Ke heheʻe mālie nei kou iwi ʻauwae? (Condylar Resorption) I kēia lā e kamaʻilio kākou e pili ana!

Ua ʻike anei ʻoe ua piholo iki ka ʻāwae o kekahi poʻe, a ʻaʻole paha i ʻike iki ʻia ko lākou ʻauwae? Malia paha he ʻeha ma ka ʻāwae, a i ʻole he leo paha i ka wā e wehe ai i ka waha. ʻO kekahi kumu paha ma hope o kēia mau mea, ʻo ia ka heheʻe ʻana o ka iwi ʻāwae a mākou e kamaʻilio nei i kēia lā, kahi kūlana i kapa ʻia ʻo (Condylar Resorption) . Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia (Condylar Resorption)?

I ka ʻōlelo maʻalahi, ʻo ka Condylar Resorption ka wā e heheʻe mālie ai nā Temporomandibular Joints (TMJs) e hana ana i ka wā e wehe ai a pani ai i ko mākou waha, e mae wale ana, a nalowale. ʻO kēia mau mandibular condyles nā ʻāpana koʻikoʻi e hoʻopili ai i ko mākou ʻāwae haʻahaʻa ( ka mandible) i ke poʻo ma nā ʻaoʻao ʻelua. No laila, i ka wā e heheʻe ai kēia mau mea, e emi ana ko mākou ʻāwae haʻahaʻa a komo i loko, me he mea lā ua emi iho. Hiki i kēia hoʻololi ke hana koke ʻia, i loko o kekahi mau mahina wale nō , a i ʻole hiki ke hala i nā makahiki .

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

E noʻonoʻo i kēia: Hōʻike nā hōʻike lapaʻau he ʻeiwa manawa ka nui o kēia maʻi (Condylar Resorption) i nā kaikamahine a me nā wahine ma mua o nā kāne. He mea maʻamau ia i waena o nā kaikamahine ʻōpio ma waena o 10 a me 20 mau makahiki. No laila, inā he lālā ʻohana kou a i ʻole kekahi āu i ʻike ai i kēia hui makahiki, he mea kūpono ke makaʻala iki i kēia.

Pehea ka hopena o (Condylar Resorption) i ko mākou kino?

Hiki i kēia ke hana i kahi ʻokoʻa nui i ke ʻano a me ke ʻano o ko mākou helehelena . E ʻike paha ʻoe ua emi ka ʻāwae o lalo, ʻaʻole ʻike maopopo ʻia ka ʻauwae, a ua loli ke kaulike o ka helehelena. ʻAʻole wale ia, akā hiki i kēia (Condylar Resorption) ke hana i nā pilikia e pili ana i ka hui ʻāwae i kapa ʻia ʻo (Temporomandibular Joint Disorders - TMD) . ʻO ke ʻano kēia, e pehu a mumū nā ʻiʻo a me nā ligaments a puni ka hui ʻāwae, hiki ke hana i ka ʻeha poʻo, ka ʻeha ʻāwae, ka hiki ʻole ke wehe a pani pono i ka waha, a me kahi walaʻau e puka mai ana mai ka hui ʻāwae i ka wā e ʻai ana .

No ke aha e hana ʻia ai kēia (Condylar Resorption)? He aha nā kumu?

ʻAe, e nānā kākou i ke kumu e heheʻe ai ka iwi ʻauwae penei. Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia.

• ʻO kekahi mau maʻi autoimmune he mau maʻi ia e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau hunaola olakino ponoʻī. ʻO nā laʻana e komo pū me ka rheumatoid arthritis , scleroderma , a me ka systemic lupus erythematosus .
• ʻO ka necrosis avascularHe kūlana kēia e make ai nā hunaola iwi ma muli o ka nele o ke koko i nā iwi.
• Nā loli hormonal : ʻO nā hemahema hormonal, ʻoiai i ka wā ʻōpio, hiki ke hoʻopilikia i nā kaikamahine ʻōpio.
• Ka maʻi ma ke hono o ka ʻāwae.
• Ma ke ʻano he pilikia o nā mea e like me ka mālama orthodontic a i ʻole ke ʻoki ʻana i ka ʻāwae , ʻaʻole kēia e hana i nā mea āpau.
• Nā kūlana hui degenerative e like me ka osteoarthritis .
• ʻO ka maʻi ʻāʻī pane .
• Nā ulia i ka ʻauwae, e like me ka hāʻule ʻana i ka wā e pāʻani ana a me ke kuʻi ʻana i kou ʻauwae.

