ʻO Sadam (Algo-dysfunctional Mandicator System Syndrome) a i ʻole Costen Syndrome he maʻi maʻamau akā ʻike ʻole ʻia kahi maʻi ʻole o ka ʻāʻī ʻāwae haʻahaʻa e hōʻeha ai i ka ʻeha a me nā hōʻailona like ʻole, i kekahi manawa pilikia loa. Hiki ke ʻano paʻakikī o kēia maʻi ma ke kumu o kahi hewa diagnostic a paʻakikī pinepine i ka hoʻokele.

Definition

ʻO Sadam (Algo-dysfunctional syndrome of the mandator apparatus), i kapa ʻia hoʻi ʻo Costen's Syndrome, kahi maʻi e pili ana i ka hana ʻino o ka hui ma waena o ka iwi cranial temporal a me ka mandible, ʻo ia ka mea i hana i ka iwi ā lalo. Loaʻa ia i nā hōʻike ʻano like ʻole, ka nui o ka ʻeha kūloko a i ʻole ka ʻeha mamao a me nā pilikia mechanical o ka ʻāwae, akā ʻo nā hōʻailona ʻē aʻe ʻē aʻe.

Hiki i nā anomalies ke hoʻopili i nā ʻano mea like ʻole o ka mea hana mandacatory, ʻo ia hoʻi:

• nā ʻili o ka iwi kino a me nā wēlau poepoe (condyles) o ka iwi ā lalo, i uhi ʻia me ka cartilage,
• ʻO ka disc articular e uhi ana i ke poʻo o ka condyle a pale i ka hakakā,
• nā ʻiʻo masticatory a me nā tendon,
• nā ʻaoʻao occlusion niho (ʻo ka huaʻōlelo o ka niho occlusion e hōʻike ana i ke ʻano o ka hoʻonohonoho ʻana o nā niho me ka mahalo kekahi i kekahi ke paʻa ka waha).

Nā kumu a me nā kumu pilikia

 ʻO Sadam kahi kumu multifactorial, me nā kumu he nui i hoʻopili pinepine ʻia.

ʻIke pinepine ʻia kahi maʻi occlusion niho: ʻaʻole i hui pono nā niho no ka mea ua kuhi hewa ʻia, no ka mea ua nalowale kekahi (edentulous), a i ʻole no ka maikaʻi ʻole o ka hana niho.

He mea maʻamau ka hypercontraction o nā ʻiʻo iwiā, me ka ʻike a ʻaʻole paha. Hiki i kēia mau hoʻopaʻapaʻa ke hopena i ka bruxism, ʻo ia hoʻi, ka wili ʻana a i ʻole ka paʻi ʻana o nā niho, maʻamau i ka pō, i kekahi manawa pili me ka ʻeha a me ka waimaka o nā niho.

ʻO ka ʻeha a i ʻole ka haʻihaʻi ʻana i ka maka, ka iwi poʻo a i ʻole ka ʻāʻī hiki ke hōʻeha i nā hui. I kekahi manawa ʻike ʻia kahi neʻe ʻana o ka disike articular.

Hiki i ke koʻikoʻi a me ka hopohopo ke hana koʻikoʻi i ka hoʻoulu ʻana i nā hōʻailona, ​​​​a hiki i ka manaʻo o kekahi poʻe loea ʻo Sadam ka maʻi psychosomatic.

Ma waena o nā kumu ʻē aʻe i pili i ka genesis o kēia maʻi, aia kekahi:

• nā anomalies congenital,
• nā pathologies rheumatic,
• nā maʻi ʻiʻo a i ʻole posture,
• keakea mau ihu,
• nā kumu hormonal,
• nā pilikia digestive,
• moe a me ka makaʻala pilikia ...

PalekanaEND_LINK

Hāʻawi ʻia i ka loli nui o nā hōʻailona, ​​paʻakikī pinepine ka ʻike. Hoʻokumu ʻia ma luna o kahi hoʻokolohua lapaʻau kikoʻī a me kahi hoʻokolohua lapaʻau o ka wehe ʻana o ka waha, nā ʻiʻo masticatory, ka hui āwae lalo a me ka occlusion niho.

