Iintlungu zeMyofascial ezichaphazela iMihlunu yoMhlathi

intshayelelo

The intloko inemisebenzi emininzi ebonelela umzimba ngokusebenza. Intloko iqulathe ukakayi, olukhusela ngengqondo, amehlo okwenza umkhosi ubone, nomhlathi, onamazinyo nolwimi lokungcamla nokuhlafuna ukutya. I entanyeni ixhasa intloko ukuqinisekisa ukuba izinzile kwaye isebenza ngokufanelekileyo. Ngaphantsi kwamehlo, umhlathi unemisipha kunye namalungu anceda ukuzinzisa umhlathi ukusuka kwi-hyperextending ngaphandle ngelixa unikezela umsebenzi wemoto. Ukuza kuthi ga ngoku, izinto ezinokuchaphazela umhlathi zinokuchaphazela izihlunu ezijikelezileyo kunye namalungu entloko nasemqaleni, okubangela ukuba umntu abe nentlungu. Inqaku lanamhlanje lijonga imisipha ye-masseter, indlela intlungu ye-myofascial echaphazela ngayo imisipha ye-masseter, kunye neendlela zokunciphisa intlungu ye-myofascial ehambelana nezihlunu ze-masseter. Sithumela izigulane kubaboneleli abaqinisekisiweyo abaziingcali kunyango lwe-musculoskeletal ukunceda abantu abaphethwe yintlungu ye-myofascial ehambelana neentlungu ze-masseter muscle ecaleni komhlathi. Sikwakhokela izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siqinisekisa ukuba sifumanisa ukuba imfundo isisisombululo ekubuzeni ababoneleli bethu imibuzo enengqiqo. UDkt. Jimenez DC ubona olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni iMasseter Muscle?

 

Ngaba ukhe wanentloko ebuhlungu ekufutshane neetempile zakho? Ngaba umhlathi wakho uziva ubuhlungu imini yonke? Okanye ngaba iintlungu zamazinyo okanye iintlungu zendlebe zibonakala zikukhathaza rhoqo? Ezinye zezi mpawu zinokuchaphazela amalungu akho emihlathi, ngakumbi kwimisipha ye-masseter. I izihlunu ezinkulu zizihlunu ezinamandla ezikwi-quadrangular kwicala ngalinye lomhlathi ezinezahlulo ezithathu: ngaphezulu, okuphakathi, kunye nobunzulu. Izihlunu ze-masseter nazo ziyinxalenye imisipha yokukrala emhlathini oquka:

• I-Temporalis
• I-pterygoid ephakathi
• Lateral pterygoid
• Izihlunu zeMasseter

Izihlunu ze-masseter nazo zinceda umhlathi usebenze ngokufanelekileyo, njengoko izifundo zityhila ukuba esi sihlunu se-quadrangular sithatha inxaxheba kwimisebenzi eyahlukeneyo efana ne-mastication (ukuhlafuna), ukuginya, kunye nokuthetha. Ukuza kuthi ga ngelo xesha, izihlunu ze-masseter zinobudlelwane kunye ne-trigeminal nerve, ebonelela nge-sensory-motor stimulation ukuze umhlathi uhambe. Nangona kunjalo, xa izinto (ezibuhlungu okanye eziqhelekileyo) ziqala ukuchaphazela imisipha ye-masseter kunye nezihlunu ezijikelezileyo ezinxulumene nentamo kunye nentloko, intlungu inokuhamba ngokukhawuleza okanye ngokukhawuleza kuxhomekeke kubunzima bemisipha.

 

Intlungu yeMyofascial iyichaphazela njani iMasseter Muscle?

