70%的人，一生至少有一次“下巴掉了”……原创2024-01-11 10:31·生命时报在大快朵颐、张嘴打哈欠、哈哈大笑时，有的人可能会突然出现张不开嘴的现象，即大家常说的“下巴掉了”。事实上，这是一类口腔关节疾病——颞下颌关节紊乱，除了引发关节弹响，还会导致周围肌肉疼痛，甚至照相时出现“大小脸”。《生命时报》采访专家，告诉你颞下颌关节为什么会紊乱，并教你如何避免它出故障。受访专家中南大学湘雅医院康复医学科主管物理治疗师 李耀春浙江大学医学院附属第二医院口腔外科主治医生 蔡卓莺70%的人都经历过“下巴掉了”「颞下颌关节紊乱」全称叫做Temporomandibular disorders，缩写为TMD，它并非单一的病，而是一类疾病的总称。颞下颌关节紊乱病好发于20~40岁中青年女性，青少年患者也不少见。据统计，约70%的人一生中至少出现过一次颞下颌关节紊乱病相关症状或体征。颞下颌关节位于耳屏前方约1厘米的位置。用手从耳屏往前稍向下一点点的方向触摸，同时做张口闭口的动作，当摸到一个可以活动的关节时，就是颞下颌关节所在位置，这个关节也是我们头面部唯一能活动的部分。咀嚼、吞咽、说话及做表情等所有日常需要用到下巴的活动，都和颞下颌关节有关。当患颞下颌关节紊乱病时，可能出现多种局部症状：肩颈部位：可能出现活动不便或僵硬、疼痛、酸胀、疲劳感等与颈椎病相关的症状；头部：主要表现为头痛，如前额、太阳穴、头皮部位疼痛，也有偏头痛、反射痛等症状；口腔：可能出现压痛、牙关紧闭、磨牙、牙齿松动等；耳朵：可出现耳朵疼痛、耳鸣、耳塞等症状；眼睛可能表现为眼后疼痛、视物模糊等；咽喉：会有吞咽障碍、说话声音变化、嗓子不适等。除了以上常见症状，还可能出现眩晕、睡眠障碍、焦虑、抑郁、歪下巴、大小脸等。好好的下巴，为什么突然卡了？正常情况下，人们张大嘴的开口度大约在35~55毫米，而颞下颌关节紊乱病患者的开口度通常<25毫米，主动活动和被动拉伸时还常常伴有疼痛。该病的病因目前尚未完全阐明，可能与多种因素有关：咀嚼肌紊乱外伤、精神紧张、寒冷刺激、夜磨牙等会导致咀嚼肌直接受损。吃饭张口过大或牙科治疗等需要长时间大张口的情况，也可导致咀嚼肌过度活动。关节结构紊乱常与异常应力有关，如咬硬物、突然过大张口、外伤等导致髁突快速或过度移动，产生关节盘移位。关节炎损伤、关节邻近组织的炎症、关节盘移位等导致颞下颌关节滑膜炎。骨关节病损伤、炎症、关节盘移位、关节持续承受异常压力、咬硬物、外伤等因素，可导致关节表面软骨受到破坏，出现骨关节病。除了关节本身，颞下颌关节还与身体其他疾病密切相关。颈椎病、脊柱侧弯，甚至下肢某些疾病，也可能继发颞下颌关节功能紊乱。生活中，可通过5步来粗略判断是否存在颞下颌关节功能紊乱：痛：疼痛是否涉及头面部，尤其是耳朵前方、太阳穴、腮帮子等位置。听：说话或吃饭等张口或闭口的动作中出现弹响等。摸：将食指、中指指尖放在两侧颞下颌关节的位置，同时做张闭口的动作，检查是否摸到两侧关节的不对称活动（活动幅度不对称、关节突出等）或突然弹跳。塞：尝试将食、中、环三指并排塞进张开的牙齿之间，如不能将3指放入，提示张口受限。看：对照镜子观察下巴在张口的过程中，是否存在往一侧偏歪的情况，或者先向一侧歪斜，再拐向另外一侧。以上任意一种情况的出现，都提示可能患有颞下颌关节紊乱。做到8点预防颞下颌关节故障为避免发生颞下颌关节紊乱病，生活中做到以下几点预防：1.避免进食需要过量张大嘴巴咀嚼的食物，如不大张口咬苹果、包子、汉堡、鸡腿、西瓜等。2.避免进食过硬的食物，如避免咬核桃、花生、瓜子壳等；少咬甘蔗；不吃未煮烂的瘦肉、生硬的米饭等。3.避免进食过量有韧性的食物，如牛肉、牛筋、牛肚、鸭胗、面筋等。4.避免进食需要反复咀嚼的食物，如口香糖、QQ糖、糯米糕点等。5.避免长时间张大嘴巴，比如在接受牙科口腔治疗时，若治疗时间较长，期间可闭口休息一段时间；减少张大口唱歌的时间；打哈欠时舌头要抵住上腭，避免大张口。6.避免单侧咀嚼，尽量双侧进行交替咀嚼。7.局部热敷，避免单指按压关节，夜磨牙严重时建议神经内科就诊。8.如有牙列不齐、牙缺失，尽快修复缺失牙，在关节症状不明显、咬合基本稳定时进行正畸排齐牙列，改善咬合关系。颞下颌关节紊乱的治疗强调两个原则——多学科综合治疗和梯度治疗。所涉及的学科有口腔科、心理精神科、疼痛科、神经科以及康复科等相关专业。第一梯度是保守治疗（理疗、手法、运动、咬合板治疗、关节腔注射）；第二梯度是微创手术治疗，即关节镜手术；第三梯度是开放手术治疗（如关节盘锚固术、关节置换术等）。通常建议先行保守治疗，无效再考虑手术治疗。▲本期编辑：张宇版权声明：本文为《生命时报》原创，未经授权谢绝转载。
2025年01月03日，-食用油适量
《美国滑雪场宝贝1983狮子座》网剧-国语在线观看-开宇影视
此外吃了西瓜最好就不要吃别的水果了如果实在忍不住想多吃那么你的主食量可以适当减少均衡一下热量摄入
中国铁建：近期，公司中标多项重大项目，项目金额合计为1032.95亿元，占公司2021年度经审计营业收入的10.13%。接下来，我们再聊聊想要健康长寿，老年朋友们需要特别注意的几个方面。这不仅仅是对于吃得少一些，更是要关注如何吃得科学，以及如何通过其他方式促进身体健康。
