Ingabe nawe unesihlungu somhlathi ekuseni? Noma ingabe uphathwa yikhanda ngaphandle kwesizathu esibonakalayo njengoba usuku luqala? Ingabe umuntu ohlala naye, mhlawumbe oshade naye, ukutshela ukuthi ugedla amazinyo ebusuku ulele? Uma lezi zinto zivamile kuwe, ungase ube nesifo esibizwa ngokuthi i-Bruxism kwezesayensi yezokwelapha. Ungakhathazeki, lokhu kuyinto abantu abaningi abanayo. Ake sixoxe ngakho namuhla.
Kalula nje, kuyini i-Bruxism?
I-Bruxism ukungazi lutho, noma ngokunembile, ukungaqondi kahle, ukugoqa amazinyo, ukugedla amazinyo, noma ukugedla amazinyo ndawonye. Lokhu kungenzeka ngenkathi uvukile, noma kungenzeka uma ungaqondi, ulele ubuthongo obukhulu.
Cabanga ngakho, sonke siyagaya amazinyo ethu ngesikhathi esithile empilweni yethu, ikakhulukazi lapho sicindezelekile kakhulu. Kujwayelekile. Kodwa uma lo mkhuba uqhubeka njalo futhi uqhubeka, ungabeka ingcindezi enkulu emazinyweni nasemadlelweni akho. Ngokuhamba kwesikhathi, lokhu kungaholela ekulimaleni kwamazinyo, ezinhlungwini zekhanda, nakwezinye izinkinga ezifana nobuhlungu bomhlathi.
Nakuba lesi simo singavela kunoma yimuphi ubudala, sivame kakhulu ezinganeni ezincane nakubantu abadala abasebasha. Njengoba sivame ukwenzeka ngesikhathi sokulala, kunzima ukusho ukuthi bangaki abantu abanalesi simo.
Ziyini izimpawu ze-Bruxism?
Uma ugedla amazinyo njalo, ungase ubhekane nalezi zimpawu. Hlola ukuthi unayo yini eyodwa noma ngaphezulu yalezi zimpawu.
| Isibonakaliso | Incazelo elula ngakho |
|---|---|
| Ikhanda elibuhlungu kanye nobuhlungu bobuso | Ikhanda elibuhlungu kakhulu, ikakhulukazi lapho uvuka ekuseni, noma ubuhlungu ebusweni noma ezihlathini. |
| Ubuhlungu bendlebe | Kuzwakala sengathi ubuhlungu buvela ngaphakathi endlebeni, ngaphandle kokutheleleka endlebeni. |
| Ubuhlungu bemisipha yomhlathi | Imisipha ezinhlangothini zombili zomhlathi iyabuhlungu uma uyithinta, noma umhlathi uzizwa ukhathele. |
| Ukuzwa imisindo ezindlebeni (i-Tinnitus) | Ukuzwa umsindo "okhalayo" ngaphakathi ezindlebeni. |
| Ubuhlungu ngesikhathi sokudla | Kunzima ukudla kahle ngoba umhlathi wakho uyabuhlungu uma uhlafuna ukudla. |
| Ubunzima bokuvula nokuvala umlomo | Umsindo "wokuchofoza" wenziwa uma uvula umlomo wakho kabanzi, noma uzwakala sengathi uyabhajwa. |
Kunezinhlobo ezimbili eziyinhloko ze-bruxism:
Lokhu kugaya amazinyo kungahlukaniswa ngezinhlobo ezimbili eziyinhloko, kuye ngokuthi kwenzeka kanjani uma uvukile nokuthi ulele nini.
1. Ukuvuka kwe-Bruxism
Lokhu kwenzeka uma usebenza emini, uma ucabanga ngento ethile. Lokhu kuvame ukwenzeka uma uzizwa ukhathazekile, uthukuthele, noma ucindezelekile. Futhi, uma ucabanga ngento ejulile kakhulu, okungukuthi, uma ugxila kakhulu, ungabamba amazinyo akho ngaphandle kokuqaphela. Into enhle ngalokhu ukuthi uma ungakuqaphela lokhu, ukukuqaphela, futhi uthole izindlela zokuphatha ukucindezeleka kwakho, ungase ungadingi ukwelashwa okukhulu.
