Matendawa ndi mankhwala a pulpitis

Pulpit - ndi kutukusira zokhudza zimakhala zofewa, ndipo limodzi ndi nyumba neurovascular zokhudza dzino patsekeke. matenda yodziwika ndi kupata ululu paroxysmal, nthawi zambiri kufalikira kwa nsagwada lonse, anakafika kwa khutu, m'dera kanthawi ndi kumatheka usiku. Pulpit sikuti kudali palokha, pali Akufunika kukaonana ndi dokotala wa mano. Pambuyo mankhwala a matenda pulpitis nkhani ya katswiri, ndiyeno kusankha njira yabwino mankhwala. Ngati wodwalayo ndi zimakambidwa nthawi, chithandizo zotsatira zake zimakhala zabwino. Ngati akuchedwa ndi kudikira zimene zidzachitike wotsatira, ndiye kenako zotsatira zikhoza kukhala zoopsa kwambiri: periodontal kapena radicular chotupa. Pulpitis angasonyeze mu njira zosiyanasiyana, ndipo aliyense limodzi ndi symptomatology yake yeniyeni.

Pulpitis: Gawo

Anachitapo matenda pulpitis, adokotala akhoza mankhwala mankhwalawa omwe umatha machiritso lathunthu la dzino kuonongeka. Pulpitis malingana siteji ndi njira ya makhalidwe matenda kumaonekera mu njira zingapo:

• Pachimake pulpitis lagawidwa mogwirizana ndi akakufunsani. Mawonekedwe pachimake - izi ndi siteji koyamba za matendawa. Kutupa ili pafupi kuti patsekeke lapansi. Symptomatology anawonetseredwa mu mawonekedwe a kupweteka kwambiri mowiriza zomwe zikhoza kwa maminiti pang'ono mpaka ola. Tsiku lina Amachepetsa pansi ndi kuti tisasokoneze maola ochepa, koma zikuchepa kuvutika usiku. Iwo zingachitikenso kusapeza mu dzino, kumene kumachitika chifukwa zotsatira za zikuchitika, ndipo sukupita yaitali kwambiri. Pankhaniyi, wodwala mosavuta mwachindunji amene dzino umapweteka, kenako matenda a pulpitis adzakhala ntchito.

• Pachimake akakufunsani pulpitis. Panthaŵi imeneyi, kutupa chimafikira kwa zamkati lonse. Wodwala akudwala chifundo cha ululu, thandizo amabwera kawirikawiri ndi yochepa. Ndipo pambuyo pa ndondomeko ya serous limodzi ndi zamafinya zinangoti, ululu umakhala nthawi zonse ndi kupirira kale sangakwanitse. Iwo anamva mu gawo zosatha mu khutu ndi theka lina la nsagwada pa mbali iti a mano a. Sanaphe chakudya otentha kapena kumwa ululu umachuluka, ndi chifukwa cha kuzizira zikukhazikitsa pansi. Mbali imeneyi ukhoza kwa masiku 14, ndipo ngati cha nthawi iyi ya matenda pulpitis sanali ikuchitika, ndiye amakhala aakulu.
• Matenda pulpitis ndi a mitundu yosiyanasiyana: fibrous, hypertrophic, gangrenous ndi Retrograde. Matenda fibrous pulpitis limapezeka pambuyo maonekedwe pachimake amakhala aakulu. Nthawiyi limodzi ndi aakulu kupweteka ululu, nthawi zambiri kumachitika pamene kudya kapena kupuma mpweya ozizira. mawonekedwe Hypertrophic kumachitika pamene M'mimbamo carious chikugwirizana ndi M'mimbamo a dzino. Kenako, slurry aumbike ndipo ikukula ndondomeko yomwe imatchedwa polyp, chomwe chimadzaza danga. Wodwala akumva kupweteka pamene kutafuna, pali magazi. mawonekedwe Gangrenous akuwonetseredwa mu mphindi, matenda si amachitika m'njira yake pamene guwa sanali wapezeka mu nthawi, ndipo izi zinachititsa kuti pa dzino kupweteka muli matenda zosauma. Wodwalayo amaoneka mpweya, mumandizunza ululu. Retrograde mtundu - mawonekedwe aakulu limodzi ndi mapangidwe a matumba periodontal, ndi mwa iwo ndi kupita ku matenda. Mabakiteriya kudutsa m'ngalande muzu, anagunda minofu zofewa ndi kuchititsa kutupa. Fupa minofu ndi resorbed muzu, mu nkhani iyi, zikufunika mwamsanga kuchititsa mankhwala ndi kuchita zonse zotheka kuchotsa zamkati. Matenda, mankhwala ndi akatswiri odziwa kudzakuthandizani kukhalabe mano pafupi. Nkofunika kupempha thandizo mu nthawi.

njira zamakono Only kophweka kudziwa magawo oyambirira zamkati. Chipatala, matenda masiyanidwe amene angathe kuchitidwa, ndi mu mzinda uliwonse. Pali thandizo ndi lolondola matenda.

