Kukanika kwa TMJ kuti: Zizindikiro ndi Chithandizo

Kukanika kwa olowa temporomandibular mankhwala ali maina angapo: arthrosis VNCH-fuku nyamakazi, subluxation wa mandible za chikhalidwe aakulu, syndrome myofascial, ndi zina zotero. Woyamba amene afufuza kudwala zofanana, anali American otolaryngologist mafupa. Zinali iye amene anawulula kugwirizana pakati pa ululu khutu ndi matenda a ntchito temporomandibular olowa. Chifukwa, matenda anapeza dzina lina: syndrome Costa a. Dziwani kuti kudwala ichi ndi chopweteka kwambiri ndi zovuta monga n'zovuta osati matenda komanso kuchitira.

olowa Features

Temporomandibular olowa (TMJ) lili kutsogolo kwa khutu. Umagwira ntchito yofunika kwambiri. Olowa tichipeza mafupa a mandible ndi fupa mwakanthawi. Pa nthawi yomweyo thupi lake kuchita zosiyanasiyana ntchito: malankhulidwe kumeza kutafuna, ndi zina zotero. Kuwonjezera apo, kulumikiza chigaza ndi nsagwada m'munsi. Minofu ndi mafupa zingathandize munthu kutsegula ndi kutseka pakamwa. Komanso, unit udindo kayendedwe ka nsagwada m'munsi kumanja, kumanzere, patsogolo, mmwamba ndi pansi.

TMJ Kodi

Kukanika kwa olowa temporomandibular, mankhwala amene ali peculiarities yake, akuwonetseredwa mu kuphwanya chosokonekera. chipangizo ntchito molondola malinga lamanja ndi kumanzere ukusunthira chomwecho. Ngati kulephera limapezeka pa ntchito za olowa, ndi chosokonekera kumatula amapezeka kuti zimabweretsa chisokonezo wa ntchito yachiwiri olowa. The kudwala iyamba kukhala pa nthawi imene nsagwada m'munsi ndi osamukira pamene kutsegula ndi kutseka pakamwa, ndiyeno zoyenda mbali zina.

The chikuchititsa mavuto a matenda

kukanika syndrome temporomandibular olowa amapezeka odwala a misinkhu yosiyanasiyana. Kafukufuku akusonyeza kuti pafupifupi 70% ya anthu amadwala matenda amenewa. Zoyambitsa chitukuko matenda kwakukulu. Ena mwa iwo:

• nkhawa;
• malocclusion;
• mwadzidzidzi mopambanitsa minofu pa mastication ndi akhakula chakudya chotafuna;
• kuchuluka kumva kuwawa kwa dzino minofu;
• masewera olimbitsa thupi ndiponso maphunziro amene pali ena voteji minofu gulu;
• Cholakwika mano, madokotala, madokotala, orthodontists, orthopaedists: Tingathe kumadzazidwa, kupeza mano otere;
• mandibular olowa choipa.

Pamene kudzaza kapena apulasitiki dzino waluso akhoza kukhazikitsa korona kudulitsa kapena kudzazidwa. Izi zimachititsa m'kunyema kwa chosokonekera. Ndipo izi, monga ife tikudziwira, kumabweretsa chitukuko cha kukanika zimfundo temporomandibular. Komanso, ndi zolakwika ngati katundu chithandizo imagwera yekha mbali imodzi ya mano pamene kutafuna chakudya, amene osati akutitsogolera kuti galimoto kusamutsidwa, komanso ululu.

Phokoso ndi kudina

Zinadziwika kukanika kwa olowa temporomandibular? Zizindikiro za matenda ndi yosiyanasiyana. The chizindikiro ambiri matenda amenewa - izo kudina, sipangakhalenso anamva mfundo mandibular. phokoso wotero mokweza bwino. Iwo akhoza kumva anthu amene amayandikira kwa wodwalayo, pamene iye basi amatsegula pakamwa pake, yawning kapena kutafuna chakudya. Zowawa izi angachokere.

Monga ulamuliro, ndi abulusa kusamutsidwa ndi minofu kukungika pamene wodwala akumva pitani. Nthawi zambiri zimachitika pamene kutafuna chakudya. Pa nthawi ngati zimenezi, mtima chifukwa nkhawa angathe kumva ululu pakhosi, mutu, nkhope.

mutu

ululu kukanika temporomandibular olowa syndrome zimayambitsa kupweteka malo osiyanasiyana mutu. Ichi ndi chizindikiro china wamba kudwala. Kawirikawiri mutu pa chitukuko cha TMJ kukanika isanafalikire mu khosi ndi sideburns. Koma nthawi zambiri kusapeza wodwala akhoza kuona m'dera la masamba phewa.

