Temporomandibular Joint Dysfunction uye Cervical Spine
Kana uine urombo hwakawanda hwemutsipa uye haugoni kuziva chikonzero-pane kugara uchitsvaka kuwana tsananguro yechinetso chepervical spine -unogona kuchinja kutarisa kwako kune imwe nzvimbo iri pedyo nemuviri wako; rushaya rwako. Inofungidzira zvakasiyana, asi nyanzvi dzinotaura kuti kusvika makumi manomwe kubva muzana yematambudziko emutsipa angave akaenzana nekushaya kushanda mukati mokubatana kwema temporomandibular.
Izvi zvinogona kuuya nenzira yemutsipa inopinza (50 muzana yezviitiko maererano nekudzidza kwa2015 yakabudiswa mu Journal of Physical Therapy Science Research ), yakaderedzwa kushanduka (20 muzana maererano neshoko rimwe chete), kana kuti marwadzo ole, vanyori vakataura pa30 muzana.
Uye zvakasara zvingave zvechokwadi, zvakare. Chidzidzo chinotaurwa pamusoro apa chakaona kuti kusagadzikana kwehuro pamutsipa kunogona kunge kuri kukonzera kusvibiswa kwemajaya uye kurwadziwa.
The Temporomandibular Joint
Iwe unogona kunge uri kunetseka kuti ndinorevei nejaya rakabatana kusagadzikana. Ngatitangei nekugadzirisa bony, iyo inowanzonzi nheyo yayo, iyo TMJ.
Iyo TMJ ndiyo ingano yakaoma kunzwisisa zvikuru mumuviri womunhu. Kunyange zvazvo zviduku, zvine zvakawanda zvisinganzwisisiki pakuvakwa kwayo, zvichibva mumamiriro akasiyana-siyana emapfupa anojekesa kuti asvike mukati mechizimbe chinogadzirisa iyo inoumba capsule yakapoteredza uye inopinda mubatanidzwa pachayo. Iyo TMJ inosanganisira diski, iyo yakasiyana nemakumbo emumumapapiro ayo anoshumira sekutya kunokonzera matambo, panepo kugadzirisa kubatana uye kuvhara misumbu nemirasi inochengetedza chibatanidzi panzvimbo uye ichibatsira kuifambisa.
Kuti ikubatsire kunyatsonzwisisa kuti inobatanidza nguva yei temporomandibular uye kuti yakavakwa sei, unogona kuputsa shoko iri rinomiririra kusvika kumativi maviri, rimwe nerimwe rinoreva mapfupa anoumba sangano.
Ngatishandise zita iri kuitira kuti iwe unogona kuita chimwe chirevo chemaitiro akabatanidzwa.
Chikamu chekutanga, temporo, rinoreva nguva yemafupa. Iko pfupa remukati rinowanikwa kune rumwe rutivi rwehenya rako kumucheto (pedyo nenzeve yako). Chinhu chimwe chinogona kukubatsira kuti uwane mapfupa ako epanguva pfupi ndeyekuisa ruoko rwako pane temberi yako.
Ikopa yenguva inenge iri pasi peiyo, saka kana ukaisa ruoko rwako nenzira shoma pasi kusvikira iwe uchinzwa pfupa rakaoma, wawana pfupa rekumusoro re TMJ.
Chikamu chechipiri chemashoko ndeye mandibular, iyo inoreva bundo rakasimuka richikwira uye pasi, uye kusvika kumadiki, kusvika kune rumwe rutivi, panguva yechiito chekucheka. Zvichida haufaniri kukuudza izvi, asi mandible ndiyo inopindira kumatsetse ako ezasi. Iyo mandible inofungidzirwa kuti ndiyo yenzara. Chinhu chinonakidza ndechokuti ndiyo chete pfupa iri muchiso chinogona kufamba.
Iyo mandible yakaumbwa seU. Pamusoro pemakona eU, mafupa anosvika (kumusoro) kune maviri akasiyana "maitiro," ayo anowedzera mapfupa anowedzera, pane imwe nguva, pamagumo. Nzira yekutanga inonzi coronoid; humwe hutundu hunokosha hunoenderana nehutachiona, asi zvose mune zvose, nzvimbo iyi haisi chikamu cheM TMJ. Kudzokera shure kunonzi "condylar process"; icho chikamu chemukati wezvinyorwa zvinotaurirana nehutatu hwemazuva kuti uumbe TMJ.
Sangano reTemoromandibular (TMJ), ipapo, inzvimbo iyo bone yenguva uye condyle ye mandible inosangana pamwechete. Iko sangano re synovial, zvinoreva kuti pane capsule yakagadzirwa nehutachiona hwemagetsi akavhara mapfupa ose uye nzvimbo iri pakati.
Uyezve mukati mezvimbo iyi pane imwe nzvimbo yemvura inoshandiswa inonzi synovial fluid, pamwe ne disc inobatsira kuchengetedza hukama hwakabatanidzwa uye kufamba kunobatanidzwa kunoita muhutano hwakanaka.
