He uaua hoki ki a koe te whakatuwhera i tō waha? Kei te ahua kua mau tō kauae? Me kōrero tāua mō te trismus!

Kei te pēhia koe e te mamae o ō uaua kauae i ētahi wā, ā, kāore e taea te whakatuwhera tika i tō waha? He mamae rawa atu, ā, kāore e taea te kai, te kōrero, te whakatuwhera rānei i tō waha? He rite rānei ki te mea kua mau tō kauae? He mea tēnei hei āwangawanga māu. Ko te ingoa hauora o tēnei mate ko te trismus. Me kōrero taipitopito atu tātou mō tēnei i tēnei rā.

He aha te trismus? Kia mārama tātou!

He whakarāpopototanga noa iho, ko te trismus he āhuatanga e piripono ana, e mārō ana ngā uaua e karapoti ana i ō tātou kauae, inā koa ngā uaua e karapoti ana i te hononga temporomandibular (TMJ), ka uaua ai te whakatuwhera i ō tātou waha. Whakaarohia he rite ki te inihi tatau waikura e kore e taea te whakatuwhera, te kati rānei. Nā te pupuhi o ngā uaua kauae nei ka uaua ai te whakatuwhera i ō tātou waha.

I te nuinga o te wā, ka taea e te tangata hauora te whakatuwhera i tōna waha kia rite ki te whānui o ngā maihao e rua, e toru rānei (i runga i te whānui) o tōna ringa. Arā, i waenga i te 40 me te 60 mirimita (mm). Heoi, ko te tangata whai trismus ka taea anake te whakatuwhera i tōna waha i waenga i te 20 me te 35 mirimita, i ētahi wā he iti iho. Whakaarohia te uaua o te mahi i ngā mea pēnei i te kai, te kōrero, me te parai i ō niho. I te nuinga o te wā, ka memeha haere ēnei tohu i roto i ētahi wiki, engari mō ētahi tāngata, ka mau tonu. Ki te puta tēnei, ka pāngia pea e te hinengaro, nā te mea ka puta te manukanuka me te pouri ina kore e taea e koe te mahi i ngā mahi o ia rā.

Ko wai te hunga e tino pāngia ana e tēnei āhuatanga e kiia nei ko te trismus?

Ahakoa ka pāngia te tangata katoa e tēnei mate, tera anō ētahi rōpū ka pāngia e tēnei mate.

• Rangatahi: He mea noa tēnei āhuatanga, inā koa i roto i ngā taiohi i waenga i te 18 me te 25 tau te pakeke, whai muri i te tangohanga o ō rātou niho whakaaro nui. I mōhio koe? Ko te mea ka roa te wā e tuwhera ana te waha i te wā e pokangahia ana ka pāngia pea ngā uaua o te kauae.
• Ngā tāngata e pāngia ana e te mate pukupuku o te upoko me te kaki: Koinei te tino take o te trismus. Kua whakaatuhia e ngā rangahau neke atu i te 40% o ngā tāngata e whiwhi ana i te maimoatanga irahiko mō te mate pukupuku o te upoko me te kaki ka pāngia e te trismus.
• Ngā tāngata whai mate hononga temporomandibular (TMD): He tohu noa te trismus i roto i ngā mate hononga temporomandibular, e mōhiotia ana ko te mate temporomandibular (TMD).

He rite tonu te Trismus me te Tetanus?

Ae, he mea tēnei e pōhēhē ana te tini o te tangata. E rua ngā mate e kiia nei ko te trismus me te tetanus, he rite tonu ngā tohu, pērā i te uaua ki te whakatuwhera i te waha me te mamae. Koia te take e kīia ai e ētahi ko te trismus he "kauae maukati".

