Gulu la periodontitis, zimayambitsa, matenda, mankhwala

Chabwino, pamene mano ndi wokongola ndi wathanzi ndi kunyezimira kumwetulira. Koma, mwatsoka, ambiri a ife kukwaniritsa zonsezi, tiyenera kusintha kwambiri khama ndiponso amawononga ndalama zankhaninkhani, chifukwa mano zoipa - si odzola chilema, kumakhalanso mumamva mavuto. Ziphe miyoyo yathu, kupatula caries odziwika bwino, ambiri matenda ena mano, mmodzi amene ali periodontitis. chiwonetsero ndi njira ya chithandizo kumatengera zifukwa zingapo. Kuti mwanjira bungwe zizindikiro ndi kukhala njira wamba zochizira milandu ofanana, pali gulu la periodontitis. M'dziko la anatulukira angapo, koma mu Russia makamaka ntchito dongosolo anayamba Lukomskim I. G. kufotokoza ndi momveka bwino.

periodontitis

Musanayambe mungandiuze zomwe zili mu gulu la periodontitis, tiyeni kuthana ndi matenda palokha. Nthawi zambiri anthu amasokoneza ndi periodontitis, kapena sindikuwona kusiyana, chifukwa maina awo akufanana kwambiri. Ndipotu, periodontitis chifukwa cha mavuto ndi periodontium - dongosolo lonse la zimakhala zosiyana, kulimbitsa mano mu nsagwada mabowo (alveoli). Periodontal - mmodzi wa zigawo zikuluzikulu za dongosolo zikuluzikulu. Ndi minofu kapena svyazochki agwilitse danga pakati pa mbale ndi alveolus wa simenti dzino mizu. The makulidwe a periodontal pa 0.2 okha mm, koma kuti amaona mano mu alveoli ndi wogawana kugawira katundu pakati pa alveoli ndi dzino pamene kutafuna, amanyamula ntchito chipangizo, kuteteza ndi trophic. Ngati pa zifukwa zina, periodontium chofuna matendawa amayamba periodontitis apical. Zimenezi zingachititse kuti zotsatira Kalanga kwambiri, ndi imfa mwa dzino, kotero ndikofunika kudziwa zifukwa chifukwa cha iye ndi zizindikiro khalidwe.

The pachimake mawonekedwe a matenda periodontal, sitepe yoyamba

Mu mankhwala, mwa matenda ambiri kusiyanitsa mitundu zokhudzana zimayambitsa awo (etiology) ndi madzi chikhalidwe (pathogenesis). Izi facilitates kwambiri matenda ndipo, chotero, amathandiza kugwira chithandizo kumabungwewa. Gulu la periodontitis pathogenesis allocates mitundu 2 - wina zokometsera, ndi aakulu zina.

Komanso pachimake periodontitis ali magawo awiri - serous (choyamba) ndi purulent (wachiwiri). Mu nkhani yoyamba, zikukuvutitsani kwambiri za kupweteka kwa dzino kukhudza aliyense, koma nthawi yomweyo wodwala akhoza akusonyeza kumene zimapweteka. boma mwina masiku angapo milungu iwiri. The dokotala pa nthawi ya kuyendera amaona wodwala mu dzino caries dzenje, koma cholinga chake kusapeza mu mtima sayambitsa. An chizindikiro zofunika za periodontitis pachimake akuti ndi kutupa kuzungulira dzino vuto mucous. Mankhwalawa tichipeza mu kuchotsa otsekeredwa mu ngalande matenda mizu ndipo anayamba kusindikiza. Choncho ndikofunikira kuti kuchotsa mitsempha, kuti njira kwathunthu umakaniko kutsukidwa, mankhwala kuti azichitira periodontal ndi dzino khalidwe chisindikizo.

The pachimake mawonekedwe, yachiwiri

matenda umenewu umatchedwanso pachimake purulent periodontitis. Izo zikhoza kukhala ku periodontitis serous, ngati ankachitira bwino, kapena ayi mpaka kumapeto. Odwala matenda ndi kuwawa ndi amphamvu kwambiri, kugunda, pom'ng'amba, zoipa kukhudza aliyense choperekedwa (wodwala simungadziwe kwenikweni kumene zimawawa).

Kuwonjezera izi, pali zizindikiro zina:

- malaise;

- mutu;

- kutupa m'kamwa, ndipo nthawizina masaya;

- kutentha;

- zina dzino kuyenda.

Kuzionetsetsa zambiri kwavumbulutsa kuti dzino kupweteka kale kudzaza kapena iye wavala chisoti chachifumu. Kodi kuchiza dzino mu nkhani iyi? Ntchito yaikulu ya sing'anga ndi kuchotsa mafinya ndi nkhani matenda a ngalande muzu, kuchotsa kutupa kuti amapangidwa kudzera mankhwala ndi mankhwala thupi. Itha chithandizo zisindikizo staging. Ngati mano sizingasinthe, izo anang'amba.

