Ib suam ntawm periodontitis, ua, paub, kev kho mob

Zoo, thaum cov hniav zoo nkauj heev thiab noj qab nyob zoo thiab dazzling luag. Tab sis, hmoov tsis, muaj ntau yam ntawm peb mus cuag tag nrho cov no, peb yuav tsum ua ib tug ntau ntawm kev rau siab thiab siv loj sums, vim hais tias phem hniav - nws tsis yog ib tug kom hniav zoo nkauj kho raws, nws yog tseem unbearable cev nqaij daim tawv. Tshuaj lom peb lub neej, dhau li ntawm tus zoo-paub caries, ntau lwm kho hniav kab mob, ib tug uas yog periodontitis. Nws manifestation thiab cov hau kev ntawm kev kho mob nyob ntawm ntau yam. Nyob rau hauv thiaj li yuav sov ua licas npaj cov tsos mob thiab tsim ib qho uas zoo rau cov kev kho mob ntawm zoo xws li cov neeg mob, muaj ib tug kev faib ntawm periodontitis. Nyob rau hauv ib lub ntiaj teb ntawm invented ib tug ob peb, tab sis nyob rau hauv Russia mas siv lub system tsim Lukomskim I. G. sim piav qhia kom meej meej tias yog dab tsi yog.

periodontitis

Ua ntej koj yuav qhia kuv dab tsi yog qhov kev faib ntawm periodontitis, cia nrog tus kab mob no rau nws tus kheej. Cov neeg feem ntau yam nws nrog periodontitis, los yog tsis pom qhov sib txawv, vim hais tias lawv cov npe suab zoo heev. Nyob rau hauv qhov tseeb, periodontitis yog tshwm sim los ntawm cov teeb meem nrog rau cov periodontium - ib tug tag nrho system ntawm txawv nqaij, ntxiv dag zog rau peb cov hniav nyob rau hauv lub puab tsaig qhov (alveoli). Ncig - ib qho ntawm lub Cheebtsam ntawm ib tug loj system. Nws yog ib tug cov ntaub so ntswg los yog svyazochki occupying qhov chaw ntawm lub phaj thiab lub alveolus ntawm tus hniav hauv paus xis mas. Lub thickness ntawm cov ncig tsuas 0.2 hli, tab sis hais tias nws tuas peb cov hniav nyob rau hauv lub alveoli, tusyees muab lub load ntawm lub alveoli thiab cov hniav thaum zom, yog piav thoob hlo, kev tiv thaiv thiab trophic zog. Yog hais tias yog vim li cas, periodontium inflamed, tus kab mob no pib apical periodontitis. Nws yuav ua tau kom heev tsis muaj hmoo tau, mus txog rau lub tsis ib tug hniav, li ntawd, nws yog ib qho tseem ceeb heev kom paub tias yog vim li cas rau nws ua thiab cov yam ntxwv cov tsos mob.

Cov mob hauv daim ntawv ntawm kab ncig, thawj kauj ruam

Nyob rau hauv cov tshuaj, cov ntau cov kab mob txawv ntaub ntawv muaj feem xyuam rau lawv ua (etiology) thiab ntws xwm (pathogenesis). Qhov no zoo heev tswj tus mob thiab, thiaj li, yuav pab tau tuav npaum kev kho mob. Ib suam ntawm periodontitis pathogenesis allocates 2 ntaub ntawv - ib tug ntsim, lwm ntev.

Ntxiv mob periodontitis muaj ob theem - serous (thawj) thiab purulent (thib ob). Nyob rau hauv thawj scenario, koj muaj ib tug ntau ntawm kev mob nyob rau hauv tus hniav los ntawm tej kov, tab sis nyob rau tib lub sij hawm tus neeg mob yog muaj peev xwm mus kom meej meej qhia uas nws mob. Lub xeev tej zaum yuav nyob ntev li ntawm ob peb hnub mus rau ob lub lim piam. Tus kws kho mob thaum lub sij hawm ntawm kev soj ntsuam pom tus neeg mob nyob rau hauv tus hniav caries qhov, tab sis nws hnov tsis xis nyob nyob rau hauv tus neeg mob tsis ua. Ib qho tseem ceeb cov tsos mob ntawm mob periodontitis yog xav tau o ib ncig ntawm tus hniav teeb meem qog ua kua. Cov kev kho mob muaj nyob rau hauv Tshem daig nyob rau hauv hauv paus kwj dej kab mob thiab tom ntej sealing. Yog li ntawd nws yog tsim nyog los ua qhov kev tshem tawm ntawm lub paj, mus kiag li mechanically ntxuav raws, Tsau tshuaj rau cov lawv mus kho ncig thiab hniav zoo foob.

