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October 10, 2025
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I-tumor ye-parotid iwukukhula okwenzeka esicaphini sakho se-parotid, esiyisigabha esikhulu se-salivary esikhonjwe phambi kwelindlebe lakho. Iningi lama-tumor e-parotid alibi, okusho ukuthi awonawo umdlavuza futhi ngeke asakazeke kwezinye izingxenye zomzimba wakho.
Lezi tumors zingazizwa zikhathaza uma uqale ukuzibona, kodwa izindaba ezinhle ukuthi cishe u-80% wama-tumor e-parotid alukhuni ngokuphelele. Izicabha zakho ze-parotid zisebenza ngokuthula nsuku zonke ukukhiqiza i-saliva ekusisiza ukukoma, ukugwinya, nokugaya ukudla.
Isici esivamile se-tumor ye-parotid yilump noma ukukhula okungenaphimbo phambi kwelindlebe lakho noma endaweni yomhlathi wakho. Lokhu kukhula kungazizwa kuqinile noma kufana nerabha uma ulithinta, futhi kuvame ukukhula kancane ezinyangeni noma eminyakeni eminingi.
Nawa izimpawu ongazibona, kusukela ezivamile kuya kwezingavamile:
Abanye abantu nabo baye baba nezimpawu ezingavamile ezingase zibonise isimo esinzima kakhulu. Lokhu kuhlanganisa ubuthakathaka noma ukungabi namqondo ebusweni, ubuhlungu endaweni yelindlebe, noma ubunzima bokuhambisa izingxenye zobuso bakho ngokujwayelekile.
Ezimweni ezingavamile, ungase uqaphele ukushintsha ekukhiqizweni kwe-saliva yakho noma ukunambitheka okufana nensimbi emlonyeni wakho. Lezi zimpawu azisho ukuthi i-tumor inomdlavuza, kodwa zidinga ukukhuluma nodokotela wakho.
Ama-tumor e-parotid ahlukaniswe izigaba ezimbili eziyinhloko: ababi nabahlukumezayo. Ukuqonda umehluko kungasiza ukunciphisa ukukhathazeka kwakho nokuqondisa izinqumo zakho zokwelashwa.
Izinhlungu ezingalimi ze-parotid zenziwa iningi lamacala. Uhlobo oluvamile kakhulu lubizwa ngokuthi yi-pleomorphic adenoma, okuzwakala kunzima kodwa kusho nje i-tumor ehlanganisiwe ekhula kancane futhi ihlale endaweni eyodwa. Lezi zinhlungu zizizwa zifana nerabha futhi ziyahamba kancane uma uzibamba.
Olunye uhlobo olungalimi yi-Warthin tumor, oluvame ukubathinta abadala futhi ngezinye izikhathi luvela ezindlebeni zombili ze-parotid. Lezi zinhlungu nazo azinamona kodwa zingase zizwe zithambile kune-pleomorphic adenomas.
Izinhlungu ze-parotid ezimbi zingezona ezivamile, zivele kuphela cishe ku-20% yamacala. Uhlobo oluvamile kakhulu olulimazayo yi-mucoepidermoid carcinoma, engase ibe kusukela ekukhuleni kancane kuya ezinhlotsheni ezinamandla kakhulu.
Ezinye izinhlobo ezimbi ezingavamile zihlanganisa i-adenoid cystic carcinoma ne-acinic cell carcinoma. Lezi zivame ukukhula kancane kunamanye ama-cancer kodwa zidinga ukwelashwa ngokushesha ukuvimbela ukusabalala.
Imbangela eqondile yezinhlungu eziningi ze-parotid ayiqondakali, okungase kuzwakale kukhungathekisa uma uzama ukuqonda ukuthi kungani lokhu kwenzeke kuwe. Noma kunjalo, abacwaningi baye baqaphela izinto eziningana ezingase zifake isandla ekukhuleni kwazo.
Izinhlungu eziningi ze-parotid zibonakala zikhula ngokungahleliwe ngaphandle kwesici esithile. Amaseli omzimba wakho ngezinye izikhathi aqala ukukhula ngokungajwayelekile ngezizathu esingezazi ngokuphelele, kufana nendlela ukukhula okungalimi okunye okungase kuvele noma kuphi emzimbeni wakho.
Ezinye izinto ezingase zifake isandla zihlanganisa:
Ubudala buphinde bube nomthelela, njengoba izinhlungu ze-parotid zivame ukukhula kubantu abaneminyaka engama-40 kuya kwengu-60. Noma kunjalo, zingase zenzeke kunoma iyiphi iminyaka, kufaka phakathi ezinganeni nasebasha.
