Ua hele mai ʻo Revathi (32 makahiki), he kumu aʻo yoga ma ka ʻoihana, i koʻu keʻena lapaʻau i ka Pōʻakolu i hala. Ua makaʻu iki ʻo ia.
"E Kauka Priya, i kēlā me kēia manawa aʻu e ʻai ai, lohe au i ke kani 'kāomi/paʻi' mai koʻu ʻauwae hema. Ma luna o kēlā, ua loaʻa iaʻu kahi ʻeha palupalu e laha ana mai koʻu pepeiao a i koʻu alo holoʻokoʻa no nā pule ʻekolu i hala. ʻAʻole hiki iaʻu ke hāmama nui i koʻu waha a nau paha i kaʻu meaʻai," wahi a Revathi i kona pilikia.
Ua nānā au i kona hui ʻauwae a wehewehe akula: "E Revathi, ke ʻeha nei ʻoe i kahi maʻi i ʻike ʻia ma ka ʻepekema lapaʻau ʻo TMJ Dysfunction (TMD) . Aia kahi hui paʻakikī loa e hoʻopili ana i ka iwi ʻauwae i ko kākou iwi poʻo, aia ma mua o nā ʻaoʻao ʻelua o ka pepeiao. Ua kapa ʻia kēia ʻo Temporomandibular Joint (TMJ) . Hana ʻia kēia e ka neʻe ʻana o ka disc cartilage i loko o ka hui, ka wili ʻana o nā niho i ka pō (Bruxism), a i ʻole ka paʻa ʻana o nā ʻiʻo ʻauwae ma muli o ke kaumaha nui o ka noʻonoʻo. I kēia lā, e nānā kākou i nā lāʻau lapaʻau maʻalahi a me nā hoʻoikaika kino e hiki ke hana ʻia ma ka home no kēia maʻi."
🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka
ʻAʻole maʻamau ka ʻeha o ka ʻāwae a e pau i loko o kekahi mau mahina. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona hōʻike aʻe, pono ʻoe e ʻike koke i kahi Kauka Lapaʻau Waha a me Maxillofacial:
- ʻAuwae Paʻa - ʻO kēia ka wā e paʻa ai ka iwi ʻauwae ma kahi hoʻokahi, ʻaʻole hiki ke wehe piha a pani piha paha i ka waha.
- Pehu nui a puni ka hui ʻāwae, ʻulaʻula o ka ʻili, a me ke kuni nui (he mau hōʻailona paha kēia o ka septic arthritis, kahi maʻi hui).
- Paʻakikī ke ale ʻana a i ʻole ka hanu ʻana (ʻaʻole paha kēia he pilikia me ka hui ʻāwae, akā he hōʻailona ia o kahi maʻi niho koʻikoʻi e pālahalaha ana i ka ʻāʻī).
- ʻO ke kaumaha a me ka ʻeha ma hope o kahi ulia koʻikoʻi a i ʻole ka hahau ʻana i ka maka a i ʻole ka ʻāwae (hiki paha he haki).
ʻO nā kumu nui o ka hana ʻino o ka hui temporomandibular
- Ke wili ʻana o nā niho (Bruxism): Kaomi nui ma luna o ke ami ma muli o ke ʻano o ka ʻū ʻana a i ʻole ke wili ʻana i kou mau niho i ka wā hiamoe me ka ʻike ʻole.
- Kaumaha: Hiki i ke kaumaha nui ke hoʻopaʻa i nā ʻiʻo o ka ʻāwae me ka ʻike ʻole.
- ʻArthritis: Ka hōʻino ʻana o ke cartilage i loko o ka hui ma muli o nā kūlana e like me ka osteoarthritis a i ʻole ka rheumatoid arthritis.
- Kūlana maikaʻi ʻole: ʻO ka noho ʻana i mua o ke kamepiula me kou poʻo e kūlou ana i mua no ka manawa lōʻihi hiki ke hana i ke kaulike ʻole ma nā hono o ka ʻāʻī a me ka ʻāʻī.
- Nā hana nau ʻana: Nau pinepine ʻana i ka gum a i ʻole ka nau ʻana i nā mea paʻakikī e like me nā peni a me nā kui.
ʻO nā ʻano hana maʻalahi a me nā hoʻomaʻamaʻa hiki ke hana ʻia ma ka home
Hiki i ka hoʻoikaika kino ke kōkua iā ʻoe e hōʻoluʻolu i ka ʻeha ʻāʻī ma ka home ma o:
1.Lapaʻau Wela/Anuanu: E kau i ka wela no 15 mau minuke ʻelua i ka lā e hoʻomaha ai i nā ʻiʻo a puni ka hui ʻauwae. E kau i ka hau inā he pehu.
