Kusokonezeka Kwambiri Kwachisawawa ndi Cervical Spine
Ngati muli ndi ululu wambiri wa khosi ndipo simungadziwe chifukwa chake-m'malo moyesera kuti mupeze matenda a chifuwa cha khola -mungathe kusintha maganizo anu ku malo am'dera lanu; nsagwada yanu. Ambiri amasiyana, koma akatswiri amanena kuti 70 peresenti ya mavuto a khosi angagwirizane ndi kusagwira ntchito m'gulu la temporomandibular.
Izi zikhoza kukhala ngati kupweteka kwa misozi (50 peresenti malinga ndi phunziro la 2015 lomwe linatulutsidwa mu Journal of Physical Therapy Science Research ), kuchepetsa kusinthasintha (20 peresenti molingana ndi phunziro lomwelo), kapena kupweteka kosalala, komwe olembawo anapeza pa 30 peresenti.
Ndipo zotsalira zingakhale zoona, komanso. Kafukufuku amene tatchula pamwambapa adapeza kuti kupuma kwa khosi kumakhala chifukwa cha kupweteka kwa nsagwada ndi ululu.
Mgwirizano wa Temporomandibular
Mwinamwake mukudzifunsa kuti ndikutanthawuza chiyani chifukwa cha kupweteka kwa nsagwada. Tiyeni tiyambe ndi zomangamanga, zomwe nthawi zambiri zimatchedwa dzina lake, TMJ.
TMJ ndikumodzi kovuta kwambiri m'thupi la munthu. Ngakhale kuti ndi yaing'ono, imakhala ndi zovuta zambiri kumangidwe kwake, kuchokera ku mawonekedwe apadera a mafupa ophiphiritsira kuti agwirizane ndi minofu yomwe imayambitsa kapule yoyandikana nayo ndipo imalowetsamo. The TMJ imaphatikizapo diski, yomwe imasiyana ndi mitsempha yamtsempha yomwe imakhala yodabwitsa kwambiri, imakhalapo kuti ikhale yolimba komanso yowumitsa minofu ndi mitsempha yomwe imagwirizanitsa.
Pofuna kukuthandizani kumvetsetsa komwe kuli mgwirizano wa temporomandibular ndi momwe amamangidwira, mutha kuthyola mawu awa pamagulu awiri, omwe aliwonse amatanthauza mafupa omwe ali ndi mgwirizano.
Tiyeni tipangire dzina ili kuti muthe kulingalira za momwe thupi likuyendera.
Gawo loyamba, temporo, limatanthawuza fupa la panthawi. Fupa lachimake liri kumbali iliyonse ya chigaza chanu pansi (pafupi ndi khutu lanu). Chinthu chimodzi chomwe chingakuthandizeni kupeza mafupa anu a nthawi yayitali ndikuyika dzanja lanu pa kachisi wanu.
Thupi lachimake liri pansi pa izo, kotero ngati inu mutambasula dzanja lanu pang'ono pokha mpaka mutamva fupa lolimba, inu mwapeza mafupa apamwamba a TMJ.
Gawo lachiwiri la liwu ndi mandibular, lomwe limatanthawuza chipangizo chomwe chimayenda pamwamba ndi pansi, ndi kucheperapo mbali, pambali pa kutafuna. Mwina sindikuyenera kukuuzani izi, koma mandible ndikumeneko kwa mano anu pansi. Nkhokweyi imatengedwa ngati fupa lamphongo. Chochititsa chidwi ndikuti ndi fupa lokha lomwe lili pamaso lomwe lingasunthe.
Mitengoyi imakhala yofanana ndi U. Pamwamba pa mbali zonse za U, fupa limagwedeza (kumtunda) m'mitundu iwiri yosiyana "njira," zomwe ndizowonjezera mafupa omwe amatha, pamapeto pake. Njira yapamberi imatchedwa coronoid; minofu ingapo yothandizira njira ya coronoid, koma zonsezi, dera ili silili gawo la TMJ. Njira yambuyo imatchedwa ndondomeko ya condylar; Ndilo gawo la mandible limene limaphatikizapo fupa la panthawi kuti likhale TMJ.
