Ingabe uzwa ubuhlungu kuzo zombili izinhlangothi zomhlathi wakho uma udla, ukhuluma, noma uvula umlomo wakho nje? Ingabe ngezinye izikhathi uzwa umsindo 'wokuchofoza' noma 'wokuchofoza'? Noma ingabe unenkinga yokuvula nokuvala umlomo wakho, futhi umhlathi wakho uzizwa sengathi unamathele endaweni eyodwa? Nakuba ungase ucabange ukuthi lezi yizinto ezivamile, lokhu kungaba yisimo esidinga ukunakekelwa kwezokwelapha. Namuhla sikhuluma ngale nkinga yejoyinti lomhlathi abantu abaningi abanayo kodwa abangakhulumi kakhulu ngayo.
Kuyini i-TMJ?
Kalula nje, ilunga lapho umhlathi wakho ongezansi uxhumana khona nekhanda lakho libizwa ngokuthi i-Temporomandibular Joint, noma
i-TMJ . Leli lunga lifana ne-hinge yomnyango. Litholakala phambi kwezindlebe zakho ngayinye. Leli lunga elincane likusiza ukuthi ukhulume, udle, futhi uvule umlomo wakho uma ubhekene nobunzima. Kodwa uma kunenkinga ngaleli lunga noma imisipha elizungezile, silibiza ngokuthi i-Temporomandibular Disorders (TMDs). Ngezinye izikhathi udokotela wakho angase akubize nangokuthi i-TMJ Disorder. Nakuba abantu abaningi bebiza lesi simo ngokuthi "TMJ," empeleni lelo igama nje lelunga.
Kungani lesi simo senzeka?
Ayikho imbangela eyodwa eqondile yalesi simo, kodwa odokotela bakholelwa ukuthi sibangelwa izinkinga zemisipha noma amalunga eqakaleni. Kunezimbangela eziningana eziyinhloko.
- Ukulimala entanyeni: Cabanga uma othile ekushayisa ngokuzumayo, uwa, noma uthola ukushaywa kanzima entanyeni (i-whiplash), njengasengozini yemoto, okungalimaza leli lunga.
- Ukugaya noma ukubamba: Abanye abantu banomkhuba wokugaya amazinyo abo bengazi, kokubili ngesikhathi sokulala kanye nasemini. Lokhu kubeka ingcindezi enkulu esihlangwini somhlathi.
- Ukufuduka kwediski: Kukhona ingxenye ethambile, efana nomcamelo (i-'diski') ngaphakathi kwejoyinti lesinqe . Uma lokhu kuphuma endaweni, kungabangela ubuhlungu.
- I-Arthritis : Njengamanye amalunga emzimbeni, leli lunga lesinqe lingaphinde libe nesifo samathambo .
- Ukucindezeleka : Uma ucindezelekile noma ukhathazekile, ungase uqinise imisipha yakho yobuso neyomhlathi ngokungazi futhi uqinise amazinyo akho. Lokhu futhi kuyimbangela enkulu ye-TMD.
Abanye abantu bacabanga ukuthi lesi simo sibangelwa yizinyo noma ama-braces angahlelekile kahle, kodwa ucwaningo luthole ukuthi lezi zinto azibangeli ngqo.
Futhi, abesifazane banamathuba aphindwe kabili okuthola i-TMD kunabesilisa. Imbangela yalokhu isacwaningwa.
Ziyini izimpawu zalokhu?
