Kodi kuwongola nsagwada yekha: malongosoledwe a njira ndi ayamikira

M'munsi nsagwada wa munthu yekha kusuntha mbali ya Chibade cha. kwambiri yopingasa ndi ofukula sayenda ake, komanso mawonekedwe horseshoe kophweka litsatira kutafuna ntchito. Koma ndendende chifukwa cha matabwa ake sizachilendo chodabwitsa subluxation ndi dislocation cha pachibwano. Kodi kuwongola olowa mmbuyo ndi chifukwa cha zimene kuchepetsa kumachitika?

Taonani zitsanzo

mapindikidwe Articular bwino zimayamba ndi khunyu, misempha, encephalopathy, nyamakazi kapena osteomyelitis. The kuchepetsa zidzachitika kayendedwe mwadzidzidzi, ngati munthu Mitsemphayi ali wofooka, ndi kumwetsa pakamwa kutsegula (yawn amphamvu, kulira, kuseka), kuwongola ndi fossa glenoid (zambiri ndi kobadwa nako chosayenerera) ndipo, ndithudi, chifukwa kuvulala makina. Zimayambitsa monga kupezeka kwa anthu a matenda wamba zimfundo ndi kuyan'anila zotheka nyumba nsagwada (mwachitsanzo, kuchotsedwa mano kapena zambiri), mitundu yonse ya pathologies, n'zothandiza zikamera wa khunyu, osasamba chakudya wambiri (waukulu kwambiri ndi olimba zidutswa).

Mosiyana dislocation ndi subluxation

Kuti muganize momwe kuwongola chibwano, m'pofunika kudziwa kusiyana kwa subluxation ku dislocation. Nsagwada m'munsi ali olowa temporomandibular. dislocation ake (subluxation) limapezeka mu nkhani ya imfa ya mutu wa anzake a pachibwano. Ndi kubwereza zochitika ngati otsimikiza kuti adzakhala mosalekeza. Subluxation, mosiyana dislocation ndi, si kofunika kusamutsidwa ndi kuonongeka kochepa Mitsemphayi ndi minofu m'dera lino. Kawirikawiri zimakhudza mphamvu kuposa mphamvu ya Mitsemphayi, chifukwa mu kusamuka kwa pachibwano. M'kupita kwa nthawi, Mitsemphayi kufooketsa onse zochepa mphamvu chofunika kubala choipa, choncho, pafupipafupi zinthu zimenezi upitirirabe kufala.

zizindikiro

Ngati pali munthu ndi choipa zimenezi, m'pofunika kudziwa mmene kuwongola nsagwada ndi vutolo mwamsanga. Zizindikiro za m'mapapo subluxation si yowala kwambiri, koma kubweretsa kusapeza wokongola amphamvu. Zizindikiro zazikulu za dislocation maonekedwe akuoneka kusintha occlusion, pamaso pa ululu nsagwada m'munsi, anachitazi wa kutsegula ndi kutseka pakamwa. Subluxation zimayambitsa kuwawa kotero, munthu akhoza ngakhale kulankhula, kugwiritsa ntchito chibwano kayendedwe, koma pa nthawi yomweyo kumva kudina khalidwe. Mu subluxation akale sindikuganiza mmene kuwongola nsagwada nokha, ndipo ndi bwino kukaonana ndi katswiri, chifukwa mu malo zachilendo kwa nthawi yaitali ndi zinthu zitha wavulala.

Hippocratic njira

Koma nthawi zambiri ndi kuvulala ofanana akhoza bwinobwino popanda mankhwala oletsa ululu mwamsanga kukonza nsagwada ntchafu. Monga pokhala kuwongola mafupa, anadziwa Hippocrates, wa dzina lomwelo limene ambiri ntchito lero. Pofuna kuchita izi bwino, muyenera mosamalitsa kutsatira malangizo pansipa:

• likundikanikizira ayenera kukulunga gauze zofewa kapena chopukutira woonda;
• manja adzalandira kuti likundikanikizira ali pa mano kutafuna anakhudzidwa ndi mwakuya mu ngodya m'kamwa mwake. zala zina atathana mmunsi mwa pachibwano;
• kuwayika chala dzanja lamanja, pang'onopang'ono anayamba kudzikanikizira pa likundikanikizira thandizo pansi ndi kupumula motero (pansi nsagwada oyenerera) m'mwamba;
• ndiye tikudzipereka gululi ndi mphambu, muzichita pitani zimene zikusonyeza bwinobwino mpheto.

