Periodontitis ndi chiyani? Gawo ndipo Chithandizo

Periodontitis ali mitundu iwiri ya matenda, komanso mitundu ina, amene amasiyana mawonetseredwe awo ndi zotsatira zake. Nkofunika yake molondola oterewa, chifukwa zizindikiro ofanana ndi matenda ena mano, ndi zotsatira za mankhwala zolakwika kungachititse kuti imfa dzino.

About matenda

Minofu connective pakati pa dzino ndi alveoli amatchedwa periodontitis. periodontitis ndi chiyani? Ndi kutukusira kwa minofu kuti muli lymph, mitsempha ya magazi, misempha. Periodontal amanyamula damper ntchito - pamene kutafuna chakudya, amachepetsa katundu pa dzino, wogawana amagawa kuti fupa. Periodontitis kumachitika m'njira ziwiri - pachimake ndi aakulu. Pachimake - ochepa chabe chodabwitsa, monga kawirikawiri kutupa wosakwiya, ali ndi chikhalidwe yaitali kwa nthawi yaitali sanali kuonekera mwa zizindikiro zilizonse.

Zimayambitsa matenda

Chifukwa chachikulu cha matenda periodontal - kulowa matenda periodontal. njira malowedwe ake akhoza kukhala osiyana ndi matenda lagawidwa mitundu pamaziko a:

• intradentalny (vnutrizubnoy), ndi chifukwa cha mavuto pulpitis (kutupa ziwalo mano);
• ekstradentalny (vneshnezubnoy) akufotokozera chifukwa cha kusintha kwa periodontal matenda a zimakhala ozungulira mu nkusani pa, osteomyelitis.

Chifukwa periodontitis likhoza kulumikizidwa ndi matenda. Kukula kwa kutupa nthawi zina amayamba chifukwa zoopsa kapena kukhudzana ndi mankhwala. Mogwirizana ndi awa awiri kwambiri a mitundu periodontitis. Medical chifukwa pachithunzichi chithandizo cha pulpitis, kugunda zosakaniza akutivutitsa mu periodontium lapansi. periodontitis zoopsa Kodi dzina la amaganiza: kumachitika chifukwa kuwonongeka mawotchi minofu mano.

Zizindikiro za maonekedwe pachimake

Maonekedwe a periodontitis pachimake:

• a mano komanso malo ozungulira izo;
• soreness pamene anakhudza kwa dzino;
• kutupa masaya, milomo, m'kamwa;
• dzino sayenda;
• pakutchulidwa a fistula - benga pa chingamu kudzera umene ukufika mafinya.

Siteji koyamba za matendawa amakhala ndi ululu kuzimiririka ndipo kuchuluka pamene mbamuikha pa dzino. Ndi pofuna kukwaniritsa kutupa ndi kusintha purulent mawonekedwe zomverera kukhala lakuthwa ndi wautali nthawi. mano kuonongeka ikhoza kusunthidwa kukanikiza ndi chala chanu pa m'kamwa kuoneka kamwazi. Kuwonjezeka chikhalidwe ambiri a thupi, munthu amakhala aulesi, akuona ofooka, pangakhale kugona zipolowe, malungo.

Maonekedwe a mitundu aakulu

ndi aakulu periodontitis mawu zizindikiro chiyani? Matendawa kumaonekera mwa zizindikiro wofatsa: kumverera kwa kulemera ndi distention, kusapeza, ululu ofooka mu dzino anakhudzidwa pamene kutafuna. Nthawi zina mawonekedwe matenda periodontal ndi wapezeka pokhapokha X-ray. Mawonekedwe aakulu zambiri kumayambitsa imfa dzino komanso kusonyeza ake pafupifupi sabweretsa chisoni ndipo anthu ambiri sangathe kuti n'kofunika dokotala. The chifukwa chosasamala amenewa kungakhale chotupa muzu, chimene chimafuna kuchotsa dzino. periodontitis aakulu kumachitika ndi mavuto amene amakhalapo ndi zizindikiro zofanana monga mtundu pachimake.

Mitundu ya periodontitis

Matenda periodontitis malingana ndi chikhalidwe cha kutupa anawagawa mitundu itatu:

• Fibrotic. Mawonekedwe ambiri palibe vuto lililonse, akufotokozera chifukwa kukhudzana yaitali matenda periodontal. chimaposa Popanda kuchitapo kanthu mu mawonekedwe zotsatirazi.
• Granulating. Iwo yodziwika ndi kusintha nyumba periodontal, kukula kwa granulation minofu.
• Granulomatous. Granuloma mapangidwe.

