Zimachitika ngati -kutsekedwa, mokwanira, mokondwera, kutsegula pakamwa pake - kenaka chinachake chimathyoka. Pakamwa pake sikutsegula, phula limatuluka, kupweteka m'madera ozungulira komanso mantha. Nzosadabwitsa-kungosokoneza nsagwada, kumafuna chithandizo. Inde, mochititsa chidwi, zimachitika, ngakhale kuti zikuoneka kuti mafupa a mandibula amakhala omangidwa kwambiri ku chigaza ndi zida zofewa - ichi si dzanja. Ndipotu kusintha kumeneku sikokwanira, makamaka pa chiwerewere.
Zimayambitsa kuchotsa nsagwada
Mgwirizano wa temporomandibular umagwirizanitsa pansi pa chigaza ndi tsaya lakuya. Izi ndizodziwika bwino, chifukwa pakati pa mutu wake ndi chingwe chozungulira chimapezeka m'matumbo a intraarticular. Chifukwa cha kanyumba kameneka, maulumikizidwe awiriwa panthawi imodzi amachititsa kayendetsedwe katatu:
- mmwamba-pansi (kutsegula kutseka pakamwa);
- kutsogolo-kumbuyo;
- kumbali (panthawi ya ntchito ya masticatory).
Choncho, kuchotsa nsagwada kumunsi kungakhale kumbuyo kapena kumbuyo. Azimayi mwazinthu zapangidwe za anatomical anali osauka - ziwalo za thupi lawo ndi zofooka kuposa za amuna, ndipo amayi ali ndi zochepa zochepa za mgwirizano wa fossa. Choncho, mgwirizano ndi wosavuta kuchokapo pamaso pa zinthu zowononga, zomwe zikuphatikizapo:
- Kutsegula kwambiri pakamwa pakamwa, kusanza, kuseka, kudya, mano, kufuula;
- kusokonezeka (mwachitsanzo, nkhonya pamaso, kugwera pa chinsalu);
- Matenda a ziwalo zina ndi machitidwe ( rheumatism , gout, osteomyelitis, polyarthritis , etc.).
Zizindikiro za kuchotsa nsagwada
Kuzindikira matendawa si kovuta. Zizindikiro za kusuntha zimaphatikizapo:
- zovuta kutseka pakamwa panu;
- kusamuka kwa mandible m'njira iliyonse;
- mavuto ndi kutanthauzira ndi kulumikiza;
- ululu mu dera logwirizana;
- salivation wamphamvu;
- kusokonezeka pamene mukumeza;
- dinani m'magulu.
Kodi mungakonze bwanji vutoli?
Chithandizo cha kusokonezeka kwa mgwirizano wa temporomandibular cholinga chake makamaka kubwezeretsa chilengedwe. Njirayi iyenera kuchitidwa ndi dokotala ndi zofunikira zomwe zilipo, chifukwa pali chiopsezo chophwanyidwa ndi ndondomeko yolakwika. Ngati mwasokoneza kwa nthawi yayitali, kukonzekera kumachitidwa ndi anesthesia.
Kuchiza kwa kuchotsedwa kwa nsagwada pamene kukuta kumatanthauzanso kugwiritsa ntchito bandage yokonza. Izi ndi zofunika kuti nsagwada yapansi ikhale yosasunthira mpaka itabwezeretsedwe. Panthawi yogwiritsira ntchito kuvala, pali kuletsa kugwiritsa ntchito chakudya cholimba.