Physiotherapy hauv kev kho hniav yog txheej txheem siv cov dej ntws ntawm ntau zaus, UHF, lub teeb thiab lwm yam kev cuam tshuam siv rau kev kho mob. Feem ntau siv los tiv thaiv kab mob thiab kab mob ntawm cov pos hniav, nrog rau cov neeg mob zoo tom qab phais.
Dab tsi yog qhov qhia txog kev kho lub cev hauv kev kho hniav?
Thaum twg tshuaj?
Physiotherapy hauv kev kho hniav muaj nws tus kheej contraindications thiab siv, ib yam li lwm yam kev kho mob. Kev xaiv cov txheej txheem yog ua raws li tus neeg mob xav tau kho.
Yog li, cov txheej txheem no tsim nyog siv rau ntau qhov xwm txheej hauv qab no:
- Yog ib tug neeg muaj gingivitis, stomatitis, pulpitis.
- Thaum mob vim qhov swb ntawm cov hlab ntsha trigeminal.
- Vim kev loj hlob ntawm fluorosis lossis sialadenitis.
- Thaum qhov mob tom qab ua tiav.
- Tawm tsam keeb kwm ntawm glossalgia lossis tuag tes tuag taw, nrog rau kev txiav ntawm cov ntaub so ntswg ntawm qhov ncaujkab noj hniav.
- Yog tus neeg mob muaj kab mob periodontitis, kab mob periodontal, periodontitis los yog mob tom qab mob.
- Thaum muaj alveolitis thiab pathology ntawm lub ntsej muag paj hlwb.
- Rau TMJ mob caj dab lossis bruising.
- Ntawm keeb kwm ntawm frostbite lossis ntau yam kab mob ntawm qhov ncauj mucosa.
- Nyob rau hauv lub xub ntiag ntawm purulent thiab inflammatory kab mob.
YContraindications
Kev txwv tsis pub siv lub cev kho mob hauv kev kho hniav tej zaum yuav yog tus txheeb ze. Tab sis nyob rau hauv txhua rooj plaub, ib tug neeg yuav xav tau kev pab tswv yim los ntawm ib tug kws tshwj xeeb. Yog li, hauv kev kho hniav, physiotherapy yuav tsum tsis txhob siv rau ntau qhov xwm txheej hauv qab no:
- Qhov tshwm sim ntawm neoplasms hauv qhov ncauj kab noj hniav.
- Kev tshwm sim los ntshav.
- Tus neeg mob muaj pob txha tsis kho.
- Kev muaj cov qauv hlau nyob rau yav tom ntej.
- Lub xub ntiag ntawm cov txheej txheem purulent thaum tsis muaj cov ntsiab lus tawm.
- Muaj qee yam kab mob ntev ntawm qhov mob hnyav.
- Kev tshwm sim ntawm cov kab mob ntshav thiab mob hnyav.
- Kev cev xeeb tub lossis kab mob lupus erythematosus (tsuas yog raug UV).
Kuv yuav tsum hais tias niaj hnub kev kho lub cev hauv kev kho hniav niaj hnub no muaj cov khoom siv loj loj ntawm cov tshuaj kho mob sib txawv, cov txheej txheem thiab cov cuab yeej uas tau txhim kho tas li. Nyob rau tib lub sijhawm, ntau qhov kev qhia tau nthuav dav.
Yuav ua li cas yog lub luag haujlwm ntawm kev kho lub cev hauv kev kho hniav, piav qhia hauv qab no.
Electrotherapy
Kev kho hniav rauNiaj hnub no, ntau hom tam sim no tau nquag siv ib zaug, peb tab tom tham txog SMT, DDT, galvanic teebmeem, darsonval pulses thiab hloov hluav taws xob.
Electrotherapy yog ua los ntawm kev siv roj hmab, txhuas lossis lwm yam electrodes nruab nrog cov gasket tshwj xeeb uas tau ntub dej. Qee lub sij hawm lawv tau saturated nrog tshuaj. Hauv qhov no, cov txheej txheem hu ua electrophoresis. Cov electrodes yog siv rau ntau qhov chaw nyob ntawm qhov taw qhia, piv txwv li, ntawm tus nplaig, ntawm cov pos hniav, qhov projection ntawm maxillary sinuses, qog qaub ncaug lossis ntawm daim di ncauj, thiab rau ntawm daim tawv nqaij ntawm lub puab tsaig, thiab lwm yam.
