Ðɔkta Priya kple Revathi ƒe Ŋutinya - Nirogi Lanka

Revathi, si xɔ ƒe 32, si nye yoga-nufiala, va nye atikewɔƒea wòdze abe ɖe wòtsi dzimaɖi ene. "Ðɔkta Priya, ɣesiaɣi si meɖu nu la, mesea gbeɖiɖi aɖe si le ƒoƒom le nye aɖu me. Tsɔ kpe ɖe eŋu la, vevesese le nye to gbɔ ŋkeke ʋɛ aɖewoe nye esia. Ele nye tagbɔ gblẽm," egblɔ, eye wòtsɔ dzitsitsi tsɔ eƒe asi ƒu du to eƒe taɖa me, eye edze ƒã be nya la xɔ edzi.

Meko alɔgbɔnu si na kakaɖedzie be wòaɖe dzi ɖi. "Menye wò ɖeka koe le esia me o, Revathi; ame geɖe doa go kuxiwo le woƒe aɖu ƒe ƒunukpeƒewo ŋu. Woyɔa esia be Temporomandibular Joint, alo TMJ . Ƒunukpeƒe sia doa ka kple wò aɖu kple wò tagbɔ, eye ne mele dɔ wɔm nyuie o la, dzesi siawo ate ŋu ado mo ɖa. Mina míaƒo nu geɖe tso nusi me tom nèle ŋu, eye maɖe alesi míate ŋu akpe ɖe ŋuwò la me.”

Revathi ƒe nyaa nye Temporomandibular Joint Dysfunction, alo TMJ Dysfunction , ƒe dzesi si bɔ. Nɔnɔme sia gblẽa nu le aɖu ƒe ƒunukpeƒe kple lãmeka siwo ƒo xlãe ŋu, eye zi geɖe la, ehea vevesese, gbeɖiɖi siwo le ʋuʋum, alo wò nu ʋuʋu kple nu tutu gɔ̃ hã sesẽna vɛ. Mina míage ɖe nusi TMJ ƒe Dɔmawɔmawɔ nyuie nye, nusiwo gbɔ wòtso, eƒe dzesiwo, kple mɔ nyuitɔ kekeake siwo dzi woato akpɔ egbɔ la me.

Nukae Nye Temporomandibular Joint Dysfunction?

Wò Temporomandibular Joint wɔa dɔ abe hinge si le ʋuʋum si doa ka kple wò aɖuƒu kple wò tagbɔ ene. TMJ Dysfunction dzɔna ne nya aɖe le ƒunukpeƒe sia alo lãmeka siwo ƒo xlãe ŋu. Esiae nana ame sea veve eye wòxea mɔ na aɖuwo ƒe ʋuʋu.

Togbɔ be dzesiwo abe to ƒe akpa si me mekɔ o, ƒoƒo, alo aɖu ƒe ʋuʋu ate ŋu ate ɖe ame dzi hã la, ƒã hafi wosẽna. Gake atikewɔwɔ si sɔ didi le vevie be wòana wò agbenɔnɔ nanyo ɖe edzi.

“Ekema, Ðɔkta, ɖe ema fia be menye nya gã aɖekee oa?” Revathi bia, eye wòdze abe ɖe wòɖe dzi ɖi vie wu ene.

Meɖe eme be: “Zi geɖe la, ao. “Gake ne èŋe aɖaba ƒu edzi la, ate ŋu asesẽ na wò mlɔeba be nàɖu nu, aƒo nu, alo aƒo nu gɔ̃ hã. Nya nyuiae nye be ne wowɔ tɔtrɔ suesuesuewo le agbenɔnɔ me eye wowɔ atike na wò ɖe taɖodzinu aɖe koŋ nu la, woate ŋu akpɔ egbɔ nyuie.”

Nukae Hea TMJ ƒe Dɔmawɔmawɔ nyuie vɛ?

