Bruxism

I-Bruxism kuxa usila amazinyo (slayida amazinyo ngapha nangapha).

Abantu banokugoba kwaye basile bengazi. Inokwenzeka emini nasebusuku. I-Bruxism ngexesha lokulala ihlala ingxaki enkulu kuba kunzima ukuyilawula.

Kukho ukungavumelani malunga nonobangela webruxism. Uxinzelelo lwemihla ngemihla lunokubangela abantu abaninzi. Abanye abantu kusenokwenzeka ukuba baqinise okanye batshixize amazinyo kwaye bangaze bazive iimpawu.

Izinto ezichaphazela ukuba i-bruxism ibangela iintlungu kunye nezinye iingxaki ziya kwahluka kuye ngomntu. Banokubandakanya:

• Unoxinzelelo olungakanani
• Kude kube nini na kwaye uqinise kangakanani na kwaye ugoba amazinyo akho
• Nokuba amazinyo akho enziwe gwenxa
• Indlela omi ngayo
• Amandla akho okuphumla
• Ukutya kwakho
• Imikhwa yakho yokulala

Ukutshixizisa amazinyo kubeka uxinzelelo kwimisipha, izicwili kunye nolunye ulwakhiwo olujikeleze umhlathi wakho. Iimpawu zinokubangela iingxaki zokudibana kwetemporomandibular (TMJ).

Ukusila kunokuwadla amazinyo akho. Kungangxola ngokwaneleyo ebusuku ukukhathaza amaqabane aleleyo.

Iimpawu ze-bruxism zibandakanya:

• Ixhala, uxinzelelo kunye noxinzelelo
• Uxinzelelo
• I-Earache (ngokuyinxenye ngenxa yokuba izakhiwo zelungu le-temporomandibular zisondele kakhulu kumsele wendlebe, kwaye kuba ungaziva iintlungu kwindawo eyahlukileyo kunomthombo wayo, oku kubizwa ngokuba yintlungu ebhekisiweyo)
• Ukuphazamiseka kwindlela yokutya
• Intloko ebuhlungu
• Ukuthamba kwemisipha, ngakumbi kusasa
• Ukutshisa, ukubanda, okanye ubuntununtunu busemazinyweni
• Ukuphuthelwa
• Umhlathi obuhlungu okanye obuhlungu

Uvavanyo lunokulawula ezinye iingxaki ezinokubangela iintlungu zomhlathi ezifanayo okanye iintlungu zendlebe, kubandakanya:

• Ukuphazamiseka kwamazinyo
• Ukuphazamiseka endlebeni, njengokusuleleka kwindlebe
• Iingxaki ngokudityaniswa kwetemporomandibular (TMJ)

Unokuba nembali yenqanaba loxinzelelo oluphezulu kunye noxinzelelo.

Iinjongo zonyango kukunciphisa iintlungu, ukuthintela ukonakala okusisigxina emazinyweni, kunye nokunciphisa ukugoba kangangoko kunokwenzeka.

Ezi ngcebiso zokuzinyamekela zinokunceda ukunciphisa iintlungu:

• Faka umkhenkce okanye ubushushu obumanzi kwimisipha yomhlathi. Nokuba yeyiphi inokunceda.
• Kuphephe ukutya ukutya okuqinileyo okanye okuxineneyo okufana namandongomane, iilekese, kunye ne-steak.
• Musa ukuhlafuna itshungama.
• Sela amanzi amaninzi yonke imihla.
• Lala ngokwaneleyo.
• Funda unyango ololula umzimba ukuze uncede izihlunu kunye namalungu kwicala ngalinye lentloko ukuba abuyele esiqhelweni.
• Ukuphulula izihlunu zentamo yakho, amagxa kunye nobuso. Khangela amaqhuqhuva amancinci, abuhlungu abizwa ngamanqaku okuqala anokubangela iintlungu entlokweni nasebusweni.
• Khulula ubuso bakho kunye nezihlunu zomhlathi imini yonke. Injongo kukwenza ukuphumla ebusweni kube ngumkhwa.
• Zama ukunciphisa uxinzelelo lwemihla ngemihla kwaye ufunde iindlela zokuphumla.