Thaum lub sijhawm electrophoresis, ntau yam kev npaj tau nkag rau hauv cov ntaub so ntswg ntawm qhov ncauj nrog kev pab ntawm tam sim no, piv txwv li, iodine, nrog rau cov vitamins, "Novocaine" rau qhov mob nyem, calcium, "Lidocaine" lossis nicotinic acid. Electrotherapy yog siv rau ntau yam qhia, nws pom tau hais tias zoo heev rau qhov o ntawm tus nplaig, nrog rau thaum muaj mob thiab qhov txhab ntawm qhov ncauj mucosa.
Types: UHF
Ultra-high-frequency tam sim no kev kho hniav hauv kev kho hniav yog ua los ntawm cov ntawv me me capacitor. Lawv nyob longitudinally ntawm qhov deb ntawm ib mus rau ob centimeters los ntawm tib neeg daim tawv nqaij thiab muab tam sim no rau lawv kom txog rau thaum tus neeg xav tias ib tug me ntsis warmth. UHF tshwj xeeb yog contraindicated nyob rau hauv purulent o, nyob rau hauv cov ntaub ntawv ntawm osteomyelitis thiab cov ntaub so ntswg frostbite.
MW
Ultra-siab zaus tam sim no, nrog rau kev kho microwave, tso cai rau koj kom sov cov ntaub so ntswg mus rau qhov tob ntawm ob peb centimeters. Microwave zoo kawg nkaus txhim kho cov ntshav ncig thiab trophism, stimulatingKev tiv thaiv kab mob, txo qhov mob thiab muab cov tshuaj tiv thaiv kev ua xua, nrog rau kev txhawb nqa cov tshuaj hormones. Ntawm lwm yam, cov txheej txheem no muaj txiaj ntsig zoo thaum muaj cov txheej txheem inflammatory sluggish hauv cov ntaub so ntswg.
Physiotherapy nrog laser hauv kev kho hniav
Laser txoj kev kho raws li txoj kev kho lub cev feem ntau yog ua nyob rau hauv cov xim liab thiab infrared ntawm lub qhov ncauj mucosa thiab cov pos hniav. Sib nqus laser kev kho mob suav hais tias yuav ua tau zoo heev, combining cov zoo zoo ntawm ob txoj kev ib zaug. Xws li kev kho mob hauv kev kho hniav yog qhia rau lymphadenitis, tiv thaiv keeb kwm yav dhau los ntawm cov kab mob gingivitis thiab qhov txhab, thiab ntxiv rau, cov kab mob ntawm lub qhov ncauj mucosa thiab daim di ncauj.
Infrared kev kho mob yog qhov zoo rau ntau yam mob ntev tiv thaiv keeb kwm yav dhau los ntawm kev mob tom qab mob, frostbite thiab kub hnyiab, thiab tseem tsim nyog rau kev txhawb nqa cov txheej txheem sluggish. Cov hluav taws xob ultraviolet tuaj yeem muaj cov kab mob tua kab mob, yog li nws yog siv nyob rau hauv lub xub ntiag ntawm ulcers, erysipelas, nrog rau kev tshem tawm purulent thiab kis kab mob.
Magnetotherapy
Nrog kev pab los ntawm cov hlau nplaum, cov ntaub so ntswg o tuaj yeem tshem tawm tau zoo, rov ua dua tom qab raug mob thiab phais. Tsis tas li, kev tsim dua tshiab yog txhawb los ntawm cov hluav taws xob sib nqus, qhov kev siv ntawm cov txheej txheem inflammatory txo, thiab nws pab kom yaj cov infiltrate.
YUltrasound Therapy
Ultrasound tuaj yeem siv los tswj ntau yam tshuaj, piv txwv li, analgesics nrog rau"Chondroxide" los yog "Hydrocortisone". Cov txheej txheem no hu ua phonophoresis thiab feem ntau ua rau ntawm tus nplaig, pos hniav, lub puab tsaig apparatus thiab projection ntawm maxillary sinuses.
Kev kho cua sov
Rau txoj kev no hauv kev kho hniav, ozokerite, paraffin thiab av nkos siv los ua ib feem ntawm TMJ contracture, paraffin lossis ozokerite yog txau rau ntawm daim tawv nqaij ntawm lub ntsej muag hauv thaj tsam ntawm qhov txhab lossis qhov txhab. Tag nrho cov no tuaj yeem pab txhawb kom kho tau sai.
massage
txhawm rau txhim kho cov ntshav ncig hauv cov pos hniav, hauv kev kho hniav, siv cov zaws tshwj xeeb, nqa nrog txhuam hniav lossis ntiv tes, thiab cov txheej txheem physiotherapy kuj tuaj yeem ua hauv tsev. Tsis tas li ntawd, tsis ntev los no cov kws kho hniav feem ntau pom zoo kom hydromassage nrog lub dav hlau dej.
