3 zotheka zomwe zimayambitsa matenda a mgwirizano wa temporomandibular
Matenda a Temporomandibular (TMD) akhoza kukhala odzudzula, koma amangowonjezera ululu, kuuma, ndi zizindikiro zina zomwe zimakhudza nsagwada, kapena mgwirizano wa temporomandibular (TMJ). Chimodzi mwa zifukwa zofala kwambiri za TMD ndi nyamakazi-zikhalidwe zofanana zomwe zimakhudza ziwalo zina, monga mawondo, ziuno, ndi zala.
Kawirikawiri, mtundu wa nyamakazi wa TMD ndi osteoarthritis , koma palinso ena, kuphatikizapo nyamakazi ya nyamakazi ndi spondyloarthropathies , monga ankylosing spondylitis.
Pano pali mwachidule cha aliyense.
Osteoarthritis
Mafupa a osteoarthritis amatha kupitirira nthawi chifukwa chovala ndi kugwedeza kumene kumayambitsa mafupa ndi mapewa ofewa. Kuwonjezera pa ululu, osteoarthritis ikhoza kuyambitsa phokoso lodziwika bwino lomwe limadziwika ngati crepitus muzowonjezera ndi kuyenda kochepa, ndipo zimakhala zovuta "kutsegula kwambiri." Izi zimachitika makamaka kwa anthu achikulire, malinga ndi American Academy of Orofacial Pain (AAOP).
Kawirikawiri, osteoarthritis ya temporomandibular amagwirizana, kutanthauza kuti mbali imodzi ya nkhope imakhudzidwa.
Kupeza matenda a osteoarthritis a TMD adokotala adzalandira mbiri yachipatala, aganizire zizindikiro zenizeni, ndipo mwina achite MRI kapena kugwiritsa ntchito njira ina yojambula. Chithandizochi chimaphatikizapo mankhwala osakanikirana ndi anti-inflammatory (NSAIDs) , kuphatikizapo kutentha, chakudya chofewa, kuchepetsa kuphatikizapo kutentha, zakudya zofewa, kuchepetsa kuyendayenda kwa nsagwada, kapena kugwiritsa ntchito chimbudzi. Ngati izi sizibweretsa mpumulo, nthawi zina opaleshoni amafunika.
Chifuwa chachikulu cha nyamakazi
Ngakhale nsagwada sizomwe zimayambitsa ziwalo zokhudzana ndi matenda a nyamakazi (RA), mtundu wa kupweteka pamodzi kumene kumayambitsa mavuto a chitetezo cha mthupi, kuposa theka la anthu onse omwe ali ndi mphepo ya RA yomwe imakhala ndi ululu. TMD yomwe imayambitsa matenda a nyamakazi imayamba kukhudza mbali zonse ziwiri za nkhope ndikusowetsa kutupa, chifundo, ndi kuchepa kwa nsagwada.
Zizindikirozi zimafika ndikupita, ndi kuuma ndi kupweteka kwambiri m'mawa.
Kuwonjezera pa zizindikiro ndi mbiri yachipatala, matenda a RA ali ndi chifukwa cha kupweteka kwa mgwirizano amaphatikizapo kufufuza ndi kuyezetsa magazi, ndipo mankhwala ndi ofanana ndi mgwirizano uliwonse wokhudzana ndi nyamakazi: mankhwala odana ndi kutupa komanso mankhwala osokoneza bongo (DMARD) , kuphatikizapo masewera olimbitsa thupi kuti asatayikire ku nsagwada. Nthawi zina opaleshoni amafunika.
Spondyloarthropathies
Spondyloarthropathies ndi mitundu ya nyamakazi yomwe imaphatikizapo malo omwe mitsempha ndi matope zimagwirizana ndi mafupa. Imodzi mwa izi ndi antikylosing spondylitis , yomwe imakhudza kumbuyo ndi khosi ndipo ikhoza kuyambitsa kupweteka ndi kusinthana kwa nsagwada.
Chinanso ndi nyamakazi ya psoriatic , yomwe imakhala ndi zizindikiro zomwe zimatsanzira nyamakazi ya nyamakazi. Pali ululu womwewo, chifundo, kuyenda kochepa, ndi crepitus, ngakhale nthawi zambiri mtolowu umakhudzidwa. Matenda a khunyu a timagulu ta temporomandibular ndi mtundu wachitatu wa os spondyloarthropathy umene umagwirizanitsidwa ndi TMD. Amuna ndi ochepa kuposa amayi kuti akhale ndi nyamakazi yowonongeka, yomwe imayambitsa kupweteka, kutupa, ndi kuyenda kochepa kwa nsagwada. Chifukwa chayambitsa matenda, antibiotic nthawi zambiri ndi mbali ya mankhwala.
Zotsatira:
American Academy of Orofacial Pain. "Zowonongeka Zowonongeka Kwambiri." 2014.