Sadam (Algo-dysfunctional Mandicator System Syndrome) kapena Costen Syndrome ndi matenda ofala kwambiri koma osadziwika bwino omwe kukanika kwa nsagwada zam'munsi kungayambitse ululu ndi zizindikiro zosiyanasiyana, nthawi zina zolepheretsa kwambiri. Mkhalidwe wovuta wa matendawa ukhoza kukhala chiyambi cha vuto la matenda ndipo nthawi zambiri umasokoneza kasamalidwe.

Tanthauzo

Sadam (Algo-dysfunctional syndrome of the mandator apparatus), yomwe imatchedwanso kuti Costen's syndrome, ndi matenda okhudzana ndi kusokonekera kwa mgwirizano pakati pa fupa la cranial fupa ndi mandible, lomwe limapanga nsagwada zapansi. Zimayambitsa mawonetseredwe osinthika, makamaka kupweteka kwapadera kapena kutali komanso zovuta zamakina a nsagwada, komanso zizindikiro zina zochepa kwambiri.

Zosokoneza zomwe zimakhudzidwa zimatha kukhudza zinthu zosiyanasiyana za zida zopangira, zomwe zimaphatikizapo:

• malo owoneka bwino a mafupa osakhalitsa komanso malekezero ozungulira (ma condyles) a nsagwada zam'munsi, zokutidwa ndi cartilage,
• chimbale cha articular chomwe chimakwirira mutu wa kondomu ndikuletsa kukangana,
• masticatory minofu ndi tendons,
• malo otsekereza mano (mawu oti kutsekeka kwa mano amatanthauza momwe mano amayikirana wina ndi mnzake akatsekeka pakamwa).

Zomwe zimayambitsa komanso zoopsa

 Sadam ndi yochokera kuzinthu zambiri, zomwe zimakhala ndi zifukwa zambiri zomwe nthawi zambiri zimalumikizana.

Matenda otsekeka m'mano amapezeka nthawi zambiri: mano sagwirizana bwino chifukwa amasokonekera, chifukwa ena atayika (odetsa nkhawa), kapena chifukwa chakuti ntchito ya mano sinakwaniritsidwe bwino.

Hypercontraction ya minofu ya nsagwada, yodziwa kapena ayi, ndiyofala. Kukangana kumeneku kungayambitse bruxism, ndiko kuti, kukukuta kapena kukukuta mano, nthawi zambiri usiku, nthawi zina kumagwirizanitsidwa ndi kung'ambika ndi kung'ambika kwa mano.

Kuvulala kapena kuthyoka kumaso, chigaza kapena khosi kumathanso kuwononga mafupa. Nthawi zina kusamuka kwa articular disc kumadziwika.

Kupsinjika maganizo ndi nkhawa zimatha kukhala ndi gawo lofunikira pakuyambitsa zizindikiro, mpaka akatswiri ena amaona kuti Sadam ndi vuto la psychosomatic.

Zina mwazinthu zomwe zimakhudzidwa ndi chiyambi cha matendawa, pali makamaka:

• congenital anomalies,
• rheumatic pathologies,
• kusokonezeka kwa minofu kapena kaimidwe,
• kutsekeka kwa mphuno kosatha,
• mahomoni,
• zovuta zam'mimba,
• matenda a kugona ndi tcheru ...

matenda

Chifukwa cha kusiyana kwakukulu kwa zizindikiro, matenda nthawi zambiri amakhala ovuta. Zimazikidwa makamaka pa kufufuza kwatsatanetsatane kwachipatala komanso kufufuza kwachipatala kwa kutsegula pakamwa, minyewa ya masticatory, m'munsi mwa nsagwada ndi kutsekeka kwa mano.

The panoramic mano x-ray imapangitsa kuti zitheke kuwona ngati matenda a mano ndi nsagwada samayambitsa zizindikiro zowawa. Nthawi zina, CT scan ya mgwirizano, pakamwa lotseguka ndi lotsekedwa, kapena MRI, yomwe imapereka chidziwitso makamaka pa chikhalidwe cha diski, idzafunsidwanso.

Mayesowa ayenera makamaka kuti athe kuletsa zina zomwe zingayambitse kupweteka, monga fractures, zotupa kapena neuralgia. Upangiri wamankhwala wosiyanasiyana nthawi zina ndi wofunikira.

Anthu okhudzidwa

Ngakhale sizidziwika, Sadam amakhala pafupipafupi: m'modzi mwa anthu khumi amabweretsedwa kuti akambirane chifukwa cha ululu womwe umayambitsa, ndipo mpaka m'modzi mwa awiri akhoza kukhudzidwa.

Aliyense akhoza kukhudzidwa. Komabe, amapezeka nthawi zambiri mwa atsikana (pakati pa 20 ndi 40-50 zaka).

Mwa kutanthauzira, syndrome imadziwika ndi zizindikiro zachipatala. Pankhani ya Costen's syndrome, izi zitha kukhala zosiyana. Izi zimafotokozedwa makamaka ndi malo a nsagwada kutsogolo kwa makutu, m'dera lomwe lili ndi minofu yovuta, yosasunthika komanso yothiriridwa, mikangano yomwe imatha kukhala ndi zotsatira pa mgwirizano pakati pa mutu ndi msana. , ndi chikoka pa unyolo wonse wa minofu yomwe imakhudzidwa ndi momwe thupi limakhalira.

