Uzwa umsindo wokuchofoza lapho uvula umlomo wakho noma ugwinya? Ingabe ngezinye izikhathi uzizwa sengathi umhlathi wakho unamathele endaweni eyodwa? Noma kufanele uchithe izinsuku zakho unobuhlungu obungavamile obuqala eduze kwendlebe yakho, noma ikhanda elibuhlungu? Uma lokhu kuzwakala kujwayelekile kuwe, awuwedwa. Lokhu kuyinto evamile kubantu abaningi. Namuhla sizokhuluma ngesimo esingadala lokhu, i-Temporomandibular Joint Disorder , noma i-TMJ njengoba sonke siyazi.
Kalula nje, iyini i-TMJ?
I-TMJ akuyona nje isifo. Yigama elinikezwe ilunga lethu lomhlathi. Uma sikhuluma iqiniso, yi-"Temporomandibular Joint". Lawa malunga amabili atholakala kuzo zombili izinhlangothi zobuso bethu, phambi kwezindlebe zethu. Cabanga ngawo njengezihibe zomnyango. Leli lunga lixhumanisa umhlathi wethu ongezansi nomhlathi wethu ongaphezulu. Leli lunga elincane lisiza umlomo wethu ukuthi unyakaze kahle lapho sikhuluma, sidla, sivula umlomo wethu, futhi simamatheka.
Ngakho-ke, uma kunenkinga ngaleli lunga noma imisipha elizungezile, silibiza ngokuthi i-TMJ Disorder , noma ngokwezokwelapha `(Temporomandibular Dysfunction - TMD)`. Lokhu akukubi njengoba ungase ucabange, futhi kuvame ukuphulukiswa .
Lesi simo sivame kakhulu kwabesifazane. Sivame kakhulu nakubantu abaneminyaka ephakathi kuka-20 no-40. Kodwa lokho akusho ukuthi abanye abantu abakwazi ukusithola.
Ziyini izimpawu zesimo se-TMJ?
Izimpawu ze-TMJ zingahluka kumuntu nomuntu. Abanye abantu bangase babe nokungakhululeki okuncane kuphela, kanti abanye bangase babe nobuhlungu obukhulu obenza kube nzima ngabo ukwenza imisebenzi yansuku zonke. Ithebula elingezansi libonisa ukuthi ziyini lezi zimpawu nokuthi zingakuthinta kanjani.
| Isibonakaliso | Indlela ongase uzizwe ngayo |
|---|---|
| Ubuhlungu bomhlathi noma bobuso | Ubuhlungu obungacacile, obubuhlungu eduze kwendlebe, esihlathini, noma emhlathini. Lobuhlungu bungaba bubi nakakhulu lapho udla noma ukhuluma. |
| Ubuhlungu bekhanda noma i-migraines | Ikhanda elibuhlungu elibuhlungu, ikakhulukazi emathempelini. Ngezinye izikhathi lokhu kungaba nzima njengekhanda elibuhlungu. |
| Ukukhiya umhlathi | Umuzwa womhlathi wakho ubhajwa endaweni eyodwa, ungakwazi ukuvula noma ukuvala umlomo wakho ngokugcwele. Lokhu kungase kubonakale kakhulu uma uvuka ekuseni. |
| Umsindo wokuqhekeka | Uma uvula futhi uvala umlomo, kuba nomsindo othi 'click' noma 'tock'. Ngezinye izikhathi kuzwakala umsindo wokugaya. |
| Ubuhlungu bendlebe noma ukukhala | Ungase uzwe ubuhlungu ngaphakathi endlebeni yakho ngaphandle kokutheleleka endlebeni. Noma ungase uzizwe sengathi izindlebe zakho ziyakhala. |
| Ubuhlungu bamazinyo kanye nobuhlungu bentamo namahlombe | Kuzwakala sengathi amazinyo akho ayaqaqamba ngaphandle kwesizathu. Futhi, izinkinga esihlanganisini somhlathi zingasakazekela emisipheni yentamo nasemahlombe, okubangela ubuhlungu. |
Uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, kubalulekile ukubona udokotela wakho ukuze akunike iseluleko.
Kungani lezi zinkinga ze-TMJ zenzeka?
