Kwekhono lo TMJ: Iimpawu and Treatment

Kwekhono welungu temporomandibular amayeza iye amagama ezininzi: samathambo arthrosis VNCH-joint, subluxation le mandible zohlobo esingapheliyo, myofascial syndrome, njalo-njalo. I wokuqala zihlolwe ngezifo efanayo, yaba amathambo otolaryngologist yaseMelika. Yaba nguye phendla uqhagamshelwano phakathi intlungu indlebe kunye ukuphazamiseka kwemisebenzi temporomandibular ehlangeneyo. Ngenxa yoko, esi sifo ifumene elinye igama: Costa likaThixo syndrome. Kubalulekile ukuqaphela ukuba le ngezifo yeyona ibuhlungu kakhulu kwaye kunzima njengoko kunzima nje kuphela ukuxilonga kodwa ukunyanga.

Iimpawu ngokubambisana

ilunga Temporomandibular (TMJ) ise phambi indlebe. Idlala indima ebalulekileyo. Joint ibandakanya amathambo mandible kunye ithambo temporal. Ngelo xesha izihlunu zakhe enze eyahlukeneyo imisebenzi: intetho, igwinya, ukuhlafuna, njalo-njalo. Ngaphezu koko, qhagamshela ukakayi kunye umhlathi ongezantsi. Imisipha namalungu ukuvumela umntu ukuvula avale umlomo. Kwakhona, iyunithi onoxanduva intshukumo kwemihlathi asezantsi ekunene, ekhohlo, phambili, phezulu phantsi.

Yintoni TMJ

Kwekhono welungu temporomandibular, unyango leyo awohluke zalo, libonakaliswa besaphula-macala. Le fowuni isebenza kakuhle okoko nje ngasekunene nangasekhohlo zonke kuvunyelwane efanayo. Ukuba kumka kwenzeka ngexesha nokusebenza edibeneyo, nokophulwa isimetri kwenzeka oko kukhokelela ukuphazamiseka kwendlela imisebenzi yesibini ehlangeneyo. Le ngezifo uqala ukuphuhlisa kwiimeko apho emhlathini esezantsi asuswa xa uvula nokuvala emlonyeni; kwandule ke isindululo kwezinye izalathiso.

Eyona eziphambili ezibangela izifo

kwekhono syndrome joint temporomandibular kwenzeka xa izigulane yamaqela yobudala ahlukeneyo. Amanani abonisa ukuba phantse ama-70% abemi unesifo kwezi ukuphazamiseka. Oonobangela zophuhliso sifo baphuphuma. Phakathi kwazo kukho ezi:

• uxinzelelo;
• malocclusion;
• overexertion ngesiquphe izihlunu ngexesha mastication kunye nokutya rough okuqinileyo;
• ukwanda lingonakali yezinyo inyama;
• umzimba kunye noqeqesho, apho kukho iqela elithile ombane imisipha;
• bamazinyo Imposiso, oogqirha, kwiitheraphisti, orthodontists, orthopaedists: ukuwavala, amazinyo;
• ukwenzakala mandibular ngokuhlangeneyo.

Xa ufaka okanye zokufakelwa izinyo yezandla zingaqinisekisa isithsaba kwentengo okanye ukugcwaliswa. Oku kukhokelela ekuqhekezeni isimetri. Kwaye oku, njengokuba sisazi, kukhokelela kuphuhliso kwekhono namalungu temporomandibular. Ukongeza, kunye loo mthwalo unyango engalunganga iwela kuphela kwelinye icala amazinyo xa ukuhlafuna ukutya, nto leyo ekhokelela nje kuphela ukubana drive, kodwa intlungu.

Ingxolo kunye nokufuna

Siwubona kwekhono welungu temporomandibular? Iimpawu zesi sifo zahlukahlukene kakhulu. Uphawu uqhelekileyo isifo esinjalo - oko ecofa, leyo kuviwa kwamalungu mandibular. izandi ezinjalo ingabaphezulu ngokwaneleyo. Bakuve abantu abasondeleyo kwisigulana, xa avule nje umlomo wakhe, yawning okanye ukuhlafuna ukutya. Kule ntlungu ezinokuvela.

