Ukuxilongwa kwe-pulpitis kunye neendlela zokonyango

I-Pulpitis yukuvuvukala okuchaphazela ama-tissue adibeneyo, kwaye ihamba kunye nezakhiwo ze-vascular-neural ezichaphazela intambo yezinyo. Esi sifo sibonakaliswa yintlungu eqhubekayo ye-paroxysmal, esoloko ifikelela kwintlambo yonke, inika kwindlebe, kwaye iqinisa ebusuku. I-Pulpitis ayidluli ngokwayo, kubalulekile ukubhenela ngokukhawuleza kudokotela wamazinyo. Emva kokubhekisela kwingcali, ukuxilongwa kwepppitis kuya kubelwa, kwaye indlela efanelekileyo yokunyanga ikhethwe emva koko. Ukuba isigulane sagqiba ixesha, ngoko umphumo wonyango uyamkeleka. Ukuba ulibala kwaye ulinde oko kuza kwenzeka emva koko, imiphumo ingaba yingozi kakhulu: i-periodontitis okanye i-cyst ejikelezayo. I-Pulpitis ingazibonakalisa kwiifom ezininzi kwaye nganye iyahambelana neempawu zayo ezithile.

Pulpit: udidi

Emva kokuxilongwa kwe-pulpitis, ugqirha unako ukunika unyango olufanelekileyo, oluya kubangela ukunyanga okupheleleyo kwezinyo ezonakalisiweyo. I-Pulpitis, kuxhomekeka kwisigaba kunye neziganeko zesifundo sesi sifo zibonakalisa ngeendlela ezininzi:

• I-pulpitis echanekileyo iyahlula ibe yintloko kwaye isasazeka. Ifom ye-acute isigaba sokuqala sokugula. Ukuvuvukala kufumaneke kufuphi nomda wokudibanisa. I-Symptomatics ibonakalisa ngohlobo lweentlungu ezibukhali, ezinokuhlala kwiimitha ezimbalwa ukuya kwisiqingatha seyure. Emva koko, unako ukuzola kwaye ungakhathazeki ngeeyure eziliqela, kodwa ebusuku, uqinisa ngamandla. Kwakhona, kunokungahambi kakubi kwizinyo, ezivela kwimiphumo ye-stimuli, kwaye ayikude kakhulu. Kule meko, isigulane sinokubonisa ngokucacileyo ukuba yeyiphi inyosi eyingozi, kwaye ukuxilongwa kwe-pulpitis kuya kuncediswa.

• I-pulpitis ecacileyo. Ngeli nqanaba, ukuvuvukala kwanda kwi-pulp yonke. Isigulane sibhekene nokuhlaselwa intlungu ebuhlungu, ukukhululeka kunqabile, kwaye kukufutshane. Kwaye emva kwenkqubo esuka kwi-serous ukuya kwi-purulent, intlungu iba yinto engapheliyo, kwaye akufuneki ukunyamezela. Kuvezwa kwinqanaba lexeshana, kwindlebe nakwesiqingatha somhlathi, ukusuka ngaphesheya kwezinyo. Ukususela kwamkela ukutya okutshisayo okanye iziphuzo, intlungu iyancipha, kwaye kubanda kubanda. Eli nqanaba linokugqibela ukuya kwiintsuku ezili-14, kwaye ukuba ukuxilongwa kwe-pulpitis akukwenziwanga ngeli xesha, ngoko kuya kwisigaba esingapheliyo.
• I-pulpitis engapheliyo yeentlobo ezininzi: i-fibrotic, hypertrophic, i-gangrenous and retrograde. I-pulpitis engapheliyo ibonakala emva kokuba ifomu elibi lidlulele kwixesha elingapheliyo. Eli xesha lihamba neentlungu ezibuhlungu, ngokuqhelekileyo kubakho xa udla okanye uphefumula emoyeni obandayo. Ifom ye-Hypertrophic ivela ngexesha apho intambo yokudibanisa ixhunyiwe kwisigxina sezinyo. Emva koko, i-pulp iyakhula kwaye i-outgrowth yenziwa, ebizwa ngokuba yi-polyp, ezalisa indawo yamahhala. Isigulane siva intlungu xa sifuna, kuphuma igazi. Ifomu le-Gangrenous libonakalisa ngexesha apho i-pulpitis ayifumanwanga ngexesha, ukuxilongwa akuzange kwenziwe ngexesha elifanelekileyo, okubangele ukusuleleka kwintsholongwane enokugula. Isigulane sinomsi womlomo, iintlungu. Uhlobo lwe-Retrograde - ifomu elingapheliyo, elihamba kunye nokubunjwa kwee- poontal pockets, kukwawo kwaye isifo sithintela. Iibhaktriya, ezidlula kwiingcambu zengcambu, zichaphazela izicubu ezincinci kwaye zibangela ukuvuvukala kwazo. I-bone tissue ye-root dissolves, kule ngxaki ngokukhawuleza kuyimfuneko ukuqhuba unyango kwaye wenze konke okusemandleni ukucoca i-pulpitis. Ukuxilongwa, unyango kunye neengcali ezinolwazi kuza kunceda ukugcina amazinyo asondeleyo. Kubalulekile ukufuna uncedo ngexesha.

