Lityeni ingaba amathe: oonobangela, iimpawu, ukususwa kunye nonyango

Stone e amathe nobubovu okanye ptyalolithiasis - ke ukuyilwa ekuthiwa salivolita kwi imibhobho okanye (ngamaxesha ambalwa) kwi parenchyma kwamadlala. Bile ukuvaleka ebangela intlungu etsolo, amadlala idumbile ubukhulu, kwaye kwiimeko kakhulu -abstsess okanye phlegmon.

Oonobangela wesiseko ilitye

Stone ukubunjwa - yinto ngenxa iseti yeemeko eziqhelekileyo nabeengingqi. izinto jikelele - ephula calcium ukutya kunye ukuswela vitamin A. Ngoko ke, ngokuba ptyalolithiasis athambekele izigulana:

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

nengozi ukuyilwa ilitye ngabantu abatshayayo.

Noonobangela zendawo ziquka licuthe iindonga duct kunye nesiphako, kwakunye kophulwa umthetho umsebenzi wabo secretory. Lityeni ingaba amathe njalo luhambisana sialadenitis.

Le khemikhali Ukubunjwa amatye amathe

Stone ukubunjwa kwenzeka ngeenxa ngumongo, esenokuba uhlobo ngeentsholongwane okanye non-nenkani. Kwimeko yokuqala, i kernel i yeMetro ezincinane, kunye yesibini - ukuqokelela epithelial desquamated nomzimba angaphandle ezibanjiswe umhlaza duct ezifana amathambo nentlanzi, iimbewu iziqhamo, ezifumaneka ibhrashi yamazinyo.

Stone iqulethe amacandelo imvelaphi ezahlukeneyo - zombini organic nezimbiwa. Xa akhawunti yokuqala malunga 10-30%, oko iqulathe asidi acid, epithelium wobisi, mucin. LeziMbiwa eziphezulu kakhulu (70-90%), ziquka ngokuqhelekileyo phosphate, calcium carbonate, isodiyam, potassium, nemagnesium, chlorine, intsimbi. Ngokubanzi, ubume eekhemikhali ilitye amathe wobudoda njenge ukubola.

Kunoko, le etiopathogenesis kwesi sifo sikhatshwa inkangeleko zemveli kunye yeemeko zangaphandle, ezikhokelela ezimbi ezithile. Ezi ziquka:

• utshintsho ekwakhiweni kunye secretion amathe;
• slyunoottoka speed kokunciphisa;
• siphelise pH ngayo ialakalin kunye elution of iityuwa amathe bezimbiwa.

Amatye ingqondo amathe: Iimpawu

Zalapha ekhaya kwabo lityeni parenchyma, ngokuqhelekileyo ixesha elide awukwazi ukuphazamisa umntu. Kuphela uvimba mithambo umjelo imveliso, kunye nokwanda ubukhulu, ukwakheka ebangela intlungu kunye mizwa ekhathazayo ingxa-. Emlonyeni kukho incasa embi, kwaye ngokwabo kwamadlala amathe adumbe ngexesha ehlafuna. Noko ke, lo msebenzi osemqoka kakhulu iimpawu - ekuthiwa-yokulunywa amathe. Yintlungu ahlabayo kuvela ngenxa nokugcinwa amathe nokwandisa ubukhulu be duct.

Ukuba iibhloko ilitye ye bile le amathe nobubovu submandibular, ngoko kukho intlungu xa yokuginya, leyo obubonakala ukuya endlebeni okanye intloko. Kwimeko ukuqhubela phambili sialadenitis inokuba lobushushu emzimbeni esezantsi-grade, umkhuhlane, intloko ebuhlungu.

ekuxilongweni

Lokufunyaniswa kwesifo ikhutshwa phandle Ngokucofa, ukongeza, uphando ultrasound le amathe kwamadlala, ptyalography, CT, sialostsintigrafiya.

Ekubeni esi sifo kakhulu nazo abantu abaminyaka yobudala eyi-20-45. Malunga ne-1% yabantu abanesi sifo. Ngokutsho kwedatha yeenkcukacha-manani phakathi izifo zamazinyo unamadlala amathe kwiiakhawunti sialolithiasis malunga-60%.

