Zomwe Muyenera Kuyembekezera Kuchita Opaleshoni ya TMJ

Zamkati

• Kodi mungagwiritse ntchito opareshoni kuti muchiritse TMJ?
• Ndani ali woyenera kuchita opareshoni ya TMJ?
• Kodi mitundu ya opaleshoni ya TMJ ndi iti?
• Arthrocentesis
• Zojambulajambula
• Opaleshoni yophatikizana
• Kodi kuchira kuli bwanji?
• Kodi ndi zovuta ziti zomwe zingachitike chifukwa cha opaleshoni ya TMJ?
• Kodi ululu wa TMJ ubwerera ngati ndachitidwa opaleshoni?
• Kodi ndiyenera kufunsa chiyani wothandizira zaumoyo wanga?
• Tengera kwina

Kodi mungagwiritse ntchito opareshoni kuti muchiritse TMJ?

Mgwirizano wa temporomandibular (TMJ) ndi cholumikizira chofanana ndi hinge chomwe chimapezeka nsagwada ndi chigaza. TMJ imalola nsagwada yanu kutsetsereka mpaka pansi, kukulolani kuyankhula, kutafuna, ndikuchita zinthu zosiyanasiyana ndi pakamwa panu.

Matenda a TMJ amachititsa kupweteka, kuuma, kapena kusowa kwa kuyenda mu TMJ yanu, kukulepheretsani kugwiritsa ntchito kayendedwe kake ka nsagwada.

Opaleshoni itha kugwiritsidwa ntchito kuthana ndi vuto la TMJ ngati mankhwala ena osamalitsa, monga zokometsera zam'kamwa kapena zotchingira pakamwa, sizikuthandizani kuchepetsa kuopsa kwa zizindikilo zanu. Kwa anthu ena, kuchita opaleshoni kungakhale kofunikira kuti abwezeretse kugwiritsa ntchito TMJ kwawo kwathunthu.

Pitirizani kuwerenga kuti mudziwe zambiri za opaleshoni ya TMJ, kuphatikizapo:

• amene ali phungu wabwino
• mitundu ya opareshoni ya TMJ
• zomwe muyenera kuyembekezera

Ndani ali woyenera kuchita opareshoni ya TMJ?

Dokotala wanu angakulimbikitseni Opaleshoni ya TMJ ngati:

• Mumamva kupweteka kosasinthasintha, kupweteka kwambiri kapena kukoma mtima mukatsegula kapena kutseka pakamwa panu.
• Simungathe kutsegula kapena kutseka pakamwa panu njira yonse.
• Mumavutika kudya kapena kumwa chifukwa cha kupweteka kwa nsagwada kapena kusayenda.
• Kupweteka kwanu kapena kusayenda bwino kwanu kumakulirakulirabe, ngakhale kupumula kapena mankhwala ena osapatsa chithandizo.
• Muli ndi zovuta zamatenda kapena matenda mu nsagwada yanu, zomwe zatsimikiziridwa ndi ma radiologically ndi kujambula, monga MRI

Dokotala wanu angakulangizeni motsutsa Opaleshoni ya TMJ ngati:

• Zizindikiro zanu za TMJ sizowopsa kwambiri. Mwachitsanzo, mwina simufunikira kuchitidwa opaleshoni ngati nsagwada zanu zikupanga kudina kapena kutulutsa mawu mukamatsegula, koma palibe kupweteka komwe kumalumikizidwa.
• Zizindikiro zanu sizigwirizana. Mutha kukhala ndi zizindikiro zopweteka, zopweteka tsiku lina zomwe zidzatha lotsatira. Izi zikhoza kukhala chifukwa cha kubwereza mobwerezabwereza kapena kugwiritsa ntchito mopitirira muyeso - monga kuyankhula zambiri kuposa tsiku lililonse, kutafuna chakudya chovuta kwambiri, kapena kutafuna chingamu nthawi zonse - zomwe zinayambitsa kutopa mu TMJ yanu. Poterepa, wothandizira zaumoyo wanu angakulimbikitseni kuti mupumule nsagwada kwa maola angapo kapena masiku angapo.
• Mutha kutsegula ndikutseka nsagwada njira yonse. Ngakhale mutakhala ndi ululu kapena kukoma mtima mukatsegula ndikutseka pakamwa panu, dokotala wanu sangakulimbikitseni kuchitidwa opaleshoni chifukwa cha kuwopsa kwake. Amatha kunena zamankhwala, chithandizo chamankhwala, kapena kusintha kwa moyo kuti achepetse matenda.

