Ukwelashwa nokuvikelwa periodontitis okungamahlalakhona: Izindlela

periodontitis Okungalapheki kuwuhlobo ukuvuvukala eba emisipheni periapical. Lokhu zokugula periodontal nemisipha kungenzeka ngefomu acute, noma owayebonisa ngaphandle izimpawu zokwelashwa. Khipha ku periodontal izicubu Amagciwane kungabangela ukuvuvukala nezinye, akude ezicutshini zomzimba izinyo eziyishumi nemitshingo. Ngakho-ke, ukwelapha periodontitis ezingamahlalakhona kufanele uqale ngesikhathi ukuvimbela imiphumela okuqhubekayo kanye nezinkinga.

Izimbangela periodontitis okungamahlalakhona

Izinto eziyinhloko ukuthi kungabangela ukuvuvukala ezingamahlalakhona - a caries futhi ngenxa yalokho, uginindela. Kuye lapho ukuvuvukala uqalile, izimbangela kungenziwa ezihlobene kokubili ukulimala izinyo nokungcola ezithathelwanayo.

Apical (aikalny) periodontitis kungenzeka ngokuvamile kubangelwe isifo uginindela, onqenqemeni abekelwe emaceleni noma ukuvuvukala okubangelwa microtraumas mechanical (umkhuba ukwambula nuts kokusiluma usiba noma ipensela, ukulimala okuncane, ayiphulule). Isizathu sesithathu kungaba umthelela yezokwelapha - lapho ekwelapheni periodontitis ezingamahlalakhona lwenziwe kahle uma ukusabela iguliswa ekuphathweni, kanye izinyo ofakwe.

Amazinyo, ngokusho izibalo, okuholela ezithathelwanayo periodontitis okungamahlalakhona, lesion periapical kubangelwa hemolytic futhi streptococci nonhemolytic. Amagciwane behlukaniswe uginindela ezinobuthi, bona zingene phakathi kwemiselekazi impande, ke ngakho kwenzeka ukuthi ukutheleleka ongena ngesango lymph.

Kunezici yesibili ukuthi bafake isandla ekuthuthukiseni izifo ezifana periodontitis okungamahlalakhona:

• I microflora temlomo kuyaphazamiseka ibhalansi.
• Malocclusion (occlusion) amazinyo.
• disorder umzimba.
• Amavithamini, ukungalingani izakhi mkhondo.
• izifo ezihlukahlukene ezingalapheki.
• A viral, nezifo ezithelelwanayo angase azithole.
• Pathology kohlelo endocrine.
• Isifo sikashukela.
• amasosha omzimba encishisiwe umsebenzi.

izimpawu

ifomu kanjani yingozi njalo periodontitis? Iqiniso lokuthi lesi sifo siphela asymptomatic ngokuphelele, ukuvuvukala, ngokuphelele akuzwakali. Ngakho-ke, ukwelapha periodontitis ezingamahlalakhona ngokuvamile imisiwe, iziguli akuvamile ukufuna isikhathi. Imiphumela inhlekelele futhi kungaholela ekuqaleni kwamazinyo. Kuyadingeka ukuba banake izimpawu ezinjalo njengoba ubuhlungu encane ku bite ukudla okuqinileyo. Mhlawumbe umuzwa ukungakhululeki okuncane lapho uthephwe ku izinyo, eshaywayo. Uphawu manifest kakhulu - a fistula phezu kwezinsini, kwakhiwa kungokwenduduzo outflow uketshezi oluhlala at yisishiso. Ngeshwa, lapho kumiswa fistula is, nibonakala elise imikhiqizo noqhekeko ke zonke izimpawu isifo abohle. Ezimweni ezinjalo, iziguli kuyaqabukela iphathwa ukuze udokotela wamazinyo. Ukuvuvukala aqhubeka aguquka, le exacerbation sina kungenzeka. acute / ezingamahlalakhona ukwelashwa periodontitis - isilinganiso kunesidingo.

Izimpawu zincike uhlobo ukuvuvukala:

• Okungalapheki periodontitis fibrotic. Ifomu ezingavamile, lapho izicubu abathintekayo periodontal sithathelwe indawo Imicu yotshani fibrous densified. I engakhohlakali isifo, ngezinye izikhathi kungase kube lezivakashi, nobuhlungu besikhashana.
• Okungalapheki granulating periodontitis. Kubonakala evelele. Ngaphansi kwezicubu lwamafinyila kwakhiwa fistulas, wabhubhisa ithambo ipuleti proliferating granulation kumiswa. Ngo ekwakhekeni fistula enkulu nje kudingeka ukuba aye kudokotela.
• Okungalapheki periodontitis granulomatous. Ukuvuvukala izicubu periodontal, ukwakheka capsule ethize, okuyinto ugcwele granulomas. Lolu hlobo kuyingozi ngoba kistogranulema ikhula kangangokuthi kudingeka ukwelashwa kuhlinzwa.

