I haere mai a Revathi, he kaiako yoga 32-tau te pakeke, ki taku whare hauora me te āhua pouri. "E Tākuta Priya, i ia wā ka kai ahau, ka rongo ahau i te tangi pāorooro i roto i taku kauae. Haunga tēnā, kua maha ngā rā e mamae ana te taringa. Kei te haurangi ahau," tana kī, me te mirimiri i tōna ringa ki roto i ōna makawe me te mataku, me te mārama kua tino pāngia e te raruraru.
I ataata whakamarie ahau kia marino ai ia. "Ehara i te mea ko koe anake i roto i tēnei, e Revathi; he maha ngā tāngata e pāngia ana e ngā raruraru o ō rātou hononga kauae. E mōhiotia ana tēnei ko te Hononga Temporomandibular, ko te TMJ rānei. Mā tēnei hononga e hono tō kauae ki tō angaanga, ā, ki te kore e mahi tika, ka puta pea ēnei tohu. Me kōrero atu tātou mō ō āhuatanga, ā, māku e whakamārama me pēhea tātou e āwhina ai."
Ko te kēhi a Revathi he whakaaturanga noa o te Temporomandibular Joint Dysfunction, te TMJ Dysfunction rānei . Ka pā tēnei āhuatanga ki te hononga kauae me ngā uaua e karapoti ana, ā, he maha ngā wā ka mamae, ka pāorooro, ka uaua rānei te whakatuwhera me te kati i tō waha. Me ruku tātou ki te aha te TMJ Dysfunction, ōna take, ōna tohu, me ngā huarahi tino whai hua hei whakahaere.
He aha te ngoikore o te hononga temporomandibular?
He rite te mahi a tō Hononga Temporomandibular ki tētahi hononga reti e hono ana i tō kauae ki tō angaanga. Ka puta te ngoikore o te TMJ ina he raruraru kei tēnei hononga, kei ngā uaua rānei e karapoti ana. Koinei te take e mamae ai, e kore ai e neke te kauae.
Ahakoa he whakarihariha ngā tohu pēnei i te mamae o te taringa, te pāorooro, te mau rānei o te kauae, he onge noa iho ēnei tohu. Heoi, he mea nui te rapu maimoatanga tika hei whakapai ake i te kounga o tō oranga.
"Nā, e Tākuta, ko te tikanga ehara tēnei i te raru nui?" i pātai a Revathi, me te āhua marino ake.
"Kāo," taku whakamārama. "Engari ki te kore koe e aro, tera pea ka uaua ki te kai, ki te kōrero, ki te hamama rānei. Ko te rongo pai, mā te whakarerekētanga iti o te āhua noho me te maimoatanga kua whakaritea, ka taea te whakahaere pai."
He aha ngā take o te ngoikore o te TMJ?
Ka piko atu a Revathi ka pātai, "He aha te take o tēnei, e Tākuta Priya? Nāku rānei tēnei mahi?"
"Kāore rawa," taku whakautu. "He maha ngā take mō te ngoikore o te TMJ. I ētahi wā ka puta mai i te whara o te kauae, i ngā tikanga rānei pēnei i te kōpiri, te kuru rānei i ō niho."
Anei ētahi āhuatanga noa e whai wāhi ana ki te ngoikore o te TMJ:
- Bruxism (Te Hurihuri Niho): Mā te hurihuri i ō niho i te pō ka nui rawa te pēhanga ki tō hononga kauae, ka pā pea ki te ngoikore o te hononga.
- Te ahotea ((Te ahotea hinengaro ): I ngā wā ahotea nui, ka kore e mōhiotia e te tangata te kōpeketanga o ngā uaua o ō rātou kauae.
- Ngā whara o te kauae: Ka taea e te pānga tika ki te kauae te pakaru o te Hononga Temporomandibular.
- Te mate rumatiki: Ka taea e ētahi momo mate rumatiki te whakamumura me te mamae i roto i te TMJ.
- Tūnga Kino: Whakapono mai, ahakoa kāore, ka pā te noho roa me te tūnga kino ki te tū tika o tō hononga kauae.
I kitea i roto i tētahi rangahau i whakaputaina i roto i te Journal of Oral Rehabilitation, ko te hunga he nui te ahotea ka nui ake te tūponotanga ki te pāngia e te TMJ Dysfunction nā te pēhanga uaua mau tonu me ngā tikanga pakū niho.
