Periodontal mthumba: kutupa ndi mankhwala

Cholakwika chisamaliro m'kamwa kumayambitsa zolengeza ndi miyala. Chifukwa cha njira pathological amakhala ndi kuvutika. Poyamba zizindikiro ndi chabwinobwino zokwanira. Pali pang'ono magazi m'kamwa, kutupa, ndipo nthawizina chopweteka. Pang'onopang'ono, dzino sayenda ndi kuchuluka, maonekedwe a purulent secretions. Pa nthawi imeneyi, ife kale akulankhula za akuthamanga periodontitis. Zochizira matenda pogwiritsa ntchito periodontal mthumba curettage. Kodi mtundu wa ndondomeko? Kodi ndi njira zina amagwiritsidwa ntchito pofuna kuthana ndi matenda? Mayankho a mafunso amenewa amapezeka m'nkhani lero.

Kufotokoza mwa chidule za vuto

Against maziko a yotupa minofu ndondomeko fupa pang'ono ndi pang'ono kuwonongedwa ndi m'malo mwa granulation. Yotsirizira Amakhala makamaka maselo tating'onoting'ono ndi osteoclasts. Tsiku ndi tsiku, iwo ntchito m'madera onse atsopano, zikubweretsa ndi manja kuposa fupa alveolar. Pali malo ufulu kumene ubwenzi ndi gingival dzino muzu pamwamba.

Chifukwa cha kusintha aumbike periodontal mthumba. danga ili ndi wofanana kukula gawo la chiwonongeko fupa. nkhani zake ndi kuperekedwa granulation minofu, zotsala chakudya ndi purulent chinsinsi. Ndi kukula kwa kusiyana anapanga adzaweruza mlingo wa mapindikidwe a minofu. Munthu akakhala wathanzi kuya kwa matumba periodontal ndi zosakwana 3 mm, kotero inu mukhoza momasuka kuyeretsa M'mimbamo ku zatsalira chakudya. Ngati mtengo uwu kuposa yake kukula pali mavuto mu chisamaliro cha M'mimbamo m'kamwa. Mosavuta a chiseyeye kumawonjezera kangapo, imbaenda ku maonekedwe a mwala ndi zolengeza. The chifukwa cha minofu chiwonongeko yogwira mwina imfa ya dzino.

Kudwala Matendawa imagwiridwa ntchito X-ray kapena kafukufuku periodontal. Chosowa chithandizo khalidwe n'kukumana ndi kuzama kwa thumba la. A chifukwa cha ndondomekoyi ndi kulimbikitsa mano udindo "zimakupiza".

Zimayambitsa mthumba

Chifukwa chachikulu mapangidwe periodontal njira - zabwino kwenikweni ndi ukhondo wa M'mimbamo m'kamwa. Kusagwiritsa kuyeretsa mano kapena kusapezeka ake kumabweretsa kudzikundikira madipoziti bakiteriya m'dera la korona. Pa enamel dzino pamwamba tizilomboto kupanga woonda mankhwala wosaoneka filimu ndi kuyamba secrete moyo wawo. Choncho, kutupa kwa periodontal mthumba.

gulu chiopsezo

Zina mwa zinthu zimene zimalimbikitsa kukula ndi kuchulukitsa tizilombo toyambitsa matenda, mwina anati:

• pachithunzichi zakudya, wopangidwa ambiri mankhwala zimam'patsa;
• osauka m'kamwa ukhondo;
• zizolowezi;
• msokonezo timadzi ta m'thupi;
• immunodeficiency;
• mano chikhalidwe cha matenda;
• malocclusion;
• zosaoneka unsembe chisindikizo.

zizindikiro za kutupa

Mapangidwe a periodontal mthumba kwa nthawi yaitali kungakhale asymptomatic. Ndi chitukuko cha ndondomeko yotupa, pali khalidwe matenda chithunzi:

• kusapeza bwino mu usinini;
• halitosis;
• kutupa, magazi ndi redness a usinini;
• palpation akhoza kumasulidwa purulent secretions;
• Kukula kwa malo interdental;
• kuwonongeka kwa chikhalidwe ambiri.

Pamene inu muwona mavuto amenewa, muyenera kufunsa mano anu. Thandizeni dokotala anu chofunika ngakhale kutupa zakhudza dzino limodzi lokha. Tsiku lililonse likadutsa zinthu adzakhala poipa yekha, tingayambe kupitirira kwa matenda.

zochiritsira

Pamaso mankhwala amapezeka njira imene adokotala Mzimuyo mlingo wa matenda osasamalidwa. Ngati periodontal mthumba ndi zosakwana 0,15 mm, ndipo palibe zizindikiro za kutupa, njira achire ntchito. Njira zotsatirazi chotchuka ntchito:

1. Ukhondo kuyeretsa ndi ultrasound. Pa kuchotsa zolengeza ndi kakyulasi m'kamwa si kuonongeka.
2. Mankhwala. Akapatsidwa mwamsanga kuyeretsa akupanga. Wofatsa pathological ndondomeko ntchito aseptic akuchitira (trays ulimi, Muzitsuka). Pa njira ntchito "Chlorhexidine" kapena "Miramistin". Nthawi makamaka kwambiri, wodwalayo Kwalamulidwa njira ya mankhwala. Yodziwika dzuwa kwambiri zotsatirazi Kukonzekera: "amoxicillin", "Lincomycin" ndi "azithromycin".

njira zimenezi sizithandiza ngati kuya mthumba kuposa 2 mm. dokotala sangathe kuchotsa kwathunthu mwala anasonkhanitsa. Komanso kumachititsa atsopano periodontal zoopsa. Chifukwa cha kutupa mpheto ndi chiwonongeko minofu kuyamba patsogolo.

