Ukudumba leziNdlu temporomandibular: izinto kunye nonyango

Nayiphi na ukudumba kuzisa lukhulu ukubandezeleka, yaye kwimeko iingxaki entlanganweni imihlathi umntu akanayo. Indlela ukumelana intlungu amalungu yobuso? Ukuba umgaqo ngayo - ukudumba entlanganweni temporomandibular? Iimpawu, unyango kunye noonobangela le ngxaki zonyango, yaye siza kuxubusha.

Anatomy of leziNdlu temporomandibular

Temporo-mandibular ezidityanelweyo (VPN) - uqhagamshelo lomnyango edityaniswe emhlathini obusezantsi ithambo zezomzuzwana, ibekwe ngqo phambi indlebe kwicala ngalinye entloko.

Ilunga Luquka ezi ndima zilandelayo:

• mandible intloko;
• condyle - intloko kwemihlathi asezantsi, kukho inxalenye philisi;
• leli philisi joint;
• disc articular, nto yenziwe intlala.
• intracapsular kunye vnekapsulnye lungu.

kwamalungu amabini, kwaye zisebenza ngexesha elinye. Imihlathi yabantu unako ukuza kuqala, ukuba enze iintshukumo osecaleni nyukela phantsi. Esi sakhiwo ivumela ukuba ukuhlafuna ukutya kunye nentetho.

Ukudumba leziNdlu temporomandibular. iimpawu

Ukuba naliphi na ukudumba lwenzeka kwi joint, inkqubo yonke yaphulwe. Ngoko ke, imihlathi ukudumba joint kufuna ukuhlolwa lonyango kunye nonyango olufanelekileyo.

Ukudumba kungaba oyingozi okanye engapheliyo. ukudumba Acute temporomandibular joint ngokuqhelekileyo kwenzeka emva kokonzakala, ukulahlekelwa philisi condyle okanye dislocation kwemihlathi. ukudumba Chronic uvela kancinane, kaninzi ngenxa yeziphene (malocclusion) okanye kubuchwepheshe wamazinyo. Ubuhlungu kule meko engenamandla, iqaqamba. Maxa wambi umntu abazi ezibangela intlungu. Kuyenzeka ukuba ukudumba kwindlebe engaphakathi idluliselwa, ukuya entlanganweni.

Emva kokuba indlebe emseleni kwehlele kunye edityanelweyo emhlathini asondelelene. Ngenxa yoko, osteomyelitis, okanye meningitis kunokubangela komtshiso oko. Kuyenzeka ukuba kuphakamisa le meko lupus zomzimba (isifo samathambo) okanye isifo samathambo. Kukho izisombululo ezininzi.

iimpawu ukudumba

Iimpawu zokuqala kwimeko enjalo kufuneka kuhoywa. Man ulahlekelwa umsebenzi oqhelekileyo xa iyamxhela joint temporo-mandibular. Nangokurhala, iimpawu apho siya khona, amayeza ubizwa ngokuba "samathambo temporomandibular ngokuhlangeneyo." Ukuba ukudumba ngaba sithi singanyangwa, oko kukhokelela kutshintsho sisiba mandundu. Oku kuya kuba urhulumente joint ebizwa osteoarthritis. Emva koko, ixesha nemali ukuba unyango kufuneka ukuchitha ngaphezulu.

Xa samathambo acute kunye ezingapheliyo iimpawu ziyahluka. Iimpawu inflammation ludlule:

• ububomvu kunye ukudumba kwi joint;
• hyperemia izicwili likufuphi;
• Ngamanye amaxesha ukuduma kunye ziwe;
• makasilele kwemihlathi ebudeni ebusuku;
• ubunzima ekuvuleni emlonyeni;
• intlungu ezibukhali xa uhambisa, uqhebeke ezindlebeni kunye umva intloko;
• nesiyezi;
• umkhuhlane.

Xa ukudumba ezinye iimpawu esingapheliyo:

• ubuhlungu ibuhlungu;
• ngayo ukuqina kwemihlathi, ingakumbi ukuba pose uyonyulwa ukuba ndilale ubuso phantsi;
• iintlungu ukunyuka xa sikuxinile emhlathini;
• kunokwenzeka ubuthulu.

