Ka rongo koe i te tangi pāorooro ina whakatuwhera koe i tō waha, ina horomi rānei? I ētahi wā ka rite koe ki te mea kua mau tō kauae ki te wāhi kotahi? Me noho rānei koe i ō rā me te mamae rerekē e tīmata ana i te taha o tō taringa, te mamae upoko rānei? Mena he mōhio tēnei ki a koe, ehara i te mea ko koe anake. He wheako noa tēnei mō te tini o te tangata. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta ai tēnei, arā, te Temporomandibular Joint Disorder , te TMJ rānei e mōhiotia ana e tātou katoa.
He aha te TMJ?
Ehara i te mate noa te TMJ. Koinei te ingoa i hoatu ki tō tātou hononga kauae. Hei whakamārama, ko te "Hononga Temporomandibular". Kei ia taha o tō tātou mata ēnei hononga e rua, kei mua tonu i ō tātou taringa. Whakaarohia ēnei hononga he rite ki ngā inihi o te tatau. Ka hono tēnei hononga i tō tātou kauae o raro ki tō tātou kauae o runga. Ka āwhina tēnei hononga iti i tō tātou waha kia neke tika ina kōrero tātou, ina kai, ina whakatuwhera i tō tātou waha, ina menemene hoki.
Nō reira, ina he raruraru kei tēnei hononga, kei ngā uaua rānei e karapoti ana, ka kiia e mātou ko te Mate TMJ , arā, ko te kupu hauora ko te `(Temporomandibular Dysfunction - TMD)`. Ehara tēnei i te mea kino rawa atu i tō whakaaro, ā, he maha ngā wā ka taea te whakaora .
He paku noa ake tēnei mate i roto i ngā wāhine. He nui ake hoki te kitea i roto i te hunga i waenga i te 20 me te 40 tau te pakeke. Engari, ehara i te mea kāore e taea e ētahi atu te pāngia e tēnei mate.
He aha ngā tohu o te mate TMJ?
Ka rerekē ngā tohu o te TMJ i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e te mamae iti noa iho, ko ētahi ia ka pāngia e te mamae nui e uaua ai te mahi i ngā mahi o ia rā. E whakaatu ana te ripanga i raro nei i ēnei tohu me te pānga ki a koe.
| Tohu | Te āhua o ō kare ā-roto |
|---|---|
| Te mamae o te kauae, te kanohi rānei | He mamae ngawari, he mamae hoki e tata ana ki te taringa, ki te paparinga, ki te kauae rānei. Tērā pea ka kino ake tēnei mamae i te wā e kai ana, e kōrero ana rānei. |
| Ngā mamae o te upoko, ngā migraines rānei | He mamae upoko e tino pāngia ana, inā koa ki ngā rākau. I ētahi wā ka rite te kino ki te migraine. |
| Te raka o te kauae | He āhua e mau ana tō kauae i te wāhi kotahi, kāore e taea te whakatuwhera, te kati rānei i tō waha. Tērā pea ka kitea ake tēnei ina ara ake koe i te ata. |
| Te tangi pakū | Ina whakatuwheratia, ina kati te waha, ka rangona he tangi 'pāwhiri', he tangi 'tock' rānei. I ētahi wā ka rangona he tangi huri. |
| Te mamae o te taringa, te tangi rānei | Tērā pea ka mamae koe i roto i tō taringa, engari kāore he mate taringa. Tērā pea ka rongo koe me te mea kei te tangi ō taringa. |
| Mamae niho me te mamae o te kaki me te pakihiwi | Me te mea kei te mamae ō niho, kāore he take. Waihoki, ka horapa ngā raruraru o te hononga kauae ki ngā uaua o te kaki me ngā pakihiwi, ka mamae. |
Mena ka mau tonu, ka kino rānei ēnei tohu, he mea nui kia toro atu koe ki tō tākuta mō ētahi tohutohu.
He aha i puta ai ēnei mate TMJ?
He uaua ki te tohu i te take kotahi mō tēnei. He maha ngā wā ka puta ake tēnei āhuatanga i te huinga o ngā āhuatanga maha.
