Ukugrinda Amazinyo (Bruxism)

Igama lesifo sezokwelapha lokuqinaqina amazinyo yi-bruxism (BRUK-siz-um), isimo lapho ucindezela noma uqina amazinyo akho ndawonye, okuthiwa futhi ukuqina noma ukuqina. I-Bruxism ivamile futhi ingenzeka emini noma ebusuku. Uma une-bruxism ekhulile, ucindezela noma uqina amazinyo akho uma uvukile ngaphandle kokwazi ukuthi uyenza. Uma une-bruxism yobusuku, ucindezela noma uqina amazinyo akho ngesikhathi ulele. I-Bruxism yobusuku yisifo sokuhamba sokulala. Abantu abaqina noma abaqina amazinyo abo ngesikhathi belele banesikhathi esiningi sokuhlupheka ngezinye izifo zokulala, njengokuqina nokuyeka ukuphefumula okuthiwa yi-sleep apnea. Abanye abantu bangase bangazi ukuthi bane-bruxism yobusuku kwaze kwaba yilapho sebehlupheka ngezinkinga zamagciwane noma ezansi ngenxa yayo. Kubantu abathile, i-bruxism ingaba yinkinga futhi kwenzeke kaningi ngokwanele ukubangela ubuhlungu ezansi, izikhathi zikhanda, amazinyo abhuliwe nezinye izinkinga. Umsindo wokugcina ungaphazanyiswa ubuthongo bomlingani. Funda izimpawu ze-bruxism futhi uthole ukunakekelwa kwesondo njalo ukuhlola amazinyo akho.

Izimpawu ze-bruxism zingafaka:

• Ukugaya noma ukucindezela amazinyo, okungase kube phezulu ngokwanele ukuvusa umlingani wakho wokulala.
• Amazinyo ahlatshelwe, aphukile, aqhekekile noma ahlangene.
• I-enamel yamazinyo ehlatshwe. Lokhu kungaveza izigaba zangaphakathi zamazinyo akho.
• Ubuhlungu noma ukusabela kwamazinyo.
• Ubuhlungu noma ubuhlungu emagxalabeni, entanyeni noma ebusweni.
• Imisipha yamagxala enkulu kunokulindelekile.
• Ubuhlungu obuzwakala njengobunzima, nakuba kungeyona inkinga yangempela yendlebe yakho.
• I-headache ebuthakathaka eqala emathempeleni akho - eceleni kwekhanda lakho phakathi kwesandla sakho neendlebe zakho.
• Izinkinga zokulala. Bona udokotela wemazinyo wakho noma omunye ochwepheshe wezempilo uma unezimpawu ezingabangelwa ukugaya noma ukucindezela amazinyo akho noma uma unezinye izinkinga mayelana namazinyo akho noma amagxala. Uma uqaphela ukuthi ingane yakho inezimpawu zokugaya amazinyo, qiniseka ukuthi uyikhumbula ekuhambeleni kwakho okulandelayo kwesinyo lengane yakho.

Akuqondakali ngokupheleleyo ukuthi yini ebangela ukuxova amazinyo. Kungase kube ngenxa yohlanganiso lwemiqondo yomzimba, impilo yengqondo nezinto ezivela ezifuyweni.

• Ukuxova amazinyo lapho uqwashile kungase kube ngenxa yemizwelo enjengokukhathazeka, ukucindezeleka, intukuthelo, ukukhungatheka noma ukucindezeleka. Ukuxova amazinyo kungase futhi kube yindlela yokubhekana nezimo noma umkhuba lapho ucabanga ngokujulile noma ugxile.
• Ukuxova amazinyo lapho ulele kungase kube yisenzo sokuhlafuna esihambisana nemisebenzi emifushane yokuphumula ubuthongo.

Lezi zinto zingakwandisa ingozi yakho yokuxova amazinyo:

• Ukucindezeleka. Ukuba nokukhathazeka okukhulu noma ukucindezeleka kungabangela ukuxova nokuqina kwamazinyo. Kunjalo nangolaka nokudumazeka.
• Ubudala. Ukuxova amazinyo kuvamile kubantwana abancane, kodwa kuvame ukuhamba lapho sekukhulu.
• Uhlobo lobuntu. Ukuba nobuntu obuqhubekayo, obuncintisanayo noma obukhulu kakhulu kungakwandisa ingozi yakho yokuxova amazinyo.
• Imikhuba yomlomo ngesikhathi uvukile. Imikhuba yomlomo, njengokuluma izindebe, ulwimi noma izikhwephu nokuhlafuna i-gum isikhathi eside, ingakwandisa ingozi yokuxova amazinyo ngesikhathi uvukile.
• Amalungu omndeni anayo ukuxova amazinyo. Ukuxova amazinyo ngesikhathi ulele kuvame ukuba khona emindenini. Uma unawo ukuxova amazinyo, amanye amalungu omndeni wakho nawo angaba nawo ukuxova amazinyo noma umlando wawo.
• Ezinye izimo. Ukuxova amazinyo kungahlotshaniswa nezinye izimo zempilo yengqondo nezempilo. Lezi zingafaka isifo se-Parkinson, ukuwohloka kwengqondo, isifo se-gastroesophageal reflux disorder (GERD), isifo se-epilepsy, amaphupho abesabekayo, izinkinga ezihlobene nokulala njengokungaphefumuli ngesikhathi ulele ne-ADHD.