Kuphela iindlela zobugcisa ziza kunceda ukubonela kalula i-pulpitis kumazinga okuqala. Iiklinikhi, ukuxilongwa ngokungafaniyo okungaqhutyelwa kuyo, kukukho nawuphi na umzi. Baya kunceda ukwenza uvavanyo oluchanekileyo.

Ngethuba lethu langoku, xa iteknoloji ingayimi, ayinzima ukufumanisa nasiphi na isifo ekuqaleni. Ukusebenzisa iindlela ezintsha kunye nezixhobo, kulula ukuxilonga i-pulpitis. Ukuxilongwa kwiyeza zanamhlanje kungabininzi kwiindidi, kwaye nganye yazo iyasebenza. Ngoko, yintoni inkqubo eqalayo, emva kokuba isiguli sicele uncedo:

• Uphando olusisiseko. Ugqirha ubhala zonke izikhalazo zesigulane, ufumanisa isizathu sokuba unyango, uhlobo lwentlungu kunye nommandla wokubonakaliswa kwayo. Uphononongo olunjalo lunceda ukwenza uvavanyo oluchanekileyo ngakumbi.
• Iimviwo zomlomo. Kuqhutywa kunye nokusetyenziswa kwezixhobo ezizodwa, ugqirha uhlola onke amazinyo apho iimpawu zafakwa khona ngaphambili, zihlola iinjongo zokuba zikhona iinkqubo zokuvuvukala.

• Ukukhala. Udokotela wamazinyo uhlola umlomo ngomlomo. Le nkqubo ikuvumela ukuba uqikelele ngokuchanekileyo ngokuchanekileyo kwinqanaba lokuphuhliswa kwesifo. Xa uvavanya, kunokwenzeka ukuseka isimo se-dentin ephantsi kunye neendonga zesigxina esinobuchule, bunjani ubunzulu bayo, kwaye uhlolisise i-pulp evela ngaphandle. Kodwa into ephambili kule nkqubo kukuba kusetyenziswe uxhulumaniso phakathi kwesigxina kunye nesigumbi sepalp.
• Uvavanyo lokushisa. Ukuxilongwa kwe-pulpitis okanye nayiphi na ifomu kubandakanya ukungena kumaqondo aphezulu aphantsi nakwi-pulp yezinyo. Le ndlela inceda ukuxhasa umfanekiso kwaye ufunde ngeemeko ezincinci.
• Electroodontodiagnosis. Le ndlela isekelwe ekutshekeni ukusabela kwepalp ngokukhoyo kwamandla kagesi. Ephakamileyo imbonakalo yokuvuvukala, ukuphakama kwamandla okwangoku. Le ndlela ikuvumela ukuba ubone indlela ochaphazela ngayo umthwalo ongenasifo, kunye nokuchonga apho kugxininiswe khona ukuvuvukala. Ubunzulu bendawo, unamandla ngakumbi okwangoku, kwaye ukuba i-pulp iyaphela ngokupheleleyo, isigulane siya kuziva.
• X-ray. Ukusebenzisa oko, unokufumana iziganeko ezizodwa zesakhiwo sinozinyo, uqinisekise ukuba isifo siphuhlise kangakanani, kwaye ubone iziphumo zonyango olwakusenziwa ngaphambili.

