Kuyini ESI amazinyo? iyona ESI kanjani?

Yamazinyo imithi umkhakha ethuthuka ngempela ngenkuthalo, njalo nokuba ubuchwepheshe bamuva yokwelapha kanye ukuxilongwa pathologies ezithile. Okusanda ukuthandwa okwandayo won EDP amazinyo. Le ndlela ivumela ukusazi ngokunembile isifo esikuphethe futhi zibeka ukwelashwa okuphumelelayo. Ake sibone ukuthi yini le kagesi uginindela test (EDI), lapho amacala kuboniswe isicelo yayo futhi ukuthi kukhona contraindication inqubo.

Ingqikithi yalo inqubo,

Le nqubo ibizwa amazinyo eyaziwa engaphezu kwengu-60, kodwa ngenxa yokuthandwa kwayo, liyakhula eminyakeni yamuva. Indlela kusekelwe yokukala izinga ukumelana kwezicubu temlomo kagesi. Ayanda ukusebenza, ngokujulile ukungena ukuvuvukala.

Indlela esebenzisa kwemizwa izicubu impahla ezazivuswa i kagesi. Ngesikhathi inqubo echaziwe embundwini excitation izinyo receptor. Yamanje ngesikhathi edabula uginindela ngeke kuyilimaze ke, njengoba akuvunyelwe alinganisiwe. Ngakho-ke, wena kumelwe engenalo ulwazi oludingekayo.

Ngokuvamile, singakhuluma ngalezi izibalo:

• Izinyo izimpande nge electroexcitability kwakhiwa ivela 2 kuya ku-6 microamps.
• Ukuze namazinyo eyinhloko izinkomba uhla efanayo.
• Ngesikhathi dentition kanye kumiswa izimpande electroexcitability noma ziyancipha kakhulu noma sahlukene nalo, kungase 200-150 ma. Lapho impande bakheké ngokuphelele, izinga esifundeni 2-6 ma.

ESI amagugu amazinyo, uma kuqhathaniswa evamile kunikeza umbono ukuthuthukiswa inqubo sokugembula. Ngokwesibonelo, e ukuthuthukiswa caries electroexcitability uwela 20-25 ma, lapho uginindela kuthintwa, izibalo ngaphakathi 7-60 ma. Uma yokusabela 61-100 ma, kungenzeka ukuthi ukuthi kukhona ukubhujiswa uginindela coronal, futhi ukuvuvukala uya emsukeni izinyo.

Ukuze uthole imiphumela esinembile, udokotela ngokuvamile libhekisela isiguli ukuqala ku-radiology zokuxilonga ukwazi endaweni nezinguquko sokugembula. Kodwa lolu cwaningo akukuniki isithombe esiphelele okwenzekayo, kuze kube manje ngeke ukusebenza kwe kagesi uginindela test.

Imigomo ukusetshenziswa EDI

Njengoba inqubo kuhilela ukusetshenziswa i kagesi, zikhona imithetho embalwa sokusebenza kwawo:

1. Uyabhala ukudlulisela udokotela futhi ESI inqubo yonke Kwenziwa ayewengamele esiqinile nokulawula.
2. Isiguli kumele ngokuqinile ukuhambisana nayo yonke izincomo kanye nezidingo udokotela. Ngaphambi inqubo yokuqala kufanele aqeqeshwe kahle.
3. ESI amazinyo is hhayi Kunconywa ngemva kokudla noma esiswini esingenalutho. Isikhathi elikhulu kuba imizuzu 40-60 emva kokudla.
4. Lapho inqubo wenziwa, awukwazi uvuke, ukuhambisa futhi ukukhuluma. Noma iliphi iqembu kungaholela amaphutha imiphumela.
5. Ukuqeda ingozi yokuthi umuntu abanjwe ugesi, ungathinti umshini, zama ukuzithiba ulungise umthamo wamanje.
6. Uma phakathi naleyo nqubo kukhona sebuhlungwini obunzima, ukuncinza, isiyezi, kufanele atshele unesi noma udokotela wakho.
7. Uma inqubo usuphothuliwe, isiguli edinga ukuphumula imizuzu engu-40.

