Ephaketheni Periodontal: ukuvuvukala kanye nokwelashwa

ukunakekelwa Engalungile temlomo kuholela-plaque kanye namatshe. Ngenxa yalokho izinqubo sokugembula kuba abavusa. Ekuqaleni izimpawu akunangozi ngokwanele. Kukhona okuncane ukopha kwezinsini, ukuvuvukala, futhi ngezinye izikhathi ubuhlungu. Kancane kancane, izinyo ukuhamba luyanda, ukubukeka ubovu uketshezi. Kulesi sigaba, sikhuluma kakade mayelana egijima periodontitis. Ukuze ekwelapheni lesi sifo kusetshenziswa periodontal ephaketheni curettage. Hlobo luni inqubo? Yiziphi ezinye izindlela ezisetshenziswa zokunqanda isifo? Izimpendulo zale mibuzo zingatholakala esihlokweni lanamuhla.

Incazelo emfushane inkinga

Against isizinda ukuvuvukala inqubo ithambo izicubu kancane kancane kwakheke amasha nge granulation. Lesi sakamuva siqukethe okungcono lamaseli microbial uphinde osteoclasts. Usuku nosuku, ezikuzo zisebenza kuzo zonke izindawo ezintsha, okuholela yoma nakakhulu ithambo alveolar. Kukhona indawo khulula lapho kungekho okunamathiselwe gingival izinyo impande ebusweni.

Ngenxa yalokho yalezi zinguquko Kumiswa ephaketheni periodontal. Lesi sikhala ilingana ngobukhulu ingxenye ithambo ekubhujisweni. Okuqukethwe ethulwa granulation izicubu, izinsalela ukudla ubovu imfihlo. Ngu usayizi igebe kwakhiwa ukwahlulela degree of ukusonteka ijwabu. Kumuntu ophile kahle le emaphaketheni periodontal ukujula lingaphansi kuka 3 mm, ukuze ukwazi ngokukhululekile uhlanze ingaphakathi kusukela izinsalela zokudla. Uma leli nani kosayizi eshiwo, zikhona nobunzima ezithile e unakekelwe ngalo ingaphakathi ngomlomo. Amathuba of isifo sezinsini kwandisa izikhathi eziningana, okuholela ukubukeka ilitjelo uqweqwe. Waba yini umphumela wesibindi asebenzayo izicubu ekubhujisweni kungenzeka ekulahlekelweni izinyo.

Pathology Sifo wenziwa usebenzisa-X-ray noma uphenyo periodontal. Ukuswelakala kokusebenza ngokuhlanganyela ukwelashwa izinga ekugcineni kuholela ushona we ephaketheni. Ngenxa yalo nqubo ukuhambisa namazinyo esikhundleni 'fan ".

Izimbangela ekhukhwini

Isizathu esiyinhloko kumiswa isiteshi periodontal - eliphansi nenhlanzeko we ngalo ingaphakathi ngomlomo. Okungafanele yokuhlanza amazinyo noma ukungezwakali kwawo kuholela ekuqongeleleni imali webhaktheriya esifundeni umqhele. Eminyakeni koqweqwe lwawo izinyo amagciwane ebusweni akha mncane imikhiqizo ongabonakali ifilimu futhi aqale secrete ukuphila kwabo siqu. Ngakho kukhona ukuvuvukala ephaketheni periodontal.

iqembu ingozi

Phakathi kwezici ukukhuthaza ukukhula kanye ukubuyabuyelela kwamagciwane, kungase waphawula:

• Ukudla ayilungile, ehlanganisa ogxile imikhiqizo carbohydrate;
• abampofu inhlanzeko yomlomo;
• eziluthayo;
• yokuphazamiseka amazinga ama-hormone;
• immunodeficiency;
• ubunjalo yamazinyo lesi sifo;
• malocclusion;
• eliphansi ukufakwa uphawu.

izimpawu ukuvuvukala

Ukwakheka ephaketheni periodontal isikhathi eside kungase kube asymptomatic. With ukuthuthukiswa ukuvuvukala, kukhona isithombe isici emitholampilo:

• ukungakhululeki ezinsinini;
• halitosis;
• ukuvuvukala, ukopha futhi ububomvu of izinsini;
• palpation kungenziwa ikhishwe ubovu uketshezi;
• ukunwetshwa izikhala interdental;
• Ukuwohloka isimo jikelele.

