Ngaba uyabila xa usitya? Masifunde ngeFrey's Syndrome!

Ngaba wakha waphawula ukuba xa usitya, ngamanye amaxesha xa ubona into ekrakra, okanye xa ucinga ngento emnandi, uqala ukubila kwelinye icala lobuso bakho, ingakumbi ezidleleni zakho, kumacala omabini esilevini sakho, okanye ezindlebeni zakho? Ungaphawula nokuba indawo ejikeleze ubuso bakho iba bomvu kwaye ivakale ifudumele kancinci. Oku akufani nokubila emzimbeni wakho wonke, kodwa kuphela kwindawo ethile yobuso bakho. Ezi ziimpawu eziphambili zesifo semithambo-luvo esingaqhelekanga esibizwa ngokuba yiFrey's Syndrome , esiza kuthetha ngaso namhlanje. Eli gama lisenokuvakala litsha kuwe, kodwa kufanelekile ukuliqonda.

Yintoni iFrey's Syndrome?

Ngamafutshane, iFrey syndrome yimeko engaqhelekanga yemithambo-luvo . Ibangela ukubila okugqithisileyo kwindawo ethile yobuso bakho, ngokuqhelekileyo izidlele zakho, iitempile, kunye/okanye ngasemva kweendlebe zakho , xa usitya, ucinga ngokutya, kwaye ngamanye amaxesha ude unuke ukutya. Ayibandakanyi ukubila emzimbeni wakho wonke. Ngamanye amaxesha inokubangela ukurhawuzelela okanye ukutshintsha umbala kolusu kwezi ndawo zibilayo.

Le meko idla ngokuba yimiphumo emibi yotyando. Ixhaphake kakhulu emva kotyando kwi -parotid glands yakho. Ii-parotid glands zezona ziphambili kwi-salivary glands emlonyeni wethu. Zifumaneka kumacala omabini obuso bethu, ngezantsi naphambi kweendlebe zethu. Ezi glands zivelisa amathe, anceda ukugcina umlomo wethu umanzi kwaye asinceda ukuhlafuna nokugaya ukutya.

Isifo sikaFrey sinamagama amaninzi:

• "Isifo semithambo-luvo ye-Auriculotemporal"
• `Ukubila okumnandi` (oku kubhekisa ekubileni xa ungcamla)
• `I-Gustatory hyperhidrosis` (le yingcamango efanayo, `i-hyperhidrosis` ithetha ukubila okugqithisileyo)
• `Isifo sikaBaillarger`
• 'Isifo sikaDupuy'

Le meko ibizwa ngokuba yi "Frey's syndrome" ngenxa kaLucja Frey, ingcali yezifo zengqondo yasePoland eyasichonga okokuqala ngo-1923.

Ixhaphake kangakanani le meko?

Kunzima kubaphandi ukutsho ngqo ukuba ixhaphake kangakanani iFrey syndrome, kuba kukho iziphene ezithile ekuxeleni ngale meko. Kodwa ezinye izifundo zibonisa ukuba phakathi kwama-30% nama-50% ezigulana eziye zahlinzwa i-parotidectomy zinokuba nale syndrome. Oko kuthetha ukuba ayinguye wonke umntu oye wahlinzwa ngolo hlobo oza kuba nayo, kodwa ipesenti ethile isengozini.

Zithini iimpawu zeFrey syndrome?

Uphawu oluphambili nolucacileyo lwale meko kukubila kakhulu (hyperhidrosis) xa usitya okanye ucinga ngokutya ixesha elide . Oku kukwabizwa ngokuba yi-"Gustatory sweating". Oku kubila kubangelwa:

• Kwindawo yaseKammula
• Kumacala omabini ebunzi (itempile)
• Ijikeleze indlebe

Ukongeza kokubila, ulusu kwezo ndawo lunokuziva lubomvu kwaye lufudumele .