Kubantu abaningi, ukuxova amazinyo akuholeli ezingxakini ezinzima. Kodwa ukuxova amazinyo okukhulu kungabangela:

• Ukonakala kwamazinyo akho noma emaxakeni, kanye nokugcwaliswa, iziqeshana noma ukulungiswa kwamanye amazinyo.
• Izinhlungu zikhanda zokucindezela.
• Ubuhlungu obukhulu bokuphahlazeka kobuso noma emaxakeni.

Ngesikhathi sezivivinyo zokwelapha amazinyo ezijwayelekile, udokotela wakho wezinyo uhlola izimpawu ze-bruxism.

Uma unezimpawu ze-bruxism, udokotela wakho wezinyo ufuna izinguquko emazinyweni nasemlonyeni wakho. Lokhu kungahlolwa ekuhambeni kwezinyanga ezimbalwa ezilandelayo. Udokotela wezinyo angabona ukuthi izinguquko ziyaqina yini nokuthi udinga ukwelashwa yini.

Udokotela wakho wezinyo uphinde ahlole lokhu okulandelayo:

• Ubuhlungu emachopho ezinyo noma ezinhlangothini zejaw.
• Ukuqina noma ubuhlungu uma uhambisa amajaw akho.
• Izinqubo zama-dental, njengezinyo eziqhele, eziphukile noma ezingekho.
• Ukonakala kwamazinyo akho, ithambo elingaphansi kanye nangaphakathi kwamaphethelo akho. Ungase udinga i-X-rays yamazinyo akho nejaw.

Uma udokotela wakho wezinyo ethola ukuthi une-bruxism, udokotela wakho wezinyo ukhuluma nawe ukuze usize ukuthola imbangela yayo. Ungase ubuzwe imibuzo mayelana nempilo yakho yezinyo, imithi, izindlela zakho zansuku zonke kanye nemikhuba yokulala.

Uvivinyo lwezinyo lungathola ezinye izimo ezingabangela ubuhlungu bejaw noma indlebe, njengezifo ze-temporomandibular joint (TMJ), ezinye izinkinga zezinyo noma izimo zempilo ezinjenge-sleep apnea.

Uma i-bruxism yakho cishe ibangelwa yizinkinga ezinkulu zokulala, ochwepheshe bakho bezempilo bangase bancoma ukuthi ubone ochwepheshe bezokwelapha ukulala. Ochwepheshe bezokwelapha ukulala bangenza izivivinyo ezinjengokutadisha ukulala okuhlola ukugaya amazinyo ngesikhathi ulele. Ivivinyo liphinde lihlole i-sleep apnea noma ezinye izifo zokulala.

Uma i-bruxism yakho cishe ibangelwa ukukhathazeka noma ezinye izimo zempilo yengqondo, ungase uqondiswe ochwepheshe bezempilo yengqondo njengomhlengikazi onelayisensi noma umeluleki.

Eziningi zezimo, ukwelashwa akudingeki. Abantwana abaningi bayakhula bephela ukugqwala amazinyo ngaphandle kokwelashwa. Nabantu abadala abaningi abagqwali noma ababopheleli amazinyo abo kabi ngokwanele ukuba badinge ukwelashwa.

Uma ukugqwala amazinyo kunzima, izinketho zihlanganisa ukwelashwa okuthile kwezinyo, ukuqeqeshwa nezinye izidakamizwa. Lokhu kungasiza ukuvimbela ukonakala okwengeziwe kwamazinyo nokunciphisa ubuhlungu noma ukungakhululeki kwesigaxa. Uma ukugqwala amazinyo kubangelwa yisimo sengqondo noma esempilo, ukwelapha leso simo kungase kuphelise noma kunciphisa ukugqwala nokubopha.

Khuluma nodokotela wakho wezinyo noma omunye ochwepheshe wezempilo mayelana nohlelo olusebenza kangcono kuwe.

Udoktela wakho wezinyo angase aphakamise enye yalezi zindlela zokuvimbela noma ukulungisa ukunqunywa kwamazinyo akho, yize zingase zingapheli ukugqwala amazinyo:

• Ama-splint nama-mouth guards. La ma-splint agcina amazinyo aphezulu naphansi ehlukene ngesikhathi ulele. Lokhu kungavimbela ukonakala okubangelwa ukubopha nokugqwala. Ama-splint nama-guards angenziwa ngepulasitiki eqinile noma izinto ezithambile ezihambisana namazinyo akho aphezulu noma aphansi.
• Ukulungiswa kwezinyo. Uma ukunqunywa kwamazinyo okunzima kuholele ekuzweleni, noma awukwazi ukukoma kahle, ungase udinga ukulungiswa kwezinyo. Udoktela wakho wezinyo uqamba kabusha izindawo zokukoma zama zinyo zakho noma usebenzisa ama-crowns ukulungisa ukonakala.

