3 kungabangela izifo ezihlangene ze-temporomandibular
I-Temporomandibular disorder (TMD) ingaba ngomlomo, kodwa imane imelela ubuhlungu, ukuqina, nezinye izimpawu ezithinta umhlathi, noma i-temporomandibular joint (TMJ). Esinye sezimbangela ezivame kakhulu ze-TMD yi-arthritis-izimo ezifanayo zezimo eziyekezelayo ezithinta amanye amalunga, afana namadolo, izinqulu, neminwe.
Ngokuvamile, uhlobo lwe-arthritis ngemuva kwe-TMD yi- osteoarthritis , kodwa kunezinye futhi, kubandakanya i- arthritis ye-rheumatoid kanye ne- spondyloarthropathies , njenge-spondylitis e-ankylosing.
Nasi ukubuka konke okufakiwe.
I-osteoarthritis
I-osteoarthritis ivame ukuqhubeka ngokuhamba kwesikhathi ngenxa yokugqoka nokudabuka okubangela ukuba amathambo nezicubu ezincane ziphule. Ngaphandle kobuhlungu, i-osteoarthritis ingabangela umsindo we-crunching owaziwa ngokuthi yi- crepitus ekuhambeni okuhlangene nokulinganiselwe kokunyakaza, okwenze kube nzima "ukuvula kabanzi." Lokhu kwenzeka kakhulu kubantu asebekhulile, ngokwe-American Academy of Orofacial Pain (AAOP).
Ngokuvamile, i-osteoarthritis yokuhlanganiswa kwe-temporomandibular ayihambisani, okusho ukuthi uhlangothi lwesbuso luyathinteka.
Ukuze kutholakale i-TMD esekelwe e-osteoarthritis udokotela uzothatha umlando wezokwelapha, ucabange izimpawu ezithile, mhlawumbe enze i-MRI noma asebenzise enye indlela yokucabanga. Ukwelapha ngokuvamile kuhlanganisa izidakamizwa eziphikisana nezidakamizwa (anti-inflammatory drugs) (NSAIDs) , kanye nokushisa, ukudla okunomsoco, ukukhawulela kufaka izicelo zokushisa, ukudla okunomsoco, ukunciphisa ukuhamba komhlathi, noma umshini wokuluma. Uma lezi zinyathelo zingenzi ukukhululeka, ngezinye izikhathi kudingeka ukuhlinzwa.
I-rheumatoid Arthritis
Nakuba umhlathi awusiwo owokuqala wamajoyina abathintekayo yi-rheumatoid arthritis (RA), uhlobo lwezinhlungu ezihlanganyelwe ezibangelwa izinkinga zesistimu yomzimba, ngaphezu kwengxenye yabo bonke abantu abane-RA abavuthayo abanomunyo womhlathi. I-TMD eyabangelwa yilolu hlobo lwe-arthritis luvame ukuthinta izinhlangothi zombili zobuso futhi lidale ukuvuvukala, ububele, nokuhamba okulinganiselwe kwemihlathi.
Lezi zimpawu zivame ukuza futhi zihambe, ngobunzima nobuhlungu buvame kakhulu ekuseni.
Ngaphandle kwezimpawu nemlando wezokwelapha, ukuxilongwa kwe-RA njengesizathu sobuhlungu obuhlangene kuhilela ukuhlolwa kwe-imaging nokuhlolwa kwegazi, futhi ukwelashwa kufana nanoma yisiphi isisindo esithintekayo isifo samathambo: izidakamizwa ezilwa nokuvuvukala nezidakamizwa eziguqula izifo (DMARD) , kanye nokuzivocavoca ukuvimbela ukulahlekelwa kokunyakaza emhlathini. Ngezinye izikhathi ukuhlinzwa kuyadingeka.
Spondyloarthropathies
I-Spondyloarthropathies yizinhlobo ze-arthritis ezibandakanya izindawo lapho izigulane nezintambo zihambelana namathambo. Enye yalezi zi- spondylitis ezingenayo i- ankylosing , ezithinta ngemuva nangentamo futhi zingabangela ubuhlungu nokunyakaza komhlathi okulinganiselwe.
Enye i- arthritis ye- psoriatic , enezibonakaliso ezilingisa lezo zifo zamathambo e-rheumatoid. Kukhona ubuhlungu obufanayo, ububele, ukulinganisa okulinganiselwe, kanye ne-crepitus, nakuba kuvame ukuba nomhlathi owodwa kuphela. I-arthritis esebenzayo yokuhlanganiswa kwe-temporomandibular yindlela yesithathu ye-os spondyloarthropathy ehlobene ne-TMD. Amadoda angaphezu kwabesifazane ukuthuthukisa i-arthritis esebenzayo, ebangela ubuhlungu, ukuvuvukala, nokuhamba okulinganiselwe kokuhamba komhlathi. Ngenxa yokuthi kubangelwa ukutheleleka, i-antibiotic ivame ukuyingxenye yokwelapha.
Imithombo:
I-American Academy of Orofacial Pain. "Izimo ezihlangene ze-Temporomandibular Joint Disorders." 2014.