Ngokuqhelekileyo uhlobo ezingapheliyo komtshiso oko ezingahambi anozizi ancedisana ezingqongileyo okanye ukungakwazi ukuvula umlomo. Kodwa kunqweneleka ukuba ngeli xesha ukutya ulwelo nokuthantamisa nokunyanga ukudumba. Emva ukudumba elide ngaphandle unyango eziyimfuneko kuya kukhokelela ekubeni ukukhubazeka zobuso.

nokudumba Infectious. Iindlela zosulelo

Ukudumba leziNdlu temporomandibular uqale ngenxa yezifo ezosulelayo. Izifo ezifana tonsils, umkhuhlane eqhelekileyo, kungakhokelela ekubeni inkqubo ukudumba nokuba amalungu.

Njengoko yokuxhokonxa kungaba:

• inegciwane tuberculosis;
• negcushuwa virus;
• ukuvuza ngaphantsi;
• mastoiditis (ukudumba ithambo mastoid intamo elinye);
• actinomycetes mkhuhlane;
• osteomyelitis suppurative.

Kulo mzekelo, unesifo "ukudumba entlanganweni temporomandibular" (iimpawu kaninzi liciko) ukulibaziseka Ngeke, ngokucacisa uhlobo losulelo kakhulu. Le therapist liya kumisela usulelo emva kuqokelela anamnesis (imbali yezonyango) kwaye khangela analyses, kwaye ucele ukuba wenze roentgen. njani na usulelo udubuleke entlanganweni emhlathini?

Tshintshela kwaye ibangele ukudumba usulelo temporomandibular zithi kuthi ngeendlela ezininzi:

• ngegazi;
• lymphoma;
• ngqo ayevulekile amanxeba.

Ukuze ngayo oko kuyimfuneko isifo ngxabano. Ukusukela kanye isakhiwo welungu kule ityala alisonjululwanga yonakele, kunye ukuphiliswa usulelo kuqhubeka kunye nale ngxaki.

Post-traumatic kunye nokudumba onaso

Abo bantu abo bathuthunjiswe samathambo namalungu kwi amadolo kunye iingalo, maxa wambi ubunzima ukusuka joint rheumatism bemihlathi. Ngoko ke kufuneka ukuba isicelo kuphela wamathambo.

Arthritis emva yokwenzakala kwemihlathi liya kwenzeka, xa kuya kuba imiphumo le yokwenzakala. Nimqumbise ukudumba amahlwili egazi rivaleleke em- ngokuhlangeneyo. Ugqirha kufuneka nihlamba lonke ilunga.

Ngexesha emhlathini ahlekise kufuneka tie ambathe kwaye anike isigulane ukuthetha okanye ukuhlafuna. Yitya ngeli xesha kuphela iyogurt elulwelo kunye ezicujiweyo kwi isuphu blender.

Ukudumba amalungu ngenxa malocclusion

Ekuqaleni eli nqaku wakhankanya ukuba malocclusion kunokukhokelela komtshiso oko. Kutheni na eyenzekayo? Le lohlukanisa komzimba womntu - enye imithetho eziphambili. Ukuphakama kwamazinyo kufuneka ifane kwaye wax ashinyeneyo norhatyazo. Kungenjalo, umthwalo emalungwini ziya kuba kolwabelo olungalinganiyo. Kwezo meko apho occlusion yenziwe ngokungachanekanga: olubi emhlathini ephantsi kakhulu okanye bulges, umhlathi edibeneyo kule minyaka ekuqaleni ukulingana umthwalo kwaye babe ebushushwini babo. Le meko efanayo lwenzeka xa inani amazinyo kwelinye icala omnye akakho ngokwaneleyo kwaye umthwalo ngexesha ehlafuna uya kwelinye icala.

Ukumelana intlungu enjalo, kuyimfuneko ukuba babuyele kulo wamazinyo, nto leyo ukwenza ulungiso iingxaki zamazinyo. Kodwa ngaphandle kokuba unyango nezinye izinto ezibangela ukudumba.

