Zida kuchotsa mano ndi mizu

Kawirikawiri digiri chiwonongeko dzino kwambiri kotero kuti tiyenera kusankha kovuta: kusunga kapena winawake izo. Ndi ulendo yake kwa mano kuchiritsa kuvulala zambiri kwathunthu bwino. Koma si zonse pitani dokotala nthawi. Nthawi zina dzino ziyenera kuchotsedwa, kotero kuti matenda Kodi sinafalikire zina. Mu mano Zida dokotala thandizo kwa dzino m'zigawo. Pa kulondola kwa kusankha kwawo zambiri zimadalira dzuwa la ndondomeko zotsatira zake. M'nkhani ino tikambirana zida zofunikira kuti ntchito m'zigawo mano, mano ndi mizu.

Zikuonetsa kwa opaleshoni mano kuchotsa

Mano - mmodzi wa zosasangalatsa kwambiri. Chifukwa tilinazo okwezeka ndi kusafuna zachilengedwe kupirira kusapeza pa pochotsedwa mano zaka zambiri akuchedwa kudzacheza kwa mano. Ndipo basi pa nthawi pamene ululu akukulirakulira, osati adathandizapo ndi analgesics, anthu ambiri akusankha "zoopsa" Ulendo. Monga ulamuliro, boma amasonyeza kuti dzino akuchita chidwi yovuta mokwanira. Chithandizo mu nkhani iyi kawirikawiri kusanduka chimodzi chokha: m'zigawo.

Ndi zizindikiro mtheradi kwa opaleshoni monga:

• abscess ndi zina pachimake suppurative matenda yotupa;
• wathunthu kapena tsankho kuwonongedwa kwa dzino chifukwa cha mano;
• periodontal matenda.

Pali milandu yambiri kuti kuchotsa dzino analili. Mulimonsemo, adokotala pofuna kupulumutsa dzino ndipo mwina kukubwezerani.

Kukonzekera opaleshoni

alowererepo aliyense opaleshoni ayenera kuchitidwa mogwirizana ndi malamulo a aseptic ndi antiseptic. Zida kuchotsa chosawilitsidwa M'mimbamo mano ndi m'kamwa zakonzedwa ntchito aligorivimu zotsatirazi:

• kuchotsedwa ndi oyera ndi pafupi mano mano zolengeza;
• kupereka wodwala kubala antiseptic mouthwash njira (furatsilin, potaziyamu permanganate);
• anesthetize minofu dzino kuchotsedwa ntchito lidocaine wa, novocaine, trimecaine kapena mankhwala opha ena.

Kamodzi wakwanitsa kusowa wathunthu wa tilinazo, dokotala atuluka kwa dzino m'zigawo ntchito zipangizo zina.

Zida Common kwa dzino m'zigawo: photos, ikulongosola

Pakuti pochotsedwa mano analenga zimasintha ambiri yeniyeni - zida. Anthu oyamba anali kupangidwa ku Middle Ages. Ngakhale kuchotsa dokotala mano chofunika makamaka forceps ndi zikepe, mu nthawi zina - ZOWONJEZERA.

Mbano - chimodzi chimene chimathandiza ambiri ntchito madokotala mano. Iwo amakhala ndi zigawo zitatu: chogwirira, masaya ndi Nyumbayi. Kwa zaka zambiri, kapangidwe awo sinasinthe kwambiri m'kupita. Masaya forceps kulola analanda akorona mano, ndi chinyumba akutumikira monga chinthu kulumikiza. Amangomvera ndi zofunika mayiko dokotala: akugwira kwa iwo, kuthamanga chida. Ngakhale forceps ndi wosavuta mu dongosolo, iwo ndi ambiri mitundu. Malinga mawonekedwe awo ndi kutanthauzira ntchito; pakuti m'munsi ndi chapamwamba nsagwada , iwo adzakhala osiyana kwambiri.

zida mano kwa dzino m'zigawo monga ndi zikepe. Iwo amakhala ndi zigawo zitatu: chogwirira, kulumikiza ndi ntchito mbali. Chifukwa cha iwo, akhoza kufinya mizu kapena alekane. Komanso, iwo ankakonda kupeza kapena dystopic mano inagunda.

Zipangizo, napita "salephera kukwaniritsidwa"

Kugwiritsa forceps kapena zikepe makamaka kwa mano pafupifupi. Koma pali zina pamene ntchito zipangizo zina ndi zofunika. Pakati pawo, ntchito zida kuchotsa mano, monga:

• Excavator - cholinga kuthetsa osiyana zimakhala Chinachepa mano kapena korona gawo (sludge). zipatala zamakono ntchito nkhalango njira ina. Izi ndi ziwiri chida, wopangidwa mwa supuni yaing'ono m'mbali chinzake. Ngakhale kuphweka kulengedwa, zinchito kwambiri.
• Tchizulo, gouges ndi nyundo - zida ndi kale ntchito opaleshoni kuchotsa mano kwa nthawi yaitali. Nawo ntchito gouging dzino mizu. Njira imeneyi imakhala yopweteka kwambiri, choncho si ntchito. Koma chisel bwino ntchito kuwononga kugwirizana mezhkornevyh, amene kwambiri facilitates ndondomeko kuchotsa mizu.
• Pobowola makina - ntchito kuchotsa Mipikisano mizu mano.

