Rushaya rwako ruri kunyungudika zvishoma nezvishoma here? (Condylar Resorption) Nhasi tichataura nezvazvo!

Wakamboona here kuti shaya yepazasi yevamwe vanhu inoita kunge yanyura zvishoma, kana kuti chirebvu chavo hachionekwe zvachose? Pamwe pane kurwadziwa munharaunda yeshaya, kana kutonzwika ruzha pakuvhura muromo. Chimwe chikonzero chingave chiri shure kwezvinhu izvi kunyunguduka kwepfupa reshaya ratiri kutaura nezvaro nhasi, chirwere chinonzi (Condylar Resorption) . Usazvidya moyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii ichi (Condylar Resorption)?

Zvichitaurwa zviri nyore, Condylar Resorption inguva iyo maTemporomandibular Joints (TMJs) anoshanda patinovhura nekuvhara miromo yedu anonyunguduka zvishoma nezvishoma, anopera, uye anonyangarika. Aya macondyles emumandibular ndiwo zvikamu zvakakosha zvinobatanidza shaya yedu yepazasi ( mandible) nedehenya kumativi ese. Saka kana aya anyunguduka, shaya yedu yepazasi inodzikira uye inopinda mukati, sekunge yadzikira. Kuchinja uku kunogona dzimwe nguva kuitika nekukurumidza, mumwedzi mishoma chete , kana kuti kunogona kutora makore .

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Funga nezveizvi: Mishumo yezvekurapa inoratidza kuti chirwere ichi (Condylar Resorption) chine mukana wakapetwa kapfumbamwe wekuitika kuvasikana nevakadzi kupfuura varume. Chinonyanya kuitika kuvasikana vadiki vari pakati pemakore gumi nemakumi maviri. Saka kana uine nhengo yemhuri kana mumwe munhu waunoziva muboka iri rezera, zvakakosha kuziva nezvazvo.

(Condylar Resorption) inokanganisa sei miviri yedu?

Izvi zvinogona kuita mutsauko mukuru pakuonekwa uye chimiro chechiso chedu . Unogona kuona kuti shaya yepasi yadzikira, chirebvu hachinyatsooneka, uye kuenzana kwechiso kwachinja. Kwete izvozvo chete, asi izvi (Condylar Resorption) zvinogonawo kukonzera matambudziko ane chekuita nejoini rejaya rinonzi (Temporomandibular Joint Disorders - TMD) . Izvi zvinoreva kuti tsandanyama nemarunda akakomberedza joini rejaya zvinozvimba uye zvinozvimba, izvo zvinogona kukonzera musoro, kurwadziwa kwejaya, kutadza kuvhura nekuvhara muromo zvakanaka, uye ruzha runobva pajoini rejaya pakudya .

Sei izvi (Condylar Resorption) zvichiitika? Ndezvipi zvinokonzera?

Zvakanaka, ngationei kuti sei pfupa reshaya riri kunyunguduka seizvi. Pane zvikonzero zvakawanda zvinogona kukanganisa izvi.

• Zvimwe zvirwere zve autoimmune zvirwere umo masoja emuviri wedu anorwisa masero edu ane hutano zvisizvo. Mienzaniso inosanganisira rheumatoid arthritis , scleroderma , uye systemic lupus erythematosus .
• Kupararira kweropa mutsinga: Ichi chirwere apo masero emapfupa anofa nekuda kwekushaikwa kweropa rinosvika kumapfupa.
• Kuchinja kwemahormone : Kusarongeka kwemahormone, kunyanya panguva yekukura kwevana, kunogona kukanganisa vasikana vadiki.
• Utachiona mujoini reshaya.
• Sekuoma kwezvinhu zvakaita sekurapa mazino kana kuvhiyiwa kweshaya , izvi hazviitike kune wese munhu.
• Matambudziko emajoini asina simba akadai se osteoarthritis .
• Reactive arthritis .
• Njodzi dzinowira pashaya, sekunge kudonha uchitamba wobva warova shaya yako.

