Periodontal chirwere: unhu, zvinokonzera, pathogenesis, chirwere, kurapwa uye ekudzivirira. Kupatsanura pakati periodontal zvirwere

Zvinetso pazvinomuka pamwe dzaiita zvokutaurwa mhango, zvakadai hachifadzi vasingateereri kuchinja zvakaoma. Chikonzero ichi, kudzivirirwa periodontal kwaizotevera kurapwa zvirwere kucharamba akakodzera. Pashure pezvose, boka iri zvirwere chaizvo nevakawanda, zvose vakuru uye vana.

Chii ndiwo chirwere

Kuti tinzwisise zviri nani dambudziko iri, unofanira kuteerera mashomanana anokosha pfungwa. Unogona kutanga periodontitis.

Izwi iri rinoshandiswa kureva zvinyama wakakomberedza zino uye vakachengetwa nokukiya payo shaya. Kutaura zvazviri, tiri kutaura pamusoro periodontal shwashwa (rinobatanidza pfupa mugomba uye zino mudzi), gingiva, mapfupa rinenge alveolar rikurumidze uye zvinosimbisa kuti zino. Nyatsoteerera kuti siyana zvinoumba zvinyama, zvine musoro nokuti chirwere ichi chinogona rova neimwe yoga.

Kana muitiro, kuva kunoparadza kukanganisa pezvokuvamba nemumuromo pollosti, kazhinji, ndiko kuzvimba yose marongerwo kana zvinyama pamusoro gingival kumahombekombe.

By pezvawakaita, zvirwere zvine chokuita matadza uye mazino, angava neoplastic chinopedza kana anogumbura.

Zvinonzwisiswa kuti periodontal chirwere zvinoreva chikamu matambudziko rakajairika izvo varwere vanouya wemazino. Pashure pokudzidza WHO data, unogona kudzidza zvinotevera chokwadi ichi mhando zvirwere muvana inowanikwa 80% nyaya munyika dzakawanda. Vakuru kazhinji kugadzirisa boka iri zvirwere.

zvikonzero

Ichokwadi, zvinetso matadza uye nezvimwe dzaiita munyama haamo voga - Ivo pave chidzoke dzimwe kwendangariro.

Maererano dzakananga zvinhu chokuita etiology boka iri zvirwere, vanogona kuva huviri pfungwa mumapoka: omunharaunda uye mukuru. Zvechokwadi ndiye Dombo iri, kukuvara, subgingival uye supragingival tartar prosthetic kuremara, `clustering 'mazino, anomalies kuda kuti matomu rurimi uye miromo, uye zvichingodaro. D.

Chero periodontal chirwere kazhinji pamusana kusaenzana ane zvipenyu maitiro (Dombo uye kunanzvana mvura state).

More zvakananga pamusoro mukuru zvinhu, tinofanira kutaura kushaya mavhitaminzi vemapoka B, C, E. deficits aya inokanganisa marongerwo uye mashandiro periodontal munyama. Kushaya anodiwa mavhitaminzi anokwanisa kukonzera matambudziko akadai kutyora mapuroteni, calcium phosphorus, carbohydrate uye lipid muviri. Hakufaniri kunze uye mukana Organic uye dzichipfekeka kuchinja kubva zvomudumbu, huta, kweropa, kwemakemikari anobudiswa, uye aitya enyika muviri.

Zvine musoro kuteerera chokwadi kuti periodontal chirwere zvingava zvakafanira matambudziko akadai kuvabereki kubatwa, ropa zvirwere, neutachiona, kuchinja reactivity, immunodeficiency uye nokuvhiringidzirwa kwemakemikari omuviri hurongwa.

alveolysis

Hwaro chirwere ichi ndicho atrophic uye dystrophic kwacho periodontal munyama. Chakadaro chirwere anganzi munhu anononoka, hapana zviratidzo rinobwinya.

Kazhinji, periodontal chirwere kunoratidzwa nokufumura nemidzi kwemeno kana kuona kuwedzera urefu kwavo nokuda pakugadzirisa pamusoro matadza. Dzimwe nguva varwere vangafunga marwadzo ari mazino uye kuvaviwa ari matadza.