Matenda periodontitis fibrous

Kuwonjezera pachimake, pali periodontitis aakulu, loyenda popanda zizindikiro zowoneka ndi amaganiza kuti ndi zovuta matenda. Kuonetsetsa mtundu ngati:

- fibrous;

- granulomatous;

- granulating.

Onse atatu a mitundu imeneyi kungakhale kovuta kusiyanitsa "ndi diso", kotero matenda ikuchitika mothandizidwa ndi X-ray tomography zina. Monga ulamuliro, aakulu periodontitis kumaonekera yekha mu nthawi ya exacerbation. Pamene fibrous mawonekedwe mano wodwalayo, odwala ndi osiyana pang'ono, mdima kamvekedwe kuposa wathanzi, angathenso zinthu zina tilinazo pang'ono kwambiri kutafuna kovuta zomveka nkhawa. Mankhwala a mtundu uwu wa mavuto matenda zambiri sichiyambitsa. Ulendo woyamba anapanga kuchotsa fibrous zamkati gawo, njira thambo kuchotsa mitsempha (pansi ochititsa dzanzi) ndi kudzazidwa zosakhalitsa "Metapeksom". masiku 3-7 anatsegula njira yatsopano, kuchotsa zipangizo osakhalitsa, kukhala chisindikizo okhazikika. Ngati dzino pambuyo gawo loyamba limaphwanya, M'mimbamo ake lidzatsegulidwa ndi wotseguka kwa masiku angapo amene wodwala wochititsidwa mankhwala.

Matenda granulomatous periodontitis

Pamene granulomatous mawonekedwe kuzungulira periodontal M'mimbamo anapanga wapadera - granuloma, nkomwe kupereka zizindikiro zilizonse, koma nthawi zina pamakhala kulira kwa odwala ena dzino tilinazo wodwalayo. Granulomas m'chimake ulusi akupanga minofu fibrous, nthawi zambiri umasanduka periodontium lapansi. Onetsani imeneyi mungathe X-ray. Pa Kupenda matenda, dokotala ndikupeza woterowu chisindikizo kapena lalikulu carious dzenje ubwenzi pansi chisindikizo kapena korona, koma ndime ya kafukufuku njira ululu mtima sayambitsa. Kodi kuchiza dzino mu nkhani iyi ndipo ngati kuli kofunika kutero ngati pali kudandaula ayi? Kuchitira m'pofunika aakulu periodontitis si wangokhala lakuthwa, kuti asataye dzino. mankhwala ndi kuthetsa gwero la matenda. Ndi zizindikiro anagwira endodontic (chakale) mankhwala ndi kuyeretsedwa mwa akufa njira zimakhala ndi chidindo kutsogolera Koma ngati njira imeneyi palibe chifukwa, zina kutsatira alowererepo opaleshoni monga resection wa dzino m'malo resection nsonga mabvuto muzu ndi kuchotsa pafupi zimakhala hemisection kapena kupatukana inatsekeratu-radicular.

Matenda periodontitis granulating

fomu iyi amakhala ndi exacerbations pafupipafupi, ndipo fistula lomenyera zimakhala periodontal. Childs, odwala amadandaula kupweteka dzino, ndi kuthamanga kuwonjezeka pa izo (kutafuna). Nthawi zambiri vuto m'madera ozungulira mucosal minofu chofuna, ndi kutupa, fistula, zomwe mwina protrude ku granulosa minofu, mafinya. Akufufuza mpata Channel ndi palpation wa m'kamwa kungakhale chopweteka. Mankhwala ofanana ndi amene anachitika pa granulosa periodontitis. Dokotala amachita chithandizo endodontic, choncho n'zosatheka kugwira dzino resection (muzu wake pamwamba), excision yake kapena hemisection. Kumbukirani kuti chifukwa granulating periodontitis akhale chisamaliro kuchepa mano ndi malowedwe mu matenda periodontal, ndi kuwonjezera, malocclusion, matenda a shuga ndi matenda ena. Ngati periodontitis granulating anayamba kutichitira nthawi, dzino angapulumuke.

Gulu la periodontitis pa etiology matendawa

Malinga zimayambitsa periodontitis, mitundu zotsatirazi:

- opatsirana Matenda;

- zoopsa;

- mankhwala.