Mu nthawi amakono awa, pamene luso si chilili, kudziwa magawo oyambirira a mtundu uliwonse wa matenda sikovuta. Pogwiritsa ntchito njira nzeru ndi zida mosavuta matenda zamkati. Diagnostics mankhwala amakono angakhale mitundu angapo, ndipo aliyense wa iwo ali imathandiza. Choncho, pamene ndondomeko lidzayamba pambuyo pa mtima kuti andithandize:

• Mwatsatanetsatane kafukufuku. dokotala analemba madandaulo onse wodwala, amapeza chifukwa cha mankhwala, chikhalidwe cha ululu ndi uthunthu maonekedwe ake. kafukufuku Izi zimathandiza kuti tikupatsireni matenda yolondola.
• Anayendera M'mimbamo m'kamwa. Iwo anachita ndi kugwiritsa ntchito zipangizo zapadera, Adokotala mano, pamene zisindikizo kale anaika, onani pamaso kutupa gingival.

• Cholinga. wa mano amasanthula pakamwa ndi kafukufuku wina. njirayi amalola ndendende kudziwa mlingo wa chitukuko cha matenda. Pamene akufufuza mpata zotheka kukhazikitsa boma la dentin ndi pansi ndi mpanda wa M'mimbamo amene kuya kwake, komanso kuyendera zamkati kuchokera kunja. Koma chinthu chachikulu mu ndondomeko izi - ndi kukhazikitsa kugwirizana ndi M'mimbamo za chipinda zamkati.
• Kutentha kwa chitsanzo. matenda uyu wa pulpitis pachimake kapena m'njira ina iliyonse kumafuna kukhudzana ndi kutentha ndi otsika mu zamkati dzino. Njira imeneyi zimathandiza malizitsani kujambula chithunzichi komanso kuphunzira za chikhalidwe cha zimakhala zofewa.
• Zamagetsi zamkati mayeso. Njira imeneyi ndi maziko oona kuyesa zimene zamkati kwa magetsi. The apamwamba a anasonyeza zizindikiro za kutupa, ndi apamwamba pano. Njira imeneyi zimathandiza inu kuona chidwi neurovascular mtolo, ndi kuzindikira, komwe Cholinga cha kutupa. Chozama malo ake, mphamvu pano, ndipo ngati zamkati ali kwathunthu mbisoweka, wodwalayo adzamvera mphamvu ndi.
• X-ray. Angakuthandizeni kupeza mbali ya kapangidwe dzino, kudziwa mmene matendawa akupangidwa ndi kuona zotsatira za mankhwala, amene anali ikuchitika kale.

Koma pali njira ina yapadera kuti amalola kudziwa aakulu fibrous pulpitis - matenda masiyanidwe. Koma chomwe izo ziri?

Masiyanidwe matenda a pulpitis

Njira imeneyi matenda ndi abwino mu zonsezi ngati mukufuna caries kwambiri siyanitsa pulpitis aakulu, chifukwa onse a matenda amenewa amafuna njira ina mankhwala. Pamene pulpitis ululu umene ukapezeka mwangozi irritants, sikuti kudali pa mphindi 20 ndi pa caries izo umatsika mwamsanga nzothandiza kuchotsedwa.

Koma kuti kusiyanitsa kuchokera pa guwa kulimbikitsa aakulu periodontitis azidzachita zokwanira kugogoda pa dzino kupweteka. Ngati wodwalayo periodontitis, ndi kugogoda adzachititsa nkhawa.

Diff. pulpitis matenda a mitundu hypertrophic adzafotokoza magazi dzino ndi kanthu makina, ndipo chizindikiro ichi adzatsimikizira matenda, zowawa mu nkhani iyi si kwambiri kulitchula.

