Uyajuluka uma udla? Ake sifunde ngeFrey's Syndrome!

Wake waphawula ukuthi uma udla, ngezinye izikhathi uma ubona okuthile okubabayo, noma uma ucabanga ngento emnandi, uqala ukujuluka ohlangothini olulodwa lobuso bakho, ikakhulukazi ezihlathini zakho, kuzo zombili izinhlangothi zesilevu sakho, noma eduze kwezindlebe zakho? Ungase futhi uqaphele ukuthi indawo ezungeze ubuso bakho iba bomvu futhi izwakale ifudumele kancane. Lokhu akufani nokujuluka umzimba wonke, kodwa kuphela endaweni ethile yobuso bakho. Lezi yizimpawu eziyinhloko zesimo sezinzwa esingavamile esibizwa ngokuthi i-Frey's Syndrome , esizokhuluma ngaso namuhla. Igama lingase lizwakale lisha kuwe, kodwa kufanelekile ukulazi.

Iyini i-Frey's Syndrome?

Kalula nje, i-Frey syndrome iyisimo esingavamile sezinzwa . Ibangela ukujuluka ngokweqile endaweni ethile yobuso bakho, ngokuvamile izihlathi zakho, amathempeli, kanye/noma ngemuva kwezindlebe zakho , lapho udla, ucabanga ngokudla, futhi ngezinye izikhathi unuka ngisho nokudla. Akubandakanyi ukujuluka emzimbeni wakho wonke. Ngezinye izikhathi kungabangela ukusha noma ukushintsha kombala wesikhumba kulezi zindawo ezijulukayo.

Lesi simo sivame ukwenzeka njengomphumela ongemuhle wokuhlinzwa. Sivame kakhulu ngemva kokuhlinzwa ezindlaleni zakho ze-parotid . Izindlala ze-parotid ziyizindlala ezinkulu zamathe emlonyeni wethu. Zitholakala kuzo zombili izinhlangothi zobuso bethu, ngezansi naphambi kwezindlebe zethu. Lezi zindlala zikhiqiza amathe, okusiza ukugcina umlomo wethu umanzi futhi kusisiza ukuhlafuna nokugaya ukudla.

I-Frey's syndrome inamanye amagama amaningana:

• "I-Auriculotemporal nerve syndrome"
• `Ukujuluka okumnandi` (lokhu kubhekisela ekujulukeni lapho unambitha)
• `I-gustatory hyperhidrosis` (lona umqondo ofanayo, `i-hyperhidrosis` isho ukujuluka ngokweqile)
• 'Isifo sikaBaillarger'
• 'I-Dupuy syndrome'

Lesi simo sibizwa ngokuthi "i-Frey's syndrome" ukuhlonipha uLucja Frey, udokotela wezinzwa wasePoland owasithola okokuqala ngo-1923.

Sivame kangakanani lesi simo?

Kunzima ngabacwaningi ukusho ukuthi i-Frey syndrome ivame kangakanani, ngoba kunezinkinga ezithile ekubikeni lesi simo. Kodwa ezinye izifundo ziphakamisa ukuthi phakathi kuka-30% no-50% weziguli eziye zahlinzwa i-parotidectomy zingase zibe nalesi sifo. Lokho kusho ukuthi akuwona wonke umuntu oye wahlinzwa kanjalo ozosithola, kodwa iphesenti elithile lisengozini.

Ziyini izimpawu ze-Frey syndrome?

Uphawu oluyinhloko nolusobala kakhulu lwalesi simo ukujuluka ngokweqile (hyperhidrosis) uma udla noma ucabanga ngokudla isikhathi eside . Lokhu kubizwa nangokuthi "ukujuluka okumnandi". Lokhu kujuluka kubangelwa:

• Endaweni yaseKammula
• Kuzo zombili izinhlangothi zebunzi (ithempeli)
• Eduze kwendlebe

Ngaphezu kwalokhu kujuluka, isikhumba kulezo zindawo singase sizizwe sibomvu futhi sifudumele .

