Yintoni engenziwayo ngeTemporomandibular Joint Disorder

Ingxaki ye-Temporomandibular joint disorder ibangela intlungu kunye nokutshixa imihlathi enokuthi ibe mandundu ngemisebenzi ethile. Abantu banokulawula njani kwaye bathintele njani ukugqabhuka ngokufunda ukuba bangakwenzi ntoni ukwenza imeko ibe mandundu?

Yintoni eMangayenzi iTemporomandibular Joint Disorder

Ububele, ubuhlungu, intlungu, kunye nokuvala imihlathi ziimpawu ze-temporomandibular joint disorder okanye i-TMJ. Ilungu le-temporomandibular lidibanisa umhlathi kunye nokhakhayi. Isetyenziselwa yonke imihla ukutya, ukusela kunye nokuthetha. I-disc encinci kwi-joint evumela ukuba amathambo omhlathi atyibilike kwaye atyibilike ngokuchanekileyo. Nge-TMJ, i-disc iyatshintsha ngaphandle kwendawo, ekhokelela ekunqakrazeni, ukuhlutha, kunye nokunyakaza okulinganiselwe kwemihlathi. Inokubangela intlungu emhlathini nasebusweni, iintlungu zentamo, kunye neentloko, kwaye izihlunu ezijikeleze umhlathi kunye nentamo zinokuba buhlungu kunye / okanye zingene kwi-spasm. Naluphi na uhlobo lomsebenzi ogxininisa okanye osebenza ngokugqithiseleyo umdibaniso unokubangela ukuvutha kunye nokwandisa iimpawu ze-TMJ. (Schiffman E, et al. 2014) Eli nqaku lijonga ukuphepha imisebenzi eyenza i-TMJ ibe yimbi ngakumbi kwaye yintoni ongafanele uyenze ukuze uncede ukugcina iimpawu ze-TMJ.

Igum yokuhlafuna

• Ukuhlafuna iintsini akukhuthazwa kubantu abane-TMJ.
• Umhlathi ngomnye wamalungu asetyenziswa kakhulu emzimbeni.
• Ukunciphisa ukusetyenziswa ngokugqithisileyo kunciphisa uxinzelelo oluvumela amalungu kunye nezihlunu ukuba ziphumle.
• Ukuphumla kwezihlunu ezibuhlungu kunye namalungu linyathelo lokuqala lokubuyisela ukulimala.

Ukutya i-Chewy and Hard Foods

• Ukutya okuhlafunwayo nokuqinileyo kwenza imihlathi isebenze ixesha elongezelelekileyo.
• Kuphephe ukutya ukutya okunzima okufana neelekese ezihlafunwayo, izonka eziqinileyo nezihlafunwayo, imifuno enjengombona okwisikhwebu, neziqhamo ezifana nama-apile.
• Oku kutya kunokubeka uxinzelelo olugqithiseleyo emhlathini, kwaye kuthintele umdibaniso ekuphumleni ngokufanelekileyo kunye nokuphilisa.

Ukuhlafuna Kuphela Kwicala elinye

• Abantu abaninzi bahlafuna ukutya kwabo kwicala elinye lomlomo kuphela.
• Oku kunokugxininisa kwelinye icala le-temporomandibular joint kunye nezihlunu ezijikelezileyo, ezikhokelela kwiintlungu kunye nokungasebenzi. (Urbano Santana-Mora, et al., 2013)
• Hlala unolwazi ngemikhwa yokuhlafuna kwaye uqiniseke ukuba usebenzisa amacala omabini omlomo.
• Abantu abaneengxaki zamazinyo okanye iintlungu zezinyo bayacetyiswa ukuba babone ugqirha wamazinyo.

Imisebenzi yeMihlathi engasebenziyo

• Ukuhamba yonke imihla, abantu bathanda ukwenza izinto bengaqondanga okanye beqhelekile.
• Umzekelo, abantu ngabanye:
• Ukufunda okanye ukubhala kunokuhlafuna usiba okanye ipensile.
• Balume iinzipho okanye bahlafune ngaphakathi emlonyeni ngelixa bebukele iTV okanye i-intanethi.
• Le misebenzi inokubeka uxinzelelo kwi-joint, ibe mandundu imeko, kwaye yandise inkqubo yokuphilisa.

Ukuphumla kwi-Chin

• Abantu baya kuphumla izandla zabo ngelixa befunda, kwimidiya yoluntu, okanye bebukele iTV.
• Esi sikhundla sinokukhululeka, kodwa sinokuchaphazela umhlathi.
• Esi sikhundla sinokwakha uxinzelelo kwicala lomhlathi kunye nokutyhala ngokuchasene nokudibanisa, kubangela ukuba i-disc isuke kwindawo echaphazela indlela umhlathi ovula kwaye uvale ngayo.
• Ukuqhawula umkhwa wokuphumla kwe-chin kunokuvumela umdibaniso ukuba uphumule kwaye uphilise ngokuchanekileyo.

