Ngaba uva iintlungu kumacala omabini omhlathi wakho xa usitya, uthetha, okanye uvula nje umlomo wakho? Ngaba ngamanye amaxesha uva isandi 'sokuklikha' okanye 'sokuklikha'? Okanye ngaba unengxaki yokuvula nokuvala umlomo wakho, kwaye umhlathi wakho uvakala ngathi unamathele kwindawo enye? Nangona unokucinga ukuba ezi zizinto nje eziqhelekileyo, le isenokuba yimeko efuna unyango. Namhlanje sithetha ngale ngxaki yomhlathi abantu abaninzi abanayo kodwa abathethi kakhulu ngayo.
Yintoni iTMJ?
Ngamafutshane, ilungu apho umhlathi wakho ongezantsi udibana khona nentloko yakho libizwa ngokuba yiTemporomandibular Joint, okanye
iTMJ . Eli lungu lifana nehinji yomnyango. Liphambi kwendlebe nganye. Eli lungu lincinci likunceda ukuba uthethe, utye, kwaye uvule umlomo wakho xa unengxaki. Kodwa xa kukho ingxaki ngeli lungu okanye izihlunu ezijikeleze lona, silibiza ngokuba yiTemporomandibular Disorders (TMDs). Ngamanye amaxesha ugqirha wakho unokulibiza ngokuba yiTMJ Disorder. Nangona abantu abaninzi bebiza eli lungu ngokuthi "TMJ," elo ligama nje lelungu.
Kutheni le meko isenzeka?
Akukho sizathu sithile nesicacileyo sale meko, kodwa oogqirha bakholelwa ukuba ibangelwa ziingxaki zezihlunu okanye amalungu eqakala. Kukho izizathu ezininzi eziphambili.
- Ukwenzakala entanyeni: Khawuthelekelele ukuba umntu ukubetha ngequbuliso, uyawa, okanye ufumana ukubetheka okukhulu entanyeni (whiplash), njengakwingozi yemoto, enokwenzakalisa eli lungu.
- Ukugawula okanye ukuqingqa: Abanye abantu banomkhuba wokugawula amazinyo abo bengazi, ngexesha lokulala nasemini. Oku kubeka uxinzelelo olukhulu kumhlathi.
- Ukufuduka kwediski: Kukho inxalenye ethambileyo, efana nomqamelo (i-'disc') ngaphakathi kwesinqe . Ukuba oku kuyaphuma endaweni yako, kunokubangela iintlungu.
- I-Arthritis : Njengamanye amalungu emzimbeni, eli lungu lesinqe linokuba nesifo samathambo .
- Uxinzelelo : Xa uxinezelekile okanye uxhalabile, ungaziva uqinisa izihlunu zobuso kunye nemihlathi yakho kwaye uqinise amazinyo akho. Oku kukwangunobangela omkhulu we-TMD.
Abanye abantu bacinga ukuba le meko ibangelwa kukungakwazi kakuhle ukulungelelanisa izinyo okanye iibraces, kodwa uphando lufumanise ukuba ezi zinto azibangeli ngqo.
Kwakhona, abafazi banamathuba aphindwe kabini okuba ne-TMD kunamadoda. Unobangela woku usaphandwa.
Zithini iimpawu zoku?
Intlungu kunye nokungonwabi okubangelwa yi-TMD ngamanye amaxesha kunokuphela kwiintsuku ezimbalwa, okanye kuhlale iminyaka. Kunokuchaphazela icala elinye okanye omabini ubuso. Kuqheleke kakhulu kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-40 ubudala. Jonga itshathi engasezantsi ukuze ubone ukuba unayo na kwezi mpawu.
