Wake wazizwa uneqhubu elincane noma ubuhlungu esihlathini sakho, phambi kwendlebe yakho, noma ngaphansi komhlathi wakho? Ingabe lobu buhlungu bubonakala bukhula uma ufuna ukudla okuthile, noma uma ukhipha amathe uma ubona okuthile okumuncu? Lokhu ukuvuvukala kwezindlala zamathe esizokhuluma ngakho namuhla, okuyisimo esibizwa ngokuthi i-'Sialadenitis' ngokwezokwelapha. Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.
Kalula nje, kuyini i-Sialadenitis?
I-Sialadenitis yilapho enye noma ngaphezulu kwezindlala zethu zamathe zivuvukala futhi zivuvukala. Sonke sinezindlala emlonyeni wethu ezikhiqiza amathe. Lezi zindlala zamathe sizibiza ngokuthi izindlala zamathe. La mathe asisiza ukugwinya nokugaya ukudla esikudlayo. Akukhona lokho kuphela, kodwa futhi kusiza ukuvikela amazinyo ethu kumagciwane ayingozi.
Kunezinhlobo ezintathu eziyinhloko zezindlala zamathe emlonyeni wethu.
- Izindlala ze-Parotid: Lezi zitholakala phambi kwezindlebe zethu, kuzo zombili izinhlangothi zezihlathi zethu.
- Izindlala ze-submandibular: Lezi zitholakala ngaphansi komhlathi, zibuyele emuva kancane emlonyeni.
- Izindlala ezingaphansi kolimi: Lezi zitholakala ngaphansi kolimi.
Ngaphezu kwalezi zindlala ezintathu ezinkulu, kunezindlala ezincane zamathe ezingamakhulu emlonyeni, njengangaphakathi kwezindebe zethu nasemadlelweni. Izindlala ezimbili ezinkulu ezithinteka kakhulu yi-sialadenitis yizindlala ze-parotid kanye ne-submandibular.
Lesi simo singavela ngokuzumayo (ngokushesha), siqhubeke isikhathi eside (esingamahlalakhona), noma sithuthuke bese siphinde sibuye (siphinde sibuye).
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Nakuba lokhu kungenzeka kunoma ubani, abanye abantu basengozini enkulu. Lesi simo sivame kakhulu kubantu abaneminyaka engaphezu kwengu-50 , nakulabo abanamatshe ezindlala zamathe.
Ngaphezu kwalokho, abantu abalandelayo nabo basengozini:
- Kubantwana emasontweni ambalwa okuqala ngemva kokuzalwa.
- Kulabo abahlushwa ukugula noma abalulamayo ngemuva kokuhlinzwa.
- Kulabo abaphelelwa amanzi emzimbeni, okungukuthi, ukuntuleka kwamanzi emzimbeni .
- Kulabo abahlushwa ukungondleki kahle.
- Ukucindezeleka kwamasosha omzimba kungokulabo abanomzimba ophansi wokuzivikela komzimba. Okusho ukuthi, labo abanomzimba ophansi wokumelana nezifo.
Ingabe nawe unalezi zimpawu?
Ungase uzibuze ukuthi lesi yisimo esibucayi yini. Yebo, uma singelashwa kahle, lesi sifo singasakazeka ezicutshini ezijulile zekhanda nentamo bese siba sibi kakhulu. Ngakho-ke, uma unezinye zezimpawu ezilandelayo, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuvuvukala kwezindlala nobuhlungu | Ukuvuvukala, ubomvu, kanye nokubomvu kwesikhumba endaweni lapho kukhona khona indlala eyodwa noma ngaphezulu yamathe (isihlathi, ngaphansi komhlathi). |
| Ubuhlungu lapho udla | Ubuhlungu buyanda uma uqala ukudla noma ucabanga ngokudla, ngoba ukukhiqizwa kwamathe kuyanda ngaleso sikhathi. |
| Imfiva | Uma ukuvuvukala kutheleleka, ungase ube nomkhuhlane. |
| Umlomo owomile | Umuzwa wokoma emlonyeni ngenxa yokwehla kokukhiqizwa kwamathe. Ngokwezokwelapha, lokhu kubizwa ngokuthi `(xerostomia)`. |
| Ukuvuvukala kwesihlathi nentamo | Ukuvuvukala okuzungeze indlala ethintekile. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Akukho sizathu esisodwa salesi simo. Kungase kube nezici eziningana ezihilelekile.
- Ukutheleleka ngamagciwane noma ngegciwane: Ngokuvamile imbangela eyinhloko yalokhu ukutheleleka ngamagciwane.
- Ukuphelelwa amanzi emzimbeni: Uma umzimba ungenawo amanzi anele, ukukhiqizwa kwamathe kuyancipha, okungaholela ekuthelelekeni.
- Ukugula kwamuva nje.
- Imithi ethile: Imithi ethile, njengemithi yokukhipha isisu, ama-antihistamine, kanye nama-beta-blockers, ingandisa umlomo owomile futhi ibangele lesi simo.
- Izifo ezizenzakalelayo: Izimo ezifana ne-Sjögren's syndrome zingathinta izindlala zamathe.
- Ukungahlanzeki komlomo.
Ingabe lesi yisifo esithathelwanayo?
