Uma ucabanga ukuthi ukukhiya impela kuyi-tetanus, uzoba nomqondo ofanayo ongafani nabantu abaningi. I-Lockjaw empeleni iyisimanga se-tetanus, njengoba ibizo lenye yezimpawu ezingase zenzeke uma uthola itetanus. Igama langempela le-lockjaw li- trismus , futhi lihlotshaniswa nezinhlobonhlobo zezindaba zezempilo ezihlobene nenhloko nentamo.
Yini i-Lockjaw?
I-Lockjaw ibhekisela esimweni sokuthola ubunzima bokuvula umlomo wakho ngenxa ye-spasms emisipha oyisebenzisayo yokuhlafuna (ukumbumbulula). Kungenzeka ukuthi uvula umlomo wakho endaweni ethile phakathi kuka-40-60 mm noma 1.5 kuya ku-2.3 amasentimitha. Ngenkathi ibanga ovule umlomo wakho akwanele ukuxilonga i-lockjaw, uma uhlangabezana ne-lockjaw, ungakwazi kuphela ukuvula umlomo wakho ngaphansi kwe-35 mm (1.4 amasentimitha).
Indlela enhle yokubheka ukuvulwa komlomo okuvinjiwe ukuzama ukuhlolwa kweminwe emithathu.
- Beka inkomba yakho, ephakathi, bese ushaya umunwe wakho ndawonye.
- Vula iminwe yakho emithathu ukuze iqonde
- Zama ukubeka iminwe yakho emithathu phakathi kwamazinyo akho angaphambili.
Uma iminwe yakho ifanelana phakathi kwamazinyo akho angaphambili kahle, cishe awudingi ukukhathazeka nge-trismus.
Yeka ukuthi i-Lockjaw evamile kangakanani?
Ngokugonywa, isifo se-tetanus sehlile, futhi e-United States kusukela ngo-2001 kuya ku-2008, kwakukhona amacala angu-233 abikiwe kuphela.
Nakuba kungavamile, i-lockjaw yisifo esivame ukutholakala uma une-tetanus.
Kodwa-ke, uma usuphethwe umdlavuza wekhanda nentamo (ukuhlinzwa noma imisebe) usukuma ithuba elingama-5 ukuya kwangu-38 ithuba lokuthuthukisa i-lockjaw. Amasu athuthukisiwe kokubili kwezokwelapha kanye nokwelashwa kwamafutha asiza ekuthuthukiseni izimo ze lockjaw.
Izimpikiswano ze-Temporomandibular Joint (TMJ) zingabuye zenze ukuthi kube ngamaphesenti angama-86 amacala.
Ezinye Izimpawu Ezihlobene ne-Lockjaw
Ngenkathi isibonakaliso esivame kakhulu esihlobene nokukhiya ukungakwazi ukuvula umlomo wakho ngokugcwele, kunezinye izimpawu eziningi ezihambisana nesimo. Lokhu kufaka:
- i-xerostomia (umlomo owomile)
- mucositis
- ikhanda
- ubuhlungu bomhlathi
- indlebe ache
- kunzima kokuzwa
- izinkinga zokukhuluma
- ukugwinya ubunzima
- izinkinga zamazinyo ezihlobene nokuhlanzeka
- ukungondleki okuhambisana nokugula okunzima
Ukwelashwa kwe-Lockjaw
Ukwelashwa kwangasese kubaluleke kakhulu uma uhlangabezana ne-lockjaw. Ukwelashwa kokuhlehlisa kungabangela izinkontileka ezinamaqenqemeni aqinile nezinyathelo ezingasebenzi kahle. Izindlela zokwelapha ezivamile zihlanganisa ukwelapha kwamazinyo, ukwelashwa ngokomzimba, amathuluzi noma amadivayisi ukusiza ekuhambeni kokuhamba. Uma uhlangabezana nobunzima ukukhuluma noma ukugwinya, kufanele futhi ube nokwelashwa kwenkulumo .
Imithi ejwayelekile kakhulu futhi ephumelelayo ye-lockjaw amathuluzi noma amadivayisi akusiza ekuthuthukiseni ukuhamba kokuhamba. Lezi zingahle zivele ngokusebenzisa iminwe yakho ukusiza ekuvuleleni umlomo wakho kumadivayisi aqhubeka evula futhi avalile umhlathi wakho ngokuvumelana nemingcele ongayifaka.
Ukuvula ngesandla nokuvala umlomo wakho usebenzisa iminwe yakho indlela engcono kakhulu yokuphatha i-lockjaw.
Imishini yokuqhubeka yesikhashana (CPM) iyona ebiza kakhulu kumadivayisi. Le mishini ihleleke ukusebenza ngaphakathi kobubanzi obucacisayo. Kunconywa ukuba usebenzise le mishini amahora angu-4-6 ngosuku ngamaviki angu-4-6, njengoba kunqunywa udokotela wakho noma uchwepheshe wezempilo.
Ithuluzi elingabizi kakhulu lingumcindezeli wolimi. Ungakwazi ukufaka ulimi lwama-depressor blades olubekwe phezulu phezu komunye nomunye kuze kube yilapho ululalwa ngokukhululekile. Kancane kancane ungathuthukisa inani lezilimi ezicindezelayo ozisebenzisayo ukuze uzuze.
Nakuba le ndlela ibhekwa "izifundo zakudala" ziqhubeka zibonisa ukuthi inezinzuzo ngaphezu kwezinye izindlela.
Indlela ebonakala inokusekelwa okuhle kakhulu iTheraBite. Ngenkathi isabalulekile (cishe u-$ 400- $ 600), kuye kwaboniswa ukuthuthukisa ukuvulwa komlomo ngo-1-1.5mm ngesonto kuze kube cishe cishe ngu-10mm. Umkhuba ovamile neTheraBite ukuvula nokuvala umlomo izikhathi eziyisikhombisa, ubambe imizuzwana eyisikhombisa. Lezi zivivinyo ziphindwe kasikhombisa ngosuku ngamasonto ayishumi. Lokhu kubizwa ngokuthi yi-7-7-7 protocol.
Kubalulekile ukuthi ungalokothi uqhube ukuzivivinya ubuhlungu, ukwelula kuze kube yilapho ubuhlungu bubuhlungu ekukhiqizeni i-lockjaw.
Imithombo:
I-Bensadoun, i-RJ, i-Riesenbeck, i-D., i-Lockhart, i-PB, i-Elting, i-LS, i-Spijkervet, i- FKL Brennan, i-MT (2010). Ukubuyekezwa okuhlelekile kwe-trismus okubangelwa izifo zokwelashwa ezigulini zomdlavuza wekhanda nentamo. Care Cancer 18: 1033-1038. I-DOI 10.1007 / s00520-010-0847-4
Amasevisi Okulawula Nokuvimbela Izifo. (2011). Ukubhekwa kwe-Tetanus --- United States, 2001--2008. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6012a1.htm.
Kamstra, JI, Roodenburg, JLN, Beurskens, CHG, Reintsema, H. & Dijkstra, PU (2013). Izindlela zeTheraBite zokwelapha i-trismus yesibili kuya kumdlavuza wesihloko nentamo. Care Cancer ukwesekwa. 21 (4): 951-957. i-doi: 10.1007 / s00520-012-1610-9
I-Walker, i-M & Burns, K. (2006). I-Trismus: Ukucutshungulwa Nokuphathwa Kwezingxoxo ze-Pathologist Yokukhuluma. http://www.asha.org/events/convention/handouts/2006/1200_walker_melissa/