Momwe timagwiritsira ntchito temporomandibular (TMJ), ndiye malo omwe mafupa a panthawi ndi condyle a mandible amasonkhana pamodzi. Ndi mgwirizano wa synovial, umene umatanthawuza kuti pali capsule yokhala ndi zida zolimba pafupi ndi mafupa onse ndi danga lomwe liri pakati.
Komanso mkati mwa malowa ndi mtundu wina wa madzi otchedwa synovial fluid, kuphatikizapo disc yomwe imathandiza kuti mgwirizano ukhale wogwirizana ndi kayendetsedwe ka mgwirizano kamapangitsa kuti azikhala okhulupirika.
Mitundu iwiri ya kayendedwe kamapezeka ku TMJ: kumangiriza ndi kuyendayenda. Kuphatikizidwaku kumaphatikizapo kupatula mgwirizano monga ginglymoarthrodial.
Ndipo monga ndi zokongola zambiri mu thupi, minofu yambiri imagwira pa TMJ; monga momwe muwonera mu gawo lotsatira, minofu yomwe imakhala yolimba kwambiri kapena yopanda malire okhudzana ndi wina ndi mzake ndiyo njira imodzi yomwe TMJ imawonongera.
Mitundu iwiri Yambiri ya TMJ Kulephera
Matenda a TMJ ndi gulu limodzi la magulu akuluakulu a mavuto omwe amatchulidwa kuti matenda a TMJ ,.
Malingana ndi zifukwa zomwe zanenedwa pamwambapa, matenda a TMJ angabwere chifukwa cha zoopsa, zochitika zam'tsogolo, nkhani za mano kapena matenda a maganizo.
Kuti mumvetse mmene TMJ yanu imathandizira kapena kukhumudwitsa khosi lanu (komanso momwe ziwalo za thupi lanu zimathandizira vuto lanu la TMJ), ganizirani kuphunzira za mitundu iwiri ya TMJ yovuta. Ngakhale pali zovuta zina zomwe adokotala angaganizire pamene mukuyambitsa matenda (omwe atchulidwa pamwambapa) nthawi yochepa (TMJD) imakhala chifukwa cha momwe mumakonda kutsegula nsagwada yanu kapena kutuluka kwa diski yomwe ili mkati mwa olowa.
Tiyeni tiwatenge iwo mmodzi ndi mmodzi.
Sungani Kutsegulira Jaw Kuwombera
Choyamba, kusayenda kwa nsagwada sikungatheke. Iyi TMJD imatchedwa "protrusive jaw yolemba mawonekedwe," ndipo ikhoza kuchitika pamene kafukufuku wa minofu kawirikawiri ntchito ndi kuthandiza kutsegula nsagwada yanu kukhala amphamvu kuti agwire ntchito kwathunthu. Chimene chikuyenera kuti chichitike ndikuti minofu yomwe imagwiritsira ntchito mawu ophatikizanawa amachititsa kuti kutsegula ndi kutsekedwa kwa mgwirizano wa mkamwa mwanu, kotero kuti condyle poyamba amayendayenda (mu chikho monga gawo la fupa la temporalis limene likulongosola), ndiyeno limapitiriza. (Kutsatsa, pakali pano, kumatanthauza kusuntha tsaya lakuya kutsogolo.)
Koma poyerekeza ndi nsagwada yotsegula, minofu yothandizira imeneyi, yomwe imatchedwa lateral pterygoids, imakhala yolimba kwambiri, imayambitsa kusintha kwa kayendetsedwe kake kamene kamakhala koyamba. Izi zimangopangitsa kuti pterygoids iwonongeke, koma ingayambitse mavuto ndi disc yomwe ili mkati mwa olowa.