Lokhu kujuluka nokubomvu kwesikhumba kungaba mnene kakhulu kwabanye, kanti kwabanye kungaba nzima futhi kungakhululeki . Ukujuluka kunganda ikakhulukazi uma udla ukudla okwenza amathe akho ashise, isibonelo , ukudla okumuncu (njenge-lime, i-tamarind), ukudla okunongwe (i-chili eluhlaza, i-chili powder), kanye nokudla okunongwe . Cabanga nje uma udle i-pickle emnandi, noma udle ilayisi ne-chili sauce enongwe ...

Izimpawu ze-Frey syndrome zivame ukuvela phakathi nonyaka wokuqala ngemva kokuhlinzwa kwe-parotid gland, kodwa kwabanye abantu, izimpawu zingase zingabonakali iminyaka eminingana ngemva kokuhlinzwa.

Yimiphi imiphumela emibi eyengeziwe ye-Frey syndrome?

Izimpawu ze-Frey syndrome zivame ukuba zincane. Okusho ukuthi, azibangeli umonakalo omkhulu. Kodwa-ke, kwabanye abantu , ukujuluka ngokweqile kungabangela ukungakhululeki okukhulu noma ukukhathazeka emphakathini . Cabanga nje, uma uphumile uyodla isidlo sakusihlwa nabangani futhi ubuso bakho buqala ukujuluka ngenkathi udla, lokho kungaba yinkinga kancane, akunjalo?

Uma uzizwa ucindezelekile ngoba ujuluka kakhulu ngenkathi udla, kubaluleke kakhulu ukukhuluma nodokotela noma nomeluleki wezempilo yengqondo , njengososayensi wengqondo, ngakho.

Yini ebangela i-Frey syndrome?

Ososayensi abakayazi imbangela eqondile ye-Frey syndrome. Kodwa-ke, inkolelo-mbono yabo eyinhloko ukuthi kwenzeka lapho izinhlobo ezimbili zemizwa eduze kwendlala yakho ye-parotid zilimala ngesikhathi esisodwa . Lezi zinhlobo ezimbili zemizwa yi-"sympathetic nerves" kanye ne-"parasympathetic nerves".

Zombili lezi zinhlelo zezinzwa ziyingxenye yesistimu yethu yezinzwa ezizimele (i-ANS) . Le ANS ilawula imisebenzi yomzimba engazikhetheli (njengokushaya kwenhliziyo nokugaya ukudla) esingenakuyilawula ngamabomu.

Manje, bheka, omunye wemisebenzi yalezi zinzwa ze-`(parasympathetic)` ukulawula ukusebenza kwezindlala zethu zamathe, okungukuthi, ukukhiqizwa kwamathe yizindlala ze-parotid. Kodwa-ke, lezi zinzwa ze-`(parasympathetic)` azilawuli izindlala zethu zokujuluka. Lokho kwenziwa yilolo hlobo lolunye lwezinzwa, izinzwa ze-`(sympathetic)`.

Abacwaningi bakholelwa ukuthi i-Frey's syndrome yenzeka lapho kokubili izinzwa ze-parasympathetic kanye ne-sympathetic eduze kwezindlala ze-parotid zonakele ngesikhathi esisodwa.

Ngokuvamile, imicu emincane yemizwa emizimbeni yethu ingaphola futhi ikhule kabusha uma ilimele. Ku-Frey syndrome, ososayensi bacabanga ukuthi imicu yemizwa ye-"parasympathetic" eyonakeleKufana nezintambo ezimbili zocingo ezixabene, futhi imizwa 'ye-parasympathetic' ixhunywe nezindlala zokujuluka esikhumbeni.

Ngenxa yalokhu "kuxhunywa kabusha" okungavamile, izinzwa ze-parasympathetic ezivame ukukhombisa ukuthi izindlala ze-parotid zikhiqiza amathe lapho zinambitha okuthile manje seziqala ukukhombisa ukuthi izindlala ze-sweat "zijuluka."

Umphumela walokhu ukujuluka ngokweqile ngesikhathi udla .

Ngaphezu kwalokho, imizwa yozwela ilawula ukugeleza kwegazi ngokuncipha nokwandisa imithambo yegazi yethu. Lokhu kungaba yisizathu esenza isikhumba ngezinye izikhathi sibe bomvu (sicwebezele) ku-Frey syndrome.