He aha ngā tohu o te ngoikore o te TMJ?
I pātai atu ahau ki a Revathi kia whakaahua i ana tohu. "Ka rongo ahau i te tangi pāorooro i ia wā ka kai ahau," tana kī. "I ētahi wā ka mau taku kauae mō ētahi hēkona. Ko te nuinga o te mamae kei te taha tonu o taku taringa."
He rerekē ngā tohu o te ngoikore o te TMJ i ia tangata, i ia tangata, engari ko ngā tohu noa ko:
- Mamae kauae: Ka taea e tēnei mamae te horapa ki ō taringa, mata, me te kaki.
- Ngā Oro Pāwhiri: Ko te tangi pāwhiri, pakū rānei i te wā e whakatuwhera ana, e kati ana rānei i te waha he tohu matua.
- Te Uauatanga ki te Kai: Tērā pea ka pāngia koe e te mamae, te kore whakamarie rānei i a koe e ngaungau ana.
- Kauae Maukati: I ētahi wā, ka maukati pea te kauae i te tūnga tuwhera, i te tūnga kati rānei.
- Mamae upoko : Ka taea e te ngenge o te uaua e puta mai ana i ngā raruraru TMJ te arahi ki te mamae upoko taumaha.
Tātaritanga: Me pēhea te tautuhi i te ngoikore o te TMJ?
I hiahia a Revathi ki te mōhio me pēhea mātou e tātaritanga ai i tōna āhua. "Me whai hihi-X ahau?" i pātai ia.
"I te nuinga o te wā, ka tātaritatia e mātou te ngoikore o te TMJ mā te whakamātautau tinana," taku whakamārama. "Ka tono atu ahau kia whakatuwherahia, kia katia hoki tō waha kia taea ai e au te whakarongo ki ngā oro katoa. Ka tirohia hoki e au te ngawari me te whakamātautau i te whānuitanga o te nekehanga o tō kauae."
I ētahi wā, me whakamahi pea ngā whakaahua pēnei i te hihi-X, te MRI, te CT scan rānei hei tirotiro tata i te hononga. Heoi, ko te tikanga he mea motuhake ēnei mō ngā take uaua ake.”
Maimoatanga: Me pēhea te whakahaere i te ngoikore o te TMJ?
"Me pēhea taku whakatika i tēnei?" i pātai a Revathi, me te reo e whakaata ana i te hiahia nui ki te whakamarie.
I whakamanawa atu ahau ki a ia, "He maha ngā huarahi whai hua hei whakahaere i tēnei. Mō te nuinga o te tangata, ko ngā whakarerekētanga āhua noho noa me te tiaki i te tinana te mea anake e hiahiatia ana kia kite i te whakapainga nui."
Anei me pēhea te tīmata i tō haerenga ki te whakaoranga:
Ngā Rautaki Manaaki-ā-Iho
- Whakangāwarihia tō kauae: Kaua e ngaungau nui, e hamama nui, e ngau rānei i ō maikuku. Hoatu he wā ki ō hononga kauae kia ora.
- Tāpirihia he pēke wera, he pēke makariri rānei: Whakamahia he pēke mahana hei āwhina i te whakangāwari i ngā uaua kauae kua pēhia, me te pēke makariri hei whakaiti i te mumura.
- Kia tupato ki tō tū: Mā te pupuri i te tū pai ka whakaiti i te pēhanga koretake ki runga i te hononga temporomandibular.
- Kōwhiria ngā kai ngāwari: Kaua e kai i ngā kai mārō, ngā kai ngaungau rānei e hiahia ana kia roa te ngaungau. Me kai i ngā kai ngāwari hei whakaiti i te taumahatanga o ngā hononga.
Ngā Mahi Whakakaha Kauae
I whakaakona e au a Revathi ki tētahi tikanga māmā e kiia nei ko te mahi "ngau rakau".
- Kimihia he wahi rakau iti, ma, ngohengohe (tata ki te 15 henimita te roa, 1.5 henimita te whānui).
- Whakatakotoria mārire ki waenganui i ō niho kōhao o muri.
- Ngauhia kia kaha, ka pupuri mō te 2–3 meneti, me te mea kei te ngaungau koe. Kia toru ngā wā i te rā e mahi ai i tēnei.
