Stone i roto i te repe salivary: take, tohu, tango me te maimoatanga

Stone i roto i te salivary repe ptyalolithiasis ranei - ko te hanganga o pera-ka karanga salivolita i roto i te aerodynamics (uaua) i roto i te parenchyma o te repe ranei. Tau mahani blockage ai mamae whakapeka, repe tetere i roto i te rahi, a i roto i ngā take kino -abstsess phlegmon ranei.

Take o te hanganga kohatu

Stone hanganga - ko te putanga o te huinga o ngā āhuatanga noa, me te rohe. āhuatanga General - he takahi o te konupūmā ka pākia me hē o te huaora A. Na, mo te ptyalolithiasis aro tūroro mate i:

• urolithiasis;
• kauti, hyperparathyroidism;
• hypervitaminosis D;
• mate huka.

mōrea nui ake o te hanganga kohatu i roto i te iwi e kaipaipa.

Na ngā ki take rohe whāiti o te taiepa mahani me te koha, me te he takahi o ratou mahi secretory. Stone i roto i te repe salivary e haere tahi tonu i te sialadenitis.

Ko te hanganga matū o kohatu salivary

puta Stone hanganga a tawhio noa te karihi, e kia āhua koiora ranei kore-koiora. I roto i te take tuatahi, ko te pata ko te tokamāhurehure o microorganisms, a i roto i te tuarua - te haaputuputuraa o te epithelial desquamated me te tinana ke mau i roto i te mate pukupuku mahani pērā i wheua ika, purapura hua, bristles paraihe.

Stone Kei wāhanga o ngā takenga mai - e rua organic me te kohuke. I kaute tuatahi hoki e pā ana ki 10-30%, ngā reira o waikawa amino, epithelium ductal, mucin. Kohuke nui teitei (70-90%), ratou te tikanga ngā phosphates, konupūmā pākawa waro, te konutai, pāhare pāporo, konupora, māota, rino. I roto i te whānui, i te hanganga matū o te kohatu i roto i te salivary repe rite te waro.

Engari, haere tahi te etiopathogenesis o tenei mate e te ahua o endogenous me āhuatanga exogenous, e arahi ki etahi pathologies. Ko ētahi o ēnei:

• huringa i roto i te hanganga me te secretion o huware;
• tere whakaiti slyunoottoka;
• nuku i te pH ki kawakore me elution o tai huware kohuke.

Kohatu i roto i te repe salivary: Tohu

Localization o kohatu i roto i te parenchyma, te tikanga mo te wa roa e kore e taea e whakakorikoria te tangata. ārai anake te lumen o te hongere putanga, ki te hua i roto i te rahi, i te hanganga ai mamae me sensations kino pakaru. I roto i te mangai i reira he he reka kino, a ratou repe salivary pupuhi i roto i ngangau. Heoi, ko te āhuatanga tino āhuatanga - te colic salivary pera-ka karanga. Ko te he mamae koi e whakatika tika ki te pupuri o te huware, me te whakapiki ake i te diameter o te tau mahani.

Ki te he poraka kohatu te tau mahani o te repe salivary submandibular, na reira he mamae, ka horomia, e turamaraa i ki te taringa upoko ranei. I roto i te take o te whakahōhā o sialadenitis pea he iti-māka pāmahana tinana, ahuatanga, ānini.

tātaringa

kawea tātaritanga o te mate i roto i te palpation, i roto i te tua, he ako ultrasound o te repe salivary, ptyalography, CT, sialostsintigrafiya.

Mai te nuinga tūtaki tenei mate i roto i te iwi pakeke 20-45 tau. Tata 1% o te taupori mamae i tenei mate. E ai ki te raraunga tatauranga i roto i nga mate niho o repe salivary i roto i ngā pūkete sialolithiasis hoki e pā ana ki 60%.

Nuinga o ngā wā e hanga e te kohatu i roto i ngā wāhanga o te submandibular me te iti rawa - i roto i te sublingual. Ki te he kohatu iti, e taea te horoi i te reira i roto i waho o te wawaotanga o te huware. Heoi, concretion nui te tāwari i te aerodynamics, a ka he mahuinga kahore maimoatanga. Ki te kōrero tatou e pā ana ki te mātauranga papatipu, rerekē te reira i waenganui i 3-20 karamu, me te rahi ratou e taea ngā i tetahi mirimita ki te maha henimita.

Ki te te wāhi o te wahi ko te parenchyma, te kohatu i roto i te repe salivary, te tikanga kua he āhua porotaka. A, no te hanga e te concretion e i roto i te aerodynamics, na ko reira āhua atu elongated. kohatu Tae ahu ki kōwhai he kopikopiko te mata, a taea te rerekē te kiato.

Tangohanga o te kohatu i te repe salivary puta ina hemo rongoā. I roto i ngā take pēnei i, kawe atu:

• bougienage aerodynamics salivary;
• lithotripsy;
• sialendoskopiyu;
• tuwhera pokanga;
• extirpation o salivary repe.

Stone i roto i te repe salivary: maimoatanga

Ka rite ki kua whakahuatia, ki te he iti nga kohatu i roto i te rahi, e taea te whakaatu i ratou i runga i to ratou ake huware. I te tahi taime, i roto i te tikanga ki te whakahaere i rere o ratou, whakarite therapy momo: kai slyunogonnuyu, romiromitia te repeure, ngā tukanga waiariki. Prevention me te tauturu o te whakapeka sialadenitis tītohunga mā te whakamahi i paturopi.

Ki te ko te kohatu i roto i te aerodynamics o te repe salivary kua muia tata te mangai, ka taea e te tākuta te tango i reira ki te kopikopi Tangohanga ranei.

Pokanga ki te tango i te kohatu kia ngā tikanga. Ko te tino matatau o ratou - sialendoskopii interventional, e taea ai e koe te tango i kohatu salivary endoscopically, hanga ana e ia taea ki te whakakore i te tau mahani nawe stricture.

Modern tikanga minimally urutomo - te lithotripsy extracorporeal pera-ka karanga. Ko tōna ngako ko ki wahia te kohatu ki te ultrasound. Tino maha whakamahia me te tikanga o te whakakāhoretanga matū o nga kohatu, kua whakaurua nei ki roto ki te otinga aerodynamics 3% waikawa citric.

Tuaki ductless roto i te mata i roto o te mangai - te tikanga nui rawa mō o tango hāparapara o te kohatu. kawea repeure whēwhē hanganga i roto i te kuwaha o te whēwhē i te faatarapape i te taha motu, whakarato he matamua unobstructed o pirau me te rere o te tuanaki. I roto i te take o kohatu recurrent ranei huringa tina heke i roto i te hanganga o te repe salivary kua haere ki nga mehua uruhi - extirpation o salivary repe.

Matapae me te ārai

A, no te hanga ki he tango tuwhena o repe salivary, whakatika xerostomia pinepine ohorere te microflora o te kōhao-waha, niho pirau tere kitea e, o te akoranga, arata'i ki raro te kounga o te ora o te manawanui. Ko te aha, i roto i te hui o nga tohu i runga ake, kia rapu tonu koutou tauturu a te taote.

tātaritanga wawe taea ki te karo i te tango i te repeure mā te pae whakakahoretia o te raruraru o tiki te kohatu.

Ko te huru matua o te ārai, ko ki te whakakore i te āhuatanga e whai wāhi ki te hanganga kohatu:

• disorders o pākia kohuke me te huaora;
• kōhikohiko mahani;
• peu kino.