| Uphawu | Inkcazo |
|---|
| Intlungu emhlathini | Intlungu ebusweni, ejikeleze umhlathi, entanyeni nasemagxeni, okanye ngaphakathi okanye ejikeleze indlebe (ingakumbi xa usitya okanye uthetha). |
| Ubunzima bokuvula umlomo | Ukuziva ubunzima okanye iintlungu xa uzama ukuvula umlomo wakho ngokubanzi. |
| Ukutshixa ihaki | Ukuziva ngathi umhlathi unamathele kwindawo enye xa uvula okanye uvala umlomo. |
| Ukuqhambuka kwejoyinti | Isandi sokuklinya, sokuqhuma, okanye sokusila xa uvula okanye uvala umlomo (oku kusenokuba kunye okanye ngaphandle kwentlungu). |
| Ukudinwa kobuso | Ukuziva udiniwe kwaye udiniwe kwizihlunu zobuso. |
| Ubunzima bokutya | Ubunzima bokuhlafuna ukutya okanye ukuziva ungakhululekanga ngokungathi amazinyo aphezulu nawasezantsi awahambelani kakuhle. |
| Ezinye iimpawu | Ukudumba kwelinye icala lobuso, iintlungu zamazinyo, iintlungu zendlebe, ukukhala ezindlebeni (i-tinnitus), intloko ebuhlungu (mhlawumbi i-migraine), isiyezi, ukungaziva mnandi kwiminwe. |
Ngaba udinga ukubona ugqirha?
Ezi mpawu zinokubangelwa nazezinye iimeko, ezifana neengxaki zamazinyo, iingxaki ze-sinus, okanye isifo seentsini. Yiyo loo nto kubalulekile ukubona ugqirha wamazinyo ukuze afumane unobangela ochanekileyo. Ugqirha uza kukubuza ngembali yakho yempilo aze enze uvavanyo lomzimba. Baza kujonga ijoyinti yakho yomhlathi ukuba ayibuhlungu na baze bamamele izandi ozenzayo xa uvula umlomo wakho. Baza kujonga nokuba amazinyo akho afakelwe alingana kakuhle na. Ngamanye amaxesha, unokucelwa ukuba wenze i-X-ray, i-MRI, okanye i-CT scan yobuso bakho bonke. Ezi zinokunceda ukubona ngokucacileyo izinto ezifana nemeko yamathambo kwijoyinti kunye nendawo yediski ngaphakathi.
Unyango olunokwenziwa ekhaya
Kwiimeko ezininzi, iimeko ze-TMD ezingembi kangako zinokulawulwa ngezinto ezilula onokuzenza ekhaya.
- Ukusela iintlungu : Amayeza afana ne -ibuprofen ( NSAIDs ) anokunceda ukunciphisa iintlungu zemisipha kunye nokudumba. Kodwa thetha nogqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza.
- Uxinzelelo olushushu okanye olubandayo: Faka ipakethe yomkhenkce kwindawo ebuhlungu ebusweni bakho malunga nemizuzu eli-10. Emva koko faka ilaphu elifudumeleyo kwindawo leyo malunga nemizuzu emi-5. Yenza oku izihlandlo ezininzi ngemini.
- Yitya ukutya okuthambileyo: Faka ukutya okufana neyogathi, iitapile ezicoliweyo, isuphu, amaqanda , intlanzi, imifuno ephekiweyo kakuhle kunye neziqhamo ekutyeni kwakho. Kuphephe ukutya okufuna ukuhlafunwa njengeelekese eziqinileyo, iminqathe, itofi, kunye netshungama.
- Yeka izinto ezibeka uxinzelelo emhlathini wakho: Ziphephe izinto ezinje ngokuvula umlomo wakho ngokubanzi, ukukhwaza kakhulu, nokuhlafuna itshungama. Musa ukubamba isilevu sakho ngezandla zakho.
- Hlala ume kakuhle: Hlala phantsi uze ume umqolo wakho uthe nkqo. Oku kunokunciphisa iintlungu zentamo nezobuso .
- Gcina amazinyo akho ahlukene kancinci: Nanini na xa kunokwenzeka, zama ukugcina umsantsa omncinci phakathi kwamazinyo akho aphezulu nawasezantsi emini. Oku kuya kunciphisa uxinzelelo emhlathini wakho.
