Yakatsemuka kana kutsemuka shaya

Shaya yakatyoka kutyoka (kutsemuka) mupfupa reshaya. Shaya yakadamburwa zvinoreva kuti chikamu chepazasi cheshaya chakatama kubva panzvimbo yayo yakajairwa pane rimwe kana majoini ese ari maviri apo jaya pfupa rinobatana nehenya (temporomandibular majoini).

Shaya yakatyoka kana yakatsemurwa kazhinji inopora mushe mushure mekurapwa. Asi shaya inogona kutsemuka zvakare mune ramangwana.

Zvinetso zvinogona kusanganisira:

• Kuvharwa kwemhepo
• Kubuda ropa
• Kufemera ropa kana chikafu mumapapu
• Kunetseka kudya (kwenguva pfupi)
• Kuoma kutaura (kwenguva pfupi)
• Kubatwa kwejaya kana kumeso
• Jaw joint (TMJ) kurwadziwa uye mamwe matambudziko
• Chiveve chechikamu cheshaya kana kumeso
  
• Matambudziko ekugadzirisa meno
• Kuzvimba

Chikonzero chakajairika chevhu rakatyoka kana rakatsemuka kukuvara kumeso. Izvi zvinogona kukonzerwa ne:

• Kurwisa
• Tsaona yeindasitiri
• Tsaona yemotokari
• Varaidzo kana kukuvara kwemitambo
• Kudonha uye kudonha
• Mushure mekurapa mazino kana kurapwa

Zviratidzo zvesaya rakatyoka zvinosanganisira:

• Marwadzo kumeso kana shaya, iri pamberi penzeve kana padivi rakakanganiswa, izvo zvinowedzera kuwedzera nekufamba
• Kupopota nekuzvimba kumeso, kubuda ropa kubva mumuromo
• Zvakaoma kutsenga
  
• Kuomesa shaya, kunetseka kuvhura muromo zvakanyanya, kana dambudziko kuvhara muromo
• Shaya ichienda kune rimwe divi painovhura
• Shaya nyoro kana kurwadziwa, zvakanyanya nekuruma kana kutsenga
• Mazino akasununguka kana akaremara
• Bundu kana kuoneka zvisina kujairika kwedama kana shaya
• Unhu hwechiso (kunyanya muromo wezasi)
• Nzeve kurwadziwa

Zviratidzo zvesaya rakabviswa zvinosanganisira:

• Marwadzo kumeso kana shaya, iri pamberi penzeve kana padivi rakakanganiswa, izvo zvinowedzera kuwedzera nekufamba
• Iyo inoruma iyo inonzwa "yabviswa" kana yakamonyaniswa
• Matambudziko kutaura
• Kutadza kuvhara muromo
• Kudonhedza mvura nekuda kwekutadza kuvhara muromo
• Shaya yakakiiwa kana shaya inobudikira kumberi
• Mazino asina kuenderana zvakanaka

Munhu ane shaya yakatyoka kana yakatsemuka anoda kurapwa nekukasika. Izvi zvinodaro nekuti vanogona kunge vaine matambudziko ekufema kana kubuda ropa. Fonera yako yemuno emergency emergency (se911) kana chipatara chemuno kuti uwane mamwe mazano.

Bata shaya zvinyoronyoro panzvimbo nemaoko ako munzira inoenda kuimba yekukurumidzira. Iwe unogona zvakare kuputira bhandeji pasi peshaya uye pamusoro pemusoro wemusoro. Bhandeji rinofanira kuve nyore kubvisa kana uchida kurutsa.

Kuchipatara, kana uine matambudziko ekufema, kubuda ropa kwakanyanya kunoitika, kana kuzvimba kwakanyanya kwechiso chako, chubhu inogona kuiswa munzira dzako dzekufema kuti ikubatsire kufema.

JAW RAKANYANYA

Kurapa kwejaya rakatyoka kunoenderana nekuti pfupa rakatyoka zvakadii. Kana iwe uine kuputsika kudiki, inogona kupora yega. Unogona kungoda mishonga yekurwadziwa. Iwe uchafanirwa kudya zvinyoro-nyoro kana kugara pachikafu chemvura kwechinguva.

Kuvhiya kunowanzo kudikanwa kune zvine mwero kusvika zvakanyanya kutsemuka. Shaya inogona kunge yakasungwa kumeno eiyo yakatarisana shaya kuti irambe yakatsiga shaya ichirapa. Jaya waya dzinowanzosiyiwa dziri panzvimbo kwemavhiki matanhatu kusvika masere. Zvidimbu zverabha (elastics) zvinoshandiswa kubata mazino pamwechete. Mushure memavhiki mashoma, mamwe maelastics anobviswa kuti abvumidze kufamba uye kudzikisira kuomarara kwemajoini.

Kana shaya iine waya, iwe unogona chete kunwa zvinwiwa kana kudya zvakapfava zvekudya. Iva nezvikero zvisina kujeka zvinowanika nyore kutema elastics mune chiitiko chekurutsa kana kudzipwa. Kana waya dzichifanira kudimburwa, danaidza mupi wako wezvehutano ipapo ipapo kuti waya dzigadziriswe.

RAKASIKWA JAW

Kana shaya yako ikatsemurwa, chiremba anogona kukwanisa kuidzosera panzvimbo chaiyo uchishandisa zvigumwe. Kuverengera mishonga (anesthetics) uye zvinyoronyoro zvinozorodza zvinogona kudikanwa kuzorora tsandanyama dzeshaya.

Pashure, shaya yako ingangoda kudzikamiswa. Izvi zvinowanzobatanidza kusunga shaya kuti muromo usavhurike zvakanyanya. Mune zvimwe zviitiko, kuvhiyiwa kunodiwa kuti uite izvi, kunyanya kana kudzokororwa kwesaya kuchidzokororwa.

Mushure mekuparadzanisa shaya yako, haufanire kuvhura muromo wako zvakanyanya kweanenge mavhiki matanhatu. Tsigira shaya yako neruoko kana nemaoko maviri kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Usaedze kugadzirisa mamiriro eshaya. Chiremba anofanira kuita izvi.

Shaya yakatyoka kana yakatsemurwa inoda kurapwa nekukurumidza. Zviratidzo zvechimbichimbi zvinosanganisira kunetseka kufema kana kubuda ropa kwakanyanya.

Munguva yebasa, mitambo, uye zviitiko zvekuvaraidza, kushandisa michina yekuchengetedza, yakadai seheti kana uchitamba nhabvu, kana kushandisa miromo yemuromo zvinogona kudzivirira kana kudzikisira kukuvara kumeso kana shaya.

Akatsemura shaya; Yakatsemuka shaya; Yakaputswa mandible; Yakatsemuka shaya; Kubviswa kweTMJ; Mandibular dislocation

• Mandibular kuputsika

Kellman RM. Kushungurudzika kweMaxillofacial. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 23.

Mayersak RJ. Kushungurudzika kumeso. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 35.