Engari ko te rerekētanga matua i waenganui i ēnei mea e ruaĀe, ko te trismus te take o tētahi mea e pā ana ki tō kauae, ki ngā uaua o tō kauae. Arā, pērā i taku kōrero i mua, ko te rongoā mate pukupuku, te tango niho, te raruraru ki te hononga o tō kauae, me ētahi atu. Engari ko te tetanus he mate huakita e kiia nei ko te Clostridium tetani. Ka whakaputahia e tēnei huakita he paitini e whakapūmau ana i ngā uaua. Haunga te whakapūmau o te kauae, ka taea hoki e tetanus te whakapūmau i ngā uaua puta noa i te tinana. Nō reira, he rerekē rawa ēnei āhuatanga e rua.

He aha ngā tohu o te trismus?

Inaianei kei te whakaaro pea koe, "Kāore au i te mōhio mēnā kei a au anō tēnei āhuatanga." Tirohia mēnā kei a koe ēnei tohumate:

• Te kore e taea te whakatuwhera i te waha i te āhua noa: Koinei te tohu matua, te tohu tino kitea hoki.
• Te kikī o te uaua o te kauae: Tērā pea ka rite ngā uaua o ia taha o te kauae ki te pēhia, ki te pēhia rānei i roto.
• Mamae kauae: Ka mamae te kauae ahakoa kei te tū noa koe, arā, kāore koe e kōrero, kāore hoki e kai.
• Mamae i te wā e ngaungau ana: Ka piki ake pea te mamae i te wā e ngaungau ana, inā koa ko ngā kai mārō.
• Mamae i te wā e whakatuwhera ana i te waha: Tērā pea he uaua ki te whakatuwhera i te waha, ā, ka mamae pea ahakoa e ngana ana ki te whakatuwhera i te waha.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea pai kia paku āwangawanga koe mōna.

He aha ngā take o te trismus?

He maha ngā take pea o te trismus. E ai ki taku kōrero i mua ake nei, ko ngā tino take ko ngā mate hononga temporomandibular (TMD), ngā maimoatanga mate pukupuku o te upoko me te kaki, te tango niho whakaaro nui rānei. Haunga ēnei, me titiro tātou ki ētahi atu take:

• Ngā āhuatanga mumura: Mena kei a koe ngā āhuatanga mumura o ngā hononga pērā i te rumatiki rheumatoid, te osteoarthritis, te scleroderma rānei, ka pā pea ēnei ki tō hononga kauae, ka puta ai te trismus.
• Ngā mate urutā: Ka taea hoki tēnei āhuatanga te puta mai i ngā momo mate urutā.
• Ngā matepukupuku
• Te mate tonsillitis
• Ngā mate niho, inā koa he whewhe niho.
• Ngā mate pukupuku o te kaki, o ngā repe huware rānei (te repe parotid).
• Whara: Ki te pāngia koe e te whiu kaha ki tō kauae, ki tō mata rānei, ki te whara rānei koe i tētahi aituā, tera pea ka pakaru ngā uaua o tō kauae, ā, ka puta pea te trismus.
• Te whēwhe peritonsillar (PTA): I ētahi wā, ina kaha te mate tonsillitis, ka puta he pute kī tonu i te waikura huri noa i ngā tonsils. Ka kiia tēnei he PTA. Ka puta anō hoki te trismus i roto i tēnei āhuatanga.
• Ētahi atu take: Ka puta te trismus hei pānga taha o ētahi rongoā, ā, i roto i ngā āhuatanga onge o te pūnaha io.

Me pēhea te tautuhi a ngā tākuta i te trismus?

Ina kite koe i tētahi tākuta me ēnei tohu, ka pātai tuatahi rātou ki a koe mō ō tohu. Kia pēhea te roa o te wā e pāngia ana koe e ēnei tohu, kia pēhea te tawhiti e taea ai e koe te whakatuwhera i tō waha, ā, kia pēhea te kaha o te mamae? Kātahi ka tirotirohia e te tākuta tō kauae, tō kaki, me tō hononga temporomandibular (TMJ).