Uphando lutyhila ukuba intlungu engapheliyo kwingingqi ye-orofacial yomzimba ixhaphake kwihlabathi jikelele kwaye inokubangela ukuphazamiseka okuchaphazela ukulawulwa kwemoto yomhlathi. Xa iimpawu ezibuhlungu zichaphazela umhlathi, abantu abaninzi baqala ukuva intlungu phezulu okanye emazantsi emihlathi yabo ebangela intlungu yamazinyo kunye ne-brows, ebangela ukuba babe yintloko efana nentloko okanye babe ne-tinnitus (ukukhala ezindlebeni). Ezi mpawu zihambelana nentlungu ye-myofascial echaphazela imisipha ye-masseter emhlathini. Intlungu ye-Myofascial okanye amanqaku okubangela kulapho imicu yemisipha emzimbeni iba novakalelo emva kokwenzakala okanye ukusetyenziswa kakhulu. Ukuza kuthi ga ngelo xesha, imicu yezihlunu yavelisa amaqhina amancinane ecaleni kweebhendi zemisipha yetaut kwaye yabangela intlungu kuwo wonke umsipha. Iintlungu ze-Myofascial zinokuba nzima ukuxilonga ngenxa yokulinganisa ezinye iimpawu zentlungu. Ukuze iintlungu zichaphazele izihlunu ze-masseter, izifundo zityhila ukuba ukuphazamiseka kwe-temporomandibular okubandakanya ummandla womlomo-wobuso kunokuba yinto eninzi ngelixa ichaphazela imisipha ye-masticatory kunye ne-temporomandibular joints. Ukuza kuthi ga ngoku, iintlungu ze-myofascial masseter zinokubandakanya izigulo ezinje migraines, ukuqaqanjelwa ngamazinyo, I-TMJ (i-temporomandibular joint) ukungasebenzi kakuhle, kunye neentlungu zendlebe.

 

Ngokutsho kukaDkt Janet G. Travell, MD, iimpawu ezinzima kunye neepatheni ezigqithisiweyo zentlungu yobuso ingaba kuthethwa ngawo ukusuka kwiindawo ezininzi zokuqalisa kwintloko kunye nentamo yemisipha, enokuthi ilandelwe ngokulula kwimisipha yomntu. Ngokufumana oyena nobangela wezi mpawu, oogqirha abaninzi banokuphuhlisa a inkqubo yeklinikhi ukuvavanya izigulane zabo ezijongene nentlungu ye-myofascial trigger kunye nokuphuhlisa isicwangciso esijongene neemfuno kunye neemfuno zabo.

---

Ukolula Izihlunu zeMasseter-Ividiyo

Ngaba intloko ebuhlungu ibonakala ichaphazela indlela yakho yemihla ngemihla? Ngaba ukhe waziva ngathi umhlathi wakho uqinile kwaye uqaqanjelwa kakhulu xa uvula umlomo wakho? Okanye ngaba uziva iintlungu emacaleni amazinyo akho? Uninzi lwezi mpawu zigqithiselwa intlungu ehambelana nentlungu ye-myofascial masseter. Ividiyo engentla ibonisa ukunweba imisipha ye-masseter ukunciphisa intlungu ye-trigger kunye nesakhiwo se-muscle. Iintlungu ze-Myofascial ezinxulumene nezihlunu ze-masseter zingenza kube nzima ukuba oogqirha baxilongwe izigulane zabo ngenxa yentlungu ehamba kwiindawo ezahlukeneyo emzimbeni, eyaziwa ngokuba i-somato-visceral intlungu. Iintlungu zeSomato-visceral ziintlungu ezichaphazela isihlunu esidityaniswe nelungu elichaphazelekayo. Umzekelo uya kuba yintlungu yemihlathi ehambelana nokuqaqamba kwamazinyo ngelixa kunokubandakanya imisipha ye-masseter. Ngombulelo, unyango luyafumaneka ukukhulula intlungu ye-myofascial ecaleni kwesihlunu se-masseter.

---

Iindlela zokunciphisa iintlungu ze-Myofascial kwi-Masseter Muscles

 

Iintlungu ze-Myofascial ezichaphazela isihlunu se-masseter zinokubangela intlungu kwimisipha ejikelezileyo kunye namalungu kummandla womlomo wobuso. Iimpawu ezibangelwa yintlungu ye-myofascial ehambelana nezihlunu ze-masseter zinokuba nzima kwaye zibe ngumngeni ukuxilonga ngenxa yeentlungu ezichaphazela imimandla eyahlukeneyo yomzimba. Ngethamsanqa, oogqirha abaninzi bathumela iingcali ze-musculoskeletal ezifana ne-chiropractors, i-massage therapists, kunye ne-physiotherapists ukukhulula intlungu ye-myofascial muscle ehambelana nezihlunu ze-masseter ngokubonelela ngeendlela zokunciphisa intlungu. Ezinye zeendlela ezahlukeneyo ezinceda ukuthomalalisa iintlungu ze-masseter zibandakanya:

