Har ila yau, cutar ciwon Frey ma an san shi ne kamar yadda ake kira gustatory sweating ko gustatory hyperhidrosis
Bayan cin abinci mai zafi da kayan yaji, wasu mutane suna shawa daga fuska-lebe, goshi, hanci, da kuma ɓarke. Ga mutane da yawa, wannan kwakwalwar kwakwalwa ta al'ada ce ta al'ada.
Duk da haka, shan taba daga fuska bayan cin abinci kowane irin abinci shine alamar yanayin da ake kira gustatory sweating, ko gustatory hyperhidrosis. Bugu da ƙari, wannan ƙaddamar da zazzage yana iya faruwa ba kawai daga ainihin abincin abinci ba amma daga tunani ko magana game da abinci.
Kullum bayyanar cututtuka na gustatory sweating sun hada da sweating, flushing, redness, da kuma general rashin jin daɗi ji a kunci matakin. Ƙari da yawa, mutanen da ke cikin wannan yanayin suna jin dadi ko ciwo tare da shawa.
Gwacewar gustatory zai iya zama matukar damuwa da kuma tasiri mai kyau na rayuwar mutum. A cewar Sood da mawallafin marubuta, zartar da hukunci "na iya haifar da rashin daidaituwa ga zamantakewar al'umma daga cikin bukatar yin amfani da shi a yau da kullum don zama kusan gida." A wasu kalmomin, sau da yawa yana buƙatar "tsawa" daga gurasar zai iya zama da wuya ga wasu barin gidan.
Mafi yawan lokuta na gustatory hyperhidrosis shine Frey ciwo. Sashin ciwon Frey yana nufin suma da flushing tare da rarraba jijiyar auriculotemporal. Ƙwayar auriculotemporal na samar da jin dadi a gefen kai. Har ila yau ana kiran cutar ciwo na Frey mai suna hyperhidrosis na kunci.
Mene ne Ciwo na Frey?
Ƙananan ciwon Frey yana da wuya, tare da kimanin mutane 20,000 wadanda aka gano a kowace shekara.
Mafi mahimmanci, ciwo na Frey yana haifar da rashin yin amfani da jijiyoyin da ke da alhakin salivation, sweating, da flushing. An kira shi ne bayan likitan ilimin lissafin kasar Lucia Frey, wanda ya bayyana yanayin a matsayin "ciwon sikila auriculotemporal" a 1923.
Frey ta wallafa rahoto game da rashin lafiyarta bayan ta zalunta wani sojan Poland wanda ya sami gogewa bayan da ya ci gaba da ciwon annobar cutar da ke cutar da glandar .
Glandan takaddamar ita ce mafi girma a cikin gland da kuma yana tsaye a matakin kunci. Yana ɓoye launi, wanda zai taimaka wajen narkewa da kuma shayar da abinci. Kodayake Frey ba shine likita na farko da ya lura da yanayin ba, ita ce ta farko da za ta dauka jijiyar auriculotemporal a ci gaba da wannan cuta.
Sanar da launi ta hanyar glandar da ake yi wa tsohuwar gizon yana yin rikici ta hanyar kwakwalwa mai rikitarwa wanda ya shafi magunguna auriculotemporal. A cikin mutanen da ke fama da ciwon Frey, bayan ciwo ga ciwon daji na auriculotemporal, wannan jijiyar ta sake haifar da mummunan abu. Maimakon bada daidaitattun ladabi zuwa gland, wanda zai haifar da salivation na al'ada bayan gabatar da abinci, sinadarin parasympathetic na jijiyar auriculotemporal ya sake farfadowa don samar da innerving zuwa gland da kuma subcutaneous jini, sakamakon shi sweating da flushing, bi da bi . Yawancin lokaci, wannan gogewa da flushing suna karkashin kulawa mai tausayi.
A wasu kalmomin, bayan jijiyar auriculotemporal ya ji rauni, ƙwayoyin parasympathetic sun canzawa ba kawai don sarrafa salivation ba har ma suna sarrafa sutura da flushing bayan an karfafa mutum da abinci. Bugu da ƙari, a wasu mutane, irin wannan suturar zafin jiki na iya shimfiɗa fuska gaba ɗaya kuma yana tasirin jikin, makamai, da kafafu.
Ƙarin wurare na jiki ya shafi, mafi tsanani da alamun bayyanar.
Dalilin
Duk wani abin da zai lalata ciwon daji auriculotemporal zai iya haifar da ciwo na Frey, ciki har da wadannan:
- Gwaran glandiyya (babbar hanyar)
- Mutuwar damuwa a kunya
- Tashin tiyata
- Kwafi na lokaci na yanki
- Matsanancin lalacewa
- Rushewar haɗin gwiwa
- Yin aiki zuwa haɗin gwiwa
- Ana cire gland
- Ana cire glandar thyroid
- Tashin hankali na Thoracic (an yi tiyata don sarrafawa)
- Raunin haihuwar haihuwar haihuwar haihuwar haihuwar haihuwa ko kuma raunin da ya faru bayan jinkirtawa (a jarirai)
A cikin shekarun 1940, an yi amfani da tiyata a cikin Ƙasar Ingila don magance yanayi mai yawa, duka masu fama da mummunan rauni.
