I-Sialadentitis ukuvuvukala kwezingqungquthela ze-salivary. Inezimbangela eziningi, kufaka phakathi izifo noma izivimbelo. I-Sialadentitis ingaba yisimo esibi (isikhathi esifushane) noma isimo esingapheli (isikhathi eside). Kanti futhi ngezinye izikhathi kuhlongozwa ngokwengeziwe ngendwangu engumlenze oyithintekayo njenge-submandibular noma i-parotid.
I-Sialadentitis enamandla
I-sialadentitis evamile ivame ukubangelwa ukutheleleka kwebhaktheriya.
Ngokuvamile kuthinta i- parotid gland (etholakala phambi kwendlebe) noma i-submandibular gland (ngaphansi kwe-chinki). Ukwehla kwamanzi noma umlomo owomile yizici eziyinhloko ezingozini eziholela ku-sialadentitis. Ngakho-ke, lesi simo sivame kakhulu kubantu abathile abagula noma abaphethe imithi ebangela umlomo owomile . Ngaphezu kwalokho, izimo ezilandelayo zezokwelapha zikubeka engozini ephakeme yokuthuthukisa i-sialadentitis elula:
- isifo sikashukela
- hypothyroidism
- Sjorgen's syndrome
- ukuhlinzwa kwamuva
- umlando wokwelashwa kwemisebe yomlomo noma umlomo womlomo
Izimpawu ze-sialadentitis enzima zingabandakanya:
- ubuhlungu obukhulu nokuvuvukala kwegciwane elithintekile eliza ngokuzumayo
- I-pus ingaphuma emgodini ikakhulukazi uma igundane lixubha noma lihlwithwa
- ukubomvu kwesikhumba phezu kwegciwane elithintekile
- imfiva noma amahlumela
- i-gland ingase izwe njengendwangu elukhuni futhi ifinyelele ethintweni
Ukuxilongwa kwe-sialadentitis enamandla kusekelwe emlandweni wakho wezokwelapha, izimpawu zakho, nokuhlolwa kukadokotela.
Uma udokotela ekwazi ukuthola isampula ye-pus kusuka kwe-gland ethintekile ingathunyelwa ebhokisithri ukuthola ukuthi yini ebangela ukutheleleka. Lolu lwazi luwusizo ekunqumeni inkambo yokwelashwa engcono kakhulu. ibhaktheriya evame kakhulu edala i-sialadentitis enamandla yi- Staphylococcus aureus, nezinkinga ezihlukahlukene ze-streptococcus.
Nakuba kungavamile, i-sialadentitis elula ingabangelwa igciwane. Ama-virus angabangela lesi simo afaka phakathi: igciwane lesisu, i-herpes virus, i-HIV, ne- Haemophilus influenzae. Ukutheleleka nge-viral akukwazi ukuphathwa ngama-antibiotics. Ezikhathini eziningi udinga ukwelapha izimpawu ngenkathi ulinde umzimba ukulwa negciwane ngokwakho. Ezimweni ezinzima, noma kunjalo, imithi yokulwa negciwane ingasetshenziswa. Le mithi ayinqunywa njalo ngoba eziningi zazo zihlotshaniswa nemiphumela emibi kakhulu.
I-sialadentitis elula ingelashwa nge-course efanele ye-antibiotics. Lokhu kutholakala kangcono uma kutholakala isiko. Kufanele ngaso sonke isikhathi uthathe ama-antibiotic njengoba nje enqunyiwe bese uqedela lonke ibhodlela ngaphandle kokuba kuqondiswe ngodokotela wakho ngenye indlela.
Ukubuyisela ukugeleza kahle kwamathambo nakho kubaluleke kakhulu ekwelapheni kwe-sialadentitis enzima. Lokhu kutholakala kangcono ngokuphuza uketshezi oluningi, nokudla, ukuphuza, noma ukuncelisa ezintweni ezikhuthaza ukugeleza kwamathe (isb., Amaconsi okukhwehlela). Uma uthatha imithi eyenza umlomo owomile ungadinga ukukhuluma nodokotela wakho mayelana nokushintshela kumuthi ohlukile noma ezinye izindlela ongaphatha ngayo lo mphumela ohlangothini.
Ezimweni ezimbi futhi ezingavamile, i-sialadentitis enzima ingaholela ekwakheni i-abscess.
Uma lokhu kwenzeka kwenzeka ukuthi i-abscess ingadliwa ngokuhlinzwa.
Sialadentitis engapheli
Ngokungafani ne-sialadentits enamandla, i-sialadentitis engapheli kungenzeka ukuthi ibangelwa ukuvinjelwa kunesifo. Ukuvinjelwa kungabangelwa ngamatshe (calculi salivary) , izicubu ezinzima noma ezimweni ezingavamile izicubu. Kungakhathaliseki ukuthi ukuvimbela kuholela ekunciphiseni ukugeleza kwamathambo nokuvuvukala okungapheli. I-sialadentitis engapheli kaningi iyakuthinta i-parotid gland.