Kunzima ukukhomba isizathu esisodwa salokhu. Ngokuvamile, lesi simo sivela ngenxa yenhlanganisela yezici eziningana.
- Ukulimala emhlathini: Lesi simo singabangelwa yinto efana nokushaywa emhlathini, ukuphuka, noma ukukhumuka.
- Ukucasuka: Lona umkhuba abantu abaningi abanawo. Ukuququda amazinyo ngokungazi, ikakhulukazi ngesikhathi sokulala ebusuku, kubeka ingcindezi enkulu esithweni somhlathi kanye nemisipha.
- I-Arthritis: I-Arthritis ingathinta ilunga lomhlathi, njengamanye amalunga emzimbeni.
- Ukulunywa okungaqondile: Uma kukhona ukungaqondile endleleni amazinyo aphezulu nangaphansi ahlangana ngayo, kungabangela ingcindezi eyengeziwe esihlangwini somhlathi.
- Ukucindezeleka:Lokhu kuyimbangela yezinkinga eziningi. Uma sicindezelekile, siqinisa imisipha ebusweni nasemhlathini ngokungazi. Uma lokhu kuqhubeka, kungalimaza ilunga.
Le mikhuba ingenza isimo sibe sibi kakhulu.
Ngezinye izikhathi imikhuba yethu iyandisa lobu buhlungu. Bheka ukuthi nawe uyazenza yini lezi zinto:
- Ukuhlafuna izinto ezifana namapeni, amapensela, kanye nama-ice cubes.
- Ukulunywa kwezinzipho.
- Ukuhlala phansi ngendlela engafanele, ikakhulukazi intamo yakho igobile eceleni ngenkathi uphambi kwekhompyutha.
- Ukudla ukudla okuningi (njengebhega elikhulu, isibonelo).
- Kufana nokusebenzisa amazinyo akho ukuvula izivalo zamabhodlela noma ukuphula imicu.
- Ukulala ngesisu sakho.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, into yokuqala azoyenza ukukubuza imibuzo ukuze aqonde kangcono izimpawu zakho. Ngemuva kwalokho, uzokuhlola umzimba.
Nazi ezinye izinto ongazenza ngesikhathi sokuhlolwa:
- Ake sibone ukuthi ungawuvula kangakanani umlomo wakho.
- Bazocindezela indawo ezungeze umhlathi wakho ngezandla zabo ukuze bahlole ubuhlungu noma ukungakhululeki.
- Ulalela indlela ilunga elihamba ngayo kanye nemisindo eliyenzayo uma uvula futhi uvala umlomo wakho.
Ngezinye izikhathi, kungase kudingeke ukuhlolwa okwengeziwe ukuqinisekisa inkinga eqondile.
- Ama-X-ray amazinyo: Hlola isimo samazinyo kanye nethambo lomhlathi.
- I-CT Scan: Thola izithombe ezinemininingwane zamathambo esihlanganisi.
- I-MRI Scan: Thola izinkinga ngediski kanye nezicubu ezithambile ezizungezile.
Uma inkinga isheshe itholakale, amathuba okwelashwa nokululama ayanda. Ngakho-ke ungabekezeleli ubuhlungu.
Yiziphi izindlela zokwelapha i-TMJ?
Izindaba ezinhle ukuthi abantu abaningi bangakwazi ukubhekana nalesi simo ngokwelashwa okulula, ngaphandle kokusebenzisa ukuhlinzwa okukhulu. Ukwelashwa kuncike ebunzimeni bezimpawu zakho kanye nembangela.
Izinto ezilula ongazenza ekhaya
- Yidla ukudla okuthambile: Uma uzwa ubuhlungu, gwema izinto ezidinga ukuthi uhlafune kakhulu, njengezinto ezinjengamantongomane, amantongomane, kanye ne-chewing gum. Gxila ekudleni okuthambile njengesobho, i-yogurt, kanye nelayisi.
- Ukucindezela okushisayo noma okubandayo: Faka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni ebuhlungu cishe imizuzu eyi-10-15. Lokhu kuzophumuza imisipha futhi kunciphise ubuhlungu.
