Ngaba wakha wavuka ngequbuliso weva isandi sokukrwela esiphuma emhlathini wakho? Okanye wakha waziva iintlungu ezincinci phambi kweendlebe zakho, kufutshane nelungu lakho lomhlathi, waza waba nobunzima bokuvula okanye ukuvala umlomo wakho? Oku kusenokuba ngunobangela wentloko ebuhlungu rhoqo. Abantu abaninzi baye bahlangabezana noku, kodwa abazi ukuba kubangelwa yintoni. Namhlanje sithetha nge-Temporomandibular Joint (TMJ), imeko eqhelekileyo kodwa ecaphukisayo eyenzeka kwilungu lethu lomhlathi.
Kalula nje, yintoni iTMJ?
Cinga ngomhlathi wakho njenge-hinge. Le hinge isivumela ukuba sishukumise umhlathi wethu phezulu nasezantsi namacala xa sithetha, sisitya, okanye sivuka. Sinezihlanganisi ezimbini ezinjalo phambi kweendlebe zethu, kwicala ngalinye lobuso bethu. Ezi zihlanganisi zaziwa ngokwezonyango njenge -Temporomandibular Joint (TMJ) .
Ngoko ke, xa kukho ingxaki okanye ukuphazamiseka kweli lungu okanye kwimisipha elijikelezileyo, siyibiza ngokuba yi -TMJ Disorder (TMD) . Nangona kunjalo, kwintetho eqhelekileyo, abantu abaninzi bathi le meko "kukuba ne-TMJ".
Oku akoyikisi njengoko unokucinga. Yimeko eqhelekileyo kakhulu. Ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-40. Eyona nto ilungileyo kukuba inokunyangeka ngempumelelo kwaye ayibangeli iingxaki ezinkulu zexesha elide.
Zithini iimpawu zale meko?
Jonga ukuba unazo na ezi mpawu. Ayinguye wonke umntu oza kuba nazo zonke ezi mpawu, mhlawumbi enye okanye ezimbini.
| Uphawu | Indlela onokuziva ngayo |
|---|---|
| Intlungu yomhlathi okanye yobuso | Intlungu engapheliyo esidleleni, ejikeleze indlebe, okanye kufutshane nomhlathi. Oku kunokuba mandundu xa uhlafuna ukutya. |
| Intloko ebuhlungu okanye iintloko ezibuhlungu | Intloko ebuhlungu efika iphele, kungekho sizathu sicacileyo. Ngamanye amaxesha ivakala ngathi iqala emva kwendlebe nasentanyeni. |
| Ukuqina komhlathi okanye ukuqina kwawo | Kunzima ukuvula umlomo wakho xa uvuka kusasa, kwaye kuvakala ngathi umhlathi wakho uvalekile. Kukho amaxesha apho ungakwazi ukuvula umlomo wakho ngokupheleleyo. |
| Isandi esithi 'Tuck', 'click' okanye 'click' | Isandi sokuklikha sivakala sivela kumhlathi xa uvula kwaye uvala umlomo, okanye uhlafuna ukutya. Nangona kunjalo, ukuba sisandi sokuklikha nje esingenantlungu, asiyongxaki inkulu. |
| Intlungu yendlebe okanye ukukhala | Ukuva isandi esirhabaxa okanye esivakalayo endlebeni ngaphandle kwesifo sendlebe. |
| Intlungu Yamazinyo | Intlungu yamazinyo engenakubonwa ngugqirha wamazinyo. |
| Intlungu yentamo okanye yamagxa | Izihlunu zemihlathi eziqinileyo zinokubangela ukuba izihlunu entanyeni nasemagxeni ziqine kwaye zibe buhlungu. |
Ukuba ezi mpawu ziyaqhubeka kwaye aziphucuki kwiintsuku ezimbalwa, okanye ukuba ziphazamisana nemisebenzi yakho yemihla ngemihla, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Kutheni sifumana le meko ye-TMJ?
Kunzima ukukhomba isizathu esinye kuphela soku. Amaxesha amaninzi, yindibaniselwano yezinto ezininzi ezibangela oku.