Treatment uye kudzivirira periodontal chirwere ichi nyaya kunoderedza kuti symptomatic migumisiro kuburikidza chinokosha kurapa nevamiririri. Izvi zvinogona kuva "Flyuogel", "Ftorlak" and said. Somugumisiro kwakawedzera aikanganiswa kwemeno chinobviswa. Chiremba anogona taurira automassazh uye mazino. Izvi zvinoitwa kuti vaite rakasungwa trophic zvirwere. Mune zvimwe zviitiko, akakodzera vestibuloplasticheskie oparesheni, asi zvazvinoita haagoni chichitarisirwa. Zvinokwanisika uye rakavhara achikanganisa nemigumisiro.

Entiotropnoe kurapwa haina kushandiswa, sezvo zvinokonzera periodontal chirwere hadzisi chaizvoizvo pachena.

Periodontitis uye gingivitis

Kana isu kutaura pamusoro kuratidzwa matambudziko chokuita dzaiita zvokutaurwa munyama, vose periodontitis, zvinokosha kuziva kuti ichi chinhu anogumbura chirwere umo sei mhando dzose dzomuviri zviri shaya. Nokuti zvakadaro ndiye anozivikanwa kuonekwa mberi kuparadzwa alveolar bvupa shaya mapfupa, uye kuparadzwa periodontal akakura.

Kana gingivitis, rinogona kurondedzerwa se ane kushoma, unosanganisira chete zvinyama ari gingival kumahombekombe. Izvi zvinoreva kuti chete kunokanganisa chingamu tishu pamusoro.

Zvakakodzera kuziva pamusoro inotevera chokwadi: siyana idzi chirwere kazhinji zvinodyidzana. Chinonyanya kukosha ndechokuti kuzvimba, yakabuda gingival zvinyama pamusoro nguva zvingaita zvimwe zvinhu zviri periodontal hurongwa. Nokuda kwechikonzero ichi, chausingafaniri kuregeredza chirwere chakadai, sezvo gingivitis, nekuti ipapo kungakonzera zvikuru chaihwo dambudziko.

Kugadzirisa zvinokonzera periodontal chirwere, Zvinofanira kuzivikanwa mugumisiro yose kunzwisisa zvinhu zvose kwokunze uye dzakawanda. Saka, maererano gingivitis, kazhinji kunotungamirira kune mamiriro hanya dzaiita utsanana zvakafanana, zvichiita kuti deposition pamusoro tartar uye Dombo kuwanda.

Izvi zvinoreva kuti kana dzinokosha matanho kunogona kudzivisa nezve dambudziko panzvimbo chakakomba.

atrophic gingivitis

Kuramba pamwe zviri periodontal chirwere, zvinokosha kuti unyatsoteerera chimiro ichi chirwere. Inokudziridza pamusoro mamiriro echirwere kushoma inokanganisa yose dentition, uye mamwe mazino.

Panyaya iyi, iyo mucosa inova rakachenuruka blue, uye papilla asiri aripo kana ndokudzora. In mamiriro ichi, murwere haafungi zvikuru kusanzwa. Zvichemo kazhinji chokuita simba nemarwadzo kana zvishomanana kuvaviwa ari matadza.

chisingaperi gingivitis

Kupatsanura pakati periodontal chirwere zvinosanganisira kunaka kuchinja chinzvimbo kudaro nomuromo munyama.

dambudziko iri kakawanda wakanyorwa varwere zvokurwara Inosanganisa kana kumwoyo. Zvinokonzera chirwere zvinosanganisira Immune Deficiency, uyewo matambudziko zvakapoteredza zvinhu, kusanganisira mukugadzira. Tiri kutaura chisingaperi kutungamirira chepfu, nemekiyuri nezvimwe zvinokuvadza zvinhu. Saka zvinokosha kuti unyatsoteerera kushanda ezvinhu uye regai kurerutsa kuti zvinobvira ngozi kunaka utano migumisiro.

The pathogenesis pamusoro periodontal zvirwere izvi mhando kunoderedza kuti zvinotevera kuona rwakashata zvinyama chinhu sokuti ropa matadza panguva kwokugeza mazino uye kugamuchira zvokudya zvikukutu uyewo dzakaipa kufema uye inopisa manyawi.