Chifukwa cha mutu Pankhaniyi angakhale ululu akulu kuti kumachitika pamene mano akupera ndi clenching cha pachibwano. Komanso kusapeza bwino kukhala yosokoneza kwa wodwala chifukwa kusamutsidwa kwa galimoto olowa. Pankhaniyi, ululu chimachokera kwa khosi pamphumi kapena kachisi. Dziwani kuti zochitika zosasangalatsa zingakhale zamphamvu kwambiri. Nthawi zina, dokotala sazindikira msanga ubongo kudwala kapena migraine.

Kutseka, olowa kulanda: kutsekereza

Ululu kukanika temporomandibular olowa zimayambitsa kayendedwe m'goli la mandible chifukwa matenda ena. Letsani Tingaone pa kamwa ija. Pali kumverera kuti wodwalayo akuyesera mwanjira "nsomba" nsagwada pansi.

Nthawi zina, anthu ndi zimfundo oletsedwa kutsegula pakamwa lonse, m'pofunika kusuntha makina kumanzere ndi kumanja. Koma pali zinthu zina. Nthawi zina wodwala ndi amakakamizidwa atsegule pakamwa pake, mpaka inu mumve ngati pitani mu dera limodzi ndi olumala.

zizindikiro khutu

Chifukwa TMJ ali kufupi kwambiri auricles, pangakhale ena zizindikiro khutu. Ena a iwo ndi zosasangalatsa ndithu. Zizindikiro za kukanika Pankhaniyi pazikhalanso:

• kupweteka;
• Ndikumva chidzalo cha khutu;
• muffled mu makutu ake, kuchititsa kumva imfa.

Ndi chifukwa zizindikiro izi, odwala ambiri amene ali ndi kukanika kwa olowa temporomandibular, kupempha thandizo ku chigawo dokotala kapena ENT dokotala.

Mavuto ndi mano

Wonongeka zimfundo mandibular kungachititse kuti kusintha mu occlusion ndi mano kapena occlusion. Izi zimachitika nthawi zambiri chifukwa cha galimoto kusamutsidwa. Bone ndi kugwirizana awo si olondola, ndipo izi zimabweretsa kusintha occlusion ndi.

Kuwonjezera vutoli, wodwala akhoza kukhala owonetsetsa mano. Nthawi zambiri izi chifukwa mano akupera ndi clenching la nsagwada za. Nthawi zambiri, anthu ndi matendawa ndi kutembenukira kwa mano kudandaula za ululu mano. Osati nthawi zonse akatswiri amanena kudziwa chimene chimayambitsa mavuto. Chifukwa cha ichi, wodwala kuchotsa dzino kapena kuligwira depulirovanie. Ndipo zilibe kuwateteza ku TMJ.

zina

Kukanika kwa olowa temporomandibular ku zinthu zina limodzi ndi njira yotupa, chifukwa synovitis kapena nyamakazi mu olowa. Pankhaniyi, anthu angadandaule minofu edema, ululu. Nthawi zambiri zimenezi zimapangitsa kuti malaise ambiri, kufooka ndi kuwuka mu kutentha.

Kuwonjezera zizindikiro zakumwamba, wodwalayo imasokoneza:

• kupweteka kwa msana ndi phewa masamba, chifukwa kuphipha minofu;
• kuphwanya kudya ndi tulo;
• chizungulire;
• Depression, nthawi zambiri akufotokozera chifukwa zinachitikira ndi mavuto kusamvetsana imene inachititsa kusapeza;
• mu ululu kutengeka, aakulu atavala kumachitika kusintha kapangidwe mankhwala ubongo.

Siteji koyamba matenda

Kukanika kwa olowa temporomandibular ali ndi zizindikiro zambiri. Komabe, matenda a kudwala izi - ndi Mipikisano gawo nthaŵi yaitali, mabuku ndi zovuta ndondomeko. Izo Sizotheka kuika matenda zolondola kokha pamaziko madandaulo wodwalayo. Mu malo oyamba, ikuchitika diagnostics zinchito, amene amalola kudziwa zimayambitsa matenda.

Zimenezi zimaphatikizapo ya ndondomeko:

• zosonkhanitsira deta zachipatala
• chizindikiritso cha madandaulo onse;
• Kuphunzira zimakhala ndi minofu ya khosi ndi mutu;
• X-ray diagnostics: maginito malumikizidwe ndipo phirilo-mtengo tomography;
• ubongo bwinobwino teleroentgenography lateral;
• cephalometric kusanthula;
• parafunction chizindikiritso;
• okklyuzografiya.

mano Kupimidwa

Mu ena zipatala kudziwa matenda kawirikawiri unachitikira yaing'ono mano zinchito kusanthula. Amagwiritsidwanso ankaona matenda chachikulu. Pankhaniyi, wodwalayo atachotsedwa kusindikiza, ndipo kenako anapanga chitsanzo. Komanso, kwa matenda a madontho apadera ntchito kuti angazindikire bruxism. Dentist pa kafukufuku awunike kuluma, komanso khalidwe la anzanu interproximal ndi zina zotero.

