Kupatsanura pakati periodontitis, zvinokonzera, nechirwere, kurapwa

Eya, kana mazino akanaka uye utano, ikapenya achinyemwerera. Asi zvinosuwisa, vakawanda vedu kuita izvi zvose, tinofanira kuita zvakawanda nesimba uye anopedza inopfupikisa, nekuti mazino zvakaipa - haisi chakaremara zvizorwa, zviri zvakare zvisingatsungiririki kutambura. Chepfu hwedu, kunze inonyatsozivikanwa caries, zvimwe zvirwere zvakawanda mazino, rimwe riri periodontitis. Kuratidzwa kwake uye nzira kurapwa kunoenderana zvinoverengeka pamusoro. Kuti zvimwe kuronga zviratidzo uye kukudziridza zvakafanana zvirongwa pakurapa zvakafanana kacho, pane kupatsanura pakati periodontitis. Munyika yagadzirwa zvishoma, asi muRussia kunyanya kushandisa hurongwa yakatanga Lukomskim I. G. edza kutsanangura zvakajeka chii.

periodontitis

Usati mukandiudza chii kupatsanura pakati periodontitis, ngationei kubata chirwere choga. Vanhu kazhinji kunyonganisa paro periodontitis, kana havaoni musiyano, nokuti mazita avo seakafanana chaizvo. Kutaura zvazviri, periodontitis kunokonzerwa nezvinetso periodontium - rose nyika munyama siyana, simbisa meno dzedu mumakomba rushaya (Formação de). Periodontal - mumwe zvinoumba yakakura hurongwa. Zviri zvinyama kana svyazochki akagara nzvimbo pakati mundiro uye alveolus pamusoro zino mudzi esimende. Pakukora ari periodontal chete 0.2 neMM, asi kuti iye akabata meno yedu Formação de, zvakaenzana anoparadzira mutoro pakati Formação de uye zino kana kutsenga, anotakura kutsinga dzinouya, kudzivirira uye trophic mabasa. Kana chipi chikonzero, periodontium zvomoto, chirwere inotanga apical periodontitis. It kunogona anotambudzika kwazvo zvabuda, kusvikira kurasikirwa nezino, saka zvakakosha chaizvo kuziva zvikonzero chikonzero ake uye noruzhinji zviratidzo.

The chenjera chimiro periodontal chirwere, danho rokutanga

In mushonga, pakati zvirwere zvakawanda kusiyanisa siyana chokuita zvinokonzera dzavo (etiology) uye ruchiyerera hunhu (pathogenesis). Izvi hwezvekukurukurirana zvikuru nechirwere uye, naizvozvo, kunobatsira kuchengetedza nyatsoshanda kurapwa. Kupatsanura pakati periodontitis pathogenesis allocates 2 siyana - imwe Spicy, mumwe refu.

Uyezve chenjera periodontitis ane muzvikamu zviviri - serous (pakutanga) uye purulent (wechipiri). Munguva Muchiitiko chokutanga, waunowana marwadzo ari zino chero kubata, asi panguva imwe chete murwere anogona kuratidza zvakajeka apo zvichirwadza. mamiriro Izvi agare kwemazuva akawanda kusvikira vhiki mbiri. Chiremba panguva yokurohwa anoona murwere ari zino caries buri, asi yake vachifunga kusagadzikana mune murwere haakonzeri. An chiratidzo anokosha rikwanise periodontitis anoonekwa kuti kuzvimba vakapoteredza zino dambudziko mucous. Marapirwo kunoratidzwa Kubvisa inobatwa mudzi Canal noutachiona kwaizotevera chisimbiso. Saka zvinokosha kuti kubviswa etsinga, kuti chose mechanically kucheneswa migero, disinfect kuti kurapa periodontal uye zino unhu chisimbiso.

The chenjera chimiro, chikuva rechipiri

chirwere ichi chinonziwo rikwanise purulent periodontitis. Inogona kuva kubva serous periodontitis, kana kubatwa zvakanaka, kana kwete kusvikira pakuguma. Varwere achirwadziwa iri simba kwazvo, pulsating, achibvambura, kuipa chero kubata kupiwa (murwere havagoni kukuudza chaizvo apo zvichirwadza).

Kuwedzera kune izvi, pane dzimwe zviratidzo:

- zvakawanda zvive;

- nomusoro;

- kuzvimba matadza, uye dzimwe nguva matama;

- tembiricha;

- dzimwe nguva ari zino mufambo.

On ongororo kazhinji hunoratidza kuti vachirwadziwa zino ratova kuzadza kana iye akapfeka korona. How kurapa zino iyi? The chikuru basa chiremba ndiye kubviswa pus uye utachiona zviri mudzi canal, kubviswa kuzvimba kuti rinobudiswa Via zvinodhaka kurapa uye mumuviri kurapa. Anopedzisa kurapwa seal inoshandiswa pakutsigira. Kana mazino kusingarapiki, rakabvaruka.

