Kuyini periodontitis? Ukwahlukanisa futhi Ukwelashwa

Periodontitis has amafomu amabili lesi sifo, futhi izinhlobo eziningana, okuyinto zingafani ukubonakaliswa yabo nemiphumela. Kubalulekile esifike ngesikhathi futhi ngokunembile akubheke, ngoba izimpawu zifana nezinye izifo kwamazinyo, kanye nemiphumela yokwelashwa engafanele kungaholela kwamazinyo.

ngesifo

I ezicutshini phakathi izinyo kanye alveoli libizwa periodontitis. Kuyini periodontitis? Kuyinto ukuvuvukala izicubu equkethe ama-lymph, imithambo yegazi, imizwa. Periodontal athwala umsebenzi damper - uma ukuhlafuna ukudla, ngoba kunciphisa umthwalo izinyo, ngokulinganayo wokuyidlulisela ithambo. Periodontitis livela ngezindlela ezimbili - oyingozi futhi ezingalapheki. Acute - into ezingavamile, njengoba ngokuvamile ukuvuvukala kancane, has a uhlobo eside futhi isikhathi eside akazange ukuzibonakalisa yinoma yimuphi izimpawu.

Izimbangela zesifo

Isizathu esikhulu isifo periodontal - angangeni ukutheleleka periodontal. Indlela Ukungena yayo kungaba ezahlukene, futhi lesi sifo ihlukaniswe izinhlobo ngesisekelo:

• intradentalny (vnutrizubnoy), siwumphumela yezinkinga pulpitis (ukuvuvukala kwezicubu yamazinyo yangaphakathi);
• ekstradentalny (vneshnezubnoy) eba ngenxa kwathatha ukutheleleka periodontal ka kwezicubu ezizungezile ku itheku, osteomyelitis.

Isizathu sokuba periodontitis lingaphathelaniswa ne ukutheleleka. Ukuthuthukiswa ukuvuvukala kwesinye iqala ngenxa ukuhlukumezeka noma ukuchayeka izidakamizwa. Ngokuqondene nalokhu kukhona izinhlobo ezingaphezu ezimbili periodontitis. imbangela Medical ayilungile ekwelapheni pulpitis, hit izithako kuyacasula ku periodontium. Kuyini periodontitis esibuhlungu, leli gama lisikisela: kwenzeka ngenxa umonakalo mechanical kuya izicubu kwamazinyo.

Izimpawu ifomu acute

Izenzo periodontitis olunamandla ludlule:

• amazinyo futhi endaweni nxazonke zalo;
• soreness lapho bathinteka ngezinyo;
• ukuvuvukala izihlathi, kwezindebe, izinsini;
• izinyo ukuhamba;
• okuvela fistula - imbobo gum ngokusebenzisa yiwo ogelezela ubomvu.

Esigabeni sokuqala lesi sifo libhekene ubuhlungu buthuntu futhi anda uma ziqhubeka izinyo. Nge ukuqhubeka ukuvuvukala futhi ushintsho ubovu ifomu emizweni abe ubude abukhali futhi isikhathi eside. namazinyo esonakele zingasuswa ngokucindezela ngomunwe ku izinsini avele yokucucuza. Ukuwohloka isimo jikelele zomzimba, umuntu uba evilaphayo, uzizwa ebuthakathaka, kungase kube khona ubuthongo thuthuva, imfiva.

Izenzo amafomu okungamahlalakhona

Kuyini periodontitis ezingamahlalakhona ngokoMthetho izimpawu? Lesi sifo kubonakala ngezibonakaliso omnene: umuzwa wobukhulu futhi distention, ukungakhululeki, ubuhlungu buthakathaka izinyo abathintekayo ngenkathi ukuhlafuna. Ngezinye izikhathi lolu hlobo isifo periodontal kutholwa kuphela ngemva ze-X ray. Ifomu ezingamahlalakhona ngokuvamile kuholela kwamazinyo kanye ibonakalisa yayo cishe kobuhlungu futhi abantu abaningi abakwazi bebona kudingekile kudokotela. Umphumela yobudedengu kungaba impande simila, edinga ukususwa izinyo. periodontitis Okungalapheki kungenzeka nge nezinkinga ezingase zenzeke nge izimpawu ezifanayo njengoba ifomu oyingozi.

