I hmui hian ‘cracking’ ri a siam em? TMJ Disorder chungchang hi i zir dawn teh ang!

I ei lai te, i thusawi lai te, i hmui i hawn mai mai pawhin i hmui sir lehlamah natna i nei em? A chang chuan ‘click’ emaw ‘click’ ri emaw i hre thin em? A nih loh leh i hmui hawn leh khar harsa i ti a, i hmui chu hmun khatah a inkhung ang maiin i hria em? Chûngte chu thil pangngai maiah i ngai mai thei a, mahse hei hi damdawi lam pan ngai dinhmun a ni thei. Vawiin hian he jaw joint harsatna hi mi tam takin an neih thin mahse an sawi tam loh thu kan sawi dawn a ni.

TMJ chu eng nge ni?

A awlsam zawngin, i hmui hnuai lam leh i luruh inzawmna hmun chu Temporomandibular Joint, a nih loh leh TMJ . He joint hi kawngkhar hinge ang mai a ni. I beng pakhat zel hmaah a awm a ni. He ruh te tak te hian harsatna i tawh hunah i tawng a, i ei a, i hmui a hawng thei bawk. Mahse he ruh emaw a chhehvel thau emaw a harsatna a awm chuan Temporomandibular Disorders (TMDs) kan ti thin. A chang chuan i doctor pawhin TMJ Disorder a ti thei bawk. Mi tam tak chuan he natna hi "TMJ" ti mai mahse, a takah chuan chu chu ruh hming chauh a ni.

Engvangin nge hetiang dinhmun hi a lo awm?

Hetiang dinhmun hi a chhan pakhat, chiang tak a awm lo a, mahse doctor-te chuan ke ruh ruh emaw, ruhkawr emaw a harsatna avanga lo awm niin an ngai. A chhan lian tak tak engemaw zat a awm.

• Kawngkhar hliam: Miin a rawn vuak thut che a, i tlu a, a nih loh leh i kawngah hliam na tak (whiplash) i tawk a, chu chu car accident-ah ang chi, he ruh hi a tichhe thei tih han ngaihtuah teh.
• Grinding or clenching: Mi thenkhat chuan mut lai leh nilengin an ha an hrual thin hi hriat lohvin an ti thin. Hei hian jaw joint-ah pressure nasa lutuk a siam a ni.
• Disc displacement: Hip joint chhungah hian cushion ang chi (`disc`) nêm tak a awm a . Hei hi a hmun atanga a kal chuan natna a thlen thei a ni.
• Arthritis : Taksa ruh dang ang bawkin he hip ruh hian arthritis a nei thei bawk .
• Stress : I stress emaw, i lungkham emaw hian i hriat lohvin i hmai leh i hmui ruh i tikhauh thei a, i ha i ti nghet thei bawk. Hei hi TMD thlentu lian tak a ni bawk.

Tin, hmeichhiate hian mipa aiin TMD vei an nei tam zawk a, a let hnih zetin an tam zawk bawk. Hei hi a chhan hi zirchian mek a la ni.

Hei hi eng symptoms nge ni?

TMD avanga natna leh lungawi lohna hi a chang chuan ni rei lo te chhungin a reh thei a, kum tam tak chhung a daih thei bawk. Hmai kil khat emaw, a sir lehlamah emaw a nghawng thei. Kum 20 leh 40 inkar ah a tam ber a, a hnuaia chart hi en la, heng symptoms te hi i nei em tih i en ang.

Doctor hmuh a ngai em?

Heng symptoms te hi thil dang, ha lama harsatna, sinus lama harsatna emaw, ha natna emaw avanga lo awm thei a ni bawk. Chuvang chuan a chhan dik tak hriat tumin dentist hmuh a pawimawh hle. Doctor chuan i hriselna chanchin a zawt ang che a, taksa enfiahna a nei ang. I jaw joint a na leh na loh an check ang a, i hmui i hawn huna i thawm ri te chu an ngaithla ang. I ha lem chu a fit tha em tih an enfiah bawk ang. A châng chuan, i hmai zawng zawng X-ray, MRI, a nih loh leh CT scan tûra tih i ni thei bawk. Chûngte chuan ruh ruhte dinhmun leh a chhûnga disc awmna ang chi thilte chiang taka hmuh theih nân a ṭanpui thei a ni.

