Dysfunction we TMJ: Izimpawu kanye Ukwelashwa

Dysfunction we ngokuhlanganyela temporomandibular kwezokwelapha unamagama amaningana: sokuqaqamba kwamalunga arthrosis VNCH-joint, subluxation we mandible bemvelo okungamahlalakhona, myofascial syndrome, nokunye. Eyokuqala ngubani uhlole zokugula efanayo, khona amathambo American Otolaryngologist. Nguye wembula ukuhlobana ubuhlungu indlebe neziyaluyalu we temporomandibular imisebenzi ngokuhlanganyela. Ngenxa yalokho, lesi sifo usezuze elinye igama: Costa Syndrome. Kuyinto ephawulekayo ukuthi lo mshumayeli zokugula iyona buhlungu kakhulu futhi kunzima njengoba kunzima hhayi kuphela ukuxilonga kodwa futhi ukuba aphathe.

Izici ngokuhlanganyela

ngokuhlanganyela Temporomandibular (TMJ) itholakala phambi indlebe. Kufeza indima ebalulekile. Joint siqukethe amathambo mandible bese ithambo yesikhashana. Ngesikhathi esifanayo imisipha yakhe ukwenza ezihlukahlukene nemisebenzi: inkulumo, ukugwinya, ukuhlafuna nokunye. Ngaphezu kwalokho, lapho bexhuma ugebhezi nge umhlathi ongezansi. Emisipheni nasemalungeni ukuvumela umuntu Ukuvula nokuvala umlomo. Futhi, iyunithi obhekene ukuhamba umhlathi ongezansi ngakwesokudla, kwesokunxele, phambili, phezulu naphansi.

Kuyini TMJ

Dysfunction we ngokuhlanganyela temporomandibular, ukwelapha esesikhundleni izici zayo siqu, ebonakaliswa ukwephulwa wesimethri. Idivayisi isebenza kahle inqobo nje uma sokunene nesobunxele wonke uhamba efanayo. Uma ukwehluleka kwenzeka ngesikhathi ukusebenza kwe-joint, nasekuhlephuleni wesimethri kwenzeka ukuthi kuholela thuthuva imisebenzi yesibili ngokuhlanganyela. I zokugula ucala kutfutfukisa ezimweni lapho umhlathi ongezansi is dengwane lapho ibe ivula ivala umlomo, bese leso sicelo kwezinye iziqondiso.

Ziyini izimbangela eziyinhloko zalokhu yesifo

ukungasebenzi syndrome ngokuhlanganyela temporomandibular kwenzeka iziguli bobudala obuhlukahlukene. Izibalo zibonisa ukuthi abantu abangaba ngu-70% yesizwe sonkana uhlushwa lezi zinkinga. Izimbangela ukuthuthukiswa isifo yavama. Phakathi kwabo kukhona:

• ukucindezeleka;
• malocclusion;
• ukuzikhandla ngokweqile okungazelelwe imisipha ngesikhathi mastication nokudla anolaka okuqinile;
• nemihuzuko anda ezinyweni izicubu;
• umsebenzi kanye nokuqeqeshwa, lapho kukhona othile iqembu voltage imisipha;
• Iphutha bamazinyo, odokotela abahlinzayo, abelaphi, Orthodontists, orthopaedists: ezikhaleni, amazinyo okufakelwa,
• mandibular ukulimala ngokuhlanganyela.

Uma ugcwalisa noma wokufakelwa izinyo ingcweti ongasho umqhele ngaphezu kwentengo noma ukugcwaliswa. Lokhu kuphumela ekuhlephuleni wesimethri. Futhi lokhu, njengoba sazi, kuholela ukuthuthukiswa nezinkinga ngisho namalungu temporomandibular. Ngaphezu kwalokho, nge ezinjalo ezimbi ukwelashwa umthwalo uwela linye amazinyo uma ukuhlafuna ukudla, okuyinto hhayi kuphela kuholela drive ukufuduka, kodwa ubuhlungu.

