Ingabe ikhanda lakho lizwakala liqinile? Kungaba yikhanda elibuhlungu!

Ingabe ngezinye izikhathi uzizwa sengathi ibhande eliqinile liboshwe ekhanda lakho, ibunzi lakho nezihlathi zakho ziqinile? Ingabe uzizwa ubuhlungu njengokungathi othile ucindezela ikhanda lakho? Khona-ke ungase ube nekhanda elibuhlungu . Nakuba lokhu kuyinto evamile kubantu abaningi, kungaba yinto ecasulayo kwabanye. Ngakho ake sixoxe ngalokhu ngokuningiliziwe namuhla, akunjalo?

Kuyini Ubuhlungu Bekhanda Obubangelwa Ukucindezeleka?

Kalula nje, ikhanda elibuhlungu liwubuhlungu bekhanda obuzwakala sengathi ibhande eliqinile liboshwe ekhanda lakho, okubangela ukucindezeleka nokucindezeleka ebunzini lakho nasemathempelini. Odokotela ngezinye izikhathi bakubiza ngokuthi "ikhanda elibuhlungu elifana nokucindezeleka." Empeleni kunezimbangela eziningi zalokhu. Ngezinye izikhathi asikwazi ukugwema zonke lezi zimbangela. Kodwa izindaba ezinhle ukuthi ngaphezu kwezinto esingazenza ukuze sikuvimbele, uma ukwelashwa okulula ekhaya kungasizi, kunemithi nezinye izindlela zokwelapha odokotela abangazinikeza ukuze banciphise ukucindezeleka kwalezi zinkinga zekhanda.

Zikhona yini izinhlobo zalolu hlobo lwekhanda?

Yebo, odokotela bahlukanisa lezi zinhlungu zekhanda ngokusekelwe ekutheni uzithola kangaki. Kunezinhlobo ezintathu eziyinhloko:

• Izikhathi ezingavamile: Kulolu hlobo, uthola ikhanda elibuhlungu kanye ngenyanga noma ngaphansi.
• Uhlobo oluvame ukwenzeka ngezikhathi ezithile: Kulolu hlobo, izinhlungu zekhanda zingase zivele kusukela osukwini olulodwa kuya kweziyishumi nane ngenyanga, isikhathi esingangezinyanga ezintathu.
• Okungalapheki: Lokhu kuyakhathaza kancane. Uma uphethwe yikhanda izinsuku ezingaphezu kweziyishumi nanhlanu ngenyanga, isikhathi esingaba yizinyanga ezintathu, liwela kulesi sigaba.

Ingabe Ubuhlungu Bekhanda Obubangelwa Ukucindezeleka Buvamile?

Empeleni, yebo. Ikhanda elibuhlungu elibangelwa ukucindezeleka liwuhlobo oluvame kakhulu lwekhanda elibuhlungu . Abacwaningi balinganisela ukuthi abantu abangaphezu kuka-70% babhekana naleli khanda elibuhlungu elibangelwa ukucindezeleka ngezikhathi ezithile. Kuthiwa livame kakhulu kwabesifazane .

Ziyini izimpawu zalokhu?

Izimpawu zingahluka kancane kumuntu nomuntu, kodwa abantu abaningi bachaza ubuhlungu bekhanda elibuhlungu kanje:

• Uzwa ukucindezeleka nobuhlungu obuhlala njalo, obuncane kuya kobuphakathi .
• Kuzwakala sengathi othile ucindezela izinhlangothi zombili zekhanda lami ndawonye.
• Imisipha entanyeni nasemahlombe ami izwakala iqinile, sengathi iyacindezelwa .
• Abanye abantu bangase babe nokuzwela kancane ekukhanyeni okukhulu nomsindo .

Lezi zimpawu ziqala kancane kancane. Zingahlala cishe imizuzu engama-30 bese ziyanyamalala. Kodwa ngezinye izikhathi ubuhlungu bungahlala isonto lonke. Kulabo abanezinkinga zekhanda ezingapheli okukhulunywe ngazo ekuqaleni, bangase bazizwe sengathi baphila nobuhlungu kanye nokucindezelwa kwalolu hlobo lwekhanda ngaso sonke isikhathi.

