Amanqanaba zonyango pulpitis kunye amayeza. unyango endodontic

Wonke umntu ehlabathini lijongene bamazinyo, oko zivuse ezahlukeneyo izinto. Ukuba ixesha akafuni ufune abanezakhono, imiphumo ukusonga kunokubangela iingxaki ezinkulu, nto leyo aphela rhoqo kunye nokususwa yezinyo laso. Kudla bamazinyo, ezincina omnye nomonde, ukufumana epulpitini yakhe. Kodwa yintoni na epulpitini? Ziziphi iindlela eziphambili kunye amanqanaba ukunyanga pulpitis kwi umntwana abadala?

Ipulpiti - yintoni na le zokugula?

Ipulpiti - kukukrala ochaphazela esiqhumeni neurovascular (ido-). Omnye wonobangela zixhaphakileyo ukuba bawaphikise nangokurhala, kukho yidityaniso, nto leyo inegalelo kokutshatyalaliswa izicwili zamazinyo nzima. iintsholongwane izifo abazalisa umngxuma, ukumqumbisa inkqubo yokukrala yintlama (elidume kubizwa ngokuba luvo wayo).

Ipete nako ukuphuhlisa ngenxa ukuwavala inkqubo kakubi olwenziwe okanye izinyo ukwenzakala. Kukho iintlobo ezininzi pulpitis na, ngamnye kubo elifuna inqwelo yezigulana evela yincutshe. Iindlela kunye nezigaba zonyango pulpitis kuhlobo ngalunye olukhethiweyo ngamnye.

iintlobo pulpitis

Xa uhlobo lokuqala pulpitis ngokuhlanganisa yintlama ubuhlungu na yokucoca, apho ukwanda kakhulu ukuhamba kwegazi kwi imithambo le yintlama. Isixa igazi ngaphakathi lweHo- kuyenyuka, ngaloo ndlela kubangela uxinzelelo luvo ezincinane, nto leyo ekhokelela ukuba intlungu buthuntu. Emva kokuba ukuluma isusiwe, iintlungu ngoko nangoko uya kude.

Ifom nokoyika pulpitis lukhatshwa ziintlungu kakhulu. Ukuba yintlama ayide asha kakhulu, ngoko ke inkqubo singamiswa, kulo mzekelo, iintlungu uya kude ngoko nangoko. Ipete sinokunyangeka ngokwabo, umntu kuphela ukususa oonobangela aphazamiseke.

Xa kunjalo, ukuba yintlama yedwa lo zibuyiselwe, iintlungu iyaqhubeka kakubi kwaye ingaba yondele kakhulu, ingakumbi ziyanyuswa ebusuku, ngaphandle koncedo wamazinyo akakwazi ukwenza kakade. Ngosuku loviwo zibonisa izinyo kunye nemingxuma enzulu nasezantsi buhlungu ngexesha uyasabela. Amanqanaba ukunyanga pulpitis kulo mzekelo, mazikhethwe kuxhomekeke ekubeni izinyo wambetha kwaye ukuba ukudumba uye phambili.

ifomu ubovu - le yenye enzima kwaye iphawulwa okubuhlungu ukuba mbi ebusuku, kwaye buthathaka ntlungu yayo ayisebenzi.

Ifom okondeleyo pulpitis luphawulwa sokuwa, ukuba kukho into, kwaye ukuba ukubusiphula, iintlungu uya kude. ubuhlungu buthuntu inokwenzeka ixesha elide. Ngexesha uphando lubonise umngxuma onzulu kunye yidityaniso kunye ukopha.

Chronic pulpitis hyperplastic - yindlela vuhlayiseki, nto leyo efuna ukuba amanyathelo akhawulezileyo olwenziwe nokunyangwa pulpitis. Xa abantwana nabantu abaselula, le fomu kuxhaphake kakhulu. Ibonisa hyperplastic yintlama okuthiwa ido- liqhubu.

Necrosis ibhekisa iintlobo lakho isifo, oko luphawulwa ukufa yintlama ivela emva ekuhlaselweni elide iintsholongwane okanye ngenxa ahlekise ubovu pulpitis.

iimpawu pulpitis

Ipulpiti - sisifo esibi kakhulu kudinga yokusabela ngokukhawuleza kwaye unyango uncedo abafanelekayo. Ukuba lokuqala sifo kunye iintlungu iqaqamba, nto leyo ephelisa amayeza intlungu eyanele, ngoko oyingozi futhi ezigulo ezondeleyo ebangela intlungu kakhulu, nto leyo ziyanyuswa ebusuku kwaye buthathaka nkqu nasemva amayeza.

