Izigaba ukwelashwa pulpitis nemithi kadokotela. ukwelashwa endodontic

Wonke umuntu emhlabeni ubhekene amazinyo, ke kungase kubangele ezahlukahlukene. Uma isikhathi akafuni bezokwelapha abanekhono, ngemiphumela yokungenzi kungaholela ezinkingeni ezingathi sína, okuyinto ngokuvamile bagcina nokukhishwa izinyo. Kuyinto ngokuvamile odokotela bamazinyo, behlola ngesinye isiguli, thola epulpiti yakhe. Kodwa yini epulpiti? Yiziphi izindlela main kanye izigaba ekwelapheni pulpitis umntwana futhi omdala?

Pulpit - siyini lesi zokugula?

Pulpit - yisishiso esithinta lenqwaba neurovascular (uginindela). Enye yezimbangela ezivame kakhulu ukuthi kuvusa ukuvuvukala, kuyinto caries, okuyinto enomthelela ukubhujiswa zamazinyo kwezicubu kanzima. namagciwane abangela izifo ukuthi ugcwalise umgodi, ingqondo i ukuvuvukala we uginindela (edume ukubizwa ngokuthi emsipheni yayo).

Indaphundaphu zingase futhi zibe ngenxa kabi olwenziwa inqubo ofakwe noma izinyo ukulimala. Kunezinhlobo eziningana pulpitis, yilowo nalowo kubo idinga i-ambulensi kusuka onguchwepheshe. Izindlela kanye izigaba ukwelashwa pulpitis for uhlobo ngalunye akhethiwe ngamunye.

izinhlobo pulpitis

Ngendlela kokuqala pulpitis by ukusabela uginindela ukucasuka kuyinto ngamanzi, phakathi kwesikhathi lapho kakhulu anda ukugeleza kwegazi e imithambo ye uginindela. Inani legazi ngaphakathi komgodi luyanda futhi ngaleyo ndlela kwakha ingcindezi ezincane yezinzwa, okuholela ubuhlungu buthuntu. Ngemva ukucasuka lisusiwe, ubuhlungu ngokushesha uhamba.

Ifomu okukhulu pulpitis kuhambisana sebuhlungwini obunzima. Uma uginindela akukakabi elikhanyayo kakhulu, inqubo ke kungenziwa wayeka, kulesi simo, ubuhlungu amuke ngokushesha. Indaphundaphu ingelapheka bebodwa, ukuba umuntu amane nje ukususa izimbangela yokucasuka.

Kuleso simo, uma uginindela yedwa awabuyiswanga, ubuhlungu uyaqhubeka behlukumeza futhi iba ngisho acute okwengeziwe, ikakhulukazi iyakhula ebusuku, ngaphandle kosizo wamazinyo Awukwazi ukwenza kakade. On luhlolo embule izinyo nge izimbotshana ezijulile futhi phansi ubuhlungu ngesikhathi Bebona. Izigaba ekwelapheni pulpitis kuleli cala, akhethiwe kuncike ekutheni izinyo uyoshaywa futhi uma ukuvuvukala usephendukele olwengeziwe.

ifomu ubovu - lokhu ingenye esindayo futhi libhekene ubuhlungu obuhlabayo ukuthi kunomonakalo omubi nakakhulu ebusuku, futhi kwehlise amaphilisi ezinhlungu yayo akusebenzi.

Ifomu njalo pulpitis libhekene nesimo sokuquleka, uma kukhona ashukumisayo, futhi uma ukuqeda ke, ubuhlungu amuke. ubuhlungu zibuthuntu singenzeka isikhathi eside. Phakathi ukuhlola kwaveza umgodi okujulile caries ukopha.

Okungalapheki pulpitis hyperplastic - iwuhlobo engelapheki, odinga ukuthi izinyathelo ezinkulu ziye zenza abantu yenziwa ekwelapheni pulpitis. Ngo izingane kanye nabantu abasha, leli fomu landile. Ibonisa hyperplastic uginindela izicubu ngokuthi uginindela polyp.

Necrosis libhekisela amafomu engelapheki zezifo, it libhekene kokufa uginindela ibonakala ngemuva isikhathi eside ayehlasela webhaktheriya noma is phetho acute ubovu pulpitis.

