I-Bruxism

I-Bruxism kulapho ugaya amazinyo (slayida amazinyo akho emuva naphambili ngaphezulu komunye nomunye).

Abantu bangakwazi ukugoqa nokugaya bengazi. Kungenzeka ngesikhathi sasemini nasebusuku. I-Bruxism ngesikhathi sokulala imvamisa iyinkinga enkulu ngoba kunzima ukuyilawula.

Kukhona ukungavumelani okuthile ngembangela ye-bruxism. Ukucindezeleka kwansuku zonke kungaba yimbangela yabantu abaningi. Abanye abantu mhlawumbe bagoqa noma bagaya amazinyo futhi abazizwa neze izimpawu.

Izici ezinomthelela ekutheni i-bruxism ibangela ubuhlungu noma ezinye izinkinga zizohlukahluka kuye ngomuntu. Zingafaka:

• Unengcindezi engakanani
• Kuyoze kube nini futhi uqinise kangakanani futhi ubambe amazinyo akho
• Ukuthi amazinyo akho ahlelwe kabi yini
• Isimo sakho
• Amandla akho okuphumula
• Ukudla kwakho
• Imikhuba yakho yokulala

Ukugedla amazinyo kufaka ingcindezi emisipheni, ezicutshini nakwezinye izakhiwo ezizungeze umhlathi wakho. Izimpawu zingadala izinkinga ezihlangene ze-temporomandibular (TMJ).

Ukugaya kungaguga amazinyo akho. Kungaba nomsindo ngokwanele ebusuku ukukhathaza abalingani abalele.

Izimpawu ze-bruxism zifaka:

• Ukukhathazeka, ukucindezeleka, kanye nokungezwani
• Ukucindezeleka
• I-Earache (ngokwengxenye ngoba izakhiwo zejoyinti le-temporomandibular zisondele kakhulu emseleni wezindlebe, futhi ngoba ungabuzwa ubuhlungu endaweni ehlukile kunomthombo wayo; lokhu kubizwa ngobuhlungu obuthunyelwe)
• Izinkinga zokudla
• Ubuhlungu bekhanda
• Ubumnene bemisipha, ikakhulukazi ekuseni
• Ukushisa okushisayo, okubandayo, noma okumnandi emazinyweni
• Ukuqwasha
• Umhlathi obuhlungu noma obuhlungu

Ukuhlolwa kungakhipha ezinye izinkinga ezingadala izinhlungu ezifanayo zomhlathi noma ubuhlungu bendlebe, kufaka phakathi:

• Ukuphazamiseka kwamazinyo
• Ukuphazamiseka kwezindlebe, njengokungenwa yizindlebe
• Izinkinga ngokuhlangana kwe-temporomandibular (TMJ)

Ungaba nomlando wezinga eliphezulu lokucindezeleka kanye nokungezwani.

Izinhloso zokwelashwa ukunciphisa ubuhlungu, ukuvimbela ukulimala unomphela emazinyweni, nokunciphisa ukuhlangana ngangokunokwenzeka.

Lezi zeluleko zokuzinakekela zingasiza ekunciphiseni ubuhlungu:

• Faka iqhwa noma ukushisa okumanzi emisipheni yomhlathi ebuhlungu. Noma yikuphi kungasiza.
• Gwema ukudla ukudla okunzima noma okuminyene njengamantongomane, amaswidi, ne-steak.
• Musa ukuhlafuna ushungamu.
• Phuza amanzi amaningi nsuku zonke.
• Lala kakhulu.
• Funda imishanguzo yokwelula imishanguzo yokwelapha ukusiza imisipha namalunga ohlangothini ngalunye lwekhanda lakho kubuyele kokujwayelekile.
• Massage imisipha yentamo yakho, amahlombe, nobuso. Bheka amaqhubu amancane, abuhlungu abizwa ngama-trigger amaphuzu angadala ubuhlungu ekhanda nasebusweni bakho.
• Khulula ubuso nemisipha yomhlathi usuku lonke. Umgomo ukwenza ukuphumula kobuso kube umkhuba.
• Zama ukunciphisa ukucindezeleka kwakho kwansuku zonke futhi ufunde izindlela zokuphumula.

