Kua rongo koe i tētahi tangi pakū, pakū rānei mai i tō kauae ina kai koe, ina kōrero koe, ina whakatuwhera rānei i tō waha? I ētahi wā ka haere tahi mai me te mamae iti. He mea tino noa tēnei mō te tini o te tangata. Heoi, ina puta pinepine tēnei tangi, ā, ka haere tahi me te mamae, he mea noa te mataku. Nō reira, i tēnei rā, me kōrero tātou mō tēnei tangi pakū, te mea rānei e kīia nei e tātou ko te `(Pakū Kauae)`.
He aha rawa tēnei haruru e puta mai ana i te matau?
He kupu ngāwari noa iho, he tohu pea tēnei mō tētahi raruraru iti noa iho o tō hononga kauae. Ko tō tātou hononga kauae, te hononga i waenganui i te kauae o runga me te kauae o raro e tata ana ki te taringa, e mōhiotia ana i roto i te rongoā ko te Hononga Temporomandibular (TMJ). Koinei te hononga e mahi ana ina kōrero tātou, ina kai, ina kata hoki.
Kei roto i tēnei hononga he kōpae iti i hangaia ki te kiriuhi wheua e kiia nei ko te kōpae hononga. He rite ki te mea ārai i te wiri i roto i te motuka. Ko tana mahi he ārai i te mirimiri o ngā wheua kauae e rua, me te whakangawari ake i te nekehanga o te hononga. I ētahi wā ka neke paku tēnei kōpae. Koinā te wā ka rongo tātou i te tangi 'pāwhiri' ina whakatuwhera, ina kati hoki ō tātou waha.
He maha ngā wā e hono ana tēnei āhuatanga `Temporomandibular Joint Disorders` ki tētahi āhuatanga e kiia nei ko `Temporomandibular Joint Disorders (TMD).` Tērā pea ētahi atu tohu e haere tahi ana me tēnei.
- Te mamae i te hononga kauae me te mata
- Ngā mamae o te upoko
- Te mamae o te taringa, te tangi rānei o ngā taringa
- Mamae kaki
I ētahi wā, he mea noa te haruru ina whakatuwherahia tō waha, pērā i te wā e ngana ana koe ki te horomi. Kāore he take e manukanuka ai. Engari, ki te puta tonu mai tēnei haruru i ngā mahi noa pēnei i te kai, i te kōrero rānei, me manukanuka koe.
He aha i pērā ai te haruru o tō tātou waha?
He maha ngā take ka pā ki tēnei. Whakaarohia kei te ngau tonu tō hoa i ōna maikuku, kei te ngaungau rānei i te kapia. Ka taea e ēnei tikanga te pēhi i te hononga kauae. He maha atu anō hoki ngā take.
| Take | He whakamārama māmā |
|---|---|
| Te kuru niho (Bruxism) | Te kuru kaha i ō niho, i a koe e moe ana, i te kore rānei e mōhio. Ka nui rawa te taumahatanga o ngā uaua o te hononga kauae. |
| Ngā tikanga kino | Ngā mea pēnei i te ngau pinepine i ngā maikuku, te ngaungau i ngā pene/pene i roto i te waha, me te nui rawa o te ngaungau kapia. |
| Mate rumatiki | Ka pā te mate rumatiki ki te hononga kauae, pērā i ētahi atu hononga o te tinana. |
| Ngā raruraru ki te tūnga o ngā niho (Malocclusion) | Ki te kore ō niho o runga me ō niho o raro e piri tika tetahi ki tetahi, ka pēhia pea te hononga o tō kauae. |
| ahotea | Ina pāngia tātou e te ahotea, ka whakakikitia e tātou ngā uaua o tō tātou mata me tō tātou kauae, kāore i te mōhiotia. He take anō hoki tēnei mō tēnei. |
| He aituā | Ka taea e te aituā ki te mata, ki te kauae rānei te pakaru i te hononga. |
| Ngā awe mai i ngā whakatipuranga | Mena kua pāngia tētahi o tō whānau e ngā raruraru pēnei e pā ana ki te TMJ, he iti noa te tūponotanga ka pāngia anō hoki koe. |
He aha ngā mea ka taea te mahi hei rongoā i tēnei?
Ko te mea pai rawa atu, kei reira ngā maimoatanga mō tēnei. Ka rerekē ngā maimoatanga i runga i te kaha o tō mate. Kei roto i ngā maimoatanga ngā huringa āhua noho māmā ki te pokanga mēnā e tika ana.
Ngā mea ngāwari ka taea e koe te mahi i te kāinga
Anei ētahi mea ka taea e koe te whakamātau i te kāinga i te tuatahi.
- Kati ngā whanonga kino: Kati te ngau i ō maikuku, te ngaungau i te kapia, me te ngaungau i ngā mea pēnei i te hukapapa.
