I-Kosten's Syndrome: Izizathu, iziganeko, ukuxilongwa, kunye nezoNyango

Ayikho imfihlelo ininzi lwabantwana kunye nabantu abadala bayamoyika amazinyo. Kwaye, njengomthetho, izigulane ezininzi zithunyelwa kule ngxaki kwiimeko eziphuthumayo: xa kukho umfutho omkhulu okanye umnandi emlonyeni ngenxa ye-tartar. Ukuphazamiseka kwimizuzu emlonyeni womlomo kuthiwa kubangelwa ukutya okubandayo okanye okumnandi, oku kunokubangela ukuphazamiseka kwexeshana.

Inkcazo ye-pathology yaseKosten: ngubani ophethe eso sifo?

Njengoko nje kunengqondo ekuqaleni kokubona yi-Kosten's syndrome, iimpawu ezingavumelekanga ukuba izigulane zihambe iingcebiso zonyango. Le ntsholongwane yinto engasebenzi ngayo idiski ye-cartilaginous ehlangene kunye ne-temporomandibular. Ngokuqhelekileyo esi sifo sididekile nesi sifo se-apple. Kuyaziwa ukuba unyango lwezilwanyana ezinjalo alukwenziwanga ngabadokotela bamazinyo, kodwa ngo-rheumatologist kunye nama-orthopedists.

Isifo sikaKosten - isifo se-pathological occlusion - siwela kwintsimi yombono we- orthodontist. Amathuba omphumo omhle wokuphatha unyango lukhulu ngokwaneleyo kuphela xa uqala unyango ngokukhawuleza. Kwiimeko ezininzi, xa izigulane zifumana ingcamango yokoko i-Kosten's syndrome (izibangela, iimpawu, ukuxilongwa kunye nezonyango), emva kokunyanga koogqirha kwixesha lokuqala, unyango ngendlela yezixhobo zokulungisa kunye nokutya okulula kuphumelele. Kule meko, uhlobo olushiyiweyo lwesifo alukhupheli isigulane sesidingo sokungenelela ngoncedo kunye nokubuyiswa okude.

Kutheni singenakukunyamekela iimpawu zesifo?

Ukuze uqonde ukuba yiyiphi isifo seKosten, yintoni ingozi yesi sifo, unokuqonda iimpawu ze-anatomiki zesakhiwo somntu ophezulu. Phakathi kwesangqa esisezantsi kunye ne-cranial base i-distilaginous disc. Umsebenzi walo kukubonelela naluphi na ulwahlulo lokuhamba komxube, ngenxa yokuba umntu unethuba lokuhlafuna, ukuthetha, ukusela. Xa umthwalo kwiintlobo zombini uqala ukusasazwa ngokungavumelekanga, ukuvuvukala kwidiski engentla ngentlapha kwenzeka.

Ukunyamekela ixesha elide ukubonakaliswa kwesi sifo kusongela iingxaki ezinzulu, ngoko ke, ingqalelo ekufuneka ihlawulwe kwingxaki enjalo njenge-Kosten's syndrome. Iimpawu, unyango lwe-dysfunction luxhomekeke kakhulu kwixesha elide isigulane siphila ngayo nale ngozi. Ngethuba lexesha, kukho ukutshabalalisa nokuguqulwa okupheleleyo kwidiski ye-cartilaginous, echaphazela kakhulu ukusebenza kwemoto ye-joint - ingalahlekelwa ngokupheleleyo.

Musa ukotyelela ukutyelela kwinyango yamazinyo kunye ne-Kosten ukungasebenzi. I-syndrome kwizigaba eziphambili ziyakwazi ukuzisa isigulane ezininzi iingxaki: ngokuqala ekungenakwenzeka ukuhlafuna ukutya kunye nokunyanzelwa kokuyisebenzisa kuphela ngeprobefu, ukugqiba ukulahlekelwa kwentetho eqondayo.