Ovuta kwambiri imatengedwa waukulu zinchito kusanthula osati kukhazikitsa komanso kumasulira deta. Pankhaniyi, katswiri ayenera kukhala luso lapadera ndi chidziwitso. zida zina chofunika yokwaniritsira matenda amenewa.

Onse ndi mayesero pamwamba akufunika kuti matenda ndi kudziwa chifukwa cha TMJ kukanika. Kulondola kwa kafukufuku zimadalira ukatswiri wa akatswiri ndi zida. Kamodzi matenda, mtima ulipo kwa mankhwala okwanira. Iye, nayenso akhoza kukhala opaleshoni, reconstructive, kapena ndiwofatsa.

Amene zolankhulirana

kudwala Ichi ndi kovuta matenda. Ngakhale mano odziwa kawirikawiri kuika matenda izi kupweteka kukanika kwa olowa temporomandibular. Chithandizo zambiri anatumizidwa molakwika ndipo alibe zotsatirapo. Nthawi zambiri, odwala simulandira chisamaliro aluso kwa mano ndi kuyamba pitani akatswiri ena: ndikuphunzitsidwa, katswiriyu, madokotala, audiologist, chiropractor, osteopath, ndi zina zotero. Ndipotu, ayenera kuchita mano chithandizo kukanika.

Kukanika kwa olowa temporomandibular: mmene tiyenera kuchitira

Kupeza zabwino mankhwala zovuta ayenera kuchitika. Pamafunikanso chithandizo mafupa a dysfunctions wa olowa temporomandibular, zomwe cholinga chake ndicho kukonza za kuluma. Mu zochitika zina, opaleshoni imagwiridwa, kutema mphini, physiotherapy, yopanga kapena kuchotsa ndi khazikitsa zisindikizo latsopano.

Kuwonjezera pa pamwamba, dokotala anu mwina mankhwala kuvala usiku nthawi Mphunzitsi. mtundu uwu basi articular kuti amalola kuti kuchotsa chowawa myofascial syndrome. Ndiponso ntchito matenda, pofuna kupewa kumva kuwawa kwa zimakhala mano pa bruxism.

Zingayambitse mavuto kukanika kwa olowa temporomandibular? Chithandizo cha matenda ziyenera kuperekedwa kwenikweni. Mu zina, kukanika akutitsogolera kuti galimoto kusamutsidwa. Chifukwa, pamwamba pa mafupa amenable kuti kukonzanso - arthrosis. Mu M'mimbamo akuyamba kukula minofu connective, limene palokha ndi akhakula. Chifukwa cha imasiya olowa ikuyenda. kudwala iyi akutchedwa ankylosis.

Kodi kupereka thandizo

Ngati wodwala ngakhale pang'ono kuti kukanika kwa olowa temporomandibular, n'zotheka kuthandiza wodwalayo, kuchepetsa ululu, ndi kusintha kutafuna ngati pali kufunikira. Kuti tichite zimenezi, kutentha, koma chinyezi. Mu nkhani iyi, zinkakhala m'dera ingagwiritsidwe compress: botolo chisanafike wodzazidwa ndi madzi otentha. Kupewa amayaka, izo tikulimbikitsidwa kuti kukulunga beseni ndi achinyezi koma osati nsalu yonyowa.

Kuchepetsa mphamvu ya ululu ndi kutupa m'malo olumikizirana mafupa, Ndi bwino kugwiritsa ntchito ayezi. Pankhaniyi, mungagwiritse ntchito phukusi kapena botolo. Komabe, si koyenera kuti ntchito compress mwachindunji khungu. Phukusi kapena botolo ayenera kukulunga thaulo. ntchito zake osavomerezeka kwa mphindi yaitali kuposa 15. Kutulukira pakati mankhwala ayenera kukhala mphindi zosachepera 60. Chotsani kuwawa kwa kanthawi tiyeni analgesics.

Kodi kumasuka mafupa anu

Kwa olowa nthawi zambiri ndi mavuto, ayenera kutsatira malamulo ochepa. Food ayenera kuzitikita kapena zofewa, ndi osokonezeka. M'pofunikanso kusiya kutafuna, zamwano, zovuta ndi olimba mankhwala. Kuluma kuchokera tating'ono ting'ono ofunika. Ngati kuphwanya amenewa ali osavomerezeka atsegule pakamwa pake lonse.

Complete zosangalatsa thupi ndi amathandiza kuchepetsa ululu. Pakuti imeneyi ivomelezana njira iliyonse zosangalatsa.

Ululu kukanika kwa temporomandibular olowa: ICD-10

Malinga ndi gulu lonse la matenda, kukanika kwa olowa temporomandibular ali anasankha malamulo K07.6. Pa kuphwanya chomwecho kumachitika m'njira zosiyanasiyana. Zikuphatikizapo: zovuta kapena mafupa syndrome, temporomandibular olowa laxity, "tikutembenuzika nsagwada 'chilungamo TMJ kukanika syndrome.

Kuchotserapo ndi kutambasula ndi dislocation cha pachibwano.