Exacerbation ka ezingamahlalakhona ukwelashwa periodontitis

Ukwelashwa nokuvikelwa exacerbation okukhulu amafomu njalo periodontitis kungaba kokubili ngoludala futhi kuhlinzwa. Umsebenzi oyinhloko bamazinyo is cupping ukuvuvukala by ngokucophelela umthombo yokulungiswa ukutheleleka. Kuyadingeka ukuvimbela ukutheleleka kwezicubu eseduze. yokwelapha anti-inflammatory kungaba kwenziwe ngaphansi kwezimo ezilandelayo:

• Umsuka canal patency.
• Ukuvuvukala kufanele ngokucacile zendawo.
• Iningi ithambo kumele agcinwe.
• Izimpawu lokudakwa ezinzima futhi ubuhlungu kumele ingabi.

In the isinyathelo sokuqala ekwelapheni periodontitis ezingamahlalakhona for machining umgodi zamazinyo isiteshi. Ingabe bahlanza kusuka caries nekwandzisa. Iziteshi iphathwa nezivimbelakuvunda ekhethekile, mhlawumbe ukuvala uphawu unomphela. Nge olwenzeka abalulekile exudate, kubalulekile ukuba embule umsele obturated. ukugcwaliswa lesikhashana ibekwe phezu izinsuku 2-3 bese kabusha wenza umsele ukuthuthwa kwendle kanye nokungabibikho abe uphawu unomphela.

Ukuvuvukala isuswe izinto zamazinyo elwa namagciwane (ayinhlama) ngekusebentisa emasu laser.

Ukwelashwa nokuvikelwa periodontitis okungalapheki esiteji acute ngokuvamile kudinga ukuhlinzwa. Lena kakhulu, kodwa uma lokhu kudingekile, usebenzisa eyodwa yezindlela:

• Ukusikwa kwamalungu impande izinyo.
• Hemisection (plural ukususwa izimpande).
• Excision.
• ukukhishwa izinyo.
• Imbobo, amanzi ka izinsini.

Okungalapheki periodontitis fibrotic

neproyavlyaemy Iningi ngomqondo emitholampilo ye uhlobo periodontitis - fibrous. fibrotic Rough ukufaka endaweni periodontal fibre isakhiwo. On luhlolo, kukhona lingene patchy eziqukethe lymphocyte. Impande imbobo apical - gipertsementoz (izakhi sebethule usimende), azungeze - izingxenye osteosclerosis. igebe Periodontal iqala ukuba bandise futhi periodontium balahlekelwe izindawo nemizi yabo sokusebenza. Njengoba periodontitis fibrotic ngokuvamile asymptomatic, kwatholakala ukuthi nginesifo amafomu yakhe ezingamahlalakhona ukuvumela kuphela ukuhlolwa ezishisayo noma-X-ray.

Uma udokotela kwatholakala ukuthi nginesifo esingelapheki periodontitis fibrotic, ukwelapha lesi sifo njalo kwenziwe ngempumelelo, njengoba kuba ifomu evumayo kakhulu umqondo zokwelapha. Ngisho noma kukhona iziteshi isimiso, asikho isidingo ukuze uyivule, ngoba kulokhu exudate akusho buthelela. Ukuvuvukala udlulisela kuphela umsipha periodontal, izicubu eduze ayiphazamiseki. Ngemva yokulungiswa ingaphakathi (samabanga aphansi noma) ibekwe ukugcwaliswa unomphela.

Okungalapheki granulating periodontitis

periodontitis Okungalapheki ngesimo granulation ingenye amafomu amaningi asebenzayo lesi sifo. I kwaphumela granulation imbangela ukungakhululeki, ukuze iziguli ziphathwa ngendlela esifike wamazinyo, uthole ne usizo oludingekayo. Ngo izigaba okukhulu inqubo ukwakha fistula, zanqwabelana exudate therethrough uthola ngokushesha ngemva kwalokho exacerbation luyaphela. Khona-ke le nqubo ingase futhi ibe asymptomatic, indolent. Libhekene granulating ezingamahlalakhona periodontitis imiphumela anobuthi, imikhiqizo ukuvuvukala esikuthola ngokuqondile egazini. Kuyindida, kuyasiza ukunciphisa ukudakwa fistula, okuvumela exudate agelezele umlomo. Lapho nje ukuvaleka fistula, inqubo acute iyaqala isebenze ubuthi jikelele.

