Submandibular salivary caj pas: tib neeg lub cev nqaij daim tawv, qauv, lub hom phiaj, o, kab mob, txoj hauv kev thiab txoj kev kho mob, lub sijhawm rov zoo

Cov txheej txheem:

Submandibular salivary caj pas: tib neeg lub cev nqaij daim tawv, qauv, lub hom phiaj, o, kab mob, txoj hauv kev thiab txoj kev kho mob, lub sijhawm rov zoo
Submandibular salivary caj pas: tib neeg lub cev nqaij daim tawv, qauv, lub hom phiaj, o, kab mob, txoj hauv kev thiab txoj kev kho mob, lub sijhawm rov zoo

Video: Submandibular salivary caj pas: tib neeg lub cev nqaij daim tawv, qauv, lub hom phiaj, o, kab mob, txoj hauv kev thiab txoj kev kho mob, lub sijhawm rov zoo

Video: Submandibular salivary caj pas: tib neeg lub cev nqaij daim tawv, qauv, lub hom phiaj, o, kab mob, txoj hauv kev thiab txoj kev kho mob, lub sijhawm rov zoo
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Tib neeg cov kab mob endocrine yog kev tswj hwm ntawm tag nrho cov kab mob hauv lub cev, ib yam li lub paj hlwb. Kev tsim cov tshuaj hormones thiab qog yog tsim nyog rau kev ua haujlwm zoo thiab ua haujlwm ntawm txhua yam kabmob, nrog rau cov kabmob ntawm lub plab zom mov.

Ntseeg ntawm lub caj pas qaub ncaug

Cov universal muaj pes tsawg leeg ntawm tib neeg qaub ncaug pab tsis tau tsuas yog los txhim kho cov saj ntawm ib tug neeg thaum noj mov, tab sis kuj rau moisturizing thiab tshuaj tua kab mob cov khoom nkag. Cov qaub ncaug muaj cov enzymes tshwj xeeb digestive uas zom cov molecules complex, nrog rau cov hmoov txhuv nplej siab. Ntau tshaj 98% ntawm cov qaub ncaug yog dej, thiab tsuas yog 2% yog cov kab mob, kua qaub ntsev, alkali hlau cations, mucin, lysozyme, amylase, m altose thiab qee cov vitamins.

endocrine qog
endocrine qog

Khoom noj nyob hauv lub qhov ncauj tsis pub dhau 20 vib nas this. Nyob rau lub sijhawm no, nws tsis tuaj yeem rhuav tshem cov protein, carbohydrate thiab fatty zaub mov rau cov khoom siv roj ntsha. Txawm li cas los xij, qhov noLub sijhawm txaus los ua kom lub plab zom mov, pib ua haujlwm nrog thawj zom zaws.

Kev Ntsuas ntawm lub caj pas submandibular

Yog peb tham txog ib lub cev, ces ua ntej koj yuav tsum nco ntsoov txog nws lub cev. Lub caj pas submandibular yog hais txog cov kab mob sib txuas ntawm tib neeg lub cev. Nws nyob nruab nrab ntawm thaj tsam ntawm lub puab tsaig qis thiab cov leeg ntawm tus nplaig thiab ua haujlwm ntawm kev tsim tawm thiab zais cov khoom zais cia, ua raws li kev tswj hwm ib puag ncig acidic pH hauv qhov ncauj kab noj hniav.

Lub caj pas anatomy
Lub caj pas anatomy

Cov duab ntawm cov qog qaub ncaug submandibular yog ib puag ncig tsim zoo li cov txiv ntoo uas hnyav yuav luag 15 grams. Feem ntau, cov kws tshaj lij hu qhov chaw ntawm nws qhov chaw yog "submandibular" daim duab peb sab, thiab ib qho ntawm lub caj pas yog nyob rau hauv kev sib cuag nrog thaj tsam ntawm lymphatic submandibular nodes, lub ntsej muag cov leeg thiab cov hlab ntsha, thiab lwm yam nrog rau sab nraum qab ntawm lub hyoid. cov leeg. Yog li, lub caj pas submandibular salivary keeb kwm nyob rau hauv qis qis ntawm lub puab tsaig, uas nws los rau hauv kev sib cuag nrog nws sab sauv.

