Ukungasebenzi kwe-TMJ kwi-Lateral Pterygoid Muscle

intshayelelo

Umhlathi uvumela umninimzi ukuba ahlafune, athethe, aze ashukume ngoxa uzinzisiwe zizihlunu ezingqongileyo ezinceda ukwakheka kwemihlathi. Ezinye izihlunu ezijikelezayo ezixhasa umhlathi yi imisipha yentamo xa ukutya kugqityiwe kwaye kuginywa. Umhlathi ongezantsi unamalungu kwicala ngalinye adibanisa kwindawo ephezulu yokakayi, ngelixa izihlunu ezijikelezileyo zibonelela ngomsebenzi wemoto kumhlathi. Ukuza kuthi ga ngoku, ukunxiba okuqhelekileyo kunye nokukrazula okanye izinto ezahlukeneyo azinakuchaphazela kuphela amalungu kunye nezihlunu ezijikelezileyo, kodwa zinokubangela iiprofayili zentlungu ezithe kratya kwii-tendon, amalungu, kunye nezihlunu zomhlathi ezinokuthi zichaphazele umgangatho wobomi bomntu. Inqaku lanamhlanje lihlola i-lateral pterygoid muscle, indlela ukungasebenzi kwe-TMJ kunye ne-trigger points kuchaphazela ngayo le misipha, kunye neendlela zokulawula ukungasebenzi kwe-TMJ kunye nokukhupha amanqaku emhlathini. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukunceda abantu abahluphekileyo kwiintlungu ze-trigger ezinxulumene nokungasebenzi kwe-TMJ echaphazela i-lateral pterygoid muscle. 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 iLateral Pterygoid Muscle

 

Ngaba ukhe weva izandi eziphumayo emhlathini wakho xa uvula okanye uvala umlomo wakho? Ngaba umhlathi wakho uziva uqinile, kwaye intlungu ihamba entanyeni? Ngaba imihlathi yakho ivaliwe, nto leyo eyenza kube nzima ukuba uvule okanye uvale umlomo wakho? Ezinye zezi mpawu zidibana neentlungu ezinxulumene ne-lateral pterygoid muscle. Njengenxalenye yemisipha yokukrala, i isihlunu se-pterygoid esecaleni ikwasisihlunu se-craniomandibular esinendima ebalulekileyo kummandla wexesha eliphantsi. I-lateral ye-pterygoid muscle isebenza kunye ne-medial pterygoid muscle ukubonelela ngokusebenza kwi-mandible okanye umhlathi ophantsi. Isihlunu se-lateral pterygoid sinemithambo-luvo ephuma kwi-trigeminal nerve kwaye ithumela ulwazi kwingqondo. Olu lwazi lubangela ukuba izihlunu zihambe kwaye zisebenze xa ukutya kudliwe; nangona kunjalo, xa ukulimala okanye iziganeko ezibuhlungu zichaphazela i-pterygoid esecaleni, inokuphazamisa isakhiwo somhlathi ophantsi kunye nezihlunu ezijikelezayo.

 

Indlela ukungasebenzi kakuhle kwe-TMJ kunye namanqaku e-Trigger eyichaphazela njani iLateral Pterygoid

Xa i-pterygoid esecaleni ichatshazelwa kukungasebenzi kakuhle kweTMJ (temporomandibular joint), uphononongo lubonisa ukuba abantu abaninzi bahlala beva iintlungu emihlathini ebangela ukushukuma kwemihlathi okulinganiselweyo kunye neentlungu kwizihlunu ezisecaleni zepterygoid. Xa izihlunu ze-lateral ze-pterygoid zisetyenziswe ngokugqithiseleyo ngenxa yokuhlafuna ngokugqithiseleyo okanye ngenxa yemikhosi ephazamisayo echaphazela umhlathi, inokubangela ukuba imicu ye-muscle ye-lateral pterygoid iphuhlise amaqhina amancinci aziwa ngokuba yi-trigger points ukuchaphazela umgca womhlathi. Amanqaku okubangela kubangela iimpawu ezibuhlungu ezinxulumene neminye imiba engapheliyo ebangela intlungu yomhlathi. Xa amanqaku e-trigger echaphazela i-pterygoid esecaleni, inokuphuhlisa ukungahambi kakuhle kunye nentlungu kwi-TMJ ukungasebenzi.

