi zviratidzo zveFrey syndrome?

Chiratidzo chikuru uye chinonyanya kuoneka chechirwere ichi kudikitira zvakanyanya (hyperhidrosis) kana uchidya kana kufunga nezvekudya kwenguva yakareba . Izvi zvinonziwo "Gustatory sweating". Kudikitira uku kunokonzerwa ne:

• Munharaunda yeKammula
• Kumativi ese ehuma (temberi)
• Kutenderedza nzeve

Pamusoro pekudikitira uku, ganda riri munzvimbo idzodzo rinogonawo kunzwa rakatsvuka uye richidziya .

Kudikitira uku nekutsvuka kweganda kunogona kunge kushoma kune vamwe, nepo kune vamwe kunogona kuva kwakanyanya uye kusingafadzi . Kudikitira kunogona kuwedzera kunyanya kana uchidya zvekudya zvinoita kuti mate ako apise, semuenzaniso , zvekudya zvinovava (senge lime, tamarind), zvekudya zvine munyu (chili mbishi, chili powder), uye zvekudya zvine munyu . Fungidzira dai wakadya pickle yakanaka, kana kudya mupunga une muto une munyu, wobva wangoerekana watanga kudikitira kubva pamatama ako!

Zviratidzo zveFrey syndrome zvinowanzoonekwa mukati megore rekutanga mushure mekuvhiyiwa parotid gland, asi mune vamwe vanhu, zviratidzo zvinogona kusaonekwa kwemakore akati wandei mushure mekuvhiyiwa.

Ndezvipi zvimwe zvinokonzera Frey syndrome?

Zviratidzo zveFrey syndrome zvinowanzova zvishoma. Kureva kuti, hazvikuvadzi zvakanyanya. Zvisinei, kune vamwe vanhu , kudikitira zvakanyanya kunogona kukonzera kusagadzikana kukuru kana kuzvidya mwoyo nevanhu . Fungidzira, kana uri kunze kunodya neshamwari uye kumeso kwako kukatanga kudikitira paunenge uchidya, izvozvo zvinogona kukunetsa, handiti?

Kana uri kunzwa kushushikana nekuti unodikitira zvakanyanya paunenge uchidya, zvakakosha zvikuru kutaura nachiremba kana chipangamazano wehutano hwepfungwa , senge chiremba wepfungwa, nezvazvo.

Chii chinokonzera chirwere cheFrey?

Masayendisiti haasati aziva chikonzero chaicho cheFrey syndrome. Zvisinei, dzidziso yavo huru ndeyekuti inoitika kana mhando mbiri dzetsinga dziri pedyo negland rako reparotid dzikakuvara panguva imwe chete . Mhando mbiri idzi dzetsinga ndi "tsinga dzinonzwira tsitsi" uye "tsinga dzinoparara".

Masisitimu ese aya etsinga ndeesystem yedu yetsinga inongozvitonga (ANS) . Iyi ANS inodzora mashandiro emuviri asingazviiti (akadai sekurova kwemoyo nekugaya) atisingakwanise kudzora nemaune.

Zvino, tarisai, rimwe remabasa etsinga idzi dze'(parasympathetic)' nderekudzora mashandiro etsinga dzedu dzemate, ndiko kuti, kugadzirwa kwemate netsinga dzeparotid. Zvisinei, idzi tsinga dze'(parasympathetic)' hadzidzoretsi tsinga dzedu dzedikita. Izvi zvinoitwa neimwe mhando yetsinga, tsinga dze'(sympathetic)'.

Vaongorori vanotenda kuti Frey's syndrome inoitika kana tsinga dzeparasympathetic netsinga dzesympathetic dziri pedyo neparotid glands dzikakuvara panguva imwe chete.

Kazhinji, tsinga diki dziri mumiviri yedu dzinogona kupora nekumerazve kana dzikakuvara. MuFrey syndrome, masayendisiti anofunga kuti tsinga dze "parasympathetic" dzakakuvaraZvakafanana netambo mbiri dzefoni dziri kubatwa, uye tsinga dze'parasympathetic' dzakabatana nemasero edikita ari paganda.

Nekuda kwe "rewiring" iyi isingawanzoitiki, tsinga dzeparasympathetic dzinowanzo ratidza kuti ma "parotid glands" abudise mate kana airavira chimwe chinhu zvino dzinotanga kuratidza kuti ma "dikita" ma "dikita".