Mhando mbiri dzekutama kunoitika paTMJ: kubata uye kutsika. Iko kusanganiswa kunowedzera chikamu chakabatanidzwa se ginglymoarthrodial.
Uye sezvinonyanya kuwirirana mumutumbi, nhamba yemasumbu inoshanda pa TMJ; sezvamuchaona muchikamu chinotevera, misungo inenge yakaoma kana kuti isina kuenzanirana kune imwe yerimwe nzira iyo TMJ inogona kushanda.
Mhando mbiri Idzimba dze TMJ Dysfunction
TMJ kudzvinyirira chikamu chimwechete cheboka rakakura zvikuru rematambudziko ayo anowanzonzi kushungurudzwa kwe TMM,.
Pamwe pamwe nezvinokonzera zvataurwa pamusoro apa, chirwere che TMM chinogona kukonzerwa nekushungurudzika, nyaya dzinotevera, nharo dzemeno kana chirwere chepfungwa.
Kuti unzwisise kuti TMJ yako inobatsira sei kana kuti inokonzera marwadzo ako emutsipa (uyewo kuti masimba emuviri wako wepamusoro anobatsira sei kumatambudziko ako TMJ), funga kudzidza pamusoro pemarudzi maviri makuru e TMJ dysfunctions. Nepo pane zvimwe zvingave zviitiko zvingaitwa nachiremba wako paanenge achishanda kuti aongorore (yakataurwa pfupi pamusoro) temporomandibular joint dysfunction (TMJD) kazhinji inonzi inofanirwa nenzira yaunogara uchizarura rushaya rwako kana kushanduka kwekadhi iri mukati memubatanidzwa.
Ngatitorei ivo kamwe chete.
Chirongwa cheSvrusive Jaw Opening Pattern
Kutanga kushandiswa kwemajaya kusina basa. Iyi TMJD inonzi "protrusive jaw pattern pattern", uye inogona kuitika kana maitiro emasumbu anowanzogadziriswa nekubatsira kuvhura jaya rako kuva rakasimba zvokuti vanotora basa rose zvachose. Chinofanirwa kuitika ndechokuti mishonga inoshandisa ichi chibatanidza-mune mamwe masimba simba yekuzarura nekuvhara muromo wako-mkataba mune imwe nzira yakadaro kuti condyle yekutanga inofambisa kufamba (mumukombe sechikamu chetema tema temporalis rinotsanangura), uye rinotora zvishoma. (Kutora, munyaya iyi, zvinoreva kutamisa tambo yakaderera mberi.)
Asi mumutambo wekushandura kwejaya, masumbu aya anobatsira, ayo anonzi lateral pterygoids, akaoma zvikuru, anoita kuti kuchinja kuve kwakarongeka kwezvimwe zvikamu zvinowanikwa mumuromo. Izvi hazvisi kungoita kuti lateral pterygoids iwedzere, asi inogona kutungamirira kumatambudziko ne disc iyo iri mukati memubatanidzwa.
Disc Displacement With Reduction
Zvadaro, ngatitaurire pamusoro pezvinetso zvakawandisa zve TMM zvakabatana ne disc mukati mokubatanidza. Izvi zvinonzi "disc displacement" nekuderedza.
Kazhinji, chinzvimbo che diski chinoenderana nemamiriro ayo pamwe nekuwedzerwa kwekumanikidzirwa kunoiswa pairi. Sezvo kune chimiro chedhiki inoenda, ichi chinhu chaunoberekerwa nacho, uye naizvozvo, hachiwanzoiti, kana zvakadaro, chinetso chezvehutano.
Asi kudzvinyirira kunoiswa padiki iyo kuburikidza nehutano kana kusinganzwisisiki kwemisungo uye / kana kusagadzikana kushamwaridzana kufamba chimwe chinhu icho vanachiremba vanogona kuongorora uye kubata. Kudzvinyirira kwakawandisa kunowanzokonzerwa nenzira iyo-yakasimba misaya yejaya inobata kukodzera kwekubatana, pamwe chete nedzimwe nyuchi dzakapfava dzinoipikisa.
Disc disclocation with reduction is the first of three stages of disc displacement. Nekusununguka kwebhuku nekuderedza, iwe unogona kunge uchinzwa mhere-mhere kana ukazarura uye ukavhara rushaya rwako, uye kuunza tsvina yako pasi (mandible) mberi inoderedza mhere idzi. Iwe unogonawo kurwadziwa paunenge uchitsvaga, wawn, kutaura, kana (uye kana) iwe uchinge uchinge wakanya meno ako. Kuvhura muromo wako kunogona kuva kwakaoma, zvakare, asi izvi hazvisi nguva dzose chiratidzo.
Pasina kurapwa kwekudzidzira kushandura nekuderedza, dambudziko iri re TMM rinogona kufambira mberi kusvika kumatanho echipiri uye zvichida chechitatu. Chikamu chechipiri ndechekushambadzika kwekutambisa pasina kupera uko, sekare, iwe unotanga kuvhara nekupindira mubatanidzwa. Nguva ino, kunyange zvakadaro, kubatana kunogona kubva nguva nenguva kuchivhara, uye iwe unogonawo kunge uine zvinetso zvakati zvishoma kana uchishamisa muromo wako. Chikamu chechitatu ndechekuti chinetso chinogara chisingagumi .