Ka āwhina tēnei ki te whakapakari i ngā uaua e tautoko ana i tō kauae. E whakaū ana ngā rangahau i whakaputaina i roto i te The Journal of Orofacial Pain ka taea e ēnei mahi whakaora te whakaiti i te mamae o te TMJ me te whakapai ake i te mahi tahi whānui i roto i te wā.
Ngā Wawaotanga Hauora
Mēnā ka mau tonu ngā tohu, ka taea e tātou te matapaki i ētahi atu kōwhiringa hauora:
- Ngā werohanga corticosteroid: Ka whakamahia ēnei hei whakaiti i te mumura i roto tonu i te hononga.
- Ngā rongoā whakangāwari uaua: Ka āwhina ēnei ki te whakaiti i te taumahatanga nui o ngā uaua e karapoti ana i te kauae.
- Pokanga: Koinei te huarahi whakamutunga, e whakamahia ana mō ngā raruraru hanganga anake kāore i taea e ētahi atu maimoatanga te whakaora.
Ngā Huringa Āhua Noho hei Ārai i te Hokinga Mai o te Mate
"E Revathi, ko te mahi i ngā huringa iti, auau ki tō oranga o ia rā te mea nui hei ārai i te hokinga mai o ēnei tohu," ko taku tohutohu.
- Whakahaerehia te ahotea: Whakauruhia te yoga, te whakaaroaro rānei ki roto i tō mahinga hei ārai i te kōpeketanga o te kauae huna.
- Whakamahia he pare waha: Ki te ngau koe i ō niho i a koe e moe ana, pātai atu ki tō tākuta niho mō tētahi pare waha kua whakaritea kia tiakina ō hononga i te pō.
- Kia mau ki te āhua tika o te ergonomics: Kia tūpato ki tō tū, ina koa mēnā he roa ngā hāora e noho ana koe i runga i te tēpu.
E whakaū ana tētahi rangahau i roto i te The International Journal of Prosthodontics, mā te whakamahi i ngā pare waha ka whakaitihia te mamae e pā ana ki te TMJ i roto i ngā tūroro e pāngia ana e te huri niho.
Ngā Pātai Auau mō te ngoikore o te TMJ
Ka ea ko ia anake te ngoikore o te TMJ?
I ētahi wā, ka ea pea, engari mā te whai i ēnei mahi whakaora ka tere ake tō whakaoranga.
He mate kino te ngoikore o te TMJ?
Ahakoa kāore e mōrearea ki te ora, ka taea e ia te waiho hei pūtake mamae pumau. He mea nui te rongoā wawe kia pai ake ai te kounga o tō oranga.
Ko ēhea ngā kai me karo e au?
Āta karohia ngā kai mārō, ngā kai ngaungau rānei pērā i ngā huawhenua mata, ngā nati, me ngā monamona mārō. Me kai i ngā kai ngohengohe pērā i te rīwai penupenu, te miraka kawa, me ngā hua manu .
Ka taea e te ahotea te whakararu i te ngoikore o te TMJ?
Ae, ka whakanui te ahotea i te kume o ngā uaua, ā, ka arahi pea ki te kōpiri o ngā niho ngaro, koinei te tino pūtake o ngā tohu TMJ.
Me mahi tonu te pokanga?
Kāore e hiahiatia he pokanga. Ko te nuinga o ngā tūroro ka kitea te whakaoranga mā roto i ngā huarahi ārai mate, kāore he pokanga.
Ngā Whakaaro Whakamutunga
I wehe atu a Revathi i te whare hauora me te ngākau māhaki i taua rā. I whakapau kaha ia ki ngā mahi whakakori tinana me ngā whakarerekētanga o te āhua noho i kōrerohia e mātou. "Ngā mihi nui ki a koe, e Tākuta Priya," ka menemene ia. "He nui ake te pai o tōku ngākau i te mōhio he mahere mārama hei whakaoti i tēnei."
Ko te āwhina i ngā tūroro pēnei i a Revathi te take i aroha ai ahau ki taku mahi ki Nirogi Lanka. Ko te whakamana i a koe kia whakahaere i tō hauora me te whakahoki mai i te kounga o tō oranga te kaupapa matua.
