Nsagwada zophwanyika kapena zosweka

Nsagwada wosweka ndi kuphwanya (kusweka) mu fupa la nsagwada. Nsagwada zosunthika zikutanthauza kuti gawo lakumunsi la nsagwada lachoka pamalo ake abwinobwino pamalumikizidwe amodzi kapena onse awiri pomwe fupa la nsagwada limalumikizana ndi chigaza (ziwalo za temporomandibular).

Nsagwada zosweka nthawi zambiri zimachira bwino mukalandira chithandizo. Koma nsagwada zimatha kusunthidwanso mtsogolo.

Zovuta zingaphatikizepo:

• Kutseka kwa ndege
• Magazi
• Kupumira magazi kapena chakudya m'mapapu
• Kuvuta kudya (kwakanthawi)
• Kuvuta kuyankhula (kwakanthawi)
• Kutenga nsagwada kapena nkhope
• Nsagwada (TMJ) ululu ndi mavuto ena
• Dzanzi la gawo la nsagwada kapena nkhope
  
• Mavuto alinganiza mano
• Kutupa

Chifukwa chofala kwambiri cha nsagwada yosweka ndi kuvulala kumaso. Izi zitha kuchitika chifukwa cha:

• Kumenya
• Ngozi yamafuta
• Ngozi yamagalimoto
• Zosangalatsa kapena masewera ovulala
• Kuyenda ndi kugwa
• Pambuyo pochita mano kapena kuchipatala

Zizindikiro za nsagwada zosweka ndizo:

• Ululu pankhope kapena nsagwada, womwe uli kutsogolo kwa khutu kapena mbali yomwe yakhudzidwa, imakulirakulira ndikuyenda
• Kutupa ndi kutupa nkhope, kutuluka magazi mkamwa
• Kuvuta kutafuna
  
• Kuuma kwa nsagwada, kuvutika kutsegula pakamwa kwambiri, kapena kutseka pakamwa
• Nsagwada zosunthira mbali imodzi potsegula
• Kufewa kwa nsagwada kapena kupweteka, koyipa ndikuluma kapena kutafuna
• Mano otuluka kapena owonongeka
• Chotupa kapena mawonekedwe abwinobwino a tsaya kapena nsagwada
• Kukomoka kwa nkhope (makamaka milomo yakumunsi)
• Kumva khutu

Zizindikiro za nsagwada yomwe yasweka ndi monga:

• Ululu pankhope kapena nsagwada, womwe uli kutsogolo kwa khutu kapena mbali yomwe yakhudzidwa, imakulirakulira ndikuyenda
• Kuluma komwe kumamverera ngati "kwachoka" kapena kokhota
• Mavuto kuyankhula
• Kulephera kutseka pakamwa
• Kutsetsereka chifukwa cholephera kutseka pakamwa
• Nsagwada kapena nsagwada zomwe zatsogola
• Mano omwe sagwirizana bwino

Munthu amene wathyoka nsagwada amafunika kupita kuchipatala nthawi yomweyo. Izi ndichifukwa choti amatha kupuma kapena kutaya magazi. Itanani nambala yanu yadzidzidzi (monga 911) kapena chipatala chakwanuko kuti mumve zambiri.

Gwirani nsagwada m'malo mwanu ndi manja anu panjira yopita kuchipinda chadzidzidzi. Muthanso kukulunga bandeji pansi pa nsagwada komanso pamwamba pamutu. Bandejiyo iyenera kukhala yosavuta kuchotsa ngati mungafune kusanza.

Kuchipatala, ngati muli ndi vuto la kupuma, magazi amatuluka kwambiri, kapena kutupa kwakukulu kwa nkhope yanu, chubu ikhoza kuyikidwa munjira zanu zopumira kuti zikuthandizeni kupuma.

CHITSANZO CHOSAVUTA

Chithandizo cha nsagwada zosweka chimadalira momwe fupa laphwanyidwira. Ngati muli ndi vuto laling'ono, limatha kudzichiritsa lokha. Mutha kungofunika mankhwala opweteka. Muyenera kuti mudye zakudya zofewa kapena mukhale ndi chakudya chamadzimadzi kwakanthawi.

Nthawi zambiri pamafunika opaleshoni kuti ma fracture azivulaza pang'ono. Nsagwada zimatha kulumikizidwa ku mano a nsagwada zotsutsana kuti zibwezere nsagwada zikamachira. Mawaya a nsagwada nthawi zambiri amasiyidwa m'malo kwa milungu 6 mpaka 8. Magulu ang'onoang'ono a mphira (elastics) amagwiritsidwa ntchito kuti mano agwirizane. Pakatha milungu ingapo, ena mwa ma elastics amachotsedwa kuti alole kuyendetsa ndikuchepetsa kulimba kwamalumikizidwe.

Ngati nsagwada zili ndi waya, mutha kumangomwa zakumwa kapena kudya zakudya zofewa kwambiri. Mukhale ndi lumo wosatani kuti muchepetse zotsekemera mukasanza kapena kutsamwa. Ngati mawaya akuyenera kudulidwa, itanani azachipatala nthawi yomweyo kuti mawaya asinthidwe.

NTHAWI YOTULUKA

Ngati nsagwada zanu zatuluka, dokotala atha kuziyika pamalo oyenera pogwiritsa ntchito zala zazikulu za m'manja. Mankhwala osungunula dzanzi (oletsa ululu) ndi opumulitsako minofu atha kufunikira kuti kumasula nsagwada.

Pambuyo pake, nsagwada zanu zimafunikira kukhazikika. Izi nthawi zambiri zimaphatikizapo kumanga nsagwada kuti pakamwa pasatseguke kwambiri. Nthawi zina, pamafunika kuchitidwa opaleshoni kuti izi zitheke, makamaka ngati kutuluka kwa nsagwada mobwerezabwereza kumachitika.

Mukatulutsa nsagwada, simuyenera kutsegula pakamwa panu kwa milungu isanu ndi umodzi. Thandizani nsagwada ndi dzanja limodzi kapena onse awiri mukamayasamula ndi kupopera.

Musayese kukonza malo a nsagwada. Dokotala ayenera kuchita izi.

Nsagwada yosweka kapena yosweka imafuna chithandizo chamankhwala mwachangu. Zizindikiro zadzidzidzi zimaphatikizapo kupuma movutikira kapena kutuluka magazi kwambiri.

Pogwira ntchito, masewera, komanso zosangalatsa, kugwiritsa ntchito zida zodzitchinjiriza, monga chisoti mukamasewera mpira, kapena kugwiritsa ntchito zotchingira pakamwa kumatha kupewa kapena kuchepetsa kuvulala kumaso kapena nsagwada.

Nsagwada zosweka; Nsagwada zophwanyika; Zowonongeka; Nsagwada zosweka; Kuchotsedwa kwa TMJ; Kusandulika kwa Mandibular

• Kuphulika kwapadera

Kellman RM. Zovuta za Maxillofacial. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 23.

Mayersak RJ. Mavuto a nkhope. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 35.