Ke ʻeha nei ʻoe ma nā ʻaoʻao ʻelua o kou ʻāwae ke ʻai ʻoe, kamaʻilio, a i ʻole e wehe wale i kou waha? Ke lohe nei ʻoe i kekahi manawa i kahi leo 'kāomi' a i ʻole 'kāomi'? A i ʻole he paʻakikī iā ʻoe ke wehe a pani i kou waha, a me he mea lā ua paʻa kou ʻāwae i kahi hoʻokahi? ʻOiai ke manaʻo nei ʻoe he mau mea maʻamau kēia, he ʻano maʻi paha kēia e pono ai ke kōkua lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia pilikia o ka hui ʻāwae i loaʻa i ka poʻe he nui akā ʻaʻole lākou e kamaʻilio nui.
He aha ka TMJ?
I ka ʻōlelo maʻalahi, ʻo ke ami kahi e pili ai kou ʻāwae haʻahaʻa i kou iwi poʻo ua kapa ʻia ʻo Temporomandibular Joint, a i ʻole
TMJ . Ua like kēia ami me ka hinge puka. Aia ia ma mua o kēlā me kēia o kou mau pepeiao. Kōkua kēia ami liʻiliʻi iā ʻoe e kamaʻilio, ʻai, a wehe i kou waha ke loaʻa iā ʻoe kahi manawa paʻakikī. Akā i ka wā e loaʻa ai kahi pilikia me kēia ami a i ʻole nā ʻiʻo a puni ia, kapa mākou ia he Temporomandibular Disorders (TMDs). I kekahi manawa hiki i kāu kauka ke kapa iā ia he TMJ Disorder. ʻOiai he nui ka poʻe e kapa wale nei i kēia kūlana "TMJ," ʻo ia wale nō ka inoa o ka ami.
No ke aha lā e kū mai ai kēia kūlana?
ʻAʻohe kumu hoʻokahi a kikoʻī no kēia ʻano, akā manaʻo nā kauka ua hoʻokumu ʻia ia e nā pilikia me nā ʻiʻo a i ʻole nā hono i loko o ke kuʻekuʻe wāwae. Aia kekahi mau kumu nui.
- Nā ʻeha ma ka ʻāʻī: E noʻonoʻo inā paʻi koke kekahi iā ʻoe, hāʻule ʻoe, a i ʻole loaʻa iā ʻoe kahi hahau nui i ka ʻāʻī (whiplash), e like me kahi ulia kaʻa, hiki ke hōʻino i kēia hui.
- Ke wili ʻana a i ʻole ke kuʻi ʻana: Loaʻa i kekahi poʻe ke ʻano o ka wili ʻana i ko lākou mau niho me ka ʻike ʻole, i ka wā hiamoe a i ke ao. Hoʻokomo kēia i ke kaomi nui ma luna o ka hui ʻauwae.
- Ka neʻe ʻana o nā diski: Aia kahi ʻāpana palupalu e like me ka uluna (he `disc`) i loko o ka hui ʻūhā . Inā neʻe kēia ma waho o kahi, hiki ke hōʻeha.
- ʻArthritis : E like me nā hono ʻē aʻe o ke kino, hiki i kēia hui ʻūhā ke loaʻa i ka maʻi ʻarthritis .
- Kaumaha : Ke kaumaha a hopohopo paha ʻoe, hiki iā ʻoe ke hoʻopaʻa i kou mau ʻiʻo maka a me kou ʻauwae me ka ʻike ʻole a ʻūmiʻi i kou mau niho. He kumu nui kēia no ka TMD.
Manaʻo kekahi poʻe ua hana ʻia kēia ʻano ma muli o ka niho kūpono ʻole a i ʻole nā pale lima, akā ua ʻike ʻia e ka noiʻi ʻaʻole kēia mau mea ke kumu pololei.
Eia kekahi, ʻelua ka nui o ka loaʻa ʻana o nā wāhine i ka TMD ma mua o nā kāne. Ke noiʻi ʻia nei ke kumu o kēia.
He aha nā hōʻailona o kēia?