Ngati wodwala fibrous pulpitis, matenda adzalola kusunga pansi wosanjikiza dentin mu M'mimbamo ndi akuunika zamkati. Ngati inu kukhudza kafukufuku pa mfundo iyi, wodwala akumva kupweteka.

Pa nthawi ya matenda a mitundu hypertrophic Tisawasale matenda ena - kuchuluka kwa papilla gingival. Ngati ndi papilla, n'zotheka kulikankhira kafukufuku.

Masiyanidwe matenda a pulpitis pachimake kutupa mu mitsempha trigeminal Zimathandizanso kudziwa chisoni usiku kumadalira. Koma ngati neuralgia, usiku wina apita.

Kamodzi matenda kunachitidwa wa pulpitis aakulu kapena m'njira ina iliyonse, ndipo matenda anapangidwa, anasankha makamaka njira ya mankhwala lililonse nkhani zosiyanasiyana wake njira yokhayo kukwaniritsa khola zabwino mankhwala.

Kodi kuchitira pulpitis?

Features pulpitises mankhwala zimadalira mawonekedwe a kudwala, komanso magawo chitukuko cha matenda, ngati ife kulankhula mawu osavuta, ndi kunyalanyaza matenda. The kale wodwala kufunafuna thandizo la dokotala bwino mwayi kupulumutsa dzino. Mukamaliza ndapeza ena mawonekedwe a matenda, mwachitsanzo, aakulu pulpitis (masiyanidwe matenda a matenda molondola kwambiri), adokotala kusankha njira mankhwala, amene adzakupatsani zotsatira zabwino. Koma tiyeni tione zimene ntchito njira madokotala mankhwalawa aliyense wa mitundu ya pulpitis.

pachimake pulpitis

Izi mawonekedwe a matenda amaliona mu magawo atatu:

1. Chachotsedwa zamkati anakhudzidwa ndi kutupa, ndondomeko akudutsa pansi mankhwala, ndipo kenako wodwala maganizo mankhwala mizu ngalande.
2. Kudzazidwa ngalande muzu, mu nkhani iyi, dokotala amagwiritsa sealant wapadera.
3. Kubwezeretsedwa kwa korona dzino, Kusindikiza zikutanthauza kuthandiza.

serous pulpitis

Ichi ndi chimodzi mwa mitundu ambiri, ndi mitundu iwiri: akakufunsani kapena mogwirizana. Onse mitundu imeneyi angathe kuchizidwa mosavuta ngati mankhwala anayamba oyambirira. Choyamba, dokotala kuyeretsa dzino kwa dentine, carious. Ndiye mata, koma pansi ndizofunika kumalumikiza ndi calcium, kugwiritsa ntchito bandeji mankhwala opha tizilombo toyambitsa, kuthandiza kupanga dentine sekondale. Koma mankhwala amakuthandizani ngati wodwalayo ali ndi mawonekedwe a matenda aakulu.

Ndipo ngati ndondomeko wakhala akutukuka pa nthawi, adokotala akhoza bwino kuchotsa zamkati mano ndi mitsempha.

purulent pulpitis

fomu iyi ndi chimodzi cha zoopsa kwambiri. Ndipotu kudwala akhoza kukhala mogwirizana ndi akakufunsani. Pamene focal zosiyanasiyana zamkati anakantha pang'ono ndipo akakufunsani kwathunthu. fomu iyi angathe kuchiritsidwa yekha ndi opaleshoni. dokotala aisadza muzu m'ngalande ntchito njira ofunika kapena devital. Mankhwalawa ndi ovuta kwambiri, choncho ndi bwino kupatsa ntchito iyi ndi dokotala wodziwa.

Kuchiza fomu iyi sizigwira ntchito kwa tsiku limodzi, tsiku loyamba la Ulendo dokotala ukugwira mwai amenewa:

• analgesic, umathandiza ndi kukonza ndi M'mimbamo a minofu mano, carious;
• ukuchiza M'mimbamo antiseptics;
• Ntchito kafukufuku zikusonyeza nyanga ya zamkati;
• akulowa mu dzino phala ndi Arsenic kuti iye anathandiza kupha mitsempha;
• Chilombocho kudzazidwa zosakhalitsa.