Zizindikiro za m'deralo

Zizindikiro zodziwika kwambiri m'nsagwada ndi mkamwa ndizodziwikiratu.

ululu

Nthawi zambiri, anthu omwe akudwala Sadam amadandaula za ululu kapena kusamva bwino akatseka kapena kutsegula pakamwa, koma zowawa zina zimatha kuwoneka. Zitha kukhala, mwachitsanzo, kupweteka kwa kutsogolo kwa khutu, kupweteka m'kamwa, m'kamwa, m'kamwa kapena m'kamwa, kukhudzidwa kwa dzino kapena kutentha kwa mkamwa.

Neuralgia imatha kuchitika m'nsagwada, kumaso, khosi kapena kumbuyo kwa chigaza.

Kupweteka kwa mutu ndi migraine ndizofala.

Mavuto ophatikizika

Kuyenda kwa nsagwada kumatha kuchepetsedwa ndipo mayendedwe ake amakhala achilendo, zomwe zimapangitsa kuti kutafuna kumakhala kovuta. Kusamuka kwa disc kumayambitsa chiopsezo chachikulu cha kusokonezeka (kusokoneza).

Phokoso lophatikizana, monga kudina kapena "kung'amba" kumveka mukamatsegula pakamwa kapena kutafuna, kung'ung'udza kapena kukwapula ndizochitika. Anthu ena amakhalanso ndi zibwano zotsekeka pamalo otseguka kapena otsekedwa.

Anthu ena ali ndi osteoarthritis mu mgwirizano.

Nthawi zina zowawa zimamveka "patali", ndiko kunena kuti pamalo a thupi kwambiri kapena kutali ndi nsagwada.

Mavuto a ENT

Mawonetseredwe a Sadam mu gawo la ENT amakhalanso kawirikawiri. Amatha kukhala ngati chizungulire, tinnitus, kumva kwa makutu otsekedwa, kapena ngakhale sinusitis aakulu. Mavutowa akhoza kugwirizanitsidwa ndi mavuto a maso.

osiyanasiyana

• Kutopa kapena kumeta mano
• Zilonda zapakhomo
• Mavuto omeza
• Hypersalivation…

Zizindikiro zakutali

ululu

Sikuti ululu ukhoza kufalikira ku khosi kapena khomo lachiberekero, anthu omwe akudwala Sadam amatha kukhala ndi ululu wochepa, kupweteka m'chiuno kapena m'chiuno, nthawi zina ngakhale kumapazi.

Matenda a m'mimba

Mavuto am'mimba komanso oyenda amatha kukhala chifukwa cha vuto la kudya lomwe limalumikizidwa ndi kusafuna bwino kapena kusatulutsa malovu.

osiyanasiyana

• Kupanda tulo
• Kukhumudwa
• Kukhumudwa…

Mankhwala a Sadam ayenera kukhala payekha momwe angathere kuti agwirizane ndi kusinthasintha kwa zizindikiro.

Kukonzanso khalidwe

Pamene kusapezako kuli kocheperako ndipo kupweteka sikukulephereka kwambiri, kukonzanso khalidwe kumakondedwa. Kusintha zakudya (kupewa zovuta kutafuna zakudya, ndi zina zotero), masewera olimbitsa thupi kuti athetse kaimidwe ka nsagwada kapena thupi, komanso njira zochepetsera komanso zochepetsera nkhawa zingalimbikitse. Nthaŵi zina chithandizo chamaganizo ndi khalidwe chidzakhalanso chopindulitsa.

Thandizo lakuthupi

Ululu wina ukhoza kutha pakapita nthawi pogwiritsira ntchito ayezi (kupweteka kwakuthwa, kutupa), pogwiritsa ntchito nsalu yonyowa ndi yofunda (pa minofu yowawa) kapena kutikita minofu.

Mandibular physiotherapy ndiyothandiza. Osteopathy imalimbikitsanso kukonza zolakwika.

Transcutaneous electrical nerve stimulation (TENS) imathandizanso kuchepetsa kupsinjika kwa minofu.

Mankhwala osokoneza bongo

Pazovuta kwambiri, ma analgesics, mankhwala oletsa kutupa kapena otsitsimula minofu angakhale ofunikira kuti moyo ukhale wabwino. 

Dental orthosis (mphindi)

Chida cha mano (orthosis, chomwe chimatchedwa splint) chikhoza kuperekedwa ndi dokotala wa opaleshoni ya mano kapena stomatologist. Kale nthawi zonse anapereka kwa anthu akudwala Sadam kuti akonze mano occlusion abnormalities, reposition mandible ndi kuthetsa kusamvana mu nsagwada, mtundu uwu wa chipangizo m'malo zotchulidwa lero monga mzere wachiwiri, pamene kukonzanso ndi mankhwala thupi sanapereke zotsatira.

Opaleshoni ndi orthodontics

Mankhwala owonjezera a mano, orthodontic kapena opaleshoni amangoganiziridwa pokhapokha, kuti ayankhe pazovuta zenizeni komanso pambuyo polephera njira zina.

osiyanasiyana

Mankhwala ena monga acupuncture, homeopathy kapena mankhwala azitsamba amatha kuyesedwa. Kugwira ntchito kwawo, komabe, sikunasonyezedwe.

Ukhondo wabwino ndi chisamaliro choyenera cha mano zingathandize kupewa kuyamba kwa ululu. N'zothekanso kupewa kumangitsa minofu ya nsagwada mwa kumasuka, komanso kupewa kugwiritsa ntchito molakwika chingamu ndi chakudya cholimba.