Ukucoca Amazinyo

• I-Bruxism ligama lezonyango lokubamba amazinyo.
• Oku kunokwenzeka emini okanye ngexesha lokulala.
• Ukubanjwa kwamazinyo kudla ngokuziswa luxinzelelo kwaye kunokubeka uxinzelelo olumangalisayo kwizihlunu zomhlathi kwaye ibe mandundu iTMJ.
• Ugqirha wamazinyo unokumisela isikhuselo somlomo esifanele sinxitywe xa ulele ukukhusela amazinyo ekubambeni ngokugqithiseleyo. (UMiriam Garrigós-Pedrón, et al., 2019)

Ukulala

• Umsebenzi womhlathi unxulumene ngokusondeleyo nokuma komzimba.
• Umhlathi usebenza ngokufanelekileyo xa intloko ingaphezu komqolo wesibeleko kwaye ukuma ngokuthe tye.
• I-Slouching inokutshintsha indlela izihlunu zemihlathi ezisebenza ngayo kunye nendlela umhlathi ovula nokuvalwa ngayo.
• Inxalenye yonyango lomzimba lwe-TMJ lusebenza ukulungiswa kwe-posture kunye noqeqesho.
• Oku kunokubandakanya ukuqinisa umva kunye nemisipha yamagxa kunye nokumisela izikhumbuzo zokuma.
• Ukuhlala nokuma ngokuchanekileyo kunokugcina imihlathi isebenza kakuhle.

Ukumisela Unyango

• Abaninzi abaneengxaki ze-musculoskeletal kunye neempawu balinda ukuba intlungu ihambe.
• Abantu abaneengxaki zemihlathi akufuneki balinde ukufumana unyango.
• I-TMJ inezinga elincomekayo lokuchacha ngonyango olulondolozayo, nto leyo esesona sizathu sokufuna unyango. (G Dimitroulis. 2018)
• Ugqirha wamazinyo okanye umboneleli wezempilo unokubonelela ngoxilongo oluchanekileyo ukuba kukrokrelwa i-TMJ.
• Abantu ngabanye banokuzuza ngokutyelela ingcali yezomzimba ukuze bafunde umthambo kunye nezicwangciso zokuzinyanga ngokwabo le meko. (Yasser Khaled, et al., 2017)

impatho

Unyango lunokubandakanya:

• Unyango lokuqala lujolise ekupheliseni intlungu kunye nomsebenzi womhlathi uvula kwaye uvale ukuphuculwa.
• Imithambo yokwenza umhlathi uhambe ngokuqhelekileyo.
• Ukuhlanganisana.
• Unyango ukugcina ngokufanelekileyo imisipha umsebenzi. (Amira Mokhtar Abouelhuda, et al., 2018)
• Umlindi unokunceda ngokusila kwamazinyo/i-bruxism ebusuku.
• Unyango oluchasayo.
• Kwiimeko ezinzima, utyando lunokucetyiswa ukulungisa ingxaki, njengento yokugqibela. (Meghan K Murphy, et al., 2013)
• Landela iingcebiso malunga noko ungazenzi kwaye uphephe imisebenzi ethile.

---

UkuQalwa kweSigulana esiKhawulezayo

---

Ucaphulo

Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, JP, List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti , A., Brooks, SL, Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, LJ, Haythornthwaite, JA, Hollender, L., Jensen, R., ... Orofacial Pain Special Iqela elinomdla, i-International Association for the Study of Pain (2014). Iikhrayitheriya zokuHlola kwi-Temporomandibular Disorders (DC / TMD) kwi-Clinical and Research Applications: iingcebiso ze-International RDC / TMD Consortium Network * kunye ne-Orofacial Pain Special Interest Group†. Ijenali yentlungu yomlomo kunye nobuso kunye nentloko, i-28 (1), i-6-27. doi.org/10.11607/jop.1151

I-Santana-Mora, U., López-Cedrún, J., Mora, MJ, Otero, XL, & Santana-Penín, U. (2013). Iziphazamiso zeTemporomandibular: Isiqhelo sokuhlafuna side syndrome. PloS enye, 8(4), e59980. doi.org/10.1371/journal.pone.0059980

Garrigós-Pedrón, M., Elizagaray-García, I., Domínguez-Gordillo, AA, Del-Castillo-Pardo-de-Vera, JL, & Gil-Martínez, A. (2019). Iziphazamiso ze-Temporomandibular: ukuphucula iziphumo usebenzisa indlela ye-multidisciplinary. Ijenali yokhathalelo lwezempilo olubanzi, i-12, 733-747. doi.org/10.2147/JMDH.S178507

Dimitroulis G. (2018). Ulawulo lweengxaki ze-temporomandibular joint disorders: Umbono wogqirha wotyando. Australian Dental Journal, 63 Suppl 1, S79-S90. doi.org/10.1111/adj.12593

Khaled Y, Quach JK, Brennan MT, NapeÑas JJ. Iziphumo emva kokunyangwa ngokomzimba kunyango lweengxaki ze-temporomandibular. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017; 124 (3: e190. doi:10.1016/j.oooo.2017.05.477

Abouelhuda, AM, Khalifa, AK, Kim, YK, & Hegazy, SA (2018). Iindlela ezingezizo ezohlukeneyo zonyango lweengxaki ze-temporomandibular: uphononongo loncwadi. Ijenali yoMbutho waseKorea weeGqirha zoMlomo kunye neMaxillofacial, i-44 (2), i-43-51. doi.org/10.5125/jkaoms.2018.44.2.43

Murphy, MK, MacBarb, RF, Wong, ME, & Athanasiou, KA (2013). Ukuphazamiseka kweTemporomandibular: uphononongo lwe-etiology, ulawulo lweklinikhi, kunye nezicwangciso zobunjineli bezicubu. Ijenali yaMazwe ngaMazwe yofakelo lwe-oral & maxillofacial, 28(6), e393–e414. doi.org/10.11607/jomi.te20