Uma ubona lezi zinkinga, kufanele uxhumane nodokotela wamazinyo. Siza udokotela wakho iyadingeka ngisho noma yisishiso okuye kwathinta nezinyo elilodwa nje vo. Nge usuku ngalunye oludlulayo isimo ngeke ziwohloka kuphela, okuyinto kungaholela ukuqhubeka kwesifo.

zokwelapha

Ngaphambi ukwelashwa uxilongwe ngayo nefunda ngayo udokotela enquma degree of isifo ukunganakwa. Uma ephaketheni periodontal lingaphansi kuka 0.15 mm, futhi azikho izimpawu ukuvuvukala, izindlela zokwelapha ezisetshenziswa. Izinqubo ezilandelayo ezisetshenziswa:

1. yokuhlanza yokuhlanzeka nge-ultrasound. Phakathi ukususwa-plaque kanye calculus izinsini azilimele.
2. Imithi. Inikezwa ngokushesha emva yokuhlanza ultrasonic. Ezintsha inqubo sokugembula usebenzisa handling aseptic (emathileyi, izinhlelo zenkasa, hashaza). Phakathi izinqubo esetshenziswa "Chlorhexidine" noma "Miramistin". Ezimweni sina ngokukhethekile, isiguli ekunike Yiqiniso kwama-antibiotic. kahle libhekene enkulu elandelayo amalungiselelo: "amoxicillin", "Lincomycin" futhi "azithromycin".

Lezi zinqubo ayizwakali uma ephaketheni enabile kuka-2 mm. Udokotela ngeke ukwazi ukususa ngokuphelele itshe zanqwabelana. Ngaphezu kwalokho, kwandisa amathuba ukuhlukumezeka ezengeziwe periodontal. Ngenxa yezinto yisishiso zokukhwabanisa kanye nezicubu ekubhujisweni uqale intuthuko.

Ngo isifo kuyinkimbinkimbi Kunconywa ukuhlinzwa. Le ndlela yokwelapha ihilela isinyathelo mechanical ngezinsimbi zomculo zamazinyo poddesennye izindawo. Okwamanje, inqubo ephumelela kunazo zonke zalolu hlobo ubhekwa curettage ekhukhwini periodontal. Kuyini lokhu? Kunezinhlobo eziningana zokukhwabanisa: zasendlini, ukuhlinzwa ongaphandle kanye ichopho. Inqubo ngokwaso kungaba balahle zonke izinkinga ezibangelwa periodontitis. Cabanga ngamunye ongakhetha zayo ngokuningiliziwe.

Curettage evulekile

nokugxambukela kudinga efaneleyo eliphezulu odokotela. Ngakho-ke, le sevisi ayitholakali zonke izikhungo zezempilo. Ubude besikhathi sokwelashwa imayelana 2.5 amahora. Siqukethe izinyathelo ezilandelayo:

1. Ukuxubha amazinyo futhi qwembe kusukela itshe.
2. Ukusetshenziswa kwezidakamizwa eqeda ukuvuvukala.
3. Splinting namazinyo ephathekayo.
4. Gingival ichopho asike izidumbu zabantu nommese.
5. Ukususwa kwezimiso granulation namatshe esebenzisa ultrasound.
6. Antiseptic izinyo izimpande.
7. Podsazhivanie ephaketheni zokwenziwa izindwangu ukuthuthukisa ukukhula kwamathambo zemvelo.
8. Suturing kanye nokuvala obonakele gingival ingxenye ibhandishi.

Ngemva kwamasonto mayelana 1.5 sutures ziyasuswa. Ngemva kwezinyanga ezimbalwa kufika sokubuyiselwa yokugcina kwezicubu ezilimele. Papilla kungaba kutsetselelwe izikhala phakathi kwamazinyo aso. Kwezinye izimo, curettage evulekile emaphaketheni periodontal kuholela adalule izimpande. Ngakho-ke, ngenkathi kutuswa senqabe ukusetshenziswa ukudla okushisayo amakhaza nangokuhamba-esidi.

