Ingabe ithambo lakho lomhlathi liyancibilika kancane kancane? (Condylar Resorption) Namuhla sizoxoxa ngakho!

Wake waphawula ukuthi umhlathi ongezansi wabanye abantu ubonakala sengathi ucwile kancane, noma isilevu sabo asibonakali nhlobo? Mhlawumbe kukhona ubuhlungu endaweni yomhlathi, noma ngisho nomsindo lapho uvula umlomo. Esinye isizathu esingaba khona ngemuva kwalezi zinto ukuncibilika kwethambo lomhlathi esikhuluma ngaso namuhla, isimo esibizwa ngokuthi (i-Condylar Resorption) . Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini lokhu (i-Condylar Resorption)?

Kalula nje, i-Condylar Resorption yilapho ama-Temporomandibular Joints (TMJs) asebenza lapho sivula futhi sivala imilomo yethu encibilika kancane kancane, aguge, futhi anyamalale. Lawa ma-mandibular condyles yizingxenye ezibalulekile ezixhumanisa umhlathi wethu ongezansi ( i-mandible) nekhanda lekhanda kuzo zombili izinhlangothi. Ngakho-ke lapho lokhu kuncibilika, umhlathi wethu ongezansi uyancibilika bese ungena ngaphakathi, njengokungathi unciphile. Lolu shintsho lungenzeka ngezinye izikhathi ngokushesha, ezinyangeni ezimbalwa nje , noma kungathatha iminyaka .

Ubani onamathuba amaningi okuthola lesi simo?

Cabanga ngalokhu: Imibiko yezokwelapha ikhombisa ukuthi lesi simo (i-Condylar Resorption) sinamathuba aphindwe kasishiyagalolunye okuba khona kwamantombazane nabesifazane kunakwabesilisa. Sivame kakhulu phakathi kwamantombazane aneminyaka ephakathi kweyi-10 nengama-20. Ngakho-ke uma unelungu lomndeni noma othile omaziyo kuleli qembu leminyaka, kufanelekile ukuqaphela lokhu.

I-(Condylar Resorption) iyithinta kanjani imizimba yethu?

Lokhu kungenza umehluko omkhulu ekubukekeni nasekumeni kobuso bethu . Ungase uqaphele ukuthi umhlathi ongezansi unciphile, isilevu asibonakali kahle, futhi ibhalansi yobuso ishintshile. Akukhona lokho kuphela, kodwa lokhu (i-Condylar Resorption) kungabangela nezinkinga ezihlobene nejoyinti lomhlathi elibizwa ngokuthi (i-Temporomandibular Joint Disorders - TMD) . Lokhu kusho ukuthi imisipha nemisipha ezungeze ijoyinti lomhlathi iyavuvukala futhi ivuvuke, okungabangela ikhanda elibuhlungu, ubuhlungu bomhlathi, ukungakwazi ukuvula nokuvala umlomo kahle, kanye nomsindo ovela ejoyintini lomhlathi lapho udla .

Kungani lokhu (i-Condylar Resorption) kwenzeka? Ziyini izimbangela?

Kulungile, manje ake sibone ukuthi kungani umhlathi uncibilika kanje. Kunezizathu eziningana ezingathinta lokhu.

• Ezinye izifo zokuzivikela komzimba ziyizifo lapho uhlelo lokuzivikela lomzimba wethu luhlasela khona ngephutha amangqamuzana ethu aphilile. Izibonelo zifaka phakathi i-rheumatoid arthritis , i-scleroderma , kanye ne-systemic lupus erythematosus .
• I-necrosis ye-Avascular: Lesi yisimo lapho amangqamuzana amathambo efa khona ngenxa yokuntuleka kwegazi emathanjeni.
• Izinguquko zama-hormone : Ukungalingani kwama-hormone, ikakhulukazi ngesikhathi sokukhula kwentsha, kungathinta amantombazane amancane.
• Ukutheleleka esihlanganyelweni somhlathi.
• Njengenkinga yezinto ezifana nokwelashwa kwamazinyo noma ukuhlinzwa komhlathi , lokhu akwenzeki kuwo wonke umuntu.
• Izimo zamalunga eziwohlokayo njenge- osteoarthritis .
• I-arthritis esabelayo .
• Izingozi emhlathini, njengokuwa ngenkathi udlala bese ushaya umhlathi wakho.