Njengoko umthetho, ukubana drives yi izihlunu kwempixano xa isigulane uva konqakrazo. Oku kusoloko kusenzeka xa ukuhlafuna ukutya. Kulapho kwezo zihlandlo, umguli ngenxa xi nga va intlungu entanyeni, intloko, ubuso.

intloko ebuhlungu

ubuhlungu kwekhono temporomandibular ngokudibeneyo syndrome kubangela intlungu kwiindawo ezahlukeneyo entloko. Le yenye uphawu eqhelekileyo ngezifo. Ngokuqhelekileyo ikhanda ngexesha kuphuhliso TMJ kwekhono yenzelwe entanyeni kunye sideburns. Kodwa kuyaphela isigulane sinokufumana kummandla ngamaphiko emagxeni.

Unobangela yintloko kule imeko inokuba intlungu dystrophy ukuba kwenzeka xa amazinyo besila kunye clenching kwemihlathi. Kwakhona, kuyaphela lisenokubhidekisa kumguli ngenxa ukubana lwe drive joint. Kulo mzekelo, iintlungu obubonakala ukuya entanyeni, ebunzi okanye neetempile. Kubalulekile ukuphawula ukuba iziganeko ezingathandekiyo ezinjalo inokuba namandla kakhulu. Kwezinye iimeko, ugqirha isifo ngezifo ubuchopho okanye migraine.

Ukutshixa, wokohluthwa joint: uvimba

Iintlungu kwekhono joint temporomandibular kubangela intshukumo ngokungalinganiyo mandible ngenxa ukuya kwizigulo ezithile. Yokuvimba kuza kujongwa emlonyeni lokuvula. Kukho yimvakalelo ukuba isigulana uzama ukuba ngandlel 'catch "emhlathini ezantsi.

Kwezinye iimeko, abantu amalungu ezivaliweyo ukuvula umlomo ububanzi, kuyimfuneko ukususa umatshini ukuya ekhohlo ukuya ekunene. Kodwa kukho ezinye iimeko. Ngamanye amaxesha isigulane kunyanzeleka ukuba ukuvula umlomo wakhe, ude uve uhlobo nqakraza kwi mmandla ehlangeneyo abakhubazekileyo.

zesifo indlebe

Ngenxa yokuba TMJ libekwe kufutshane kakhulu auricles, kusenokubakho ezithile iimpawu indlebe. Abanye babo kakhulu ezingemnandi. Imiqondiso yokuba kwekhono kulo mzekelo kufuneka iquke:

• buhlungu;
• imvakalelo nenzaliseko yalo indlebe;
• iphazamisekile ezindlebeni zakhe, lwenze ukuva.

Kungenxa yezi mpawu, izigulane ezininzi abaye babe nokuphazamiseka welungu temporomandibular, funa uncedo kugqirha wesithili okanye ugqirha ENT.

Iingxaki namazinyo

Ukungasebenzi le amalungu mandibular kusenokukhokelela kwiinguqu kwi occlusion amazinyo okanye occlusion. Oku kwenzeka kakhulu ngenxa yokuba ukubana drive. Bone kunye ukuxhumana abo alichanekanga, yaye oku kukhokhelela ekufuneni utshintsho an occlusion.

Ukongeza kule ngxaki, isigulane babe amazinyo-ethe kakhulu. Kaninzi oku kungenxa emazinyweni besila kunye clenching le imihlathi. Amaxesha amaninzi, abantu izifo ezinjalo babuyelayo ukuya kugqirha wamazinyo yokutyholwa iintlungu kwamazinyo. Akusoloko ochwepheshe angamisela nobangela kabi. Ngenxa yoku, isigulana Ungasusa izinyo okanye uyibambe depulirovanie. Kwaye oko akuthethi biyela TMJ.

ezinye iimpawu

Kwekhono welungu temporomandibular kwiimeko ezithile lukhatshwa ziinkqubo ukudumba, evela synovitis okanye samathambo kwi entlanganweni. Kulo mzekelo, abantu akhalaze esiqwini nokudumba, iintlungu. Ngokufuthi oku kukhokelela umkhuhlane jikelele, ubuthathaka kunye ukunyuka kwamaqondo obushushu.

