Usulelo lwesifo se-salivary

Usulelo lwesifo se-salivary luchaphazela amadlala avelisa amathe (amathe). Usulelo lunokubangelwa ziintsholongwane okanye intsholongwane.

Zintathu izibini zamadlala amakhulu amathe:

• Izibilini zeParotid - Ezi zezibini ezinkulu kakhulu. Enye ibekwe esidleleni ngasinye phezu komhlathi ophambi kweendlebe. Ukudumba kolunye okanye nangaphezulu kwala madlala abizwa ngokuba yi-parotitis, okanye i-parotiditis.
• Iincindi ze-Submandibular gland- Ezi zibilini zimbini ziphantsi kwamacala omabini omhlathi ongezantsi kwaye zithwala amathe ziye kumgangatho womlomo phantsi kolwimi.
• Iingqungquthela ezincinci - Ezi zibini zibekwe ngaphantsi kweyona ndawo ephambili yomgangatho womlomo.

Onke amadlala angenamathe angenanto emlonyeni. Amathe angena emlonyeni ngemibhobho evuleka emlonyeni kwiindawo ezahlukeneyo.

Usulelo lwe-salivary gland luqhelekile, kwaye lunokubuyela kwabanye abantu.

Usulelo lwentsholongwane, olufana noqwilikana, kuhlala kuchaphazela amadlala amathe. (Ukuqubuka kuhlala kubandakanya isifo se-parotid salivary gland). Kukho iimeko ezimbalwa namhlanje ngenxa yokusetyenziswa gabalala kwesitofu sokugonya seMMR.

Usulelo lwebacteria luhlala lisisiphumo se:

• Ukuvaleka kwamatye e-salivary duct
• Ucoceko olubi emlonyeni (ucoceko lomlomo)
• Amanzi asezantsi emzimbeni, amaxesha amaninzi xa usesibhedlele
• Ukutshaya
• Isigulo esinganyangekiyo
• Izifo ezizenzekelayo

Iimpawu zibandakanya:

• Ukuthanda okungaqhelekanga, ukuthanda izinto ezingcolileyo
• Ukwehla kokukwazi ukuvula umlomo
• Umlomo owomileyo
• Ifiva
• Intlungu yomlomo okanye yobuso "ukucudisa", ngakumbi xa kutyiwa
• Ububomvu ngaphaya kobuso okanye entanyeni ephezulu
• Ukudumba kobuso (ngakumbi phambi kweendlebe, ngaphantsi komhlathi, okanye phantsi komlomo)

Umboneleli wakho wezempilo okanye ugqirha wamazinyo uya kwenza uvavanyo ukukhangela amadlala andisiweyo. Unokuba nobomvu obungena emlonyeni. Idlala lidla ngokuba buhlungu.

Ukuskena i-CT, iMRI scan, okanye i-ultrasound kunokwenziwa ukuba umboneleli ukrokrela ithumba, okanye ukujonga amatye.

Umboneleli wakho unokucebisa ngovavanyo lwe-mumps ukuba ngaba kubandakanyeka amadlala amaninzi.

Ngamanye amaxesha, akukho nyango lufunekayo.

Unyango oluvela kumboneleli wakho lunokubandakanya:

• Amayeza okubulala iintsholongwane ukuba unefiva okanye i-pus drainage, okanye ukuba usulelo lubangelwa ziintsholongwane. Amayeza okubulala iintsholongwane awaluncedo ngokuchasene nosulelo lwentsholongwane.
• Utyando okanye umnqweno wokukhupha ithumba ukuba unayo.
• Inkqubo entsha, ebizwa ngokuba yi-sialoendoscopy, isebenzisa ikhamera encinci kunye nezixhobo zokuchonga nokunyanga usulelo kunye nezinye iingxaki kumadlala amathe.

Amanyathelo okuzikhathalela onokuwathatha ekhaya ukukunceda ekuvuseleleni kubandakanya:

• Ziqhelise ukucoceka ngomlomo. Gxobhoza amazinyo uze ubhabhe kakuhle kabini ngemini. Oku kunokunceda ekuphiliseni kwaye kuthintele usulelo ekusasazeni.
• Hlamba umlomo wakho ngamanzi amtyuba ashushu (itispuni enye okanye iigrama ezi-3 zetyuwa kwikomityi enye okanye iimililitha ezingama-240 zamanzi) ukuthomalalisa iintlungu kwaye ugcine umlomo ufumile.
• Ukukhawulezisa ukuphilisa, yeka ukutshaya ukuba uyatshaya.
• Sela amanzi amaninzi kwaye usebenzise amathonsi eelamuni angenaswekile ukwandisa ukuhamba kwamathe kunye nokunciphisa ukudumba.
• Ukuphulula le ndlala ngobushushu.
• Ukusebenzisa uxinzelelo olufudumeleyo kwi-gland edibeneyo.

Uninzi losulelo lwe-salivary gland luyazihambela okanye luyanyangeka ngonyango. Ezinye izifo ziya kubuya. Iingxaki aziqhelekanga.

Iingxaki zinokubandakanya:

• Ithumba lengqula yamathe
• Ukubuya kosulelo
• Ukusasazeka kosulelo (i-cellulitis, i-Ludwig angina)

Fowunela umnikezeli wakho ukuba unayo:

• Iimpawu zentsholongwane yesifo se-salivary
• Usulelo lwe-salivary gland kunye neempawu ziba zibi

Fumana uncedo lwezonyango ngokukhawuleza ukuba unayo:

• Umkhuhlane ophezulu
• Ingxaki yokuphefumla
• Ukuginya iingxaki

Kwiimeko ezininzi, ukosuleleka kwamadlala amathe akunakunqandwa. Ucoceko lomlomo olulungileyo lunokuthintela ezinye iimeko zosulelo lwebacteria.

Parotitis; Sialadenitis

• Intloko kunye nentamo

U-Elluru RG. I-Physiology yamadlala amathe. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 83.

UJackson NM, uMitchell JL, uWalvekar RR. Ukuphazamiseka kokudumba kwamadlala amathe. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 85.