Kuderedza, iyo inonziwo sialorrhea, inonzi saliva inobudisa kunze kwemuromo. Kuderedza ropa kunowanzosangana nezvinetso zvakasiyana-siyana zvakabatana nenzeve, mhino, nehuro, uyewo mamwe marwadzo eurological. Kune vacheche nevana vaduku, drooling chiratidzo chekugadzirisa uye hachisi chinhu chingava nehanya nezvazvo, asi zvakakosha kuti uone nezvemamiriro ezvinhu akasiyana anosangana ne drooling.
Mune dzimwe nguva zvisingawanzoitiki, drooling chiratidzo cherwere hunotyisa.
Chii Chinokonzera Kudonha?
Muzviitiko zvizhinji kudonha kunokonzerwa nekudzvanyiririrwa kwemafupa, zvinetso zvinomedza uye zvinetso zvichengeta salivha mukati memuromo. Vamwe vanhu vane zvinetso zvekudonhorera vari pangozi yakawanda yokufema mate, zvokudya, kana mvura mumapapu, izvo zvinogona kukonzera dambudziko rakakomba kana kugadzikana nekugunzva kwemuviri kusingagadziri zvakanaka. Kunyanya zvakanyanya, kuburitsa zvokudya kana kusviba mumapapu kunogona kutungamirira pumumonia.
Zvimwe zvirwere zvinogona kukonzera kudzvanyiririrwa kwemapapiro uye madonol. Izvi zvinosanganisira:
- Mononucleosis
- Peritonsillar abscess
- Retropharyngeal abscess
- Strep throat
- Tonsillitis
- Sinus zvirwere
Mamwe mamiriro ezvinhu anogona kukonzera kuwandisa kwemafupa kunosanganisira:
- Epiglottitis (ichi chinhu chisingawanzo asi chakakomba chinokonzera kutuka kworurimi).
- Huro inorwadza
- Nzira yekudzivirira
- Allergies
- GERD
- Kubata (nemhaka yemigumisiro)
- Kudzima rurimi kana adenoids
- Muscular dystrophy
- Anaphylaxis (izvi zvinopisa upenyu uye zvinogona kuendeswa nedzimwe zviratidzo zvakadai sokurumbira mutauro, kufema kunetseka, mikoko, kuvhara kwechiso).
- Kushandisa mamwe mishonga
Kuderedza ropa kunokonzerwa nehutachiona hwehutano hwehutano hunokonzera kuoma kumedza:
- Cerebral palsy (CP)
- Chirwere chePalinson
- Amyotrophic lateral sclerosis (ALS)
- Down syndrome
- Multiple sclerosis
- Autism
- Stroke
Nguva Yokutsvaga Kuchengetwa Kwemari
Kuderedza vana nevana vaduku hakuwanzokonzera kufunganya. Kana iwe kana mumwe munhu waunotarisira ari kutarisana nekuderedza zvakanyanya, ona mutengi wako wehutano kana kutsvaga kurapwa kwekukurumidza kana:
- Iyo drooling haina kufambidzana nekutakura kana chirwere chisingaperi.
- Iyo drooling inouya kamwe kamwe.
- Chinokonzera kudonha hachizivikanwi.
- Pane kunetseka pamusoro pokugunun'una kana kunamatira pamata.
- Mwana ane fivhiri, kunetseka kufema kana kubata musoro wavo nenzira isingazivikanwi.
- Kuderedza ropa kunoratidzika kuwedzera kukurumidza uye kunofambidzana nedzimwe zviratidzo zvinoshungurudza zvakadai sokuputika kwemirimi, miromo kana chiso, kana kuoma kufema (wheezing).
Kusaremekedza kurapwa kunogona kutungamirira kumatambudziko makuru, kubva mukuoma kuedza kuchida (uye pneumonia inotevera), kana kukanganisa , mamiriro ezvinhu epamweya.
Kurwiswa Kwakaitwa Sei
Kurapa kwekudonha kunobva pane chinetso chaicho uye kugadzirisa chinokonzera. Somuenzaniso, kana drooling inokonzerwa nehutachiona, pane dzimwe nguva maantibayoti anoshandiswa (chero bedzi mutadzi haasi hutachiwana). Kana drooling inokonzerwa nehosha yakaoma, toni dzinogona kubviswa chirwere.
Emergency conditions yakafanana nevanaphylaxis inobatwa nepfuti ye epinephrine uye kazhinji inotungamirirwa ne antihistamine yakafanana neBenadryl.
Mumamiriro ezvinhu apo chikonzero chinokonzera hachikwanisi kurapwa, mishonga yakadai semadonhwe, mapiritsi uye mishonga yemvura inogona kushandiswa kurapa kudonha. Zvinyorwa zvinonzi Scopolamine patches, glycopyrrolate, uye botulinum mishonga inogona kushandiswa kuderedza chiyero chekugadzirwa kubva pamaronda emvura. Zviitiko zvakanyanya zvekudonhorera zvinogona kurapwa neBotox shots, mazaisai kune zvinyorwa zvinoputika uye kubviswa kwezvinyorwa zvinowanikwa.
Kune vana vari kudonha nekutengesa, kucheka pamapisicle nezvimwe zvinhu zvinotonhora, zvakadai semakumbo ezvinyongedza uye mabheji akaomeswa, zvinogona kubatsira kubvisa kushandiswa kwemaseya.
Iva nechokwadi chekutarisa mwana kuti adzivirire.
Kune avo vanobata nekusingaperi kwemvura, edza kuderedza kushandiswa kwekudya kwemashuga, sezvinoita shuga inowedzera mararamiro ekugadzira. Iva nehanya chero upi nehuputi hwekuputika mumuromo sezvo kubwinya nekutsamwa kunogona kuitika. Kushandisa sendima yakasvibirira yevaseline kana ganda rinodzivirira muromo kunogona kubatsira kuchengetedza ganda. Shandisa jira rakachena kuti ripfeke salivha yakawanda uye edza kuchengeta zvinhu zvakaoma sezvinobvira. Kana iwe uri muchengeti, yeuchidza munhu wauri kutarisira kuchengetedza muromo wake wakavharwa uye svinura.
Sources:
Medline Plus. (2014). Drooling http://www.nlm.nih.gov/medlineplus/article/003048.htm
Hockstein, NG, Samadi, DS, Gendron, K., & Handler, SD (2004). Sialorrhea: dambudziko rekutungamirira. American Family Physician. 2004 Jun 1:69 (11): 2628-2635. http://www.aafp.org/afp/2004/0601/p2628.html