I kekahi manawa hiki ke kū mai kēia ʻano me ke kumu ʻole . Ua kapa ʻia ia e nā kauka he idiopathic condylar resorption . Akā he ʻano kakaikahi loa ia.

He aha nā hōʻailona o ke kanaka me ka Condylar Resorption?

ʻO ka hōʻailona maʻamau o ka resorption condylar he loli i ke ʻano a me ke ʻano o ka maka . ʻO ka hōʻailona nui, ʻo ia ka ʻike ʻia ʻana o ka ʻāwae a me ka ʻauwae e piholo a piholo. Eia kekahi, nā hōʻailona e like me:

• Ka luhi pinepine .
• ʻEha poʻo .
• ʻEha ma ka ʻāwae, ke kani ʻana o ke 'clicking' a i ʻole ke 'popping' i ka wā e wehe ai a pani ai i ka waha .
• ʻO ka paʻapū ʻana o nā niho, a i ʻole malocclusion, ʻo ia hoʻi, ʻaʻole kūpono nā niho i kekahi i kekahi .
• ʻOi aku ka nahu .
• ʻO ka nahu hāmama he hakahaka ma waena o nā niho o luna a me lalo ke pani ʻia ka waha , ʻo ia hoʻi, ʻaʻole i hui pono nā niho.

Pehea e ʻike pololei ai nā kauka i kēia maʻi?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Hiki iā lākou ke nīnau e pili ana i:

• ʻO kou moʻolelo olakino piha , nā maʻi ʻē aʻe āu e lawe nei, a me nā lāʻau lapaʻau āu e lawe nei.
• Aia kekahi o ka ʻohana i loaʻa i nā maʻi ʻōnaehana pale a i ʻole nā ​​​​maʻi ʻē aʻe e pili ana i kēia (Condylar Resorption).
• E pili ana i kou nohona , nā haʻuki, a me nā hana.
• E pili ana i nā lāʻau lapaʻau āu e lawe nei .

A laila, hiki ke hana ʻia nā hoʻokolohua kiʻi kūikawā e ʻike maopopo ai i ka ʻauwae, nā niho, a me ke ʻano o ka iwi maka. Hiki i kēia mau hoʻokolohua ke ʻike maopopo inā e heheʻe ana ka iwi ʻauwae a i ka nui hea.

• Hoʻokolokolo X-ray .
• ʻO kahi scan CT .
• He kiʻi MRI .

Hiki paha i nā kauka niho (ʻoi aku hoʻi nā orthodontists) ke mālama i kēia kūlana.Pono paha ʻoe i ke kākoʻo a me ka ʻōlelo aʻoaʻo a kekahi poʻe, e like me ke kauka rheumatologist , ke kauka rheumatologist, a i ʻole kāu kauka ʻohana (Primary Care Providers - PCPs) . Pono paha ʻoe e hoʻomaka i ka lāʻau lapaʻau lōʻihi e kāohi i ka wikiwiki o ka nalowale o ka iwi ma mua o ke ʻoki ʻana.

He aha nā lāʻau lapaʻau no ka Condylar Resorption?

Aia nā koho lapaʻau i ke ʻano o kou helehelena, ka makahiki, ke koʻikoʻi o ke kūlana, a me nā kūlana olakino ʻē aʻe. Mai hopohopo, aia nā lāʻau lapaʻau no kēia.

• Nā lāʻau lapaʻau anti-inflammatory : Hiki i kēia ke kōkua i ka lohi o ka laha ʻana o ka maʻi a kaohi i ka ʻeha.
• Nā ʻāpana nahu a i ʻole nā ​​pale pō : ʻUmi kekahi poʻe i ko lākou mau niho i ka pō (Bruxism) , a hiki ke hoʻohana ʻia kēia mau mea e hōʻemi i ka hōʻino ʻana i ko lākou mau niho. Ua like kēia me kahi uhi pale i kau ʻia ma luna o ko lākou mau niho.
• Condylectomy : He hana ʻoki kēia e wehe ai i nā condyles mandibular, e hoʻoponopono hou ana i ka ʻāwae e kōkua iā ia e hana pono a hoʻomaikaʻi i ke ʻano o ka maka.
• Orthodontics : No ka laʻana, hiki ke hoʻohana ʻia nā pale a me nā mea paʻa e hoʻoponopono i nā niho kekee a me nā niho e kūlou ana.
• ʻO ke ʻoki kino Orthognathic : He ʻoki kino paʻakikī kēia. Pili ia i ka hoʻoponopono hou ʻana i nā ʻāwae o luna a me lalo e hoʻihoʻi i ke kaulike o ka maka. Hiki ke hana pū ʻia me ke ʻoki hana hou ʻana o TMJ.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

