Gingival liqatywe periodontitis: ingxelo kunye nenkcazelo inkqubo

Izigulane ezininzi abaphethwe ukudumba okondeleyo iintsini, nize nimangaliswe kwakhona periapical ukuba uyakwazi ukuba unyangiwe periodontitis. Impendulo inokuba hlawuleka. Kuxhomekeka kuhlobo ukudumba inkqubo uhlobo, nokubekwa kwezifo. Ngamanye amaxesha oogqirha ukwenza periodontitis liqatywe gingival. Ngubani ubonisa nkqubo? Yintoni periodontitis? Siza ukuqonda ngakumbi.

periodont

Le kwizicwili otsho isithuba phakathi izinyo kunye eqwalasele kuyo kwi ithambo alveolar kwemihlathi yaziwa ngokuba periodontium. gap Periodontal iqala ngokwesiseko yeqokobhe itshungama luphele ithambo alveolar. On iindawo ezahlukeneyo kumngxunyana abe ubukhulu eyahlukileyo, kufuphi phakathi ingcambu nguye kwaza.

Periodontal iquka imikhumbi nkovu kunye kwalapho, ngaloo ndlela uza bathezi amandla neerhali ezininzi collagenous. ifayibha nganye kwasekwa isixa omkhulu polysaccharides kunye neeproteni ezahlukeneyo. Eyona njongo ephambili kukuqinisekisa ukuba isakhiwo ekuhanjisweni izinyo. Ukuze wenze lo msebenzi, amacandelo ifayibha kufuneka ukugqobhoza kwi ijwabu ithambo.

ukudumba periodontal

Ukudumba imifinya carcinomas kwizihlunu nokuqina le izinyo kuthiwa periodontitis. periodontitis Chronic igcwele ethile sisongelo, njengoko ezi mpawu sifo azicaci ngoko nangoko. Isifo angenzeka izigulane na ubudala, ukuba akukho zithintelo ubudala.

Uphawu lokuqala nezincinane isifo - ivumba elibi, nokopha xa ihlamba amazinyo akho. Kaninzi izigulane ezikhala abe nazo ethile xa uthatha ukutya. Uphawu iphambili izifo - iintlungu lobulali, nto leyo izwekazi kwindalo, kwandisa ngokuhamba kwexesha kwaye asinayo indawo ethile. Phantsi umthwalo onzima phezu ngamaphiko kwandisa intlungu, kuqina, maxa wambi akunakwenzeka ukuba badle ukudla okuqinileyo ngexesha clenching kwamazinyo. Ngenxa yoko kukho ukunyuka kwamaqondo obushushu emzimbeni. Kwiimeko ezinjalo, kufuneka nje ukunceda wamazinyo. Kwiimeko advanced zingafuna ungenelelo yotyando. liqatywe Gingival periodontitis eyenziwe kwiimeko ezigabadeleyo, kodwa isenzo esinjalo inceda ukugcina izinyo.

periodontitis yayiyazi

Ukuba okubuhlungu waya iqonga apho akunakwenzeka ukuba babengenakuyichukumisa izinyo, iintsini adumbe, ngokufuthi esidleleni imilebe, nezinyo ngoxa igxadazele kunye ubushushu bomzimba wadubula phezulu - oku kuthetha pulpiti kugqitywe umsebenzi yakhe emnyama. ngabandayo kwakho yokuba komtshiso kwingcambu mgawuli waphuma phandle, basusa yonke kwinyama ezingqonge izinyo waqalisa periodontitis oyingozi. imfuno engxamisekileyo ukuya kugqirha wamazinyo, oya kuzama ukusindisa izinyo lakho, kusenokufuneka ukusika iintsini kunye periodontitis, musani ukoyika. Emva kokuba inkqubo, ugqirha uya kuchaza ukuba iimfuno engaphezulu eziya kwenziwa ukubopha amanxeba.

