{"id":54551,"date":"2021-03-29T21:02:55","date_gmt":"2021-03-29T21:02:55","guid":{"rendered":"http:\/\/demo.dentalvibe.com\/dental-glossary\/jaw-stiffness-tmj-disorders\/"},"modified":"2021-04-09T23:00:44","modified_gmt":"2021-04-09T23:00:44","slug":"jaw-stiffness-tmj-disorders","status":"publish","type":"dental-glossary","link":"https:\/\/dentalvibe.com\/vi\/dental-glossary\/jaw-stiffness-tmj-disorders\/","title":{"rendered":"C\u1ee9ng h\u00e0m"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m (TMJ) bao g\u1ed3m m\u1ed9t kh\u1edbp l\u00e0 m\u1ed9t qu\u1ea3 b\u00f3ng v\u00e0 \u1ed5 c\u1eafm. TMJ \u0111\u01b0\u1ee3c bao quanh b\u1edfi c\u00e1c g\u00e2n v\u00e0 c\u01a1 ki\u1ec3m so\u00e1t c\u00e1c chuy\u1ec3n \u0111\u1ed9ng nh\u01b0 nhai. M\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 d\u1ea7n d\u1ea7n b\u1ecb c\u1ee9ng c\u01a1 tr\u00ean m\u1ed9t ho\u1eb7c c\u1ea3 hai kh\u1edbp. T\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a t\u00ecnh tr\u1ea1ng c\u0103ng c\u1ee9ng n\u00e0y, t\u00ecnh tr\u1ea1ng c\u1ee9ng kh\u1edbp c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong th\u1eddi gian ng\u1eafn ho\u1eb7c k\u00e9o d\u00e0i. C\u0103ng c\u1ee9ng h\u00e0m c\u00f3 th\u1ec3 tr\u1edf n\u00ean kh\u00f3 ch\u1ecbu, \u0111\u1eb7c bi\u1ec7t n\u1ebfu k\u00e8m theo \u0111au h\u00e0m.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u \u0111\u00f3 cho th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1eadp c\u00e1c b\u00e0i t\u1eadp c\u01a1 h\u00e0m \u0111\u1ec3 th\u1ea3 l\u1ecfng c\u01a1. C\u00e1c k\u1ef9 thu\u1eadt gi\u1ea3m c\u0103ng th\u1eb3ng ph\u00e1t huy t\u00e1c d\u1ee5ng t\u1ed1t nh\u1ea5t trong t\u00ecnh hu\u1ed1ng n\u00e0y. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 b\u1ea3o v\u1ec7 mi\u1ec7ng \u0111\u1ec3 n\u1edbi l\u1ecfng t\u00ecnh tr\u1ea1ng c\u1ee9ng h\u00e0m.<\/span><\/p>\n<h3><b>Nguy\u00ean nh\u00e2n c\u1ee7a c\u1ee9ng h\u00e0m<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a c\u1ee9ng h\u00e0m bao g\u1ed3m nh\u1eefng nguy\u00ean nh\u00e2n sau:<\/span><\/p>\n<p><b>C\u0103ng th\u1eb3ng ho\u1eb7c lo l\u1eafng<\/b><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 ng\u01b0\u1eddi nghi\u1ebfn r\u0103ng khi h\u1ecd c\u0103ng th\u1eb3ng ho\u1eb7c lo l\u1eafng, khi\u1ebfn hai y\u1ebfu t\u1ed1 n\u00e0y tr\u1edf th\u00e0nh nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y c\u0103ng c\u01a1. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c c\u01a1 kh\u00e1c nhau th\u01b0\u1eddng th\u1eaft ch\u1eb7t, g\u00e2y ra t\u00ecnh tr\u1ea1ng c\u1ee9ng h\u00e0m.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00ean c\u1ea1nh vi\u1ec7c si\u1ebft ch\u1eb7t h\u00e0m, nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u0169ng n\u1eafm ch\u1eb7t tay, d\u1eabn \u0111\u1ebfn c\u0103ng c\u01a1 c\u1ed5 v\u00e0 vai.<\/span><\/p>\n<p><b>R\u1ed1i lo\u1ea1n TMJ<\/b><\/p>\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n n\u00e0y th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m, bao g\u1ed3m c\u00e1c c\u01a1 k\u1ebft n\u1ed1i h\u00e0m d\u01b0\u1edbi v\u00e0 h\u1ed9p s\u1ecd. R\u1ed1i lo\u1ea1n TMJ c\u00f3 th\u1ec3 x\u1ea3y ra do ch\u1ea5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3, vi\u00eam do nhi\u1ec5m tr\u00f9ng v\u00e0 nghi\u1ebfn r\u0103ng. b\u1ea1n c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y c\u1ee7a r\u1ed1i lo\u1ea1n TMJ:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00e0m \u0111au<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au ho\u1eb7c nh\u1ee9c \u1edf c\u1ed5, m\u1eb7t v\u00e0 tai<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u1ee9c \u0111\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00e1 h\u1ed1c m\u1ed3m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c2m thanh nh\u1ea5p khi h\u00e0m di chuy\u1ec3n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">U\u1ed1n v\u00e1n<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n Clostridium tetani t\u1ea1o ra \u0111\u1ed9c t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y c\u1ee9ng c\u01a1. Ch\u1ea5t \u0111\u1ed9c t\u1ea1o ra s\u1ef1 co c\u01a1 g\u00e2y \u0111au \u0111\u1edbn l\u00e0m h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng nhai v\u00e0 nu\u1ed1t th\u1ee9c \u0103n m\u1ed9t c\u00e1ch tho\u1ea3i m\u00e1i. Tuy nhi\u00ean, v\u1edbi vi\u1ec7c khuy\u1ebfn c\u00e1o v\u1eafc xin ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n, vi\u1ec7c ng\u0103n ng\u1eeba b\u1ec7nh u\u1ed1n v\u00e1n tr\u1edf n\u00ean d\u1ec5 d\u00e0ng.