Stone ari mate shwanu: zvinokonzera, zviratidzo, kubviswa uye kurapwa

Stone mu mate shwanu kana ptyalolithiasis - ndiwo paumbwe kunzi salivolita ari ducts kana (kashoma) ari parenchyma ari mumasero. Mutsinga dzinofamba nemukaka blockage kunokonzera kurwadziwa, mumasero kuzvimba kukura, uye mune kwazvo nyaya -abstsess kana phlegmon.

Zvinokonzera ibwe inotungamirwa

Stone inotungamirwa - iri migumisiro kutaridza zvakafanana uye nemakanzuru zvinhu. General zvinhu - kutyorwa karusiyamu muviri uye kushayiwa vhitamini A. Saka, nokuti ptyalolithiasis vafanorongerwa varwere vanenge:

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

Mikana amabwe inotungamirwa vanhu vanosvuta.

Uye omunharaunda zvinokonzera zvinosanganisira aienda pamusoro mutsinga dzinofamba nemukaka madziro uye kuremara, uyewo kukanganisa kwavo secretory ushande. Stone ari mate shwanu anogara aine sialadenitis.

Makemikari anoumba mate mabwe

Stone inotungamirwa kunoitika kumativi musimboti, izvo zvingava microbial kana dzisiri microbial hunhu. Muchiitiko chokutanga, kuti tsanga ari conglomerate zvigare, uye yechipiri - kuunganidza desquamated epithelial uye yokumwe muviri rwakabatwa kenza mutsinga dzinofamba nemukaka yakadai mapfupa hove, mbeu muchero, chikwesheso bristles.

Stone rine zvinoumba siyana mavambo - zvose Organic uye chicherwa. Nhoroondo inenge 10-30% wokutanga, inoitwa amino acids, ductal epithelium, mucin. Zvicherwa yakakwirira zvikuru (70-90%), ivo kazhinji zvinosanganisira phosphates, karusiyamu carbonate, yavaibvisa, potassium, magnesium, kuiisa chlorine, simbi. Kazhinji, makemikari anoumba ibwe iri mate mumasero yakaita tartar.

Asi, etiopathogenesis chirwere ichi pamwe chitarisiko endogenous uye exogenous zvinhu, izvo zvinozoita kuti vamwe pathologies. Idzi dzinosanganisira:

• kuchinja murwiyo uye secretion mate;
• slyunoottoka rutapudzo havukavu;
• achinakurira ph vakananga alkaline uye elution mate chicherwa munyu.

Matombo ari mate shwanu: Zviratidzo

Localization pabwe iri parenchyma, ave mutemo, kwenguva refu haagoni kunokanganisa munhu. Chete rakavhara lumen ari goho chiteshi, pamwe kuwedzera kukura, paumbwe hunokonzera marwadzo uye zvisingafadzi nezvekufadza anobuda. Mumuromo pane chakaipa kuravira, uye pachavo mate mumasero kuzvimba panguva dög. Zvisinei, chinonyanya maitiro chikabviswa - vanonzi mate colic. Chinhu marwadzo kuti unovapo nokuda chengetedzo mate uye kuwedzera dhayamita ari mutsinga dzinofamba nemukaka.

Kana dombo kutigumbura ari mutsinga dzinofamba nemukaka ari submandibular mate shwanu, ipapo marwadzo apo pakuparadza, izvo anoratidza kuti nzeve kana musoro. Kana kusembura kuna sialadenitis angava yakaderera giredhi muviri tembiricha, zvakawanda zvive, nomusoro.

Diagnostics

Chirwere chirwere riri kuitwa palpation, mukuwedzera, Ultrasound kudzidza mate omumuviri, ptyalography, CT, sialostsintigrafiya.

Sezvo chirwere ichi kunyanya vasangana mune vanhu vane makore makore 20-45. Anenge 1% yevanhu anotambura chirwere ichi. Maererano Statistical umboo pakati mazino zvirwere mate mumasero mu sialolithiasis Nhoroondo inenge 60%.