Nenzira, iwe unofanirwa kuva wakatarisa " mireza matsvuku ," ayo ari zviratidzo zvinogona kuratidza unhu hwekubatana kana kukuvadza, kana humwe hutano hweM TMJ. Izvi zvinosanganisira kushaya simba, kuzvimba, nosebleeds kana zvinokonzerwa nemasitadhi, kusarudzwa kwekureruka, zvinetso zvekunzwa, kurwadziwa nguva dzose (kusina kufanana nejaya rako), kana zviratidzo zvinongoramba zvisingatauri kune imwe nzira ye TMM yaunogona kuita. Kana uine chimwe cheizvi, iva nechokwadi chekukurukurirana navo nechiremba wako uye / kana chiremba chaiye anokubata iwe.
Nzira Yenyika Yose ye TMJD
Saka zvinorevei izvi zvose zvinoreva zvakadzama pamusoro pekutambudzika kwemutsipa wako?
Pamusoro pazvo, TMJ kusagadzikana kunokonzerwa nekushaya kushanda mune rimwe kana kupfuura mamwe emisungo inochengetedza chibatanidzi panzvimbo, inopikisa kudzvinyirira kwedhidhi nezvimwe zvakadaro. Asi kana zvasvika kune musculoskeletal system, hapana chaicho chakaita sekusuruvara.
Izvi zvinoreva kuti kusaruramisa mu TMJ yako iyo inotanga nemamwe akaoma tightal lateral pterygoids, somuenzaniso, inogona kuchinja nyore nyore mamiriro ezvimwe misungo iyo yose inopindura uye inokonzera chinzvimbo chekubatana, uye nzvimbo yemusoro wako, mutsi, uye muviri wepamusoro. Nenzira iyi, kupesana kwemisimba kana kushaya simba uye kufamba kusina simba kunotanga pa TMM kunoendeswa kumutsipa wako, mapepa, kumusoro uye zvichida yakaderera shure. Mumwe muongorori akachenjera haazoongorori TMJ yako chete asi zvishoma nekugadzirisa uye kuisa mitsipa nemapfudzi, zvakare.
Kwete izvozvo chete, asi zvisingaperi zvisingaiti muviri zvinogona kudyisa dambudziko re TMJ. Izvi zvinonyanya kuitika kana iwe uchitungamira musoro mukuru, iyo inonyanya kusarudzwa kwe musoro mumusana wayo kumutsipa. Kufambisa musoro musoro kunowanzotungamirirwa neimwe dambudziko rekugadzirisa rinozviratidza mumusoro wepamusoro unonzi kyphosis. A kyphosis inonyanya kukwirira kumusoro. Apo chikamu chekumusoro chinotenderera mberi, musoro, uchibatanidzwa kuburikidza nemusana, unotorwa pasi. Kuti uone uye unyanane nenyika iri pamberi pako, iwe unogona kunge uine kink kumashure kwemutsipa senzira yekusimudza musoro wako, uye zvichida inowedzera musoro wako mberi, zvakare. Zvose izvi zvinogona kuisa rushaya rwako pamagetsi, izvo zvinogona kuwedzera matambudziko ako TMJ.
Shoko Rinobva
Kutaura nemuviri wako wepamusoro-soro (nevasina nzira yekuvhiya) zvingangobatsira kuvandudza mararachanics ako ejaya uye mararamiro ekufamba. TMJD kurapwa kunogona kubatsira kubvisa vamwe kana marwadzo ako ose, zvakare.
Pasina kurapwa, unogona kunge uri kuzvigadzirisa kuti uite zvinenge zvisingabatsiri zvinotaurirwa zvakare uye zvakabuda pakati pejaya nemutsipa uye mapepa. Chimwe chezvibatsiro zvehutano hwepanyama ndechokuvhiringidza huni iyi uye panzvimbo iyo kubvumira michina yakadzika kuti idzoke kune yakareba yakareba. Izvi zvinogona kubatsira kudzorera kuenzanirana kwakakodzera kwekufambisa mujaya rako, kupa mishonga inoporesa yekuporesa ku diski pamwe nekumusoro kwomuviri wako.
Zvimwe zvezvinhu zvaunogona kuwana mukurapa zvinosanganisira nzira yekurapa kusunungura misungo yakaoma, kutambanudza uye kusimbisa maitiro ekubatsira kugadzirisa kumira zvakanaka, kunyanya munzvimbo yepamusoro yemuviri, uye imwe yedzidzo pamusoro pekuti unochengetedza sei kubudirira kunobudirira. Murapi wako anogona kukudzidzisawo tsika yekuzvitarisira iyo inosanganisira kusimbiswa kwekusimudzira isometric yemashonga ako ejaya.
> Sources:
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