Hyposialia: wehewehe, hōʻailona a me nā mālama

Hyposialia: wehewehe, hōʻailona a me nā mālama

Ke kamaʻilio nei mākou no ka hyposialia ke emi ka hana o ka saliva. ʻAʻole mea liʻiliʻi ka pilikia no ka mea hiki ke loaʻa ka hopena koʻikoʻi i ka maikaʻi o ke ola: ka manaʻo o ka waha maloʻo a me ka make wai mau, paʻakikī i ka ʻōlelo a i ʻole ka ʻai ʻana i ka meaʻai, nā pilikia waha, a pēlā aku. e hōʻike i kekahi maʻi ʻē aʻe, e like me ka maʻi diabetes.

He aha ka hyposialia?

ʻAʻole pono ʻo Hyposialia he pathological. Hiki ke hana ʻia i ka wā o ka hoʻoheheʻe ʻia ʻana o ka wai, no ka laʻana, a nalowale i ka wā e hoʻomaʻemaʻe hou ʻia ke kino.

Akā, i kekahi poʻe, paʻa ka hyposialia. ʻOiai ʻaʻole lākou e ʻike i ka wela a inu i ka wai nui, manaʻo mau lākou me he waha maloʻo ko lākou. ʻO kēia manaʻo, i kapa ʻia hoʻi ʻo xerostomia, ʻoi aku ka ikaika. A ʻo ka pahuhopu: aia ka nele maoli o ka kohu. 

E hoʻomanaʻo i ka loaʻa ʻana o ka waha maloʻo ʻaʻole pili mau i ka hana haʻahaʻa. ʻO ka Xerostomia me ka hyposialia he hōʻailona pinepine ia o ke koʻikoʻi, ʻo ia ka mea e hoʻopau pū me ia.

He aha nā kumu o ka hyposialia?

ʻIke ʻia ʻo Hyposialia i nā kūlana aʻe:

  • he mahele o ka wai maloo : hele pū ka waha maloʻo me nā lehelehe maloʻo a pohā, me ka piʻi nui ʻana o ka make wai;
  • ka lapaʻauʻia : hiki i nā mea he nui ke hoʻololi i ka hana o nā ʻōpū kohu. ʻO kēia mau mea, no ka laʻana, antihistamines, anxiolytics, antidepressants, neuroleptics, diuretics, kekahi mau analgesics, antiparkinson drugs, anticholinergics, antispasmodics, antihypertensives a i ʻole chemotherapy;
  • kūnewa : me ka makahiki, ua emi ka hua o ka salivary glands. ʻAʻole kōkua ka lāʻau. A ʻoi aku ka maikaʻi o ka pilikia i ka wā o ka nalu wela, no ka mea, emi ka make wai o ka poʻe ʻelemakule, ʻoiai ʻaʻohe wai o ko lākou kino;
  • ʻO ka radiation radiation i ke poʻo a me / a i ʻole ka ʻāʻī hiki ke hoʻopili i ka ʻili koʻikoʻi;
  • ka wehe ʻana i hoʻokahi a ʻoi aʻe paha o nā ʻōpū kohu, ma muli o ke koko no ka laʻana. ʻO ka maʻamau, hana ʻia ka saliva e ʻekolu mau ʻāpana kohu koʻikoʻi (parotid, submandibular a me sublingual) a me nā kelepa salivary kōkua i puʻunaue ʻia ma ka mucosa waha. Inā wehe ʻia kekahi, hoʻomau nā mea ʻē aʻe i ka huna ʻana i ka kohu, ʻaʻole naʻe e like me ka wā ma mua;
  • paʻa ʻana o kahi auwai kohu e ka lithiasis (ka hoʻouluulu ʻana o nā minerala e hana ana i pōhaku), kahi maʻi stenosing (e hōʻemi ana i ka lumen o ke kahawai) a i ʻole kahi pahu kohu hiki ke pale i ka pakele ʻana o ka saliva i hana ʻia e kekahi o nā kohu kohu. I kēia hihia, hele pū ʻia ka hyposialia me ka mumū o ka ʻili, a lilo i ʻeha a pehu a hiki i ka hoʻololi ʻana i ka pāpālina a i ʻole ka ʻāʻī. ʻAʻole hiki ke ʻike ʻia kēia. Pēlā nō, hiki i ka parotitis o ke kumu bacteria a i hoʻopili ʻia i ka maʻi mumps ke hoʻopilikia i ka hana ʻana o ka saliva;
  • kekahi mau ma'i mauʻO nā hōʻailona, ​​​​e like me ka maʻi Gougerot-Sjögren (i kapa ʻia ʻo sicca syndrome), ka maʻi diabetes, HIV / AIDS, maʻi maʻi maʻi maʻi, a i ʻole ka maʻi Alzheimer e komo pū me hyposialia. Hiki i nā pathologies ʻē aʻe ke hoʻopilikia i ka ʻōnaehana salivary: tuberculosis, lepera, sarcoidosis, etc.

