URevathi (oneminyaka engu-32 ubudala), umqeqeshi we-yoga ngokomsebenzi, ufike emtholampilo wami ngoLwesithathu olwedlule. Wayebukeka ethukile kancane.
"Dkt. Priya, njalo uma ngidla, ngizwa umsindo othi 'chofoza/uqhuma' uvela emhlathini wami wesobunxele. Ngaphezu kwalokho, benginobuhlungu obungabekezeleleki obebusakazeka kusukela endlebeni yami kuya ebusweni bami bonke emasontweni amathathu edlule. Angikwazi ukuvula umlomo wami kabanzi noma ukuhlafuna ukudla kwami," kuchaza uRevathi inkinga yakhe.
Ngahlola ilunga lakhe lomhlathi futhi ngachaza: "Revathi, uhlushwa yisimo esaziwa kwezesayensi yezokwelapha ngokuthi i-TMJ Dysfunction (TMD) . Kukhona ilunga eliyinkimbinkimbi kakhulu elixhumanisa umhlathi nogebhezi lwethu, eliphambi kwezinhlangothi zombili zendlebe. Lokhu kubizwa ngokuthi i-Temporomandibular Joint (TMJ) . Lokhu kubangelwa ukufuduka kwe-cartilage disc elunganweni, ukugaya amazinyo ngokungazi ebusuku (i-Bruxism), noma ukuqina kwemisipha yomhlathi ngenxa yokucindezeleka okukhulu kwengqondo. Namuhla, ake sibone ukuthi yiziphi izindlela ezilula zokwelapha nokuzivocavoca okungenziwa ekhaya ngalesi simo."
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Ubuhlungu bomhlathi ngokuvamile abuyona ingozi futhi buzophela zingakapheli izinyanga ezimbalwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo eziyisixwayiso, kufanele ubonane nodokotela ohlinzayo womlomo kanye nowe-maxillofacial ngokushesha:
- Umhlathi Ovalekile - Lokhu kwenzeka lapho ithambo lomhlathi libhajwe endaweni eyodwa, lingakwazi ukuvula noma ukuvala umlomo ngokugcwele.
- Ukuvuvukala okukhulu eduze kwejoyinti lomhlathi, ukubomvu kwesikhumba, kanye nomkhuhlane omkhulu (lokhu kungaba izimpawu zesifo samathambo esibangelwa yi-septic arthritis, ukutheleleka kwamalunga).
- Ubunzima bokugwinya noma ukuphefumula (lokhu kungase kungabi yinkinga ngokuhlangana komhlathi, kodwa uphawu lokutheleleka okukhulu kwamazinyo okusakazekela endaweni yentamo).
- Ukucindezeleka nobuhlungu ngemva kwengozi enkulu noma ukushaywa ebusweni noma emhlathini (mhlawumbe ukuphuka).
Izimbangela eziyinhloko zokungasebenzi kahle kwamalunga e-temporomandibular
- Ukugaya amazinyo (i-Bruxism): Ukucindezela okukhulu emalungeni ngenxa yomkhuba wokugoqa noma ukugoqa amazinyo akho ungaqondile ngesikhathi sokulala.
- Ukucindezeleka: Ukucindezeleka ngokweqile kungabangela imisipha yomhlathi ukuba iqine ngokungazi.
- I-Arthritis: Ukonakala kwe-cartilage emalungeni ngenxa yezimo ezifana ne-osteoarthritis noma i-rheumatoid arthritis.
- Isimo Esibi Sokuma: Ukuhlala phambi kwekhompyutha ikhanda lakho ligobile phambili isikhathi eside kungabangela ukungalingani entanyeni nasemalungeni omhlathi.
- Imikhuba yokuhlafuna: Ukuhlafuna ushungamu njalo noma ukuhlafuna izinto eziqinile njengezipeni nezinzipho.