Inhloso yalo kagesi uginindela test

Udokotela wakho lingabhekisela ESI, imigomo elandelayo:

• Yenza uphethwe umehluko.
• Chaza indawo nokugasela ngamandla inqubo sokugembula.
• Khetha indlela yokwelapha futhi ukuqapha ngempumelelo yalo ngesikhatsi ukwelashwa.

Izinkomba ESI amazinyo

Inqubo iboniswa khona noma izinsolo we pathologies ezilandelayo:

• Caries iyiphi indawo kanye degree of ukuthuthukiswa.
• Periodontitis.
• Pulpitis degrees obuhlukahlukene.
• Periodontitis.
• Sinusitis.
• Neuritis we emsipheni trigeminal noma ebusweni.
• Osteomyelitis.
• Actinomycosis.
• Neoplasm ku imihlathi.
• Ukulimala amazinyo noma imihlathi.
• umonakalo ngemisebe.
• ukwelashwa Orthodontic.
• simila Radicular.

Kungaphawulwa ukuthi cishe zonke izifo zesimiso yamazinyo ezidinga ukusetshenziswa ESI amazinyo ngoba ukusazi ngokunembile isifo esikuphethe futhi isabelo ukwelashwa okuphumelelayo.

Izimo for EDI

Noma yimuphi ucwaningo kanye eletkroodontodiagnostika azihlukile babe Izimo labo ukuze zisetshenziswe. Abakwazi ihlukaniswe isihlobo kanye ngokuphelele.

Emkhakheni yokuqala yilezi:

• Jitters nesineke, okungaholela Imiphumela olungalungile.
• Ukuba khona izinto eziholela ukuvuza samanje ngalo ingaphakathi ngomlomo. Lokhu kungenzeka uma izikhonkwane, imiqhele, ziyinhlanganisela, isimungumungwana perforation udonga isiteshi.
• Lapho kukhona isithiyo ukudlula olukhona njengamanje, isibonelo, ithebhu plastic noma umqhele amazinyo.
• ama-apharathasi elungiselelwe noma inephutha sokufeza inqubo.
• I ukushuba we ungqimba contact incane.
• Inqubo wenziwa ngendlela efanele.

Izimo Ingabe Ohulumeni Banalo Lonke zihlanganisa:

• Ukuba khona isiguli elingenalo iwashi lenhliziyo.
• okuthile engqondweni.
• Izingane ezineminyaka engu-5.
• Kuyinto engenakwenzeka ukufeza ephelele ukoma izinyo.
• Isiguli awukwazi ukubekezelela kagesi.

Izinzuzo nezingozi amasu

ESI (uginindela kagesi test izinyo) kunezinzuzo zako:

• Kulula ukusebenzisa.
• kulezi zindlela ezingezansi ezitholakalayo.
• Excellent ukubaluleka ulwazi.
• Udokotela unekhono ngqo ehhovisi ukufeza inqubo.

Kodwa kukhona nemibi:

• Kubalulekile ukuba sifeze inqubo efanele. Cabangela ngabanye ubuhlungu embundwini iziguli.
• Inqubo kufanele esekelwe yobudala.
• Kufanele acabangele izici zedivayisi. Cabangela degree of kumiswa izimpande.
• Le nqubo idinga kokubili izindleko impahla kanye nesikhathi.

ESI-apharathasi

Ezamazinyo practice yakhe isebenzisa kokubili imishini ezifuywayo angaphandle. Phakathi izindlela zakamuva ethandwa kakhulu kukhona brand ezilandelayo:

• Plus Mnene.
• Digitest.
• Vitapulp.
• Pulptester.

Kukhona phakathi onobuhle Russian ethandwa:

• PDE-3.
• PDE-1.
• HVS-01.
• OD-2.

Eyokuqala imelelwa onobuhle Russian kungukuthi kaningi lisetshenziswe, kusukela inqubo lizodinga umsizi, futhi akubona bonke odokotela kufanele umhlengikazi yabo.