ʻO ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka TMD hiki ke nalo i kekahi manawa i loko o kekahi mau lā, a i ʻole hiki ke mau no nā makahiki. Hiki iā ia ke hoʻopilikia i kekahi a i ʻole nā ʻaoʻao ʻelua o ka maka. ʻO ka mea maʻamau ia i nā poʻe ma waena o 20 a me 40 mau makahiki. E nānā i ka pakuhi ma lalo nei e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|
| ʻEha ma ka ʻāwae | ʻEha ma ka maka, a puni ke hono o ka ʻāʻī, ka ʻāʻī a me nā poʻohiwi, a i loko a puni paha o ka pepeiao (ʻoi aku hoʻi i ka wā e ʻai ai a kamaʻilio paha). |
| Ka paʻakikī i ka wehe ʻana i ka waha | Ke manaʻo nei i ka pilikia a i ʻole ka ʻeha i ka hoʻāʻo ʻana e hāmama nui i kou waha. |
| Laka hoʻopaʻa | He manaʻo e like me ka paʻa ʻana o ka ʻauwae ma kahi hoʻokahi i ka wā e wehe ai a pani ai paha i ka waha. |
| Hoʻokuʻi hui | He leo kaomi, pahū, a wili paha i ka wā e wehe ai a pani ai paha i ka waha (hiki ke loaʻa me ka ʻeha a me ka ʻole o ka ʻeha). |
| Luhi maka | Ka manaʻo o ka luhi a me ka luhi ma nā ʻiʻo o ka maka. |
| Paʻakikī i ka ʻai ʻana | Paʻakikī ke nau ʻana i ka meaʻai a i ʻole ka manaʻo ʻoluʻolu ʻole me he mea lā ʻaʻole kūpono nā niho o luna a me lalo. |
| Nā hiʻohiʻona ʻē aʻe | Pehu ma kekahi ʻaoʻao o ka maka, ʻeha niho, ʻeha pepeiao, kani ʻana o nā pepeiao (tinnitus), ʻeha poʻo (hiki i ka migraine), poniuniu, mae ʻole ma nā manamana lima. |
Pono ʻoe e ʻike i ke kauka?
Hiki ke hana ʻia kēia mau hōʻailona e nā kūlana ʻē aʻe, e like me nā pilikia niho, nā pilikia sinus, a i ʻole ka maʻi ʻāʻī. ʻO ia ke kumu he mea nui e ʻike i kahi kauka niho e ʻike i ke kumu pololei. E nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo kino. E nānā lākou i kou hui ʻāwae no ka ʻeha a hoʻolohe i nā leo āu e hana ai ke wehe ʻoe i kou waha. E nānā pū lākou e ʻike inā kūpono kāu mau niho kuʻi. I kekahi manawa, e noi ʻia paha ʻoe e loaʻa kahi X-ray, MRI, a i ʻole CT scan o kou maka holoʻokoʻa. Hiki i kēia mau mea ke kōkua i ka ʻike maopopo ʻana i nā mea e like me ke kūlana o nā iwi i loko o ka hui a me ke kūlana o ka disc i loko.
Nā lāʻau lapaʻau e hiki ke hana ma ka home
I ka hapanui o nā hihia, hiki ke mālama ʻia nā kūlana TMD liʻiliʻi me nā mea maʻalahi hiki iā ʻoe ke hana ma ka home.
- Ka lawe ʻana i nā lāʻau ʻeha : Hiki i nā lāʻau lapaʻau e like me ka ibuprofen ( NSAIDs ) ke kōkua i ka hōʻemi ʻana i ka ʻeha ʻiʻo a me ka pehu. Akā e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
- Nā ʻūmiʻi wela a anu paha: E kau i kahi ʻeke hau ma ka ʻāpana ʻeha o kou maka no kahi o 10 mau minuke. A laila e kau i kahi lole mahana ma ia wahi no kahi o 5 mau minuke. E hana i kēia i nā manawa he nui i ka lā.
- ʻAi i nā meaʻai palupalu: E hoʻokomo i nā meaʻai e like me ka yogurt, ka ʻuala i kuʻi ʻia, ka sopa, nā hua manu , ka iʻa, nā mea kanu a me nā huaʻai i moʻa maikaʻi ʻia i kāu papaʻai. E pale i nā meaʻai e pono ai ke nau ʻia e like me nā mea ʻono paʻakikī, kāloti, toffee, a me ka chewing gum.
- E ho'ōki i nā mea e kau ai i ke kaomi ma kou ʻauwae: E pale i nā mea e like me ka hāmama ʻana o kou waha, ka hoʻōho nui ʻana, a me ka nau ʻana i ka gum. Mai paʻa i kou ʻauwae me kou mau lima.
- E mālama i ke kūlana maikaʻi: E noho a kū me kou kua i pololei. Hiki i kēia ke hōʻemi i ka ʻeha o ka ʻāʻī a me ka maka .
