Salivary Gland Matombo
Sialolithiasis ndiyo izwi rezvokurapa rematombo ematombo ane senivary. Aya mabwe, kana calculi, akawanda anoumba calcium, asiwo ane magnesium, potasium, uye ammonium. Muromo wako une zvipembenene zvitatu zvinogona kugadzira matombo: parotid, submandibular, zvinyorwa zvinyorwa, uye zvinyorwa zviduku zvinyoro. Nemhaka yekuve yakakura, kureba, uye kuva nekunonoka kwekufamba, iwe unogona kunge uine dombo rakanyatsotarisa mumutambo wako we submandibular salivary.
Vana havawanzokudziri sialolithiasis, uye inowanzowanikwa mune varume pakati pemakore makumi matatu kusvika ku60. Matombo akawanda anowanzoitika mune rimwe gland, zvisinei kuti zvinokwanisika kuva nemafomu akawanda ematombo kamwechete. Mabwe eCommandibular anotora makumi mapfumbamwe nemapfumbamwe kubva muzana kubva muzana yeaalolithiasis yose, asi mabwe eparotid anoverengera mazambuko akawanda kubva 6 kusvika ku20 muzana. Izvo zvipembenene zvinyorwa zvitsva uye zviduku zvine ngozi shoma yekukura kwebwe.
Salivha's Function
Salivha inowanzogadzirwa nemvura asi inewo maduku mashoma e electrolytes, calcium, phosphate, maitiro anokosha emishonga inorwisa mabhakitiriya, uye zvirwere zvine utachiona. Izvozvo zvinopesana nemastivha zvinodzivirira:
- murwere zvirwere
- chisinganzwi chakaoma muromo
- gum chirwere
- kuora kwezino
Izvozvo zvinokonzerwa nemakemikari mumatope zvinotanga kuputsa zvokudya zvako usati wambomedza uye salivha inowanzobudiswa mukupindura kunhuwa uye kunakidzwa kwezvokudya.
Zvimwe zvinoshanda zvemapapiro zvinosanganisira kutibatsira kuti tigone uye titaure.
Salivha inobudiswa nemaronda anoverengeka ari mumuromo uye nehuro. Izvo zvipfeko zvakakura zvinotakura saliva kuburikidza nemiduku miduku inonzi salivary ducts inozopedzisira yakabudisa saliva munzvimbo dzakasiyana mumuromo mako, kunyanya pasi porurimi rwako uye pasi pomuromo wako.
Aya mapatu matatu emakumbo makuru anonzi salivary anozivikanwa separotid, submandibular, uye zvinyorwa zvinyorwa zvinyorwa.
Mukuwedzera kune zvipfeko zvakakura zvemate, pane zvinyorwa zviduku zvishoma, zvinonzi minda zvinyorwa zviduku, zviri mumiromo yako, masaya, uye mumativi ose ari kuisa muromo wako.
Zvinokonzera Sialolithiasis
Mamiriro ezvinhu akadai sekudonha mvura kunokonzera kuwedzera, kana kuti kuderera kwehuwandu hwemvura mumateko kunogona kukonzera calcium uye phosphate mumate kuitira kugadzira dombo. Matombo acho anowanzotanga mumatope uye anogona kukanganisa zvachose girasi, kana kuti kuisa chikamu. Iwe unogona kukura sialolithiasis kunyange kana iwe uine hutano, uye chikonzero chingasave chiri nguva dzose chisingagoni kuiswa pachena. Zvisinei, mamiriro ezvinhu anogona kukonzera seniva yakareba uye sarolithiasis inotevera inosanganisira:
- dehydration
- kushandiswa kwemishonga kana mamiriro ezvinhu anokonzera muromo wakaoma (diuretics uye anticholinergics)
- Sjorgen's syndrome , lupus, uye zvirwere zvinodzivirira muviri umo maitiro ezvirwere zvezvirwere zvinogona kurwisa maronda emapapu
- radiation therapy in the mouth
- gout
- kusvuta
- dambudziko
Matombo maduku asingagoni kudzivisa kutumbuka kwemapanga anogona kuitika uye haaiti zviratidzo. Zvisinei, apo kubuda kwemateve kunodzivirirwa zvachose kunogona kuita kuti senivary gland inobatanidza iwane utachiona.