Gustatory sweating tare da wasu sauran cutarwa, ciki har da gyaran fuska fuska, rage girman fuska fuska, salvary fistula, hematoma, da kuma keloids da aka yawan lura a tsakanin marasa lafiya da suka karbi shan taba gubar tayar da tiyata. Bayan bayanin kula, mutanen da ke dauke da glandar su duka suna iya samun ciwon ƙwayar Frey fiye da waɗanda suke da ɓangare na glanden da aka cire.
Har ila yau, ana iya ganin ciwo na Frey tare da sauran bayan yanayin da ba'ayi ba:
- Facial herpes zoster
- Chorda tympani rauni
- Cizter ciwon kai
- Ciwon daji neuropathy
- Encephalitis
- Syringomyelia
- Tumor a cikin mahaifa mai tausayi ganga
Yawancin mutane da suka fuskanci kullun ba su damu da shi ba - sai dai tsakanin kashi 10 zuwa 15 cikin dari na mutanen da ke jin dadi suna neman likita. Bugu da ƙari, bayan tiyata, kawai kashi 10 cikin 100 na marasa lafiya suna nuna alamun bayyanar wannan yanayin. Duk da haka, yayin da ake ci gaba da tambayar, kashi 30 zuwa 50 na marasa lafiya zai yarda da bayyanar cututtuka na gustatory sweating. Ƙungiyar Frey yawanci yakan bayyana tsakanin watanni 1 zuwa 12 bayan aikin tiyata.
Ƙungiyar Frey zai iya faruwa ga mutane a kowane zamani. Duk da haka, yana da wuya a jarirai da yara waɗanda kawai suka taɓa shan lalacewa a yankin na yankuna bayan da aka aikawa da karfi, kuma rauni daga sauyawar bazaar abu ne mai wuya.
A cikin yara, rashin lafiyar abinci zai iya kuskure ga ciwo na Frey. Duk da haka, alamun alamun rashin lafiyar abinci yana faruwa bayan cin abinci ba abinci ba a lokacin shawa.
Sanin asali
Hanyar da ta fi dacewa don tantance cututtukan Frey ya shafi aikace-aikace na sitaci mai yalwa (nuna alama) foda a fuska. Wannan hanya ana kiransa gwajin karami. Ana ba wa mai haƙuri alamar lemun tsami ko sauran abinci mai dadi don yaɗa daɗa. Yankunan da aka shafa inda gurasar ruwa ta fara nuna launin shudi-baki. Ana iya sauke saurara daga fuskar don a iya maimaita gwajin. Ana iya amfani da wannan gwajin don gwada ciwo na Frey a cikin mutane ba tare da bayyanar cututtuka (watau marasa lafiya).
Ko da yake wannan jarrabawar daidai ne, ba zai nuna tsananin da yanayin ba. Bugu da ƙari kuma, wannan gwajin yana ɗauke da hadarin rashin haɓaka da sitaci. Wannan jarrabawar ya kamata a yi aiki a jikin fata, sannan kada a yi amfani da shi a cikin mutanen da suke da karfi.
Wani gwajin gwajin da yafi tsada da tsada don sanin ko mutum yana da ciwo na Frey ya ƙunshi hanyar nazarin halittu da ke amfani da hanyoyin enzymatic wanda ya gano matakan L-lactate akan fata.
Wani gwaji mai mahimmanci game da ciwo na Frey ya shafi aikace-aikacen takarda mai launi guda zuwa fuska don bincika suma bayan an hawan mai haƙuri tare da abinci mai dadi.
A ƙarshe, ana iya amfani da hotunan likita na infrared don ganin azabar Frey. Wannan gwajin gwaji yana buƙatar zafin jiki da zafi a dakin zama m. Na farko, bayan ƙarfafawa, ana ganin wani wuri mai zafi wanda ya dace da dilar jini. Abu na biyu, ana ganin wani wuri mai sanyi wanda yake wakiltar suma. Wadannan canje-canje sun fi ƙarfin ganin su a cikin mutane masu duhu.
Jiyya
A mafi yawancin mutane, ciwo na Frey ya tafi kan kansa a cikin tsawon shekaru 5. Mutanen da ke da alamar bayyanar cututtuka ya kamata a tabbatar da cewa yanayin zai wuce kansa ba tare da magani ba.
A wa] anda ke fama da mummunar tasiri, yanayin da ake ciki shine yawancin abin da ya fi damuwa kuma ya sa mutum ya nemi taimako.