The paulendo wachiwiri kwa dokotala amapereka njira zimenezi:

• kuchotsa zisindikizo kwa kanthawi;
• kuchotsa zamkati ku ngalande mizu;
• antiseptic mankhwala njira;
• dzino kudzazidwa ;
• kubwezeretsedwa kwa korona dzino.

zoopsa pulpitis

mawonekedwe angachiritsidwe monga conservatively ndi opaleshoni, izo zonse zimadalira mlingo chiwonongeko cha zamkati. Ngati poyera pa khosi la dzino ndi chabe gawo laling'ono la izo, ndi dzino si bwanji ndi caries, mankhwala ndiwofatsa amapereka zotsatira zabwino. Ndipo ngati inu unagawanika chidutswa cha zamkati dzino ndipo anakantha zovuta, dokotala aziwachotsa, kuti imautsa chitukuko cha ndondomeko yotupa.

pulpitis aakulu

Mu mawonekedwe a matenda ndiwofatsa mankhwala si zothandiza. Yekha mwanzeru - kugwiritsa ntchito njira opaleshoni. Kuvuta fomu iyi ndi kuti zavuta mtima kwa nthawi yaitali ndipo sanali ndikuganiza kuti dzino wake anali kudwala. Azindikire kuvutika pokhapokha ngati x-ray.

Malinga mawonekedwe a matenda a dokotala ntchito imodzi mwa njira zothandiza kwambiri. Amaona njira yabwino zimagwira pamene dotolo amagwiritsa zingapo zimene mungachite mankhwala Kenako kuchira bwino.

fibrous pulpitis

Ngati wodwala matenda aakulu fibrous pulpitis mankhwala ndi kuchotsa zamkati amene anakhudzidwa ndi fibrosis. Ndondomeko tichipeza magawo angapo ndipo anachita pansi mankhwala oletsa ululu pamalopo:

• carious M'mimbamo lidzatsegulidwa ndi kuyeretsa kuchokera caries;
• chithandizo antimicrobial ikuchitika;
• resection wa septum ya;
• kuchotsa gawo la zamkati coronal, amene anapha fibrosis;
• njira extension kuchotsa zamkati ndi fibrosis;
• antiseptics processing;
• khazikitsa kudzazidwa zosakhalitsa.

Patapita masiku angapo kudzazidwa zosakhalitsa m'malo mwa zonse ndi.

hypertrophic pulpitis

fomu iyi amakhala ndi kukula kwa zamkati granulation minofu, chifukwa mu akusokoneza magazi. Malinga kukula kwa vutolo adokotala akhoza kugwiritsa ntchito limodzi la mankhwala awiri:

• tsankho kuchotsa zamkati okha zinkakhala m'dera;
• wathunthu kuchotsa zamkati, ngati anadabwa kwathunthu.

Ngati zamkati atachotsedwa kwathunthu, zimene zinachitikira n'kofunika bwinobwino kuyeretsa mizu ngalande, ndi pambuyo pawo losindikizidwa. Ngati njira zonse akutsatiridwa bwino, kutupa sizimawoneka.

gangrenous pulpitis

Ichi ndi chimodzi mwa njira zazikulu zomwe, pamene dzino lonse kukanthidwa, ndipo zamkati ali ndi zilonda. Mankhwala a mtundu uwu ndi chimodzi chovuta. The njira kwambiri mulingo woyenera akuti ndi kuchotsedwa kwathunthu zamkati, kapena pulpectomy. Ndondomeko tichipeza magawo zotsatirazi:

• mankhwala ochititsa dzanzi;
• kutsegula M'mimbamo ndi kuyeretsa wake mokwanira;
• kuchotsa mbali coronal wa zamkati;
• njira extension kuchotsa zamkati anakhudzidwa ndi kutupa;
• moxibustion mitsempha electrocoagulation Choncho chingalepheretse magazi;
• kuyanika;
• ntchito Mavalidwe antiseptic;
• ngalande kudzazidwa.

Matenda a pachimake focal pulpitis kapena m'njira ina iliyonse thandizo matenda molondola ndi kuzindikira zinkakhala m'dera. Only mu nkhani iyi, adokotala akhoza molondola kukatenga mankhwala ndi kuligwira monga mosamala mmene angathere.

Ngakhale la mano pang'ono ndi kutenga kukaona mano kuti siyikuyenda matenda ndi kupulumutsa dzino. kudwala aliyense, ndipo izi imakhudzanso mano, n'kosavuta curable ngati wapezeka m'njira yake ku siteji koyamba za chitukuko. Mlingo makono a chitukuko cha mankhwala ndi chotero kuti ulendo mano ofesi si nthawi zonse limodzi ndi ululu, pulpitis matenda ndi mankhwala idzachitika kwathunthu sabweretsa chisoni.