Oku kubila nokubomvu kolusu kunokuba buthathaka kakhulu kwabanye, ngelixa kwabanye kunokuba nzima kwaye kungakhululeki . Ukubila kunokwanda ngakumbi xa usitya ukutya okwenza amathe akho ashushu, umzekelo , ukutya okumuncu (okufana nelayimu, i-tamarind), ukutya okuneziqholo (itshili eluhlaza, umgubo wetshili), kunye nokutya okunetyuwa . Khawucinge ukuba utye i-pickle emnandi, okanye utye irayisi enesosi yetshili enesiqholo, uze ngequbuliso uqale ukubila ezidleleni zakho!

Iimpawu zeFrey syndrome zihlala zibonakala kunyaka wokuqala emva kotyando kwi-parotid gland, kodwa kwabanye abantu, iimpawu zisenokungabonakali iminyaka eliqela emva kotyando.

Ziziphi ezinye iziphumo ezimbi zeFrey syndrome?

Iimpawu zeFrey syndrome zihlala zincinci. Oko kukuthi, azibangeli monakalo mkhulu. Nangona kunjalo, kwabanye abantu , ukubila kakhulu kunokubangela ukungakhululeki okukhulu okanye ixhala loluntu . Khawucinge nje, ukuba uphumile uye kudla isidlo sangokuhlwa nabahlobo kwaye ubuso bakho buqala ukubila ngelixa usitya, oko kunokuba yingxaki, akunjalo?

Ukuba uziva uxinezelekile kuba ubila kakhulu xa usitya, kubaluleke kakhulu ukuthetha nogqirha okanye nomcebisi wezempilo yengqondo , njengogqirha wengqondo, ngaloo nto.

Yintoni ebangela iFrey syndrome?

Izazinzulu azikayazi eyona nto ibangela iFrey syndrome. Nangona kunjalo, ingcamango yazo ephambili kukuba yenzeka xa iintlobo ezimbini zemithambo-luvo ezikufutshane ne-parotid gland yakho zonakele ngaxeshanye . Ezi ntlobo zimbini zemithambo-luvo yi-"sympathetic nerves" kunye ne-"parasympathetic nerves".

Zombini ezi nkqubo zemithambo-luvo zezenkqubo yethu yemithambo-luvo ezimeleyo (i-ANS) . Le ANS ilawula imisebenzi yomzimba engazikhethelanga (njengesantya sentliziyo kunye nokugaya ukutya) esingenakuyilawula ngabom.

Ngoku, khangela, omnye wemisebenzi yezi nerve `(parasympathetic)` kukulawula ukusebenza kwee-salivary glands zethu, oko kukuthi, ukuveliswa kwamathe zii-parotid glands. Nangona kunjalo, ezi nerve `(parasympathetic)` azilawuli ii-sweat glands zethu. Oko kwenziwa lolunye uhlobo lwe-nerve, i-`(sympathetic)`.

Abaphandi bakholelwa ukuba isifo sikaFrey senzeka xa zombini ii-parasympathetic kunye ne-sympathetic nerves ezikufutshane nee-parotid glands zonakele ngaxeshanye.

Ngokwesiqhelo, imicu yemithambo-luvo emincinci emizimbeni yethu inokuphola kwaye ikhule kwakhona xa yenzakele. Kwi-Frey syndrome, izazinzulu zicinga ukuba imicu yemithambo-luvo eyonakeleyo ye-"parasympathetic"Kufana neengcingo ezimbini zefowuni ezidityanisiweyo, kwaye imithambo-luvo 'ye-parasympathetic' iqhagamshelwe kwi-sweat glands eluswini.

Ngenxa yolu "cingo" lungaqhelekanga, imithambo-luvo ye-parasympathetic edla ngokuxelela amathe kwi-parotid glands xa ingcamla into ethile ngoku iqala ukubonisa amathe kwi-sweat glands ukuba "abile."

Isiphumo soku kukubila kakhulu xa usitya .

Ukongeza, imithambo-luvo ye-sympathetic ilawula ukuhamba kwegazi ngokuyinciphisa nokwandisa imithambo yegazi yethu. Oku kusenokuba sisizathu sokuba ulusu ngamanye amaxesha lube bomvu (lube bomvu) kwi-Frey syndrome.