Noise kanye ukuchofoza

Esiboniswe ukungasebenzi kwekhono joint temporomandibular? Izimpawu zalesi sifo zahlukahlukene kakhulu. I oluvamile kakhulu leso sifo - ke ukuchofozwa, okungase wezwa emalungeni mandibular. imisindo okunjalo kungenzeka ibe phezulu ngokwanele. Abakwazi ukuzwa abantu abasondelene isiguli, lapho nje avule umlomo, yawning noma ukuhlafuna ukudla. Kulesi ubuhlungu ezingase ziphakame.

Njengomthetho, amadrayivu ukufuduka kuyinto imisipha ukungezwani lapho isiguli uzwa ngokuchofoza. It ngokuvamile kwenzeka lapho ukuhlafuna ukudla. Ngezikhathi ezinjalo, isiguli ngenxa ukucindezeleka ubuhlungu entanyeni, ikhanda, ubuso.

ikhanda

ubuhlungu ukungasebenzi temporomandibular syndrome ngokuhlanganyela kuvame ukubangela ubuhlungu ezindaweni ezahlukene ikhanda. Lena enye oluvamile zokugula. Ngokuvamile ikhanda phakathi ukuthuthukiswa TMJ ukungasebenzi itholakala entanyeni sideburns. Kodwa ngokuvamile kuyaphela isiguli bangezwa endaweni izindwani ehlombe.

Imbangela bekhanda kulokhu kungase kube buhlungu imisipha ukuthi kwenzeka uma amazinyo ukugaya nokuhlanganisa clenching emhlathini. Futhi, ukuqaleka zingadida isiguli ngenxa displacement idrayivu ngokuhlanganyela. Kulokhu, ubuhlungu obusuka entanyeni, ebunzini noma emathempelini. Kuyaphawuleka ukuthi izenzakalo ezingemnandi ezinjalo zingaba namandla ngempela. Kwezinye izimo, lo dokotela asitholakali kalula ubuchopho zokugula noma migraine.

Ukukhiya, kokuquleka ngokuhlanganyela: ekuvimbeni

Ubuhlungu ukungasebenzi ngokuhlanganyela temporomandibular ngokuvamile kubangela ukunyakaza engalingani we mandible ngenxa izifo ezithile. Ukuvinjwa kungabonwa ngesikhathi kuvulwa umlomo. Kukhona umuzwa ukuthi isiguli uzama ngandlela-thile 'catch "umhlathi ongezansi.

Kwezinye izimo, abantu abane emalungeni ivinjiwe ukuvula umlomo, kubalulekile ukuhambisa umshini kuya kwesokunxele bese kwesokudla. Kodwa kunezinye izimo. Ngezinye izikhathi isiguli uphoqelekile ukuba umlomo wakhe, kuze kube yilapho uzwa uhlobo ngokuchofoza esifundeni ngokuhlanganyela abanokukhubazeka.

izimpawu indlebe

Ngoba TMJ itholakala esondelene kakhulu auricles, kungenzeka kube nabathile izimpawu indlebe. Ezinye zazo yilezi ngempela edabukisayo. Izibonakaliso nezinkinga kulesi simo kufanele zihlanganisa:

• ubuhlungu;
• umuzwa ukugcwala indlebe;
• muffled ezindlebeni zakhe, okubangela ubuthulu.

Kungenxa yokuthi lezi zimpawu, iziguli eziningi abanokuhlangenwe ukungasebenzi kwekhono joint temporomandibular, ukudinga udokotela wesifunda noma udokotela ENT.

Izinkinga ngamazinyo

Ukungasebenzi emalungeni mandibular kungaholela izinguquko occlusion zamazinyo noma occlusion. Lokhu kwenzeka ngokuvamile ngenxa idrayivu ukufuduka. Bone nebudlelwano bawo ayilungile, futhi lokhu kuholela ekuphelelweni ushintsho i occlusion.

Ngaphezu le nkinga, isiguli singase babe namazinyo ebucayi kakhulu. Ngokuvamile lokhu kungenxa amazinyo ukugaya nokuhlanganisa clenching we emihlathini. Ngokuvamile, abantu abanale nkinga yokungadli kahle enjalo abaphendukela wamazinyo ukukhononda ubuhlungu emazinyweni. Hhayi njalo ochwepheshe akakwazi ukunquma imbangela kabi. Ngenxa yalokhu, isiguli Ungasusa izinyo noma uyibambe depulirovanie. Futhi ayivikeli kusukela TMJ.