Ziziphi iindlela zonyango ezikhoyo?
Ukuba unyango lwasekhaya aluncedi, ugqirha wakho unokucebisa unyango olufana nolu.
Amayeza kunye nezixhobo
- Iintlobo zamayeza:Ukuba intlungu kunye nokudumba kukhulu, ugqirha wakho unokukunika amayeza anamandla okuthomalalisa iintlungu, amayeza okuphumla kwemisipha, okanye amayeza okulwa nokuxhalaba.
- I-Splint okanye i-Night Guard: Ezi zizixhobo zeplastiki ezibekwa phezu kwamazinyo ukunceda ukunciphisa umonakalo obangelwa kukugaywa kunye nokunceda ukugcina umhlathi ukwindawo efanelekileyo.
Ezinye iindlela zonyango
Ezi zihlala zizonyango ezenziwa ngoogqirha abaziingcali.
- Ukukhuthazwa kwemithambo-luvo yombane edluliselwa ngesikhumba (i-TENS): Isebenzisa umbane osebenza ngesantya esiphantsi ukuze ikhulule amalungu esinqe kunye nezihlunu, inciphise iintlungu.
- Unyango lwe-ultrasound: Lusebenzisa ubushushu obunzulu ukunciphisa iintlungu nokuphucula intshukumo yamalungu.
- Inaliti: Ukujova iintlungu okanye amayeza okubulala iintlungu kwizihlunu ezibuhlungu.
- Unyango lweLaser (`Unyango lweLaser oluphantsi`): Lunciphisa iintlungu nokudumba, nto leyo eyenza kube lula ukuhambisa intamo nomhlathi.
Utyando
Okubaluleke kakhulu: Utyando yindlela yokugqibela. Cinga ngale nto kuphela ukuba akukho nyango lusebenzayo. Qiniseka ukuba ubonisana nomnye okanye ababini abangochwephesha ngaphambi kokuba wenze utyando.
Kukho iintlobo ezintathu eziphambili zotyando: 1.
I-Arthroscopy: Utyando oluncinci olwenziwa xa ilungu livalekile. Kusetyenziswa inaliti ukufaka ulwelo kwilungu ukuze licoceke. 2.
I-Arthroscopy: Utyando olwenziwa xa kufakwa ikhamera encinci (i-arthroscope) kwilungu ukuze ijonge ngaphakathi. Olu lutyando olulula oluphola ngokukhawuleza. 3.
Utyando oluvulekileyo: Utyando olukhulu olwenziwa xa ilungu ligugile okanye livelise ithumba. Oku kuthatha ixesha elide ukuphola.
Umyalezo Wokuya Ekhaya
- Musa ukucinga ukuba iintlungu zomhlathi kunye neengxolo xa uvula umlomo okanye utya zizinto eziqhelekileyo. Isenokuba luphawu lwesifo se-TMJ.
- Ukutshixiza amazinyo, uxinzelelo, kunye nokwenzakala emhlathini zezona zinto ziphambili ezibangela oku. Ungayilawula le nto ngokwenza utshintsho oluncinci kwindlela ophila ngayo.
- Zama amayeza alula asekhaya (ukutya okuthambileyo, izinto ezishushu/ezibandayo) kuqala. Ezi zihlala zinika isiqabu.
- Ukuba intlungu iyaqhubeka okanye iba mandundu, qiniseka ukuba ubona ugqirha wamazinyo okanye ugqirha oqhelekileyo.
- Utyando kuphela yindlela yokugqibela yokusombulula esi sifo, ngoko ungakhathazeki ngaso.
Intlungu yomhlathi, i-TMJ, i-TMD, isifo se-temporomandibular, isifo samalungu omhlathi, ukugaywa kwamazinyo, intlungu yomhlathi IsiSinhala, intlungu xa uvula umlomo
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