\u00a0<\/p>\n
Bruksizmi<\/strong> Quhet tkurrja e nofull\u00ebs s\u00eb poshtme q\u00eb \u00e7on n\u00eb shtr\u00ebngimin dhe k\u00ebrcitjen e dh\u00ebmb\u00ebve n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrhershme dhe pa qen\u00eb t\u00eb vet\u00ebdijsh\u00ebm. Bruksizmi mund t\u00eb ndodh\u00eb nat\u00ebn gjat\u00eb gjumit, k\u00ebshtu q\u00eb tingujt mund t\u00eb d\u00ebgjohen gjat\u00eb gjumit nga partneri i pacientit. Pacienti mund t\u00eb zgjohet n\u00eb m\u00ebngjes me nj\u00eb ndjenj\u00eb shtr\u00ebngimi apo edhe dhimbje n\u00eb cepin e nofull\u00ebs s\u00eb poshtme (n\u00eb muskujt p\u00ebrtyp\u00ebs). Mund t\u00eb ndodh\u00eb edhe gjat\u00eb dit\u00ebs (m\u00eb shpesh tek femrat) dhe pacienti mund t\u00eb ndjej\u00eb nj\u00eb tension t\u00eb p\u00ebrhersh\u00ebm n\u00eb nofull\u00ebn e poshtme. Megjithat\u00eb, n\u00eb t\u00eb dyja rastet, diagnoza do t\u00eb vendoset m\u00eb s\u00eb voni me nj\u00eb vizit\u00eb te dentisti, i cili do t\u00eb zbuloj\u00eb d\u00ebmtime apo edhe \u00e7arje n\u00eb dh\u00ebmb\u00eb. K\u00ebta pacient\u00eb shfaqin nj\u00eb "angulacion" n\u00eb nofull\u00ebn e poshtme, gj\u00eb q\u00eb e b\u00ebn fytyr\u00ebn e tyre t\u00eb duket m\u00eb e r\u00ebnd\u00eb.<\/p>\n Bruksizmi mund t\u00eb prek\u00eb deri n\u00eb 20% t\u00eb t\u00eb rriturve (kryesisht femrat) dhe p\u00ebrqindja \u00ebsht\u00eb edhe m\u00eb e lart\u00eb tek f\u00ebmij\u00ebt.<\/p>\n Shkaqet e bruksizmit jan\u00eb stresi i p\u00ebrditsh\u00ebm ose ankthi i p\u00ebrgjith\u00ebsuar, lodhja e zgjatur fizike, \u00e7rregullimet e gjumit (si apnea dhe g\u00ebrhitja), pirja e duhanit, konsumimi i alkoolit, p\u00ebrdorimi i SSRI-ve (d.m.th. nj\u00eb klas\u00eb specifike antidepresant\u00ebsh), konsumimi i tep\u00ebrt i kafein\u00ebs dhe p\u00ebrdorimi i drog\u00ebs (kryesisht kokaina).<\/p>\n Mekanizmi me t\u00eb cilin shfaqet bruksizmi nuk \u00ebsht\u00eb kuptuar plot\u00ebsisht. Vitet e fundit neurologjia ka shfaqur nj\u00eb interes t\u00eb madh p\u00ebr k\u00ebt\u00eb simptom\u00eb, sepse shum\u00eb s\u00ebmundje neurologjike bashk\u00ebjetojn\u00eb me bruksizmin (si\u00e7 \u00ebsht\u00eb migrena). Neuronet motorike n\u00eb trungun e trurit, tru i vog\u00ebl (nj\u00eb struktur\u00eb qendrore p\u00ebrgjegj\u00ebse p\u00ebr ekuilibrin!) si dhe zonat motorike dhe shqisore t\u00eb korteksit cerebral duket se marrin pjes\u00eb n\u00eb matric\u00ebn e bruksizmit. Prandaj, d\u00ebmtimi i k\u00ebtyre zonave ose stimulimi i tep\u00ebrt i tyre mund t\u00eb shkaktoj\u00eb bruksiz\u00ebm. N\u00eb migren\u00eb, nj\u00eb gjendje neurologjike n\u00eb t\u00eb cil\u00ebn kemi k\u00ebt\u00eb \u201cndjeshm\u00ebri\u201d n\u00eb pothuajse t\u00eb gjith\u00eb trurin, nuk \u00ebsht\u00eb e pazakont\u00eb q\u00eb bruksizmi t\u00eb bashk\u00ebjetoj\u00eb.<\/p>\n K\u00ebshtu, na ra n\u00eb v\u00ebmendje se shum\u00eb pacient\u00eb me migren\u00eb, n\u00ebse pyeten, raportojn\u00eb simptomat e bruksizmit shum\u00eb her\u00eb pa i lidhur ata vet\u00eb me migren\u00ebn. Kjo marr\u00ebdh\u00ebnie b\u00ebhet edhe m\u00eb e qart\u00eb me konstatimin se si bruksizmi ashtu edhe migrena kronike i p\u00ebrgjigjen shum\u00eb mir\u00eb injektimit t\u00eb toksin\u00ebs allantike t\u00eb tipit A (botox-i i mir\u00ebnjohur). P\u00ebr t\u00eb qen\u00eb m\u00eb t\u00eb qart\u00eb: n\u00eb pacient\u00ebt e rritur me migren\u00eb kronike, t\u00eb cil\u00ebve u jepet Botox n\u00eb pjes\u00eb t\u00eb ndryshme t\u00eb kok\u00ebs (n\u00eb