Kum 32 mi, yoga zirtirtu Revathi chuan ka clinic chu a tlawh a, a lungngai hmel hle. “Dr. Priya, ka ei apiangin ka hmuiah click ri ka hre thin. Chumi chungah chuan ni engemaw zat chu ka beng bulah na ka nei tawh a, min ti â hle a ni,” a ti a, hlauthawng takin a sam chhungah a kut a tlanpui a, chu issue chuan a ti buai tih a chiang hle.
A rilru hahdam tir turin nuihzatthlak tak ka pe a. “He thilah hian nangmah chauh i ni lo Revathi; mi tam tak chuan an hmui ruh (jaw joints)-ah harsatna an tawk thin. Hei hi Temporomandibular Joint, or TMJ tia hriat a ni. He joint hian i hmui chu i luruh nen a thlunzawm a, a hnathawh that loh chuan heng symptoms te hi a lo lang thei a ni. I thil tawn chungchang hi sawi belh ila, engtin nge kan tanpui theih ang tih ka sawifiah ang.”
Revathi case hi Temporomandibular Joint Dysfunction, emaw TMJ Dysfunction , a lan dan tlangpui a ni. Hetiang dinhmun hian jaw joint leh a chhehvel ruhte a nghawng a, a tam zawkah chuan natna, click ri, emaw, i hmui hawn leh khar harsat pawh a thlen fo thin. TMJ Dysfunction hi eng nge a nih, a chhan, a natna lan chhuah dan leh a enkawl dan tha ber berte hi i dive ang u.
Temporomandibular Joint Dysfunction hi eng nge ni?
I Temporomandibular Joint hian sliding hinge angin hna a thawk a, chu chuan i jawbone chu i luruh nen a thlunzawm a ni. TMJ Dysfunction hi he ruh emaw a chhehvel thau emaw chungchangah hian harsatna a awm chuan a thleng thin. Hei hian natna leh jaw movement tihkhawtlai a thlen thin.
Ear-area discomfort, clicking, jaw locking ang chi symptoms te hian lungngaihna a thlen thei a, mahse a nasat loh phah hle. Mahse, i nunphung tihsan nan enkawlna \ha zawng hi a pawimawh hle.
“Chuti a nih chuan, Doctor, chu chu thil lian tak a ni lo tihna em ni?” Revathi chuan a ti a, a rilru a hahdam deuh hmel hle.
“A tlangpuiin, ni lo,” ka hrilhfiah a. “Mahse, i ngaihthah chuan a tawpah chuan ei leh in, tawng, emaw, bengchheng pawh i harsat mai thei. Thu lawmawm tak chu nunphung tihdanglamna tenau leh targeted treatment hmang hian tha takin i enkawl thei a ni.”.

Engin Nge TMJ Dysfunction A Chhan?
Revathi chu a rawn inbeng kang a, “He thil hi eng nge a chhan, Dr. Priya, ka thil tih a ni em?”
“A ni hauh lo,” tiin ka chhang a. “TMJ Dysfunction hi chhan hrang hrang a awm a, a chang chuan jaw injury vang a ni thei a, a nih loh leh ha hrual emaw hrual emaw ang chi tih dan vang pawh a ni thei.”
TMJ Dysfunction thlentu thil tlanglawn thenkhat chu hetiang hi a ni:
- Bruxism (Teeth Grinding): Zanah i ha i hrual hian i jaw joint-ah pressure tam lutuk a siam a, dysfunction a thlen thei.
- Rimtawng (Mental Stress ): During periods of high stress , miten an hriat lohvin an jaw muscles an clench fo thin.
- Jaw Injuries: Jaw-a direct-a a tlak chuan Temporomandibular Joint a tichhia thei.
- Arthritis: Arthritis chi thenkhat chuan TMJ ah hian inflammation leh na a thlen thei.
