Revathi, mphunzitsi wa yoga wazaka 32, adapita kuchipatala changa akuoneka wokhumudwa kwambiri. "Dr. Priya, nthawi iliyonse ndikadya, ndimamva phokoso la nsagwada yanga. Kuphatikiza apo, ndakhala ndikumva kupweteka pafupi ndi khutu langa kwa masiku angapo tsopano. Zikundipangitsa misala," adatero, akuyendetsa dzanja lake m'tsitsi lake mwamantha, momveka bwino kuti wathedwa nzeru ndi vutoli.
Ndinamwetulira momulimbikitsa kuti amuthandize. “Simuli nokha pankhaniyi, Revathi; anthu ambiri amakumana ndi mavuto ndi ziwalo zawo za nsagwada. Izi zimadziwika kuti Temporomandibular Joint, kapena TMJ . Cholumikizira ichi chimagwirizanitsa nsagwada yanu ndi chigaza chanu, ndipo ngati sichikugwira ntchito bwino, zizindikirozi zimatha kuchitika. Tiyeni tikambirane zambiri za zomwe mukukumana nazo, ndipo ndidzafotokoza momwe tingathandizire.”
Nkhani ya Revathi ndi yodziwika bwino chifukwa cha vuto la Temporomandibular Joint Dysfunction, kapena TMJ Dysfunction . Vutoli limakhudza cholumikizira cha nsagwada ndi minofu yozungulira, zomwe nthawi zambiri zimayambitsa kupweteka, kumveka phokoso, kapena kuvutika kutsegula ndi kutseka pakamwa panu. Tiyeni tikambirane za vuto la TMJ Dysfunction, zomwe zimayambitsa, zizindikiro zake, komanso njira zabwino kwambiri zothetsera vutoli.
Kodi Kulephera kwa Temporomandibular Joint ndi Chiyani?
Chiwalo chanu cha Temporomandibular chimagwira ntchito ngati chingwe chotsetsereka chomwe chimagwirizanitsa nsagwada yanu ndi chigaza chanu. Kulephera kugwira ntchito kwa TMJ kumachitika pakakhala vuto ndi chiwalochi kapena minofu yozungulira. Izi ndi zomwe zimapangitsa kuti ululu ndi kusayenda bwino kwa nsagwada.
Ngakhale zizindikiro monga kusamva bwino m'khutu, kudina, kapena kutsekeka kwa nsagwada zingakhale zokhumudwitsa, nthawi zambiri sizimakhala zoopsa. Komabe, kufunafuna chithandizo choyenera ndikofunikira kuti mukhale ndi moyo wabwino.
“Ndiye, Dokotala, kodi zimenezo zikutanthauza kuti si vuto lalikulu?” anafunsa Revathi, akuoneka womasuka pang'ono.
“Nthawi zambiri, ayi,” ndinafotokoza. “Koma ngati munyalanyaza, pamapeto pake mudzapeza kuti n’kovuta kudya, kulankhula, kapena ngakhale kuyasamula. Nkhani yabwino ndi yakuti ndi kusintha pang’ono kwa moyo ndi chithandizo choyenera, zingathe kuyendetsedwa bwino.”
Kodi N’chiyani Chimayambitsa Kulephera kwa TMJ?
Revathi anawerama nafunsa kuti, “N’chiyani chikuchititsa izi, Dr. Priya? Kodi ndi chinthu chomwe ndachita?”
“Osati kwenikweni,” ndinayankha. “Pali zifukwa zingapo zomwe zimayambitsa vuto la TMJ. Nthawi zina limatha kukhala chifukwa cha kuvulala kwa nsagwada, kapena zizolowezi monga kuluma mano kapena kukukuta mano.”
Nazi zinthu zina zomwe zimachititsa kuti TMJ isagwire bwino ntchito:
- Kukukuta mano usiku (Bruxism): Kukukuta mano usiku kumaika mphamvu yochulukirapo pa nsagwada yanu, zomwe zingayambitse kusagwira bwino ntchito kwa mano.
- Kupsinjika maganizo (Kupsinjika Maganizo ): Munthawi ya kupsinjika maganizo kwambiri, anthu nthawi zambiri amamanga minofu ya nsagwada zawo mosadziwa.
- Kuvulala kwa Nsagwada: Kugundana mwachindunji ndi nsagwada kungawononge Temporomandibular Joint.
- Matenda a nyamakazi: Mitundu ina ya nyamakazi ingayambitse kutupa ndi kupweteka mu TMJ.
