Pakamwa pamatope

Chotupa chamkamwa ndi chopanda chowawa, chochepa thupi mkatikati mwa mkamwa. Lili ndimadzimadzi omveka bwino.

Ziphuphu zambiri zimapezeka pafupi ndi malovu am'matumbo (ducts). Masamba wamba ndi zomwe zimayambitsa zotupa zimaphatikizapo:

• Pamwamba pakamwa chapamwamba kapena chakumunsi, mkati mwa masaya, pansi pa lilime. Izi zimatchedwa mucoceles. Nthawi zambiri zimayamba chifukwa choluma milomo, kuyamwa milomo, kapena zoopsa zina.
• Pansi pakamwa. Izi zimatchedwa ranula. Zimayambitsidwa ndi kutsekeka kwamatenda amate pansi pa lilime.

Zizindikiro za mucoceles ndi monga:

• Nthawi zambiri sichimva kuwawa, koma imatha kukhala yovutitsa chifukwa mumadziwa ziphuphu mkamwa mwanu.
• Nthawi zambiri zimawoneka zowoneka bwino, zabuluu kapena zapinki, zofewa, zosalala, zozungulira komanso zowoneka bwino.
• Sintha kukula mpaka 1 cm m'mimba mwake.
• Atha kutseguka okha, koma atha kubwereranso.

Zizindikiro za ranula ndi izi:

• Nthawi zambiri kutupa kopanda ululu pakamwa pamunsi pamilomo.
• Nthawi zambiri zimawoneka ngati zabuluu komanso zowoneka bwino.
• Ngati chotupacho ndi chachikulu, kutafuna, kumeza, kuyankhula kungakhudzidwe.
• Ngati chotupacho chimakula mpaka minofu ya m'khosi, kupuma kumatha. Izi ndizadzidzidzi zachipatala.

Wothandizira zaumoyo wanu amatha kuzindikira kuti mucocele kapena ranula amangoyang'ana. Mayesero ena omwe angachitike ndi awa:

• Chisokonezo
• Ultrasound
• CT scan, kawirikawiri ya ranula yomwe yakula mpaka khosi

Mimbulu yam'mimba nthawi zambiri imasiyidwa yokha. Nthawi zambiri imaphulika yokha. Ngati cyst ibwerera, ingafunike kuchotsedwa.

Kuti achotse mucocele, wothandizirayo akhoza kuchita izi:

• Kuzizira kotupa (cryotherapy)
• Chithandizo cha Laser
• Kuchita opaleshoni kuti muchepetse chotupacho

Runula nthawi zambiri imachotsedwa pogwiritsa ntchito laser kapena opaleshoni. Chotsatira chake chabwino ndikuchotsa chotupacho ndi gland yemwe adayambitsa chotupacho.

Pofuna kupewa matenda ndi kuwonongeka kwa minofu, MUSAYESE kutsegula thumba lanu. Chithandizo chikuyenera kuchitidwa ndi omwe amakupatsani okha. Ochita opaleshoni pakamwa ndi ena mano amatha kuchotsa thumba.

Zovuta zingaphatikizepo:

• Kubwerera kwa chotupa
• Kuvulala kwamatenda oyandikira mukachotsa chotupa

Lumikizanani ndi omwe akukuthandizani ngati:

• Tawonani chotupa kapena misa mkamwa mwanu
• Zimakhala zovuta kumeza kapena kuyankhula

Izi zitha kukhala chizindikiro cha vuto lalikulu, monga khansa yapakamwa.

Kupewa kuyamwa masaya mwadala kapena kuluma milomo kungathandize kupewa ma muceceles ena.

Mucocele; Mucous posungira chotupa; Ranula

• Zilonda za pakamwa

Patterson JW. Ziphuphu, sinus, ndi maenje. Mu: Patterson JW, mkonzi. Matenda a Khungu la Weedon. 5th ed. Philadelphia, PA: Elsevier; 2021: mutu 17.

Scheinfeld N. Mucoceles. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 157.

Woo BM. Kutulutsa kwamatenda amitundu ingapo ndikuchita ma ductal opareshoni. Mu: Kademani D, Tiwana PS, ed. Atlas of Oral and Maxillofacial Opaleshoni. Philadelphia, PA: Elsevier Saunders; 2016: chap 86.