Ngaba uyasiva isandi sokunqakraza xa uvula umlomo okanye uginya? Ngaba ngamanye amaxesha uziva ngathi umhlathi wakho ubambeke kwindawo enye? Okanye kufuneka uchithe iintsuku zakho unentlungu engaqhelekanga eqala kufutshane nendlebe yakho, okanye intloko ebuhlungu? Ukuba oku kuvakala kukuqhelekile kuwe, awuwedwa. Le yinto eqhelekileyo kubantu abaninzi. Namhlanje siza kuthetha ngemeko enokubangela oku, i-Temporomandibular Joint Disorder , okanye i-TMJ njengoko sonke sisazi.
Kalula nje, yintoni iTMJ?
I-TMJ ayisosifo nje kuphela. Ligama elinikwe ilungu lethu lomhlathi. Ngokuchanekileyo, yi-"Temporomandibular Joint". La malungu mabini akwicala lobuso bethu, phambi kweendlebe zethu. Cinga ngawo njengeehinji zocango. Eli lungu lidibanisa umhlathi wethu ongezantsi nomhlathi wethu ongaphezulu. Eli lungu lincinci linceda umlomo wethu ukuba uhambe kakuhle xa sithetha, sisitya, sivula umlomo wethu, kwaye sincuma.
Ngoko ke, xa kukho ingxaki ngale lungu okanye izihlunu ezijikeleze lona, sibiza ngokuba yi -TMJ Disorder , okanye ngokwezonyango `(Temporomandibular Dysfunction - TMD)`. Oku akuyonto imbi njengoko unokucinga, kwaye kudla ngokunyangeka .
Le meko ixhaphake kancinci kubasetyhini. Ixhaphake kakhulu nakubantu abaphakathi kweminyaka engama-20 ukuya kwengama-40 ubudala. Kodwa oko akuthethi ukuba abanye abantu abanakuyifumana.
Zithini iimpawu zesifo se-TMJ?
Iimpawu ze-TMJ zinokwahluka kumntu nomntu. Abanye abantu banokufumana ukungonwabi okuncinci, ngelixa abanye banokufumana iintlungu ezinzima ezenza kube nzima kubo ukwenza imisebenzi yemihla ngemihla. Itheyibhile engezantsi ibonisa ukuba zeziphi ezi mpawu kunye nendlela ezinokukuchaphazela ngayo.
| Uphawu | Indlela onokuziva ngayo |
|---|---|
| Intlungu yomhlathi okanye yobuso | Intlungu ebuhlungu kufutshane nendlebe, esidleleni, okanye emhlathini. Le ntlungu inokuba mandundu xa usitya okanye uthetha. |
| Intloko ebuhlungu okanye iintloko ezibuhlungu | Intloko ebuhlungu kakhulu, ingakumbi ezintlafunweni. Ngamanye amaxesha oku kunokuba nzima njengentloko ebuhlungu. |
| Ukutshixa umhlathi | Ukuziva umhlathi wakho ubambeke kwindawo enye, ungakwazi ukuvula okanye ukuvala umlomo wakho ngokupheleleyo. Oku kunokubonakala ngakumbi xa uvuka kusasa. |
| Isandi esirhabaxayo | Xa uvula kwaye uvala umlomo, kukho isandi esithi 'click' okanye 'tock'. Ngamanye amaxesha isandi sokugquma siyavakala. |
| Intlungu yendlebe okanye ukukhala | Usenokuziva iintlungu ngaphakathi endlebeni yakho ngaphandle kwesifo sendlebe. Okanye usenokuziva ngathi iindlebe zakho ziyakhala. |
| Intlungu yamazinyo kunye nentlungu yentamo kunye negxalaba | Kuvakala ngathi amazinyo akho abuhlungu ngaphandle kwesizathu. Kwakhona, iingxaki kwilungu lomhlathi zinokusasazeka ziye kwimisipha yentamo nasemagxeni, nto leyo ebangela iintlungu. |
Ukuba ezi mpawu ziyaqhubeka okanye ziyanda, kubalulekile ukubona ugqirha wakho ukuze akunike ingcebiso.
Kutheni le nto ezi ngxaki zeTMJ zenzeka?