Ukongeza kule mpawu zingasentla, isiguli uphazamise:

• intlungu emva negxalaba iincakuba, zibangelwa spasm kwemisipha;
• iphula ngumdla wokutya, ndalala ubuthongo;
• nesiyezi;
• Ukudakumba, nto leyo edla iphuhlise ngenxa amava kunye iingxaki ukungaqondani elabangela ukuqaleka;
• e koluvo iintlungu, ezingapheliyo enxibe kungenzeka utshintsho kubume eekhemikhali ebuchotsheni.

Isanda loxilongo

Kwekhono welungu temporomandibular uneempawu ezininzi. Noko ke, uxilongo le emoyeni - multi-eqongeni, ixesha elide, inkqubo ebanzi kunye ezintsonkothileyo. Akusoloko lula ukubeka uxilongo oluchanekileyo kuphela ngokusekelwe izikhalazo yesigulana. Kwindawo yokuqala, kwenziwe uxilongo ezisebenzayo, nto leyo evumela ukuba ukumisela izinto ezibangela izifo.

Oku kubandakanya isethi nkqubo:

• ukuqokelelwa kwedatha lwezonyango;
• ukuchongwa kwabo bonke izikhalazo;
• Funda kwinyama kwezihlunu entanyeni nentloko;
• uxilongo X-ray: livakale Imagnethi yomhlaba kunye cone-beam Itomography;
• zoviwo luvo, teleroentgenography lateral;
• Uhlalutyo cephalometric;
• ukuchongwa parafunction;
• okklyuzografiya.

Ukhathazekile wamazinyo

Kwezinye iikliniki ukufumanisa isifo idla kubanjwa uhlalutyo encinane amazinyo olusebenzayo. Kwakhona ingqalelo uxilongo lokuqala. Kulo mzekelo, isigulana isusiwe print, waza wenza modeli. Kwakhona, kuba lokufunyaniswa amachaphaza ezizodwa ezisetyenziswayo zokuva bruxism. Wamazinyo saveyi bahlole unomntana, kwakunye nomgangatho abafowunelwa interproximal njalo-njalo.

Eyona nto inzima kugqalwa uhlalutyo olukhulu esebenza kuphela ukuphunyezwa kodwa ukutyhilwa data. Kulo mzekelo, ingcali kufuneka ukuba izakhono ezikhethekileyo kunye nolwazi. izixhobo ezongezelelweyo ezifunekayo ukwenza uyayazi enjalo.

Zonke ezi mvavanyo zingentla ziyafuneka ukuze ukuxilonga ukukhangela unobangela TMJ kwekhono. Ukuchaneka uphando kuxhomekeke ubuchule beengcali kunye nezixhobo. Xa kwafunyaniswa, isigulane eyabelwe an unyango olwaneleyo. Yena, ke, kunokuba ngotyando, Nokulungiswa, okanye elondoloza.

Ngubani ukuba uxhumane

Le ngezifo kakhulu kunzima ukubona. Nkqu bamazinyo abanamava kunqabile ukubeka esi sifo njengokuba iintlungu kwekhono welungu temporomandibular. Unyango wayedla wabelwa engeyiyo ongavelisi iziphumo. Kwiimeko ezininzi, izigulane musani ukumamkela ukhathalelo abanezakhono evela oogqirha bamazinyo kunye aqale kutyelela ezinye iingcali: therapist, luvo, therapist, ingcali yokuva ngeendlebe, chiropractor, osteopath, njalo-njalo. Enyanisweni, kufuneka benze bamazinyo kwekhono unyango.