Kubvisa chisingaperi gingivitis, unofanira kutanga neutralize kuti zvinokonzera zvirwere kunoita. Attention zvinofanira kuripirwa uye nyanzvi kunanzvana utsanana. Relevant anokwanisa kuva kudya yakazara, detoxification muviri uye kugara mvura rinodyiwa.

Necrotizing maronda gingivitis

Ichi chimwe chimiro kuti kutora anogumbura periodontal chirwere. Pashure vagumirwe dysbiosis, akaderedza kurwisa kwakaita nhengo, gipoavitaminoz, dzihwa, hypothermia, matambudziko immunological, siyana zvinokangaidza uye angina.

No kukuvadza vachaziva kuti kuna gingivitis pamusoro yaitwa ropa zvirwere, zvakakodzera kuti tiite imwe differential kuongorora chirwere.

Treatment kunosanganisira nokukurumidza kubviswa kunobva kuzvimba, uye matanho anodiwa kuti vakwanise kumisa kukanganisa kwayo pamusoro navamwe nomumukanwa munyama. Uyewo zviripo Chenjerera rutapudzo kuti kudhaka. Pakati matanho kuti ave yomunzvimbo chaizvoizvo unogona kushandisa kubviswa necrotic zvinyama, kurwadziwa uye kurapwa pamwe antibacterial zvinodhaka chakarondedzera zvikamu vaya matadza, dzakanga yakarova.

Usakanganwa kudzivirirwa: kudzivisa dzokororo chirwere vanofanira kudzivisa chidzoke kwezvirwere zvinotapuriranwa, uye kwete kunonoka mazino kurapwa kuti matambudziko pachena.

Zvatichiri yokupara periodontitis

Vaya vanofarira kupatsanura pakati periodontal chirwere, kuzvimba pamusoro chimiro ichi kuti arumbidzwe ndiyo fanira.

Musimboti dambudziko ipfupi kuti nesarudzo kukundwa yokutsigira midziyo mazino zvechigarire yokutanga. Kutsamwisa chirwere bacteria actinomycetes. Kazhinji, dambudziko iri zvinoita pacharo sokuti vari vana vane vabereki vari vatakuri microorganism yambotaurwa.

The anogumbura mhinduro hazvisi usingashandi, asi pane kudzvinyirira of zvirwere apindure. Nokufamba kwenguva, muviri wemwana inoumbwa dzakananga antibodies runovabvumira zvinotevera zvachose mazino vacharamba vakachengeteka.

Mabatirwo periodontal chirwere ichi mhando kunosanganisira kushandisa mishonga inorwisa mabhakitiriya mazuva 21 uye zvakawanda, uyewo kunhaka vomunharaunda kupindira. Achitaura refu nemishonga, zvinofanira kucherechedzwa kuti ichi chiyero zvinokosha nokuti anokuvadza tusingaoneki pinda kwete chete munzvimbo periodontal sulcus, asiwo periodontal muhomwe uye zvakadzama kupinda pfupa zvivako uye munyama. Ichi kunaka mamiriro akatsiga zvikuru, uye saka kunoda refu chokupfeka.

Zvahunoitwa nemishonga uye nokukurumidza mberi periodontitis

dambudziko Iri migumisiro chaiyo microflora pakubhadhara anoverengeka. Kana panguva kukanganisa marudzi akawanda pamusoro utachiona, mugumisiro mumwe kunosimudzirwa, iyo zvinotungamirira zvinyama mukuparadzwa uye kudzvinyirira ari masoja mhinduro.

Tichitarisa pathogenesis pamusoro periodontal zvirwere kwakadai, inonyatsobudirira nzira yokurapa nyanyisa inorwisa utachiona kurapa (kanenge 3 masvondo) uye kwazvo machine pamusoro periodontal muhomwe.

Pamwewo kuvhiyiwa. Panyaya iyi, magetsi Pacchiwaku kuchaita kuitisa akavhiyiwa zvinoitwa chete pashure murwere achatora zvizere nzira asingaurayiwi kurapwa.

Kurapwa kwakanga kubudirira sezvinobvira, zvakakodzera pakutanga kuitisa microbiological kuongorora zviri zvinyama biopsies uye periodontal muhomwe.

