Ncig lub hnab tshos: o thiab kev kho mob

Tsis ncaj ncees lawm qhov ncauj mob ua rau cov quav hniav thiab pob zeb. Raws li ib tug tshwm sim ntawm pathological dab yuav kub lug. Thaum xub thawj cov tsos mob yog harmless txaus. Muaj yog ib tug me ntsis los ntshav cov pos hniav, o, thiab tej zaum kuj mob heev. Maj mam, hniav muaj yog nce, cov tsos ntawm purulent kua. Rau ntawm no theem, peb twb tham tsis tau txog khiav periodontitis. Rau cov kev kho mob ntawm tus kab mob no siv ncig lub hnab tshos curettage. Yuav ua li cas hom ntawm txoj kev? Yuav ua li cas lwm txoj kev yuav siv los tshwj kom txhob muaj tus kab mob? Cov lus teb rau cov lus nug no yuav muaj nyob rau hauv hnub no tus tsab xov xwm.

Ib tug nyuag lus piav qhia txog qhov teeb meem

Tiv thaiv lub keeb kwm ntawm lub inflammatory txheej txheem pob txha nqaij yog maj puas lawm thiab hloov los ntawm Granulation. Cov yav tas muaj dua ntawm microbial hlwb thiab osteoclasts. Hnub los ntawm hnub, lawv thov rau tag nrho cov tshiab chaw, ua rau ib tug txawm ntau dua Atrophy ntawm lub alveolar pob txha. Muaj yog ib tug dawb cheeb tsam uas tsis muaj txuas mus rau lub gingival hniav hauv paus nto.

Raws li ib tug tshwm sim ntawm cov kev hloov no yog tsim ncig lub hnab tshos. Qhov no qhov chaw yog sib npaug zos nyob rau hauv loj feem ntawm cov pob txha puas tsuaj. Tus txheem hais Granulation ntaub so ntswg, remnants ntawm cov zaub mov thiab purulent pub leejtwg paub. Los ntawm qhov luaj li cas ntawm cov kis tsim txiav txim rau cov neeg kawm ntawv uas deformation ntawm cov ntaub so ntswg. Nyob rau hauv ib tug neeg noj qab nyob rau hauv lub tob ntawm ncig twb yog tsawg tshaj li 3 hli, li ntawd, koj yuav dawb do ntxuav cov kab noj hniav ntawm cov zaub mov seem. Yog hais tias cov nqi no tshaj qhov qee loj, me, muaj tej yam teeb meem nyob rau hauv qhov kev kho mob ntawm lub qhov ncauj kab noj hniav. Lub tej zaum ntawm cov pos hniav muaj kab mob tsub kom ob peb lub sij hawm, uas ua rau yus mus rau lub tsos ntawm cov pob zeb thiab cov quav hniav. Cov tshwm sim ntawm active cov ntaub so ntswg kev puas tsuaj tej zaum yuav tsis tau ntawm ib tug hniav.

Pathology kuaj tau siv X-ray los yog ib tug ncig sojntsuam. Qhov uas tsis muaj zoo kev kho mob nws thiaj li ua rau yus mus rau ib tug deepening ntawm lub hnab tshos. Ib tug rau txim ntawm tus txheej txheem no yog kom tshem tau cov hniav mus rau ib tug hauj lwm "kiv cua".

Ua rau lub hnab tshos

Lub ntsiab yog vim li cas rau cov tsim ntawm ncig channel - ntawm cov neeg pluag zoo thiab kev tu cev ntawm lub qhov ncauj kab noj hniav. Kev tu hniav los yog nws qhaj ntawv ua rau yus txuam nrog ntawm cov kab mob deposits nyob rau hauv lub cheeb tsam ntawm lub crown. Nyob rau txha hniav laus nto microbes tsim ib tug nyias pom zaj duab xis cov khoom thiab pib paim lawv tus kheej lub neej. Yog li ntawd, yog ib tus mob o ntawm lub ncig lub hnab tshos.

