Periostitis kwemihlathi asezantsi: Oonobangela, diagnosis, Iimpawu and Treatment

Ukudumba kwi periosteum kukho ogulayo kwamathumba kwemihlathi asezantsi. ICD ikhowudi 10 K10.22 awungeni ndawo K10.23. Kwimeko yokuqala komtshiso na uhlobo lokuqala inani lesibini ubonisa uhlobo ezingapheliyo zesi sifo.

ICD 10 periostitis kwemihlathi esezantsi yahlulwe subgroups ezimbini, kodwa ke uhlobo eyenziwayo inkqubo kwiintetho ezikralayo, kufuneka iimeko ezingcono kakhulu. Ngoko ke, ukubeka subclasses ngokutsho umthombo nethumba, ibakala uphuhliso, uhlobo iingxaki.

IMVELAPHI Uphuhliso ithumba

Komgodi ngomlomo usoloko uziva ifuthe iintsholongwane eziyingozi. Bona apho ngenxa yezi zizathu zilandelayo:

• nge kutya okanye zingaqondwa ukuqhubekekiswa;
• ngokusebenzisa izandla, kaninzi kwenzeka abantwana;
• indlela yangaphakathi ngexesha yokukrala okanye izinyo emva ukusisusa.

Amaxesha amaninzi ukudumba eya kwindawo esidleleni, okanye omnye umcu cranial. Thina bamele ithumba wendlela emhlathini asezantsi, photo kubonisa sisilonda esidumbileyoesingaphakathi enkulu. Igama ichaza indlela ukwanda kwesifo losulelo iiseli esempilweni - ekubhobhozeni ibonisa ukuvuza.

Periostitis mandible ukuba akanangozi ngaphezu phezulu. Noko ke, musa bangawutyesheli unyango xa uphuhliso iimpawu eziphambili. Flux uyakwazi ukusasaza ngokukhawuleza kwi kwinyama lwangaphakathi iintsini kwaye ibangele ezidleleni nokudumba. Ngaphezu koko, inkqubo ithumba ukuyilwa periosteum ingafikelela indlela nazimpawu.

Normal ukubola kwamazinyo kukhokelela kubunzima ezimaxongo. indawo bacteria zohlukana wonke umzimba, ebangela ukudumba phecana yokuphefumla, imiphunga, lo bronchi. iimeko ezinzima elichubekileyo sifo kukhokelela utshintsho zophendlo lwezifo emzimbeni. Ngoko ibala zokuqhubela kwi wayesebenzisa kukho ingxaki ye ngugqirha.

Kwisigaba sokuqala wobhobhozayo ingathintelwa ngokutyelela periodic wamazinyo, kodwa abantu abaninzi singayikhathaleli yokuthintela periodontitis.

Yeendlela eziphambili ingenzeka

Uphuhliso ithumba periosteum kuchaphazela izinto ezimbini:

• ukungena iintsholongwane zibe kweemaleko inxeba yethishyu ngokusebenzisa edla amiliswe emva izinyo;
• iinkqubo ubovu okanye iingcambu izinyo lwangaphakathi ukosuleleka yintsholongwane.

Ukungena ngenxa isifo esempilweni akufane kunokwenzeka, kodwa ukuba amajoni omzimba buthathaka, le ntsholongwane kwangoko igcinwe kwi isifo. Ukungabikho nococeko yamazinyo kukhuthaza ukukhula ezincinane emlonyeni. Xa usuleleko yokuqala yangaphakathi inwebu inxeba kwenzeka ngoko nangoko.

usuleleko lwangaphakathi amaninzi kubonakala kubantwana abaselula, xa umzimba ucekeceke kukuhlaselwa of zizifo ezingaziwayo. Nobudala, amajoni omzimba kuba womelele kwaye yonke bacterium wakwazi ukoyisa umbundu yokhuseleko. Noko ke, umntu ngabom ezonakalisa impilo yabo, bengazi ukuba silindele kuye iziphumo. Ungakhetha kusungula:

• utywala kunye nokutshaya kuwuhlambela isifo karhulumente, okukhokelela zome umlomo, leyo ibhexesha kwii-iintlobo ezahlukeneyo zamangenelela;
• akukho uhlamba amazinyo emva kokutya, ngexesha lokulala, kusasa;
• ukutya okungenazakha-mzimba kunye nendlela eliqingqiweyo yobomi;
• izifo ezingapheliyo zangaphakathi;
• nezinye izifo, loo uhlobo herpes simplex ziquka, hlale emlonyeni amadlu bactericidal kuvela nini.