Mugumisiro weizvi kudikitira zvakanyanya panguva yekudya .

Pamusoro pezvo, tsinga dzinobatsira kudzora kufamba kweropa nekudzvanya nekukudza tsinga dzedu dzeropa. Izvi zvinogona kunge zviri izvo zvinoita kuti ganda ritsvuke (rive rakachena) muFrey syndrome.

Tsinga dzinotora nguva kuti dzikure zvakare mushure mekukuvadzwa, izvo zvingangodaro zvichiita kuti Frey syndrome iwanikwe pakati pemwedzi mitanhatu negumi nemisere mushure mekuvhiyiwa.

Kuvhiyiwa netsaona zvinogona kukonzera chirwere cheFrey

Frey's syndrome inowanzo kukonzerwa nekukuvara kwetsinga netsaona panguva yekubvisa tsinga . Zvisinei, chirwere ichi chinogonawo kukonzerwa nekuvhiyiwa kunotevera kana tsaona:

• Kuvhiyiwa kwegland repasi pemarunda.
• Kuvhiyiwa kwekugadzirisa shaya yakatyoka (kutyoka kwegumbo remazamu).
• Njodzi dzine chekuita neTemporomandibular joints (TMJ).
• Kuvhiyiwa kubvisa ma lymph nodes mumutsipa.
• Zvimwe kukuvara kwekunze kunzvimbo ine parotid gland.

Chirwere chaFrey chinoonekwa sei?

Kuti vakubatsire kuongorora chirwere cheFrey, chiremba wako achakubvunza nezvezviratidzo zvako, sekuti zvakatanga riini. Vachakubvunzawo nezvezvirwere zvako zvekare, kana wakambovhiyiwa kumeso, kana kuti wakambopinda mutsaona nechiso chako.

Kuongororwa kunogona kunyatsoongorora chirwere ichi kunonzi `Minor starch-iodine test` . Heino maitiro ekuita bvunzo iyi:

1. Kutanga, chiremba achaisa mushonga we iodine panzvimbo dzechiso chako dzaunofungidzira kuti dziri kudikitira.

2. Kana yaoma, isa starch (senge starch yechibage) pamusoro.

3. Tevere, uchapihwa chimwe chinhu chekudya chinosimudzira maronda ako emate - kazhinji chimwe chinhu chinovava (senge toffee inovava, chidimbu che lime).

Kana ukatanga kudikitira, starch iyoyo inonyorova yoita bhuruu kana brown . Izvi zvinogona kusimbisa kuti une Frey syndrome. Kuongororwa kuri nyore kwazvo, handiti?

Chirwere cheFrey chinorapwa sei?

Hakuna mushonga weFrey syndrome, saka kurapwa kunonyanya kutarisisa kudzora zviratidzo. Kana zviratidzo zvako zviri zvishoma, ungasada kurapwa. Zvisinei, kune avo vane zviratidzo zvakakomba, kune nzira dzakasiyana dzekudzora ziya:

• Majekiseni eBotox® (botulinum toxin):Iyi ndiyo nzira inonyanya kushandiswa navanachiremba kudzora "kudikitira kunorwadza." Kana jekiseni iri rikapihwa, ma "dikita" ari pedyo nenzvimbo inobayiwa jekiseni anomiswa kwenguva pfupi. Vanhu vazhinji vanobayiwa jekiseni iri vanoti vanodikitira zvishoma pavanodya, vanotsvuka zvishoma, uye hupenyu hwavo hunovandudzika. Zvisinei, mhedzisiro yeizvi inoderera nekufamba kwenguva - kazhinji inenge mwedzi 9 kusvika 12. Saka, ungangoda kubayiwa jekiseni zvakare.
• Mishonga inorwisa cholinergics yemudumbu: Mishonga iyi inoshanda nekuderedza mashandiro emasero edikita. Kunyangwe ichishanda, inofanira kuiswa paganda nguva nenguva.
• Mishonga inodzivisa kudikitira: Mimwe mishonga inobvisa kunhuhwirira inogona kubatsira kudzora kudikitira, asi kushanda kwayo hakuna kunyanya kuipa. Kufanana nemishonga inorwisa cholinergics, iyi inofanira kushandiswa nguva nenguva.

