Costa kuti chirwere: hunokonzera, zviratidzo, chirwere uye kurapwa mamiriro

Hazvina chakavanzika kuti ruzhinji vanachiremba vemazino kutya vana nevakuru. Uye, sezvo mutemo, kuti vatiitirewo nyanzvi izvi, varwere vakawanda vari kutumwa chete muzviitiko: kana paine ane zvinoyerera chikuru kana risingafadzi kwakanaka mumuromo nokuda pamusaka tartar. Periodic kusanzwa mumuromo kazhinji mhosva pamusoro zvakare chando kana zvinozipa zvokudya, anokwanisa kukonzera kuzvuzvungudza.

Zvokurwara Description Coste anozvidza chirwere?

In chete zvoufuza pakutanga peziso ndiye Costa kuti urwere, zviratidzo izvo kashoma kukonzera varwere kuenda mazano nenyanzvi dzokurapa. zvokurwara iyi ndiyo dysfunction pamusoro shwashwa Disc, iri temporomandibular rwakashodoka. Kazhinji maperembudzi kuvhiringidzwa chirwere zvose shaya midziyo. Zvinozivikanwa kuti pakurapa pathologies izvi hazvisi aidaro vanachiremba vemazino, orthopedists uye rheumatologists uye.

Bone chirwere - munhu urwere pakati malocclusion - muwisira munda orthodontics. Mikana yakanaka mugumisiro kurapa chirwere yakakura zvakakwana chete kana ukatanga kurapwa sezvo mangwanani sezvinobvira. Muzviitiko zvakawanda, kana varwere vane pfungwa chii Costa syndrome (zvinokonzera, zviratidzo, chirwere uye nzira yokuparadza dambudziko), pashure aireva vanachiremba panguva tanga kurapwa muchimiro akapfeka okugadzirisa mano uye zvaidiwa nyore Kudya akabudirira zvikuru. In chimiro ichi chirwere haisi achimhanya uderedze murwere kudiwa kunorapwa uye refu kupora.

Sei asina hanya zviratidzo chirwere?

Kunzwisisa urwere mapfupa, ngozi kupfuura chirwere chinogona kunzwisiswa, muna anatomi pamusoro maxillofacial maumbirwo murume. Between rezasi rushaya uye cranial chawo iri cartilaginous Disc. Basa rake kuitira, chero mirayiridzo vagari kufamba, nemhaka iyo munhu anokwanisa kutsenga, taura, zvokunwa. Kana mutoro pamusoro zvose rushaya anotanga kuti kuparadzirwa vanoiswa, pane kuzvimba shwashwa pamusoro disk.

Long kurega kuteerera zvinoratidza chirwere tikatyisidzirwa zvakakomba matambudziko, saka, tinofanira kubatwa yakafanira pfungwa dambudziko iri papfupa syndrome. Zviratidzo, kurapwa dysfunction zvikurukuru pakuti refu sei murwere anogara nechirwere ichi. Nokufamba kwenguva, pane degeneration uye degeneration pamusoro shwashwa dhisiki kuti, akavapindurawo, yekudyidzana kunokanganisa injini basa pejoinhi chakakwana - iri zvachose.

Usatya kushanyira wemazino ane dysfunction pakati mafupa. Syndrome mu akazotevera matanho murwere anogona kuunza dambudziko, kutangira kubva kutadza kutsenga zvokudya uye kudiwa kurishandisa chete kuburikidza kumicheto anopera kurasikirwa dzinonyatsozikanwa kutaura.

Zvinokonzera dambudziko

Zvinorondedzerwa American otolaryngologist Kosten muna 1934, chirwere yave adzidza kwemakore anopfuura 80. Pari Zvisinei, vanotsvakurudza achiri havagoni kutaura chaiyo zvinokonzera uye kuvandudzwa temporomandibular kwemajoini dysfunction. The ungangotarisa zvinhu zviri kuonekwa chirwere orthodontists uye vanachiremba vemazino funga zvinotevera:

- zvokuimba zvakakanganisika, kunotevera, kuvhunduka;

- Kusavapo molars (vakuru nayo 6th, 7th uye 8th meno muvana - 4th uye 5th mammary);

- zino kukuya (bruxism);

- kunyanya mutoro pamusoro pejoinhi;

- anoshungurudza ezvinhu;

- dislocation of muhudyu kana kushanyira wemazino.

Kunyange zvakadaro, vanamazvikokota vakawanda vanobvuma kuti mhaka pathological kutsvetera uye kuzvimba shwashwa Disc ndiyo malocclusion. Zvisinei kana vachiberekwa kana akawana, zvinokosha kuva nechokwadi chokuti mutoro vose shaya aiva chete.

Ndiani pangozi?

Zvakaratidza kuti vanachiremba kuziva akawanda nemapoka evanhu vane refu mukana kuziva dysfunction pakati mafupa. The chirwere rinowanzoberekera Varwere kana:

• zera ravo kwazvo makore 50;
• Kuenda kumwedzi vakadzi mukana dzichiri chirwere inowedzerawo kubudikidza kakawanda kuenzaniswa vezera wausina;
• vane majini kubatwa;
• pane tsika osteoarthritis, rheumatic chirwere;
• Akabvisa mamwe mazino dög-matadza.