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北(叠别颈)向(齿颈补苍驳)资(窜颈)金(闯颈苍)当(顿补苍驳)日(搁颈)加(闯颈补)仓(颁补苍驳)础股(骋耻)，奥颈苍诲数(厂丑耻)据(闯耻)显(齿颈补苍)示(厂丑颈)，3日(搁颈)北(叠别颈)向(齿颈补苍驳)资(窜颈)金(闯颈苍)净(闯颈苍驳)流(尝颈耻)入(搁耻)26.85亿(驰颈)元(驰耻补苍)，其(蚕颈)中(窜丑辞苍驳)沪(贬耻)股(骋耻)通(罢辞苍驳)资(窜颈)金(闯颈苍)净(闯颈苍驳)流(尝颈耻)入(搁耻)18.66亿(驰颈)元(驰耻补苍)，深(厂丑别苍)股(骋耻)通(罢辞苍驳)资(窜颈)金(闯颈苍)净(闯颈苍驳)流(尝颈耻)入(搁耻)8.19亿(驰颈)元(驰耻补苍)。从(颁辞苍驳)沪(贬耻)、深(厂丑别苍)股(骋耻)通(罢辞苍驳)十(厂丑颈)大(顿补)活(贬耻辞)跃(驰耻别)股(骋耻)情(蚕颈苍驳)况(碍耻补苍驳)来(尝补颈)看(碍补苍)，3日(搁颈)北(叠别颈)向(齿颈补苍驳)资(窜颈)金(闯颈苍)净(闯颈苍驳)买(惭补颈)入(搁耻)宁(狈颈苍驳)德(顿别)时(厂丑颈)代(顿补颈)、比(叠颈)亚(驰补)迪(顿颈)、中(窜丑辞苍驳)际(闯颈)旭(齿耻)创(颁丑耻补苍驳)金(闯颈苍)额(贰)居(闯耻)前(蚕颈补苍)，分(贵别苍)别(叠颈别)为(奥别颈)4.49亿(驰颈)元(驰耻补苍)、3.80亿(驰颈)元(驰耻补苍)、3.63亿(驰颈)元(驰耻补苍)；立(尝颈)讯(齿耻苍)精(闯颈苍驳)密(惭颈)、中(窜丑辞苍驳)国(骋耻辞)船(颁丑耻补苍)舶(叠辞)、叁(厂补苍)花(贬耻补)智(窜丑颈)控(碍辞苍驳)的(顿别)净(闯颈苍驳)卖(惭补颈)出(颁丑耻)金(闯颈苍)额(贰)居(闯耻)前(蚕颈补苍)，分(贵别苍)别(叠颈别)为(奥别颈)5.04亿(驰颈)元(驰耻补苍)、2.76亿(驰颈)元(驰耻补苍)、2.43亿(驰颈)元(驰耻补苍)。
houlaizhangwojiezouhou，jiuzhizaitedingdejijiemang，xianzaijiushiwomenyangchanrenzuimangludeshihou。muqianwotourudeyangchanjidicongkaishide7mu，kuodazhi120mu，danjinnianyinweiganhan，zhiyou40mudeshadichutuliaojinchan。woguliaoshijiminggongren，congwanshang7dian30fenzuoyoukaishidai，daidao12dianzuoyou，yiwanshangchabuduonengdai3wanzhi。daiwanjiuzhijieyongzhuangdoujiangdedaizidabaozou，yidaizhuang200gezuoyou，an9mao8yizhidejiaqianfageipifashang。“goubuli”dieluoshentan，congyitianmai6wangedaowurenwenjin，taweihebuhuoliao？shoufa2023-12-13 21:17·guxuanshuoshiwen | guxuanshuoshibianji | guxuanshuoshixiangxindajiadutingshuoguotianjingoubulibaozidedingdingdaming，henduorenlaitianjinlvyou，yidingbuhuifangguolaizhelipinchangyifandejihui。erqiedangnianhuanyoucizuodegaoduzanyang，mingshengxiangchehaineiwai，napashilaowailailiao，daozheyedeguaiguaidakapinchangyifan。ertazuifengkuangdeshiqi，zengchuangxiaguoyitianmaichu6wangebaozidejilu，keyishuozaibaozijie，shidangzhiwukuidedageda。kejibianhuobaorudangnian，xianzaidegoubulibaozidianquemeishimerenquliao，shenzhijiulianbendirendubuzaituijianwailaideyoukepinchang。zuyijiande，xianzaidegoubuli，shizhendeyoudiangouyebulideweidaoliao。najiujingshishimeyuanyinzaochengliaozhezhongqingkuangne？01mingzideyoulaiqishizaicizuochengzanzhiqian，goubulizaidangdijiuyijingshifenyoumingliao。bijingruguomingqibugouda，cizuopashishuoshimeyebuyuankaikoupinchang，nayejiumeiyouzhihoudenajuzhimingmingyanliao。zaiqingmominchushiqi，tianjinyouyimingshaonianmingjiaogaoguiyou。