Kosten's Syndrome: Zimayambitsa, Zizindikiro, Kuzindikira, ndi Zochita Zachiritsi

Si chinsinsi chakuti ambiri mwa ana ndi akulu amaopa madokotala a mano. Ndipo, monga lamulo, odwala ambiri amatumizidwa kwa akatswiriwa pokhapokha ngati ali ndi vuto lalikulu: pakakhala phokoso lalikulu kapena losasangalatsa pakamwa chifukwa cha tartar. Kusokonezeka nthawi ndi nthawi m'kamwa kumatchulidwa kuti ndi chakudya chozizira kwambiri kapena chokoma, chomwe chingabweretse mavuto osakhalitsa.

Kufotokozera za matenda a Kosten: Ndani amachiza matendawa?

Mofanana ndi zomwe zimachitika poyang'ana koyamba ndi matenda a Kosten, zizindikiro zomwe sizimapangitsa odwala kuti apite kukapatsidwa uphungu wa zamankhwala. Matendawa ndi opaleshoni ya disctiloginous disc yomwe imapezeka mu timagulu ta temporomandibular. Kawirikawiri matendawa amasokonezeka ndi matenda a zida zonse. Zikudziwika kuti chithandizo cha mankhwala oterewa sichichitika ndi madokotala a mano, koma ndi a rheumatologists ndi orthopedists.

Matenda a Kosten - matenda a chiopsezo chachikulu - amalowa m'munda wa maonekedwe a orthodontist. Mwayi wokhala ndi zotsatira zabwino zochiza matendawa ndi zazikulu zokha ngati mutayamba kumwa mankhwala mwamsanga. Nthaŵi zambiri, pamene odwala amadziwa zomwe Kosten ali nazo (zovuta, zizindikiro, matenda ndi matenda), atalandira madokotala kuchiyambi, chithandizo chamakono monga zakudya zowonongeka ndi zakudya zophweka zimapambana. Pachifukwa ichi, mtundu wosalidwa wa matendawo suthandiza wodwalayo kuti asamaloledwe kupaleshoni ndikukhala ndi nthawi yayitali.

Chifukwa chiyani sitinganyalanyaze zizindikiro za matendawa?

Kuti mumvetsetse za matenda a Kosten's, kodi choopsa cha matendawa ndi chiyani, mungathe kumvetsa zomwe zimachititsa munthu kukhala ndi maxillofacial. Pakati pa mthunzi wakumunsi ndi phokoso lokhazika pansi pamtunduwu ndi chidziwitso chodziwika bwino. Ntchito yake ndi kupereka njira iliyonse yothandizana nayo, chifukwa chake munthu ali ndi mwayi wofunafuna, kulankhula, kumwa. Pamene katundu pa mitsempha yonse iyamba kufalitsidwa mosagwirizana, tsamba lapamwamba la karotila lili ndi moto.

Kupanda kunyalanyaza kwa nthawi yaitali mawonetseredwe a matendawa kumayambitsa mavuto aakulu, choncho, kulingalira kuyenera kuperekedwa ku vuto ngati Kosten's syndrome. Zizindikiro, chithandizo cha kusagwira ntchito kumadalira makamaka momwe wodwalayo akukhalira ndi matendawa. Pakapita nthawi, pamakhala kutaya kwa thupi komanso kutayika kwapadera kwa dothi, zomwe zimakhudza kwambiri magwiridwe a nthumwi - zikhoza kutaya kwathunthu.

Musachite mantha kuti mukachezere dokotala wa mano amene muli ndi vuto la Kosten. Matenda omwe akupita patsogolo amatha kubweretsa wodwalayo mavuto ambiri: kuyambira pakulephera kusaka chakudya ndi kufunikira kuchigwiritsa ntchito pokhapokha, kutsirizitsa kutaya kwa mawu omveka bwino.

Zifukwa za vutoli

Malinga ndi wolemba wa otolaryngologist Kosten wa ku America mu 1934, matendawa aphunzira kwa zaka zoposa 80. Komabe, pakadali pano, ofufuza sangathe kutchula zifukwa zomwe zimayambitsa komanso kukula kwa nsagwada. Zomwe zimayambitsa matendawa ndi orthodontists ndi madokotala a mano:

- kuwonongeka kwa makina, kuvulala, kuwomba;

- kupezeka kwazitsulo (akuluakulu awa ndi mano 6, 7 ndi 8, mwa ana - mkaka wa 4 ndi 5);

- kupopera mano (bruxism);

- kutengeka kwambiri pamodzi;

- zovuta;

- kusokoneza mgwirizano pamene mukuchezera dokotala wa mano.

Ngakhale zili choncho, akatswiri ambiri amavomereza kuti chimene chimayambitsa kutuluka kwa thupi ndi kutukusira kwa distilati ndi kuluma kolakwika. Ziribe kanthu kuti ndizophwanyidwa kapena zimapezeka, ndizofunika kwambiri kuti zitsimikizo kuti mtolo wonsewo uli wofanana.

Ndani ali pangozi?

Izi zikusonyeza kuti madokotala amasiyanitsa magulu angapo a anthu amene ali ndi mwayi wapamwamba kwambiri wozindikira kufooka kwa Kosten. Matendawa amawoneka kwa odwala ngati:

• Zaka zawo zoposa zaka 50;
• Pakati pa nthawi yobereka kwa amayi, mwayi wodwala matenda umawonjezeka kangapo poyerekeza ndi anzawo a amuna kapena akazi okhaokha;
• Iwo ali ndi cholowetsa cholowa;
• Pali chizoloŵezi cha matenda a mitsempha, nyamakazi;
• Mitundu yambiri ya kutafuna inachotsedwa.

