{"id":5676,"date":"2022-07-29T11:33:08","date_gmt":"2022-07-29T10:33:08","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/otorinolaringologija-hronicni-faringitis-copy\/"},"modified":"2022-08-17T12:49:08","modified_gmt":"2022-08-17T11:49:08","slug":"otorinolaringologija-zapaljenje-pljuvacnih-zlezda","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/otorinolaringologija-orl\/otorinolaringologija-zapaljenje-pljuvacnih-zlezda\/","title":{"rendered":"Otorinolaringologija – Zapaljenje pljuva\u010dnih \u017elezda"},"content":{"rendered":"

SIALOADENITIS I SIALOLITHIASIS<\/strong><\/p>\n

\u010covek ima tri para velikh pljuva\u010dnih \u017elezda: parotidne, submandibularne, submentalne i hiljade malih \u017elezda koje su smestene ispod sluznice u ustima. One dnevno izlu\u010de 1 do 1,5 l pljuva\u010dke. Pljuva\u010dka \u010duva integritet sluzoko\u017ee gornjih aerodigestivnih puteva svojim enzimima i saprofitnom bakterijskom florom, omogu\u0107ava normalnu pasa\u017eu hrane, ima sijalogogna svojstva, vla\u017ei sluznice i glasne \u017eice.<\/span><\/p>\n

Sialoadenitis ac (zapaljenje pljuva\u010dne \u017elezde)<\/strong> mo\u017ee biti virusne ili bakterijske prirode, akutno ili hroni\u010dno naj\u010de\u0161\u0107e ascedentno iz usta.\u00a0 Uzrok su naj\u010de\u0161\u0107e kariozni zubi, stomatitisi tj zapaljenja sluznice usne \u0161upljine, neregulisan dijabetes i dr.<\/span><\/p>\n

Simptomi:<\/strong> iznenadni otok ispred ili ispod uva, otok na vratu ispod donje vilice ili ispod brade\u00a0 koji je mekan, jako bolan i topao. Otok parotidne \u017elezde se nalazi ispred i ispod uha, otok podvili\u010dne (submandibularne)\u00a0 \u017elezde ispod donje vilice, a otok submentalne \u017elezde ispod brade. U ustima nalazimo crvenilo na izvodnom kanalu i gnojan sekret (Stenonova papila se nalazi\u00a0 na unutra\u0161njoj bo\u010dnoj strani obraza, Vartonove papile ispod jezika). U te\u017eim slu\u010dajevima imamo i op\u0161te infektivne simptome: povi\u0161enu telesnu temperaturu, op\u0161tu slabost, glavobolju… U svim slu\u010dajevima je jako izra\u017een bol koji se poja\u010dava pri uzimanju hrane jer dolazi do poja\u010danog lu\u010denja pljuva\u010dke i nemogu\u0107nosti njenog oticanja zbog \u010dega \u017elezda jo\u0161 vi\u0161e oti\u010de i dolazi do poja\u010davanja bola. Bol nastaje zbog rastezanja \u017elezdane ovojnice.\u00a0<\/span><\/p>\n

Le\u010denje<\/strong> se sprovodi antibioticima kod bakterijskih infekcija prema nalazu brisa. Kod virusnih infekcija lokalnim antisepticima u vidu oralnih tableta (septolete). Sprovodi se\u00a0 adekvatna higijena usne duplje, saniranje oboljenja zuba i dr.\u00a0<\/span><\/p>\n

Hirir\u0161ko uklanjanje kamena iz izvodnog kanala ako je on uzrok zapaljenja ili dilatacija ako postoji stenoza izvodnog kanala.<\/span><\/p>\n

Sialoadenitis chr: ponavljane upale vode ka hroni\u010dnoj upali. \u017dlezda je uve\u0107ana, tvr\u0111e konzistencije, osetljiva na palpaciju, pro\u0161irenog izvodnog kanala. Prilikom jela \u017elezda se pove\u0107ava.<\/span><\/p>\n

Sialolithiasis (kamen u izvodnim kanalima pljuva\u010dnih \u017elezda)<\/strong><\/p>\n

Naj\u010de\u0161\u0107e oboleva submandibularna (podvili\u010dna) \u017elezda. Upadljiv znak je pove\u0107anje \u017elezde u toku jela. Otok je mekan, bezbolan, ko\u017ea iznad \u017elezde nije crvena.\u00a0<\/span><\/p>\n

Le\u010denje je hirur\u0161ko: otvaranje kanala i uklanjanje kamena.<\/span><\/p>\n

Dijagnoza se postavlja na osnovu anamneze, ORL pregleda<\/a>, brisa grla, Ultrazvu\u010dne, rentgen, skener ili magnetna rezonanca dijagnostike. Sve navedeno\u00a0 mozete obaviti brzo i efikasno u Euromediku.<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

SIALOADENITIS I SIALOLITHIASIS \u010covek ima tri para velikh pljuva\u010dnih \u017elezda: parotidne, submandibularne, submentalne i hiljade…<\/p>\n","protected":false},"author":1,"featured_media":5678,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[510],"tags":[167,168,206],"class_list":["post-5676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-otorinolaringologija-orl","tag-orl","tag-otorinolaringologija","tag-zapaljenje-pljuvacnih-zlezda"],"yoast_head":"\nOtorinolaringologija - Zapaljenje pljuva\u010dnih \u017elezda - Dijagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"\u010covek ima tri para velikh pljuva\u010dnih \u017elezda: parotidne, submandibularne, submentalne i hiljade malih \u017elezda koje su smestene ispod sluznice u ustima. 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