Pute Periodontal: mumura me te maimoatanga

arata'i tiaki waha hē ki te tohu me te kohatu. Ka rite ki te hua o ngā tukanga pathological tau ana ahi. I te tuatahi e kinokore nga tohu nui. He he he iti pae toto, pupuhi, a ētahi wā mamae. Āta, niho nekeneke kua nui haere, te ahua o secretions purulent. I tenei wā, kei te korero kua tatou e pā ana ki te rere periodontitis. Hoki te maimoatanga o tenei mate te whakamahi i tīwani pute periodontal. He aha te momo o te tukanga? He aha ētahi atu tikanga e whakamahia ana ki te ārai i te mate? Ko te whakautu ki ēnei pātai e taea te kitea i roto i te tuhinga o tenei ra.

He whakamārama poto o te raruraru

Ki te whakamārama o te inflammatory kiko tukanga wheua te āta ngaro, ka whakakapi i te granulation. Kei pai o ngā pūtau koiora me osteoclasts te whakamutunga. Ra i te awatea, te tono ratou ki ngā wāhi hou katoa, ārahi ki te atrophy ara nui o te pūtake wheua. He he he wāhi noa te wahi kahore he āpitihanga ki te mata niho pakiaka gingival.

Ka rite ki te hua o enei huringa i hanga te pute periodontal. he rite i roto i te wahi rahi o te whakangaromanga wheua tenei wāhi. aroaro te tirotiro granulation kiko, toenga o ngaro kai, me te purulent. Na roto i te rahi o te āputa i hanga whakawa te tohu o deformation o te kikokiko. I roto i te tangata hauora te hohonu o whitiki periodontal he iti iho i te 3 mm, kia taea noa koe te horoi i te kōhao i ngā toenga kai. Ki te nui ake tenei uara te rahi tauwhāiti, i reira e etahi fifi i roto i te tiaki o te kōhao-waha. Ko te tūponotanga o te mate kapia faarahi e rave rahi taime, e arata'i ki te ahua o te kohatu, me te tohu. Ko te hua o te whakangaromanga kiko kaha kia te mate o te niho.

whakamana Pathology tātaritanga te whakamahi i X-ray te uiuia periodontal ranei. Ko te kore o te maimoatanga kounga iku arata'i ki te faahohonuraa e o te pute. He putanga o tenei tukanga ko ki te neke i te niho ki te tūranga "tahi".

Take o te pute

Ko te take matua mō te hanganga o te teihana periodontal - o te kounga rawakore, me te akuaku o te kōhao-waha. Ta'etotonu niho horoi ona ngaro ranei arata'i ki whakaeminga o putunga kitakita i te rohe o te karauna. Neke atu i te te tohu niho hanga papapūata mata he hua kiriata e kitea kikokore, me te timata ki te huna i to ratou iho ora. Heoi i reira ko te mumura o te pute periodontal.

rōpū mōrearea

I roto i te āhuatanga e akiaki i te tupu me te whakarea o tukumate, kia tuhia ai reira:

• kai hē, arā, te nuinga o ngā hua warowaihā;
• akuaku waha rawakore;
• faatītīraa;
• raruraru i roto i ngā taumata taiki;
• ārai;
• āhua niho o te mate;
• malocclusion;
• hiri tāutanga hë.

tohu o te mumura

kia asymptomatic te hanganga o te pute periodontal mo te wa roa. Ki te whanaketanga o te tukanga inflammatory, i reira te mea he pikitia haumanu āhuatanga:

• hūhi i roto i nga pae;
• halitosis;
• huamo, toto me te whero o te pae;
• Ka taea te tukua palpation secretions purulent;
• roha o te wāhi interdental;
• ino o te huru whānui.

A, no te kite koe i enei raruraru, kia kōrero koe tou niho. Āwhina hiahiatia tō tākuta te ara, ki te mea kua pāngia te mumura kotahi anake niho. Ki ia ra e haere ana ka tupuheke anake te āhuatanga, e taea arahi ki te ahunga whakamua o te mate.

whakaora

I mua i therapy e pāngia e te tikanga o nei te tākuta whakatau te tohu o te mate ore. Ki te he iti iho i te 0.15 mm pute periodontal, a reira he kahore tohu o mumura, kua whakamahia tikanga haumanu. E noa nga ngā tukanga e whai ake nei whakamahia:

1. horoi mā ki ultrasound. I roto i te tango o te tohu, me te tuanaki pae kahore e pakaru.
2. Rongoā. Kei te whakaritea tonu i muri i te horoi ultrasonic. tukanga pathological ngawari te whakamahi i whāwhā ngā iroiti (ngarahu, irrigation, waiopeope). I roto i te ngā tukanga e whakamahia ana "Chlorhexidine" ranei "Miramistin". I roto i te wā tino nui, whakaritea te manawanui ko te akoranga o paturopi. kakama āhuatanga rahi e whai ake taka: "amoxicillin", "Lincomycin" me "azithromycin".

e whai hua ana ki te te hohonu pute nui ake i te 2 mm ēnei ngā tukanga. E kore e te tākuta e taea ki te tango i te katoa te kohatu putu. I tua atu, e faarahi te reira i te tūponotanga o atu whētuki periodontal. Ka rite ki te putanga o te mumura whawhe me te whakangaromanga kikokiko timata ki te ahunga whakamua.

