TMJ: mavuto ndi njira zothetsera mavutowo njira ya chithandizo

anthu ochepa zindikirani kufunika kwa olowa temporomandibular mu thupi. Mavuto ndi njira zothetsera akhudzana ndi ziribe kanthu. Koma pokhapokha ngati anthu sanakumane ndi matenda olowa.

TMJ ndi chiyani?

Tikuona zomwe ndi TMJ, mavuto ndi njira ya dongosolo iye ali. TMJ izi. Malowa ali pamtunda pa munthu kutsogolo kwa khutu ndi imakhala mandible ndi fupa mwakanthawi. Close minofu ndi tendons kupereka kutsegula ndi kutseka pakamwa. Mu boma wabwinobwino, popanda pathologies kayendedwe nsagwada musati chifukwa kusapeza chilichonse kwa munthu. TMJ angatchedwe mmodzi wa kaŵirikaŵiri ntchito mu thupi, chifukwa amagwira ntchito tsiku lonse akulankhula, yawning, kutafuna chakudya.

Monga wina aliyense, iye sachedwa matenda, ndipo si zachilendo - 40% anthu anakumana nawo ndekha, ngakhale matenda olowa ndi zochepa wamba kuposa Mwachitsanzo, caries mano kapena matenda periodontal. Komabe, si onse kachilombo anapempha thandizo kwa dokotala, monga sindikumvetsa, ndi zizindikiro okhudzidwa, ndipo amadikira osadalira pa mofulumira awo.

zizindikiro za matenda

Ngati ife tione TMJ matenda, mavuto ndi njira zothetsera (matenda ayankhidwa m'munsimu), iwo akhoza zimasiyana malinga ndi chikhalidwe ndi mtundu wa matenda. Koma matenda awo akhoza pamodzi mu mndandanda limodzi, ngati iwo ali ofanana pamaso pa matenda osiyanasiyana:

• mutu;
• ululu khutu, kuchulukana, kulira;
• spasms mu nsagwada ndi minofu nkhope;
• phokoso extraneous pamene kusuntha nsagwada - crunching, kuwonekera, akupera;
• kutupa lymph mfundo (submandibular)
• chizungulire.

Pa kudziwika zizindikiro ayenera kufunsa mano chifukwa n'zotheka kuti matenda a TMJ.

Zimayambitsa matenda

TMJ matenda, mavuto ndi njira zothetsera nawo, ndi ochepa, koma zinthu Yak ndithu kwambiri. Kumayambitsa matenda akhoza kukhala zosiyanasiyana zochitika mu chikhalidwe:

• mwakayakaya nsagwada kapena mafupa nkhope;
• Kutopa, mopambanitsa;
• mavuto ndi dongosolo endocrine;
• matenda kagayidwe kachakudya;
• nthenda;
• masewera olimbitsa thupi mopitirira muyeso;
• malocclusion;
• matenda mano, zosokonezeka kupereka.

matenda TMJ

Ngati ife tatembenukira boma la TMJ (vuto, zizindikiro), mabvuto abwera ndi matenda ndi kudziwa mtundu wa matenda. Temporomandibular olowa akhoza pansi matenda:

• Nyamakazi. Yodziwika ndi ululu olowa, kutupa ake, malire kayendedwe pachibwano. Mwina malungo. Mu mawonekedwe aakulu pali crunch pamene galimoto. Ngati matenda kuthamanga, zotsatira zake zingakhale ndi mapindikidwe wa olowa.
• Nyamakazi. Kuwonetseredwa ndi ululu olowa ndi makutu, kayendedwe nthenda ya pachibwano pamene kutsegula (zig-zag), limodzi ndi kudina ndi crackles. Nthawi zambiri pali ululu minofu masticatory.
• Dislocation wa olowa. Yodziwika ndi makonzedwe a nsagwada wachibale wina ndi mzake kuphwanya mutu ndi kusamutsidwa kwa chimbale limodzi ululu pamene oyamba, kudina.
• Ankylosis. Kuchepetsa kayendedwe nsagwada amene amayambitsa choipa kapena matenda. Purulent kupanga ngozi ya asymmetry nkhope, caries yaikulu, malocclusion. Mu siteji zapamwamba - imfa wathunthu kuyenda.
• Musculo-articular kukanika. Kuwonetseredwa ndi kupweteka kwa khutu ndi kachisi, kuwonjezeka pamene kusuntha limodzi kudina kutchinga pachibwano.