Ngexesha sesichengeni etyabulayo izinyo - thermal, mechanical okanye kwemichiza - ukunyuka iintlungu. Ukuba esisigaba nokoyika esi sifo ukuba ukuqala unyango, ngoko ekugqibeleni bonke baya kuphela ifomu ezingapheliyo, nto leyo luphawulwa ziintlungu xa touch of a izinyo, oko ziyanyuswa xa zibethwa iimveliso kushushu, yaye ngenxa yokubanda. Ukuba ngaba uthathe nawaphi na amanyathelo kunye aqale ukwenza amanqanaba unyango pulpitis, kukukrala zingachaphazela ubume ithambo emhlathini.

Kutheni kufuneka ukuba aphathe pulpitis?

Ukuba nomfanekiso-ngqondweni umntu uxakeke rhoqo neengxaki emsebenzini okanye entsatsheni, akudli kwaoko utsalela ingqalelo buhlungu encinane yezinyo laso. Into yokuqala ayenzayo - kuthatha amayeza eentlungu, "Ketanov", "Nurofen", "Ketorolac", "Baralgin", "UDenise" - alibale ngale ngxaki. Kodwa ngokuhamba kwexesha, lo neebhaktiriya zisekho egumbini Ipete izinyo, qhubeka ukuba ayonakalise kwaye ekugqibeleni kukhokelela kukuba kukho ubofu kwingcambu ye lomsele.

Emva kokuba ubomvu ngaphaya ingcambu emjelweni, kukho wampompoza, kwaye ubonakala nje kuphela ngohlobo ukufukuka encinane iintsini, kodwa nje ukunyuka eyomeleleyo kunye isimetri ukuhlukunyezwa elinamandla. iintlobo ezimandundu wezifo zifuna ukuba athathe amanyathelo akhawulezileyo pulpitis unyango, kungenjalo kumelana kuphela ukulahleka izinyo, kodwa ezimbi ezifana ithumba, usulelo igazi bone ukulahleka.

Izigaba endodontic

Ifomu yokuqala pulpitis sinokunyangeka ngokukhawuleza kakhulu, nje ulwamkelo kugqirha wamazinyo, kodwa xa iintlobo kakhulu ifuna ixesha elide unyango lwe pulpitis izinyo. Amanqanaba zonyango isigulane liya kufuna zengqesho ezininzi, yaye yenzelwe ngamnye kubo ukuze kuphele iintlungu, ukuba coca nemingxuma izinyo, kunye nabanye, kodwa zonke ngexesha elifanelekileyo. Ukuba unyango umsele iingcambu kubalulekile ukuba ulandele la manyathelo:

1. Izigaba unyango pulpitis, photo iyakuqinisekisa oko, ukuqala zomzimba, ugqirha Ozahlulayo izinyo evela amathe, esebenzisa iphepha obhityileyo iirubber - cofferdam, leyo superimposes ngeenxa izinyo umguli.
2. zokuhlanjululwa Eminye ikhutshwa phandle siteshi iintsholongwane. Ufikelelo ijelo inikezelwa asike kwisisu, ukhupha kophahla yintlama kwegumbi, ukudala imijelo ukufikelela simahla isixhobo.
3. Zokuhlanjululwa channel ibandakanya kweentsholongwane ngoomatshini kunye imichiza.
4. Okulandelayo wire image processing kunye lonke ubude kwingcambu emjelweni, kodwa kungekhona, ngoko ke kubaluleke kakhulu ukuba sibone ubude umjelo, ukuba wenze oko, qala ufake iifayile, uze wenze i X-ray.
5. ugqirha magciwane Chemical ibamba neenaliti ezikhethekileyo elahlwayo.
6. Xa isiteshi kususwa ngokupheleleyo, ugqirha uqala uphawu.

Uphawu - oku ke intshukumo yokugqibela wamazinyo ligqibe zonke izigaba. Kodwa le nto ukuphela konyango, ugqirha kusekho icebisa ukuba uphethe ezinye iinkqubo eziya ngempumelelo ukujongana nangokurhala, ukunceda ukukhusela nxamnye likakade.