zotsatira zotheka

Muganize momwe kuwongola nsagwada yekha, ndi bwino kuganizira mfundo yakuti ambiri odwala pa nthawi imene Baibulo la nsagwada olowa atseka involuntarily ndondomeko. Ndipo ngati inu sizipanga mu nthawi kuchotsa zala zanu, ndipo mukhoza kupeza latsopano kuvulala kwambiri. Onse cha zimene zotsatira mu temporomandibular nsagwada olowa mwakale, koma nthawi zina si ngakhale ofunika kuganiza za momwe kuwongola nsagwada kunyumba.

zizindikiro zina

Kuwonjezera kusintha kuluma, amavutika kutseka pakamwa ndi ululu, pali mbali zina, sizikuchitika konse, koma yaikulu kwambiri. Zikuphatikizapo kutupa m'dera submandibular, magazi mkamwa, salivation amphamvu, kutchulidwa ululu limeneli, buluu mu nkhope, kulephera kuchotsa katchulidwe ka mawu kapena kusowa wathunthu wa kulankhula. Zikatero, kuganizira mmene kuwongola nsagwada yokha Sikuti. Ngati ululu ndi mphamvu kwambiri, tiyenera kuchepetsa ndi dislocation posachedwapa. Zizindikiro Komanso pali kuphwanya kugwira ntchito zithunzi, kuchuluka magazi ndi matenda kutsitsimuka. Ululu kubwera pansi chifukwa vasospasm, ndipo chotero, anoxia. Tiyenera kukumbukira kuti kuwala mankhwala olakwika subluxation ndi mosavuta kwasanduka dislocation lalikulu. Zikatero, chinthu chachikulu si angathe kupereka thandizo kwa wozunzidwayo, komanso kupeza chifukwa cha zifukwa. Izi tichotse vutoli m'tsogolo.

Amene angathe kuthandiza Zikatero

Kodi kuwongola nsagwada mu zoterezi? Ndi bwino kupita kwa mano-opaleshoni. Inu angatanthauze opaleshoni nkhope. Ngati iwo palibe pafupi, amathandiza opaleshoni ochiritsira kapena kupwetekedwa mtima.

Pa muyike pena munthu nsagwada olowa chithandizo ikutha. Pofuna kupewa muyambirenso kumapeto kwa sabata chachiwiri n'kofunika zoika bandeji wapadera. Pa nthawi, adzakhala ndi kukana kuvomereza chakudya chotafuna.

choyamba-chithandizo

Ngati ndi kuvulala, ngozi kapena chochitika ena, palibe amene amadziwa mmene kuwongola nsagwada ayenera bwino kukonza mu malo amodzi, ndi modekha kubweretsa wozunzidwayo malo apafupi zachipatala. Pano, wodwala adzatenga mwatsatanetsatane kafukufuku chathunthu mmene zinthu zonse zitheka zoipa. Izi ndi zofunika kwambiri yake malangizo chithandizo ndi kuchira othamanga. Si lilibe, ndipo opaleshoni.

Mu dislocation akale, onse pachibwano bwino, nayenso, zochimwazo kumathetsa dokotala. Childs, vutoli likuchotsedwa ndi yopanga. matayala awa (zochotseka kapena osakhala zochotseka) asagwiritse nsagwada mothamanga. Iwo saloledwa kusuntha mpaka mitsempha ndi sanabwerere mawonekedwe mwake ndi kukhala lalifupi. Ndi chipangizo iyi wodwalayo kupita kwa masabata atatu kuti mwezi umodzi. Msanga achire kungabweretse khalidweli, nsagwada kudzalimbikitsa mmbuyo ndi kutuluka m'dzenje linalake mwakanthawi. Ndine kuganizira zina zimene mungachite - ndi recess wa fossa wosakhalitsa, koma kunapezeka kuti adzakhala opanda mphamvu, ndi ntchito amenewa anasiya ndalama.

Pambuyo kuchepetsa dislocation kwa masiku angapo ali kutupa ndi soreness. Lichotse kusapeza mungathe kugwiritsa ntchito mankhwala othetsa ululu sanali steroidal. Mankhwalawa sayenera kugwiritsidwa ntchito kwa masiku opitirira awiri, monga iwo kuukira m'mimba ndi malo m'mimba. Ngati wodwala akudwala gastritis erosive kapena chironda chachikulu, analgesic bwino m'malo mwa dzanzi. Ngati chifukwa cha dislocation ndi kapangidwe molakwika dentition, adzakhala kuthandiza mano. Ndi thandizo la prosthesis zofunika iye kukonza kuluma, anapereka nsalu wapadera ndi zipangizo za mafupa. Kuvuta kwa zinthu kumadalira yaitali bwanji chithandizo adzakhala. Mulimonsemo, tidzapeza zotsatira zabwino, ndi bwino maonekedwe a wodwalayo.