Ngokutsho kukaDkt Janet G. Travell, MD, abantu abaninzi abaneentlungu ezibuhlungu emihlathini yabo banokuba ne-myofascial pain syndrome evela kwi-musculoskeletal disorders ebangelwa ngamanqaku asebenzayo asebenzayo kwi-lateral pterygoid muscle. Ekubeni i-pterygoid esecaleni inokuthi ibandakanyeke ngamanqaku okubangela ahambelana nokungasebenzi kakuhle kwe-TMJ, izifundo zityhila ukuba i-lateral pterygoid muscle inokubandezeleka kwi-atrophy ye-muscle ngelixa ihambelana ne-disc displacement ehambelana nokungasebenzi kakuhle kwe-TMJ. I-TMJ ukungasebenzi kuxa izihlunu ezijikelezileyo kunye nemigqaliselo ejikeleze umhlathi ophantsi zicatshukiswa kumanqaku e-trigger asebenzayo. Xa umntu ehlupheka ngenxa yokungasebenzi kakuhle kwe-TMJ, izihlunu ze-pterygoid ziba nzima kwaye zibangele iimpawu ezinxulumene nentlungu echaphazela umhlathi kunye nommandla ojikelezayo womlomo wobuso.

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Iintlungu Zomhlathi & TMJ Ukungasebenzi-Ividiyo

Ngaba uziva iintlungu ecaleni komhlathi wakho? Ngaba izihlunu zemihlathi ziziva ziqinile xa uvule okanye uvala umlomo wakho? Ngaba ukhe weva izandi eziphumayo xa uvula imihlathi, kwaye kubuhlungu? Uninzi lwezi mpawu zinxulunyaniswa nokungasebenzi kakuhle kwe-TMJ echaphazela i-lateral pterygoid muscle. Ividiyo engentla ichaza indlela ukuphazamiseka kweTMJ kunye neentlungu zemihlathi ezichaphazela ngayo umzimba. Uphando lutyhila ukuba imisebenzi ye-lateral pterygoid muscle ivumela intshukumo ukuya emhlathini kumamkeli; nangona kunjalo, xa izinto ziqala ukuchaphazela umhlathi kunye ne-lateral pterygoid muscle, inokukhokelela ekugqithiseni kunye nokuchithwa kwe-disc kwi-TMJ. Ukungasebenzi kwe-TMJ ehambelana namanqaku e-trigger emhlathini kunokudibaniswa nezinye izinto ezibangela intlungu kumhlathi kunye nomzimba wonke. Oku kwaziwa ngokuba intlungu ye-somato-visceral, apho i-muscle ichaphazela ilungu elihambelanayo. Ukungasebenzi kwe-TMJ ehambelana namanqaku e-trigger kuyinkimbinkimbi kwaye kunzima ukuxilonga kuba amanqaku e-trigger ahlala elinganisa ezinye iimpawu ezingapheliyo ezinokuthi zibandakanyeke. Ekubeni i-lateral pterygoid isihlunu inemisebenzi yoluvo-motor emhlathini, xa i isihlunu siba buthathaka, ezo zibonakaliso ze-neuron ziba yi-hypersensitive kwaye zibangele ukungasebenzi kakuhle kwemisipha emhlathini; ngoko, ukugqiba izinto kwi-TMD (i-temporomandibular disorders) yenza ukubonakala. Ngethamsanqa kukho iindlela zokulawula ukungasebenzi kakuhle kwe-TMJ ehambelana nentlungu yokuqalisa emhlathini ekuchaphazeleni nabani na.

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Ukulawula ukungasebenzi kakuhle kwe-TMJ kunye ne-Trigger Pain emhlathini

 