zheline，youliangzhongshuofa，diyizhongshizhegerendezihaojiao“gouzi”。weiliaoyoukoufanchi，tadangshizaiyijiaxiaochipuzuoxuetu。youyujialipinkun，zhegegaoguiyoucongxiaojiumingbaiyouyibenhaobenshidezhongyaoxing。suoyipingrilitabudanfeichangqinfen，meishihuanxihuantoutouguanchalaobandeshouyi。zhiyongliaosannian，jiubazhenggexiaochipudeshouyigeixueliaogebian。zaigeirendagongdezheduanshijian，gaoguiyouhuanteyiguanchaliaonagedianlizuichangxiaodechanpin，jieguotafaxianbaozideshengyiyaoyuanyuangaochuqitaxiaochi。erzhegeshihou，gaoguiyoujiudasuandanganliao。bijingtaxueshouyijiushiweiliaoyihouchurentoudi，xianzaishouyixuedaoliao，nayemeiyoujixuliuzaizhelideliyouliao。yushitazhunbeiliaoyigejianyidexiaopuzi，zaitianjinzuirenaodediduanmaibaozi。nashihouderenmenhuanhenjiangjiuminghao，suoyigaoguiyouyeqiliaoyigehenshangdangcidemingzijiao“dejuhao”。danzhegemingzi，henkuaijiubeirenyiwangliao。yinweigaoguiyouduibaozidezhuiqiujinhukeke，tahuiqinzitiaoxuanshangdengmianfen，kongzhifajiaoshijian，shibaozipibaoeryourenxing，buyingburuan。tahuancongxiangxiayinjinzhurou，feishoujunyun，xianxiangkekou。meitianlingchen，gaoguiyouanmifangpeizhidutedediaoliao，qinshoujiangroukuaiduochengxixian，zhiyouzheyangzhengchulaidebaozi，cainengdadaotaxianmanpibaodeyaoqiu，yikouyaoxiaqu，rouzhisiyi，huiweiwuqiong。gaoguiyoujiangzhurouxianguozaibaobaodepili，meizhibaozidaxiaoyuquantouxiangdang。zhezhongbaoziyinweiyongliaofeichangliangxin，youqishifeiroudebilihengao，biputongshouroubaoziyaokekouhenduo，danshijiagequezhiheshouroubaoziyiyang，zheyangdegaoxingjiabiranggoubulibaozizaitianjinchenglifeichangchangxiao。henkuai，dejuhaobaozipubianchengliaotianjindangdirenzaocandebuerzhixuan。meitianqingchen，shikemenbianluluxuxujujidaozhejiaxiaodian，zhengxianggoumaigaoguiyoudezhuroubaozi。gaoguiyouweiliaoyingfubaozhangdedingdanshuliang，congtianbuliangjiukaishizhizuobaozi。ketataiguozhuanzhugongzuo，changchangwuxiadalizaiguitaiqiandenghouyijiudeshike，youjigelaozhugukaiwanxiaoshuo“zhegouzimaibaozi，bulirena”。zhejuwuxindewanxiaohua，fandaorangzhongshikejuedefeichangtieqie，suoyigancuidahuoyeduzhemejiaoliaoqilai。manmande，goubulijiubianchengliaorenmenduigaoguiyoubaozipudedaicheng。houlai，gaoguiyouyejuedezhegemingzigengjiediqi，yourenjianyanhuowei，zaijiashangteshudelishigeju，zhongguorensixiangshanggengjiakaifang，suoxingjiujiangdianmingzhijiegaichengliao“goubuli”。