uas yuav muaj pab pawg neeg

Ntawm cov yam tseem ceeb uas txhawb txoj kev loj hlob thiab npaug ntawm pathogens, tej zaum nws yuav tsum tau muab sau:

• tsis yog noj cov zaub mov, uas muaj feem ntau ntawm carbohydrate cov khoom;
• cov neeg pluag qhov ncauj;
• muaj yees;
• teeb nyob rau hauv lawm ntau ntau;
• immunodeficiency;
• kho hniav xwm ntawm tus kab mob;
• malocclusion;
• substandard installation foob.

tsos mob ntawm tus mob

Cov tsim ntawm lub ncig lub hnab tshos rau ib ntev lub sij hawm tej zaum yuav asymptomatic. Nrog rau txoj kev loj hlob ntawm lub inflammatory txheej txheem, muaj ib tug yam ntxwv soj ntsuam daim duab:

• tsis xis nyob nyob rau hauv cov pos hniav;
• halitosis;
• o, los ntshav thiab liab liab ntawm cov pos hniav;
• palpation yuav tsum tau tso tawm purulent kua;
• expansion ntawm lub interdental tej qhov chaw;
• deterioration ntawm lub tuam mob.

Thaum koj pom cov teeb meem no, koj yuav tsum tau nrog koj tus kws kho hniav. Pab koj tus kws kho mob yuav tsum tau txawm yog hais tias tus mob tau cuam tshuam tsuas yog ib qho hniav. Nrog txhua dua hnub qhov teeb meem no yuav tsuas deteriorate, uas yuav ua tau kom qhov muaj mob ntawm tus kab mob no.

kev kho mob

Ua ntej txoj kev kho tshuaj mob los ntawm txoj kev uas tus kws kho mob txiav txim seb tus neeg kawm ntawv uas tsis saib xyuas tus kab mob. Yog hais tias ncig lub hnab tshos yog tsawg tshaj li 0.15 hli, thiab muaj cov tsis muaj tej yam tshwm sim ntawm o, kho txoj kev yog siv. Cov nram qab no cov txheej txheem kheev siv:

1. Tu tu nrog ultrasound. Thaum lub sij hawm qhov kev tshem tawm ntawm quav hniav thiab calculus cov pos hniav tsis puas.
2. Tshuaj. Yog muab tam sim ntawd tom qab lub ultrasonic tu. Me me pathological kev siv aseptic tuav (cov tais, irrigation, yaug). Thaum lub sij hawm cov kauj ruam siv "Chlorhexidine" los yog "Miramistin". Nyob rau hauv tshwj xeeb yog yam uas txhaum loj, tus neeg mob yog tus kws kho ib chav kawm ntawm tshuaj tua kab mob. Tsiag ntawv loj tshaj efficiency nram qab no npaj: "amoxicillin", "Lincomycin" thiab "azithromycin".

Cov txheej txheem yog ices tias lub hnab tshos tob ntau dua tshaj 2 hli. Tus kws kho mob yuav tsis tau kiag li tshem tawm cov sau lub pob zeb. Nyob rau hauv tas li ntawd, nws tsub kom qhov yuav ntxiv ncig raug mob. Raws li ib tug rau txim ntawm lub manipulation o thiab cov ntaub so ntswg kev puas tsuaj pib kev kawm.

Nyob rau hauv nyuab kab mob pom zoo phais. Qhov no txoj kev kho mob yuav kho tshuab txiav txim rau ntawm kev kho hniav seev poddesennye chaw. Tam sim no, feem ntau txoj kev zoo ntawm no hom yog pom tias yuav curettage ntawm ncig lub hnab tshos. Yuav ua li cas yog nws? Muaj ob peb hom ntawm manipulation: sab hauv tsev, sab nraum zoov thiab nrov plig plawg phais. Tus txheej txheem nws tus kheej yuav tau txais tshem ntawm tag nrho cov teeb meem tshwm sim los ntawm periodontitis. Xav txog txhua yam ntawm nws xaiv nyob rau hauv ntau yam.