Ngezinye izikhathi lesi simo singavela ngaphandle kwesizathu esibonakalayo . Odokotela bakubiza ngokuthi i-idiopathic condylar resorption . Kodwa kuyisimo esingavamile kakhulu.

Yiziphi izimpawu eziboniswa umuntu one-Condylar Resorption?

Uphawu oluvame kakhulu lokumuncwa kwe-condylar ukushintsha kwesimo nokubukeka kobuso . Uphawu oluyinhloko ukuthi umhlathi nesilevu kubonakala sengathi kucwile futhi kucwile. Ngaphezu kwalokho, izimpawu ezifana nalezi:

• Ukukhathala njalo .
• Ikhanda elibuhlungu .
• Ubuhlungu endaweni yomhlathi, imisindo ethi 'clicking' noma 'pupping' lapho uvula futhi uvala umlomo .
• Ukuminyana kwamazinyo, noma i-malocclusion, kusho ukuthi amazinyo awahlangani kahle.
• Ukulunywa ngokweqile .
• Ukulunywa okuvulekile kuyisikhala phakathi kwamazinyo aphezulu naphansi lapho umlomo uvaliwe , okusho ukuthi amazinyo awahlangani kahle.

Odokotela basithola kanjani lesi simo ngokunembile?

Uma unalezi zimpawu, kungcono ukubona udokotela. Udokotela uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Bangase bakubuze nangalokhu:

• Umlando wakho wezempilo ophelele , noma yiziphi ezinye izifo zamanje, kanye nemithi oyiphuzayo.
• Ingabe ukhona emndenini onezifo zesimiso somzimba noma ezinye izifo ezihlobene nalokhu (i-Condylar Resorption).
• Mayelana nendlela yakho yokuphila , ezemidlalo, kanye nemisebenzi.
• Mayelana nemithi oyiphuzayo njengamanje .

Ngemuva kwalokho, ukuhlolwa okukhethekile kwezithombe kungenziwa ukuze kubonakale kahle umhlathi, amazinyo, kanye nesakhiwo samathambo obuso. Lokhu kuhlolwa kungabona ngokucacile ukuthi umhlathi uyancibilika yini nokuthi kungakanani.

• Ukuhlolwa kwe-X-ray .
• I- CT scan .
• Ukuskena kwe -MRI .

Odokotela bamazinyo (ikakhulukazi odokotela bamazinyo) bangase bakwazi ukuphatha lesi simo.Ungadinga ukwesekwa kanye neseluleko sabantu abaningana, njengodokotela wamathambo , udokotela wamathambo, noma udokotela womndeni wakho (Abahlinzeki Bokunakekelwa Okuyinhloko - ama-PCP) . Ungadinga futhi ukuqala imithi yesikhathi eside ukulawula izinga lokulahlekelwa amathambo ngaphambi kokuhlinzwa.

Yiziphi izindlela zokwelapha i-Condylar Resorption?

Izinketho zokwelapha zincike ekubunjweni kobuso bakho, ubudala, ubucayi besimo, kanye nezinye izimo zempilo. Ungakhathazeki, kunezindlela zokwelapha lokhu.

• Imithi yokulwa nokuvuvukala : Le mithi ingasiza ekunciphiseni ukusabalala kwesifo futhi ilawule ubuhlungu.
• Izinsika zokuluma noma izivikelo zasebusuku : Abanye abantu bagedla amazinyo abo ebusuku (i-Bruxism) , futhi lokhu kungasetshenziswa ukunciphisa umonakalo emazinyweni abo. Lokhu kufana nesembozo sokuvikela esibekwa phezu kwamazinyo abo.
• I-Condylectomy : Lena inqubo yokuhlinzwa esusa ama-mandibular condyles, ishintshe umhlathi ukuze isebenze kahle futhi ithuthukise ukubukeka kobuso.
• Ukwelapha Amazinyo : Isibonelo, ama-braces kanye nama-retainer angasetshenziswa ukulungisa amazinyo agobile namazinyo avele ngaphandle.
• Ukuhlinzwa kwe-Orthognathic : Lokhu ukuhlinzwa okuyinkimbinkimbi kakhulu. Kuhilela ukuqondisa kabusha imihlathi engenhla nengezansi ukuze kubuyiselwe ibhalansi yobuso. Kungenziwa futhi kanye nokuhlinzwa kokwakhiwa kabusha kwe-TMJ.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Kungathatha cishe amasonto ayi-6 kuya kwayi-12 ukululama ngokuphelele ngemva kokuhlinzwa okufana ne-Condylectomy kanye nokuhlinzwa kwe-Orthognathic. Kufanele udle ukudla okumanzi kuphela emasontweni amabili kuya kwamane okuqala, njengoba udinga ukunikeza umhlathi wakho ukuphumula. Uma umhlathi wakho uqala ukuphola, ungaqala kancane kancane ukudla ukudla okuthambile . Konke kufanele kwenziwe ngokwemiyalelo kadokotela wakho.

