Nws tsis yog qhov zais cia uas feem ntau cov menyuam yaus thiab cov neeg laus ntshai cov kws kho hniav. Thiab, raws li txoj cai, ntau tus neeg mob mus rau cov kws kho mob tshwj xeeb tsuas yog thaum muaj xwm txheej ceev: thaum muaj cov kua dej loj lossis tsis hnov tsw tsw hauv lub qhov ncauj vim muaj cov tartar ntau. Kev tsis xis nyob hauv lub qhov ncauj feem ntau tshwm sim los ntawm cov khoom noj txias lossis qab zib, uas tuaj yeem ua rau tsis xis nyob ib ntus.
Kev piav qhia ntawm Kosten's pathology: leej twg kho tus kab mob?
Costen's syndrome yog ib yam nkaus li frivolous thaum xub thawj siab ib muag, cov tsos mob ntawm uas tsis tshua muaj yuam cov neeg mob mus nrhiav kev kho mob tswv yim. Qhov no pathology yog ib tug ua tsis taus pa ntawm pob txha mos disc nyob rau hauv lub temporomandibular sib koom. Feem ntau tus kab mob no tsis meej pem nrog tus kab mob ntawm tag nrho lub puab tsaig apparatus. Nws paub tias tsis yog kws kho hniav, tab sis cov kws kho mob rheumatologist thiab orthopedists tau koom nrog kev kho mob ntawm cov kab mob no.
Kosten's disease - pathological tom syndrome - poob rau hauv qhov kev pom ntawm tus kws kho hniav. Qhov kev pheej hmoo ntawm qhov txiaj ntsig zoo hauv kev kho mob ntawm pathology yog siab txaus tsuas yog tias kev kho yog pib ntxov li sai tau. Feem ntau, thaum cov neeg mob muaj lub tswv yim ntawm Costen's syndrome yog dab tsi (ua rau, cov tsos mob, kev kuaj mob, thiab cov txheej txheem los daws qhov teeb meem), tom qab hu rau cov kws kho mob thaum ntxov, kev kho mob hauv daim ntawv ntawm kev hnav cov cuab yeej kho thiab ua raws li kev kho mob. kev noj zaub mov yooj yim heev ua tiav. Nyob rau tib lub sijhawm, daim ntawv tshaj tawm ntawm tus kabmob yuav tsis cawm tus neeg mob los ntawm kev xav tau kev phais thiab kev rov zoo dua.
Vim li cas kuv thiaj tsis quav ntsej cov tsos mob ntawm tus kab mob?
Yuav kom nkag siab tias Costen's syndrome yog dab tsi, tus kab mob no txaus ntshai npaum li cas, koj tuaj yeem nkag siab cov yam ntxwv ntawm lub cev ntawm tus qauv maxillofacial ntawm tus neeg. Nruab nrab ntawm lub puab tsaig qis thiab lub hauv paus cranial yog ib qho cartilaginous disc. Nws txoj haujlwm yog muab kev sib koom ua ke mus rau txhua qhov kev taw qhia, ua tsaug rau tus neeg muaj peev xwm zom, tham, haus dej. Thaum lub load ntawm ob lub puab tsaig pib muab faib tsis sib npaug, cov lus hais saum toj no cartilaginous disc yuav o.
Ntev tsis quav ntsej txog qhov tshwm sim ntawm tus kab mob hem nrog cov teeb meem loj, yog li koj yuav tsum ua tib zoo saib xyuas cov teeb meem xws li Costen's syndrome. Cov tsos mob, kev kho mob ntawm kev ua haujlwm tsis zoo yog nyob ntawm seb tus neeg mob nyob nrog qhov pathology ntev npaum li cas. Nyob rau tib lub sijhawm, dystrophy thiab ua tiav degeneration tshwm sim.pob txha mos disc, uas, nyob rau hauv lem, ho cuam tshuam rau lub cev muaj zog kev sib koom tes - nws yuav ploj tag.
Tsis txhob ntshai mus ntsib kws kho hniav nrog Costen qhov ua tsis taus. Cov tsos mob nyob rau theem tom qab tuaj yeem ua rau tus neeg mob muaj teeb meem ntau: los ntawm qhov tsis muaj peev xwm zom zaub mov thiab xav tau noj nws tsuas yog los ntawm lub raj, xaus nrog kev tsis txawj ntse.