2. Ukulala Ubisi Olubi
Lokhu kuyingozi kancane. Ngoba kwenzeka ngaphandle kokulawula kwakho, ngesikhathi ulele. Awuqapheli ngisho nokuqaphela, futhi umonakalo ongakwenza emazinyweni akho nasemadlelweni akho mkhulu kakhulu. Abantu abagaya amazinyo abo ebuthongweni bavame ukudinga ukwelashwa ukuze balawule imiphumela.
Kungani sithola i-Bruxism? Ziyini izimbangela?
Eqinisweni, ngisho nodokotela abakwazi ukusho ngqo ukuthi kungani abanye abantu begaya amazinyo kanti abanye abakwenzi. Ayikho imbangela eyodwa yalokhu. Kodwa kunezici eziningana eziyingozi ezingathinta lokhu.
- Ukucindezeleka Nokukhathazeka: Ukucindezeleka kuvame kakhulu ekuphileni kwanamuhla okumatasa. Izinto ezifana nezivivinyo, izinkinga zomsebenzi, nezinkinga zomndeni zingasenza sigaye amazinyo ebusuku singaqapheli. Futhi, abantu abanezimo zempilo yengqondo njenge-Major Depression Disorder (MDD) noma i-Generalized Anxiety Disorder (GAD) basengozini enkulu.
- Imikhuba Yendlela Yokuphila: Ucwaningo luthole ukuthi abantu ababhemayo, abaphuza utshwala, futhi abaphuza izinkomishi zekhofi ezingaphezu kweziyisithupha ngosuku basengozini ephindwe kabili yalesi sifo kunabanye.
- Imithi Ethile: Eminye imithi yokugula kwengqondo, ikakhulukazi leyo esesigabeni esaziwa ngokuthi yi-Selective Serotonin Reuptake Inhibitors (SSRIs), ingabangela ukugaywa kwamazinyo njengomphumela ongemuhle.
- Ukuphelelwa Yisikhathi Kokulala: Ukuphelelwa Yisikhathi Kokulala yisimo lapho ukuphefumula kuyeka khona isikhashana ngesikhathi sokulala. Kutholakale ukuthi kukhona ukuxhumana phakathi kwalesi simo nokugaya amazinyo. Kodwa-ke, ucwaningo lusaqhubeka ukuze kutholakale ukuthi ukuphelelwa yisikhathi kokulala kubangela i-bruxism noma ukuthi i-bruxism ibangela i-sleep apnea.
- Ukulimala kwamazinyo: Lokhu kungafaka phakathi izinto ezifana nokuguguleka kwamazinyo, ukuqhuma kwamazinyo, kanye nokuxega kwamazinyo.
- Izinkinga Zezihlanganisi Zomhlathi: Ilunga lethu lomhlathi libizwa ngokuthi ``Temporomandibular Joint - TMJ''. Ukunamathelana kwamazinyo okuqhubekayo kungalimaza leli lunga futhi kubangele ubuhlungu.
- Izinkinga zokulala: Ukulala kungase kuphazamiseke futhi ungase uzizwe ukhathele usuku lonke.
- Ubuhlungu bobuso: Ukucindezeleka emisipheni yomhlathi kungabangela ubuhlungu obukhulu bobuso.
- I-Bruxism ukugedla amazinyo ngokungazi. Ngokuvamile ihlotshaniswa nokucindezeleka.
- Ikhanda elibuhlungu ekuseni, ubuhlungu bomhlathi nobuso, kanye nobuhlungu bamazinyo yizimpawu eziyinhloko.
- Ukugedla amazinyo akho ngenkathi ulele (Sleep Bruxism) kungaba yingozi kakhulu emazinyweni nasemadlelweni akho kunalapho uvukile.