Cov mob daim ntawv no, lub thib ob theem

Tus kab mob no tseem hu ua mob purulent periodontitis. Nws muaj peev xwm tsim los ntawm serous periodontitis, Yog hais tias kho kom zoo, los yog tsis txog rau thaum xaus. Cov neeg mob kev txom nyem nrog cov mob no yog muaj zog heev, pulsating, tearing, zuj zus ntawm tej kev kov dispensed (tus neeg mob tsis tau qhia rau raws nraim qhov twg nws mob).

Nyob rau hauv tas li ntawd rau tej no, muaj lwm yam kev mob:

- malaise;

- mob taub hau;

- o ntawm cov pos hniav, thiab tej zaum kuj puab tsaig;

- kub;

- tej zaum cov hniav muaj.

Nyob rau kev xeem feem ntau qhia tias mob tej hniav yog twb sau los yog nws hnav ib lub crown. Yuav ua li cas mus kho tau ib tug hniav nyob rau hauv cov ntaub ntawv no? Lub ntsiab hauj lwm ntawm tus kws kho mob yog qhov kev tshem tawm ntawm kua paug thiab kis tau kab mob txheem ntawm lub hauv paus kwj dej, tshem tawm ntawm o uas uas ua ntawm yeeb tshuaj kho thiab lub cev txoj kev kho. Xaus kev kho mob cov ntsaws ruaj ruaj staging. Yog hais tias cov hniav lwj irreversible, nws ripped.

Mob periodontitis fibrous

Nyob rau hauv tas li ntawd mus mob, muaj ib tug mob periodontitis, ntws nrog tsis pom cov tsos mob thiab xav hais tias nws yog heev yooj yim mus kuaj. Faib xws nws cov ntaub ntawv:

- fibrous;

- granulomatous;

- granulating.

Tag nrho peb ntawm cov ntaub ntawv yuav tsis yooj yim kom paub qhov txawv "los ntawm qhov muag", yog li tus mob yog nqa tawm nrog kev pab los ntawm X-ray tomography tej zaum. Raws li ib tug txoj cai, mob periodontitis manifests nws tus kheej xwb nyob rau hauv lub sij hawm ntawm exacerbation. Thaum lub fibrous daim ntawv ntawm tus neeg mob cov hniav, cov neeg mob tej zaum yuav muaj ib tug me ntsis txawv, ib tsos tsaus tsawv laus tshaj noj qab nyob zoo, yuav tau tuaj ib co heev me ntsis rhiab heev nyob rau hauv kev zom khoom yooj yim to taub tsis xis nyob. Kev kho mob ntawm daim ntawv no ntawm tus kab mob los xij feem ntau ua rau tsis muaj. Cov thawj zaug yog ua tshem fibrous sis plawv hniav ib feem, lub expansion raws, tshem paj (nyob rau hauv tshuaj loog) thiab ib ntus filling ntawm "Metapeksom". 3-7 hnub qhib tshiab raws, rho tawm ib ntus ntaub ntawv, ua ib tug mus tas foob. Yog hais tias tus hniav tom qab thawj zaug kev sib kho pib rau mob, nws muaj kab noj hniav yog qhib thiab tseem qhib rau ib tug ob peb hnub uas tus neeg mob yog ua tshuaj kho.

Mob granulomatous periodontitis

Thaum granulomatous daim ntawv nyob ib ncig ntawm lub ncig kab noj hniav tsim tshwj xeeb - granuloma, tsis yog muab ib yam tsos mob, tab sis tej zaum kuj muaj kev tsis txaus siab ntawm cov neeg mob rau tej hniav rhiab heev ntawm tus neeg mob. Granulomas sheath fibers comprise ib fibrous cov ntaub so ntswg, uas feem ntau loj hlob mus rau hauv lub periodontium. Qhia qhov no yuav X-ray. Thaum soj ntsuam kev xeem, tus kws kho mob tim khawv precipitated foob los yog loj carious qhov sawv nyob rau hauv kev foob los yog ib tug crown, tab sis lub tso cai ntawm lub sojntsuam raws mob tus neeg mob tsis ua. Yuav ua li cas mus kho tau ib tug hniav nyob rau hauv cov ntaub ntawv no thiab seb nws yog tsim nyog los ua tau li ntawd yog hais tias muaj yog tsis muaj kev tsis txaus siab? Yuav kom kho nws yog tsim nyog los mob periodontitis yog tsis degenerated rau hauv ib tug ntse thiab tsis txhob poob ib tug hniav. Cov kev kho no yog los tshem tawm qhov ntawm kab mob. Los ntawm indications nqa endodontic (classical) kev kho mob nrog purification los ntawm tuag raws ntaub so ntswg thiab cov hlau lead foob, txawm li cas los, Yog hais tias txoj kev no yog tsis muaj tshwm sim, ntxiv thov phais pab xws li resection ntawm tus hniav es resection ntsis problematic hauv paus hniav thiab tshem tawm ntawm ib sab nqaij hemisection los yog sib cais coronary-radicular.