Kungani siphathwa yikhanda elibuhlungu? Ziyini izimbangela?

Abacwaningi basazama ukuthola imbangela eqondile. Abanye bakholelwa ukuthi ikhanda elibuhlungu liqala lapho imisipha ephakathi kwekhanda lakho nentamo iqina , futhi ekugcineni imisipha esekhanda lakho iqina. Isizathu esiyinhloko salokhu kuqina kwemisipha njalo ukucindezeleka noma ukungqubuzana ngokomzwelo .

Futhi ezinye izizathu eziningana zingathinta lokhu:

• Ukucindezeleka kwentamo: Ukucindezeleka okwenzeka emisipheni yentamo uma uhleli isikhathi eside ufunda incwadi noma iphephandaba, noma uma ubamba ifoni phakathi kwentamo nehlombe ngenkathi ukhuluma. Cabanga ngakho, abanye abantu babamba amafoni abo ngokuqinile emahlombe abo ngenkathi besebenza, izinto ezinjalo.
• Ukucindezeleka kwamehlo: Ukucindezeleka kwamehlo okwenzeka uma ubheka isikrini sekhompyutha isikhathi eside noma uma ubheka amadokhumenti isikhathi eside ngaphandle kokuphumula.
• Isifo samalunga esibizwa ngokuthi i-Temporomandibular joint disorder ( TMJ ): Uma unezinkinga ngejoyinti lakho lomhlathi, lokho kungaba yimbangela.
• Isifo samathambo esiwohlokayo entanyeni yakho .
• Izinkinga zokulala: Izimo ezifana nokungalali kahle noma i-sleep apnea.
• Ukukhathazeka .
• Ukucindezeleka .

Cabanga nje, uNiluka uchitha usuku lonke phambi kwekhompyutha ehhovisi. Uma ebuya ekhaya ngemva komsebenzi, kokubili intamo nekhanda lakhe kuyabuhlungu. Uvame ukuba nekhanda elibuhlungu. Isizathu salokhu kungaba ukuhlala endaweni efanayo isikhathi eside nokukhama amehlo akhe.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ikhanda elibuhlungu elingapheli lokucindezeleka, elihlala amasonto noma izinyanga, lingaba nomthelela omkhulu ezingeni lempilo yakho. Isibonelo, ungase ube nenkinga yokugxila emisebenzini yakho kanye nemithwalo yemfanelo yomndeni ngoba kufanele ubhekane nokucindezeleka okuqhubekayo kwekhanda.Kungaba nzima. Kungaphazamisa impilo yansuku zonke.

Udokotela wazi kanjani ukuthi lokhu kuyikhanda elibuhlungu lokucindezeleka?

Uma uya kudokotela, uzokubuza ngomlando wakho wezokwelapha kanye nezimpawu zamanje. Lokhu kusho ukuthi ungabuzwa imibuzo efana nale:

• Uba nalezi zimpawu kangaki?
• Kungaziphi izikhathi zosuku lapho uzizwa khona kakhulu lezi zimpawu?
• Yiziphi izinto ezenza lezi zimpawu zibe zimbi kakhulu?
• Uyazizwa ukhululekile yini uma uthatha imithi yokunciphisa ubuhlungu etholakala ekhemisi?

Ngezinye izikhathi, udokotela wakho angase akucele ukuthi uhlolwe nge-CT (Computed Tomography) noma nge-Brain MRI (Magnetic Resonance Imaging) ukuze kuhlolwe ezinye izimo ezingathi sína eziyisisekelo.

Iyini indlela yokwelapha lokhu?

