I-Kosten's Syndrome: Izimbangela, Izimpawu, Ukuxilongwa, Nezokwelapha

Akuyona imfihlo ukuthi iningi lezingane kanye nabantu abadala besaba odokotela bamazinyo. Futhi, njengoba umthetho, iziguli eziningi zithunyelwa kulabachwepheshe kuphela ezimweni eziphuthumayo: uma kune-flux enkulu noma iphunga elimnandi emlonyeni ngenxa ye-tartar eqoqwe. Ukuphazamiseka kwesikhashana emgodini womlomo kuthiwa kubangelwa ukudla okubandayo noma okumnandi, okungabangela ukuphazamiseka kwesikhashana.

Incazelo ye-pathology kaKosten: ngubani ophethe lesi sifo?

Njengoba nje kungenangqondo ekuboneni kokuqala yi-Kosten's syndrome, izimpawu ezingavamile ukuba iziguli zithole iseluleko sezokwelapha ochwepheshe. Lokhu ukukhubazeka kuyinkinga yokungena kwe-cartilaginous etholakala ngokuhlanganyela kwe-temporomandibular. Ngokuvamile lesi sifo sididekile nesifo sohlelo lokusebenza lwesikhumba sonke. Kuyaziwa ukuthi ukwelashwa kwezifo ezinjalo akukwenziwa ngamagqirha wamazinyo, kodwa ngama-rheumatologists nama-orthopedists.

Isifo sikaKosten - isifo se-pathological disposition - siwela emkhakheni wokubukeka kwe- orthodontist. Amathuba omphumela omuhle wokwelapha i-pathology amakhulu kuphela uma uqala ukwelashwa ngokushesha ngangokunokwenzeka. Ezimweni eziningi, lapho iziguli zikwazi ukuthi yini i-Kosten's syndrome (izimbangela, izimpawu, ukuxilongwa nezindlela zokwelapha), ngemuva kokwelashwa odokotela ekuqaleni, ukwelashwa ngendlela yamadivaysi okulungisa nokudla okulula kuphumelela kakhulu. Kulesi simo, uhlobo olusayinakekelwa lesi sifo alunciphisi isiguli sesidingo sokungenelela okuhlinzekwayo nokuvuselelwa isikhathi eside.

Kungani singakwazi ukungazinaki izimpawu zesifo?

Ukuze uqonde ukuthi yini i-Kosten's syndrome, iyiphi ingozi yalesi sifo, ungaqonda izici zesimo se-maxillofacial yomuntu. Phakathi komhlathi omncane kanye ne-cranial base i-disc cartilaginous. Umsebenzi walo ukuhlinzeka nganoma yikuphi ukuhamba kokuhlanganyela, ngenxa yokuthi umuntu unethuba lokuhlafuna, ukukhuluma, ukuphuza. Lapho umthwalo womabili emaseni uqala ukusakazwa ngokungavumelani, ukuvuvukala kwediski engenhla i-cartilaginous kwenzeka.

Ukungaqapheli isikhathi eside ukubonakaliswa kwesifo kusongela izinkinga ezinkulu, ngakho-ke, ukunakekelwa okufanele kufanele kubhalelwe inkinga enjalo njenge-Kosten's syndrome. Izimpawu, ukwelashwa kokungasebenzi kahle kuncike ekutheni isiguli siphila isikhathi eside kangakanani nalesi sifo. Ngokuhamba kwesikhathi, kukhona ukuguqulwa nokuguqulwa okuphelele kwe-disc cartilaginous, okuyinto, futhi, eyithinta kakhulu umsebenzi we-motor joint - ingahle ilahleke ngokuphelele.

Ungesabi ukuvakashela udokotela wamazinyo nge-Kosten ukungasebenzi kahle. Isifo esiteshini esiphambili sikwazi ukuletha isiguli izinkinga eziningi: kusukela ekungenakwenzeka ukuhlafuna ukudla kanye nesidingo sokuwusebenzisa kuphela ngeprobe, ukuqeda ukulahlekelwa kwenkulumo ehlakaniphile.