Ngati mankhwala a periodontitis ndi olumikizidwa ku makina, matenda pang'onopang'ono amayenda ndi opepuka ndi mawonekedwe zovuta.

periodontitis aakulu angasokoneze maganizo. Izo kumaonekera pansi katundu zonse pa dzino, pamene kumadzazidwa otsika-quality, kapena mogwirizana ndi dongosolo la zakuti. Kawirikawiri mtundu wa matenda kwasanduka periodontitis pamene kutupa akupitiriza chingamu ndi fupa.

Kutanthauzira kuonetsetsa mitundu mmphepete ndi apical periodontitis. The choyamba ndi chotupa cha nembanemba woyambira ndi kutupa recess amakhudza Mitsemphayi chachiwiri chimene akugwira dzino mu alveolus lapansi. A mtundu yosowa ya matenda - ndi retrograde, pamene matenda wolowera lymph ndi magazi zotengera.

Mitundu ya periodontitis pachimake

Pachimake periodontitis akufotokozera msanga. Patangotha masiku awiri a mtundu woyambirira wa matenda amakhala purulent. Pali magawo anayi a periodontitis mawonekedwe pachimake:

• Periodontal. Purulent kutupa si kupitirira periodontal mpita.
• Endosseous. Akhudzidwa fupa.
• Subperiostally. Kutupa chimalimba chitadutsa pansi periosteum lapansi.
• Submucous. Mafinya umalowa mu minofu zofewa.

diagnostics

Matenda kuchokera mawonetseredwe mmene matenda: ululu, kutupa. Kuzionetsetsa, adokotala akhoza kudziwa chingamu kutupa, redness, dzino chokulungira, nawukulunga ndi mapangidwe mafinya. Waukulu kudziwa imayambitsa matenda a chifuwa X-ray. Mu chithunzi limafotokoza asiyane amphamvu a pamwamba a muzu dzino - purulent thumba. Ngati wodwala amaganiziridwa periodontitis, zithunzi molondola kudziwa matenda ndi siteji ya chitukuko cha matenda.

matenda masiyanidwe

Pamene matenda ndi kovuta kusiyanitsa matenda wina kwa mzake, chifukwa pali matenda ambiri mu mano, amene adzasonyeza zizindikiro zomwezo. Masiyanidwe matenda a periodontitis ndi kuzindikira mtundu wa matenda ndi kuwasiyanitsa ndi ena. Choncho, guwa - matenda ofanana, koma amakhudza zimakhala zofewa - zamkati ndi pa kwe chifukwa chosowa chithandizo cha kutupa ndi kupitirira matenda likulowerera zina, zikubweretsa periodontitis. Kuti mankhwala a periodontitis wakhala Mubalane, m'pofunika molondola kudziwa mawonekedwe ake ndi mawonekedwe.

fibrotic periodontitis

Yaitali yotupa ndondomeko limodzi ndi kusintha kwa kuchotsedwa ndi exacerbations, zinagwira matenda aakulu fibrotic periodontitis. Nthawi zambiri, zilibe kuonekera kwa nthawi yaitali. Oterewa kwambiri, ngakhale pa isanayambike zizindikiro mosavuta zimachitika matenda ena mano. Ambiri zizindikiro kutchulidwa wa fibrous periodontitis: dzino asiyane njira ululu pamene probed ndipo sanamwe pansi zochita za kutentha, ndipo palpation. Chifukwa cha matenda - matenda ndi tizilombo zimakhala dzino. Nthawi zambiri pachimake periodontitis atuluka mu fibrotic aakulu pa mankhwala olakwika kapena kusowa. Ndiye munthuyo amamva ndipo anathokoza kutha kwa zizindikiro, koma wonyenga yekha, chifukwa ndondomeko yotupa akupitiriza kusintha mu mawonekedwe kwambiri. Komanso, chifukwa akhoza anapezerapo caries, makina choipa.

Chithandizo zikuchitika pa chiwembu zotsatirazi:

• analgesia (mu nkhani ya imfa ya zamkati si chofunika);
• kuyeretsa pamalo dzino la zolengeza;
• kuchotsa akhudzidwa dzino minofu, discolored;
• kuchotsa zamkati;
• Muzu ngalande kutambasuka, kutsuka ndi njira antiseptic;
• ritsa kusindikiza.

The ndondomeko ya mizu ngalande chithandizo cha periodontitis n'zothekanso ntchito njira nzeru monga diathermy (moxibustion ndi njira yolera yotseketsa yawo mwa mkulu pafupipafupi panopa) ndi ultrasound.

granulating periodontitis

Kodi periodontitis granulating? kuchulukana uyu wa granulation minofu kumtunda kwa muzu dzino limodzi ndi chiwonongeko cha fupa ndi periosteum. Kumachitika chifukwa matenda, nthawi zambiri vuto la mano, periodontitis kwambiri, pulpitis. Zingakhalenso zotsatira zoopsazo: wovulala, kuvulala, dislocation wa dzino bwino anaika chisindikizo mtima zotsatira za mankhwala amene amachiza mizu ngalande, malocclusion. Pamene granulating periodontitis ululu zimachitika pa kutafuna, liyimbidwa, kutentha kusiyana ndi popanda kanthu makina.

