He aha ka mea e manaʻo ai mai ka hana ʻoki TMJ

Anter

• Hiki iā ʻoe ke hoʻohana i ke ʻoki kino e mālama iā TMJ?
• ʻO wai ka moho maikaʻi no ke kahakaha TMJ?
• He aha nā ʻano o ke ʻoki TMJ?
• ʻO Arthrocentesis
• ʻO Arthroscopy
• ʻOki kino hui pū
• He aha ke ʻano o ka hoʻōla?
• He aha nā pilikia kūpono mai ke kahakaha ʻo TMJ?
• E hoʻi paha kaʻeha TMJ inā ua ʻoki au iaʻu?
• He aha kaʻu e nīnau aku ai i kaʻu kauka?
• Lawe aku

Hiki iā ʻoe ke hoʻohana i ke ʻoki kino e mālama iā TMJ?

ʻO ka hui temporomandibular (TMJ) kahi ami like me ke ʻeke kahi e hui ai kou iwi a iwi. ʻAe ka TMJ i kou iwi ā e lele i luna a i lalo, e ʻae iā ʻoe e kamaʻilio, e nau, a hana i nā ʻano mea āpau me kou waha.

ʻO kahi maʻi TMJ ke kumu o ka ʻeha, ʻoʻoleʻa, a me ka ʻole o ka neʻe i kāu TMJ, ke kāohi nei iā ʻoe mai ka hoʻohana ʻana i ka neʻe o ka iwi āpau.

Hiki ke hoʻohana ʻia ke ʻoki lāʻau e mālama ai i kahi maʻi ʻo TMJ inā ʻoi aku ka nui o nā mālama kūpikipiki, e like me ka haʻi waha a i ʻole nā ​​kiaʻi waha, mai kōkua i ka hōʻemi i ke koʻikoʻi o kāu mau ʻōuli. No kekahi poʻe, pono paha ke kīpoki e hoʻihoʻi i ka hoʻohana piha o kā lākou TMJ.

E heluhelu e aʻo hou e pili ana i ke kahakaha TMJ, me:

• ʻo wai ka moho maikaʻi
• nā ʻano o ke kaha ʻana o TMJ
• he aha e manaʻo ai

ʻO wai ka moho maikaʻi no ke kahakaha TMJ?

Kau kauka e paipai paha ʻO ke kāpili TMJ inā:

• ʻIke ʻoe i ke kūlike, ʻehaʻeha a palupalu paha ke wehe a pani ʻoe i kou waha.
• ʻAʻole hiki iā ʻoe ke wehe a pani i kou waha i nā ala āpau.
• Loaʻa iā ʻoe ka pilikia e ʻai a inu paha no ka ʻeha o ka iwi a me ka neʻe ʻole.
• ʻO kou ʻeha a neʻe ʻole paha e hele i mua o ka maikaʻi, ʻoiai me ka hoʻomaha a i ʻole nā ​​lāʻau nonsurgical ʻē aʻe.
• Loaʻa iā ʻoe nā pilikia kūloko a i ʻole nā ​​maʻi i loko o kou hui ā, i hōʻoia ʻia me ka radiologically me ke kiʻi, e like me MRI.

Kau kauka ʻōlelo aʻoaʻo paha e kūʻē ʻO ke kāpili TMJ inā:

• ʻAʻole koʻikoʻi loa kāu mau hōʻailona TMJ. ʻO kahi laʻana, ʻaʻole pono ʻoe i kahi ʻoki inā hana kou ālina i ke kaomi a i ʻole ke kani ʻana o ke kani ke wehe ʻoe, akā ʻaʻohe ʻeha e pili pū ana.
• Kūlike ʻole kāu mau ʻōuli. Loaʻa paha iā ʻoe nā ʻōuli ʻeha a ʻeha hoʻi i kekahi lā e nalowale i ka lā aʻe. ʻO kēia paha kahi hopena o kekahi neʻe ʻana a i ʻole hoʻohana nui - e like me ke kamaʻilio ʻana ma mua o ka maʻamau i kahi lā i hāʻawi ʻia, ka nau ʻana i ka nui o nā meaʻai paʻakikī, a me ka nau mau ʻana i nā gum mau - i hoʻonāukiuki i kāu TMJ. I kēia hihia, hiki i kāu kauka olakino ke koi iā ʻoe e hoʻomaha i kou ālau no kekahi mau hola a mau lā paha.
• Hiki iā ʻoe ke wehe a pani i kou ā ā āpau. ʻOiai inā ʻeha ʻoe a i ʻole palupalu ke wehe a pani ʻoe i kou waha, ʻaʻole paha e koi aku kāu kauka i ke ʻoki no nā pilikia e pili ana. Hōʻike paha lākou i ka lāʻau lapaʻau, hoʻōla kino, a i ʻole nā ​​loli nohona e hoʻoliʻiliʻi i nā ʻōuli.

