Wake wavuka ngokuzumayo wezwa umsindo wokuchofoza ovela emhlathini wakho? Noma wake wazizwa ubuhlungu obuncane phambi kwezindlebe zakho, eduze kwejoyinti lakho lomhlathi, futhi waba nobunzima bokuvula noma ukuvala umlomo wakho? Lokhu kungaba yimbangela yekhanda lakho elibuhlungu njalo. Abantu abaningi baye babhekana nalokhu, kodwa abazi ukuthi kubangelwa yini. Namuhla sikhuluma nge-Temporomandibular Joint (TMJ) Disorder, isimo esivamile kodwa esicasulayo esenzeka ejoyintini lethu lomhlathi.
Kalula nje, iyini i-TMJ?
Cabanga ngomhlathi wakho njenge-hinge. Le hinge isivumela ukuthi sishukumise umhlathi wethu phezulu naphansi futhi sihambisane lapho sikhuluma, sidla, noma sivuka. Sinezihlanganisi ezimbili ezinjalo phambi kwezindlebe zethu, ohlangothini ngalunye lobuso bethu. Lawa ma-joint aziwa ngokwezokwelapha ngokuthi i-Temporomandibular Joint (TMJ) .
Ngakho-ke, uma kunenkinga noma ukuphazamiseka kuleli lunga noma emisipheni elizungezile, sikubiza ngokuthi i-TMJ Disorder (TMD) . Kodwa-ke, enkulumweni evamile, abantu abaningi bathi lesi simo "siwukuba ne-TMJ".
Lokhu akwesabisi njengoba ungase ucabange. Kuyisimo esivame kakhulu. Sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-40. Ingxenye engcono kakhulu ukuthi singelashwa ngempumelelo futhi akuvamile ukubangela izinkinga ezinkulu zesikhathi eside.
Ziyini izimpawu zalesi simo?
Bheka ukuze ubone ukuthi unazo yini lezi zimpawu. Akuwona wonke umuntu ozoba nazo zonke lezi zimpawu, mhlawumbe eyodwa noma ezimbili.
| Isibonakaliso | Indlela ongase uzizwe ngayo |
|---|---|
| Ubuhlungu bomhlathi noma bobuso | Ubuhlungu obuqhubekayo esihlathini, eduze kwendlebe, noma eduze kwejoyinti lomhlathi. Lokhu kungaba kubi nakakhulu uma uhlafuna ukudla. |
| Ubuhlungu bekhanda noma i-migraines | Ikhanda elibuhlungu elifika liphinde liphele, ngaphandle kwesizathu esibonakalayo. Ngezinye izikhathi kuzwakala sengathi liqala ngemuva kwendlebe nasentanyeni. |
| Ukuqina komhlathi noma ukuqina kwawo | Kunzima ukuvula umlomo wakho uma uvuka ekuseni, futhi kuzwakala sengathi umhlathi wakho uvaliwe. Kunezikhathi lapho ungakwazi ukuvula umlomo wakho ngokuphelele. |
| Umsindo othi 'Tuck', 'click' noma 'click' | Umsindo wokuchofoza uzwakala esithweni somhlathi lapho uvula futhi uvala umlomo, noma uhlafuna ukudla. Kodwa-ke, uma kungumsindo wokuchofoza nje ongenabuhlungu, akuyona inkinga enkulu. |
| Ubuhlungu bendlebe noma ukukhala | Ukuzwa umsindo wokukhala noma wokubhonga endlebeni ngaphandle kokutheleleka kwendlebe. |
| Ubuhlungu bamazinyo | Ubuhlungu bezinyo ngisho nodokotela wamazinyo angeke athole imbangela yalo. |
| Ubuhlungu bentamo noma behlombe | Imisipha yomhlathi eqinile ingabangela ukuthi imisipha entanyeni nasemahlombe iqine futhi ibe buhlungu. |
Uma lezi zimpawu ziqhubeka zingathuthuki phakathi nezinsuku ezimbalwa, noma uma ziphazamisa imisebenzi yakho yansuku zonke, kufanele nakanjani ubone udokotela.