Izimpawu ze-pulpitis

Pulpit - isifo esiyingozi kakhulu ukuthi kudinga yokusabela esheshayo futhi ukwelashwa usizo kumuntu ofanelekayo. Uma esigabeni sokuqala lesi sifo ephelezelwa ubuhlungu ezidabukile, okuyinto dambisa umuthi wezinhlungu eyanele, bese oyingozi futhi ezingalapheki kubangela ubuhlungu obukhulu, okuyinto iyakhula ebusuku hhayi buthaka ngisho nangemva imithi.

Phakathi ukuchayeka ezizihluphayo izinyo - ezishisayo, mechanical imisebe noma amakhemikhali - ubuhlungu iyakhula. Uma esigabeni acute lesi sifo hhayi ukuqala ukwelashwa ke ekugcineni wonke kuzophela ifomu okungamahlalakhona, esibonakala by ubuhlungu ngesikhathi touch of izinyo, it is iyakhula lapho zihlatshwa imikhiqizo hot, futhi buthakathaka ngenxa yamakhaza. Uma ungenzi lutho futhi baqale ukufeza izigaba ukwelashwa pulpitis, yisishiso kungathinta isakhiwo emhlathini ithambo.

Kungani ngidinga ukwelapha pulpitis?

Uma sicabange umuntu njalo umatasa ezinkingeni ababhekene nazo emsebenzini noma umndeni, akusiyo njalo ngokushesha udonsela ukunakekela ubuhlungu kancane kule izinyo. Into yokuqala akwenzayo - kuthatha umuthi wezinhlungu, "Ketanov", "Nurofen", "Ketorolac", "Baralgin", "Nise" - bese ukhohlwa ngenkinga. Kodwa ngokuhamba kwesikhathi, ama-bacterium ukuthi zisekhona ekamelweni Indaphundaphu izinyo, iqhubeke ibhidliza futhi isahola ekupheleni yokuthi kukhona ubomvu e umsele impande.

Ngemva ubomvu ngaphesheya komsele impande, kukhona ecucuza, futhi kungaba ukuzibonakalisa hhayi kuphela ngesimo ukuvuvukala elincane izinsini, kodwa futhi njengoba izinga lokwehla kwamandla emali obuqinile eziqine wesimethri ukuhlukumeza. amafomu okunzima isifo zidinga ukuthatha izinyathelo sina pulpitis ukwelashwa, kungenjalo angase abhekane hhayi kuphela ukulahlekelwa izinyo, kodwa futhi pathologies ezifana ithumba, isifo igazi ekuwohlokeni kwamathambo.

Intuthuko endodontic

Ifomu yokuqala pulpitis ingelapheka ngokushesha okukhulu, nje edilini at udokotela wamazinyo, kodwa uma amafomu ezinzima zidinga eside ukwelapha pulpitis izinyo. Izigaba ukwelashwa isiguli kuzodinga aphoyintimenti eziningana, futhi ngayinye kuwo yakhelwe ngawe okudambisa ubuhlungu, zokukhipha igciwane izinyo izimbobo emazinyweni, nabanye, kodwa zonke ngesikhathi esihle. Uma yokwelapha impande canal kubalulekile ukulandela lezi zinyathelo:

1. , Izigaba ekwelapheni pulpitis isithombe kuqinisekisa ke, qala nge izinzwa, udokotela lehlukanisa izinyo kusukela ngamathe, asebentise liphepha lekurekhoda ezondile iraba - cofferdam, okuyinto superimposes emhlabeni izinyo lesiguli.
2. nokuhlanzwa Eminye Kwenziwa isiteshi ngemagciwane. Finyelela kusiteshi inikezwa asike izidumbu zabantu ingaphakathi, nokususa ophahleni uginindela chamber, ukudala ukufinyelela iziteshi ithuluzi.
3. Ukuhlanzwa isiteshi kuhilela mechanical futhi amakhemikhali magciwane.
4. Okulandelayo wire ekushicileleni isithombe eduze obuphelele yonke we-canal impande, kodwa hhayi ngale, ngakho-ke kubaluleke kakhulu ukunquma ubude isiteshi, ukwenza lokhu, kuqala ufaka amafayela, bese wenza-X ray.
5. udokotela magciwane Chemical kunesithembiso izinaliti ekhethekile zalutho.
6. Uma isiteshi kususwa ngokuphelele, udokotela iqala uphawu.

Uphawu - lena isenzo lokugcina wamazinyo uqeda zonke izigaba. Kodwa lokhu akukhona ukuphela kokwelashwa, udokotela namanje incoma ebambe ezinye izinqubo ezokwenza ukubhekana ngokuphumelelayo ne ukuvuvukala nokusiza ukuvikela kokushelela.

