Endodontic mankhwala mano. masiteji endodontic

mano amafuna kusamalidwa moyo wawo wonse. Chifukwa cha chikhalidwe chawo zimadalira thanzi ziwalo zathu mkati, makamaka matumbo. Iwo angathe kusunga ife ku matenda ndipo kumachitika mikangano ndi izo. kusapeza Special zikutifikitsa dzino kupweteka. Timamva ululu pa kukhudzana pang'ono ndi kukutentha kapena kuzizira chakudya, wotsekemera kapena mchere. Kodi ululu mano, muyenera yomweyo funsani katswiri, mano, pamene zizindikiro zoonekeratu mwina zimasonyeza kuti siteji zapamwamba za matenda mkati dzino. Pankhaniyi, njira yapadera, mmodzi amene ali endodontic chithandizo.

Nthambi wa mano - endodontics

Endodontics - malowa wa mano njira, lolunjika pa zochizira matenda yotupa wa zamkati dzino ndi zimakhala ozungulira muzu pamwamba - periodontal. Mawu akuti "muzu ngalande chithandizo" anachokera ku mawu awiri: "endo" amatanthauza "mkati" ndi "odonto" - "dzino".

chithandizo endodontic ndi chiyani?

Endodontic mankhwala - ndi ya magawo motsatizana chithandizo, umalimbana asayambe dzino. Mu chochitika cha amenewa wamba caries mavuto monga pulpitis kapena periodontitis, m'pofunika ntchito mwachindunji mkati dzino. Kuvuta cha njira imeneyi kuti buku mkati mwa dzino kungakhale yaing'ono kwambiri chilolezo mizu ngalande nthawi zambiri kotero yopapatiza kuti n'zovuta ngakhale kudziwa. Ngati mizu ali yokhota kumapeto ndipo linapendekeka dzino, pakamwa kutsegula chifukwa chilichonse yochepa, endodontics amakhala aerobatics mu mano masiku ano. Kumafuna mano kudziŵa zambiri ndipo yodziŵiratu zinthu pasadakhale, ndi cholowa mwa njira zosiyanasiyana zina zamakono matenda ndi mankhwala.

Endodontic chithandizo mano - zikuonetsa

zikuoneka kuti mankhwala:

1. Mitundu yonse ya pulpitis, sali pansi zamoyo chithandizo ndiwofatsa.
2. Pachimake ndi aakulu periodontitis.
3. Kufunika retreatment kale imachitika mankhwala endodontic.
4. Kukonzekera dzino kwa yopanga copings.
5. Kukonzekera akorona apulasitiki amafuna kwambiri Sanding molimba dzino zimakhala (kuphatikizapo ndi otsetsereka kwambiri kapena kulimbikitsa dzino la pachibwano).
6. Endodontic mankhwala asonyeza ku kukonzekera intracanal dzino whitening.
7. Chithandizo cha dzino wovulala, zomwe zinachititsa kuti kuvulala kwa zamkati kapena imfa yake.

Kodi pali contraindications aliyense njirayi?

Contraindications endodontic mizu ngalande chithandizo akhoza kugawidwa m'magulu awiri: mtheradi ndi wachibale.

contraindications mtheradi:

• periodontal matenda, amene salola kupulumutsa dzino;
• ngati dzino ndi kuchotsedwa pa zifukwa zina (supernumerary pamalo cholakwika dentition kapena chithandizo orthodontic kukhala pa kunatsala pang'ono kuchotsa dzino kwa zikuonetsa orthodontic, etc.);
• kotenga wovulala muzu dzino ;
• pamaso pa cysts kosamugonjera ndiwofatsa kapena opaleshoni chithandizo cha mapangidwe m'dera dzino muzu (osteomyelitis, Oncology, etc ..);
• aakulu ambiri mkhalidwe wa mtima ngati contraindication kwa mpheto monga njira endodontic chithandizo.

Wachibale contraindications:

• kwambiri kupindika m'njira mizu;
• Muzu ngalande kutsekeka (palibe chilolezo, pamaso pa zovuta kudzazidwa chuma);
• kukhalapo mu lumen wa muzu ngalande zinthu zakunja, monga zidutswa za zida;
• perforating khoma mizu;
• mikangano wodwalayo, kusafuna wake kuchitira dzino.

Zolinga anathamangitsa ndi dokotala pa mpheto izi

mavuto amene mano umakhala endodontic mizu ngalande chithandizo akhoza kugawidwa mu mbali zotsatirazi:

1. zida wosabala ndi zipangizo ntchito.
2. Kutalikirana kwa dzino wodwalayo malovu pa ntchito.
3. Quality tsankho kapena kuchotsedwa kwathunthu zamkati chofuna kapena kucotselatu kugwa kwake.
4. polimbana tizilombo toyambitsa matenda mkati dzino ndi muzu pamwamba.
5. Quality ndi kukula abwino m'njira mizu.
6. Full mizu ngalande kudzazidwa mu Volume awo onse sukhalitsa kapena okhazikika.
7. ulamuliro Quality wa mankhwala mu magawo ake onse.

