Matenda a TMJ

Matenda a temporomandibular ophatikizana ndi minofu (TMJ matenda) ndi mavuto omwe amakhudza kutafuna ndi mafupa omwe amalumikiza nsagwada yanu kumutu.

Pali magawo awiri ofanana a temporomandibular mbali iliyonse yamutu wanu. Zili pafupi ndi makutu anu. Chidule cha "TMJ" chimatanthauza dzina la chophatikizira, koma chimagwiritsidwa ntchito kutanthauza zovuta kapena zizindikilo zilizonse za dera lino.

Zizindikiro zambiri zokhudzana ndi TMJ zimachitika chifukwa cha kupsinjika kwa thupi pazinthu zolumikizana. Izi zikuphatikizapo:

• Cartilage disk palimodzi
• Minofu ya nsagwada, nkhope, ndi khosi
• Mitsempha yoyandikana nayo, mitsempha yamagazi, ndi minyewa
• Mano

Kwa anthu ambiri omwe ali ndi vuto lolumikizana ndi temporomandibular, chifukwa chake sichikudziwika. Zina mwazimene zimaperekedwa chifukwa cha vutoli sizotsimikizika bwino. Zikuphatikizapo:

• Kuluma koipa kapena kulimba kwa orthodontic.
• Kupsinjika ndi kupera mano. Anthu ambiri omwe ali ndi mavuto a TMJ sameta mano, ndipo ambiri omwe akhala akupera mano kwa nthawi yayitali alibe mavuto ndi cholowa chawo cha temporomandibular. Kwa anthu ena, kupsinjika komwe kumachitika chifukwa cha vutoli kumatha kubwera chifukwa cha zowawa, m'malo mokhala vuto.

Kukhazikika kosavomerezeka kungakhalenso chinthu chofunikira pa zizindikiro za TMJ. Mwachitsanzo, kunyamula mutu wanu kwinaku mukuyang'ana pakompyuta tsiku lonse kumakhudza minofu ya nkhope ndi khosi lanu.

Zinthu zina zomwe zingapangitse kuti zizindikiro za TMJ ziwonjezeke ndi monga kudya moperewera komanso kusowa tulo.

Anthu ambiri amatha kukhala ndi "zoyambitsa." Izi ndi minofu yolumikizana nsagwada, mutu, ndi khosi. Zomwe zimayambitsa zimatha kutanthauzira madera ena, kuyambitsa mutu, kupweteka kwa mutu, kapena kupweteka kwa mano.

Zina mwazomwe zimayambitsa zizindikilo zokhudzana ndi TMJ zimaphatikizapo nyamakazi, mafupa, ma dislocations, ndi zovuta zamomwe zimakhalapo kuyambira pomwe adabadwa.

Zizindikiro zokhudzana ndi zovuta za TMJ zitha kukhala:

• Kuluma kapena kutafuna zovuta kapena kusapeza bwino
• Kudina, kutuluka, kapena kumenyetsa mawu mukamatsegula kapena kutseka pakamwa
• Kumva kupweteka, kupweteka pamaso
• Kumva khutu
• Mutu
• Nsagwada kapena kupweteka kwa nsagwada
• Kutseka nsagwada
• Zovuta kutsegula kapena kutseka pakamwa

Mungafunike kuwona akatswiri azachipatala angapo kuti mumve kupweteka ndi TMJ. Izi zitha kuphatikizira othandizira azaumoyo, dotolo wamano, kapena khutu, mphuno, ndi mmero (ENT), kutengera matenda anu.

Muyenera mayeso oyenera omwe akuphatikizapo:

• Kuyezetsa mano kuti muwonetse ngati simukuyenda bwino
• Kumva kulumikizana ndi minofu yachikondi
• Kukanikiza mozungulira mutu kuti mupeze malo omwe ali ovuta kapena opweteka
• Kutsetsereka mano kuchokera mbali ndi mbali
• Kuyang'ana, kumva, ndikumvetsera nsagwada zikutseguka ndikutseka
• X-ray, CT scan, MRI, Doppler kuyesa kwa TMJ

Nthawi zina, zotsatira za mayeso athupi zitha kuwoneka zabwinobwino.

Wothandizira anu amafunikiranso kuganizira zina, monga matenda, mavuto okhudzana ndi mitsempha, ndi mutu womwe ungayambitse matenda anu.

Mankhwala osavuta, ofewa amalimbikitsidwa kaye.

• Zakudya zofewa kuti muchepetse kutupa.
• Phunzirani kutambasula, kupumula, kapena kutikita minofu ya nsagwada. Omwe amakupatsani, dokotala wamazinyo, kapena othandizira thupi atha kukuthandizani ndi izi.
• Pewani zinthu zomwe zimayambitsa matenda anu, monga kuyasamula, kuimba, ndi kutafuna chingamu.
• Yesani kutentha konyowa kapena mapaketi ozizira pankhope panu.
• Phunzirani njira zochepetsera kupanikizika.
• Chitani masewera olimbitsa thupi kangapo sabata iliyonse kuti muthandizire kukulitsa kuthekera kwanu kuthana ndi ululu.
• Kuluma pang'ono.

