He paʻakikī hoʻi iā ʻoe ke wehe i kou waha? Ke paʻa nei kou ʻauwae? E kamaʻilio kākou e pili ana i ka trismus!

Ke manaʻo nei ʻoe i kekahi manawa ua paʻa nā ʻiʻo o kou ʻauwae a ʻaʻole hiki iā ʻoe ke hāmama pono i kou waha? Ua ʻeha nui anei ia a hiki ʻole iā ʻoe ke ʻai, kamaʻilio, a hāmama paha i kou waha? A i ʻole ke manaʻo nei ʻoe ua paʻa kou ʻauwae? He mea kēia e hopohopo ai. Ua kapa ʻia kēia maʻi ma ke ʻano lapaʻau ʻo trismus. E kamaʻilio kākou e pili ana i kēia lā me nā kikoʻī hou aku.

He aha ka trismus? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka trismus kahi kūlana e paʻa koke ai a ʻoʻoleʻa nā ʻiʻo a puni ko kākou ʻāwae, ʻoiai hoʻi nā ʻiʻo a puni ka hui temporomandibular (TMJ), e paʻakikī ai ka wehe ʻana i ko kākou waha. E noʻonoʻo iā ia e like me ka hinge puka ʻōpala i hiki ʻole ke wehe ʻia a pani ʻia paha. ʻO kēia spasm i loko o nā ʻiʻo ʻāwae e paʻakikī ai ka wehe ʻana i ko kākou waha.

ʻO ka maʻamau, hiki i ke kanaka olakino ke hāmama i ko lākou waha e like me ʻelua a ʻekolu mau manamana lima (ma muli o ka laulā) o ko lākou lima. ʻO ia hoʻi ma waena o 40 a me 60 millimeters (mm). Eia naʻe, hiki i ke kanaka me ka trismus ke hāmama i ko lākou waha ma waena o 20 a me 35 millimeters, i kekahi manawa ʻoi aku ka liʻiliʻi. E noʻonoʻo i ka paʻakikī o ka hana ʻana i nā mea e like me ka ʻai ʻana, ke kamaʻilio ʻana, a me ka palaki ʻana i kou mau niho. ʻO ka hapa nui o ka manawa, e emi ana kēia mau hōʻailona i loko o kekahi mau pule, akā no kekahi poʻe, hiki iā lākou ke hoʻomau. Inā hana ʻia kēia, hiki iā ia ke loaʻa nā hopena noʻonoʻo, no ka mea, hiki ke loaʻa ka hopohopo a me ke kaumaha ke hiki ʻole iā ʻoe ke hana i nā hana o kēlā me kēia lā.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi i kapa ʻia ʻo trismus?

ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi, aia kekahi mau hui i ʻoi aku ka maʻalahi i ia.

• ʻŌpio: He mea maʻamau kēia ʻano, ʻoi aku hoʻi i nā ʻōpio ma waena o nā makahiki 18 a me 25, ma hope o ka wehe ʻia ʻana o ko lākou mau niho naʻauao ma ke ʻoki ʻana. Ua ʻike anei ʻoe? ʻO ka ʻoiaʻiʻo o ka paʻa ʻana o ka waha no ka manawa lōʻihi i ka wā o ke ʻoki ʻana hiki ke kau i kekahi kaumaha ma nā ʻiʻo o ka ʻāwae.
• ʻO ka poʻe me ke kanesa poʻo a me ka ʻāʻī: ʻO kēia ke kumu nui o ka trismus. Ua hōʻike ʻia e ka noiʻi ʻana ma mua o 40% o ka poʻe i loaʻa ka lāʻau lapaʻau radiation no ke kanesa poʻo a me ka ʻāʻī e loaʻa i ka trismus.
• ʻO nā kānaka me nā maʻi hui temporomandibular (TMD): ʻO Trismus kahi hōʻailona maʻamau i nā maʻi hui temporomandibular, i ʻike ʻia hoʻi ʻo ka maʻi temporomandibular (TMD).

He like anei ʻo Trismus lāua ʻo Tetanus?

ʻAe, he mea kēia e huikau ai ka poʻe he nui. Hiki i nā maʻi ʻelua i kapa ʻia ʻo trismus a me tetanus ke loaʻa kekahi mau hōʻailona like, e like me ka paʻakikī o ka wehe ʻana i ka waha a me ka ʻeha. ʻO ia ke kumu e kapa ai kekahi poʻe iā trismus "lockjaw."

