Lijezde slinovnice
This presentation is the property of its rightful owner.
Sponsored Links
1 / 28

ŽLIJEZDE SLINOVNICE PowerPoint PPT Presentation


  • 435 Views
  • Uploaded on
  • Presentation posted in: General

ŽLIJEZDE SLINOVNICE. doc.dr.sc. Željka Roje Klinika za bolesti uha, nosa i grla s kirurgijom glave i vrata KBC Split. SEKRECIJA SLINE. Ukupno 1000 do 1500 ml u 24 sata 60% u parotidnim žlijezdama, 30% u submandibularnim, 5% u sublingvalnim i 5 % u malim žlijezdama

Download Presentation

ŽLIJEZDE SLINOVNICE

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Lijezde slinovnice

ŽLIJEZDE SLINOVNICE

doc.dr.sc. Željka Roje

Klinika za bolesti uha, nosa i grla s kirurgijom glave i vrata

KBC Split


Sekrecija sline

SEKRECIJA SLINE

  • Ukupno 1000 do 1500 ml u 24 sata

  • 60% u parotidnim žlijezdama, 30% u submandibularnim, 5% u sublingvalnim i 5 % u malim žlijezdama

  • Stvara se iz plazme procesima difuzije i osmoze između kapilara i acinusnih stanica


Sastav sline

SASTAV SLINE

  • 99,42% voda

  • 0,22% Kalcijev fosfat i karbonat

  • 0,14% amilaza


Funkcije sline

FUNKCIJE SLINE

  • Probavna (oblikovanje bolusa, amilaza)

  • Zaštitna općenito(lizozimi)

  • Zaštitna lokalno (obnova i održavanje cakline zuba, mehaničko čišćenje zubala)

  • “Epidemiološka”(virusi)

  • Posreduje u osjetu okusa

  • Sudjeluje u održavnju AB ravnoteže


Funkcionalni poreme aji slinjenja

FUNKCIONALNI POREMEĆAJI SLINJENJA

  • HIPOSALIVACIJA (HIPOPTIJALIZAM)

    • Smanjeno stvaranje sline

    • U kroničnim upalama, degenerativnim bolestima, nakon iradijacije, dehidracije, uporabe lijekova s antikolinergičnim učinkom (atropin), neuroleptika, sedativa, antihistaminika

    • Liječenje: palijativno

  • HIPERSALIVACIJA (PTIJALIZAM)

    • Nepoznate geneze

    • Liječenje: atropin, zračenje – male doze


Dijagnoza

DIJAGNOZA

  • Anamneza

  • Klinički pregled (palpacija, inspekcija)

  • Specijalne pretrage: sijalografija, scintigrafija

  • UZ, CT, NMR

  • Citološka punkcija


Lijezde slinovnice

UPALE


Lijezde slinovnice

UPALE


Lijezde slinovnice

UPALE

  • Infectious parotitis

    • Acute bacterial parotitis: The patient reports progressive painful swelling of the gland and fever; chewing aggravates the pain.

    • Acute viral parotitis (mumps): Pain and swelling of the gland last 5-9 days. Moderate malaise, anorexia, and fever occur. Bilateral involvement is present in most instances.

    • HIV parotitis: Nonpainful swelling of the gland occurs; otherwise, patient is asymptomatic.

    • Parotitis in tuberculosis: Chronic nontender swelling of one parotid gland occurs, or a lump is noted within the gland. Symptoms of tuberculosis are found in some cases.


Lijezde slinovnice

Chronic punctate parotitis (chronic autoimmune parotitis)

Mikulicz disease: This is a historical disease only; it should not be diagnosed today.

Sjögren syndrome: Recurrent or chronic swelling of one or both parotid glands with no apparent cause is noted. It is frequently associated with autoimmune disease. Discomfort is modest in most cases and is related to dry mouth and eyes.

Lymphoepithelial lesion of Godwin: This is a historical category that is not used today.

UPALE


Lijezde slinovnice

Diseases of uncertain etiology 

Recurrent parotitis of childhood: Repetitious episodes of unilateral or bilateral mumps like episodes in a young child are indicative.

Sarcoidosis: Chronic nontender swelling of parotid gland occurs.

Chronic nonspecific parotitis: Most commonly, patients experience episodes of painful parotid inflammation that last for hours to weeks with relative asymptomatic periods between. Pain varies from mild to incapacitating.

UPALE


Lijezde slinovnice

SIJALOLITIJAZA


Lijezde slinovnice

SIJALOLITIJAZA


Lijezde slinovnice

SIJALOLITIJAZA

Ca fosfat 74%

Ca karbonat 11%

ostalo


Tumori

TUMORI


Tumori1

TUMORI

  • Najčešći u parotidi

  • Što je žlijezda manja šansa da se radi o malignom tumoru je veća!


Lijezde slinovnice

TERAPIJA

kirurgija

radioterapija


Kirurgija

KIRURGIJA

  • Superficijalna parotidektomija

  • Totalna parotidektomija

  • TP s disekcijom vrata

  • TP sa žrtvovanjem ličnog živca (ev. rekonstrukcija živca)


  • Login