Dzimwe nguva chirwere ichi chinogona kuitika pasina chikonzero chakajeka . Vanachiremba vanoti idiopathic condylar resorption . Asi chirwere ichi hachiwanzoitiki.

Ndezvipi zviratidzo zvinoratidza munhu ane Condylar Resorption?

Chiratidzo chinowanzoonekwa chekusveta maronda emudumbu kuchinja kwechimiro nechitarisiko chechiso . Chiratidzo chikuru ndechekuti shaya nechirebvu zvinoita sekunge zvakanyura uye zvakanyura. Pamusoro pezvo, zviratidzo zvakaita seizvi:

• Kuneta nguva dzose .
• Musoro .
• Kurwadziwa mushaya, kurira kwe 'clicking' kana 'popping' pakuvhura nekuvhara muromo .
• Kuvhara mazino, kana kuti malocclusion, zvinoreva kuti mazino haawirirane zvakanaka.
• Kunyanyisa .
• Kuruma kwakavhurika imukana uri pakati pemazino epamusoro neepasi kana muromo wakavharwa , zvichireva kuti mazino haasangane zvakanaka.

Vanachiremba vanoongorora sei chirwere ichi nemazvo?

Kana uine zviratidzo izvi, zvakanaka kuti uone chiremba. Chiremba achakubvunza nezvezviratidzo zvako uye oita bvunzo yemuviri. Vanogonawo kubvunza nezve:

• Nhoroondo yako yese yehutano , chero humwe hurwere huripo, uye mishonga yauri kutora.
• Pane mumwe munhu mumhuri ane zvirwere zvemuviri zvinodzivirira zvirwere kana zvimwe zvirwere zvine chekuita nazvo here (Condylar Resorption).
• Nezve mararamiro ako, mitambo, uye mabasa ako.
• Nezvemishonga yauri kutora parizvino .

Zvadaro, bvunzo dzemifananidzo dzakakosha dzinogona kuitwa kuti dzione zvakajeka chimiro cheshaya, mazino, uye mapfupa echiso. Miedzo iyi inogona kuona zvakajeka kana pfupa reshaya riri kunyunguduka uye kusvika papi.

• Kuongororwa kweX-ray .
• Kuongororwa kweCT .
• Kuongororwa kweMRI .

Vanachiremba vemazino (kunyanya vanachiremba vemazino) vanogona kukwanisa kugadzirisa dambudziko iri.Ungangoda rutsigiro nemazano evanhu vakati wandei, vakaita sachiremba wemapfupa , chiremba wemapfupa, kana chiremba wemhuri yako (Vanopa Rubatsiro Rwekutanga - PCPs) . Ungangodawo kutanga mishonga yenguva refu kudzora kuwanda kwemapfupa usati wavhiyiwa.

Ndezvipi zvirongwa zvekurapa Condylar Resorption?

Nzira dzekurapa dzinoenderana nechimiro chechiso chako, zera, kuoma kwechirwere, uye zvimwe zvirwere. Usazvidya mwoyo, kune nzira dzekurapa izvi.

• Mishonga inorwisa kuzvimba : Iyi inogona kubatsira kuderedza kupararira kwechirwere uye kudzora marwadzo.
• Zvishongo zvekurumwa kana zvekudzivirira mazino : Vamwe vanhu vanokuya mazino avo husiku (Bruxism) , uye izvi zvinogona kushandiswa kuderedza kukuvara kwemazino avo. Izvi zvakafanana nechifukidziro chekudzivirira chinoiswa pamusoro pemazino avo.
• Kuvhiyiwa kweCondylectomy : Uku kuvhiyiwa kunobvisa macondyles emuhuro, kuchichinja shaya kuti ishande zvakanaka uye kunatsiridza chitarisiko chechiso.
• Kurapa Mazino : Semuenzaniso, mabraces ne retainers zvinogona kushandiswa kugadzirisa mazino akakombama nemazino akabuda.
• Kuvhiya kweOrthognathic : Uku kuvhiya kwakaoma zvikuru. Kunosanganisira kugadzirisa shaya dzepamusoro nedzepasi kuti pave nekugadzikana kwechiso. Kunogona kuitwawo pamwe chete nekuvhiya kweTMJ reconstruction.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa?

