Chifukwa chiyani ndikukuta mano?

Maphunziro a Zaumoyo

Kodi mumadzuka muli ndi zilonda pankhope kapena kupweteka nsagwada? Kodi mumakhala ndimutu pafupipafupi m'mawa? Mutha kukukuta mano mukugona. Amankhwala amadziwika kuti bruxism, ndikubwereza mobwerezabwereza, kukomoka ndikupera. Ndizosachita kufuna, ndipo nthawi zambiri simudziwa kuti mukuchita, makamaka ngati mukukuta mano mukugona. Zimakhala zovuta kusiya mosazindikira popanda njira zakulera kukukuta mano.

Kodi bruxism ndi chiyani?

Bruxism ndi dzina lachipatala lakukuta mano. Kukukuta mano ndiko kusisita pamodzi, kapena kukukuta, mobwerezabwereza, pamalo oluma mano. Mutha kuyika mpaka mapaundi 250 akakamizo pamano anu, malinga ndi Buku la MSD . Ndiwo mphamvu zambiri.

Nchiyani chimayambitsa kukukuta mano?

Mano akupera ndi wamba. Kufikira gawo limodzi mwa atatu mwa achikulire amawonetsa machitidwe a bruxism masana; oposa 1 mwa khumi ali ndi kugona tulo (kapena usiku), malinga ndi Mkungudza-Sinai Medical Center . Kulikonse kuyambira 20% mpaka 30% ya ana akupera mano, nthawi zambiri akagona, malinga ndi mumakoma.org .

Palibe chomwe chimayambitsa mano akupera. Komabe, pali zifukwa zambiri zomwe zimathandizira:

• Kupsinjika: Panthaŵi yakuda nkhawa kwambiri, anthu ambiri amakukuta mano. Itha kukhala chizolowezi ndikupitilira nthawi yakutonthola.
• Chibadwa: Bruxism itha kukhala yotengera. Onse omwe theka la anthu amene amakukuta mano amakhalanso ndi wachibale wapafupi yemwe amakhalanso ndi bruxism.
• Matenda ena: Bruxism imafala kwambiri kwa ana omwe amapezeka kuti ali ndi vuto lothana ndi nkhawa, monga ADHD, kapena matenda ena, monga ubongo. Ndizofala kwambiri kwa achikulire omwe kukhumudwa , nkhawa , asidi Reflux kapena gastroesophageal Reflux matenda (GERD) , ndi mavuto ena akudya.
• Matenda ogona: Kupera kwa mano kumalumikizidwa ndi kukalipira, kutsekeka kwa tulo tomwe timagona, komanso kusintha magonedwe pafupipafupi. Mwachitsanzo, ogwira ntchito osinthana omwe amasinthana pakati pa usana ndi nthawi yogona usiku atha kukukuta mano.
• Zinthu za moyo: Kusuta fodya, kumwa mowa, komanso kumwa tiyi kapena tiyifefe zonsezi ndizogwirizana ndi bruxism. Ngakhale, kafukufuku wambiri amafunikira kuti adziwe momwe zinthu zoopsa izi zingathandizire kutero.
• Kuperewera kwa Vitamini: Pali malingaliro akuti kusowa kwa mavitamini kumatha kubweretsa chisokonezo. Vitamini D. zofooka komanso kuyamwa koyipa kwa kashiamu akuwerengedwa ngati zomwe zitha kukukuta mano, akutero Cristi Freinberg-Truffles (Adasankhidwa) , DDS, dokotala wa mano ku Hudson Valley Dental Care, PC. Pali maphunziro ambiri omwe akuchitika, koma palibe umboni wotsimikizira kuti American Dental Association yatengera.

Mankhwala omwe amachititsa bruxism

Bruxism itha kukhala zotsatira zoyipa zamankhwala ena, malinga ndi a kafukufuku wofalitsidwa mu 2019 . Zoyipa zomwe zimachitika ndi monga ma antipsychotic komanso mankhwala omwe amagwiritsidwa ntchito kwambiri monga:

• Mphamvu ( kachirombo )
• Paxil ( paroxetine )
• Mapulogalamu onse pa intaneti. fluoxetine )
• Zoloft ( alirezatalischi )

Nthawi yapakatikati yokukuta mano ndi masabata atatu kapena anayi mutayamba mankhwalawa, ngakhale anthu ena amayamba pambuyo pochepetsa pang'ono. Zimatenga pafupifupi masabata atatu kapena anayi mutayimitsa mankhwalawa kuti mano akule.

Kodi bruxism imapezeka bwanji?

Bruxism ndiyofala, koma anthu amatha kukhala opanda chidziwitso osadziwa kuti ali ndi khalidweli, akutero Mary Charles Haigler , DMD, katswiri wowawa kwa orofacial ku Carolinas Centers for Oral, Facial, Cosmetic & Dental Implant Surgery. Izi zimachitika nthawi zambiri mano akakukuta amapezeka usiku. Nthawi zina wachibale amabweretsa chidwi chifukwa cha phokoso - kudina, komanso kutulutsa - zomwe zimawasokoneza tulo. Anthu ena atha kuwona zovuta [zopera], akufotokoza Haigler. Zina mwazovuta zomwe akatswiri azachipatala amakumana nazo ndi mano osweka, mutu wopanikizika, kupweteka kwa nkhope kapena nsagwada, komanso mavuto a temporomandibular joint (TMJ).

