Periodontitis Apical: iimpawu, isifo, unyango

Lizinyo iletha eninzi ukungakhululeki, kuba ogqwetha umntu ithuba eqhelekileyo ubuthongo, umsebenzi, yaye lokuba badle. periodontitis Apical - yenye sezifo mngeni kunye nezintsonkothileyo, leyo kufuneka uhlale ngayo.

incazelo jikelele

pathology thaca - yinkqubo kwiintetho ezikralayo, nto leyo yenzelwe kwizihlunu periodontal njengezona nengcambu izinyo. Isasazeka kwezinye iindawo isithsaba: dentin nesamente. Kwezinye iimeko, oko kwabuchaphazela nkqu ithambo alveolar.

A phawu uphawu esi sifo umonakalo nemisipha ukuba ezisisigxina alveolus izinyo. Ngaphezu koko, lo ingqibelelo kantu imbasa ithambo cortical, kukho izihlunu eziqinileyo ekhula, cysts sisoyika avele isithsaba.

periodontitis Apical banesifo frequency alinganayo amadoda namabhinqa abaminyaka yobudala eyi-20-60. Kulo sifo ugqaliselo ukudumba ke ingcambu enkcochoyini. Kwaye ke mmangaliso ngokwaso isithsaba, kwakunye ancedisana athambileyo ezingeenxa.

Izinto ezibangela Uphuhliso izifo

periodontitis Apical basenokuba ngenxa ezi zinto zilandelayo:

1. Omninzi తీసివేయి Susa, ukwenzakala okanye ukwenzakala ngezithsaba.
2. Sinusitis.
3. unyango abangenazakhono kunye engafanelekanga kwezifo zamazinyo.
4. Osteomyelitis (bamathambo).
5. sesihambe of pulpitis. Kule luvo zamazinyo uyasweleka kwaye periodontium abosulelekileyo.

ngezigaba izifo

periodontitis Apical nga lungohlulwa lube zezi ntlobo zilandelayo:

• Esibuhlungu. Kulo mzekelo, ezingaqhelekanga, iphuhlise ngenxa yokulimala, uhlobo, nezithsaba ngokwaphulwa, izinyo kukwenzakala esinganyangekiyo.
• Medical. Isizathu kukho kubola zinetyhefu kakhulu ukuba esetyenziswa bamazinyo. Ichiza engena inyama periodontal, kwaye ke iqala ukuphuhlisa komtshiso oko.
• Gciwane. Olu hlobo leengxaki usisiphumo intshabalalo staphylococcus okanye iStreptococcus ezingqonge kwizihlunu izinyo. Kwakhona isizathu losulelo periodontitis apical ithe yazaliseka yintlama impiliso.

Cazulula sifo kwakhona bubunjani ukugeleza:

• periodontitis Acute apical. Lubonakala ngogxininiso eliphezulu iimpawu. Yenzeka ngokukhawuleza kakhulu. Olu hlobo lwesifo kwakhona kwahlulwa ibe ubovu kunye serous.
• periodontitis Chronic apical. Kulo mzekelo, ezi mpawu ichazwa hayi kangako, kodwa ke isigulane ngamathuba kuba kubi. Le fom ezinganyangekiyo Kwakhona granulomatous, granulating ezinezikhondo.

symptomatology kwesifo

Ngaphambi kokuba lesi sifo, kufuneka ucinge ukuthi kuziveza ngayo ngokwayo. Kuba uhlobo nokoyika oobhubhane bezifo luphawulwa iimpawu ezifana:

1. Iintlungu idaleka indalo. Ngaphezu koko, lingenza neetempile nebunzi.
2. Kule ndawo ye izinyo ezonakeleyo kubonakala nokudumba.
3. Ukwanda nodes submaxillary.
4. Nokushukumisa isithsaba. Kwezinye iimeko, isigulane wawulahla.
5. Kwanele yintloko ebuhlungu.
6. Anozizi ngasezintsinini.
7. Ukwandisa lobushushu ukuya degrees 37-38.
8. asabela buhlungu ashushu nabandayo. mizwa ekhathazayo kwenzeka kwanaxa touch lukhanyiselo izinyo.

periodontitis Chronic apical luphawulwa yi kukuba umfanekiso lwezonyango lingaphantsi kubi. Ngexesha kuxolelwe, isifo ngokubanzi kwenzeka phantse nazimpawu. Nokuba isigulane ngamathuba athile kwaye uvakalelwa ezinye kabi, ukuba mncinci kakhulu. Ukongeza, ngexesha isidlo loo mntu umoya ombi.