Izimbangela zenkinga

Echazwe yi-otolaryngologist yaseMelika uKosten ngo-1934, lesi sifo sifunde iminyaka engaphezu kwengu-80. Kodwa-ke, kuze kube yimanje, abacwaningi abakwazi ukubamba izimbangela eziqondile kanye nokuthuthukiswa kokungahambi kahle komjobo womhlathi. Izimo ezinokwenzeka kakhulu ekubukeni kwesifo kukhona ama-orthodontists namazinyo:

- ukulimala komshini, ukulimala, ukushaya;

- ukungabi khona kwemikhosi (kubantu abadala lokhu kungama-6th, 7th and 8th amazinyo, ezinganeni - i-milk and 4th milk);

- ukukhwa kwamazinyo (bruxism);

- umthwalo ogcwele ngokweqile;

- izimo ezicindezelayo;

- ukuxoshwa kokujoyina lapho uvakashela udokotela wamazinyo.

Noma kunjalo, ochwepheshe abaningi bayavuma ukuthi imbangela yokuthuthukiswa kwezindawo zokuhlala kanye nokuvuvukala kwe-disc cartilaginous kuyinto bite engalungile. Kungakhathaliseki ukuthi kuzalwa noma kutholakala, kubaluleke kakhulu ukuqinisekisa ukuthi umthwalo womabili womhlathi unye.

Ngubani osemngciphekweni?

Kuvela ukuthi odokotela bahlukanisa amaqembu amaningana abantu abanethuba elihle lokuthola ukungasebenzi komsebenzi kaKosten. I-Syndrome ivame ukubonwa ngeziguli uma:

• Ubudala babo budlula iminyaka engama-50;
• Ngesikhathi sokuya esikhathini kwabesifazane, amathuba okuthuthukisa ukugula akhula izikhathi eziningana uma kuqhathaniswa neontanga zobulili obuhlukile;
• Zinezinto ezithathwa njengefa;
• Kukhona ukuthambekela kwe-osteoarthritis, rheumatism;
• Izikhwama eziningi zokuhlafuna zazisuswa.

Izimpawu zokugula

Ukufana kwemibonakaliso yemitholampilo ye-pathology ye-maxillofacial zone ngokuvamile kubangela amaphutha ekutholeni isifo sikaKosten. I-syndrome, etholwe udokotela wase-American ENT, ngokuvamile ayikwazi ukuzibonakalisa iziguli isikhathi eside. Kodwa-ke, izinsolo zokuqala zalesi sifo zenzeka ezigulini ngoba:

• Ukunganaki ukuzwa inqubo yokufuna ukudla (abaningi bazame ukungayinaki ngokukhethekile ubuhlungu obunzima noma zama ukuqeda imizwa engathandeki ngemithi yobuhlungu);
• Ukuchofozwa njalo futhi kuqubuka lapho uvula umlomo;
• Ukuhamba okulinganiselwe kokuhlanganiswa komhlathi;
• Ukuqothula okweqile kwemisipha ye- masticatory, ikakhulukazi ekuseni;
• I-asymmetry ebonakalayo yomugqa wobuso;
• Irradiation ubuhlungu endlebeni, amehlo.

Okuhlangenwe nakho kokwelashwa kweziguli ezine-syndrome kaKosten kubonisa ukuthi iziguli zivame ukuya kudokotela kakade uma kunezinsizwa, ukuphelelwa yisikhathi okuphelele kokuhlanganiswa kwenzeka futhi ubukhulu bokuzwa buyancipha kakhulu. Ngalolu hlobo lwesifo, akunakwenzeka ukuxazulula le nkinga ngezindlela zokulondoloza.

Indlela yokuthola lesi sifo ngesikhathi sokuhlolwa?

Ukuxilongwa kwe-Kosten's syndrome, okwelashwa kwayo kusungulwe ngokuyinhloko ngezinga lokuthuthukiswa kwesifo, kungabonakala ngokuhlolwa okulula okulula kwe-three-phalanx. Le ndlela ibhekwa njengesiqalo, futhi ngenxa yokuqukethwe okuphezulu kwemininingwane le ndlela inokwethenjelwa iningi labadoti bamazinyo abasebenza.