Imizwa ithatha isikhathi ukuphinda ikhule ngemva kokulimala, okungenzeka ukuthi yingakho i-Frey syndrome ivame ukuvela phakathi kwezinyanga eziyi-6 neziyi-18 ngemva kokuhlinzwa.

Ukuhlinzwa kanye nezingozi ezingabangela i-Frey syndrome

I-Frey's syndrome ivame ukubangelwa ukulimala kwemizwa ngengozi ngesikhathi sokuhlinzwa kwe-parotidectomy . Kodwa-ke, lesi simo singabangelwa nawukuhlinzwa okulandelayo noma izingozi:

• Ukuhlinzwa kwe-submandibular gland.
• Ukuhlinzwa kokulungisa umhlathi ophukile (ukuphuka kwe-mandibular).
• Izingozi ezihlobene ne-temporomandibular joint (TMJ).
• Ukuhlinzwa kokususa ama-lymph node entanyeni.
• Okunye ukulimala kwangaphandle endaweni lapho kutholakala khona i-parotid gland.

Itholakala kanjani i-Frey's syndrome?

Ukuze asize ekuxilongeni i-Frey syndrome, udokotela wakho uzokubuza ngezimpawu zakho, njengalapho zaqala khona. Uzokubuza nangezinkinga zakho zempilo zangaphambilini, ukuthi uke wahlinzwa ubuso, noma ukuthi uke waba sengozini yini.

Ukuhlolwa okungahlonza lesi simo ngokunembile kubizwa ngokuthi `ukuhlolwa kwe-Minor starch-iodine` . Nansi indlela yokwenza lokhu kuhlolwa:

1. Okokuqala, udokotela uzofaka isisombululo se-iodine ezindaweni zobuso bakho osola ukuthi ziyajuluka.

2. Ngemva kokuba sekomile, faka isitashi (njengesitashi sommbila) phezulu.

3. Okulandelayo, uzonikezwa okuthile ongakudla ukuze uvuselele izindlala zakho zamathe – ngokuvamile into emuncu (njenge-sour toffee, ucezu lwelayisi).

Uma uqala ukujuluka, leso sitashi sizoba manzi bese siphenduka sibe luhlaza okwesibhakabhaka noma sibe nsundu . Lokhu kungaqinisekisa ukuthi une-Frey syndrome. Kuyisivivinyo esilula kakhulu, akunjalo?

Iphathwa kanjani i-Frey's syndrome?

Akukho ukwelashwa kwe-Frey syndrome, ngakho-ke ukwelashwa kugxile kakhulu ekulawuleni izimpawu. Uma izimpawu zakho zincane kakhulu, ungase ungadingi ukwelashwa. Kodwa-ke, kulabo abanezimpawu ezinzima, kunezindlela eziningana zokulawula ukujuluka:

• Imijovo yeBotox® (i-botulinum toxin):Lena yindlela evame kakhulu esetshenziswa odokotela ukulawula "ukujuluka okungenamsoco." Uma lo mjovo unikezwa, izindlala zokujuluka eziseduze nendawo yokujova ziyavalwa okwesikhashana. Iningi labantu abathola lo mjovo bathi bajuluka kancane lapho bedla, bahlanza kancane, futhi ikhwalithi yabo yokuphila iyathuthuka. Kodwa-ke, umphumela walokhu uyancipha ngokuhamba kwesikhathi - ngokuvamile cishe ezinyangeni ezingu-9 kuya kwezingu-12 . Ngakho-ke, kungadingeka ukuthi uphinde uthole umjovo.
• Imithi yokulwa ne-cholinergics: Le mithi isebenza ngokunciphisa ukusebenza kwezindlala zakho zokujuluka. Nakuba isebenza kahle, idinga ukusetshenziswa esikhumbeni njalo.
• Ama-antiperspirant angaphandle: Amanye ama-deodorant angasiza ekulawuleni ukujuluka, kodwa imiphumela yawo incane. Njenge-anticholinergics, lawa adinga ukusetshenziswa njalo.

Akuvamile kakhulu, uma lezi zindlela zingasizi, odokotela bangase batuse ukuhlinzwa. Lokhu kuhilela ukunqunywa kwemizwa ethile. Kunezinhlobo eziningana zokuhlinzwa okunjalo.