Zizindikiro za matenda

Kufanana kwa mawonekedwe a chipatala cha maxillofacial zone kumayambitsa zolakwika mu matenda a Kosten. Matendawa, omwe anapeza ndi dokotala wa American ENT, sangathe kudziwonetsa okha kwa odwala kwa nthawi yaitali. Komabe, kukayikira koyamba kwa chitukuko cha matendawa kumapezeka odwala chifukwa cha:

• Kusokoneza ululu pakufunafuna chakudya (ambiri samayang'anitsitsa kupweteka pang'ono kapena kuyesa kuthetsa malingaliro osautsa ndi mankhwala opweteka);
• Kusinthasintha mobwerezabwereza ndi kuphulika pamene mutsegula pakamwa;
• Kuyenda kochepa kwa nsagwada;
• Nthawi zambiri minofu ya masticatory, makamaka m'mawa;
• Zomwe zimaoneka ngati asymmetry za nkhope;
• Kutsekemera kwa ululu m'makutu, maso.

Chithandizo cha odwala omwe ali ndi matenda a Kosten amasonyeza kuti odwala nthawi zambiri amapita kwa dokotala kale pamene ali ndi mutu, pafupifupi kutsekedwa kwathunthu kwa mgwirizano kumapezeka ndipo kuvutika kwa kumva kumachepa kwambiri. Ndi mtundu uwu wa matendawa, nkokayikitsa kuthetsa vuto ndi njira zoperekera.

Kodi mungadziwe bwanji matendawa mukamayesedwa?

Kuzindikira kwa matenda a Kosten's, amene chithandizo chake chinakonzedweratu mwa kukula kwake kwa matendawa, chingathe kudziwika ndi mayeso ophweka atatu a phalanx. Njirayi imatengedwa ngati yachikale, ndipo chifukwa cha mfundo zamtunduwu zomwe amakhulupirirazi njirayi imadaliridwa ndi ambiri a madokotala a mano.

Chokhachokha ndi ichi: Pakatikati pamtunda ndi m'munsi mkati mwake mumatsegula pakamwa pa wodwalayo ayenera kupititsa patsogolo katatu katatu, 3 ndi 4 za dzanja la dokotala. Ndi kupweteka kwa mitsempha ya kutafuna, izi sizingatheke.

Kuwatsimikizira kapena kukana chithandizo chotheka chitha kugwiritsidwa ntchito masiku ano:

- makina opanga mawonekedwe a maxillofacial;

- Impedanceometric test (zofunikira kuti zitsimikizidwe zolinga za chikhalidwe cha pakatikati cha khutu);

- Mafilimu a nsagwada yapansi;

- Computed tomography kapena magnetic resonance scanning (povuta milandu).

Mbali za chithandizo cha matenda

Ngati mumachepetsa katundu wothandizana nawo, wodwalayo adzatha kuchotseratu nsagwada. Mankhwala a Costen's syndrome amatanthauza njira yowonjezera, pamene sitepe yoyamba ndiyo kusintha mtundu wa chakudya chomwe amadya. Izi ziyenera kukhala zochotseratu mwezi woyamba wa mankhwala. Pa mndandanda wa mankhwala omwe, malinga ndi madokotala a mano, ali ndi mgwirizano wabwino, kuphatikizapo mankhwala owawasa mkaka, mapiritsi ophika, madzi. Mankhwala ovuta ndi steaks amafunika kupezeka palimodzi, koma izi sizikutanthauza kuti simungathe kudya cutlets, nthumba, nyama, ndi zina zotero.

Ndikofunika kwambiri kupumula ndi kugona maola 7 pa tsiku. Pogwiritsa ntchito njira yachipatala, dokotala angafunike kuti wodwala achepetse kukambirana kwa nthawi yaitali ndikugwiritsa ntchito kutafuna gums. Tiyeneranso kukumbukiridwa kuti kulimbika mtima ndi kupanikizika kungapwetekitse ululu, kotero chisokonezo chiyenera kupeŵedwa.

Passage ya physiotherapy ndi kuyeretsa kwa m'kamwa

Njira zothandizira kuchipatala zikuphatikizapo:

• Kusamba kwa minofu ya nkhope;
• Laser mankhwala;
• Thandizo la ultrasound ;
• Iontophoresis.

Gawo loyenera pa chithandizochi ndi kusungidwa kwa m'kamwa, komanso ma prosthetics a mano osowa. Mwina katswiri adzaika wodwala kuti azivala malaya a mano, mapepala oyendetsa, mapepala otsegula pakamwa, ndi zina zotero.

Mankhwala kapena opaleshoni

Kwa mankhwala omwe amachiza mankhwalawa amasamutsidwa m'mayesero amenewo pamene njira zochepa zomwe zili pamwambazi sizigwira ntchito. Pochotseratu zizindikiro zowawa, perekani mankhwala oletsedwa ndi odana ndi zotupa. Simungathe kuchita ndi kuthetseratu matenda a Kosten komanso popanda kupititsa patsogolo mavitamini monga mapiritsi kapena jekeseni. N'zotheka kuti kukhazikitsidwa kwa minofu yotsekemera, yomwe cholinga chake chimayesedwa kuti ndikumenyana ndi matenda oopsa a masticatory minofu.

Kuchotsa opaleshoni ya cartilaginous disk sikunagwiritsidwe ntchito kawirikawiri, chifukwa zotsutsana ndi zovuta zambiri zomwe zimachitika pambuyo pake zimakhala zovuta kwambiri kuntchito. Komabe, lero, panthawi zovuta, akatswiri oyenerera kwambiri amagwiritsa ntchito njira yomangira, yomwe ikhoza kubwezeretsa kugwira ntchito kwa maxillofacial.