I jawbone chu zawi zawiin a lo hmin em? (Condylar Resorption) Vawiin hian kan sawi dawn!

Mi thenkhat hmui hnuai lam chu a pil deuh ang maiin a lang a, a nih loh leh an hmui chu a lang lo tak tak tih i hmu ngai em? Jaw area-ah natna a awm thei a, hmui hawn lai pawhin thawm a awm thei bawk. Heng thilte chhan awm thei pakhat chu tunlaia kan sawi mek jaw bone a melting vang a ni a, chu chu (Condylar Resorption) tih a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Hei hi eng nge ni (Condylar Resorption)?

A awlsam zawngin sawi ila, Condylar Resorption chu kan hmui kan hawn leh kan khar huna hnathawk Temporomandibular Joints (TMJ) te chu zawi zawiin a hmin a, a chhe vek a, a bo vek a ni. Heng mandibular condyles te hi kan lower jaw ( the mandible) leh a sir lehlamah luruh inzawmtu pawimawh tak an ni. Chuvangin hengte hi an lo hmin chuan kan hmui hnuai lam chu a lo tlem a, chhung lam a pan a, a lo hring tawh ang maiin a kal ta a ni. He inthlâk danglamna hi a châng chuan a thleng rang thei a, thla engemaw zât chhûng chauhvin , a nih loh leh kum tam tak a daih thei bawk .

He natna hi tuin nge vei tam zawk?

Hei hi han ngaihtuah teh: Medical report-ah chuan he natna (Condylar Resorption) hi mipa aiin hmeichhia leh hmeichhiaah a let 9-in a tam zawk tih a lang. A bik takin hmeichhe naupang kum 10 leh 20 inkar zingah a tam hle a, chuvangin chhungkaw member emaw, he kum lama mi i hriat emaw i neih chuan hei hi tlem tal hriat a phu hle.

Engtin nge (Condylar Resorption) hian kan taksa a nghawng?

Hei hian kan hmel lan dan leh a pianziaah danglamna nasa tak a thlen thei tak zet a ni . I hmu mai thei, a hnuai lam chu a lo tlêm a, a hmui chu a lang chiang lo hle a, i hmai balance pawh a danglam tawh bawk. Chu mai pawh ni lovin hei (Condylar Resorption) hian jaw joint nena inzawm harsatna a thlen thei bawk a, chu chu (Temporomandibular Joint Disorders - TMD) an ti a ni. Hei hian a awmzia chu jaw joint chhehvela muscle leh ligament te chu a hring a, a inflamed a, chu chuan lu na, jaw na, hmui hawn leh khar tha thei lo, leh ei laiin jaw joint atanga thawm lo chhuak a thlen thei a ni

Engvangin nge hetiang (Condylar Resorption) hi a lo awm? A chhante chu engte nge ni?

Okay, tunah chuan engvangin nge jawbone hi hetiang hian a hmin tih hi han en ila. Hei hi a nghawng thei chhan hrang hrang a awm.

• Autoimmune natna thenkhat chu kan taksa invenna (defence system) in kan cell hrisel tak takte a rawn bei sual thin natna a ni. Entirnan , ruh natna , scleroderma leh systemic lupus erythematosus te hi a ni .
• Avascular necrosis a awm thin: Hei hi ruh chhunga thisen a tlakchham avangin ruh cell te thihna a ni.
• Hormone inthlak danglamna : Hormone inthlauhna, a bik takin tleirawl lai hian hmeichhe naupangte a nghawng thei a ni.
• Jaw joint-a natna hrik awm .
• As a complication of things like orthodontic treatment or jaw surgery , hei hi mi zawng zawngah a thleng lo.
• Degenerative joint conditions te chu osteoarthritis te hi a ni .
• Reactive arthritis natna a ni .
• Accident to the jaw, inkhelh laiin tlu leh i jaw vuak ang chi.

A châng chuan he dinhmun hi a chhan hriat lohvin a awm thei bawk . Doctor te chuan idiopathic condylar resorption an ti a . Mahse, a dinhmun a tlem hle.

Condylar Resorption vei hian eng symptoms nge a lantir?

Condylar resorption symptom langsar ber chu hmai pianzia leh hmel danglam hi a ni . A lan chhuah dan ber chu a hmui leh hmui chu a pil leh a pil ang maiin a lang. Chu bakah, symptoms te chu:

• Chauhna a awm fo thin .
• Lu na .
• Jaw area-a natna, hmui hawn leh khar laiin ‘click’ emaw ‘popping’ emaw ri a awm .
• Ha crowding, a nih loh leh malocclusion tih hian ha chu a in fit tawk lo tihna a ni .
• Overbite a ni .
• Open bite chu ha chunglam leh ha hnuai lam inkar gap a ni a, chu chu hmui khar a nih chuan ha a inzawm tha lo tihna a ni.

Engtin nge doctor-te hian he natna hi dik taka an hriat theih?