Ingqesho emva kwinqanaba lokuqala lonyango

Emva kokuba ugqirha iphathwa pulpitis, ezigqityiweyo amanyathelo zaso, wena uya kufuneka ukuphumeza ulawulo kweziyobisi neenkqubo nangoku ekhaya kwiintsuku ezimbalwa:

• therapy Physical - ukusetyenziswa laser, kukowuphi umzekelo apho kungcono iqalise le nkqubo kwi izixhobo helium-neon. Kwanele ukuba iinkqubo nje ezimbalwa ukuze kukhuselwe isiphumo zonyango kunye nokuthintela likakade.
• Ukuthatha amayeza. Ekubeni epulpitini - kukukrala, ngoko kufuneka nje ukuba kwikhondo arhente nonsteroidal anti-ukudumba, ezifana "ibuprofen 'ukuze ukususa ngokupheleleyo inkqubo arhabaxa.

Kubaluleke kakhulu ulawulo yesigulane, ezifana umntwana emva kokuba onke amanqanaba unyango pulpitis amazinyo ubisi kwenziwa, kubalulekile ukujonga imeko yakhe, yaye xa kukho izikhalazo, ngoko nangoko udibane nogqirha wakho. Umntwana akusoloko bazigqibele ngokwakho kuqhubeka ntoni kunye naye, ukuze ugqirha ucebisa abazali ukuba ukubukela okanye beze nje ukwamkela kolawulo, kwiintsuku ezimbalwa kamva.

Indlela umlenze bunamandla pulpitis

Kukho iindlela ezininzi zonyango lwe pulpitis, omnye kubo a okwalandelwa ebalulekileyo, ezibandakanya ekulondolozweni Ipete izinyo imijelo kuphela, kodwa isithsaba isusiwe. Le nkqubo yenziwa kwimeko nqa izinyo multi. Olu hlobo isetyenziselwa ukunyanga amazinyo olunye-iingcambu, yaye ngenxa phakathi kwemimandla yintlama coronal kwaye ingcambu akukho imida. Le ndlela enala manqanaba alandelayo:

• kubanjwe Ukubulawa lendawo;
• iindawo kususwe abachatshazelwa yidityaniso;
• ido- isusiwe;
• umngxuma izinyo iziyobisi ukuqhubekekiswa;
• e oyidlayo channel ngokubekwa ukuba kongezwe kulo;
• ngakumbi ngaphezulu cover zokwambathisa;
• kuzaliswa okwethutyana.

Emva kwale nkqubo, ugqirha ikwacebisa baye unyango laser kunye amachiza-ukudumba.

Indlela yonyango zoqhaqho pulpitis

Kukho iindlela ezininzi zonyango lwe pulpitis, kuqukwa kunye nendlela yokusebenza. Le ndlela iquka ukususwa luvo, yaye oku kwenzeka zombini kwimimandla isithsaba kunye neengcambu. Le ndlela ibizwa ngokuba ingcambu umsele. Lusetyenziswa kwiifomu eliphezulu, apho imfuneko yokuba athathe onke amanyathelo ukuba ukuqala unyango lwe pulpitis, amanqanaba luqulathe ukwenza zazo ezifana:

• zonke izicwili abachatshazelwa yidityaniso, seligrunjiwe;
• It Ususe luvo kwi iindawo coronal kwaye ingcambu;
• ukuqhubekekiswa kakuhle amajelo apho sibekwe khona luvo;
• Emva namajelo etywiniweyo, kwaye emva kokuba inxalenye isithsaba.

Kufuneka kukhunjulwe ukuba ngexesha elinye ugqirha ukuphumeza zonke iinkqubo abazange nangoko uphumelele, ngoko ke kufuneka ukuba bakulungele ukuqinisekisa ukuba utyelelo ziya kuba amabini, nokuba mhlawumbi bathathu.

Kaloku ke, yenza ngokweenkcukacha zonke izigaba unyango.