Iimpawu zesi sifo

konke kuxhomekeke kudidi lwe ngezifo. Ukuba yondele, kungabonakala ngokwayo kule fom zilandelayo:

• Ubovu. Kukho ukhetho isici viscous ulwelo ekhethekileyo zana turbid ukuba iphunga elibi.
• Serous. Isigulana kummandla ochaphazelekayo ubonakala amanzi phantse selubala, apho kungekho ivumba.

periodontitis Chronic esibonakaliswa ezi fom zilandelayo:

• Ezinezikhondo. Lubonakala bubukho nevumba elibi, ngokuba isithsaba uye ukuqanda.
• Granulating. Isigulane sine-intlungu krakra xa ukuleqa phezu izinyo abachaphazelekayo, ukuqumba. Ngaphakathi fistula enabo isiqulatho ubovu.
• Granulomatous. Umntu uziva nobunzima rhoqo kwi isithsaba nomonde. Ukongeza, njengezona nengcambu usenziwa granuloma. Ngaphezu koko, oko kuthatha enkulu kakhulu.

Isigaba flow kwefom zale sifo

Acute periodontitis apical imvelaphi pulpal okanye isifo ivela ezinye izizathu, uye izigaba ezibini kuphela zophuhliso:

1. Kwisigaba ekuqaleni inkqubo yokukrala ubonakala ukunxila periodontal. Okwangoku, kukho zifutha intlungu ixesha elide. Kulo mzekelo, izinyo ochaphazelekayo kuba ethe-ethe kakhulu, oko kukuthi xa ukuleqa kuyo.
2. Kweli nqanaba kukho inkqubo ngokukhawuleza exudative. Kulo mzekelo, abuzwa rhoqo. Intlungu kwenzeka kwanaxa touch isikhanyiso yezinyo, kwaye ziveza ukuba kwezinye iindawo entloko.

Serous okanye ubovu exudate ngamandla ekusasazeni, ngoko ke kummandla ochaphazelekayo ubonakala ithambile inyama ukudumba. Ukongeza, ukwanda kwiindawo nkovu yengingqi.

uxilongo Iimpawu

Ukuze ukunyanga i ngezifo thaca, kufuneka uqhagamshelane wamazinyo yakho bangenele uviwo ngokucokisekileyo. Uxilongo lwe periodontitis apical ayikho nzima kwaye kuquka izifundo zilandelayo:

• nitrogen Inkcukacha izikhalazo nomonde. Olu phando lwenziwa kuphela xa kukho uhlobo ludlule, njengokuba kwizifo esingapheliyo picture lwezonyango kangako kubi.
• uviwo lwangaphandle isigulane. Ugqirha ungabona fistula ubukrakra, ithambile izicwili ukufukuka, kunye nezinye iimpawu ezibonakalayo yenkqubo yezifo.
• Olugunyazisiweyo kwaye uxilongo engundoqo radiographic of periodontitis zosulele apical. Le mifanekiso uya kubonakala ubungakanani ekutshatyalalisweni esiqwini ithambo, i periapical ukwanda slot encinane. Imida kummandla ochaphazelekayo kuba norhatyazo okanye elibukhali. Ngoncedo lwe X-ray bangabhaqa cyst periodontal (esicaciswe ngokucacileyo ukuyilwa kwi ingcambu enkcochoyini). -X-reyi kwakhona ukunceda ukumisela uhlobo lwesifo periodontal: abanesigulo, apho ebonakalayo linyuke kakhulu kulo mqolomba periodontal, ngokunjalo granular (kutshatyalaliswa ithambo alveolar).

Ezi iindlela kokuxilongwa ezi periodontitis ezinkulu apical. Ngokuqhelekileyo, kufuneka zophando ezongeziweyo.

Iimpawu konyango esi sifo

Ukuba umntu elibhaqiweyo apical periodontitis, unyango na umgangatho, kungakhathaliseki ukuba uphuhliso imilo. Unyango ibandakanya ezi zigaba zilandelayo:

1. Mechanical. ukulungiselela eveliswayo kummandla ochaphazelekayo ukuba unyango olungaphezulu. Oko kukuthi, waqala wabonakala izinyo apho kukho komtshiso oko. Olandelayo ukuhlanza yintlama abachaphazelekayo ezingqongileyo kwithishyu. Zonke zazo logqirha yenza usebenzisa Ukubulawa zasekuhlaleni.
2. Kubola. Kuba oku kuyimfuneko kukwandisa pre coca imisele ingcambu kunye nokusetyenziswa ultrasound. Ngaphezu koko, ukuze atshabalalise microflora ebangela isifo kusetyenziswa paste anti-ukudumba kunye antibacterial. Ukuphucula kwisisu ngomlomo ingabonakaliswa ngamanzi broths esintu.
3. Ukutywinwa kokugqibela umjelo, evela kunye elandelayo ulawulo X-ray. Ukuba izinyo wenzakele yonakele, ngoko ke ubeke phezu isithsaba.

