Itshe indlala salivary: izimbangela, izimpawu, ukususwa kanye nokuhlanzwa

Itshe salivary indlala noma ptyalolithiasis - Ukwakheka kwezitho okuthiwa salivolita ku Amapayipi noma (akuvamile) ku parenchyma we nezindlala. Imbobo ukuvaleka kubangela ubuhlungu acute, izindlala evuvukele ngobukhulu, futhi ezimweni ezimbi kakhulu -abstsess noma phlegmon.

Izimbangela kumiswa itshe

Stone ukwakheka - is phetho iqoqo izici ezivamile futhi lendawo. izici Jikelele - ukuphulwa kwe-calcium umzimba futhi nokuntuleka Vitamin A. Ngakho-ke, iziguli ptyalolithiasis beyizidlova abaphethwe:

• urolithiasis;
• sifo, hyperparathyroidism;
• hypervitaminosis D;
• sikashukela.

Ingozi ekhulile yemiphumela ukwakheka kwetshe abantu ababhemayo.

Futhi izimbangela zendawo zihlanganisa ukuvaleka izindonga imbobo kanye isici kulo, kanye ukuhlukumeza umsebenzi wabo secretory. Itshe indlala salivary ngaso sonke isikhathi sihambisana sialadenitis.

I chemical ukubunjwa salivary amatshe

Stone kumiswa kwenzeka emhlabeni nucleus okungase imvelo microbial noma non-amagciwane abe nenkani. Esimweni sokuqala, ikhenela kuyinto nhlanganisela microorganism, futhi okwesibili - ekuqongeleleni EPITHELIAL desquamated nomzimba angaphandle sabanjwa umdlavuza imbobo ezifana nezinhlanzi amathambo, imbewu izithelo, isixubho bristles.

Stone iqukethe izingxenye imisuka ehlukahlukene - kokubili organic nokumbiwa. Ngezinye akhawunti yokuqala cishe ayi-10-30%, liphethe amino acid, epithelium ductal, mucin. Minerals okuningi ephakeme (70-90%), ngokuvamile zihlanganisa phosphate, i-calcium carbonate, sodium, i-potassium, i-magnesium, i-chlorine, yensimbi. Ngokuvamile, ukwakheka amakhemikhali kwetshe salivary nezindlala njengomuntu tartar.

Kunalokho, etiopathogenesis yalesi sifo kuhambisana ukubukeka endogenous futhi izici exogenous, okuholela pathologies ezithile. Lezi zihlanganisa:

• izinguquko ukwakheka kanye uketshezi amathe;
• slyunoottoka isivinini ukuncishiswa;
• shift pH ngase ane-alikhali futhi elution nosawoti ngamathe amaminerali.

Amatshe kule ndlala salivary: Izimpawu

Kwasendaweni kwetshe parenchyma, ngokuvamile isikhathi eside kungaba Ungaphazamisi umuntu. ivimbela kuphela mafutha anciphisa isikhala esingaphakathi wesiteshi okukhipha, nokwanda ngobukhulu, ukwakheka esibangela izinhlungu kanye emizweni ezingemnandi okuncane. Emlonyeni kukhona ukunambitheka embi, futhi bona nezindlala salivary zigcwala ngesikhathi nut. Nokho, isici kakhulu sici - okubizwa ngokuthi colic salivary. Kuyinto ubuhlungu obuhlabayo ephakama ngenxa nokugcinwa amathe futhi ukwandisa ububanzi we imbobo.

Uma amabhlogo itshe uvule imbobo we submandibular salivary indlala-ke kukhona ubuhlungu lapho uvuleka, okuyinto obusuka endlebeni noma ikhanda. Endabeni okubi kakhulu of sialadenitis kungaba ongaphakeme-ebangeni lokushisa komzimba, ukucobeka ikhanda.

ukuhlola

Sitholakele isifo Kwenziwa palpation, ngaphezu, ocwaningweni ultrasound we salivary nezindlala, ptyalography, CT, sialostsintigrafiya.

Njengoba lesi sifo ikakhulukazi ihlangabezane kubantu abaneminyaka engu 20-45. Cishe 1% labantu unale isifo. Ngokusho idatha izibalo zezifo zamazinyo of salivary nezindlala e sialolithiasis akhawunti cishe 60%.

