Kei te mamae hoki tō kauae i te ata? Kei te pāngia rānei koe e te ānini i te tīmatanga o te rā, kāore he take e kitea ana? Kei te kī atu rānei te tangata e noho tahi ana koe, tō hoa rangatira pea, kei te kuru koe i ō niho i te pō i a koe e moe ana? Mena he mea noa ēnei ki a koe, tera pea kei a koe tētahi mate e kiia nei ko te Bruxism i roto i te pūtaiao hauora. Kaua e manukanuka, he mea tēnei e pāngia ana e te tini o te tangata. Me kōrero noa tātou i tēnei rā.
I te kīanga māmā, he aha te Bruxism?
Ko te Bruxism te kore mohio, te kore mohio rānei, te kore mohio, te whakakorikori i ngā niho, te kuru i ngā niho, te kuru rānei i ngā niho. Ka puta pea tēnei i a koe e ara ana, ka puta rānei i a koe e moe ana, i te wā e moe hohonu ana.
Whakaarohia, ka kuru katoa tātou i ō tātou niho i tētahi wā o ō tātou oranga, inā koa i te wā e tino taumaha ana tātou. He mea noa iho. Engari ki te puta tonu tēnei whanonga, ā, ka mau tonu, ka nui te pēhanga ki ō niho me tō kauae. I roto i te wā, ka raru pea ō niho, ka pāngia e te ānini, me ētahi atu raruraru pērā i te mamae o te kauae.
Ahakoa ka taea tēnei mate te pā ki ngā tau katoa, he mea noa iho tēnei i roto i ngā tamariki me ngā taiohi. Nā te mea he maha ngā wā ka pā mai i te wā e moe ana, he uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate.
He aha ngā tohu o te Bruxism?
Ki te kuru koe i ō niho i ia wā, tera pea ka pāngia koe e ēnei tohu. Tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei tohu.
| Tohu | He whakamārama māmā mōna |
|---|---|
| Te mamae o te upoko me te kanohi | He mamae nui te upoko, inā koa i te oho ake i te ata, he mamae rānei ki te mata, ki ngā paparinga rānei. |
| Mamae taringa | He rite ki te mamae e puta mai ana i roto i te taringa, engari kāore he mate taringa. |
| Mamae uaua kauae | Ka mamae ngā uaua o ia taha o te kauae ina pā atu koe, ka ngenge rānei te kauae. |
| Te rongonga i ngā haruru i roto i ngā taringa (Tinnitus) | Te rongonga i te tangi "e tangi ana" i roto i ngā taringa. |
| Te mamae i te wā e kai ana | He uaua ki te kai tika nā te mea ka mamae tō kauae i te wā e ngaungau ana koe i te kai. |
| He uaua ki te whakatuwhera me te kati i te mangai | Ka puta he tangi "pāwhiri" ina puare nui tō waha, ina rānei e rite ana ki te mea kua mau. |
E rua ngā momo matua o te bruxism:
E rua ngā momo matua o te ngau niho, i runga i te āhua o te ngau ina ara koe, me te āhua o te ngau ina moe koe.
1. Te Whakaara i te Bruxism
Ka puta tēnei i a koe e mahi ana i te awatea, i a koe e whakaaro ana ki tētahi mea. He maha ngā wā ka puta tēnei i a koe e manukanuka ana, e riri ana, e ahotea ana rānei. Waihoki, i a koe e whakaaro hohonu ana ki tētahi mea, arā, i a koe e aro nui ana, ka taea e koe te kōpiri i ō niho me te kore e mōhio. Ko te mea pai mō tēnei, ki te taea e koe te aro ki tēnei, te mōhio ki tēnā, me te kimi huarahi hei whakahaere i tō ahotea, kāore pea koe e hiahia ki te maimoatanga nui.
2. Te mamae o te moe
He ahua morearea tēnei. Nā te mea ka puta i waho o tō mana whakahaere, i a koe e moe ana. Kāore koe e mōhio, ā, he nui ake te kino ka pā ki ō niho me tō kauae. Ko te hunga e kuru ana i ō rātou niho i a rātou e moe ana, me rongoā kia taea ai te whakahaere i ngā pānga.
He aha tātou ka pāngia ai e te Bruxism? He aha ngā take?
Ina hoki, kāore e taea e ngā tākuta te kī tika he aha ētahi tāngata e kuru ana i ō rātou niho, ko ētahi kāore. Kāore he take kotahi mō tēnei. Engari he maha ngā āhuatanga mōrearea ka pā ki tēnei.
- Te ahotea me te manukanuka: He mea noa te ahotea i roto i ngā oranga pukumahi o ēnei rā. Ka taea e ngā mea pēnei i ngā whakamātautau, ngā raruraru mahi, me ngā raruraru whānau te mea ka huri ō tātou niho i te pō, kāore e mōhiotia. Waihoki, ko te hunga whai mate hinengaro pēnei i te Mate Pouri Nui (MDD) me te Mate Manukanuka Whānui (GAD) he nui ake te mōrearea.
- Ngā tikanga noho: Kua kitea e ngā rangahau ko te hunga e momi hikareti ana, e inu waipiro ana, e inu ana hoki i te neke atu i te 6 kapu kawhe i te rā, e rua ngā wā ka pāngia rātou e tēnei mate i ētahi atu.
- Ngā Rongoā Motuhake: Ko ētahi rongoā mō te mate hinengaro, inā koa ko ērā kei roto i te akomanga e mōhiotia ana ko ngā Selective Serotonin Reuptake Inhibitors (SSRI), ka pāngia pea ngā niho e te ngau.