Hiki i ka x-ray niho panoramic ke nānā inā ʻaʻole ke kuleana o nā pathologies niho a me ka iwi āpau no nā hōʻailona ʻeha. I kekahi mau hihia, e noi ʻia kahi CT scan o ka waha hui, hamama a pani ʻia, a i ʻole he MRI, e hāʻawi ana i ka ʻike e pili ana i ke ʻano o ka disc.

Pono kēia mau hoʻokolohua e hiki ke hoʻokuʻu i nā kumu ʻē aʻe o ka ʻeha, e like me ka haʻi ʻana, nā ʻōpū a i ʻole neuralgia. Pono nā ʻōlelo aʻo lapaʻau multidisciplinary i kekahi manawa.

Pili ka poʻe

ʻOiai he mea liʻiliʻi ka ʻike, ʻike pinepine ʻia ʻo Sadam: hoʻokahi i loko o ka ʻumi poʻe i lawe ʻia e kūkākūkā no ka ʻeha o ia mea, a hiki i hoʻokahi o ʻelua ke hoʻopilikia ʻia.

Hiki i nā mea a pau ke pili. Eia naʻe, ʻike pinepine ʻia i nā wahine ʻōpio (ma waena o 20 a 40-50 mau makahiki).

Ma ka wehewehe ʻana, ʻike ʻia kahi maʻi maʻi e kahi hōʻailona hōʻailona. I ka hihia o Costen's Syndrome, hiki ke loli kēia mau mea. Ua wehewehe ʻia kēia ma ke ʻano o ka ʻāʻī ʻana o ka ʻāʻī i mua o nā pepeiao, ma kahi me nā musculature paʻakikī, waiwai innervated a irrigated, hiki ke hoʻopaʻa ʻia nā ʻāʻī i ka pilina ma waena o ke poʻo a me ke kuamoʻo. , me ka hopena i ke kaulahao muscle holoʻokoʻa e pili ana i ke kūlana o ke kino.

Nā hōʻailona kūloko

ʻO nā hōʻailona i ʻike ʻia ma ka ʻāʻī a me ka waha ka mea maopopo loa.

eha

ʻO ka manawa pinepine, hoʻopiʻi ka poʻe i loaʻa iā Sadam i ka ʻeha a i ʻole ka ʻeha i ka wā e pani ai a wehe paha i ka waha, akā ʻike ʻia nā ʻano ʻeha ʻē aʻe. He laʻana paha ka ʻeha ʻeha ma mua o ka pepeiao, ka ʻeha ma ka waha, ka palale a i ʻole ka ʻāʻī, ka ʻike ʻana o ka niho a i ʻole ke ʻano wela o ka waha.

Hiki ke neuralgia ma ka iwi ā, ka maka, ka ʻāʻī a i ʻole ke kua o ka iwi poʻo.

He mea maʻamau nō hoʻi ka ʻeha poʻo a me ka migraines.

ʻO nā pilikia hui

Hiki ke ho'emi 'ia ka ne'e 'ana o ka iwi ā a me kona mau 'oni'oni 'ano 'ole, he mea ia e pa'akikī ai ka nau 'ana. ʻO ka hoʻoneʻe ʻana o ka disc ke kumu nui o ka dislocation (dislocation).

ʻO nā leo hui, e like me ke kaomi ʻana a i ʻole ke ʻano "paʻi" i ka wā e wehe ai ka waha a i ka wā e nau ai, ʻōhū a uē paha. Loaʻa i kekahi poʻe nā ʻāʻī ma ke kūlana ākea a pani ʻia paha.

Loaʻa i kekahi poʻe ka osteoarthritis ma ka hui.

I kekahi manawa ua hana ʻia ka ʻeha "ma kahi mamao", ʻo ia hoʻi ma kahi o ke kino i ʻoi aku a i ʻole ka mamao loa mai ka ʻauwae.

Nā pilikia ENT

ʻO nā hōʻike o Sadam i ka ENT sphere he pinepine. Hiki iā lākou ke lawe i ke ʻano o ka dizziness, tinnitus, ka manaʻo o nā pepeiao paʻa, a i ʻole sinusitis mau loa. Hiki ke pili i kēia mau pilikia me nā pilikia maka.

like

• ʻAhu niho a ʻokiʻoki paha
• ʻO ka maʻiʻeha
• Pilikia ale
• Hypersalivation…

Nā hōʻailona mamao

eha

ʻAʻole hiki i ka ʻeha ke ʻā wale i ka ʻāʻī a i ʻole ka ʻāʻī o ka ʻāʻī, hiki i nā poʻe e loaʻa ana iā Sadam ke maʻalahi i ka ʻeha haʻahaʻa, ka ʻeha ma ka pūhaka a i ʻole ke pelvis, a i kekahi manawa ʻo ka ʻeha ma nā wāwae.

