Tuesday, October 16, 2018

What is mumps? What are the manifestations, complications, causes, tests, and treatments for mumps?

What is mumps? What are the manifestations, complications, causes, tests, and treatments for mumps?
What is mumps? What are the manifestations, complications, causes, tests, and treatments for mumps?
What is mumps?
Mumps is inflammation of the parotid gland. After mumps is obtained, the most typical manifestation is that the gangster is repeatedly swollen. The mouth of the parotid gland (in the mouth, which is commonly known as the "big tooth") has redness or secretion, sometimes accompanied by Have systemic symptoms such as fever and weakness. The parotid gland is located in front of the ear, which is commonly known as the gangster. The main function of the parotid gland secretes saliva. There is a catheter in the middle of the parotid gland called the parotid duct, which is open on the inner surface of the scorpion, which is the buccal mucosa in the mouth. The main function is to introduce saliva secreted by the parotid gland into the oral cavity.

What is the cause of mumps?
Hemorrhea, also known as mumps, occurs mainly in children and is contagious and spreads through droplets, so patients need to be isolated. The main symptoms are swelling of the gangsters on both sides, pain, and sometimes accompanied by systemic problems such as fever.


What are the types of mumps?
Mumps can be divided into three categories: purulent, viral and specific.

  • Suppurative mumps mainly acute suppurative mumps, chronic recurrent mumps and chronic obstructive mumps. 
  • Viral mumps The most common type of mumps, referred to as rogue, commonly known as "sputum", is an acute infectious disease caused by viral infection.
  • Specific mumps Mainly mumps caused by tuberculosis, actinomycosis, sarcoidosis, etc., is relatively rare.


What is the performance of acute suppurative mumps?
Generally, the gangster on one side will be swollen, painful, red, and hot. If you press the scorpion by hand, the sputum will flow out of the pus. Serious symptoms of systemic symptoms, elevated body temperature, increased pulse breathing, and so on.

What is the performance of chronic recurrent mumps?
The scorpion is repeatedly swollen, and the sputum sputum has a pus or jelly-like liquid that overflows from the mouth of the parotid gland, and it occurs once every few weeks or months.

What is the performance of chronic obstructive mumps?
Chronic obstructive mumps occurs mostly in middle-aged men. Patients often don't know when they are ill. Most of them are swollen and swollen before they go to the hospital. About half of the patients will have a phenomenon of "seeing a swollen face", that is, when they see rice or prepare to eat, the gangs are swollen. When they don't eat, the swelling is reduced. This is because the salivary glands secrete saliva before eating. There are also some patients who have no obvious relationship between swelling and eating. In the morning, the gangs are swollen and can be relieved after a little massage.

What is the performance of mumps?
Most of the mumps are inflammation of the bilateral parotid glands. The two sputum swells and pains, affecting eating. The parotid duct is red and swollen but there is no pus, sometimes accompanied by systemic fever, headache, and vomiting. Other organs are sometimes affected, such as orchitis (which may lead to infertility), ovarian inflammation (which may lead to infertility), meningitis, and the like.

Does mumps and orchitis affect male fertility and cause infertility?
possible. Because the mumps virus has certain aggression on the testes, a small number of male patients (generally mature testes are rarely attacked, and young patients rarely occur). When the mumps are swollen for a week or so, the parotid gland swelling subsides and becomes feverish. Orchitis, but generally one side of orchitis (mostly on one side) or bilateral (about 1/3 of patients on both sides) testicular mild inflammation after treatment does not affect fertility, but if both testicular inflammation Very heavy, found and treatment is not timely, it will affect fertility, serious possible infertility. In addition to fever, orchitis, testicular swelling, pain, can be accompanied by epididymitis, hydrocele (occurring around the testicular), scrotal edema, testicular can be atrophy to varying degrees, but there is still very little infertility.

Mumps with ovarian inflammation, will affect women's reproductive function, leading to female infertility?
Generally not. Post-pubertal mumps may attack ovarian ovarian inflammation in women, but the incidence is very low. If it is to affect fertility, unless the bilateral ovaries are severely inflammatory, the ovarian function is irreversible. Otherwise mild or unilateral inflammation can be treated without affecting fertility. Ovarianitis, symptoms of fever, lower abdominal pain, right ovarian inflammation may resemble acute appendicitis.