Kev kho lub cev yog dab tsi?
Kuv yuav tsum hais tias, ua ntej ntawm tag nrho cov, physiotherapy pab tib neeg txhim kho cov ntshav ncig, nce metabolism, txo qhov mob, npaj cov ntaub so ntswg rau kev phais thiab kho lawv nyob rau hauv lub sij hawm postoperative, tom qab raug mob. Qhov kev kho mob manipulation no accelerates cov txheej txheem ntawm resorption ntawm inflammatory infiltrates thiab hematomas, softening thiab tiv thaiv cicatricial hloov. Ntawm lwm yam, nws normalizes nqaij leeg thiab paj hlwb conduction.
pros and cons
hom kev kho no yeej muaj ntau yam txiaj ntsig. Nrog kev pab ntawm tus txheej txheem physiotherapy, koj tuaj yeem ua tiav cov hauv qab no:
- Txhim kho cov ntshav ncig thiab nce metabolism.
- Tshuaj mobSyndrome.
- Tissue npaj rau kev phais.
- Kev rov qab los ntawm mucosa tom qab kev phais lossis raug mob.
- pov tseg sai ntawm hematomas thiab inflammatory infiltrate.
- Txuag lossis tshem tawm tag nrho cov kev hloov pauv cicatricial.
- Normalization ntawm cov leeg nqaij thiab cov hlab ntsha conduction.
Tseeb tiag, kev kho lub cev yuav tsum tsis txhob suav tias yog panacea txhua, vim tias, raws li kws kho hniav hais, nws kuj muaj qhov tsis zoo:
- Ua ntej tshaj plaws, peb yuav tsum nco ntsoov tias kev kho lub cev tsis yog kev kho mob tseem ceeb. Nws tsuas yog siv tau ua ke nrog lwm yam kev ntsuas, txij li qhov ua tau zoo ntawm cov txheej txheem kho mob tsis siab txaus.
- Khoom siv rau kev kho mob feem ntau kim, yog li tsis yog txhua lub tsev kho mob tuaj yeem them taus, thiab tus nqi ntawm cov txheej txheem lawv tus kheej feem ntau siab dhau.
- Thaum siv physiotherapy, nws yog ib qho tseem ceeb heev kom ua tib zoo xav txog txhua yam muaj contraindications kom tsis txhob ua rau muaj kev phom sij ntau dua rau kev noj qab haus huv.
Kev xav ntawm kws kho hniav
Muaj ntau cov ntawv tshawb fawb txog kev kho lub cev hauv kev kho hniav. Cov kws kho mob hais tias nrog kev pab ntawm kev kho mob zoo li no tuaj yeem ua tiav cov txiaj ntsig xav tau hauv lub sijhawm luv tshaj plaws, thaum txo qis tag nrho cov kev pheej hmoo rau tus neeg mob. Cov txheej txheem no tsis muaj kev phiv, thiab qee zaum nws tso cai rau koj ua yam tsis muaj tshuaj noj, uas yog, tsis muaj kev cuam tshuam rau tib neeg lub cev. Tsuas yogTsis tas li ntawd, nws zoo heev rau cov neeg mob ntawm yuav luag txhua lub hnub nyoog uas tsuas muaj kev txwv me me xwb.
Kev kho hniav physiotherapy tam sim no muaj cov arsenal loj ntawm cov kws kho mob sib txawv thiab cov khoom siv uas niaj hnub txhim kho thiab nthuav dav ntau yam ntawm cov lus qhia. Tab sis, hmoov tsis, txoj kev kho mob no kuj muaj qhov tsis zoo, uas nyob hauv cov kws kho hniav lawv tus kheej. Feem ntau lawv tsuas yog tsis khaws cia nrog kev txhim kho ntawm thaj chaw tshuaj, thiab feem ntau siv cov khoom siv thiab cov khoom siv tsis tu ncua. Thiab qee zaum cov kws kho mob tsuas tsis paub txog qhov tshwj xeeb ntawm kev kho lub cev hauv thaj tsam maxillary ntawm lub ntsej muag, uas muaj ob yam tseem ceeb:
- Muab qhov kev txiav txim ntawm lub ntsej muag thiab caj dab, ntxiv rau cov kev cuam tshuam hauv zos, nws yuav tsum tau coj mus rau hauv tus account qhov kev hloov pauv dav dav.
- Vim yog qhov yuav tsum tau ua intracavitary, cov cuab yeej tsim nyog yuav tsum tau ua hauv kev kho hniav nrog rau cov electrodes tshwj xeeb thiab ntau cov tswv yim tshwj xeeb.