Ndikofunika kuyesedwa ndi dotolo wamankhwala kapena dokotala wam'kamwa yemwe waphunzitsidwa mu TMD.

Adzafufuza mwatsatanetsatane mbiri yanu yazachipatala, chiwonetsero chazachipatala, ndi zomwe apeza ma radiation kuti adziwe ngati opaleshoni ingakhale yopindulitsa pazizindikiro zanu. Kuchita opaleshoni kumawerengedwa ngati njira yomaliza ngati njira zina zopanda ntchito sizingayende bwino.

Kodi mitundu ya opaleshoni ya TMJ ndi iti?

Mitundu ingapo yamankhwala opatsirana a TMJ ndiyotheka, kutengera zizindikiro zanu kapena kuopsa kwake.

Arthrocentesis

Arthrocentesis imachitika pobayira madzimadzi mgulu lanu. Timadzimadzi timatsuka mankhwala aliwonse otupa ndipo titha kuthandiza kuchepetsa kupanikizika komwe kumapangitsa kulumikizana kukhala kolimba kapena kopweteka. Izi zitha kukuthandizani kuti mupezenso mayendedwe anu a nsagwada.

Iyi ndi njira yochepa yolowerera. Mutha kupita kwanu tsiku lomwelo. Nthawi yobwezeretsa ndi yochepa, ndipo chiwongola dzanja chake ndi chachikulu. Malinga ndi a, arthrocentesis amakhala ndi kusintha kwa 80% pazizindikiro.

Arthrocentesis nthawi zambiri imakhala mankhwala oyamba chifukwa ndiwosavulaza kwambiri ndipo imakhala ndi mwayi wopambana poyerekeza ndi zina, njira zina zovuta.

Zojambulajambula

Arthroscopy imachitika potsegula kabowo kakang'ono kapena timabowo tating'onoting'ono pakhungu pamwambapa.

Chubu chopapatiza chotchedwa cannula chimalowetsedwa kudzera mu bowo ndikulowa. Kenako, dokotala wanu amaika arthroscope mu cannula. Arthroscope ndi chida chokhala ndi kuwala ndi kamera yomwe imagwiritsidwa ntchito kuti muwonetse mgwirizano wanu.

Chilichonse chikakhazikitsidwa, dotolo wanu amatha kugwiritsa ntchito olowa pogwiritsa ntchito zida zing'onozing'ono zopangira opaleshoni zomwe zimayikidwa kudzera mumtsinjewo.

Arthroscopy imakhala yovuta kwambiri poyerekeza ndi maopareshoni otseguka, motero nthawi yochira imathamanga, nthawi zambiri masiku angapo mpaka sabata.

Zimaperekanso mwayi kwa omwe amakuthandizani azaumoyo kukhala ndi ufulu wambiri panjira yolumikizana, monga:

• kuchotsa minofu yofiira
• kukonzanso olowa
• mankhwala jakisoni
• kupweteka kapena kutupa

Opaleshoni yophatikizana

Opaleshoni yophatikizana imakhala ndi kutsegula kwa inchi mainchesi angapo kutalika kwa cholumikizira kuti wothandizira zaumoyo wanu azitha kuchita nawo pokha palokha.

Kuchita opaleshoni yamtundu uwu ya TMJ nthawi zambiri kumangokhala kwa vuto lalikulu la TMJ lomwe limakhudza:

• kukula kwa minofu kapena mafupa komwe kumalepheretsa cholumikizacho kusuntha
• kusakanikirana kwa minofu yolumikizana, chichereŵechereŵe, kapena fupa (ankylosis)
• kulephera kufikira olowa ndi arthroscopy

Pochita opaleshoni yotseguka, dokotalayo adzatha kuchotsa ziphuphu kapena minofu yambiri. Amathanso kukonza kapena kuyikanso chimbalecho ngati sichili m'malo mwake kapena chawonongeka.