<\/span><\/p>\n<p><b>M\u00e0i r\u0103ng<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Nghi\u1ebfn r\u0103ng, nghi\u1ebfn r\u0103ng c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh nghi\u1ebfn r\u0103ng. Vi\u1ec7c nghi\u1ebfn v\u00e0 nghi\u1ebfn r\u0103ng kh\u00f4ng ch\u1ee7 \u00fd n\u00e0y c\u1ee7a m\u1ed9t ng\u01b0\u1eddi \u0111\u1eb7c bi\u1ec7t l\u00e0 trong khi ng\u1ee7 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u1ee9ng c\u01a1 h\u00e0m. Nghi\u1ebfn r\u0103ng c\u00f3 th\u1ec3 do t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ho\u1eb7c do r\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi b\u1ecb c\u0103ng th\u1eb3ng v\u00e0 lo l\u1eafng m\u00e3n t\u00ednh, m\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 v\u00f4 th\u1ee9c si\u1ebft ch\u1eb7t H\u00e0m c\u1ee7a h\u1ecd khi \u0111i b\u1ed9. C\u00e1c tri\u1ec7u ch\u1ee9ng Bruxism bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au v\u00e0 r\u0103ng m\u1ec1m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Popping v\u00e0 nh\u1ea5p v\u00e0o kh\u1edbp TMJ<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u1ee9c \u0111\u1ea7u \u0111\u1ebfn \u1edf m\u1ed9t b\u00ean c\u1ee7a \u0111\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u1ee9ng h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh th\u1ea5p kh\u1edbp<\/span> <span style=\"font-weight: 400;\">vi\u00eam kh\u1edbp (RA)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n d\u1ecbch m\u00e3n t\u00ednh n\u00e0y g\u00e2y ra vi\u00eam kh\u1edbp TMJ. M\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n RA c\u0169ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng TMJ. C\u00e1c tri\u1ec7u ch\u1ee9ng RA bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9 c\u1ee9ng \/ \u0111\u1ed9 k\u00edn c\u1ee7a h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m c\u00e2n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au kh\u1edbp<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam kh\u1edbp<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bumps d\u01b0\u1edbi kh\u1edbp<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam x\u01b0\u01a1ng kh\u1edbp (OA)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Vi\u00eam x\u01b0\u01a1ng kh\u1edbp l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e3n t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u00e0n tay, h\u00e0m v\u00e0 h\u00f4ng. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng ph\u00e1t tri\u1ec3n \u1edf kh\u1edbp c\u1ee7a nh\u1eefng ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i<\/span><\/p>\n<h3><b>C\u00e1ch gi\u1ea3m C\u1ee9ng h\u00e0m<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Ph\u01b0\u01a1ng ph\u00e1p sau \u0111\u00e2y s\u1ebd ch\u1ee9ng minh hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m c\u1ee9ng h\u00e0m.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u00e9o gi\u00e3n kh\u1edbp h\u00e0m - K\u00e9o gi\u00e3n h\u00e0m lo\u1ea1i b\u1ecf \u0111\u1ed9 c\u1ee9ng b\u1eb1ng c\u00e1ch t\u0103ng ph\u1ea1m vi chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a h\u00e0m. N\u00f3 c\u0169ng l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng TMJ. B\u1ea1n c\u00f3 th\u1ec3 th\u1eed k\u00e9o gi\u00e3n h\u00e0m th\u01b0 gi\u00e3n, t\u1eadp th\u1ec3 d\u1ee5c cho c\u00e1 v\u00e0ng v\u00e0 m\u1edf mi\u1ec7ng b\u1eb1ng c\u00e1ch kh\u00e1ng c\u1ef1.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng - b\u1ea1n c\u00f3 th\u1ec3 ch\u1ecdn th\u1ee9c \u0103n m\u1ec1m nh\u01b0 s\u1eefa chua v\u00e0 sinh t\u1ed1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ea3o v\u1ec7 mi\u1ec7ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u00f3ng ng\u1eafn diathermy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u00eam corticosteroid<\/span><\/li>\n<\/ul>","protected":false},"author":2,"featured_media":0,"parent":0,"template":"","dental-glossary-categories":[4516,4526,4543],"class_list":["post-54551","dental-glossary","type-dental-glossary","status-publish","hentry","dental-glossary-categories-all","dental-glossary-categories-j","dental-glossary-categories-terms-and-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary"}],"about":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/types\/dental-glossary"}],"author":[{"embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"version-history":[{"count":0,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54551\/revisions"}],"wp:attachment":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/media?parent=54551"}],"wp:term":[{"taxonomy":"dental-glossary-categories","embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary-categories?post=54551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}