Neoplastic maronda ose periodontal

Zvirwere zvakadai zviri anoita chokwadi kuti vari zvakaoma kufungidzira nokuda kukura chirwere chete vanhu pakutanga vane kubatwa kune kuratidzwa dzakadaro.

Sezvo zvinhu kukonzera kukura anomera uye bundu-kufanana maronda, tinogona kuona hormone inochinja. Zvingava Somuenzaniso, kuunganidza kukura kemikari panguva pamuviri kana kuyaruka. Zvikonzero nechitarisiko bundu maronda Angasanganisira kuzvimba, zvirwere yapfuura kana matambudziko dzechimwe zvinoita kuti vari chirwere zvakasikwa.

Mumakore achangopfuura vanachiremba vakaona wakaiswa chimwe chikonzero kuratidzirwa zvokurwara ichi sezvo neoplastic maronda ose periodontal. It is kushandisa vanoshingaira anabolic steroids vechiduku inowanzoshandiswa mukirasi mune mukusimbisa muviri uye nedzimwe simba mitambo.

Nzira Mabatirwo periodontal chirwere panyaya zvokurwara ichi vari kuderedzwa kubvisa kuzvimba uye zvinokuvadza (pamberi ekupedzisira), uye, kana zvaida, kubviswa vashoma tishu surgically. Kuvhiya ndiyo nzira inonyanya kuitika nokuda diagnoses akadai "hypertrophic gingivitis", "chingamu fibromatosis" uye "mezhkornevyh granuloma".

Pashure pokuvhiyiwa, zvakakosha nokungwarira kutevera mitemo nomumukanwa utsanana uye kushandiswa antibacterial, uye chinokosha akambozvishandisa kuuraya utachiona sukurudza.

Chirwere pamusoro Periodontal Disease

In nedanho nechirwere kufungawo hunhu uye kukura kwacho, uyewo kumwe mufananidzo yose.

Panyaya periodontitis, kuti differential zvokuongorora muchiitiko ichi chichange nezvezvandaifanira kuona zviratidzo zvitatu huru, naro unogona kuona ukuru kwokuomerwa chirwere. Tiri kutaura pamusoro resorption remafupa, pathological mufambo mazino uye kudzika periodontal muhomwe.

Chenjera uye chisingaperi siyana generality vanozivikanwa anotevera Zviratidzo: kuzvimba uye akatsvuka pakati mucosal alveolar mapfupa marwadzo neimwe zino mu compression kana dög, infiltration uye kwakakura murwere zvavo.

Somunhu maitiro chinhu kuti inoratidza periodontal chirwere izvi mhando kunogona tsunga abscesses, anoonekwa munzvimbo dzakasiyana. First munhu anoenda, uye shure kwamazuva 5-7 pane mumwe. Nzvimbo nzvimbo yavo pedyo gingival kumahombekombe, asi shoko hakusi parodentalnym muhomwe.

Kutsunga gingivitis siyana yave kukurukurwa pamusoro. Asi zvokuongorora ose dzechimwe nodes, muchiitiko ichi, kuwedzera ukuru kuparadza periodontal, zvakakodzera vatange etiological chinhu. Nokuti chinangwa ichi, anokodzera mureza rokuongorora uye kuongorora nzira. Pashure aifanira kuteerera pathogenesis chirwere.

mabatiro

In musimboti, chirwere uye vabatwe periodontal chirwere vari airarama, kuziva zvakananga zviratidzo, kuona chimiro chirwere, ayo unhu, uye ipapo neutralize chokutsva pamwe kunorwadza zviratidzo.

Asi, zvichienderana nemamiriro ezvinhu, nzira yokukurira chirwere angava vamwe kusiyana.

Zvinokoshawo kunzwisisa kuti chinokosha chinangwa treatment - ndiko kudzorerwa uye kuchengetedzwa kutsenga basa, normalization pamusoro aesthetics uye neutralize asina kunaka kwechirwere pathological pezvakaitwa zvakadai pamusoro seboka, uye zvikurukuru periodontal munyama.

Sarudza nzira chete itibatsire dambudziko sendarama kukurumidzirwa kwakaoma nokuti aida mugumisiro anokwanisa kupa chete misoro mishonga periodontal chirwere.

