Ongakulindela ku-TMJ Surgery

-Delile

• Ungakusebenzisa yini ukuhlinza ukwelapha i-TMJ?
• Ubani umuntu ofanelekela ukhetho lwe-TMJ?
• Yiziphi izinhlobo zokuhlinzwa kwe-TMJ?
• I-Arthrocentesis
• I-arthroscopy
• Ukuhlinzwa okuhlangene
• Kunjani ukululama?
• Yiziphi izinkinga ezingaba khona kusukela ekuhlinzweni kwe-TMJ?
• Ngabe izinhlungu ze-TMJ zizobuya uma ngihlinziwe?
• Yini okufanele ngiyibuze umhlinzeki wami wezokunakekelwa kwempilo?
• Ukudla okudlela endlini

Ungakusebenzisa yini ukuhlinza ukwelapha i-TMJ?

Ijoyinti le-temporomandibular (TMJ) liyinhlanganisela efana ne-hinge etholakala lapho kuhlangana khona ithambo lomhlathi nokhakhayi. I-TMJ ivumela umhlathi wakho ukuba ushibilike uye phansi, ikuvumele ukhulume, uhlafune, futhi wenze zonke izinhlobo zezinto ngomlomo wakho.

Inkinga ye-TMJ ibangela ubuhlungu, ukuqina, noma ukungahambi kahle ku-TMJ yakho, ikugcine ekusebenziseni uhla olugcwele lomhlathi wakho.

Ukuhlinzwa kungasetshenziswa ekwelapheni ukuphazamiseka kwe-TMJ uma ukwelashwa okunamandla kakhulu, njengama-splints omlomo noma izivikelo zomlomo, akusizi ukunciphisa ubunzima bezimpawu zakho. Kwabanye abantu, ukuhlinzeka kungadingeka ukubuyisela ukusetshenziswa okugcwele kwe-TMJ yabo.

Funda ukuze ufunde kabanzi ngokuhlinzwa kwe-TMJ, kufaka phakathi:

• ubani ozobhapathizwa kahle
• izinhlobo zokuhlinzwa kwe-TMJ
• ongakulindela

Ubani umuntu ofanelekela ukhetho lwe-TMJ?

Udokotela wakho ingancoma Ukuhlinzwa kwe-TMJ uma:

• Uzwa ubuhlungu obungaguquguquki, obukhulu noma ubumnene lapho uvula noma uvale umlomo wakho.
• Awukwazi ukuvula noma ukuvala umlomo wakho yonke indlela.
• Unenkinga yokudla noma ukuphuza ngenxa yobuhlungu bomhlathi noma ukungakwazi ukuhamba.
• Ubuhlungu bakho noma ukunganyakazi kwakho kuya ngokuya kuba kubi, ngisho nokuphumula noma ezinye izindlela zokwelashwa ezingezona ezokuhlinzwa.
• Unezinkinga ezithile zesakhiwo noma izifo ekuhlanganyeleni komhlathi wakho, okuqinisekiswe ngemisebe ye-radiologically nge-imaging, njenge-MRI

Udokotela wakho ingase yeluleke ngokumelene Ukuhlinzwa kwe-TMJ uma:

• Izimpawu zakho ze-TMJ azinzima kangako. Isibonelo, ungahle ungadingi ukuhlinzwa uma umhlathi wakho wenza umsindo wokuchofoza noma wokuqhuma lapho uwuvula, kodwa abukho ubuhlungu obuhambisana nawo.
• Izimpawu zakho azihambisani. Ungaba nezimpawu ezinzima, ezibuhlungu ngolunye usuku ezinyamalala ngokulandelayo. Lokhu kungaba ngumphumela wezindlela ezithile eziphindaphindwayo noma ukusetshenziswa ngokweqile - njengokukhuluma ngaphezu kokujwayelekile ngosuku olunikeziwe, ukuhlafuna ukudla okunzima kakhulu, noma ukuhlafuna ushungamu njalo - okwadala ukukhathala ku-TMJ yakho. Kulokhu, umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuthi uphumule umhlathi amahora ambalwa noma izinsuku ezimbalwa.
• Ungavula futhi uvale umhlathi wakho yonke indlela. Noma ngabe unezinhlungu noma isisa lapho uvula futhi uvale umlomo wakho, udokotela wakho kungenzeka angakutusi ukuhlinzwa ngenxa yezingozi ezihilelekile. Bangase basikisele ukwelashwa, ukwelashwa ngokomzimba, noma izinguquko zendlela yokuphila ukunciphisa izimpawu.