- Kaimidwe Koyipa: Kaya mukhulupirire kapena ayi, kukhala pansi kwa nthawi yayitali popanda kaimidwe koyipa kungakhudze momwe nsagwada yanu imakhalira.
Kafukufuku wofalitsidwa mu Journal of Oral Rehabilitation adapeza kuti anthu omwe ali ndi nkhawa kwambiri amakhala pachiwopsezo chachikulu cha TMJ Dysfunction chifukwa cha kupsinjika kwa minofu nthawi zonse komanso zizolowezi zomangira mano.
Kodi Zizindikiro za Kulephera kwa TMJ ndi Ziti?
Ndinafunsa Revathi kuti afotokoze zizindikiro zake. “Ndimamva phokoso la kudina nthawi iliyonse ndikadya,” iye anatero. “Nthawi zina nsagwada zanga zimatsekeka kwa masekondi angapo. Ululu wambiri umakhala pafupi ndi khutu langa.”
Zizindikiro za TMJ Dysfunction zimasiyana malinga ndi munthu, koma zizindikiro zodziwika bwino ndi izi:
- Ululu wa nsagwada: Ululu uwu ukhoza kufika m'makutu, pankhope, ndi pakhosi.
- Kumveka kwa phokoso: Phokoso la phokoso kapena phokoso pamene mukutsegula kapena kutseka pakamwa ndi chizindikiro chodziwika bwino.
- Kuvuta Kudya: Mungamve kusasangalala kapena kupweteka mukutafuna.
- Nsagwada Yotseka: Nthawi zina, nsagwada imatha kutseka kapena kutseka.
- Mutu : Kutopa kwa minofu komwe kumachitika chifukwa cha mavuto a TMJ kungayambitse mutu wopweteka.
Kuzindikira: Kodi Kulephera kwa TMJ Kumadziwika Bwanji?
Revathi ankafuna kudziwa momwe tingadziwire matenda ake. "Kodi ndikufunika X-ray ?" anafunsa.
“Nthawi zambiri, timazindikira vuto la TMJ Dysfunction kudzera mu kufufuza thupi,” ndinafotokoza. “Ndidzakupemphani kuti mutsegule ndi kutseka pakamwa panu kuti ndimvetsere mawu aliwonse. Ndidzafufuzanso ngati nsagwada yanu ili yofewa komanso kuyesa momwe nsagwada yanu imayendera.”
Nthawi zina, kujambula zithunzi monga X-ray, MRI, kapena CT scans kungakhale kofunikira kuti muwone bwino malo olumikizirana mafupa. Komabe, nthawi zambiri zimenezi zimangochitika pazochitika zovuta kwambiri.
Chithandizo: Kodi Mumasamalira Bwanji Kulephera kwa TMJ?
"Ndingakonze bwanji izi?" anafunsa Revathi, mawu ake akusonyeza kufunikira thandizo lalikulu.
Ndinamutsimikizira kuti, "Pali njira zambiri zothandiza zothetsera vutoli. Kwa anthu ambiri, kusintha moyo wawo mosavuta komanso chisamaliro cholunjika ndizofunikira kuti zinthu zisinthe kwambiri."
Umu ndi momwe mungayambire ulendo wanu wopita ku mpumulo:
Njira Zodzisamalira
- Pumitsani nsagwada yanu: Pewani kutafuna kwambiri, kuyasamula kwambiri, kapena kuluma misomali yanu. Perekani nthawi yoti nsagwada yanu ichire.
- Pakani mapaketi otentha kapena ozizira: Gwiritsani ntchito compress yofunda kuti muchepetse minofu ya nsagwada yolimba komanso paketi yozizira kuti muchepetse kutupa.
- Samalani kaimidwe kanu: Kukhalabe ndi kaimidwe kabwino kumachepetsa kupanikizika kosafunikira pa malo olumikizirana mafupa a temporomandibular.
- Sankhani zakudya zofewa: Pewani zinthu zolimba kapena zotafuna zomwe zimafuna kutafuna kwa nthawi yayitali. Gwirizanitsani kudya zakudya zofewa kuti muchepetse kupsinjika kwa mafupa.
Zochita Zolimbitsa Nsagwada
Ndinaphunzitsa Revathi njira yosavuta yomwe nthawi zambiri imatchedwa "kutafuna matabwa".
- Pezani chidutswa cha matabwa chofewa, choyera komanso chaching'ono (pafupifupi 15 cm kutalika ndi 1.5 cm mulifupi).
- Ikani pang'onopang'ono pakati pa malo anu akumbuyo.