Ukuqatjhwa emva esigabeni sokuqala ukwelashwa

Ngemva udokotela oselaphe pulpitis, izinyathelo zalo ziphelele, uzodinga ukuba afeze ekuphathweni izidakamizwa kanye nezinqubo zingakahambi ekhaya izinsuku ezimbalwa:

• ikhasi lesikhwama sasekhaya - ukusetshenziswa laser, kuleso simo kungcono ukuba sifeze inqubo e apharathasi helium-neon. Engingakusho nje izinqubo embalwa nje ukuze uvikele umphumela zokwelapha futhi kuvimbele kokushelela.
• Ukuthatha imithi. Njengoba epulpiti - yisishiso ke nje udinga ukuthatha inkambo nonsteroidal ejenti eqeda ukuvuvukala, njengokuthi "ibuprofen" ukuze ususe ngokuphelele ukuvuvukala.

Kubalulekile kakhulu ukulawula lesiguli, ezifana ingane ngemuva wayengumuntu zonke izigaba ukwelashwa pulpitis ubisi amazinyo oyokwenziwa, kubalulekile ukuqapha isimo sakhe, futhi uma kwakukhona izikhalazo, ngokushesha ke uxhumane nodokotela wakho. Ingane ayikwazi njalo ukunquma ngokwakho kwenzakalani naye, ngakho udokotela leluleka abazali ukuwabuka noma nje ukuza yokwamukela control, ngemva kwezinsuku ezimbalwa.

Indlela ukunqunywa bunamandla pulpitis

Kukhona izindlela eziningana ekwelapheni pulpitis, omunye wabo kuyinto ukunqunywa esibalulekile, okubandakanya ekulondolozweni Indaphundaphu izinyo kuphela iziteshi, kodwa umqhele iyasuswa. Le nqubo kuyenziwa esimweni multi izinyo ngimangele. Le ndlela ingasetshenziswa for ekwelapheni owodwa impande amazinyo, futhi zonke ngoba phakathi coronal kanye impande uginindela esishintshashintshayo mingcele. Le nqubo icuketse letigaba ezilandelayo:

• labetibambile izinzwa wendawo;
• izindawo isusiwe ehlaselwe caries;
• uginindela isusiwe;
• umgodi izinyo izidakamizwa kusetshenzwe;
• e Isikali laying isiteshi is esikhulu;
• ngaphezulu esikhulu ikhava nangokuvikela;
• ukugcwaliswa yesikhashana.

Ngemva le nqubo, udokotela futhi uncoma ukwelashwa laser nezidakamizwa eqeda ukuvuvukala.

Indlela yokwelapha kuhlinzwa ka pulpitis

Kukhona izindlela eziningana ekwelapheni pulpitis, kuhlanganise nendlela okusebenza. Le ndlela kuhilela ukususwa emsipheni, futhi lokhu kwenzeka kokubili umqhele futhi impande izindawo. Le ndlela ibizwa ngokuthi i-canal impande. Isetshenziselwa amafomu eziphambili, lapho isidingo sokuthatha zonke izinyathelo ukuqala ekwelapheni pulpitis, izigaba aqukethe yokufeza manipulations ezifana:

• zonke izicubu ehlaselwe caries, yamba;
• It Ususe ezinzwa izingxenye coronal kanye impande;
• kusetshenzwe ngokucophelela iziteshi lapho emsipheni itholakala;
• Ngemva iziteshi uphawu, futhi ngemva umqhele ingxenye.

Kufanele kukhunjulwe ukuthi ngesinye isikhathi udokotela ukuba nizifeze zonke lezi izinqubo akazange ngokushesha aphumelele, ngakho udinga uzilungiselele ukuqinisekisa ukuthi ukuvakashelwa kuyoba ezimbili, noma mhlawumbe ezintathu.

Futhi manje sihlole kabanzi zonke izigaba ukwelashwa.