Chisingaperi periodontitis fibrous

Kuwedzera chenjera, pane chirwere periodontitis, inoyerera pasina zviratidzo zvinoonekwa uye vanofunga kuti zvakaoma chaizvo kuziva. Govera vakadaro zvacho:

- fibrous;

- granulomatous;

- granulating.

All vatatu siyana izvi zvinogona kunetsa kusiyanisa "ne ziso", saka nechirwere rinoitwa tichibatsirwa X-ray tomography dzimwe nguva. Kazhinji, chirwere periodontitis kunooneka pacharo chete nguva exacerbation. Kana fibrous chimiro mazino murwere, varwere vanogona kuva siyanei, matauriro zvasviba kupfuura utano, anogonawo kupa zvimwe zvishomanana aikanganiswa mu kutsenga akaoma zvinonzwisisika kusanzwa. Mabatirwo chimiro ichi chirwere matambudziko kazhinji kunokonzera kwete. The kekutanga unoitwa achibvisa fibrous pulp chikamu, kukura migero, achibvisa tsinga (pasi yokutindivadza) uye kwekanguva zvinodiwa "Metapeksom". Mazuva 3-7 akazarura migero itsva, zvinomuomera kuikanganwa pfupi zvinhu, kuva chisimbiso zvachose. Kana zino pashure pachirongwa chekutanga anotanga kurwadziwa, ayo mhango kuzarurwa uye anoramba rakavhurika kuti pezvizuva uyo murwere inoitwa zvinodhaka mishonga.

Chisingaperi granulomatous periodontitis

Kana granulomatous chimiro akapoteredza periodontal mhango vakaumba anokosha - granuloma, paive kupa zviratidzo, asi dzimwe nguva pane kugunun'una wevarwere dzimwe zino aikanganiswa murwere. Granulomas mumuhara fibers vanoumba mumwe fibrous zvinyama, izvo kazhinji inokura kupinda periodontium. Ratidza ichi anogona X-ray. Panguva kurapwa kuongororwa, chiremba anowana kunokurumidziswa chisimbiso kana huru carious mugomba amire pasi pechisimbiso kana korona, asi ndima vachiongorora migero marwadzo murwere haakonzeri. How kurapa zino mune iyi uye kana zvakakodzera kuti tidaro kana hapana kunyunyuta? Kurapa zvakafanira kuti chisingaperi periodontitis hakuna yazova unopinza uye kwete kurasikirwa nezino. The kurapa ndiko kubvisa kwaibva chirwere. By zvairatidza vakatakura endodontic (dzenhoroondo) kurapwa pamwe yokuzvinatsa vakafa hova nyama uye vatungamirire chisimbiso, zvisinei, kana nzira iyi haisi mugumisiro, zvakare kushandisa kuvhiya kupindira akadai resection pamusoro zino nani resection muromo matambudziko mudzi uye kubviswa pedyo munyama hemisection kana kuparadzana coronary-radicular.

Chisingaperi periodontitis granulating

chimiro ichi kunoratidzwa kakawanda exacerbations, uye fistula inotungamirwa mune periodontal munyama. Kazhinji, varwere chokunyunyuta pamusoro kurwadziwa zino, pamwe kuwedzera kumanikidza pairi (dög). Kazhinji dambudziko munzvimbo dzakapoteredza mucosal zvinyama zvomoto, vane kuzvimba, fistula, izvo zvinogona protrude kubva granulosa rinenge pus. Inoda kufunga Channel uye palpation pakati matadza inogona kurwadza. Treatment zvakafanana mumwe kuitwa panguva granulosa periodontitis. Chiremba anoita endodontic kurapwa, uye kana hazvibviri kubata zino resection (mudzi wawo chakaderedzwa mutengo), rakwo excision kana hemisection. Zvinofanira kurangarirwa kuti zvikonzero granulating periodontitis anogona kukwana mazino kutarisirwa uye kupinda mumba periodontal utachiona, uye kuwedzera, malocclusion, chirwere cheshuga nezvimwe zvirwere. Kana granulating periodontitis vanovamba kurapwa kwenguva, zino angaponeswa.

Kupatsanura pakati periodontitis pamusoro etiology chirwere

Zvichienderana zvinokonzera periodontitis, zvinotevera mhando:

- Infectious Diseases;

- yaizoitika;

- mishonga.

