Apical periodontitis: zviratidzo, nechirwere, kurapwa

Ndichinzwa zino nguva dzose kunounza yakawanda kusanzwa, nokuti kuwana munhu mukana hope kuipa, basa, uye kunyange kudya. Apical periodontitis - mumwe kupfuura kuoma uye kunzwisisa zvirwere, izvo zvinofanira nguva dzose kubatwa.

tsananguro mukuru

Nechipiriso zvokurwara - chiri kushoma, icho vemunyika mu periodontal nyama pamukova chakaderedzwa mutengo yacho zino mudzi. Pakanyenga kune dzimwe korona: dentin uye simende. Mune zvimwe zviitiko, zvinoita sei kunyange alveolar pfupa.

A maitiro chepfungwa chirwere ndiyo kuvadza nemarunda kuti ngadzirambe dziri zino alveolus. Uyezve, kuvimbika iri chibharo cortical pfupa ndiro, mumwe zvinyama yakasimba inokura, hatityi cysts Akaonekwa korona.

Apical periodontitis iri nechirwere maitikiro vakaenzana nevarume nevakadzi makore nemakore 20-60. In chirwere ichi ainyanya kuzvimba ndiwo mudzi chakaderedzwa mutengo. Uye chinoshamisa pachayo korona, uyewo zvinyoronyoro munyama dzakaripoteredza.

The zvinokonzera chirwere kukura

Apical periodontitis zvingamuka somugumisiro zvinhu zvinotevera:

1. Zadzisa dentition, kunotevera kana kukuvara korona.
2. Sinusitis.
3. Nyanzvi uye kukodzera vabatwe mazino chirwere.
4. Osteomyelitis (mapfupa chirwere).
5. Advanced zvokukura pulpitis. In ichi mazino tsinga anofa uye periodontium utachiona.

chirwere kupatsanura

Apical periodontitis inogona kukamurwa marudzi anotevera:

• Zvinorwadza. Panyaya iyi, iyo abnormality hwapedyo nokuda kukuvara, kugozha, uye kutsemuka korona, zino chisingaperi kukuvara.
• Medical. Chikonzero pane zvikuru hunokachidza akambozvishandisa kuuraya utachiona kuti rinoshandiswa dentistry. The mushonga anopinda periodontal zvinyama, uye ipapo kachitanga kuzvimba.
• Chirwere. Izvi mhando zvokurwara ndiwo mugumisiro wokuparadzwa anonzi Staphylococcus kana streptococcus yakapoteredza zino munyama. Uyewo nechikonzero chirwere apical periodontitis haina akapedza mushonga pulp.

Patsanura chirwere kunogonawo nokuda hunhu kuerera:

• Chenjera apical periodontitis. It kunoratidzwa yakakwirira kusimba zviratidzo. Inokudziridza nokukurumidza uye zvinoshamisa. Izvi Chirwere zvinogonawo kukamurwa purulent uye serous.
• Chirwere apical periodontitis. Panyaya iyi, zviratidzo zviri kuratidzwa kunyange, asi murwere nguva nenguva iri kuwedzera. The chirwere chimiro kunogonawo granulomatous, granulating uye fibrous.

symptomatology chirwere

Usati kurapa chirwere ichi, unofanira kufunga kuti chinoratidza pacharo. Nokuti chenjera chimiro chirwere kunoratidzwa zviratidzo zvakadai:

1. Marwadzo pulsed zvisikwa. Uyezve, anogona kupa netemberi uye huma.
2. Munzvimbo ukama zino anooneka edema.
3. Kuwedzera submaxillary nodes.
4. The mufambo rekorona. Mune zvimwe zviitiko, murwere anogona nahwo.
5. Zvakakwana zvikuru nomusoro.
6. Akatsvuka pakati matadza.
7. Kuwedzera tembiricha kuti 37-38 inegumi.
8. Zvinorwadza sei kupisa uye kuchitonhora. Zvisingafadzi nezvekufadza kuitika kunyange kana chiedza kubata kune zino.

