Gingival ang'ambe thupilo periodontitis: mawu ndi kufotokozera wochita

odwala ambiri amene kutupa aakulu a m'kamwa, komanso periapical angakayikire ngati mungathe kudzachiritsidwa periodontitis. Yankho lake mwina lapadera. Zimadalira mtundu wa kutupa ndondomeko mawonekedwe, gulu la matenda. Nthawi zina madokotala ndi kuchita gingival ang'ambe thupilo periodontitis. Amene amasonyeza ndondomeko zimenezi? periodontitis ndi chiyani? Ife adzamvetsa kwambiri.

periodont

Minofu connective mukumveka danga pakati pa dzino ndi akhomere kwa fupa alveolar cha pachibwano chikudziwika ngati periodontium lapansi. Periodontal kusiyana chikuyamba maziko a chigoba chingamu ndipo itha pa fupa alveolar. Pa mbali zosiyana za kagawo ali ndi makulidwe osiyana, pafupi pakati pa muzu ndi narrowest.

Periodontal limapangidwa ziwiya lymph ndi mapeto mitsempha, potero kupita cutters mphamvu ndi ambiri ulusi collagenous. Aliyense CHIKWANGWANI aumbike kuchuluka yaikulu polysaccharides ndi mapuloteni zosiyanasiyana. Cholinga chachikulu ndi kuonetsetsa kuti dongosolo la dzino kuyenda. Kuti achite zimenezi, CHIKWANGWANI zigawo ayenera kudutsa mu minofu fupa.

kutupa periodontal ndi

Kutupa nembanemba woyambira ndi zimakhala connective a dzino imatchedwa periodontitis. Matenda periodontitis ndi zinadzala ndi zina zoopsa, monga zizindikiro matenda si litakhala. matenda angayambe odwala wa msinkhu uliwonse, iwo ali zoletsa palibe m'badwo.

Woyamba zazing'ono chizindikiro cha matenda - chosangalatsa fungo, magazi m'kamwa pamene akutsuka mkamwa. Nthawi zambiri odwala amadandaula ndi kusapeza zina pamene mukumwa chakudya. The chizindikiro chachikulu cha matenda - isanafalikire ululu, amene kugunda mu chikhalidwe, kumawonjezera ndi nthawi ndipo alibe malo enieni. Pansi katundu wolemera pa masamba kumawonjezera ululu, cholimba, nthawi zina n'zosatheka kudya chakudya cholimba pa clenching mano. Choncho pali kuwuka mu kutentha thupi. Zikatero, basi ayenera kuthandiza mano. Nthawi patsogolo kungafune alowererepo pa opaleshoni. Gingival ang'ambe thupilo periodontitis anapanga zovuta kwambiri, koma nthawi zambiri zimenezi kumathandiza kupulumutsa dzino.

pachimake periodontitis

Ngati kupweteka kwambiri anapita ku siteji kumene sikutheka ngakhale kukhudza dzino, ndi m'kamwa pathupi, nthawi zambiri tsaya kuti Lip, dzino pamene kudzandira ndi kutentha thupi anawomberedwa mmwamba - izi zikutanthauza guwa anamaliza utumiki wake wakuda. mphwayi kuchipulumutso chakuti kutupa kwa wodula muzu anapita kunja, kutsomphola zimakhala onse ozungulira dzino anayamba pachimake periodontitis. Mwamsanga kufunika kupita mano, amene adzayesa kupulumutsa dzino lanu, mungafunike kudula m'kamwa ndi periodontitis, usaope. Pambuyo ndondomeko, adokotala kufotokoza zimene zosowa zina kuti zichitidwe kuti mabala.

Periodontitis Nthawi zambiri chifukwa cha zoopsa: zotsatira za atalephera kuchiza pulpitis, pambuyo kuluma chinachake molimba. Mano kuitana kuteteza cutters ndi konse kuluma chinachake molimba.

periodontitis aakulu

Matenda periodontitis mapeto chakuti mzere dzino ndi anamasuka, mipata anapanga pakati pa mano, m'kamwa magazi osati kuyeretsa, komanso m'chigawo quiescent (ngakhale usiku). Mbali khalidwe la yatsoka izi kuti siteji likupita alternately ku pachimake kuti aakulu. Mwachitsanzo, wodwalayo tinganene kuti dzino, koma patapita kanthawi ululu anaima, chodabwitsa zambiri zinachitikira periodontitis granulomatous. Ngati matenda ndi nkhani zoterozo, kudziwa kudwala amathandiza chabe X-ray, chifukwa wodwala akhoza kuona chabe kusapeza, mano kunachita mdima, chosangalatsa fungo. Kuphunzira M'mimbamo kafukufuku itatha, zisindikizo mafunsidwe sanalembedwepo ngakhale chowawa.