Ukukhangela ukuba ngaba kukho uphuculo okanye akwanelanga ukuba abeke akabafuni ezizodwa emlonyeni wakho, wahamba naye iintsuku ezimbalwa. Intlungu iya ukunciphisa okanye zinyamalale ukuba okunene unobangela iingxaki amazinyo.

Neengxaki ngethuba ukudumba VPN

isifo Uncured zohlobo esosulelayo - enye ezingunobangela eziyingozi ukudumba yobuso ezidibeneyo. Kwenzeka ntoni ukuba aphathe joint? Okokuqala, iintlungu kuya kufika amaxesha ngamaxesha. intlala Articular ubunjwe kwizicwili. Ukuba ke ziza kukhule, intlala ngokukhawuleza batshatyalaliswe.

Kuza ubovu ithumba zexeshana. Emva koko, ukuba isigulane uza ugqirha asuse ubomvu, oko idluliselwe kwezinye iithishu ezikufutshane.

Uhlobo zale sifo ngaphandle ubofu nga kakhulu ezonakalisa ubomi umntu kuba esoyika unyango. Xa inkqubo azikhuli ezidibeneyo luqala, yaye ekugqibeleni iyayeka ukuba enokususwa. Le nkqubo yaziwa ngokuba ankylosis ezinezikhondo. Ukuba kwenzeka ngelinye icala, ubuso bakhe zikhubazekile. Inqanaba elilandelayo isiphene - a ankylosis ingamathambo xa izihlunu joint ossified ngokupheleleyo.

Indlela ukumelana iintlungu?

Maxa wambi intlungu ebusweni ngenxa samathambo le nodandatheko. Abantu angadli iiveki kunye yawning ngakumbi. Ke kaloku ngoxa unyango engundoqo sisaqhubeka, kufuneka sijongane ngandlel 'nentlungu obubonakala kude kwisiza komtshiso oko. Ukuze wenze oku, ilingane imixube yesiNtu, ezifana "ibuprofen". Nayiphi imidlalo kufumaneka iyeza kwikhaya yekhabhinethi iipilisi nonsteroidal anti-ukudumba.

Ngexesha ubuhlungu obukhulu kufuneka yenze ilunga - ukunyanzela umhlabelo okhethekileyo. Kunqweneleka ukuba athimbe itempile kunye cutha owomileyo ashushu. Xa skillet eyaneleyo ukufudumeza ityuwa wayifaka engxoweni kwilaphu mmandla. Abanye bakhetha ukusebenzisa ngamafutha lawo.

Kodwa kwenzeka ukuba amacwecwe ukuze ntlungu akwanelanga. Ke ugqirha unelungelo lokuba abeke inaliti.

Ezi kwizitofu asithe intlungu imizuzu emva ngokupheleleyo 15. Iinaliti ziqhutywa "Tramadol" okanye "trimeperidine". La machiza ziyingxenye udidi iziyobisi, kwaye uwasebenzisa kugqirha kuphela kwiimeko ezizodwa apho iintlungu na amandla, umzekelo emva yokwenzakala umhlathi.

Kukho amayeza "nalbuphine." Ichiza ayikho namandla, nto leyo ezinxulumene neziyobisi, kodwa ayiqondakali kahle.

Ukudumba leziNdlu temporomandibular. unyango

Indlela ukuchaza emhlathini ukudumba joint? Yintoni Ugqirha uya kunceda ufumane isisombululo kule ngxaki? Okokuqala kufuneka kulungiswe le therapist, ngubani na oya kuhlala uhlolo lokuqala, yaye ke uza kuthumela yingcali, ngubani ingaluncedo practice.

Ukuba isigulane onengxaki kukulunywa, kufuneka uqhagamshelane wamazinyo, amajelo otitis kufuneka aphathe ENT. Kusenokufuneka uncedo gnathology okanye wamazinyo neuromuscular. Kwaye ukuba intlungu yaqala emva kokwenzakala, imfuneko ukuya utyando yamazinyo.