No ka ʻike ʻana i ke kumu o kahi hyposialia, ʻoi aku ka hoʻoholo ʻana i ke kuhiakau o kahi maʻi kumu koʻikoʻi, pono paha ke kauka hele e kuhikuhi i nā hoʻokolohua like ʻole: 

  • ka nānā ʻana i ka saliva;
  • ana kahe;
  • hoʻāʻo koko;
  •  ultrasound o ka salivary glands, etc.

He aha nā hōʻailona o ka hyposialia?

ʻO ka hōʻailona mua o ka hyposialia he waha maloʻo, a i ʻole xerostomia. Akā ʻo ka nele o ka saliva hiki ke loaʻa i nā hopena ʻē aʻe:

  • hoʻonui ka make wai : pipili a maloʻo ka waha a me ka ʻāʻī, ua pohā nā lehelehe a maloʻo ke alelo, ʻulaʻula ʻē aʻe i kekahi manawa. Loaʻa paha i ke kanaka ka manaʻo o ka wela a i ʻole ka huhū o ka mucosa waha, ʻoi loa ke ʻai ʻana i ka mea ʻala;
  • pilikia ka ʻōlelo a me ka ʻai ʻana ʻO ka maʻamau, kōkua ka saliva i ka lubricate i ka mucous membranes, e kōkua ana i ka nau ʻana a me ka ʻai ʻana. Ke komo nei i ka laha ʻana o nā ʻono, no laila i ka ʻike ʻana i ka ʻono. A ʻo kāna mau enzymes e hoʻomaka i ka ʻai ʻana ma ka wāwahi ʻana i ka meaʻai. Inā ʻaʻole lawa ka nui no ka pāʻani ʻana i kēia mau kuleana, pilikia ka poʻe maʻi i ka haʻi ʻana a nalowale ko lākou makemake;
  • pilikia waha : Ma waho aʻe o kāna kuleana i ka hoʻoheheʻe ʻana, loaʻa i ka saliva kekahi hana pale e kūʻē i ka acidity, bacteria, virus a me nā haʻi. Inā ʻaʻole ia, ʻoi aku ka maʻalahi o nā niho i nā lua a me ka demineralization. ʻOi aku ka maʻalahi o ka noho ʻana o nā mycoses (candidiasis type). Hoʻonui ʻia ka ʻōpala meaʻai ma waena o nā niho, no ka mea, ʻaʻole i "holoi" hou ʻia e ka kohu, i makemake ʻia ka maʻi ʻaʻa (gingivitis, a laila periodontitis), e like me ka hanu ʻino (halitosis). ʻAʻole ʻae maikaʻi ʻia ka hoʻohana ʻana i kahi prosthesis niho hiki ke wehe.

Pehea e mālama ai i ka hyposialia?

Inā loaʻa kahi pathology i lalo, e hāʻawi mua ʻia kāna mālama ʻana.

Inā he lāʻau ke kumu, hiki i ke kauka ke noiʻi i ka hiki ke hoʻōki i ka mālama ʻana no ka hyposialia a / a i ʻole ke hoʻololi ʻana iā ia me kahi mea ʻē aʻe. Inā ʻaʻole hiki kēia, hiki iā ia ke hōʻemi i nā kau i kuhikuhi ʻia a i ʻole e puʻunaue iā lākou i nā ʻano o kēlā me kēia lā ma mua o hoʻokahi wale nō. 

ʻO ka mālama ʻana i ka waha maloʻo ponoʻī ka mea nui e hoʻomaʻamaʻa i ka ʻai a me ka ʻōlelo. Ma waho aʻe o ka hoʻomaʻemaʻe a me nā ʻōlelo aʻoaʻo meaʻai ( inu hou, pale i ka kofe a me ka paka, holoi pono i kou mau niho a me kahi toothpaste kūpono, e kipa i ka niho niho i kēlā me kēia ʻekolu a ʻehā mahina, a me nā mea ʻē aʻe), hiki ke kuhikuhi ʻia nā pani pani a me nā lubricants waha. Inā ʻaʻole lawa lākou, aia nā lāʻau lapaʻau e hoʻoulu ai i ka ʻāʻī o ka salivary, ʻoiai ke hana mau nei lākou, akā ʻaʻole i liʻiliʻi ko lākou hopena ʻaoʻao: ka wela nui, ʻeha ʻōpū, nausea, ʻeha poʻo, dizziness, etc. ʻO ia ke kumu i hoʻohana ʻole ʻia ai. nui loa.

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