I roto i te mate uaua pokanga tūtohutia. Tenei tikanga o te maimoatanga tā mahi aunoa i runga i mea niho wāhi poddesennye. I tēnei wā, whakaaro te tikanga whai hua te nuinga o tenei momo te ki tīwani o pute periodontal. He aha te mea te reira? He maha ngā momo o te whawhe: roto, waho, me te paki pokanga. Ko te tukanga ano e taea te too atu o nga raruraru katoa i meinga e te periodontitis. Fakakaukau ki ia o ona kōwhiringa i roto i te taipitopito atu.

tuwhera tīwani

titau taua pokanoa ngaio tiketike o kaiwhakaako. Na reira, e kore he wātea i roto i te whakaurunga hauora katoa tenei mahi. Roanga o te maimoatanga he e pā ana ki 2.5 haora. Kei a ia ko te whai i ēnei:

1. Taitainga e niho me te tohu i te kohatu.
2. Ko te whakamahi o taero anti-inflammatory.
3. Splinting niho pūkoro.
4. Gingival scalpel paki tuaki.
5. Tangohanga o granulation me nga kohatu i te tikanga o te ultrasound.
6. pakiaka niho rongoā horoi.
7. Podsazhivanie i te pute o papanga waihanga ki te whakarei ake i te tupu o te wheua māori.
8. Suturing me katinga o te papaka takai wahi gingival.

I muri e pā ana ki 1.5 wiki e nekehia atu sutures. A marama torutoru i muri mai te faaho'iraa mai whakamutunga o te kopa pakaru. tino taea Papilla hipokina te āputa i waenganui i te niho. I roto i ētahi wā, tuwhera tīwani o whitiki periodontal arata'i ki te whakaatu i te pakiaka. Na reira, i te e tūtohu ana ki te paopao ki te whakamahi o te kai wera, matao, me te waikawa.

tīwani uipa

he whai hua i roto i te pute hohonu 3-5 mm o te mahi. He matatini Kāore he mahi. Kei a ia ko te whai i ēnei:

1. Tuhinga o nga pae.
2. Ko te kupu whakataki o te rehunga rohe.
3. Maimoatanga o whitiki periodontal o te pae, kahore tuaki.
4. Te oro nga pakiaka niho.

wā kotahi e taea wawaotanga pā 2-3 niho. whakaora maru ia i te e wahi i roto i te kotahi wiki, engari e te reira e pā ana ki te marama mo te faaho'iraa mai whakamutunga. Na he tika mo te hanganga o te tāpiritanga kiko tūhonohono me te kapia ki te niho nui te wā. Ko te drawback matua o te tukanga ko e kore e te tākuta i te wa o te whawhe kite e mukua hanganga rerekē katoa.

Ki te te hohonu pute, ko te neke atu i te 5 mm, katia tīwani whakatārewa anake te ahunga whakamua o periodontitis. tango Motunga o parataiao me te granulation whakarato he taanga manawa poto, engari i roto i tata katoa wā timata te mate tona whanaketanga.

pokanga paki

Tenei pokanga ngā tapahi nga pae ki te uru i te whitiki periodontal. e tūtohu ana e te mea kahore e nui ake i te āhuatanga 4 mm.

Tuatahi hanga te tākuta e rua vahi iti ki te scalpel me detaches paki muco-nadkostochny. Na, he horoi aunoa paerewa, me te oro o te mata pute o te niho. I muri i te otinga o te maimoatanga o papa totoka e whakawhiti ki te tuakitanga kiko ngohengohe. Ngā paki whakanohoia ki runga ki te nohoanga. I te mutunga o te tukanga tono te ki te pāngia tarukino rohe osteogenic iho ka sutured nga pae. Ko te mahi katoa e iti iho i te 40 meneti, engari tā te whakamahi o te rehunga rohe.

tautapa atu ētahi tūroro maru ia i te āpiha whakaora mo te tono waho (hei tauira "Furatsilinom"). tūtohu hoki te whakamahi o hinu mo whakaongaonga ( "Solkoseril" "Aktovegin") tukanga epithelialization o te pae.

tīwani mārua

I roto i te aroaro o abscesses purulent me whitiki hohonu (5-7 mm) te tono mārua tīwani. kawea Cleaning te i roto i te whakamahi i anesthetics. I roto i tenei tikanga, ahoahoa te tākuta putunga kohatu tuatahi, a ka whakakanapatia te kiko niho. I muri i taua, ko te tohunga puta ki te tango o te granulation me kino epithelial ki te taiepa i roto. I purea pute Periodontal i mārua taputapu, e ngotea i te raro o te kōhao papatipu necrotic tahi ki nga whatiwhatinga o kohatu. I te wā whakamutunga o te horoi obligatory taka rongoā.