Lungiselela idivayisi sokufeza inqubo

Ngaphambi kokuthi uqale inqubo, kubalulekile ukulungiselela idivayisi ukusetshenziswa. Lesi sigaba kuhilela manipulations ezilandelayo:

1. Okokuqala exhunywe electrode yekwentiwa kokhiye abafanele.
2. Ukuqalisa phansi.
3. Vula lisebenze kunethiwekhi.
4. Cindezela inkinobho "Vuliwe.", Lapho iyunithi isebenza, ukukhanya isixwayiso ufikela.

Ngemva kwalokho, kungenziwa bazitshela ukuthi amalungiselelo ilungele ukusebenza.

Ilungiselela isiguli inqubo

Ngemva ukulungiswa kudivayisi kudingeka zixazululwe yisiguli:

1. Kuyinto ukhululekile ukuba ahlale esihlalweni.
2. Chaza ukuthi bangazizwa phakathi naleyo nqubo.
3. Ukuze inyumbazana ngenxa phansi liyadingeka ukubeka uhlaka zenjoloba.
4. Lungiselela izinyo ezidabukile ucwaningo.

izinyo ukulungiselela simiswe ngalendlela lelandzelako:

• Sula ngezinyo, usebenzisa swab ukotini. Ngenxa yalezi zinjongo, akunakwenzeka ukusebenzisa utshwala noma ether.
• Uma amazinyo kukhona fat, ke kufanele basuswe.
• Ephambi kwezinduna caries emazinyweni kumelwe kususwe dentin esithambile futhi ome ingaphakathi.
• Uma kukhona ofakwe ziyinhlanganisela, kufanele zisuswe, ngoba le nto kuyinto umqhubi ezinhle wamanje.
• Ihlelwe isikhundla oyifunayo le electrode.
• I electrode yokwenziwa athe njó ngemuva esandleni futhi iqinile.
• I electrode asebenzayo athe njó amaphuzu abucayi.

ESI amazinyo - inqubo inqubo

Ngemva idivayisi kanye nesineke ESI sesikulungele ukuqala inqubo. Nginomdlandla, amandla kancane kancane kwandisa nje isiguli engazizwa ubuhlungu, esibuhlungu noma evutha isasasa. Umhlengikazi noma udokotela eqoshiwe embundwini amandla zamanje kanye edivayisini. ESI Abaningana impela ulwazi amazinyo. Izinkomba asivumela ukunquma ngokunembile egunjini lokuhlolwa kwezifo.

njengoba izinyo enempilo iyenziwa ukuqinisekisa ukuthembeka imiphumela.

Kucatshangelwe phakathi naleyo nqubo ukuthi phakathi idivayisi, isiguli wesifunda udokotela kumele ivalwe, kungenjalo ungeke ngempela uthole imiphumela ezinokwethenjelwa. Lo chwepheshe akumelwe gqoka amagilavu phakathi naleyo nqubo.

Ukuzesithole nesilinganiso imiphumela do izikhathi ezimbalwa futhi uthathe isilinganiso. Uma impendulo lesiguli ayishintshi kakhulu, imiphumela zinokwethenjelwa, kodwa ngeziphambeko ezinkulu kungenziwa esolwa ukusabela zamanga-HIV noma amanga-HIV.

Izizathu Imiphumela ayilungile

Lapho usebenzisa i-EDI amazinyo, izibalo kungase kungasheleli ngaso sonke zingaphenduka lesifanele. basabele kahle Amanga zingenzeka uma:

• Kwenzeka electrode ukuxhumana ingxenye metal, isib, ibhuloho noma uphawu.
• Uma isiguli akazange achaze ngokuningiliziwe ukuthi kufanele ayilindele ngakuluphi uhlangothi nendlela yokuthatha isinyathelo, angase isandla sakhe ngaphambi kwesikhathi.
• Kahle iphathwa uginindela necrosis.
• Akwenziwang a ngabodwa ezinhle kusukela ngamathe.

Kwezinye izimo, ungase wamukele imiphumela engemihle zamanga:

• Isiguli ngaphambi inqubo ukuphuza utshwala, opholile isiphuzo amaphilisi ezinhlungu.
• Lapho kulungiselelwa okubi umhlengikazi ukwenza ukuxhumana electrode we koqweqwe lwawo izinyo.
• muva Isiguli uye walimala izinyo.
• Idivayisi ixhunyiwe noma amabhethri ababuthakathaka.
• Izinyo sanqunywa muva nje, hhayi ngempela kwakhiwa ithiphu.
• A necrosis olungaphelele uginindela.
• Isifunda kagesi anqunywe, ngoba udokotela kusebenza amagilavu zenjoloba.