Ukuvikela ukulimala kwamazinyo akho, izivikeli zomlomo noma izinto ezisetshenziswayo (iziqobosho) zivame ukusetshenziselwa ukwelapha ukugaya amazinyo, ukugoqa kanye nokuphazamiseka kwe-TMJ. Imbenge ingasiza ukuvikela amazinyo akho kwingcindezi yokugaya.

I-splint efanelekayo kufanele isize ukunciphisa imiphumela yokugaya. Kodwa-ke, abanye abantu bathola ukuthi izimpawu ziyaphela inqobo nje uma besebenzisa i-splint, kepha ubuhlungu buyabuya lapho bema. I-splint nayo kungenzeka ingasebenzi ngokuhamba kwesikhathi.

Kunezinhlobo eziningi zemigqa. Amanye alingana namazinyo aphezulu, amanye ngezansi. Zingahle zenzelwe ukugcina umhlathi wakho usendaweni ekhululekile noma unikeze omunye umsebenzi. Uma uhlobo oluthile lungasebenzi, olunye kungenzeka. Imijovo ye-Botox emisipheni yomhlathi nayo ikhombisile impumelelo ethile ekulawuleni ukubamba nokugaya.

Ngemuva kokwelashwa kwe-splint, ukulungiswa kwephethini yokuluma kungasiza abanye abantu.

Ekugcineni, izindlela eziningi zizama ukusiza abantu ukuthi bangafundi izindlela zabo zokunamathela. Lokhu kuphumelela kakhulu ekuhlanganiseni isikhathi sasemini.

Kwabanye abantu, ukuphumula nokuguqula ukusebenza kwasemini kwanele ukunciphisa i-bruxism yasebusuku. Izindlela zokuguqula ngqo ukuvaleka ebusuku azifundwanga kahle. Kubandakanya amadivayisi we-biofeedback, i-self-hypnosis, nezinye izindlela zokwelashwa.

I-Bruxism akuyona inkinga eyingozi. Kodwa-ke, kungadala ukulimala kwamazinyo unomphela nobuhlungu bomhlathi obungakhululekile, ikhanda elibuhlungu, noma ubuhlungu bendlebe.

I-Bruxism ingadala:

• Ukucindezeleka
• Izinkinga zokudla
• Ukuqwasha
• Izinkinga ezandayo zamazinyo noma ze-TMJ
• Amazinyo aqhekekile
• Ukubuyisela izinsini

Ukugaya ebusuku kungavusa abantu ohlala nabo noma olele nabo.

Bona udokotela wamazinyo ngokushesha uma unenkinga yokudla noma ukuvula umlomo wakho. Gcina ukhumbula ukuthi izimo ezahlukahlukene ezinhlobonhlobo, kusuka ku-arthritis kuya ekulimaleni kwe-whiplash, kungadala izimpawu ze-TMJ. Ngakho-ke, bheka udokotela wamazinyo wakho ukuze uthole ukuhlolwa okugcwele uma izinyathelo zokuzinakekela zingakusizi phakathi kwamasonto ambalwa.

Ukugaya nokuhlanganisa akuweleli esicini esisodwa sezokwelapha. Akukho okukhethekile kwe-TMJ ekwelashweni kwamazinyo. Ukuze uthole indlela esuselwa ekuhlikihlweni, funa umelaphi we-massage oqeqeshwe ekwelashweni kwephuzu le-trigger, i-neuromuscular therapy, noma i-massage yomtholampilo.

Odokotela bamazinyo abanokuhlangenwe nakho okuningi ngezinkinga ze-TMJ ngokuvamile bazothatha ama-x-ray futhi banikeze umlindi womlomo. Ukuhlinzwa manje kubhekwa njengesixazululo sokugcina se-TMJ.

Ukwehliswa kwengcindezi nokuphathwa kokukhathazeka kunganciphisa i-bruxism kubantu abajwayele lesi simo.

Amazinyo agaya; Ukushumeka

I-Indresano AT, iPark CM. Ukuphathwa kwe-Nonsurgical kwezifo ezihlangene ze-temporomandibular. Ku: Fonseca RJ, ed. Ukuhlinzwa ngomlomo nangamaMaxillofacial. 3rd ed. ISt Louis, MO: Elsevier; 2018: isahluko 39.

URyan CA, uWalter HJ, uDeMaso DR. Ukuphazamiseka kwemoto nemikhuba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.