Kubalulekile ukuthi kuhlolwe udokotela wamazinyo noma udokotela ohlinza ngomlomo oqeqeshwe kwi-TMD.

Bazokwenza ukuhlolwa okuphelele komlando wakho wezimpawu, isethulo somtholampilo, kanye nokutholwa kwemisebe ukuthola ukuthi ukuhlinzwa kuzozizuzisa yini izimpawu zakho. Ukuhlinzwa kubhekwa njengesixazululo sokugcina uma izindlela ezingezona ezokuhlinzwa zingaphumeleli.

Yiziphi izinhlobo zokuhlinzwa kwe-TMJ?

Izinhlobo eziningi ezahlukene zokuhlinzwa kwe-TMJ zingenzeka, kuya ngezimpawu zakho noma ubunzima bazo.

I-Arthrocentesis

I-Arthrocentesis yenziwa ngokujova uketshezi esihlangwini sakho. Uketshezi kuhlanza noma yimiphi imikhiqizo yamakhemikhali yokuvuvukala futhi kungasiza ekwehliseni ingcindezi ebangela ukuhlangana kube lukhuni noma kube buhlungu. Lokhu kungakusiza ukuthi uphinde uthole olunye uhla lokunyakaza komhlathi wakho.

Le yinqubo encane yokuhlasela. Imvamisa ungaya ekhaya ngalo lolo suku. Isikhathi sokutakula sifushane, futhi nezinga lempumelelo liphakeme. Ngokusho kwe-a, i-arthrocentesis isilinganiso sokuthuthuka kwezimpawu ngamaphesenti angama-80.

I-Arthrocentesis imvamisa iyindlela yokwelashwa komugqa wokuqala ngoba ayihlaseli kangako futhi inezinga eliphezulu lokuphumelela uma iqhathaniswa nezinye zezinqubo eziyinkimbinkimbi.

I-arthroscopy

I-arthroscopy yenziwa ngokuvula imbobo encane noma izimbobo ezimbalwa ezincane esikhunjeni ngaphezulu kwejoyini.

Ishubhu elincane elibizwa ngokuthi i-cannula bese lifakwa kulo mgodi lize lijoyine. Okulandelayo, udokotela wakho ohlinzayo uzofaka i-arthroscope ku-cannula. I-arthroscope iyithuluzi elinokukhanya nekhamera okusetshenziselwa ukubona ngeso lengqondo ukujoyina kwakho.

Lapho konke sekusethiwe, udokotela wakho ohlinzayo angabe esehlinza ngokuhlanganyela esebenzisa amathuluzi amancane okuhlinza afakwa ku-cannula.

I-arthroscopy ayihlaseli kangako kunokuhlinzwa okuvamile okuvulekile, ngakho-ke isikhathi sokululama siyashesha, imvamisa izinsuku ezimbalwa kuya kwesonto.

Ibuye ivumele umhlinzeki wakho wokunakekelwa kwezempilo inkululeko enkulu yokwenza izinqubo eziyinkimbinkimbi kujoyini, njenge:

• ukususwa kwezicubu ezibomvu
• ukwakhiwa kabusha ngokuhlanganyela
• umjovo wemithi
• ukukhululeka kobuhlungu noma ukuvuvukala

Ukuhlinzwa okuhlangene

Ukuhlinzwa okuhlangene okuvulekile kuqukethe ukuvula imbobo ngamasentimitha ambalwa ngaphezu kwesihlanganisi ukuze umhlinzeki wakho wezokunakekelwa kwempilo akwazi ukusebenza ngokuhlanganyela uqobo.

Lolu hlobo lokuhlinzwa kwe-TMJ luvame ukubekelwa isifo esibi se-TMJ esibandakanya:

• ukukhula kwezicubu noma kwamathambo okuningi okuvimba ilunga ekuhambeni
• ukuhlanganiswa kwezicubu ezihlangene, uqwanga, noma ithambo (ankylosis)
• ukungakwazi ukufinyelela ukujoyina nge-arthroscopy

Ngokwenza ukuhlinzwa okuhlangene okuvulekile, udokotela wakho ohlinzayo uzokwazi ukususa ukukhula kwamathambo noma izicubu ezeqile. Futhi bayakwazi ukulungisa noma ukubeka kabusha i-disc uma ingekho endaweni noma ilimele.

