Kua ara ake koe i te oho ohorere, ā, ka rongo koe i te tangi pāorooro mai i tō kauae? Kua pāngia rānei koe e te mamae iti i mua i ō taringa, i te taha o te hononga kauae, ā, kua uaua ki te whakatuwhera, ki te kati rānei i tō waha? Koinei pea te take o ō mamae upoko maha. He tokomaha kua pāngia e tēnei, engari kāore rātou e mōhio he aha te take. I tēnei rā kei te kōrero tātou mō te Mate Hononga Temporomandibular (TMJ), he mate noa engari he āhua whakarihariha e pā ana ki tō tātou hononga kauae.
He aha te TMJ?
Whakaarohia tō kauae he hononga. Mā tēnei hononga ka taea e tātou te neke i tō tātou kauae ki runga, ki raro, ki taha ki taha ina kōrero, ina kai, ina oho ake rānei. E rua ā tātou hononga pēnei kei mua i ō tātou taringa, kei ia taha o tō tātou mata. E mōhiotia ana ēnei hononga e te rongoā ko te Hononga Temporomandibular (TMJ) .
Nō reira, ina he raruraru, he mate rānei kei roto i tēnei hononga, i ngā uaua rānei e karapoti ana, ka kiia e mātou ko te Mate TMJ (TMD) . Heoi, i roto i te kōrero whānui, he tokomaha te hunga e kī noa ana ko tēnei mate ko te "whai TMJ".
Ehara tēnei i te mea whakamataku pērā i tō whakaaro. He mate tino noa tēnei. He mea tino noa i roto i ngā wāhine i waenga i te 20 me te 40 tau te pakeke. Ko te mea pai rawa atu, ka taea te rongoā angitu , ā, he onge te puta o ngā raruraru nui mō te wā roa.
He aha ngā tohu o tēnei mate?
Tirohia mēnā kei a koe ēnei tohu. Ehara i te katoa ka pāngia e ēnei tohu, kotahi, e rua rānei.
| Tohu | Te āhua o ō kare ā-roto |
|---|---|
| Te mamae o te kauae, te kanohi rānei | He mamae tonu i te paparinga, i te taha o te taringa, i te taha rānei o te hononga kauae. Tērā pea ka kino ake tēnei ina ngaungauhia te kai. |
| Ngā mamae o te upoko, ngā migraines rānei | He ānini e haere mai ana, e haere atu ana, kāore he take e kitea ana. I ētahi wā ka rite ki te tīmatanga mai i muri o te taringa, i roto hoki i te kaki. |
| Te pakari, te piri rānei o te kauae | He uaua ki te whakatuwhera i tō waha ina ara ake koe i te ata, ā, e ahua ana kua mau tō kauae. Tērā ētahi wā kāore e taea e koe te whakatuwhera katoa i tō waha. |
| He oro 'Tuck', 'click', 'click' rānei | Ka rangona he tangi pātōtō mai i te hononga o te kauae ina whakatuwherahia, ina katihia rānei te waha, ina ngaungauhia rānei te kai. Heoi, ki te mea he tangi pātōtō noa iho, kāore he mamae, ehara i te raruraru nui. |
| Te mamae o te taringa, te tangi rānei | Te rongo i te tangi, i te haruru rānei i roto i te taringa, engari kāore he mate taringa. |
| Mamae niho | He mamae niho e kore e kitea e te tākuta niho te take. |
| Mamae kaki, mamae pakihiwi rānei | Ka taea hoki e ngā uaua kauae kikī te whakakī i ngā uaua o te kaki me te pakihiwi, ka mamae ai. |
Mena ka mau tonu ēnei tohu i roto i ngā rā torutoru, ā, kāore e pai ake, ka whakararuraru rānei i ō mahi o ia rā, me toro atu koe ki te tākuta.
He aha tātou i pāngia ai e tēnei āhuatanga TMJ?