- Ngā whara ki te kauae: Ka puta pea tēnei āhuatanga i tētahi mea pēnei i te whiunga ki te kauae, te whati, te nekenekehanga rānei.
- Te whakakorikori niho: He tikanga tēnei a te tini tāngata. Mā te kore e mōhio, ko te kōpiri, te kuru rānei i ō niho, inā koa i te wā e moe ana i te pō, ka nui te pēhanga ki te hononga me ngā uaua o te kauae.
- Mate rumatiki: Ka pā te mate rumatiki ki te hononga kauae, pērā i ētahi atu hononga o te tinana.
- Ngau hē: Ki te kore e tika te tūtakitanga o ngā niho o runga me o raro, ka nui ake te pēhanga ki te hononga o te kauae.
- Te ahotea:Koinei te pūtake o ngā raruraru maha. Ina pāngia tātou e te ahotea, ka whakakikitia e tātou ngā uaua o tō tātou mata me tō tātou kauae. Ina haere tonu tēnei, ka kino pea te hononga.
Ka taea e ēnei whanonga te whakakino ake i te āhuatanga.
I ētahi wā ka whakanui ake ā tātou ake tikanga i tēnei mamae. Tirohia mēnā ka mahi anō koe i ēnei mea:
- Te ngaungau i ngā mea pēnei i ngā pene, ngā pene rākau, me ngā poraka hukapapa.
- Te ngau i ngā maikuku.
- Te noho me te tū tika, ina koa me te kaki e piko ana ki tetahi taha i a koe e noho ana i mua i te rorohiko.
- Te kai i ngā kai nunui (pērā i te pēkana nui, hei tauira).
- He rite ki te whakamahi i ō niho hei whakatuwhera i ngā taupoki pounamu, hei motu rānei i ngā miro.
- Te moe i runga i tō puku.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ko tana mahi tuatahi he pātai atu ki a koe kia mārama ake ai koe ki ō tohumate. Kātahi ka tirotirohia e ia tō tinana.
Anei ētahi mea ka taea e koe te mahi i te wā o te whakamātautau:
- Kia kite tātou kia pēhea te tawhiti e taea ai e koe te whakatuwhera i tō waha.
- Ka pēhia e rātou te rohe huri noa i tō hononga kauae ki ō rātou ringa hei tirotiro mēnā he mamae, he koretake rānei.
- Ka whakarongo koe ki te nekehanga o te hononga me ngā oro e puta mai ana ina whakatuwhera, ina kati hoki tō waha.
I ētahi wā, ka hiahiatia pea ētahi atu whakamātautau hei whakaū i te raruraru tuturu.
- Ngā hihi-X niho: Tirohia te āhua o ngā niho me te kauae.
- Matawai CT: Tikina he whakaahua taipitopito o ngā wheua o te hononga.
- Matawai MRI: Kitea ngā raruraru o te kōpae me ngā kiko ngohengohe e karapoti ana.
Ko te tere o te tautuhi i te raruraru, ko te nui ake o ngā tūponotanga ka taea te rongoā me te ora. Nō reira kaua e manawanui ki te mamae.
He aha ngā maimoatanga mō te TMJ?
Ko te rongo pai, he tokomaha ngā tāngata ka taea te whakahaere i tēnei āhuatanga mā ngā maimoatanga māmā noa iho, me te kore e hiahiatia he pokanga nui. Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te take.
Ngā mea ngāwari ka taea e koe te mahi i te kāinga
- Kai i ngā kai ngawari: Ki te mamae koe, me karo i ngā mea e hiahia ana koe kia ngaungau kaha, pērā i te nati, te pīnati, me te kapia ngaungau. Kia arotahi ki ngā kai ngawari pērā i te hupa, te miraka kawa, me te raihi.
- Ngā kōpeke wera, ngā kōpeke makariri rānei: Tāpirihia he pounamu wai wera, he kete huka rānei ki te wāhi mamae mō te 10-15 meneti pea. Mā tēnei ka whakangāwari i ngā uaua, ka whakaiti hoki i te mamae.
