Hyposialia: tanthauzo, zizindikiro ndi mankhwala

Hyposialia: tanthauzo, zizindikiro ndi mankhwala

Timalankhula za hyposialia pamene kupanga malovu kumachepa. Vutoli si laling'ono chifukwa likhoza kukhala ndi zotsatira zofunikira pa umoyo wa moyo: kumverera kwa mkamwa youma ndi ludzu losatha, kuvutika kulankhula kapena kuyamwa chakudya, mavuto a m'kamwa, etc. Komanso, ngakhale kuti sizili choncho nthawi zonse, zimatha. kukhala chizindikiro cha matenda ena, monga shuga.

Kodi hyposialia ndi chiyani?

Hyposialia sikuti ndi matenda. Zitha kuchitika panthawi ya kuchepa kwa madzi m'thupi mwachitsanzo, ndipo zimatha pamene thupi latsitsimutsidwanso.

Koma, mwa anthu ena, hyposialia ndi yokhazikika. Ngakhale zitakhala kuti sizikutentha ndi kumwa madzi ambiri, zimakhalabe ngati zili ndi pakamwa pouma. Kutengeka kumeneku, komwe kumatchedwanso xerostomia, kumakhala kwamphamvu kwambiri. Ndipo ndi cholinga: pali kusowa kwenikweni kwa malovu. 

Dziwani kuti kukhala ndi kamwa youma sikumalumikizidwa nthawi zonse ndi malovu otsika. Xerostomia popanda hyposialia ndi chizindikiro chafupipafupi cha kupsinjika maganizo, chomwe chimachepa ndi icho.

Kodi zimayambitsa hyposialia ndi chiyani?

Hyposialia imawonedwa muzochitika zotsatirazi:

  • gawo la kuchepa madzi m'thupi : pakamwa youma ndiye limodzi ndi milomo youma ndi losweka, ndi kuwonjezeka kwambiri kumva ludzu;
  • mankhwala : Zinthu zambiri zimatha kukhudza magwiridwe antchito am'malovu. Izi zikuphatikizapo, mwachitsanzo, antihistamines, anxiolytics, antidepressants, neuroleptics, diuretics, analgesics, antiparkinson mankhwala, anticholinergics, antispasmodics, antihypertensives kapena ngakhale chemotherapy;
  • okalamba : ndi msinkhu, zotupa za salivary zimakhala zochepa. Mankhwala sathandiza. Ndipo vutoli limakhala lodziwika kwambiri pa kutentha kwa kutentha, chifukwa okalamba amamva ludzu lochepa, ngakhale thupi lawo likusowa madzi;
  • chithandizo cha radiation kumutu ndi / kapena khosi zingakhudze zopangitsa salivary;
  • kuchotsedwa kwa gland imodzi kapena zingapo za salivary, chifukwa cha chotupa mwachitsanzo. Nthawi zambiri, malovu amapangidwa ndi magulu atatu a tiziwalo timene timatulutsa malovu (parotid, submandibular ndi sublingual) komanso ndi tiziwalo timene timatulutsa timadzi tomwe timagawira mucosa wapakamwa. Ngati ena achotsedwa, ena amapitiriza kutulutsa malovu, koma osati monga kale;
  • kutsekeka kwa njira ya salivary ndi lithiasis (kuchuluka kwa mchere kupanga mwala), matenda stenosing (omwe amatchinga lumen wa ngalande) kapena malovu pulagi angalepheretse kuthawa malovu opangidwa ndi chimodzi mwa zopangitsa malovu. Pankhaniyi, hyposialia nthawi zambiri imatsagana ndi kutupa kwa gland, komwe kumakhala kowawa ndikutupa mpaka kupunduka patsaya kapena khosi. Izi sizimawonekera. Momwemonso, parotitis yochokera ku bakiteriya kapena yolumikizidwa ndi kachilombo ka mumps imatha kusokoneza kupanga malovu;
  • matenda ena aakuluZizindikiro, monga matenda a Gougerot-Sjögren (omwe amatchedwanso sicca syndrome), matenda a shuga, HIV / AIDS, matenda a impso, kapena matenda a Alzheimer's monga hyposialia. Matenda ena amathanso kukhudza malovu: chifuwa chachikulu, khate, sarcoidosis, etc.