Revathi bɔbɔ ɖe eme hebia be, “Nukae he esia vɛ, Ðɔkta Priya? Ðe wònye nane si mewɔa?”

Meɖo eŋu be: “Menye kokoko o. "Nu vovovowo gbɔe TMJ ƒe Dɔmawɔmawɔ nyuie tsona. Ate ŋu atso abi si nèxɔ le aɖu me gbɔ ɣeaɖewoɣi, alo numamewo abe aɖuwo ƒoƒo alo aɖututu ene gbɔ."

Nusiwo bɔ siwo gbɔ TMJ ƒe Dɔmawɔmawɔ nyuie tsona dometɔ aɖewoe nye esi:

• Bruxism (Aɖuwo Ƒoƒo): Wò aɖuwo tutu le zã me nana wò aɖuwo ƒe ƒunukpeƒetetedɔa tea ŋu fũu akpa, si ate ŋu ana wò aɖuwo nagawɔ dɔ nyuie o.
• Nuteɖeamedzi (Susu me Nuteɖeamedzi ): Le nuteɖeamedzi sesẽ ƒe ɣeyiɣiwo me la, amewo ƒoa woƒe aɖu ƒe lãmekawo zi geɖe le manyamanya me.
• Aɖuɖɔtoe ƒe Nuveviwɔame: Ne edze aɖua dzi tẽ la, ate ŋu agblẽ nu le Temporomandibular Joint ŋu.
• Ƒunukpeƒetetedɔ: Ƒunukpeƒetetedɔ ƒomevi aɖewo ate ŋu ana TMJ naxɔ abi eye wòase veve.
• Tsitretsitsi Nyuie: Èɖaxɔe se alo mèxɔe se o, ne ènɔ anyi ɣeyiɣi didi eye mèle tsitrenu nyuie o ate ŋu akpɔ ŋusẽ ɖe wò aɖu ƒe ƒunukpeƒe ƒe ɖoɖo si sɔ dzi.

Numekuku aɖe si wota ɖe Journal of Oral Rehabilitation me ɖee fia be ame ɖekaɖeka siwo ƒe nuteɖeamedzi sɔ gbɔ la te ŋu xɔa TMJ ƒe Dɔmawɔmawɔ nyuie wu le lãmekawo ƒe tete atraɖii kple aɖuwo ƒoƒo ƒe nɔnɔmewo ta.

Nukae Nye TMJ ƒe Dɔmawɔmawɔ nyuie ƒe Dzesiwo?

Mebia tso Revathi si be wòaɖɔ eƒe dzesiwo. Egblɔ be: “Mesea gbeɖiɖi aɖe si ɖina ɣesiaɣi si meɖu nu. “Ɣeaɖewoɣi la, nye aɖuwo tsia sɛkɛnd ʋɛ aɖewo. Vevesesea ƒe akpa gãtɔ te ɖe nye to ŋu tututu.”

TMJ ƒe Dɔmawɔmawɔ nyuie ƒe dzesiwo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, gake dzesi siwo bɔ dometɔ aɖewoe nye:

• Aɖu Vevesese: Vevesese sia ate ŋu akeke ɖe wò to, mo, kple kɔ me.
• Gbeɖiɖi Siwo Klikna: Gbeɖiɖi si le nu ƒom alo le ʋuʋum ne wole nu ʋum alo le nu ƒom nye dzesi si ɖe dzesi.
• Nuɖuɖu Sesẽna: Àte ŋu ase veve alo vevesese ne èle nu ɖum.
• Aɖu si Wotu: Ɣeaɖewoɣi la, aɖua ate ŋu axe le nɔnɔme si le ʋuʋu alo esi wotu me.
• Taɖuame : Lãmetsiwo ƒe ɖeɖiteameŋu si TMJ nyawo hena vɛ ate ŋu ana taɖuame si me teteɖeanyi le.

Dɔléle: Aleke Wowɔ Dea Dzesi TMJ ƒe Dɔmawɔmawɔ nyuie?