2. ʻAi Palupalu: E hōʻalo i nā meaʻai paʻakikī e nau ai (nā huaʻai, ka ʻiʻo, nā nati), a hāʻawi wale i nā meaʻai palupalu e like me nā mea kanu i mahu ʻia, ka sopa, nā hua manu, a me ka porridge.
3. Nā Hana Hoʻoikaika ʻAuwae Kūʻē: E kau i kou manamana lima kuhikuhi ma lalo o kou ʻauwae a wehe mālie i kou waha. I ka manawa like, e hāʻawi i ke kūʻē ma ka hoʻokuke ʻana i kou ʻauwae i luna me kou manamana lima. Hoʻoikaika kēia i nā ʻiʻo ʻauwae.
4. Nā hoʻomaʻamaʻa hoʻomaha ʻauwae: E kau i kou alelo ma luna o ke kaupaku o kou waha a wehe mālie a pani i kou waha i ʻole e hoʻopā kou mau niho kekahi i kekahi.
Nā mea e pono ai a me nā mea ʻaʻole e pono ai
| ✔️ Nā mea e hana ai (Hana) | ❌ Nā mea pono ʻole |
|---|---|
| E hoʻokaʻawale mau i kou mau niho o luna a me kou mau niho o lalo i ʻole lāua e hoʻopā kekahi i kekahi. | E pale loa i ka nau ʻana i ka gum, nā kui, a i ʻole nā mea e like me nā peni. |
| I ka wehe ʻana i ka waha, e kākoʻo i ka ʻauwae me kou lima i ʻole e kau i ke kaomi ma ka hono o ke ʻauwae. | Mai nahu pololei i nā meaʻai e like me nā ʻāpala nui me kou waha e hāmama ana (e ʻai iā lākou i mau ʻāpana). |
| E hoʻohana i kahi pale waha/ʻāpana nahu e hiki ke hoʻokomo ʻia i ka pō, e like me ka ʻōlelo a kou kauka niho, e kāohi i ka wili ʻana o nā niho. | Mai hoʻomau i ka lawe ʻana i nā mea hoʻomaha ʻeha me ka ʻole o ke aʻo ʻana a ke kauka ke ʻeha ʻoe. |
❓ Kekahi mau nīnau ʻē aʻe āu e loaʻa ai (FAQ)
He maʻi olakino anei ka leo 'ticking' mai ka hui ʻauwae e pono ai ke mālama ʻia? ▼
ʻAʻole. Inā walaʻau wale ka hui ʻauwae a ʻaʻohe ʻeha, paʻakikī i ka wehe ʻana i ka waha, a i ʻole ka ʻoʻoleʻa o ka ʻauwae, he kūlana maʻamau ia a ʻaʻole pono ka mālama ʻia.
He mea pono anei ke ʻoki kino no ka hana ʻino o ka hui temporomandibular?
ʻAʻole. ʻOi aku ma mua o 90% o nā maʻi me nā pilikia TMJ e ho'ōla maikaʻi ʻia me nā lāʻau lapaʻau maʻalahi ʻole (pale waha, hoʻōla kino, hoʻokele kaumaha). Manaʻo ʻia ke ʻoki ʻana i nā hihia kakaikahi wale nō kahi i hōʻino nui ʻia ai ke ʻano o nā hono.
He aha nā lāʻau lapaʻau no ka wili ʻana o nā niho (bruxism) i ka wā hiamoe ?
Hiki ke hoʻokomo ʻia i ka pō kahi Bite Splint a i ʻole Mouth Guard, i hana kūikawā ʻia e ke kauka niho e kūpono i kou mau niho. Pale kēia i kou mau niho mai ka wili pū ʻana a hoʻēmi nui i ke kaomi ma kou hui ʻauwae.
No ke aha e hui pū ai ka ʻeha o ka ʻauwae a me ke poʻo ʻeha? ▼
Aia ka hui ʻauwae ma kahi kokoke loa i ke kahawai pepeiao. Hoʻolōʻihi pū nā ʻiʻo e pili ana i ka hui ʻauwae a hiki i nā luakini. No laila, hiki i ka mea maʻi ke ʻike i ka mumū a me ke koʻikoʻi o nā ʻiʻo ʻauwae e like me ka ʻeha pepeiao a me ke poʻo.
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