Amanqanaba zonyango pulpitis: ukutyelela ugqirha wokuqala

Ngoko ukuze aqonde ngokuchanileyo onke amanqanaba unyango lwe pulpitis, kuyimfuneko ukwazi ukuba kwenzeka njani nendlela ephatha wamazinyo:

1. Amaninzi isigulane efuna uncedo kwangoko ixesha xa ukhathazeke kakhulu ukuba akayeki emva kokuthatha ntlungu, ngoko kamsinya nje ugqirha yenza zomzimba.
2. Emva isitofu uya kwenza, ukuqala ukuphelisa kwinyama abachatshazelwa yidityaniso, oku kwenziwa ngokusebenzisa umfutho, nto leyo evumela ukubaqhelisa kubo.
3. Emva koko kufuneka ufake cofferdam kwiibhaktiriya amathe khange kwisiteshi icocwe.
4. Emva koko sebenzisa pulpekstraktora ukususa yintlama, esi sixhobo yi indent obhityileyo kakhulu amancinci ezinceda tsala Ipete ijelo obhityileyo.
5. Okulandelayo kufuneka umlinganiselo ingcambu emjelweni ngokuchanekileyo ukugcwalisa ngokupheleleyo kuyo, yaye ngaloo ndlela ezikhusela iingxaki. Ukuze wenze oku, yenza i-X-ray, imiphantsi kwi izinyo inokuba ezimbalwa, kwaye oku kuthetha ukuba kuyimfuneko ukwenza umlinganiselo ngamnye.
6. Emva kokuba zonke iindlela baphathwa magciwane nokuseka ngetywina yethutyana.

On kolu tyelelo lokuqala iza kugqitywa, nangona kaninzi ayisoloko okokuqala kunokwenzeka ukuchitha konke oku, indlela yokuqala leswikulu zomzimba, reaming nemijelo kwaye ebeka amayeza kuzo ukubulala luvo ezibuthathaka.

Utyelelo okwalandela nelokugqibela

Nantsi ke kutyelelo lwesibini kugqirha ibonelela manqanaba alandelayo unyango lwe pulpitis:

• Ugqirha asusa kuzaliswa okwethutyana, kwaye emva kokuba ijelo iziyobisi.
• Eminye Channels wahlamba ebulala.
• Cwangcisa itywina, oku kwenziwa ngokusebenzisa gutta percha kunye sealer.
• Emva X-ray yenzelwa ukukhangela izitishi kakuhle kangakanani itywiniwe.
• Ukuba-X ray wabonisa ukuba bonke kakuhle, ngoko unga ubeke uphawu.

Kodwa akukho abadala kuphela bayahlupheka ukusuka epulpitini, wayedla ukhathazeka ngabantwana abangenazo imihlathi kunye zobisi kuphela. Unyango lwe pulpitis ebantwaneni kwamazinyo zaseprayimari izigaba elula, ngokomkhethe kuphela ezinxulumene nonyango bemveli. Kodwa abazali kufuneka bakhumbule ukuba ukungenzi kunye nokubambezeleka unyango kunokubangela iingxaki.

Amanqanaba unyango pulpitis kwamazinyo zaseprayimari abantwana

Inxalenye Ipete kwi umntwana kwenzeka ekwimo kakhulu, ngoko kulo mzekelo, ugqirha ingenza isindululo ukususwa izinyo usana, kodwa xa kukho naliphi na ithuba, ndiwusindise unomntana akuthethi buhlungu, badlule unyango. Izigaba pulpitis unyango amazinyo eziziiprayimari:

1. Ngelo kutyelelo lokuqala ugqirha ubhenca luvo, Nokubengezelisa paste ofaka devitaliziruyuschee isiphumo, kuyanceda ukubulala yintlama. Ukuba kuquka iarseniki ekhoyo, kodwa ayikwazi ukugcina iintsuku ezingaphezu kwe-2, kwaye kungekho naziphi na iindlela iarseniki abavunyelwe ukubamba ukuya kwiintsuku ezisi-7.
2. Kutyelelo olulandelayo ukuya izinyo zenyuse kwento ekhethekileyo bomisa of yintlama sifo, amaxesha amaninzi - umxube resorcinol-formalin.
3. Kutyelelo lokugqibela iseke ngetywina esisigxina.

Unyango lwe pulpitis - le nkqubo ilula, ukuba sijonga ngexesha uncedo kugqirha. Njengoko namhlanje ngenxa yobuchwepheshe kunye neendlela olusebenzayo ungenza ngokukhawuleza banokunyanga nezinyo obuhlungu.

Musa ukuhlala de kube ngomzuzu wokugqibela kwaye alinde de iintlungu nodandatheko, kungcono ukuba atyelele wamazinyo rhoqo, ngoko akukho mfuneko yokuba ukunyamezela intlungu uze ususe izinyo.