Magawo a pulpitis chithandizo ndi mankhwala. chithandizo endodontic

Aliyense m'dziko lapansi anakumana ndi a mano, izo lingachititse zosiyanasiyana zinthu. Ngati nthawi salowa chisamaliro aluso zotsatira za chosalanga kungabweretse mavuto aakulu, amene amakhala ndi kuchotsa dzino. Nthawi zambiri mano, kufufuza mtima china, kupeza guwa lake. Koma ndi zimene guwa? Kodi njira yaikulu ndi magawo a Kodi mankhwala a pulpitis mwa mwana ndi munthu wamkulu?

Pulpit - kodi kudwala izi?

Pulpit - ndi kutukusira zokhudza mtolo neurovascular (zamkati). Chimodzi mwa zomwe zimakonda kuti imautsa kutupa, ndi caries, lomwe limathandiza kuti kuwonongedwa kwa zimakhala mano zovuta. tizilombo toyambitsa matenda kuti adzaze ndi M'mimbamo, n'zothandiza ndi yotupa ndondomeko ya zamkati (yotchuka amatchedwa mitsempha yake).

zamkati ungayambenso chifukwa bwino imachitika kumadzazidwa ndondomeko kapena kuvulala dzino. Pali mitundu ingapo ya pulpitis, aliyense wa iwo amafuna ambulansi kwa katswiri. Njira ndi magawo a pulpitis chithandizo pa mtundu anasankha payekha.

mitundu ya pulpitis

Mu mawonekedwe koyamba pulpitis mwa kuchita zamkati kuyabwa ndi ankatenthetsa, imene kwambiri kuchuluka magazi mu mitsempha ya zamkati. Kuchuluka kwa magazi mkati M'mimbamo kwambiri chifukwa cha ndipo potero amalenga kukakamiza ulusi ang'onoang'ono mitsempha, imbaenda ku ululu wosasamala. Pambuyo kuyabwa atachotsedwa, ululu yomweyo akachokapo.

Mawonekedwe wokonda pulpitis limodzi ndi ululu. Ngati zamkati akadali si chofuna kwambiri, ndiye ndondomeko akhoza anayima, mu nkhani iyi, ululu anabauka yomweyo. zamkati angathe kuchiritsidwa paokha, amene ali yekha kuchotsa zimayambitsa mkwiyo.

Zikatero, ngati zamkati yekha sanabwezeredwe, ululu akupitiriza nkhanza ndi wobwezera ngakhale kovuta, makamaka nakweza usiku, popanda thandizo la mano sangachite kale. Kuzionetsetsa kuwulula dzino ndi cavities kwambiri ndiponso yopweteka pansi pa poona. Magawo a chithandizo cha pulpitis mu nkhani iyi, amasankhidwa malingana ngati dzino anakantha ndi ngati kutupa wapita zina.

Purulent mawonekedwe - ichi ndi chimodzi mwa lolemera ndipo amakhala ndi ululu lakuthwa uyu ayipa usiku, ndi kufooketsa othetsa ululu wake sachiza.

Mawonekedwe a pulpitis aakulu amakhala ndi khunyu, ngati pali kuwalimbikitsa, ndipo ngati inu kuthetsa izo, ululu anabauka. ululu Chidwi angayambe kwa nthawi yaitali. Pa kafukufukuyu anapeza kuti anali M'mimbamo kwambiri ndi caries ndi magazi.

Matenda hyperplastic pulpitis - ndi sizingasinthe mtundu, chimene chimafuna kuti njira yaikulu sanatsatiridwe mankhwalawa pulpitis. Ana ndi achinyamata, mawonekedwe ndi ofala. Izo zikusonyeza hyperplastic zamkati minofu otchedwa zamkati polyp.