Mu matenda zovuta analimbikitsa opaleshoni. Njira imeneyi mankhwala kumafuna kanthu makina zoimbira mano m'madera poddesennye. Panopa, ndondomeko zothandiza kwambiri mtundu amati curettage wa periodontal mthumba. Ndi chiyani icho? Pali mitundu ingapo ya mpheto: m'nyumba, panja ndi khumudwitsidwa opaleshoni. Ndondomeko palokha akhoza tichotse mavuto onse amene periodontitis. Uliwonse mungachite ake mwatsatanetsatane.

Curettage lotseguka

kusokonezedwa ndi zinthu zimenezi, mkulu Luso la madokotala. Choncho, msonkhano uno palibe kumanga onse thanzi. Nthawi mankhwala za 2.5 maola. Amakhala tsatani mfundo izi:

1. Kutsuka mano ndi zolengeza ku mwala.
2. Kugwiritsa ntchito mankhwala odana ndi yotupa.
3. Splinting mano m'manja.
4. Gingival khumudwitsidwa kung'ambika scalpel.
5. Kuchotsa granulation ndi miyala mwa ultrasound.
6. Antiseptic dzino mizu.
7. Podsazhivanie mu thumba nsalu kupanga kumapangitsanso kukula kwa fupa achilengedwe.
8. Suturing ndi kutsekera kwa zowonongeka gingival gawo bandeji.

Pambuyo pa 1.5 masabata sutures achotsedwa. Patapita miyezi ingapo pakubwera kubwezeretsa chomaliza cha zimakhala kuonongeka. Papilla kungathandizire kuphimba mipata pakati pa mano. Nthawi zina, lotseguka curettage wa matumba periodontal kumabweretsa poyera mizu. Choncho, pamene izo tikulimbikitsidwa kuti amakana kugwiritsa ntchito otentha, ozizira ndi acidic chakudya.

Curettage gated

ntchito ndi ogwira mthumba akuya 3-5 mm. Palibe kanthu ndi zovuta. Amakhala tsatani mfundo izi:

1. Anayendera usinini.
2. Mawu oyamba a mankhwala oletsa ululu pamalopo.
3. Chithandizo cha matumba periodontal wa m'kamwa popanda kung'ambika.
4. Kupukuta dzino mizu.

Alowererepo akhoza imodzi bwanji 2-3 dzino. Chilonda machiritso chikuchitika mu sabata imodzi, koma zimatengera pafupi mwezi adzabwezeretse komaliza. Choncho nthawi zambiri n'kofunika mapangidwe minofu connective kuphatikana ndi chingamu kuti dzino. The drawback waukulu zimatenga kuti dokotala pa nthawi ya mpheto sakuona kuti onse mapangidwe nthenda zichotsedwa.

Ngati akuya mthumba ndi oposa 5 mm, anatseka curettage yekha suspend kupitirira wa periodontitis. Tsankho kuchotsa m'dambo ndi granulation imapereka wotopa nthaŵi, koma pafupifupi onse milandu matenda tikupitiriza chitukuko.

opaleshoni khumudwitsidwa

opaleshoni iyi ikukhudza kudula m'kamwa kupeza matumba periodontal. Ndi bwino kuti ngati miyeso musalumphe 4 mm.

Choyamba dokotala amapanga amacheka tiwiri ndi scalpel ndi detaches muco-nadkostochny khumudwitsidwa. Kenako, muyezo mawotchi kuyeretsa ndi kupukuta wa mthumba padziko dzino. Nditamaliza mankhwalawa pamalo olimba ndi kunditumiza ku minofu zofewa kung'ambika. Nyenyeswa anayikidwa mu malo. Kumapeto kwa ndondomeko umagwiritsidwa ntchito pa zinkakhala m'dera osteogenic mankhwala palokha ndipo sutured ndi m'kamwa. Ntchito lonse amatenga Pasanathe mphindi 40, koma zimaphatikizapo kugwiritsa ntchito mankhwala oletsa ululu pamalopo.