Akā ʻo ka ʻokoʻa nui ma waena o kēia mau mea ʻeluaʻĀ, hoʻokumu ʻia ka trismus e kahi mea e hoʻopilikia ai i kou ʻāwae, kou mau ʻiʻo ʻāwae. ʻO ia hoʻi, e like me kaʻu i ʻōlelo ai ma mua, ka mālama ʻana i ka maʻi kanesa, ka unuhi ʻana i ka niho, kahi pilikia me kou hui ʻāwae, a pēlā aku. Akā, ʻo ka tetanus kahi maʻi bacteria i kapa ʻia ʻo Clostridium tetani. Hoʻopuka kēia bacteria i kahi toxin e hoʻopaʻa ai i nā ʻiʻo. Ma waho aʻe o ka paʻa ʻana o ka ʻāwae, hiki i ka tetanus ke hoʻoulu i nā spasms o nā ʻiʻo ma ke kino holoʻokoʻa. No laila, ʻokoʻa loa kēia mau kūlana ʻelua.

He aha nā hōʻailona o ka trismus?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAʻole maopopo iaʻu inā he mea kēia iaʻu." E nānā inā loaʻa iā ʻoe kēia mau hōʻailona:

• ʻAʻole hiki ke wehe i ka waha ma ke ʻano maʻamau: ʻO kēia ka hōʻailona nui a maopopo loa.
• Paʻa nā ʻiʻo o ka ʻauwae: Hiki i nā ʻiʻo ma kēlā ʻaoʻao kēia ʻaoʻao o ka ʻauwae ke manaʻo me he mea lā e ʻomi ʻia ana a ʻomi ʻia paha mai loko mai.
• ʻEha ʻauwae: ʻEha ka ʻauwae ʻoiai ʻoe e kū wale ana, ʻo ia hoʻi, ʻaʻole ʻoe e kamaʻilio a ʻai paha.
• ʻEha i ka wā e nau ai: Hiki ke hoʻonui ʻia ka ʻeha i ka wā e nau ai, ʻoiai nā meaʻai paʻakikī.
• ʻEha i ka wā e wehe ai i ka waha: He mea paʻakikī paha ke wehe i ka waha a hiki ke ʻeha i ka wā e hoʻāʻo ai e wehe i ka waha.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he manaʻo maikaʻi e hopohopo iki no ia mea.

He aha nā kumu o ka trismus?

Nui nā kumu hiki ke loaʻa i ka trismus. E like me kaʻu i ʻōlelo ai ma mua, ʻo nā kumu nui nā maʻi hui temporomandibular (TMD), nā lāʻau lapaʻau no ke kanesa poʻo a me ka ʻāʻī, a i ʻole ka unuhi ʻana i nā niho naʻauao. Ma waho aʻe o kēia mau mea, e nānā kākou i kekahi mau kumu ʻē aʻe:

• Nā kūlana mumū: Inā loaʻa iā ʻoe nā maʻi hui mumū e like me ka rheumatoid arthritis, osteoarthritis, a i ʻole scleroderma, hiki iā lākou ke hoʻopilikia i kou hui ā a hana i ka trismus.
• Nā maʻi: Hiki ke hana ʻia kēia ʻano maʻi e nā maʻi like ʻole.
• Nā ʻūpā
• ʻO ka maʻi tonsillitis
• Nā maʻi niho, ʻoi aku hoʻi ka abscess niho.
• Nā maʻi o ka ʻāʻī a i ʻole nā ​​​​​​kelepona salivary (parotid gland).
• ʻEha: Inā loaʻa iā ʻoe kahi hahau ikaika i kou ʻauwae a i ʻole kou maka, a inā ʻeha ʻoe i kahi ulia, e hōʻino ʻia paha nā ʻiʻo o kou ʻauwae a hiki ke ulu ka trismus.
• ʻO ka ʻōpū Peritonsillar (PTA): I kekahi manawa, ke koʻikoʻi ka tonsillitis, e hana ʻia nā ʻeke piha i ka pus a puni nā tonsils. Ua kapa ʻia kēia he PTA. Hiki ke loaʻa pū ʻo Trismus i kēia kūlana.
• Nā kumu ʻē aʻe: Hiki iā Trismus ke hana ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a ma nā kūlana neurological kakaʻikahi.

Pehea e ʻike ai nā kauka i ka trismus?

Ke ʻike ʻoe i ke kauka me kēia mau hōʻailona, ​​e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. Pehea ka lōʻihi o kou loaʻa ʻana iā lākou, pehea ka lōʻihi e hiki ai iā ʻoe ke wehe i kou waha, a pehea ka nui o ka ʻeha? A laila e nānā ke kauka i kou ʻauwae, ʻāʻī, a me ka hui temporomandibular (TMJ).