Kuthamangitsa Disc ndi Kupatula
Kenaka, tiyeni tikambirane za vuto la TMJ lomwe limagwirizana ndi diski mkati mwake. Izi zimatchedwa kuthamangitsidwa kwa disc ndi kuchepetsa.
Kawirikawiri, malo a diski amadalira mawonekedwe ake komanso kuchuluka kwa msampha umene umayikidwa. Malinga ndi mawonekedwe a diski amapita, izi ndi zomwe mumabadwira nazo, choncho, kawirikawiri, ndi vuto lachipatala.
Koma kupanikizika komwe kumayikidwa pa diskiyo kudzera mumtambo wolimba kapena wosagwirizana ndi kayendedwe kake ndizo zomwe madokotala angathe kuzipeza ndi kuchiza. Kupanikizika kwakukulu kawiri kaŵirikaŵiri kumayambitsidwa ndi momwe zimakhalira-zolimba minofu ya nsagwada zimakhudza momwe zimagwirizanirana, komanso minofu ina yofewa yomwe imakhudza izo.
Kuthamanga kwazitsulo ndi kuchepetsa ndiko koyamba pa magawo atatu a kusamukira kwina. Pogwiritsa ntchito makina osokoneza bongo ndi kuchepetsa, mungamve phokoso pamene mutsegula ndi kutseka nsagwada yanu, ndipo kubweretsa mthunzi wanu pansi kumachepetsa. Mwinanso mumamva kupweteka pamene mukutafuna, kuthamanga, kulankhula, kapena (kapena pamene) mukukuta mano. Kutsegula pakamwa panu kungakhale kovuta, komanso, koma izi sizisonyezo nthawi zonse.
Popanda chithandizo cha kusamuka kwa disk ndi kuchepetsa, vutoli la TMJ lingapite patsogolo pa magawo achiwiri komanso mwina atatu. Gawo lachiwiri ndi kusamuka kwapadera popanda kuchepetsedwa kumene, monga kale, mumakhala ndikudumpha ndikuwonekera pamodzi. Komabe, nthawiyi, mgwirizanowu nthawi ndi nthawi ungatseke, ndipo ukhozanso kukhala ndi mavuto ena pakamwa pakatsegula pakamwa pako. Gawo lachitatu ndi pamene vuto limakhala lachilendo .
Mwa njira, muyenera kuyang'ana " mbendera zofiira ," zomwe ziri zizindikiro zomwe zingasonyeze kukhudza kapena kusokonezeka kwa mitsempha, kapena chikhalidwe chachikulu cha TMJ. Izi zimaphatikizapo kupweteka, kutupa, nosebleeds kapena mavuto a sinus, kutayika kosawerengeka, mavuto akumva, kupweteka nthawi zonse (osagwirizana ndi nsagwada), kapena zizindikiro zomwe sizikugwirizana ndi chithandizo chilichonse cha TMJ chimene mungagwirizane nawo. Ngati muli ndi zina mwa izi, onetsetsani kuti mukukambirana nawo ndi dokotala wanu / kapena wodwalayo yemwe akukuchitirani.
Njira Yadziko lonse ya TMJD
Ndiye kodi zonsezi zikutanthauzanji za kupweteka kwa khosi?
Kawirikawiri, matenda a TMJ amachititsa kuti munthu asagwire bwino ntchito imodzi kapena minofu yomwe imagwirizanitsa, ndipo imakhudza kupanikizika kwa disc ndi zina zotero. Koma zikafika pa dongosolo la minofu, palibe kwenikweni ngati kudzipatula.