Cas ntawm teeb meem
piav qhia los ntawm American otolaryngologist Kosten hauv xyoo 1934, tus mob no tau kawm ntau dua 80 xyoo. Txawm li cas los xij, txog niaj hnub no, cov kws tshawb fawb tseem tsis tuaj yeem sau npe qhov tseeb ntawm qhov pib thiab kev loj hlob ntawm kev ua haujlwm tsis zoo ntawm lub puab tsaig pob qij txha. Qhov feem ntau yuav tshwm sim rau cov tsos mob ntawm tus mob orthodontists thiab kws kho hniav xav txog cov hauv qab no:
- kev puas tsuaj, raug mob, cuam tshuam;
- tsis muaj molars (hauv cov neeg laus, cov no yog 6th, 7th thiab 8th hniav, hauv cov menyuam yaus - 4th thiab 5th mis nyuj hniav);
- hniav sib tsoo (bruxism);
- kev ntxhov siab ntau dhau ntawm kev sib koom ua ke;
- cov xwm txheej ntxhov siab;
- dislocation ntawm lub pob qij txha thaum mus ntsib kws kho hniav.
Txawm li cas los xij, cov kws tshaj lij feem ntau pom zoo tias qhov ua rau ntawm kev loj hlob ntawm pathological hloov chaw thiab o ntawm pob txha mos disc yog malocclusion.
Txawm hais tias nws yog qhov yug los lossis tau txais, nws tseem ceeb heev kom ntseeg tau tias lub nra ntawm ob lub puab tsaig yog tib yam.
Leej twg txaus ntshai?
Nws hloov tawm tias cov kws kho mob cais ob peb pawg neeg uas muaj feem ntautxheeb xyuas Costen qhov tsis ua haujlwm. Tus mob no feem ntau pom hauv cov neeg mob yog:
- lawv muaj hnub nyoog tshaj 50;
- thaum lub caij poj niam cev xeeb tub, cov poj niam feem ntau yuav kis tus kab mob ntau dua li lawv cov phooj ywg ntawm kev sib deev;
- lawv muaj keeb kwm yav dhau los;
- muaj kev nyiam rau osteoarthritis, rheumatism;
- removed ob peb zom cov hniav-molars.
Signs of disease
Qhov zoo sib xws ntawm kev kho mob tshwm sim ntawm pathologies ntawm thaj chaw maxillofacial feem ntau ua rau muaj kev tsis raug ntawm kev kuaj mob ntawm Costen's disease. Tus mob, uas tau tshawb pom los ntawm tus kws kho mob ENT Asmeskas, feem ntau tsis tuaj yeem ua rau nws tus kheej hnov rau cov neeg mob ntev.
Txawm li cas los xij, thawj qhov kev xav tsis thoob ntawm kev txhim kho tus kabmob tshwm sim hauv cov neeg mob vim:
- tsis xis nyob thaum zom zaub mov (ntau yam sim tshwj xeeb tsis quav ntsej qhov mob me lossis sim tshem tawm cov kev xav tsis zoo nrog cov tshuaj tua kab mob);
- nquag nias thiab crunches thaum qhib qhov ncauj;
- txwv lub puab tsaig sib koom ua ke;
- tsis tu ncua ntawm cov leeg masticatory, tshwj xeeb tshaj yog thaum sawv ntxov;
- Ntaus pom asymmetry ntawm lub ntsej muag kab;
- irradiation mob pob ntseg, qhov muag.
Kev paub txog kev kho cov neeg mob nrog Costen's syndrome qhia tias cov neeg mob feem ntau mus ntsib kws kho mob thaum mob taub hau, yuav luag ua tiav ntawm kev sib koom tes thiab ua rau muaj txiaj ntsig zoo.tsis hnov lus raug txo. Nrog rau daim ntawv ntawm tus kab mob no, nws tsis zoo li tias nws yuav daws tau qhov teeb meem nrog txoj kev maj mam.
Yuav ua li cas txheeb xyuas tus mob thaum kuaj?
txhawm rau kuaj xyuas Costen's syndrome, kev kho mob uas feem ntau txiav txim siab los ntawm qib ntawm kev loj hlob ntawm tus kab mob, tuaj yeem kuaj pom los ntawm kev sim peb-phalangeal yooj yim. Txoj kev no suav hais tias yog ib qho classic, thiab vim nws cov ntsiab lus siab, txoj kev no tau ntseeg los ntawm cov kws kho hniav feem ntau.