Curettage elibiyelwe

Ukusebenza ngempumelelo ephaketheni ka 3-5 mm ukujula. Asikho isenzo liyinkimbinkimbi. Siqukethe izinyathelo ezilandelayo:

1. Ukuhlolwa izinsini.
2. Ukwethulwa izinzwa wendawo.
3. Ukwelashwa emaphaketheni periodontal of izinsini ngaphandle asike izidumbu zabantu.
4. Wokucwebezelisa izimpande izinyo.

Ukungenela kungaba kanyekanye ezithinta 2-3 izinyo. inxeba senzeka ngesonto elilodwa, kodwa kuthatha isikhathi esingangenyanga wokubuyiselwa sokugcina. Siningi isikhathi kuyadingeka ukuze kwakhiwe zezinzwa izicubu okunamathiselwe kanye gum ukuze izinyo. I ethile eyinhloko kunemidanti ukuthi udokotela ngesikhathi zokukhwabanisa akaboni ukuthi zonke ukwakheka normal ukususwa.

Uma ukujula ephaketheni ingaphezu 5 mm, ivaliwe curettage sokumisa ukuqhubeka periodontitis kuphela. ukususwa olungaphelele inhlabathi futhi granulation ihlinzeka phefu yesikhashana, kodwa cishe kuzo zonke izimo sifo iyaqala ukuthuthukiswa yayo.

ukuhlinzwa ichopho

Lokhu kuhlinza kuhilela ukusika izinsini ukufinyelela emaphaketheni periodontal. Kunconywa ukuthi uma Ubukhulu musa idlule 4 mm.

Okokuqala udokotela kwenza sebeziqhumbuza ezimbili ezincane nge nommese futhi detaches muco-nadkostochny ichopho. Khona-ke, indinganiso yokuhlanza mechanical futhi ezipholisha we ephaketheni kobuso izinyo. Ngemva kokuphothulwa ekwelapheni evele okuqinile zidluliselwa ku-soft izicubu asike izidumbu zabantu. Enezinto ibekwe esihlalweni. Ekupheleni inqubo isetshenziswa endaweni ethintekile osteogenic izidakamizwa uqobo kanye sutured izinsini. Lonke operation kuthatha imizuzu engaphansi kwengu-40, kodwa kuhilela ukusetshenziswa izinzwa wendawo.

Ezinye iziguli okwengeziwe uqoke nilimaza ephulukisa ejenti ukuze isicelo yangaphandle (isb "Furatsilinom"). ukuncoma Futhi ukusetshenziswa yokugcoba ngoba ukushukuma ( "Solkoseril" "Aktovegin") epithelialization inqubo izinsini.

cleaner curettage

Ephambi kwezinduna ubovu abscesses futhi emaphaketheni ezijulile (5-7 mm) zisebenza cleaner curettage. Yokuhlanza Kwenziwa ngokusebenzisa imithi ebulala izinzwa. Phakathi nale nqubo, udokotela ezisicasulayo ezifakwa itshe kuqala, bese Phucuzani izicubu izinyo. Ngemva kwalokho, lo uchwepheshe wabe ukususwa granulation futhi umonakalo EPITHELIAL izindonga engaphakathi. ephaketheni Periodontal sasicwengwa cleaner apharathasi, okuyinto sucks kusukela phansi komgodi mass necrotic kanye izingxenyana itshe. Ngesikhathi esigabeni sokugcina ngesigezo oyisibopho amalungiselelo isinqandakuvunda.

Umshini curettage libhekene ukhiqizwe kakhulu. Ngu inqubo uyalulama izicubu lymph, ukujula incipha gingival emaphaketheni futhi iqedwe zonke izinqubo ukuvuvukala.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Ukuze embule emaphaketheni periodontal, engakapheli amahora angu-10 emva zonke manipulations belulekwa ethi ngeke adle noma isiphuzo. Ukuze uthole umphumela oyifunayo kumele ukuxubha ngokucophelela amazinyo akho, uzodinga ukusebenzisa ibhulashi nge bristles esithambile. izindawo Inkinga kudingeka uthole wonke. Ngemva kwesonto, usukulungele uxubha. Ukuze wenze lokhu, sebenzisa isixazululo ezibuthakathaka hydrochloric noma "Chlorhexidine".

