I-Trismus ibhekisela ebunzimeni bokuvula umlomo, noma ngisho nokungakwazi ukuvula umlomo. 

Ngenxa yenkontileka yokuzikhethela futhi ehlala njalo yemisipha ye-masticatory, isithiyo esingokomzimba noma ukuphulukiswa kwezicubu ezimbi ngemva kokulimala, umlomo ukwazi ukuvula kancane kuphela. Lokhu kufinyela kuvame ukuba buhlungu futhi kungathinta isimo sobuso. Ngaphezu kwakho konke, ukuvuleka komlomo okulinganiselwe kuyakhubaza: kuvimbela ukukhuluma, ukudla, ukugwinya nokuxubha amazinyo. Ngakho-ke kunomthelela omkhulu empilweni. Uma inkinga iqhubeka, labo abathintekile bangase bagcine sebenenkinga yokungondleki kahle, ukuphelelwa amanzi emzimbeni noma izifo zomlomo. Ukuphila kwabo komphakathi nakho kungahlupheka.

Kunezimbangela eziningi ze-trismus. Kungaba:

• i-tetanus : lesi sifo esibi kakhulu sithinta kuphela izimo ezimbalwa ezizimele eFrance. Kodwa namanje kwenzeka kubantu abangakagonywa noma abangazitholanga izikhumbuzo zabo zokugoma. Lapho ngemva kwesilonda, amagciwane I-Clostridium tetani ingena emizimbeni yabo, ikhiphe ubuthi obuneurotoxin obudala ukufinyila kanye nama-spasms azenzakalelayo emisipha yomzimba ongaphezulu phakathi kwezinsuku ezimbalwa. I-Trismus uphawu lokuqala oluvela ku-tetanus, ngaphambi kokuqala kwezinkinga zokuphefumula ezihambisana nokukhubazeka kwe-larynx ne-pharynx. Ngakho-ke kufanele kuthathwe ngokungathi sína kulabo abangakabi nesikhathi sokugoma kwabo. Uma kuyi-tetanus, ukulaliswa esibhedlela okuphuthumayo kuyadingeka;
• ukuhlukunyezwa : ukukhishwa noma ukuphuka komhlathi, isibonelo, kungabangela ukuvinjelwa komhlathi, ikakhulukazi uma kungancishiswa kahle;
• inkinga yangemva kokuhlinzwa : Ngesikhathi sokukhishwa kwezinyo lokuhlakanipha ikakhulukazi, imisipha nemigqa kungenzeka ukuthi yeluliwe. Ngokusabela, bangahlala benenkontileka. I-hematoma nayo ingakheka, ibangele ukuvuvukala kwezinsini nokuvinjelwa okubuhlungu komhlathi. Enye inkinga engenzeka: i-alveolitis yamazinyo, engazibonakalisa ezinsukwini ezimbalwa noma amasonto ngemva kokuhlinzwa nge-trismus ehambisana nomkhuhlane, i-asymmetry yobuso futhi ngezinye izikhathi ukuba khona kobomvu. Lezi zimo ezahlukene zingaziphendukela ngokuzenzekelayo: iziguli ziyakwazi ukuvula imilomo yazo futhi ngemva kwezinsuku ezimbalwa. Ngezinye izikhathi ukwelashwa kuyadingeka;
• ukuvaleka ngokomzimba kwemihlathi, okuxhunyaniswa ngokwesibonelo nezinyo lokuhlakanipha elingakhuli ngendlela efanele, ku-temporomaxillary arthritis, ithumba lamazinyo noma ukuba khona kwesimila. Ukuvuvukala okunamandla kwendawo kungabuye kuhileleke, njenge-tonsillar phlegmon, okungenzeka kube yinkinga ye-angina yebhaktheriya ephathwa kabi;
• ukwelashwa ngemisebe ekhanda nasentanyeni : Ngisho noma ilethwa ngendlela eqondiswe kakhulu ngangokunokwenzeka, imisebe ishisa izicubu ezizungeze isimila esilashiwe, okungabangela inkinga yokuphola ebizwa ngokuthi i-fibrosis. Endabeni yokwelashwa kwe-radiotherapy ekhanda kanye / noma entanyeni, imisipha ye-masticatory ingase ihlupheke ngenxa yalesi fibrosis futhi kancane kancane iqiniswe, ize ivimbele ukuvuleka komlomo. I-Trismus ikhula kancane ngemva kokuphela kokwelashwa futhi iba yimbi ngokuhamba kwesikhathi;
• imiphumela emibi yomuthi : Ukwelashwa kwe-neuroleptic ikakhulukazi, ngokuvimbela ama-nerve receptors athile, kungabangela ukunyakaza kwemisipha okungavamile nokuzenzakalelayo. Imiphumela yazo iphela lapho ukwelashwa kuyekwa.

Ngenxa yokuthi ukucindezeleka kuthinta ukufinyela kwemisipha, kungenza kube kubi nakakhulu.

Sikhuluma nge-trismus lapho ukuvuleka komlomo kunomkhawulo. Lokhu kungaba okubaluleke kakhulu noma okuncane, ngakho-ke kucishe kukhubaze. Ubuhlungu buvame ukuhlotshaniswa nakho, ikakhulukazi ngokufinyela kwemisipha.

I-Trismus ingaba yesikhashana, ngemva kokuhlinzwa kokukhipha izinyo ngokwesibonelo, noma unomphela. Esimweni sokugcina, kubangela inkinga yokukhuluma, ukuhlafuna, ukugwinya, ukunakekela amazinyo akhe. Ngenxa yalokho, iziguli azisadli ngendlela efanele futhi zehlise nesisindo somzimba, zivame ukuba nezinkinga zomlomo futhi ziba zodwa emphakathini. Ubuhlungu bubuye buvimbele ukuthi bangalali.

Kuya ngembangela. Uma ukutheleleka, ukuphuka, isimila noma ukuvuvukala kunesibopho se-trismus, kufanele kuthathwe njengento ehamba phambili. Uma kungumphumela wokungabekezelelani kwesidakamizwa, udokotela owanquma angasishintsha.

Uma i-trismus iphikelela, ukwelashwa ngokushisa (ngemaski yokufudumeza), ukubhucungwa umzimba, izindlela zokuphumuza umzimba noma izikhathi zokuvuselela kungase kudingeke ukuze kuphumuze imisipha futhi uphinde uvule imilomo eminingi. Ezimweni eziningi eziphikisayo, umuthi ungabuye unikezwe njengesengezo: awuthuthukisi ukuhamba kwemihlathi kodwa wenza ama-spasms nobuhlungu.

Ngakolunye uhlangothi, uma kwenzeka i-post-radiotherapy fibrosis, kuyadingeka ukwenza ngokushesha lapho ukuqina kuqala. Lapho sithatha isinyathelo ngokushesha, singayivimbela kangcono ukuthi ingathuthuki futhi ibambe. Ungangabazi ukukhuluma ngakho nethimba labanakekeli. Lokhu kunganikeza izivivinyo ezanele zokuvuselela, kunikeze imithi yokwelashwa, noma kubhekise kudokotela womzimba, isazi sokukhuluma noma udokotela wamazinyo. 

Uma i-trismus inzima futhi ingapheli, futhi ingaqedi ngokuvuselelwa, ukuhlinzwa kunikezwa njengendlela yokugcina, ukuthuthukisa isimo: ukukhishwa kwemisipha uma kwenzeka i-fibrosis, i-coronoidectomy uma kwenzeka ukuvinjelwa kwamathambo, i-prosthesis ehlangene, njll.