TMJ: matambudziko negadziriso, nzira kurapwa

vanhu vashoma cherechedzai kukosha temporomandibular muhudyu mumuviri. Matambudziko uye negadziriso chokuita hazvina basa. Asi bedzi vanhu havana kutarisana chirwere ichi rwakashodoka.

Chii TMJ?

Tinoona chii TMJ, matambudziko uye nzira dzokuagadzirisa nadzo kuronga zvaanazvo zviri. TMJ ichi. It riri munhu pamberi nzeve uye rine mandible uye zvenyama pfupa. Pedyo tsandanyama nemarunda zvinopa buri uye rava kuvharwa muromo. In inowanzotorwa mamiriro, pasina pathologies shaya fambisa regai kukonzera chero kusanzwa kuti murume. TMJ anganzi rimwe inonyanyoshandiswa kushandiswa mumuviri, nokuti anoita zuva rose kutaura, yawning, kutsenga zvokudya.

Kungofanana nevamwe vanhu vose, iye asingatani chirwere, uye hazvishamisi - vanenge 40% vanhu dzakaona navo pachangu, kunyange zvazvo chirwere ichi vagari iri ishoma pane Somuenzaniso, mazino caries kana periodontal chirwere. Zvisinei, haasi munhu wose utachiona kuzvipfuuridza rubatsiro kuna chiremba, havanzwisisi, pamwe zvinenge zviratidzo, uye achimirira hwokuzvimirira Kutsakatika yavo.

Zviratidzo chirwere

Kana tikaongorora TMJ zvinetso, matambudziko uye nzira dzokuagadzirisa nadzo (chirwere ichakurukurwa pazasi), vanogona siyana zvichienderana hunhu uye mhando chirwere. Asi zviratidzo zvavo dzinogona kubatanidzwa mune rimwe list, sezvo ivo vari zvakafanana pamberi nezvirwere zvakasiyana-siyana:

• nomusoro;
• nzeve marwadzo, kuzara, achirira;
• kurwadza kwacho vari rushaya uye tsandanyama dzechiso;
• extraneous Ruzha apo anozunungusa shaya - crunching, nekudzvanya, nokuikuya;
• kuzvimba node nodes (submandibular)
• dzungu.

Pamusoro kuonekwa zviratidzo zvakadaro vanofanira kuona chiremba wemazino nokuti zvinoita kuti chirwere ichi TMJ.

Zvinokonzera zvirwere

TMJ chirwere, matambudziko uye nzira dzokuagadzirisa nadzo chokuita navo, vashoma, asi zvinhu ivo simuka chaizvo chaizvo. Inokonzera zvirwere zvinogona kuva zvakasiyana mananara zvakasikwa:

• kunotevera shaya kana mapfupa chako;
• Stress, overexertion;
• nezvinetso kwemakemikari anobudiswa maitiro;
• metabolic zvirwere;
• zvirwere;
• kunyanya muviri;
• malocclusion;
• mazino chirwere, matambudziko kupa.

TMJ chirwere

Kana isu pfungwa dzedu kuti mamiriro ose TMJ (dambudziko, zviratidzo), matambudziko kuuya nechirwere uye kuziva mhando chirwere. Temporomandibular vagari zvinogona pasi zvirwere zvakadai:

• Arthritis. Hwokuratidza marwadzo ari muhudyu, ayo kuzvimba, kukamurwa shaya masangano. Angava fivha. Munguva chirwere chimiro pane crunch achityaira. Kana chirwere ndimhanye, mugumisiro angava deformation ari muhudyu.
• Osteoarthritis. Kwakaratidzwa kurwadziwa pamwe uye nzeve, kanganisika fambisa shaya kana kuvhura (Zig-zag), achiperekedzwa the clicks uye crackles. Kazhinji pane kurwadziwa ari masticatory netsandanyama.
• Dislocation of muhudyu. Dzinoratidzwa urongwa eshaya hama kune mumwe ari kutyora musoro uye misha yose pamwe Disc, marwadzo kana kuvhura, the clicks.
• Ankylosis. Kuderedza shaya kufamba, izvo zvinokonzera kukuvara kana chirwere. Purulent vanoumba ngozi rune asymmetry, zvakawanda caries, malocclusion. Mugore azara - kurasikirwa wakakwana rwokufamba.
• Musculo-articular dysfunction. Kwakaratidzwa marwadzo ari nzeve uye temberi, vachiwedzera kana uchifamba vadyi, the clicks , ichivharira shaya.

