Izinzuzo zoPhuhliso lweNkxaso-mali ye-TMD kunye ne-Fibromyalgia

Nangona izixhobo zomlomo, ezinjengeengqungquthela kunye nabalindi bokuluma, zonyango oluqhelekileyo kwiintlungu zomzimba ezinxulumene neengxaki ze-temporomandibular, okanye i-TMD, izigulane ziye zafumanisa ukuba ezi zixhobo zisoloko zingasebenzi kangangoko kunokwenza izinto zokuzinyamekela, ezifana nokusebenzisa umhlathi okanye ukunyanzelisa , ngokutsho kophando olutsha olushicilelwe ngabaphandi kwiNyuvesi yaseNew York (NYU) kwiKholeji yamaDentistry eNew York City.

Ucwaningo lophando, olupapashwe kwiphepha le-Clinic Oral Uphando, lubonisa ukuba iindlela zokuzinakekela kufuneka zisetyenziswe ngokuyinhloko ekuncedeni ukuphazamiseka kweengxaki ze-temporomandibular ezichaphazelekayo okanye i-TMD.

I-TMD, eyaziwayo ngezinye iinkqubo njenge-TMJ emva kokubambisana kwe-temporomandibular, kukuqokelela kweemeko ezibuhlungu ezixhaphakileyo ezikhula kwintambo yomhlathi kunye nezihlunu zayo ezijikelezayo. Inkathazo ye-temporomandibular ye-Myofascial, okanye i-mTMD, imeko ye-muscular echaphazela ngaphezu kwe-10 yepesenti yabasetyhini. Abantu ngabanye abane-TMD bahlala bexhamla kwezinye iimeko ezibuhlungu ezingapheliyo. Uphando lufumanise ukuba i-7 kwi-18 ipesenti yabantu abane-TMD nayo iphinda ibe nama-fibromyalgia, imeko ebonakaliswe yintlungu ebanzi.

Unyango lwe-TMD kunye neFibromyalgia

Amazinyo kunye nezigulisa zisebenzisa i-assortment yonyango ukunceda ukuphatha intlungu, ezifana nezixhobo zomlomo ezifana nezicatshulwa kunye nabalindi bezilonda, amayeza enhlungu, kuquka i-nonsteroidal anti-inflammatory drugs, kunye neendlela zokuzinyameka njengemigqomo yomhlathi kunye nokuncinciza.

Izixhobo zomlomo lunyango lokuqala oluxhaphakileyo lwe-TMD, nokuba zithini na iziphumo zesiphumo sophando malunga nezibonelelo zabo, utshilo uVivian Santiago, Ph.D., MPH, isayensi yophando kwezophando kwiSebe le-Oral kunye neMaxillofacial Pathology, iRadiology, kunye neyeza kwi Ikholeji yase-NYU yamazinyo, kunye nombhali ophambili wophando.

“While oral splints have been discovered to have some benefits, they have yet to be found to be as successful for patients who have widespread pain when treating mTMD,” she explained.

Kulo cwaningo lophando, abaphandi bavavanya oko kungengenye imishanguzo yokulungisa amakhosikazi kunye ne-mTMD esebenziselwa ukujongana nentlungu yabo kunye nendlela izigulane eziphumelelayo eziye zaziqonda ngayo ezi mpiliso. Abaphandi baxoxisana nabafazi be-125 ababandakanya abafazi be-26 ababenombilini we-fibromyalgia kunye ne-mTMD, ukuze bafumane ukuba unyango lwahlukileyo kwizigulane.

Iziganeko eziqhelekileyo zonyango ezichazwe ngaba zixhobo zomlomo (ezisetyenziswa yi-59 ekhulwini yabathathi-nxaxheba), unyango lomzimba (lusetyenziswa yi-54 ekhulwini labathathi-nxaxheba), kunye nokusetyenziswa kwamathambo emakhaya (asetyenziswa yi-34 ekhulwini yabathathi-nxaxheba). Izonyango ezincinci eziqhelekileyo ezichazwe ziyi-acupuncture (ezisetyenziswa ngeepesenti ze-20), ukunakekelwa kwe-chiropractic (ezisetyenziswa yi-18 ekhulwini), i-injection (injini ye-14), i-yoga (esebenzisa i-7 ipesenti) kunye nokucamngca (kusetyenziswa i-6 ipesenti). Abathathi-nxaxheba bahlala besetyenziswe ngaphezu kweyonyango.