Periodontitis kuhlala ngenxa trauma: iziphumo aluphumelelanga unyango lwe pulpitis, emva nezikweko into nzima. Oogqirha bamazinyo ukubiza ukukhusela abaxholi soze nomntana into nzima.

periodontitis ezingapheliyo

periodontitis Chronic ekugqibeleni kukhokelela ekubeni lo mqolo izinyo na ozithukululeyo, kwiindawo zokubeka akhiwa phakathi kwamazinyo, iintsini abopha hayi kuphela ukucoca, kodwa urhulumente quiescent (nokuba ebusuku). Eyona uphawu oku kuqhubekayo kukuba kweqonga enambuzelayo khosi ukusuka abukhali engapheliyo. Umzekelo, isigulana kuthiwe ukuba bamazinyo, kodwa emva kwexesha intlungu wayeka, ziyenzeka edla ngokwenzeka periodontitis granulomatous. Ukuba sifo Kwimeko enjalo, ukuchonga ngezifo unceda kuphela i-X-ray, ekubeni isigulane bangafumana ukungakhululeki kuphela ezingephi, amazinyo mnyama, ivumba elibi. Uphenyo yoviwo kwisisu emva amatywina nokufumba ayisayi kubakho buhlungu.

Oqeshwe yi-X-ray, umfanekiso ngokucacileyo indawo ebonakalayo kunye ifomu ajikelezayo. Ezo ukutshatyalaliswa ancedisana babe granuloma, ukuba ubukhulu bayo kungaphezu kwe-1 cm, oko - kistogranulema. Le fom ezingapheliyo akunakwenzeka ukuba kufuneka enze periodontitis cut gingival, kodwa iziphumo sifo zinzima kakhulu. Ukudumba kwisiteshi izinyo kwenzeka ngokwamanqanaba, iintsholongwane phinda kwaye enze ezininzi ityhefu. Ukunxila kunokukhokelela zizifo ezahlukahlukeneyo intliziyo, izintso, amalungu kunye namanye amaziko.

iindlela

Ukuchonga unyango lwamazinyo ezingapheliyo kwaye etsolo periodontitis unikwe ugqirha ngokukhawuleza. Ishenxisa le ngxaki ngeendlela ezimbini:

• therapeutic elondoloza;
• intsumpa.

Ukuyifundisa na Ukongeza ngempumelelo, xa iziphumo ezidibanisayo ifunyenwe usebenzisa i potassium iodide electrotherapy, magnetotherapy, UHF phezu leebhate kwindawo asha, laser, iparafini.

Periodontitis akaze wabaphilisa kwinqanaba elinye. Nomonde de awusenayo ngokuphindaphindiweyo kufuneka ukutyelela ugqirha wamazinyo. Inkqubo ekuncedeni kwinqanaba elithile.

Unyango lwesifo periodontal: manqanaba. imbobo gingival

Xa kwafunyaniswa, ugqirha kufuneka kuqala:

• ukunika ubomvu ephuma;
• ukususa iimpawu ukunxila.

Ukuze ubone iqondo yophuhliso inkqubo X-ray yabelwe komtshiso oko. Emva koko, wamazinyo ziya kusebenza ancedisana abachaphazelekayo, ngaphambili sokudala zomzimba. Amalaphu zingamoshakala pulpitis, inkqubo yidityaniso, unyango zingakhathaliyo elidlulileyo.

Periodontitis kuqhubeka ingcambu unsealing ichibi, apho kwakukho iingxaki. Xa Dr. ebulala kubanceda kufuneka ukhombise.

Wokuqhuba kakuhle ubofu iya kuba yimfuneko ukuze kwandiswe phezulu foramen apical ye yingcambu ngezinyo.

Ukuba isifo ubaleka wobhobhozayo ngasemva, alikwazi ukwenza ngaphandle gum liqatywe. Okulandelayo ukuvala imijelo ingcambu, ugqirha isebenzisa kwasala cotton.