Revathi di be yeanya alesi míawɔ anya eƒe nɔnɔmea. “Ðe mehiã be woawɔ X-ray ?” ebia nya sia.

Meɖe eme be: “Zi geɖe la, míetoa ŋutilãmedɔdada me kpɔa TMJ ƒe Dɔmawɔmawɔ nyuie.” "Mabia tso asiwò be nàʋu wò nu ahadoe ale be mate ŋu ase gbeɖiɖi ɖesiaɖe. Malé ŋku ɖe eŋu hã be eƒe nu fa hã eye mado wò aɖu ƒe ʋuʋu ƒe didime kpɔ."

Le go aɖewo me la, ahiã be woaɖe nɔnɔmetatawo abe X-ray, MRI, alo CT scan ene be woatsɔ alé ŋku ɖe ƒunukpeƒea ŋu nyuie. Gake zi geɖe la, wodzraa nya mawo ɖo na nya siwo sesẽ wu.”

Atikewɔwɔ: Aleke Nàwɔ Akpɔ TMJ ƒe Dɔmawɔmawɔ Nyuie Gbɔ?

"Aleke mawɔ aɖɔ esia ɖo?" Revathi bia, eye eƒe gbe ɖee fia be gbɔdzɔe hiã vevie.

Meka ɖe edzi nɛ be, "Mɔ nyui geɖe li siwo dzi woato akpɔ esia gbɔ. Le ame akpa gãtɔ gome la, agbenɔnɔ ƒe tɔtrɔ bɔbɔewo kple beléle si woɖo taɖodzinu na koe hiã be woakpɔ ŋgɔyiyi ɖedzesi aɖe."

Alesi nàte ŋu adze wò mɔzɔzɔ yi gbɔdzɔe gbɔe nye esi:

Ðokuidzikpɔkpɔ ƒe Mɔnuwo

• Gbɔ ɖe eme wò aɖu: Ƒo asa na nuɖuɖu ɖuɖu fũu akpa, hũɖeɖe geɖe, alo wò ɖawo ɖuɖu. Na ɣeyiɣi wò aɖu ƒe ƒunukpeƒewo be woahaya.
• De dzoxɔxɔ alo fafa ƒe agbawo: Zã nusi wotsɔna ƒoa nu si me dzo le be wòakpe ɖe ŋuwò nàɖe dzi ɖi le aɖu ƒe lãmeka siwo te ɖe wo ŋu me eye nàzã nufamɔ̃ si me fafa le be wòaɖe abi dzi akpɔtɔ.
• Bu wò tenɔnɔ ŋu: Ne èlé wò nɔnɔme nyui me ɖe asi la, eɖea nyaƒoɖeamenu si mehiã o si le temporomandibular ƒunukpeƒea dzi kpɔtɔna.
• Tia nuɖuɖu falɛfalɛwo: Ƒo asa na nu sesẽwo alo esiwo me wodea nuɖuɖu viviwoe siwo hiã be woaɖu wo ɣeyiɣi didi. Lé ɖe nuɖuɖu si fa wu ŋu be nàɖe ƒunukpeƒewo ƒe tete dzi akpɔtɔ.

Kamedede Siwo Doa Ŋusẽ Na Aɖuwo

Mefia aɖaŋu bɔbɔe aɖe si woyɔna zi geɖe be "ati ɖuɖu" ƒe kamedede Revathi.

• Di ati sue aɖe si le dzadzɛ, si fa (si didi abe sentimeta 15 ene eye wòkeke sentimeta 1.5).
• Dae blewu le wò megbeƒuwo dome.
• Ƒo nu ɖe ​​anyi sesĩe eye nàlée ɖe asi aɖabaƒoƒo 2–3, abe ɖe nèle nu ɖum ene. Ðoe kplikpaa be yeawɔ esia zi etɔ̃ ya teti gbesiagbe.