Abathathi-nxaxheba bachaze ukuphucula kakhulu intlungu yabo evela kwiindlela zokuzinakekela eziziwayo, ezifana nokusebenzisa umlenze, i-yoga, ukucamngca, ukuxilisa, kunye nokunciphisa ukufudumala, kunye neepesenti ze-84 ingxelo yokuba ezi zinto zanceda ukunciphisa iimpawu ezibuhlungu. Ipesenti ze-64 kuphela zabathathi-nxaxheba abasebenzisa izixhobo zomlomo babonisa ukuba bancedise ukuphucula intlungu. Mayelana neepesenti ze-11 zabasetyhini abasebenzisa izixhobo zomlomo bathi le nto yenze intlungu yabo ibe yimbi, indawo efuna ukuba uphando olungaphezulu.

Oral devices failed to outperform self-care techniques in improving facial pain, according to Karen Raphael, Ph.D., professor at the Department of Oral and Maxillofacial Pathology, Radiology, and Medicine at NYU College of Dentistry, and the research study’s co-author.

“Our outcome measures encourage utilizing self-care techniques as the first line of treatment for mTMD before contemplating more costly interventions,” stated Raphael.

The researchers didn’t find substantial differences between the amount of remedies reported by women with and without fibromyalgia. While the use of alternative treatment options for mTMD was reported among women with fibromyalgia, further research studies are still required. Pain relief tended to be greater through the use of self-care techniques in women with and without fibromyalgia.

"Nangona i-fibromyalgia ifunyanwa ngumsebenzi wezonyango, njengengcali ye-rheumatologist, i-TMD ihlolwe kwaye iphathwa ngudokotela wamazinyo," watsho uSantiago. "Ucwaningo lwethu lubonisa ukuba amazinyo kufuneka acele izigulane zintlungu xa ziba nobuhlungu obungapheliyo ngenxa yokuba oku kunokunika ulwazi oluthe xaxa ukunceda unyango lwabo."

I-Fibromyalgia yinkinga yempilo ebonakalayo intlungu engapheliyo ehambisana noxinzelelo, ubuthongo, inkumbulo kunye neengxaki zengqondo. I-Fibromyalgia iye yadibana neminye imiba yezempilo, njenge-TMD kunye / okanye i-TMJ. Abantu abanolu daba lunokuba nzima ukubandakanya imisebenzi yabo yemihla ngemihla. Njenge-chiropractor ofanelekileyo neyaziwayo, ndikuncede ukuphatha izigulane ezininzi nge-fibromyalgia. Kubalulekile ukuba izigulana zikwazi ukuba aziye zodwa xa zifika ekuphatheni iimpawu zabo ezibuhlungu. Ukunyamekelwa kwe-Chiropractic yindlela yokwenza unyango olungenako ukunyanga iintlobo zempilo, kuquka i-fibromyalgia.

Ubungakanani benkcazelo yethu lukhawulelwe kwi-chiropractic, imiba yempilo yomgudu, kunye namaqaku eyeza asebenzayo, izihloko kunye neengxoxo. Ukuqhubela phambili ukuxoxa ngale ngongentla apha, nceda ukhululeke ukucela uDkt Alex Jimenez okanye uqhagamshelane nathi 915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Ingxoxo eyongezelelweyo yesihloko: Ubuhlungu obuBuya buhlungu

Umqolo obuhlungu enye yezona zizathu ezibangeleko zokukhubazeka kunye neentsuku eziphosakeleyo emsebenzini jikelele. Iintlungu ezibuhlungu emva kwesizathu sesibini esivakalayo sokutyelela iofisi yee-dokotela, zibalwa kuphela ngezifo eziphezulu zokuphefumula. Phantse i-80 ipesenti yoluntu iya kubakho ubuhlungu ubuncinane kanye kanye ebomini babo. Umgudu wakho uyisakhiwo esiyinkimbinkimbi esakhiwa ngamathambo, amajoyina, iigaments, kunye nezihlunu, phakathi kwezinye iifomthi ezithambileyo. Ukulimala kunye / okanye imeko ekhutshweyo, njengaye disni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

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