Ukulahleka kokuzwa kwe-TMJ akukwazi kangcono kunezinye izimpawu ezihlobene ne-TMJ, njengobuhlungu bomhlathi , ukunyakaza komhlathi okulinganiselwe, kanye no-"ukuchofoza" komhlathi noma ezinye izingoma. Kodwa uma kwenzeka kuwe noma othile omkhathalelayo, uzofuna ukulungele ukukhuluma ngakho.
"I-TMJ" ifushane ukuhlanganiswa kwe-temporomandibular. Uma kuziwa ekuxoxiseni izinkinga ezingabangela, odokotela nabacwaningi ngokuvamile bathi, " Izinkinga ze-TMJ ." Nokho, "i-TMJ" isetshenziselwa yedwa yedwa, njengoba lapha, ukusho into efanayo.
Ezinye izimpawu ze-TMJ zihlanganisa i-earache , tinnitus (ukuzwa imisindo engenamthombo), ukugcwala kwendlebe, nokuzwakalisa (ukuzwa okuhamba phambili nokulahlekelwa ibhalansi).
I-Mandible Yakho Ephawulekayo (I-Lower Jaw)
I-mandible yakho, noma umhlathi ophansi, iyithambo elikhulu nelinamandla ebusweni bakho. Kuhamba kokubili phezulu nangaphansi futhi uhlangothini ohlangothini njengoba uvula futhi uvale umlomo wakho uphinde ufune ukudla kwakho. Ihlanganiswe ne-skull yakho nganoma yiluphi uhlangothi ngamalungu akho we-temporomandibular. Umhlathi wakho ongaphezulu, noma i-maxilla, awuhambisani.
I-Temporomandibular Joint Disc (i-TMJ Disc): Isici esibalulekile sokwethenjelwa kwakho, sakhiwe nge-cartilage ehlanganisiwe (efana ne-cartilage yezindlebe zakho) futhi ibekwe phakathi kwamathambo amabili abambe iqhaza. Le diski encane ihlukanisa izingxenye ezimbili zibe izingxenye ezimbili futhi yenza amandla akho asebenze kalula uma ukhuluma noma uhlafuna.
Imisipha-Ukunyakaza Okubalulekile: Lezi zihlanganisa imisipha ephakathi kwe-pterygoid ne- lateral pterygoid , esiza ukuvula umlomo wakho, nemisipha ye- masseter kanye ne- temporalis , eyokusiza ukuyivala.
(I-muscle lateral pterygoid iyasiza futhi ngokuhambisa i-mandible yakho ukusuka kolunye uhlangothi.)
Manje njengoba usukwazi ukugunyazwa kwakho okuphawulekayo, ake sibheke ukuthi kwenzekani kulokho okungaholela ekulahlekelweni kokuzwa kwe-TMJ.
Yini eyenza TMJ?
I-TMJ iyiqoqo lezinkinga zemisipha yegazi, njengoba ubonile, kungabangela izimpawu ezihlukahlukene ezihlanganisa ukulahlekelwa kokuzwa.
Ayikho imbangela ethile ye-TMJ ekhonjiwe. Kodwa-ke, abacwaningi ngokuvamile bakholelwa ukuthi i-TMJ ihlobene nezici ezihlukahlukene ezihlanganisa ubudala, ubulili, ukucindezeleka, nobuntu.
Kungenzeka ukuthi inkinga enkulu nge-TMJ ukulahlekelwa kwezwayo ukuthola ukuxilongwa okufanele. Njengoba izinto eziningi zingabangela ukulahlekelwa ukuzwa, futhi abantu bavame ukucabanga ngezinkinga zezindlebe kuqala, kungathatha isikhathi sokuba i-TMJ ihlonzwe iphindwe.
Kwenzekani ku-TMJ Ukuzwa Ukulahlekelwa?