- Izindlela zokwelapha eziyinhloko ukusebenzisa isivikelo somlomo, ukulawula ukucindezeleka, kanye nokushintsha imikhuba yokuphila.
- Uma izimpawu ziqhubeka, ungazinaki futhi nakanjani ubone udokotela. Uzokunikeza ikhambi elifanele kakhulu.
Okubalulekile: Uma uthatha noma yimuphi wale mithi, khuluma nodokotela wakho ngalokhu. Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubuza udokotela wakho kuqala!
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma lokhu kuqhubeka futhi kungelashwa, izinkinga ezifana nalezi:
Udokotela ukubona kanjani lokhu?
Ngokuvamile kuqalwa ngokuhlolwa udokotela, ikakhulukazi udokotela wamazinyo . Bazohlola amazinyo akho, babheke ukuthi agugile kanjani, bese bekubuza ngezimpawu zakho ukuze bathole ukuthi unawo yini.
Kodwa ngezinye izikhathi, ukuqinisekisa ukuthi kwenzekani kanye nokuthi kuyingozi kangakanani, ungase ucelwe ukuthi wenze 'isifundo sokulala' (i-Polysomnography). Lokhu kuhilela ukuhlala ubusuku bonke esibhedlela futhi uqaphe ukusebenza kobuchopho bakho, ukuphefumula, kanye nokunyakaza kwemihlathi ngenkathi ulele.
Yiziphi izindlela zokwelapha i-bruxism?
Uma une-bruxism encane kakhulu, okusho ukuthi ugedla amazinyo ngezikhathi ezithile kuphela, ungase ungadingi ukwelashwa okukhulu. Kodwa-ke, ezimweni ezimbi kakhulu, udokotela wakho angancoma lolu hlobo lokwelashwa.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Izivikelo Zomlomo | Udokotela wamazinyo uzokwenza isembozo sepulasitiki esikhethekile esifanela amazinyo akho. Uma ulala naso ebusuku, sivimba amazinyo akho ukuthi angagayi ndawonye futhi sinciphise ingcindezi emhlathini wakho. |
| Izindlela zokunciphisa ukucindezeleka | Ukulawula ukucindezeleka kungatholakala ngokuzindla, ukuzivocavoca, kanye nokwelashwa kwengqondo, ikakhulukazi i-Cognitive Behavioral Therapy (CBT) . Lokhu kunganciphisa kakhulu i-bruxism. |
| Izinguquko zendlela yokuphila | Ukunciphisa ikhofi notshwala okudlayo, kanye nokuyeka ukubhema uma wenza kanjalo, kungasiza ekunciphiseni ukugaya amazinyo futhi kukusize ulale kangcono. |
| Imithi | Udokotela wakho angase akuncome ukuthi uthathe umuthi wokuphumula imisipha ngaphambi kokulala, kodwa ngokuvamile unikezwa isikhathi esifushane kuphela. |
| Imijovo ye-botulinum toxin | Ezimweni ezinzima kakhulu, kungafakwa umjovo we-Botox® emisipheni yomhlathi. Lokhu kukhulula imisipha okwesikhashana futhi kunciphisa ubuhlungu. Kodwa-ke, umjovo kumele uphindwe njalo ezinyangeni ezi-3-4 ukuze kugcinwe imiphumela. |
Kufanele ngimbone nini udokotela?
Uma unezinye zezimpawu ezibalwe ngenhla (njengekhanda elibuhlungu kanye nobuhlungu bomhlathi), uma ziqhubeka, uma ziba zimbi kakhulu, noma uma ubona ukuthi amazinyo akho agugile, kufanele nakanjani ubone udokotela, ikakhulukazi udokotela wamazinyo.
Mhlawumbe unalokhu ngenxa yokucindezeleka isikhathi eside. Uma kunjalo, ungathola ikhambi lesikhashana. Noma ungase udinge okuthile okufana nesivikelo somlomo esikhathini eside. Kodwa-ke, udokotela angakusiza.
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