Kwakhona, imvakalozwi umzimba ukuncipha ikhuthaza ukukhula ngokukhawuleza iintsholongwane. Senziwe ubovu ithumba kwemihlathi esezantsi, ekwaziyo bathimba inxalenye enkulu kummandla yobuso.

Oonobangela kwezifo ezinzima

Ukwahlula umba ophambili kuphuhliso obhobhozayo - kukunqongophala wentshabalalo kwangethuba iintsholongwane ezizalayo phezu amazinyo. Abantu ngococeko umlomo, besonwabela izimiso nokutyelela wamazinyo rhoqo, ungaze ukufumana periostitis le mandible. Iimpawu ngobhobhozo zizakuba nesohlwayo, kungcono ukukhusela kunokuba ukujongana yahlasela ezincinane eziyingozi.

Le intlanganisela yeemeko isekude i ukukhula udaka iintsholongwane. Le omzimba kunegalelo nokuphuma kolwelo nesiza ukudumba, ukudala iindumbisa izicwili. iingxaki ezinjalo ziyenzeka phantsi kwempembelelo yezi zizathu zilandelayo:

• Ukudumba inwebu ezaziwangqongile yintshukumo amazinyo iqala periodontitis.
• Provocateur angasebenza isifo sephepha.
• isizathu eyosulelayo kwenzeka phantsi strong ngokunciphisa zokuzikhusela zomzimba.
• Ukwenzakala kwemihlathi, kulandele ukubana emathanjeni kwemihlathi.
• Ukudumba uyalisa le iintsini.
• Ityhefu amachiza.

iintlobo ezikhoyo

Wobhobhozayo lahlulwe uhlobo ukudumba, imilo ithumba, ngexesha ukwakheka. Olu lwazi efunekayo ukukhetha unyango oluchanekileyo. Nazi United of sifo okunokwenzeka:

• Periostitis mandible zinokudluliselwa ukwakha ubomvu. Ezi fom yamathumba zinkulu kakhulu ukuba bayasigqwetha imbonakalo ebusweni. Iifom Acute zenzeka kwiimeko kanobom immunocompromised kumanqanaba okuqala okuvelisa na ukudumba yebhaktiriya.
• Ifom ezingapheliyo isifo luphuhlisa ixesha elide kungekho zimpawu. Kodwa phantsi kweemeko kakuhle, kukho ukukhula esebenzayo yintsholongwane. Ekweneni iintsini ukunyuka, badlulela emzimbeni ezingqongileyo. Olu hlobo periodontitis kungathatha indawo noba ubomvu, kwaye ngaphandle kwayo.
• Nika uhlobo kuphuhliso ezilula aseptic: kukho nokubola yethishyu ngaphandle lokusekwa iimpawu komtshiso oko. Kule hlobo igazi kubonakala ukudumba, iintlungu ziviwa.
• Le fom ezingapheliyo lidla ngokuba periostitis ossificans. Phantsi olu khetho, kukho uphuhliso ithumba kwi umhlathi. Chonga utshintsho noshowo na kwenziwa iimviwo X-ray. Kulo mfanekiso uya kuba ibonakale spikes ukuqina.
• A uhlobo oluthile ukudumba etsolo yinto periostitis serous le mandible. Esi sifo abunjwe phantsi kwempembelelo periodontitis. Iimpawu fever, iintlungu ngexesha ehlafuna ukutya, kunye nokudumba kwithishyu. Izinyo on iintsini enesifo rhoqo isusiwe.
• I gum modified lungaluhlobo yethishyu ezinezikhondo. Inkqubo ukudumba kuthetha njengoko izinyo ngokwayo kunye thambo kwemihlathi. Ezi nguqu zenzeke ngenxa yempembelelo ngokuphindaphindiweyo ngomatshini kwi inxalenye periosteum.