Mob periodontitis granulating

Qhov no daim ntawv yog yus muaj los ntawm heev exacerbations, thiab fistula tsim nyob rau hauv ncig ntaub so ntswg. Feem ntau, cov neeg mob tsis txaus siab ntawm qhov mob nyob rau hauv tus hniav, nrog rau cov ua siab rau nws (zom). Feem ntau cov teeb meem chaw puag ncig mucosal cov ntaub so ntswg inflamed, muaj o, fistula, uas tej zaum yuav protrude los ntawm granulosa ntaub so ntswg, kua paug. Probing Channel thiab palpation ntawm cov pos hniav yuav ua tau mob heev. Kev kho mob yog zoo li ib tug nqa tawm ntawm lub granulosa periodontitis. Ib tug kws kho mob ua endodontic kev kho mob, thiab nyob rau hauv rooj plaub no nws yog tsis yooj yim sua los tuav tus hniav resection (cov hauv paus hniav apex), nws ua kom tiav excision los yog hemisection. Nws yuav tsum tau nco ntsoov tias yog vim li cas rau granulating periodontitis yuav ua tsis txaus kho hniav thiab allergic rau hauv lub ncig kab mob, thiab nyob rau hauv tas li ntawd, malocclusion, mob ntshav qab zib thiab lwm yam kab mob. Yog hais tias granulating periodontitis pib kho nyob rau hauv lub sij hawm, tus hniav yuav raug cawm dim.

Ib suam ntawm periodontitis rau lub etiology ntawm tus kab mob

Nyob ntawm seb qhov ua rau ntawm periodontitis, lub nram qab no ntaub ntawv:

- Kis kab mob;

- puas;

- cov tshuaj.

Cov me nyuam nyob rau hauv cov etiology ntawm tshwm sim ntawm periodontitis yog kis ntau tshaj plaws thaum biogenic amines los yog micro-kab thiab lawv cov co toxins txeem ncig khiav ntawm kab noj hniav.

kab periodontitis

Hu rau daim ntawv no ntawm tus kab mob ntau yam kab mob (streptococci, veylonelly, fungi poov xab thiab lwm tus), uas txeem tau cov ncig cov ntaub so ntswg ntawm lub hauv paus kwj dej, gingival hnab tshos lwm tus ntaub so ntswg li zoo li cov ntshav los yog cov qog thaum ailments tsis muaj feem xyuam hniav (typhoid, mob khaub thuas, sepsis , sinusitis). ntse hniav - lub ntsiab cov tsos mob ntawm tus kab mob no. Feem ntau nyob rau hauv periapical exudate accumulates, outwardly qhia o txheej thiab lub puab tsaig, thiab los ntawm lub hauv paus kwj dej muaj ib tug putrid tsw. Kev kho mob yuav tsum tsuas yog nqa tawm los ntawm cov kws tshwj xeeb, uas yuav tsum tau kho nyob rau hauv cov kev kho hniav qhov chaw. Muaj ib tug tau kom tau ib tug tag nrho cov ntau yam ntawm tshuaj cov kev pab cuam, xws li sib nqus thiab laser kho. Sau ntawm cov hauv paus hniav canals, ntawm uas compulsorily tshem tawm paj, ua tsis yog thawj zaug, thiab feem ntau tsis nyob rau hauv lub thib ob mus xyuas. Tus kws kho mob yog yuam ua hauj lwm kom tawm cov hniav qhib rau tag nrho cov tshem ntawm kua, ua channel tua, thiab xwb ces muab tso rau lub tsiaj hiav txwv. Yog hais tias txoj kev kho tsis tsim tau, ib tug phem hniav raug tshem tawm.

puas periodontitis

Yog vim li cas rau daim ntawv no ntawm tus kab mob no yog ib tug ntau yam ntawm cov neeg kho tshuab hniav raug mob uas yuav tshwm sim thaum lub yam nram no:

- nias hniav ceev los yog noob;

- snacking xov, hlau;

- saib cleansing cov hniav uas siv cov kev kho hniav pas dig hniav;

- tshuab, contusion;

- tsis zoo yoog prosthesis (pab los yog tsis haum nyob rau hauv dentition yas);

- protruding foob.

