Whakarōpū o periodontitis, take, te tātaritanga, maimoatanga

Well, ka he ataata ataahua, me te hauora, me te kanapa tonu nga niho. Ko, kāore, he tokomaha o tatou ki te whakatutuki i tenei katoa, i tatou ki te hanga i te rota o te kaha, me te noho nui moni, no te mea niho kino - e kore te mea te reira noa te koha Paku, ko reira ano hoki te mamae tinana fuu. Paihana to tatou oraraa, haunga nga caries pai-mohiotia, e rave rahi atu mate niho, tetahi o i te periodontitis. Tona putanga me ngā tikanga o te maimoatanga tei runga i te maha o ngā āhuatanga. I roto i te tikanga ki te hopoia whakarite tohumate me te whakawhanake i te rautaki noa mo te maimoatanga o te wā ōrite, i reira ko te whakarōpū o periodontitis. I roto i te ao o whakaaro he torutoru, engari i roto i Russia whakamahi te nuinga te pūnaha whakawhanakehia Lukomskim I. G. tamata ki whakamārama mārama he aha te mea te reira.

periodontitis

I mua i korero koutou ahau te mea ko te whakarōpū o periodontitis, kia mahi a ki te mate ano. maha whakapoauau iwi reira ki periodontitis, ranei e kore e kite i te rerekētanga, no te mea tangi tino rite o ratou ingoa. I roto i te meka, meinga periodontitis e raruraru ki te periodontium - he pūnaha katoa o te kopa rerekē, haapuai i to tatou niho i roto i nga rua kauae (alveoli). Periodontal - tetahi o nga wae o te pūnaha nui. Ko te kiko svyazochki ranei noho i te wāhi i waenganui i te rihi, me te paengao o te sima niho pakiaka. Ko te matotoru o te periodontal 0.2 anake mm, engari e mau ia tatou niho i roto i nga alveoli, whakanoho tohatoha te kawenga i waenganui i nga alveoli me te niho, ka ngaungau, e waha ana mahi tairongo, tiaki me te arataukai. Ki te hoki tetahi take, periodontium matia, ka tīmata te mate periodontitis apical. Ka taea e arahi te reira ki hua rawa meapango, ki runga ki te mate o te niho, na he mea tino nui ki te mohio te take mo tona take me tohu āhuatanga.

Ko te puka whakapeka o mate periodontal, te taahiraa matamua

I roto i te rongoā, i roto i maha mate wehewehe puka e pā ana ki o ratou take (etiology) me te āhua rere (pathogenesis). Tenei nui whakahaere te tātaritanga me, no reira, āwhina ana ki te mau maimoatanga pai. Whakarōpū o periodontitis pathogenesis tukuna 2 puka - kotahi raukikini, te tahi atu ma'i.

E rua ngā wāhanga anō periodontitis whakapeka - serous (tuatahi) me te purulent (tuarua). I roto i te wheako tuatahi, wheako koe he rota o te mamae i roto i te niho i tetahi pa, engari i te wa ano e taea te manawanui, ko te ki te āta tohu te wahi mamae ai. kia muri tenei āhua i te maha ra ki e rua wiki. Ko te tākuta i te wa o te tirohanga kite te manawanui i roto i te poka caries niho, engari e kore e tona hūhi Tārewa i roto i te manawanui meinga. whakaaro He tohu nui o te periodontitis whakapeka te ki hei mumura huri noa te mucous niho raruraru. Kei roto i te maimoatanga i roto i te tango mau i roto i te pakiaka mate awa me te taatiraa muri. Ko te kupu he mea e tika ana ki te hanga i te tango o te karere, ki takere tino mihini horoia, patu huakita ratou ki te hamani kounga periodontal me niho hiri.

Te puka whakapeka, te rua o nga atamira

Kei te karanga a hoki tenei mate periodontitis purulent whakapeka. Ka taea e te whakawhanake te reira i periodontitis serous, ki te tukinotia tika, ranei kahore noa te mutunga. Tūroro mate ki tenei mamae ko te tino kaha, pumanawa, e haehae ana, kino i tetahi operehia pa (kore te manawanui e taea korero rite te wahi mamae reira).

I tua atu ki enei, i reira e te tahi atu tohu:

- ahuatanga;

- ānini;

- pupuhi o ngā pae, a ētahi wā paparinga;

- pāmahana;

- te tahi mau taime te nekeneke niho.

