Unyango lwe periodontitis ezigulo ezondeleyo: Indlela

periodontitis esingapheliyo luhlobo inkqubo yokukrala senzeka emzimbeni periapical. Le ngezifo periodontal nemisipha kungenzeka uhlobo etsolo, okanye wavakalisa ngaphandle iimpawu zonyango. Release e ngamagciwane zeethishu periodontal kunokubangela ukudumba enye, kude ukusuka ancedisana izinyo kunye namaziko. Ngoko ke, unyango periodontitis ezinganyangekiyo kufuneka ziqalwe kwi ixesha ukuthintela iziphumo inkqubela kunye iingxaki.

Izinto ezibangela periodontitis ezingapheliyo

Eyona ezisemqoka ezinokubangela ukudumba ezingapheliyo - a yidityaniso yaye ngenxa yoko, le yintlama. Kuxhomekeka apho ukudumba sele iqalile, oonobangela inokunxulunyaniswa zombini ukonzakala izinyo nongcoliseko esosulelayo.

Apical (aikalny) periodontitis inokuba ngokuqhelekileyo zisenokubangelwa usulelo yintlama, elunxwemeni abekelwe okanye ukudumba rhoqo wabangela microtraumas ngomatshini (ngumkhwa ukuzivula amandongomane, umthamo usiba okanye ipensile, ukwenzakala ngaphantsi, icala). Isizathu sesithathu inokuba yezonyango factor - xa unyango lwe periodontitis ezingapheliyo lwenziwa ngokuchanekileyo ukuba uxabane ukuya kulawulo, kwakunye kwiziseko izinyo.

Xa bamazinyo, Ngokwezibalo, ehamba periodontitis ezosulelayo ezingapheliyo, sisilonda esidumbileyoesingaphakathi periapical okubangelwa hemolytic kunye streptococci nonhemolytic. Magciwane bodwa kule yintlama izinto eziyityhefu, ukuba angene ngenxa misele ingcambu, ukuze kuyenzeka ukuba usuleleko ungena nkovu.

Kukho izizathu yesibini igalelo kuphuhliso kwezifo ezifana periodontitis ezigulo ezondeleyo:

• Le microflora ngomlomo egxobhekile eseleyo.
• Malocclusion (occlusion) amazinyo.
• disorder metabolic.
• Vitamin izivuka, ukungalingani lweziqalelo, azafunyanelwa ndawo.
• izifo ezingapheliyo Ezahlukeneyo.
• A egazini, isifo esosulelayo.
• Pathology le nkqubo yonyango.
• Seswekile.
• umsebenzi okukwazi Ukuncipha.

iimpawu

ifomu njani yingozi njalo periodontitis? Into yokuba esi sifo abaleke nazimpawu ngokupheleleyo, nangokurhala, ngokupheleleyo ukungavakali. Ngoko ke, unyango periodontitis ezigulo ezondeleyo isoloko ilibele, izigulane kunqabile kufuna ixesha. Imiphumela ezibangele kungakhokelela ekubeni ekuqaleni kwamazinyo. Kuyimfuneko ukunikela ingqalelo ezi zinto nje intlungu encinane ulume ukutya okuqinileyo. Mhlawumbi imvakalelo nobunzima kancinane xa yasentabeni kwi izinyo, yesandi. Eyona kubonakale uphawu - a fistula phezu iintsini, oko endizibumbeleyo nencindi incindi ethi kwi nangokurhala. Ngelishwa, xa fistula ibunjiwe, ngaphandle ibekwe iimveliso ukonakala, ngoko zonke iimpawu zesifo kuthotha. Kwiimeko ezinjalo, izigulane akuvamanga zanyangwa ukuya wamazinyo. Inkqubo yokukrala liyaqhubeka ngokwanda, lo exacerbation esinzulu zingenzeka. etsolo / unyango periodontitis ezingapheliyo - njengenyathelo kuyimfuneko.

Iimpawu zixhomekeka kuhlobo ukudumba:

• periodontitis Chronic fibrotic. A engaqhelekanga, apho inyama periodontal achaphazelekayo kufakwe kwimicu ezinezikhondo densified. Le elibala sifo, maxa wambi kusenokuba zezomzuzwana, iintlungu zexesha elifutshane.
• granulating periodontitis Chronic. Kubonakala ucaca ngakumbi. Phantsi izixwexwe yangaphakathi kwakhiwa fistulas, ipleyiti bone kutshatyalaliswa ziyanda granulation Ukwakheka. Xa ukuyilwa kwento fistula enkulu kufuneka nje ukubona ugqirha.
• periodontitis Chronic granulomatous. Ukudumba izihlunu periodontal, ukuyilwa capsule oluthile, nto leyo izaliswe granulomas. Olu hlobo kuyingozi kuba kistogranulema ikhula kangangokuba kufuneka unyango ngotyando.