Esia kpena ɖe ŋuwò nèdoa ŋusẽ lãmeka siwo léa wò aɖu. Numekuku si wota ɖe The Journal of Orofacial Pain me ɖo kpe edzi be atikewɔwɔ ƒe kamedede mawo ate ŋu aɖe TMJ ƒe vevesese dzi akpɔtɔ nyuie eye wòana ƒunukpeƒewo ƒe dɔwɔwɔ bliboa nanyo ɖe edzi le ɣeyiɣi aɖe megbe.

Atikewɔwɔ ƒe Nudede Nyawo Me

Le nɔnɔme siwo me dzesiawo gakpɔtɔ li me la, míate ŋu adzro atikewɔwɔ bubuwo me:

• Corticosteroid dodo: Wozãa esiawo tsɔ ɖea dɔdzẽ dzi kpɔtɔna le ƒunukpeƒea me tẽ.
• Lãmetsiŋusẽtikewo: Esiawo kpena ɖe ame ŋu wòɖea lãmeka siwo ƒo xlã aɖua ƒe teteɖeanyi sesẽ dzi kpɔtɔna.
• Amekoko: Esia nye mɔnu mamlɛtɔ, si wodzra ɖo ɖi na xɔtuɖaŋunya siwo me atikewɔwɔ bubuwo mena gbɔdzɔe ame le o ko.

Agbenɔnɔ ƒe Tɔtrɔwo Be Woaxe Mɔ Ðe Dɔlélea Gbugbɔgadzɔ Nu

Meɖo aɖaŋu be: "Revathi, tɔtrɔ suesuesue siwo mewɔa tɔtrɔ o wɔwɔ le wò gbesiagbegbenɔnɔ me nye nu vevitɔ si ana dzesi siawo nagatrɔ ava o."

• Kpɔ nuteɖeamedzi dzi: De yoga alo ŋugbledede wò ɖoɖowɔɖi me be nàxe mɔ ɖe aɖuɖɔtoe si le susu me ƒe ƒoƒo nu.
• Zã numetike: Ne èle wò aɖuwo ƒom esime nèle alɔ̃ dɔm la, bia wò aɖudɔdala be wòana numetike si wowɔ ɖe ɖoɖo nu be wòakpɔ wò ƒunukpeƒewo ta zã bliboa.
• Lé ergonomics nyuie me ɖe asi: Lé ŋku ɖe wò tenɔnɔ ŋu, vevietɔ ne èzãa gaƒoƒo geɖe le kplɔ̃ ŋu.

Numekuku aɖe si wowɔ le The International Journal of Prosthodontics me ɖo kpe edzi be nu me dzɔlawo zazã ɖea vevesese si do ƒome kple TMJ dzi kpɔtɔna ŋutɔ le dɔnɔ siwo ƒe aɖuwo ƒe ŋeŋe le fu ɖem na ŋu.

Nya Siwo Wobiaa Enuenu Tso TMJ ƒe Dɔmawɔmawɔ Nyuie Ŋu

Tamesusu Mamlɛawo

Revathi dzo le atikewɔƒea kple gbɔdzɔe gbemagbe. Etsɔ eɖokui na kamededeawo kple agbenɔnɔ ƒe tɔtrɔ siwo me míedzro la me. Eko alɔgbɔnu be: "Akpe geɖe na wò, Ðɔkta Priya." "Mesena le ɖokuinye me be nye lãme sẽ ŋutɔ esi menya be ɖoɖo si me kɔ li be mato esia me."

Kpekpe ɖe dɔnɔwo abe Revathi ene ŋu tututue nye nusita melɔ̃ nye dɔwɔwɔ le Nirogi Lanka ɖo. Ŋusẽdodo wò be nàkpɔ ŋusẽ ɖe wò lãmesẽ dzi eye nàgakpɔ wò agbenɔnɔ ƒe nyonyome ake nye nye dɔdasi vevitɔ.