Imithambo-luvo ithatha ixesha ukuphinda ikhule emva komonakalo, mhlawumbi yingakho iFrey syndrome idla ngokuvela phakathi kweenyanga ezi-6 nezili-18 emva kotyando.

Utyando kunye neengozi ezinokubangela isifo sikaFrey

Isifo sikaFrey sidla ngokubangelwa kukonakala kwemithambo-luvo ngengozi ngexesha lotyando lwe-parotidectomy . Nangona kunjalo, le meko inokubangelwa nalutyando okanye iingozi ezilandelayo:

• Utyando lwe-submandibular gland.
• Utyando lokulungisa umhlathi owaphukileyo (ukuqhekeka kwesisu).
• Iingozi ezinxulumene ne-temporomandibular joint (TMJ).
• Utyando lokususa ii-lymph nodes entanyeni.
• Okunye ukwenzakala kwangaphandle kwindawo apho i-parotid gland ikhoyo.

Ifunyanwa njani isifo sikaFrey's?

Ukuze akuncede ekuxilongeni i-Frey syndrome, ugqirha wakho uza kukubuza ngeempawu zakho, njengokuba zaqala nini. Baza kukubuza nangeemeko zakho zempilo zangaphambili, nokuba wakha watyandwa ubuso, okanye ukuba wakha wabandakanyeka engozini yobuso bakho.

Uvavanyo olunokuchonga ngokuchanekileyo le meko lubizwa ngokuba yi-`Minor starch-iodine test` . Nantsi indlela yokwenza olu vavanyo:

1. Okokuqala, ugqirha uza kusebenzisa isisombululo se-iodine kwiindawo zobuso bakho ocinga ukuba ziyabila.

2. Emva kokuba yomile, faka isitashi (njengesitashi sombona) ngaphezulu.

3. Okulandelayo, uza kunikwa into yokutya ukuze uvuselele amathe akho – ngesiqhelo into emuncu (njengetoffee emuncu, iqhekeza lelayimu).

Ukuba uqala ukubila, loo starch iya kuba manzi ize ibe luhlaza okwesibhakabhaka okanye ibe mdaka . Oku kunokuqinisekisa ukuba uneFrey syndrome. Luvavanyo olulula kakhulu, akunjalo?

Inyangwa njani isifo sikaFrey?

Akukho nyango lweFrey syndrome, ngoko ke unyango lujolise kakhulu ekulawuleni iimpawu. Ukuba iimpawu zakho zincinci kakhulu, usenokungadingi unyango. Nangona kunjalo, kwabo baneempawu ezinzima, kukho iindlela ezahlukeneyo zokulawula ukubila:

• Iinaliti zeBotox® (ityhefu ye-botulinum):Le yeyona ndlela ixhaphakileyo esetyenziswa ngoogqirha ukulawula "ukubila okugqithisileyo." Xa kujovwa, amadlala okubila akufutshane nendawo yokujova ayacinywa okwethutyana. Uninzi lwabantu abajovayo bathi babila kancinci xa besitya, bangabi bomvu kancinci, kwaye umgangatho wobomi babo uyaphucuka. Nangona kunjalo, isiphumo soku siyehla ngokuhamba kwexesha - ngokuqhelekileyo malunga neenyanga ezili-9 ukuya kwezili-12 . Ke ngoko, unokufuna ukufumana inaliti kwakhona.
• I-anticholinergics ye-Topical: La mayeza asebenza ngokunciphisa ukusebenza kwe-sweat glands yakho. Nangona esebenza kakuhle, kufuneka asetyenziswe eluswini rhoqo.
• Izithinteli zokubila: Ezinye izithinteli zokubila zinokunceda ekulawuleni ukubila, kodwa iziphumo zazo zincinci. Njengezithinteli zokubila, ezi kufuneka zisetyenziswe rhoqo.

Amaxesha amaninzi, ukuba ezi ndlela azincedi, oogqirha banokucebisa utyando. Oku kuquka ukunqumla imithambo-luvo ethile. Kukho iintlobo ezahlukeneyo zotyando olunjalo.