Exacerbation zonyango periodontitis ezingapheliyo

Unyango exacerbation nokoyika iintlobo ezingapheliyo of periodontitis kunokuba zombini emithethweni futhi yotyando. Umsebenzi omkhulu bamazinyo into cupping ukudumba ngu ngenyameko umthombo usuleleko ukulungiswa. Kuyimfuneko ukuthintela usulelo izicwili ezikufuphi. Unyango ngamachiza okwandisa ixesha ukudumba enokwenziwa phantsi kwale miqathango ilandelayo:

• Root emisele patency.
• Inkqubo yokukrala kufuneka yenzelwe ngokucacileyo.
• Uninzi wethambo kufuneka alondolozwe.
• Iimpawu kunxilwe kakhulu kunye neentlungu kufuneka babe khona.

Xa inyathelo lokuqala ukunyanga periodontitis ezingapheliyo ukuba machining umngxuma wamazinyo kunye ijelo. Ngaba icocwe evela yidityaniso ukwandiswa. Channels babacukucezela kwisigcinakaliso ezikhethekileyo, mhlawumbi lokuvala uphawu ngokusisigxina. Nge olwenzeka okubalulekileyo exudate, kuyimfuneko ukuba ayityhile lomsele obturated. kuzaliswa okwethutyana lubekwa ngeentsuku 2-3 waza wenza ngokutsha emisele yogutyulo kwaye abe ngetywina esisigxina.

Ukudumba isusiwe izinto antibacterial zamazinyo (intlama) usebenzisa iindlela laser.

Unyango lwe periodontitis engapheliyo kwinqanaba etsolo kudinga uqhaqho. Esi Singqinisiso kakhulu, kodwa ukuba kuyimfuneko, usebenzise enye yezi ndlela:

• Ukusikwa nengcambu izinyo.
• Hemisection (iingcambu ukususwa nesininzi).
• Ukusikwa.
• izinyo.
• Liqatywe, kutsalwe ngasezintsinini.

periodontitis Chronic fibrotic

neproyavlyaemy Uninzi ngengqiqo kwezonyango uhlobo periodontitis - ezinezikhondo. fibrotic Elihle endaweni isakhiwo ifayibha periodontal. Ngosuku loviwo, kukho lingene zineengxaki eziqulathe lymphocyte. Le yingcambu umngxuma apical - gipertsementoz (elements nokufumba isamente), kwimiphetho - izabelo osteosclerosis. umsantsa Periodontal uqala ukwandisa periodontium ezilahlekileyo iipropati ezisebenzayo. Ekubeni periodontitis fibrotic nazimpawu ngokubanzi, kwafunyaniswa ukuba iifomu zakhe esingapheliyo ukuvumela ziimvavanyo nje kuphela thermal okanye imifanekiso X-ray.

Ukuba ugqirha kwafunyaniswa periodontitis ezondeleyo fibrotic, unyango kwesi sifo isoloko yenziwa ngempumelelo, njengoko lolona hlobo esihle ngengqiqo zonyango. Nokuba kukho amajelo isithintelo, akukho mfuneko ukuvula oko, ngenxa yokuba kule meko exudate a angemi. Inkqubo yokukrala oluya kuphela lungu periodontal, izicwili close ayiphazamiseki. Emva yokulungiswa lweHo- (lokuqala okanye ezenqanaba lesibini) obekwe zizaliswe isigxina.

Chronic granulating periodontitis

periodontitis yezifo ngohlobo granulation yenye yeentlobo kakhulu kwesi sifo. Oku kubangela granulation unobangela ukungakhululeki, ngoko izigulane ziphathwa ngendlela ngexesha wamazinyo, ukufumana ngoncedo olwaneleyo. Ngezigaba nokoyika inkqubo wokusungula fistula, accumulated exudate therethrough ifumana ngokukhawuleza emva koko exacerbation kudambe. Ke inkqubo inokuba kwakhona abe nazimpawu, odangeleyo. Luphawulwa granulating esinganyangekiyo periodontitis iziphumo ezingenabungozi, iimveliso ukudumba sebenzi ngqo kwi egazini. Ngumzali, kuyanceda ukunciphisa ukunxila fistula, nto leyo evumela exudate ukuba ingena emlonyeni. Kamsinya nje ukuvaleka fistula, inkqubo etsolo uqalisa ukusebenza ityhefu jikelele.