Zviratidzo chirwere

The kufanana zvekuchipatara zvinoratidza pathologies maxillofacial zvikamu kunowanzokonzera zvikanganiso mu diagnosing mapfupa chirwere. The urwere, izvo akava piyona ari American pfava chiremba kazhinji haagoni akanzwa varwere kwenguva refu. Zvisinei, ndakazoona kuti kutanga pamusoro pokumuka hosha kuitika varwere nokuda:

• dzamira nezvekufadza ari muitiro kutsenga zvokudya (vazhinji vanoedza zvakananga arege kuteerera kune zvishoma kurwadziwa, kana kuedza kubvisa zvisingafadzi manzwiro tichibatsirwa inonyaradza marwadzo omusoro);
• kakawanda the clicks uye crackle kana kuvhura muromo;
• temporomandibular joini shoma mufambo;
• DC overvoltage masticatory tsandanyama, kunyanya mangwanani;
• padikidiki zvinoonekwa chiso asymmetry mutsetse;
• marwadzo zvichiratidza kupinda nzeve, ziso.

Experience pakurapa varwere pamwe chirwere mapfupa kunoratidza kuti chiremba, varwere kazhinji kuuya panguva apo paine nomusoro, pane immobilization ari muhudyu kutopedza uye yekudyidzana akaderedza kwokuomerwa kunzwa kurasikirwa. In chimiro ichi chirwere kugadzirisa dambudziko kukudzivirirai nzira ungangova.

How kuziva chirwere panguva rokuongorora?

Costa rokuongorora urwere, kurapwa dzinongoita zvakafanorongwa nokuda mwero kukura chirwere, dzinogona kuonekwa ne nyore bvunzo trehfalangovym. Nzira iyi sechinhu chaiwo, uye nemhaka iyi nzira mukuru mashoko chivimbo zvikuru kuita vanachiremba vemazino.

Chaizvoizvo wayo sezvinotevera: pakati okumusoro nechepakati incisors kunonyanyisa muromo murwere anofanira kusununguka kupfuura vatatu interphalangeal vadyi 2, 3 uye 4 zvigunwe chiremba maoko. Atrophy murwere masticatory tsandanyama havabudiriri.

Zadzisai kana kuramba fungidzira zvokuongorora anogona dzimwe ano nzira ongororo:

- electromyography maxillofacial joini;

- impedansometricheskoe kudzidza (zvaidikanwa chinangwa tinyatsonzwisisa mamiriro yapakati nzeve);

- X-ray repasi rushaya;

- kombiyuta tomography kana rinobva resonance kuri (mu Muzviitiko zvakaipisisa).

Features kurapwa zvirwere

Kana iwe kuderedza mutoro pamusoro nedambudziko vadyi, murwere achakwanisa zvachose kubvisa ari mandibular dysfunction. Pakurapa chirwere Costa rinoreva chinhu Integrated kusvika apo danho rokutanga iri kushandura mhando yezvokudya kudyiwa. Zvinofanira kanenge kuzorwa panguva yokutanga mwedzi yokurapa. Ndandanda zvigadzirwa, iyo, vari maonero vanachiremba vemazino, hwakakwana kusachinja-chinja, zvinosanganisira nomukaka zvigadzirwa, yakabikwa Porridge, muto. Hard ndokucheka uye steaks nani irege kudziviswa, asi izvozvo hazvirevi kuti haukwanisi kuva chiutsi cutlets, meatballs, nyama souffle, uye zvichingodaro. D.

Zvinokosha kuti zvakazara kufaranuka uye hope maawa anenge 7 pazuva. Nokufamba yawapiwa chiremba anogona kukumbira murwere kurerutsa urefu foni kushandisa kutsenga chingamu. Uyewo, ziva kuti chero kunetseka uye kuzvidya mwoyo kungakonzera marwadzo, saka mhirizhonga kunofanira kudziviswa.

Ndima physiotherapy uye vapore kunanzvana

Fanira kurapwa nzira dzinosanganisira:

• kwiza kuti tsandanyama dzechiso;
• Laser kurapwa;
• ultrasonic kurapwa ;
• iontophoresis.

Kwomutoro danho iri kurapa iri kutsvinda nemumuromo prosthetics vasisiri mazino. Zvichida unyanzvi ratidzai murefu akapfeka mazino splints, kuruma nechigumbuso limiters muromo yokutanga uye t. D.

Mishonga kana Kuvhiya

By chikamu vezvokurapa kurapa zvakaitika Muzviitiko apo zvishoma invasive kupfuura nzira hadzibatsiri. Kuti vanyatsopedza kunorwadza zviratidzo, ushandiswe unonyaradza marwadzo uye Anti-anogumbura zvinodhaka. Haingatikwaniri kunzwisisa troubleshooting chirwere mapfupa uye pasina rinorema vhitamini kurapa muchimiro mapiritsi kana majekiseni. Zvinogonekawo kugadzwa tsandanyama relaxants, iyo nzvimbo iri kuonekwa Anti-hypertonic masticatory tsandanyama.

To kuvhiya nokubviswa shwashwa Disc chikauya kashoma sezvo vakawanda contraindications uye kuvapo haizopereri nengozi yematambudziko ndiyo huru zvipingamupinyi kuti oparesheni. Nhasi, zvisinei, pane kunzwisisa zviitiko, zvikuru vanokwanisa nezvokurara, muitiro nokuisazve ezvinhu, rinogona kudzorera pakurarama maxillofacial rwakashodoka.