diagnostics

njira zamakono ambiri ntchito matenda matenda TMJ, amene amalola matenda zolondola. Ndipotu, izo zimatengera pa zotsatira zabwino. Kudziwa zonse za mavuto TMJ ndi njira, njira kudziŵa matenda kumaphatikizapo matenda, radiographic, ndi maphunziro zinchito. Poyamba, dokotala akuyendera pakamwa, kusanthula madandaulo mtima. ntchito zimenezi ndi mano-zamafupa. Izo zimapangitsa palpation a minofu masticatory, olowa yokha, amayankha matalikidwe a zoyenda wa pachibwano, ngati n'kovuta.

udindo Large kudziwa matenda chimagwira radiographs limasonyeza kuti pali kusintha osiyana mu olowa. Pa siteji oyambirira a matenda pogwiritsa ntchito kompyuta tomography. Onse obwera ndi mavuto TMJ ndi njira amadziwika orthodontist. Ngati ndi kotheka, mtima uli anatumiza mokambilana ndi rheumatologist, m'thupi yemwenso ndi akatswiri ena.

Njira zochizira

Pamene anatsimikiza TMJ matenda, mavuto ndi njira zothetsera mavutowo mankhwala zachokera malangizo ambiri:

• The ntchito chakudya zofewa kuti sikutanthauza yaitali mokwanira kutafuna. Compliance ndi ulamuliro wa mtendere kwa olowa, akhoza sanatsegule pakamwa pake lonse.
• Compress pa ntchito zizindikiro zosiyanasiyana, ozizira - chifukwa kuchepetsa ululu, ofunda - kuthetsa ndi minofu spasms.
• Kulandira mankhwala yotupa ndi analgesic.
• Kuchotsa psinjika kwambiri ndi kukonza mano kuluma. Izi zikhoza kuchitika ntchito yapadera akiliriki kapangidwe ndi ziwalo.
• Physiotherapy (electrophoresis, kutikita).
• Kuchotsa minofu kukungika (phwando MANKHWALA OLETSA VUTOLI).
• Pamene akumane zochita za matenda pambuyo ntchito njira zonse za mankhwala ndi amachita opaleshoni. Ndi chikhalidwe cha matenda a dokotala kunena kuti pazikhala - kudzudzulidwa olowa kapena m'malo wathunthu.

N'kosavuta ndipo mofulumira kuchitira TMJ chisokonezo pa siteji msanga, musanyalanyaze zizindikiro kuoneka. Chithandizo cha mitundu zapamwamba za matenda zina amatenga zaka zingapo.

arthrosis

Nyamakazi akapsa kusintha osachiritsika mu zimakhala olowa. Owonetseredwa kupweteka ululu, pamaso pa phokoso extraneous pamene kusuntha nsagwada choletsa sayenda ake stiffness. arthrosis mankhwala kumafuna maopaleshoni amafupa (mwachitsanzo, apulasitiki), kutikita, kokoka achire mankhwala thupi. njira zotsogola a nyamakazi amaliona yekha ndi opaleshoni TMJ. Nyamakazi, mavuto ndi njira zothetsera kugwirizana nazo izo, ayenera bwinobwino ndi kulemera-ortodond mano musanaganize pa opaleshoni ndi yomalizira.

