Ngati mukuganiza kuti lockjowu ndiye kwenikweni tetanasi, mungakhale ndi maganizo olakwika omwe anthu ambiri amakhulupirira. Lockjaw kwenikweni imakhala yovuta kwa tetanasi, chifukwa ndi dzina la zizindikiro zomwe zingakhalepo ngati mwapeza tetanasi. Dzina lenileni la lockjaw ndilopweteka , ndipo limagwirizanitsidwa ndi matenda osiyanasiyana okhudzana ndi mutu ndi khosi.
Kodi Lockjaw Ndi Chiyani?
Lockjaw imatanthawuza kuti zimakhala zovuta kutsegula pakamwa panu chifukwa cha mphutsi zomwe mumagwiritsa ntchito pofuna kutseka. Mukhoza kutsegula pakamwa panu penapake pakati pa 40-60 mm kapena 1.5 mpaka 2.3 mainchesi. Ngakhale mtunda umene mumatsegula pakamwa panu sikwanira kuti muzindikire lockjaw, ngati muli ndi lockjaw, mutha kutsegula pakamwa panu osakwana 35 mm (1.4 mainchesi).
Njira yabwino yopezera pakamwa poletsedwa ndi kuyesa mayeso atatu.
- Ikani ndondomeko yanu, pakati, ndi mphete yanu palimodzi.
- Sinthani zala zanu zitatu kuti ziwoneke
- Yesani kuyika zala zanu zitatu pakati pa mano anu oyambirira.
Ngati zala zanu zikugwirizana bwino pakati pa mano anu amtsogolo, ndiye kuti simukusowa kukhala ndi nkhawa ndi trismus.
Kodi Lockjaw Ndi Wotani?
Ndi katemera, chiŵerengero cha tetanasi chafooka, ndipo ku United States kuyambira 2001 mpaka 2008, panali 233 milandu yomwe inanenedwa.
Ngakhale kuti sizowoneka, lockjaw ndi chizindikiro chofala ngati muli ndi tetanasi.
Komabe, ngati mwalandira chithandizo cha khansa ya mutu ndi khosi (opaleshoni kapena kuwala kwa dzuwa) mumayima mwayi wa 5 mpaka 38 peresenti yokhala lockjaw. Njira zowonjezereka m'magwiridwe opatsirana komanso opatsirana pogwiritsa ntchito mankhwala akuthandizira kusintha kowopsa kwa lockjaw.
Matenda a Temporomandibular Joint (TMJ) angapangitsenso kuti anthu 86 peresenti ya milandu ikhale yokwanira.
Zizindikiro Zina Zogwirizana ndi Lockjaw
Ngakhale chizindikiro chofala kwambiri chokhudzana ndi lockjaw ndi kulephera kutsegula pakamwa panu, pali zizindikiro zina zambiri zokhudzana ndi vutoli. Izi zikuphatikizapo:
- xerostomia (pakamwa youma)
- mucositis
- mutu
- kupweteka kwa nsagwada
- khutu la khutu
- zovuta kumva
- mavuto olankhula
- kumeza mavuto
- Nkhani zamano zokhudzana ndi ukhondo
- Osadya zakudya zolimbitsa thupi
Chithandizo cha Lockjaw
Kupitako koyambirira ndi kofunika kwambiri ngati muli ndi lockjaw. Kukonzekera kuchipatala kungayambitse mgwirizano womwe uli ovuta komanso ophwanyika omwe sungagwire bwino. Mankhwala ochiritsira amagwiritsa ntchito mankhwala a mano, mankhwala, zida kapena zipangizo zothandizira pakuyenda. Ngati mukukumana ndi mavuto kuyankhula kapena kumeza, muyenera kukhala ndi chithandizo chamankhwala .
Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi othandiza pa lockjaw ndi zipangizo kapena zipangizo zomwe zimakuthandizani kuti muthe kuyenda bwino. Izi zimatha kugwiritsa ntchito zala zanu kuti mutsegule pakamwa panu ndi zipangizo zomwe zimatseguka ndi kutseka nsagwada yanu malinga ndi magawo omwe mungathe kukhazikitsa.
Kutsegula ndi kutsegula pakamwa panu pogwiritsa ntchito zala zanu ndi njira yabwino kwambiri yothandizira lockjaw.
Makina osasunthika (CPM) nthawi zonse ndi opindulitsa kwambiri pa zipangizo. Makina awa akhoza kusinthidwa kugwira ntchito muyeso yomwe inu mumanena. Ndibwino kuti mugwiritse ntchito makinawa maola 4 kapena 6 pa tsiku kwa masabata 4-6, motsimikiziridwa ndi dokotala wanu kapena wodwalayo.
Chida chosawonongeka kwambiri ndi vuto la lilime. Mukhoza kuyika zilembo zolepheretsa lilime pamwamba pa wina ndi mzake mpaka mutakhala bwino. Pang'ono pang'onopang'ono mungathe kuwonjezera kuchuluka kwa malirime omwe mumagwiritsira ntchito kuti mupeze chingwe.
Ngakhale njirayi ikuyesedwa kuti "maphunziro a kusukulu" akuwonetsanso kuti imapindula pa njira zina.
Njira yomwe ikuoneka kuti ili ndi chithandizo chabwino ndi TheraBite. Ngakhale akadali okwera mtengo (pafupifupi $ 400- $ 600), zawonetsedwa kuti zitsegula pakamwa pakamwa 1-1.5mm pa sabata pafupifupi pafupifupi 10mm. Chizoloŵezi chofala ndi TheraBite ndikutsegula ndi kutsegula pakamwa kasanu ndi kawiri, kokhala masekondi asanu ndi awiri. Zochita izi zimabwerezedwa kasanu ndi kawiri pa tsiku kwa masabata khumi. Izi zimatchulidwa kuti 7-7-7 protocol.
Ndikofunika kuti musamangokhalira kupweteka, kutambasula mpaka kupweteka kumakhala kosavuta pakuthandizira lockjaw.
Zotsatira:
Bensadoun, RJ, Riesenbeck, D., Lockhart, PB, Elting, LS, Spijkervet, FKL Brennan, MT (2010). Kuwongolera mwatsatanetsatane wa trismus chifukwa cha mankhwala opatsirana khansa mu odwala khansa ya mutu ndi ya m'khosi. Thandizani Kusamalira Khansa 18: 1033-1038. DOI 10.1007 / s00520-010-0847-4
Maofesi a Kuletsa ndi Kuteteza Matenda. (2011). Kuyang'anitsitsa Tetanus --- United States, 2001--2008. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6012a1.htm.
Kamstra, JI, Roodenburg, JLN, Beurskens, CHG, Reintsema, H. & Dijkstra, PU (2013). TheraBite amachititsa kuti trismus ikhale yachiwiri mpaka khansa ya mutu ndi khosi. Thandizani Care Cancer. 21 (4): 951-957. lembani: 10.1007 / s00520-012-1610-9
Walker, M & Burns, K. (2006). Trismus: Kuzindikira ndi Kusamalira Maganizo kwa Odwala Matenda. http://www.asha.org/events/convention/handouts/2006/1200_walker_melissa/