Botox
Binciken bincike na baya-bayan nan yana nuna alamar Botox kamar yadda mafi kyawun hanyar da za a yi don magance gustatory sweating da flushing na Frey ciwo. Fiye da haka, Botox farfesa ya tabbatar da zama kashi 98 a cikin mahimmancin maganin bayyanar cututtuka na gustatory sweating. Botox farfesa ya tabbatar da tasiri a cikin mutanen da suka fuskanci gustatory sweating sakandare zuwa cutar neuropathy, wani irin ciwon daji saboda ciwon sukari.
A cikin labarin 2017, Lovato da co-mawallafa rubuta wadannan:
BTX [Botox] farfadowa yana cike da nasara a cikin maganin gustatory sweating (Frey syndrome), kuma ana iya la'akari da magani na zinari na wannan rikitarwa na post-parotidectomy.
A lokacin da ake magance ciwon Frey tare da farfadowa na Botox, likita ya kamata ya fara gane da yankin da ya faru ta hanyar gwajin karami. An rarraba wannan yanki zuwa ƙananan ƙananan murabba'ai, waɗanda suke tsakanin 1 da 1.5 cm. Botox an toshe shi cikin kowannensu a cikin sassan don ya ba da wani yaduwa, tasiri mai kyau.
Hakanan, an riga an gwada sauran jiyya na ciwo Frey. Ga mafi yawancin, waɗannan jiyya sun bada iyaka ko babu taimako.
Antiperspirants
Na farko, an riga an yi amfani da kwayoyin cutar kan yankin da guttee sweating. Wasu marasa lafiya sun bayar da rahotanni na taƙaitaccen jinkiri na tsawon makonni da yawa saboda godiya. Don sakamakon mafi kyau, ana amfani da nau'in gel na mai rashin lafiyar da dare don bushe fata kuma wanke shi da safe. Za a iya amfani da gashi mai bushewa don bushe marar rai bayan aikace-aikacen.
Don tsawon tsawon sa'o'i 12 bayan aikace-aikacen, mai haƙuri ya kamata ya guji shafe yankin da aka kula. Yawancin lokaci, yayin da tsabtace gwaninta yana gudana ta hanyarsa kuma ya magance kansa, ba za a iya amfani da kwayoyi marasa amfani ba, kuma marasa lafiya bazai bukaci yin amfani da kwayar cutar ba. Bayan bayanin kula, masu kwantar da hankali zasu iya aiki kamar fata na fata kuma zasu kai ga kumburi. Dole ne a dauki kulawa don kauce wa gabatarwar mai kwakwalwa cikin ido.
Topical Anticholinergics
Na biyu, ana amfani da tsauraran maganganu masu tasowa don magance cutar Frey. Wadannan maganganu sun hada da scopolamine, glycopyrrolate, da diphemnanilmethylsulfate kuma za a iya amfani dasu a matsayin mafita ko creams. Anticholinergics iya inganta bayyanar cututtuka na kimanin kwanaki 3.
Abu mai mahimmanci, fatawar da ke cikin fata yana shawo kan jiki kuma zai iya haifar da mummunar illa ga tsarin tsarin jiki, da baƙar fata, hangen nesa, idanu mai tsauri, ɗaukar urinarya, ƙara yawan zuciya, da kuma allergies. Bugu da ƙari kuma, ba za a yi amfani da maganin rigakafi ba a cikin mutane tare da glaucoma, ciwon sukari, ciwon maganin ƙwayar cuta, da ƙwayar cuta, da kuma cututtukan zuciya, na zuciya, na zuciya da na zuciya.
Zaɓuka Zɓk
Na uku, an yi amfani da tiyata a cikin ƙoƙari don tayar da bayyanar cututtukan Frey. Wadannan magungunan sun hada da magungunan kwakwalwa na jiki, tympanic neurectomy, sternocleidomastoidtransfer canja wuri, da kuma derms-fat grafts. Bugu da ƙari, an yi amfani da kayan da ake amfani da su da wasu maganganun da aka yi amfani da shi don magance gwargwadon gustatory.
Babu shakka, mafi yawan mutanen da suka ci gaba da sukar sakandare na biyu zuwa tiyata ba su da wuyar samun ƙarin tiyata don magance wannan yanayin.
> Sources:
> Yanayi na Sebaceous, Eccrine, da Apocrine Glands. A: Wolff K, Johnson R, Saavedra AP, Roh EK. eds. Fitzatrick ta Color Atlas da kuma Ƙididdiga na Clinical Dermatology, 8th New York, NY: McGraw-Hill.
> Fealey RD, Hebert AA. Babi na 84. Cutar da Eccrine Sweat Glands da Sweating. A cikin: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. Fitzpatrick's Dermatology a General Medicine, 8th New York, NY: McGraw-Hill; 2012.
> Lovato, A, et al. Maganin ƙwayar Botulinum: raguwa na aiki na maganin salivary. Acta Otorhinolaryngologica Italica. 2017; 37: 168-171
> Sood S, Quraishi MS, Bradley PJ. Ƙungiyar Frey da tiyata. Clinical Otolaryngology. 1998; 23: 291-301.