Ana pa etiology wa zosayembekezereka ya periodontitis ndi matenda ambiri pamene amines biogenic kapena yaying'ono-zamoyo ndi poizoni awo umalowa mu periodontal kuthamanga kwa cavities.

opatsirana periodontitis

Itanani fomu iyi ya tizilombo matenda osiyanasiyana (streptococci, veylonelly, bowa yisiti ndi ena), lomwe kudutsa minofu periodontal ku ngalande muzu, gingival mthumba ozungulira zimakhala komanso magazi kapena lymph pamene matenda zosagwirizana mano (typhoid, fuluwenza, sepsis , sinusitis). lakuthwa a mano - ndi chizindikiro chachikulu cha matenda. Nthawi zambiri exudate periapical amasonkhana, kunja anasonyeza mucous kutupa ndi masaya, ndi ngalande mizu ndi fungo zosauma. Chithandizo ayenera kuchitidwa ndi akatswiri, amene ayenera kusonyezedwa pakati mano. Pali kuthekera kuti ndi uthunthu wonse wa ntchito achire, kuphatikizapo mankhwala maginito ndi laser. Kudzazidwa ngalande muzu, umene mokakamiza kuchotsedwa mitsempha anapanga osati woyamba, ndi zambiri osati mu paulendo wachiwiri. dokotala ayenera kusiya dzino lotseguka kuti achire zonse za madzimadzi, kuchita njira disinfection, ndiyeno kokha chisindikizo. Ngati mankhwala si zotsatirapo, dzino zoipa kuchotsedwa.

zoopsa periodontitis

Chifukwa mawonekedwe matenda zosiyanasiyana kuvulala makina dzino omwe angagwe pamene zochita zotsatirazi:

- dinani mano mtedza kapena mbewu;

- snacking ulusi waya;

- wosalolera mano kuyeretsa ntchito floss mano;

- nkhonya, contusion;

- bwino ndinazolowera prosthesis (kutumikira kapena ayi zokuzira pansi korona dentition);

- yotundumukira kunja kwa mpanda chisindikizo.

Zonsezi zingachititse kutukusira mu chapamwamba mbali ya ululu periodontal (zochepa kawirikawiri mmphepete), magazi m'kamwa ndipo pamapeto pake akuchuluka wa periodontitis. Chithandizo ikuchitika malinga ndi zizindikiro, koma chinthu chofunika ndi kuti ali paulendo woyamba kuchipatala mano wodwalayo - kuthetsa gwero la choipa (kuchotsa mbali yotundumukira kunja kwa mpanda wa chisindikizo, kusintha korona).

zachipatala periodontitis

Izi mawonekedwe a matenda angayambe kudzera vuto la dokotala kapena wodwala. Nthawi zambiri, mankhwala ndi kutumikiridwa kwa mankhwalawa periodontal malo (mwachitsanzo, Arsenic, piotsin), amene wawononga mizu ngalande. Chifukwa ndi kuotcha zimakhala zokhudzana ndi dzino, kapena ngakhale imfa yawo, ndipo mankhwala anachititsa periodontitis ana kungachititse kuti chiwonongeko cha rudiment wa mano tsogolo okhazikika. Choncho, n'kofunika kugwiritsa ntchito ku malo mano poyamba chizindikiro cha matenda.

Komanso periodontitis zachipatala angathe kuyamba chifukwa cha ntchito wodwala kwa mano kuyeretsa pastes munali formalin, tricresol ndi zina zotero. Zizindikiro za matendawa ndi:

- amphamvu mabvuto dzino kuwawa;

- kupweteka nsagwada lonse kapena gawo, kumene mabvuto dzino;

- ndi kuyenda kwa dzino wodwalayo.

Mankhwalawa ndi kuchotsa zimayambitsa kutupa mu dzino ndi kuyambitsa kwa mankhwala (mankhwala sulfonamides), kumadzazidwa. Pambuyo Kupha kutupa kubala wosindikiza dzino.

Kupewa ndi amaneneratu

Malinga ndi asayansi ofufuza apeza posachedwapa, munthu aliyense n'kofunika kwenikweni zakuchiritsa nthenda zonse mano, makamaka periodontitis. Matendawa ziyenera kuchokera pa matenda Kupenda mabvuto dzino X-ray kapena fano panolamiki, zomwe zikusonyeza mlingo wa mavuto (suppuration, fupa m'chiwonongeko ndi ena). M'pofunika kusankha olondola ndi ogwira mankhwala, chifukwa sanamalize mankhwala mankhwala kapena zotsatira periodontitis mu imfa ya mano. Ena sindikupatsani zofunika kwambiri poganiza chabe chilema zodzikongoletsera. Koma asayansi apeza kuti sitili mu dentition mano 5 okha ndi pafupifupi 140% kuchuluka chiopsezo sitiroko ndi m'mnyewa wamtima infarction. Izi wakhazikitsidwa empirically. kuphunzira nawo anthu ambiri 8000 a misinkhu yosiyanasiyana. Chifukwa chosowa mano amanyoza ntchito za mtima, ngakhale kuti sikunali kotheka kuti tipeze.

Monga kupewa periodontitis, madokotala akulangizidwa kumaona chikhalidwe cha mano, kusunga malamulo a ukhondo mano ndi m'kamwa, kupewa kuchita zoopsa dzino enamel ndi dzino lonse wonse, ndi pa chizindikiro choyamba cha matenda osati kudzimvera medicate, ndipo funsani chipatala mano.