He uaua ki te tohu i te take kotahi anake mō tēnei. He maha ngā wā, he huinga o ngā āhuatanga maha e whai wāhi ana ki tēnei.
- Ngā whara ki te kauae: Pērā i te whiu kaha ki te mata, te whati o te wheua i te kauae, te motumotu rānei o te hononga.
- Te kuru niho (Bruxism): Ko te kuru niho, inā koa i te moe , i te kōpeketanga rānei i ō niho i te awatea, ka nui te pēhanga ki ngā hononga me ngā uaua.
- Mate rumatiki: Ka pā te mate rumatiki ki te hononga hope me te turi.
- Ngā raruraru tūnga niho: Ka taea e ngā niho kāore e taurite te hono tetahi ki tetahi (ngau he) te pēhanga nui ake ki te hononga kauae.
- Taumahatanga: Ina pāngia tātou e te taumahatanga, ka whakakikitia e tātou ngā uaua o tō tātou mata me tō tātou kauae, kāore i te mōhiotia. Ka mamae pea tēnei mēnā ka haere tonu.
Ā tātou ake whanonga e whakanui ana i te mōrearea
I ētahi wā, mā ngā mea iti e mahia ana e tātou i ia rā ka nui haere te mamae o te TMJ.
- Te ngaungau i ngā mea pēnei i ngā kakau pene, ngā poraka hukapapa, me ngā whao.
- Te noho me te tū tika, ina koa i te wā e mahi ana i te rorohiko, me te kaki me te māhunga e anga whakamua ana.
- I te wā e kai ana i ngā kai pēnei i te hāmipeka, me whakatuwhera nui tō waha, ka ngaungau i ngā wahi nunui.
- Te whakamahi i ō niho mō ngā mahi pēnei i te whakatuwhera i ngā taupoki pounamu.
- Mā te moe puku ka pēhia tō kauae e te koretake.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ko tana mahi tuatahi he pātai taipitopito ki a koe mō ō tohumate. Kātahi ka tirotirohia e ia tō tinana.
He aha ngā mea ka tirohia i te wā o te whakamātautau hauora?
- Kei te kite mātou me pēhea te whānui o tō waha e taea ai e koe te whakatuwhera me te kore mamae.
- Ka āta pēhia e tō tākuta tō hononga hope me ngā uaua huri noa hei tirotiro mēnā he mamae, he pakari rānei.
- Ina whakatuwhera, ina kati tō waha, ka rongo koe i te nekehanga o te hononga ki tō ringa, ka kite mēnā he oro.
Ngā whakamātautau mēnā e tika ana
I te nuinga o te wā ka taea te tautuhi i tēnei mate mā te whakamātautau tinana, engari i ētahi wā ka taea te whakahaere i ēnei whakamātautau hei whakaū i te pūtake.
- Ngā hihi-X niho: Tirohia te āhua o ngā niho me ngā kauae.
- Matawai CT: Tirohia ngā taipitopito o ngā wheua o te hononga.
- Matawai MRI: Kitea ngā raruraru o te kiriuhi, ngā kiko ngohengohe, me ngā uaua huri noa i te hononga.
Ko te wawe o te tautuhi i tēnei mate, ka māmā ake te rongoā , ka tere ake hoki te ora.
Me pēhea te rongoā?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o ō tohu me tōna kaha. I te nuinga o te wā, ka tīmata mātou me ngā maimoatanga māmā, kaua ki ngā mea nui pēnei i te pokanga.