- E hoʻokaʻawale iki i kou mau niho: I nā manawa hiki, e hoʻāʻo e mālama i kahi hakahaka liʻiliʻi ma waena o kou mau niho o luna a me lalo i ke ao. E hōʻemi kēia i ke kaomi ma kou ʻauwae.
He aha nā lāʻau lapaʻau i loaʻa?
Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia.
Nā lāʻau lapaʻau a me nā mea hana
- Nā ʻano lāʻau lapaʻau:Inā koʻikoʻi ka ʻeha a me ka pehu, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ikaika, nā mea hoʻomaha ʻiʻo, a i ʻole nā lāʻau anti-anxiety.
- ʻUpena a pale pō paha: He mau mea palaki kēia i kau ʻia ma luna o nā niho e kōkua i ka hōʻemi ʻana i ka pōʻino i hana ʻia e ka wili ʻana a e kōkua i ka mālama ʻana i ka ʻauwae i ke kūlana kūpono.
Nā lāʻau lapaʻau ʻē aʻe
ʻO kēia nā lāʻau lapaʻau i hana pinepine ʻia e nā kauka loea.
- Hoʻoulu ʻana o ke aʻalolo uila transcutaneous (TENS): Hoʻohana i nā au uila haʻahaʻa e hoʻomaha ai i ka hui ʻūhā a me nā ʻiʻo, e hōʻemi ana i ka ʻeha.
- Lapaʻau Ultrasound: Hoʻohana i ka wela hohonu e hōʻemi i ka ʻeha a hoʻomaikaʻi i ka neʻe ʻana o nā hono.
- Inikini: Ke inikini ʻana i nā lāʻau ʻeha a i ʻole nā lāʻau anesthetic i loko o nā ʻiʻo ʻeha.
- Lapaʻau Laser ('Lapaʻau laser pae haʻahaʻa'): Hoʻēmi i ka ʻeha a me ka pehu, e maʻalahi ai ka hoʻoneʻe ʻana i ka ʻāʻī a me ka ʻāwae.
ʻoki kino
ʻO ka mea nui loa: ʻO ke ʻoki kino kahi koho hope loa. E noʻonoʻo wale inā ʻaʻohe lāʻau ʻē aʻe i holo pono. E hōʻoia e kūkākūkā me kekahi a ʻelua paha mau loea ʻē aʻe ma mua o ke ʻoki kino ʻana.
ʻEkolu ʻano hana nui o ke ʻoki kino: 1.
Arthrocentesis: He ʻoki kino liʻiliʻi i hana ʻia ke ālai ʻia ka hui. Hoʻohana ʻia kahi nila e hoʻokomo i ka wai i loko o ka hui e hoʻomaʻemaʻe iā ia. 2.
Arthroscopy: He ʻoki kino i hana ʻia ke hoʻokomo ʻia kahi kāmela liʻiliʻi (kahi arthroscope) i loko o ka hui e nānā i loko. He ʻoki kino maʻalahi kēia e ho'ōla koke ana. 3.
ʻOki kino hāmama: He ʻoki kino nui i hana ʻia ke pau ka hui a i ʻole ua ulu kahi puʻupuʻu. He lōʻihi ka manawa e ho'ōla ai kēia.
Leka Lawe-Home
- Mai manaʻo he mea maʻamau ka ʻeha o ka ʻāwae a me nā walaʻau ke hāmama kou waha a ʻai paha. He hōʻailona paha ia o ka maʻi TMJ.
- ʻO ke wili ʻana o nā niho, ke kaumaha, a me ka ʻeha i ka ʻāwae nā kumu nui e kōkua ai i kēia. Hiki iā ʻoe ke kāohi i kēia ma ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona.
- E hoʻāʻo mua i nā lāʻau lapaʻau maʻalahi ma ka home (nā meaʻai palupalu, nā ʻūmiʻi wela/anu). Hoʻomaha pinepine kēia i ka maʻalahi.
- Inā hoʻomau ka ʻeha a i ʻole e ʻoi aku ka ʻino, e ʻike pono i ke kauka niho a i ʻole ke kauka lapaʻau maʻamau.
- ʻO ke ʻoki kino wale nō ke ala hope loa no kēia maʻi, no laila mai hopohopo.
ʻEha ʻāwae, TMJ, TMD, maʻi temporomandibular, maʻi hui ʻāwae, wili niho, ʻeha ʻāwae Sinhala, ʻeha i ka wehe ʻana i ka waha
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