I te whakamātautau maha heheu e te whakakī kē te niho ka maru ai ranei mau ia he karauna. Me pēhea te ki te whakaora i te niho i roto i tenei take? Ko te mahi matua o te rata ko te tango o te pirau, me tirotiro huaketo o te awa pakiaka, te tango o te mumura hua e te mā therapy tarukino me te therapy tinana. Mutu kekeno maimoatanga atamira. Ki te niho pirau tina heke, pipiripia reira.

kaiota te periodontitis ma'i

I tua atu ki te whakapeka, i reira te mea he periodontitis ma'i, e rerengia ana ki kahore he tohu e kitea ana, me te ite e ko reira tino uaua ki te tātari. Tohatoha taua ona puka:

- kaiota;

- granulomatous;

- granulating.

Ka taea e te katoa e toru o enei puka kia uaua ki te wehewehe i "i te kanohi", na kawea te tātaritanga i roto i ki te awhina o X-ray tomography ētahi wā. Ka rite ki te tikanga, faaite periodontitis ma'i iho anake i roto i wā o exacerbation. A, no te te puka kaiota o niho o te manawanui, kia whai tūroro he paku rerekē, reo mumura atu hauora, e taea hoki te whakaatu i etahi tūtohutanga rawa iti i roto i fakateka hūhi mahinongofua uaua. te tikanga ai kore maimoatanga o tenei ahua o fifi mate. hanga te haerenga tuatahi kei te tango i tetahi wahi penupenu kaiota, nga awa roha, te tango i karere (i raro i rehunga) me te whakakī rangitahi o "Metapeksom". whakatuwheratia 3-7 ra takere hou, muku rauemi rangitahi, hoko he hiri tūturu. Ki te te niho i muri i te wātū tuatahi tīmata ki te kino ia, whakatuwheratia tona kōhao te me noho tonu tuwhera hoki o nga ra, mo i whakahaere te manawanui te therapy tarukino te tokorua.

periodontitis granulomatous ma'i

A, no te puka granulomatous huri noa te kōhao periodontal i hanga motuhake - granuloma, whakauaua hoatu i tetahi tohumate, engari i ētahi wā i reira he amuamu o tūroro i etahi tūtohutanga niho o te manawanui. Granulomas muka takotoranga Kei te kiko kaiota, e maha tupu ki te periodontium. Whakaaturia tenei taea X-ray. I whakamātautau haumanu, ite Nā te tākuta hiri nui rua e tu ana carious i raro i hiri ranei te karauna ranei, engari e kore e te irava o te manawanui takere uiuia mamae meinga. Me pēhea te ki te whakaora i te niho i roto i tenei take, me te ahakoa he mea e tika ana ki te rave i te reira, ki te reira he kahore amuamu? Hei te hamani Ko reira e tika ana ki te kore te degenerated periodontitis ma'i ki te koi, me te kore ki te ngaro i te niho. Ko te therapy ko ki te whakakore i te puna o te mate. Na roto i te tohu kawea endodontic (puāwaitanga) maimoatanga ki purenga e mate takere te kopa, me te hiri mata, Heoi, ki te he tenei tikanga kahore hua, atu te tono wawaotanga hāparapara pērā i resection o te niho, kaua ki resection matamata pakiaka raruraru me te tango o pātata te kopa hemisection wehenga ranei coronary-radicular.

granulating periodontitis ma'i

āhuatanga tēnei puka e exacerbations auau, me te fistula hanganga i roto i te kopa periodontal. Tikanga, amuamu tūroro o te mamae i roto i te niho, me te pēhanga te whakanui ake i runga i te reira (ngangau). E mea pinepine te wāhi raruraru e karapoti ana kiko mucosal matia, whai puku, fistula, e kia protrude i granulosa kiko, pirau. Pūkenga Hongere me palpation o nga pae e taea e mamae. Ko rite ki te tetahi kawea atu i te periodontitis granulosa Treatment. He tākuta mahi maimoatanga endodontic, a i roto i te take e kore e taea ki te pupuri i te resection niho (tona tihi pakiaka), tona excision oti hemisection ranei. Me mahara te reira e kia meinga i te take mō te granulating periodontitis tiaki niho takarepa me te kătahi ki te mate periodontal, a i roto i te tua, malocclusion, mate huka, me te tahi atu mate. Ki te haamata tukinotia periodontitis granulating i wa, ka taea te niho te ora.

Whakarōpū o periodontitis i runga i te etiology o te mate

Tei runga i te take o periodontitis, nga puka e whai ake nei:

- mate hopuhopu;

- ngaukino;

- rongoā.