Izinketho zokwelapha ziyahlukahluka kuye ngohlobo lwekhanda lokucindezeleka onalo. Isibonelo, uma unesifo sekhanda esingavamile, udokotela wakho angase akuncomele imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela. Lokhu kufaka phakathi:

• I-Acetaminophen (isib. i-Tylenol®) – Lena yi-paracetamol sonke esiyaziyo.
• I-aspirini
• I-Ibuprofen (isib. i-Advil®, i-Motrin®)
• I-Naproxen sodium (isib. i-Aleve®)

Kodwa uma unekhanda elibuhlungu elingapheli, udokotela wakho angase akunike imithi efana nale:

• Imithi yokuvimbela ukuqunjelwa: Isibonelo, iGabapentin (Neurontin®) noma iTopiramate (Topamax®, Topiragen®). Lokhu futhi kuyasiza ekunciphiseni ubuhlungu.
• Eminye imithi yokucindezeleka, njenge-Amitriptyline, ingasiza ekunciphiseni ubuhlungu.
• Izindlela zokwelapha ezihlukile: Izinto ezifana ne-biofeedback, ukuzindla, noma ukwelashwa kokuziphatha kwengqondo (CBT) ukusiza ekulawuleni ukucindezeleka.
• Ukwelashwa ngokomzimba: Lokhu kungaba usizo ekuphefumuleni kokulala kanye nezinkinga zamalunga e-temporomandibular (TMJ).

Ingabe ikhona imiphumela emibi evela ekwelashweni?

Imiphumela emibi kanye nezinkinga ziyahlukahluka kuye ngokwelashwa. Kodwa-ke, umphumela owodwa ovamile wokusetshenziswa njalo kwama-painkiller athengiswa ngaphandle kwemithi kadokotela noma anikezwa udokotela wekhanda ngenxa yekhanda elibuhlungu ukuqaqamba kwekhanda okuphindaphindwayo noma imithi esetshenziswa kakhulu ikhanda elibuhlungu .

Ikhanda elibuhlungu elibuyela emuva liba lapho uqhubeka nokusebenzisa imithi yekhanda bese uphinda uphathwa yikhanda. Yingakho odokotela beluleka ukuthi usebenzise imithi yobuhlungu izinsuku ezingadluli kweziyi-10 kunoma iyiphi inyanga . Lokhu kuyinto ebaluleke kakhulu okufanele uyikhumbule.

Yini ongayilindela uma unesifo sokucindezeleka?

Uma wena, njengabantu abaningi, unekhanda elibuhlungu lokucindezeleka ngezikhathi ezithile, ungaliphatha ngemithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela kanye nokunciphisa ukucindezeleka. Kodwa kulabo abanekhanda elibuhlungu lokucindezeleka elingapheli, kungadingeka ukuthi uthathe imithi yokucindezeleka noma uhlanganyele ekwelashweni okufana ne-biofeedback.

Uyiqeda kanjani le nkinga yekhanda? Uyivimbela kanjani?

Ukulawula ukucindezeleka kuyindlela ephumelela kakhulu yokuvimbela ikhanda elibuhlungu lokucindezeleka. Izindlela ezinhle kakhulu zokulawula ukucindezeleka ukufaka izinto okulula ukuzifaka empilweni yakho yansuku zonke futhi ezikwenza uzizwe kahle. Nazi izibonelo ezimbalwa:

• Ukwelashwa ngokubhucunga: Thola ukubhucunga okulula uma kungenzeka.
• Ukuvivinya umzimba njalo: Lokhu kuhlanganisa ukuhamba okungenani imizuzu engama-30 ngosuku, ukwenza i-yoga, njll.
• Ukuphumula okwanele: Ukulala kahle amahora angu-7-8 ngosuku kubaluleke kakhulu.
• Izinto ezilula njengokulalela ingoma oyithandayo, ukukhuluma nomngane, noma ukuphefumula okujulile ukuze uphumule engqondweni yakho kungasiza.

Ungasusa kanjani ikhanda ngokushesha?