He mea nui e loiloi ʻia e kahi kauka niho a i ʻole he kauka haʻi waha i aʻo ʻia ma TMD.

E hana lākou i kahi hoʻokolokolo pono ʻana i kāu mōʻaukala hōʻailona, ​​hōʻike hōʻike, a me nā hopena radiological e hoʻoholo ai inā maikaʻi ke kahakaha no kāu mau ʻōuli. Manaʻo ʻia ke kaha he wahi hope loa inā ʻaʻole kūleʻa nā koho ʻē aʻe.

He aha nā ʻano o ke ʻoki TMJ?

Hiki i kekahi ʻano o ke ʻoki TMJ, kaukaʻi ʻia i kāu mau ʻōuli a i ʻole ke koʻikoʻi.

ʻO Arthrocentesis

Hana ʻia ʻo Arthrocentesis e ka hoʻokomo ʻana i ka wai i kāu hui. Holoi ka wai i nā huahana by kemika o ka hoʻowahāwahā a hiki ke kōkua i ka hōʻemi ʻana i ke kaomi e paʻakikī ai ka ʻeha a ʻeha paha. Hiki i kēia ke kōkua iā ʻoe e loaʻa hou i ke ʻano o ka neʻe ʻana o kou iwi ā.

He hana hoʻouka iki iki kēia. Hiki iā ʻoe ke hoʻi maʻa i ka hale i ka lā like. Pokole ka manawa hoʻōla, a kiʻekiʻe ka pae kūleʻa. Wahi a a, averrocentesis awelika he 80 pākēneka hoʻomaikaʻi i nā ʻōuli.

ʻO ka hana maʻamau ʻo Arthrocentesis i kahi lālani mua no ka mea ʻoi aku ka liʻiliʻi o ka invasive a loaʻa kahi helu kūleʻa kiʻekiʻe ke hoʻohālikelike ʻia i kekahi o nā kaʻina ʻē aʻe, ʻoi aku ka paʻakikī.

ʻO Arthroscopy

Hana ʻia ʻo Arthroscopy ma ka wehe ʻana i kahi puka liʻiliʻi a i ʻole kekahi mau puka liʻiliʻi i ka ʻili ma luna aʻe o ka ami.

Hoʻokomo ʻia kahi paipu kūiki i kapa ʻia he cannula ma loko o ka lua a i loko o ka ami. A laila, e hoʻokomo kāu kauka lāʻau i kahi arthroscope i loko o ka pū. ʻO ka arthroscope kahi mea hana me kahi kukui a me ka pahu paʻi e hoʻohana ai e ʻike i kāu hui.

Ke hoʻonohonoho ʻia nā mea āpau, hiki i kāu kauka lāʻau ke hana ma ka ami me ka hoʻohana ʻana i nā mea hana ʻoki liʻiliʻi i hoʻokomo ʻia ma o ka pūkuniahi.

ʻOi aku ka hoʻowahāwahā o Arthroscopy ma mua o ke kīpē hāmama maʻamau, no laila ʻoi aku ka wikiwiki o ka manawa hoʻōla, maʻamau i nā lā he nui a i hoʻokahi pule.

Hāʻawi ia i kāu kauka olakino i ke kūʻokoʻa he nui e hana i nā kaʻina paʻakikī i ka hono, e like me:

• hemo wehe kino
• hui hou ʻana o ka hui
• lāʻau hoʻouka
• ʻeha a hōʻoluʻolu paha

ʻOki kino hui pū

ʻO ka ʻoki ʻana o kahi hui pū me ka wehe ʻana i kahi ʻoki i mau ʻīniha i ka lōʻihi ma luna o ka ami e hiki ai i kāu kauka olakino ke hana ma ka hui ponoʻī.

Hoʻomaʻamaʻa pinepine ʻia kēia ʻano ʻoki TMJ no kahi maʻi TMJ koʻikoʻi e pili ana:

• ka nui o nāʻiʻo a i ʻole ka ulu ʻana o ka iwi e kū i ka neʻe ʻana o ka ami
• fusion o ka ami hui, cartilage, a iwi paha (ankylosis)
• hiki ʻole ke kiʻi i ka ami me ka arthroscopy

Ma ka hana ʻana i kahi ʻoki ākea, hiki i kāu kauka ke wehe i nā ulu iwi a i ʻole nā ​​kino maha. Hiki iā lākou ke hoʻoponopono a hoʻonohonoho hou paha i ka diski inā ma waho o kahi a ʻino paha.