Zida kuchotsedwa mano kulola ife kuti mopambana opareshoni, mosasamala kanthu za zovuta mlanduwo. dokotala ntchito zida zimene zimafunika pa nkhani ina.

Mbano yopezera mano mandibular

Incisors, canines, molars la nsagwada chapamwamba ndipo m'munsi ena kusiyana dongosolo lawo. Access kuti iwo ndi osiyana komanso. Mogwirizana ndi mndandanda wa zida kuchotsa mano anawagawa m'magulu awiri m'munsi ndi chapamwamba pachibwano. Kupanga ndondomeko ntchito mlomo pliers. Cholembera ndi masaya mu dongosolo zawo angled 90⁰ (kapena thereto pafupi) kwa wina ndi mnzake. Ngodya zimadalira dzino, limene lakonzedwa kuchotsa chida. Mwachitsanzo, kuchotsa incisors forceps yabwino kwambiri ndi ngodya obtuse pakati pa masaya ndi chogwirira chopezera 90⁰. Ichi ndi chifukwa dongosolo lawo anatomical. Ndipo kuchotsa molars samabwera ndi bwino kuposa kupiringa njira yoyenera.

Pakuti m'zigawo za premolars ndi incisors ntchito Chippers ndi masaya yopapatiza, anamaliza pa malekezero a. Mano chida kuchotsa m'munsi mano nsagwada (molars) amakhala ndi masaya yotakata, mbali imene ili spines chosiyana. N'zofunika kwa zolimba zoyenera molar. Pakuti m'zigawo mano nzeru ntchito yopingasa yokhota kumapeto forceps. mano anu angayambe iwo ndipo wodwala sanatsegule pakamwa pake lonse zokwanira. kusiyana A amadziwikanso kupiringa ndi converging ndi diverging masaya. Zakale ntchito kuchotsa dzino ndi mizu, ndipo chachiwiri - okha kuwonongedwa kwa korona.

Mbano kwa m'zigawo za chapamwamba nsagwada mano

Zida kuchotsedwa mano nsagwada chapamwamba ali makamaka okha ntchito forceps. mawonekedwe awo ndi mawonekedwe ikhoza kusintha kutengera malo ndi mtundu wa dzino. Mbano pamene m'magulu awa:

• Molunjika - ntchito incisors ndi canines. khalidwe Mbali awo - masaya ndi chogwirira ali pa olamulira chomwecho.
• 8 woboola pakati premolars - koyenera m'zigawo awo. Shchechki forceps ngati kuwataya wachibale chogwirira pa makona obtuse.
• 8-mawonekedwe a molars loyamba ndi lachiwiri - amasiyana ndi lamanzere ndi lamanja ndi kukwera wapadera ili mbali lakunja. Uyamiko kwa Iye, mwina n'kuyamba dzino.
• Mpeni (mpeni) - pofuna kuchotsa molars lachitatu, mosiyana ndi anthu m'mbuyomu, mulibe spines. masaya ake adzakhale osati anatseka imakonzedwa likufanana ndi chogwirira.
• Mpeni - kuti elongated masaya pakati zomwe kusintha amafotokozera, ndikulora iwo kuti akhale diverging kapena converging. Anafuna akorona mano ndi n'chochepa.

Malinga ndi mano, kuchotsa chapamwamba nsagwada mano penapake zovuta kuposa kuchititsa mwai ofanana pansi.

Opaleshoni kuchotsa dzino ntchito forceps

Tiyerekeze kuti chisankho kuti dzino m'zigawo. Wodwala zakonzedwa pofuna kuchotsa zida mano, nayenso. dokotala amasankha forceps yoyenera mawonekedwe ndi kukula, ndipo akuyamba kuchita masitepe motsatizana:

1. Exfoliated gingiva kwa dzino kuti yotengedwa, superimposed forceps. Izi zimachitika kuti masaya olamulira chikugwirizana ndi olamulira a dzino.
2. Mbano anakankhira pansi chingamu mpaka khosi dzino, walola bwino kukonza iwo. Ngati korona zikadzawonongedwa, chida ali patsogolo akuya za 5 mm.
3. Pambuyo natsimikiza mwangozi wa nkhwangwa dzino ndi masaya kuchita fixation forceps. Kuti tichite zimenezi, kuwagwira chogwiririra ndi zala zonse dzanja kuti chida pang'ono ndi kukhala dongosolo lina.
4. Kudzera rotational (kwa cognate a) ndi pendulum (chifukwa Mipikisano mizu) kayendedwe dzino sprained, tikatero tikuwononga ulusi periodontal.
5. Pamene dzino ndi minofu otizungulira ngakhalenso ali sakukhudzidwa, zoyenda ake rotational atachotsedwa zitsime.