Kubalulekile ukukhumbula ukuthi ukuba nezici ezingozi akusho ukuthi uzophuthuma uthola i-tumor ye-parotid. Abantu abaningi abanalezi zici ezingozi abazitholi lezi tumors, kanti abanye abangenazo izici ezingozi ezaziwayo bayazithola.
Kufanele ubona udokotela uma ubona noma iyiphi inqwaba entsha noma ukukhula ebusweni bakho, entanyeni, noma eduze kwezindlebe zakho. Nakuba iningi le-tumors ze-parotid zilungile, kubalulekile ukuthola ukuxilongwa okufanele ukuze kuvinjwe ezinye izimo.
Hlela i-aphoyintimenti ngokushesha uma uhlushwa yinquaba engahlungwini ebe ikhula kancane ezinyangeni noma emakhulwini. Ngisho noma kungenzeka kungabi yingozi, udokotela wakho angenza amavivinyo ukuqinisekisa ukuxilongwa bese eluleka ukwelashwa okufanele.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela lezi zimpawu ezinkulu:
Lezi zimpawu zingase zibonise isimo esinzima noma izinkinga ezidinga ukuhlolwa ngokushesha. Noma kunjalo, ngisho nalezi zimpawu azisho ngokuzenzakalelayo ukuthi une-kansa.
Thembela izinzwa zakho mayelana nokushintsha emzimbeni wakho. Uma kukhona okubonakala kuhlukile noma okukukhathazayo, kuhlale kungcono ukuthi kuhlolwe kunokukukhathaza.
Izici eziningi zingase zikhulise amathuba akho okukhula kwe-tumor ye-parotid, nakuba ukuba nalezi zici ezingozi akusho ukuthi uzoyithola. Ukuqonda lezi zici kungakusiza uhlale uqaphele izinguquko emzimbeni wakho.
Ubudala ingenye yezici ezingozi ezinkulu kakhulu, ngoba iningi le-tumors ze-parotid livela kubantu abangaphezu kweminyaka engu-40. Noma kunjalo, lezi tumors zingakhula kunoma iyiphi iminyaka, kufaka phakathi ezinganeni, nakuba lokhu kungavamile.
Izimbangela eziqhelekileyo zifaka:
Izimbangela ezingavamile zifaka izimo zezokwelapha noma ukwelashwa okuqondile. Abantu abamukele ukwelashwa ngemisebe ngezinye izifo ze-cancer, ikakhulukazi ngesikhathi sobuntwana, bangaba nezingozi eziphezulu zokuthuthukisa izifo ze-parotid kamuva ebomini.
Ezinye izifundo ziyabonisa ukuthi ukutheleleka okuthile kwe-viral, kufaka phakathi i-Epstein-Barr virus, kungase kudlale indima ekuthuthukiseni izifo. Noma kunjalo, uxhumano alukabi lukhulu ngokwanele ukubheka ukutheleleka kwe-viral njengimbangela enkulu yezingozi.
Ubulili bubonakala bukhona indima encane, ngezinhlobo ezithile zezifo ze-parotid eziqhelekile kakhulu kwabesifazane, kanti ezinye zivela kakhulu kumadoda. Umehluko ngokuvamile mncane futhi awufanele ube nokukhathazeka okukhulu.
Izifo eziningi ze-parotid zibangela ukuphazamiseka okuncane, ikakhulukazi lapho zilungile futhi zilawulwa kahle. Noma kunjalo, ukuqonda izinhlanganisela ezingaba khona kungakusiza wenze izinqumo ezilwemi mayelana nokwelashwa futhi wazi ukuthi yini okufanele uyilinde.
Inhlanganisela eqhelekile ukukhula okuqhubekayo kwesifo, okungabangela ukungalingani kobuso noma ukuhlupha imisebenzi evamile njengokukhinyabeza noma ukukhuluma. Ngisho nezifo ezilungile zingaba yinkinga uma zikhula ngokwanele.
Izinhlanganisela ezingaba khona zifaka:
Ngokuphathelene nezinhlungu ezingamahlalakhona, izinhlungu ezengeziwe zingafaka ukusabalala emaqandeni e-lymph aseduze noma kwezinye izingxenye zomzimba. Noma kunjalo, lokhu akukho lwazi, ikakhulukazi uma izinhlungu zitholakala futhi zitholwe ngokushesha.