Isikakhulu ngamatye akhiwa ngayo kwiinxalenye submandibular kunye mncinane - kule sublingual. Ukuba ilitye ezincinane, yophindwa ihlanjwe ngaphandle ungenelelo mathe. Noko ke, concretion enkulu ithintele yobisi, kwaye ke akukho unyango buyafuneka. Xa sincokola ngayo imfundo mass, ikwatshintsha phakathi 3-20 grams, kwaye ubukhulu ekungabonini ukusuka millimitha enye ukuya ngokweesentimitha eziliqela.

Ukuba indawo ye ndawo na parenchyma, ilitye nobubovu amathe, idla imilo ajikelezayo. Xa concretion senziwa imibhobho, ngoko ke side ngakumbi. amatye Umbala badla tyheli umphezulu lazo, kwaye lexinene nga zinokohluka.

Ukususwa welitye evela kwidlala amathe kwenzeka xa iyeza lutshitshe. Kwiimeko ezinjalo, yisa:

• bougienage zizelwe amathe;
• lithotripsy;
• sialendoskopiyu;
• utyando evulekileyo;
• extirpation of amathe ndlala.

Lityeni ingaba amathe: unyango

Njengoko sele kukhankanyiwe, ukuba amatye mincinane ngobukhulu, zingakotshwa iboniswe amathe yabo. Ngamanye amaxesha, ukuze kube lula nokukhutshwa kwabo, atyumbe unyango elondoloza: ukutya slyunogonnuyu, uhlikihla endlaleni, iinkqubo thermal. Uthintelo kunye isiqabu ahlekise sialadenitis nesenzeko ngokusebenzisa antibiotics.

Ukuba ilitye kwi imibhobho ze esinobubovu amathe siyakhuthazeka kufuphi emlonyeni, wamazinyo ungakwazi ukuyisusa kunye amashiya okanye extrusion.

Surgery ukususa ilitye inokuba iindlela ezahlukeneyo. Eziphambili kakhulu kubo - sialendoskopii interventional, nto leyo evumela ukuba ukususa amatye amathe endoscopically, lwenza kube lula ukuphelisa esi duct amabala stricture.

Modern indlela kancinane invasive - ekuthiwa-lithotripsy extracorporeal. umongo wayo kukuba ukwahlula ilitye ultrasound. Lidla wayedla kunye nendlela wokupheliswa eekhemikhali amatye, nto leyo yaziswa isisombululo imibhobho-3% citric acid.

Asike ductless nge kumphezulu engaphakathi emlonyeni - indlela lixhaphakileyo kokususa welitye. Yesinye ithumba Ukwakheka oluqhutywa phaya kuvulwa ithumba ngokuxuba imiphetho inxeba, ngokubonelela ongenza ongavalelekanga omalunga ububomvu kunye nokukhutshwa calculus. Kwimeko yamatye nezolo okanye utshintsho ayibuyiseki umva kwakhona kubume kwamadlala amathe asebenzise amanyathelo angqongqo - extirpation of amathe ndlala.

Ipredikshini kunye nokuthintela

Xa ngokwenza ukususwa olukhulu kwamadlala amathe, xerostomia othi rhoqo aphazanyiswa microflora le kwisisu ngomlomo, ukubola kwamazinyo Ukukhawulezisa waphawula ukuba, Kakade, kukhokelela ukuthoba umgangatho wobomi isigulane. Kungenxa yoko le nto, xa kuthe ezi mpawu zingasentla, kufuneka ngoko nangoko ufune uncedo lonyango.

Ukufunyaniswa kwangoko ivumela ukuphepha ekususeni endlaleni ngokuthi ukubatshabalalisa ingxaki ukuthatha ilitye.

Imeko ephambili yothintelo kukuba ukuphelisa izinto ezinegalelo ekwakhiweni ngamatye:

• ukuphazamiseka of Mineral ukutya kunye novithamini;
• okungahambi ziphatha;
• nemikhuba emibi.