Ubuhlungu nokungakhululeki okubangelwa yi-TMD ngezinye izikhathi kungaphela ezinsukwini ezimbalwa, noma kungathatha iminyaka. Kungathinta uhlangothi olulodwa noma zombili zobuso. Kuvame kakhulu kubantu abaneminyaka ephakathi kuka-20 no-40. Hlola ishadi elingezansi ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|
| Ubuhlungu emhlathini | Ubuhlungu ebusweni, eduze komhlathi, entanyeni nasemahlombe, noma ngaphakathi noma eduze kwendlebe (ikakhulukazi uma udla noma ukhuluma). |
| Ubunzima bokuvula umlomo | Ukuzwa ubunzima noma ubuhlungu lapho uzama ukuvula umlomo wakho kabanzi. |
| Ukukhiya i-hook | Umuzwa sengathi umhlathi unamathele endaweni eyodwa lapho uvula noma uvala umlomo. |
| Ukuqhuma kwejoyinti | Umsindo wokuchofoza, wokuqhuma, noma wokugaya lapho uvula noma uvala umlomo (lokhu kungaba nobuhlungu noma kungabi khona). |
| Ukukhathala kobuso | Ukuzizwa ukhathele futhi ukhathele emisipheni yobuso. |
| Ubunzima bokudla | Ubunzima bokuhlafuna ukudla noma ukuzizwa ungakhululekile njengokungathi amazinyo aphezulu naphansi awahlangani kahle. |
| Ezinye izici | Ukuvuvukala kolunye uhlangothi lobuso, ubuhlungu bamazinyo, ubuhlungu bendlebe, ukukhala ezindlebeni (i-tinnitus), ikhanda elibuhlungu (mhlawumbe i-migraine), isiyezi, ukungazweli ezinyaweni. |
Ingabe udinga ukubona udokotela?
Lezi zimpawu zingabangelwa nezinye izimo, njengezinkinga zamazinyo, izinkinga ze-sinus, noma isifo sezinsini. Yingakho kubalulekile ukubona udokotela wamazinyo ukuze uthole imbangela eqondile. Udokotela uzokubuza ngomlando wakho wezempilo futhi ahlole umzimba. Bazohlola ijoyinti lakho lomhlathi ukuze babone ubuhlungu futhi balalele imisindo oyenzayo uma uvula umlomo wakho. Bazohlola futhi ukuze babone ukuthi amazinyo akho okufakelwa alingana kahle yini. Ngezinye izikhathi, ungase ucelwe ukuba wenze i-X-ray, i-MRI, noma i-CT scan yobuso bakho bonke. Lokhu kungasiza ekuboneni ngokucacile izinto ezifana nesimo samathambo ejoyintini kanye nendawo yediski ngaphakathi.
Izindlela zokwelapha ezingenziwa ekhaya
Ezimweni eziningi, izimo ze-TMD ezithambile zingaphathwa ngezinto ezilula ongazenza ekhaya.
- Ukuthatha imithi yobuhlungu : Imithi efana ne -ibuprofen ( NSAIDs ) ingasiza ekunciphiseni ubuhlungu bemisipha nokuvuvukala. Kodwa khuluma nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
- Ukucindezela okushisayo noma okubandayo: Faka iphakethe leqhwa endaweni ebuhlungu ebusweni bakho imizuzu engaba yi-10. Bese ufaka indwangu efudumele endaweni cishe imizuzu emi-5. Yenza lokhu izikhathi eziningana ngosuku.
- Yidla ukudla okuthambile: Faka ukudla okufana ne-yogurt, amazambane athosiwe, isobho, amaqanda , inhlanzi, imifino ephekiwe kahle nezithelo ekudleni kwakho. Gwema ukudla okudinga ukuhlafunwa njengoswidi oluqinile, izaqathi, i-toffee, kanye ne-chewing gum.
- Yeka izinto ezikucindezela umhlathi wakho: Gwema izinto ezifana nokuvula umlomo wakho kabanzi, ukumemeza kakhulu, nokuhlafuna itshungama. Ungabambi isilevu sakho ngezandla zakho.
- Gcina ukuma okuhle: Hlala phansi ume umhlane wakho uqonde. Lokhu kunganciphisa ubuhlungu bentamo nobuso .
- Gcina amazinyo akho ehlukene kancane: Noma nini lapho kungenzeka, zama ukugcina isikhala esincane phakathi kwamazinyo akho aphezulu nangaphansi emini. Lokhu kuzonciphisa ingcindezi emhlathini wakho.
Yiziphi izindlela zokwelapha ezitholakalayo?
