\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 \u0392\u03c1\u03bf\u03c5\u03be\u03b9\u03c3\u03bc\u03cc\u03c2 \u03bf\u03bd\u03bf\u03bc\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c3\u03cd\u03c3\u03c0\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03ac\u03c4\u03c9 \u03b3\u03bd\u03ac\u03b8\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03b5 \u03c3\u03c6\u03af\u03be\u03b9\u03bc\u03bf, \u03c4\u03c1\u03af\u03c8\u03b9\u03bc\u03bf \u03b4\u03bf\u03bd\u03c4\u03b9\u03ce\u03bd \u03c3\u03b5 \u03bc\u03cc\u03bd\u03b9\u03bc\u03b7 \u03b2\u03ac\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03c2 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b5\u03b9\u03b4\u03b7\u03c4\u03cc. \u039f \u03b2\u03c1\u03bf\u03c5\u03be\u03b9\u03c3\u03bc\u03cc\u03c2 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[\u2026]<\/p>\n","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}]}}