TMJ: Iziphazamiso zeMihlathi

I-temporomandibular (tem-puh-roe-man-dib-u-lur) joint TMJ isebenza njengehenjisi etyibilikayo edibanisa ithambo lomhlathi kukhakhayi. Kukho ilungu elinye kwicala ngalinye lomhlathi. Ukuphazamiseka kwemihlathi ye-TMJ kwaziwa ngokuba yi-temporomandibular disorders-TMD. Ezi ziphazamiso zichaphazela indawo yokudibanisa phakathi komhlathi kunye nokhakhayi olubangela ukudumba kunye nentlungu edibeneyo kunye nezihlunu ezilawula ukunyakaza. Ukuphazamiseka kunokubangelwa yindibaniselwano yezinto, ezifana noxinzelelo, imfuzo, isifo samathambo, okanye ukwenzakala. Iimpawu, iintlungu, kunye nokungonwabi zihlala zezokwexeshana kwaye zinokukhululeka ngokuzikhathalela kunye nonyango olungazenzisiyo olufana ne-chiropractic.

Iziphazamiso zeMihlathi

Ukuba umhlathi awuhambi ngokuchanekileyo okanye uba ngokungalingani, unokugxininisa i-temporomandibular joint. Ukuba oku kuyenzeka, izihlunu zemihlathi kunye nentamo kunye nezihlunu zamagxa zinokuqina kwaye ekuhambeni kwexesha ziye zidinwe njengoko zisebenza kakhulu ukubuyisela kunye nokugcina umhlathi ulungelelene. Amathambo adibanisa kwi-joint ahlanganiswe ne-cartilage kwaye ahlulwe yi-disc encinci yokutshatyalaliswa kwe-shock ukuze kugcinwe ukuhamba kakuhle. Ukuphazamiseka kwemihlathi kunokwenzeka ukuba:

• I-disc iyancipha okanye ihambe ngaphandle kokulungelelaniswa.
• Intlala yejoyinti yonakaliswe sisifo samathambo.
• Umdibaniso wonakaliswe yimpembelelo yempembelelo efana nokubetha intloko ngenxa yokuwa okanye ingozi yezemidlalo.
• Abantu abakhe bakwingozi yemoto.

Ezinye izinto ziquka:

• Uxinzelelo okanye uxinzelelo lunokubangela ukuba abantu batshile okanye babambe amazinyo, aziwa ngokuba ibruxism.
• Umsebenzi wamazinyo
• Umqolo ongahambi kakuhle
• Arthritis
• Izifo ezizenzekelayo

iimpawu

Iimpawu zeTMJ ziyahluka ngokwemeko nemeko. Ezi mpawu zinokuquka:

• Iingxaki zokuvula okanye ukuvala umlomo
• Ubunzima okanye intlungu ngelixa uhlafuna
• Intlungu okanye ukuthamba komhlathi
• Intlungu kwenye okanye zombini kwi-temporomandibular joints
• Iintlungu ezibuhlungu ebusweni
• Intamo kunye neentlungu zegxalaba
• Intloko
• Iintlungu ezibuhlungu ngaphakathi najikelele endlebeni
• Utywala
• Ukutshixa umdibaniso
• Ukucofa isandi
• Uvakalelo lwe grating

Uncedo lweChiropractic

Iingcali inokunceda ngeTMJ ngokunciphisa uxinzelelo kunye nokungasebenzi kakuhle kwegxalaba, intamo, kunye nomhlathi. Emva kokuba ukungasebenzi kuphelile, kunciphisa uxinzelelo kwimithambo-luvo eyahlukeneyo. Unyango lubandakanya:

• Ukuguqulwa komhlathi womhlathi ukuze uhambe ngokulula
• Ukukhululeka koxinzelelo lwemisipha kufutshane nomhlathi
• Ukutya ukutya okuthambileyo
• Ukunciphisa uxinzelelo kunye noxinzelelo
• Ukunxiba izikhonkwane zamazinyo
• Unyango lomzimba
• Imithambo yokukhulula umhlathi

UkuBumbiswa kweBhunga

Isalathiso seGlycemic

Ayizizo zonke ii-carbs ezilinganayo, kwaye ezinye zinefuthe elibalulekileyo kumanqanaba e-insulin kunabanye. Kubantu abanesifo seswekile okanye ukunganyangeki kwe-insulin, oku kubalulekile. A ukutya's Isalathiso seGlycemic - ukusuka kwi-0 ukuya kwi-100 - ibonisa indlela i-carbohydrate ethile eya kuchaphazela ngayo iswekile yegazi kunye namanqanaba e-insulin.

• Ukutya okugaya ngokukhawuleza kuphezulu kwisalathisi.
• Ukutya okwetyiswa ngokucothayo kusezantsi kwisalathiso.

Ukutya okuphezulu kwisikali se-GI, kubandakanya iitapile kunye nesonka esimhlophe, ziqhekeka ngokukhawuleza. Yiloo nto eyenzekayo xa uhamba ngesantya seswekile esiza kuphazamiseka emva kwemizuzu kamva. Ukutya okusezantsi kwisikali se-GI, kubandakanya iitapile kunye neoats epheleleyo, zetyiswe kancinci kancinci. Oku kubangela ukunyuka okuthe gqolo kumanqanaba eswekile yegazi. Ezi zinto zilandelayo zinokuchaphazela umlinganiselo we-GI:

Ukulungiswa kokutya

• Okukhona kulungiswa ukutya, kokukhona i-GI iphezulu.

Amafutha kunye nomxholo we-asidi

• Ukutya okunamafutha amaninzi, i-asidi, okanye i-carbs etyiwa ngamafutha okanye i-asidi idla ngokuba ne-GI ephantsi.

Umxholo weFayibha

• Ifayibha ithoba izinga lokwetyisa, nto leyo ekhokelela ekunyukeni kancinci kancinci, okusempilweni kumanqanaba eswekile esegazini.

Ukuvuthwa

• Ikhulile iziqhamo zikholisa ukuba ne-GI ephezulu kuneziqhamo ezingavuthwanga.

Ucaphulo

UAlcantara, uJoel et al. "Ukhathalelo lweChiropractic yesigulana esinengxaki ye-temporomandibular kunye ne-atlas subluxation." Ijenali ye-manipulative kunye nephysiological therapeutics vol. 25,1 (2002): 63-70. doi:10.1067/mmt.2002.120415

DeVocht, James W et al. "Uphononongo lokulinga ukungenelela kwe-chiropractic yokulawula isifo esingapheliyo se-myofascial temporomandibular disorder." Ijenali yeAmerican Dental Association (1939) vol. 144,10 (2013): 1154-63. doi:10.14219/jada.archive.2013.0034

UPavia, uSteven et al. "Unyango lweChiropractic ye-Temporomandibular Dysfunction: Uluhlu lweeCase eziBalulekileyo." Ijenali yamayeza e-chiropractic vol. 14,4 (2015): 279-84. doi:10.1016/j.jcm.2015.08.005

URubis, uLisa M et al. "Indlela yokusebenzisana phakathi kwe-chiropractic kunye namazinyo ukujongana nokungasebenzi kakuhle kwe-temporomandibular: ingxelo yecala." Ijenali yamayeza e-chiropractic vol. 13,1 (2014): 55-61. doi:10.1016/j.jcm.2013.10.003