Izi zikutanthawuza kuti kusokoneza malingaliro anu a TMJ omwe amayamba ndi pterygoids yowonjezereka, mwachitsanzo, kungakhudze mosavuta zikhalidwe za minofu zina zomwe zimayankha ndi kuwonetsa malo a mgwirizano umenewo, ndi udindo wa mutu, khosi, ndi thupi lapamwamba. Mwanjira iyi, kuthamanga kwa minofu kapena kufooka ndi kuyenda koyambitsa kumene kumayambira pa TMJ kumafalikira kumutu, mapewa, kumbuyo komanso mwina kumbuyo kwanu. Katswiri wodziŵa bwino matenda a matendawa sangayang'ane TMJ yanu yekha, koma osachepera malo komanso mapewa.
Osati izo zokha, koma zovuta zakuthambo zapadera zingadye vuto lanu la TMJ. Izi ndizowona makamaka ngati mupitiliza kutsogolo mutu, zomwe zimakhala zolakwika kwambiri pamutu pazomwe zimagwirizana ndi khosi. Kupitiliza kutsogolo kwa mutu kumakhala kutsogolo ndi vuto linalake lakukhazikika kumbuyo komwe kumadziwika kuti kyphosis. Chimake chimakhala chakumbuyo kwenikweni. Pamene kumbuyo kumbuyo kuzungulira, mutu, pokhala wogwirizana ndi msana, watengedwa pansi. Kuti muwone ndikugwirizanitsa ndi dziko patsogolo panu, mutha kukanika kumbuyo kwa khosi ngati njira yokwezera mutu wanu, ndipo mwinamwake mutenge mutu wanu patsogolo. Zonsezi zikhoza kuyika nsagwada yanu pangozi, yomwe imatha kuwonjezera mavuto anu a TMJ.
Mawu Ochokera
Kuwuza thupi lanu lapamwamba (popanda njira zopangira opaleshoni) kungathandize kusintha nsagwada zanu zamakono ndi kayendedwe kake. Mankhwala a TMJD angakuthandizeni kuthetsa ululu wanu kapena ululu wanu wonse.
Popanda kuchipatala, mungakhale mukudziyendetsa bwino chifukwa cha ntchafu ndi khosi ndi mapewa. Chimodzi mwa ubwino wa mankhwala opatsirana ndi kusokoneza chingwechi m'malo mwake mulole zipsinjo zofewa kuti zibwerenso kutalika kwake. Izi zingathandize kubwezeretsa kayendetsedwe ka kayendetsedwe koyenera mu ntchafu yanu, kupereka zotsatira zabwino za machiritso ku diski komanso thupi lanu lapamwamba.
Zina mwa zinthu zomwe mungaphunzire kuchipatala zimaphatikizapo mankhwala othandizira kutulutsa minofu yolimba, kutambasula ndi kulimbitsa machitidwe kuti athandize kukhazikitsa bwino, makamaka kumtunda, ndi maphunziro ena okhudza momwe angapindulire. Wothandizira wanu angakuphunzitseni ntchito yodzikonda yomwe imaphatikizapo kulimbitsa minofu yanu.
> Zotsatira:
> Evick, D., MD, Correlation of Temporomandibular Joint Mathologies, Mitsempha Yopweteka ndi Postal Differences. J. Phys. Ther. Sci. 2000.
> Iodice, K. Kuyeza ndi Njira Zothandizira Zowonongeka Kwadongosolo Kwambiri. Maphunziro a Medbridge. http://www.medbridgeeducation.com
> Jahan-Parwar, B., MD, Facial Bone Anatomy. Webusaiti ya Masewera. http://emedicine.medscape.com/article/835401-overview#a2
> Silveira. A., Kuwopsya kwa Jaw Kumayenderana ndi Nkhupa Kulemala ndi Kugonana Kwachikondi M'magawo ndi opanda Chronic Temporomandibular Disorders. BioMed Research International. 2015. https://www.hindawi.com/journals/bmri/2015/512792
> TMJ maulendo opitiliza. Physiopedia. http://www.physio-pedia.com/TMJ_disc_displacements