Periodontal homwe: kuzvimba uye kurapwa

Wrong zvokuudzwa hanya kunotungamirira Dombo nematombo. Somugumisiro pathological pezvakaitwa inofambidzana rirwadze. Pakutanga zviratidzo isingakuvadzi zvakakwana. Pane zvishoma ropa matadza, kuzvimba, uye dzimwe nguva kurwadza. Zvishoma nezvishoma, zino mufambo rwuchiwanzwa, chimiro purulent secretions. Panguva iyi, tiri kare kutaura achimhanya periodontitis. Nokuti kurapa chirwere ichi uchishandisa periodontal muhomwe curettage. Imhandoi nzira? Ndezvipi zvimwe nzira inoshandiswa kurwisa chirwere? Mhinduro dzemibvunzo iyi dzinogona kuwanikwa nhasi Nyaya.

A tsananguro pfupi dambudziko

Tikafunga kushoma mapfupa rinenge raparadzwa zvishoma nezvishoma uye ne granulation. Yokupedzisira ine zvimwe masero microbial uye osteoclasts. Zuva nezuva, anoshanda kune vose kunzvimbo itsva, zvichitungamirira yakakura atrophy pakati alveolar mapfupa. Pane akasununguka nzvimbo apo pasina aida gingival zino mudzi pemvura.

Somugumisiro kuchinja izvi aumbwa periodontal muhomwe. nzvimbo iyi yakaenzana mune kukura mugove repfupa kuparadzwa. The mukati akauya granulation rinenge vakasara zvokudya uye purulent muchivande. By ukuru pakakoromoka aumba kuzotonga mwero deformation of tishu. In hwakanaka munhu kudzama periodontal Homwe idukusa 3 neMM, saka unogona kuchenesa mhango kubva residues zvokudya zvakasununguka. Kana ukoshi ichi akapfuudza chaiyo kukura, pane mamwe matambudziko ari kutarisirwa dzaiita zvokutaurwa mhango. The mikana pakati zvirwere kunowedzera kanoverengeka, iyo inosvitsa chitarisiko dombo uye chikwangwani chakanyorwa. Mugumisiro vanoshingaira zvinyama kuparadzwa kungava kurasikirwa nezino.

Zvokurwara chirwere rinoitwa uchishandisa X-ray kana periodontal vachiongorora. pakupedzisira kushaya unhu kurapwa kunotungamirira kudzama yacho muhomwe. A mugumisiro izvi ndiko kutamira mazino kuti chinzvimbo "feni".

Zvinokonzera homwe

Chikonzero chikuru kuti paumbwe periodontal gwara - chenhando uye utsanana pamusoro nomumukanwa mhango. Usava kuchenesa mazino kana ayo kusavapo kunotungamirira kuunganidza kwemabhakitiriya deposits munzvimbo korona. Pamusoro zino enamel pamusoro tupukanana vanoumba mutete kusingaonekwi firimu zvinhu uye vanotanga secrete upenyu hwavo pachavo. Saka pane kuzvimba periodontal muhomwe.

boka nengozi

Pakati zvinhu kuti vanokurudzira kukura uye chokuwanziridza pamusoro utachiona, zvinogona kucherechedzwa:

• kururama zvokudya, zvinosanganisira runonyanya pamusoro carbohydrate zvigadzirwa;
• murombo nomumukanwa utsanana;
• muropa;
• mhirizhonga munyika mahomoni;
• immunodeficiency;
• mazino pezvakaita chirwere;
• malocclusion;
• substandard kugadzwa chisimbiso.

Zviratidzo kuzvimba

Paumbwe periodontal muhomwe kwenguva refu kungava asymptomatic. With kukura kushoma, pane maitiro zvekuchipatara mufananidzo:

• kusagadzikana mune matadza;
• halitosis;
• kuzvimba, kubuda ropa uye akatsvuka pakati matadza;
• palpation anogona kusunungurwa purulent secretions;
• rokuwedzera interdental dzezvimwe;
• Kuipa vakawanda ezvinhu.

Paunoona matambudziko aya, unofanira kubvunza chiremba wemazino yenyu. Abatsire chiremba kunodiwa kunyange kana kuzvimba akaita sei chete zino chete. Panopera zuva rimwe nerimwe mamiriro zvichaita chete kuipa, izvo zvingaita kuti kuchiita chirwere.

kurapwa

Asati mushonga vari panoonekwa hwaishandiswa chiremba kunotema ukuru hanya chirwere. Kana periodontal homwe idukusa 0,15 neMM, uye hapana zviratidzo kuzvimba, kuchirapa nzira dzinoshandiswa. Maitiro anotevera dzinowanzoshandiswa:

1. Utsanana kuchenesa pamwe Ultrasound. Munguva kubviswa Dombo uye calculus mazino haana kukuvadzwa.
2. Mishonga. Ko basa pakarepo mushure ultrasonic okuchenesa. Nyoro pathological muitiro vachishandisa aseptic kukurukurwa (zviumbwe, kudiridza, sukurudza). Panguva nzira inoshandiswa 'Chlorhexidine "kana" Miramistin ". In kunyanya zvakakomba Muzviitiko, murwere ushandiswe nzira inorwisa mabhakitiriya. Ichazivikanwa kunyatsoshanda mukuru kutevera kugadzirira: "amoxicillin", "Lincomycin" uye "azithromycin".