Ngokuphathelene ukuthengisela, okuthandayo lokuqala kufanele anikezwe ukudla okuthambile noma pureed. It is nhlobo ukusebenzisa iziphuzo uyabanda noma ushise ngokweqile. Phakathi nesonto ngemva curettage emaphaketheni periodontal Kunconywa ukuba bangayeki imisebenzi ngokomzimba, ezemidlalo, sauna. Esikhathini esiyiminyaka nasezinkingeni ezilandela ngemva kokuhlinzwa kubalulekile ukuqapha isimo ngalo ingaphakathi ngomlomo. Ungasebenzisa imikhiqizo kwenhlanzeko, eyenzelwe namazinyo ebucayi. Uma kudingekile, kudingeka ubheke wamazinyo. Lo chwepheshe khetha izinqubo ukunciphisa izinyo ukuzwela izintamo.

Nobufakazi futhi intengo amasevisi

Izindleko amasevisi for ekwelapheni emaphaketheni periodontal eRussia ehlukile kancane. Phakathi kwezici main ezithinta zamanani, singabona indlela ukukhululeka ubuhlungu futhi amakhono kwezobuchwepheshe isikhungo sakho sezokwelapha. Hhayi aspect kokuncane kakhulu isimo emtholampilo. Ngokwesilinganiso ivaliwe curettage ka periodontal emaphaketheni izindleko ngaphakathi 5-12 thous. Ruble. Vula inqubo kancane ngaphezulu kuyabiza (9-18 thous. Ruble).

Iningi iziguli ukuthi bake babhekana zokugula, ukuhlinzwa luncanyelwa. Ngokombono wabo, ukusebenza - ke iyindlela kuphela elingakwazi ukuqeda le nkinga. Kungcono ukuba wenziwa inqubo evulekile. Le nqubo yenza kube okungagcini nje ukususa izingxenye ezilimele, kodwa futhi ukubuyisela ithambo elahlekile ngokuhamba kwesikhathi. Okuwukuphela ethile inqubo - isikhathi eside zokuphulukisa. ubuhlungu Ngaphansi libhekene curettage avaliwe emaphaketheni periodontal. Nobufakazi bathi kuphela esigabeni sokuqala inqubo sokugembula kufanele yakhetha azomsiza.

Imibono mayelana nokwelapha ukwelashwa izindleko. Iziguli eziningi musa batusa le ndlela yokuxazulula le nkinga, njengoba ikuvumela ukuba abophe okwesikhashana izimpawu.

I esiyingozi ukuvuvukala ephaketheni?

emaphaketheni Periodontal - lena zokugula sina okudinga ukwelashwa esifike ngesikhathi futhi abanekhono. Ukungabi yokwelashwa kungaholela ukuxakeka. Phakathi ayingozi kakhulu iyona ithumba acute, okuyinto kamuva kuba amahlala khona. It libhekene ukwanda izinyo ukuhamba kanye ukuvela ubuhlungu. Kuleli zinga, umuntu eba nzima ukuhlafuna ukudla. ekugcineni Ukunganakwa zokugula kuholela yokuthi izinyo engekho ngokuphelele kusukela isokhethi alveolar. Ukuthuthukiswa ukuvuvukala uphela lymphadenitis futhi ukudakwa jikelele umzimba.

Ukuvimbela lokubuya kwesifo

Ungashiyi ngaphandle ukunakekela avuvukele ephaketheni periodontal. Ukwelapha kwenziwe ngendlela esifike ngesikhathi, kwandisa amathuba okuthi ukululama ngokugcwele. Nokho, lokhu akusho ukuthi manje awukwazi uvakashele udokotela wamazinyo. Ngemva Inkambo yokwelashwa iyadingeka futhi ukuvakashela udokotela, futhi isikhathi esiqondile wazimisela uchwepheshe umbono we ukunganakwa lesi sifo. On luhlolo, udokotela wamazinyo kungacacisa ukuthi impumelelo ukwelashwa, ukunikeza iseluleko unakekelwe ngalo ingaphakathi ngomlomo.

Quality kwenhlanzeko yamazinyo nsuku evimbela kumiswa amatshe, ukuvimbela ukuvuvukala ephaketheni periodontal. Kuyasiza kubhekwe yokuhlanza professional umlomo kanye ngonyaka maphakathi kwamazinyo.