Kunzima ukukhomba isizathu esinye kuphela soku. Ngokuqhelekileyo, le meko ibangelwa zizinto ezahlukeneyo.
- Ukulimala emhlathini: Le meko inokubangelwa yinto efana nokubethwa emhlathini, ukwaphuka, okanye ukukhubeka.
- Ukukrazula amazinyo: Lo ngumkhwa abantu abaninzi abanawo. Ukuzibamba okanye ukutshixiza amazinyo, ingakumbi xa ulele ebusuku, kubeka uxinzelelo olukhulu kwilungu lomhlathi kunye nemisipha.
- I-Arthritis: I-Arthritis inokuchaphazela ilungu lomhlathi, njengamanye amalungu emzimbeni.
- Ukuluma okungalunganga: Ukuba kukho ukungalungelelani kwindlela amazinyo aphezulu nawasezantsi adibana ngayo, kunokubangela uxinzelelo olongezelelekileyo kumhlathi.
- Uxinzelelo:Le yingxaki enkulu. Xa sixinezelekile, siziqinisa ngokungazi izihlunu ebusweni nasemhlathini. Xa oku kuqhubeka, kungonakalisa ilungu.
Le mikhwa ingayenza imeko ibe mandundu.
Ngamanye amaxesha imikhwa yethu iyayandisa le ntlungu. Jonga ukuba nawe uyazenza na ezi zinto:
- Ukuhlafuna izinto ezifana neepeni, iipensele, kunye nee-ice cubes.
- Ukuluma iinzipho.
- Ukuhlala phantsi ungami kakuhle, ingakumbi intamo yakho igobile kwicala elinye ngelixa uphambi kwekhompyutha.
- Ukutya ukutya okuninzi (njengebhega enkulu, umzekelo).
- Kufana nokusebenzisa amazinyo akho ukuvula izivalo zeebhotile okanye ukuqhekeza imisonto.
- Ukulala ngesisu sakho.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, into yokuqala aza kuyenza kukubuza imibuzo ukuze aqonde ngcono iimpawu zakho. Emva koko, uza kwenza uvavanyo lomzimba.
Nazi ezinye izinto onokuzenza ngexesha lovavanyo:
- Makhe sibone ukuba ungawuvula kangakanani umlomo wakho.
- Baza kucinezela indawo ejikeleze umhlathi wakho ngezandla zabo ukujonga ukuba akukho ntlungu okanye ukungakhululeki.
- Umamela indlela eli lungu elihamba ngayo kunye nezandi elizenzayo xa uvula kwaye uvala umlomo wakho.
Ngamanye amaxesha, kunokufuneka uvavanyo olongezelelweyo ukuqinisekisa ingxaki echanekileyo.
- Ii-X-reyi zamazinyo: Jonga imeko yamazinyo kunye nomhlathi.
- I-CT Scan: Fumana imifanekiso eneenkcukacha zamathambo esilungu.
- I-MRI Scan: Ukufumanisa iingxaki kwidiski kunye nezicubu ezithambileyo ezijikelezileyo.
Okukhona ingxaki ibonwa ngokukhawuleza, kokukhona amathuba onyango nokuchacha ayanda. Ngoko ke musa ukunyamezela iintlungu.
Ziziphi iindlela zonyango ze-TMJ?
Iindaba ezimnandi zezokuba abantu abaninzi banokuyilawula le meko ngonyango olulula, ngaphandle kokusebenzisa utyando olukhulu. Unyango luxhomekeke kubukhali beempawu zakho kunye nesizathu.
Izinto ezilula onokuzenza ekhaya
- Yitya ukutya okuthambileyo: Xa unentlungu, hlala kude nezinto ezifuna ukuba uhlafune kakhulu, ezinje ngamandongomane, amandongomane, kunye netshungama. Gxila ekutyeni okuthambileyo okufana nesuphu, iyogathi, kunye nerayisi.
- Ukucinezela okushushu okanye okubandayo: Faka ibhotile yamanzi ashushu okanye ipakethe yomkhenkce kwindawo ebuhlungu malunga nemizuzu eli-10-15. Oku kuya kukhulula izihlunu kwaye kunciphise iintlungu.