Okulandelayo yizimpawu ze-sialadentitis engapheli:
- isisa nokuvuvukala okuncane phezu kwengqamuzana ethintekile
- okokuqala ingilazi ingase ikhuliswe bese iyancipha ngosayizi
- ubuhlungu endaweni yengane ngenkathi bedla
I-sialadentitis engapheli itholakale ngendlela efana ne-sialadentitis ephawulekayo kodwa kungagcizelela kakhulu ekuboneni nasekuphatheni imbangela eyimbangela ye-sialadentitis engapheli. Ukucabanga nge-ultrasound noma i-CT scan kungaba usizo. Futhi ngesikhathi sokuhlolwa kukadokotela uma ingilazi ethintekayo ixilisiwe ngokuvamile ngeke idale noma imaphi amathe.
Uma imbangela eyinhloko ye-sialadentitis engapheli isifo esitholakalayo kufanele sigxile ekuguquleni imbangela engaphansi kwesimo. Uma kukhona ukuvinjelwa okungenzeka kudingeke ukuba isuswe ngokuhlinzwa. Uma kungatholakali ukuvimbela ukwelashwa kune-hydration, massage, kanye neminye imithi eyanciphisa ukuvuvukala. Ukuphumelela kuma-lozenges noma amaconsi okukhwehlela kungasiza ekubuyiseni ukugeleza kwamathe. Ezimweni ezingavamile futhi ezinzima ze-sialadentitis engapheli wonke ugqozi we-salivary kungadingeka ukuba ususwe ngokuhlinzwa.
Ezinye izimo ezifanayo
Kunezinye izimo ezimbalwa ezihlobene noma ezingabangela izimpawu ezifanayo njenge-sialadentitis. Udokotela wakho uzodinga ukuwalawula ngaphambi kokuthola ukuxilongwa kwe-sialadentitis nokuncoma ukwelashwa.
Isimo esisodwa ngokuvamile sivela ezinganeni futhi sibizwa ngokuthi i-parotitis ephindaphindiwe yobuntwana. Isizathu salesi simo asikwaziwa kodwa ngokuvamile sivele ezinganeni ezivame ukuphuma kuzo ngesikhathi sokukhulelwa. I-parotitis ephindaphindiwe yobuntwana ibonakala ngeziqephu eziphindaphindiwe zokuvuvukala kwe-gostide ye-parotid (ngokuvamile kuphela ohlangothini olulodwa). Ukuvuvukala kuhambisana nezinye izimpawu ezibandakanya umkhuhlane kanye ne-malaise.
Ukwelashwa kwe-parotitis ephindaphindiwe yobuntwana kufana neye-sialadentitis. Ukufudumala okufudumele phezu kwe-gland ne-massage ethintekile kungasiza ukugqugquzela ukugeleza kwamathambo kanye ne-hydration efanele nezinto ezinjengamahlumela okukhwehlela noma amaconsi e-vitamin C ukuze ancelise. I-antibiotics ingase ibekwe ngezikhathi ezithile. Ukuhlinzwa akudingeki neze. Kuhlukile kumntwana ngamunye kodwa iziqephu zingase zenzeke njalo ezinyangeni ezimbalwa futhi zigcine izinsuku ezimbalwa amasonto ambalwa.
Esinye isimo esihlobene sibizwa ngokuthi i-sialolithiasis noma amatshe amathanga amancane. Njengoba kukhonjisiwe ngaphambili lesi simo kungenzeka ngokwayo noma empeleni kuholele ku-sialadentitis. Amatshe emidayeni yamathambo akhiwa ngamaminerali atholakala ematheni, okuyiwosawoti, amaprotheni kanye ne-calcium carbonate.
Ngezinye izikhathi amatshe amathanga angama-salivary angacaciswa (ezwa udokotela wakho ekuhloliseni) kodwa kaningi abhekwa ukuthi usebenzisa i-ultrasound noma i-CT scan. Amatshe agqamile kudingeka asuswe ngokuhlinzwa.
Nakuba okungajwayelekile kunanoma yiziphi izimo okukhulunywe ngazo ngenhla izicubu (ngezibilini noma ezinomdlavuza) zingabangela ukuba i-sialadentitis. Lezi zitholakala ukuthi zisebenzisa i-biopsy yenaliti lapho izicubu zisusiwe khona bese zihlolwe ngaphansi kwe-microscope ukubona ukuthi amangqamuzana anomdlavuza noma cha. Ukukhula okuningi okutholakala ezindlini ze-salivary kuyingozi. Kungakhathaliseki ukuthi ukukhula kunobuningi noma ukukhula okubi kakhulu emigqumeni ye-salivary noma amadoksi kufanele asuswe ngokuhlinzwa.
> Imithombo:
> Ukukhathazeka kwe-Gland Salivary. I-American Family Physician. Kubuyekezwe ngoJuni 2014. http://www.aafp.org/afp/2014/0601/p882.html
> I-Submandibular Sialadenitis / Sialadenosis. I-Medscape. Ibuyekezwe ngoJanuwari 2017. https://emedicine.medscape.com/article/882358- ukubukwa kabusha
> Sialadenitis. Iwebhusayithi ye-NIH. Kubuyekezwe ngoNovemba 2016. https://rarediseases.info.nih.gov/diseases/7638/sialadenitis