Zviratidzo zveSialolithiasis
Zviratidzo zvinowanzoitika kana iwe uchiedza kudya (kubva panguva iyoyo apo kubuda kwemateko kunosimudzirwa) uye kunogona kuderera mukati maawa mashoma mushure mekudya kana kuedza kudya. Izvi zvakakosha kutaurira chiremba wako sezvo zvichigona kubatsira kusiyanisa sialolithiasis kubva kune dzimwe mamiriro. Zviratidzo zvesialolithiasis zvinogona kusanganisira:
- kunyunyisa kwezvipembenene zvinotapira zvinowanzoitika nekudya
- kuoma kuzarura muromo
- kuoma kunomedza
- iri bundu rinorwadza pasi porurimi
- gritty kana kusaziva kusanganisa marara
- dry mouth
- kurwadziwa uye kuzvimba zvinowanzotenderera nzeve kana pasi pejaya
Zvirwere zvakanyanya zvemuti wegoni zvinogona kuita zviratidzo zvakakomba kusanganisira fevha, kuneta, uye dzimwe nguva kuonekwa kuputika, marwadzo, uye kubwinya pamhepo yakagadzirirwa.
Kuongororwa Sialolithiasis
An otolaryngologist , kana ENT, chiremba anofanirwa kuongorora uye kubata chirwere chesialolithiasis. Kunyange zvazvo vanachiremba mune zvimwe zviitiko vanogonawo kuongorora kana kubata chirwere ichi. Chiremba wako achaongorora nhoroondo yako yezvokurapa uye oongorora musoro wako nemutsipa, kusanganisira mukati memuromo wako. Dzimwe nguva dombo rinogona kunzwika seganda. Nhoroondo yeal sialograph, iyo dhayi inorohwa muyoti yakagadziriswa yakateverwa ne x-ray, yakashandiswa, zvisinei izvi zvinowedzera kusapisa kupfuura MRI yemazuva ano kana CT nyaya dzisingasviki.
Kurapa kweSialolithiasis
Kurapa kwesialolithiasis kunobva pane dombo uye kuti rakakura zvakadini. Matombo maduku anogona kubudiswa kunze kwechikwata uye iwe unogona kukwanisa kuita izvi nekunwa mvura zhinji, kana kuunganidza uye kuisa kupisa munzvimbo. Dzimwe nguva chiremba anogona kusimudzira dombo racho kubva mudhara uye mumuromo nekushandisa chinhu chisina kujeka uye kunyatsoongorora nzvimbo yacho.
Dhiyabhorosi duct duct matombo angave akaoma kubvisa uye dzimwe nguva vanoda kuvhiyiwa. Dzimwe nguva tube shoma inonzi endoscope inogona kuiswa muhara kana dombo rinogona kuonekwa ne endoscope chiremba angagona kuisa chimwe chinhu chinoshandiswa kukwevera ibwe kunze. Dzimwe nguva kubviswa kwedombo kunogona kuwanikwa nekukanganiswa kuduku, mukutambudzika kwakanyanya gland rose uye ibwe rinogona kuve richibviswa.
Muchiitiko chetachiona chetachiwana, chiremba wako anogona kupa mishonga inorwisa mishonga. Usambofa uchitora antibiotics usingaoni chiremba.
Sources:
American Academy of Otolaryngology - Musoro uye Neck Surgery. Salivary Glands. http://www.entnet.org/content/salivary-glands
Mwoyo murefu. co.uk. Salivary Gland Matombo (Salivary Calculi). https://patient.info/health/salivary-gland-stones-salivary-calculi
Fazio, SB & Emerick, K. Salivary Gland Matombo. Mu: UpToDate, Deschler, DG (Ed), UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com