Temporomandibular ngokuhlanganyela: isakhiwo kanye nokwelashwa pathologies

Ukuxilongwa kanye nokwelashwa of dysfunctions we yesikhashana ngokuhlanganyela mandibular akunakwenzeka ngaphandle balifundisise owakheke ngayo nosebenza ngayo lo umzimba.

ngokuhlanganyela Temporomandibular e isakhiwo salo isitho eziyinkimbinkimbi emzimbeni womuntu ngoba ukubhanqa inhlanganisela futhi yenza iminyakazo ehlanganisa beya futhi uzungeza isikhungo elintantayo. Njalo ukuhamba mandible idinga kokubili sele vzimodeystviya ngokuqinile ehlelekile futhi kanyekanye.

ngokuhlanganyela Temporomandibular kwakhiwa fossa mandibular, ikhanda ka mandible nge inqubo condylar kanye protuberance ebalulekile wethambo yesikhashana. ikhanda Mandibular circumferentially izungezwe ungqimba ezondile ithambo icwecwe futhi likwazi isakhiwo sithambile. umzimba Front kuyinto flat emgodini leWebhu nge Imicu yotshani enamathiselwe pterygoid kwemisipha. evele yangaphandle yesithathu engenhla isiphundu sabo ikhanda ubabonisa tuberosity thwi okuyinto indawo ukunamathela nemisipha kanye nemisipha. ingaphakathi Glenoid ukuze glazerovoy slot ithatha yonke indawo tympanic, ebusweni ezingemuva tubercle articular futhi phezulu kwalo.

Temporomandibular ngokuhlanganyela: isifo

Lapho thuthuva yangaphakathi zenzeka esigabeni sokuqala Ukwenyela ezingamahlalakhona amabombo emhlathini. Ngokuvamile azikho izikhalo, ngezinye izikhathi kuphela iziguli ukhulume okungalungile futhi singathandeki ukunyakaza komzimba. Phakathi, udokotela inquma isikhundla ezivamile disc. In the isinyathelo esilandelayo singenzeka subluxation we disc ngenxa naphakathi-articular umsipha hyperextension. Lapho uvula umlomo lifika ka TMJ ukuchofoza.

izindlela zokuxilonga Ezivamile (CT kanye MR imaging, arthrography) ayivumeli ukucacisa ezihlukile isikhundla avaliwe noma evulekile emlonyeni, okubonisa evamile. Thola displacement we disc kungenzeka kuphela Dynamics, usebenzisa ultrasound, -X-ray Ukuhlolwa kanye arthrography.

Kufanele kuqashelwe ukuthi kungenzeka noma yiluphi uhlobo TMJ iziyaluyalu abayohlanganiswa yisihlungu ezihambisana nokuhlukumezeka okuqhubekayo kwezicubu, sokugembula njalo voltage nemisipha ngaphakathi joint, elibangela ubuhlungu.

Ngezinye ngezigaba ezahlukene zentuthuko iziguli isifo zihlukile futhi ancike izici eziningi. Ubude izigaba inguqulelo kungaba iminyaka eminingi, futhi ngezinye izikhathi ukuthuthukisa isifo ezinyangeni ezimbalwa. Ngakho-ke, ngendlela esifike ngesikhathi ukuvimbela ukwakheka zokugula, kufanele sinake izimpawu zokuqala futhi kujwayeleke isimo disc articular kuyadingeka emabangeni sokuqala lesi sifo ukwelashwa okufanele.

ukwephulwa Izimpawu: TMJ

Ungakwazi ukuxoxa ukuthuthukiswa kwe-pathology uma ubuhlungu shell endlebeni, nemizwa kungagcini emhlathini ukunyakaza lapho ukuchofoza ezindaweni emalungeni temporomandibular. Izimpawu zesifo zihlanganisa ukuphazamiseka ukuhamba umhlathi ongezansi, ubuhlungu bemisipha namalunga masticatory, amajaqamba ku avaliwe futhi sikhundla evulekile emhlathini.

TMJ: ukwelashwa

Umgomo yokwelapha ukukhululeka nezinkinga izimbangela zesifo kanye nokunciphisa kobukhulu ekuthuthukisweni yezici isifo. Ngokuvamile izimbangela ukuthi bafake isandla ekuthuthukiseni lesi sifo, nerve aphume ashone ukucindezeleka, umsebenzi ngokweqile, ukutholakala temlomo edentulous, abampofu sokwenziwa kwamazinyo.

ukwelashwa TMJ kutfola izinguquko morphological kanye kokusebenza, ukuzinza komzimba ekuvimbeleni ukukhumuzeka zokugula olwengeziwe. Kuze kube yimanje, ukuthatha izinyathelo oluphelele nge ukubandakanywa ochwepheshe - wamazinyo, udokotela wezinzwa, wamathambo, i Udokotela awe-aleji nabanye.