Koj lub puab tsaig puas maj mam yaj? (Condylar Resorption) Hnub no peb yuav tham txog nws!

Koj puas tau pom tias qee tus neeg lub puab tsaig qis zoo li tau poob me ntsis, lossis lawv lub puab tsaig tsis pom kiag li? Tej zaum muaj mob hauv thaj tsam lub puab tsaig, lossis txawm tias muaj suab thaum qhib lub qhov ncauj. Ib qho laj thawj uas ua rau muaj tej yam no yog qhov yaj ntawm pob txha puab tsaig uas peb tab tom tham txog hnub no, ib qho mob hu ua (Condylar Resorption) . Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Qhov no yog dab tsi (Condylar Resorption)?

Hais yooj yim xwb, Condylar Resorption yog thaum cov Temporomandibular Joints (TMJs) uas ua haujlwm thaum peb qhib thiab kaw peb lub qhov ncauj maj mam yaj, hnav, thiab ploj mus. Cov mandibular condyles no yog cov khoom tseem ceeb uas txuas peb lub puab tsaig qis ( mandible) rau lub pob txha taub hau ntawm ob sab. Yog li thaum cov no yaj, peb lub puab tsaig qis yuav ntsws thiab mus rau hauv, zoo li nws tau ntsws lawm. Qhov kev hloov pauv no qee zaum tuaj yeem tshwm sim sai, tsuas yog ob peb lub hlis xwb , lossis nws tuaj yeem siv sijhawm ntau xyoo .

Leej twg yuav muaj tus mob no ntau dua?

Xav txog qhov no: Cov ntaub ntawv kho mob qhia tias qhov mob no (Condylar Resorption) muaj cuaj npaug ntau dua rau cov ntxhais thiab cov poj niam dua li cov txiv neej. Nws yog qhov tshwm sim ntau tshaj plaws ntawm cov ntxhais hluas hnub nyoog ntawm 10 thiab 20 xyoo. Yog li ntawd, yog tias koj muaj ib tug tswv cuab lossis ib tus neeg koj paub hauv pawg hnub nyoog no, nws tsim nyog paub me ntsis txog qhov no.

(Condylar Resorption) cuam tshuam li cas rau peb lub cev?

Qhov no yeej ua tau qhov sib txawv loj heev rau qhov tsos thiab cov duab ntawm peb lub ntsej muag . Tej zaum koj yuav pom tias lub puab tsaig qis tau me dua, lub puab tsaig tsis pom tseeb, thiab qhov sib npaug ntawm lub ntsej muag tau hloov pauv. Tsis yog li ntawd xwb, tab sis qhov no (Condylar Resorption) kuj tseem tuaj yeem ua rau muaj teeb meem ntsig txog lub puab tsaig pob qij txha hu ua (Temporomandibular Joint Disorders - TMD) . Qhov no txhais tau tias cov leeg thiab cov leeg nqaij nyob ib puag ncig lub puab tsaig pob qij txha yuav o thiab o, uas tuaj yeem ua rau mob taub hau, mob lub puab tsaig, tsis tuaj yeem qhib thiab kaw lub qhov ncauj kom raug, thiab muaj suab nrov los ntawm lub puab tsaig pob qij txha thaum noj mov .

Vim li cas qhov no (Condylar Resorption) thiaj tshwm sim? Dab tsi yog cov ua rau?

Zoo, tam sim no cia peb saib vim li cas lub puab tsaig thiaj li yaj li no. Muaj ntau yam ua rau qhov no cuam tshuam rau.

• Qee cov kab mob autoimmune yog cov kab mob uas peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam peb cov hlwb noj qab haus huv. Piv txwv li suav nrog mob rheumatoid arthritis , scleroderma , thiab systemic lupus erythematosus .
• Avascular necrosisQhov no yog ib qho mob uas cov hlwb pob txha tuag vim tsis muaj ntshav mus rau cov pob txha.
• Kev Hloov Pauv Hormones : Kev tsis sib npaug ntawm Hormones, tshwj xeeb tshaj yog thaum lub sijhawm hluas, tuaj yeem cuam tshuam rau cov ntxhais hluas.
• Kev kis kab mob hauv qhov sib koom ua ke.
• Ua ib qho teeb meem ntawm tej yam xws li kev kho hniav lossis kev phais lub puab tsaig , qhov no tsis tshwm sim rau txhua tus.
• Cov mob sib koom ua ke xws li osteoarthritis .
• Mob pob qij txha ua xua .
• Kev raug mob rau lub puab tsaig, zoo li ntog thaum ua si thiab ntaus koj lub puab tsaig.