Matanho aya hadzibatsiri kana mumbudu udzamu kupfuura 2 mm. Chiremba havazokwanisi kubvisa zvachose pamusaka ibwe. Uyezve, anowedzera mukana wokuti mamwe periodontal mupfungwa. Somugumisiro kuchinja kuzvimba uye zvinyama kuparadzwa dzinotanga mberi.

In kuoma chirwere inokurudzirwa kuvhiyiwa. nzira iyi yokurapa hunosanganisira zvokuimba chiito pamusoro mazino zviridzwa poddesennye nzvimbo. Pari inonyatsobudirira nzira iyi mhando runoonekwa kuti curettage pamusoro periodontal muhomwe. Chii? Kune mhando dzakawanda dzevanhu: indoor, panze uye kurova-rova kuvhiyiwa. The nzira pachayo inogona kubvisa zvose matambudziko anokonzerwa periodontitis. Funga mumwe nomumwe wayo nzira zvizere.

Curettage rakashama

chipingaidzo kwakadaro kunoda yakakwirira professionalism vanachiremba. Saka, basa iri haisi kuwanikwa outano zvose. Duration kurapwa kuri maawa anenge 2,5. Inoitwa anotevera:

1. Kukwesha mazino uye Dombo kubva ibwe.
2. Kushandiswa Anti-anogumbura zvinodhaka.
3. Kutsigira ruoka Mobile mazino.
4. Gingival kurova-rova kwetsinga scalpel.
5. Kubviswa granulation nematombo achishandisa Ultrasound.
6. Andisepitiki zino midzi.
7. Podsazhivanie muhomwe Micheka chakaita zvokugadzirwa yokuwedzera kukura rwokuzvarwa mapfupa.
8. Suturing uye pakazovharwa hunenge gingival mugove bhandiji.

Pashure pevhiki dzinenge 1.5 sutures vanobviswa. Mwedzi mishomanana gare gare anouya kwokupedzisira kudzorerwa zvaparadzwa munyama. Papilla anogona kufukidza zvachose pakakoromorwa pakati pameno. Mune zvimwe zviitiko, rakazaruka curettage pamusoro periodontal Homwe kunotungamirira kufumura kumidzi. Saka, apo Zvinokurudzirwa kuramba kushandiswa kupisa, kutonhora uye acidic chikafu.

Curettage chine gedhi

The oparesheni unoshanda muhomwe kudzama 3-5 mm. No chiito omei. Inoitwa anotevera:

1. Inspection of matadza.
2. The Sumo vomunharaunda yokutindivadza.
3. Mabatirwo periodontal muhomwe yacho matadza pasina kwetsinga.
4. Makorari kuti zino midzi.

Kupindira anogona panguva kukanganisa 2-3 zino. Ronda kunoitika vhiki imwe, asi zvinotora inenge mwedzi chokupedzisira kudzorerwa. Saka nguva yakawanda inodiwa kuti paumbwe connective zvinyama kungonzwa uye chingamu kuti zino. The chikuru drawback pamusoro nzira iri kuti chiremba nenguva bata haaoni kuti zvose yakaoma inotungamirwa dzadzimwa.

Kana muhomwe udzamu hwunopfuura 5 neMM, akadzivira curettage chete misa kuchiita periodontitis. Mienzaniso Kubviswa sediments uye granulation inopa zvishoma, asi kazhinji kacho chirwere Tinoenderera mberi kukura kwayo.

kurova-rova kuvhiya

Kuvhiya uku kunosanganisira rokutema matadza kuvhura periodontal muhomwe. Zvinokurudzirwa kuti kana kukura haapfuuri 4 mm.

First chiremba anoita cheka miviri duku ine scalpel uye detaches muco-nadkostochny kurova-rova. Zvadaro, mumwe mureza zvokuimba kuchenesa uye pakuonekwa pamusoro muhomwe pechiso zino. Pashure pokupedza pakurapa hwakasimba hukawanika vari hwakatamisirwa nyoro tishu kwetsinga. Ichibhabhamisa akaisa pachigaro. Panoperera nzira rinoshandisirwa njodzi nzvimbo osteogenic zvinodhaka pachahwo uye sutured kuti mazino. Yose oparesheni anotora maminitsi asingasviki 40, asi kunosanganisira kushandisa vomunharaunda yokutindivadza.

Vamwe varwere mberi kunan'anura muchikuvadza kuporesa nevasori kuti zvokunze kushanda (semuenzaniso "Furatsilinom"). Vanotiwo kushandiswa kwamafuta kuti dzishande ( "Solkoseril" "Aktovegin") epithelialization kwacho pakati matadza.