Zoikidwa ndi X-ray, chithunzi ndi kuoneka bwino malo ndi mawonekedwe anamaliza. Chotero chiwonongeko cha zimakhala ndi kukhala granuloma, ngati kukula kwake ndi oposa 1 masentimita, ndi - kistogranulema. Mawonekedwe aakulu ndi chodziwikiratu kuti chofunika kuti adulidwe gingival periodontitis, koma zotsatira za matenda ndi sioneka kwambiri. Kutupa mu dzino njira amapezeka mu masiteji, mabakiteriya achulukane ndi zimatulutsa ndi kuchuluka kwa poizoni. Kuledzela kungayambitse matenda osiyanasiyana a mtima, impso, mfundo ndi ziwalo zina.

njira

Tingamudziwe aakulu pachimake periodontitis chithandizo mano akapatsidwa dokotala nthawi yomweyo. Kumatha vutoli m'njira ziwiri:

• ndiwofatsa achire;
• opaleshoni.

Physiotherapy othandiza Kuwonjezera pamenepa, chifukwa zabwino analandira ntchito potaziyamu iodide electrotherapy, magnetotherapy, UHF pa malo osambira chofuna dera, laser, paraffin.

Periodontitis konse anachiritsa gawo limodzi. Mtima mpaka iwo anachiritsa mobwerezabwereza kukaonana ndi dokotala wa mano. Ndondomeko yothandiza siteji ena.

Chithandizo cha matenda periodontal: pang'onopang'ono. gingival ang'ambe thupilo

Kamodzi matenda, dokotala ayenera choyamba:

• kupereka mafinya outflow;
• kuchotsa zizindikiro za kuledzera.

Pofuna kudziwa mlingo wa chitukuko cha ndondomeko X-ray akapatsidwa kutupa. Pambuyo pake, wa mano ntchito ndi zimakhala anakhudzidwa, poyamba moyembekezera ochititsa dzanzi. Nsalu ikhoza kuonongeka pulpitis, caries ndondomeko, osasamala chithandizo m'mbuyomu.

Periodontitis kupitiriza kumasula mizu ngalande, kumene kunali mavuto. Pamene Dr. antiseptics kuwathandiza angachitire.

Pakuti kumaliseche yosalala mafinya n'kofunika kuwonjezera pamwamba pa foramen apical wa muzu dzino.

Ngati matenda akuthamanga maziko kamwazi, izo simungakhoze kuchita popanda chingamu ang'ambe thupilo. Kenako kutseka mizu ngalande, dokotala akugwiritsa ntchito thonje swab.

Pali njira zosiyanasiyana zochizira wa periodontitis. Kupenda mosamalitsa njira kwambiri - opaleshoni.

Opaleshoni chithandizo cha periodontitis aakulu, njira

Mankhwalawa periodontal kutupa pokha pokha kwambiri amachita periodontal opaleshoni. Zimatengera wathunthu kapena tsankho kuchotsa dzino kapena mizu. Mu mano masiku ano ndi kuchita kuchepa m'zigawo, kuti tsiku opaleshoni amamuchititsa zubosohraneniyu ndipo ali ndi onse kutero.

Koma nthawi zina inu kupanga ang'ambe thupilo m'kamwa (pa dzino nzeru, mwachitsanzo). Izi zimachitika milandu pamene chofunika kutulutsa mafinya outflow wa periodontitis.

Makamaka, madokotala amachita ndi resection wa pamwamba pa muzu atachotsedwa popanda pamwamba lonse, ndi kokha mbali akhudzidwa. kuchotsa ndondomeko ndi pa ochititsa dzanzi pazipita opaleshoni imagwiridwa mofulumira kwambiri. N'zotheka osati kupulumutsa dzino, komanso m'tsogolo kuti abwezeretse korona wake, kapena njira zina.

Pogwiritsa ntchito njira laser zimathandiza munthawi yomweyo resection kuchotsa granuloma, chotupa. Njira zothandiza ndi pa yopanda magazi chomwecho. Laser umisiri ankagwiritsa ntchito premolars opaleshoni, incisors, canines.

Pamene kutupa mu periodontal molars hemisection imagwiridwa, dzino Kadulidwa, muzu anakhudzidwa chikutha pokhalabe dzino wathanzi ndi akuchira njira mafupa.

Gingivotomy (vertically yachigawo m'kamwa)

Nthawi zina, simungathe kutsegula mano kutulutsa mankhwala ndiwofatsa, mu Zikatero m'pofunika amachita odulidwa. Nthawi zambiri chifukwa cha kusokonezedwa amenewa kungakhale periodontitis. Pambuyo kudula m'kamwa amapezeka exudate outflow la mafinya. Iwo anasonyezanso kuti kutupa kwa periosteum kupewa mavuto aakulu kwambiri.