Izimpawu lolu hlobo isifo periodontal incike isigaba ohlelweni (attenuation noma exacerbation):

• Esigabeni acute wabonakaliswa ubuhlungu ngesikhathi ngokucindezela phezu izinyo.
• Ubuhlungu paroxysmal uhlamvu, ngcono okuhlabayo ukudla kanzima.
• ezivuvukele emhlabeni izinyo lesiguli.
• You kungavivinya kokuziphatha ezonini apical.
• Fistula neutralizes ubuhlungu.
• Nge ukwanda granulation izicubu okungase kuthintwe emlonyeni ngaphansi lwamafinyila uphawu atypical.
• Indlela Abasabela Ngayo eshisayo ukuthethelelwa.
• Ngokuvamile kukhona umgodi cariogenic. Lapho ihlaselwe izinhlayiyana zokudla kuphakama ubuhlungu abohle ukuthi ngesikhathi wokuhlanza we umgodi.

Okungalapheki granulating periodontitis, ekwelapheni okuyinto - ngokuvamile inqubo ende, ngokuvamile ungazimiseli ngokuphelele. Kodwa uma usongo ukutheleleka siyenzeka, ichopho impande uyabhujiswa, kungase kudingeke esiyimbangela ukukhishwa izinyo.

Okungalapheki periodontitis granulomatous

Ngo ukubonakaliswa yabo emtholampilo granulomatous yakha evilaphayo kakhulu. Developed njengoba isifo ezimele, noma ngenxa inqubo granulating, lapho kwakhiwa capsule lunemicu oludlula e kistogranulemu. Kwakheka izicubu fibrous uba isithiyo iphinde ivimbele izifo angena emzimbeni.

Okungalapheki periodontitis granulomatous elinesimo Yiqiniso asymptomatic eside. izimpawu ezingokoqobo zihlanganisa ukwakhiwa granulomatous, okubonakala e sokudlondlobala empandeni zone izinyo. Lesi sifo labizwa zibe izinhlobo ezintathu:

• Simple periodontitis granulomatous.
• EPITHELIAL.
• Kistogranulematozny.

Izindlela kokuphatha ezingamahlalakhona granulomatous periodontitis amafomu incike uhlobo lwesifo.

olulodwa-ibangelwa ukwelashwa izinyo wenziwa Ngesinye isikhathi uma cross-isiteshi muhle. Multiroot ukuphulukisa amayunithi nzima, ngoba ngokuvamile banqatshelwe ukufinyelela iziteshi, noma kunzima. Kungase kube inqubo acute, okungase sibophe amasu Physiotherapy, ama-ejenti eqeda ukuvuvukala, rinses aseptic.

Ukwelashwa nokuvikelwa ezingamahlalakhona periodontitis granulated

Okungalapheki periodontitis granulated akwelapheki kwelinye Ukuvakashela udokotela wamazinyo. Ngezinye izikhathi sidinga izinyanga eziyisithupha kuya ekugcineni ukubhekana nalesi sifo. Kudinga ubuncane 4 ukuvakashelwa.

Eyokuqala ihlanganisa:

• Sifo.
• Anesthesia.
• Thola izimbangela siteshi.
• Kutfutfwa kwemangcoliso.
• Ukususa izinsalela necrotic uginindela izinhlayiya.
• Uhlambulule ne antiseptics.
• Ukwethulwa izidakamizwa eqeda ukuvuvukala.
• Ukubeka ofakwe yesikhashana.
• Ukunikezwa Imvume Yokuthola Umuthi kwama-antibiotic.

Izinqubo ezilandelayo abazenzi ngesikhathi kuhambele yesibili:

• Ukuhlolwa.
• Ukususwa ezimpawu yesikhashana.
• Lavage, decontamination.
• Enye ukugcwaliswa yesikhashana izinyanga 2-3 ne isinqandakuvunda.

ukuvakashelwa Okwesithathu:

• Ukuhlolwa Radiographic.
• Ukuvulwa nokucubungula siteshi.
• ukugcwaliswa unomphela.

ukuvakashelwa Okwesine:

• Control kanye nobufakazi ukuphumelela ukwelashwa.
• Ukuqinisekiswa ukungabi khona izinkinga.

Lapho izinhlobo egijima kungadinga ukwelashwa kuhlinzwa ka periodontitis ezingamahlalakhona. Kwezinye izimo, zikhonjisiwe?

1. eziqongweni Lwalugobile, indawo okungavamile sokudlondlobala.
2. Ukuvimbela isiteshi, ukungabi nakwenzeka kwento abathola.
3. Ayikho umthelela ukwelashwa ngoludala khona inyanga yonke.
4. ukuvuvukala Progressive.