Hiki ke hala ma kahi o 6 a 12 mau pule e ho'ōla piha ai ma hope o nā ʻoki kino e like me Condylectomy a me Orthognathic surgery. Pono ʻoe e ʻai i ka meaʻai wai no nā pule ʻelua a ʻehā mua, no ka mea, pono ʻoe e hoʻomaha i kou ʻāwae. Ke hoʻomaka kou ʻāwae e ho'ōla, hiki iā ʻoe ke hoʻomaka mālie e ʻai i nā meaʻai palupalu . Pono e hana ʻia nā mea āpau e like me nā kuhikuhi a kāu kauka.

Hiki ke hoʻemi ʻia ka pilikia o ka resorption condylar?

ʻAʻohe ala maopopo e pale aku ai i ka resorption condylar. Eia nō naʻe, he mea nui loa ia e ʻike pinepine i kāu kauka a kauka niho paha, e kamaʻilio e pili ana i nā loli a i ʻole nā ​​pilikia āu e ʻike ai i kou ʻauwae a i ʻole nā ​​​​niho, a e hana i nā nānā lapaʻau maʻamau . E kōkua kēia iā ʻoe e ʻike i nā pilikia i ka wā mua.

He aha nā hopena lōʻihi inā ʻaʻole mālama ʻia?

Inā huki ʻia nā niho a i ʻole ka ʻāwae i hope ma muli o ka Condylar Resorption, ʻo ia hoʻi, inā ʻaʻole lākou i kau pono ʻia, nā pilikia lōʻihi e like me:

• Ka haki ʻana a me ka pahū ʻana o nā niho.
• E like me nā manawa a pauʻEha poʻo a me ka ʻāʻī.
• ʻEha ka ʻāʻī a me ke kua .
• ʻEha niho .
• He mea paʻakikī paha ke hāmama i kou waha, ʻai, a ʻōlelo paha .
• Nā loli koʻikoʻi i ke ʻano o ka helehelena .
• ʻEha mau loa ma ka hui (TMJ) .

Inā loaʻa iā ʻoe kēia mau hōʻailona (Condylar Resorption), e ʻike koke i ke kauka. Hiki i ka mālama mua ke hōʻemi a pale paha i nā pilikia he nui. No laila, mai makaʻu a mai hoʻokaʻulua, akā e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula ma hope o ke ʻoki kino?

ʻOkoʻa ka manawa hoʻōla ma hope o ke ʻoki ʻana mai kēlā me kēia kanaka. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana a i ke kula paha ma kahi o ʻelua pule . Eia nō naʻe, inā he hana koʻikoʻi kou, hiki ke lōʻihi ka manawa e hoʻōla piha ai. ʻOi aku ka maikaʻi o ke noi ʻana i kāu kauka no ka ʻōlelo aʻoaʻo no ka lōʻihi o kou hoʻomaha a me ka wā e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau.

He aha ka manaʻo no kēia kūlana?

ʻAʻole ia he maʻi hoʻoweliweli a make paha ka resorption condylar. Hiki iā ʻoe ke ola me kēia maʻi me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole mālama ʻia, e mau ana nā loli i kou helehelena, ka ʻauwae, a me nā niho , a hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa.

He nui ka poʻe i loaʻa nā hopena maikaʻi loa a ʻoluʻolu hoʻi ma hope o ke ʻoki ʻana no ka resorption condylar. Ke hoʻonohonoho pono ʻia ka ʻāwae, hoʻihoʻi ʻia ke ʻano maoli o kou helehelena a pale ʻia nā pilikia me kou mau niho a i ʻole ka ʻāwae. Inā hoʻoholo ʻoe ʻaʻole e hana i ke ʻoki ʻana, a inā ʻaʻole koʻikoʻi kou kūlana, e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai i ka ʻeha a me nā hōʻailona ʻē aʻe (e laʻa, nā lāʻau ʻeha, nā hoʻololi ʻana i ka meaʻai).

Pehea e hiki ai iaʻu ke mālama iaʻu iho? He aha kaʻu e hana ai ma ka home?