- Lumani mwamphamvu ndipo gwirani kwa mphindi 2-3, ngati kuti mukutafuna. Yesetsani kuchita izi katatu patsiku.
Izi zimathandiza kulimbitsa minofu yothandizira nsagwada yanu. Kafukufuku wofalitsidwa mu The Journal of Orofacial Pain akutsimikizira kuti masewera olimbitsa thupi oterewa amatha kuchepetsa bwino kusasangalala kwa TMJ ndikuwonjezera magwiridwe antchito a mafupa pakapita nthawi.
Njira Zachipatala
Ngati zizindikiro zikupitirira, tingakambirane njira zina zamankhwala:
- Jakisoni wa Corticosteroid: Izi zimagwiritsidwa ntchito kuchepetsa kutupa mwachindunji mkati mwa malo olumikizirana mafupa.
- Zopumitsa minofu: Izi zimathandiza kuchepetsa kupsinjika kwakukulu kwa minofu yozungulira nsagwada.
- Opaleshoni: Iyi ndi njira yomaliza, yongogwiritsidwa ntchito pamavuto a kapangidwe ka thupi pomwe njira zina sizinathandize.
Kusintha kwa Moyo Kuti Kupewe Kubwerezabwereza
"Revathi, kusintha pang'ono komanso kosalekeza pa moyo wanu watsiku ndi tsiku ndikofunikira kwambiri kuti zizindikirozi zisabwererenso," ndinalangiza.
- Sinthani kupsinjika: Phatikizani yoga kapena kusinkhasinkha muzochita zanu kuti mupewe kuluma nsagwada zomwe sizikukhudzidwa ndi chidziwitso.
- Gwiritsani ntchito choteteza pakamwa: Ngati mukukuta mano anu mukugona, funsani dokotala wanu wa mano kuti akupatseni choteteza pakamwa chanu chomwe chimayikidwa mwapadera kuti chiteteze mafupa anu usiku wonse.
- Sungani mawonekedwe oyenera: Samalani ndi kaimidwe kanu, makamaka ngati mumakhala nthawi yayitali pa desiki.
Kafukufuku wofalitsidwa mu The International Journal of Prosthodontics akutsimikizira kuti kugwiritsa ntchito zoteteza pakamwa kumachepetsa kwambiri kusasangalala komwe kumachitika chifukwa cha TMJ kwa odwala omwe akuvutika ndi kupukuta mano.
Mafunso Omwe Amafunsidwa Kawirikawiri Okhudza Kulephera kwa TMJ
Kodi vuto la TMJ limatha lokha?
Nthawi zina, zimatha, koma kutsatira njira zochiritsira izi kudzakuthandizani kuchira mwachangu.
Kodi vuto la TMJ ndi vuto lalikulu?
Ngakhale kuti nthawi zambiri sizimaika moyo pachiswe, zimatha kukhala chifukwa cha ululu wosatha. Kuchiza matendawa mwachangu ndikofunikira kuti mukhale ndi moyo wabwino.
Ndi zakudya ziti zomwe ndiyenera kupewa?
Pewani zinthu zolimba kapena zotafuna monga ndiwo zamasamba zosaphika, mtedza, ndi maswiti olimba. Gwirizanitsani ndi zakudya zofewa monga mbatata yosenda, yogati, ndi mazira .
Kodi kupsinjika maganizo kungayambitse kusokonekera kwa TMJ?
Inde, kupsinjika maganizo kumawonjezera kupsinjika kwa minofu ndipo kungayambitse mano omangika osazindikira, chomwe ndi chifukwa chachikulu cha zizindikiro za TMJ.
Kodi opaleshoni imafunika nthawi zonse?
Opaleshoni siifunikira kawirikawiri. Odwala ambiri amapeza mpumulo kudzera mu njira zosamalitsa komanso zosachita opaleshoni.
Maganizo Omaliza
Revathi anatuluka kuchipatala ali ndi mpumulo tsiku limenelo. Anadzipereka kuchita masewero olimbitsa thupi ndi kusintha moyo wathu komwe tinakambirana. "Zikomo kwambiri, Dr. Priya," anamwetulira. "Ndikumva bwino kwambiri podziwa kuti pali dongosolo lomveka bwino loti ndithetse vutoli."
Kuthandiza odwala ngati Revathi ndi chifukwa chake ndimakonda ntchito yanga ku Nirogi Lanka. Kukupatsani mphamvu zowongolera thanzi lanu ndikubwezeretsa moyo wanu wabwino ndiye cholinga changa chachikulu.