I kekahi manawa, pono paha nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu pololei o kēia kūlana. Eia kekahi laʻana:

• CT scan (Computed Tomography - CT scan)
• MRI scan (Magnetic Resonance Imaging - MRI scan)

Hiki i kēia mau scan ke ʻike maopopo i ke kūlana o ke hono o ka ʻāwae, nā ʻiʻo, nā iwi, a me nā ʻiʻo a puni.

He aha nā lāʻau lapaʻau no ka trismus?

I ka mālama ʻana i ka trismus, hoʻāʻo mua nā kauka e mālama i ke kumu kumu. No ka laʻana, inā ʻaʻole hiki iā ʻoe ke wehe i kou waha ma muli o kahi niho abscessed, hiki i kāu kauka ke kuhikuhi i nā antibiotics e mālama i ka maʻi, a i ʻole e hoʻoholo paha lākou e wehe i ka niho.

ʻOiai ke mālama ʻana i ke kumu kumu, mālama ʻia hoʻi ka trismus e hōʻemi i kona mau hōʻailona. ʻO nā lāʻau lapaʻau nui i hoʻohana ʻia no kēia:

• Nā mea hoʻomaha ʻiʻo: ʻO kēia nā lāʻau lapaʻau i kuhikuhi ʻia e kōkua i ka hoʻomaha ʻana i nā ʻiʻo ʻāʻī paʻa a paʻa a hōʻemi i ka ʻeha.
• Hoʻōla kino: He lāʻau lapaʻau koʻikoʻi loa kēia. Ma lalo o ke alakaʻi ʻana a kekahi mea hoʻōla kino, hiki iā ʻoe ke hana i nā mea e like me nā hoʻoikaika kino e hoʻolōʻihi mālie i nā ʻiʻo ʻāwae paʻa. I kekahi manawa hoʻohana ʻia nā lako kūikawā no kēia. E kōkua kēia mau hoʻoikaika kino iā ʻoe e hoʻonui mālie i ka laulā o ka wehe ʻana o kou waha.
• Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke hoʻohana i nā lāʻau hoʻopau ʻeha ma luna o ke kauka a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe i kauoha ʻia e kāu kauka e kāohi i ka ʻeha.

Mea nui: Mai lawe i kekahi lāʻau lapaʻau iā ʻoe iho me ke kūkākūkā ʻole me ke kauka. Hiki iā ia ke hoʻonui i ka maʻi.

Inā loaʻa iaʻu ka trismus, he aha kaʻu e hana ai noʻu iho?

Ma waho aʻe o nā lāʻau lapaʻau a kāu kauka e hāʻawi ai, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e hōʻemi i kēia ʻeha.

• E hoʻomaha i kou ʻauwae: ʻO nā ʻano maʻamau e like me ke nahu ʻana i kou mau kui, ka nau ʻana i nā peni a me nā penikala, a me ka nau ʻana i ka gum hiki ke kau i ke kaumaha hou aʻe ma luna o kou mau ʻiʻo ʻauwae paʻa. E ho'āʻo e noho mamao mai kēia mau ʻano no kekahi manawa.
• E hōʻalo i nā meaʻai paʻakikī a pipili: Ma kahi o nā meaʻai paʻakikī ke nau (e like me ka ʻiʻo, ka berena paʻakikī, ka ʻai ʻana i nā kāloti maka), e ʻai i nā meaʻai palupalu a wai. ʻO ka porridge, ka sopa, ka laiki i kuʻi ʻia me ka gravy, ka yogurt, a me ka wai huaʻai he mea maikaʻi ia i kēia manawa.
• Ka lāʻau lapaʻau wela ma ka home:E hoʻomohu i kahi lole maʻemaʻe a i ʻole kāwele liʻiliʻi i loko o ka wai wela (ʻaʻole lawa ka wela e puhi ai i kou ʻili), e ʻomi maikaʻi, a kau a puni kou ʻauwae a me kou ʻāʻī no kahi o 15 mau minuke. E hana i kēia i nā manawa he nui i ka lā, ma kahi o hoʻokahi manawa i ka hola. E kōkua kēia wela pulu i ka hoʻomaha ʻana i nā ʻiʻo, e hōʻemi ana i ka ʻoʻoleʻa a me ka ʻeha.
• E lomilomi mālie i kou ʻauwae: ʻO ka lomilomi mālie ʻana i kou ʻauwae me nā neʻe pōʻai me kou mau manamana lima ma nā wahi ʻeha ʻole hiki ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo. Akā, mai ʻomi ikaika loa i ka wahi ʻeha.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi?