Necrosis amatanthauza mitundu sizingasinthe cha matenda, kuti amakhala ndi imfa ya zamkati limapezeka pambuyo yaitali bakiteriya kuwukira kapena ndi zotsatira za pachimake purulent pulpitis.

zizindikiro za pulpitis

Pulpit - ndi matenda aakulu amene amafuna anachita mwamsanga ndi mankhwala thandizo oyenerera. Ngati siteji koyamba za matenda limodzi ndi kupweteka ululu, omwe angathe kupweteka mankhwala wambiri, ndiye pachimake ndi aakulu amayambitsa kupweteka kwambiri, amene nakweza usiku ndipo si wofooka ngakhale pambuyo mankhwala.

Pa kukhudzana irritants dzino - ikukhudzana makina kapena mankhwala - ululu umachuluka. Ngati gawo pachimake cha matenda kuyamba mankhwala, ndiye kenako adzatha mawonekedwe aakulu, amene amakhala ndi ululu pa zowawa za dzino, ndi nakweza atadziŵa mankhwala otentha, ndi wofooka ndi kuzizira. Ngati mulibe kanthu ndi kuyamba kugwira magawo a pulpitis chithandizo, kutupa zingakhudze dongosolo nsagwada fupa.

N'chifukwa chiyani ndikufunika kuchitira pulpitis?

Ngati ife mungalingalire mwamuna amene nthawi zonse wotanganidwa ndi mavuto kuntchito kapena mu banja, si nthawi zonse yomweyo imatiuza kuti ululu pang'ono mu dzino. Chinthu choyamba chimene amachita - zimatengera ululu mankhwala, "Ketanov", "Nurofen", "Ketorolac", "Baralgin", "Nise" - ndi kuyiwala za vutolo. Koma pa nthawi, mabakiteriya kuti adakali zamkati chipinda cha dzino, kupitiriza kuwononga ndipo pamapeto kutsogolera chakuti pali mafinya mu ngalande mizu.

Pambuyo mafinya kupitirira ngalande muzu, pali kamwazi, ndipo chingathe kuonekera osati mawonekedwe a kutupa ka m'kamwa, komanso ngati kufufuma amphamvu ndi wamphamvu zodabwitsa kuphwanya. mitundu choopsa cha matenda amafuna kuchita zinthu kwambiri pulpitis chithandizo, mwinamwake iwo akanatha kulimbana osati imfa ya dzino, komanso pathologies monga abscess, matenda a magazi ndi fupa imfa.

yachitika endodontic

Mawonekedwe koyamba pulpitis angathe kuchiritsidwa mofulumira kwambiri, monga phwando pa mano, koma pamene mitundu aakulu amafuna yaitali mankhwala a pulpitis dzino. Magawo a mankhwala wodwala Pakufunika paudindo angapo, ndipo aliyense wa iwo lakonzedwa kuti kupweteka, mankhwala dzino mphako, ndi ena, koma zonse nthawi yabwino. Ngati muzu ngalande mankhwala ndipofunika kutsatira njira:

1. Masiteji chithandizo cha pulpitis, chithunzi kutsimikizira izo, kuyamba ndi mankhwala, dokotala amatha dzino kwa malovu, ntchito pepala zonyalazo mphira - cofferdam, amene superimposes kuzungulira dzino wodwala.
2. kuyeretsedwa Komanso ikuchitika njira mabakiteriya. Kupeza njira amaperekedwa kung'ambika M'mimbamo pochotsa denga zamkati chipinda, kulenga kumafika ngalande ku chida.
3. Kuyeretsedwa njira kumafuna makina ndi mankhwala disinfection.
4. Kenako waya fano processing pamodzi kutalika lonse la ngalande muzu, koma osati kupitirira, kotero ndikofunika kudziwa kutalika kwa njira, kuchita izi, woyamba kumanga ndi owona, ndiyeno kupanga X-ray.
5. Chemical disinfection dokotala akugwirizira masingano wapadera disposable.
6. Kamodzi njira kwathunthu chitakonzedwa, dokotala akuyamba wosindikiza.

Anatsekera - ichi ndi kanthu lotsiriza la mano a anamaliza masiteji onse. Koma zimenezi si mapeto a chithandizo, dokotala akadali amalimbikitsa atagwira ena njira zimene bwino kuthana ndi kutupa ndi kuthandiza kuteteza motsutsana kumwa.

