TMJ: raruraru me ngā rongoā, ngā tikanga o te maimoatanga

kite torutoru iwi te faufaa o te tahi temporomandibular i roto i te tinana. Raruraru me rongoā e pā ana ki reira kore e mea faufaa. Ko anake rite te roa rite kihai te iwi i fehangahangai tenei mate tahi.

He aha te mea TMJ?

kite tatou i te mea he TMJ, raruraru me ngā rongoā o te mahere kua ia. Tenei TMJ. Kei i te tangata i roto i mua o te taringa, me te ngā o te kauwae me te wheua pae tino. Katia ki uaua me tendons whakarato te whakatuwheratanga me te katinga o te mangai. I roto i te āhua noa, kahore pathologies kore e meinga nekehanga kauae tetahi hūhi ki te tangata. Ka taea te huaina TMJ tetahi o te tino pinepine whakamahia i roto i te tinana, no te mea e mahi ia ra katoa korero, puare noa, ngaungau kai.

Ka rite ki te katoa atu, he pängia ana ki te mate ia, a ko reira kore nohinohi - e pā ana ki 40% o te iwi i ite ratou i ahau, ahakoa he iti noa iho i te tenei mate tahi, mo te tauira, caries niho mate periodontal ranei. Heoi, karanga kore katoa huaketo hoki awhina ki te tākuta, tika e kore e matau, ki te tohu e hāngai ana, me tatari motuhake o ratou ngaro.

tohu o te mate

Ki te titiro tatou te TMJ disorders, raruraru me ngā rongoā (ka tātaritanga kia kōrero i raro), ka taea e rerekē ratou i runga i te āhua me te momo o te mate rānei. Ko taea te ngā ratou tohu ki te rārangi kotahi, rite he rite i roto i te aroaro o tini o nga mate ratou:

• pāhoahoa;
• mamae taringa, popoketanga, waea;
• mamae i roto i te kauae me uaua kanohi;
• oro no rapae, no te neke i te kauae - crunching, pāwhiri, huri;
• taikiri tetere (submandibular)
• whanoke.

Ki runga ki te rapunga o taua tohu kia kōrero i te niho no te mea te reira taea e tenei mate o te TMJ.

Take o mate

TMJ mate, raruraru me rongoā e pā ana ki a ratou, he torutoru, engari whakatika nga āhuatanga ratou rawa i te rota. Ai e taea e mate e he momo o tītohunga i roto i te natura:

• kauae whētuki wheua kanohi ranei;
• Stress, overexertion;
• raruraru ki te pūnaha endocrine;
• disorders pūkoro;
• mate hopuhopu;
• mahi nui;
• malocclusion;
• mate niho, pōauautanga o hoatu.

mate TMJ

Ki te tahuri tatou i to tatou whakarongo ki te āhua o te TMJ (te raruraru, te tohu), te haere mai nga raruraru me te tātaritanga, me te whakatau i te momo o te mate. Ka taea te waiho i raro tahi Temporomandibular ki taua mate:

• Rumati. Āhuatanga e mamae i roto i te tahi, tona puku, herenga o nekehanga kauae. Kia whai i te kirika. I roto i te puka ma'i i reira ko te chestnut ia peia. Ki te rere te mate, kia waiho te hua he deformation o te tahi.
• Osteoarthritis. Whakakitea e mamae i roto i te tahi, me te taringa, nekehanga rerekē o te kauae, ka whakatuwhera (Paparoa-Kōpikopiko), tahi e te pakō me crackles. E mea pinepine i reira he mamae i roto i te uaua masticatory.
• Raruraru o te tahi. Āhuatanga e te whakaritenga o te kauae whanaunga ki tetahi ki tetahi i roto i te ofatiraa o te matenga, me te displacement o te kōpae tahi, te mamae ina whakatuwhera, pakō.
• Ankylosis. Whāiti nekehanga kauae, e meinga wharanga mate ranei. Purulent hanga te mōrea o te karawhiti kanohi, whānui caries, malocclusion. I roto i te wā matatau - he mate tino o te kaupapa.
• Musculo-articular pōrearea. Whakakitea e mamae i roto i te taringa me te temepara, te whakanui ake ka neke tahi, pakō , ārai kauae.