Ingabe ingozi yokumuncwa kwe-condylar ingancishiswa?

Ayikho indlela ecacile yokuvimbela ukumuncwa kwe-condylar. Kodwa-ke, kubaluleke kakhulu ukubona udokotela wakho noma udokotela wamazinyo njalo, uxoxe nganoma yiziphi izinguquko noma izinkinga ozibonayo emhlathini noma emazinyweni akho, futhi uhlolwe njalo ngodokotela . Lokhu kuzokusiza ukuthi ubone noma yiziphi izinkinga kusenesikhathi.

Iyini imiphumela yesikhathi eside uma ingelashwa?

Uma amazinyo noma umhlathi udonswa emuva ngenxa ye-Condylar Resorption, okungukuthi, uma ungabekwanga kahle, izinkinga zesikhathi eside ezifana nalezi:

• Amazinyo ayaphuka futhi aqhume .
• NjengenjwayeloIkhanda elibuhlungu kanye nobuhlungu bomhlathi.
• Ubuhlungu entanyeni nasemhlane .
• Ubuhlungu bamazinyo .
• Kungaba nzima ukuvula umlomo wakho, ukudla, noma ngisho nokukhuluma .
• Izinguquko ezibalulekile ekubukekeni kobuso .
• Ubuhlungu obungapheli esilungwini (TMJ) .

Uma unalezi zimpawu (i-Condylar Resorption), bona udokotela ngokushesha. Ukwelashwa kusenesikhathi kunganciphisa noma kuvimbele eziningi zalezi zinkinga. Ngakho-ke, ungesabi futhi ungalibali, kodwa funa iseluleko sezokwelapha.

Ngingabuyela nini emsebenzini/esikoleni ngemva kokuhlinzwa?

Isikhathi sokululama ngemva kokuhlinzwa siyahlukahluka kuye ngomuntu nomuntu. Iningi labantu lingabuyela emsebenzini noma esikoleni cishe emavikini amabili . Kodwa-ke, uma unomsebenzi onzima ngokomzimba, kungathatha isikhathi eside ukululama ngokuphelele. Kungcono ukucela iseluleko kudokotela wakho ngokuthi kufanele uthathe isikhathi esingakanani nokuthi ungaqhubeka nini nemisebenzi evamile.

Iyini ikusasa lalesi simo?

Ukumuncwa kwe-condylar akuyona inkinga esongela impilo noma ebulalayo. Ungaphila nalesi simo ngaphandle kokwelashwa. Kodwa-ke, uma kungelashwa, izinguquko ekubukekeni kobuso bakho, emhlathini, namazinyo zizohlala zifana , futhi zingase zibe zimbi nakakhulu ngokuhamba kwesikhathi.

Abantu abaningi bathola imiphumela emihle kakhulu negculisayo ngemva kokuhlinzwa kokufakwa kwe-condylar. Uma umhlathi ubekwe kahle, isimo sakho semvelo sobuso siyabuyiselwa futhi izinkinga ngamazinyo noma umhlathi wakho ziyavinjelwa. Uma unquma ukungahlinzwa, noma uma isimo sakho singesibi kakhulu, khuluma nodokotela wakho ngezindlela zokunciphisa ubuhlungu nezinye izimpawu (isib., imithi yobuhlungu, izinguquko ekudleni).

Ngingazinakekela kanjani? Ngingenzani ekhaya?

