Mwala malovu England: zimayambitsa, zizindikiro, kuchotsa ndi mankhwala

Stone mu malovu England kapena ptyalolithiasis - ndi mapangidwe otchedwa salivolita mu ducts kapena (kawirikawiri) mu parenchyma wa zopangitsa lapansi. Ritsa blockage amayambitsa kupweteka pachimake, zopangitsa kutupa kukula, ndipo mu Zikavuta -abstsess kapena phlegmon.

Zimayambitsa mapangidwe mwala

Stone mapangidwe - ndi zotsatira za mndandanda wa zinthu wamba ndi makonsolo. zinthu General - kuphwanya kagayidwe kashiamu ndi akusowa vitamini A. Ndiye ptyalolithiasis predisposed odwala matenda:

• urolithiasis;
• gout, hyperparathyroidism;
• hypervitaminosis D;
• shuga.

Kuchuluka chiopsezo mapangidwe mwala anthu amene amasuta.

Ndipo zimayambitsa m'deralo monga kuchepetsa a mpanda ritsa ndi chilema, komanso kuphwanya ntchito zawo secretory. Mwala malovu England nthawi zonse limodzi ndi sialadenitis.

Mipweya ya miyala malovu

Stone mapangidwe amapezeka padziko phata, amene akhoza kukhala ndi tizilombo tating'onoting'ono kapena osakhala ndi tizilombo tating'onoting'ono chikhalidwe. Mbali yoyamba, ngale ndi yense wa tizilombo, ndipo lachiwiri - kudzikundikira zaminyewa desquamated ndi thupi yachilendo anagwidwa khansa ritsa monga mafupa nsomba, mbewu zipatso, wamsuwachi bristles.

Stone lili zigawo za chiyambi zosiyanasiyana - onse organic ndi mchere. Pa nkhani loyamba pafupifupi 10-30%, tichipeza amino zidulo, ductal epithelium, mucin. Mchere apamwamba kwambiri (70-90%), iwo zambiri monga phosphates, calcium carbonate, sodium, potaziyamu, magnesium, chlorine, chitsulo. Ambiri, mipweya ya mwala malovu a zopangitsa ngati tartar.

M'malo mwake, etiopathogenesis za matenda limodzi ndi maonekedwe a amkati ndi zinthu exogenous, zimene zimachititsa pathologies ena. Njirazi ndi monga:

• kusintha kapangidwe ndi katulutsidwe malovu;
• slyunoottoka kuchepetsa liwiro;
• kuloza pH kwa zamchere ndi elution salt malovu mchere.

Miyala malovu England: Zizindikiro

Kutanthauzira kwa mwala parenchyma, kawirikawiri kwa nthawi yaitali kuvulaza munthu. kutsekereza okha lumen wa njira linanena bungwe, ndi kuwonjezeka mu kukula, mapangidwe amachititsa ululu ndi zomverera zosasangalatsa akuphulikira. Pakamwa pali ngokayikitsa, ndipo okha zopangitsa malovu pathupi kutafuna. Komabe, kwambiri khalidwe Mbali - otchedwa malovu colic. Ndi kupweteka kwambiri amene angakhalepo chifukwa posungira malovu ndi kuonjezera awiri a ritsa lapansi.

Ngati midadada mwala ritsa wa submandibular malovu England, ndiye pali ululu pamene Pomeza, amene chimachokera kwa khutu kapena mutu. Pankhani ya aggravation wa sialadenitis akhoza kukhala otsika kalasi thupi kutentha, malaise, mutu.

diagnostics

Matenda a matenda ikuchitika ndi palpation, kuwonjezera, ultrasound kuphunzira malovu zopangitsa, ptyalography, CT, sialostsintigrafiya.

Popeza matenda makamaka nawo pa anthu zaka 20-45. Pafupifupi 1% ya anthu amadwala matenda. Malinga ndi kafukufuku zowerengera mwa matenda mano a zopangitsa malovu nkhani sialolithiasis pafupifupi 60%.