Can mumps cause encephalitis, meningitis, pancreatitis, myocarditis, mastitis, and nephritis?
possible. In a few cases, these conditions can occur, which can be life-threatening, and the most serious of them is encephalitis.

Does mumps turn into cancer?
Mumps is generally not cancerous, but recurrent episodes of chronic mumps affect the secretion function of the parotid gland, so it is necessary to treat it aggressively after mumps.

Eating bad things, eating too acidic will get mumps?
will not. Eating too acidic will cause an increase in salivation, but it will not cause mumps.

Blowing a balloon, your face is sour, will you have mumps?
will not. Blowing a balloon with a strong face is caused by excessive fatigue of the muscles on the face (that is, the masticatory muscles). It usually relieves after a short break and does not cause mumps.

What kind of person is prone to acute suppurative mumps?

  • People with severe systemic diseases, such as sepsis, acute infectious diseases, etc., are affected throughout the body, including the parotid gland. 
  • People who have had major gastrointestinal surgery. Because of the need to limit the diet after surgery, this will result in decreased salivary gland function, decreased secretion of saliva, and increased chance of infection in the mouth, thus affecting the parotid gland. 
  • The scorpion has been traumatized, or an acute inflammation has occurred in the tissue around the gangster, which can spread to the parotid gland and cause acute suppurative mumps.


Who is prone to chronic recurrent mumps?
Children are more common, mainly in infants and young children up to the age of 15 and are most common around the age of 5, but this disease is possible for both children and adults.

Why are children prone to chronic recurrent mumps?
The etiology of recurrent mumps in children is complicated, and the pathogenesis is still not clear. It is generally considered to be related to the following factors:

  • Congenital abnormalities of the parotid gland become potential pathogenic factors. 
  • The immune system in childhood is immature, with low immunity and prone to infection. 
  • It is related to upper respiratory tract infection and inflammation in the oral cavity. The bacteria enter the human body through the parotid duct and cause infection.


Why do adults also have chronic recurrent mumps?
Adult recurrent mumps is usually formed after a child has developed recurrent mumps and has not recovered.

What is the cause of the parotid duct stones, can it cause mumps?
The parotid duct stone is a stone-like thing in the parotid duct that blocks the catheter. This stone-like thing can be large or small and can occur anywhere in the parotid duct. The main function of the parotid duct is to discharge saliva. After the plug is blocked, the discharge of saliva is hindered. The saliva will stagnate for a long time, which will cause inflammation of the parotid gland.

Why do you get chronic obstructive mumps? Is there any acute blockage? Is it possible to block stones?
Chronic obstructive mumps is mostly caused by local causes.

  • The mucosa of the catheter port is inadvertently damaged and the catheter port is narrowed; 
  • A small number is due to stones or foreign bodies in the catheter;
  • Because the parotid duct itself is relatively long and narrow, it is easy to cause saliva stagnation, which may also cause Blocked. 
  • There is generally no acute blockage. Because the occurrence of stones is a chronic process, mainly based on exfoliated epithelial cells, bacteria, etc., calcium salts are deposited around the core, which is a chronic process.


Who is prone to mumps?
The most common is children, adults can also be ill but relatively rare.

Is mumps contagious?
meeting. Mumps is caused by a viral infection, is contagious, and is mainly transmitted by droplets, so people who have acquired mumps need to be isolated.

When does mumps occur?
Generally, it is easy to be popular in winter and spring, so this season should be less crowded places, and attention should be paid to hygiene. Like collectives such as schools and kindergartens, diseases are more likely to be prevalent, so teachers and parents should pay attention to observations. If they find suspected mumps, they should take them to the hospital in time.

What tests do you need to diagnose for acute suppurative parotitis?
To determine whether it is acute suppurative mumps, first, by understanding the medical history, such as whether there are systemic symptoms or have had gastrointestinal surgery, there is also a physical examination, such as a side of the gangster redness, pain, fever, catheter Oral pus, elevated body temperature, etc. However, acute suppurative parotitis is not suitable for parotid angiography because the contrast agent can enter the surrounding tissue through the weak duct wall to spread inflammation.

What tests do you need to get chronic recurrent mumps?
A doctor is required to perform a physical examination and parotidography. However, if the chronic mumps is in an acute state of attack, it is impossible to perform an angiographic examination.