Kukho iindlela eziliqela ukunyanga periodontitis. Uqwalaselo olubukhali indlela kakhulu - utyando.

unyango zoqhaqho periodontitis ezingapheliyo, iindlela

Xa unyango lwe ukudumba periodontal kuphela kwiimeko kakhulu babhenele utyando periodontal. Oku kubandakanya ukususa olupheleleyo okanye olungaphelelanga izinyo okanye ingcambu. Xa kwezamazinyo mihla kwenziwa ukutsalwa kancinci kancinci, ukuza kuthi ga ngoku, uqhaqho idla zubosohraneniyu yaye zonke iindlela ukuba benze njalo.

Kodwa ngamanye amaxesha kufuneka wenze iintsini liqatywe (phezu izinyo ubulumko, umzekelo). Oku kwenzeka kwiimeko xa ekufuneka ukuvelisa ubofu nencindi periodontitis.

Iya isanda, oogqirha zisebenzisa ukuya resection le njengezona ke ingcambu isuswe ngaphandle yonke phezulu, kwaye kuphela inxalenye achaphazelekayo. Inkqubo nokususwa ke zomzimba eliphezulu, utyando lwenziwa ngokukhawuleza kakhulu. Kuyenzeka nje kuphela ukugcina izinyo, kodwa kwixesha elizayo ukubuyisela isithsaba sakhe, okanye ezinye iindlela.

Ukusebenzisa laser ubuchule ivumela resection ngaxeshanye ukususa granuloma, cyst. Le ndlela iphumelela yaye kwegazi efanayo. technologies laser ezisetyenziswa kakhulu premolars utyando, siphume, canines.

Xa ukudumba e imihlathi periodontal hemisection kwenziwa, izinyo ziguyiwe, ingcambu ochaphazelekayo lisusiwe, ngexesha ilondoloza nezinyo esempilweni Nokubuyiselwa iindlela wamathambo.

Gingivotomy (iintsini nkqo lomhlaba ecandelo)

Kwezinye iimeko, awukwazi ukuvula amazinyo ukuvelisa unyango endala, kwiimeko ezinjalo kuyimfuneko kubhenela cut. Ngokufuthi unobangela kuphazamiseka kunokuba periodontitis. Emva ukusika iintsini kwenzeka exudate outflow of ubomvu. Kwakhona eboniswe ukudumba periosteum ukuthintela iingxaki ezininzi kakhulu.

liqatywe Gingival kwiimeko ezinjalo ekuthiwa gingivotomy. Zintoni ezibonisa ukuba gingivotamii? Zezi zilandelayo:

• pocket nzulu kakhulu, ezinkulu, kodwa emnxinwa ngasezintsinini;
• ithumba periodontal eyodwa enkulu;
• nezilonda ebekiwe okanye uhlobo periodontitis ebekiwe;
• Periodontitis na uhlobo lomthobo nezinyo ubulumko.

Njani na candelo ngasezintsinini?

inkqubo gingivotomy kwenzeka ngokwamanqanaba:

• Ukubulawa.
• Asike of yonke ubunzulu iintsini kule ndawo zubnodesnevogo epokothweni.
• Ukusikwa nkqo (kwiindawo sclerosis).
• enezinto Otseraprirovanie.
• Kulungiswa ipokotho. Ukususwa le epithelium achaphazelekayo, kunye granules.
• Sutures kunye amabhandeji.

Unyango emva liqatywe gingival ngokuqhelekileyo usombulula ngaphandle iingxaki, zila inxeba kakhulu ngokukhawuleza kwaye azibe iziphene zeethishu.