Uma ukwelashwa ekhaya kungasizi, udokotela wakho angase asikisele ukwelashwa okufana nalokhu.
Imithi namadivayisi
- Izinhlobo zemithi:Uma ubuhlungu nokuvuvukala kukhulu, udokotela wakho angase akunike imithi enamandla yokuqeda izinhlungu, imithi yokuphumula imisipha, noma imithi yokulwa nokukhathazeka.
- I-Splint noma i-Night Guard: Lawa amadivayisi epulasitiki abekwa phezu kwamazinyo ukusiza ukunciphisa umonakalo obangelwa ukugaya nokusiza ukugcina umhlathi usendaweni efanele.
Ezinye izindlela zokwelapha
Lokhu ngokuvamile ukwelashwa okwenziwa odokotela abangochwepheshe.
- Ukukhuthazwa kwemizwa kagesi okushintshela esikhumbeni (i-TENS): Kusebenzisa ugesi osezingeni eliphansi ukukhulula ilunga lesinqe kanye nemisipha, kunciphisa ubuhlungu.
- Ukwelashwa nge-ultrasound: Kusebenzisa ukushisa okujulile ukunciphisa ubuhlungu nokuthuthukisa ukunyakaza kwamalunga.
- Umjovo: Ukujova imithi yokubulala izinhlungu noma imithi yokubulala izinzwa emisipheni ebuhlungu.
- Ukwelashwa nge-laser (`Ukwelashwa nge-laser kwezinga eliphansi`): Kunciphisa ubuhlungu nokuvuvukala, okwenza kube lula ukuhambisa intamo nomhlathi.
Ukuhlinzwa
Okubaluleke kakhulu: Ukuhlinzwa kuyindlela yokugcina. Cabanga ngalokhu kuphela uma kungekho okunye ukwelashwa okuye kwasebenza. Qiniseka ukuthi uthintana nochwepheshe oyedwa noma ababili ngaphambi kokuhlinzwa.
Kunezinhlobo ezintathu eziyinhloko zokuhlinzwa: 1.
I-Arthroscopy: Ukuhlinzwa okuncane okwenziwa lapho ilunga livalekile. Kusetshenziswa inaliti ukufaka uketshezi elunganeni ukuze lihlanzwe. 2.
I-Arthroscopy: Ukuhlinzwa okwenziwa lapho kufakwa ikhamera encane (i-arthroscope) elunganeni ukuze kubhekwe ngaphakathi. Lokhu kuyindlela elula kakhulu yokuphulukisa ngokushesha. 3.
Ukuhlinzwa kwamalunga avulekile: Ukuhlinzwa okukhulu okwenziwa lapho ilunga seligugile noma selinomdlavuza. Lokhu kuthatha isikhathi eside ukuphulukiswa.
Umlayezo Wokuya Nawe Ekhaya
- Ungacabangi ukuthi ubuhlungu bomhlathi kanye nomsindo lapho uvula umlomo wakho noma udla kuyinto evamile. Kungaba uphawu lwesifo se-TMJ.
- Ukugaya amazinyo, ukucindezeleka, kanye nokulimala emhlathini yizinto eziyinhloko ezibangela lokhu. Ungakulawula lokhu ngokwenza izinguquko ezincane endleleni yakho yokuphila.
- Zama amakhambi alula asekhaya (ukudla okuthambile, ama-compress ashisayo/abandayo) kuqala. Lokhu kuvame ukunikeza impumuzo.
- Uma ubuhlungu buqhubeka noma buba bubi kakhulu, qiniseka ukuthi ubona udokotela wamazinyo noma udokotela ojwayelekile.
- Ukuhlinzwa kuyindlela yokugcina yokwelapha lesi sifo, ngakho ungakhathazeki ngakho.
Ubuhlungu bomhlathi, i-TMJ, i-TMD, isifo se-temporomandibular, isifo samalunga omhlathi, ukugaya amazinyo, ubuhlungu bomhlathi IsiSinhala, ubuhlungu lapho uvula umlomo
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