Kusokoneza bongo

Bruxism ndi pamene mukukuta mano (tsitsani mano anu mobwerezabwereza).

Anthu amatha kukukula ndikupera osazindikira. Zitha kuchitika masana ndi usiku. Bruxism nthawi yogona nthawi zambiri imakhala vuto lalikulu chifukwa zimakhala zovuta kuwongolera.

Pali kusagwirizana pazomwe zimayambitsa bruxism. Kupsinjika kwa tsiku ndi tsiku kungayambitse anthu ambiri. Anthu ena mwina amakukuta kapena kukukuta mano ndipo samva zizindikiro.

Zinthu zomwe zimapangitsa kuti bruxism iyambitse kupweteka kapena mavuto ena imasiyanasiyana malinga ndi munthu. Zitha kuphatikiza:

• Kuchuluka kwa nkhawa zomwe muli nazo
• Kutalika bwanji komanso mwamphamvu bwanji mukukuta mano
• Kaya mano anu ndi olakwika
• Kaimidwe kanu
• Kutha kwanu kupumula
• Zakudya zanu
• Zizolowezi zanu zogona

Kukukuta mano kumakakamiza minofu, matumba, ndi zinthu zina kuzungulira nsagwada. Zizindikirozo zimatha kubweretsa zovuta zama temporomandibular joint (TMJ).

Kukukula kumatha kutsitsa mano. Kungakhale phokoso lokwanira usiku kuti musokoneze okwatirana.

Zizindikiro za bruxism ndi monga:

• Kuda nkhawa, kupsinjika, komanso kupsinjika
• Matenda okhumudwa
• Kumva khutu (mwina chifukwa kapangidwe ka cholumikizira cha temporomandibular chili pafupi kwambiri ndi ngalande ya khutu, komanso chifukwa mutha kumva kupweteka m'malo osiyana ndi komwe amachokera; uku kumatchedwa kupweteka komwe kumatchulidwa)
• Mavuto akudya
• Mutu
• Kukoma kwa minofu, makamaka m'mawa
• Kutentha, kuzizira, kapena kutsekemera kokoma m'mano
• Kusowa tulo
• Chibwano chowawa kapena chopweteka

Mayeso amatha kuthana ndi zovuta zina zomwe zimatha kupweteketsa nsagwada kapena kupweteka khutu, kuphatikiza:

• Matenda a mano
• Matenda a khutu, monga matenda am'makutu
• Mavuto ndi olowa temporomandibular (TMJ)

Mutha kukhala ndi mbiri yakuchulukira kwamphamvu komanso kupsinjika.

Zolinga zamankhwala ndikuchepetsa kupweteka, kupewa kuwonongeka kwamano kwathunthu, ndikuchepetsa kukumiririka momwe zingathere.

Malangizo odziyang'anira pawokha atha kuthandiza kuthetsa ululu:

• Ikani ayezi kapena kutentha konyowa kuti mupweteke nsagwada. Onse atha kuthandiza.
• Pewani kudya zakudya zolimba kapena zowirira monga mtedza, maswiti, ndi nyama yang'ombe.
• Osatafuna chingamu.
• Imwani madzi ambiri tsiku lililonse.
• Muzigona mokwanira.
• Phunzirani zolimbitsa thupi zolimbitsa thupi kuti muthandizire minofu ndi mafupa mbali iliyonse ya mutu wanu kuti zibwerere mwakale.
• Sisitani minofu ya khosi, mapewa, ndi nkhope. Fufuzani tinthu tating'onoting'ono tomwe timapweteka tomwe timatha kupweteketsa mutu ndi nkhope yanu.
• Pumulani nkhope yanu ndi nsagwada zanu tsiku lonse. Cholinga ndikupanga kupumula pamaso kukhala chizolowezi.
• Yesetsani kuchepetsa kupsinjika kwanu kwa tsiku ndi tsiku ndikuphunzira njira zopumira.

Pofuna kupewa kuwonongeka kwa mano anu, olondera pakamwa kapena zida zamagetsi (zopindika) nthawi zambiri zimagwiritsidwa ntchito pochizira mano, kukuta, ndi zovuta za TMJ. Chingwe chingateteze mano anu ku mavuto opera.

Chingwe choyenera chimathandizira kuchepetsa zovuta zakupera. Komabe, anthu ena amawona kuti zizindikirazo zimatha bola akamagwiritsa ntchito kabowo, koma ululu umabwerera akasiya. Chophwanyika sichitha kugwira ntchito patapita nthawi.

Pali mitundu yambiri yaziphuphu. Ena amakwana pamwamba pa mano, ena pansi. Zitha kupangidwira kuti nsagwada zanu zizikhala bwino kapena zithandizire zina. Ngati mtundu wina sukugwira ntchito, wina atha. Majakisoni a Botox muminofu ya nsagwada awonetsanso kupambana pakuletsa kukomoka ndikupera.

Pambuyo pa mankhwala opatsirana, kusintha kwa kuluma kumatha kuthandiza anthu ena.

Pomaliza, njira zambiri zimayesa kuthandiza anthu kuti adziwe momwe angakhalire. Izi zimapindulitsa kwambiri pakukumana masana.

Kwa anthu ena, kupumula ndikusintha machitidwe masana ndikokwanira kuti muchepetse chisangalalo usiku. Njira zosinthira kumata kwamadzulo usiku sizinaphunzire bwino. Amaphatikizapo zida za biofeedback, hypnosis, ndi njira zina zochiritsira.

Bruxism si vuto lowopsa. Komabe, zimatha kuwononga mano mpaka kalekale komanso kupweteka kwa nsagwada, kupweteka mutu, kapena kupweteka khutu.

Bruxism itha kuyambitsa:

• Matenda okhumudwa
• Mavuto akudya
• Kusowa tulo
• Kuchuluka kwa mano kapena mavuto a TMJ
• Meno oduka
• Kuchepetsa m'kamwa

Kupera usiku kumatha kudzutsa anthu ogona nawo kapena ogona.

Onani dokotala nthawi yomweyo ngati mukuvutika kudya kapena kutsegula pakamwa panu. Kumbukirani kuti zochitika zosiyanasiyana, kuyambira nyamakazi mpaka kuvulala kwa chikwapu, zimatha kuyambitsa zizindikiro za TMJ. Chifukwa chake, wonani dokotala wanu wamankhwala kuti muwunikenso ngati njira zodzisamalirira sizikuthandizani pakadutsa milungu ingapo.

Kupera ndi kumata sikugwera modzigwirira ntchito limodzi. Palibe ukadaulo wodziwika wa TMJ wothandizira mano. Kuti mugwiritse ntchito kutikita minofu, yang'anani wothandizira kutikita minofu wophunzitsidwa ku trigger point therapy, neuromuscular therapy, kapena massage massage.

Madokotala a mano omwe amadziwa zambiri za matenda a TMJ nthawi zambiri amatenga ma x-ray ndikumulondera pakamwa. Opaleshoni tsopano akuti ndi njira yomaliza ya TMJ.

Kuchepetsa kupsinjika ndi kusamalira nkhawa kumatha kuchepetsa kukondweretsedwa mwa anthu omwe ali ndi vutoli.

Mano akupera; Kudzola

Indresano AT, Park CM. Kuwongolera kosavomerezeka kwamavuto olumikizana ndi temporomandibular. Mu: Fonseca RJ, mkonzi. Opaleshoni Yamlomo ndi Maxillofacial. Wachitatu ed. St Louis, MO: Elsevier; 2018: mutu 39.

Ryan CA, Walter HJ, DeMaso DR. Zovuta zamagalimoto ndi zizolowezi. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 37.