- Ukuzilolonga ngeqatha: Ungaziqinisa izihlunu zeqatha lakho ngokwenza umthambo olula owunikwe ngugqirha wakho okanye yingcali yemithambo yomzimba.
- Nciphisa uxinezeleko:Nciphisa uxinzelelo ngezinto ezifana nokucamngca, i-yoga, kunye nokuzilolonga ngokuphefumla nzulu.
Unyango lwezonyango
Ukuba unyango lwasekhaya aluncedi, ugqirha wakho unokukuthumela kwezi ntlobo zonyango.
| Indlela yonyango | Inkcazo |
|---|---|
| Amayeza | Izithomalalisi zentlungu (umz., i-acetaminophen), amayeza okulwa nokuvuvukala (ii-NSAID - umz., i-ibuprofen), iziphumzi zemisipha, kwaye ngamanye amaxesha kwanezithomalalisi zoxinzelelo lweentlungu ezingapheliyo zinokunikwa. Musa ukuthatha naluphi na unyango ngaphandle kwengcebiso kagqirha. |
| Isithinteli somlomo / I-Splint | Oku kufana nesikhuselo somlomo seplastiki. Ingakumbi kwabo batshixiza amazinyo abo, ukusinxiba ebusuku kunokunceda ekunciphiseni uxinzelelo kwilungu. |
| Ulungiso lwenyama | Ukuzilolonga kunye nonyango oluthile oluphucula intshukumo yamalungu omhlathi, luqinise izihlunu, kwaye lunciphise iintlungu. |
| Iinaliti | Intlungu ingancitshiswa ngokufaka amayeza anjengee-steroids kwiindawo ezithile zemisipha ezibangela intlungu (amanqaku abangela intlungu). |
Iindlela Zotyando
Utyando luqwalaselwa kuphela kwiimeko ezinzima kakhulu apho kungekho nanye kwezi zonyango zingentla esebenze kakuhle. Olu asilonyango oluqhelekileyo.
- I-Arthrocentesis: Inkqubo apho kusetyenziswa isirinji ukufaka ulwelo kwilungu, ngokuyintloko icoceka ilungu.
- I-TMJ Arthroscopy: Utyando olungenabungozi kangako olwenziwa ngokufaka ikhamera encinci kwilungu.
- Utyando oluvulekileyo lwamalungu:Utyando oluvula ngokupheleleyo ilungu. Oku kwenziwa kuphela xa kukho umonakalo omkhulu kwilungu.
Ndifanele ndimbone nini ugqirha?
Ukuba iintlungu zakho zomhlathi, isandi sokukrwitsha, okanye ukuqina azipheli kwiintsuku ezimbalwa, okanye ukuba ziphazamisana nobomi bakho bemihla ngemihla, musa ukulibazisa. Bona ugqirha ngoko nangoko. Angafumana unobangela wengxaki yakho aze akucebise ngolona nyango lufanelekileyo kuwe.
Isifo se-TMJ sisifo sexesha elifutshane esifika siphele kwabanye abantu. Kwabanye, sinokuba sisifo esingapheliyo esihlala ixesha elide. Kodwa ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila, uninzi lwabantu lunokuphelisa iintlungu kwaye basebenzise umhlathi wabo ngokuqhelekileyo. Ngoko ke ungakhathazeki ngayo.
Umyalezo Wokuya Ekhaya
- I-TMJ Disorder yimeko eqhelekileyo echaphazela amalungu akho omhlathi kunye nemisipha ejikeleze wona.
- Intlungu yomhlathi, isandi 'sokuklikha' xa uvula umlomo, iintloko ezibuhlungu, kunye nokuqina komhlathi zezona mpawu ziphambili.
- Uxinzelelo, ukutshixiza amazinyo xa ulele, kunye nokwenzakala emhlathini wakho zinokuba zezona zinto ziphambili ezibangela oku.
- Izinto ezilula ezifana nokutya ukutya okuthambileyo kunye nokufaka ubushushu zinokunceda ekunciphiseni iintlungu.
- Ukuba iimpawu ziyaqhubeka okanye zinzima, qiniseka ukuba ufuna ingcebiso kagqirha. Le yimeko enokunyangeka kakhulu.
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