- Apnea Moe: Ko te Apnea Moe he mate e mutu ai te manawa mō te wā poto i te wā e moe ana. Kua kitea he hononga i waenga i tēnei mate me te ngau o ngā niho. Heoi, kei te haere tonu ngā rangahau hei whakatau mena ko te apnea moe te take o te bruxism, ko te bruxism rānei te take o te apnea moe.
- Te kino o ngā niho: Kei roto i tēnei ko ngā mea pēnei i te pakaru o ngā niho, te pahūtanga o ngā niho, me te wetekina o ngā niho.
- Ngā Mate o te Hononga Kauae: Ko te hononga kauae e kiia ana ko te "Hononga Temporomandibular - TMJ". Mā te kokiri tonu o ngā niho ka kino tēnei hononga, ka mamae hoki.
- Ngā raruraru moe: Tērā pea ka raru tō moe, ā, ka ngenge pea koe i te rā katoa.
- Mamae kanohi: Ka mamae nui te kanohi i te pēhanga o ngā uaua kauae.
- Ko te bruxism te ngau o ngā niho i roto i te hinengaro kore. He maha ngā wā e hono ana ki te ahotea.
- Ko te mamae o te upoko i te ata, te mamae o te kauae me te mata, me te mamae o ngā niho ngā tohu matua.
- Ko te teki i ō niho i a koe e moe ana (Sleep Bruxism) ka nui ake te kino ki ō niho me ō kauae i tō te wā e ara ake ana.
- Ko ngā maimoatanga matua ko te whakamahi i tētahi pare waha, te whakahaere i te ahotea, me te whakarerekē i ngā tikanga noho.
- Ki te mau tonu ngā tohu, kaua e warewarehia, me toro atu ki te tākuta. Māna koe e tohutohu ki te rongoā e tika ana.
He mea nui: Ki te mea kei te tango koe i tētahi o ēnei rongoā, kōrero ki tō tākuta mō tēnei. Kaua rawa e mutu te tango i tō rongoā me te kore e pātai tuatahi ki tō tākuta!
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
Mena ka haere tonu tēnei, ā, kāore e rongoatia, ka puta ngā raruraru pēnei i:
Me pēhea te kite a te tākuta i tēnei?
Ko te tikanga ka tātaritatia tuatahitia tēnei e te tākuta, inā koa te tākuta niho . Ka tirohia ō niho, ka tirohia te āhua o te mau, ā, ka pātai atu ki a koe mō ō tohu hei whakatau mēnā kei a koe tēnei mate.
Engari i ētahi wā, hei whakaū i te āhua o te mate me te kaha o tōna kino, ka tonoa pea koe ki te mahi i tētahi 'rangahau moe' (Polysomnography). Ko te tikanga o tēnei ko te noho mō te pō i roto i tētahi pokapū moe hōhipera me te aroturuki i te mahi a tō roro, te manawa, me ngā nekehanga o tō kauae i a koe e moe ana.
He aha ngā maimoatanga mō te bruxism?
Mena he tino ngawari te mamae o te niho, arā, he wā poto noa iho koe e kuru ana i ō niho, kāore pea koe e hiahia ki tētahi maimoatanga nui. Heoi, i ngā wā tino kino, ka tūtohu pea tō tākuta i tēnei momo maimoatanga.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā Ārai Waha | Ka hangaia e te tākuta niho he taupoki kirihou motuhake hei tau ki ō niho. Ina moe koe me te taupoki i te pō, ka mutu te kuru o ō niho, ā, ka whakaitihia te pēhanga ki tō kauae. |
| Ngā huarahi hei whakaiti i te ahotea | Ka taea te whakahaere i te ahotea mā te whakaaroaro, te whakakori tinana, me te hinengaro whakaora, inā koa ko te Whakaora Whanoke Hinengaro (CBT) . Ka taea e tēnei te whakaiti i te bruxism. |
| Ngā huringa āhua noho | Ko te whakaiti i tō inu kawhe me te waipiro, me te whakamutu hoki i te kai hikareti mēnā ka pērā koe, ka āwhina i te whakaiti i te ngau o ngā niho, ā, ka pai ake tō moe. |
| Ngā rongoā | Tērā pea ka tūtohu tō tākuta kia tangohia he rongoā whakangāwari uaua i mua i te moe, engari he poto noa te wā e hoatu ai ēnei. |
| Ngā werohanga paitini botulinum | I ngā wā tino kino, ka taea te werohanga Botox® ki roto i ngā uaua o te kauae. Mā tēnei ka whakangāwari i ngā uaua mō te wā poto, ka whakaiti hoki i te mamae. Heoi, me tukurua te werohanga i ia 3-4 marama kia mau tonu ai ngā hua. |
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ētahi o ngā tohu kua whakahuatia ake nei (pēnei i te mamae o te upoko me te mamae o te kauae), ki te mau tonu, ki te kino haere, ki te kite rānei koe kua tawhito ō niho, me toro atu koe ki te tākuta, inā koa ki te taote niho.
Tērā pea kei te pāngia koe e te ahotea mō te wā roa. Mēnā koinei te āhua, ka kitea e koe he otinga rangitahi. Mēnā rānei, me hiahia pea koe ki tētahi mea pēnei i te ārai waha mō te wā roa. Heoi, ka taea e te tākuta te āwhina i a koe.
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