Kodwa kukho enye indlela ekhethekileyo ekhethekileyo evumela ukuba ichaze i-pulpitis ye-pulpitis engapheliyo. Kodwa yintoni na?

Ukuxilongwa ngokubanzi kweplpitis

Le ndlela yokuxilongwa ikulungele kwiimeko apho kuyimfuneko ukuhlukanisa i- caries enzulu kwi-pulpitis engapheliyo, kuba ezi zibini zifuna indlela ekhethekileyo kunyango. Kwi-pulpitis, intlungu evela kwizenzo ze-stimuli ayidluli ngaphezu kwemizuzu engama-20, kwaye xa i-caries ithoba ngokukhawuleza xa isicatshulwa sisuswe.

Kodwa ukuze uhlukanise i-pulpitis kwi- periodontitis engapheliyo iya kuba yanele ngokwankqonkqoza kwizinyo ezigulayo. Ukuba isigulane sinexesha le-periodontitis, kwaye ukukhonkqoza kuya kubangela ukungathandeki.

Uluhlu. Ukuxilongwa kwe-pulpitis yefom ye-hypertrophic iya kuvumela ukutyhila ukuphuma kwezinyo phantsi kwempembelelo engummangaliso, le mpawu iya kuba isiqinisekiso sokuxilongwa, intlungu kulesi sikhundla ayithethi.

Ukuba isigulane sineplpitis enobumba, ukuxilongwa kukukuvumela ukuba uqaphele phantsi kocingo lwamazinyo kwisiqwenga sokubamba kwindlela umlenze obonakala ngayo. Ukuba uchukumisa iprobethi ngeli nqanaba, isigulane siya kuziva intlungu eqinile.

Ngethuba lokuxilongwa kwefom ye-hypertrophic, kuyimfuneko ukukhuphela enye i-diagnostic-ukukhula kwe-papilla gingival. Ukuba ngaba i-papilla, ngoko inokuphinda iqhutywe yinkqubo.

Ukuxilongwa ngokucacileyo kwe-pulpitis enzima kunye nenkqubo yokuvuvukala kwiimbilini zezintathu kunceda ukuchonga intlungu, ephakanyiswa kakhulu ebusuku. Kodwa ukuba i-neuralgia, ngoko busuku iya kudlula.

Emva kokuxilongwa kwe-pulpitis engapheliyo okanye nayiphi na enye ifomu eyenziwe kwaye i-diagnostic yenziwe, indlela ethile yokwelapha ikhethwe kwimeko nganye ethile, kuphela ngale ndlela inokwenzeka ukuphumeza isiphumo esisisigxina sonyango.

Indlela yokuphatha iintlobo zeplpitis?

Iimpawu ezikhethekileyo zonyango lwe-pulpitis zixhomekeke kwindlela yokukhubazeka, kunye nezigaba zokuphuhliswa kwesi sifo, ngokwemiqathango elula, ukungahoywa kwesifo. Ngaphambili isiguli sifuna uncedo oluvela kwizodwa, iphakamileyo amathuba okulondoloza izinyo. Emva kwalolu hlobo okanye olo hlobo lwesifo luyabonakaliswa, umzekelo, i-pulpitis engapheliyo (ukuxilongwa ngokwahlukileyo kwi-formulation of the diagnostic ngokuchanekileyo kusebenza kakhulu), ugqirha uya kukhetha indlela yokwenza unyango oya kuba negalelo elihle. Kodwa makhe sijonge ngakumbi iindlela zonyango ezisebenzisa ngayo oogqirha ukuphatha nganye ifom ye-pulpitis.