features

On Ngokucofa badla kungabonwa kuphela periostitis yayiyazi loo mandible. Iimpawu ukudumba ezingapheliyo echazwe lithi zilandelayo:

• Ngokonakala impilo jikelele kwi nohlobo efihlakeleyo sifo. Ngokuqhelekileyo, kuthatha indawo njengoko ubushushu ngentla degrees 37.
• Xa abantwana abancinane, kukho lwakukhula edanduluka esithi, ulale noko amnye ebantwini. Amaxesha amaninzi, baze bangafuni ukudla, ufuna ukuba idle.
• Ngokucofa uyakwazi ukubona kwinyama ukuqina gingival leyo basabela ukuqaqamba xa wachukumisa. Kwakhona, kukho ukufukuka kancinane lwe nemihlathi.
• Ezi mpawu zimbi ngexesha lokuncitshiswa sifo. kwangoko iingxaki Ingqele okanye etsolo-nokuphefumla ukuphendula neentlungu iintsini.
• Acute periostitis mandible usoloko unomngcipheko lonke eziphilayo. Kweli nqanaba kukho ukufukuka ngokukhawuleza nemihlathi okanye entanyeni indawo. inyama Tumescent kubonakala phezu iintsini. Iintlungu threshold uba ukunyamezelana ephakamileyo.
• Amanzi ubovu evela iintsini zibonisa isikhundla nzima kakhulu malunga nesigulane eso. Olu hlobo iphathwa kuphela utyando angafuna plastic. Loo imeko kwenzeka xa ithumba liphuhlise mandibular retromolar. kuvela iingxaki xa edubulayo nzima imihlathi.

Yonke nqanaba zale sifo zikhatshwa ezalathelwe ezandisiweyo nkovu.

iimpawu zokwahlula of ukudumba ahlekise

Nayiphi ubovu periostitis yayiyazi loo mandible lwenzeka kunye neempawu ezibonakalayo. Uba ngenxa yeengxaki eso- asha periodontal. Le meko lubonakala mpawu zilandelayo: Ukudumba nolokungcungcuthekisa nemihlathi kunye iintsini, ubuhlungu xa ihlafuna. ukuhla ko- ngentlalo-ntle. imilo Ubuso ngokufuthi modified, kodwa umbala ulusu kuhlala enye.

Soloko uphawu ukudumba luthe anquma iindawo nkovu kummandla okuvela periodontitis. inyathelo Running echazwe iimeko zilahleka ngenxa esineengcambu yezinyo ochaphazelekayo. Limelwe ukuba sisuswe ngexesha unyango. Kodwa ke kaninzi, kummandla ochaphazelekayo iphathwa kunye nezisombululo antibacterial.

Amazinyo Multiroot ayikho efanele amakhambi amazinyo. Ukuba asuswe, ngoko lymphadenitis kunokwenzeka kuphuhliso olungaphezulu komtshiso oko. Ngenxa imibhobho kwenkqubo emithanjeni yokusingqongileyo ziibhakteriya uya ndikuchithachithe wonke umzimba, ekhokelela ngokonakala zempilo.

iimpawu zokwahlula of ukudumba ezingapheliyo

Ingxaki yidityaniso badla kuhlala engaqatshelwayo ngenxa yokungabikho kwexesha, izibonelelo okanye ukungabikho kwikliniki ekufutshane. Indiva umzimba wakho kukhokelela komtshiso yebhaktiriya. periostitis okondeleyo mandible iphuhlisa iimpawu, oko kungabonwa kuphela kwi-ofisi kwamazinyo.

Relapsing ifomu kwenzeka xa imeko ethe ngaphambili ububovu kunye ithumba. Ngenxa unyango okanye ukungabi nayo Kumana uphuhliso kokusingqongileyo yebhaktiriya. Ngoko ke, lo umhlathi ephantsi ezikhandelwa periostitis emva gesi, ukuba lweHo- ayikho icocwe kakuhle.