- Poor Posture: Ring ila, ring lo ila, posture tha lo tak nena rei tak thut hian i jaw joint alignment a tichhe thei a ni.
Journal of Oral Rehabilitation- a zirchianna an tihchhuahah chuan mimal stress level sang tak nei te chu chronic muscle tension leh ha hrual dan avang hian TMJ Dysfunction an vei tam zawk tih hmuhchhuah a ni.
TMJ Dysfunction Symptoms te chu engte nge ni?
Revathi chu a symptoms sawi turin ka ngen a. “Ka ei apiangin click ri ka hre thin,” a ti bawk. “A chang chuan ka hmui chu second tlemte chhung a lock thin.A natna tam zawk hi ka beng bulah chiah a awm thin.”
TMJ Dysfunction symptoms hi mi hrang hrangah a inang lo a, mahse a lan chhuah dan tlangpui chu:
- Jaw Pain: He natna hi i beng, hmai leh i kawng thlengin a radiate thei.
- Clicking Sounds: Kawng hawn emaw khar emaw a click emaw popping emaw sound hi hallmark symptom a ni.
- Ei harsa: Chaw ei laiin nuam lo emaw, natna emaw i nei thei.
- Locking Jaw: A chang chuan jaw hi open emaw closed emaw position-ah a lock thei bawk.
- Lu na : TMJ issue avanga taksa chakna (muscle fatigue) hian tension headaches a thlen thei.
Diagnosis: Engtin nge TMJ Dysfunction hi hriat theih?
Revathi chuan a dinhmun chu engtin nge kan hriat theih ang tih hriat a duh a. “ X-ray ka mamawh em ?” tiin a zawt a.
“A tlangpuiin TMJ Dysfunction hi taksa enfiahna hmangin kan hmuchhuak thin,” tiin ka sawifiah a. “I hmui kha hawng leh khar turin ka ngen ang che, chutiang chuan eng thawm pawh ka ngaithla thei ang. Tin, a tenderness pawh ka check ang a, i jaw’s range of motion pawh ka test bawk ang.”
A then phei chuan X-ray, MRI, CT scan ang chi imaging hmangin ruh chu ngun taka enfiah a ngai mai thei. Mahse, chutiang chu case buaithlak zawkte tan chauh dah a ni tlangpui.”
Enkawlna: TMJ Dysfunction hi Engtin Nge I enkawl?
"Engtin nge he thil hi ka siam that theih ang?" Revathi chuan a zawt a, a aw chuan chhanchhuahna mamawhna nasa tak a lantir a.
Ka tiam a, "Hei hi enkawl dan tur kawng tha tak tak a awm. Mi tam zawk tan chuan nunphung siamthat awlsam leh targeted care chauh hi hmasawnna nasa tak hmuh theih nan a ngai a ni," tiin ka tiam a.
Chhawmdawlna lama i zinkawng i tan theih dan tur chu hetiang hi a ni:
Mahni Inenkawl Dan (Self-Care Strategies) te
- I hmui chawlh tir rawh: Chew lutuk, yawn nasa lutuk, emaw i nail seh lutuk loh tur. I jaw joint te chu a dam theih nan hun pe rawh.
- Heat emaw cold pack emaw hmang la: Compress lum hmangin jaw muscle tense te chu relax la, inflammation tihziaawm nan cold pack hmang bawk ang che.
- I dinhmun ngaihtuah rawh: Posture tha neih hian temporomandibular joint-a pressure tul lo tak a ti tlem a ni.
- Chaw nêm thlang rawh: Hun rei tak ei ngai thil khauh emaw, chewy emaw chu pumpelh rawh. Joint strain tih tlem nan ei leh in nem zawk zawm rawh.
Jaw tihchakna exercise te
Revathi chu "thing-chewing" exercise an tih fo thin technique awlsam tak ka zirtir a.
- Thingpui te tak te, thianghlim, nem tak (15 cm vel a sei leh 1.5 cm vel a zau) zawng rawh.