Kashoma, kana nzira idzi dzisingabatsiri, vanachiremba vanogona kukurudzira kuvhiyiwa. Izvi zvinosanganisira kucheka dzimwe tsinga. Kune mhando dzakasiyana dzekuvhiyiwa kwakadaro.

Chirwere chaFrey chirwere chakakomba here?

Kunyangwe zvichinetsa, chirwere chaFrey hachikuvadzi hutano hwako hwemuviri . Saka, hachisi chirwere chakakomba mupfungwa iyoyo. Zvisinei, kudikitira zvakanyanya kwausingakwanise kudzora kunogona kunyadzisa uye kunogonawo kukanganisa hutano hwako hwepfungwa . Sezvambotaurwa, zvinogona kukonzera kuzvidya mwoyo uye kunyara.

Zvakakosha kutsvaga rubatsiro kana uri kunetseka nechirwere ichi. Zvinhu zvakaita sejekiseni reBotox® zvinogona kubatsira kudzora kudikitira kwakanyanya. Zvakare, kana zvichikanganisa hutano hwepfungwa dzako, zvingave zvakanaka kuona chiremba wepfungwa kana chiremba wepfungwa.

Frey syndrome inogona kudzivirirwa here?

Hapana chaunogona kuita kudzivirira Frey syndrome. Vanachiremba vanoedza kushandisa mamwe maitiro ekudzivirira kukuvara kwetsinga panguva yekuvhiyiwa kwechiso. Asi maitiro aya haashande nguva dzose. Nzira yega yega ine njodzi dzayo nezvakaipa zvayo, semuenzaniso:

• Nguva yakawedzerwa yekuvhiyiwa.
• Kubudirira kwekudzivirira chirwere cheFrey kunosiyana.
• Mikana yekuva nechirwere cheparonda.
• Matambudziko anogona kuitika mushure mekuvhiyiwa.

Chiremba wako achakurukura newe nezvenjodzi, migumisiro, kana matambudziko angangoitika usati wavhiyiwa. Saka, usatya kubvunza mibvunzo uye kuudza chiremba wako chero chiri mupfungwa dzako .

Unofanira kuona chiremba rini?

Kana zviratidzo zvako zviri kuramba zvichiwedzera, kana kuti uri kutora mushonga weFrey syndrome uye usingashande, iva nechokwadi chekutaura nachiremba wako . Iye anogona kukuudza dzimwe nzira dzaungashandisa.

Kudikitira zvakanyanya paunenge uchidya kunogona kushungurudza uye kunetsa. Kana chirwere chaFrey chiri kukanganisa hupenyu hwako hwezuva nezuva, taura nachiremba wako nezvemishonga inogona kukubatsira kudzora kudikitira kwako.

Muchidimbu, hezvino zvinhu zvatinofanira kurangarira (Mharidzo Yekuenda Kumba):

Zvakanaka, ngatitarisei zvimwe zvezvinhu zvakakosha zvekurangarira kubva pane zvatataura nezvazvo:

• Frey's Syndrome chirwere chinoita kuti kumeso (matama, huma, uye kutenderedza nzeve) kudikitira uye dzimwe nguva kutsvuka kana uchidya kana kufunga nezvechikafu.
• Izvi zvinonyanya kukonzerwa nekukuvara kwetsinga mushure mekuvhiyiwa kweparotid glands.
• Zviratidzo zvinogona kuva zvishoma kana zvakanyanya.
• Izvi zvinogona kuonekwa ne "Minor starch-iodine test".
• Kunyange hazvo pasina mushonga wakakwana, mishonga yakaita seBotox® jekiseni inogona kudzora zviratidzo.
• Kunyange zvazvo izvi zvisingakuvadzi muviri, zvinogona kushungurudza pfungwa. Saka tsvaga rubatsiro kana uchida.
• Kana uine zviratidzo izvi kana kuti usina chokwadi nazvo, zvakanaka kutsvaga rubatsiro rwechiremba.

Ndinovimba ruzivo urwu ruchakubatsira. Kana wakambosanganawo nedambudziko rakafanana, usazeza kutaura nachiremba nezvazvo.

Frey 's Syndrome, kudikitira panguva yekudya, kudikitira kunorwadza, kuvhiyiwa kwegland reparotid, kudikitira kwechiso, matambudziko etsinga