Kukonzekera chithandizo chotere

zofunika kuchita kufufuza zonse pokonzekera endodontic ngalande mankhwala: matenda ndi kukonza magawo adziwitse za phukusi la. Ndi kuvomerezedwa kuphunzira kuyambirira X-ray. zimene timaphunzira ziyenera lucidly ankasonyeza kuti wodwalayo. Kamodzi chidzakhala akuoneka kuti mphindi zonse zofunika za chithandizo adzaimira, wodwalayo anasaina zambiri chilolezo chikalata.

M'pofunikanso kuonetsetsa pasadakhale kuti palibe contraindications wodwalayo kuti pamisinkhu yosiyanasiyana mankhwala adzaimira, makamaka ululu kasamalidwe likhale. Popeza zolondola zokhudza pakalibe ziwengo kuti dzanzi ndi zofunika kuchita mayesero ziwengo, amanena wodwalayo kwa dotolo, allergist.

Kodi mankhwala endodontic?

Chithandizo imachitika mkati dzino, ziyenera kuperekedwa kokha chifukwa madokotala amene aphunzitsidwa apadera, kutsimikiziridwa mwa kalata zogwirizana. Posankha njira mankhwala ochititsa dzanzi dokotala ayenera kusankha mankhwala yabwino kwambiri, kutenga nkhani mbali zotheka wodwalayo - pamaso pa mimba kapena matenda a dongosolo mtima, chifuwa kuti mankhwala enieni ndi zambiri.

Pa mankhwala, dokotala mosalekeza oyang'anira thanzi wonse wa mtima, ayenera kukhala okonzeka nthawi iliyonse pakamwa mankhwala chachikulu opereka chithandizo.

Nkofunika nthawi mankhwala ntchito zina njira matenda ndi mankhwala. Ntchito X- kapena pamwamba locator amalola molondola ndondomeko mizu ngalande, kuchepetsa chiopsezo muzu makoma choipa ndipo zimakhala padziko nsonga ya mizu, njira kumvetsa kapena pereplombirovaniya ndi zina zotero.

Ndi kuvomerezedwa odwala kuchenjeza zokhuza kuthekera mavuto osiyanasiyana komanso nkhawa mankhwala. Ndi zofunika kulongosola bwino deta asanalowe ndondomeko, zikuthandizani wodwala kusankha phukusi ndi chidaliro zambiri zimene dokotala.

magawo a mankhwala

masiteji onse chithandizo endodontic akhoza kugawidwa mu njira zitatuzi:

1. Kukonzekera mwayi kwa ngalande mizu. Apa ndi mankhwala, onse nonviable minofu excision M'mimbamo, antiseptic unachitikira zonse.
2. Ntchito mu ngalande muzu, kuwakonzekeretsa kwa kusindikiza okhazikika. dokotala ndi ndani anathandizapo chidwi muzu, amachotsa nthanoyi, kuphatikizapo wosanjikiza opatsirana ndi zipupa, kumaonjezera njira chilolezo choti kusindikiza zina. The nthawi zonse njira antiseptic mu lumen chidwi muzu pa chithandizo endodontic, nthawi zonse!
3. Pambuyo kusamba ndi Kupha kutupa Mankhwala oipitsa zosiyanasiyana asindikize mizu ngalande. Njira kudzazidwa zimadalira matenda ndi zoyenera dokotala. Akamaliza kulamulira ndi X-ray zizichitidwa. Kusankha njira zina ayambe gawo lakunja la dzino zina anakambirana ndi wodwalayo.

mankhwalawa periodontitis

Endodontic chithandizo cha periodontitis kumafuna gawo lina - zaapikalnuyu mankhwala. Atakonza mizu ngalande kumadzazidwa mwa iwo kuti mongoyembekezera kusungidwa mankhwala, pang'ono linanena bungwe la dzenje apical, angathandize kulimbana ndi matenda. The zambiri ntchito pokonzekera cholinga zochokera hydroxide calcium.

Mu nkhani ya mavuto a periodontal kutupa mapangidwe granulomas kapena cysts embedding mankhwala Mungathe kubwereza. Ngati ndi kotheka, kuwonjezera pa chithandizo endodontic imagwiridwa kuchotsa opaleshoni ya pamwamba ndi khoma chotupa.

Zovuta pa mpheto

Mavuto zambiri mankhwala endodontic zotsatirazi:

1. Wovulala chida mu lumen mizu ngalande.
2. Perforation a linga mizu.
3. Nondetection zina muzu ngalande.
4. Ndime osakwanira kwa ngalande mizu.
5. Nedoplombirovka mizu ngalande kapena kuchotsa owonjezera kudzazidwa zinthu kupitirira muzu.
6. Chosakwanira kudzazidwa ndi lumen mizu ngalande, zikubweretsa resorption wa muzu kudzazidwa.
7. Maonekedwe a ululu ndi / kapena kutupa mankhwala.

Pamene madandaulo kapena ngati kupeza mavuto awa mankhwala endodontic akusonyeza mobwerezabwereza. The chitsimikizo nthawi zafotokozeredwa mgwirizano, retreatment ndi ufulu. chithandizo mobwerezabwereza akhoza ikuchitika zonse kapena mbali ndi pereplombirovaniem okha njira anthu amene chosayenerera wapezeka.