Qee zaum qhov mob no tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb . Cov kws kho mob hu nws tias idiopathic condylar resorption . Tab sis nws yog ib qho mob tsis tshua muaj.

Cov tsos mob ntawm ib tus neeg uas muaj Condylar Resorption yog dab tsi?

Cov tsos mob feem ntau ntawm condylar resorption yog kev hloov pauv ntawm cov duab thiab qhov tsos ntawm lub ntsej muag . Cov tsos mob tseem ceeb yog tias lub puab tsaig thiab lub puab tsaig zoo li tau poob thiab poob. Tsis tas li ntawd, cov tsos mob xws li:

• Kev qaug zog ntau zaus .
• Mob taub hau .
• Mob hauv thaj tsam lub puab tsaig, suab 'clicking' lossis 'popping' thaum qhib thiab kaw lub qhov ncauj .
• Cov hniav sib sau ua ke, lossis malocclusion, txhais tau tias cov hniav tsis haum ua ke zoo.
• Tom dhau .
• Qhov tom qhib yog qhov sib nrug ntawm cov hniav sab saud thiab sab hauv qab thaum lub qhov ncauj kaw , txhais tau tias cov hniav tsis sib tshuam zoo.

Cov kws kho mob kuaj mob no li cas kom meej?

Yog koj muaj cov tsos mob no, zoo tshaj plaws mus ntsib kws kho mob. Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab kuaj koj lub cev. Lawv kuj tseem yuav nug txog:

• Koj keeb kwm kev noj qab haus huv tag nrho , lwm yam kab mob uas koj muaj tam sim no, thiab cov tshuaj uas koj noj.
• Puas muaj leej twg hauv tsev neeg muaj cov kab mob ntawm lub cev tiv thaiv kab mob lossis lwm yam kab mob cuam tshuam nrog qhov no (Condylar Resorption).
• Txog koj txoj kev ua neej , kev ua si nawv, thiab kev ua ub ua no.
• Txog cov tshuaj uas koj tab tom noj tam sim no .

Tom qab ntawd, tej zaum yuav muaj kev kuaj duab tshwj xeeb kom pom tseeb tias lub puab tsaig, cov hniav, thiab cov pob txha ntawm lub ntsej muag zoo li cas. Cov kev kuaj no tuaj yeem pom tseeb tias lub puab tsaig puas yaj thiab yaj mus txog qhov twg.

• Kev kuaj mob X-ray .
• Ib daim CT scan .
• Ib daim duab MRI .

Cov kws kho hniav (tshwj xeeb tshaj yog cov kws kho hniav orthodontists) yuav tswj tau qhov mob no.Tej zaum koj yuav xav tau kev txhawb nqa thiab kev qhia ntawm ntau tus neeg, xws li tus kws kho mob pob qij txha , tus kws kho mob pob qij txha, lossis koj tus kws kho mob tsev neeg (Cov Kws Muab Kev Pab Saib Xyuas Thawj Zaug - PCPs) . Tej zaum koj kuj yuav tsum pib noj tshuaj mus sij hawm ntev kom tswj tau qhov kev poob pob txha ua ntej phais.

Cov kev kho mob rau Condylar Resorption yog dab tsi?

Cov kev xaiv kho mob nyob ntawm koj lub ntsej muag zoo li cas, hnub nyoog, qhov mob hnyav npaum li cas, thiab lwm yam mob. Tsis txhob txhawj, muaj kev kho rau qhov no.

• Cov tshuaj tiv thaiv kev o : Cov no tuaj yeem pab qeeb qeeb kev kis tus kab mob thiab tswj qhov mob.
• Cov ntaub thaiv hniav tom lossis cov ntaub thaiv hniav hmo ntuj : Ib txhia neeg zom lawv cov hniav thaum hmo ntuj (Bruxism) , thiab cov no siv tau los txo qhov kev puas tsuaj rau lawv cov hniav. Cov no zoo li lub npog tiv thaiv uas muab tso rau saum lawv cov hniav.
• Condylectomy : Qhov no yog ib txoj kev phais uas tshem tawm cov mandibular condyles, rov kho lub puab tsaig kom pab nws ua haujlwm kom zoo thiab txhim kho qhov zoo li ntawm lub ntsej muag.
• Kev Kho Hniav : Piv txwv li, cov braces thiab retainers siv tau los kho cov hniav nkhaus thiab cov hniav tawm.
• Kev phais mob Orthognathic : Qhov no yog ib qho kev phais mob uas nyuaj dua. Nws cuam tshuam nrog kev kho dua lub puab tsaig sab saud thiab sab hauv qab kom rov qab tau qhov sib npaug ntawm lub ntsej muag. Nws kuj tseem yuav ua tau ua ke nrog kev phais kho TMJ.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais?