Zvakakosha kuziva uye kuti pane vakawanda zvinodiwa zvinokosha pamusoro izvo muitiro nokukurira chirwere yakavakwa. Ichi oga, kunzwisisa, pathogenetic uye causal kurapwa. Ndakapedza basa kurapwa vanoverengeka rokudzorera matanho.

Panyaya dzinokosha zvinangwa, iyo inopa kurapwa periodontics, vari sezvinotevera:

1. Pathogenetic substantiation.

2. Impact pamusoro microbial (etiological) chikonzero.

3. Matanho zvainanga kudzivisa kuchiita rokuparadza muitiro.

4. kuchirapa Migumisiro yose Muviri zvikurukuru periodontal tishu. Entiotropnoy Chaizvoizvo jekiseni hazvisi kubvisa hwaro zvinokonzera chirwere.

5. Kudzorerwa chadzo uye morphological maitiro periodontitis.

Pari iripo inorwisa utachiona yakasiyana kwokugadzirira vane vachishuva mwero kwechirwere, izvo dzinotaurwa zvakasiyana siyana (shinda, gels, elixirs, ndiro, mafuta okuzora, uye vamwe.). Asi zvinokosha kunzwisisa kuti kushandisa kusingasaruri kuti vamiririri dzakadaro kunogona kuwedzera periodontal chirwere muvana uye repakati vanhu, zvichiita kuti pave nomumukanwa candidiasis uye kunanzvana kutyora microbiocenosis.

Chikonzero ichi, pashure nyanzvi chirwere uye kurapwa urongwa inofanira kuva chiremba anokwanisa anokwanisa kufunga zvose nomumwe zvechadenga murwere ane periodontal zvokurwara. Izvi zvinhu zvinosanganisira nguva yose chirwere, murwere rwevanhu ezvinhu, kurapwa, rakanga akatakurwa pamberi, migumisiro uye zvimwewo.

Somuenzaniso, kushanda riri catarrhal gingivitis. Chokutanga nomurwere kudzidzisa zvakakodzera nemumuromo utsanana, akaita pashure kubviswa yomunzvimbo hunhu kunovhiringidza zvinhu. Izvi zvinogona kuva mazino zvekupfakira, raderera, pamwe kudzorerwa kuonana pfungwa, uyewo kubviswa mazino Dombo.

Inotevera pavaipfuura kurapwa, izvo zvichakubatsira kuti kubvisa periodontal chirwere, kuti vaite imwe munharaunda Anti-anogumbura kurapa, umo vakashandisa kushandiswa mishonga yemakwenzi. Physiotherapy kurapwa kune catarrhal gingivitis kuchaita microcirculation. Nokuda kwechikonzero ichi, murwere anogona vakaratidza electrophoresis, masaja matadza uye dzimwe nzira.

Kana akaratidza zvichiita kubviswa kukodzera nzvimbo mazino, nyoro zvinyama abnormalities okukura uye nokuruma. Muchiitiko chino, zvinogona kubatsira zvikuru mishonga. Somuenzaniso gel, rine hurongwa kuti ane zvakakwana yakakwirira kuchirapa kushanda. Nzira chikumbiro haina kuoma: pashure akambozvishandisa kuuraya utachiona gingival kumucheto kwapera, ikabereka zino voga kushandisa donje mabhanzi, zvichiteverwa vachiyanikira kwayo. Kuti akashandisa sirinji kana gel trowel. Sezvo kushanda nzvimbo yasarudzwa gingival sulcus kana shoma gingiva.

Zvinonzi zvakare ashandise Keratoplasty chizvarwa chitsva mazuva 3-5 mushure kutanga chirwere. The mugumisiro richava kweiyi reparative kwendangariro.

zvabuda

Madzivirirwe nekuramba periodontal chirwere ari zvokurwara inokosha chaizvo nokuti vanhu vazhinji, nekuti nemumuromo chirwere rinenge vavhiringe vanhu dzemazera akasiyana-siyana kakawanda. Kuti varege kubata gingivitis, periodontitis nezvimwe zvakafanana zvirwere, unofanira kuomerera zvachose nemitemo nomumukanwa utsanana uye vatarisire muviri nemamiriro yose. Kana, zvisinei, zviratidzo chirwere wokutanga, zviri nani kuti uende kwachiremba, ipapo pane mikana akurumidze neutralization matambudziko kunge vaona.