Gingival imbobo periodontitis: isitatimende kanye nencazelo inqubo

Ezigulini eziningi ukuvuvukala njalo izinsini, nimangale futhi periapical ukuthi ungakwazi zelashwe periodontitis. Impendulo ingase ingabi esiyingqayizivele. Okuningi kuxhomeke ekutheni ukufunde uhlobo ifomu ukuvuvukala inqubo, ngezigaba isifo. Ngezinye izikhathi odokotela ukwenze gingival imbobo periodontitis. Ubani sikhombisa inqubo enjalo? Kuyini periodontitis? Sizokwenza ukuthi uqonde kabanzi.

periodont

I ezicutshini ayizwayo isikhala phakathi izinyo futhi nokubopha ku- ithambo alveolar emhlathini is njengoba periodontium ezaziwayo. igebe Periodontal iqala ngesisekelo igobolondo gum luphele ithambo alveolar. Etincenyeni letehlukene slot has a ukushuba ezahlukene, eduze phakathi impande yisona encane.

Periodontal yakhiwa lymph kanye kwalapho kuhlangana khona imizwa, kanjalo uya amandla bezihlahla yemisipha eziningi collagenous. kwakhiwa fibre ngasinye omningi polysaccharides namaprotheni ahlukahlukene. Injongo eyinhloko ukuqinisekisa ukuthi isakhiwo we ukuhamba izinyo. Ukwenza lo msebenzi, izigaba fibre kumelwe ukungena nezicubu namathambo.

ukuvuvukala periodontal

Ukuvuvukala ulwelwesi basal izicubu zezinzwa we izinyo libizwa periodontitis. periodontitis Okungalapheki igcwele ezinye usongo, njengoba izimpawu zezifo kungabonakali ngokushesha. Lesi sifo kungavuka iziguli zanoma iyiphi iminyaka, alinaso imingcele yobudala.

Uphawu lokuqala nezincane zesifo - iphunga ezingemnandi, ukopha izinsini lapho uxubha amazinyo. Ngokuvamile iziguli esekhala a ukungakhululeki ezithile lapho ukudla. Uphawu oyinhloko sifo - yenziwe yaba yasendaweni ubuhlungu, okuyinto onesigqi ngokwemvelo, kwandisa kanye nesikhathi akanayo indawo eqondile. Ngaphansi umthwalo osindayo ku izindwani kwandisa ubuhlungu, kuqina, ngezinye izikhathi ngisho engenakwenzeka ukuthola ukudla okuqinile phakathi clenching amazinyo. Ngakho kukhona ukunyuka kwezinga lokushisa komzimba. Ezimweni ezinjalo, nje udinga usizo wamazinyo. Ezimweni eziphambili kungadinga kokungenela kuhlinzwa. imbobo Gingival periodontitis ezenziwe ezimweni ezibucayi, kodwa ngokuvamile isinyathelo ezinjalo kusiza ugcine izinyo.

periodontitis acute

Uma ubuhlungu obuhlabayo waya esiteji lapho akunakwenzeka ngisho uthinte ngezinyo, izinsini zigcwala, ngokuvamile esihlathini izindebe, izinyo ngenkathi ukudiyazela futhi izinga lokushisa komzimba esingu up - lokhu kusho epulpiti kuphelile ukuthi wawuyini umsebenzi wakhe omnyama. nandaba yakho kwaholela eqinisweni lokuthi ukuvuvukala umsiki impande waphumela ngaphandle ephuthuma zonke izicubu ezizungezile izinyo waqala periodontitis oyingozi. isidingo esiphuthumayo ukuya wamazinyo, abazama ukulondoloza ezinyweni lakho, ungase udinge usike izinsini nge periodontitis, ungesabi. Emva inqubo, udokotela sizochaza ukuthi yikuphi okungaphezu kwalokhu kumele kwenziwe ukubopha amanxeba.