Most kazhinji Mabwe achiumbwa zvikamu submandibular uye mudukusa - iri sublingual. Kana ibwe duku, unogona kusukwa panze pasina kupindira mate. Zvisinei, zhinji concretion kuvatadzisa kuti ducts, uye ipapo hapana kurapa hunokosha. Kana isu kutaura vakawanda dzidzo, izvozvo zvinosiyana pakati 3-20 magiramu, uye kukura kwavo ingabva imwe millimeter kusvika masendimita wandei.

Kana nzvimbo nzvimbo ndiyo parenchyma, ibwe iri mate shwanu, kazhinji ane woita chimiro. Kana concretion achiumbwa munyika ducts, ipapo zvikuru elongated chimiro. Ruvara mabwe vanowanzotevedzera yero pamusoro riri gogonera, uye arambe achirema kunogona zvakasiyana.

Nokubviswa ibwe kubva mate shwanu kunoitika apo mishonga rotsva. Muzviitiko zvakadaro, ubudise:

• bougienage mate ducts;
• lithotripsy;
• sialendoskopiyu;
• rakavhurika Kuvhiya;
• extirpation kuti mate shwanu.

Stone ari mate shwanu: kurapwa

Sezvambotaurwa, kana mabwe mupfupi, vanogona uratidzwe pachavo mate. Dzimwe nguva, kuitira kuti kugarwa zvinoyerera wavo, ngaagadze kuchinja kurapa: slyunogonnuyu zvokudya, kwiza kweprostate, chafariz dzokuvhiya. Madzivirirwe ruyamuro kuti rikwanise sialadenitis mananara nokushandisa mishonga inorwisa mabhakitiriya.

Kana ibwe iri ducts ari mate shwanu iri akaberekwa pedyo muromo, wamazino anogona kubvisa pamwe tweezers kana extrusion.

Surgery kubvisa ibwe kungava nzira dzakasiyana-siyana. The zvemberi vavo - interventional sialendoskopii, izvo zvinoita kuti kubvisa mate mabwe endoscopically, zvinoita kuti tikwanise kubvisa vanga stricture mutsinga dzinofamba nemukaka.

Modern zvishoma invasive nzira - vanonzi extracorporeal lithotripsy. Its Chaizvoizvo is kutsemura dombo pamwe Ultrasound. Kazhinji kushandiswa uye nzira kwemakemikari pokufa mabwe, izvo chakaunzwa pakati ducts 3% cucumber asidhi mhinduro.

Kwetsinga ductless kuburikidza romukati pose muromo - nzira inonyanya zvinowanzovapo kuvhiya kubviswa pabwe. Yeprostate pute inotungamirwa rinoitwa pamukova pakuvhurwa pute kuburikidza pakubvisa ronda micheto, ichipa ane unobstructed water drainage kuti pus uye okuyerera calculus. Kana idzokororo matombo kana kusingarapiki kuchinja urongwa mate mumasero vakafunga zvokuparadzira zvikuru zviyero - extirpation pakati mate shwanu.

Kufembera uye kudzivirira

Kana kushandisa yakakura nokubviswa mate omumuviri, xerostomia unomuka kakawanda akashatirwa microflora pamusoro nomumukanwa mhango, zino kuora kuwedzera akacherechedza kuti, Chokwadi, inotungamirira kuderedza mararamiro murwere. Ndokusaka, iri zvinoitirwawo pamusoro zviratidzo, unofanira pakarepo kurapwa.

Early chirwere kunoita kudzivisa dzichibvisa prostate nokusvika kubvisa dambudziko mokusvinwa ibwe.

The chikuru Mamiriro Kudzivirira ndiko kubvisa zvinokonzera ibwe inotungamirwa:

• kusagadzikana chicherwa muviri uye vhitamini;
• mutsinga dzinofamba nemukaka anomalies;
• tsika dzakaipa.