Xa umntu efumana iimpawu zentlungu emhlathini ovela kwi-TMJ yokungasebenzi ehambelana nentlungu ye-trigger point, abaninzi bazama ukufumana unyango ezahlukeneyo ukunciphisa intlungu. Ekubeni i-trigger point ingqaqambo emhlathini inokubangela iintlungu ezidluliselwayo ezinxulumene nokuqaqamba kwamazinyo kunye neentloko eziqaqambayo, iintlungu azivayo umntu zinokubhida xa kungekho tshintsho lwasemzimbeni. Ukuza kuthi ga ngelo xesha, abantu abaninzi bebedla ngokutya amayeza afumaneka ngaphandle kwekhawuntara ukuthomalalisa iintlungu. Nangona kunjalo, abo bafuna ukulawula intlungu ngaphandle kweyeza banokuya kwingcali ye-musculoskeletal ukuba ugqirha wabo oyintloko ubhekisela kuyo, ngubani onokuza nesicwangciso sonyango esilungiselelwe loo mntu. Iingcali ezininzi ze-musculoskeletal, njenge-chiropractors, zinokufumana ulwazi lwesigulana apho siva khona iintlungu ngexesha lovavanyo. Emva koko, i-chiropractors inokuqulunqa isisombululo ngokucinga kweklinikhi ngaphambi kokuba isebenzise unyango kwiintlungu zesigulane. Ezinye zeendlela ezahlukeneyo ezisetyenziswa yi-chiropractor kumntu ojongene neentlungu zemihlathi ezinxulumene neendawo zokubangela ziquka:

• Yolula kwaye utshize: Apho isihlunu esisecaleni soluliwe kwaye sitshizwe ngesipholisi ukunciphisa iindawo zokubangela.
• Ukuguqulwa komqolo wesibeleko: Ukulungelelaniswa komgogodla kumqolo wesibeleko ukukhulula izihlunu eziqinileyo ezijikeleze intamo kunye nomhlathi ophantsi. 
• Ukunyanzeliswa kobushushu: Ipakethe eshushu ibekwe emhlathini ukukhulula izihlunu.

Xa ii-chiropractors zisebenzisa obu buchule kumanqaku e-trigger achaphazela i-pterygoid esecaleni, inokunciphisa iimpawu zokungasebenzi kakuhle kwe-TMJ ezinxulumene namanqaku okuqalisa. 

 

isiphelo

I-pterygoid esecaleni yinxalenye yemisipha ye-mastication esebenza kunye ne-medial pterygoid muscle ukuzinzisa umhlathi kwaye unikeze umsebenzi wemoto xa umninimzi ehlafuna okanye ethetha. Xa i-lateral ye-pterygoid muscle isetyenziswe ngokugqithiseleyo ngokuhlafuna ngokugqithiseleyo okanye ukuchatshazelwa yizinto eziphazamisayo zingabangela ukuphuhliswa kweempawu zentlungu ezinxulumene namanqaku okuqalisa. Amanqaku e-Trigger ngamaqhina amancinci kwi-muscle anokubangela intlungu ebhekiswe kwiindawo ezahlukeneyo emzimbeni. Xa oku kusenzeka, abantu abaninzi bathwaxwa zezinye iimeko ezingapheliyo ezinxulumene namanqaku okubangela. Enye yazo kukungasebenzi kakuhle kweTMJ, apho izihlunu ezingqongileyo kumhlathi ongezantsi ziyacaphuka kwaye zinokwenza umhlathi utshixeke. Ngethamsanqa, unyango olwahlukeneyo lukhona kubantu abaninzi ukukhulula iintlungu ze-trigger point point ezinxulumene nokungasebenzi kakuhle kwe-TMJ echaphazela imihlathi yabo kunye nokunceda ukuthintela iimpawu ezihambelanayo ukuba ziqhubele phambili.

 

Ucaphulo

Litko, Monika, et al. "Unxulumano phakathi kweLateral Pterygoid Muscle Attachment Type kunye neTemporomandibular Joint Disc Position kwiMagnetic Resonance Imaging." Dento Maxillo Facial Radiology, The British Institute of Radiology., Okt. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5595028/.

ULiu, uMeng-Qi, et al. "Utshintsho olusebenzayo lwe-Lateral Pterygoid Muscle kwizigulane ezine-Temporomandibular Disorders: i-Pilot Magnetic Resonance Images Texture Study." Ijenali yezonyango yaseTshayina, Wolters Kluwer Health, 5 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7065862/.

Lopes, Sérgio Lúcio Pereira de Castro, et al. "I-Lateral Pterygoid Muscle Volume kunye ne-Migraine kwizigulane ezine-Temporomandibular Disorders." ISayensi yokuFanekisa kwiZazinyo, Korean Academy of Oral and Maxillofacial Radiology, Mar. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4362986/.

URathee, uManu, kunye noPrachi Jain. "I-Anatomy, iNtloko kunye neNtamo, i-Lateral Pterygoid Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), Upapasho lwe-StatPearls, nge-29 Okt. 2021, www.ncbi.nlm.nih.gov/books/NBK549799/.

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