Nws cov ntsiab lus yog raws li hauv qab no: nruab nrab ntawm sab sauv thiab sab hauv nruab nrab incisors ntawm tus neeg mob lub qhov ncauj qhib qhov siab tshaj plaws, peb cov pob qij txha interphalangeal ntawm 2nd, 3rd thiab 4th ntiv tes ntawm tus kws kho mob txhais tes yuav tsum dhau mus dawb. Nrog atrophy ntawm cov leeg masticatory ntawm tus neeg mob, qhov no yuav ua tsis tau.
Lwm txoj kev kuaj niaj hnub tuaj yeem lees paub lossis tsis lees paub qhov kev kuaj mob tshwm sim:
- electromyography ntawm maxillofacial sib koom;
- kev kawm impedance (yuav tsum tau rau kev soj ntsuam lub hom phiaj ntawm lub pob ntseg nruab nrab);
- X-ray ntawm lub puab tsaig sab;
- xam tomography lossis magnetic resonance scan (thaum mob hnyav).
Txoj kev kho mob ntawm pathology
Yog tias koj txo qis ntawm qhov cuam tshuam, tus neeg mob yuav tuaj yeem tshem tawm lub puab tsaig tsis ua haujlwm. Kev kho mob ntawm Costen's syndrome muaj kev sib koom ua ke, qhov twg thawj kauj ruam yog hloov hom zaub mov noj. Nws yuav tsum muaj tsawg kawg yog frayed thaum thawj lub hlis ntawm kev kho mob. Rau cov npe ntawm cov khoom uas, raws li kws kho hniav,zoo sib xws, suav nrog fermented mis nyuj cov khoom, boiled cereals, kua txiv hmab txiv ntoo. Nyias chops thiab steaks yog qhov zoo tshaj plaws zam tag nrho, tab sis qhov ntawd tsis tau txhais hais tias koj yuav tsum tsis txhob noj steam cutlets, meatballs, nqaij soufflés, thiab lwm yam.
Nws yog ib qho tseem ceeb heev kom so kom txaus thiab pw tsawg kawg yog 7 teev ib hnub twg. Thaum lub sijhawm kho, tus kws kho mob yuav kom tus neeg mob txo qis kev sib tham ntev thiab siv cov pos hniav. Koj yuav tsum nco ntsoov tias txhua qhov kev tawm dag zog thiab kev ntxhov siab tuaj yeem ua rau mob, yog li yuav tsum tsis txhob muaj kev kub ntxhov.
Kev kho lub cev thiab kev huv ntawm lub qhov ncauj
Cov txheej txheem kho mob yuav tsum muaj xws li:
- ntsej muag massage;
- laser kho;
- kho mob ultrasound;
- iontophoresis.
Ib qho yuav tsum tau ua hauv kev kho mob yog kev kho dua tshiab ntawm qhov ncauj kab noj hniav, nrog rau cov pob qij txha ntawm cov hniav uas ploj lawm. Tej zaum tus kws kho mob tshwj xeeb yuav sau ntawv rau tus neeg mob kom hnav lub qhov ncauj qhov ncauj, tom thaiv, txwv qhov ncauj, thiab lwm yam.
Tshuaj lossis phais
Cov kev kho mob ntawm kev kho yog hloov mus rau hauv cov xwm txheej uas tau hais los saum toj no cov kev cuam tshuam tsawg kawg nkaus tsis muaj txiaj ntsig. Txhawm rau tshem tawm cov tsos mob mob, cov tshuaj analgesic thiab tshuaj tiv thaiv kab mob tau sau tseg. Koj tsis tuaj yeem ua nrog txoj kev tshem tawm ntawm Costen's syndrome thiab tsis muaj kev kho cov tshuaj vitamin hauv daim ntawv ntawm cov ntsiav tshuaj lossis txhaj tshuaj. Nws kuj tseem tuaj yeem muab tshuaj rau cov leeg nqaij so, lub hom phiaj ntawm kev suav tias yog kev tawm tsamhypertonicity ntawm masticatory leeg.
Kev phais tshem tawm ntawm cov pob txha mos tsis tshua muaj kev cuam tshuam rau, vim muaj ntau yam contraindications thiab muaj kev pheej hmoo ntawm cov teeb meem tom ntej yog qhov teeb meem tseem ceeb rau kev ua haujlwm. Txawm li cas los xij, niaj hnub no, hauv cov xwm txheej nyuaj, cov kws tshaj lij tsim nyog siv cov txheej txheem ntawm kev txhim kho kev hloov pauv, uas tuaj yeem rov ua haujlwm tag nrho ntawm maxillofacial sib koom ua ke.