Uma i-disc yakho ingalungiseki, i-discectomy ingenziwa. Udokotela wakho ohlinzayo angashintsha i-disc yakho ngokuphelele nge-disc yokufakelwa noma izicubu zakho.

Lapho izakhiwo zamathambo ezihlangene zihilelekile, udokotela ohlinzayo angasusa amanye amathambo agulayo wejoyini lomhlathi noma ugebhezi.

Ukuhlinzwa okuvulekile kunesikhathi eside sokululama kunenqubo ye-arthroscopic, kepha izinga lokuphumelela liseliphezulu kakhulu. Kutholakale ukuthuthuka okungamaphesenti angama-71 ebuhlungu kanye nokuthuthuka okungamaphesenti angama-61 ebangeni lokunyakaza.

Kunjani ukululama?

Ukubuyiselwa esimweni sokuhlinzwa kwe-TMJ kuya ngomuntu kanye nohlobo lokuhlinzwa olwenziwe. Ukuhlinzwa okuningi kwe-TMJ kuyizinqubo zokwelashwa ngaphandle, okusho ukuthi uzokwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa.

Qiniseka ukuthi othile angakusa ekhaya ngosuku lokuhlinzwa, ngoba ungahle ube yi-woozy encane noma ungakwazi ukugxila, okuyimiphumela emibi ye-anesthesia.

Thatha usuku lokuhlinzwa kwakho emsebenzini. Awudingi ukuthatha ikhefu elingaphezu kosuku olulodwa uma umsebenzi wakho ungadingi ukuthi uhambise umlomo wakho kakhulu. Kodwa-ke, uma kungenzeka, thatha izinsuku ezimbalwa ukuze uzinike isikhathi sokuphumula.

Ngemuva kokuthi inqubo yenziwe, ungahle ube nebhandeshi emhlathini wakho. Udokotela wakho angaphinda abophe ibhandishi elengeziwe ekhanda lakho ukugcina ukugqoka kwesilonda kuphephile futhi kusendaweni.

Usuku olulodwa noma ezimbili ngemuva kokuhlinzwa, yenza okulandelayo ukuqinisekisa ukuthi ululama ngokushesha nangempumelelo:

• Thatha izidakamizwa ezingezona ukuvuvukala (i-NSAIDS) nganoma ibuphi ubuhlungu uma umhlinzeki wakho wezokunakekelwa kwempilo ekuncoma. (Ama-NSAID awanconywa kubantu abanezinkinga zokopha noma nezinkinga zezinso.)
• Gwema ukudla okuqinile nokunamafutha. Lokhu kungabeka ubunzima ejoyintini lakho. Ungadinga ukulandela ukudla oketshezi isonto elilodwa noma ngaphezulu nokudla kokudla okuthambile amasonto amathathu noma ngaphezulu. Qiniseka ukuthi uhlala unamanzi amaningi ngemuva kokuhlinzwa.
• Faka i-compress ebandayo endaweni ukusiza ngokuvuvukala. Icompress ingaba lula njengesikhwama esifriziwe semifino esongwe ngethawula elihlanzekile.
• Ukushisa okufudumele okusetshenziswe emisipheni yomhlathi nakho kungasiza ngokunethezeka ngemuva kokuhlinzwa, njengamaphakethe wokushisa noma ukufaka i-microwaving indwangu emanzi.
• Vala ibhandishi lakho ngaphambi kokugeza noma ukugeza ngakho-ke akunamanzi.
• Susa njalo bese ushintsha amabhandeshi. Faka noma yimaphi okhilimu noma amafutha okugcoba umhlinzeki wakho wokunakekelwa kwezempilo ancoma njalo lapho ushintsha ibhandishi.
• Gqoka imbenge noma enye into emhlathini wakho ngaso sonke isikhathi kuze kube yilapho udokotela wakho ekutshela ukuthi kulungile ukuyikhipha.

Bona umhlinzeki wakho wezokunakekelwa kwempilo ezinsukwini ezimbili kuya kwezi-3 ngemuva kokuhlinzwa ukuze uqiniseke ukuthi uphulukisa kahle futhi uthole noma imiphi eminye imiyalelo yokunakekela i-TMJ yakho.

Udokotela wakho futhi angadinga ukususa iziqu ngalesi sikhathi uma iziqu zakho zingancibiliki zodwa. Ngokwengeziwe, bangancoma imishanguzo yezinhlungu noma noma yikuphi ukutheleleka okuvelayo.