āhuatanga korehau tīwani e hua tiketike. E te tukanga ora kiko lymphatic, heke hohonu whitiki gingival ka to'o tukanga inflammatory katoa.

Ko te wā postoperative

I roto i te tikanga e kore e ki te whakakitea te whitiki periodontal, i roto i te 10 haora i muri i e tohutohu nga whawhe katoa e kore e ki te kai inu ranei. Ki te whiwhi te hua e hiahiatia ana kia āta kia taitai koutou niho, ka hiahia koe ki te whakamahi i te paraihe ki te bristles ngohengohe. Me wāhi raruraru ki te tiki a tawhio. He wiki i muri mai, kei rite ki te horoi koe. Ki te mahi i tenei, te whakamahi i te otinga ngoikore o te pūhaumāota "Chlorhexidine" ranei.

Ki te whakaaro ki te supply, kia hoatu manakohanga tuatahi he kai ngohengohe te huarākau ranei. Kei te tino riria ana te reira i te whakamahi o inu matao rawa wera ranei. I roto i te wiki i muri i tīwani o whitiki periodontal tūtohutia te ki te hoatu ake tinana mahi, hākinakina, sauna. I roto i te wā postoperative ko reira nui ki te aroturuki i te huru o te kōhao-waha. Ka taea e koe te whakamahi i ngā hua akuaku, hangaia hoki niho tairongo. Ki te tika, e hiahia ana koe ki te kōrero i te niho. Ka tīpako i te mātanga ngā tukanga ki te whakaiti kaki tūtohutanga niho.

Mua me utu o ngā ratonga

Utu o ratonga mo te maimoatanga o whitiki periodontal i Russia rerekē paku. I roto i te āhuatanga matua e pā te utu, ka taea e tatou mōhio he tikanga o te mamae te tauturu me nga kaha hangarau o te whare hauora. E kore e te āhuatanga iti ko te mana o te whare hauora. I katia toharite tīwani o periodontal whitiki utu i roto i 5-12 Whārangi. Moni. Ko paku atu te utu Open tukanga (9-18 Whārangi. moni).

Te nuinga o nga tūroro i kua i roto i tenei māuiuitanga, meinga pokanga te. I roto i to ratou tirohanga, te mahi - ko reira anake te tikanga e taea te pehea o te raruraru. He pai ki te whai e puritia ana ki te tukanga tuwhera. hanga ana tēnei tikanga e taea e kore anake ki te tango i nga wahi papaka, engari ano ki te whakahoki wheua ngaro i runga i te wā. Ko te drawback anake o te tikanga - o te whakaora i te wā roa. āhuatanga iti mamae e tīwani kati o whitiki periodontal. mea Mua e anake i roto i te wāhanga tuatahi o te tukanga pathological kia haere ki tona āwhina.

Whakaaro e pā ana ki te utu maimoatanga haumanu. e kore e te nuinga tūroro tūtohu tenei tikanga o whakaoti te raruraru, rite taea reira ki a koutou hopu poto nga tohu.

Ko te mumura kino o te pute?

whitiki Periodontal - ko te māuiuitanga nui e titau maimoatanga wā, me te mātau tenei. Te kore o te maimoatanga e taea arahi ki pōauautanga. I roto i te kino tino ko te whēwhē whakapeka, e muri riro ma'i. Kei te āhuatanga i te reira e te hua i roto i te niho nekeneke me te putanga o te mamae. I roto i tenei ahua, riro uaua te tangata ki te whakahoki ake i te kai. Waiho noa māuiuitanga iku arata'i ki te meka e he tino ngaro i te turanga kauae te niho. Ko te whanaketanga o te tukanga inflammatory mutu lymphadenitis me haurangi whānui o te rauropi.

Prevention o matahoki

Kaua e waiho i waho whakarongo ki te pute periodontal matia. Te maimoatanga kawea i roto i roto i te wā, e faarahi te tūponotanga o te ora tonu. Heoi, e kore e tenei tikanga e inaianei e kore koutou e taea e tirotiro i te niho. I muri i te akoranga o te maimoatanga e hiahiatia te ano ki te haere ki te tākuta, ka whakaturia te wa motuhake ia he tohunga i roto i te tirohanga o te tau'a ore o te mate. I te whakamātautau, ka taea e te tākuta te whakatau i te angitu o te maimoatanga, hoatu tohutohu i runga i te tiaki o te kōhao-waha.

Kounga akuaku niho rā ārai te hanganga o kohatu, ki te ārai i mumura i roto i te pute periodontal. Ko reira pai ki te kia whakaaro te horoi ngaio te mangai kotahi te tau i roto i te pokapū niho.