Sejo se nang le temporomandibular (TMJ) ke motsoako o kopanyang mohlahare oa hao lehata. Kopano ena e ka pel'a litsebe; u ka e fumana habonolo ka ho bula le ho koala molomo oa hau le ho ikutloa o kopane le menoana ea hau. Selekane sena se fapana le manonyeletso a mangata, ka hore se bitsoa motsoako oa diarthrotic . Motsoako ona o na le manonyeletso a mabeli a sebetsang ka bomong; tabeng ena le kopane e letšehali le e nepahetseng ea tumello.
Ha ho e-na le bothata ba ho kopana, mesifa kapa li-ligam tse potolohileng motsoako ona, boemo bo atisa ho bitsoa boloetse ba TMJ kapa TMJ. TMJ e hlile e bua ka boloetse bo kopanetsoeng le temporomandibular (TMD) e nepahetse haholo bakeng sa ho se sebetse hofe ho amanang le mosebetsi oa TMJ. Ho boloka lentsoe lena le tsitsitse mme ha le ferekane mang kapa mang, re tla bua ka TMD e le taolo ea TMJ .
Matšoao
- bohloko ba sefahleho
- bohloko ha e ntse e hlafuna
- ho penya kapa ho tobetsa mohlahare
- hlooho ea hlooho
- litsebe
- ho thata ho bula le ho koala molomo
- meta e koetsoeng
- bohloko le boithati bo akaretsang ho pota-potiloe
- tinnitus
- pale ea ho robala hampe kapa lefu la ho robala
Lintho Tse Kotsing
Mathata a TMJ a atile haholo ho basali ho feta banna, 'me a tloaelehile ho batho ba tšoeu ho feta ba Afrika-Maamerika. Mathata a mang kapa maemo a amanang le TMJ a kenyelletsa:
- ramatiki ea ramatiki
- maloetse a kopantsoeng
- ho tšoenyeha kapa mathata a mang a kelello a lebisang mokhoeng o sa foleng oa ho qhibiliha kapa meno a sila
- dental malocclusion
- puo ea tie (ankylosis)
- bruxism
- lisebelisoa tse ling tsa tsoalo
Lisosa
Qalong e ne e nahana hore mathata a TMJ a ne a bakoa ke ho hlophisoa hampe ha meno a ka holimo le a tlase. Ha sena se ntse se e-na le karolo ho bakang mathata a TMJ, ho na le lintlha tse ling tse ngata tse ka bakang lefu lena le bohloko le kenyeletsang:
- ho tšoaroa ke sehlōhō kapa motsoako
- ho tšoenyeha, khatello ea kelello kapa ho tepella maikutlong
- boemo ba hlooho le molala
- ho tsikitlanya meno
- ho hlafuna gum (ha ho feteletseng)
Tsejoa
Mathata a TMJ a atisa ho fumanoa ke otolaryngologist (ENT). Batho ba bangata ba batla thuso ea ENT hobane bohloko ba mohlahare bo ba lebisa ho lumela hore ba na le tšoaetso ea tsebe . Ngaka e tla etsa tlhahlobo ea 'mele, e ka kenyelletsang ho sheba ka har'a molomo oa hau bakeng sa matšoao a ho apara meno ho tloha ho sila le ho koala; ho hlahloba mesifa ea molala bakeng sa li-spasms; le matšoao a lerato le kopanetsoeng. Ngaka e ka boela ea lekanya hore na u khona ho bula molomo ho isa bohōleng bofe. Ka linako tse ling, ngaka ea hau e tla batla kopo ea CT kapa ea MRI e le hore e sheba hantle tšenyo leha e le efe e kopaneng.
Phekolo
Kalafo e itšetlehile ka boima ba lefu lena. Bakeng sa linyeoe tse nyane, leqhoa le phomolo e ka 'na ea e-ba bethe e ntle ka ho fetisisa, hammoho le ho fokotsa bohloko bo holimo ho feta tse kang ibuprofen le acetaminophen. Batho ba nang le bothata ba TMJ ba lokela ho qoba ho hlafuna meno, ho tsikitlanya meno 'me ba kene mokhohla oa bona. Ka linako tse ling molebeli oa loma a ka thusa ka sena.
Mekhoa ea ho phomola bonyane metsotso e 30 ka letsatsi e ka thusa. Batho ba bang ba ka 'na ba rua molemo kalafo ea meriana, mesifa ea phomolo, li-steroid, ho ferekanngoa ha meriana le kalafo ea mahlaseli.
Haeba matšoao a ntse a tsoela pele ka mor'a meriana e mabifi e khahlanong le ho ruruha le mekhoa e meng e 'nile ea lekoa, phekolo ea occlusal e ka boela ea lekoa. Tlhahlobo ea Occlusal e ikemiseditse ho sireletsa lera le ho thibela ho koala le ho sila ho matla ho ka senya meno. Ho fumana hore na ena ke khetho, o lokela ho buisana le ngaka ea meno.
Maemong a maholo a ho buuoa ho ka 'na ha hlokahala. Leha ho le joalo, ho buuoa feela ho ke ke ha rarolla mathata a TMJ ntle le hore u kopanele phekolo pele le ka morao ho buuoa.
Lisebelisoa:
Univesithi ea Amerika ea Otolaryngology ea Hlooho le ea Neck Surgery. TMJ. E fihletsoe: la 5 November, 2015 ho tloha ho http://www.entnet.org/content/tmj.
Goldenberg, David; Goldstein, Bradley J. Handbook ea Otolaryngology Hlooho le ho Phala ha Mokho. 2011. p 73-77.
Medline Plus. Mathata a TMJ. E fihletsoe: la 21 December, 2011 ho tsoa ho http://www.nlm.nih.gov/medlineplus/ency/article/001227.htm.
Rotter, BE. (2015). Cummings Otolaryngology: Matšoao a Kopaneng a Machaba. E fihliloe ka la 14 August, 2016 ho tloha ho http://www.clinicalkey.com (Ho ngolisoa hoa hlokahala)
Scrivani, SJ & Mehta, NR (2015). Temoromandibular e na le mathata ho batho ba baholo. E fihliloe ka la 5 November, 2015 ho tsoa ho http://www.uptodate.com.