Kev kho lub cev kho mob hauv kev xyaum menyuam yaus
Physiotherapy hauv kev kho hniav menyuam yaus yog siv dav heev. Ntau hom kev cuam tshuam yog siv los ntawm thawj hnub tom qab yug menyuam. Qhov kev xaiv kho mob no ua rau muaj txiaj ntsig zoo hauv kev sib ntaus tawm tsam ntau tus kab mob. Nyob rau lub sijhawm tam sim no, muaj ntau txoj kev sib txawv uas siv los tawm tsam txhua yam ntawm pathologies. Kev ua tau zoo ntawm qhov kev kho mob no yog txhawb los ntawm kev tshawb fawb tshawb fawb.
Nyob,Nws yuav tsum tau nco ntsoov tias cov menyuam yaus yog cov txheej txheem tshwj xeeb txawv dua li cov neeg laus. Nws yog ib qho tsim nyog, ntawm lwm yam, ua raws qee cov kev cai, ua raws li uas yuav pab kom tau txais txiaj ntsig zoo tshaj plaws, zam qhov tshwm sim ntawm qhov tshwm sim tsis zoo.
Physiotherapy in surgical dentistry
Kev kho lub cev yog siv los ntawm cov kws phais mob nyob rau hauv lub moj khaum ntawm qhov chaw nres tsheb lossis chaw kho mob sab nraud, feem ntau hauv kev kho mob osteomyelitis, qhov txhab, endarteritis, purulent txheej txheem ntawm cov ntaub so ntswg, nrog rau txhawm rau tshem tawm thiab tawm tsam ntau yam tshwm sim ntawm Kev phais pathologies (mob tshwm sim, infiltrates, hematomas thiab lwm yam).
Cov txheej txheem niaj hnub ntawm kev kho lub cev ua rau nws muaj peev xwm xaiv cov txheej txheem sib txawv uas muaj txiaj ntsig zoo ntawm lawv cov txiaj ntsig ntawm cov txheej txheem mob tshwj xeeb, los ntawm kev kho cov tshuaj. Qhov no siv ib qho chaw tshwj xeeb, thiab nws tuaj yeem siv cov tswv yim tsim nyog txawm tias nyob hauv cov neeg mob nyuaj tshaj plaws.
Nws tseem tsim nyog piav qhia txog kev kho lub cev hauv Lukins kev coj ua ntawm kev kho hniav kho hniav.
Qhia piav qhia
Tsis ntev tas los no, phau ntawv qhia tau luam tawm uas piav qhia txog txhua qhov subtleties ntawm hom kev kho mob hais. Phau ntawv qhia txog kev kho lub cev hauv kev kho hniav muaj cov ntaub ntawv hais txog cov txheej txheem tseem ceeb uas tau siv niaj hnub no. Cov kws sau ntawv tau tshuaj xyuas cov txheej txheem thiab cov txheej txheem ntawm kev sib ntaus cov kab mob, piav qhia meej txog cov txiaj ntsig kho mob, thiab ntxiv rau, contraindications thiab indications rau kev teem caij tau muab.
Lub hom phiaj ntawm kev qhuab qhia:
- Kev kawm ntawm theoretical foundations ntawm physiotherapy, lub mechanism ntawm kev txiav txim ntawm lub cev yam, raws li cov qauv ntawm kev loj hlob ntawm pathological txheej txheem ntawm kev kho hniav.
- Qhia txog lub cev txoj hauv kev kho thiab tiv thaiv kab mob hniav.
- Tau txais cov txuj ci tsim nyog hauv kev ua cov txheej txheem kho lub cev hauv kev kho mob ntau yam kab mob.
Nws tsim nyog sau cia tias, ua ntej ntawm tag nrho, phau ntawv qhia txog kev kho lub cev hauv kev kho hniav yog npaj rau cov kws kho mob. Thiab tib lub sijhawm, rau cov tub ntxhais kawm ntawm cov tsev kawm ntawv qib siab.
Yog li, hauv cov tshuaj no, ntau txoj hauv kev kho lub cev yog siv los ua ib qho ntxiv rau lub ntsiab tiv thaiv kab mob lossis ntawm nws tus kheej. Hom kev kho mob no yog siv ua ntej thiab tom qab kev phais, ua ib feem ntawm lub sij hawm rov kho mob tiv thaiv keeb kwm ntawm kev raug mob, tshem tawm cov kab mob inflammatory ntawm lub qhov ncauj kab noj hniav thiab nyob rau hauv mob syndrome ntawm ntau yam etiologies.
Peb tau tshuaj xyuas cov lus qhia thiab contraindications ntawm kev kho lub cev hauv kev kho hniav.