Ngaba isifo sikaFrey sisifo esibi kakhulu?

Nangona icaphukisa, isifo sikaFrey asiyongozi kwimpilo yakho yomzimba . Ngenxa yoko, asiyongxaki imbi ngaloo ndlela. Nangona kunjalo, ukubila kakhulu ongenakukulawula kunokuba yintloni kwaye kunokuchaphazela nempilo yakho yengqondo . Njengoko bekutshiwo ngaphambili, kunokubangela ixhala kunye neentloni phakathi kwabantu.

Kubalulekile ukufuna uncedo ukuba unengxaki yesi sifo. Izinto ezifana neenaliti zeBotox® zinokunceda ukulawula ukubila okugqithisileyo. Kwakhona, ukuba kuyayichaphazela impilo yakho yengqondo, kungaba ngumbono olungileyo ukubonana nogqirha wengqondo okanye ingcali yezengqondo.

Ngaba isifo sikaFrey singathintelwa?

Akukho nto unokuyenza ukuthintela iFrey syndrome. Oogqirha bazama ukusebenzisa iindlela ezithile ukunqanda ukonakala kwemithambo-luvo ngexesha lotyando lobuso. Kodwa ezi ndlela azisoloko zisebenza. Indlela nganye ineengozi kunye neengxaki zayo, umzekelo:

• Ixesha elandisiweyo lotyando.
• Ukusebenza kakuhle kokuthintela isifo sikaFrey kuyahluka.
• Amathuba osulelo lwenxeba.
• Iingxaki ezinokwenzeka emva kotyando.

Ugqirha wakho uza kuxoxa nawe ngayo nayiphi na ingozi, iziphumo ebezingalindelekanga, okanye iingxaki ezinokubakho ngaphambi kotyando. Ngoko ke, ungoyiki ukubuza imibuzo kwaye uxelele ugqirha wakho nantoni na ekucingayo .

Ufanele uye nini kugqirha?

Ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba usebenzisa unyango lweFrey syndrome kwaye alusebenzi, qiniseka ukuba uthetha nogqirha wakho . Angakuxelela ezinye iindlela ezikhoyo kuwe.

Ukubila kakhulu xa usitya kunokuba yinto engathandekiyo necaphukisayo. Ukuba isifo sikaFrey siyakuphazamisa ubomi bakho bemihla ngemihla, thetha nogqirha wakho malunga nonyango olunokukunceda ulawule ukubila kwakho okungapheliyo.

Ngamafutshane, nazi izinto ekufuneka sizikhumbule (Umyalezo Wokubuyela Ekhaya):

Kulungile, makhe sijonge ezinye zezona zinto zibalulekileyo ekufuneka sizikhumbule kwizinto esithethe ngazo:

• Isifo sikaFrey sisifo esibangela ukuba ubuso (izidlele, ibunzi, kunye neendlebe) bubile kwaye ngamanye amaxesha bube bomvu xa kutyiwa okanye kucingwa ngokutya.
• Oku kubangelwa kakhulu kukonakala kwemithambo-luvo emva kotyando kwi-parotid glands.
• Iimpawu zinokuba zincinci okanye zibe nzima.
• Oku kunokuchongwa ngovavanyo lwe-'Minor starch-iodine'.
• Nangona kungekho nyango lupheleleyo, unyango olufana neenaliti zeBotox® lunokulawula iimpawu.
• Nangona oku kungonakalisa umzimba, kunokuba yingozi ngokweemvakalelo. Ngoko ke fumana uncedo ukuba uyalufuna.
• Ukuba unazo ezi mpawu okanye unamathandabuzo, kungcono ukufuna ingcebiso kagqirha.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba ukhe waba namava afanayo, ungathandabuzi ukuthetha nogqirha ngayo.

Isifo sikaFrey , ukubila xa usitya, ukubila okungapheliyo, utyando lwe-parotid gland, ukubila kobuso, iingxaki zemithambo-luvo