tātaringa

E whakamahia nga tikanga tino hou ki te whakatau disorders TMJ, e taea ai te tātaritanga tika. I muri i te katoa, tei te reira i runga i te putanga pai. Ki te tautuhi i katoa o nga raruraru TMJ me ngā rongoā, tikanga o te whakatau i te mate ngā haumanu, radiographic, me rangahau mahi. I te tīmatanga, mātakitakina te tākuta te mangai, amuamu manawanui tātarihia. meatia ana tēnei mahi e te niho-orthopedist. Na te reira e palpation o nga uaua masticatory, te tahi iho, aro mātai ana te kaha tīwera o te nekehanga o te kauae, ki te he te reira uaua.

tūranga nui i roto i te whakatau i te mate whai he radiographs, heheu te reira i te huringa motuhake i roto i te tahi. I te wā wawe o te mate te whakamahi i tomography rorohiko. e pā ana katoa ki raruraru TMJ me e mohiotia rongoā niho tāpiki. Ki te tika, ka tonoa te manawanui kei hoki kōrero me ki te rheumatologist, tafe'anga me ētahi atu tohunga.

Methods o te maimoatanga

A, no te mea i whakaritea TMJ whakararuraru, raruraru me ngā rongoā, e hāngai ana te maimoatanga i runga i te kupu tohutohu whānui:

• Ko te whakamahi o te kai ngawari e kore e rapua e te ngangau roa, me te tino. Tautukunga ki te tikanga mo te pai te tahi, e kore e taea te whakatuwhera i tona mangai.
• Kōpeke i runga i te tono o tohu rerekē, matao - mo te whakaiti mamae, mahana - ki atawhai mānukanuka me te uaua mamae.
• Te fariiraa i taero inflammatory me analgesic.
• Tangohanga o kōpeketanga nui mā te fakatonutonu i te ngau niho. Ka taea te mahi i tēnei te whakamahi i te hoahoa kiriaku motuhake me prostheses.
• I tua (electrophoresis, mirimiri).
• Tangohanga o mānukanuka uaua (antispasmodics fariiraa).
• A, no te whai akoranga kino o te mate i muri i te whakamahi o ngā tikanga katoa o te maimoatanga ki te huihui ki te pokanga. Na roto i te āhua o te mate e faaoti i te tākuta e reira kia kia - te ako tahi i te whakakapinga oti ranei.

Ko reira māmā me te tere ki te hamani TMJ whakararuraru i te wā wawe, kia kore e wareware puta nga tohu. Maimoatanga o ngā momo matatau o te mate ētahi wā pumau ki runga ki te maha o nga tau.

arthrosis

Osteoarthritis pāngia e huringa degenerative i roto i te kopa tahi. Whakakitea mamae maru, te aroaro o oro no rapae ka neke kauae he whitiki tona pakeke nekeneke. maimoatanga arthrosis tā pokanga orthopedic (hei tauira, prosthetic), mirimiri, mahi haumanu, therapy tinana. tukinotia momo matatau o osteoarthritis e anake i te pokanga TMJ. Osteoarthritis, kia āta titiro te raruraru me ngā rongoā e pā ana ki taua mea, a ka paunatia-ortodond tākuta i mua i te whakatau i runga i pokanga ko te parepare whakamutunga.