Izizathu zeengxaki

Ukuchazwa ngu-otolaryngologist Kosten ngo-1934, i-syndrome ifundwe iminyaka engaphezu kwama-80. Nangona kunjalo, ukuya kutsho, abaphandi abakwazi ukuchaza izizathu ezichanekileyo kunye nokuphuhliswa kokungasebenzi komhlathi womhlathi. Iimeko ezibonakalayo zokubonakala kwe-syndrome zi-orthodontists kunye namazinyo:

Umonakalo womonakalo, ukulimala, ukubetha;

- ukungabikho kwemirhumo (kubantu abadala kuba ngamazinyo e-6, ama-7 kunye nama-8, kubantwana - i-milk and 4th milk);

- ukuqhwala kwamazinyo (bruxism);

Umthwalo ogqithiseleyo ohlangeneyo;

Imeko ezixinzelelekileyo;

- ukutshintshiselwa kokubambisana xa u tyelela udokotela wamazinyo.

Nangona kunjalo, ezininzi iingcali ziyavuma ukuba imbangela yokuphuhliswa kwemfuyo kunye nokuvuvukala kwidiski ye-cartilaginous i-bite engalunganga. Kungakhathaliseki ukuba kuzalwa okanye kufunyanwe, kubaluleke kakhulu ukuqinisekisa ukuba umthwalo kwimisipha yomibini iyafana.

Ngubani osemngciphekweni?

Kuyavela ukuba oogqirha bahlule amaqela amaninzi abantu abanethuba eliphezulu lokufumanisa ukungasebenzi kweKosten. I-Syndrome ibonakala rhoqo kwizigulane ukuba:

• Ubudala babo buyiminyaka engama-50;
• Ngexesha lokumelana nentsholongwane kubasetyhini, amathuba okuphuhlisa ukugula kongeza amaxesha amaninzi xa kuthelekiswa neontanga zesini esahlukileyo;
• Zineenkcukacha zokuzalwa;
• Kukho ukuthambekela kwe-osteoarthritis, i-rheumatism;
• Iingqungquthela ezininzi zokuhlafuna zazisuswa.

Izimpawu zokugula

Ukufana kweembonakaliso zekliniki zentsholongwane ye-maxillofacial zone kubangele kubangele iiphene kwi-diagnosis ye-Kosten's disease. I-syndrome, efunyenwe ngugqirha wase-American ENT, ayisoloko ivakalelwa zizigulane ixesha elide. Nangona kunjalo, ukusola kokuqala kwesi sifo kwenzeka kwizigulane kuba:

• Ukuxhatshazwa kwintlungu kwinkqubo yokutshiza ukutya (amaninzi azama ukuhlawula ingqalelo ekhethekileyo intlungu okanye uzame ukuphelisa iimvakalelo ezingenakuliswa ngamayeza enhlungu);
• Ukuchofoza rhoqo kunye nokukhupha xa uvula umlomo;
• Ukuhamba ngokukhawuleza komxube womhlathi;
• Ixesha elingapheliyo leemisipha zomzimba, ikakhulukazi kusasa;
• I-asymmetry ebonakalayo yomgca womgca;
• Ukutyhafiswa kwentlungu kwindlebe, amehlo.

Amava okwelashwa kwezigulane nge-Kosten's syndrome ibonisa ukuba izigulane zihlala ziza kugqirha sele sele ziba nekhanda, phantse ukuphelelwa kancinci kokubambisana kwenzeka kwaye ubukhulu bentetho buyancitshiswa kakhulu. Ngalolu hlobo lwesifo, akunakwenzeka ukuba usombulule ingxaki ngeendlela zokwenza izinto.

Indlela yokuchonga isifo ngexesha loviwo?

Ukuxilongwa kwe-Kosten's syndrome, unyango lwayo olulungiselelwe kwisigxina esikhulu ngezinga lokuphuhliswa kwesi sifo, lunokuqatshelwa ngokuvavanywa kwe-three-phalanx. Le ndlela ithathwa njengesiqhelo, kwaye ngenxa yenkcazelo ephakamileyo yolwazi le ndlela inokuthenjwa ngabaninzi bamazinyo ozinyo.