Periodontitis ngokuvamile ingaba ngenxa ukuhlukumezeka: umphumela akuphumelelanga ekwelapheni pulpitis, ngemva iluma okuthile okunzima. Odokotela bamazinyo shayela ukuvikela bezihlahla futhi ungalokothi ukuluma into kanzima.

periodontitis okungamahlalakhona

periodontitis Okungalapheki ekugcineni kuholela yokuthi irowu izinyo is Uzithukululile, Slots akhiwa phakathi kwamazinyo aso, izinsini opha hhayi kuphela yokuhlanza, kodwa futhi isimo quiescent (ngisho ebusuku). Isici nobuntu le nesenzakalo wukuthi esigabeni ihamba yanjalo acute nesifo. Ngokwesibonelo, isiguli kungashiwo ukuthi amazinyo, kodwa emva kwesikhashana ubuhlungu wayeka, lo mkhuba ngokuvamile kunjalo periodontitis granulomatous. Uma isifo Esimeni esinjalo, ukukhomba zokugula kusiza kuphela ze-X ray, kusukela nesineke bangezwa ukungakhululeki ezincane kuphela, namazinyo ukuhwalala iphunga ezingemnandi. Uphenyo luhlolo ingaphakathi ngemva sebethule lwezimpawu kungenzeki kumzwise ngisho nobuhlungu.

Aqokwe ze-X ray, isithombe ngokucacile indawo ebonakalayo elinefomu oyindilinga. ukubhujiswa okunjalo kwezicubu futhi ube granuloma, uma usayizi waso ingaphezu 1 cm, kuba - kistogranulema. Ifomu ezingamahlalakhona akunakwenzeka ukuba edingekayo ukwenza periodontitis cut gingival, kodwa ngemiphumela lesi sifo omshoshaphansi kakhulu. Ukuvuvukala esiteshini izinyo Kwenzeka ngezigaba, amagciwane ande futhi ihlaba umkhosi sebuningini ubuthi. Ukudakwa kungaholela ezifweni ezihlukahlukene nenhliziyo, izinso, amalunga omzimba kanye nezinye izitho.

izindlela

Ukuhlonza chronic acute periodontitis ukwelashwa kwamazinyo inikezwa udokotela ngokushesha. Eqeda le nkinga ngezindlela ezimbili:

• zokwelapha olandelanayo;
• surgically.

Physiotherapy kuyinto kwalokho ngempumelelo, uma umphumela omuhle etholwe usebenzisa potassium iodide electrotherapy, magnetotherapy, UHF ku zokugeza endaweni elikhanyayo, laser, upharafini.

Periodontitis akakaze waphulukisa omunye esiteji. Sibekezele baze usulaphekile ngokuphindaphindiwe kufanele uvakashele udokotela wamazinyo. Inqubo yokusiza isigaba ethile.

Ukwelashwa kwezifo periodontal: izigaba. imbobo gingival

Uma kutholakala ukuthi uphethwe yini, udokotela kufanele kuqala:

• ukuhlinzekela ubomvu outflow;
• ukususa izimpawu zokudakwa.

Ukuze sithole degree yentuthuko inqubo-X-ray inikezwa ukuvuvukala. Ngemva kwalokho, udokotela wamazinyo uzosebenzisana izicubu abathintekayo, ngaphambili asesebenzisa izinzwa. Kwangezikhathi kungalimala pulpitis, inqubo caries, impatho abanganaki odlule.

Periodontitis uqhubeke unsealing impande emseleni, lapho kwakukhona izinkinga. Lapho Dr. antiseptics ukubasiza kufanele ukusingatha.

Wokuqhuba abushelelezi ubomvu kuyoba kwakudingeka kwandiswe phezulu foramen apical of luyimpande izinyo.

Uma lesi sifo ugijima yokucucuza ngemuva, ngeke akwenze ngaphandle gum imbobo. Okulandelayo ukuvala emiseleni impande, udokotela isebenzisa swab ukotini.

