Matenda Ogwirizanitsa Panthawi Yambiri

Mgwirizano wa temporomandibular (TMJ) ndi mgwirizano umene umagwirizira nsagwada yanu ku chigaza. Mgwirizano uwu uli kutsogolo kwa makutu; mungathe kuchipeza mosavuta potsegula ndi kutsegula pakamwa panu ndikumverera chophatikizana ndi zala zanu. Mgwirizano umenewu umasiyana ndi ziwalo zambiri, chifukwa umatchedwa olowa m'thupi . Mgwirizano woterewu uli ndi ziwalo ziwiri zomwe zimagwira ntchito pawokha; Pachifukwa ichi, mbali yomanzere ndi yolondola ya mandible.

Pakakhala vuto ndi mgwirizano, minofu kapena mitsempha yomwe ili pafupi ndi mgwirizanowu, vutoli nthawi zambiri limatchedwa matenda a TMJ kapena TMJ. TMJ imangotanthawuza chabe matenda ophatikizana ndi temporomandibular (TMD) ndi olondola kwambiri kuntchito iliyonse yosagwirizana ndi ntchito ya TMJ. Kuti tizisunga mawu osasinthasintha ndipo tisasokoneze aliyense, tidzatchula TMD ngati vuto la TMJ .

Zizindikiro

• kupweteka kwa nkhope
• ululu pamene ukutafuna
• popukuta kapena kudumpha pa nsagwada
• mutu
• makutu
• Kuvuta kutsegula ndi kutseka pakamwa
• mdima wokhoma
• kupweteka kwapadera ndi chikondi pazowonjezera
• tinnitus
• mbiri ya kugona kovuta kapena matenda osokonezeka

Zowopsa

Matenda a TMJ amavomerezeka kwambiri mwa amayi kusiyana ndi amuna, komanso ofala kwambiri kuposa anthu a ku Africa-America. Matenda ena kapena omwe akhala akugwirizana ndi TMJ ndi awa:

• nyamakazi ya nyamakazi
• matenda ophatikizana ophwanyidwa
• nkhawa kapena matenda ena opatsirana ndi matenda omwe amachititsa kuti mmafu akulira kapena mano akupera

• malo otchulidwa mano
• chilankhulo cha lilime (ankylosis)
• bruxism
• zina zolephereka kubadwa

Zimayambitsa

Poyambirira anali kuganiza kuti matenda a TMJ anali chifukwa cha kusalidwa bwino kwa mano opamwamba ndi otsika. Ngakhale kuti izi zili ndi mbali yochititsa matenda a TMJ, palinso zinthu zambiri zomwe zingayambitse matenda opweteka awa kuphatikizapo:

• kupweteka kwa nsagwada kapena mgwirizano
• nkhawa, nkhawa, kapena kupanikizika
• mitu ya mutu ndi khosi
• akukuta mano
• kutafuna chingamu (panthawi yambiri)

Kudziwa

Matenda a TMJ amawoneka ndi otolaryngologist (ENT). Anthu ambiri amafuna thandizo la ENT chifukwa ululu wa msuwa umawatsogolera kukhulupirira kuti ali ndi kachilombo ka khutu . Dokotala adzachita mayeso, omwe angaphatikizepo kuyang'ana mkati mwa pakamwa panu chifukwa cha zizindikiro zovala mano anu pogaya ndi kumangiriza; Kufufuza minofu ya khosi lanu kuti mukhale ndi mpweya; ndi zizindikiro za chikondi chenicheni. Dokotala akhoza kudziwa momwe mungatsegulire pakamwa panu. Nthawi zina, dokotala wanu amapempha CT kapena MRI scan kuti muwone bwino kuwonongeka kulikonse.

Chithandizo

Chithandizo chimadalira kuopsa kwa matendawa. Pa zochitika zing'onozing'ono, ayezi ndi kupuma zingakhale bwino kwambiri, kuphatikizapo kupweteka kwamtundu wambiri monga ibuprofen ndi acetaminophen. Anthu omwe ali ndi matenda a TMJ ayenera kupewa kutafuna ching'onoting'ono, kupukuta mano ndi kukuluma nsagwada. Nthawi zina alonda amatha kulandira izi.

Njira zotsegula zosachepera 30 mphindi patsiku zingathandize. Anthu ena angapindule ndi mankhwala opatsirana, kupuma kwa minofu, steroids, kukangana minofu ndi mankhwala akupanga.

Ngati zizindikiro zikadalipobe pambuyo poti mankhwala oponderezedwa ndi anti-inflammatory ndi njira zina ayesedwa, mankhwala a occlusal angayesedwe. Thandizo la Occlusal limayesetsa kuteteza kuluma kwanu ndi kupewa kutsekemera kwakukulu ndi kusaya komwe kungapweteke mano. Kuti mudziwe ngati izi ndi zosankha, muyenera kufunsa dokotala wanu wa mano.

Kuchita opaleshoni koopsa kungakhale kofunikira. Komabe, opaleshoni yokha silingathetse mavuto a TMJ pokhapokha ngati mukuchita chithandizo chisanafike ndi pambuyo pa opaleshoni.

_Zotsatira:

_{Sukulu ya American Academy of Otolaryngology Mutu ndi Opaleshoni Yamakono. TMJ. Zapezeka: November 5, 2015 kuchokera ku http://www.entnet.org/content/tmj.}

_{Goldenberg, David; Goldstein, Bradley J. Buku la Buku la Otolaryngology Mutu ndi Opaleshoni Yamakono. 2011. p 73-77.}

_{Medline Plus. Matenda a TMJ. Idapezeka: December 21, 2011 kuchokera ku http://www.nlm.nih.gov/medlineplus/ency/article/001227.htm.}

_{Rotter, BE. (2015). Cummings Otolaryngology: Zowonongeka Zowonongeka. Idapezeka pa August 14, 2016 kuchokera ku http://www.clinicalkey.com (Kulembetsa Kuyenera Kuyenera)}

_{Scrivani, SJ & Mehta, NR (2015). Temoromandibular amadwala akuluakulu. Idapezeka pa November 5, 2015 kuchokera ku http://www.uptodate.com.}