I ētahi wā, me whai whakamātautau anō hei whakatau i te tino take o tēnei mate. Hei tauira:

• Matawai CT (Tomography Rorohiko - matawai CT)
• Matawai MRI (Whakaahua Āhua Aukume - Matawai MRI)

Ka kitea mārama e ēnei matawai te āhua o te hononga kauae, ngā uaua, ngā wheua, me ngā kiko e karapoti ana.

He aha ngā maimoatanga mō te trismus?

I te rongoā i te trismus, ka ngana tuatahi ngā tākuta ki te rongoā i te pūtake. Hei tauira, ki te kore e taea e koe te whakatuwhera i tō waha nā te mea kua pūngā te niho, ka tohua pea e tō tākuta he rongoā paturopi hei rongoā i te mate, ka whakatau rānei rātou ki te tango i te niho.

I te rongoā i te pūtake o te mate, ka rongoāhia hoki te trismus hei whakaiti i ōna tohu. Ko ngā maimoatanga matua e whakamahia ana mō tēnei ko:

• Ngā rongoā whakangāwari uaua: He rongoā ēnei hei āwhina i te whakangāwari i ngā uaua kauae piri, pūmau, me te whakaiti i te mamae.
• Whakaora tinana: He maimoatanga tino nui tēnei. I raro i te arataki a te kaiwhakaora tinana, ka taea e koe te mahi i ngā mahi pēnei i te whakakorikori totoro e whakakorikori haere ana i ngā uaua kauae piri. I ētahi wā ka whakamahia he taputapu motuhake mō tēnei. Mā ēnei whakakorikori koe e āwhina ki te whakanui haere i te whānuitanga o te whakatuwheratanga o tō waha.
• Ngā rongoā whakamamae mamae: Ka taea e koe te whakamahi i ngā rongoā whakamamae mamae e hokona kore ana i te rongoā, i ētahi atu rongoā rānei kua tohua e tō tākuta hei whakahaere i te mamae.

He mea nui: Kaua rawa e tango i tētahi rongoā māu ake me te kore e kōrero ki te tākuta. Ka kino ake pea te āhua.

Mena kei a au te trismus, he aha taku e taea ai te mahi māku ake?

Haunga ngā maimoatanga e tukuna ana e tō tākuta, tera atu ētahi mea ngāwari ka taea e koe te mahi i te kāinga hei whakaiti i tēnei mamae.

• Whakatārewatia tō kauae: Ko ngā āhuatanga pēnei i te ngau i ō maikuku, te ngaungau i ngā pene me ngā pene rākau, me te ngaungau i te kapia ka nui ake te taumahatanga ki ngā uaua o tō kauae piri. Ngāna kia matara atu i ēnei āhuatanga mō tētahi wā.
• Āta karohia ngā kai mārō, piri: Kaua e kai i ngā kai uaua ki te ngaungau (hei tauira, mīti, taro mārō, kāreti mata), engari me kai i ngā kai ngohengohe, wai. He pai te pāreti, te hupa, te raihi kuoro me te ranu, te miraka kawa, me te wai hua i tēnei wā.
• Te rongoā wera makuku i te kāinga:Ruia he kakahu ma, he tauera iti rānei ki te wai wera (kaua e wera rawa hei tahu i tō kiri), kōmiomio kia pai, ka whakanoho ki tō kauae me tō kaki mō te 15 meneti pea. Me mahi tēnei i ētahi wā i te rā, tata ki te kotahi i te hāora. Mā tēnei wera makuku ka āwhina i te whakangāwari i ngā uaua, ka whakaiti i te pakari me te mamae.
• Mirimiri mārire i tō kauae: Mā te mirimiri mārire i tō kauae i roto i ngā nekehanga porowhita me ō matimati ki ngā wāhi kāore e mamae ka āwhina i te whakangāwari i ngā uaua. Engari kaua e pēhi rawa i te wāhi mamae.