- Whakatārewatia tō kauae: Engari i te kōpiripiri i ō niho i te awatea, whakaharatau kia mau he āputa iti i waenganui i ō niho mā te katia ō ngutu.
- Kai i ngā kai ngohengohe:Engari ko ngā kai mārō, uaua rawa ki te ngaungau (hei tauira, te manioka, te nati kāhew tunua, te mīti), me arotahi ki ngā kai ngohengohe pērā i te hupa, te miraka kawa, me te raihi.
- Ngā kōpeke makariri me ngā kōpeke wera: Mena he mamae, he pupuhi hoki, tāpirihia he hukapapa kua takaihia ki te kakahu mō te 10-15 meneti. He pai hoki te tāpiri i te pounamu wai wera hei whakangā i ngā uaua.
- Rongoā mamae: Ki te nui rawa te mamae, ka taea e koe te kōrero ki tō tākuta me te tango i tētahi rongoā mamae pēnei i ngā NSAID.
Āhea te wā e hiahiatia ai te maimoatanga hauora?
Ki te mau tonu te mamae, ā, kāore e āwhina ngā rongoā kāinga, me toro atu koe ki te tākuta, inā koa ki te taote niho.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā | Ka tohua pea e te tākuta ngā rongoā ārai-manukanuka, ngā rongoā whakangāwari uaua rānei. |
| Parenga Waha | Hei whakamutu i te ngau o ō niho, ka tūtohu tō tākuta niho i tētahi ārai waha motuhake kua hangaia kia tau ki tō waha. |
| Te Whakaora Tinana | Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā maimoatanga motuhake hei whakapakari me te whakangāwari i ngā uaua o te hononga kauae. |
| Te rongoā TENS | Ko te whakaoho hiko io whakawhiti kiri (TENS) he tikanga hei whakamamae i te mamae mā te tuku tohu hiko iti mā roto i te kiri. He mea nui kia rapu tohutohu hauora i mua i te mahi i tēnei. |
| Te maimoatanga niho | Mena he raruraru kei te tūranga o ngā niho te take, tera pea e tika ana kia whakamahia he maimoatanga pēnei i te karauna, te piriti, te tautoko niho rānei. |
Me mahi pokanga rānei?
I te nuinga o te wā, kāore e hiahiatia he pokanga. Heoi, i ngā wā tino kino kāore he maimoatanga kē atu i āwhina, ka tūtohutia pea he pokanga. He maha ngā tikanga pokanga pērā i te `(Arthrocentesis)` (te tango i te wai mai i te hononga), `(Arthroscopy)` (te whakamahi i te kāmera hei mahi maimoatanga mā te tapahi iti), me te `(Arthroplasty)` (te whakatika, te whakakapi rānei i te hononga). Mā ngā tākuta tohunga ēnei e mahi.
Āhea koe me tino kite i te tākuta?
Ki te mea ka rangona he haruru i a koe e okioki ana, ehara i te mea nui. Heoi, ki te mea kei a koe tētahi o ngā tohu i raro nei, me toro atu koe ki te tākuta.
- Te mamae tonu i roto i te kauae.
- Te kore e taea te kati katoa i te waha.
- Mena he tangi pakū e puta mai ana i te matau i ia wā e kai ana koe.
- Ki te mea kua mau te matau i te wāhi kotahi.
He mea tino nui: Ki te pā mai he āhua kōkō i roto i tō waha, kāore e taea te kati i tō waha, kaua rawa e ngana ki te whakatika i a koe anō. Ki te tupu tēnā, haere tonu ki te Tari Urupare (ETU) o te hōhipera.
Ki te kore e rongoatia, ka taea e tēnei mate te whakararu tuturu i te kiriuhi me ngā wheua o te hononga kauae. Nō reira, he pai ake te rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu.
Karere Tangohia ki te Kāinga
- Ko te pakū o te kauae he tohu pinepine nō te mate hononga temporomandibular (TMD).
- Mena he haruru noa iho, kāore he mamae, kāore pea i te tino kino. Engari ki te haere tahi mai me te mamae, kia āwangawanga.
- Ka taea e ngā whanonga kino pēnei i te kōpiri i ō niho me te ngau i ō maikuku te kino i tō hononga kauae. Kaua e whakamahi i ēnei whanonga.
- Ki te puta mai ngā tohu pēnei i te mamae o te kauae, te uaua rānei ki te kati i tō waha, me toro atu ki te tākuta, ki te taote niho rānei i taua wā tonu.
- I te nuinga o te wā, ka taea te whakahaere i tēnei āhuatanga mā ngā maimoatanga māmā me ngā huringa āhua noho, nō reira kaua e mataku noa.
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