Nyob rau menyuam mos, lub luag haujlwm ntawm cov qog submandibular yog qhov tseem ceeb tshwj xeeb. Ua tsaug rau cov tshuaj hormones zoo li tsim, cov qog nqaij hlav submandibular tswj cov qib calcium thiab phosphorus hauv lub cev. Nyob rau hauv kev saib ntawm no feature, tsim kom raug cov ntaub so ntswg, regeneration ntawm pob txha cov ntaub so ntswg, nrog rau cov mucous daim nyias nyias ntawm lub digestive system (esophagus thiab plab) tshwm sim.

Kab mob ntawm lub caj pas submandibular

Kev mob qog nqaij hlav hauv kev kho mob hu ua "sialoadenitis ntawm submandibularsalivary caj pas", tus cwj pwm los ntawm kev ua txhaum ntawm kev tsim cov qaub ncaug. Raws li txoj cai, cov txheej txheem pathological tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev kis kab mob ntawm lub qhov ncauj, tab sis tej zaum yuav muaj qhov tshwm sim ntawm qhov mob ntawm ib qho chaw nyob deb.

Lwm qhov ua rau muaj qhov ua rau submandibular lossis submandibular sialadenitis tuaj yeem yog qhov txhaws ntawm lub caj pas thaum lub cev txawv teb chaws nkag mus rau nws. Yog li ntawd, ib qho khoom neoplasm tshwm sim ntawm qhov chaw ntawm qhov mob, hu ua calculus (pob zeb). Pob zeb sib txawv ntawm ib leeg hauv cov duab, xim thiab loj. Qhov kev cuam tshuam no ua rau lub ducts ntawm cov qog qaub ncaug submandibular tau thaiv thiab txheej txheej ntawm phosphorus thiab calcium ntsev tshwm sim nyob rau sab hauv ntawm cem quav. Nyob rau hauv cov ntaub ntawv no, calculous sialoadenitis raug kuaj, xav tau ib daim ntawv tshwj xeeb ntawm kev kho mob.

Kev faib cov ntaub ntawv ntawm qhov mob

Cov txheej txheem inflammatory hauv cov qog qaub ncaug feem ntau yog faib ua thawj thiab theem nrab. Thawj hom kab mob yog tus cwj pwm los ntawm cov kab mob kis mus rau hauv cov ntshav, lymph, thiab qhov ncauj kab noj hniav. Kev tsis kis kab mob ntawm cov hlau hnyav hnyav thiab lawv cov ntsev rau hauv cov qog yog ua tau, uas ua rau muaj qhov tshwm sim zoo sib xws.

Secondary sialoadenitis tshwm sim tawm tsam keeb kwm ntawm lwm tus kab mob inflammatory thiab suav tias yog ib qho teeb meem ntawm yav tom ntej. Cov kab mob pathogenic yog cov kab mob fungal thiab kab mob. Raws li kev txheeb cais, qhov tshwm sim ntawm qhov teeb meem no nce ntxiv hauv tus neeg mob uas tau phais plab.

Raws li daim ntawv ntawm chav kawm, qhov mob hnyav thiab mob ntev ntawm tus kab mob yog qhov txawv. Ntsevsialoadenitis yog nrog los ntawm qhov mob hnyav, hnyav los ntawm kev zom, nrog rau qhov mob hnyav ntawm cov nqaij mos uas cuam tshuam thiab mob palpation.

Mob sialoadenitis yog ib yam kab mob uas tshwm sim hauv kev phais maxillofacial, suav txog 14% ntawm cov ntaub ntawv tshaj tawm. Cov kws tshaj lij xav ntseeg tias qhov tshwm sim ntawm pathology yog txuam nrog kev tsis sib haum xeeb - qhov tsis ua haujlwm ntawm cov qog nqaij hlav. Nrog rau qhov txo qis hauv lub cev tiv thaiv ntuj, qhov nqaim ntawm cov ducts ntawm cov qog qaub ncaug thiab cov kab mob hnyav tshwm sim.

Cov tsos mob ntawm qhov mob ntawm lub caj pas submandibular

Cov qog loj
Cov qog loj

Cov tsos mob ntawm tus kab mob yog txiav txim los ntawm daim ntawv ntawm cov kab mob. Kev kuaj mob kom raug tsuas yog tom qab kawm tiav hauv cov chaw kho mob. Raws li txoj cai, cov tsos mob hauv qab no tuaj yeem ua rau muaj kev xav tsis thoob:

  • txo qis qaub ncaug ntau lawm;
  • dryness, pa phem thiab saj tsis zoo;
  • mob tas li lossis ib ntus nyob hauv thaj av submandibular;
  • tsis xis nyob thaum zom;
  • liab thiab khaus ntawm tus nplaig thiab lub puab tsaig;
  • Ua npaws nrog ua daus no thiab qaug zog.