Nws yuav siv sijhawm li 6 txog 12 lub lis piam kom rov zoo tag nrho tom qab phais mob xws li Condylectomy thiab Orthognathic phais. Koj tsuas yog yuav tsum noj cov khoom noj uas yog kua rau ob mus rau plaub lub lis piam thawj zaug, vim tias koj yuav tsum tau so koj lub puab tsaig. Thaum koj lub puab tsaig pib zoo, koj tuaj yeem maj mam pib noj cov khoom noj mos . Txhua yam yuav tsum ua raws li koj tus kws kho mob cov lus qhia.

Puas muaj peev xwm txo tau qhov kev pheej hmoo ntawm condylar resorption?

Tsis muaj ib txoj kev meej meej los tiv thaiv kom cov condylar resorption. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob lossis kws kho hniav tsis tu ncua, tham txog txhua qhov kev hloov pauv lossis teeb meem uas koj pom hauv koj lub puab tsaig lossis cov hniav, thiab mus kuaj mob tsis tu ncua . Qhov no yuav pab koj txheeb xyuas txhua yam teeb meem thaum ntxov.

Yog tias tsis kho ces yuav muaj teeb meem dab tsi mus sij hawm ntev?

Yog tias cov hniav lossis lub puab tsaig raug rub rov qab vim yog Condylar Resorption, uas yog, yog tias lawv tsis nyob hauv qhov chaw zoo, cov teeb meem mus sij hawm ntev xws li:

• Cov hniav tawg thiab tawg .
• Ib txwm liMob taub hau thiab mob puab tsaig.
• Mob caj dab thiab mob nraub qaum .
• Mob hniav .
• Tej zaum yuav nyuaj rau qhib koj lub qhov ncauj, noj mov, lossis txawm tham lus .
• Kev hloov pauv tseem ceeb ntawm lub ntsej muag .
• Mob ntev hauv pob qij txha (TMJ) .

Yog koj muaj cov tsos mob no (Condylar Resorption), mus ntsib kws kho mob tam sim ntawd. Kev kho mob thaum ntxov tuaj yeem txo lossis tiv thaiv ntau yam teeb meem no. Yog li ntawd, tsis txhob ntshai thiab tsis txhob ncua sijhawm, tab sis nrhiav kev pab kho mob.

Thaum twg kuv thiaj rov qab mus ua haujlwm/kawm ntawv tom qab phais lawm?

Lub sijhawm rov zoo tom qab phais mob txawv ntawm ib tus neeg mus rau ib tus neeg. Feem ntau cov neeg tuaj yeem rov qab mus ua haujlwm lossis kawm ntawv li ntawm ob lub lis piam . Txawm li cas los xij, yog tias koj muaj txoj haujlwm uas siv zog ntau, nws yuav siv sijhawm ntev dua kom rov zoo tag nrho. Nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob kom tau lus qhia txog koj yuav tsum so ntev npaum li cas thiab thaum twg koj tuaj yeem rov ua cov haujlwm ib txwm muaj.

Qhov xwm txheej no yuav zoo li cas?

Qhov kev puas tsuaj ntawm cov hniav cuav (condylar resorption) tsis yog ib qho mob uas yuav ua rau tuag taus. Koj tuaj yeem nyob nrog tus mob no yam tsis tas kho. Txawm li cas los xij, yog tias tsis kho, qhov kev hloov pauv ntawm koj lub ntsej muag, lub puab tsaig, thiab cov hniav yuav zoo li qub , thiab tej zaum yuav hnyav zuj zus tuaj raws sijhawm.

Muaj ntau tus neeg muaj cov txiaj ntsig zoo heev thiab txaus siab tom qab phais rau qhov condylar resorption. Thaum lub puab tsaig raug teeb tsa kom raug, koj lub ntsej muag zoo li qub yuav rov qab zoo li qub thiab teeb meem nrog koj cov hniav lossis lub puab tsaig yuav raug tiv thaiv. Yog tias koj txiav txim siab tsis phais, lossis yog tias koj tus mob tsis hnyav, tham nrog koj tus kws kho mob txog cov hau kev los txo qhov mob thiab lwm yam tsos mob (piv txwv li, tshuaj tua kab mob, kev hloov pauv zaub mov).

Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej? Kuv ua tau dab tsi hauv tsev?