Kuti mudziwe chomwe chimayambitsa hyposialia, makamaka kuti athetse vuto la matenda aakulu, dokotala yemwe akupezekapo angafunikire kupereka mayesero osiyanasiyana: 

  • kusanthula malovu;
  • kuyeza kwake;
  • kuyesa magazi;
  •  ultrasound ya zopangitsa malovu, etc.

Kodi zizindikiro za hyposialia ndi ziti?

Chizindikiro choyamba cha hyposialia ndi pakamwa pouma, kapena xerostomia. Koma kusowa kwa malovu kumatha kukhala ndi zotsatira zina:

  • ludzu lowonjezeka : pakamwa ndi / kapena pakhosi zimakhala zomata komanso zowuma, milomo imasweka ndi lilime louma, nthawi zina zofiira modabwitsa. Munthuyo angakhalenso ndi kumverera kwa kutentha kapena kupsa mtima kwa mkamwa, makamaka pamene akudya zakudya zokometsera;
  • kuvutika kulankhula ndi kudya Nthawi zambiri, malovu amathandizira kudzoza mucous nembanemba, zomwe zimathandiza kutafuna ndi kumeza. Amatenga nawo gawo pakufalikira kwa zokometsera, motero pakuzindikira kukoma. Ndipo ma enzyme ake amayambitsa kugaya chakudya mwa kuswa chakudya. Pamene palibe kuchuluka kokwanira kuti agwire ntchitozi, odwala amavutika kufotokoza ndi kutaya chilakolako chawo;
  • mavuto m'kamwa : kuphatikiza pa ntchito yake mu chimbudzi, malovu amakhalanso ndi zoteteza ku acidity, mabakiteriya, ma virus ndi bowa. Popanda izo, mano amatha kukhala ndi ming'oma komanso demineralization. Mycoses (mtundu wa candidiasis) amakhazikika mosavuta. Zinyalala za chakudya zimachulukana pakati pa mano, popeza "satsukidwa" ndi malovu, kotero kuti matenda a chingamu amakondedwa (gingivitis, kenaka periodontitis), monganso mpweya woipa (halitosis). Kuvala prosthesis ya mano yochotserako sikuloledwanso bwino.

Kodi kuchitira hyposialia?

Pakachitika vuto lalikulu, chithandizo chake chidzaperekedwa patsogolo.

Ngati chifukwa chake ndi mankhwala, adotolo amatha kufufuza mwayi woyimitsa chithandizo cha hyposialia ndi / kapena m'malo mwake ndi chinthu china. Ngati izi sizingatheke, akhoza kuchepetsa mlingo woperekedwa kapena kuwagawa m'magulu angapo a tsiku ndi tsiku m'malo mwa mlingo umodzi wokha. 

The mankhwala youma pakamwa palokha makamaka umalimbana facilitates kudya ndi kulankhula. Kuphatikiza pa ukhondo ndi malangizo a zakudya (imwani kwambiri, pewani khofi ndi fodya, sambani mano bwino komanso ndi mankhwala otsukira mano oyenera, pitani kwa dokotala wa mano miyezi itatu kapena inayi iliyonse, ndi zina zotero), m'malo mwa malovu kapena mafuta odzola pakamwa akhoza kulembedwa. Ngati sikokwanira, mankhwala alipo kuti alimbikitse zopangitsa za salivary, malinga ngati zikugwirabe ntchito, koma zotsatira zake sizingaganizidwe: thukuta kwambiri, kupweteka kwa m'mimba, nseru, mutu, chizungulire, etc. Ichi ndichifukwa chake sagwiritsidwe ntchito kwambiri.

Siyani Mumakonda