Curettage qhib

Tej cuam yuav tsum tau siab professionalism ntawm cov kws kho mob. Yog li ntawd, qhov kev pab no yog tsis muaj nyob rau hauv tag nrho cov noj qab nyob chaw. Duration ntawm kev kho mob yog hais txog 2.5 teev. Nws muaj cov nram qab cov kauj ruam:

1. Kev txhuam hniav thiab cov quav hniav ntawm lub pob zeb.
2. Kev siv cov anti-inflammatory siv tshuaj.
3. Splinting mobile hniav.
4. Gingival nrov plig plawg phais riam phais neeg.
5. Kev tshem tawm ntawm Granulation thiab pob zeb los ntawm txoj kev ultrasound.
6. Antiseptic hniav hauv paus hniav.
7. Podsazhivanie nyob rau hauv lub hnab tshos ntawm cov khoom cua fabrics lug txhim khu kev loj hlob ntawm tej yam ntuj tso pob txha.
8. Suturing thiab kaw ntawm lub puas gingival feem ntaub qhwv.

Tom qab hais txog 1.5 lub lis piam sutures raug muab tshem tawm. Ob peb lub hlis tom qab ntawd los txog rau thaum kawg rov qab los puas ntaub so ntswg. Papilla yuav kiag li npog qhov khoob ntawm cov hniav. Nyob rau hauv tej rooj plaub, qhib curettage ntawm ncig twb ua rau yus las cov keeb kwm. Yog li ntawd, thaum nws yog pom zoo kom tsis lees yuav qhov kev siv ntawm kub, txias thiab acidic zaub mov.

Curettage gated

Lub lag luam yog zoo nyob rau hauv lub hnab tshos tob ntawm 3-5 hli. Tsis txiav txim yog txoj. Nws muaj cov nram qab cov kauj ruam:

1. Soj ntsuam ntawm cov pos hniav.
2. Cov kev taw qhia ntawm lub zos tshuaj loog.
3. Kev kho mob ntawm ncig hnab ris ntawm cov pos hniav tsis phais.
4. Polishing tus hniav hauv paus hniav.

Intervention yuav ib txhij cuam tshuam 2-3 hniav. Lub qhov txhab kho yuav siv sij hawm qhov chaw nyob rau hauv ib lub lim tiam, tiam sis nws yuav siv sij hawm txog ib lub hlis rau qhov kawg restoration. Yog li ntawd ntau npaum li cas lub sij hawm tsim nyog rau txoj kev tsim tsa ntawm connective cov ntaub so ntswg txuas thiab cov pos hniav rau cov hniav. Lub ntsiab drawback ntawm cov txheej txheem yog tias tus kws kho mob thaum lub sij hawm ntawm manipulation tsis pom tias tag nrho cov txawv txav tsim deleted.

Yog hais tias lub hnab tshos tob yog ntau tshaj 5 hli, kaw curettage tsuas muab ncua tseg qhov muaj mob ntawm periodontitis. Ib nrab tshem tawm ntawm sediments thiab Granulation muab ib ntus respite, tab sis nyob rau hauv yuav luag txhua tus neeg mob tus kab mob no resumes nws kev loj hlob.

nrov plig plawg phais

Qhov no phais yuav txiav cov pos hniav mus saib tau cov ncig hnab ris. Nws yog pom zoo kom hais tias yog qhov ntev tsis ntau tshaj 4 mm.

