Iingxaki ezi-3 ezibangelwa yimiba yokudibanisa i-temporomandibular
I-Temporomandibular disorder (TMD) ingaba ngumlomo, kodwa imane imele intlungu, ubunzima, kunye nezinye iimpawu ezichaphazela umhlathi, okanye i-temporomandibular joint (TMJ). Esinye sezizathu eziqhelekileyo ze-TMD sisifo se-arthritis-iimeko ezifanayo ezichaphazelekayo ezichaphazela amanye amalunga, afana namadolo, amaqatha kunye neminwe.
Ngokuqhelekileyo, uhlobo lwe-arthritis emva kwe-TMD luyi- osteoarthritis , kodwa kukho nabanye, kuquka i- rheumatoid arthritis kunye ne- spondyloarthropathies , njenge-spondylitis e-ankylosing.
Nantsi ingqamaniso nganye.
Osteoarthritis
I-osteoarthritis ihlala ikhula ngexesha elide ngenxa yokugqoka nokugqabhuka okubangela ukuba amathambo kunye nezicubu ezipholileyo ziphule. Ngaphandle kwentlungu, i-osteoarthritis inokubangela isandi se-crunching esaziwayo njenge- crepitus kwisihlomelo esicwangcisiweyo kunye esinqunyiwe, okwenza kube nzima "ukuvuleka ngokubanzi." Oku kwenzeka kakhulu kubantu abadala, ngokwe-American Academy ye-Orofacial Pain (AAOP).
Uninzi lwamaxesha amaninzi, i-osteoarthritis yendibano ye-temporomandibular ayihambelani, ithetha ukuba uhlangothi lwebuso luchaphazelekayo.
Ukuxilonga i-osteoarthritis-based based TMD ugqirha uya kuthatha imbali yonyango, acinge iimpawu ezithile, mhlawumbi enze i-MRI okanye asebenzise enye indlela yokucinga. Unyango lubandakanya izidakamizwa ezichasayo ezingekho komzimba (i-NSAID) , kunye nokushisa, ukutya okunomsoco, ukukhawulelana kufaka izicelo zokushisa, ukutya okunomsoco, ukunciphisa ukunyakaza komlenze, okanye isilwanyana sokuluma. Ukuba le miqathango ayifaki ukuphulukana, kudingeke ukuba utyando ludingeka.
Irheumatoid arthritis
Nangona umhlathi ungengowokuqala kwezihlanganisi ezichaphazelekayo yi-rheumatoid arthritis (RA), uhlobo lweentlungu ezidibeneyo ezibangelwa ziziingxaki zesistim somzimba, ngaphezulu kwesigxina sabo bonke abantu abane-RA abaphefumula ubuhlungu beentlungu. I-TMD ebangelwa luhlobo lwe-arthritis luba nefuthe kumacandelo amabini ebusweni kwaye lubangele ukuvuvukala, ukunyameka, kunye nokunyanzeliswa kwemihlathi.
Ezi zimpawu zivame ukuza zihambe, ngobunzima kunye nentlungu idla ngokubi kakhulu kusasa.
Ngaphandle kwempawu kunye nembali yezobugqirha, ukuxilongwa kwe-RA njengesizathu sentlungu edibeneyo kubandakanywa uphando lweengcamango kunye nokuhlolwa kwegazi, kwaye unyango lufana naluphi na odibeneyo oluchaphazelekayo yi-rheumatoid arthritis: izidakamizwa ezichasayo nezidakamizwa ezichasene nezifo ( anti-rheumatic drugs ) , kunye nezenzo zokuthintela ukulahlekelwa kwesindululo kumhlathi. Ngamanye amaxesha uvavanyo ludingeka.
Spondyloarthropathies
I-Spondyloarthropathies ziintlobo ze-arthritis ezibandakanya indawo apho iigaments kunye neetoni zidibanisa namathambo. Esinye salezi zi- spondylitis ezingenanto , ezichaphazela umqolo nentamo kwaye zingabangela intlungu kunye nokunyuka komhlathi.
Enye i- psoriatic arthritis , eneempawu ezifanisa ezo zi-rheumatoid arthritis. Kukho intlungu efanayo, ukunyamekela, inqanaba elincinane lokunyakaza, kunye ne-crepitus, nangona kwakusoloko kukho umhlathi omnye. I-arthritis esebenzayo ye-joint temporomandibular yintlobo yesithathu ye-os spondyloarthropathy enxulumene ne-TMD. Amadoda angaphezu kwamabhinqa ukuhlakulela i-arthritis esebenzayo, eyabangela intlungu, ukuvuvukala, kunye nokukhawulelana kokuhamba kwesangqa. Ngenxa yokuba kubangelwa isifo, i-antibiotic isoloko iyinxalenye yonyango.
Imithombo:
I-American Academy ye-Orofacial Pain. "Iingxaki zokudibanisa kwexesha elide." 2014.