Inā ʻoe e ʻeha ana a pilikia paha ka ʻāwae ma muli o ka Condylar Resorption, e hoʻāʻo i kēia mau mea ma ka home e kōkua i ka hōʻoluʻolu ʻana i kekahi o kāu mau hōʻailona:

• E hoʻopili i ka wela pulu (e like me ke kāwele wela) a i ʻole nā ​​ʻeke hau ma kou ʻauwae. Mai waiho i ka ʻeke hau ma luna no nā minuke he 10 a ʻoi aku i ka manawa. E hoʻōki inā manaʻo ʻia he anu loa. E hoʻopili i ka ʻeke wela pulu no kahi o 15 mau minuke i ka manawa, ma kahi o ʻehā manawa i ka lā.
• E hoʻomaha i kou ʻauwae . Ke ʻeha kou ʻauwae, e ʻai i nā meaʻai palupalu (laiki, nā mea kanu i kuʻi ʻia, nā sopa). E kuke mālie i nā ʻiʻo a palupalu. Ma kahi o nā huaʻai a me nā mea kanu maka, e hoʻolapalapa iā lākou, a inu i nā wai. E pale i nā ʻiʻo paʻakikī ke nau, nā berena (e.g., toast), a me nā meaʻai paʻakikī a palupalu (e.g., crackers, toffee). E pale i ka nau ʻana i ka gum .
• E hoʻāʻo i nā lāʻau ʻeha . Loaʻa nā lāʻau anti-inflammatory nonsteroidal (NSAID) ma ke kūʻai aku ma ka hale kūʻai lāʻau lapaʻau, e like me ka aspirin.ʻO nā lāʻau hoʻopau ʻeha ma luna o ke kauka e like me ka aspirin, ibuprofen (inoa inoa: Advil®, Motrin®), a me ka naproxen (inoa inoa: Aleve®) e kōkua paha i ka ʻeha poʻo a me ka ʻeha ʻāwae. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau maʻi olakino ʻē aʻe (e.g., gastritis, maʻi puʻupaʻa), e ʻoluʻolu e nīnau i kāu kauka ma mua o ka lawe ʻana i kēia mau lāʻau. E hahai pono i nā kuhikuhi ma ka ʻōmole/pila, a mai lawe i kēia mau lāʻau no nā pule ʻelua a ʻoi me ka ʻole o ka ʻae ʻia e kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā pinepine kou ʻeha poʻo, e ʻoi aku ka ʻino, a i ʻole e hoʻopilikia i kāu mau hana o kēlā me kēia lā a hiki i kahi hiki ʻole iā ʻoe ke hana .
• Inā e ʻoi aku ka ʻeha o kou ʻauwae, ʻāʻī, a i ʻole ke kua .
• Inā ʻeha kou niho a i ʻole manaʻo ʻoe e haki/pahū ana kou niho .
• Inā pilikia ʻoe i ka ʻai ʻana a i ʻole ka inu ʻana ma muli o ka ʻeha ma kou ʻauwae a i ʻole kou maka .

ʻO nā mea nui a mākou i aʻo ai mai kēia moʻolelo (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai i kēia lā (Condylar Resorption). Eia kekahi o nā mea nui e hoʻomanaʻo:

• ʻO ka resorption condylar kahi kūlana kahi e hoʻoheheʻe mālie ai a mae kekahi ʻāpana o ka iwi ʻauwae (ʻo ia hoʻi nā mandibular condyles). Hiki i kēia ke hana i ka hōʻino ʻana o ka helehelena, ka ʻeha o nā hono o ka ʻauwae, a me ka paʻakikī i ka ʻai ʻana.
• He mea maʻamau kēia kūlana i waena o nā kaikamahine ʻōpio .
• Nui nā kumu; nā mea e like me kekahi mau maʻi o ka ʻōnaehana pale, nā loli hormonal, nā ulia pōpilikia, a pēlā aku. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu maopopo.
• Inā ʻike ʻoe i nā hōʻailona e like me ka loli koke o ke ʻano o ka helehelena, ka emi ʻana o ka ʻāwae haʻahaʻa, ka ʻeha o ka ʻāwae, a i ʻole ke kani ʻana o ka popping ke hāmama kou waha , e ʻike koke i ke kauka .
• ʻAʻohe mea e hopohopo ai, aia nā lāʻau lapaʻau no kēia. Hiki ke mālama ʻia kēia kūlana me nā lāʻau lapaʻau, nā pale lima, a me ke ʻoki kino paha.
• Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke kōkua i ka pale ʻana i nā pilikia lōʻihi he nui. No laila, mai hilahila a makaʻu paha e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. ʻAʻole ʻoe hoʻokahi!

ʻO ka nalowale o ka iwi ʻauwae, ka resorption condylar, ka hui temporomandibular, TMJ, ʻeha ʻauwae, nā loli o ka maka, ka unuhi ʻana i ka niho