Iimpawu yale fomu zesifo periodontal ixhomekeke nqanaba lenkqubo (eziphango okanye exacerbation):

• Kwisigaba etsolo wabonakalaliswa intlungu kwi sikuxinile nezinyo.
• Iintlungu paroxysmal ubuntu, kunyuswa ukutya ezilumayo nzima.
• iintsini zidumbileyo emhlabeni izinyo umguli.
• Ungavavanya nokungena kwindawo apical.
• Fistula neutralizes ubuhlungu.
• Ngenxa yokwanda granulation inyama enokuphathwa emlonyeni phantsi itywina uxakaxa Nedlac.
• Yokusabela eshushu kuxolelwe.
• Kudla kukho kwisisu cariogenic. Xa ihlaselwe amasuntswana ukutya kuvela intlungu lungehla ukuba ngexesha ukucocwa ndawo ibinomthwebeba.

periodontitis granulating Chronic, unyango apho - ngokuqhelekileyo yinkqubo ethatha ixesha elide, ngokufuthi ungazimiseli ngokupheleleyo. Kodwa ukuba isisongelo wosuleleko waphawula, incam nengcambu ibhuqiwe, kusenokuba yimfuneko yokutsala imbangela izinyo.

periodontitis Chronic granulomatous

Obubonakala zabo lwezonyango granulomatous zenza kakhulu njengembi. Kuphuhliswa isifo ezimeleyo, okanye ngenxa yenkqubo granulating, xa philisi ezinezikhondo kwakhiwa, bekuza ku kistogranulemu. Senziwe inyama ezinezikhondo usebenza njengesithintelo kwaye uthintele usulelo ukuba angene emzimbeni.

periodontitis Chronic granulomatous iphawulwa ikhosi ende nazimpawu. Iimpawu eziphathekayo ziquka ukwakheka granulomatous, obonakala njengezona engcanjini bommandla izinyo. Isifo ihlelwa ngokwendidi ezintathu:

• periodontitis Simple granulomatous.
• Epithelial.
• Kistogranulematozny.

Iindlela ukuphatha iindlela ezingapheliyo periodontitis granulomatous ixhomekeka kuhlobo sifo.

unyango izinyo-neengcambu enye yenziwa ngexesha elinye, ukuba umnqamlezo-channel ilungile. Multiroot aphilise iiyunithi kunzima kakhulu, ngenxa yokuba kaninzi babengawanikwa amajelo, okanye kube nzima. Ngamana yinkqubo etsolo, nto leyo ukumbamba ubuchule ukuyifundisa arhente anti-ukudumba, ezopulayo aseptic.

Unyango periodontitis ezingapheliyo granulated

periodontitis Chronic granulated asinyangeki oko kwenziwe kutyelelo olunye ukuya kugqirha wamazinyo. Maxa wambi kufuna iinyanga ezintandathu ukuya ukumelana ekugqibeleni nesi sifo. Kufuneka ubuncinane utyelelo 4.

I lokuqala luquka:

• Diagnosis.
• Ukubulawa.
• Fumana ezibangela ijelo.
• Sanitation.
• Ukususa iintsalela kwamasuntswana ido- necrotic.
• Ngamanzi kunye ebulala.
• Ukuqaliswa amachiza-ukudumba.
• Ukubeka ofakwe okwethutyana.
• Iingcebiso antibiotics.

Ezi nkqubo zilandelayo zenziwa ngexesha kutyelelo lwesibini:

• Ukuluhlola.
• Ukususwa kwezimvu okwethutyana.
• Lavage, yokubulala.
• Enye kuzaliswa okwethutyana iinyanga 2-3 kunye magciwane.

kwesithathu:

• ukuhlolwa Radiographic.
• Ukuvulwa nomzila processing.
• zizaliswe isigxina.

Utyelelo Okwesine:

• Ulawulo kunye nobungqina ukusebenza konyango.
• Ukungqinwa yokungabikho iingxaki.

Xa iifom esebenzayo angafuna unyango zoqhaqho periodontitis ezigulo ezondeleyo. Kwezinye iimeko, aboniswa?