Kwekhono welungu temporomandibular: ukuba bangazinyanga njani

Ukuze ufumane iziphumo ezidibanisayo, unyango ezinzima kufuneka kwenziwe. Oku kuquka unyango wamathambo of dysfunctions welungu temporomandibular, ejoliswe ukulungisa unomntana. Kwiimeko ezithile, utyando olwenziwa, imithi, ukuyifundisa zokwenziwa okanye ukususa nokufakela amatywina ezintsha.

Ukongeza kule miba ingentla apha, ugqirha wakho athi benxibe ebusuku-ixesha Trainer. Olu hlobo ibhasi articular evumela ukuba ukususa i buhlungu myofascial syndrome. Kwakhona isetyenziselwa uxilongo, ukwenzela ukuthintela lingonakali ye ancedisana zamazinyo ngexesha bruxism.

Oku kunokubangela iingxaki kwekhono welungu temporomandibular? Unyango lwezifo ezifana kufuneka wenziwe ngokuyimfuneko. Kwezinye iimeko, le kwekhono kukhokelela ukuhamba drive. Ngenxa yoko, umphezulu amalungu efanele ngokutsha - arthrosis. Em- iqala ukukhula kwizicwili, nto leyo isonka. Ngenxa yoko, le zokumisa ngokudibeneyo ihamba. Le ngezifo kuthiwa ankylosis.

Indlela ukunika uncedo lokuqala

Ukuba isigulana uqinisekile ngokupheleleyo ukuba kwekhono welungu temporomandibular, kunokwenzeka ukunceda isigulane, ukunciphisa iintlungu, kunye nokuphucula umsebenzi ihlafuna, xa kukho imfuneko. Ukuze benze oku, ubushushu, kodwa ifumile. Kulo mzekelo, kummandla ochaphazelekayo nga isicelo cutha: ibhotile, pre-ezaliswe ngamanzi ashushu. Ukuze siphephe ukutsha, kucetyiswa ukuba azisongele isikhongozeli ngelaphu elifumileyo kodwa ungabi manzi.

Ukuze ukuthomalalisa iintlungu kunye nokunciphisa nangokurhala, kucetyiswa ukuba usebenzise ngumkhenkce. Kulo mzekelo, ungasebenzisa ipakethe okanye ibhotile. Noko ke, akukho mfuneko yokuba asebenzise cutha ngqo nolusu. Ephakheji okanye ibhotile kufuneka yisongele itawuli. ukusetyenziswa kwaso akukhuthazwa ukuba imizuzu elide kwe-15. Le kwekhefu phakathi unyango kufuneka babe imizuzu engama-60 ubuncinane. Susa intlungu okwexeshana ke analgesics.

Indlela ukuba bakhululeke amalungu yakho

LeziNdlu zidla buhle, kufuneka balandele imithetho embalwa. Ukutya kufuneka kancici okanye ethambileyo, Into endiyiselayo. Kubalulekile ukunika ukuhlafuna, iimveliso erhabaxa, nzima okanye ijiye. Udla off ngamaqhekeza amancinci ixabisa. Ukuba amalungelo ayikhuthazwa ukuvula umlomo wakhe ububanzi.

Zalisa ukucuthwa umzimba kwaye inceda ukwehlisa iintlungu. Kuba oku ilingane nayiphi na indlela lokuphumla.

Iintlungu kwekhono le temporomandibular joint: ICD-10

Ngokutsho yokuhlela ngamazwe zezifo, kwekhono welungu temporomandibular alathelwe ikhowudi K07.6. Ngelo ukuhlukunyezwa efanayo kungenzeka ngeendlela ezahlukeneyo. Ezi ziquka: ezintsonkothileyo okanye amathambo syndrome, komama temporomandibular edibeneyo, "igaqa emhlathini 'equity TMJ kwekhono syndrome.

Ngaphandle ukuba zolule, dislocation kwemihlathi.