- Ngā mahi whakapakari pona waewae: Ka taea e koe te whakapakari i ngā uaua o tō pona waewae mā te mahi i ngā mahi whakakori tinana māmā kua tohua e tō tākuta, e tō kaiwhakaora tinana rānei.
- Whakaitihia te ahotea:Whakaitihia te ahotea mā te whakaaroaro, te yoga, me ngā mahi manawa hōhonu.
Te maimoatanga hauora
Ki te kore e whai hua ngā maimoatanga kāinga, ka tukuna pea koe e tō tākuta ki ēnei momo maimoatanga.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā | Tērā pea ka tohua he rongoā mamae (hei tauira, acetaminophen), he rongoā ārai-mumura (NSAID - hei tauira, ibuprofen), he rongoā whakangāwari uaua, ā, i ētahi wā, tae atu ki ngā rongoā ārai-pōuri mō te mamae mau tonu. Kaua e tango i tētahi rongoā me te kore he tohutohu hauora. |
| Parenga waha / Pātara | He rite tēnei ki te ārai waha kirihou. Ina koa mō te hunga e kuru ana i ō rātou niho, mā te mau i tēnei i te pō ka āwhina i te whakaiti i te pēhanga ki te hononga. |
| Te Whakaora Tinana | Ngā mahi whakakori tinana me ngā maimoatanga motuhake hei whakapai ake i te nekehanga o ngā hononga kauae, hei whakapakari i ngā uaua, hei whakaiti i te mamae. |
| Ngā werohanga | Ka taea te whakamamae i te mamae mā te werohanga i ngā rongoā pēnei i te steroids ki roto i ngā wāhi motuhake o ngā uaua e puta ai te mamae (ngā pūwāhi whakaoho). |
Ngā Kōwhiringa Pokanga
Ka whakaarohia te pokanga mō ngā take tino kino anake ina kore tetahi o ngā maimoatanga o runga ake nei i angitu. Ehara ēnei i te maimoatanga noa.
- Arthrocentesis: He tikanga e whakamahia ai he ngira hei wero i te wai ki roto i te hononga, hei horoi i te hononga.
- TMJ Arthroscopy: He pokanga iti rawa te whakaekenga e mahia ana mā te whakauru i tētahi kāmera iti ki roto i te hononga.
- Pokanga hononga tuwhera:He pokanga e whakatuwhera katoa ana i te hononga. Ka mahia anake tēnei mēnā he nui te kino o te hononga.
Āhea ahau me toro atu ki te tākuta?
Ki te kore e memeha te mamae o tō kauae, te tangi pāorooro, te kikī rānei i roto i ētahi rā, ki te mea rānei kei te whakararuraru i tō oranga o ia rā, kaua e whakaroa. Tirohia he tākuta tonu. Ka taea e ia te kimi i te pūtake o tō raruraru, ā, ka tūtohu i te maimoatanga tino tika māu.
He mate poto noa te mate TMJ e puta mai ana, e memeha haere ana mō ētahi tāngata. Mō ētahi atu, he mate mau tonu pea, ā, ka roa te mau. Engari mā te maimoatanga tika me ngā huringa momo noho, ka taea e te nuinga o te tāngata te whakakore i te mamae me te whakamahi i ō rātou hononga kauae kia rite ki te tikanga. Nō reira kaua e manukanuka ki tēnā.
Karere Tangohia ki te Kāinga
- He mate noa te mate TMJ e pā ana ki te hononga o tō kauae me ngā uaua e karapoti ana.
- Ko te mamae o te kauae, te tangi 'pāwhiri' i te wā e whakatuwhera ana i te waha, te ānini, me te pakari o te kauae ngā tohu matua.
- Ko te ahotea, te ngau o ō niho i te wā e moe ana, me ngā whara ki tō kauae ētahi o ngā tino take o tēnei.
- Mā ngā mahi māmā pēnei i te kai i ngā kai ngohengohe me te whakamahana ka āwhina i te whakaiti i te mamae.
- Ki te mau tonu ngā tohu, ki te kaha rānei, me rapu tohutohu hauora. He mate tēnei ka taea te rongoā i te nuinga o te wā.











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