Izigaba ukwelashwa pulpitis: ekuhambeleni kokuqala kudokotela

Ngakho ukuze baqonde ngokunembile zonke izigaba ekwelapheni pulpitis, kubalulekile ukwazi ukuthi kwenzekani kanjani nokuthi awukudla wamazinyo:

1. Ngokuvamile isiguli efuna usizo emuva esikhathini lapho ukhathazeke sebuhlungwini obunzima engakunqamuli ngisho nangemva kokuthatha amaphilisi ezinhlungu, lokho ngokushesha udokotela kwenza izinto zokubulala izinzwa.
2. Ngemva umjovo uyokwenza, kusukela ukuqeda kwezicubu ehlaselwe caries, lokhu kwenziwa kusetshenziswa sokuprakthiza, okuvumela ukuba bayamba kubo.
3. Khona-ke udinga ukufaka cofferdam ukuze ama-bacterium ngamathe awuzange likhona kwisiteshi bahlanza.
4. Bese sebenzisa pulpekstraktora ukususa uginindela, leli thuluzi indenti mncane kakhulu futhi encane ezisiza donsa Indaphundaphu isiteshi mncane.
5. Okulandelayo udinga ukukala umsele impande ngokunembile ukugcwalisa ngokuphelele, futhi ngaleyo ndlela ukuvikela izinkinga. Ukuze wenze lokhu, wenze ze-X ray, iziteshi kule izinyo kungaba ambalwa, futhi lokhu kusho ukuthi kubalulekile ukukala ngamunye.
6. Ngemva zonke iziteshi iphathwa izixazululo isinqandakuvunda futhi ukusungula uphawu yesikhashana.

Kuleli ukuvakashelwa okokuqala kuzophothulwa, nakuba ngokuvamile hhayi njalo okokuqala kungenzeka ukuchitha konke lokhu, indlela yokuqala kungaholela izinzwa, reaming iziteshi futhi obeka imithi kuwo ukubulala emsipheni ebucayi.

I okwalandela nolokugcina ukuvakashelwa

Futhi nangu Ekuhambeleni kwakhe kwesibili kudokotela inikeza izigaba ezilandelayo ekwelapheni pulpitis:

• Udokotela kususa ukugcwaliswa yesikhashana, futhi ngemva isiteshi izidakamizwa.
• Ngaphezu kwalokho Iziteshi wageza antiseptics.
• Setha uphawu, lokhu kwenziwa kusetshenziswa Gutta percha futhi sealer.
• Ngemva-X ray wenziwa ukuhlola iziteshi uphawu kahle kanjani.
• Uma-X-ray wabonisa ukuthi konke kuhamba kahle, khona-ke ungakwazi abeke uphawu.

Kodwa akulona abadala kuphela uhlushwa epulpiti, wayevame ukhathazekile ngezingane abangenayo molars futhi avalele kuphela. Ukwelashwa nokuvikelwa pulpitis ezinganeni amazinyo eyinhloko has izigaba elula, kancane kuphela ezihlobene ekwelapheni zomdabu. Kodwa abazali kufanele bakhumbule ukuthi yokungenzi kanye ukubambezeleka ekwelashweni kungaholela ukuxakeka.

Izigaba ukwelashwa pulpitis amazinyo aphansi abantwana

Ingxenye uginindela e ingane kwenzeka ifomu ezinzima, ngakho kulesi simo, udokotela angase atuse ukuba ukususwa ingane izinyo, kodwa namanje uma kukhona kungenzeka ukuba ngiwusindise bite akusho ubuhlungu, bese uqhubekela phambili ukwelashwa. Izigaba pulpitis ukwelashwa amazinyo okuqala:

1. Ngesikhathi ukuvakashelwa kuqala udokotela lidalula nerve futhi kubangela nokunamathisela ezikhandla devitaliziruyuschee umphumela, kuyasiza ukubulala uginindela. Uma sifaka arsenic samanje, ngeke ugcine izinsuku ezingaphezu kwezingu-2, futhi ngaphandle nganoma iyiphi indlela arsenic bavunyelwe ukuphatha izinsuku ezingu-7.
2. Ohambeni lwakhe eduze izinyo injected into okukhethekile mummification kwengaphakathi elinegciwane, avame - ingxube resorcinol-formalin.
3. Ekuhambeleni zokugcina ukusungula uphawu unomphela.

Ukwelashwa nokuvikelwa pulpitis - inqubo ilula, uma sibheka isikhathi usizo kudokotela. Njengoba namuhla ngenxa yobuchwepheshe futhi izindlela eziphumelelayo ungakwazi ngokushesha ukwelapha izinyo obukhulu.

Musa ukuhlala kuze kube ngomzuzu wokugcina bese ulinda kuze ubuhlungu bengasenakubekezela, kungcono ukuvakashela udokotela wamazinyo njalo, khona-ke akudingeki ukubekezelela ubuhlungu futhi asuse izinyo.