Ingabe isifo sikaFrey siyisifo esibi kakhulu?

Nakuba kuyacasula, i-Frey's syndrome ayilimazi impilo yakho engokomzimba . Ngakho-ke, akusona isimo esibucayi ngaleyo ndlela. Kodwa-ke, ukujuluka ngokweqile ongakwazi ukukulawula kungaba namahloni futhi kungathinta nempilo yakho yengqondo . Njengoba kushiwo ngaphambili, kungabangela ukukhathazeka kanye namahloni emphakathini.

Kubalulekile ukufuna usizo uma ubhekene nalesi sifo. Izinto ezifana nemijovo yeBotox® zingasiza ekulawuleni ukujuluka ngokweqile. Futhi, uma kuthinta impilo yakho yengqondo, kungaba ngumqondo omuhle ukubonana nodokotela wezifo zengqondo noma udokotela wengqondo.

Ingabe i-Frey syndrome ingavinjelwa?

Akukho lutho ongakwenza ukuvimbela i-Frey syndrome. Odokotela abahlinzayo bazama ukusebenzisa amasu athile ukugwema ukulimala kwemizwa ngesikhathi sokuhlinzwa kobuso. Kodwa lawa masu awasebenzi ngaso sonke isikhathi. Indlela ngayinye inezingozi zayo kanye nokungalungi kwayo, isibonelo:

• Isikhathi esengeziwe sokuhlinzwa.
• Ukusebenza kahle kokuvimbela i-Frey's syndrome kuyahlukahluka.
• Amathuba okutheleleka ngenxeba.
• Izinkinga ezingaba khona ngemva kokuhlinzwa.

Udokotela wakho ohlinzayo uzoxoxa nawe nganoma yiziphi izingozi, imiphumela emibi, noma izinkinga ezingaba khona ngaphambi kokuhlinzwa. Ngakho-ke, ungesabi ukubuza imibuzo futhi utshele udokotela wakho noma yini ekucabangayo .

Kufanele ubonane nini nodokotela?

Uma izimpawu zakho ziba zimbi kakhulu, noma uma uthatha ukwelashwa kwe-Frey syndrome futhi kungasebenzi, qiniseka ukuthi ukhuluma nodokotela wakho . Angakutshela ukuthi yiziphi ezinye izinketho ezitholakalayo kuwe.

Ukujuluka ngokweqile ngenkathi udla kungaba yinto engakhululekile futhi ecasulayo. Uma isifo sikaFrey siphazamisa impilo yakho yansuku zonke, khuluma nodokotela wakho mayelana nezindlela zokwelapha ezingakusiza ukulawula ukujuluka kwakho okungapheli.

Ngamafuphi, nazi izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya):

Kulungile, ake sibheke ezinye zezinto ezibaluleke kakhulu okufanele sizikhumbule kulokho esikhulume ngakho:

• I-Frey's Syndrome yisimo esibangela ukuthi ubuso (izihlathi, ibunzi, kanye nezizungezile izindlebe) bujuluke futhi ngezinye izikhathi bube bomvu lapho bedla noma becabanga ngokudla.
• Lokhu kuvame ukubangelwa ukulimala kwemizwa ngemva kokuhlinzwa kwezindlala ze-parotid.
• Izimpawu zingaba zincane noma zibe zimbi kakhulu.
• Lokhu kungabonakala ngokuhlolwa kwe-'Minor starch-iodine'.
• Nakuba kungekho ikhambi eliphelele, ukwelashwa okufana nemijovo yeBotox® kungalawula izimpawu.
• Nakuba lokhu kungalimazi ngokomzimba, kungakucindezela ngokomzwelo. Ngakho-ke thola usizo uma uludinga.
• Uma unalezi zimpawu noma ungabaza, kungcono ukufuna iseluleko sezokwelapha.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uke waba nokuhlangenwe nakho okufanayo, ungangabazi ukukhuluma nodokotela ngakho.

Isifo sikaFrey , ukujuluka ngenkathi udla, ukujuluka okungapheli, ukuhlinzwa kwe-parotid gland, ukujuluka kobuso, izinkinga zemizwa