Dzino sayenda zimawonedwa, mafinya, imbaenda mpweya woipa, reddening wa gingiva lapansi. Aggravation zikhoza abscesses, granulomas mapangidwe, malowedwe a mabakiteriya mu magazi kuti amakwiya chifuwa ndi matenda osiyanasiyana ziwalo mkati. Mankhwala kumafuna kutsuka m'ngalande muzu, ukhondo zosakhalitsa zisindikizo ndi katswiri kulamulira otaya ndondomeko yotupa. Ngati kupitilira matenda mabasi, kusoka ndi gutta percha ndi korona wa dzino wabwezeretsedwa. Ngati kuti dokotala wa mano saona patsogolo zabwino za chithandizo, m'pofunika amachita muyeso kwambiri - kuchotsa.

periodontitis granulomatous

mtundu uwu matenda amakhala ndi kusintha kapangidwe minofu ndi chitukuko cha latsopano - granulomas. Pa siteji koyamba, chisindikizo imene kupitirira kutupa wodzazidwa ndi tizilombo ting'onoting'ono, maselo m'thupi, fibrous ndi maselo granulemnymi. Potsilizira pake, pakalibe chithandizo, matenda amachititsa cysts, zowononga fupa.

Matenda granulomatous periodontitis akufotokozera pa zifukwa zomwezo mitundu ina - matenda chifukwa mavuto a caries kapena pulpitis, chithandizo osauka. Owonetseredwa kusapeza pakudya, kunachita mdima korona gawo. Wapezeka ndi X-ray bwino. Aggravation amakhala ndi ululu, kutupa kwa m'kamwa ndi kutupa lymph mfundo.

Ngati Popanda kuchitapo kanthu chotupa aumbike, dzino ayenera kuchotsedwa. Chithandizo mwina achire njira womwenso patsogolo njira, ukhondo wake adzathandiza mankhwala kuwonongedwa ndi granuloma minofu kusinthika. njira opaleshoni ikukhudza chingamu kudula ndi kuchotsa gawo la muzu ndi granuloma a. Pambuyo kudzazidwa ndi wochititsidwa ndi suturing.

Non-opatsirana periodontitis

Mantha periodontitis kumachitika m'njira ziwiri - pachimake ndi aakulu. Woyamba kumachitika pamene kutupa amagwirizana ndi choipa chifukwa mantha. Iwo akuwonetseredwa mu kusamuka kwa dzino, sayenda ake, minofu zofewa chophukacho, ndipo monga Motero, korona kusintha mtundu, muzu wovulala. wachiwiri chikugwirizana ndi zonse kanthu makina pa dzino ndi katundu lalikulu, zikubweretsa choipa (mwachitsanzo, chifukwa ndi occlusion nthenda kapena osauka kusindikiza). Njira ya chithandizo cha periodontitis zoopsa amapezeka kawirikawiri kugwirizana ndi kuchotsa dzino kuonongeka.

Medical periodontitis amapezeka atamwa mankhwala, amene ntchito Tingathe kumadzazidwa ndi njira zina zochizira. Mtundu wa matenda chifukwa cha kuphatikizapo thupi lawo siligwirizana mankhwala.

konzanso

Pambuyo mankhwala a periodontitis zingachititse kusapeza ndi mphamvu ya kuthamanga, amene amagwirizana ndi zizolowezi za chamoyo ndi kudzaza zakuthupi. Kawirikawiri zizindikiro kutha pakapita masiku ochepa ngati izi sizichitika, muyenera kukaona mano. Iŵiri - maola atatu pambuyo opaleshoni muyenera kusiya kudya ndi kumwa, ndi m'tsogolo kupereka mpumulo kwa dzino akhudzidwa - musati kutafuna pa mbali yake. M'pofunikanso kukhala osamala pamene akutsuka mano anu, kupewa kusuta fodya ndi mowa, monga irritants izi zingathe kudzetsa magazi.

Patangotha miyezi isanu ndi chithandizo zifunike ndi dokotala ndi kukonzanso kuchita ndi x-ray kuwunika fupa minofu kubwezeretsedwa. Qualitatively anaphedwa ntchito mabasi kutupa, kumalimbikitsa minofu kusinthika, sayambitsa mavuto ndi recurrences matendawa pa nthawi kwathunthu kubwezeretsedwa kutafuna ntchito ya dentition lapansi. Ngati mankhwala ululu amalimbikira ndi kumakula, pali kutupa m'kamwa ndi, kutentha limatuluka, kotero mankhwala zinachitikadi bwino ndipo si anapanga mukufuna. Pankhaniyi, muyenera pitani kuchipatala kuti retreatment.