Isisekelo salo sinjengalokhu: phakathi kwama-incisors angaphakathi naphansi aphansi avule umlomo wesiguli kufanele adlule engathinteki izingxube ezintathu ze-interphalangeal 2, 3 nezingu-4 zesandla sikadokotela. Nge-atrophy yemisipha yokuhlamba isiguli, lokhu akunakwenziwa.

Qinisekisa noma niphike ukuthi kungenzeka yini ukuxilongwa kungenzeka ezinye izindlela zanamuhla zokuhlolwa:

- i-electromyography yenhlanganisela ye-maxillofacial;

- Ukuhlolwa kwe-Impedanceometric (kunesidingo sokuhlola okuhlosiwe kwesimo senhliziyo ephakathi);

- Umdwebo wezithombe zomhlathi ophansi;

- Ukukhishwa kwe-computed tomography noma i-magnetic resonance (ezimweni ezinzima).

Izici zokwelashwa kwe-pathology

Uma unciphisa umthwalo ohlangene ohlangene, isiguli sizokwazi ukuqeda ngokuphelele ukusebenza komhlathi. Ukwelashwa kwe-Costen's syndrome kusho indlela ephelele, lapho isinyathelo sokuqala ukushintsha uhlobo lokudla okudliwe. Kufanele okungenani kuhlulwe phakathi nenyanga yokuqala yokwelapha. Kuluhlu lwemikhiqizo ukuthi, ngokusho kwamazinyo wamazinyo, abe nokuvumelana okuhle, faka imikhiqizo yobisi omuncu, ama-porridges abilisiwe, ama-juice. Ama-chops ama-hard and steaks aphephe ngokuphelele, kepha lokhu akusho ukuthi awukwazi ukudla izigaxa ze-steam, inyama yezilwane, ama-soufflings enyama, njll.

Kubaluleke kakhulu ukuphumula ngokugcwele futhi ulale okungenani amahora angu-7 ngosuku. Uma udlulisa inkambo yokwelapha, udokotela angadinga isiguli ukuba sincishise izingxoxo eside futhi usebenzise izinsini zokufuna. Kumele futhi kukhunjulwe ukuthi noma yikuphi ukucindezeleka nokucindezeleka kungabangela ubuhlungu, ngakho-ke kufanele kube nokucindezeleka.

I-passage ye-physiotherapy kanye nokuhlanzeka kwendle

Izinqubo zokwelashwa ezidingekayo zihlanganisa:

• Ukubuthwa kwemisipha yobuso;
• Ukwelashwa kwe-Laser;
• Ukwelashwa kwe-Ultrasound ;
• Iontophoresis.

Isinyathelo sokuphoqeleka ekwelapheni ukuhlanza amanzi emzimbeni, kanye nama-prosthetics amazinyo alahlekile. Mhlawumbe ochwepheshe uzoqoka isiguli ukuba sigqoke ama-caps amazinyo, amapuleti okugcoba, umkhawulo wokuvula umlomo, njll.

Izidakamizwa noma ukuhlinzwa

Kuyingxenye yokwelapha yezidakamizwa idluliselwa kulawo macala lapho izindlela ezingenhla ezingenhla ezingenhla zingasebenzi. Ukuze uqede izimpawu ezibuhlungu, misela izidakamizwa ezihambisana nokuvuvukala. Ngeke ukwenze ngokuqedwa okuphelele kwe-Kosten's syndrome futhi ngaphandle kokwelashwa kwe-vitamin okuqinisiwe ngendlela yamathebulethi noma izijovo. Kungenzeka futhi ukuthi ukuqashwa kwemizimba ye-muscle relaxants, okuyinto okubhekwa ngayo ukuthi iyilwa nokucindezeleka komfutho we-masticatory.

Ukukhishwa kokuhlinzwa kwediski ye-cartilaginous akuvamile ukusetshenziswa, ngoba ukuphikisana okuningi nokuba khona kwezingozi zezinkinga ezilandelayo kuyisithiyo esiyinhloko ekusebenzeni. Kodwa-ke, namuhla, ezimweni eziyinkimbinkimbi, ochwepheshe abaqeqeshiwe kakhulu basebenzisa indlela yokufaka ukufakelwa, okungabuyiselwa ukusebenza okugcwele kokuhlanganiswa kwe-maxillofacial.