Kusankidwa pambuyo gawo loyamba la mankhwala

Pambuyo dokotala wachitira pulpitis, mapazi ake anamaliza, muyenera kugwira ntchito yoyang'anira mankhwala ndi njira adakali pakhomo masiku angapo:

• mankhwala thupi - kugwiritsa ntchito laser akagwidwa omwe ndi bwino kugwira ndondomeko mu zida helium-Neon. Wokwanira njira chabe m'chitetezo zotsatira achire ndi kupewa kumwa.
• Kumwa mankhwala. Popeza guwa - ndi kutukusira, ndiye basi ayenera kutenga njira ya wothandizila nonsteroidal odana ndi yotupa, monga "Ibuprofen" kuti kuchotsa zonse ndondomeko yotupa.

Nkofunika kuti ulamuliro wa wodwala, monga mwana pambuyo anali magawo onse a pulpitis chithandizo mano mkaka idzachitike, ndikofunika kuwunika chikhalidwe chake, ndipo ngati panali madandaulo, nthawi yomweyo kufunsa dokotala. mwana A sangathe nthawi zonse kudziwa nokha zimene zikuchitika naye, dokotala limalangiza makolo kuwayang'ana iwo kapena kungobwera ku phwando la ulamuliro wa masiku angapo.

The njira ya amputation yofunika ndi pulpitis

Pali njira zosiyanasiyana zochizira wa pulpitis, mmodzi wa iwo ndi amputation zofunika, zimene zimaphatikizapo kuteteza zamkati mwa dzino njira yokha, koma korona atachotsedwa. Ndondomeko kucitika pa nkhani ya Mipikisano anadabwa dzino. Njira imeneyi si ntchito zochizira mano osakwatiwa-muzu, ndi onse chifukwa pakati pa coronal ndi muzu mabacteria zamkati palibe malire. Njira imeneyi imakhala magawo zotsatirazi:

• unachitikira mankhwala oletsa ululu pamalopo;
• m'madera zichotsedwa anakhudzidwa ndi caries;
• zamkati atachotsedwa;
• dzino M'mimbamo kukonzedwa mankhwala;
• mu mlingo kuika njira ndi superimposed;
• zambiri superimposed chimateteza chivundikiro;
• zosakhalitsa kudzazidwa.

Pambuyo njirayi, dokotala limalimbikitsanso kukumana laser mankhwala ndi mankhwala odana ndi yotupa.

The njira ya mankhwala opaleshoni ya pulpitis

Pali njira zosiyanasiyana zochizira wa pulpitis, kuphatikizapo ndi njira ntchito. Njira imeneyi imaphatikizapo kuchotsa mitsempha, ndipo izi zimachitika onse mu korona ndi mizu malo. njira imeneyi imatchedwa muzu ngalande. Izo ntchito m'njira zotsogola, zimene kufunika kukhwimitsa onse kuyamba matenda a pulpitis, magawo zigwirizana kukwaniritsa mwai amenewa:

• zimakhala onse anakhudzidwa ndi caries, mokhomerera;
• Iwo kuchotsedwa ndi mitsempha coronal ndi muzu mbali;
• mosamala kukonzedwa njira kumene mitsempha ili;
• Pambuyo njira munasindikizidwa, ndipo pambuyo korona gawo.

Tiyenera kukumbukira kuti pa nthawi ina dokotala kugwira njira zonse sizinayende bwino, kotero muyenera kukhala okonzeka kuonetsetsa kuti maulendo adzakhala awiri kapena atatu.

Ndipo tsopano tione mwatsatanetsatane magawo onse a mankhwala.