Uma ubhekene nobuhlungu noma izinkinga zemihlathi ngenxa ye-Condylar Resorption, zama lezi zinto ekhaya ukuze usize ekunciphiseni ezinye zezimpawu zakho:

• Faka ukushisa okumanzi (njengethawula elishisayo) noma amaphakethe eqhwa endaweni yakho yomhlathi. Ungashiyi iphakethe leqhwa livuliwe imizuzu engaphezu kweyi-10 ngesikhathi. Yeka uma lizwakala libanda kakhulu. Faka iphakethe lokushisa elimanzi cishe imizuzu eyi-15 ngesikhathi, cishe kane ngosuku.
• Phumula umhlathi wakho . Uma umhlathi wakho ubuhlungu, yidla ukudla okuthambile (irayisi, imifino ecoliwe, amasobho). Pheka kancane inyama ize ithambe. Esikhundleni sezithelo nemifino eluhlaza, zibilise, bese uphuza amajusi. Gwema inyama enzima ukuhlafuna, izinkwa (isb., isinkwa esithosiwe), kanye nokudla okuqinile nokuqhekeka kalula (isb., ama-crackers, i-toffee). Gwema ukuhlafuna ushungamu .
• Zama imithi yokubulala izinhlungu . Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) iyatholakala ngaphandle kwemithi ekhemisi, njenge-aspirin.Imithi yokwelapha izinhlungu etholakala ngaphandle kwemithi efana ne-aspirin, i-ibuprofen (amagama omkhiqizo: i-Advil®, i-Motrin®), kanye ne -naproxen (amagama omkhiqizo: i-Aleve®) ingasiza ngekhanda elibuhlungu kanye nobuhlungu bomhlathi. Kodwa-ke, uma unezinye izimo zezokwelapha (isib. isifo sohudo, isifo sezinso), qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuthatha le mithi. Landela imiyalelo esebhodleleni/ephilisini ngqo, futhi ungayithathi le mithi isikhathi esingaphezu kwamasonto amabili ngaphandle kwemvume kadokotela wakho.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, bona udokotela ngokushesha:

• Uma ikhanda lakho lihlala liba libi kakhulu, noma lithinta imisebenzi yakho yansuku zonke kuze kube yilapho ungakwazi ukusebenza kahle .
• Uma ubuhlungu bomhlathi wakho, intamo, noma umhlane buqhubeka buba bubi kakhulu .
• Uma unesifo sezinyo noma uzizwa sengathi izinyo lakho liyaphuka/liyaqhuma .
• Uma unenkinga yokudla noma ukuphuza ngenxa yobuhlungu emhlathini wakho noma ebusweni .

Izinto ezibaluleke kakhulu esizifundile kule ndaba (Umyalezo Ohamba Nawo Ekhaya)

Kulungile, manje usuqonda kahle lokho esikhulume ngakho namuhla (i-Condylar Resorption). Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Ukumuncwa kwe-condylar yisimo lapho ingxenye yomhlathi (ikakhulukazi ama-mandibular condyles) incibilika kancane kancane futhi iguge. Lokhu kungabangela ukonakala kobuso, ubuhlungu bamalunga omhlathi, kanye nobunzima bokudla.
• Lesi simo sivame kakhulu phakathi kwamantombazane amancane .
• Kungaba nezizathu eziningi; izinto ezifana nezifo ezithile zesimiso sokuzivikela komzimba, izinguquko zamahomoni, izingozi, njll. Ngezinye izikhathi, asikho isizathu esicacile esingatholakala.
• Uma uzwa izimpawu ezifana nokushintsha okuzumayo kwesimo sobuso, umhlathi ongezansi obuyela emuva, ubuhlungu bomhlathi, noma umsindo wokuqhuma lapho uvula umlomo wakho , bona udokotela ngokushesha .
• Akukho okufanele ukhathazeke ngakho, kunezindlela zokwelapha lokhu. Lesi simo singaphathwa ngemithi, ama-braces, futhi mhlawumbe nokuhlinzwa.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni izinkinga eziningi zesikhathi eside. Ngakho-ke ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha. Awuwedwa!

Ukulahlekelwa yithambo lomhlathi , ukumuncwa kwe-condylar, ijoyinti le-temporomandibular, i-TMJ, ubuhlungu bomhlathi, izinguquko zobuso, ukukhishwa kwezinyo