Ezinye izici

Dysfunction we ngokuhlanganyela temporomandibular ezimweni ezithile kuhambisana nezinqubo ukuvuvukala, okubangelwa synovitis noma sokuqaqamba kwamalunga emalungeni. Kulokhu, abantu ingase ikhononde kwezicubu edema, ubuhlungu. Ngokuvamile lokhu kuholela umkhuhlane jikelele, ubuthakathaka kanye ukunyuka kwezinga lokushisa.

Ngaphezu izimpawu ngenhla, isiguli ungase uphazamise:

• ubuhlungu emuva nesiphanga izindwani, kubangelwa spasm kwemisipha;
• ukwephulwa ukudla ubuthongo;
• isiyezi;
• Ukucindezeleka, okuvame eba ngenxa nakho nezinkinga yokungaqondi ezibangele ukungakhululeki;
• e ubuhlungu ukuzwa, ezingamahlalakhona egqoke kungenzeka izinguquko isakhiwo amakhemikhali ebuchosheni.

Esigabeni sokuqala uphethwe

Dysfunction we ngokuhlanganyela temporomandibular inezimpawu eziningi. Nokho, uphethwe yaleli zokugula - multi-esiteji, yesikhathi eside, inqubo oluphelele futhi eziyinkimbinkimbi. Akukhona njalo kungenzeka ukubeka okuyikona kuphela ngesisekelo izikhalazo lesiguli. Kwasekuqaleni, kwenziwe ukuhlola ukusebenza, okuvumela ukucacisa izimbangela zezifo.

Lokhu kuhilela iqoqo izinqubo:

• iqoqo idatha yezokwelapha;
• ukuhlonza azo zonke izikhalazo;
• Tadisha kwemisipha izicubu entanyeni ekhanda;
• -X-ray ukuhlola: resonance kazibuthe kanye Isigaxa-ugongolo tomography;
• luhlolo esithinta izinzwa, teleroentgenography lateral;
• ukuhlaziywa cephalometric;
• parafunction ukuhlonza;
• okklyuzografiya.

Ukuhlolwa zamazinyo

Kweminye imitholampilo ukucacisa uphethwe ngokuvamile labetibambile encane zamazinyo ukuhlaziywa sokusebenza. Liphinde kubhekwe uphethwe eyinhloko. Kulokhu, isiguli isuswe ukuphrinta, bese wenza imodeli. Futhi, ngoba zisetshenziswa sitholakele amathonsi ekhethekile ezingaba ukubona bruxism. Udokotela wamazinyo ngesikhathi inhlolovo Kumele bahlole yizinyoka, kanye izinga oxhumana interproximal nokunye.

Okunzima kakhulu kubhekwa ukuhlaziya omkhulu sokusebenza nje kuphela ekusebenziseni kodwa futhi incazelo yaleli idatha. Kulokhu, uchwepheshe Kumele ube namakhono ezikhethekile kanye nolwazi. imishini eyengeziwe edingekayo sokufeza kokutshelwa ngokukhubazeka kwengane.

Konke ukuhlolwa ngenhla kudingeka ukuxilonga kanye imbangela TMJ ukungasebenzi. Ukuthi lolusuku ucwaningo incike lochwepheshe kanye nemishini. Uma kutholakala ukuthi uphethwe yini, isiguli sabelwe yokwelapha ezanele. Yena, kungaba kuhlinzwa, reconstructive, noma olandelanayo.

Ubani ukuxhumana

Lokhu zokugula kunzima ngempela ukuxilonga. Ngisho odokotela bamazinyo abanolwazi akuvamile ukubeka lokhu uphethwe njengoba ubuhlungu ukungasebenzi kwekhono joint temporomandibular. Ukwelashwa ngokuvamile inikezwa ngokungalungile futhi akubi nemiphumela. Ezimweni eziningi, iziguli ungatholi bezokwelapha abanekhono kusukela odokotela bamazinyo kanye uqale uvakashele nezinye Ochwepheshe: owelapha, udokotela wezinzwa, owelapha, Udokotela wezindlebe, Udokotela Weqolo, Udokotela wemisipha namathambo, nokunye. Eqinisweni, kufanele bahlanganyele ukwelashwa ukungasebenzi bamazinyo.

