3 zvinokonzera kukonzera nguva inonzi temporomandibular joint disorder
Temporomandibular disorder (TMD) inogona kuva nemuromo, asi inongomirira marwadzo, kuoma, uye zvimwe zviratidzo zvinosangana nejaya, kana kuti temporomandibular joint (TMJ). Chimwe chezvinhu zvinowanzoita zve TMD chirwere cheArthritis-iyo yakafanana yakawanda inogadzirisa mamiriro ezvinhu anokonzera mamwe majoini, akadai semabvi, mahudyu, neminwe.
Kazhinji kacho, chirwere cheArthritis chiri shure kwe TMD chinonzi osteoarthritis , asi kune vamwewo, kusanganisira rheumatoid arthritis uye spondyloarthropathies , zvakadai se ankylosing spondylitis.
Heino mhedziso yeumwe neumwe.
Osteoarthritis
Osteoarthritis inowanzotanga nguva yakawanda nekuda kwekuputika nekubvarura izvo zvinoita kuti pfupa nemapfupa akareruka aputse. Kunze kwekutambudzika, osteoarthritis inogona kukonzera ruzha rune ruzivo rwunozivikanwa se crepitus mubatanidzwa uye zvishoma zvishoma rwendo, zvichiita kuti zvive nyore "kuzarura." Izvi zvinowanzoitika kuvanhu vakwegura, maererano neAmerican Academy of Orofacial Pain (AAOP).
Kazhinji kacho, osteoarthritis yemajoini e temporomandibular ndeyekubatana, zvinoreva kuti rutivi rwechiso chinoshandiswa.
Kuti uongorore osteoarthritis-based TMD chiremba achatora nhoroondo yezvokurapa, funga zviratidzo zvakasiyana, uye zvichida ita MRI kana kushandisa imwe nzira yekufungidzira. Mishonga inowanzosanganisira nonsteroidal anti-inflammatory drugs (NSAIDs) , pamwe chete nekupisa, kudya kunonyorera, kurerutsa kunosanganisira kupisa kwemazuva, kudya kunononoka, kukonzera kufamba kwechirabwe, kana chigadzirwa chekurumisa. Kana zviyero izvi zvisingabatsiri, kuvhiyiwa dzimwe nguva kunoda.
Rheumatoid Arthritis
Kunyange zvazvo jaya harisi iro rokutanga rezvibatanidzi zvinokonzerwa nerheumatoid arthritis (RA), mararamiro ekubatana anokonzerwa nematambudziko ane maitiro ezvirwere zvezvirwere zvezvirwere zvezvirwere, anopfuura hafu yevanhu vose vane RA vanomuka vane marwadzo ejaya. TMD iyo inokonzerwa nemhando iyi yemarthritis inowedzera kuchinja mativi maviri echiso uye inokonzera kubvunda, unyoro, uye kusagadzikana kufamba kwemajaya.
Zviratidzo izvi zvinowanzouya nekuenda, nekuoma uye kurwadziwa kunowanzoipisisa mangwanani.
Kunze kwezviratidzo uye nhoroondo yezvechiremba, kuongororwa kweRA sechikonzero chekutambudzika kwekubatana kunosanganisira zvidzidzo zvekufungidzira uye kuongororwa kweropa, uye kurapwa kwakafanana neyomumwe musangano unobatwa nechirwere chetachiona chehondo: anti-inflammatory drugs uye zvirwere-kuchinja anti-rheumatic drugs (DMARDs) , pamwe nekudzidzira kuita kuti kurasikirwa kwekufambisa mujaya. Dzimwe nguva kuvhiyiwa kunodiwa.
Spondyloarthropathies
Spondyloarthropathies ndiwo maitiro eArthritis anosanganisira nzvimbo iyo miviri nematoni zvinonamatira kumapfupa. Imwe yeiyi iskylosing spondylitis , iyo inokanganisa musana nemutsipa uye inogona kukonzera marwadzo uye kusakara kwemajaya.
Imwe inonzi psoriatic arthritis , iyo ine zviratidzo zvinofanidza iyo ye rheumatoid arthritis. Kune humwe hutambudzi hwakafanana, unyoro, huwandu hwemafambiro, uye crepitus, kunyange zvazvo kazhinji karova rimwe chete rinosanganiswa. Kushanda kweArthritis kwekubatana kwema temporomandibular ndeyechitatu yechitatu os spondyloarthropathy inosanganiswa ne TMD. Varume vanowanzoita kuti vakadzi vave nehutachiona hwehutachiona, hunokonzera marwadzo, kuvhuvhuta, uye zvishoma zvishoma zvekufamba kwejaya. Nokuti inokonzerwa nehutachiona, mushonga unorwisa mabhakitiriya unowanzotora chikamu chekurapa.
Sources:
American Academy of Orofacial Pain. "Temporomandibular Joint Disorders." 2014.