He noa te mate i roto i te paari, mamae reira hawhe o te taupori. I te kuao tau ko reira iti noa, te nuinga i roto i nga wahine. Ko te take matua o te arthrosis taea mahi aroaro o rumati ma'i, malocclusion, bruxism, whētuki me te kauae pokanga, ngā tukanga niho e pupuri ana hē (he tautuhinga prosthesis ranei hiri e), me te maha atu āhuatanga (menopause i roto i nga wahine, predisposition ira, me ētahi atu). Hoki te ārai o te occlusion tūtohutia ako whakakorenga wā o mate waha pupuri prosthesis (atu mahi niho ranei) anake kaitoi piha teitei.

rumati

Rumati - mumura o ngohe tahi ki te taea o te atrophy. iwi kaumātua atu i haria e whai kē kaikōiwi o te tahi atu hononga. Hoki meinga rumati e taea mahi whētuki, mate (pērā i te rewharewha he pōauautanga o te tonsillitis ma'i ranei), mate niho. āhuatanga whakahōhā - mate mau, me te wātea i te mate iti. I te rumati wā wawe puta kahore tetahi tohumate.

Ko te tohu tuatahi, i roto i te aroaro o e kua kua kua e tika ana ki te whakatutuki ki te tākuta - ko reira te kōpā o te kauae raro i roto i te ata. Muri ia i reira e te tahi atu tohu - maru (ranei piwa) mamae, oro no rapae ka neke te kauae (te chestnut, putunga). Ki te te rumati ko te hua o te whara, ka whakaatu i te reira iho i muri tonu wharanga edema me te mamae kino āta horahia ki te kaki, upoko, taringa, arero.

Ki te hae i te tangata i TMJ rumati, raruraru me kia aparau i tonu ratou rongoā ki te tākuta, te ārai whanaketanga atu o te mate. Te parau tumu matua i roto i te maimoatanga - whakarite immobility tahi, whakatika kauae i te takai kotaha. Rumati o tetahi etiology whakahau steroids anabolic. e kore e taea ahua hopuhopu o te maimoatanga, kahore paturopi me immunnostimulyatorov. rumati pāmamae, tango i te puku, me te whakatū i tohanga.

pōrearea

i huaina mahi hē o te tahi temporomandibular te pōrearea tahi temporomandibular. tahi ana tēnei mate e te tangi te pāwhiri ka te kauae me tona maukati i roto i te wa poto. Ētahi atu tohu e pā ana pōrearea - te mamae i roto i te taringa, rohe kanohi, kauae (i roto i ngaungau ranei puare noa) me uaua kanohi, huringa i roto i te ngau, me pāhoahoa. I muri aparau i koe ki puta tou tākuta ki raruraru TMJ me rongoā, e taea te papaki pōrearea i roto i te tahi mau ara, e ka tūtohu i te mātanga. Ko te kōwhiringa maimoatanga e whai ake nei te tīari:

• whakahaere o raau taero, te tango i uaua spasm, Kaahu mamae me māngai anti-inflammatory;
• occlusion whakaritenga mā te whakamahi i te hoahoa motuhake, whakakore pakiri niho me ratou abrasion nui haere;
• whakahaere therapy hinengaro ki te atawhai te ahotea me te uaua whakangā;
• ki te tūtohutia e te tākuta i rahua maimoatanga, whakamana pokanga kei i runga i te tahi.

luxation

Raruraru o te temporomandibular hononga - tenei neke katoa ana wheua, pokanoa ki te mahi noa o te kauae. He whakapeka (ngaukino) me ritenga puka. raruraru pāmamae puta i te pānga o te raro kauae, niho tangohanga me te prosthetic ranei noa i roto i ngaungau, puare noa karanga ranei. whakatika raruraru ritenga i te fragility o hononga taputapu articular, kikokiko ona āhuatanga. E kore e taea ki te whakaoti takitahi i puta ake i ngā raruraru TMJ. A me tango te whakatau i runga i tenei mea i te tākuta. kawea maimoatanga i roto i te whāiti nekehanga kauae whakamahi pūrere orthodontic. Ki te tika, te whakamahi i te tua, me taero anti-inflammatory.