Izindlela periodontitis

periodontitis Okungalapheki kuncike uhlobo ukuvuvukala zihlukaniswe izinhlobo ezintathu:

• Fibrotic. Ifomu engalimazi kakhulu, eba ngenxa nokunwetshiwe yizifo periodontal. ukuqhutshwa kungelashwa e ifomu elilandelayo.
• Granulating. It libhekene izinguquko izakhiwo periodontal, ukukhula granulation izicubu.
• Granulomatous. Granuloma kumiswa.

Uma ukwelapha periodontitis ayixhunyiwe ku-intanethi, lesi sifo kancane kancane usuka kumentshiso kumumo more xaka.

periodontitis Okungalapheki zingahlukumezana. It kubonakala ngaphansi umthwalo njalo phezu ngezinyo, kuyilapho yekhwalithi ephansi ofakwe, noma ngokuqondene nokwakheka sici. Ngokuvamile lolu hlobo isifo liphenduka periodontitis nengivuvuke uyaqhubeka ushingamu bone.

Kwasendaweni ukwaba eziseceleni nemibhalo apical periodontitis izinhlobo. Eyokuqala ihilela lesion we ulwelwesi basal yisishiso ikhefu kuthinta nemisipha yesibili lapho ubambe izinyo kule alveolus. Ifomu ezingavamile zesifo - kuyinto retrograde, lapho lesi sifo ongena ngesango lymph kanye igazi emithanjeni yakhe.

Izinhlobo periodontitis acute

periodontitis olunamandla eba ngokushesha. Ezinsukwini ezimbili yefomu sokuqala lesi sifo siba ubovu. Kunezigaba ezine periodontitis ifomu olunamandla ludlule:

• Periodontal. Ubovu ukuvuvukala akayi phesheya crevice periodontal.
• Endosseous. ithambo athintekayo.
• Subperiostally. Ukuvuvukala likhula, ezidlula phansi periosteum.
• Submucous. Ubomvu singena izicubu zomzimba ezithambile.

ukuhlola

Ukuxilonga izifo ejwayelekile ukubonakaliswa emitholampilo: ubuhlungu, ukuvuvukala. On udokotela kungathola gum ukuvuvukala, ububomvu, izinyo esondweni, nilimaza kumiswa ubomvu. The main lunqume e sitholakele umphongolo ze-X ray. Esikhathini isithombe kwembula ukuhwalala enamandla phezulu impande izinyo - isikhwama ubovu. Uma isiguli esolwa periodontitis, izithombe ukunquma ngokunembile isifo esikuphethe futhi komqondo nezinga lokukhula kwengane lesi sifo.

ukuxilongwa umehluko

Lapho uphethwe kunzima ukuhlukanisa isifo omunye komunye, njengoba kukhona izifo eziningi amazinyo, okuyinto babonisa izimpawu ezifanayo. ukuxilongwa umehluko periodontitis iwukuba ukukhomba uhlobo isifo futhi lihlukaniswe abanye. Ngakho, epulpiti - isifo esifanayo, kodwa kuthinta kwezicubu ezithambile - uginindela at kokubhujiswa kwalo ngenxa yokuntuleka ekwelapheni ukushisa kanye nenqubekelaphambili ukutheleleka lingena okwengeziwe, okuholela periodontitis. Ukuze ekwelapheni periodontitis iye yaba nezithelo, kubalulekile ukuba kahle ukunquma ezakheke futhi ifomu.