Heng symptoms te hi i neih chuan Doctor pan a tha ber. Doctor chuan i symptoms te a zawt ang che a, physical exam a ti ang che. Tin, hetiang hian an zawt thei bawk:

• Your complete health history , tuna i natna dang eng pawh, leh damdawi i ei mek te.
• Chhungkaw zingah hian immune system natna emaw, he thil nena inzawm natna dang (Condylar Resorption) nei an awm em.
• I nunphung , infiamna, leh thiltih chungchang.
• Tuna i damdawi ei mek chungchang .

Tichuan, a hmui, ha, leh hmai ruh awm dan chiang taka hmuh theih nân special imaging test neih theih a ni bawk. Heng test te hian jawbone a melt em tih leh eng chen nge a hmin tih chiang takin a hriat theih.

• X-ray hmanga enfiah a ni.
• CT scan a ni a .
• MRI scan a ni.

Ha enkawltu (a bik takin orthodontist) te hian he natna hi an enkawl thei mai thei.Mi engemaw zat puihna leh thurawn i mamawh mai thei, chu chu rheumatologist , rheumatologist, emaw i chhungkaw doctor (Primary Care Providers - PCPs) te hi a ni. Operation i neih hmain ruh hloh rate control nan hun rei tak damdawi i ei tan a ngai thei bawk.

Condylar Resorption hi eng enkawlna nge ni?

Enkawl dan tur chu i hmel pianzia, kum, natna nasat dan leh hriselna lama harsatna dangte a zirin a ni. Lungngai suh, hei hi enkawl dan tur a awm.

• Anti-inflammatory medications : Hengte hian natna darh zel tur a tikhawlo thei a, natna a titawp thei bawk.
• Bite splints emaw night guards : Mi thenkhat chuan zanah an ha an hrual (Bruxism) , hengte hi an ha chhiatna tihziaawmna atan hman theih a ni. Chûngte chu an ha chunga invenna khuhna dah ang mai a ni.
• Condylectomy : Hei hi surgical procedure a ni a, mandibular condyles te chu paih chhuakin, jaw chu a hnathawh that theih nan leh hmai hmel lan dan tur siam that nan a siam thar leh thin.
• Orthodontics : Entirnan, ha hrual leh ha chhuak chhuak siamthat nan brace leh retainer hman theih a ni.
• Orthognathic surgery : Hei hi surgery buaithlak zawk a ni. Facial balance siam that nan upper leh lower jaws te realigning a ngai a ni. TMJ siam thar lehna surgery nen pawh a inzawm thei bawk.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Condylectomy leh Orthognathic surgery ang chi operation hnuah pawh a dam kim theih nan kar 6 atanga kar 12 vel a ngai thei. Kar hmasa pahnih atanga kar li chhung chauh liquid diet i ei tur a ni a, i hmui chu chawlh hahdamna i pek a ngai a ni. I hmui a dam tan chuan, zawi zawiin chaw nêm i ei ṭan thei . Doctor thupek angin engkim tih tur a ni.

Condylar resorption hlauhawmna hi tihziaawm theih a ni em?

Condylar resorption ven dan tur chiang tak a awm lo. Mahse, i doctor emaw, ha enkawltu emaw hmuh fo a pawimawh hle a, i hmui emaw, i ha emaw-a inthlak danglamna emaw, harsatna emaw i hmuh apiang sawipui a, medical checkup neih fo a pawimawh hle Hei hian harsatna eng pawh i hriat hmasak theih nan a pui ang che.

Enkawl loh chuan hun rei tak chhunga nghawng a neih dan chu eng nge ni?

Condylar Resorption avanga ha emaw, jaw emaw chu hnungtawlh a nih chuan, chu chu a awmna tur dik lo a nih chuan hun rei tak chhunga harsatna awm thei te chu:

• Ha tliak leh puak chhuak .
• A hma ang bawkinLu na leh hmui na.
• Kawng leh hnungzang na .
• Ha na .
• I hmui hawn te, ei te, a nih loh leh thusawi te pawh a harsa thei .
• Hmêl lan danah danglamna lian tham a awm .
• (TMJ) ruh natna rei tak .

Heng symptoms (Condylar Resorption) i neih chuan doctor pan nghal rawh. Enkawl hmasak hian heng harsatna tam tak hi a tiziaawm thei a, a veng thei bawk. Chuvangin, hlau suh la, tlai suh, damdawi lam thurawn zawng zawk rawh.

Engtikah nge operation hnuah hna/sikul ka kal leh theih ang?

Operation hnua dam leh hun chhung hi mi hrang hrangah a inang lo. Mi tam zawk chu kar hnih vel chhungin hna emaw sikul emaw an kal leh thei . Amaherawhchu, taksa lama harsatna nasa tak hna i neih chuan, a pum puia dam leh theih nan hun rei zawk a la ngai thei. Eng chen nge i thlawh chhuah tur tih leh engtikah nge hna pangngai i thawh leh theih ang tih i doctor hnenah thurawn dil a tha ber.