Odwala ena zina tisonyezeni chilonda machiritso wothandizira kwa kunja ntchito (mwachitsanzo "Furatsilinom"). Komanso kulengeza ntchito mafuta kwa kukondoweza ( "Solkoseril" "Aktovegin") epithelialization ndondomeko ya usinini.

zingalowe curettage

Pamaso pa purulent abscesses ndi matumba kwambiri (5-7 mm) ntchito zingalowe curettage. Kukonza ikuchitika ntchito dzanzi. Pa njirayi, dokotala zokhumudwitsa madipoziti mwala woyamba, kenako kupukuta dzino minofu. Kenako, katswiri anapeza kuti kuchotsa granulation ndiponso kuwonongeka zaminyewa malinga lamkati. Periodontal mthumba anali mwayeretsa ndi zida zingalowe, amene imayamwa kuchokera pansi pa M'mimbamo necrotic misa pamodzi ndi makombo a mwala. Pa gawo chomaliza cha lamulo kutsuka kukonzekera antiseptic.

Zingalowe curettage amakhala ndi zokolola mkulu. Ndi ndondomeko akuchira minofu lymphatic, kuya amachepetsa matumba gingival ndi inathetsedwa njira zonse yotupa.

Nthawi postoperative

Pofuna kuti awulule matumba periodontal pasanathe maola 10 pambuyo mwai onse akulangizidwa osati kudya kapena kumwa. Kupeza mukufuna ayenera mosamala bwezerani mano anu, muyenera kugwiritsa ntchito burashi ndi bristles zofewa. Vuto m'madera ayenera chonse. Patapita mlungu umodzi, mwakonzeka muzimutsuka. Kuchita izi, ntchito njira ofooka hydrochloric kapena "Chlorhexidine".

Pankhani okwanira, zokonda choyamba ayenera kupatsidwa chakudya zofewa kapena pureed. Izo kutiletsa ntchito zakumwa zoziziritsa kukhosi kapena mwauchidakwa otentha. Mlungu pambuyo curettage wa matumba periodontal bwino kusiya thupi ntchito, masewero, anthunzi otulutsirako thukuta. Mu nthawi postoperative ndikofunika kuwunika ndi mkhalidwe wa M'mimbamo m'kamwa. Mukhoza kugwiritsa ntchito mankhwala ukhondo, cholinga mano tcheru. Ngati ndi kotheka, muyenera kukaonana ndi dokotala wa mano. The katswiri adzakhala kusankha njira zochepetsera dzino tilinazo makosi.

Umboni ndi mtengo wa ntchito

Mtengo wa ntchito zochizira matumba periodontal mu Russia osiyana pang'ono. Zina mwa zinthu zazikulu zimene zimakhudza mitengo tikhoza kuona njira mpumulo ululu ndi mphamvu njira zamakono bungwe la zachipatala. Osati mbali chaching'ono ndi udindo chipatala. Pa avareji anatseka curettage wa periodontal ndalama m'matumba mwa 5-12 thous. Rubles. Open ndondomeko ndi pang'ono zambiri mtengo (9-18 thous. Rubles).

Ambiri mwa odwala amene akhala mwa kudwala ichi opaleshoni adalipo. Mu lingaliro lawo, opaleshoni - ndi njira yokhayo kuti akhoza kuchotsa vuto. Ndi bwino kukhala mwina ndi ndondomeko lotseguka. Njira imeneyi limachititsa osati kuchotsa mbali zowonongeka, komanso kubwezeretsa otaika fupa pa nthawi. The kokha drawback wochita - nthawi yaitali machiritso. ululu zochepa amakhala ndi chatsekedwa curettage wa matumba periodontal. Umboni kuti yekha mu siteji koyamba za ndondomeko pathological ayenera anadza kum'thandiza.

Maganizo za ndalama achire mankhwala. odwala ambiri sadziwa amalangiza njira yothetsera vutolo, monga limakupatsani mongoyembekezera mmangeni zizindikiro.

The kutupa zoopsa za m'thumba la?

Matumba Periodontal - ichi ndi kudwala kwambiri chimene chimafuna yake ndi woyenera chithandizo. Kupanda chithandizo kungayambitse mavuto. Pakati pa owopsa ndi abscess pachimake, umene pambuyo pake amakhala aakulu. Iwo amakhala ndi kuwonjezeka mu dzino sayenda ndi zikamera wa ululu. Mmenemonso, munthu akakhala ovuta kutafuna chakudya. Kunyalanyaza kudwala n'kukumana ndi chakuti dzino kwathunthu kutali ndi zitsulo alveolar. Kukula kwa ndondomeko yotupa itha lymphadenitis ndi ambiri kuledzera wa chamoyo.

Kupewa muyambirenso

Usasiye popanda chidwi chofuna periodontal mthumba. Mankhwalawa ikuchitika yake, kumawonjezera mwayi wa achire zonse. Komabe, izi sizikutanthauza kuti tsopano simungathe pitani mano. Pambuyo njira ya mankhwala chofunika kachiwiri kukaonana ndi adokotala, ndi nthawi yeniyeni anadzipatsa katswiri polingalira kunyalanyaza matenda. Kuzionetsetsa, mano akhoza kudziwa bwino mankhwala, kupereka malangizo pa chisamaliro cha M'mimbamo m'kamwa.

Quality tsiku mano ukhondo kumathandiza mapangidwe miyala, kuletsa kutupa mu periodontal mthumba. Imathandiza kuonedwa kuti katswiri ntchito pakamwa kamodzi pachaka pakati mano.