• Yolula & Utshize: Ukolula umhlathi kancinane ukuya kuthi ga kwinqanaba elipheleleyo kwaye utshize into epholileyo ecaleni kwesihlunu se-masseter ukuthomalalisa iintlungu.
• Ukuzivocavoca kwemihlathi: Ukuzamla, ukolula, kunye nokuhlehlisa isihlunu se-masseter ukolula nokomeleza umhlathi.
• I-compress efudumele esidleleni: Inceda ukukhulula isihlunu esibuhlungu kwaye ikhuphe nayiphi na ingcinezelo ebangela intlungu ye-myofascial.

Uphando lutyhila ukuba ukuhlanganiswa kwezicubu ezithambileyo yenye yeendlela ezahlukeneyo ezinokunceda ukuthomalalisa iintlungu kwimisipha ye-masseter. Yintoni eyenziwa yi-soft tissue mobilization kukuba ivumela iingcali ze-musculoskeletal ukuba zisebenzise indlela ye-pincer yokwandisa i-masseter muscle ukuya kwinqanaba kwaye ikhulule amanqaku e-trigger kwi-traction ezantsi ukuthoba intlungu kwimisipha ye-masseter. Ukusebenzisa olu nyango lwahlukeneyo lunokunceda abantu abaninzi abaneentlungu ze-myofascial ezinxulumene nezihlunu ze-masseter bazive bekhululekile kwiintlungu zomhlathi kunye neempawu ezinxulumene nazo.

 

isiphelo

I-masseter sisihlunu esine-quadrangular esijikeleze icala ngalinye lomhlathi kwaye inceda ukuzinzisa ukusebenza kwentshukumo yomhlathi. Xa ukulimala okanye izinto ezibuhlungu ziqala ukuchaphazela umhlathi, ngokuhamba kwexesha kunokukhokelela ekuphuhliseni ukukhupha intlungu ehambelana nemisipha ye-masseter. Xa i-trigger point pain ichaphazela imisipha ye-masseter kwingingqi yomlomo-yobuso, inokubangela intlungu ye-somato-visceral ecaleni komhlathi ochaphazela amazinyo, okubangela iimpawu ze-tinnitus kunye neentloko. Ngethamsanqa, unyango oluhlukeneyo luyafumaneka ukunceda ukulawula intlungu ye-trigger kunye nokunciphisa iimpawu ezihambelanayo ezichaphazela imisipha ye-masseter. Oku kuvumela abantu abaninzi ukuba babuyisele impilo yabo ngokungabi nantlungu.

 

Ucaphulo

Al Sayegh, Samaa, et al. "Iziphumo zentlungu engapheliyo kunye noVavanyo lwe-Acute Masseter kwi-Precision Biting Behaviour in Human." Imida kwiPhysics, Frontiers Media SA, 29 Okt. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6828929/.

Corcoran, uNicholas M, kunye noEvan M Goldman. "I-Anatomy, iNtloko kunye neNtamo, i-Masseter Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 11 June 2022, www.ncbi.nlm.nih.gov/books/NBK539869/.

Kuć, Joanna, et al. "Uvavanyo lwe-Soft Tissue Mobilization kwizigulane ezine-Temporomandibular Disorder-Myofascial Pain with Referral." Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu, MDPI, 21 Ngomhla wama-2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7767373/.

I-Maini, i-Kushagra, kunye ne-Anterpreet Dua. "I-Temporomandibular Syndrome." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 28 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK551612/.

Widmer, CG, et al. "Ukuqwalaselwa koPhuhliso kunye nokuSebenza kwe-Masseter Muscle Partitioning." Oovimba beBhayoloji yoMlomo, ILayibrari yeSizwe yezeMithi yaseMelika, ngo-Epreli 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1861846/.

isikhanyeli