Werengani zambiri momwe mungathetsere zovuta za TMJ, momwe malingaliro amasiyanasiyana. Pezani malingaliro a opereka angapo. Nkhani yabwino ndiyakuti anthu ambiri pamapeto pake amapeza kena kake kothandiza.

Funsani omwe amakupatsani kapena dokotala wa mano za mankhwala omwe mungagwiritse ntchito. Izi zingaphatikizepo:

• Kugwiritsa ntchito kwakanthawi kwa acetaminophen kapena ibuprofen, naproxen (kapena mankhwala ena osagwiritsa ntchito zotupa)
• Mankhwala otsekemera kapena opondereza
• Majakisoni opumitsa minofu monga toxin botulinum
• Nthawi zambiri, kuwombera kwama corticosteroid mu TMJ kuchiza kutupa

Oyang'anira pakamwa kapena oluma, omwe amatchedwanso ziboda kapena zida zamagetsi, akhala akugwiritsidwa ntchito kuthana ndi kukukuta mano, kukukuta, ndi mavuto a TMJ. Angathandize kapena sangathandize.

• Ngakhale anthu ambiri awona kuti ndi othandiza, maubwino ake amasiyana mosiyanasiyana. Mlonda amatha kutaya mphamvu pakapita nthawi, kapena mukaleka kuvala. Anthu ena amatha kumva kupweteka kwambiri akavala chimodzi.
• Pali mitundu yosiyanasiyana ya ziboda. Ena amakwana pamwamba pa mano, pomwe ena amakhala pansi pamano apansi.
• Kugwiritsa ntchito zinthuzi kosatha mwina sikuyenera kulimbikitsidwa. Muyeneranso kuyima ngati akusintha pakuluma kwanu.

Ngati mankhwala osamalitsa sagwira ntchito, sizitanthauza kuti mukufunika chithandizo champhamvu. Samalani mukamaganizira njira zamankhwala zomwe sizingasinthidwe, monga orthodontics kapena opaleshoni yomwe imasinthiratu kuluma kwanu.

Kuchita opaleshoni yomanganso nsagwada, kapena kulowetsa m'malo, sikofunikira kwenikweni. M'malo mwake, zotsatira zake nthawi zambiri zimakhala zoyipa kwambiri kuposa opaleshoni.

Mutha kudziwa zambiri ndikupeza magulu othandizira kudzera mu TMJ Syndrome Association ku www.tmj.org.

Kwa anthu ambiri, zizindikiro zimachitika nthawi zina zokha ndipo sizikhala motalika. Amakonda kupita kwakanthawi osalandira chithandizo chilichonse. Matenda ambiri amatha kuchiritsidwa bwino.

Mavuto ena amatha okha popanda chithandizo. Zowawa zokhudzana ndi TMJ zitha kubwereranso mtsogolo. Ngati chifukwa chake ndikumangika usiku, chithandizo chitha kukhala chovuta kwambiri chifukwa ndimakhalidwe ogona omwe ndi ovuta kuwongolera.

Zilonda zam'kamwa ndi njira yodziwika yothandizira mano akupera. Pomwe zidutswa zina zimatha kutsekereza pogaya popereka mosalala, ngakhale pamwamba, mwina sizingakhale zothandiza pakuchepetsa kupweteka kapena kuyimitsa kukukuta. Zidutswa zimatha kugwira ntchito bwino kwakanthawi kochepa, koma zimatha kukhala zosagwira pakapita nthawi. Zidutswa zina zingayambitsenso kuluma ngati sizikukwanira bwino. Izi zitha kuyambitsa vuto latsopano.

TMJ itha kuyambitsa:

• Kupweteka kumaso kosatha
• Mutu wosatha

Onani omwe akukuthandizani nthawi yomweyo ngati mukuvutika kudya kapena kutsegula pakamwa panu. Kumbukirani kuti zinthu zambiri zimatha kuyambitsa matenda a TMJ, kuyambira nyamakazi mpaka kuvulala kwa chikwapu. Akatswiri omwe aphunzitsidwa mwapadera kupweteka kwa nkhope amatha kuthandiza kuzindikira ndi kuchiza TMJ.

Njira zambiri zosamalirira kunyumba zothetsera mavuto a TMJ zithandizanso kupewa vutoli. Izi ndi monga:

• Pewani kudya zakudya zolimba komanso kutafuna chingamu.
• Phunzirani njira zopumira kuti muchepetse kupsinjika konse komanso kupsinjika kwa minofu.
• Khalani ndi mawonekedwe abwino, makamaka ngati mumagwira ntchito tsiku lonse pakompyuta. Imani kaye nthawi zambiri kuti musinthe mawonekedwe, kupumula manja ndi manja, ndikuthandizani kuti muchepetse minofu.
• Gwiritsani ntchito njira zachitetezo kuti muchepetse chiopsezo cha kusweka ndi kusokonezeka.

TMD; Matenda a temporomandibular; Matenda a temporomandibular; Matenda a Costen; Matenda a Craniomandibular; Matenda a temporomandibular

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