Hetiang dinhmun hi eng nge a thlir ang?

Condylar resorption hi nunna atana hlauhawm leh thihna thlen thei a ni lo. Hetiang dinhmun hi enkawl lovin i nung thei a ni. Mahse, enkawl loh chuan i hmêl lan dân, i hmui, leh i ha inthlâk danglamna chu a awm reng ang , hun kal zêlah chuan a zual zêl thei bawk.

Mi tam tak chuan condylar resorption avanga operation an neih hnuah result tha tak, lungawithlak tak tak an nei thin. Jaw chu a inrem fel chuan i natural facial shape chu a lo awm leh a, i ha emaw i jaw emaw a harsatna a awm lo. Operation neih loh i tum a nih chuan, emaw, i dinhmun a na lo a nih chuan, i doctor nen natna leh symptom dang (e.g., painkillers, ei leh in thlak danglam) tihziaawm dan tur sawipui rawh.

Engtin nge ka in enkawl ang? In lamah eng nge ka tih theih ang?

Condylar Resorption avanga natna emaw, jaw problem emaw i neih chuan i symptom thenkhat tihziaawmna turin in lamah heng thilte hi enchhin rawh:

• I jaw area-ah moist heat (towel lum ang chi) emaw ice pack emaw hmangin hnawih la . Ice pack hi minute 10 aia rei chu vawi khatah dah suh. A vawt lutuk nia i hriat chuan titawp rawh. Moist heat pack chu minute 15 vel vawi khatah hnawih la, ni khatah vawi li vel hnawih rawh.
• I jaw chu chawlh hahdam tir rawh . I hmui a na chuan ei tur nêm (buhfai, thlai hmin, soup) ei thin ang che. Sa chu a hmin hma chu zawi zawiin chhum rawh. Thlai leh thlai raw ai chuan chhum la, a tui in rawh. Sa ei harsa, chhang (e.g., toast), leh ei tur khauh, brittle (e.g., crackers, toffee) te ei loh tur. Chewing gum hman loh tur .
• Painkillers te hi enchhin rawh . Nonsteroidal anti-inflammatory drugs (NSAIDs) hi damdawi dawrah hian over-the-counter-in lei theih a ni a, aspirin ang chi hi a ni.Over-the-counter pain reliever aspirin, ibuprofen (brand names: Advil®, Motrin®), leh naproxen (brand names: Aleve®) te hian lu na leh hmui natna a tidam thei a ni. Mahse, damdawi lam harsatna dang (e.g., gastritis, kal natna) i neih chuan heng damdawi te hi i ei hmain doctor zawt hmasa phawt ang che. Bottle/pill-a thupek dik tak zawm la, heng damdawi te hi doctor phalna la hmasa lovin kar hnih aia rei ei loh tur a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan hmasa phawt ang che:

• I lu na a awm fo a nih chuan, a zual zel a nih chuan, a nih loh leh i nitin hnathawhna hmuna i hnathawh theih loh khawpa nghawng a neih chuan .
• I hmui, i kawr, a nih loh leh i hnungzang natna a zual zel a nih chuan .
• Ha na i neih emaw, i ha a chhe/puak ang maia i hriat chuan .
• I hmui emaw i hmai emaw natna avanga ei leh in harsatna i neih chuan .

He thawnthu atanga kan zir chhuah pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi tawh (Condylar Resorption) kha i hrethiam tawh hle. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Condylar resorption hi jawbone thenkhat (a bik takin mandibular condyles) chu zawi zawiin a lo hmin a, a chhe vek thin. Hei hian hmai a tidanglam thei a, jaw joint a ti na a, ei leh in harsatna a thlen thei bawk.
• Hetiang dinhmun hi hmeichhe naupangte zingah a tam hle .
• A chhan tam tak a awm thei a; thil chi hrang hrang, immune system natna thenkhat, hormone inthlak danglamna, accident, etc. A chang chuan, a chhan chiang tak hmuh tur a awm lo.
• I hmai pianzia inthlak nghal, i hmui hnuai lam hnungtawlh, hmui na, emaw , i hmui i hawn laiin popping sound ang chi symptoms i neih chuan doctor pan nghal rawh
• Thil ngaihtuah tur a awm lo, hei hi enkawl dan tur a awm . He natna hi damdawi hmanga enkawl theih a ni a, braces hmanga enkawl theih a ni a, operation pawh a awm thei bawk.
• A hmaa hriatchhuah leh enkawl hian hun rei tak chhunga harsatna tam tak a awm loh nan a pui thei a ni. Chuvangin damdawi lam thurawn zawng chu zak leh hlau suh. Nangmah chauh i ni lo!

` Jawbone hloh, condylar resorption, temporomandibular joint, TMJ, hmui na, hmai inthlak, ha lakchhuah