What tests do you need to check for chronic obstructive mumps?
A doctor is required to perform a physical examination and parotidography. The patient's gangs have an experience of eating and swelling, squeezing the scorpion, and there is a turbid liquid outflow at the mouth of the catheter. Parotid gland ducts are found to have a "sausage-like" change during parotid angiography.

What are the tests for mumps?
A doctor is required to perform a physical examination and a blood test on the patient. Patients often have a history of fever, sputum swelling, pain, and blood amylase is found to increase significantly when blood is checked.

How to treat acute suppurative mumps?
Acute suppurative parotitis mainly occurs in patients who have undergone major gastrointestinal surgery and severe systemic diseases, so hospitalization is generally required. The treatment methods are as follows:

  • Infusion, correct dehydration and electrolyte imbalance, and maintain the balance in the body.
  • Early application of large doses of antibiotics.
  • If the abscess is severely formed, the abscess may be surgically opened and the pus may be drained.


How to treat chronic recurrent mumps?
Recurrent mumps usually heal itself. Generally, just drink plenty of water, massage the scorpion every day to help the saliva empty, rinse with a light salt water, and keep your mouth clean.

What are the treatments for chronic obstructive mumps?
Because chronic recurrent mumps is mostly caused by local causes, the treatment is mainly to remove the disease because of the main.

  • If the catheter is narrow, use a probe to gradually enlarge the catheter opening; 
  • Remove vermiculite and foreign matter with vermiculite or foreign matter; 
  • Inject drugs into the catheter, such as iodized oil, antibiotics, etc. 
  • You can also massage the scorpion, chewing gum or vitamin C to promote the secretion of saliva; 
  • If the above treatments are ineffective, surgery should be considered.


What are the surgical methods for chronic obstructive mumps?
There are two surgical methods:

  • One is a ductal ligation of the parotid gland, which is atrophied by a ligation catheter to control inflammation. 
  • If the operation of the ligation catheter fails and surgery is really needed to improve the symptoms of the parotid gland, you can consider "sacral gland resection of the parotid gland". This operation should remove the parotid gland tissue including the parotid gland as much as possible. Eliminate the symptoms of mumps, but retain the facial nerve, does not affect the normal function of some organs of the head.


How to treat mumps?

  • Mainly isolation and rest, light diet, eat less meals, eat less irritating food.
  • Because mumps is a viral infection, the virus infection will slowly heal itself, and no special medication is needed. Generally, it will recover within 1 to 2 weeks. 
  • Close observation, symptomatic treatment.


How long does it usually take for mumps to be isolated?
It is generally necessary to isolate the patient 3 days after the swelling of the parotid gland subsides.

Will recurrent mumps be cured after it is cured?
After the mumps are cured, life-long immunity can be obtained, and generally it will not recur, which means that a person will only get a mumps at most once in his life.

How to treat mumps?

  • Bed rest, light diet, avoid acidic food to stimulate the parotid gland, gargle after eating, to maintain hygiene; 
  • Pain relief, symptomatic, poor appetite when rehydration treatment;
  • Antiviral treatment; 
  • Hospitalization for critically ill patients It may be necessary to use hormones, eliminate brain edema, etc.; 
  • To prevent orchitis in adult male patients, diethylstilbestrol may be considered.


What kind of department should you see for mumps?
If you only have a swollen gang, you can look at the dentistry first, but if you are diagnosed with mumps, you need to be treated with the infection department.

After mumps is cured, do you need to review it?
After the general treatment of mumps, as long as the symptoms no longer appear, there is no need to review, but if there is a problem such as swelling and pain in the gang, you should go to the doctor again.

How to eat mumps? Can you eat sour?
After getting mumps, pay attention to light diet, eat less meals, don't eat big fish, don't eat too greasy. Obtained mumps can not eat acid, other types of things can be slightly acidic, acidic substances can promote the secretion of saliva, thereby promoting the discharge of inflammatory substances in the parotid gland, is conducive to the improvement of mumps.

Is there a way to prevent chronic recurrent mumps?
There is currently no good way to prevent chronic recurrent mumps, because this disease is mainly related to congenital development and autoimmune abnormalities. However, it is a good idea to pay more attention to exercise, increase resistance, drink plenty of water, and maintain oral hygiene.

How to prevent mumps?

  • Timely fight the mumps vaccine.
  • Try to avoid places where there are many people in the winter and spring seasons. Wear masks when you go out, and pay attention to washing your hands.
  • Pay attention to personal hygiene in life.

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