Diagnostics

zvikuru ano nzira inoshandiswa rokuongorora TMJ zvinetso, izvo anobvumira zvakarurama zvawanikwa. Pamusoro pazvo, zvinoenderana yakanaka mugumisiro. Kuziva zvose zviri TMJ matambudziko uye nzira dzokuagadzirisa nadzo, nzira kuziva chirwere zvinosanganisira kurapwa, radiographic, uye dzichipfekeka zvidzidzo. Pakutanga, chiremba anoongorora muromo, vakaongorora murwere zvichemo. Basa iri riri kuitwa chiremba wemazino-orthopedist. Inoita palpation pamusoro masticatory tsandanyama, vagari pacharo, anoyera amplitude inofamba pakati shaya, kana zvakaoma.

Large basa kuziva chirwere chinoita radiographs, rinozivisa vaakasarudza Kuchinja pejoinhi. Vachiri padanho chirwere uchishandisa makombiyuta tomography. All chokuita TMJ matambudziko uye nzira dzokuagadzirisa nadzo vanozivikanwa orthodontist. Kana zvakakodzera, murwere akadana kubvunzana uye rheumatologist, endocrinologist nezvimwe unyanzvi.

Nzira kurapwa

Kana zvikaonekwa TMJ nyonganyonga, matambudziko uye nzira dzokuagadzirisa nadzo, kurapwa kunobva mukuru audzwa:

• Kushandiswa zvokudya nyoro kuti hakurevi refu uye kwazvo dög. Zvaidiwa runyararo hurumende nokuda vadyi, haagoni kushamisa muromo wake.
• Dzvinya pamusoro kushanda zvinoratidza siyana, kutonhora - nokuti mukuderedza marwadzo, inodziya - kuderedza kusawirirana kwetsandanyama.
• Kugamuchira zvinodhaka anogumbura uye marwadzo.
• Kubviswa kunyanya compression kuburikidza kururamisa mazino ikaruma. Izvi zvinogona kuitwa pachishandiswa chaiyo acrylic magadzirirwo prostheses.
• Physiotherapy (electrophoresis, masaja).
• Kubviswa tsandanyama Makakatanwa (mabiko antispasmodics).
• Kana vanoshorwa weboka chirwere pashure kushandiswa nzira dzose nemabatiro kushandisa kuvhiyiwa. By yezvakaita chirwere chiremba uchagumisa kuti kuve - vadyi kururamiswa kana yokutsiva wakakwana.

Zviri nyore uye dzichimhanya kurapa TMJ nyonganyonga achiri Danho, saka usarera zviratidzo kuoneka. Mabatirwo yepamusoro siyana chirwere dzimwe nguva inogara kusvikira makore anoverengeka.

arthrosis

Osteoarthritis zvinokonzera chinopedza kuchinja vagari munyama. Akaratidza vachirwadziwa marwadzo, kuvapo extraneous ruzha apo chinofamba shaya kuzvidzora rayo mufambo kuomarara. arthrosis kurapwa kunosanganisira vachibatsira kuvhiyiwa (semuenzaniso, prosthetic), masaja, kuchirapa muviri, kurovedza kurapa. Advanced siyana chemajoini ari kubatwa oparesheni TMJ chete. Osteoarthritis, matambudziko uye nzira dzokuagadzirisa nadzo chokuita nacho, anofanira ukanyatsoongorora uye vanoyera-ortodond chiremba wemazino vasati kusarudza kuvhiya chinhu chokupedzisira.

