Uzizwa ubuhlungu obungavamile noma ukuvuvukala esihlathini sakho noma ngaphansi komhlathi wakho ngenkathi udla, ikakhulukazi uma ucabanga ngokudla okumuncu? Ingabe umuzwa ubonakala uphela emahoreni ambalwa ngemva kokudla kwakho? Uma kunjalo, kungenzeka ukuthi ubhekene namatshe ezindlala zamathe, isimo esaziwa ngokwezokwelapha ngokuthi i-Sialolithiasis . Ungakhathazeki; ake siqonde kahle ukuthi kuyini lokhu.
Ayini Amatshe E-Salivary Gland (i-Sialolithiasis)? Kalula nje...
Kalula nje, i-Sialolithiasis ibhekisela ekwakhekeni kwezakhiwo ezincane ezifana namatshe ezibizwa ngokuthi i-calculi ngaphakathi kwezindlala zakho zamathe noma emithonjeni ethwala amathe emlonyeni wakho. Lawa matshe angavimba ukugeleza kwamathe, okuholela ebuhlungwini nasekuvuvukeni engikushilo ekuqaleni. Lawa matshe avame ukwakhiwa yi -calcium phosphate kanye ne-hydroxyapatite . Ukungakhululeki nokuvuvukala okuvelayo kungenzeka ohlangothini olulodwa noma zombili zobuso bakho.
Zikuphi lezi zindlala zamathe emlonyeni wakho?
Kunezinhlobo ezintathu eziyinhloko zezindlala emlonyeni wakho ezikhiqiza amathe. Cabanga ngazo njengezimboni ezincane, ezibalulekile ezihlala zihlinzeka umlomo wakho ngamathe.
- Izindlala ze-Parotid : Lezi yizindlala ezinkulu kakhulu zamathe ethu. Zitholakala phambi kwezindlebe zakho ezinhlangothini zombili zezihlathi zakho.
- Izindlala ezingaphansi kolimi: Njengoba igama lisho, lezi zitholakala ngaphansi kolimi lwakho, phansi emlonyeni wakho.
- Izindlala ezingaphansi komhlathi: Lezi zitholakala ngaphansi komhlathi wakho ongezansi, kancane ngasemuva komlomo wakho. Okumangalisayo ukuthi lezi zindlala zikhiqiza u-70% wamathe aphelele emlonyeni wakho .
Amatshe angakheka kunoma iyiphi yalezi zindlala. Kodwa-ke, amatshe angaphezu kuka-80% atholakala endlaleni engaphansi komhlane . Umsele othwala amathe esuka kule ndlala uya emlonyeni ubizwa ngokuthi i-Wharton's duct , lapho amatshe angahlala khona. Amatshe ezindlaleni ze-parotid awavamile, ayenzeka cishe ku-6% kuya ku-15% wamacala, kuyilapho amatshe ezindlaleni ezingaphansi kolimi engavamile kakhulu, aqukethe cishe u-2% wamacala abikiwe.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Noma ubani angakha amatshe ezindlala zamathe, kodwa lesi simo sivame ukubonakala kwabesilisa abaneminyaka ephakathi kuka-30 no-60 . Ngokumangazayo, asivamile kakhulu ezinganeni.
Sivame kangakanani lesi simo?
Nakuba ukwakheka kwamatshe (i-Sialolithiasis) kuyimbangela eyinhloko yokuvuvukala kwezindlala zamathe ( i-Sialadenitis ), akuyona inkinga evamile kakhulu . Ngokwezibalo, kuthinta cishe umuntu oyedwa kubantu abangu-30,000.
Ziyini izimpawu zamatshe ezindlala zamathe?
Esikhathini esiningi, izimpawu ziyaqina ngesikhathi udla . Ziyaphela kancane kancane emahoreni ambalwa ngemva kokudla. Lokhu kungenxa yokuthi ukuhlafuna kukhuthaza izindlala zakho zamathe ukuthi zikhiqize amathe amaningi, kodwa itshe livimba ukugeleza kwamanzi, libambe amathe ngaphakathi kwendlala futhi libangele izimpawu.
- Ukuvuvukala kwendlala yamathe: Ikakhulukazi esihlathini noma ngaphansi komhlathi.
- Ubunzima bokugwinya.
- Ubunzima bokuvula umlomo wakho.
- Umlomo owomile (i-Xerostomia).
- Ukunambitheka okungajwayelekile emlonyeni wakho.