- I hnungzang molars inkarah zawi zawiin dah rawh.
- nghet takin bite down la, minute 2–3 vel vawn la, i chew ang maiin. Ni khatah vawi thum tal tih tum ang che.
Hei hian i jaw thlawptu muscle te chu a tichak thei a ni. The Journal of Orofacial Pain- a zirchianna tihchhuahah chuan hetiang therapeutic exercise hian TMJ discomfort chu nasa takin a tihziaawm thei a, hun kal zelah joint function zawng zawng a ti tha thei tih a nemnghet bawk.
Damdawi lama hmalakna hrang hrangte
Symptoms awm rengna hmunah chuan damdawi lam duhthlan tur dang kan sawiho thei ang:
- Corticosteroid injection: Hengte hi ruh chhunga direct-a inflammation tihziaawmna atan hman a ni.
- Muscle relaxants: Hengte hian jaw vel muscle-a tension nasa tak chu a tiziaawm thei a ni.
- Surgery: Hei hi a tawp ber a ni a, enkawlna dangin relief a pek lohna structural issues tan chauh dah a ni.
Recurrence lo awm leh tur venna atana nunphung tihdanglam
"Revathi, nitin nunah inthlak danglamna tenau, mumal tak siam hi heng symptoms te hi a lo lang leh tawh loh nan a pawimawh ber a ni," tiin ka fuih a.
- Stress enkawl: Subconscious jaw clenching ven nan yoga emaw meditation emaw chu i routine-ah telh la.
- Kawngkhar venna hmang rawh: I mut laiin i ha i hrual a nih chuan i ha enkawltu hnenah zan khat chhung i ruh venna tur custom-fitted mouth guard dil rawh.
- Ergonomics dik tak vawng reng rawh: I dinhmun ngaihtuah la, a bik takin darkar tam tak desk-a i awm chuan.
The International Journal of Prosthodontics -a zirchianna chuan ha hrual (mouth guards) hman hian ha hrual vei damlote TMJ nena inzawm harsatna chu nasa takin a tihziaawm tih a nemnghet.
TMJ Dysfunction chungchanga zawhna tam tak
TMJ dysfunction hi a mah chauhin a reh em?
A then phei chuan a reh thei a, mahse heng therapeutic step te hi zawm chuan i damna chu nasa takin a ti chak ang.
TMJ dysfunction hi natna khirh tak a ni em?
A tlangpuiin nunna atana hlauhawm lo mah se, natna thlentu awm reng a ni thei. I nunphung tihchangtlun nan enkawl vat hi a pawimawh hle.
Eng ei tur nge ka ei loh tur?
Thlai raw, nut, leh hard candies ang chi thil khauh emaw, chewy emaw ei loh tur. Chaw nêm tak, mashed potato, yogurt, leh egg te chu zawm tlat rawh .
Stress hian TMJ dysfunction a thlen thei em?
Ni e, stress hian muscle tension a tipung a, hriat lohvin ha a ti hrual thei a, hei hi TMJ symptoms thlentu ber a ni.
Surgery hi a ngai reng em?
Surgery neih a ngai lo. Damlo tam zawk chuan conservative, non-surgical approach hmangin hahdamna an hmu thin.
Ngaihtuahna hnuhnung ber
Chumi ni chuan Revathi chuan thlamuang takin clinic chu a chhuahsan ta a ni. Exercise leh nunphung inthlak danglamna kan sawihonaah a inpe a ni. "Ka lawm e, Dr. Priya," a nui suk a. "He thil hi paltlang tur hian ruahmanna chiang tak a awm tih ka hriat hian ka rilru a hahdam hle."
Revathi ang damlote tanpui hi Nirogi Lanka-a ka hnathawh hi ka hmangaih chhan tak a ni. I hriselna thunun theihna tur leh i nunphung tha lehzual tura chakna pek che hi ka mission ber a ni.