Kukhona izindlela eziningana ekwelapheni periodontitis. Ukuhlolisisa indlela kakhulu - kuhlinzwa.

ukuphathwa Steel ka periodontitis okungamahlalakhona, izindlela

Ekwelapheni ukuvuvukala periodontal kuphela ezimweni ezimbi kakhulu baphendukela ekuhlinzelweni periodontal. Luhilela ukususwa ngokuphelele noma olungaphelele izinyo noma impande. Amazinyo yesimanje luqhutshwa isizinda esincane, kuze kube manje, ukuhlinzwa ivame ukuba zubosohraneniyu futhi has zonke izindlela ukwenza kanjalo.

Kodwa ngezinye izikhathi kudingeke senze izinsini imbobo (phezu izinyo ngokuhlakanipha, isibonelo). Lokhu kwenzeka ezimweni lapho okudingeka ukuba ayikhiphe ubomvu outflow ka periodontitis.

Bayanda odokotela abahlinzayo abalekele resection ka sokudlondlobala impande sisuswa ngaphandle lonke phezulu, kanti kuphela abathintekayo ingxenye. Inqubo ukususwa isezingeni izinzwa esiphezulu, ukuhlinzwa wenziwa ngokushesha okukhulu. Kungenzeka hhayi kuphela ukugcina izinyo, kodwa futhi esikhathini esizayo ukubuyisela umqhele wakhe, noma ngezinye izindlela.

Ukusebenzisa ithekhniki laser ivumela resection kanyekanye ukususa granuloma, simila. Le ndlela ephumelelayo futhi ngesikhathi ngaphandle kwegazi efanayo. Laser ubuchwepheshe kabanzi ukuhlinzwa premolars, amazinyo, canines.

Lapho ukuvuvukala e molars periodontal hemisection wenziwa, izinyo inqanyulwa, impande abathintekayo isuswe, ngenkathi sigcina izinyo enempilo nokululama izindlela wamathambo.

Gingivotomy (izinsini thwi Sectional)

Kwezinye izimo, awukwazi ukuvula amazinyo ukukhiqiza ukwelashwa ngoludala, ezimweni ezinjalo kubalulekile iphendukele Imi. Ngokuvamile imbangela nokugxambukela kungaba periodontitis. Ngemuva ukusika izinsini kwenzeka exudate outflow ka ubomvu. Liphinde kuboniswe ngoba ukuvuvukala periosteum ukuvimbela eziyingozi kakhudlwana.

imbobo Gingival ezimweni ezinjalo ngokuthi gingivotomy. Yiziphi izinkomba for gingivotamii? Amanye awo yilawa:

• ephaketheni ejulile kakhulu, ezinkulu, kodwa emincane izinsini;
• periodontal ithumba eyodwa enkulu;
• ukuvuvukala abekelwe emaceleni noma uhlobo periodontitis abekelwe emaceleni;
• Periodontitis ngokuvamile izinyo ngokuhlakanipha.

Kanjani isigaba izinsini?

inqubo gingivotomy Kwenzeka ngezigaba:

• Anesthesia.
• Asike izidumbu zabantu we yonke izinsini endaweni ukujula zubnodesnevogo ephaketheni.
• Sebeziqhumbuza zibheka (ezindaweni lateral).
• enezinto Otseraprirovanie.
• Ukususwa kwaleso sikhunta kwabiza ephaketheni. Ukususwa we epithelium ethintekile, kanye granules.
• Sutures futhi amabhandeshi.

Ukwelashwa ngemva imbobo gingival ngokuvamile kuxazululwa ngaphandle yezinkinga, imisiwe isilonda ngempela ngokushesha futhi ine azibe izicubu zamehlo.