Atam'chiritsa ndondomeko ya ndime wachisanu tidzakwatulidwa zokambirana kutsazikana. Zida kuchotsedwa mano anatumiza kwa yolera yotseketsa ndi mtima patapita mwai zina - kunyumba. Opaleshoni mano chachikulu ntchito chimodzimodzi, yekha molondola kwambiri.

Zikepe cholinga ndi mitundu

zida mano kwa dzino m'zigawo monga zikepe. Ngati kupiringiza, iyi ndi imodzi mwa zipangizo ambiri. Chifukwa cha iwo, achotse Uncut kapena kukula kolakwika kwa mano ndi mizu. dokotala alembe mitundu ya chida cha:

• Direct - onse a ziwalo zili pa olamulira chomwecho, ena zitsanzo yodziwika ndi pang'ono yokhota kumapeto polumikiza amafotokozera. Nthawi zambiri ntchito nsagwada chapamwamba.
• Ngodya - tsaya okonda 60⁰ wachibale chogwirira. Ena zitsanzo amakulolani kusintha mbali. chida agawidwa zikepe left- ndi bwino-kumbali. Zokha ntchito ndi nsagwada m'munsi.
• gulu la zikepe Jaji mano nzeru nsagwada m'munsi - okhota, zitsanzo zingapo amene timapemphera: Leklyuza (ngodya 90⁰, masaya peaked), Barry ndi Zima (ogaŵikana left- ndi ufulu amaganiza, masaya triangular) M'phika (ngodya 60⁰, elongate ndodo).
• Kuchotsa mizu ya particles - ndi woonda zisonga masaya akufanana ndi mawonekedwe yamphamvu.

Chikepe - zosunthika chida kuchotsa muzu dzino. Iye atraumatic, koma kumafuna mano nzeru ndi luso zina.

Opaleshoni kuchotsa mizu silo mano

Njira ya ntchito mtundu wa pamalo zachokera ndalezo mfundo. Ndi mphamvu kuyambitsa mbali ya chida ntchito mu periodontal mpita, kulimbikitsa kuya ake pogwiritsa ntchito kayendedwe makina. Popeza pamalo akuswa zimakhala periodontal ndi likukula kagawo. Kamodzi chida umayamba kuti akuya pafupifupi 0.5 cm, iwo amachita ndalezo. Mphamvu ntchito imafalikira ku mapeto ake ndi zotsatira opulukira muzu dzino.

Ngati opaleshoni ikuchitika Mipikisano mizu dzino, mmodzi wa mizu chinatha ndi forceps kapena pamalo mwachindunji, inatuluka ndi mbali pamalo anayambitsa. Choncho anakankhira muzu chachiwiri. Kumapeto kwa ndondomeko athandizira bwino kuphimba "mpira" wa gauze. Wodwala akulangizidwa kusunga mkati mphindi 15, kenako kuchita rinsing antiseptic njira ola lililonse.

Lyuksatory

Wodwalayo, ndipo kawirikawiri kwa dokotala nkhawa amakhala opareshoni kuchotsa dzino. Zida ntchito m'zigawo, sangakhoze nthawi kupirira milandu yovuta. The osachepera zoopsa njira kuchotsa mano ndi ntchito lyuksatorov adalipo ndi mano kwambiri.

Chida ali shiloobraznuyu kamangidwe, kotero effortlessly kudutsa m'dera periodontal. Kugwira ntchito mosamala izo kutumikiridwa pa ngodya pang'ono pansi chingamu lapansi. Zimenezi zimabweretsa kulekana kwa minofu periodontal ndi kukuza dzenje. Zingalowe m'malo m'chigawo likuchotsedwa. Kokani dzino forceps tsopano chophweka kwambiri. Koma ngati dzino ndi cognate, ntchito forceps ndipo safuna.

Kuchotsa ngalandezo

Pulpitis - mmodzi wa matenda zosautsa mano kuti kumachitika chifukwa zoopsa, matenda a m'kamwa, kapena malowedwe a mabakiteriya. Ngati si ankachitira mwamsanga ndi matenda muzu kufalikira njira radicular mu minofu, fupa kuonongeka m'tsinde mwa dzino. Mmodzi wa mankhwala kwa matenda ndi depulpation - kuchotsa muzu mitsempha ndi korona mbali. Pambuyo ntchito kudzaza m'ngalande dzino muzu ndi korona gawo ake. amachita komanso amafuna luso mkulu wa katswiri.

Zida m'zigawo mano choti qualitatively kugwira ndondomeko, kufika ku chotsikitsitsa minofu zoopsa. Kusankha olondola a chipangizo makamaka akhoza ukasintha asinthe ndondomeko, komanso ayambe ndi mavuto zotheka pambuyo pake.