Inā ʻaʻole hiki ke hoʻoponopono hou ʻia kāu diski, hiki ke hoʻokō ʻia kahi disectomy. Hiki i kāu kaukipoki ke pani i kāu diski a pau me kahi diseki hana a i ʻole kāu iho.

Ke pili nei nā ʻōiwi o ka ami, hiki i ke kaukoki ke lawe i kekahi o nā iwi maʻi o ka iwi ā i ʻole ka iwi poʻo.

ʻOi aku ka lōʻihi o ke ola ʻana o ke kīpē hāmama ma mua o ke kaʻina hana arthroscopic, akā kiʻekiʻe mau ka pae kūleʻa. Ua loaʻa kahi 71 pākēneka hoʻonui i ka ʻeha a me ka 61 pākēneka hoʻonui i ke ʻano o ka neʻe.

He aha ke ʻano o ka hoʻōla?

Aia ke ola mai kahi ʻoki TMJ i ke kanaka a me ke ʻano o ke ʻoki i hana ʻia. ʻO ka hapa nui o nā hana ʻo TMJ he ʻōnaehana waho, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā like me ke ʻoki.

E ʻike pono i hiki i kekahi ke lawe iā ʻoe i ka home i ka lā o ke ʻoki, ʻoiai he woozy iki paha ʻoe a ʻaʻole hiki ke kau, ʻo ia nā hopena o ka anesthesia.

Lawe i ka lā o kou ʻoki ʻana mai ka hana. ʻAʻole pono ʻoe e lawe i kahi lā ma mua o hoʻokahi lā inā ʻaʻole koi kāu hana e hoʻoneʻe i kou waha i ka nui. Eia nō naʻe, inā hiki, lawe i kekahi mau lā e hoʻomaha ai iā ʻoe iho e hoʻomaha.

Ma hope o ke kaʻina hana i hana ʻia, loaʻa paha iā ʻoe ke kāʻei ma kou ʻāʻī. E kāwili paha kāu kauka i kahi kaula hou a puni kou poʻo e mālama pono ai i ka lole ʻeha a ma kahi kūpono.

No hoʻokahi a ʻelua paha mau lā ma hope o ke kaha ʻana, e hana i kēia e ʻike pono ʻoe me ka wikiwiki a me ka maikaʻi.

• Lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAID) no nā ʻeha inā hōʻike ʻia e kāu kauka olakino. (ʻAʻole i koi ʻia nā NSAID no ka poʻe me nā maʻi koko a me nā pilikia o ke kīhā.)
• Hōʻalo i nā meaʻai paʻa a crunchy. Hiki i kēia mau mea ke kau i kāu kānana. Pono paha ʻoe e hāhai i kahi papa wai no hoʻokahi pule a ʻoi aku paha a me kahi papaʻai o nā meaʻai palupalu no ʻekolu pule a ʻoi. E mālama pono i ka hydrated ma hope o ke kaha ʻana.
• E noi i kahi kaomi anu i kahi e kōkua ai i ka pehu. Hiki i ka compress ke maʻalahi ma mua o kahi ʻeke paʻahau o nā mea kanu i wahī ʻia i loko o ke kāwele maʻemaʻe.
• Hiki ke kōkua i ka wela mehana i nā ʻiwi iwi me ka ʻoluʻolu ma hope o ke kahakaha ʻana, e like me nā pale hoʻomehana a i ʻole microwaving i kahi lole pulu.
• E uhi i kāu kāʻei ma mua o ka ʻauʻau ʻana a i ʻole ka ʻauʻau ʻana no ka mea ʻaʻole wai.
• Wehe a hoʻololi hou i nā bandages. E noi i nā lāʻau ʻalopika a i ʻole nā ​​mea hamo a ka mea mālama ola e paipai ai i kēlā me kēia manawa ke pani ʻoe i ka bandage.
• E hoʻokomo i kahi mālamana a i ʻole mea hana ʻē aʻe ma kou auwaha i nā manawa āpau a hiki i kāu kauka e haʻi aku iā ʻoe ua maikaʻi ke lawe aku.

E ʻike i kāu kauka olakino 2 a 3 mau lā ma hope o ke kaha ʻana e hōʻoia pono ʻoe e hoʻōla maikaʻi ana a loaʻa nā ʻōlelo aʻoaʻo hou aʻe no ka mālama ʻana i kāu TMJ.

Pono paha i kāu kauka e wehe i nā humuhumu i kēia manawa inā ʻaʻole hoʻoheheʻe ʻia kāu mau kuʻikuʻi iā lākou iho. Hoʻohui ʻia, koi paha lākou i nā lāʻau no ka ʻeha a i ʻole nā ​​maʻi e kū aʻe.