- Ukuzivocavoca kweqakala: Ungaqinisa imisipha yeqakala lakho ngokwenza izivivinyo ezilula ezinikezwe udokotela wakho noma isazi se-physiotherapist.
- Nciphisa ukucindezeleka:Nciphisa ukucindezeleka ngezinto ezifana nokuzindla, i-yoga, kanye nokuzivocavoca ngokuphefumula okujulile.
Ukwelashwa kwezokwelapha
Uma ukwelashwa ekhaya kungasizi, udokotela wakho angakuthumelela kulezi zinhlobo zokwelapha.
| Indlela yokwelapha | Incazelo |
|---|---|
| Imithi | Imithi yokuqeda ubuhlungu (isib. i-acetaminophen), imithi yokulwa nokuvuvukala (ama-NSAID - isib. i-ibuprofen), imithi yokuphumula imisipha, futhi ngezinye izikhathi ngisho nemithi yokucindezeleka yobuhlungu obungapheli inganikezwa. Ungathathi noma yimuphi umuthi ngaphandle kweseluleko sikadokotela. |
| Isivikelo somlomo / I-Splint | Lokhu kufana nesivikelo somlomo sepulasitiki. Ikakhulukazi kulabo abagaya amazinyo abo, ukusigqoka ebusuku kungasiza ekunciphiseni ingcindezi emalungeni. |
| Ukwelashwa Komzimba | Ukuzivocavoca okukhethekile kanye nokwelashwa okuthuthukisa ukunyakaza kwamalunga omhlathi, ukuqinisa imisipha, kanye nokunciphisa ubuhlungu. |
| Imijovo | Ubuhlungu bungancishiswa ngokujova izidakamizwa ezifana nama-steroids ezindaweni ezithile zemisipha ezibangela ubuhlungu (amaphuzu okubangela). |
Izinketho Zokuhlinzwa
Ukuhlinzwa kucatshangelwa kuphela ezimweni ezinzima kakhulu lapho kungekho noyedwa wokwelashwa okungenhla osebenze khona. Lokhu akuzona izindlela zokwelapha ezivamile.
- I-Arthrocentesis: Inqubo lapho kusetshenziswa khona isirinji ukufaka uketshezi esilungwini, empeleni kuhlanzwa isilungwini.
- I-TMJ Arthroscopy: Ukuhlinzwa okungangenisi kakhulu okwenziwe ngokufaka ikhamera encane esibayeni.
- Ukuhlinzwa kwamalunga avulekile:Ukuhlinzwa okuhilela ukuvula ilunga ngokuphelele. Lokhu kwenziwa kuphela uma kukhona umonakalo omkhulu elunganeni.
Kufanele ngimbone nini udokotela?
Uma ubuhlungu bomhlathi wakho, umsindo wokuchofoza, noma ukuqina kungapheli ezinsukwini ezimbalwa, noma uma kuphazamisa impilo yakho yansuku zonke, ungalibali. Bonana nodokotela ngokushesha. Angathola imbangela yenkinga yakho futhi akuncomele ukwelashwa okufanele kakhulu kuwe.
Isifo se-TMJ yisimo sesikhashana esifika sidlule kwabanye abantu. Kwabanye, kungaba yisimo esingamahlalakhona esihlala isikhathi esithile. Kodwa ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, abantu abaningi bangaqeda ubuhlungu futhi basebenzise umhlathi wabo ngendlela evamile. Ngakho ungakhathazeki ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-TMJ siyisifo esivamile esithinta ilunga lakho lomhlathi kanye nemisipha elizungezile.
- Ubuhlungu bomhlathi, umsindo 'wokuchofoza' lapho uvula umlomo, ikhanda elibuhlungu, kanye nokuqina komhlathi yizimpawu eziyinhloko.
- Ukucindezeleka, ukuququda amazinyo ngenkathi ulele, kanye nokulimala emhlathini wakho kungaba yizimbangela eziyinhloko zalokhu.
- Izinto ezilula njengokudla ukudla okuthambile nokufaka ukushisa kungasiza ekunciphiseni ubuhlungu.
- Uma izimpawu ziqhubeka noma zinzima, qiniseka ukuthi ufuna iseluleko sikadokotela. Lesi yisimo esingelapheka kakhulu.
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