ESI kwezinye izifo

ESI amazinyo ngokwanele ulwazi ngoba pathologies ezehlukene kwamazinyo. Ngokwe udokotela ubeka amagugu etholwe i ukusazi ngokunembile isifo esikuphethe futhi elandelayo ukwelashwa. Cabanga ukusebenza izifo ezithile:

1. Amanani electroexcitability at caries ziyahlukahluka, kuye ngezinga sokuthuthuka:

• Uma zokugula isiqala nje ngendlela, ukufundwa kuleli uhla evamile futhi ilingana kusuka 2 kuya ku-6 ma.
• caries Deep unika tinongo 10 kuya 12 ma lapho ukubaluleka ifinyelela 20, kusho ukuthi yisishiso iseduze uginindela.

2. ESI nge pulpitis ukhiqiza imiphumela elandelayo:

• ifomu olunamandla futhi ebalulekile unika amagugu 20-25 ma, kulesi simo yisishiso Akuphazamisanga kodwa impande izinyo.
• Ngo ekubhebhetselisa pulpitis oyingozi futhi izinkomba ngaphakathi 20-50 microamps.
• Okungalapheki pulpitis fibrous - 20-40 ma.
• ifomu Gangrenosum libhekene izinkomba 60 kuya ku-100 uA.

Kuyadingeka ukuba acabangele, uma izinyo limbozwa metal noma imiqhele metal-Ceramic ke ukuchaza electroexcitability engasebenzi.

3. periodontitis ukufundwa ngokuvamile kakade idluliselwe 100, futhi angase afinyelele 150, futhi kwezinye izimo futhi microamps 300.

4. Amazinyo unomphela ngesikhathi kumiswa show kusuka 50 kuya 200 uA.

5. electroexcitability ngamazinyo ngokuyinhloko phakathi resorption izimpande 200 ukufinyelela.

Umuntu onolwazi olunzulu kumele kunakwe ngesikhathi sale nqubo embundwini ubuhlungu, okuyinto umuntu ngamunye. Yingakho kufanele angeke zisuselwe inani eliyisilinganiso okwesikhathi zokugula inikezwe. Ukuze uthole umphumela okuthembekile, ukukala electroexcitability namazinyo beqinile, amazinyo abamelene engumakhelwane. Ngempela kubalulekile ukuthi kwamazinyo e kwezimo ezifanayo, okungukuthi, degree of kumiswa izimpande, indawo emhlathini, nokuthi eqinisweni, ukufeza cishe akunakwenzeka.

ngabuka

Iziguli eziningi kuphela ukuzwa ngalokho indlela kusekelwe isicelo kagesi, ngokushesha uqala ukwethuka ayesaba ukuya inqubo. Kodwa ESI amazinyo (izimpendulo iziguli eziningi ukuqinisekisa ke) akuyona ingozi emzimbeni, futhi ngesikhathi kungekho ubuhlungu obukhulu, kodwa kuphela ukuluma kancane nokundindizela, okuyinto kudingeka ngamawala. Kodwa ithekhniki le kuvumela ukucacisa ngokunemba okukhulu zokugula, ngezinga sokuthuthuka, ukukhetha amacebo yokwelashwa.

Naphezu kweqiniso lokuthi emitholampilo yesimanje mncintiswano uginindela kagesi yokuhlola zokuxilonga imishini ukukhanya noma ukusetshenziswa laser, ngeke akwenze ngaphandle le ndlela wodokotela bamazinyo. izinyo EDI - inqubo ulwazi olukhulu ngeziguli esikhwameni akuyona eziyinkinga ngakho.

It lingahunyushwa baphetha ukuthi akunandaba ngaziphi izindlela udokotela iSifo lesi sifo, Into esemqoka ukuthi kwakufike ngesikhathi futhi kunembile. Kukithi uphethwe yini sincike ukuphumelela ukwelashwa.