I imbobo senziwa ngezindlela ezahlukene, konke kuncike kobukhulu ukuvuvukala, kanye izinkomba for zokukhwabanisa. Ingahle banquma ukuqhuba Gingivectomy (kwesigaba ovundlile). Kunoma ikuphi, umphumela yimpumelelo ukuhlinzwa ukunakwa okuningi kufanele kukhokhelwe asepsis. Asepsis ukugwema ukutheleleka amanxeba kuvimbela eziphilayo pathogenic emkhakheni kuhlinzwa. Ngaphezu kwalokho, kudinga ukusetshenziswa oyinyumba amagilavu, amathuluzi, napkins, tampons.

Njengoba izinsini ukuphulukisa

inxeba ngemva imisebenzi periodontal - Ukwakheka kwezitho ukuxhumana okusha yokwakheka bokuphila phakathi kwamangqamuzana nezicubu. Vele inqubo has izigaba eziningana:

• Ngemva Kumiswa ukungenela ihlule legazi ngalo sformirovyvaetsya imizuzu 10, siwulimi isithiyo, ukuvikela kusuka amagciwane alimazayo kanye nezifo.
• Phakathi 3-4 amahora Kumiswa abasha zezinzwa (granulation) izicubu.
• Collagen kwetinhlavu kanye epithelialization isifika izinsuku 7-10. Ngezinye izikhathi kungase kubangele silume encane.
• Nokuvuthwa nokuvuselelwa ihlala 2 kuya 3 amasonto. Isilonda kuyinto isikhathi eside, kodwa ukuphulukiswa ephelele kuza izinyanga ezimbalwa kuphela.

Okufanele ukwenze emva inqubo

Abaningi sizibuza ukuthi singenzani ngemva Imi izinsini? Yini esilondeni sokuphulukisa yayineminyaka okusheshayo? Ngemva kokuhlinzwa, udokotela wamazinyo kufanele ubaxwayise isiguli indlela yokunakekela ushingamu. Kodwa ezinye iziguli ungakhumbuli isimo kancane "ukushaqeka" lapho efika ekhaya ukuthi udokotela waseluleka. Ngakho izincomo emva ukusika izinsini:

• Ngemva kokuhlinzwa, udokotela uyobeka inxeba gauze ukumisa ukopha. Gcina kufanele kube okungenani imizuzu engu-20.
• Lapho ngifika ekhaya, udinga alale aphumule kancane.
• Akufanele kube ngemva kokuhlinzwa ukuthatha ukudla, aphuze noma yiluphi iziphuzo amahora amathathu. Ngaphezu kwalokho, ekudleni kufanele kube ukudla okuthambile sobabili kuphela esasiba khona, ukugwema ukulimala kusayithi imbobo.
• Uma uhlangabezana ubuhlungu obukhulu, ungakwazi ukuthatha noma yisiphi izidakamizwa analgesic. Ngosuku lwesibili emva kokuqala zokukhwabanisa kuyadingeka ukususa, kuzovimbela isilonda ukutheleleka kanye nokuthuthukiswa izinqubo ukuvuvukala. Ingasetshenziselwa ngoba uhlambulule "Furatsilinom", ezikhishwe of chamomile futhi esikweyoku.
• Zingakadluli izinsuku ezintathu, ngemva kokungenela akufanele usebenzise, ukudla kanzima ashisayo, futhi umlomo wakhe ububanzi.
• Beka umkhawulo zonke ngokomzimba, ukucindezeleka ngokomzwelo.
• amakilasi Banned ejimini, sauna, kubhavu ashisayo.
• Kuyo yonke sonto, kangcono ukuyeka ukubhema kanye notshwala.
• Akunakusetshenziswa musa cauterize le Zelenko ukulimaza, noma iodine. Ungafaki lutho ashisayo. Ngakho wenza kube nakakhulu!
• Udokotela wamazinyo angase akunikeze isicelo elwa namagciwane isilonda nilimaza ephulukisa ejenti ( "Solkoseril", "Holisal", "Stomatofit").
• Ukuze ukuqinisa amasosha omzimba, ungathatha izakhiwo multivitamin futhi immunomodulating ejenti.
• Ukuze isilonda ukulawula ngemva kwezinsuku ezinhlanu kufanele ubonane nodokotela.