Ukuba isigulana iye yafunyanwa ithumba, kuyimfuneko ukuqinisekisa nencindi exudate. Emva nokucoca ngomatshini ziya kwenziwa, kufuneka bavelise inkqubo recovery ithambo.

Ukuba periodontitis etsolo apical kuye kwafunyaniswa, unyango kufuneka kwenziwe ngoko nangoko. Kungenjalo, imngene ifomu ezingapheliyo, apho kunzima kakhulu ukuba kunyango.

Iimpawu ukuphathwa zoqhaqho sifo

therapy Standard kwezinye iimeko, kusenokuba kuphumelele. Ngoko ke, kaninzi zisetyenziselwa zonyango iinjongo utyando:

1. Apikoektomiya - resection kwingcambu enkcochoyini. Kwiimeko ezininzi, le nkqubo kubonisiwe izigulane sisifo esingapheliyo apho ezikhandelwa granuloma okanye cyst. Injongo kotyando kukususa neziqu kunye yinxalenye encinane izinyo. Unyango ithatha imizuzu engama-30 ukuya kwiyure enye, esebenzisa Ukubulawa yasekuhlaleni.
2. Ukusikwa nengcambu izinyo. Faka kuphazamiseka kunokwenzeka kwimeko phantsi kwesithsaba waphawula iingcambu eziliqela. Kusenokwenzeka kususa iinxalenye isithsaba ochaphazelekayo.
3. ukwahlukana Uqhaqho-radicular. Ukuba izinyo iingcambu 2 ukho, yahlulelwe kwii iinxalenye ezimbini, nganye kuzo iphathwa ngokwahlukeneyo.

Kwityala kakhulu, ukususwa kwenziwa nje nge ingcambu izinyo. Oku kufuneka kwenziwe kuphela xa ukutshatyalaliswa ancedisana nzima bomelele ukuze isitsaba sokunyanga hayi nako ukuzalisekisa injongo yayo ezisebenzayo.

Ipredikshini unyango kunye kunokwenzeka iingxaki

Kwiimeko ezininzi, unyango kube yimpumelelo, kwaye isigulane lichache izinyo ngokupheleleyo. Kulo mzekelo, kukho uxilongo ebaluleke kakhulu zokuqala zesi sifo, kwakunye isandi sisondela ugqirha. Noko ke, kwezinye iimeko, periodontitis unako ukuvelisa ezinobuzaza:

• Fistula okanye cyst.
• Ukudumba ngayo inyama bone umhlathi.
• sinusitis Odontogenic.
• Nokudumba.

Ngokuqhelekileyo, iingxaki akunjalo rhoqo, kodwa akukho namnye sinazo kubo.

zokuthintela izifo

Ukunqanda ubuhlungu obukhulu kwezinye ukungakhululeki, kwakunye ukuba kuphulukana izinyo usempilweni, kufuneka ulandele amanyathelo alula lokunqanda:

1. Asimele silibale malunga nococeko yomlomo: kabini ngemini kufuneka ukuhlamba amazinyo akho, ukuba kuyimfuneko, sebenzisa FLOSS zamazinyo kunye ebulala-izimiso. Ngenxa yoko i Cola akufuneki ibe amasuntswana nzima kakhulu.
2. Akukho mfuneko ukulayisha isithsaba kakhulu. Large isenzo mechanical kwi amazinyo kufuneka kuphetshwe. Oko akuthethi ukuba ukuzivula amandongomane, okanye ukutya okuqinileyo.
3. Kabini ngonyaka, kufuneka ukuhlolwa kunye wamazinyo. Nangona ukuba unayo uneempawu zaso nasiphi na isifo yamazinyo, imfuno ukujongana ngaphambili.
4. Kubalulekile ukuba ugcine ukutya okusempilweni, leyo kufuneka ezahlukahlukeneyo yaye luncedo. Kubhetele ukunciphisa ukusetyenziswa iilekese, ikofu, namanzi soda, nto leyo ibe nefuthe elibi lwawo.
5. Ukuba umzimba womntu izifo ukudumba, kufuneka ziphathwe ixesha ukuthintela ukosuleleka.

Enoba lwalunjani, kwizifo ngomlomo kunokukhokelela kuphela kwilahleko amazinyo, kodwa kukwaphula emathunjini. Ngoko ke, nasiphi na isifo wamazinyo kufuneka ngokukhawuleza ngayo. Hlala uphilile!