Gingival ang'ambe thupilo mu Zikatero otchedwa gingivotomy. ndi zizindikiro kwa gingivotamii chiyani? Iwo ali motere:

• tatikulu, lalikulu, koma yopapatiza mthumba la usinini;
• periodontal limodzi lalikulu abscess;
• mmphepete kutupa kapena mtundu wa periodontitis mmphepete;
• Periodontitis zambiri za dzino nzeru.

Kodi gawo la usinini?

gingivotomy ndondomeko kumachitika panthawi:

• Mankhwala ochititsa dzanzi.
• Kung'ambika kwa kuya lonse la m'kamwa m'dera zubnodesnevogo mthumba.
• Amacheka vertically (m'madera lateral).
• Otseraprirovanie kutseka kuti uchiwo usatuluke.
• Remediation mthumba. Kuchotsa epithelium akhudzidwa ndi granules.
• Sutures ndi nsalu.

Chithandizo pambuyo ang'ambe thupilo gingival zambiri watsimikiza popanda mavuto, anachedwa bala mwamsanga ndithu ndipo alibe kenako zopindika minofu.

ang'ambe thupilo wapangidwa m'njira zosiyanasiyana, zonse zimadalira kukula kwa kutupa, komanso zikuonetsa kwa mpheto. Mwina anaganiza kugwira Gingivectomy (yopingasa chigawo). Mulimonsemo, kuti zinthu ziwayendere bwino opaleshoni chidwi ziperekedwe kwa asepsis. Asepsis kupewa matenda mabala chindiletsa zamoyo tizilombo m'munda opaleshoni. Komanso, pamafunika kugwiritsa ntchito wosabala magolovesi, zipangizo, zopukutira m'manja zimapezeka, tampons.

Monga m'kamwa kuchiritsa

Chilonda machiritso pambuyo ntchito periodontal - ndi mapangidwe kugwirizana latsopano anatomical ndi thupi pakati pa maselo zimakhala. Monga ndondomeko ali magawo angapo:

• Pambuyo phukusi la magazi aumirira aumbike amene sformirovyvaetsya kwa mphindi 10, ali ngati pheretsa, kuteteza ku tizilombo toyambitsa zoipa ndi matenda.
• Patangopita maola 3-4 aumbike wamng'ono connective (granulation) minofu.
• Kolajeni mapangidwe ndi epithelialization inadzachitika masiku 7-10. Nthawi zina zingayambitse kuyabwa yaing'ono.
• Kusasitsa ndi kusinthika kumatenga masabata 2 3. bala ndi yaitali, koma machiritso wathunthu akubwera miyezi yochepa.

Kodi kuchita pambuyo ndondomeko

Ambiri mukudabwa chochita pambuyo odulidwa ndi m'kamwa? Kodi chilonda machiritso kudya? Pambuyo pa opaleshoni, wa mano tiyenera kuchenjedzana wodwala posamalira chingamu lapansi. Koma ena odwala sindikukumbukira boma laling'ono la "mantha" pamene iye anafika kunyumba kuti dokotala anawalangiza. Choncho umboni pambuyo kudula m'kamwa:

• Pambuyo pa opaleshoni, dokotala kuika bala mu gauze kuti magazi asiye kutuluka. Pitirizani zikhale mphindi zosachepera 20.
• Nditabwerera kunyumba, muyenera pogona mupumule kamphindi.
• Sayenera pambuyo opaleshoni kuti kutenga chakudya, kumwa zakumwa kulikonse kwa maola atatu. Komanso, chakudya ayenera kupezeka zofewa okha zakudya, kupewa kupweteka ang'ambe thupilo malo.
• Ngati mwakumana ndi ululu, inu mukhoza kutenga mankhwala aliwonse analgesic. Pa tsiku lachiwiri kuchokera pa chiyambi cha mpheto m'pofunika nadzatsuka, izo chingamulepheretse bala matenda ndi chitukuko cha njira yotupa. Thiabendazole angagwiritsidwe ntchito kwa rinsing ndi "Furatsilinom", akupanga wa chamomile ndi tchire.
• Mkati mwa masiku atatu pambuyo alowererepo sayenera kugwiritsa ntchito otentha, chakudya kwambiri ndipo pakamwa lake lonse.
• Chepetsani zonse thupi, maganizo.
• Zoletsedwa makalasi mu ochitira masewera a, anthunzi otulutsirako thukuta, otentha mphika.
• Kuyambira sabata, ndi bwino kusiya kusuta ndi mowa.
• Palibe musati cauterize bala Zelenko, kapena ayodini. Musamakhulupirire chilichonse otentha. Kotero muli poipa!
• mano mwina mankhwala ntchito ku bala antimicrobial ndi chilonda machiritso wothandizila ( "Solkoseril", "Holisal", "Stomatofit").
• Kulimbikitsa chitetezo cha m'thupi, inu mukhoza kutenga maofesi multivitamin ndi wothandizila immunomodulating.
• Kayendetsedwe bala atapita masiku asanu ayenera kuonana ndi dokotala.