Ukukhathazeka okuthile ngokuhlinzwa kwe-parotid ukwenzakala komthambo wobuso, ohamba ngqo ngeglands ye-parotid. Lo mthambo ulawula imizwa yobuso, futhi ukonakala kungabangela ubuthakathaka noma ukuqina ngakolunye uhlangothi lwobuso.
Izindaba ezinhle ukuthi ochwepheshe bokuhlinzwa banakekela kakhulu ukulondoloza lo mthambo, futhi ubuthakathaka bohlangothi lwobuso obuhlala njalo buvela ngaphansi kuka-5% yokuhlinzwa kwe-parotid. Abantu abaningi ababhekene nobuthakathaka besikhashana bayaphila ngokuphelele phakathi nezinyanga ezimbalwa.
Ngeshwa, ayikho indlela eqinisekisiwe yokuvimbela izinhlungu ze-parotid njengoba singaqondi ngokugcwele ukuthi yini ebangela izinhlungu eziningi zazo. Noma kunjalo, ungathatha izinyathelo zokugcina impilo enhle ye-salivary gland nokunciphisa ezinye izimbangela ezingaba khona.
Isinyathelo esibaluleke kakhulu sokuvimbela ukugwema ukukhishwa okungadingekile kwe-radiation ekhanda nasekhoneni. Uma udinga izithombe zezokwelapha noma ukwelashwa okuhilela i-radiation, xoxa ngengozi nezinzuzo nodokotela wakho.
Izinyathelo zempilo jikelele ezingase zisekele impilo ye-salivary gland zifaka:
Uma usebenza emikhakheni enokukhishwa kwezinto ezikhiqizwayo, ukulandela izinqubo zokuphepha ezifanele nokuvala imishini yokulinda kunganciphisa ingozi yakho, yize ubufakazi balokhu buhlala butadishwa.
Ukuhlola rhoqo kwamazinyo kungasiza ekutholeni izinguquko e-salivary glands yakho ngokushesha. Umdenti wakho angase aphawule ukukhula noma ezinye izinguquko ngesikhathi sokuhlola okuvamile.
Indlela elula kunazo zonke iwukuba uqaphele umzimba wakho bese ubika noma yiziphi izicubu ezintsha noma izinguquko kudokotela wakho ngokushesha.
Ukuxilongwa kwesigcwagcwa se-parotid kuvame ukuqala ngokuhlolwa komzimba lapho udokotela wakho eba nomuzwa wesicubu bese ebuza ngezimpawu zakho. Lo mhlahlandlela wokuqala ukusiza ekuqondeni ukuthi yiziphi izivivinyo ezengeziwe ezidingekayo.
Udokotela wakho uzohlola usayizi, indawo, kanye nezici zesicubu, ahlole ukuthi yashukuma yini uma ithintwa nokuthi ithonya yini umsebenzi wezinzwa zakho zobuso. Bayobuza futhi ukuthi uke wawubona nini lesi sicubu futhi ukuthi lushintshe yini ngobukhulu noma lubeka izimpawu.
Izivivinyo ezivamile zokuxilonga zihlanganisa:
I-fine needle aspiration biopsy ivame ukuba yivivinyo elibaluleke kakhulu. Ngalesi senzo, udokotela wakho usebenzisa inhlanzi encane ukuthola isampula encane yamangqamuzana esigcwagcweni. Lokhu kuzwakala kungathandeki, kodwa kuvame ukwenziwa nge-anesthesia yendawo futhi kuzwakala kufana nokuthola ukuhlolwa kwegazi.
Izivivinyo zezithombe ezifana ne-CT scans noma i-MRIs zisiza udokotela wakho ukubona ukuthi lesi sigcwagcwa sikhona kuphi kanye nokuthi sihlobene kanjani nezinto ezibalulekile ezifana nezinzwa zobuso. Ulwazi olukhulu ekucwaningeni ukwelashwa.
Kwezinye izimo, kungadingeka izivivinyo ezikhethekile ezengeziwe ukuze kunqunywe uhlobo oluqondile lwesigcwagcwa noma ukususwa kwezinye izimo. Udokotela wakho uzochaza ukuthi yiziphi izivivinyo ezidingekayo esimweni sakho esithile.
Ukwelashwa kwezinhlobo zezimpukane ezivela e-parotid kuncike ikakhulukazi ekutheni ingxube ingaphilile noma ingaphilile, kanye nobukhulu bayo nendawo. Izindaba ezinhle ukuthi iningi lezingxube ze-parotid lingaphiliswa ngempumelelo ngemiphumela emihle.