Ukwelashwa nokuvikelwa periodontitis granulomatous

Ukwelashwa nokuvikelwa ezingamahlalakhona periodontitis granulomatous is ezenziwe usebenzisa izindlela eziningana. Kukhethwa inqubo incike kundlela ukuvuvukala: granuloma futhi izinhlumba ungaba ezihlukahlukene osayizi. Yikuphi resort reception - olandelanayo noma kuhlinzwa - udokotela enquma.

Single-impande namazinyo avame aphathwe esidakayo zilandelana. Uma permeability isiteshi muhle, yelashwe, sanitize, ukuchitha diathermocoagulation, uphawu eduze.

izinyo Multi-anezimpande (ngokuvamile okubizwa ngokuthi ukuhlakanipha amazinyo) ngokuvamile ayikuvumeli iziteshi sanitize, ngokuvamile iphathwa izindlela impregnadionnymi (resorcinol, i-potassium iodide, silvering). Ngaphezu kwalokho, zingase sasabela isinqandakuvunda hashaza, Physiotherapy. sokubuyiselwa Okugcwele kwezicubu periodontal ngokuvamile kuthatha cishe ngonyaka. Ukwelashwa nokuvikelwa lolu hlobo isifo periodontal - inqubo kunalokho kukhathaza. Dor kanye nezibazi ijwabu kumele njalo elawulwa nge-X-ray. Ngemva kokwelashwa inyanga yonke, uma udokotela akaboni Dynamics omuhle, ingase wanquma replantation, le resection izinyo.

Ukuxilongwa periodontitis okungamahlalakhona

Ngaphambi kokuqala ekwelapheni periodontitis okungamahlalakhona, kubalulekile lokwenza ukuxilongwa. Sasenza iqhinga ejwayelekile: inhlolovo isiguli, anamnesis, ukuhlaziywa, ukuhlolwa imiphumela inhlolovo. Ucwaningo kuhlanganisa:

• Ukuhlolwa ngaphakathi komgodi ngomlomo.
• Nesigubhu.
• Palpation.
• Yokuhogela emnyango umsele impande.
• Temperature ukuhlolwa.
• Ukunqunywa izinyo inkinga ukuhamba.
• Ukusetshenziswa kagesi uginindela test futhi radiovisiography. Lezi zindlela asivumela ukuhlola ubungqabavu uginindela.
• X ray. Ulwazi olusuka ze-X ray kunikeza isithombe esiphelele. Ukuhunyushwa incike isipiliyoni wamazinyo, ngoba ngokuyisisekelo periodontitis akuyona ikakhulukazi ukubonakaliswa, tinhlobo letehlukene temisho kuphela (lunemicu granulating futhi granulomatous).

Uma uphethwe ingenye amafomu ezitholiwe (noma kwenzeka exacerbation of periodontitis ezingamahlalakhona) ukwelashwa kufanele nika abanekhono, wamazinyo oqeqeshiwe.

zokuvimbela

Izinyathelo ukuthi ukuvimbela ukuthuthukiswa isifo, ngokuyinhloko okuhloswe ngaso nokuvimbela caries futhi pulpitis. ukuphathwa Steel ka periodontitis ezingamahlalakhona isetshenziswa amafomu okwedlulele ukugijima, ukugwema lokhu, kubalulekile ukuba sisebenzise izinyathelo:

• ukunakekelwa Qaphela temlomo njalo.
• ukusetshenziswa Limited amaswidi, ukudla abaphendula ngokunengqondo.
• ukuvakashelwa njalo udokotela wamazinyo. Ukudlula ngihlolwa. Kuphela udokotela kungathola izimpawu zesifo, ngokulandelana, yisikhathi sokuba uqale ukwelashwa. ukwelashwa okufika ngesikhathi ukuze udokotela wamazinyo lapho izimpawu zokuqala kuzovumela yokunika elungile, ukwelashwa okuphumelelayo ka periodontitis ezingamahlalakhona.
• Ukuqala kokusetshenziswa the izincomo anikezwa wamazinyo ngesikhathi luhlolo kanye nokwelashwa.

Kuze kube manje, noma yiluphi uhlobo periodontitis endaweni yesibili ngemva caries ohlwini izifo kwamazinyo. Ifomu okungalapheki yingozi yabo asymptomatic, kanye nekhono ukuthelela wonke umzimba. Ukuvakashela udokotela wamazinyo njalo ngemva kwezinyanga eziyisithupha izokunikela ukuthola esifike izinkinga nezisombululo zazo. Unake impilo yakho.