Kodi nsagwada yanu imapanga phokoso loti 'likusweka'? Tiyeni tiphunzire za matenda a TMJ!

Kodi mumamva kupweteka mbali zonse ziwiri za nsagwada yanu mukamadya, kulankhula, kapena kungotsegula pakamwa panu? Kodi nthawi zina mumamva phokoso la 'kudina' kapena 'kudina'? Kapena mumavutika kutsegula ndi kutseka pakamwa panu, ndipo nsagwada yanu imamva ngati yakhazikika pamalo amodzi? Ngakhale mungaganize kuti izi ndi zinthu wamba, izi zitha kukhala vuto lomwe likufunika chithandizo chamankhwala. Lero tikulankhula za vuto ili la nsagwada lomwe anthu ambiri ali nalo koma salankhula zambiri.

Kodi TMJ ndi chiyani?

Mwachidule, cholumikizira chomwe nsagwada yanu yapansi imalumikizana ndi chigaza chanu chimatchedwa Temporomandibular Joint, kapena TMJ . Cholumikizira ichi chili ngati hinge ya chitseko. Chili patsogolo pa khutu lanu lililonse. Cholumikizira chaching'ono ichi chimakuthandizani kulankhula, kudya, komanso kutsegula pakamwa panu mukakumana ndi zovuta. Koma pakakhala vuto ndi cholumikizira ichi kapena minofu yozungulira, timachitcha Temporomandibular Disorders (TMDs). Nthawi zina dokotala wanu angachitchenso TMJ Disorder. Ngakhale anthu ambiri amangotcha vutoli "TMJ," kwenikweni ndi dzina la cholumikiziracho.

N’chifukwa chiyani vutoli limachitika?

Palibe chifukwa chimodzi chokha chodziwikiratu cha vutoli, koma madokotala amakhulupirira kuti limayamba chifukwa cha mavuto a minofu kapena mafupa a akakolo. Pali zifukwa zazikulu zingapo.

• Kuvulala pakhosi: Tangoganizirani ngati wina wakugundani mwadzidzidzi, mwagwa, kapena mwavulala kwambiri pakhosi (chikwapu), monga ngozi ya galimoto, zomwe zingawononge malo olumikizirana mafupa.
• Kukukuta mano: Anthu ena ali ndi chizolowezi chokukuta mano mosadziwa, pogona komanso masana. Izi zimapangitsa kuti nsagwada igwire mwamphamvu kwambiri.
• Kusuntha kwa diski: Pali gawo lofewa, lofanana ndi khushoni (`diski`) mkati mwa cholumikizira cha m'chiuno . Ngati izi zitachoka pamalo ake, zingayambitse ululu.
• Matenda a m'chiuno : Monga ziwalo zina m'thupi, cholumikizira ichi cha m'chiuno chingathenso kudwala matenda a m'chiuno .
• Kupsinjika Maganizo : Mukakhala ndi nkhawa kapena nkhawa, mutha kulimbitsa minofu ya nkhope ndi nsagwada zanu mosazindikira ndikumanga mano anu. Ichi ndi chifukwa chachikulu cha TMD.

Komanso, akazi ali ndi mwayi wowirikiza kawiri wodwala matenda a TMD kuposa amuna. Chifukwa cha izi chikufufuzidwabe.

Kodi zizindikiro za izi ndi ziti?

Kupweteka ndi kusasangalala komwe kumachitika chifukwa cha TMD nthawi zina kumatha pakatha masiku ochepa, kapena kumatha kwa zaka zambiri. Kungakhudze mbali imodzi kapena zonse ziwiri za nkhope. Kumapezeka kwambiri mwa anthu azaka zapakati pa 20 ndi 40. Onani tchati chomwe chili pansipa kuti muwone ngati muli ndi zizindikiro izi.

Kodi muyenera kupita kwa dokotala?

Zizindikirozi zingayambitsidwenso ndi matenda ena, monga mavuto a mano, mavuto a sinus, kapena matenda a chingamu. Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala wa mano kuti adziwe chomwe chimayambitsa vuto lenileni. Dokotalayo adzakufunsani za mbiri yanu ya thanzi ndikukupimirani thupi. Adzayang'ana cholumikizira chanu cha nsagwada kuti aone kupweteka ndikumvetsera mawu omwe mumapanga mukatsegula pakamwa panu. Adzayang'ananso ngati mano anu opangidwa ndi mano akukwanira bwino. Nthawi zina, mungapemphedwe kuti muyesedwe ndi X-ray, MRI, kapena CT scan ya nkhope yanu yonse. Izi zingathandize kuwona bwino zinthu monga momwe mafupa alili m'cholumikiziracho komanso malo a disc mkati.

