I hmuiah pawh click ri i nei em? Natna i nei em? TMJ natna a ni em? Hemi chungchang hi han sawi ila!

I jaw hi i ngaihtuah vak ngai lo mai thei, a dik em? Mahse jaw joint, a nih loh leh temporomandibular joint hi thusawi atanga ei leh in thlengin nuih thlengin a pawimawh hle. A châng chuan, he ruh hi harsatna a awm thei bawk. Vawiin hian chutiang dinhmun pakhat, TMJ disorders tia hriat chu kan sawi dawn a ni. Lungngai suh, hei hi mi tam tak chunga thleng thin, enkawl theih a ni.

TMJ hi eng nge a nih i en hmasa phawt ang u.

A awlsam zawngin i hmui hnuai lam leh i luruh inzawmna hmun chu TMJ (temporomandibular joint) an ti a. Heng joint pahnih hi awlsam takin i hre thei ang. I kut zungtangte chu i beng hmaah direct-in dah la, i hmui i hawn leh i khar rualin heng ruh pahnih inher dan hi hre rawh. I hmui hnuai lam tawp pahnih zungbun chu i hre mai ang. Chungte chu i luruh chhunga joint socket pakhata tlan chhuak ang maiin an che thin. He socket hi temporal bone ta a ni. I beng chhung lam leh i hmai vel pawh he ruh chhungah hian a awm bawk. He joint te tak te hi a pawimawh zia hi han ngaihtuah teh! Kawngkhar hinge ang mai a ni.

Chuti a nih chuan, TMJ disorder (TMD) hi eng nge ni?

TMJ natna, a then chuan `TMD` (Temporomandibular Disorders) tia sawi thin hi natna chi hrang hrang nen a rawn lang thei a. Eng nge an nih hi han thlir ila:

• I lu, i kawr, i hmui, a nih loh leh i hmaiah natna i nei thei . A châng chuan he natna hi i beng vêl emaw, i hmuiah emaw a rawn chhuak thei bawk.
• Chaw ei harsatna i nei thei a, a bik takin chewing . Chaw thenkhat ei hian a na hi a na zual thei bawk.
• I hmui i hawn emaw i khar emaw hian "click" emaw "popping" emaw ri i hre mai thei. A châng chuan he thawm hi na tê têin a zui thei bawk.
• A chang chuan jaw chu a lock thei bawk . Chumi awmzia chu i hmui i hawng thei lo emaw, i khar thei lo emaw a ni thei tihna a ni. Hei hi thil hlauhawm tak a ni thei.

TMJ natna hian naupang kum eng pawh a nghawng thei a, mahse tleirawl, a bik takin hmeichhiaah a tam zawk . A chhan awm thei engemaw zat a awm.

Engvangin nge heng TMJ natna te hi a lo awm? A chhante chu engte nge ni?

TMJ natna thlen chhan dik tak hriat a harsa fo thin. Mahse, a thlen thei thil engemaw zat a awm.

1. Ha hrual emaw hrual emaw (Bruxism): Hei hi a awm fo thin. Mi thenkhat chuan chhun leh zanah an ha an hrual a, an ha an hrual khawm thin. Hei hian TMJ joint chu a tul lovah hna a thawk tir thin. Hei hian joint chhunga cartilage disc chu a ti chhe thei a, a ti hrual thei bawk. Ha hrual leh hrual hian ha chung leh hnuai lam a in fit (bite) thei bawk. Chaw ei nana hman thin ruh (muscles) te pawh a nghawng bawk.Thil lungchhiatthlak tak chu, mi tam tak chuan an ha an hrual tih pawh an hre lo.

2. Stress: Stress hi natna tam tak thlentu lian tak a ni. TMJ natna a nghawng thei bawk. Stress a san chuan naupangte chuan an ha an ti nghet a, an hmui an ti nghet a, an hmui ruh an tikhauh duh bawk. Naupang ṭhenkhat chu exam a hnaih lai emaw, an ṭhianpa nêna harsatna tê tê an neih lai emawa an lungkhamzia hi han ngaihtuah teh.

3. Ha lama harsatna dang: Ha dah danah harsatna a awm (bad bite) a awm chuan, chu chuan TMJ harsatna a thlen thei bawk.

4. Joint problems: Entirnan, ruh natna (inflammatory joint conditions) nei te, arthritis ang chi te pawhin TMJ disorder an nei tam zawk.

5. Muscle-related problems: Jaw nena inzawm muscle-ah chak lohna emaw harsatna dang emaw a awm chuan chu pawh chu a nghawng thei bawk.

6. Trauma to the jaw or face: A hmaa accident emaw, jaw emaw hmai emawa hliam na tak i tawk tawh a nih chuan hei hi hun kal zelah TMJ disorder angin a lang thei bawk.

"A chhan dik tak hriat ni lo mah se, TMJ natna hi heng zinga pakhat emaw a aia tam emaw vang a ni fo thin."

Engtikah nge ha enkawltu kan hmuh ang?

I fain a chunga kan sawi tak TMJ disorder symptoms eng emaw zat a lantir nia i ngaih chuan i dentist hnenah hriattir ngei ang che . Condition pakhat chu hriatchhuah leh enkawl a nih hma chuan a dam thuai thei a ni.

Ha enkawltu chuan nang leh i fate zawhna a zawt ang a, i fa chu a enfiah ang. A châng chuan TMJ natna a awm tih finfiah nân special imaging test pawh tih theih a ni bawk. Entir nan:

• X-ray test neih a ni
• `CT scan` tih a ni
• MRI scan a ni

Heng test te hian ruh chhunga dinhmun te, ruh awm dan te, cartilage disc awmna te chiang takin a hmu thei a ni.