Ngezinhlobo zezimpukane ezingaphilile, ukususa ngokusebenza kuvame ukuba ukwelashwa okusikisela. Inkqubo evamile kakhulu ibizwa ngokuthi i-superficial parotidectomy, lapho udokotela osenayo esusa khona ingxube kanye nengxenye ye-parotid gland ngokucophelela egcina inzwa yobuso.
Amakhetho okwelashwa avame ukufaka:
Ngezinhlobo zezimpukane ezingaphilile, ukwelashwa kuvame ukufaka ukusebenza okulandelelwa ukwelashwa ngomgqomo we-radiation ukunciphisa ingozi yokubuyela kwemvelo. Ubukhulu bokuhlinzwa kuncike ebukhulu bengxube nokukhiqizwa kwayo ezicini eziseduze.
Abanye abantu abanezinhlobo zezimpukane ezincane kakhulu ezingaphilile nezingozi ezinkulu zokusebenza bangaba abakhethiwe bokugcina ukubuka kunokusebenza ngokushesha. Le ndlela ifaka ukulandelela njalo ngokuhlola izithombe ukuqinisekisa ukuthi ingxube ayikhulu ngokushesha.
Udokotela wakho uzoxoxa ngendlela ethile engcono kakhulu yesimo sakho, ucabangele izinto ezinjengobudala bakho, impilo yonke, kanye nezici zengxube yakho.
Ukululama ngemuva kokusebenza kwengxube ye-parotid kuvame ukuthatha amasonto ambalwa, futhi kunezinqubo ezithile ongazithatha ekhaya ukuthuthukisa ukululama nokulawula noma yiluphi ubuhlungu. Iningi labantu lingabuyela emisebenzini evamile phakathi kwamasonto angu-2-3.
Ezinsukwini ezimbalwa zokuqala ngemva kokuthunga, cishe uzobona ukuvuvukala nobuhlungu endaweni ehlinzwe khona. Lokhu kuyinto evamile futhi kufanele kube kuhle kancane ngokuhamba kwesikhathi nangokunakekelwa okuhle.
Izindlela zokunakekela ekhaya zihlanganisa:
Ungase ubone ushintsho oluthile oluyimfuneko ekuzweleni kobuso noma ekuhambeni, okuyinto evamile njengoba indawo iphulukana. Abantu abaningi baye baba nokuqina okuzungezile indlebe nesiqubu esiphulukana kancane ngezinyanga eziningi.
Abanye abantu bathuthukisa isimo esibizwa ngokuthi i-Frey's syndrome, lapho ungase ukhale khona ehlombe lakho lapho udle. Lokhu kwenzeka cishe ku-10-15% yabagula futhi ngokuvamile kuthuthuka izinyanga ngemva kokuthunga. Nakuba kungase kube nzima, akubiyingozi futhi ngokuvamile kungaphathwa kahle.
Xhumana nodokotela wakho uma uhlangabezana nobuhlungu obukhulu, izimpawu zokutheleleka njengoba ubanda noma ukukhanya okukhulu, noma noma yikuphi ushintsho oluzumayo ekuhambeni kobuso noma ekuzweleni.
Ukulungiselela i-aphoyintimenti yakho mayelana ne-tumor ye-parotid kungakusiza ukuba wenze okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo. Ukuzilungiselela kancane kunganciphisa ukukhathazeka futhi kukusize uzizwe ulawula kakhulu.
Ngaphambi kwe-aphoyintimenti yakho, bhala phansi ukuthi uqale nini ukubona i-lump nanoma yikuphi ushintsho oye wawubona. Faka imininingwane mayelana nobukhulu, ubuhlungu, noma noma yiziphi ezinye izimpawu oye wazibona.
Letha ulwazi olulandelayo kwi-aphoyintimenti yakho:
Bhala imibuzo yakho kusengaphambili ukuze ungayikhohlwa ngesikhathi sokuqokwa. Imibuzo ebalulekile ingase ihlanganise ukubuza ngohlobo olukhulu lwenhlayiya, izinketho zokwelapha, izingozi nezinzuzo zezindlela ezahlukene, nokuthi yini okulindelekile ngesikhathi sokuphulukisa.
Cabanga ukuthi ulethe ilungu lomndeni noma umngani ekuqokweni. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sizizwe sengathi ingxoxo ebiwe kakhulu.
Unganqikazi ukubuza udokotela wakho ukuthi achaze noma yini ongayiqondi. Amagama ezokwelapha angase aphithizelwe, futhi udokotela wakho kufanele ajabule ukucacisa izinto ngolimi oluqondile.