Inkqubo yokuphuhlisa kukukrala periosteum

Kumanqanaba okuqala zokuphuhlisa zesifo imperceptible ebantwini. Uphuhliso Slow of ukudumba ivumela intsholongwane ukuba bafumane zintshula kuloo emzimbeni gingival. Iimpawu zokuqala periodontitis zifumaneka kwi kabi emlonyeni. Ulwimi wabona induration kancinane phantsi amazinyo.

Inqanaba elilandelayo lophuhliso lukhatshwa ziintlungu ngexesha ukuhlafuna. Ngoko ububomvu kwasekwa iingcambu kwamazinyo. iintsini bazitshisekisayo, nto leyo ekhokelela ekunyukeni nokudumba. into uyaphule wolingano yobuso, kunokuthi kubonwe ngeliso lenyama.

Kuphuhliso olungaphezulu nokudumba, kunokutshiseka izicwili ezingqongileyo. ububomvu obonakalayo nemihlathi. Ukuba washiya lunganyangwa ixesha elide, ukwakha nezilonda. Emva kwexesha elithile kokuba kuvulwe. Ukopha axutywe-bume ziibhakteriya, kuza umngcipheko kweenkqubo omzimba lwangaphakathi.

Le nakujoliso olutsha of ukudumba na ukuba imzisele usulelo nkovu, leyo udlula umzimba wonke. Lunganyangwa periodontitis inyathelo kunokukhokelela nelahleko enkulu amazinyo, ngoko, xa ngumqondiso wokuqala intlungu kufuneka atyelele wamazinyo.

therapy course Types

isifo Periodontal phantse kusoloko kukhokelela isifo: ithumba kwemihlathi asezantsi. Unyango wenziwa ngoko nangoko kwi-ofisi ugqirha wamazinyo. Ukwenza naluphi na uhlobo uthomalaliso kusetyenziswa Ukubulawa yasekuhlaleni. emathunjini, ubovu periostitis kukhokelela ekususweni mnogokorennyh amazinyo kunye kwisisu eyintsalela kukhukuliswa kakuhle kunye nezisombululo. impatho engafanelekanga kukhokelela ukudumba ngokuphindaphindiweyo le periosteum.

Xa periostitis amazinyo-neengcambu single periosteum badla ngaphandle ukususwa inyama dumbe zivulwa kunye ijelo umxube wokucoca le. unyango ngexesha elifanelekileyo kunokunceda ukugcina canine ukusebenza. Kweli xesha zokulungisa inyama elimisiweyo iziyobisi ukudumba kunye antibacterial.

Xa iintlungu kakhulu kuvumelekile ukusebenzisa Oluma bendawo iintlungu. iindlela ngokubanzi kwezonyango intshabalalo yokusingqongileyo yebhaktiriya isicelo. Ezi ziquka ultra-violet imitha, laser kunye nonyango ukukhanya.

amanyathelo othintelo

ukuhlolwa Periodic kugqirha wamazinyo ayisebenzisi iimeko kuphela ukudumba, kodwa igcina amazinyo enempilo. Unyango kuthatha ixesha elincinane, kodwa uncumo elihle kungonga ukuya neminyaka ubudala. Ukuze alondoloze imfuneko komzimba ukuze uzigcine ucocekile buqu, ukutya, kwakunye iliso kuphuhliso nezifo ezingapheliyo.

Ukuze simelane iibhaktheriya kufuneka agcine iivithamini umzimba, ukusebenzisa ulwelo ngenxa ngamanzi umlomo. Xa ukuphatha izifo ezosulelayo isilonda emlonyeni ebulala ezizodwa. Kwi amazinyo kuchaphazela ngokungalunganga iilekese: caramel, itshokolethi kunye nezinye iimveliso confectionery.

Iqela ubungozi ibandakanya abantu ababandakanyekayo kwezemidlalo eziyingozi. Ngenxa kwemihlathi umothuko ngamaxesha athile, umzimba unenxaxheba ukuthambekela ukuphuhlisa ukubhobhoza. Running ibakala i ukudumba yenkqubo ekhokelela ukuyilwa ubofu ezingasetyenziswanga stroke. Isimo ithumba iqhubeka ixesha elide yaye ibuhlungu. Kulungile ukuthintela kunokuba ukujongana kubunzima ezingemnandi.