Zvinogona kutora mavhiki matanhatu kusvika gumi nemaviri kuti unyatsopora mushure mekuvhiyiwa kwakadai seCondylectomy uye Orthognathic surgery. Unofanira kudya chikafu chemvura chete kwemavhiki maviri kusvika mana ekutanga, sezvo uchifanira kuzorora shaya yako. Kana shaya yako yatanga kupora, unogona kutanga kudya chikafu chakapfava zvishoma nezvishoma. Zvese zvinofanirwa kuitwa zvichienderana nemirairo yachiremba wako.

Njodzi yekusveta condylar inogona kuderedzwa here?

Hapana nzira yakajeka yekudzivirira kunyungudika kwemazino. Zvisinei, zvakakosha kuona chiremba wako kana chiremba wemazino nguva dzose, kutaura nezvekuchinja kana matambudziko aunoona mushaya kana mazino ako, uye kuongororwa nachiremba nguva dzose . Izvi zvichakubatsira kuona matambudziko chero api zvawo nekukurumidza.

Ndezvipi zvinozoitika kwenguva refu kana zvikasarapwa?

Kana mazino kana shaya zvikadhonzwa nekuda kweCondylar Resorption, kureva kuti, kana zvisina kuiswa zvakanaka, matambudziko enguva refu akadai se:

• Mazino anotsemuka uye anobuda .
• Semazuva eseMusoro nekurwadziwa kweshaya.
• Kurwadziwa kwemutsipa nemusana .
• Kurwadziwa kwezino .
• Zvingave zvakaoma kuvhura muromo wako, kudya, kana kutotaura .
• Kuchinja kukuru kwechitarisiko chechiso .
• Kurwadziwa kwenguva refu mujoini (TMJ) .

Kana uine zviratidzo izvi (Condylar Resorption), enda kuna chiremba nekukasika. Kurapwa nekukurumidza kunogona kuderedza kana kudzivirira matambudziko mazhinji aya. Saka, usatya uye usanonoka, asi tsvaga mazano echiremba.

Ndingadzokera kubasa/kuchikoro riini mushure mekuvhiyiwa?

Nguva yekupora mushure mekuvhiyiwa inosiyana kubva pamunhu nemunhu. Vanhu vazhinji vanogona kudzokera kubasa kana kuchikoro mumavhiki maviri . Zvisinei, kana uine basa rinorema, zvinogona kutora nguva yakareba kuti unyatsopora. Zvakanaka kubvunza chiremba wako kuti akupe mazano ekuti unofanira kutora nguva yakareba sei uye kuti ungatangazve mabasa ako enguva dzose riini.

Chii chiri kutarisira mamiriro ezvinhu aya?

Kusveta condylar hakusi chirwere chinotyisidzira hupenyu kana kuti chinouraya. Unogona kurarama nechirwere ichi usina kurapwa. Zvisinei, kana chikasarapwa, shanduko muchitarisiko chako chechiso, shaya, uye mazino zvicharamba zvakadaro , uye zvinogona kutowedzera kuipa nekufamba kwenguva.

Vanhu vazhinji vane mhedzisiro yakanaka uye inogutsa mushure mekuvhiyiwa kwe condylar resorption. Kana shaya yakarongeka zvakanaka, chimiro chechiso chako chechisikigo chinodzorerwa uye matambudziko emazino ako kana shaya anodzivirirwa. Kana ukasarudza kusavhiyiwa, kana kana mamiriro ako asina kuipa, taura nachiremba wako nezvenzira dzekuderedza marwadzo nezvimwe zviratidzo (semuenzaniso, mishonga inoderedza marwadzo, shanduko mukudya).

Ndingazvitarisira sei? Ndingaitei kumba?