Ngokuvamile amatshe akhiwa izingxenye submandibular kanye okungenani - ku sublingual. Uma ngetshe elincane, kungashiwo igezwa ngaphandle kokungenela amathe. Nokho, concretion ezinkulu vimbela Amapayipi, bese akukho ukwelashwa lubaluleke. Uma sikhuluma ukufundisa abantu abaningi ke uyahluka 3-20 amagremu, futhi ubukhulu bangakwazi isukela omunye milimitha ukuba amasentimitha eziningana.

Uma indawo iyona parenchyma, itshe kule ndlala salivary, ngokuvamile has simise oyindilinga. Lapho kumiswa concretion is in the Amapayipi, khona-ke ukuma side kakhudlwana. Umbala amatshe bathambekele ophuzi amaqabunga engalingani, kanye kwabantu kungenziwa nhlobonhlobo.

Ukususwa kwezimiso itshe le ndlala salivary kwenzeka uma umuthi ehluleka. Ezimweni ezinjalo, afeze:

• bougienage Amapayipi salivary;
• lithotripsy;
• sialendoskopiyu;
• Ukuhlinzwa okukhulu;
• extirpation ka salivary indlala.

Itshe indlala salivary: ukwelashwa

Njengoba sekushiwo, uma amatshe ezincane ngobukhulu, bangakwazi ukuboniswa ngamathe yabo. Ngezinye izikhathi, ukuze kube lula ukudedelwa kwabo, ukhethe ukwelashwa ngoludala: Ukudla slyunogonnuyu, uligcoba wendlala yabesilisa, izinqubo ezishisayo. Izinhlelo ezivimbayo futhi esiqoshiwe acute sialadenitis imihlola ngokusebenzisa imithi elwa namagciwane.

Uma itshe uku Amapayipi we ndlala salivary siyakhuthazeka eduze komlomo, udokotela wamazinyo ungayisusa nge udlawana noma extrusion.

Ukuhlinzwa ukususa itshe kungase kube nezindlela ezihlukahlukene. Athuthukisiwe iningi labo - sialendoskopii interventional, okuyinto likuvumela ukuthi ususe salivary amatshe endoscopically, kwenza kube nokwenzeka ukuba kuqedwe imbobo isibanda stricture.

Modern indlela kancane koda - okubizwa ngokuthi lithotripsy extracorporeal. Ingqikithi yalo iwukuba esehlukanisa itshe nge-ultrasound. Kaningi esetshenziswa futhi indlela enkulu yokuchitheka amakhemikhali amatshe, okuyinto busuka isixazululo Amapayipi 3% citric acid.

Asike izidumbu zabantu ductless ngokusebenzisa ebusweni engaphakathi umlomo - indlela ezivame kakhulu ukususwa kuhlinzwa itshe. Zendlala Yesinye ithumba kumiswa Kwenziwa ngaso kuvulwa ithumba ngu diluting emaphethelweni isilonda, ukuhlinzeka i outflow akhipha amanzi evulekile of ubomvu kanye ukudedelwa calculus. Endabeni ka amatshe yansukuzonke noma izinguquko ezingenakuhlehliswa kule nokwakheka nezindlala salivary aye ayisebenzisa kaningi izinyathelo ezinqala - extirpation ka salivary indlala.

Ukubikezela kanye nokuvinjelwa

Lapho asesebenzisa ukususwa olukhulu salivary nezindlala, xerostomia ophakamayo njalo kuyaphazamiseka microflora we ngalo ingaphakathi ngomlomo, ukubola kwamazinyo kuyashesha waphawula ukuthi, yebo, kuholela wehlise izinga lokuphila isiguli. Yingakho, uma kwenzeka izimpawu ngenhla, kufanele ngokushesha ufune usizo lwabezokwelapha.

ekuhlonzweni ivumela ukugwema kokukhipha wendlala ngu ukususa inkinga yokukhipha itshe.

Isimo main lokuvikela ukushabalalisa okuyizici ezinomthelela kumiswa itshe:

• iziyaluyalu amaminerali umzimba kanye vitamin;
• imbobo anomalies;
• imikhuba emibi.