Enye noma ngaphezulu yalezi zindlela zingasiza ekuqedeni noma ekususeni ukugqwala amazinyo:

• Ukuphathwa kwengcindezi noma ukukhathazeka. Uma uqwala amazinyo ngenxa yengcindezi noma ukukhathazeka, ungase ukwazi ukuvimbela inkinga ngokufunda amathiphu okuphumula, njengokucamngca, i-yoga nokuzivocavoca. Izeluleko ezivela ochwepheshe wezempilo yengqondo zingasiza.
• Ukushintsha kokuziphatha. Uma usuke wazi ukuthi uqwala futhi ubopha amazinyo akho usuku lonke, ungase ukwazi ukushintsha ukuziphatha ngokuzivocavoca isikhundla esifanele somlomo nesigaxa. Cela udokotela wakho wezinyo ukuba akubonise isikhundla esingcono kakhulu. Yenza izikhumbuzo kuwe usuku lonke ukuze uhlole isikhundla somlomo nesigaxa sakho. Ungase futhi uzivocavoce ukulawula imikhuba yomlomo njengokuklama izindebe, ulimi noma ubuso nokukoma i-gum isikhathi eside.
• Ukuphumula kwesigaxa. Uma unesikhathi esinzima ukushintsha umkhuba wokubopha nokugqwala usuku lonke, ukuzivocavoca ukuphumula kwesigaxa noma i-biofeedback kungasiza. I-biofeedback isebenzisa imishini yokubeka amehlo ukukufundisa ukulawula umsebenzi wemisipha esigaxeni sakho.

Ngokuvamile, imithi ayisebenzi kakhulu ekwelapheni ukugqwala amazinyo. Ucwaningo olwengeziwe luyadingeka ukuze kunqunywe ukuthi isebenza yini. Izibonelo zemithi engase isetshenziswe ekugqwaleni amazinyo zihlanganisa:

• I-muscle relaxants. Kwezinye izimo, futhi isikhathi esifushane, ochwepheshe bakho bezempilo bangase baphakamise ukusebenzisa i-muscle relaxant ngaphambi kokulala.
• Ukuqhafaza kwe-Botox. Ukuqhafaza kwe-Botox kuyizithombe ezisebenzisa i-toxin ukuvimbela umsipha ekuhambeni isikhathi esilinganiselwe. Lezi zithombe ziphumula imisipha yesigaxa. Lokhu kungasiza abanye abantu abane-bruxism enzima abangaphili kahle ngezinye izindlela zokwelapha.

Ukwelashwa kwalezi zimo kungasiza:

• Imiphumela emibi yemithi. Uma une-bruxism njengomphumela emibi wemithi, ochwepheshe bakho bezempilo bangase bashintshe umthamo wakho wemithi noma baphakamise imithi ehlukile.
• Izifo ezihlobene nokulala. Ukuthola ukwelashwa kwezifo ezihlobene nokulala njenge-sleep apnea kungasiza ukugqwala amazinyo ngesikhathi ulele kube ngcono.
• Izimo zezokwelapha. Uma enye isimo sezokwelapha, njengoba i-Parkinson's disease, ibangela ukugqwala amazinyo, ukwelapha leso simo kungase kususe noma kunciphisa ukubopha nokugqwala.

Lezi zinyathelo zokunakekela uqobo zingavimbela ukubamba noma zisize ekwelapheni:

• Nciphise ukucindezeleka. Isibonelo, zama ukucamngca, umculo, ukubhamba amanzi afudumele, i-yoga noma ukuzivocavoca. Lokhu kungakusiza ukuthi uphumule futhi kunganciphisa ingozi yokubamba nokuqina.
• Ungaphuzi izinto ezishukumisayo ebusuku. Ungaphuzi ikhofi ene-caffeine noma itiye ene-caffeine ngemva kokudla futhi ungaphuzi utshwala kusihlwa. Lokhu kungenza kube kubi ukubamba nokuqina.
• Ungabhemi. Uma ubhema, xoxa nodokotela wakho mayelana nezindlela zokusiza ukuyeka.
• Yenza imikhuba emihle yokulala. Ukuthola ubuthongo obuhle ebusuku, okungafaka ukwelashwa kwezinkinga zokulala, kungasiza ekunciphiseni ukubamba.
• Hlela ukuhlolwa kwemizimba njalo. Ukuhlolwa kwemizimba yindlela engcono kakhulu yokuthola ukuthi une-bruxism yini. Udokotela wakho wemazinyo angabona izimpawu ze-bruxism emlonyeni nasemaxakeni akho ngesikhathi sokuvakasha okujwayelekile nokuhlolwa.