Le liqatywe yenziwa ngeendlela ezahlukeneyo, yonke into ixhomekeke ubungqongqo ukudumba, kwakunye iziboniso ukuze zisetyenziswe. Kusenokuba wagqiba ubambe Gingivectomy (icandelo tye). Kuyo nayiphi na imeko, ukuba ukuphumelela zotyando ingqalelo enkulu kufuneka inikwe asepsis. Asepsis uphambuke amanxeba usuleleko kuthintela eziphilayo yayintsholongwane eyosulela kwintsimi utyando. Ukongeza, ukuba ufuna ukusebenzisa abulawe iiglavu, izixhobo, kwamalweyile, netampuni.

Njengoko ukubopha iintsini

inxeba emva imisebenzi periodontal - lo ukuyilwa uxhulumaniso olutsha yokwakheka kunye nokomzimba phakathi iiseli zomzimba. Nje le nkqubo iye izigaba ezininzi:

• Emva kokuba ungenelelo ngoncedo ihlwili legazi ezikhandelwa leyo sformirovyvaetsya imizuzu eli-10, ukuba ukhonza isithintelo, elisikhusela iintsholongwane eziyingozi kunye nezifo.
• Kwisithuba seeyure 3-4 ezikhandelwa nokuqina (granulation) inyama entsha.
• Collagen ukubunjwa epithelialization ukwenzeka iintsuku 7-10. Ngamanye amaxesha oko kunokubangela ezilumayo.
• Nokwanda kunye ngokutsha ithatha iiveki ezi-2 ukuya kwemi-3. Inxeba elide, kodwa ukuphiliswa epheleleyo iza kwiinyanga nje ezimbalwa.

Kufuneka wenze ntoni emva kokuba inkqubo

Abaninzi uyazibuza ntoni emva kokuba cut ngasezintsinini? Yintoni esilondeni ukuphiliswa wayelele? Emva kotyando, wamazinyo kufuneka axelele isigulane indlela yokunyamekela intshungama. Kodwa ezinye izigulane bakhumbule imeko elincinane "Ndothuka" xa efika ekhaya ukuba ugqirha wamana. Ngoko ke Ingcebiso emva ukusika iintsini:

• Emva kotyando, ugqirha uza ukubeka inxeba igozi ukunqanda ukopha. Kugcine oko kufuneka ibe imizuzu engama-20 ubuncinane.
• Ukufika ekhaya, kufuneka ulale phantsi, niphumle kancinane.
• Ngaba kuba emva kotyando ukuthatha ukutya, angaseli iziselo kangangeeyure ezintathu. Ngaphezu koko, kule ukutya kufuneka sibe khona kuphela ukudla ethambileyo, ukunqanda ukulimala site liqatywe.
• Ukuba iintlungu eziqatha, ungakwazi ukuthatha nasiphi na isiyobisi iintlungu. Ngosuku lwesibini emva kokuqalisa yokuntlokothiswa kuyimfuneko ukususa, kuya kuthintela isifo ngenxeba kunye nophuhliso lweenkqubo arhabaxa. Ingasetyenziswa ngenxa ngamanzi i "Furatsilinom", izicatshulwa chamomile kunye nomfundisi.
• Kwiintsuku ezintathu emva kokuba ungenelelo olo kufuneka asebenzise i eshushu, ukutya nzima, Avule umlomo wakhe ububanzi.
• Nciphisa yonke emzimbeni, emoyeni.
• iiklasi Yavalwa ku ejimini, yokugquma, yokuhalamaba eshushu.
• Kuyo yonke le veki, kungcono ukuba ukuyeka ukutshaya kunye notywala.
• Xa kungekho tyala musa cauterize i Zelenko inxeba, okanye iodine. Musa ukubeka nantoni eshushu. Ngoko ke kube kubi!
• Wamazinyo unakho ukumisela isicelo elwa enxebeni bawubopha arhente ephilisa ( "Solkoseril", "Holisal", "Stomatofit").
• Ukomeleza amajoni omzimba, ungathatha izakhiwo anikezela ngezakhi kunye arhente immunomodulating.
• Kuba inxeba ulawulo emva kweentsuku ezintlanu kufuneka ubone ugqirha.