I fain a hmui a khar nghal a, a hmui a hawng thei lo emaw, a khar thei lo emaw a nih chuan hlauthawng suh la, ha enkawltu chu ko nghal la, oral surgeon hmuh emaw, emergency room-a kal emaw a ngai em tih zawt rawh.

Heng TMJ natna te hi engtin nge enkawl an nih?

Naupang thenkhatin TMJ natna an neih chuan a enkawl dan chu a awlsam hle thei a ni. Ni engemaw zat chawlh pek ang maia awlsam pawh a ni thei .

In lama i tih theih turte:

• I fa chu chaw nêm, ei awlsam tak tak, porridge, soup, buhfai, mashed vegetables, leh thei chi hrang hrang pe rawh.
• I fa chu TMJ ruh leh hmai ruh tichhe thei thil tih dan phung lo turin tanpui ang che. Entir nan:
• Chewing gum a ni.
• Ha hrual emaw, ha hrual emaw.
• Mit i meng chhuah hunah i hmui hawn zau (yawning).
• Naupang natna tihziaawmna tur leh thlamuanna pe turin, a hmai sir lamah ice pack dah la, a nih loh leh a lumna hnawih rawh .

Damdawi lam enkawlna:

A \henah chuan enkawlna tam zawk a ngai mai thei.

• Locked jaw: Hei hi siamthat nan doctor chuan jaw chu a inhawng leh khar leh theih nan a manipulate a ngai dawn a ni. A chang chuan naupang chu sedated theih a ni a, chu chu hriat lohna dinhmunah an ding tihna a ni a, chutiang chuan natna engmah an nei lo.
• Ha hrual emaw, ha hrual emaw enkawl dan: Ha hrual avanga natna awm thei tur venna atan i ha enkawltu chuan i fate chu zan lama bun turin splint emaw biteplate emaw a pe thei ang. Hei hian ha hrual leh hrual (clinching) a tihziaawm thei a ni. Natna tihziaawmna tur leh taksa ruhte tih hahdamna tur damdawi an pe thei bawk.
• Ha alignment lama harsatna: I fain a seh chungchangah harsatna a neih chuan TMJ disorder a thlen a nih chuan, ha enkawltu chuan braces emaw, ha enkawlna dang emaw siam that nan a rawt thei ang.
• Surgery: Hetiang dinhmunah hian surgery neih a ngai lo. Enkawlna dang zawng zawngin a natna lan chhuahna a tihziaawm loh chuan i fa chu a ruh chhunga tissue chhia siamthat nan operation a ngai mai thei. Mahse, naupang tam zawk chuan zai an ngai dawn lo tih hre reng ang che.

TMJ natna hi ven theih a ni em?

Naupang tam tak chuan an ha an hrual emaw, an hmui an hrual emaw avanga TMJ natna emaw, ruh natna emaw an nei thin. Thil lungchhiatthlak tak chu an ti tih pawh an hre lo. Chuvangin, naupangte chu heng thilte hi engtikah nge a thlen tih hre turin zirtir an ngai a ni. Entirnan, sikula test an neih lai te, an thinrim lai te, an lungngaih lai te, heng thilte hi a thleng em tih en rawh. Tichuan, chutiang tih dan chu bansan an zir thei ang.

Stress hi heng thiltih chhan lian tak a ni thei. Chuvangin:

• I fain exercise leh mut a neih tlem theih nan hma la rawh .
• I fate schedule tam lutuk chu pumpelh rawh . A chawlh hahdam theih nan hun pe la, a thil tih nuam tak takte chu pe rawh.
• I fa chu chawlh hahdamna thiltih , lehkhabu chhiar te, lemziak te, a nih loh leh music ngaihthlâk te ang chiteah inhmang rawh.
• Thâwk lakna exercise hi stress tihziaawmna tha tak a ni. I fate hnenah zirtir rawh. Thâwk i lak a, i thawk chhuah hian i rilru hahdamna chu han ngaihtuah teh.

TMJ natna laka invenna tur tips tam zawk i dentist hnenah i zawt thei ang.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian thil pawimawh tak tak thenkhat chu awlsam zawka in hriat reng theih nan ka rawn tarlang ang:

• `TMJ` tih hian i jaw joint a kawk a ni. Harsatna a neih chuan natna, ei harsatna, i hmuiah click ri te ang chi symptoms a thlen thei.
• Vawi tam tak chu ha hrual leh stress ang chi thil hi TMJ natna thlentu a ni.
• I fa hian heng symptoms te hi a nei a nih chuan hlauthawng suh la, ha doctor pan rawh. A hriat chhuah hma chuan enkawl a awlsam zawk.
• A tam zawkah chuan he natna hi enkawlna awlsam tak leh in lama i tih theih thil hmangin control theih a ni.
• Stress enkawl leh tih dan tha lo (ha hrual ang chi) hriatchhuah leh tihbo hian TMJ natna venna kawngah kawng thui tak a zawh thei a ni.

"I fa hriselna enkawl hi a pawimawh ber a ni. Hetiang harsatna tlemte pawh i hriat chuan damdawi lam thurawn lak hi a tlai ngai lo."

Tunah chuan TMJ natna chungchang hi in hriatthiam ka beisei. Zawhna dang i neih chuan doctor zawt la.

TMJ, TMD, Temporomandibular Joint, Ha hrual, Bruxism, Jaw Na, Stress, Ha enkawl dan te a ni