Magawo a pulpitis mankhwala: ulendo woyamba kwa dokotala

Kotero kuti timvetse molondola magawo onse a matenda a pulpitis, m'pofunika mukudziwa momwe izo zimachitika ndi mmene mano amachitira:

1. Nthawi zambiri wodwalayo amafunsira kuthandiza mwamsanga nthawi pamene iye wakhudzidwa ndi ululu umene sasiya ngakhale atakhala othetsa ululu, kotero mwamsanga pamene dokotala amapanga mankhwala ochititsa dzanzi.
2. Pambuyo jekeseni adzachichita kuyambira kuthetsa zimakhala anakhudzidwa ndi caries, zimenezi ntchito kubowola, amene amalola kuti kubowola iwo.
3. Ndiye muyenera kuika pa cofferdam kuti mabakiteriya malovu sanali m'gulu njira kuyeretsa.
4. Ndiye ntchito pulpekstraktora kuchotsa zamkati, chida ichi ndi woonda kwambiri ndi zazing'ono Tulukani kuti kuthandiza kukoka zamkati mwa njira woonda.
5. Kenako muyenera molondola kuyeza mizu ngalande kwathunthu lembani, motero kuchilango zosokonezeka. Kuti kuchita zimenezi, ndi X-ray, mitsinje mano angakhale ochepa, ndipo izi zikutanthauza kuti m'pofunika kuyeza lililonse.
6. Pambuyo njira zonse ankachitira ndi njira antiseptic ndi kukhazikitsa chisindikizo zosakhalitsa.

Pa ulendo uno poyamba zikakwaniritsidwa, ngakhale zambiri osati nthawi zonse nthawi yoyamba zotheka kucheza zonse izi, ndi njira yoyamba kungapangitse mankhwala, reaming TV ndipo atagona mankhwala mu kupha mitsempha tcheru.

Wotsatira ndi womaliza Ulendo

Ndipo apa pali paulendo wachiwiri kwa dokotala amapereka magawo zotsatirazi ya chithandizo cha pulpitis:

• dokotala amachotsa kudzazidwa osakhalitsa, ndipo pambuyo njira mankhwala.
• Ngalande kuchokera Komanso anatsuka antiseptics.
• Nasindikizapo, izi zachitika ntchito gutta percha ndi sealer.
• Pambuyo X-ray imagwiridwa kufufuza njira momwe womata.
• Ngati X-ray anasonyeza kuti zonse zili bwino, ndiye inu mukhoza kuika chisindikizo.

Koma si akulu okha amadwala guwa, nthawi zambiri nkhawa ana amene alibe molars ndi mkaka yekha. Chithandizo cha pulpitis ana mano chachikulu ali masiteji yosavuta, pang'ono kokha zokhudza mankhwalawa zakwawoko. Koma makolo ayenera kukumbukira kuti chosalanga ndi kuchedwa mankhwala kungayambitse mavuto.

Magawo a pulpitis chithandizo mano makamaka ana

Mbali ya zamkati mwana kumachitika mu mawonekedwe kwambiri, choncho izi, dotolo angakulangizeni kuchotsedwa kwa dzino mwana, koma ngati pali mwawi kudzalipulumutsa, nsikidzi sakuwupweteka, kupitirira mankhwala. Masiteji pulpitis chithandizo mano zikuluzikulu:

1. Pa ulendo woyamba dokotala poyera za mitsempha ndipo amachititsa phala wakulimbira zotsatira devitaliziruyuschee, zimathandiza kupha zamkati. Ngati zikuphatikizapo Arsenic alipo, akhoza kusunga masiku oposa 2, ndipo popanda njira iliyonse ya Arsenic analoledwa pilirani kwa masiku 7.
2. Ulendo pafupi dzino jekeseni chinthu chapadera kwa kukonzera mitembo kuti isawonongeke zamkati matenda zambiri - osakaniza resorcinol-formalin.
3. Pa ulendo omaliza kukhazikitsa chisindikizo okhazikika.

Chithandizo cha pulpitis - ndondomeko ndi yosavuta, ngati ife tiyang'ana pa nthawi thandizo kwa dokotala. Monga lero chifukwa cha luso lamakono ndi njira mukhoza mofulumira kuchiritsa dzino lowawa.

Sakukhala mpaka pamapeto ndipo dikirani mpaka kupweteka akukulirakulira, ndi bwino kukaona dotolo wamano nthawi zonse, ndiye mulibe kupirira ululu ndi kuchotsa dzino.