Matendawa wamba anthu okalamba, izo amadwala theka la anthu onse. Ali wamng'ono ndi zochepa wamba, makamaka akazi. Zimayambitsa waukulu arthrosis akhoza kuchita pamaso pa aakulu nyamakazi, malocclusion, bruxism, zoopsa ndi nsagwada opaleshoni pochotsedwa mano atagwira pachithunzichi (cholakwika kolowera kapena prosthesis zisindikizo), komanso zinthu zina zambiri (kusintha mu akazi, kutengera za kumtundu, etc.). Pakuti kupewa occlusion analimbikitsa kudzudzulidwa yake Kupha matenda m'kamwa atagwira prosthesis (kapena zina mano ntchito) yekha mkulu kalasi katswiri.

nyamakazi

Nyamakazi - kutupa chichereŵechereŵe limodzi ndi kuthekera manja. Atengeke okalamba anthu amene kale nyamakazi zimfundo ena. Komanso chifukwa nyamakazi akhoza kuchita zoopsa, matenda (monga fuluwenza kapena vuto la zilonda zapakhosi aakulu), matenda mano. zinthu kukulitsa - matenda aakulu ndi chitetezo chokwanira yafupika. Pa oyambirira siteji nyamakazi sikuchita zizindikiro zilizonse.

Chizindikiro choyamba, mu kukhalapo amene kale zofunika kuthana kwa dokotala - ndi dzanzi la nsagwada m'munsi m'mawa. Kumbuyo kwake pali zizindikiro zina - wosweka (kapena pachimake) ululu, phokoso extraneous pamene kusuntha nsagwada (ndi crunch, chithunzithunzi). Ngati nyamakazi chifukwa cha kuvulazidwa, izo kuonekera yomweyo pambuyo choipa edema ndi ululu pang'onopang'ono kufalikira kwa khosi, mutu, ndi makutu, lilime.

Ngati munthu akuganiza pa TMJ nyamakazi, mavuto ndi njira zothetsera mavuto awo ayenera yomweyo kukambirana ndi dokotala, kuteteza pofuna kukwaniritsa matenda. Mfundo yaikulu mu mankhwala - kuonetsetsa olowa kulephera kuyenda, kukonza nsagwada ndi gulaye bandeji. Nyamakazi ya etiology aliyense mankhwala anabolic mankhwala. opatsirana mtundu wa chithandizo sizingatheke popanda mankhwala ndi immunnostimulyatorov. Mantha nyamakazi, kuchotsa kutupa ndi kukhazikitsa kufalitsidwa.

kukanika

Kusagwiritsa ntchito kwa olowa temporomandibular amatchedwa temporomandibular olowa kukanika. matenda limodzi ndi kuwonekera phokoso pamene nsagwada ndi zungulira ake mu nthawi yochepa. Other zizindikiro ofanana kukanika - ululu makutu, maso dera, nsagwada (pa kutafuna kapena yawning) ndi minofu nkhope, kusintha kuluma, ndi mutu. Mukamaliza kukambirana ndi dokotala wanu anaonekera ndi mavuto TMJ ndi njira, kukanika tiyenera tikonze mwa njira ina, umene amalangiza katswiri. Zotsatirazi chithandizo chosiyanasiyana kulibe:

• utsogoleli wa mankhwala, kuchotsa akulu kuphipha, ululu wakupha ndi wothandizila odana ndi yotupa;
• occlusion kusintha pogwiritsa ntchito kapangidwe wapadera, kuchotsa kukukuta mano ndi kumva kuwawa awo adakula;
• kuchititsa mankhwala maganizo asamavutike ndi zosangalatsa minofu;
• ngati analimbikitsa ndi dokotala mankhwala alephera opaleshoni amachitidwa pa olowa.

luxation

Dislocation wa temporomandibular olowa - amalankhula onse mafupa ake, n'kusokoneza kugwira ntchito za masiku onse pachibwano. Kodi pachimake (zoopsa) ndi kabwerebwere mitundu. Mantha dislocation kumachitika mwa mphamvu ya m'munsi nsagwada, dzino m'zigawo ndi apulasitiki kapena ngakhale pa kutafuna, yawning kapena kulira. Kabwerebwere dislocation auka kwa fragility musiyane zida articular, anatomical paradaiso. N'zosatheka paokha kuthetsa azipeze powona mavuto TMJ. Ndipo zochita pa nkhani imeneyi ayenera dokotala. Chithandizo ikuchitika NADZIWA kayendedwe nsagwada ntchito chipangizo chamagetsi orthodontic. Ngati ndi kotheka, ntchito physiotherapy ndi mankhwala odana ndi yotupa.