ball\u00eb, n\u00eb tempuj, n\u00eb baz\u00ebn e kafk\u00ebs dhe qaf\u00ebs sipas protokollit nd\u00ebrkomb\u00ebtar), n\u00ebse b\u00ebjm\u00eb vet\u00ebm dy injeksione shtes\u00eb (nj\u00eb n\u00eb t\u00eb djatht\u00eb dhe nj\u00eb n\u00eb t\u00eb majt\u00eb n\u00eb muskulin masazhues) n\u00eb nofull\u00ebn e poshtme - tek ata q\u00eb raportojn\u00eb migren\u00eb dhe bruksiz\u00ebm jan\u00eb rezultatet m\u00eb t\u00eb mira si p\u00ebr bruksiz\u00ebm. Shum\u00eb her\u00eb pacient\u00ebt raportojn\u00eb p\u00ebrmir\u00ebsim m\u00eb t\u00eb madh n\u00eb simptomat e bruksizmit sesa n\u00eb dhimbjet e migren\u00ebs.<\/p>\n Botox injektohet n\u00eb muskujt maseter mbi k\u00ebndin e nofull\u00ebs s\u00eb poshtme djathtas dhe majtas (shih figur\u00ebn). P\u00ebr shkak se muskuli maseter \u00ebsht\u00eb nj\u00eb muskul i madh dhe i thell\u00eb, injeksioni \u00ebsht\u00eb plot\u00ebsisht pa dhimbje. Qoft\u00eb te pacient\u00ebt q\u00eb kan\u00eb migren\u00eb, qoft\u00eb te pacient\u00ebt q\u00eb nuk kan\u00eb migren\u00eb (ku injeksioni b\u00ebhet vet\u00ebm n\u00eb masazhator\u00eb), Botox-i, p\u00ebr mendimin ton\u00eb, \u00ebsht\u00eb e vetmja zgjidhje p\u00ebr bruksizmin. \u00c7do mjekim apo "pajisje dentare" speciale q\u00eb administrohet nuk \u00ebsht\u00eb efektive dhe shpesh nuk tolerohet nga pacient\u00ebt. Nga ana tjet\u00ebr, toksina botulinum tip A \u00ebsht\u00eb nj\u00eb zgjidhje plot\u00ebsisht e sigurt, vepron n\u00eb nivel lokal dhe mund t\u00eb p\u00ebrs\u00ebritet \u00e7do 3 \u2013 4 muaj.<\/p>","protected":false},"excerpt":{"rendered":" \u00a0 Bruksizmi \u00ebsht\u00eb tkurrja e nofull\u00ebs s\u00eb poshtme q\u00eb \u00e7on n\u00eb shtr\u00ebngim, k\u00ebrcitje t\u00eb dh\u00ebmb\u00ebve n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrhershme dhe pa qen\u00eb t\u00eb vet\u00ebdijsh\u00ebm p\u00ebr t\u00eb. Bruksizmi mund t\u00eb ndodh\u00eb nat\u00ebn gjat\u00eb gjumit, k\u00ebshtu q\u00eb tingujt mund t\u00eb perceptohen gjat\u00eb gjumit nga partneri i pacientit. Pacienti mund t\u00eb zgjohet n\u00eb m\u00ebngjes me nj\u00eb ndjesi shtr\u00ebngimi ose edhe dhimbje n\u00eb cep t\u00eb nofull\u00ebs s\u00eb poshtme (n\u00eb muskujt mastik\u00eb). Mund t\u00eb ndodh\u00eb edhe gjat\u00eb dit\u00ebs (m\u00eb e zakonshme tek grat\u00eb) dhe pacienti mund t\u00eb ndiej\u00eb nj\u00eb tension t\u00eb p\u00ebrhersh\u00ebm n\u00eb nofull\u00ebn e poshtme. Megjithat\u00eb, n\u00eb t\u00eb dyja rastet, m\u00eb s\u00eb voni me nj\u00eb [\u2026]<\/p>","protected":false},"author":3,"featured_media":3587,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[125],"tags":[126,112,127,128,129,130,131,132,133,134,135],"class_list":["post-3588","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-125","tag-botox--","tag-dermitzaki-neurology","tag-127","tag-128","tag-129","tag-130","tag-131","tag-132","tag-133","tag-134","tag-135"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/comments?post=3588"}],"version-history":[{"count":1,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3588\/revisions"}],"predecessor-version":[{"id":3589,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3588\/revisions\/3589"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/3587"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=3588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=3588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=3588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}