Njengoba nje imbangela ye-TMJ ihlala ingaziwa, ngakho-ke inqubo ye-TMJ yokulahlekelwa kokuzwa. Noma kunjalo, kukhona ukuxhumana okuqondile phakathi kokuhlanganyela kwakho kwe-temporomandibular nendlebe yakho ephakathi. Ngokusekelwe kulokhu, kunezinkolelo ezine eziyinhloko mayelana nokuthi kungani i-TMJ nokulahlekelwa kwezindlebe kungahlobene:
- I-disc ye-TMJ ingase iphume ukulungiswa, ikhuphuke ingcindezi kwizinzwa ze-TMJ, ikakhulukazi, emgodini wakho we-Eustachian, ohlanganisa umlomo wakho kanye namadayimenti akho nge-tube yakho yokudla (tube tube). Lokhu kungaholela ekuvimbeleni ithubhu ye-Eustachian, engabangela ukulahlekelwa kokuzwa.
- Ukususwa kwe-disc ye-TMJ kungase kubangele ukuvuvukala emgwaqweni kusukela ekuhlanganyeleni kwe-temporomandibular endlebeni yakho, ukuvimbela ithoni ye-Eustachian nokuholela ekulahlekelweni kokuzwa futhi, mhlawumbe, i-ear ear, tinnitus, ne- vertigo .
- Ithiyori yesithathu ibonisa ukuthi ukungasebenzi phakathi kwemisipha kanye nezinzwa zokuhlakulela nokuzwa kwakho kungaholela ezinkingeni zokugcina ithoni yakho ye-Eustachian evulekile-nokuzwa ukulahlekelwa.
- Ithiyori yesine iqondisa ngokuqondile, ehlinzeka ukuthi kungenzeka ukuthi ukukhathazeka kwengqondo kungaba yimbangela yezinkinga ezithile ze-TMJ, ukulahleka kokuzwa phakathi kwabo.
Ngenhlanhla, ukulahlekelwa kwe-TMJ ukuzwa ukuvame ukuguqulwa ngemithi eklanyelwe ukunciphisa uhlobo lwenkinga ye-TMJ onayo.
> Imithombo:
> Kitsoulis P, uMarini A, Iliou K, et al. "Izimpawu zezinkinga ezihlangene ze-temporomandibular ezihlobene nokuvulwa komlomo nokulahlekelwa kokuzwa." I- BMC Indlebe Yezintambo Ukuphazamiseka Kwezitho. 2011; 11: 5.
> Dalla-Bona D, uShackleton T, Clark G, uRam S. "Ukugcwala kwezindlebe zomuntu kanye nokulahlekelwa kwezwa okwesikhashana okutholakala futhi kulawulwe ngempumelelo njengengxabano ye-temporomandibular: umbiko wecala. J Am Dent Assoc. 2015; 146 (3): 192-194.
> Pekkan G, Aksoy S, Hekimoglu C, Ohghan F. "Ukuqhathaniswa kwe-audiometric ukuhlolwa kweziguli ze-temporomandibular eziphazamisekile." J Craniomaxillofac Surg. 2010; 38 (3): 231-234.
> Axelsson R, Tullberg M, Ernberg M, Hedenberg-Magnusson B. "Izimpawu nezibonakaliso zezifo ze-temporomandibular ezigulini ezilahlekelwe ukuzwa okungazelelwe. I-Swed Dent J. 2009; 33 (3): 115-123.
> Tuz HH, Onder EM, Kisnisci RS. "Ukwanda kwezikhalazo ze-otologic kuziguli ezine-temporomandibular disorder." Am J Orthod Dentofac Orthop. 2003; 123 (6): 620-623.
> Riga M, Xenellis J, > Peraki > E, et al. Izimpawu ze-Aural ezigulini ezinezinkinga ezihlangene ze-temporomandibular: ama-tympanomethri amaningi anikezela ubufakazi obucacile bokushintsha kwe- impedance yezindlebe eziphakathi. "I- Otol Neurotol. 2010; 31 (9): 1359-1364.
> "Ukukhathazeka kwe-TMJ." Isikhungo sikazwelonke sezokwelapha zamazinyo kanye ne-Craniofacial Research, amaNational Institutes of Health (2013).
> "Ukulimala kwamaqabunga nezinkinga." I-US National Library of Medicine-MedlinePlus (2016).