He hopuhopu tino ka amines biogenic ranei moroiti, me o ratou tāoke ô te rere periodontal o kōwhao tamariki i runga i te etiology o takanga o periodontitis.

periodontitis hopuhopu

Karangatia tenei puka o te mate ngā microorganisms (streptococci, veylonelly, harore rewena me ētahi atu), e ô te kiko periodontal i te awa pakiaka, pute tawhio noa te kopa gingival me te toto waitinana ranei kore ma'i ina pā niho (taipō, rewharewha, sepsis , pakohu kakā). niho tunga koi - te tohu matua o te mate. E mea pinepine i roto i te exudate periapical piki, waho whakahuatia mucous tetere me paparinga, me i te awa pakiaka i reira ko te kakara e pirau. kia anake kia kawea maimoatanga i na tohunga, e kia tukinotia i roto i te pokapū niho. He he he taea ki te tiki i te whānuitanga ki tonu i o ratonga whakaora, tae atu autō, me te laser therapy. Whakakī o awa pakiaka, o nei tuutika nekehia karere, kihai i hanga te tuatahi, a maha kahore i roto i te haerenga tuarua. takoto ana te tākuta kei te ki te waiho i te niho tuwhera ki withdrawal tonu o inu, te mahi hongere disinfection, a anake ka hoatu te hiri. Ki te kore e therapy hua hua, nekehia he niho kino.

periodontitis pāmamae

Ko te take mō tenei ahua o te mate ko te momo o wharanga niho aunoa e kia puta ka te mahi e whai ake nei:

- pāwhiritia niho nati purapura ranei;

- paramanawa miro, waea;

- niho purea kātaki'i te whakamahi i-miro niho;

- patu, contusion;

- prosthesis ruarua taunga (te taviniraa ranei e kore e rite rawa i raro i dentition karauna);

- kohuki hiri.

tenei katoa e taea meinga mumura i roto i runga i te wahi (iti iho maha i roto i te haurokuroku) o te mamae periodontal, toto pae, me te mutunga te ähua o periodontitis. kawea maimoatanga i roto i rite ki tohu, engari te mea nui, ko te e he te tere tuatahi ki te whare hauora niho o te manawanui tenei - faaore i te puna o te whara (tango te wahi kohuki o te hiri, te whakatika i te karauna).

periodontitis hauora

Ko tēnei puka o te mate e taea puta i roto i te hara ki o te tākuta te manawanui ranei. E mea pinepine, e whakahaere te rongoā ki te maimoatanga o te wāhi periodontal (hei tauira, te ateneke, piotsin), te mea whakangaro o nga awa pakiaka. Ko te hua, ko te tahu i te kopa e karapoti ana i te niho, ranei ratou mate noa, me periodontitis raau-piri i roto i te tamariki ka taea e arahi ki te whakangaromanga o te rudiment o nga niho tūturu heke mai. Na reira, e mea faufaa ki te tono ki te pokapū niho i te tohu tuatahi o te mate.

taea hoki te meinga e te tono o te manawanui mō whakapirihia purea niho kei roto formalin, tricresol me te rite periodontitis hauora. Tohu o te mate e:

- te mamae niho raruraru kaha;

- maru te kauae katoa wāhanga ranei, te wahi i te niho raruraru;

- te nekeneke o te niho o te manawanui.

Ko te maimoatanga he ki te tango i te take o te mumura i roto i te niho, me te whakataki o taero (paturopi, sulfonamides), whakakī. I muri i whakakorenga o mumura hua taatiraa niho.

Ārai me matapae

Ka rite ki whakaaturia e pūtaiao rangahau tata, hoki he faufaa tangata ia tika ora ai nga mate katoa o nga niho, ngā periodontitis. Me hāngai tātaritanga runga whakamātautau haumanu niho raruraru X-ray te whakapakoko Panoramic, e tohu te tohu o te raruraru (suppuration, wheua whakangaromanga me ētahi atu) ranei. He mea tika ki te tīpako i te maimoatanga tika me te whai hua, mai i kore te reira oti te maimoatanga rongoa hua periodontitis ranei i te mate o nga niho. e kore e ētahi hoatu reira nui faufaa, whakaaro anake te koha Paku. Ko kua kitea aivanaa e nui haere te ngaro i roto i te dentition 5 anake niho e āhua 140% mōrea o te patunga me te infarction myocardial. Kua whakapumautia tenei empirically. whai wāhi te ako neke atu i 8000 iwi o reanga rerekē. He aha te kore o niho māia te mahi o te ngakau, i te kore ia e taea te ki te kitea i roto i.

Ka rite ki te ārai o te periodontitis, e tohutohu tākuta ki tirohia wā te huru o te niho, ki te mau i te ture o te akuaku o niho, me te mangai, te karo i ngā mahi tohu niho ngaukino me te niho katoa rite te katoa, a i te tohu tuatahi o te mate e kore ki te whaiaro medicate-, ka whakapā te whare hauora niho.