Sialoadenitis – an inflammatory disease of the salivary glands.
is caused by viruses (mumps); non-specific infection, specific infection (actinomycosis, tuberculosis, syphilis); the introduction of foreign Affairs in the ducts of the salivary glands.
Sharp pain when swallowing, worse when eating; there is limited swelling in the submandibular region, where a palpable rounded infiltrate sharply painful. May be hyperemia and edema of the floor of the mouth.
Diagnosis is based mainly on their clinical manifestations.
treatment in the early stages conservative: dry heat, solljuks, diet to increase salivary flow, antibiotics, orally 1% solution of pilocarpine hydrochloride 6-8 drops 2-3 times a day. Penicillin-procaine blockade of the subcutaneous tissue of the parotid chewing region (40-50 ml of 0.5% solution of novocaine and 200,000 UNITS of penicillin), as well as infiltration of the submucosal layer along the duct of the gland.
When suppuration treatment surgical: incision under the angle of the jaw, along the duct. Must be aware of the possibility of damage to the facial nerve.
To treat all types of sialadenitis should be strictly specialists because untimely or incorrect treatment in some cases may contribute to a relatively fast transition problems in its chronic form. Chronically hazardous for its periodic exacerbations and resistance to medical drugs.
But with timely treatment to the doctor patients is usually more than just a simple conservative therapy. Moreover, in some cases, the treatment is not complicated forms of inflammation of the salivary glands can be performed even on an outpatient basis.
Sometimes patients may still be needed strict bed rest, with a balanced diet. In some cases, when pain when swallowing food pronounced in these patients can be ground, so that the subsequent chewing and swallowing is not delivered to the patients expressed no discomfort.
Naturally, to reduce some of the intoxication of the whole organism, doctors strongly recommend the use of plenty of warm drink. You can drinking juices, or fruit drinks, broth hips, herbal tea, and even milk. Incredibly high efficiency, of course, has the standard local treatment.
Sometimes such patients are assigned to specific therapeutic procedures (such as for example UHF, or Solux). But to ensure a practically constant outflow of the saliva from affected glands of patients it is strongly recommended that the so-called konohana diet. In this case, before eating must be soaked in the oral cavity as thin a slice of fresh lemon.
Can before eating eat crackers, or sauerkraut, sometimes cranberry or other acidic foods. These simple techniques help to avoid acute stagnation of the saliva in diseased glands, and even promote early removal of the gland is already dead cells or degradation products of bacteria.
Naturally, depending on the specific course of the disease the doctor can decide when it is permissible to start a powerful active stimulation of salivation. Moreover, the decrease in body temperature, as well as to reduce the intensity of pain, patients are allowed to take such medicines as not steroid anti-inflammatory drugs (Baralgin for example, Ibuprofen, Pentalgin either).
In those cases where, despite intensive symptomatic treatment, the patient’s condition has continued to deteriorate, and within three days there is no improvement. If you see major signs of a specific development of purulent processes in previously affected salivary gland, then of course such patients can be prescribed a powerful antibiotic therapy.