In lama tih theih tur enkawlna

A tam zawkah chuan TMD natna na lo tak takte hi in lama thil awlsam tak tak hmanga enkawl theih a ni.

• Painkillers ei : Damdawi ibuprofen ( NSAIDs ) ang chi hian taksa ruh natna leh vun natna tihziaawmna kawngah a pui thei a ni. Mahse damdawi engmah i ei hmain i doctor nen inbia ang che .
• Compress lum emaw vawt emaw: I hmai na hmunah minute 10 vel ice pack hnawih la. Chumi hnuah puan lum takin minute 5 vel chu a hmunah hnawih ang che. Ni khatah vawi tam tak hetiang hian ti thin ang che.
• Chaw nêm ei rawh: I ei leh inah yogurt, mashed potato, soup, egg , sangha, thlai leh thei tui tak tak ang chi ei tur te dah tel bawk ang che. Chaw ei ngai chi, hard candy, carrot, toffee, leh chewing gum te ei loh tur.
• I hmuiah pressure siamtu thilte chu titawp rawh: I hmui hawn zau, au ri nasa tak, leh chewing gum ang chi thilte chu pumpelh rawh. I hmui chu i kut hmangin chelh suh.
• Posture tha vawng reng rawh: I hnungzang dinglam hawiin thu la, ding rawh. Hei hian kawng leh hmai natna a tiziaawm thei a ni .
• I ha te chu tlem inthlau deuhin dah la: A theih phawt chuan nitin i ha chunglam leh hnuai lam inkarah gap tlemte awm tir tum ang che. Hei hian i jaw-a pressure a tihziaawm ang.

Eng damdawi lam enkawlna nge awm?

In lama enkawlna hian a puih loh chuan i doctor chuan hetiang enkawlna hi a rawn rawt mai thei.

Damdawi leh hmanrua te

• Damdawi chi hrang hrang: 1.1.A natna leh a hring a nasat chuan i doctor chuan natna tidamtu chak zawk, taksa ruh tihziaawmna emaw, lungkhamna dona damdawi emaw a pe thei ang.
• Splint emaw Night Guard: Hengte hi plastic hmanrua a ni a, ha chungah dah a ni a, chu chuan grinding avanga chhiatna a thlen tihziaawmna tur leh jaw chu a awmna tur dik takah a awm theih nan a pui thin.

Enkawlna dang

Hengte hi specialist doctor-te enkawlna a ni tlangpui.

• Transcutaneous electrical nerve stimulation (TENS): Electrical current hniam tak hmangin hip joint leh muscle te a ti hahdam a, natna a tiziaawm.
• Ultrasound therapy: Natna tihziaawmna tur leh ruh incheina tichak turin lumna thuk tak a hmang thin.
• Injection: Natna tidamtu emaw anesthetics emaw inject thin.
• Laser therapy (`Low-level laser therapy`): Natna leh hliam a tiziaawm a, kawr leh hmui chet awlsamna a ni.

Inzai

Surgery chi thum a awm a, chungte chu: 1. Arthrocentesis: Ruh a inkharkhip laia surgery tenau tak tih thin a ni. Needle hmangin joint chhungah tui inject a, a tifai chhuak thin. 2. Arthroscopy: Ruh chhunga camera te tak te (arthroscope) dahin a chhung lam en turin surgery tih a ni. Hei hi surgery awlsam tak a ni a, a dam nghal vat thin. 3. Open-joint surgery: Ruh a lo chhe tawh emaw, tumor a lo awm tawh emaw a nih chuan surgery lian tak tih thin a ni. Hei hian dam nan hun a duh rei zawk. Jaw na, TMJ, TMD, temporomandibular disorder, jaw joint disease, ha hrual, jaw na Sinhala, hmui hawn laia na