- Ukwenzakala emhlathini: Njengokubethwa ebusweni, ukwaphuka ithambo emhlathini, okanye ukukhubeka kwelungu.
- Ukugaya amazinyo (Bruxism): Ukugaya amazinyo, ingakumbi xa ulele okanye uqinisa amazinyo akho ungaqondanga emini, kubeka uxinzelelo olukhulu kumalungu nakwimisipha.
- I-Arthritis: I-Arthritis inokuchaphazela amalungu esinqe kunye nedolo.
- Iingxaki zokubeka amazinyo: Ukulunywa okungahambanga kakuhle kunokubeka uxinzelelo olongezelelekileyo kumhlathi.
- Uxinzelelo: Xa sixinezelekile, siziqinisa ngokungazi izihlunu ebusweni nasemhlathini. Oku kunokukhokelela kwintlungu ukuba iyaqhubeka.
Imikhwa yethu eyandisa umngcipheko
Ngamanye amaxesha izinto ezincinci esizenzayo yonke imihla zinokubangela ukuba intlungu ye-TMJ ikhule.
- Ukuhlafuna izinto ezifana neziphatho zepeni, iityhubhu zomkhenkce, kunye nezikhonkwane.
- Ukuhlala phantsi ungami kakuhle, ingakumbi xa usebenza kwikhompyutha, intamo nentloko yakho zijonge phambili.
- Xa usitya ukutya okufana neehamburger, vula umlomo wakho kakhulu uze uhlafune iziqwenga ezinkulu.
- Sebenzisa amazinyo akho kwizinto ezifana nokuvula izivatho zeebhotile.
- Ukulala ngesisu sakho kunokubangela uxinzelelo olungeyomfuneko emhlathini wakho.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, into yokuqala ayenzayo kukubuza imibuzo eneenkcukacha malunga neempawu zakho. Emva koko, uya kwenza uvavanyo lomzimba.
Yintoni ejongwayo ngexesha lovavanyo lwezonyango?
- Sibona ukuba umlomo wakho ungavuleka kangakanani ngaphandle kwentlungu.
- Ugqirha wakho uza kuyicinezela kancinci i-hip joint yakho kunye nezihlunu ezijikeleze yona ukuze ajonge ukuba ayibuhlungu okanye ayiqinanga na.
- Xa uvula kwaye uvala umlomo wakho, uziva intshukumo yamalungu ngesandla sakho uze ubone ukuba kukho isandi na.
Uvavanyo ukuba kuyimfuneko
Le meko idla ngokuchongwa ngokuhlolwa ngokwasemzimbeni, kodwa ngamanye amaxesha uvavanyo olufana nolu lunokwenziwa ukuqinisekisa unobangela.
- Ii-X-reyi zamazinyo: Jonga imeko yamazinyo kunye namathambo omhlathi.
- I-CT Scan: Jonga iinkcukacha ezincinci zamathambo esilungu.
- I-MRI Scan: Chonga iingxaki ze-cartilage, izicubu ezithambileyo, kunye nemisipha ejikeleze ilungu.
Okukhona le meko ifunyaniswa kwangoko, kokukhona kulula ukuyinyanga kwaye kokukhona ilulama ngokukhawuleza.
Iphathwa njani?
Unyango luxhomekeke kwisizathu seempawu zakho kunye nobunzima bazo. Uninzi lwexesha, siqala ngonyango olulula, kungekhona izinto ezibalulekileyo ezifana notyando.
Iintlobo zamachiza
Ugqirha wakho angakunika amayeza afana nala ukunciphisa iintlungu, ukudumba, kunye nokuqina kwemisipha.
| Udidi lweziyobisi | Imizekelo | Ukusebenza kakuhle |
|---|---|---|
| Izibulali-ntlungu | I-Acetaminophen | Ukunciphisa iintlungu. |
| Amayeza okulwa nokuvuvukala (ii-NSAID) | I-Ibuprofen, iNaproxen | Ukulawula iintlungu kunye nokudumba. |
| Iziphumzi zemisipha | (Iziphumzi zemisipha) | Ukunciphisa ukugaywa kwamazinyo kunye noxinzelelo lwemisipha. |
| Amayeza okudakumba | (Amayeza okudakumba aphantsi) | Ukulawula iintlobo ezithile zentlungu yexesha elide kunye nokunciphisa ukugaywa kwamazinyo ngexesha lokulala. |
| Kubalulekile: Naliphi na kula mayeza kufuneka lisetyenziswe kuphela phantsi kwengcebiso kagqirha wakho. | ||
Unyango olungelulo utyando
Abantu abaninzi bafumana iziphumo ezilungileyo kwezi ndlela.
