I-temporomandibular joint (TMJ) yinto ehlangeneyo edibanisa umhlathi wakho kwikrele lakho. Le nxalenye ihamba phambi kweendlebe; unokukufumana lula ngokuvula nokuvala umlomo wakho kwaye uzive udibanise ngeminwe yakho. Le nxalenye ihluke kwiinkalo ezininzi, ngokuba kuthiwa idiarthrotic joint . Olu hlobo lohlanganiso lunamalungu amabili asebenza ngokuzimela; Kule meko inxalenye ekhohlo kunye nelungileyo ye-mandible.
Xa kukho ingxaki ngokudibeneyo, izihlunu okanye iigaments ezijikeleze le ngxube, le meko idla ngokugqithisileyo ngokuthi yi-TMJ okanye i-TMJ. I-TMJ imele ibhekiselele kwingxaki edibeneyo kunye ne-temporomandibular (TMD) echanileyo kunoma yimuphi umthamo onxulumene nomsebenzi we-TMJ. Ukugcina isigama sigqibe kwaye asidibanisi nabani na, siya kubhekisela kwi-TMD njengengxaki ye- TMJ .
Iimpawu
- intlungu
- intlungu xa befuna
- kuvela okanye ukuchofoza umhlathi
- intloko
- indlebe
- kunzima ukuvula nokuvala umlomo
- umhlathi ovalelwe
- intlungu kunye nobubele obujikelezayo ngokubanzi
- tinnitus
- imbali yobuthongo obuthathaka okanye uvavanyo lwesifo sokulala
Izinto zobungozi
Iintlungu ze-TMJ ziqhelekileyo kubasetyhini kunamadoda, kwaye ziqhelekileyo kubantu abamhlophe kunabantu base-Afrika-baseMelika. Ezinye iziphazamiso okanye iimeko ezidibene ne-TMJ ziquka:
- irheumatoid arthritis
- izifo ezidibeneyo
- ukuxhalaba okanye ezinye izifo zengqondo ezikhokelela emhlathini ongapheliyo okanye ukugaya kwamazinyo
- malocclusion yamazinyo
- Ulwimi lweelwimi (ankylosis)
- bruxism
- ezinye iziphoso zokuzalwa
Izizathu
Ekuqaleni kwakukholelwa ukuba izifo ezibangelwa yi-TMJ zibangelwa ukuchithwa kakubi kwamagqabi aphezulu naphantsi. Nangona oku kusenendima ekwenzeni ukukhathazeka kwe-TMJ, kukho izinto ezininzi ezingabangela ukuba le ngxaki ibuhlungu iquka:
- ukuxhwaleka kumhlathi okanye ngokubambisana
- uxhalaba, uxinzelelo, okanye ukuxinezeleka
- ukuthutha kwentloko nentamo
- ugaye amazinyo
- ukuhlafuna i-gum (xa kuninzi)
Ukuxilongwa
Isifo se-TMJ sivame ukufunyanwa yi- otolaryngologist (ENT). Abantu abaninzi bafuna uncedo lwe-ENT ngenxa yokuba ubuhlungu bomhlathi bubaholela ekubeni bakholelwe ukuba bane- infection ear . Ugqirha uya kwenza uvavanyo lomzimba, olunokuquka ukujonga ngaphakathi emlonyeni wakho iimpawu zokugqoka amazinyo akho ngokugaya nokuqhawula; ukuvavanya imisipha yakho entanyeni; kunye nemiqondiso yentsebenziswano. Ugqirha unokulinganisa ukuba ubude kangakanani ukuvula umlomo wakho. Ngamanye amaxesha, ugqirha wakho uya kucela ukuhlolwa kwe-CT okanye i-MRI ukuze ukhangele kangcono nayiphi na umonakalo odibeneyo.
Unyango
Unyango lusekelwe kwingxinano yesifo. Kwiimeko ezincinci, i-ice kunye nokuphumla ingaba ibhetri engcono, kunye neentlungu ezingaphezu kwe-counter relievers ezifana ne-ibuprofen kunye ne-acetaminophen. Abantu abane-disorder ye-TMJ kufuneka bakuphephe ukuhlafuna i-gum, ukugaya amazinyo kunye nokuqhawula umhlathi wabo. Ngamanye amaxesha umlindi wokuluma unokuncedisa oku.
Iindlela zokuphucula iingu-30 imizuzu ngemini zinokunceda. Abanye abantu banokufumana inzuzo yonyango, ukuphucula imisipha, i-steroids, ukuxhatshazwa komzimba kunye nokunyangwa kwe-ultrasonic.
Ukuba iimpawu ziqhubeka ziqhubeka emva kwezilwanyana ezichasayo ezichasayo kunye nezinye iindlela eziye zazanywa, unyango lwama-occlusal lungabuye luzame. Ulwaphulo lwama-Occlusal lujolise ekukhuseleni ukuluma kwakho nokukhusela ukuxhoma kunye nokugaya okungonakalisa amazinyo. Ukuchonga ukuba ngaba ukhetho, kufuneka uqhagamshelane nodokotela wamazinyo wakho.
Kwiimeko ezinzima ukuhlinzwa kunokufuneka. Nangona kunjalo, utyando lwakodwa aluyi kulungisa iingxaki ze-TMJ ngaphandle kokuba uthabathe unyango phambi kokuqala nangemva kokuhlinzwa.
Imithombo:
I-American Academy ye-Otolaryngology Head and Surgery Neck. TMJ. Kufumaneka: Novemba 5, 2015 ukusuka ku-http: //www.entnet.org/content/tmj.
Goldenberg, David; I-Goldstein, iBradley J. Incwadi ye-Otolaryngology Head kunye neCeck Surgery. 2011. iphe 73-77.
Medline Plus. Neengxaki ze-TMJ. Kufumaneka: Disemba 21, 2011 kwi-http: //www.nlm.nih.gov/medlineplus/article/001227.htm.
Rotter, BE. (2015). I-Otolaryngology ye-Cummings: Iingxaki zoLungelelwano lweeNkqubela. Kufumaneka ngomhla we-Agasti 14, 2016 kwi-http: //www.clinicalkey.com (Ubhaliso olufunekayo)
Scrivani, SJ & Mehta, iNR (2015). Iingxaki ze-Temoromandibular kubantu abadala. Kufumaneka ngoNovemba 5, 2015 ukusuka ku-http: //www.uptodate.com.