Izindlela zokwelapha ezilula kanye nokuzivocavoca okungenziwa ekhaya
Ukwelashwa ngokomzimba kungakusiza ukuqeda ubuhlungu bomhlathi ekhaya ngokuthi:
1.Ukwelashwa Ngokushisa/Ngokubandayo: Faka ukushisa imizuzu eyi-15 kabili ngosuku ukuze ukhulule imisipha ezungeze ilunga lomhlathi. Faka iqhwa uma kukhona ukuvuvukala.
2. Ukudla Okuthambile: Gwema ukudla okuqinile okunzima ukukuhlafuna (izithelo, inyama, amantongomane), bese unikeza ukudla okuthambile kuphela njengemifino ephekiwe, isobho, amaqanda kanye nephalishi.
3. Ukuzivocavoca Ngemihlathi Engasasebenzi: Beka umunwe wakho wokukhomba ngaphansi kwesilevu sakho bese uvula umlomo wakho kancane. Ngesikhathi esifanayo, nikeza ukumelana ngokusunduza isilevu sakho phezulu ngomunwe wakho. Lokhu kuqinisa imisipha yomhlathi.
4. Ukuzivocavoca kokuphumula kwemihlathi: Beka ulimi lwakho ophahleni lomlomo wakho bese uvula futhi uvale umlomo wakho kancane kancane ukuze amazinyo akho angathintani.
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Hlala uhlukanisa amazinyo akho angenhla nangaphansi ukuze angathintani. | Gwema ngokuphelele ukuhlafuna ushungamu, izinzipho, noma izinto ezifana namapeni. |
| Uma uvula umlomo, sekela isilevu ngesandla sakho ukuze ugweme ukucindezela umhlathi. | Gwema ukuluma ukudla okukhulu okufana nama-apula ngqo umlomo wakho uvuleke kakhulu (wadle abe yizicucu). |
| Sebenzisa i-mouth guard/bite splint engagqokwa ebusuku, njengoba kunconywa udokotela wamazinyo, ukulawula ukugaywa kwamazinyo. | Ungaqhubeki nokuthatha imithi yokubulala izinhlungu ngaphandle kweseluleko sikadokotela uma usezinhlungwini. |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Ingabe umsindo 'wokukhahlela' ovela esihlangwini somhlathi uhlala uyinkinga yezokwelapha edinga ukwelashwa? ▼
Cha. Uma ilunga lomhlathi limane libanga umsindo futhi kungekho buhlungu, ubunzima bokuvula umlomo, noma ukuqina komhlathi, kuyisimo esijwayelekile futhi asidingi ukwelashwa.
Ingabe ukuhlinzwa kuyadingeka ngenxa yokungasebenzi kahle kwamalunga e-temporomandibular ?
Cha. Iziguli ezingaphezu kuka-90% ezinezinkinga ze-TMJ ziyalulama ngempumelelo ngokwelashwa okulula okungekona ukuhlinzwa (isivikelo somlomo, ukwelashwa ngokomzimba, ukuphathwa kokucindezeleka). Ukuhlinzwa kunconywa kuphela ezimweni ezingavamile lapho kunomonakalo omkhulu esakhiweni samalunga.
Yiziphi izindlela zokwelapha zokugaya amazinyo (i-bruxism) ngesikhathi sokulala? ▼
I-**Bite Splint** noma i-**Mouth Guard**, eyenziwe ngokwezifiso ngudokotela wamazinyo ukuze ilingane namazinyo akho, ingagqokwa ebusuku. Lokhu kuvimbela amazinyo akho ukuthi aguge ndawonye futhi kunciphisa kakhulu ingcindezi esithweni sakho somhlathi.
Kungani ubuhlungu bomhlathi kanye nekhanda kwenzeka ndawonye? ▼
Ilunga lomhlathi liseduze kakhulu nomsele wendlebe. Imisipha ehlotshaniswa nelunga lomhlathi nayo ifinyelela emathempelini. Ngakho-ke, ukuvuvukala nokucindezeleka emisipheni yomhlathi kungazwakala yisiguli njengobuhlungu bendlebe nekhanda.
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