- Izikhuseli zomlomo okanye ii-splint: Sisixhobo esikhethekileyo esenzelwe ukunxitywa ebusuku xa ulele, ingakumbi kubantu abatshixa amazinyo abo, ukukhusela amazinyo abo nokunciphisa uxinzelelo kumhlathi.
- Unyango lomzimba: Uqheliso olulodwa oluqinisa izihlunu zeqakala nolonyusa ukuguquguquka kwazo.
- Ukutshintsha imikhwa: Kuphephe ukuhlafuna itshungama, itshungama yebhamuza, ukunciphisa ukutya ukutya okuqinileyo (umz. inyama eyomileyo, iibhisikithi eziqinileyo), kwaye uhlale umile kakuhle.
- Unyango lwe-ultrasound: Lusebenzisa ubushushu ukuphumza izihlunu.
- Unyango lwe-TENS: Lusebenzisa umbane omncinci kakhulu ukunciphisa iintlungu zemisipha kunye nokuqina.
Utyando
Kuphela xa zonke ezinye iindlela zonyango zingaphumelelanga, ugqirha unokuqwalasela utyando.
- I-Arthroscopy:Isirinji isetyenziselwa ukufaka ulwelo kwilungu, icoca ingaphakathi lelungu kwaye isuse izinto ezibangela ukudumba.
- I-TMJ arthroscopy: Utyando oluncinci olwenziwe ngokufaka ikhamera encinci kakhulu kwilungu.
- Utyando oluvulelekileyo: Utyando oluntsonkothileyo oluqhutywa kuphela xa kukho ingxaki enkulu yesakhiwo selungu.
Ngaba le meko inganyangeka ngokupheleleyo?
Ewe. Uninzi lwabantu luyakwazi ukuyilawula kakuhle le meko, kwaye ngamanye amaxesha lude luphile ngokupheleleyo . Kwabanye abantu, iimpawu ziya kuphucula kwiveki okanye ezimbini. Kwabanye, unyango lunokufuneka okwethutyana. Into ebalulekileyo kukuba ngokuxilongwa ngokuchanekileyo kunye nesicwangciso sonyango esifanelekileyo, uninzi lwabantu lunokufumana isiqabu kwiintlungu kwaye luphinde lusebenze ngendlela eqhelekileyo yomhlathi wabo.
Nokuba intlungu yakho yeyexesha elifutshane okanye elide, lukho uncedo olufumanekayo. Ukuba iimpawu zakho ziyaphazamisana nobomi bakho, musa ukulinda ixesha elide kwaye thetha nogqirha wakho .
Umyalezo Wokuya Ekhaya
- Isifo se-TMJ sisifo esiqhelekileyo nesinyangekayo esichaphazela ilungu lomhlathi kunye nemisipha ejikelezileyo.
- Intlungu yomhlathi, ingxolo xa uvula umlomo, iintloko ezibuhlungu ezingachazwanga, kunye neentlungu zendlebe zinokuba zezona mpawu ziphambili.
- Ukutshixiza amazinyo, uxinezeleko, kunye nemikhwa emibi kunokwenza le meko ibe mandundu.
- Izinto ezilula ezifana nokuphepha ukutya okuneziqholo, ukunciphisa uxinzelelo, kunye nokugcina ukuma kakuhle kunokubonelela ngesiqabu esikhulu.
- Ukuba iimpawu ziyaqhubeka okanye ziyanda, qiniseka ukuba ufuna ingcebiso kagqirha. Musa ukuyityeshela.
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