The temporomandibular joint (TMJ) inobatana iyo inosangana nejaya rako kuhenya rako. Ichi chibatanidzi chiri pamberi pe nzeve; iwe unogona kuzviwana nyore nyore kuburikidza nekuzarura nekuvhara muromo wako uye kunzwa kunzwa pamwe neminwe yako. Iri sangano rinopesana nemasangano mazhinji, pakuti inonzi diarthrotic joint . Rudzi urwu rwekubatanidza rine mafundo maviri anoshanda ari oga; mune iyi nyaya yose iri kuruboshwe uye yakarurama yejoka ye mandible.
Kana pane dambudziko rekubatanidza, misungo kana mitsetse yakakomberedza chibatanidza ichi, chirwere chacho chinowanzodana chinonzi "TMJ" kana "TMJ disorder". TMJ inongotaura chete kubatana uye temporomandibular disorder (TMD) yakarurama kwazvo kune chero kusakosha kunobatana nehutano hwe TMJ. Kuchengetedza izwi rinogadzikana uye risina kukanganisa ani zvake, tichataridzira TMD seDMJ disorder .
Zviratidzo
- chiso chinorwadza
- kurwadziwa paunenge uchidzora
- kubuda kana kudonha kwejaya
- headaches
- earaches
- kuoma kuzarura nekuvhara muromo
- locked jaw
- kurwadziwa uye hunyoro zvakapoteredza musangano
- tinnitus
- nhoroondo yekurara zvakanyanya kana kuti akawana chirwere chehope
Risk Factors
Matambudziko eTGJ anonyanya kuonekwa kune vakadzi kupfuura varume, uye anowanzoonekwa nevanhu vachena kudarika muAfrica-America. Zvimwe zvinetso kana mamiriro ezvinhu akabatanidzwa ne TMJ anosanganisira:
- rheumatoid arthritis
- zvirwere zvinokonzera kuparara
- kushungurudzika kana zvimwe zvinetso zvepfungwa zvinotungamirira kumatsva asingagumi kana kuchenesa meno
- dental malocclusion
- rurimi rurimi (ankylosis)
- bruxism
- zvimwe kuberekwa kukanganisa
Zvinokonzera
Iko pakutanga yaifungidzira kuti matambudziko a TMJ aive akonzerwa nekusavhiringidza kwemazino kumusoro nepamusoro. Kunyange zvazvo ichi chichiri nebasa mukukonzera matambudziko e TMJ, pane zvimwe zvakawanda zvinogona kukonzera chirwere ichi chinorwadza kusanganisira:
- kushungurudzika kumusana kana kubatana
- kunetseka, kushushikana, kana kuora mwoyo
- mamiriro emusoro nemutsipa
- kugunzva meno
- chewing gum (kana zvakanyanya)
Kuziva
Tsika ye TMJ inowanzoongororwa ne otolaryngologist (ENT). Vanhu vazhinji vanotsvaka rubatsiro rweET nokuti marwadzo ejaya anovatungamirira kuti vatende kuti vane utachiona hwekunzwa . Chiremba achaita kuongorora kwemuviri, izvo zvinogona kusanganisira kutarisa mukati memuromo wako kuti zviratidzo zvekupfeka mazino ako kubva pakukuya nekudzima; kuongorora mitsipa yako yemutsipa yepasms; uye zviratidzo zvekubatana. Chiremba anogonawo kuyera kuti iwe unokwanisa sei kushamisa muromo wako. Dzimwe nguva, chiremba wako achakumbira CT kana kuti MRI scan kuti uone kutarisana kwakanaka chero kupi kwekukuvadza kwekubatana.
Kurapa
Kurapa kunobva pakuoma kwechirwere. Kune zviitiko zviduku, mazaya uye zororo zvinogona kunge zvakanyanya kutengesa, pamwe ne-over-the-counter pain relievers zvakadai se ibuprofen uye acetaminophen. Vanhu vane chirwere cheTMJ vanofanira kudzivisa chewing gum, vachikuya meno uye kuvhara rushaya rwavo. Dzimwe nguva murindi anorinda anogona kubatsira izvi.
Maitiro ekudzimara kwemaawa anenge makumi matatu pazuva anogona kubatsira. Vamwe vanhu vanogona kubatsirwa nechirwere chepanyama, kusununguka kwemisumbu, steroids, kupikisa massage uye ultrasonic treatment.
Kana zviratidzo zvichiri kuenderera mberi mushure mokurwisa kwechisimba kupesana nekuputira uye mamwe maitiro akaedzwa, occlusal therapy inogonawo kuedzwa. Occlusal therapy inotarisira kuchengetedza kuruma kwako uye kudzivirira kushungurudza kwakanyanya uye kugaya zvinogona kukuvadza meno. Kuti uone kana ichi chisarudzo, unofanira kubvunza mazino ako.
Mumatambudziko makuru ekuvhiya kunogona kudiwa. Zvisinei, kuvhiyiwa ndoga hakugadziri matambudziko e TMJ kunze kwekuti iwe uite mushonga pamwe uye mushure mekuvhiyiwa.
Sources:
American Academy yeOtolaryngology Head and Neck Surgery. TMJ. Yakasvika: November 5, 2015 kubva pawww.www.netnet.org/content/tmj.
Goldenberg, David; Goldstein, Bradley J. Handbook yeOtolaryngology Head uye Neck Surgery. 2011. p 73-77.
Medline Plus. TMJ kushungurudzwa. Yakasvika: Dicember 21, 2011 kubva pa http://www.nlm.nih.gov/medlineplus/ency/article/001227.htm.
Rotter, BE. (2015). Cummings Otolaryngology: Temporomandibular Joint Disorders. Yakasvika musi waAugust 14, 2016 kubva pa http://www.clinicalkey.com (Kubhadharwa Kunodiwa)
Scrivani, SJ & Mehta, NR (2015). Temoromandibular kusangana nevanhu vakuru. Yakasvika musi waNovember 5, 2015 kubva pawww.www.ptp.com.