Ngā momo rongoā
Tērā pea ka tohua e tō tākuta ēnei rongoā hei whakaiti i te mamae, te pupuhi, me te pakari o ngā uaua.
| Kāwai rongoā | Ngā tauira | Mahi |
|---|---|---|
| Ngā rongoā whakamamae | Acetaminophen | Hei whakamama i te mamae. |
| Ngā rongoā ārai-mumura (NSAID) | Ibuprofen, Naproxen | Hei whakahaere i te mamae me te pupuhi. |
| Ngā rongoā whakangāwari uaua | (Ngā rongoā whakangāwari uaua) | Hei whakaiti i te ngau o ngā niho me te pēhanga o ngā uaua. |
| Ngā rongoā ārai pouri | (Ngā rongoā ārai pouri iti-horopeta) | Hei whakahaere i ētahi momo mamae roa, hei whakaiti hoki i te tetere o ngā niho i te wā e moe ana. |
| He mea nui: Me whakamahi noa i ēnei rongoā katoa i raro i te tohutohu a tō tākuta. | ||
Ngā maimoatanga kore-pokanga
He tokomaha e whiwhi hua pai ana i ēnei tikanga.
- Ngā ārai waha, ngā whitiki rānei: He taputapu motuhake i hangaia hei mau i te pō i a koe e moe ana, inā koa mō te hunga e kuru ana i ō rātou niho, hei tiaki i ō rātou niho me te whakaiti i te pēhanga ki te hononga kauae.
- Whakaora tinana: Ngā mahi whakakori tinana motuhake hei whakapakari i ngā uaua o te pona waewae, hei whakanui ake hoki i tō rātou ngāwari.
- Te whakarerekē i ngā tikanga: Kaua e ngaungau i te kapia, te kapia mirumiru, whakaitihia te kai i ngā kai mārō (hei tauira, te mīti maroke, ngā pihikete mārō), ā, kia mau tonu te tū tika.
- Whakaora-orooro: Ka whakamahia te wera hei whakangāwari i ngā uaua.
- Whakaora TENS: Ka whakamahia he iahiko iti rawa hei whakaiti i te mamae me te pakari o te uaua.
Pokanga
Mena kāore i angitu ngā maimoatanga katoa, ka whakaarohia pea e te tākuta te pokanga.
- Te tātaritanga o te uaua o te hononga:Ka whakamahia he ngira hei wero i te wai ki roto i te hononga, hei horoi i te roto o te hononga, hei tango hoki i ngā matū e puta ai te mumura.
- Te pokanga TMJ: He pokanga iti mā te whakauru i tētahi kāmera iti rawa ki roto i te hononga.
- Pokanga hononga tuwhera: He pokanga uaua ake, ka mahia anake mēnā he raruraru hanganga nui kei te hononga.
Ka taea te whakaora katoa i tēnei mate?
Ae. Ka taea e te nuinga o te tangata te whakahaere pai i tēnei āhuatanga, ā, i ētahi wā ka ora katoa . Mō ētahi tāngata, ka pai ake ngā tohu i roto i te wiki, i ngā wiki e rua rānei. Mō ētahi atu, me whai maimoatanga pea mō tētahi wā. Ko te mea nui, mā te tātaritanga tika me te mahere maimoatanga tika, ka taea e te nuinga o te tangata te whakaora i te mamae me te hoki ki te mahi noa o ō rātou kauae.
Ahakoa he mamae poto, he mamae roa rānei, kei reira te āwhina e wātea ana. Mena kei te whakararuraru ō tohumate i tō oranga, kaua e whakaroa , me kōrero ki tō tākuta .
Karere Tangohia ki te Kāinga
- He mate noa te mate TMJ, ā, ka taea te rongoā, e pā ana ki te hononga kauae me ngā uaua e karapoti ana.
- Ko te mamae o te kauae, te haruru i te wā e whakatuwhera ana i te waha, te mamae o te upoko kāore e taea te whakamārama, me te mamae o te taringa, koinei pea ngā tohu matua.
- Ka taea e te ngau niho, te ahotea, me ngā tikanga kino te whakararuraru i tēnei āhuatanga.
- Mā ngā mahi ngāwari pēnei i te karo i ngā kai raukikī, te whakaiti i te ahotea, me te pupuri i te tū tika ka tino whakaora.
- Ki te mau tonu, ki te kino rānei ngā tohu, me rapu tohutohu hauora. Kaua e warewarehia.
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