Pippitis efanelekileyo

Le fomu yesifo iphathwe ngezigaba ezintathu:

1. Ukususwa kwe-pulp, echaphazelekayo ngenxa yokuvuvukala, inkqubo iphantsi kwe-anesthesia, kwaye kwikamva isicetyiswa unyango lwezonyango zomngcambu.
2. Ukutywinwa kweengcambu zengcambu, kule ngxaki ugqirha usebenzisa i-sealant ekhethekileyo.
3. Ukubuyiselwa kwesithsaba sezinyo, i-sealant iya kuhlangulwa.

Serous pulpitis

Le ngenye yeefom eziqhelekileyo, ingaba ziintlobo ezimbini: zidibanisa okanye zigxile. Zomibini zale fomu zonyango ngokulula xa unyango luqalisiwe kumanyathelo okuqala. Okokuqala, ugqirha uyayicoca loo nto evela kwi-dentin, echaphazelekayo. Emva koko kufakwe isitywina, kodwa i-calcium iyadingeka, kwaye amabhanti ane-antibiotikthi isetyenziselwa ukunceda i-dentine ukuba iphinde iqulunqe kwakhona. Kodwa i-antibiotics iya kunceda kuphela ukuba isiguli asinaso ifomu esingapheliyo yesifo.

Yaye ukuba le nkqubo iye yaphuhliswa ixesha elide, ngoko kulo dokotela ugqirha unokuncoma ukususwa kwe-pulp yezinyo kunye nenzwa.

Ipulpiti enobuchule

Le fom ithathwa njengenye yeyona yingozi. Emva koko, ukukhubazeka kungabikho kokubili kugxininise kwaye kwandiswe. Ngeentlobo eziphambili, i-pulp ichaphazeleka ngokukodwa, kwaye xa idlulisa ngokupheleleyo. Le fomu iphathwa kuphela. Ugqirha uyayicoca ingcambu yeengcambu, esebenzisa indlela ebalulekileyo okanye ye-devital. Le ngxaki inzima kakhulu, ngoko kukulungele ukubeka lo msebenzi kwizakhono ezifanelekileyo.

Ukunyanga le fomu ngosuku olunye alusebenzi, ngomhla wokuqala wokutyelela ugqirha wenza izinto ezinjalo:

• I-Anaesthetizes, ikhutshisa ize ihluthe isithintelo samathambo amazinyo achaphazelekayo;
• Ukukhupha umgca we-antiseptics;
• Ukusebenzisa iphenyo, uvula uphondo lwe-pulp;
• Ufaka unobumba kunye ne-arsenic kwizinyo ukuze kusize ukubulala imbilini;
• Ubeka uphawu lwexeshana.

Ukutyelela wesibini ugqirha kubonelela ngale ndlela:

• Ukususwa kwetywina lesigxina;
• Ukususwa kwepalp ukusuka kwimingcambu yeengcambu;
• Izonyango zonyango zokuxhatshazwa;
• Ukuzaliswa kwezinyo ;
• Ukubuyiselwa kwesithsaba sezinyo.

Iipppitis ezibuhlungu

Le fomu inokunyangwa, kokubili ngokuzimeleyo kunye nokuhlinzwa, konke kuxhomekeke kwinqanaba lokulimala kwe-pulp. Ukuba ibonakaliswe entanyeni yezinyo kunye nenxalenye encinci yayo, kwaye inyoko ngokwayo ayichaphazelwanga yi-caries, kwaye unyango olulondolozayo luya kunika iziphumo ezilungileyo. Kwaye xa iqhekeza lezinyo libuqhekeza kwaye i-pulp iyabetha kanzima, ugqirha uyakususa ukuze angaphumeleli ukuphuhliswa kwenkqubo yokuvuvukala.

I-pulpitis engapheliyo

Ngalolu hlobo lwe-pathology, unyango olulondolozayo alusebenzi. Isisombululo esifanelekileyo kuphela ukusetyenziswa kwendlela yokugonywa. Ubunzima beli fomu kukuba isigulane sinokuthi ixesha elide lingacingi ukuba inyo lakhe liyagula. Uyakwazi ukubona ukukhubazeka kuphela xa wenza i-x-ray.