Pono paha ʻoe e ʻike i kahi mea hoʻoponopono kino e kōkua iā ʻoe e loaʻa hou ka neʻe ʻana i kou iwi ā e pale i ka pehu mai ka palena ʻana i kāu neʻe ʻo TMJ.

Hiki ke mālama ʻia i kahi manawa o nā koho hoʻōla kino i mau pule a i ʻole mau mahina, akā ʻike pinepine ʻoe i nā hopena lōʻihi lōʻihi inā ʻoe e hana pū me kāu mea hoʻoponopono.

He aha nā pilikia kūpono mai ke kahakaha ʻo TMJ?

ʻO ka paʻakikī maʻamau o ka ʻoki ʻana ʻo TMJ kahi nalowale mau i ke ʻano o ka neʻe.

ʻO nā pilikia kūpono ʻē aʻe e pili pū me:

• ʻeha o nā ʻalolo helehelena, i kekahi manawa e hopena i ka nalo hapa o ka neʻe ʻana o ka mākala a i ʻole ka nalo ʻana o ka manaʻo
• poino i nā kiko kokoke, e like me ka lalo o ka iwi poʻo, nā kīʻaha koko, a i ʻole anatomy e pili ana i kāu hoʻolohe ʻana
• nā maʻi a puni ke kahua ʻoki lāʻau i ka wā ma hope o ke ʻoki ʻana
• ʻeha mau a i ʻole ka palena o ka neʻe ʻana
• ʻO Frey Syndrome, kahi pilikia kūpilikiʻi ʻole o nā gland parotid (kokoke i kāu TMJ) i hōʻeha i ka helehelena ʻeleʻele

E hoʻi paha kaʻeha TMJ inā ua ʻoki au iaʻu?

Hiki ke hoʻi i kaʻeha TMJ ʻoiai ma hope o kāu kaukala ʻana. Me ka arthrocentesis, hemo wale nā ​​ʻōpala a me nā ʻōpuʻu nui. Kuhi kēia hiki i nā ʻōpala ke kūkulu hou i loko o ka ami, a i ʻole hiki i ka mumuna ke reoccur.

Hiki ke hoʻi i kaʻeha TMJ inā ua hoʻokumu ʻia ia e kahi ʻano e like me ke kī ʻana a i ʻole ke wili ʻana i kou mau niho (bruxism) ke pilikia ʻoe a ke hiamoe paha ʻoe.

Inā loaʻa iā ʻoe kahi maʻi pale maʻi kūlohelohe e hiki ai i nā kino ke hoʻāpulu, e like me ka rheumatoid arthritis, hiki i ka ʻeha TMJ ke hoʻi inā pili ka pale o kāu ʻōnaehana pale i ka hui pū.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Ma mua o kou hoʻoholo ʻana e hana i kahi ʻoki TMJ, e nīnau i kāu kauka:

• Pehea ke kuʻuna a koʻikoʻi paha o kuʻu ʻeha ma mua o koʻu ʻoki ʻana?
• Inā kūpono ʻole ke ʻoki iaʻu, he aha nā hana e pono ai wau e hōʻalo ai a i ʻole hana i nā mea hou aʻe e kōkua ai e hōʻoluʻolu i koʻu ʻeha a hoʻonui i ka pae o ka neʻe?
• ʻO ke ʻano o ke ʻoki āu e ʻōlelo ai naʻu? No ke aha mai?
• E ʻike paha wau i ka mea hoʻoponopono kino e ʻike inā kōkua mua kēlā?
• Pono wau e hoʻololi i kaʻu papaʻai e kāpae i nā meaʻai paʻakikī a ʻono paha e kōkua me kaʻu mau ʻōuli?
• Aia kekahi mau pilikia e pono iaʻu e noʻonoʻo inā hoʻoholo wau ʻaʻole e ʻoki poepoe?

Lawe aku

E ʻike i kāu kauka lawelawe a i ʻole kauka niho paha i ka wā hiki ke hōʻeha ʻia ka ʻeha a i ʻole ka palupalu i kou ola a i ʻole ke ālai iā ʻoe mai ka ʻai ʻana a i ʻole ka inu ʻana.

ʻAʻole paha ʻoe e pono i ke kahakaha inā hoʻomaʻamaʻa nā nonsurgical therapies, nā lāʻau lapaʻau, a i ʻole nā ​​loli nohona i kou ʻeha TMJ. ʻO ke kahakaha kahi manawa hope loa no nā hihia ʻoi loa, a ʻaʻole ia e hōʻoia i kahi lāʻau.

E hoʻomaopopo i kāu kauka inā ʻaʻole ʻoi aku ka nui o nā mālama conservative a i ʻole inā e ʻinoʻino kāu mau ʻōuli.