Lokhu kuncike embangela. Ake sithi imbangela ukutheleleka ngamagciwane noma ngegciwane. Ngakho-ke yebo, kungasakazeka ngokuthimula, ukukhwehlela, kanye namathe. Kodwa uma imbangela yalokhu kuvuvukala kuyinto efana netshe lendlala yamathe, ayisakazeki isuka komunye umuntu iye komunye.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho bese ehlola indawo lapho kukhona khona ukuvuvukala. Ngezinye izikhathi, izindlala zamathe zingase zihlolwe kusetshenziswa idivayisi encane enekhamera ebizwa ngokuthi i-endoscope.
Ungase ucelwe ukuba uhlolwe ukuze kuhlolwe amatshe noma ezinye izinto ezinamathele ngaphakathi kwezindlala. Lokhu kungase kuhilele i-ultrasound noma i-computed tomography (CT) scan .
Kwezinye izimo, ungase uthunyelwe kuchwepheshe wezindlebe, impumulo kanye nomphimbo (ENT - `otolaryngologist`) ukuze uthole ukuhlolwa okwengeziwe.
Ngakho-ke, yini engenziwa ukwelapha lokhu?
Indlela yokwelapha incike ebunzimeni besimo sakho.
Ama-antibiotic
Njengoba lokhu kuvame ukubangelwa ukutheleleka ngamagciwane, into yokuqala udokotela azokwenza ukunikeza umuthi ofanele wokulwa namagciwane. Kubaluleke kakhulu ukuthatha umuthi udokotela wakho awunikeza wona ngqo isikhathi sonke.
Izinto ongazenza ekhaya
Ngesikhathi uthatha imithi, kunezinto eziningana ongazenza ekhaya ukuze unciphise ubuhlungu futhi wandise ukugeleza kwamathe.
- Phuza amanzi amaningi: Ukuphuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku kungasiza ekuvimbeleni ukuphelelwa amanzi emzimbeni.
- Ukudla okumuncu: Izinto ezinjengokuphuza ujusi kalamula nokuhlafuna amaswidi amuncu zikhuthaza ukukhiqizwa kwamathe futhi zisize ekususeni izinto ezibhajwe.
- Ukucindezela okufudumele: Ukusebenzisa amanzi afudumele endaweni evuvukele kunganciphisa ubuhlungu nokuvuvukala.
- Ukuhlikihla okuthambile: Ukuhlikihla kancane indlala evuvukile kungasiza ekugelezeni kwamathe.
- Ukuhlanzeka komlomo: Ukuxubha amazinyo akho kahle kabili ngosuku nokugcina umlomo wakho uhlanzekile kubalulekile.
Ukuhlinzwa kanye nezinye izindlela zokwelapha
Kwezinye izimo ezinzima kakhulu, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe i-intravenous (IV) saline kanye nama-antibiotic.
Uma ithumba, isikhwama esigcwele ubomvu, selivele lakhiwe ngaphakathi kwendlala, kungase kudingeke ukuhlinzwa okuncane ukuze kukhishwe ubomvu futhi kususwe noma yimaphi amatshe avalelekile.
Kuzothatha isikhathi esingakanani ukuthi lesi simo siphole?
Ngokuvamile, lokhu kutheleleka kuzophela phakathi nesonto ngokunakekelwa ekhaya kanye nemithi enqunywe udokotela wakho. Kodwa-ke, uma kudingeka ukuhlinzwa, kungathatha amasonto amabili ukuthi ukuvuvukala kanye nokulunywa kuphele ngokuphelele.
Lesi simo singaphinde sivele kwabanye abantu. Ukuphuza amanzi amaningi, ukunakekela inhlanzeko yomlomo wakho, nokugwema ukubhema kungasiza ekunciphiseni le ngozi.
Kufanele ubonane nini nodokotela futhi uye e-ETU?
Lena yingxenye ebaluleke kakhulu. Udinga ukwazi kahle umehluko phakathi kwezimpawu ezivamile kanye nesimo esiphuthumayo.
| Isimo | Okufanele ngikwenze |
|---|---|
| Bona udokotela wakho... | |
| Uma ukuvuvukala kobuso nomkhuhlane kuqhubeka isikhathi esingaphezu kwezinsuku ezintathu . | Bona udokotela womndeni wakho bese ucela ukwelashwa okufanele. |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha... | |
| Uma unenkinga yokuphefumula noma yokugwinya . | Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Lesi yisimo esiphuthumayo esingasongela impilo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Sialadenitis ukuvuvukala nokuvuvukala kwezindlala zamathe.
- Ukuvuvukala ngaphansi kwesihlathi noma umhlathi, ubuhlungu (ikakhulukazi lapho udla), kanye nomkhuhlane yizimpawu ezivamile eziyinhloko .
- Ukuphuza amanzi amaningi nokugcina umlomo wakho uhlanzekile kubaluleke kakhulu ekuvimbeleni nasekuphulukiseni lesi simo.
- Iningi lamacala liyaphola phakathi nesonto ngokwelashwa okulula.
- Uma unenkinga yokuphefumula noma yokugwinya, kuyisimo esiphuthumayo. Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha.
- Uma izimpawu ziqhubeka noma ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela wakho.
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