Ngati disc yanu singakonzeke, discectomy itha kuchitidwa. Dokotala wanu amatha kusintha diski yanu yonse ndi chimbale kapena minofu yanu.

Pomwe mafupa olumikizanawo akukhudzidwa, dokotalayo amatha kuchotsa fupa linalake la nsagwada kapena chigaza.

Opaleshoni yotseguka imakhala ndi nthawi yayitali yochira kuposa njira yowonera nyenyezi, koma kuchuluka kwakadali kokwanira. Anapeza kusintha kwa 71% mu zowawa ndikusintha kwa 61 peresenti pamaulendo angapo.

Kodi kuchira kuli bwanji?

Kuchira kuchokera ku opareshoni ya TMJ kumadalira munthuyo ndi mtundu wa opaleshoni yomwe yachitidwa. Maopaleshoni ambiri a TMJ ndi njira zochiritsira odwala, zomwe zikutanthauza kuti mudzatha kupita kunyumba tsiku lomwelo ndi opareshoni.

Onetsetsani kuti wina angakutengereni kunyumba tsiku la opaleshoniyi, chifukwa mwina mungakhale owuma pang'ono kapena osatha kuyang'ana, zomwe ndi zoyipa za anesthesia.

Chotsani tsiku la opaleshoni yanu kuntchito. Simufunikanso kuti mutenge tchuthi chopitilira tsiku limodzi ngati ntchito yanu sikutanthauza kuti musunthire pakamwa panu kwambiri. Komabe, ngati kuli kotheka, tengani masiku ochepa kuti mupeze nthawi yopuma.

Ndondomekoyo ikachitika, mutha kukhala ndi bandeji pachibwano. Dotolo wanu amathanso kukulunga bandeji wowonjezera pamutu panu kuti mabala anu azikhala otetezeka komanso m'malo mwake.

Kwa masiku awiri kapena awiri chichitikireni opaleshoniyi, chitani zotsatirazi kuti muwone msanga komanso bwino:

• Tengani mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS) pazowawa zilizonse ngati wothandizira zaumoyo wanu angavomereze. (NSAIDs sizovomerezeka kwa anthu omwe ali ndi vuto la kutuluka magazi kapena mavuto a impso.)
• Pewani zakudya zolimba. Izi zitha kuyika mavuto pamagulu anu. Muyenera kutsatira zakumwa zamadzimadzi kwa sabata imodzi kapena kupitilira apo komanso zakudya zopatsa thanzi kwa milungu itatu kapena apo. Onetsetsani kuti mumakhala ndi hydrated mukatha opaleshoni.
• Ikani compress yozizira kuderalo kuti muthandize pakatupa. Compress imatha kukhala yosavuta ngati thumba lachisanu lamasamba lokutidwa ndi chopukutira choyera.
• Kutentha kotenthedwa kwa minofu ya nsagwada kungathandizenso ndi chitonthozo pambuyo pa opareshoni, monga mapesi otenthetsera kapena microwave nsalu yonyowa.
• Phimbani bandeji yanu musanasambe kapena kusamba kuti isalowe madzi.
• Nthawi zonse chotsani ndikusintha mabandeji. Ikani mafuta aliwonse opangira maantibayotiki kapena mafuta omwe othandizira anu azaumoyo amalimbikitsa nthawi iliyonse mukamasintha bandeji.
• Valani ziboda kapena chida china nsagwada nthawi zonse mpaka dokotala atakuwuzani kuti ndibwino kuti muchotse.

Onani wopereka chithandizo chamankhwala masiku awiri kapena atatu mutachitidwa opaleshoni kuti mutsimikizire kuti mukuchira bwino komanso kuti mulandire malangizo ena posamalira TMJ yanu.

Dokotala wanu angafunikenso kuchotsa zokopa panthawiyi ngati zokopa zanu sizidzisungunuka zokha. Kuphatikiza apo, atha kulimbikitsa odwala kupweteka kapena matenda aliwonse omwe angabuke.