Ingundoqo yayo yile ndlela ilandelayo: phakathi kwe-incisors ephezulu kunye nezantsi evulekileyo umlomo wesigulane kufuneka udlulise ama-interphalangeal joints amathathu, 3 ne-4 iminwe yesandla somgulana. Nge-atrophy ye-muscle's chewing muscles, oku akunakwenziwa.

Qinisekisa okanye uphike ukuxilongwa kwamanye amayeza onokuhlaziywa:

- electromyography ye-joint maxillofacial;

Ukuhlolwa kwe-Impedanceometric (kuyimfuneko yokuhlola umgomo we-ear ear condition);

- Iingcamango zengxowanhla yomhlathi osezantsi;

- I-tomography ekhompyutheni okanye ukuskena kwe-magnontic resonance (kwiimeko ezinzima).

Iimpawu zonyango lwezilwanyana

Ukuba unciphisa umthwalo kwidibene ezichaphazelekayo, isigulane siya kukwazi ukukrazula ngokupheleleyo umlenze ongasebenzi. Unyango lwe-Costen's syndrome luchaza indlela ebanzi, apho isinyathelo sokuqala ukutshintsha uhlobo lokutya oludliwe. Kufuneka ukuba ubuncinci bahlutheliswe ngenyanga yokuqala yonyango. Kuluhlu lweemveliso, ngokutsho kweengcali zamazinyo, zinobuchule obufanelekileyo, zibandakanya iimveliso zobisi ezinomsola, porriges ebilisiwe, ijezi. Iinqwelo ezinzima kunye nee-steaks ziyakuphepheka ngokupheleleyo, kodwa oku akuthethi ukuba awukwazi ukutya i-cutlets, i-meatballs, i-soufflings inyama, njl.

Kubaluleke kakhulu ukuphumla ngokuzeleyo nokulala okungenani iiyure ezingama-7 ngosuku. Xa udlula inkambo yokonyango, ugqirha unokufuna ukuba isigulane sinciphise iingxoxo ezide kunye nokusetyenziswa kweentsontsho zentshulu. Kwakhona kufuneka kukhunjulwe ukuba nayiphi na ingxaki kunye noxinzelelo kunokubangela ukuba buhlungu, ngoko kufuneka kuphephe ukuqhuma.

Umhlathi we-physiotherapy kunye nococeko lomlomo

Iinkqubo zonyango eziyimfuneko ziquka:

• Ukufuthwa kwezihlunu zobuso;
• Unyango lwe laser;
• Unyango lwe-ultrasound ;
• Iontophoresis.

Isigaba sokunyanzeliswa kunyango kucoceko lomlomo, kunye neentlobo zezinyathelo zokulahleka kwamazinyo. Mhlawumbi uchwepheshe uya kumisela isigulane ukuba agqoke ii-caps zamazinyo, amacwecwe, amabala okuvula umlomo, njl njl.

Iziyobisi okanye utyando

Kwinqanaba leyeza lonyango liyadluliselwa kula maxesha xa iindlela ezingenasiphelo ezingasentla zingenakwenzeka. Ukuphelisa iimpawu ezibuhlungu, misela izidakamizwa ezichasayo nezichasayo. Awukwazi ukwenza ngokupheliswa ngokupheleleyo kwe-Kosten's syndrome kwaye ngaphandle kokunyusa i-vitamin yonyango ngendlela yamacwecwe okanye iisisiti. Kwakhona kunokwenzeka ukuba kuqeshwe i-muscle relaxants, injongo yaloo nto ithathwa njengolukulwisana nomfutho wegazi ophezulu wemisipha.

Ukutshatyalaliswa kokutshatyalaliswa kwediski ye-cartilaginous kuyasetyenziswa kangangoko, kuba ukuphikisana okuninzi kunye nobukho bemingcipheko esilandelayo yimiqobo ebalulekileyo ekusebenzeni. Nangona kunjalo, namhlanje, kwiimeko eziyinkimbinkimbi, iingcali ezifanelekileyo kakhulu zisebenzisa ubuchule bokufaka ukufakelwa, okuza kubuyiselwa ngokupheleleyo ukusebenza kwe-maxillofacial joint.