Sangano re Temporomandibular: chimiro uye kurapa kwezvirwere

Kuongorora uye kurapwa kwezvivhiringidzo zvekubatana kwema temporomandibular hakugoneki pasina kunyatsoongorora chimiro nebasa rechimiro.

Sangano re temporomandibular muchimiro chayo ndiro nhengo yakaoma kwazvo mumuviri womunhu, sezvo ine pirasi uye inobatanidza kushamwaridzana kwekufamba, kunoshandiswa kwekushandura uye kunyura kumativi akapoteredza. Chimwe nechimwe chemajaya ezasi pasi chinoda kuti mapfundo maviri awirirane uye pamwe chete pamwe chete.

Sangano re temporomandibular rinoumbwa ne mandibular fossa, musoro unogadziriswa nehuwandu hwemapurogiramu uye huwandu hwehutachiona hwemukati. Iyo mandibular musoro kumusoro kwerutivi inopeteredzwa nechepakati yepakiti yekoni uye ine soro yepongomu. Pamberi penhengo ndeyo pterygoid flat fossa ine mavara akabatanidzwa wepterygoid muscle. Kunze, pamusoro penzvimbo yepamusoro yechitatu yemutsipa neyo musoro, tuberosity inopfuura ichienda, iyo ndiyo nzvimbo yekubatanidzwa kwemagetsi nemisungo. Nhengo yakabatana isati yasara inopera inobata iyo yose tympanic pad, nzvimbo yepamusoro yeiyo yembera uye yepamusoro wayo.

Chirongwa cheTemoromandibular: zvirwere

Pakuvhiringidzika kwemukati panhandare yekutanga kune kusagadzikana kusingaperi kwemusoro wejaya. Kazhinji hapana mhere-mhere, dzimwe nguva varwere vanogona kutaura pamusoro pezvakaipa uye kushamwaridzana kufamba kwemuviri. Penguva yekuongorora, chiremba anogadza nzvimbo yakatarwa ye disc. Panhanho inotevera, kugadziriswa kwekodhi kunogona kuitika semugumisiro wekuwedzera kwepraarticular ligaments. Paunoshamisa muromo wako mu TMJ, unotanga kuoneka.

Nzira dzakajairika dzekuongororwa (MR uye CT-tomography, arthrography) musabvumira kutsvaga kukanganisa apo muromo wakavharwa kana wakazaruka, zvichiratidza chimiro. Tsvaga kushandiswa kwema disk kunobvira chete mumagetsi, kushandisa ultrasound, x-ray control uye arthrography.

Zvinofanira kuonekwa kuti chero mhando yekushungurudzwa kweMTJ kunogona kuendeswa nekuputira zvirongwa zvinosanganiswa nehutachiona hunoshungurudzika, hutachiona hunogara huchigadzikana hwemitsipa mukati memhemberero, iyo inofambidzana nemarwadzo.

Mune varwere vakasiyana, kukura kwezvirwere zvezvirwere zvakasiyana uye kunobva pane zvakasiyana-siyana. Nguva yekushanduka inogona kuva makore akawanda, uye dzimwe nguva chirwere chinowedzera mukati memwedzi mishomanana. Nokudaro, kuitira kudzivirira kuumbwa kwehutano munguva, unofanirwa kubhadhara kune zviratidzo zvekutanga uye kuisa chimiro chemukati we diski inokosha, zvakakosha kuisa mishonga yakakodzera pamatanho ekutanga echirwere.

Muenzaniso weTemoromandibular: zviratidzo zvekusawirirana

Iwe unogona kutaura nezvekuvandudzwa kwehutano kana pane chirwere chinorwadza munharaunda yehove dzenzeve, pamwe nekunzwa kwemajaya mashoma, uye kuongororwa munzvimbo dzemajoka eporomandibular. Zviratidzo zvechirwere zvinosanganisira kutadza kusununguka kwemajaya ezasi, kurwadziwa mumisungo yekucheka, kuputika nejaya yakavharwa uye yakazaruka.

TMJ: kurapa

Chinangwa chekurapa kwemaitiro ndechekugadzirisa zvinokonzera kutanga kwechirwere uye kuderedza kuwedzerwa kwezvinhu zvinobatsira pakuvandudzwa kwechirwere. Kazhinji zvikonzero zvinokonzera kukura kwechirwere ndekutya kunetseka, kunyanya kushanda muviri, kuvapo kwechirwere mumuromo wemumuromo, kusagadzikana mazino.

Kurapa kweTMJ ndokwekuona kushandura kwemaitiro uye kushanda, kurongedza basa remuviri uye kudzivirira kukurudzirwa kwekuwedzera mararamiro. Kuita izvi, zviyero zvakazara zvinotorwa nekubatanidzwa kwevanyanzvi - vanachiremba, vanauropathologist, rheumatologists, allergists nevamwe.