Mankhwala omwe angachitike kunyumba

Nthawi zambiri, matenda ofatsa a TMD amatha kuthandizidwa ndi zinthu zosavuta zomwe mungachite kunyumba.

• Kumwa mankhwala ochepetsa ululu : Mankhwala monga ibuprofen ( NSAIDs ) angathandize kuchepetsa ululu wa minofu ndi kutupa. Koma lankhulani ndi dokotala musanamwe mankhwala aliwonse.
• Kupopera kotentha kapena kozizira: Ikani paketi ya ayezi pamalo opweteka a nkhope yanu kwa mphindi pafupifupi 10. Kenako ikani nsalu yofunda pamalopo kwa mphindi pafupifupi 5. Chitani izi kangapo patsiku.
• Idyani zakudya zofewa: Phatikizani zakudya monga yogati, mbatata yosenda, supu, mazira , nsomba, ndiwo zamasamba zophikidwa bwino ndi zipatso muzakudya zanu. Pewani zakudya zomwe zimafuna kutafuna monga maswiti olimba, kaloti, tofi, ndi chingamu.
• Siyani zinthu zomwe zingakupangitseni kupanikizika: Pewani zinthu monga kutsegula pakamwa panu mokweza, kufuula mokweza, ndi kutafuna chingamu. Musagwire chibwano chanu ndi manja anu.
• Khalani ndi kaimidwe kabwino: Khalani pansi ndi kuimirira ndi msana wanu wowongoka. Izi zingathandize kuchepetsa ululu wa pakhosi ndi pankhope .
• Sungani mano anu motalikirana pang'ono: Nthawi iliyonse ikatheka, yesetsani kusunga mpata wochepa pakati pa mano anu apamwamba ndi apansi masana. Izi zichepetsa kupanikizika kwa nsagwada yanu.

Ndi mankhwala ati omwe alipo?

Ngati chithandizo cha kunyumba sichithandiza, dokotala wanu angakulangizeni chithandizo chonga ichi.

Mankhwala ndi zipangizo

• Mitundu ya mankhwala:Ngati ululu ndi kutupa kwakukulu, dokotala wanu angakupatseni mankhwala amphamvu ochepetsa ululu, opumitsa minofu, kapena mankhwala oletsa nkhawa.
• Splint kapena Night Guard: Izi ndi zipangizo zapulasitiki zomwe zimayikidwa pa mano kuti zithandize kuchepetsa kuwonongeka komwe kumachitika chifukwa chopera komanso kuti nsagwada ikhale pamalo oyenera.

Mankhwala ena

Kawirikawiri izi ndi mankhwala ochitidwa ndi madokotala apadera.

• Kulimbikitsa mitsempha yamagetsi ya Transcutaneous (TENS): Kumagwiritsa ntchito mphamvu zamagetsi zochepa kuti kupumulitse cholumikizira cha m'chiuno ndi minofu, kuchepetsa ululu.
• Chithandizo cha Ultrasound: Chimagwiritsa ntchito kutentha kwambiri kuti chichepetse ululu ndikulimbikitsa kuyenda kwa mafupa.
• Kubaya: Kubaya mankhwala ochepetsa ululu kapena oletsa ululu m'minofu yopweteka.
• Chithandizo cha laser (`Low-level laser therapy`): Chimachepetsa ululu ndi kutupa, zomwe zimapangitsa kuti zikhale zosavuta kusuntha khosi ndi nsagwada.

Opaleshoni

Pali mitundu itatu ikuluikulu ya opaleshoni: 1. Arthrocentesis: Opaleshoni yaying'ono yomwe imachitika pamene cholumikizira chatsekedwa. Singano imagwiritsidwa ntchito kubaya madzi m'cholumikizira kuti chiyeretsedwe. 2. Arthroscopy: Opaleshoni yomwe imachitika pamene kamera yaying'ono (arthroscope) yalowetsedwa m'cholumikizira kuti ione mkati. Iyi ndi opaleshoni yosavuta yomwe imachira mwachangu. 3. Opaleshoni yotseguka: Opaleshoni yayikulu yomwe imachitika pamene cholumikizira chatha kapena chayamba chotupa. Izi zimatenga nthawi yayitali kuti chichiritsidwe. Kupweteka kwa nsagwada, TMJ, TMD, matenda a temporomandibular, matenda a nsagwada, kupukuta mano, kupweteka kwa nsagwada Sinhala, kupweteka potsegula pakamwa