Amaphilisi obuhlungu atholakala ngaphandle kwemithi kadokotela angasiza ngekhanda elibuhlungu ngezikhathi ezithile. Kukhona nezinto ezilula ongazenza ekhaya. Isibonelo, ukufaka ibhodlela lamanzi ashisayo noma iphakethe leqhwa ekhanda nasentanyeni yakho kungasiza abanye abantu.

Kufanele ngimbone nini udokotela?

Ubuhlungu bekhanda obuhambisana nokucindezeleka abuyona ingozi empilweni . Kodwa-ke, ngezinye izikhathi bungaba uphawu lwesinye isimo sezokwelapha esibucayi , noma uphawu lokuthi isimo esikhona siya siba sibi kakhulu. Ngakho-ke, uma unesifo sekhanda kanye nanoma yiziphi izimpawu ezilandelayo, qiniseka ukuthi ubona udokotela:

• Uma unomkhuhlane onentamo eqinile .
• Uma unezinhlungu noma ubuhlungu emathempelini noma emhlathini wakho , njengalapho udla noma ukama izinwele zakho.
• Uma unomkhuhlane ongaphezu kwama-degrees Fahrenheit angu-103 (39.4 degrees Celsius) futhi ongehli .
• Uma uneminyaka engaphezu kwengu-50 ubudala , futhi ikhanda lakho lihlukile kwelejwayelekile, futhi livame kakhulu.
• Uma une- "ikhanda elibuhlungu" elivela kuphela uma ulele embhedeni noma uma uvuka .
• Uma unomdlavuza noma isifo sokuzivikela komzimba , futhi ikhanda lakho libonakala liqala ukwanda futhi liba libi kakhulu.
• Uma uzizwa ungenamizwa noma ubuthakathaka .

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Unekhanda elibuhlungu ngokuzumayo, elibi kakhulu eliba libi ngokushesha.Uma uphethwe yikhanda, kufanele nakanjani uye eGumbini Lezimo Eziphuthumayo (ER). Futhi, funa usizo lwezokwelapha ngokushesha uma uphethwe yikhanda kanye nezimpawu ezilandelayo:

• Imicabango edidekile, inkulumo engacacile, noma ubuthakathaka .
• Kukhona ushintsho embonweni wakho noma ekhonweni lakho lokukhuluma .
• Izinto ezinjengobuthakathaka , ukozela, ukudideka, noma ukulahlekelwa ibhalansi .
• Ukuzizwa uphelelwa umoya .

Ngesikhathi esinjengalesi, ungalibali, hamba uye esibhedlela ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Kungani ngiba nalolu daba lokucindezeleka?
• Hlobo luni lokwelashwa udokotela angincoma lona?
• Ingabe kuzomele ngiphile naleli khanda elibuhlungu kuze kube phakade?

Ezinye izinto ezibalulekile kubantu abaningi (Umyalezo Wokuya Ekhaya)

Ikhanda elibuhlungu elivame ukuqala emisipheni yentamo nasemahlombe akho, futhi livame ukukhuliswa ukucindezeleka noma ezinye izinkinga. Bese uzwa ubuhlungu obungacacile ebunzini lakho, njengokungathi othile ucindezela ikhanda lakho ngezandla zakhe.

Uma unalesi simo, kungaba yikhanda elibuhlungu lokucindezeleka. Kungaba yikhanda elibuhlungu ngezikhathi ezithile noma ikhanda elibuhlungu eliqhubekayo. Kodwa-ke, uma unezimpawu zekhanda elibuhlungu lokucindezeleka , kubalulekile ukukhuluma nodokotela wakho . Uzokubuza imibuzo futhi azame ukuthola ukuthi kungani ubhekene nalezi zimpawu. Uma ukucindezeleka kuyimbangela eyinhloko, udokotela wakho uzokutshela ngezinguquko zendlela yokuphila kanye nezinye izinto ongazenza ukuze unciphise ukucindezeleka kwakho. Kwezinye izimo, udokotela wakho angase futhi akuncomele imithi noma ukwelashwa ngokomzimba. Nakekela impilo yakho, ungazihluphi wedwa.

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