Kana uri kurwadziwa kana matambudziko eshaya nekuda kweCondylar Resorption, edza zvinhu izvi kumba kuti uderedze zvimwe zvezviratidzo zvako:

• Isa chitofu chakanyorova (senge tauro rinopisa) kana machira echando pashaya yako. Usasiye chitofu chakanyorova kwemaminitsi anopfuura gumi panguva. Mira kana chikanzwa kutonhora zvakanyanya. Isa chitofu chakanyorova kwemaminitsi angangoita gumi nemashanu panguva, kanenge kana kana pazuva.
• Zorora shaya yako . Kana shaya yako ichirwadza, idya chikafu chakapfava (mupunga, miriwo yakapwanywa, soup). Bika nyama zvishoma nezvishoma kusvika dzanyorova. Panzvimbo pemichero nemiriwo mbishi, zvibikise, uye inwa muto. Dzivisa nyama dzakaoma kutsenga, chingwa (semuenzaniso, toast), uye chikafu chakaoma, chisina kusimba (semuenzaniso, macrackers, toffee). Dzivisa kutsenga chingamu .
• Edza mishonga inoderedza marwadzo . Mishonga inoderedza kuzvimba isiri yesteroid (NSAIDs) inowanikwa muchitoro chemishonga, senge aspirin.Mishonga inoderedza marwadzo inopihwa nevatengi yakadai seaspirin, ibuprofen (mazita emhando: Advil®, Motrin®), uye naproxen (mazita emhando: Aleve®) inogona kubatsira nemusoro nekurwadziwa kweshaya. Zvisinei, kana uine zvimwe zvirwere (semuenzaniso, gastritis, chirwere cheitsvo), iva nechokwadi chekubvunza chiremba wako usati watora mishonga iyi. Tevedzera mirayiridzo iri pabhodhoro/piritsi nemazvo, uye usatore mishonga iyi kweanopfuura mavhiki maviri usina mvumo yachiremba wako.

Ndinofanira kuona chiremba rini?

Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukurumidza:

• Kana musoro wako uchirwadza kakawanda, uchikura zvakanyanya, kana kuti uchikanganisa mabasa ako ezuva nezuva kusvika pakutadza kushanda zvakanaka .
• Kana kurwadziwa kweshaya yako, mutsipa, kana musana kuri kuwedzera .
• Kana uchirwadziwa nezino kana kunzwa sekunge zino rako riri kutyoka/kuputika .
• Kana uchinetseka kudya kana kunwa nekuda kwekurwadziwa kweshaya yako kana kumeso .

Zvinhu zvakakosha zvatakadzidza kubva munyaya iyi (Mharidzo Yekuenda Kumba)

Zvakanaka, saka ikozvino wava kunzwisisa zvakanaka zvatataura nezvazvo nhasi (Condylar Resorption). Heano mamwe emabasa akakosha ekurangarira:

• Kusveta shaya (condylar resorption) chirwere chinoitika apo chikamu chepfupa reshaya (kunyanya mandibular condyles) chinonyunguduka zvishoma nezvishoma uye chinopera. Izvi zvinogona kukonzera kurema kwechiso, kurwadziwa kwemajoini eshaya, uye kuoma kudya.
• Mamiriro ezvinhu aya anowanzoonekwa pakati pevasikana vadiki .
• Panogona kuva nezvikonzero zvakawanda; zvinhu zvakaita sezvimwe zvirwere zvemuviri, shanduko yemahormone, tsaona, nezvimwewo. Dzimwe nguva, hapana chikonzero chakajeka chingawanikwa.
• Kana ukaona zviratidzo zvakaita sekuchinja kamwe kamwe kwechiso, shaya yepazasi ichidzikira, kurwadziwa kweshaya, kana ruzha rwekuputika paunovhura muromo wako , enda kuna chiremba nekukasika .
• Hapana chekunetseka nacho, kune nzira dzekurapa izvi. Dambudziko iri rinogona kugadziriswa nemishonga, mabraces, uye pamwe nekuvhiyiwa.
• Kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kudzivirira matambudziko mazhinji enguva refu. Saka usanyara kana kutya kutsvaga mazano echiremba. Hausi wega!

Kurasikirwa nepfupa rejaya , kusveta kwemudumbu, kusveta kwejoini re temporomandibular, TMJ, kurwadziwa kweshaya, kuchinja kwechiso, kubviswa kwezino