Vacuum curettage

In pamberi purulent abscesses uye rakadzika Homwe (5-7 mm) kushandisa Vacuum curettage. Cleaning rinoitwa kushandisa dzokutindivadza. Panguva nzira iyi, chiremba scrapes wokutanga ibwe deposits, uye ipapo rodzai zino tishu. Pashure paizvozvo, nyanzvi yacho kuti kubviswa granulation uye epithelial kukuvara yomukati madziro. Periodontal homwe akanga yakaidzwa Vacuum midziyo, izvo sucks kubva pasi mhango necrotic guru pamwe zvimedu amabwe. Panguva yokupedzisira pavaipfuura kwairayirwa Washing akambozvishandisa kuuraya utachiona gadziriro.

Vacuum curettage kunoratidzwa kumusoro yauinayo. By muitiro kufefemuka nhengo dzinobudisa zvinyama, udzamu zvinoderedza gingival muhomwe uye zvachose zvose anogumbura kwendangariro.

The postoperative kumwedzi

Kuti varege kuzivisa periodontal muhomwe, mumaawa 10 pashure ose manipulations vari zano varege kudya kana kumwa. Kuti tiwane zvinodiwa mugumisiro anofanira kunyatsoongorora kukwesha mazino enyu, unofanira kushandisa bhurasho munyoro bristles. Problem nzvimbo vanofanira kuwana kumativi. Papera vhiki, wagadzirira sukurudza. Kuti aite izvi, shandisa simba mhinduro ine hydrochloric kana "Chlorhexidine".

Panyaya nemushonga, chokutanga zvinodiwa zvinofanira kupiwa nyoro kana pureed chikafu. Zvinonzi zvaisambobvumirwa kushandiswa chando kana wakanyanya kupisa zvinwiwa. Muvhiki pashure curettage pamusoro periodontal Homwe inokurudzirwa kurega mabasa mumuviri, mitambo, sauna. Munguva postoperative nguva zvakakosha kuongorora mamiriro ezvinhu nomumukanwa mhango. Unogona kushandisa utsanana zvigadzirwa, rakagadzirirwa tisanzwe mazino. Kana zvakakodzera, unofanira kubvunza chiremba wemazino. Mazvikokota Achasarudza nzira yokuderedza zino utetsa mitsipa.

Testimonials uye mutengo mabasa

Mubhadharo nekuda pakurapa periodontal muhomwe Russia siyanei. Pakati huru zvinoita chokuita Pricing, tinogona kuona nzira kurwadziwa uye kwesayenzi nezvaanogona pakati tsika yokurapa. Not mudukusa ndechokuti mamiriro kuchipatara. Paavhareji akavhara curettage pamusoro periodontal muhomwe mari mukati 5-12 thous. Rubles. Open nzira iri zvishoma anodhura (9-18 thous. Rubles).

Vazhinji varwere kuti zvave kuburikidza zvokurwara ichi, kuvhiya Zvinosarudzwa. Mukuona kwavo, kuvhiyiwa - ndiwo nzira chete kuti anogona kubvisa dambudziko. Zviri nani kuva pekuhwa- nda pachena zvichiitwa. chidobi Izvi zvinoita kwete chete kubvisa tagovera zvikamu, asiwo rokudzorera yakarasika pfupa pamusoro nguva. The chete drawback the nzira - yakareba zvokuporesa. Kuderera marwadzo kunoratidzwa namahwindo curettage pamusoro periodontal muhomwe. Testimonials vanoti chete pakutanga pavaipfuura pathological muitiro anofanira kuita kwake rubatsiro.

Maonero pamusoro yokurapwa mari. Varwere vakawanda regai kuvakurudzira nzira iyi kugadzirisa dambudziko, sezvo unokubvumira vanomboenda kusunga zviratidzo.

The kuzvimba ngozi yacho muhomwe?

Periodontal Homwe - iri chakakomba zvokurwara kunoda yakakodzera uye anokwanisa kurapwa. Kushaikwa kunokwanisa kukonzera matambudziko. Zvezvisarudzo ngozi ndiyo rikwanise pute, iyo gare gare inova chisingaperi. It kunoratidzwa kuwedzera zino mufambo uye chidzoke nokurwadziwa. In mamiriro ichi, munhu anova zvakaoma kutsenga zvokudya. pakupedzisira hanya zvokurwara kunotungamirira ndechokuti zino vasipo zvachose kubva alveolar zvigadziko. Kukura kushoma inoguma lymphadenitis uye mukuru kudhaka yacho muviri.

Kudzivirira kuitazve

Usasiya pasina pfungwa zvomoto periodontal muhomwe. Marapirwo kuitwa nenguva nenzira, inowedzera mikana kunaya zvakakwana. Zvisinei, izvi hazvirevi kuti ikozvino haugoni vanoshanyira wemazino. Mushure yawapiwa runodiwa zvakare kunoona chiremba, uye chaiyo akazviitawo nyanzvi tichifunga kusaongorora chirwere. On kuongororwa, wamazino anogona kuona kubudirira kurapwa, kupa mazano rokuchengeta nomumukanwa mhango.

Quality daily mazino utsanana kunodzivisa paumbwe mabwe, kudzivisa kuzvimba ari periodontal muhomwe. Zvinobatsira kunzi nenyanzvi yokuchenesa muromo kamwe pagore mazino pakati.