Into ebaluleke kakhulu okufanele uyikhumbule mayelana nezinhlanzi ze-parotid ukuthi iningi labo libengezi futhi liyaphatheka kalula. Nakuba ukuthola noma yiluphi uhlangothi kungase kube ukwesaba, izinhlanzi ze-parotid azivame ukuba nezingozi ezinkulu zezempilo uma zitholwe kahle futhi ziphathwe.
Ukuthola kwangaphambi kwesikhathi nokuphathwa kuholela eziphumeleni ezinhle kubantu abaningi. Uma ubona noma yiluphi uhlangothi olusha noma ukukhula eduze komlomo wakho noma eceleni, ungalibeki ukubona umhlinzeki wakho wezempilo ukuze uhlolwe.
Amathuluzi okuhlinzwa anamuhla enze ukususa izinhlanzi ze-parotid kuphephe kakhulu kunangaphambili, ngabantu abaningi ababona ukuphulukisa okugcwele nokubuyela emisebenzini evamile. Ngisho nalapho kwenzeka khona izinkinga, ngokuvamile ziyaphatheka futhi zingezesikhashana.
Khumbula ukuthi ukuba nenhlanzi ye-parotid akubonisi lutho oluwenzile okungalungile noma obungakwazi ukuvimbela. Lezi zinhlanzi ngokuvamile zithuthukisa ngokungahleliwe, futhi ngokwelashwa okufanele, abantu abaningi baqhubeka bephila impilo evamile, enempilo egcwele.
Cha, cishe u-80% wezinhlungu ze-parotid ziyizinto ezilungile, okusho ukuthi azilona icala futhi ngeke zisakazeke kwenye ingxenye yomzimba wakho. Ngisho noma izinhlungu ze-parotid zinobuthi, zivame ukukhula kancane futhi zitholakala kalula uma zitholakala ekuqaleni. Iningi labantu abanezinhlelo ze-parotid banemiphumela emihle kungakhathaliseki uhlobo lwezinhlungu.
Abantu abaningi bagcina umsebenzi ojwayelekile wobuso ngemuva kokuhlinzwa kwezinhlungu ze-parotid. Odokotela abanolwazi banakekela kakhulu ukulondoloza inzwa yobuso edlula esigxotsheni se-parotid. Nakuba abanye abantu behlangabezana nobuthakathaka noma ukungabi namandla okwesikhashana, ukonakala okungapheli kwenuzwa yobuso kwenzeka ngaphansi kuka-5% yezimo. Noma yikuphi ukuguquka okwesikhashana kuvame ukuthuthuka phakathi nezinyanga ezimbalwa njengoba indawo iphulukana.
Abantu abaningi bangabuyela emisebenzini evamile phakathi kwamasonto angu-2-3 ngemuva kokuhlinzwa kwezinhlungu ze-parotid. Isikhathi sokuphulukana sokuqala sihilela ukukhuluphala nokungakhululeki isonto lokuqala, kodwa lokhu kuya kuthuthuka kancane kancane. Ukuphulukana okuphelele, kufaka phakathi ukuxazululwa kokungabi namandla noma ukuguquka okuncane kobuso, kungathatha izinyanga eziningi. Udokotela wakho uzonikeza imiyalelo ekhethekile ngokuya ngesimo sakho.
Ukubuyela emuva akunqamuki uma izinhlungu ze-parotid zisuswa ngokuphelele ngesikhathi sokuhlinzwa. Izinhlungu ezilungile njenge-pleomorphic adenomas zinobanga oluphansi kakhulu lokuphinda zibuyele uma zitholakala ngendlela efanele. Noma kunjalo, uma ingxenye kuphela yenzima isusiwe, kunethuba elikhulu lokuthi ingakhula kabusha. Kungakho ukususwa ngokuphelele kokwelashwa kuvame ukunconywa eziningini zezinhlungu ze-parotid.
Kuzothini ukuthi udle ukudla okuthambile emasontweni amabili okuqala ngemva kokucutshungulwa, ngesikhathi umlomo wakho nendawo yomhlathi zichila. Ngemva kwalokho, abantu abaningi bangabuyela ekudleni kwabo okuvamile ngaphandle kokulinganiselwa. Abanye abantu baphawula ukushintsha ekukhiqizweni kwamathumbu, okungase kuthonye indlela ukudla okunambitheka ngayo ekuqaleni, kodwa lokhu kuvame ukuthuthuka ngokuhamba kwesikhathi. Udokotela wakho oqeqeshwe ngokukhethekile uzokunikeza imiyalo ekhethekile yokudla ngesikhathi sakho sokuphulukisa.
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