- Isigaxa esibuhlungu ngaphansi kolimi.
- Ubuhlungu noma ukuvuvukala kobuso: Ngokuvamile ngaphansi komhlathi noma eduze kwendlebe.
Kodwa-ke, abanye abantu abanamatshe ezindlala zamathe bangase bangabi nazimpawu nhlobo .
Kungani kwakheka amatshe ezindlala zamathe? Ziyini izimbangela?
Noma yini ebangela ukuthi amathe akho abe makhulu noma anganyakazi ingaholela ekwakhekeni kwamatshe. Izinto ezibalulekile ezibangela lokhu kuhlanganisa:
- Ukuphelelwa amanzi emzimbeni: Ukungaphuzi amanzi anele kungenza amathe abe makhulu.
- Izifo ezithile zokuzivikela komzimba : Njenge-Lupus noma i-Sjögren's syndrome .
- Imithi ethile: Ikakhulukazi imithi yokukhipha isisu (amaphilisi amanzi).
- Ukubhema.
- Ukulimala kwezindlala zamathe.
- Ukwelashwa ngemisebe kuqondiswe endaweni yekhanda noma entanyeni.
Ngezinye izikhathi, amatshe angakheka ngaphandle kwesizathu esicacile.
Ingabe lesi simo siyathelelana?
Cha, amatshe e-salivary gland awathelelani . Kodwa-ke, uma amatshe eholela ekuthelelekeni kwesibili okubangelwa yigciwane noma amagciwane ( i-Sialadenitis ), leso sifo ngokwaso singasakazeka. Kubalulekile ukuqaphela lokhu.
Udokotela usithola kanjani lesi simo?
Ngokuvamile, udokotela onolwazi angasibona lesi simo ngesikhathi sokuhlolwa okuvamile. Bazokuthinta ubuso bakho nentamo, bahlole ngaphakathi emlonyeni wakho ukuthi kukhona amaqhubu, futhi babuze ngomlando wakho wezokwelapha kanye nezimpawu ezithile.
Yiziphi izivivinyo ezisetshenziswa ukuqinisekisa?
Ukuqinisekisa ukuxilongwa noma ukukhomba indawo yamatshe, udokotela wakho angase acele ukuhlolwa kwezithombe:
- Ama-X-ray
- Ukuskena kwe-CT (i-Computed Tomography)
- I-MRI (Umfanekiso Wokuqabulana Kwamagnetic)
Kwezinye izimo, udokotela wakho angase acele ukuskenwa kwendlala yamathe . Lokhu kuhilela ukufaka inani elincane le-radioactive tracer emthanjeni osengalweni yakho, kulandelwe ukuthwebula izithombe ngekhamera ekhethekile. Ngemva kwemizuzu engaba ngu-45, ungase unikezwe okuthile okumuncu, njengethonsi lejusi kalamula, ukuze kukhuthazwe ukukhiqizwa kwamathe. Udokotela ube esethatha izithombe ezengeziwe ukuze abone ukuthi mangakanani amathe agelezayo noma ukuthi akhona yini asele emithonjeni.
Iphathwa kanjani?
Ukwelashwa kwamatshe e-salivary gland kuncike ngobukhulu betshe nendawo elikuyo . Ngezinye izikhathi ukunakekelwa ekhaya kwanele, kanti ngezinye izikhathi kungase kudingeke imithi noma inqubo encane.
Yini ongayenza ekhaya?
Ezimweni eziningi, la matshe azikhulula ngokwawo ngokunakekelwa okulula ekhaya .
Ungahlala unamanzi amaningi , ufake i -compress efudumele endaweni ebuhlungu, noma uyihlikihle kancane . Ukumunca izinto ezimuncu njengolamula noma ama-lime kungasiza futhi ekukhuthazeni ukukhiqizwa kwamathe, okungasiza ekukhipheni itshe ngokwemvelo.
Imithi enqunywe udokotela wakho
Uma unesifo esibangelwa itshe, udokotela wakho angase akunike ama-antibiotic . Kubalulekile ukulandela inkambo yemithi njengoba nje kuqondiswe.
Ukususwa kwamatshe ehhovisi
Uma ukwelashwa ekhaya kungaphumeleli, udokotela wakho angasebenzisa ithuluzi elibuthuntu ukuhlola indawo ngokucophelela bese ezama ukususa itshe.