Ungadinga futhi ukubona owelapha ngokomzimba ukukusiza ukuthi uphinde uthole ukunyakaza emihlathini yakho nokugcina ukuvuvukala kungakhawuleli ukunyakaza kwakho kwe-TMJ.

Uchungechunge lokuqokwa kokwelashwa ngokomzimba kungathatha amasonto noma izinyanga ezimbalwa, kepha imvamisa uzobona imiphumela yesikhathi eside engcono uma usebenza eduze nomelaphi wakho.

Yiziphi izinkinga ezingaba khona kusukela ekuhlinzweni kwe-TMJ?

Inkinga ejwayelekile kakhulu yokuhlinzwa kwe-TMJ ukulahleka unomphela ebangeni lokunyakaza.

Ezinye izinkinga ezingaba khona zifaka:

• ukulimala kwemizwa yobuso, kwesinye isikhathi okuholela ekulahlekelweni okuncane kokunyakaza kwemisipha yobuso noma ukulahlekelwa umuzwa
• ukulimala kwezicubu eziseduze, njengezansi kogebhezi, imithambo yegazi, noma i-anatomy ehlobene nokuzwa kwakho
• ukutheleleka okuzungeze indawo yokuhlinzwa ngesikhathi sokuhlinzwa noma ngemuva kokuhlinzwa
• ubuhlungu obuqhubekayo noma ububanzi bokuhamba
• I-Frey syndrome, inkinga engajwayelekile yezindlala ze-parotid (eduze ne-TMJ yakho) ebangela ukujuluka kobuso okungavamile

Ngabe izinhlungu ze-TMJ zizobuya uma ngihlinziwe?

Ubuhlungu be-TMJ bungabuya noma usuhlinziwe. Nge-arthrocentesis, kususwa kuphela imfucumfucu nokuvuvukala okweqile. Lokhu kusho ukuthi imfucumfucu ingakha ejoyini futhi, noma ukuvuvukala kungaphinda kwenzeke.

Ubuhlungu be-TMJ bungabuya futhi uma budalwe umkhuba ofana nokuqinisa noma ukugaya amazinyo (bruxism) lapho unengcindezi noma ngenkathi ulele.

Uma unesimo somzimba sokuzivikela esibangela ukuthi izicubu zivuthe, njenge-rheumatoid arthritis, ubuhlungu be-TMJ bungabuya uma amasosha akho omzimba ekhomba izicubu ezihlangene.

Yini okufanele ngiyibuze umhlinzeki wami wezokunakekelwa kwempilo?

Ngaphambi kokuba uthathe isinqumo sokuhlinzwa i-TMJ, cela umhlinzeki wakho wezokunakekelwa kwempilo:

• Ingabe kufanele buqhubeke njalo noma buqine kangakanani ubuhlungu bami ngaphambi kokuba ngihlinzwe?
• Uma ukuhlinzwa kungangifanele, imiphi imisebenzi okufanele ngiyigweme noma ngenze okuningi ukusiza ukudambisa ubuhlungu bami noma ukukhulisa ibanga lami lokunyakaza?
• Yiluphi uhlobo lokuhlinzwa ongincomela lona? Kungani?
• Ngabe kufanele ngibone owelapha ngokomzimba ukubona ukuthi lokho kuyasiza kuqala?
• Ngabe kufanele ngikushintshe engikudlayo ukuze ngikukhiphe ukudla okunzima noma okuhlafunwayo ukusiza ngezimpawu zami?
• Ingabe zikhona izinkinga okufanele ngicabange ngazo uma ngithatha isinqumo sokungahlinzwa?

Ukudla okudlela endlini

Bona umhlinzeki wakho wezokunakekelwa kwempilo noma wamazinyo ngokushesha okukhulu uma ubuhlungu bomhlathi wakho noma ukuthamba kwakho kuphazamisa impilo yakho noma uma kukuvimbela ekudleni noma ekuphuzeni.

Ungahle ungadingi ukuhlinzwa uma izindlela zokwelashwa ezingezona ezokwelapha, imishanguzo, noma izinguquko zendlela yokuphila zikhulula ubuhlungu bakho be-TMJ. Ukuhlinzwa ngokuvamile kuyindlela yokugcina yamacala abucayi kakhulu, futhi akuqinisekisi ukwelashwa.

Yazisa umhlinzeki wakho wezokunakekelwa kwempilo uma izindlela zokwelapha eziningi zingasizi noma uma izimpawu zakho ziya ngokuya ziba zimbi.