Salivary gland marurai
Orswayoyin glandon salivary sune ƙananan ƙwayoyin cuta masu girma a cikin gland ko a cikin tubes (ducts) wanda ke zubar da gland na salivary.
Gandun salivary suna kusa da bakin. Suna samar da miyau, wanda ke sanya jika abinci domin taimakawa da taunawa da hadiyewa. Saliva na kuma taimakawa wajen kiyaye hakora daga lalacewa.
Akwai manyan nau'i-nau'i 3 na gland na yau. Gwanayen parotid sune mafi girma. Suna cikin kowane kunci a gaban kunnuwa. Gwanaye biyu masu ban mamaki suna ƙarƙashin kasan bakin a ƙarƙashin ɓangarorin biyu na muƙamuƙi. Wasu gland din kasa guda biyu suna karkashin kasan bakin. Hakanan akwai ɗaruruwan ƙananan ƙwayoyin jijiyoyin da ke rufe sauran bakin. Waɗannan ana kiransu ƙananan ƙwayoyin cuta na salivary gland.
Salivary gland na wofintar da miyau a cikin baki ta hanyoyin da suka bude a wurare daban-daban a cikin bakin.
Salivary gland marurai ne rare. Kumburin gland din yau yawanci saboda:
- Manyan tiyatar gyaran ciki da kwankwaso
- Ciwan hanta
- Cututtuka
- Sauran cututtukan daji
- Duwatsu bututun duwatsu
- Cutar cututtukan gland
- Rashin ruwa
- Sarcoidosis
- Ciwon Sjögren
Mafi yawan nau'in cututtukan gland na salivary shine ciwan mara ba tare da ciwo ba (mara kyau) na glandar parotid. Ciwon yana kara girman glandon a hankali. Wasu daga cikin waɗannan ciwace-ciwacen na iya zama masu cutar kansa (mugu).
Kwayar cutar na iya haɗawa da ɗayan masu zuwa:
- Tabbatacce, yawanci kumburi mara zafi a ɗayan gland na jijiyoyin (a gaban kunnuwa, ƙarƙashin ƙugu, ko a ƙasa na bakin). Kumburin a hankali yake ƙaruwa.
- Matsalar motsi gefe ɗaya ta fuska, wanda aka sani da ciwon jijiya na fuska.
Binciken mai ba da sabis na kiwon lafiya ko likitan haƙori ya nuna girma fiye da al'ada gland, yawanci ɗayan parotid gland.
Gwaje-gwaje na iya haɗawa da:
- X-ray na gland na salivary (wanda ake kira sialogram) don neman ƙari
- Duban dan tayi, CT scan ko MRI don tabbatar da cewa akwai ci gaba, da kuma ganin idan ciwon kansa ya bazu zuwa sassan lymph a cikin wuya
- Salivary gland biopsy ko kyakkyawan allurar fata don sanin ko ciwon yana da lafiya (maras ciwo) ko m (ciwon daji)
A mafi yawan lokuta ana yin aikin tiyata don cire gland din mai cutar. Idan ƙari ba shi da lafiya, ba a bukatar wani magani.
Za'a iya buƙatar jinƙan radiation ko tiyata mai yawa idan ƙari yana da cutar kansa. Ana iya amfani da Chemotherapy lokacin da cutar ta bazu bayan gland.
Mafi yawan ciwace-ciwacen hanji ba su da matsala kuma ba sa saurin girma. Cire ƙari tare da tiyata sau da yawa yana warkar da yanayin. A cikin al'amuran da ba kasafai suke faruwa ba, ciwon ya zama na daji ne kuma ana buƙatar ƙarin magani.
Matsaloli daga cutar kansa ko magani na iya haɗawa da:
- Yada cutar kansa zuwa wasu gabobin (metastasis).
- A cikin wasu lokuta, rauni yayin aikin tiyata zuwa jijiyar da ke sarrafa motsi da fuska.
Kira mai ba ku sabis idan kuna da ɗayan masu zuwa:
- Jin zafi lokacin cin abinci ko taunawa
- Kuna lura da dunkule a cikin baki, ƙarƙashin muƙamuƙi, ko cikin wuya wanda ba zai tafi cikin makonni 2 zuwa 3 ba ko kuma ya fara girma
Tumor - salivary bututu
- Ciwon kai da wuya
Jackson NM, Mitchell JL, Walvekar RR. Rikicin kumburi na gland. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 85.
Markiewicz MR, Fernandes RP, Ord RA. Ciwon gland na salivary. A cikin: Fonseca RJ, ed. Yin tiyata ta baka da Maxillofacial. 3rd ed. St Louis, MO: Elsevier; 2018: babi na 20.
Yanar gizo Cibiyar Cancer ta Kasa. Magungunan ciwon daji na salivary gland (babba) (PDQ) - fasalin ƙwararrun kiwon lafiya. www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq. An sabunta Disamba 17, 2019. Iso ga Maris 31, 2020.
Saade RE, Bell DM, Hanna EY. Neoplasms mara kyau na gland na salivary. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 86.