I-Gangrenous pulpitis: izibangela, iimpawu, unyango

Wonke uhambo oluya kudokotela wamazinyo kubantu abaninzi banokuhlushwa ngokwenene. Ngelishwa, ukutyelela kulo gqirha akuyona inxalenye yomkhwa. Abaninzi bayeke ukutyelela ingcali kuze kube yilapho iinyopho zingabangeli ubusuku bokulala kwaye zihlale zicaphukisa. Esinye sezifo apho uhlobo lokungahambi kakuhle emlonyeni womlomo luyi- pulpitis engapheliyo. Unyango lweli pathologi ludinga indlela efanelekileyo. Kutheni kuvela kwaye zeziphi iimpawu ezihambelanayo, siza kuxela kule nqaku.

Izifo zesifo

I-gangrenous pulpitis isifo apho ukunyuka kwezicubu ezithambileyo kwenzeka. Ngokuqhelekileyo, ukugula kuyinkcenkceshelo yee-caries. Xa i-lesion gangrenous yezinyo kuqala iguqula umbala wayo, ngoko kukho ukuvumba okungamnandi kumlomo. Izigulane zikhalazela iintlungu ezibuhlungu, ezibi ngakumbi emva kokutya. I-pulpitis isoloko ichaphazeleka yimimiselo yomhlathi osezantsi. Kwi-20% yamatyala, eso sifo sihamba kunye neenguqu kwixesha le-apical period.

Iintlobo zeepppitis ezinobundlobongela

Esi sifo sinokuvela ngokukhawuleza kwaye siqhube njengesilonda esincinci se-pulp. Ngamanye amaxesha inqubo yokuvuvukala iqala ngokukhawuleza, ihamba ngokukhawuleza kwaye iyancipha. Kule meko kuyindlela engapheliyo ye-pulpitis.

Ukukhushulwa kwesi sifo kwenzeka ngokunciphisa ukuxhatshazwa komzimba okanye ubunzima ekuphumeni kokuqhaqhaqhaqhaqhayo kwindoda yamazinyo. Phakathi kwezibonakaliso eziphambili zeklinikhi kunokuqatshelwa ukuba i-syndrome yeentlungu zentsholongwane. Ukuqiniswa kwayo, njengokulawula, kwenzeka ngexesha lokuthatha ukutya okutshisayo. Ubanda buba buhlungu intlungu.

Izizathu ezibalulekileyo zesifo

I-gangrenous pulpitis ihlala ikhula ngenxa yesenzo esisebenzayo esibalulekileyo sityalo se-pathogenic esingena kummandla we-pulp. Usulelo luyakwenzeka ngexesha lokunyanga kwamazinyo, xa kuvuleka izinyo ukuphatha i-caries . Enye indlela yokungena kweebhaktheriya kwiipokethi zexesha. Usulelo luya kwenzeka nangenxa yesifo, xa inxalenye yezinyo iphela. Esi sifo singaba sisifo esizimeleyo esiye sabakhokelela kwimvelaphi yentsholongwane (le ngxaki engapheliyo ye-pulpitis), okanye iphuhlise ngenxa yokunyanzeliswa kwenkqubo yokuvuvukala.

Umfanekiso wekliniki

Iipathology kwiimeko ezininzi zihambelana nokunyusa ukwanda kwezinto ezinomthi. Izigulane ezininzi ziqaphele ukuba ngexesha lokutya, lezinyo zithatha nge-syndrome yesifo. Ngakolunye uhlangothi, ukutya okubandayo akubange kubangele ukuphendula okunjalo. Ngamanye amaxesha kunomvakalelo omncinci, ogqithisa ngokukhawuleza, kwaye isigulane asinakuyinyamekela. Esi sibonakaliso sibangelwa kubukho begesi kwiindawo ezichaphazelekayo.

Nasiphi na isifo esivela emlonyeni, siphula i-microflora yayo. Ngenxa yoko, kuvela iphunga elimnandi elisezantsi. Ukuba isigulane sitholakale sine-pulpitis enobudlova, ihlala ihamba kunye neentlungu ezibuhlungu. Indawo echaphazelekayo ifumana ukukhukhuza okuncinci, okubangelwa kukuqala kwenkqubo yokuvuvukala.

Xa isiguli sifika kwiizinyo zamazinyo, iingcali zifumanisa iimpawu eziqhelekileyo zezilonda zinozinyo. Okokuqala, lo mkhulu omkhulu. Kuyo, iimveliso zokuqhaqhalwa kwepilp zinokugcinwa. Ummandla wokuphela kweentsholongwane zezinyo uhlala uhlanganiswe ngeengubo ezimhlophe. Iimpawu zesifo zifana nezinye ezininzi zezilwanyana. Ukukwahlula i-pulpitis, kwanele ukunqongqoza kwizinyo ezichaphazelekayo. Kule meko, isiguli sifanele sizive sisincinci. Ngethuba lokubetha kwezinyo, imiqondiso ibanzi ngokuphambene. Ukutshatyalaliswa ngakumbi, intlungu engaphantsi.

Ukuxilongwa kwe-pulpitis enobudlova

Isigaba esibalulekileyo ekuxilongweni kwesi sifo kukufunda izikhalazo zesigulane. Isigulane simele sikuxelele indlela ukungathandeki ngayo emlonyeni womlomo kubonakala ixesha elide, njani amazinyo asabela ekutya okufudumele / okubandayo, okwakusetyenziselwa ukunciphisa iimpawu.