Zizindikiro zoyambirira zakusakhulupirika ndi izi:

• Nkhope kapena nsagwada
• Mutu, makamaka m'mawa
• Kuuma pachibwano
• Kumva khutu
• Kusokoneza tulo

Popanda chisamaliro choyenera, bruxism imatha kuyambitsa kuwonongeka kwanthawi yayitali , monga:

• Mano obisika
• Mavuto amano, monga mano oduka, osweka, kapena otayirira, korona, kapena zopangira
• Mano opepuka omwe amabwera chifukwa chotseka enamel ya mano
• Minofu ya nkhope ndi nsagwada
• Kutaya nsagwada
• Kutseka nsagwada
• Kuwonongeka mkati mwa tsaya
• Malo athyathyathya oluma pamwamba pa mano

Nthawi zambiri, bruxism imapezeka kudzera pakuwona kwa dokotala wamazinyo kapena abale; komabe, kudziwa motsimikiza kumatanthauza kugona usiku wonse kuchipatala chotchedwa polysomnography. Kafukufuku wogona nthawi zambiri amakhala wotsika mtengo komanso wowononga nthawi, ndipo anthu atha kusankha njira yocheperako, pomwe matenda opatsirana amachitika.

Momwe mungaletse kukukuta mano

Pa milandu yoposa 90%, chithandizo cha bruxism ndichosavuta komanso chothandiza, akutero Daniel Wolter , DMD, wobwezeretsa komanso wamankhwala ambiri ku Arizona. Nthawi zambiri, izi zimathandizanso pakumva mafupa kapena minofu ndi mutu.

Pali njira zingapo zochiritsira:

1. Njira zopumulira

Anthu ena amatha kuchepetsa kukukuta mano pochita masewera olimbitsa thupi; Komabe, izi ndizopambana kwambiri kwa anthu omwe ali ndi bruxism pang'ono masana. Kwa ana aang'ono, bruxism nthawi zambiri imatha, ndipo chithandizo sichifunika. Mpaka zithetse, kupanga chizolowezi chogona panthawi yolimbikitsira kupumula kungathandize, malinga ndi familydoctor.org. Izi zikuphatikiza kuchepetsa TV ndi zamagetsi kwa ola limodzi kapena awiri musanagone, kusewera nyimbo zokhazika mtima pansi, kusamba mofunda, komanso nthawi yowerenga.

2. Kusintha kwamakhalidwe

Njira zophunzirira monga kupumula lilime, mano, ndi milomo moyenera — kapena kupumitsa lilime mmwamba — zimatha kuchepetsa kukomoka nsagwada. Komanso, kuphunzira kuzindikira zoyambitsa ndikugwiritsa ntchito kuchepetsa kupsinjika ndi mawonekedwe amaso kumatha kuchepetsa bruxism.

3. Alonda pakamwa

Zomwe zimatchedwanso zida zamagetsi kapena zotumphukira, zoteteza pakamwa zimagwiritsidwa ntchito kuteteza mano anu kuti asagundane palimodzi. Zimapangidwa ndi zinthu zofewa ndipo zimakwanira mano akuthambo kapena mano otsika. Zovalazo zimavalidwa usiku kuti muchepetse kupanikizika kwamano pamodzi, malinga ndi Bungwe la American Dental Association . Alonda ausiku achikhalidwe ndi okwera mtengo kuposa olondera pakamwa, koma ndi zothandiza kwambiri chithandizo. Kungakhale kothandiza kuvala mlonda wamasana masana kuti muzindikire mukakukuta kapena kukukuta mano, Dr. Freinberg-Trufas akuti. Kudziwitsa za kupera kungakuthandizeni kuyamba kusiya chizolowezicho.

4. Chida chodziwitsira cha mandibular (MAD)

MAD imagwira ntchito pakhazikika pakamwa ndi nsagwada kuti iteteze kukhomerera ndikupera. Imaikidwa mkamwa usiku usiku ndipo imagwira nsagwada zakumaso kutsogolo, ndipo itha kugwiritsidwanso ntchito kuchepetsa kukolora kosatha.

5. Biofeedback

Njirayi imagwiritsa ntchito chida chamagetsi poyeza kuchepa kwa minofu ndi zizindikiritso ngati pali zochita zochulukirapo, kotero mutha kuchitapo kanthu kuti muimitse, zomwe ndizoyenera kusilira kwamasana.

6. Mankhwala

Malangizo monga zopumulira minofu , Ikhoza kuchepetsa mavuto mu nsagwada. Izi sizitha kuyimitsa kukunkha kapena kupera koma zimatha kuchepetsa zovuta zakunyumba. Tsoka ilo, mankhwala omwe amafunika kuti athandizidwe nthawi zambiri amakhala okwera kwambiri kuti azitha kugwira bwino ntchito, kotero ndizovuta kuzigwiritsa ntchito moyenera kupatula ngati zili zovuta, atero a Wolter. Ndikofunikanso kuyang'ana mankhwala omwe alipo pakadali pano kuti mudziwe ngati bruxism ikhoza kuyambitsidwa kapena kukulitsidwa ndi iwo, ndipo, ngati ndi choncho, lankhulani zosintha kukhala mankhwala ena.

7. Majekeseni a Botox

Majakisoni a Botox amalepheretsa nsagwada zomwe zimagwiritsidwa ntchito popera mano. A FDA sanavomereze Botox mano akupera. Chifukwa ndi mankhwala ochotsera chizindikiro, inshuwaransi yanu mwina siyingaphimbe. Komabe, kafukufuku amene anamaliza mu 2018 adapeza kuti ndizothandiza pochepetsa chisangalalo usiku.

8. Njira zamano

Kukonzanso kapena kumanganso malo oluma kumatha kusintha magwiridwe antchito ngati kupera ndi kukukuta kumayambitsa kuluma kosazolowereka. Njira zitha kuphatikizira kusefa malo okwera kapena kugwiritsa ntchito zolowetsa kapena korona kuti ufike pamano.

Gwiritsani ntchito dokotala wanu wamano kapena wothandizira zaumoyo kuti akupatseni chithandizo chabwino kwambiri.