Ukuhlinzwa
Kumatshe amakhulu, kungase kudingeke ukuhlinzwa. Phakathi nale nqubo, udokotela ohlinzayo angasebenzisa ikhamera encane ebizwa ngokuthi i -endoscope ukuthola itshe ngaphakathi komsele bese elisusa esebenzisa amathuluzi akhethekile. Ngezinye izikhathi, kungase kudingeke ukusikwa okuncane.
Ukususa indlala yamathe
Ezimweni ezingavamile kakhulu—njengalapho inkinga iphindaphinda, itshe alikwazi ukususwa ngezinye izindlela, noma uma uhlangabezana nezimpawu ezinzima neziqhubekayo—udokotela angase ancome ukuthi kususwe indlala yamathe ethintekile ngokuhlinzwa.
Zikhona yini izindlela zokuvimbela amatshe ezindlala zamathe?
Nakuba kungenzeki njalo ukuzivimbela ngokuphelele, unganciphisa ingozi yakho:
- Hlala unamanzi anele.
- Gwema ukubhema.
- Gcina inhlanzeko yomlomo (ukuxubha, ukusebenzisa i-floss, nokusebenzisa i-mouthwash).
Uma uqala ukuzwa ubuhlungu noma ukuqina endaweni yezindlala zakho zamathe, zama ukumunca into emuncu ngokushesha bese uyihlikihla kancane indawo ukuze uvuselele ukugeleza kwegazi . Lokhu ngezinye izikhathi kungasiza ekukhipheni itshe elincane elikhulayo ngaphambi kokuba libe yinkinga.
Yini umuntu onalesi simo angayilindela?
Uma indlala yamathe ivalekile, ungase uzwe ubuhlungu noma ukuvuvukala eduze kwendlala ngesikhathi sokudla. Lezi zimpawu zivame ukuhlala ihora noma amabili bese ziphela kuze kube yilapho udla okulandelayo.
Ingabe iyazixazulula ngokwayo?
Ezimweni eziningi, yebo. I-Sialolithiasis ivame ukuxazululeka ngokunakekelwa okulula kwasekhaya njengokucindezelwa okufudumele, ukuhlikihlwa okuthambile, kanye nokumunca amaswidi amuncu . Kodwa-ke, uma izimpawu ziqhubeka naphezu kwale mizamo, ukubona udokotela kuyindlela engcono kakhulu yokwenza.
Kwenzekani uma ingelashwa? Ingabe iyingozi?
Uma ingelashwa, i-Sialolithiasis ingaholela ezifweni nasekubunjweni kwamathumba . Lezi zifo ngezinye izikhathi zingasakazeka zijule entanyeni. Ngakho-ke, uma unobuhlungu obuqhubekayo ebusweni noma ukuvuvukala, kufanele nakanjani uthintane nodokotela.
Kufanele ubonane nini nodokotela?
Uma izimpawu zakho ziqhubeka isikhathi esingaphezu kwamasonto amabili ngaphandle kokuthuthukiswa , noma uma isikhumba esingaphezulu kwendlala siba bomvu futhi uzwa ubuhlungu obukhulu, obuqhubeka buba bubi, kufanele nakanjani uxhumane nomhlinzeki wezempilo ukuze uthole iseluleko.
Ingabe i-Sialolithiasis ne -Sialadenitis ziyinto efanayo? Uyini umehluko?
Yebo, laba ababili bavame ukudideka, kodwa kukhona umehluko ocacile:
- I-Sialolithiasis: Ibhekisela ekwakhekeni kwamatshe (i-calculi) ezindlaleni zamathe noma emigudwini.
- I-Sialadenitis: Ibhekisela ekuvuvukeni noma ekuthelelekeni kwendlala yamathe.
I-Sialolithiasis ingaholela ku -Sialadenitis (ukuvuvukala/ukutheleleka kwendlala), kodwa lokhu akwenzeki kuzo zonke izimo.
Umyalezo Wokugcina Wokuya Nasekhaya
I-Sialolithiasis yenzeka lapho umsele wamathe uvalwe yitshe. Ngokuvamile akuyona inkinga enkulu futhi ivame ukuxazululwa ngokunakekelwa okulula ekhaya. Uma uzwa ubuhlungu bobuso noma ukuvuvukala okuba kubi kakhulu ngesikhathi sokudla, kungaba yi -Sialolithiasis . Isinyathelo esingcono kakhulu ukubona udokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele uma kudingeka. Ungakhathazeki; ukwelashwa okusebenzayo kuyatholakala eNirogi Lanka!