Kia pēhea te roa ka pai ake ai taku wairua?

Ko te tino take o te trismus me te angitu o te maimoatanga tēnei. I te nuinga o te wā, ina koa mēnā he mate rangitahi pēnei i te tango niho, ka ngaro katoa ngā tohu i roto i ētahi wiki. Heoi, mēnā he mate pēnei i te maimoatanga matepukupuku, tera pea ka roa ake te ora. Tērā pea me whai rongoā tinana mō te wā roa.

Ka taea te ārai i te trismus?

I ētahi wā, pērā i te wā e hiahiatia ana te rongoā irahiko mō te mate pukupuku o te upoko me te kaki, he uaua ki te whakakore katoa i te mōrearea o te trismus. Heoi, kei te rapu tonu ngā tākuta me ngā kairangahau i ngā huarahi hei whakaiti i ngā pānga taha o aua maimoatanga, pērā i te trismus. Hei tauira, ka tīmata pea ētahi mahi whakapakari tinana i mua i te tīmatanga o te rongoā mate pukupuku, ka whakaiti pea i te mōrearea o te trismus.

Ka aha mēnā kei a au te trismus? He aha ngā āhuatanga o te heke mai?

Ko tō matapae ka whakawhirinaki ki te pūtake o tō trismus. E ai ki taku kōrero i mua ake nei, ko te hunga e pāngia ana e te trismus i muri i te maimoatanga matepukupuku, tera pea ka roa ake ngā tohu. Tērā pea ka hiahia rātou ki te rongoā tinana mō te wā roa.

I te tirohanga tuatahi, he iti noa iho te āhua o te kauae pakari me te kore e taea te whakatuwhera i tō waha ina whakaritea ki tētahi mate kino pērā i te mate pukupuku. Engari ki te kore e rongoatia, ka pā nui tēnei āhuatanga ki tō kounga o te oranga. Ina kore e taea e koe te kai tika, ka ngoikore tō tinana, ka ngoikore hoki ngā kai. Ina uaua koe ki te kōrero me te hono atu ki ētahi atu, ka pōuri koe, ka mokemoke, ka pouri hoki.

Nō reira, ki te mea he uaua ki a koe te whakatuwhera i tō waha, he mamae rānei tō kauae, inā koa kua rongoatia koe mō te mate pukupuku o te upoko me te kaki, mēnā rānei kua tangohia tō niho i ngā wā tata nei, kaua e warewarehia ēnei tohu. Me whakamōhio tonu atu ki tō tākuta. Ka taea e ia te whakarato i te maimoatanga me ngā tohutohu e tika ana hei āwhina i a koe ki te wikitoria i tēnei mamae.

Hei whakamutunga, hei whakamutunga, kia mahara ki tēnei !

Nō reira, ko tāku tumanako kua mārama ake koe ki te mate e kiia nei ko te trismus, i kōrerohia e tātou i tēnei rā. Kia maumahara, he mea tino nui kia aro atu koe ki ngā tohu rerekē katoa e puta ana i roto i tō tinana.

• Ki te uaua ki te whakatuwhera i tō waha, ki te mamae rānei tō kauae, kaua e tatari noa kia "pai".
• Kia tūpato rawa ki ēnei tohu mēnā kua rongoatia koe mō te mate pukupuku o te upoko, o te kaki rānei, mēnā rānei kua tata nei koe ki te pokanga niho.
• Ko te mea pai rawa atu ka taea e koe ko te toro atu ki te tākuta i te wā e taea ai, me te tiki tohutohu. Mā te maimoatanga tere, ka taea e koe te whakahaere i tēnei āhuatanga, me te pupuri i te kounga pai o te oranga.

Kia ora pai koe!

` Trismus, Trismus, Maukati Kauae, Uauatanga ki te Whakatuwhera i te Waha, Mamae Kauae, Niho Whakaaro Nui, Maimoatanga Mate Pukupuku, Hononga Kauae