Dysfunction we ngokuhlanganyela temporomandibular: indlela yokuphatha

Ukuze uthole umphumela omuhle, ukwelashwa eziyinkimbinkimbi kufanele kwenziwe. Kubandakanya ukuphathwa wamathambo ka dysfunctions we ngokuhlanganyela temporomandibular, okuhloswe ngalo Oqondisa bite. Ezimweni ezithile, ukuhlinzwa wenziwa, ukutshopa, Physiotherapy, zitho noma ukhipha nokufaka lwezimpawu entsha.

Ngaphezu okungenhla, udokotela wakho angase akunikeze egqoke ebusuku-time Umqeqeshi. Lolu hlobo ibhasi articular elikuvumela ukuba ususe ubuhlungu syndrome myofascial. Futhi-ke asetshenziselwa uphethwe, ukuze kuvinjelwe nemihuzuko ka kwezicubu kwamazinyo ngesikhathi bruxism.

Kungabangela yezinkinga ukungasebenzi kwekhono joint temporomandibular? Ukwelashwa kwezifo ezifana kumele kwenziwe ngempela. Kwezinye izimo, lo ukungasebenzi kuholela drive ukufuduka. Ngenxa yalokho, ebusweni emalungeni amenable ukuba ukuhlelwa kabusha - arthrosis. Esikhathini ingaphakathi uqala zikhule ezicutshini, zona ngokwazo siyahedletela. Ngenxa yalokho, usuthule ngokuhlanganyela ezihambayo. Lokhu zokugula libizwa ankylosis.

Kanjani ukunikeza usizo lokuqala

Uma isiguli uyaqiniseka ngokuphelele ukuthi ukungasebenzi kwekhono joint temporomandibular, kungenzeka ukusiza isiguli, ekunciphiseni izinhlungu, futhi sithuthukise umsebenzi ukuhlafuna uma kunesidingo. Ukuze wenze lokhu, ukushisa, kodwa ezinomswakama. Kulokhu, endaweni ethintekile kungenziwa cindezela isicelo: ibhodlela, pre-egcwele amanzi ashisayo. Ukuze ugweme ukusha, kutuswa ukuba bopha isitsha ngendwangu emanzi kodwa hhayi ezimanzi.

Ukuze banciphise umfutho ubuhlungu futhi ukunciphisa ukuvuvukala, kutuswa ukusebenzisa ice. Kulokhu, ungasebenzisa iphakethe noma ibhodlela. Nokho, asikho isidingo ukusebenzisa cindezela ngqo isikhumba. Iphakheji noma ibhodlela kufanele bopha ithawula. Ukusetshenziswa Its akunconyelwe imizuzu isikhathi eside kunaleso 15. Break phakathi ukwelashwa kufanele kube okungenani imizuzu engu-60. Susa ubuhlungu okwesikhashana ake analgesics.

Indlela uphumule amalunga omzimba wakho

Ukuze joint zivame buhle, kufanele ulandele imithetho embalwa. Ukudla kufanele wagcoba noma ethambile, futhi kuxutshwe. Kuwufanele give up ukuhlafuna imikhiqizo anolaka, kanzima futhi okuqinile. Bite off izingcezu ezincane kuwufanele. Uma ukwephulwa enjalo is hhayi Kunconywa ukuba umlomo wakhe ububanzi.

Qedela ukuphumula umzimba futhi ikusiza ekunciphiseni izinhlungu. Ngenxa yalesi kungahlobani nanoma yimaphi amasu aziphumulele.

Ubuhlungu ukungasebenzi we temporomandibular ngokuhlanganyela: ICD-10

Ngokwe ngezigaba international izifo, ukungasebenzi kwekhono joint temporomandibular enzelwe ikhodi K07.6. Ngesikhathi ukwephulwa okufanayo kungenzeka ngezindlela ezahlukene. Lezi zihlanganisa: eziyinkimbinkimbi noma amathambo syndrome, temporomandibular Ukunganaki ngokuhlanganyela, "phezulu umhlathi 'nokulingana TMJ ukungasebenzi syndrome.

Ukuxolela kuthiwa esisuka futhi dislocation emhlathini.