Kungani sithola lesi simo se-TMJ?
Kunzima ukukhomba isizathu esisodwa salokhu. Ngokuvamile, kuba yinhlanganisela yezinto eziningana ezibangela lokhu.
- Ukulimala emhlathini: Njengokushaywa ubuso kanzima, ukuphuka ithambo emhlathini, noma ukukhumuka kwelunga.
- Ukugaya amazinyo (Bruxism): Ukugaya amazinyo, ikakhulukazi lapho ulele noma uqinisa amazinyo akho ngokungazi emini, kubeka ingcindezi enkulu emalungeni nasemisipheni.
- I-Arthritis: I-Arthritis ingathinta i-hip joint kanye nedolo.
- Izinkinga zokubeka amazinyo: Ukulunywa okungaqondile kungabeka ingcindezi eyengeziwe esihlangwini somhlathi.
- Ukucindezeleka: Uma sicindezelekile, siqinisa imisipha ebusweni nasemhlathini ngokungazi. Lokhu kungaholela ebuhlungwini uma kuqhubeka.
Imikhuba yethu eyandisa ingozi
Ngezinye izikhathi izinto ezincane esizenzayo nsuku zonke zingabangela ukuthi ubuhlungu be-TMJ bukhule.
- Ukuhlafuna izinto ezifana nezibambo zepeni, ama-ice cubes, kanye nezipikili.
- Ukuhlala phansi ngendlela engafanele, ikakhulukazi uma usebenza kukhompyutha, intamo nekhanda lakho kubheke phambili.
- Uma udla ukudla okufana nama-hamburger, vula umlomo wakho kabanzi bese uhlafuna izingcezu ezinkulu.
- Sebenzisa amazinyo akho ezintweni ezifana nokuvula izivalo zamabhodlela.
- Ukulala ngesisu sakho kungabeka ingcindezi engadingekile emhlathini wakho.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, into yokuqala ayenzayo ukukubuza umbuzo onemininingwane mayelana nezimpawu zakho. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba.
Yini ebhekwayo ngesikhathi sokuhlolwa kwezokwelapha?
- Sibona ukuthi ungawuvula kanjani umlomo wakho ngaphandle kobuhlungu.
- Udokotela wakho uzocindezela kancane i-hip joint yakho kanye nemisipha ezungezile ukuze ahlole ubuhlungu noma ukuqina.
- Uma uvula futhi uvala umlomo wakho, uzwa ukunyakaza kwamalunga ngesandla sakho bese ubona ukuthi kukhona yini umsindo.
Ukuhlolwa uma kudingeka
Lesi simo ngokuvamile singatholakala ngokuhlolwa ngokomzimba, kodwa ngezinye izikhathi ukuhlolwa okufana nalokhu kungenziwa ukuqinisekisa imbangela.
- Ama-X-ray amazinyo: Hlola isimo samazinyo namathambo omhlathi.
- I-CT Scan: Bona imininingwane emincane yamathambo esihlanganisi.
- I-MRI Scan: Thola izinkinga ngoqwanga, izicubu ezithambile, kanye nemisipha ezungeze ilunga.
Uma lesi simo sitholakala kusenesikhathi, kuba lula ukwelapha futhi kulula ukululama.
Iphathwa kanjani?
Ukwelashwa kuncike embangela yezimpawu zakho kanye nobunzima bazo. Esikhathini esiningi, siqala ngokwelashwa okulula, hhayi ngezinto ezinkulu njengokuhlinzwa.
Izinhlobo zemithi
Udokotela wakho angase akunike imithi efana nalena yokunciphisa ubuhlungu, ukuvuvukala, kanye nokuqina kwemisipha.
| Isigaba sezidakamizwa | Izibonelo | Ukusebenza kahle |
|---|---|---|
| Ama-Painkiller | I-Acetaminophen | Ukuqeda ubuhlungu. |
| Imithi yokulwa nokuvuvukala (ama-NSAID) | I-Ibuprofen, i-Naproxen | Ukulawula kokubili ubuhlungu nokuvuvukala. |
| Iziphumuli zemisipha | (Iziphumuli zemisipha) | Ukunciphisa ukugaywa kwamazinyo nokucindezeleka kwemisipha. |
| Imithi yokucindezeleka | (Imithi yokucindezeleka ephansi) | Ukulawula izinhlobo ezithile zobuhlungu besikhathi eside nokunciphisa ukugaywa kwamazinyo ngesikhathi sokulala. |
| Okubalulekile: Noma yimiphi yale mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela wakho. | ||
Ukwelashwa okungekona ukuhlinzwa
Abantu abaningi bathola imiphumela emihle ngalezi zindlela.