Mwinanso mungafunike kuwona wothandizira zakuthupi kuti akuthandizeni kuyambiranso nsagwada komanso kuti kutupa kuteteze kuyendetsa kwanu kwa TMJ.

Maimidwe angapo amtundu wa mankhwala atha kutenga milungu ingapo kapena miyezi, koma nthawi zambiri mudzawona zotsatira zabwino za nthawi yayitali ngati mutagwira ntchito limodzi ndi othandizira.

Kodi ndi zovuta ziti zomwe zingachitike chifukwa cha opaleshoni ya TMJ?

Vuto lofala kwambiri la maopareshoni a TMJ ndikutaya kosatha poyenda.

Mavuto ena omwe angakhalepo ndi awa:

• kuvulala kwamitsempha yamaso, nthawi zina kumapangitsa kuchepa pang'ono kwa minofu yamaso kapena kutayika
• kuwonongeka kwa minofu yapafupi, monga pansi pa chigaza, mitsempha, kapena anatomy yokhudzana ndi kumva kwanu
• Matenda mozungulira malo opangira opaleshoni mkati kapena pambuyo pa opaleshoni
• kupweteka kosalekeza kapena kuyenda kochepa
• Matenda a Frey, vuto losowa lodziwika bwino la zotupa za parotid (pafupi ndi TMJ) zomwe zimayambitsa thukuta losazolowereka

Kodi ululu wa TMJ ubwerera ngati ndachitidwa opaleshoni?

Kupweteka kwa TMJ kumatha kubwerera ngakhale mutachitidwa opaleshoni. Ndi arthrocentesis, zinyalala zokha ndi kutupa kwakukulu kumachotsedwa. Izi zikutanthauza kuti zinyalala zitha kupanganso mgwirizanowu, kapena kutupa kumatha kubwereranso.

Kupweteka kwa TMJ kumatha kubwereranso ngati kwachitika chifukwa cha chizolowezi monga kukukuta kapena kukukuta mano (bruxism) ukapanikizika kapena ukamagona.

Ngati muli ndi chitetezo chamthupi chomwe chimayambitsa matendawa, monga nyamakazi, matenda a TMJ amatha kubwerera ngati chitetezo chanu chamthupi chimayang'ana minofu yolumikizana.

Kodi ndiyenera kufunsa chiyani wothandizira zaumoyo wanga?

Musanaganize zochitidwa opaleshoni ya TMJ, funsani omwe akukuthandizani:

• Kodi ululu wanga uyenera kukhala wotalika motani kapena woopsa bwanji ndisanachite opaleshoni?
• Ngati opaleshoni siyabwino kwa ine, ndi zinthu ziti zomwe ndiyenera kupewa kapena kuchita zina zothandiza kuti ndithetse ululu wanga kapena kuwonjezera mayendedwe anga?
• Ndi mtundu wanji wa maopareshoni omwe mumandipangira? Chifukwa chiyani?
• Kodi ndiyenera kukawona othandizira kuti ndiwone ngati izi zithandizira kaye?
• Kodi ndiyenera kusintha kadyedwe kanga kuti ndisaphatikizepo zakudya zolimba kapena zosafuna kudya pothandiza matenda anga?
• Kodi pali zovuta zina zomwe ndimaganizira ndikaganiza zosachita opareshoni?

Tengera kwina

Kaonaneni ndi wothandizira zaumoyo wanu kapena dotolo wamankhwala posachedwa ngati kupweteka kwanu kwa nsagwada kapena kukoma mtima kukusokoneza moyo wanu kapena ngati kukulepheretsani kudya kapena kumwa.

Simungafunike kuchitidwa opaleshoni ngati chithandizo chamankhwala, mankhwala, kapena kusintha kwa moyo kumachepetsa ululu wanu wa TMJ. Kuchita maopareshoni nthawi zambiri kumakhala njira yomaliza pamilandu yovuta kwambiri, ndipo sikumatsimikizira kuchiritsidwa.

Lolani wothandizira zaumoyo wanu adziwe ngati mankhwala ena osamalitsa sakuthandizani kapena ngati matenda anu akukula.