Aia maoli kēia i ke kumu o ka trismus a me ka holomua o ka lāʻau. I ka hapa nui o nā hihia, ʻoiai inā i hoʻokumu ʻia e kahi kūlana manawa pōkole e like me ka unuhi ʻana o ka niho, e nalowale loa nā hōʻailona i loko o kekahi mau pule. Eia nō naʻe, inā i hoʻokumu ʻia e kahi mea e like me ka lāʻau lapaʻau maʻi kanesa, hiki ke lōʻihi iki ka ho'ōla ʻana. Pono paha ka lāʻau lapaʻau kino lōʻihi.

Hiki ke pale ʻia ka trismus?

I kekahi mau hihia, e like me ka wā e pono ai ka radiation therapy no ke kanesa poʻo a me ka ʻāʻī, he paʻakikī ke hoʻopau loa i ka pilikia o ka trismus. Eia nō naʻe, ke hoʻāʻo mau nei nā kauka a me nā mea noiʻi e ʻimi i nā ala e hōʻemi ai i nā hopena ʻaoʻao o ia mau lāʻau lapaʻau, e like me ka trismus. No ka laʻana, hiki ke hoʻomaka ʻia kekahi mau hoʻomaʻamaʻa kino ma mua o ka hoʻomaka ʻana o ka mālama ʻana i ka maʻi kanesa, kahi e hōʻemi ai i ka pilikia o ka trismus.

He aha ka mea e hana inā loaʻa iaʻu ka trismus? He aha ka mea e hiki mai ana?

Aia kou wānana i ke kumu o kou trismus. E like me kaʻu i ʻōlelo ai ma mua, ʻo ka poʻe e loaʻa ana i ka trismus ma hope o ka mālama ʻana i ka maʻi kanesa e loaʻa paha nā hōʻailona lōʻihi. Pono paha lākou i ka hoʻōla kino lōʻihi.

I ka nānā mua ʻana, ʻo ka ʻāwae ʻoʻoleʻa a me ka hiki ʻole ke hāmama i kou waha e like me kahi pilikia liʻiliʻi ke hoʻohālikelike ʻia me kahi maʻi koʻikoʻi e like me ke kanesa. Akā inā ʻaʻole mālama ʻia, hiki i kēia ʻano ke loaʻa ka hopena nui i kou ʻano ola. Ke hiki ʻole iā ʻoe ke ʻai pono, hiki i kou kino ke nāwaliwali a loaʻa nā hemahema meaʻai. Ke pilikia ʻoe i ka ʻōlelo ʻana a me ka launa pū ʻana me nā poʻe ʻē aʻe, hiki iā ʻoe ke manaʻo i ka huhū, mehameha, a me ke kaumaha.

No laila, inā pilikia ʻoe i ka wehe ʻana i kou waha a i ʻole ka ʻeha o ka ʻāwae, ʻoiai inā ua mālama ʻia ʻoe no ke kanesa o ke poʻo a me ka ʻāʻī, a inā paha ua unuhi ʻia kou niho i kēia manawa, mai hoʻowahāwahā i kēia mau hōʻailona. E haʻi koke aku i kāu kauka. Hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo e kōkua iā ʻoe e lanakila i kēia ʻeha.

ʻO ka hope, ʻo ka hope, e hoʻomanaʻo i kēia !

No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ke ʻano i kapa ʻia ʻo trismus, a mākou i kamaʻilio ai i kēia lā. E hoʻomanaʻo, he mea nui loa ia e hoʻolohe i nā hōʻailona ʻē aʻe e kū mai ana i loko o kou kino.

• Inā pilikia ʻoe i ka wehe ʻana i kou waha a i ʻole ka ʻeha o kou ʻāwae, mai kali wale a "maikaʻi."
• E makaʻala pono i kēia mau hōʻailona inā ua mālama ʻia ʻoe no ke kanesa poʻo a ʻāʻī paha, a inā paha ua hana ʻia ʻoe i ke ʻoki niho i hala koke nei.
• ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻike koke i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Me ka mālama koke ʻana, e hiki iā ʻoe ke kāohi i kēia kūlana a mālama i kahi ola maikaʻi.

Ke makemake nei iā ʻoe i ke olakino maikaʻi!

ʻO Trismus, laka ʻauwae, paʻakikī i ka wehe ʻana i ka waha, ʻeha ʻauwae, niho naʻauao, lāʻau lapaʻau maʻi kanesa, hui temporomandibular