Thawj tus kws kho mob ua ob tug me me incisions nrog ib tug riam phais neeg thiab detaches muco-nadkostochny nrov plig plawg. Ces, ib tug txheej txheem txhua yam tu thiab polishing ntawm lub hnab tshos nto ntawm tus hniav. Tom qab kawm tiav ntawm cov kev kho mob ntawm cov khoom chaw yog pauv mus rau lub nqaij mos phais. Flaps muab tso rau hauv ib lub rooj zaum. Qhov kawg ntawm tus txheej txheem ua ntawv thov mus rau lub cheeb tsam cov osteogenic tshuaj nws tus kheej thiab sutured cov pos hniav. Lub lag luam uas tseem yuav siv sij hawm tsawg tshaj li 40 feeb, tab sis yuav siv cov hauv zos tshuaj loog.

Ib txhia neeg ntxiv xaiv qhov txhab kho cov neeg ua hauj rau lwm daim ntawv thov (e.g. "Furatsilinom"). Tsis tas li ntawd pom zoo kom siv ntawm ointments rau stimulation ( "Solkoseril" "Aktovegin") epithelialization txheej txheem ntawm cov pos hniav.

lub tshuab nqus tsev curettage

Nyob rau hauv lub xub ntiag ntawm purulent paug thiab sib sib zog nqus twb (5-7 hli) thov lub tshuab nqus tsev curettage. Ntxuav yog nqa tawm siv anesthetics. Thaum lub sij hawm txoj kev ua no, tus kws kho mob scrapes thawj pob zeb deposits, thiab ces txhuam cov hniav cov ntaub so ntswg. Tom qab hais tias, cov kws muaj txuj nyaij mus rau tshem tawm ntawm Granulation thiab epithelial kev puas tsuaj rau lub puab phab ntsa. Ncig lub hnab tshos twb lim los ntawm lub tshuab nqus tsev apparatus, uas nqus ntawm lub qab ntawm cov kab noj hniav necrotic loj ua ke nrog cov tawg tsam ntawm pob zeb. Thaum lub theem kawg ntawm lub obligatory ntxuav antiseptic npaj.

Nqus curettage yog yus muaj los ntawm siab productivity. Los ntawm ib tug txheej txheem recovering lymphatic cov ntaub so ntswg, qhov tob txo gingival twb thiab tshem tawm tag nrho cov inflammatory dab.

Lub postoperative lub sij hawm

Nyob rau hauv thiaj li tsis mus qhia qhov ncig twb tsis pub dhau 10 teev tom qab tag nrho cov manipulations yog qhia tsis tau noj los yog haus dej. Yuav kom muab tau cov kev kawm tshwm sim yuav tsum tau ua tib zoo txhuam koj cov hniav, koj yuav tsum tau siv ib tug txhuam hniav uas muaj cov mos mos twg. Txog cov teeb meem chaw yuav tsum tau puag ncig. Ib lub lim piam tom qab ntawd, koj nyob nraum npaj rau yaug. Ua li no, siv ib tug tsis muaj zog tshuaj ntawm hydrochloric los yog "Chlorhexidine".

Nrog kev xav txog mov, thawj nyiam yuav tsum tau muab ib tug mos mos los yog pureed zaub mov. Nws yog nruj me ntsis txwv tsis pub siv kev mob khaub thuas los yog excessively kub dej qab zib. Thaum lub sij hawm lub lim tiam tom qab curettage ntawm ncig twb yog pom zoo kom muab lub cev ua ub no, kev ua si, sauna. Nyob rau hauv lub postoperative lub sij hawm nws yog ib qho tseem ceeb los mus saib xyuas qhov mob ntawm lub qhov ncauj kab noj hniav. Koj muaj peev xwm siv kev tu cev cov khoom, tsim los rau cov hniav rhiab. Yog hais tias tsim nyog, koj yuav tsum sab laj nrog ib tug kws kho hniav. Lub tshwj xeeb yuav xaiv cov txheej txheem los txo hniav rhiab heev caj dab.