Nā pilikia digestive

ʻO nā pilikia digestive a me ka transit ka hopena o nā pilikia ʻai e pili ana i nā pilikia ʻino a i ʻole ka salivation.

like

• ʻAʻohe hiamoe
• ʻO ke kaumaha
• Ke kaumaha…

Pono nā lāʻau lapaʻau a Sadam e like me ka mea hiki ke hoʻololi i ka loli o nā hōʻailona.

Hoʻoponopono hoʻoponopono

Ke haʻahaʻa ka ʻehaʻeha a ʻaʻole i hōʻeha ʻia ka ʻeha, ʻoi aku ka maikaʻi o ka hoʻoponopono ʻana. ʻO ka hoʻololi ʻana i nā meaʻai (e pale i ka paʻakikī o ka nau ʻana i nā meaʻai, a me nā mea ʻē aʻe), nā hoʻomaʻamaʻa e hoʻomalu i ke kūlana o ka ʻāwae a i ʻole ko ke kino, a me nā ʻenehana hoʻomaha a me ke kaumaha. I kekahi manawa, e pōmaikaʻi nō hoʻi nā hoʻomaʻamaʻa cognitive a me ka behavioral.

Nā lāʻau lapaʻau kino

Hiki ke hoʻomaha ʻia kekahi mau ʻeha i ka wā pōkole ma o ka hoʻohana ʻana i ka hau (ʻeha ʻeha, ʻeha), ma ka hoʻohana ʻana i kahi lole holoi pulu a mehana (ma nā ʻiʻo ʻeha) a i ʻole ka lomilomi.

He mea kōkua ka physiotherapy mandibular. Hoʻoikaika pū ka Osteopathy i ka hoʻoponopono ʻana i nā hemahema.

ʻO ka hoʻoulu ʻana i ke aʻalolo uila Transcutaneous (TENS) he mea pono hoʻi no ka hoʻomaha ʻana i ka ʻāʻī ʻana o ka ʻiʻo.

Nā hōʻailona lapaʻau

I nā hihia koʻikoʻi, pono paha nā analgesics, nā lāʻau anti-inflammatory a i ʻole nā ​​​​mea hoʻomaha ʻiʻo e hoʻomaikaʻi i ka maikaʻi o ke ola. 

ʻO ka niho niho (splint)

Hiki ke kuhikuhi ʻia kahi mea hana niho (orthosis, i kapa ʻia ʻo splint) e ke kauā niho a i ʻole ka stomatologist. Ma mua i hāʻawi pinepine ʻia i nā poʻe e loaʻa ana iā Sadam e hoʻoponopono i nā abnormalities occlusion dental, reposition i ka mandible a hoʻokuʻu i ke ʻano o ka ʻāʻī, ua kuhikuhi ʻia kēia ʻano mea i kēia lā ma ke ʻano he laina ʻelua, i ka wā i hāʻawi ʻole ʻia ai ka hopena a me ka hoʻōla kino.

ʻO ka ʻokiʻoki a me nā orthodontics

Noʻonoʻo ʻia nā lāʻau niho invasive, orthodontic a ʻokiʻoki paha i kēlā me kēia hihia, e pane i nā pilikia kikoʻī a ma hope o ka pau ʻole o nā ʻenehana ʻē aʻe.

like

Hiki ke ho'āʻo ʻia nā lāʻau lapaʻau ʻē aʻe e like me ka acupuncture, homeopathy a i ʻole lāʻau lapaʻau. ʻAʻole naʻe i hōʻike ʻia ko lākou pono.

Hiki i ka maʻemaʻe maikaʻi a me ka mālama niho kūpono ke pale i ka hoʻomaka ʻana o ka maʻi ʻeha. Hiki ke pale aku i ka paʻa ʻana o nā ʻiʻo o ka ʻāʻī ma ka hoʻomaha ʻana, akā ma ka pale ʻana hoʻi i ka hōʻino ʻana i ka nau ʻana a me ka meaʻai paʻakikī.