1. iitophu egobile, indawo okungaqhelekanga ye enkcochoyini.
2. Uphazamiseko njengejelo, ukungakwazi wakuqonda.
3. Akukho ifuthe unyango endala inyanga.
4. nokudumba okuqhubekayo.

Unyango lwe periodontitis granulomatous

Unyango periodontitis ezingapheliyo granulomatous luyenziwa kusetyenziswa iindlela eziliqela. Ukukhethwa njengobuchule kuxhomekeke uhlobo ukudumba: granuloma kunye cysts anokuba ezahlukahlukeneyo ngobukhulu. Yeyiphi iiholide reception - amasiko okanye zotyando - ugqirha isigqibo.

amazinyo Single-ingcambu zidla ithathwa ngexesha elinye. Ukuba permeability isiteshi elungileyo, iphathwa, ukuphilisa, chitha diathermocoagulation, ngetywina eliqinileyo.

izinyo Multi-neengcambu (idla ngokuba kuthiwa ubulumko amazinyo) idla akavumeli imijelo ukuphilisa, oko kudla iphathwa iindlela impregnadionnymi (resorcinol, potassium iodide, silvering). Ngaphezu koko, ukuze yabela siwabeka kubola, ukuyifundisa. zokubuyiselwa elipheleleyo izihlunu periodontal udla malunga nonyaka. Unyango olu hlobo sifo periodontal - inkqubo kunokuba nzima. Ngokutsha nezibhaxu ka nyama kufuneka alawulwe rhoqo ne-X-reyi. Emva kwenyanga konyango, ukuba ugqirha akaboni dynamics ezintle, oko wagqiba replantation, lo resection izinyo.

Uxilongo lwe periodontitis ezingapheliyo

Phambi kokuqala unyango lwe periodontitis ezingapheliyo, kuyimfuneko ukwenza isifo. Yena babeqhuba scheme eqhelekileyo: Uphando nomonde, anamnesis, uhlahlelo, uvavanyo lweziphumo zophando. Olu phando ibandakanya:

• Ukuhlolwa kwisisu ngomlomo.
• Emgama.
• Ngokucofa.
• Eqonda emnyango ingcambu lomsele.
• iimvavanyo lobushushu.
• Ukubekwa yezinyo ingxaki ukuhamba.
• Ukusetyenziswa lovavanyo yintlama sombane kunye radiovisiography. Ezi ndlela ukuvumela ukuba ukuhlola ukomelela yintlama.
• Ray. Ingcaciso evela X-ray unika umfanekiso opheleleyo. Ukucaciswa kuxhomekeke kumava wamazinyo, ngokuba ngokusisiseko periodontitis engenaso obubonakala, iintlobo ezahlukeneyo kuphela (ezinezikhondo, granulating kunye granulomatous).

Ukuba uphethwe yenye iifom bakufumanisayo (okanye kwenzeka exacerbation of periodontitis ezingapheliyo) unyango kufuneka abele abanobuchule, wamazinyo abafanelekayo.

ukuvimbela

Amanyathelo ukuthintela ukunwenwa kwesifo, ngokuyintloko ejoliswe ekuthinteleni yidityaniso kunye pulpitis. unyango zoqhaqho periodontitis ezigulo ezondeleyo isetyenziswa ngeendlela kakhulu nokubaleka, ukuze uphephe oku, kufuneka ukusebenzisa amanyathelo othintelo:

• ukunakekela ngomlomo njalo Qaphela.
• ukusetyenziswa Limited yeelekese, ukudla ngengqiqo.
• Utyelelo qho wamazinyo. Indlela axilongwe. ugqirha kuphela ukubona imiqondiso yokuqala izifo, ngokulandelelana, ixesha lokuba uqale unyango. unyango ngexesha wamazinyo xa iimpawu yokuqala iya kuvumela ukuba unikeze, unyango oluchanekileyo ngempumelelo periodontitis ezigulo ezondeleyo.
• Ukuphunyezwa iingcebiso ezinikezelwa yi wamazinyo ngethuba loviwo kunye nonyango.

Ukuza kuthi ga ngoku, naluphi na uhlobo periodontitis na indawo yesibini emva yidityaniso kuluhlu kwezifo zamazinyo. Le fom esingapheliyo kuyingozi nazimpawu zazo, kwakunye nokukwazi yosulela umzimba uphela. Ukutyelela wamazinyo qho emva kweenyanga ezintandathu uya kukunika ubhaqo kwangethuba iingxaki nezisombululo. Gcina iso impilo yakho.