Testimonials thiab tus nqi ntawm cov kev pab cuam

Nqi ntawm cov kev pab cuam rau cov kev kho mob ntawm ncig twb nyob rau hauv Russia raws me ntsis. Ntawm cov ntsiab yam tseem ceeb uas cuam tshuam rau pricing, peb yuav nco ntsoov ib txoj kev mob nyem thiab cov kev siv technology tshiab peevxwm ntawm qhov lub tsev kho mob. Tsis kawg nam yog tus txheej xwm ntawm lub tsev kho mob. Nyob rau nruab nrab kaw curettage ntawm ncig twb nqi li 5-12 thous. Rubles. Qhib txheej txheem yog ib nyuag kim kim (9-18 thous. Rubles).

Feem ntau ntawm cov neeg mob uas tau los ntawm daim pathology, kev phais yog dua. Nyob rau hauv lawv saib, lub lag luam - nws yog ib lub xwb txoj kev uas yuav tau tshem ntawm cov teeb meem. Nws yog zoo dua kom muaj recourse mus rau ib qho qhib txoj kev. Cov txheej txheem no ua rau nws tau tsis tsuas mus rau tshem tawm uas puas qhov chaw, tab sis kuj los poob pob txha lub sij hawm. Lub tsuas drawback ntawm cov txheej txheem - ib tug ntev lub sij hawm ntawm kev kho neeg mob. Tsawg mob yog yus muaj los ntawm kaw curettage ntawm ncig hnab ris. Testimonials hais tias tsuas yog nyob rau hauv thawj zaug rau theem ntawm lub pathological txheej txheem yuav tsum tau resorted mus rau nws pab.

Kev xav txog cov tshuaj kho mob cov nqi. Feem ntau cov neeg mob tsis pom zoo no txoj kev ntawm kev daws qhov teeb meem, raws li nws tso cai rau koj los mus ib ntus ntes cov tsos mob.

Lub txaus ntshai o ntawm lub hnab tshos?

Ncig twb - qhov no yog ib tug loj pathology uas yuav tsum tau raws sij hawm thiab competent kho mob. Tsis muaj kev kho mob yuav ua rau mob. Ntawm cov feem ntau txaus ntshai yog tus mob rwj, uas tom qab yuav ntev. Nws yog yus muaj los ntawm ib qho kev nce nyob rau hauv cov hniav muaj thiab cov tshwm sim ntawm qhov mob. Nyob rau hauv lub xeev no, ib tug neeg uas nyuaj rau zom zaub mov. Tsis Saib Xyuas pathology nws thiaj li ua rau yus lub fact tias cov hniav yog tsis tuaj kiag li los ntawm cov alveolar socket. Cov kev loj hlob ntawm lub inflammatory txheej txheem xaus lymphadenitis thiab intoxication ntawm tus kab mob.

Kev tiv thaiv ntawm relapse

Tsis txhob cia tsis muaj xim rau kub lug ncig lub hnab tshos. Cov kev kho mob nqa tawm nyob rau hauv ib tug raws sijhawm, tsub kom qhov muaj feem ntawm ib tug tag nrho rov qab. Txawm li cas los, qhov no tsis txhais hais tias tam sim no koj muaj peev xwm mus xyuas tus kws kho hniav. Tom qab ib tug thaum kawg ntawm kev kho mob yuav tsum tau rov mus xyuas tus kws kho mob, thiab cov kev lub sij hawm teem nws tus kheej ib tug kws muaj txuj nyob rau hauv view ntawm lub kev tsis saib xyuas ntawm tus kab mob. Nyob rau kev xeem, cov kws kho hniav yuav xyuas seb qhov kev vam meej ntawm cov kev kho mob, muab tswv yim rau qhov kev kho mob ntawm lub qhov ncauj kab noj hniav.

Zoo txhua txhua hnub kho hniav tu cev tiv thaiv cov tsim ntawm lub pob zeb, los mus tiv thaiv mob nyob rau hauv lub ncig lub hnab tshos. Nws tseem pab tau mus muab suav hais tias ib tug kws tu lub qhov ncauj ib xyoos ib zaug nyob rau hauv cov kev kho hniav qhov chaw.