Ngokuxhomekeka kwimeko yesifo, ugqirha uya kusebenzisa enye yezindlela eziphambili kakhulu. Eyona nto ibhetele ibhekwa njengendlela edibeneyo, xa ugqirha usebenzisa iindlela ezininzi zokonyango ngexesha elilodwa, ukwenzela ukufezekisa ngokupheleleyo.

Ipirpiti enobungozi

Ukuba isigulane sineplpitis engapheliyo, ke unyango lukususa i-pulp, echaphazelekayo yi-fibrosis. Inkqubo inezigaba eziliqela kwaye iqhutyelwa phantsi kwe-anesthesia yendawo:

• Isango esiqingqiweyo sivuliwe kwaye sihlanjululwe i-caries;
• Ulwaphulo lwezonyango;
• Ukufunyanwa kwee-septum;
• Ukususwa kwecandelo le-pulon coronal echaphazelekayo i-fibrosis;
• Ukwandiswa kwamanzi kunye nokususwa kwe-pulp kunye ne-fibrosis;
• Unyango kunye ne-antiseptics;
• Ukubeka itywina lesigxina.

Kwiintsuku ezimbalwa emva koko ukuzaliswa kwexeshana kuthathelwe indawo yokuzaliswa ngokusisigxina.

I-pulpitis ye-Hypertrophic

Le fomu ibonakaliswa ngokusasazeka kwezinto ezinobumba be-pulp, okubangelwa ukujikeleza kwegazi okungeyiyo. Ngokuxhomekeke kumlinganiselo wesilonda, ugqirha unokusebenzisa enye yeendlela ezimbini zonyango:

• Ukutshatyalaliswa ngokuthe ngqo kwimizila, iindawo ezichaphazelekayo kuphela;
• Gcwalisa ukususwa kwe-pulp xa kuthinteke ngokupheleleyo.

Ukuba i-pulp isuswe ngokupheleleyo, kule meko kubaluleke kakhulu ukucoca imithombo yeengcambu kakuhle, uze uwatyikitye. Ukuba zonke iinkqubo zenziwa ngokuchanekileyo, inkqubo yokuvuvukala ayibonakali.

Gangrenous pulpitis

Le yinye yeefom ezinzulu, xa iinyo lonke lichaphazelekayo, kwaye i-pulp ihlanganiswe nezilonda. Ulwaphulo lweli fomu lucatshangelwa lunye lwezona zinto zinzima. Indlela efanelekileyo kakhulu kukususwa ngokupheleleyo kwe-pulp, okanye i-pulpectomy. Inkqubo inezigaba ezilandelayo:

• Anesthesia;
• Ukuvalwa kwendawo yokuvulwa kunye nokucoca kwayo ngokucokisekileyo;
• Ukususwa kwecandelo le-pulon;
• Ukwandiswa kwamanzi kunye nokususwa kwe-pulp, echaphazelekayo ngenxa yokuvuvukala;
• I-Cauterization yentsholongwane nge-electrocoagulation, oko kukuthintela ukuphuma kwegazi;
• Ukoma;
• Ukusetyenziswa kokugqoka izilwanyana;
• Ukuzaliswa kwamanzi.

Ukuxilongwa kwe-pulpitis ephambili okanye nayiphi na enye ifom iya kunceda ekuqinisekiseni ukuxilongwa ngokuchanekileyo, kunye nokuqwalasela indawo echaphazelekayo. Kule meko kuphela ugqirha unokwenza ngokuchanekileyo unyango kwaye uya kuyichitha njengoko kunokwenzeka ngokucophelela.

Nangona iinyosi ezincinci kufuneka zenze udokotela wamazinyo atyelele, ukuze angayifaki isifo aze alondoloze izinyo. Nakuphi na ukugula, kunye namazinyo, oku kusebenzayo, kulula ukunyanga, ukuba ichongwa ngexesha ngexesha lokuqala lophuhliso. Inqanaba lanamhlanje lophuhliso lwamayeza kukuba ukutyelela iofisi yamazinyo akusoloko ihamba kunye nentlungu, ukuxilongwa kwepppitis kunye nonyango lwayo lwenziwa ngokugqithiseleyo.