Tag nrho cov no yuav ua rau o rau hauv lub Upper (tsawg feem ntau nyob rau hauv marginal) qhov chaw ntawm ncig mob, los ntshav cov pos hniav thiab thaum kawg tau ntsuas periodontitis. Kev kho mob yog nqa tawm raws li indications, tab sis qhov tseem ceeb tshaj plaws yog hais tias qhov no yog tus thawj mus ntsib mus rau tus neeg mob lub chaw kho hniav - tshem tawm ntawm qhov chaw ntawm kev raug mob (tshem tawm cov protruding ib feem ntawm lub tsiaj hiav txwv, kho lub crown).

kev kho mob periodontitis

Qhov no daim ntawv ntawm tus kab mob no yuav tshwm sim tau los ntawm tus txhaum ntawm tus kws kho mob los yog tus neeg mob. Feem ntau, cov tshuaj yog muab rau cov kev kho mob ntawm ncig qhov chaw (e.g., arsenic, piotsin), uas txav lub hauv paus canals. Cov no hlawv cov ntaub so ntswg puag ncig tus hniav, los sis txawm lawv tuag, thiab tshuaj hob periodontitis nyob rau hauv cov me nyuam yuav ua tau kom puas tsuaj ntawm tus rudiment ntawm lawm yav tom ntej cov hniav. Yog li ntawd, nws yog ib qho tseem ceeb heev yuav tau mus thov mus rau lub kev kho hniav qhov chaw ntawm thawj kos npe rau ntawm tus kab mob no.

Tsis tas li ntawd kho mob periodontitis yuav tshwm sim los ntawm daim ntawv thov ntawm ib tug neeg mob rau kev kho hniav ntxuav pastes muaj formalin, tricresol thiab cov zoo li. Cov tsos mob ntawm tus kab mob no yog:

- muaj zog problematic hniav mob;

- mob tej tag nrho lub puab tsaig los yog ya, nyob qhov twg lub problematic hniav;

- lub muaj ntawm tus neeg mob lub hniav.

Cov kev kho mob yog los tshem tawm qhov ua rau ntawm o nyob rau hauv cov hniav thiab cov kev taw qhia ntawm cov tshuaj (tshuaj tua kab mob, sulfonamides), ntsaws. Tom qab tshem tawm ntawm o ua kev sib khi hniav.

Kev tiv thaiv thiab Forecasts

Raws li qhia los ntawm tsis ntev los no kev tshawb fawb zaum, rau txhua tus neeg no tseem ceeb heev tas kho tag nrho cov kab mob ntawm cov hniav, tshwj xeeb yog periodontitis. Mob yuav tsum tau raws li nyob rau hauv cov kev soj ntsuam kev xeem problematic hniav X-ray los yog ib tug panoramic duab, uas qhia cov neeg kawm ntawv ntawm qhov teeb meem (suppuration, pob txha puas tsuaj thiab lwm tus). Nws yog tsim nyog los xaiv qhov tseeb thiab txoj kev kho, txij li thaum nws yog tsis tau tiav qhov kho kev kho mob los yog periodontitis tau nyob rau hauv lub poob ntawm cov hniav. Ib txhia tsis muab nws npaum li cas tseem ceeb, xav tias tsuas yog ib lub kom hniav zoo nkauj kho raws. Tab sis zaum tau pom hais tias tus tsis mus kawm ntawv nyob rau hauv lub dentition tsuas 5 hniav los ntawm kwv yees li 140% kev raug mob ntawm lub cev thiab myocardial infarction. Qhov no tau raug tsim muaj empirically. Txoj kev tshawb no muab kev koom tes ntau dua 8000 neeg ntawm txawv hnub nyoog. Vim li cas cov uas tsis muaj hniav thuam qhov kev kawm ntawm lub plawv, thaum nws twb tsis tau mus nrhiav tau tawm.

Raws li kev tiv thaiv ntawm periodontitis, cov kws kho mob yuav tsum tau mus tsis tu ncua saib cov mob ntawm cov hniav, mus soj ntsuam cov cai ntawm kev tu cev ntawm cov hniav thiab lub qhov ncauj, tsis txhob nqis tes ua puas txha hniav laus thiab tag nrho cov hniav raws li ib tug tag nrho, thiab nyob rau thawj kos npe rau ntawm tus kab mob no tsis rau nws tus kheej-medicate, thiab hu rau tus kws kho hniav qhov chaw kho mob.