The chirwere chinoremedza vakwegura, izvozvo anotambura hafu yevagari. At muduku zviri ishoma, kunyanya vakadzi. The kukonzera arthrosis anogona kuita kuvapo chisingaperi chearthritis, malocclusion, bruxism, kunotevera uye shaya kuvhiyiwa, mazino matanho vakabata kururama (kunaka ezvinhu kana prosthesis zvisimbiso), uyewo zvimwe zvinhu zvakawanda (kubereka vakadzi, kuvabereki kubatwa, etc.). Nokuti kudzivirira occlusion yakarumbidza kururamiswa nenguva kubviswa dzinogamuchidzanwa zvirwere vakabata prosthesis (kana zvimwe basa mazino) yakakwirira chete neboka mukoti.

chirwere chemumajoini

Arthritis - kuzvimba kwemajoini shwashwa zvingangoita atrophy. vanhu vakwegura vade vanotova dzinonzi rheumatoid arthritis vamwe mapfundo. Uyewo kukonzera yemajoini inogona kuita kunotevera, chirwere (zvakadai yokuSpain kana kuomesa ane chirwere tonsillitis), mazino zvirwere. Sembura zvinhu - chisingaperi zvirwere uye kuderedzwa kutapata. At tanga Danho yemajoini kunoitika pasina zviratidzo.

The chiratidzo chokutanga, pamberi iyo akatogadzwa zvakakodzera kutaura kuna chiremba - ndiwo chiveve repasi rushaya mangwanani. Shure naye pane dzimwe zviratidzo - vachirwadziwa (kana chenjera) marwadzo, extraneous ruzha apo anozunungusa rushaya (the crunch, Snap). Kana hosha yemajoini ndiyo mugumisiro yokukuvara, zvichava unooneka pakarepo pashure kukuvara edema uye kurwadziwa zvishoma nezvishoma anopararira pamutsipa, musoro, nzeve, rurimi.

Kana munhu kufungidzira pana TMJ arthritis, matambudziko avo mhinduro hwobva kukurukura nachiremba, kudzivirira pakuzadzisa chirwere. The huru musimboti ari kurapwa - kuona kwemajoini kutadza kufamba, kugadzirira shaya nokuda muchipfuramabwe bhandeji. Arthritis upi etiology varayire anabolic steroids. kutapuriranwa kurapwa hazvibviri pasina nemishonga inorwisa mabhakitiriya uye immunnostimulyatorov. Dzechimwe chearthritis, bvisa mumatenhere uye kumisa kufamba kweropa.

dysfunction

Usava kushanda temporomandibular muhudyu inonzi temporomandibular kwemajoini dysfunction. chirwere ichi pamwe chete nekudzvanya ruzha apo shaya dzayo nokukiya munguva pfupi. Other kufanana dysfunction zviratidzo - marwadzo munzeve, ziso nharaunda, shaya (panguva kutsenga kana yawning) uye tsandanyama dzechiso, kuchinja kuruma, uye nomusoro. Mushure iwe kurukura nachiremba wako akazviratidza aine TMJ matambudziko uye nzira dzokuagadzirisa nadzo, dysfunction zvinogona kugadziriswa neimwe nzira, iyo ichange varumbidze nyanzvi. Zvinotevera marapirwo zviripo:

• Vanotarisira zvinodhaka, achibvisa tsandanyama spasm, marwadzo mhondi Anti-anogumbura vamiririri;
• occlusion kuchinja nokushandisa chaiyo design, pakubvisa nokugeda-geda mazino avo dzikawanda abrasion;
• kuitisa mupfungwa kurapa kuderedza kuzvidya mwoyo uye tsandanyama kutandara;
• kana ndakarumbidzwa chiremba kurapa vakatadza, kuvhiya rinoitwa pamusoro pejoinhi.

luxation

Dislocation of temporomandibular kwemajoini - kusuduruka ichi zvose mafupa ake, vachivhiringidza chakaipa nokushanda kwenhengo shaya. Ko chenjera (zvinorwadza) uye vanongogara siyana. Dzechimwe dislocation kunoitika maererano kwechirwere rezasi shaya, zino dzokubudisa uye prosthetic kana kunyange panguva kutsenga, yawning kana kuchema. Ziendamberi dislocation zvauya kubva fragility kuti ukama articular midziyo, anatomical mamiriro ayo. Hazvibviri vakazvimirira kugadzirisa kunobva TMJ matambudziko. Uye chisarudzo panyaya iyi inofanira kutora chiremba. Treatment rinoitwa nokusanyanya rushaya kufamba vachishandisa orthodontic mudziyo. Kana zvakakodzera, shandisa physiotherapy uye Anti-anogumbura zvinodhaka.