- Izivikelo zomlomo noma izinti: Idivayisi ekhethekile eyenzelwe ukugqokwa ebusuku ngenkathi ulele, ikakhulukazi kubantu abagaya amazinyo abo, ukuvikela amazinyo abo nokunciphisa ingcindezi esihlangwini somhlathi.
- Ukwelashwa ngokomzimba: Ukuzivocavoca okukhethekile okuqinisa imisipha yeqakala futhi kwandise ukuguquguquka kwayo.
- Ukushintsha imikhuba: Gwema ukuhlafuna itshungama, itshungama yebhamuza, yehlisa ukudla ukudla okuqinile (isib. inyama eyomisiwe, amabhisikidi aqinile), futhi ulondoloze ukuma okuhle.
- Ukwelashwa nge-ultrasound: Kusebenzisa ukushisa ukuze kuphumuze imisipha.
- Ukwelashwa kwe-TENS: Kusebenzisa ugesi omncane kakhulu ukunciphisa ubuhlungu bemisipha nokuqina kwayo.
Ukuhlinzwa
Kuphela uma zonke ezinye izindlela zokwelapha zehlulekile, udokotela angacabangela ukuhlinzwa.
- Ukwelashwa kwe-Arthroscopy:Isirinji isetshenziswa ukufaka uketshezi esilungwini, ihlanze ingaphakathi lesilungwini futhi isuse izinto ezibangela ukuvuvukala.
- I-TMJ arthroscopy: Ukuhlinzwa okuncane okwenziwa ngokufaka ikhamera encane kakhulu esibayeni.
- Ukuhlinzwa kwamalunga avulekile: Ukuhlinzwa okuyinkimbinkimbi kancane okwenziwa kuphela uma kunenkinga enkulu yesakhiwo samalunga.
Ingabe lesi simo singalapheka ngokuphelele?
Yebo. Iningi labantu lingakwazi ukuphatha lesi simo kahle, futhi ngezinye izikhathi lize lilulame ngokuphelele . Kwabanye abantu, izimpawu zizothuthuka ngemva kwesonto noma amabili. Kwabanye, ukwelashwa kungadingeka isikhashana. Into ebalulekile ukuthi ngokuxilongwa okufanele kanye nohlelo lokwelashwa olufanele, abantu abaningi bangathola impumuzo ebuhlungwini futhi baphinde basebenze kahle umhlathi wabo.
Kungakhathaliseki ukuthi ubuhlungu bakho bungokwesikhashana noma buyesikhathi eside, kukhona usizo olutholakalayo. Uma izimpawu zakho ziphazamisa impilo yakho, ungalindi isikhathi eside bese ukhuluma nodokotela wakho .
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-TMJ siyisifo esivamile futhi esingelapheka esithinta ilunga lomhlathi kanye nemisipha elizungezile.
- Ubuhlungu bomhlathi, imisindo lapho uvula umlomo, ikhanda elibuhlungu elingachazeki, kanye nobuhlungu bendlebe kungaba yizimpawu eziyinhloko.
- Ukugaya amazinyo, ukucindezeleka, kanye nemikhuba emibi kungenza lesi simo sibe sibi nakakhulu.
- Izinto ezilula njengokugwema ukudla okunongwe, ukunciphisa ukucindezeleka, nokugcina ukuma okuhle kunganikeza impumuzo enkulu.
- Uma izimpawu ziqhubeka noma ziba zimbi kakhulu, qiniseka ukuthi ufuna iseluleko sezokwelapha. Ungasinaki.
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