Emva kokuqokelela imbali yonyango enzulu, isigaba esilandelayo sokuxilongwa kukuhlolwa koqobo. Into yokuqala into yokuba udokotela wamazinyo angayibona ukuba umehluko kumbala we-enamel yezinyo ezichaphazelekayo ukusuka kwabanye. Kule meko, isithsaba sayo sinokutsha okanye sitshabalalise ngokupheleleyo. Emva koko kufakwe intambo enzulu, igcwele i-dentin. Yisiphumo sesifo esiyingozi.

Xa ukuxilongwa kwe-pathology, i-stimuli ye-thermal isetyenziswa rhoqo. Ngaphantsi kweempembelelo zabo, isigulane sijamelana nobuhlungu obukhulu, obuncipha kancane kancane. Ukuqinisekiswa ngokuqinisekileyo kokuxilongwa "kweplpitis", ugqirha unokumisela ukuhlolwa kwe-X-ray.

Imigaqo eyisiseko yeyeza

Ukunyangwa kwesi sifo kunokwenzeka kuphela ngokuhlinzwa, kuba ugqirha kufuneka asuse ama-tissu achaphazelekayo. Ngaphambi kokuba enze amayeza angamazinyo, isigulane sinikwe unyango lwamayeza. Ukuze unyango lwe-pulpitis enobudlova kunye ne-periodontitis, inkqubo ebizwa ngokuba yi-pulpectomy isetyenziswa namhlanje. Akukhuthazwa izigulane ezinegazi eliphezulu, i-hemophilia kunye nesifo sofuba esifanelekileyo.

Ukusebenza kulula kakhulu kwaye kubandakanya ukususwa kwe-pulp. Ukunciphisa ukuphuma kwegazi kwindawo echaphazelekayo ngexesha lonyango, iifampu ezikhethekileyo ziyasetyenziswa. Emva koko, ugqirha wamazinyo ubeka impahla yokuzalisa kwisigxina kwaye ubeka izithsaba zezinyo. Ukuba ukutyelela omnye ugqirha akukho nangoko emva kokuba ususwe ukutywinwa, i-tampon ehlanjululwe kwisisombululo se-calcium hydroxide ifakwe kwisigxina .

Izindlela ezingaqhelekanga zonyango

Izindlela eziqhelekileyo zokulwa ne-pulpitis ziquka ukukhutshwa kunye nezindlela zokuzinikela. Iyokuqala ibandakanya ukusetyenziswa kwe-arsenic. Nangona kunjalo, ngokwenza oko kusetshenziswe kakhulu kakhulu. Okokuqala, ugqirha ukhankanya i-pulp. Emva koko udidi olukhethekileyo lusetyenziswa kwindawo echaphazelekayo ukuphatha i-pulpitis enobudlova kunye ne-periodontitis. Kwiintsuku ezimbini kamva ugqirha ugqithisa i-pulp, iinkqubo zee-canals aze enze ukuzaliswa. Indlela yokubaluleka yonyango isetyenziselwa kuphela xa kunqandwa ingcambu yeengcambu.

Izifo zesifo kubantwana

Kwizigulane ezincinci, i-pulpitis enobudlova ingabonakali, ingakumbi ngeengcambu ezingazalwanga. Emva kokuvavanywa, udokotela wamazinyo ngokukhawuleza ubonakalisa izinyo ezichaphazelekayo. Njengabantu abadala, kuhluke kwabanye. Kwintsika yalo kukho ukuveliswa kwemveliso ye-pulp. Ukuze unyango lwezinyo zesikhashana, iingcali zanamhlanje zinikezela ukutshintshwa ngokukhawuleza kokuxutywa kwezinto ezikulo mzila ngeendlela ze-resorcinol-formalin. Le ndlela inezintlu ezininzi. Njengomphumo wazo zonke iindlela, umbala weenguqulelo ze-enamel, lezinyo ziba nzima kakhulu. Nangona kunjalo, olunjalo unyango lulula kakhulu kwisicelo kwaye lubeka engozini ukukhutshwa kwezinyo ezizenzekelayo.

Ukuxela kunye nokukhuselwa kwezifo

Ngaba kunokwenzeka ukukhusela i-pulpitis engqingili? Unyango, owenziwe ngendlela ephakamileyo kunye nexesha elifanelekileyo, isiqinisekiso sendlela esilungileyo yokubuyisela. Ngamanye amaxesha kuxhomekeke kwisigulane nokuba inyoyo iya kugcinwa kwaye inkqubo yokukhutshwa iya kugwenywa. Ukwenza oku, amaxesha amaninzi ngonyaka ukutyelela ugqirha wamazinyo kwaye uphantsi kweemviwo zokukhusela. Ngokukhawuleza ugqirha uyifumana ingxaki, kuya kuba lula ukunyanga. Ukongezelela, kufuneka ulandele imigaqo ephambili yokucoceka ngomlomo. Oogqirha bacebisa ukuxubha amazinyo akho kabini ngosuku, sebenzisa uncedo olusisiphumo. Amanyathelo okuthintela ezinjalo eziphambili kwizempilo yamazinyo.