dangranzhezhishidiyizhongshuofa，dierzhongshi，youyugaoguiyouzixiaojialijiubijiaoqiong。suoyigeiliaoqiliaogehaoyanghuodemingzijiaogouzi。houlaigaoguiyoukaidianzhihou，fumuqianqubangmangshizongzhemejiaota，dajiatingdeduoliao，yejiukaishizhemejiaoliao。02goubulidemingshengdangshideyuanshikaigangcongchaoxianguiguo，fengmingzaitianjinxunlianxinjun。dangyourengeitashuoqizhegoubulibaozishi，benjiujiaipinchanggezhongxiaochideyuanshikai，dangjijiuzhaoliaoguoqu。changguozhihoufaxianzhebaozihuanzhenyoudiandongxi，bianjiangqixiangeiliaocizuotaihou。dangshidecizuotaihoushimeshenfen，shimeshanzhenhaiweimeichiguo，dangtingdaoyuanshikaigeizijisongdeshilongbaozi，dangshixinqingjiubutaihao。danshizaijiabuzhuyuanshikaiduizhuobaoziyitongkuazan，zuihouhuanshijuedingchangliaochang。dangcizuochiliaoyikouzhihou，baozilideyoushuishunjianzaikouzhongbaokai，xiangweishunjianchongmanzhenggekouqiang。cizuoshizhenzhenjingliao，meixiangdaozhewanyijingranzhemehaochi。suihougengshiliuxiayijumingyan，“shanzhongzoushouyunzhongyan，ludiniuyanghaidixian，bujigoubulixiangyi，shizhichangshouye。”jiuzheyijuhua，ranggoubulidemingshengdazao。zhexiaquanguodukaishiyourenmumingerlai，shenzhibeiyixieyingguorenjiangmingqidaihuiliaobenguoqu，ranggoubulidemingziyexiangcheliaohaiwai。youyushoudaoliaotaihoudekuajiang，goubulideshengyiyeyuelaiyuehao，kaifendianyeshiyijiajiezhuoyijia。zaizhanluanhedongdangdeniandai，goubuliyejixujianchilianjiaheyouzhidezuofeng，weichizhuolianghaodekoubei。genjubeijingfendiandejilu，meitianduhuiyouchengqunjieduidelaobeijinghewaidiyoukezhuanmenlaizhejiabaozipugoumaibaozidaihuijia，qizhongbufayixiemingliuzhimingrenshi。jiefanghoujishinian，goubulidehourenyeyanxuliaochuantongdeshouyi，juyiweilaotianjinrenhuiyi，20shiji80niandai，goubulibaozirengranshitazuixihuanchidejietouxiaochi，“baobaodepi，manmandezhi，feiroudexiangweizhichongnaomen”。zhengshizhegeyima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原(Yuan)创(Chuang)2024-05-30 20:33·HectorsMajesta
庄国栋输给了罗士庆的“假死设计”这些成功的"天后"们不仅在音乐上给予后辈灵感，而且还在处世态度和职业精神上树立了榜样。邓紫棋等新生代歌手正是在这些前辈的影响下，不断成长和进步。《美国滑雪场宝贝1983狮子座》网剧-国语在线观看-开宇影视
去年8月18日起施行的《深圳市碳普惠管理办法》明确核证减排量的交易方式核证减排量可以按照深圳市碳排放权交易相关规定通过深圳碳排放权交易系统进行交易
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