Yog tias koj mob lossis muaj teeb meem ntawm lub puab tsaig vim yog Condylar Resorption, sim ua cov no hauv tsev kom pab txo qee yam tsos mob ntawm koj:

• Siv cov dej kub (xws li phuam kub) lossis cov pob dej khov rau ntawm koj lub puab tsaig. Tsis txhob cia cov dej khov nyob rau ntau tshaj 10 feeb ib zaug. Tsum yog tias nws txias dhau. Siv cov pob dej kub li ntawm 15 feeb ib zaug, li plaub zaug hauv ib hnub.
• Cia koj lub puab tsaig so . Thaum koj lub puab tsaig mob, noj cov khoom noj mos mos (mov, zaub mashed, kua zaub). Ua kom cov nqaij siav qeeb qeeb kom txog thaum lawv mos. Tsis txhob noj cov txiv hmab txiv ntoo thiab zaub nyoos, ua kom lawv npau, thiab haus kua txiv hmab txiv ntoo. Tsis txhob noj cov nqaij uas nyuaj rau zom, mov ci (piv txwv li, qhob cij), thiab cov khoom noj tawv, tawg yooj yim (piv txwv li, crackers, toffee). Tsis txhob zom cov khoom qab zib .
• Sim cov tshuaj tua mob . Cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) muaj muag yam tsis tas yuav muaj daim ntawv yuav tshuaj ntawm lub tsev muag tshuaj, xws li aspirin.Cov tshuaj loog mob uas yuav tau ntawm daim ntawv yuav tshuaj xws li aspirin, ibuprofen (cov npe lag luam: Advil®, Motrin®), thiab naproxen (cov npe lag luam: Aleve®) yuav pab tau rau mob taub hau thiab mob puab tsaig. Txawm li cas los xij, yog tias koj muaj lwm yam mob (piv txwv li, mob plab zom mov tsis zoo, mob raum), nco ntsoov nug koj tus kws kho mob ua ntej noj cov tshuaj no. Ua raws li cov lus qhia ntawm lub raj mis/tshuaj raws nraim, thiab tsis txhob noj cov tshuaj no ntau tshaj ob lub lis piam yam tsis tau kev pom zoo los ntawm koj tus kws kho mob.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob yam tsis muaj kev ncua:

• Yog tias koj mob taub hau ntau zaus, mob zuj zus tuaj, lossis cuam tshuam rau koj cov dej num txhua hnub mus txog rau qhov uas koj ua tsis tau haujlwm .
• Yog tias koj qhov mob ntawm lub puab tsaig, caj dab, lossis nraub qaum zuj zus tuaj .
• Yog koj mob hniav los yog xav tias koj cov hniav tab tom tawg/tawg .
• Yog tias koj muaj teeb meem noj mov lossis haus dej vim yog mob hauv koj lub puab tsaig lossis lub ntsej muag .

Cov ntsiab lus tseem ceeb tshaj plaws uas peb tau kawm los ntawm zaj dab neeg no (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo txog yam peb tau tham txog hnub no (Condylar Resorption). Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• Qhov kev puas tsuaj ntawm cov pob txha hauv lub puab tsaig (condylar resorption) yog ib qho mob uas ib feem ntawm lub puab tsaig (tshwj xeeb yog cov pob txha hauv lub puab tsaig) maj mam yaj thiab lwj mus. Qhov no tuaj yeem ua rau lub ntsej muag puas tsuaj, mob pob qij txha hauv lub puab tsaig, thiab nyuaj rau noj mov.
• Qhov xwm txheej no feem ntau tshwm sim ntawm cov ntxhais hluas .
• Muaj ntau yam ua rau; tej yam xws li qee yam kab mob ntawm lub cev tiv thaiv kab mob, kev hloov pauv ntawm cov tshuaj hormones, kev raug mob, thiab lwm yam. Qee zaum, tsis muaj qhov ua rau pom tseeb.
• Yog tias koj muaj cov tsos mob xws li hloov pauv sai sai ntawm lub ntsej muag, lub puab tsaig qis rov qab, mob lub puab tsaig, lossis lub suab tawg thaum koj qhib koj lub qhov ncauj , mus ntsib kws kho mob tam sim ntawd .
• Tsis muaj dab tsi yuav txhawj txog, muaj kev kho rau qhov no. Qhov mob no tuaj yeem tswj tau los ntawm kev siv tshuaj, kev siv hlau los kho hniav, thiab tej zaum yuav phais.
• Kev kuaj mob thiab kho mob thaum ntxov yuav pab tiv thaiv tau ntau yam teeb meem mus sij hawm ntev. Yog li ntawd, tsis txhob txaj muag lossis ntshai nrhiav kev pab kho mob. Koj tsis yog tib leeg xwb!

Kev poob pob txha ntawm lub puab tsaig, kev puas tsuaj ntawm cov pob txha condylar, cov pob qij txha temporomandibular, TMJ, mob lub puab tsaig, kev hloov pauv ntawm lub ntsej muag, kev rho hniav tawm