Submandibular salivary gland: kho mob sialadenitis

Qhov yuav muaj txiaj ntsig zoo rau kev kho mob zoo rau cov neeg mob uas muaj daim ntawv mob hnyav heev. Kev kho mob yog ua raws li cov txheej txheem kho mob raws li kev siv cov tshuaj uas txhim kho salivation thiab kev txav ntawm cov qaub ncaug raws cov kav dej. Rau amplificationKev ua tau zoo ntawm kev kho mob, cov kws kho mob tshwj xeeb tau sau cov chav kawm UHF rau cov ntaub so ntswg edematous, nrog rau cawv-camphor compresses.

Palpation ntawm cov qog
Palpation ntawm cov qog

Thaum kuaj pom ntawm purulent foci thiab mob hnyav edematous ntawm cov qog qaub ncaug submandibular, kev kho mob yog ua raws li kev txwv tsis pub ua npaws nrog cov edema nrog cov tshuaj tua kab mob, thiab yav tom ntej, yog tias muaj kev quav tshuaj nicotine, nres. siv luam yeeb.

Mob mob hauv kev txhim kho ntawm submandibular sialadenitis tau raug tshem tawm zoo los ntawm ntau hom kev zaws. Txawm li cas los xij, nws tsis pom zoo kom ua nws ntawm koj tus kheej, vim tias kis tau tus kab mob ntxiv mus.

Tsis zoo li daim ntawv mob hnyav, daim ntawv mob ntev yog qhov kho tsis tau. Kev ploj tag ntawm cov cim qhia ntawm pathology tau sau npe tsuas yog hauv 20% ntawm cov neeg mob. Kev siv zog ntawm cov neeg ua haujlwm kho mob tsis yog tsom rau kev tshem tawm cov kab mob, tab sis ntawm kev tiv thaiv kev txhim kho ntawm cov teeb meem hauv cov qog qaub ncaug. Hauv qhov no, nws raug nquahu kom kho thaj chaw cuam tshuam nrog tshuaj tua kab mob.

Nyob rau hauv calculous sialoadenitis, kev phais yog suav tias yog tib txoj kev los daws qhov teeb meem. Tsis tas li ntawd, kev phais qhib lub caj pas yog qhov tseem ceeb rau purulent o nrog cov cim ntawm melting. Hauv qhov no, ib qho tshuaj tua kab mob tau txhaj rau hauv qhov ua kom pom kev mob.

Lwm cov kab mob ntawm cov qog qaub ncaug

Ntxiv rau cov kab mob saum toj no, lub caj pas submandibular muaj ntau yam kab mob. Cov kab mob no ua rau lub qog ua haujlwm tsis zoo thiab cov kab mob endocrine tag nrho.

Nyob rau hauv rooj plaub ntawm kev ua txhaum ntawm lub caj pas, nws yog ua tau raws liUa tiav kev tshem tawm ntawm cov qog qaub ncaug submandibular, nrog rau kev tshem tawm hauv zos ntawm qhov ua rau nws ua haujlwm tsis zoo.

Ntau zaus hauv cov neeg muaj hnub nyoog qis dua 30 xyoo, cov kua qaub ncaug tuaj yeem raug thaiv vim yog cov kua qaub tuab uas tsim cov pob zeb qaub ncaug. Tsis tas li ntawd, ib daim duab kho mob zoo sib xws tshwm sim thaum cov kwj dej qaub ncaug raug nyem, uas thaum kawg ua rau ncab ntawm cov qog nqaij hlav los yog cov duct nws tus kheej.

salivary qog cyst
salivary qog cyst

Cov kab mob zoo li no hauv kev kho mob hu ua "submandibular salivary gland cyst". Visually, nws yog ib tug benign tsim ntawm ib puag ncig zoo thiab ib tug mos nto, nyob rau hauv lub cheeb tsam ntawm lub puab tsaig sab. Yog hais tias lub cyst yog ignored rau lub sij hawm ntev, kev loj hlob ntawm kev tsim mus rau sublingual cheeb tsam yog ua tau, ua raws li los ntawm deformation ntawm lub ntsej muag.