periodontitis fibrotic

Isikhathi eside ukuvuvukala ephelezelwa izinguquko remissions futhi exacerbations simenza ukuxilonga ezingamahlalakhona periodontitis fibrotic. Ngokuvamile, awusebenzi ukuzibonakalisa isikhathi eside. Xilonga naso, njengoba ngisho ngesikhathi kuqala izimpawu kuthiwa ashiwo kalula kwezinye izifo kwamazinyo. izimpawu Iningi evelele of periodontitis fibrous: izinyo iziteshi ukuhwalala ubuhlungu lapho zimba kanti ukungezwakali kwawo ngaphansi isenzo ukushisa, kanye palpation. Imbangela zesifo - ukutheleleka nge nezilwanyana ezincane izinyo kwezicubu. Ngokuvamile periodontitis acute okuphuma ibe fibrotic ezingamahlalakhona ukuphazanyiswa elingalungile noma ukuntula. Khona-ke umuntu uzizwa kanjani gidi nokuqothulwa kwezinto izimpawu, kodwa edukisayo kuphela, ngoba ukuvuvukala aqhubeka aguquka kwifomu kakhulu. caries Futhi, ngesizathu kungenziwa umkhankaso, ukulimala lokukhanda.

Ukwelashwa lwenzeka ngesikhathi uhlelo ezilandelayo:

• analgesia (esimweni kokufa uginindela ayidingekile);
• ahlanzayo evele izinyo uqwembe;
• ukususwa ethintekile izinyo izicubu, ezishintshe umbala;
• kokukhipha uginindela;
• Umsuka canal isandiso, ukugeza ngayo izixazululo isinqandakuvunda;
• imbobo uphawu.

Inqubo impande ukwelashwa umsele of periodontitis futhi kungenzeka ukusebenzisa izindlela ezintsha ezifana diathermy (moxibustion futhi inzalo yabo esebenzisa imvamisa high lamanje) kanye ultrasound.

granulating periodontitis

Kuyini periodontitis granulating? Lokhu ekwandeni granulation asesibelethweni engxenyeni engenhla impande ngezinyo, ephelezelwa ukubhujiswa amathambo periosteum. Kuvela ngenxa ukutheleleka, avame kwetintfo ka ukubola kwamazinyo, periodontitis ezinzima, pulpitis. Kungase futhi kube umphumela ukuhlukumezeka: ukwa, ukulimala, dislocation we izinyo afakwe kahle uphawu abakucasulayo imiphumela izidakamizwa ekwelapheni impande emiseleni, malocclusion. Lapho granulating ubuhlungu periodontitis kwenzeke phezu ukuhlafuna yasentabeni, lokushisa umehluko, futhi ngaphandle isinyathelo lokukhanda.

Izinyo ukuhamba siyenzeka, ubovu ocucuzayo, okuholela onukayo, reddening we gingiva. Okubi kakhulu kungadala abscesses, granulomas ekwakhekeni, Ukungena amagciwane egazini ukuthi kuphakamisa komzimba kanye izifo ezihlukahlukene kwezitho zangaphakathi. I yokwelapha ihilela ukugeza impande emiseleni, ukuthuthwa kwendle, izimvu zamanzi lesikhashana uchwepheshe ukulawula ukugeleza ukuvuvukala. Uma ukuqhubekela phambili kwesifo zamabhasi, elungisa percha Gutta nomqhele izinyo kubuyiselwa. Endabeni ukuthi udokotela wamazinyo akaboni intuthuko omuhle yokwelashwa, kubalulekile ukuba baphendukela isilinganiso kakhulu - ukususwa.

periodontitis granulomatous

Lolu hlobo isifo libhekene ushintsho isakhiwo izicubu kanye nokuthuthukiswa entsha - granulomas. Ngesikhathi besanda kuqala, uphawu okuyinto e ukuqhubeka ukuvuvukala egcwele nezilwanyana ezincanyana, amasosha omzimba fibrous namaseli granulemnymi. Ekugcineni, ngokungabi bikho kokwelashwa, isifo kubangela izinhlumba, ithambo elimazayo.