Nthawi zambiri miyala anapanga m'madera a submandibular ndi osachepera - mu sublingual lapansi. Ngati mwala laling'ono, akhoza kutsukidwa popanda alowererepo malovu. Komabe, concretion lalikulu obstruct ndi ducts, ndiyeno palibe mankhwala ndi chofunika kwambiri. Ngati ife kulankhula za maphunziro misa, izo zimasiyanasiyana pakati magalamu 3-20, ndi kukula iwo akhoza osiyanasiyana monga millimeter imodzi masentimita angapo.

Ngati malowa ndi parenchyma mwala mu malovu England, kawirikawiri amakhala ndi mawonekedwe anamaliza. Pamene concretion ndi aumbike mwa ducts, ndiye ndi zambiri elongated mawonekedwe. Mtundu miyala amakonda chikasu pamwamba ndi m'goli ndi osalimba akhoza zosiyanasiyana.

Kuchotsa mwala ku malovu England kumachitika pamene mankhwala amalephera. Zikatero, achite:

• bougienage ducts malovu;
• lithotripsy;
• sialendoskopiyu;
• lotseguka opaleshoni;
• extirpation wa malovu England.

Mwala malovu England: chithandizo

Monga tanenera kale, ngati miyala ndi wamfupi, iwo akhoza anasonyeza malovu zawo. Nthawi zina, kuti magawowa kumaliseche kwa iwo, kusankha mankhwala ndiwofatsa: slyunogonnuyu zakudya, kutikita prostate, matenthedwe njira. Kupewa ndi chithandizo cha pachimake sialadenitis zochitika pogwiritsa ntchito mankhwala.

Ngati mwala ndi mu ducts ya England malovu ali zimaŵetedwa pafupi m'kamwa, mano akhoza kuchotsa ndi tweezers kapena extrusion.

Opaleshoni kuti achotse mwala kungakhale njira zosiyanasiyana. The zapamwamba kwambiri a iwo - interventional sialendoskopii, amene amalola kuchotsa malovu miyala endoscopically, limachititsa kuthetsa chilonda stricture ritsa.

Modern asang'ambe njira - otchedwa extracorporeal lithotripsy. Kwenikweni chake ndi anagawa mwala ndi ultrasound. Nthawi zambiri ntchito ndi njira mankhwala yanyumba miyala, amene anayambitsa mu njira ducts 3% citric acid.

Kung'ambika ductless kudzera pamwamba mkati m'kamwa - njira ambiri kuchotsa opaleshoni ya mwala. Prostate abscess mapangidwe ikuchitika pa kutsegula abscess ndi mwa diluting bala konsekonse, ndi kupeleka outflow unobstructed a mafinya ndi kumaliseche a kakyulasi. Mu nkhani ya miyala kobwereza kapena inasinthiratu mu kapangidwe ka zopangitsa ndi malovu ayamba kukhwimitsa kwambiri - extirpation wa malovu England.

Kuneneratu ndi kapewedwe

Pamene kuwaika kuchotsa kwakukulu kwa zopangitsa malovu, xerostomia liti pafupipafupi anawawidwa microflora wa M'mimbamo m'kamwa, mano mofulumira anaona kuti, ndithudi, kumabweretsa khalidwe la moyo wa wodwalayo kuchepetsa. Ndiye chifukwa chake mu chochitika zizindikiro zakumwamba, muyenera yomweyo kuchipatala.

matenda oyambirira zimathandiza kupewa kuchotsa Prostate ndi ndiyotani pakuchotsa vuto la yopezera mwala.

Mkhalidwe Waukulu kupewa kuchotsa zinthu zimene zimachititsa mapangidwe mwala:

• matenda a kagayidwe mchere ndi vitamini;
• ritsa anomalies;
• zizolowezi zoipa.