Children pamusoro etiology kuti panowanikwa periodontitis anokurumidza kupararira zvikuru apo biogenic amines kana Micro-zvinenge vavo zvinokachidza zvinopfuura periodontal nokumhanya in.

rwarisa periodontitis

Dana chimiro ichi chirwere siyana zvigare (streptococci, veylonelly, notumwe mbiriso uye nevamwe), izvo zvinopfuura periodontal zvinyama kubva pamudzi canal, gingival muhomwe yakapoteredza munyama uyewo ropa kana node apo zvirwere kwete ukama mazino (fivha, bembo, sepsis , sinusitis). unopinza ndichinzwa zino - huru chiratidzo chacho. Kazhinji periapical exudate rinoungana, kunze akaratidza kuzvimba mucous uye matama, uye kubva mudzi Canal pane chinonyangadza zvakanaka. Treatment vanofanira chete rinofanira kuitwa nezvokurara, izvo zvinofanira kubatwa mukati mazino pakati. Pane mukana kuwana zvizere-siyana dzokurapwa mabasa, kusanganisira simba renyika rinonzi magnetic uye Laser mishonga. Kuzadza mudzi yaNire, icho compulsorily akabvisa tsinga, anogadzirwa kwete wekutanga, uye kazhinji haana rechipiri kushanya. Chiremba vanosungirwa kusiya zino yakazarukira zvizere kushaya kuti fluid kuita gwara disinfection, uye chete ipapo akaisa chisimbiso. Kana kurapa hakuiti nezvibereko, zino chakaipa kubviswa.

randakambosangana naro periodontitis

Chikonzero chimiro ichi chirwere zvinhu zvakasiyana-siyana zvokuimba zino mukukuvara zvingaitika kana zvinotevera zviito:

- baya mazino nzungu kana mbeu;

- snacking shinda, waya;

- kuchenesa mazino chinonyanyisa vachishandisa mazino floss;

- ichivhuvhuta, contusion;

- havaratidzi kujairana prosthesis (kushumira kana kwete yakanyatsoiswa pasi dentition korona);

- yakabudikira chisimbiso.

izvi zvose zvinogona kukonzera kuzvimba chokumusoro (nezvahwo mu shoma) zvikamu periodontal marwadzo, ropa matadza uye pakupedzisira kuwedzera pamusoro periodontitis. Treatment rinoitwa maererano zvairatidza, asi chinhu chakakosha kuti ichi ndicho kekutanga murwere mazino kiriniki - kubvisa kwaibva zvinokuvadza (kubvisa yakabudikira chikamu chisimbiso, chinja korona).

zvokurapa periodontitis

Ichi chimiro chirwere anogona kuitika kuburikidza mhosva yacho chiremba kana murwere. Kazhinji, mishonga chinotarisirwa kuti pakurapa periodontal nzvimbo (semuenzaniso, Arsenic, piotsin), zvinoparadza mudzi migero. Zvinoguma kupisa munyama dzakapoteredza zino, kana kunyange rufu kwavo, uye zvinodhaka Kutemeswa periodontitis vana kungaita kuti kuparadzwa rudiment kwemeno zvechigarire ramangwana. Naizvozvo, zvinokosha kushandisa kuti dentistry centre iri chiratidzo chirwere wokutanga.

Uyewo zvokurapa periodontitis zvinogona kukonzerwa kushanda murwere yokuchenesa pastes mazino ine formalin, tricresol uye zvakafanana. Zviratidzo zviri chirwere vari:

- simba matambudziko zino marwadzo;

- vachirwadziwa shaya rose kana chidimbu, uko matambudziko zino;

- the mufambo murwere wacho zino.

Marapirwo ndiko kubvisa zvinokonzera kuzvimba muna zino uye pakatanga zvinodhaka (nemishonga, sulfonamides), mumakomba. After kubviswa kuzvimba kubereka rakavhara zino.

Madzivirirwe Zvaifungidzirwa

Sezvinoratidzwa tsvakurudzo masayendisiti achangopfuura, nokuti mumwe munhu kunokosha hazvo varape zvirwere zvose kwemeno, zvikurukuru periodontitis. Chirwere zvinofanira kubva kurapwa kuongororwa matambudziko zino X-ray kana Panoramic mufananidzo, izvo anoratidza mwero dambudziko (suppuration, mapfupa kuparadza uye nevamwe). Zvakakodzera kusarudza zvakarurama uye inobudirira kurapwa, sezvo ichigere kupera mushonga kurapwa kana periodontitis kunoguma nokurasikirwa kwemeno. Vamwe regai zvikuru kukosha, achifunga chete urema zvizorwa. Asi masayendisiti akawana kuti kusavapo iri dentition meno 5 chete anenge 140% mikana sitiroko uye myocardial infarction. Izvi hwakagadzwa empirically. Kudzidza kwaisangogumira 8000 vanhu vemazera akasiyana. Nei kushaya mazino zvinoshatisa chokupika mwoyo, kunyange zvazvo zvakanga zvisingaiti kuti uone.

Sezvo kudzivirira periodontitis, vanachiremba vari zano kuti kugara mamiriro mazino, kuti vachengete mitemo noutsanana mazino uye muromo, kudzivisa zviito dzechimwe zino enamel uye rose zino rose, uye panguva chiratidzo chirwere rokutanga kwete kuzvinzwira medicate, uye kutaura mazino kiriniki.