Okungalapheki periodontitis granulomatous eba ngezizathu ezifanayo njengoba izinhlobo - ukutheleleka ngenxa yezinkinga caries noma pulpitis, impatho abampofu. ukungakhululeki lapho kubonakala ngenkathi bedla, ukuhwalala umqhele ingxenye. Kutholwe i-X-ray luhlolo. Okubi kakhulu libhekene sebuhlungwini obunzima, ukuvuvukala izinsini evuvukele zamanzi.

Uma kwakhiwa simila ingelashwa is, izinyo kumelwe kususwe. Ukwelashwa kungase kube indlela zokwelapha okuhlanganisa ukunwetshwa komgudu, ukuthuthwa kwendle yayo, ukuphatha izidakamizwa kuya ekubhujisweni futhi granuloma izicubu ukuvuselelwa. Indlela kuhlinzwa kuhilela ahlabayo gum nokususa ingxenye impande nge granuloma. Ngemva ukugcwaliswa iqhutshwa futhi suturing.

periodontitis Non-ezithathelwanayo

periodontitis Obungapheli livela ngezindlela ezimbili - oyingozi futhi ezingalapheki. Eyokuqala kwenzeka nengivuvuke sihlotshaniswa ukulimala ngenxa yokushaqeka. Kubonakaliswa displacement of izinyo, ukuhamba alo, elithambile izicubu ukudabuka, futhi ngenxa yalokho, umqhele umbala ushintsho, impande ukwa. Eyesibili ehlangene njalo isinyathelo mechanical phezu izinyo nomthwalo omkhulu, okuholela ukulimala (isib ngenxa occlusion angaphilile noma ukubekwa uphawu ompofu). Izindlela nokwelashwa periodontitis kuhlasimulise zivame kakhulu ezihlobene nokususwa izinyo lilimele.

periodontitis Medical kwenzeka ngaphansi kwethonya izidakamizwa, ezisetshenziswa for ofakwe futhi yingaba yini engakusiza. Lolu hlobo isifo kungaba umphumela ezihlanganisa ukusabela kabi komzimba izidakamizwa.

nokuvuselelwa

Ngemva ekwelapheni periodontitis ingase ibakhathaze futhi umuzwa ingcindezi, okuyinto lihlotshaniswa ukuluthwa zisifake ukuba ukugcwalisa impahla. Ngokuvamile lezi zimpawu zinyamalale ezinsukwini ezimbalwa uma lokhu akwenzeki, udinga ukuvakashela udokotela wamazinyo. Phakathi ezimbili - amahora amathathu ngemva kokuhlinzwa udinga give up ukudla nokuphuza, futhi esikhathini esizayo ukunikeza abanye izinyo abathintekayo - musa ukuhlafuna ohlangothini lwakhe. Kuyadingeka ukuba uqaphele lapho uxubha amazinyo, gwema ukubhema kanye notshwala, njengoba lezi ezizihluphayo kungabangela ukopha.

Ngemva kwezinyanga eziyisithupha ukwelashwa kufanele ihlolwe ngudokotela futhi kabusha enze zokuqapha-X-ray ithambo izicubu sokubuyiselwa. Qualitatively ababulawa operation eyeka ukuvuvukala, ikhuthaza izicubu kokuzalwa akakubangeli yezinkinga recurrences lesi sifo ngokuhamba kwesikhathi ngokugcwele abuyiselwe ukuhlafuna umsebenzi dentition. Uma emva kokwelashwa ubuhlungu iqhubeka futhi kwagcizelela, kukhona ukuvuvukala izinsini, izinga lokushisa likhuphuka, ngakho ukuphathwa kwenziwa kahle futhi hhayi kukhiqizwa elamukelekile. Kulokhu, udinga ukuvakashela emtholampilo retreatment.