Ukuthintela ukonakala kwamazinyo akho, oonogada bomlomo okanye izixhobo (iziqwenga) zihlala zisetyenziselwa ukunyanga ukugaya, ukugoba kunye nokuphazamiseka kweTMJ. Isiphatho sinokunceda ukukhusela amazinyo akho kuxinzelelo lokusila.

Ukuqhekeka ngokufanelekileyo kufanelekile ukunciphisa iziphumo zokugaya. Nangona kunjalo, abanye abantu bafumanisa ukuba iimpawu zihamba nje ukuba basebenzise i-splint, kodwa intlungu ibuya xa beyeka. Ukuqhekeka nako akunakusebenza ngokuhamba kwexesha.

Zininzi iintlobo zokwahlulwa. Amanye alunga phezu kwamazinyo aphezulu, amanye emazantsi. Zingayilwa ukugcina umhlathi wakho kwindawo ekhululekile okanye unikeze omnye umsebenzi. Ukuba olunye udidi alusebenzi, olunye lusenokwenzeka. Inaliti yeBotox kwimisipha yomhlathi ikwabonakalise impumelelo ekulawuleni ukushenxisa kunye nokugaya.

Emva konyango olucociweyo, uhlengahlengiso lwendlela yokuluma lunokunceda abanye abantu.

Okokugqibela, iindlela ezininzi zizama ukunceda abantu ukuba bangafundi ngokuziphatha kwabo. Oku kuphumelele ngakumbi ekunciphiseni ixesha lasemini.

Kwabanye abantu, ukuphumla kunye nokuguqula indlela yokuziphatha emini kwanele ukunciphisa i-bruxism yasebusuku. Iindlela zokuguqula ngokuthe ngqo ukuvaleka ebusuku azifundiswanga kakuhle. Babandakanya izixhobo ze-biofeedback, i-self-hypnosis, kunye nezinye iindlela zonyango.

I-Bruxism ayisiyongxaki eyingozi. Nangona kunjalo, inokubangela umonakalo ongapheliyo emazinyweni kunye nentlungu yomhlathi engonwabisiyo, intloko ebuhlungu, okanye iintlungu zendlebe.

I-Bruxism inokubangela:

• Uxinzelelo
• Ukuphazamiseka kwindlela yokutya
• Ukuphuthelwa
• Ukunyusa iingxaki zamazinyo okanye zeTMJ
• Amazinyo aqhekekileyo
• Iintsini ezibuyisa umva

Ukuguba ebusuku kunokuvusa abantu ohlala nabo okanye olele nabo.

Jonga ugqirha wamazinyo kwangoko ukuba unengxaki yokutya okanye yokuvula umlomo. Gcina ukhumbula ukuba iimeko ezahlukeneyo ezinokubakho, ukusuka kwisifo samathambo ukuya kwingozi ye-whiplash, kunokubangela iimpawu ze-TMJ. Ke ngoko, jonga ugqirha wamazinyo kuvavanyo olupheleleyo ukuba amanyathelo okuzikhathalela awancedi kwiiveki ezimbalwa.

Ukusila kunye nokugoba akuweli ngokucacileyo kuqeqesho olunye lonyango. Akukho buchule bukhethekileyo be-TMJ kugqirha wamazinyo. Kwindlela esekwe kwimassage, jonga i-massage ye-massage eqeqeshwe kunyango lwenqaku lokunyanga, unyango lwe-neuromuscular, okanye i-massage yonyango.

Oogqirha bamazinyo abanamava ngakumbi ngeengxaki ze-TMJ baya kuthatha ii-ray-ray kwaye bamisele umlindi womlomo. Ugqirha ngoku luthathwa njengendawo yokugqibela yeTMJ.

Ukunciphisa uxinzelelo kunye nolawulo lwexhala kunokunciphisa i-bruxism kubantu abaqhele imeko leyo.

Amazinyo asila; Clenching

I-Indresano AT, iPark CM. Ulawulo lwe-Nonsurgical yokuphazamiseka ngokudibeneyo kwetemporomandibular. Ku: Fonseca RJ, ed. Utyando lomlomo kunye neMaxillofacial. Ngomhla wesi-3. ISt Louis, MO: Elsevier; I-2018: isahluko 39.

URyan CA, uWalter HJ, uDeMaso DR. Ukuphazamiseka kwemoto kunye nemikhwa. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.