Ib yam ntxwv ntawm lub cyst yog nws lub peev xwm los ntawm nws tus kheej khoob cov ntsiab lus rau hauv lub qhov ncauj kab noj hniav nrog kev nce hauv lub siab ntawm cov qaub ncaug ntws, nrog rau kev rov ua kom muaj kev ncaj ncees ntawm kev sib koom ua ke, ua raws li cov kab noj hniav. nrog kua.

Kev kuaj mob qog nqaij hlav qog nqaij hlav

Kev kuaj mob ntawm cov qog qaub ncaug submandibular yog ua tiav txhawm rau txheeb xyuas cov cim qhia ntawm pathology, suav nrog cov cim qhia ntawm cystic formations. Thawj theem ntawm txoj kev tshawb no yuav suav nrog kev kuaj pom ntawm tus neeg mob siv cov cuab yeej ntsuas thiab ntsuas ntsuas.

Cov tsos mob ntawm o
Cov tsos mob ntawm o

Ntau zaus, thaum kuaj xyuas, tus kws kho mob tshwj xeeb tsis tuaj yeem paub qhov txawv ntawm lub cyst los ntawm cov qog, yog li txoj kev tshawb fawb txuas ntxiv siv suav nrog magnetic resonance imaging (MRI),cystography, ultrasound thiab sialography.

Thaum tus kab mob no siab heev, feem ntau raug tshuaj xyuas ntxiv, xws li cyst puncture thiab zoo koob aspiration biopsy. Cov khoom siv roj ntsha uas sau tau raug xa mus rau chav kuaj cytological thiab biochemical kev tshawb fawb, lub hom phiaj tseem ceeb ntawm kev tshem tawm cov qog nqaij hlav malignant.

kev kho mob ntawm cov roj av caj ces

Txawm hais tias qhov tshwm sim tsis mob, nrog rau mob me me, cov qog ua kua qaub yuav tsum tau kho. Tam sim no, tsuas muaj ib txoj hauv kev zoo ntawm nws txoj kev tshem tawm - phais.

Nyob ntawm qhov chaw ntawm lub cyst, kev ua haujlwm tau ua ob qho tib si los ntawm sab hauv ntawm qhov ncauj thiab sab nraud. Neutralization ntawm lub cyst ntawm lub caj pas submandibular yog nqa tawm ua ke nrog nws tus kheej. Lub caj pas submandibular parotid salivary tau kho zoo ib yam, nws tau qhia hauv daim duab.

parotid qog
parotid qog

Lub sijhawm rov qab los ntawm lub qog qaub ncaug

Txhawm rau kom tus neeg mob tau txais kev nplij siab tom qab tshem tawm cov qog ua kua qaub submandibular, nws yuav tsum ua raws li kev noj haus nruj me ntsis. Cov kws kho mob pom zoo kom muab tag nrho cov haus luam yeeb, rog thiab kib, nrog rau cov suab thaj. Tus nqi dej txhua hnub yuav tsum yog tsawg kawg 2.5 litres.

Qhov tsis muaj ntawm lub caj pas submandibular tsis txhais hais tias kev ua tiav ntawm salivation. Kev tsim cov qaub ncaug ntau ntxiv yog muab los ntawm kev qhia cov txiv qaub, cranberries, zom cov pos hniav, nrog rau cov khoom ntsim thiab ntsim rau hauv kev noj haus.

Tiv thaiv kab mob ntawm lub caj pas submandibular

Ua ntej tshaj plaws,Txhawm rau tswj hwm qhov chaw ib puag ncig thiab microflora ntawm lub qhov ncauj kab noj hniav, nws yog ib qho tsim nyog yuav tsum ua raws li cov cai ntawm kev tu lub qhov ncauj: txhuam koj cov hniav 2 zaug hauv ib hnub thiab yaug nrog cov khoom tshwj xeeb.

Thaum tartar, caries, kab mob hauv lub cev thiab lwm yam kab mob tshwm sim, nws yuav tsum tau kuaj xyuas raws sijhawm los ntawm tus kws tshaj lij thiab tshem tawm qhov tsis zoo.

Rau cov kab mob sib kis, cov tshuaj tua kab mob hauv zos yog siv los yaug qhov ncauj. Qhov kev ntsuas no txo qis cov qaub ncaug thiab tiv thaiv kev txhim kho ntawm qhov mob.

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