Chirwere apical periodontitis kunoratidzwa pakuti kunotoda mufananidzo kushoma raidudzwa. Panguva kuregererwa, chirwere kazhinji kunoitika husingakuvadzi asymptomatic. Kunyange kana murwere nguva nenguva uye anonzwa zvimwe kusanzwa, zviri vasingakoshi. Uyezve, panguva kudya munhu ane mweya yakaipa.

Zvakakurukurwa chirwere

Zvose zvinoenderana norudzi zvokurwara. Kana chakasimba, kungazviratidza zvinotevera siyana:

• Purulent. Pane nevamwe chine kusarudzwa viscous greenish turbid mvura kuva risingafadzi kwakanaka.
• Serous. Murwere Munzvimbo rinowanika anenge läpinäkyvä fluid usina kwakanaka.

Chirwere periodontitis kunoratidzwa muna zvinotevera siyana:

• Fibrous. It kunoratidzwa kuvapo risingafadzi hwezvinonhuhwira, nokuti korona ane in.
• Granulating. Murwere ane risingafadzi marwadzo kana kuruma pamusoro nedambudziko zino, bloating. Inside fistula akaumbwa purulent kugutsikana.
• Granulomatous. Munhu anonzwa dzose kusanzwa murwere korona. Mukuwedzera, panguva chakaderedzwa mutengo pamudzi aumbwa granuloma. Uyezve, unogona kutora zvikuru guru.

Danho unyatsoshanda rikwanise chimiro chirwere

Chenjera apical periodontitis pulpal mavambo kana chirwere yakatanga kuti zvimwe zvikonzero, ane mbiri chete zvokukura budiriro:

1. Pakutanga chokutambudzika kushoma anooneka periodontal kudhaka. Panguva iyi, pane refu marwadzo achirwadza. Panyaya iyi, njodzi zino anova haatani kugumbuka, kuti akanzwa apo kuruma pamusoro payo.
2. Panguva iyi pane raidudzwa exudative kwacho. Panyaya iyi, kurwadziwa nguva dzose. The marwadzo kunoitika kunyange kana chiedza kubata kune zino, uye anogona dzinozopenya kune dzimwe nzvimbo musoro.

Serous kana purulent exudate vachishingaira kuparadzira, saka njodzi yacho sokuti nyoro tishu kuzvimba. Uyezve, kuwedzera remunharaunda node nodes.

Diagnostics Features

Kuti kurapa zvokurwara kukurukurwa, unofanira kutaura nemi wako uye rakagara kwazvo kuzviongorora. Chirwere pamusoro apical periodontitis hakuna kuoma uye inosanganisira zvinotevera ongororo:

• Detailed Kuda kutamba nokushivirira kugunun'una. Ongororo iyi rinoitwa chete pamberi kusachengeteka kukuru chimiro, sezvo chirwere zvokurwara iri shoma raidudzwa kunotoda mufananidzo.
• Kwokunze kuzviongorora murwere. Chiremba anogona kuona chinoda kugadziriswa fistula, nyoro zvinyama kuzvimba uye zvimwe zviratidzo aionekwa pathological kwacho.
• Fanira uye ndiyo huru radiographic zvokuongorora kuti rikwanise apical periodontitis. Mifananidzo achaonekwa mwero kuparadzwa pfupa rinenge riri periapical duku kuwedzera slots. Miganhu njodzi yacho ingava Blurred kana unopinza. Achibatsirwa X-ray anogona kuziva periodontal chikofu (zvakajeka delineated paumbwe pamudzi chakaderedzwa mutengo). Maekisirei dzinobatsirawo kuona mhando periodontal chirwere: fibrosis, umo vanooneka yekudyidzana zvakawedzera periodontal crevice, uyewo granular (aparadza alveolar mapfupa).

Nzira idzi nechirwere machechi apical periodontitis. Kazhinji, zvokuwedzera kunodiwa.

Features kurapwa chirwere

Kana munhu dzakaonekwa apical periodontitis, kurapwa zviri mwero, pasinei chimiro kukura. Treatment kunosanganisira zvinotevera mumatanho:

1. Mechanical. Yakabudiswa kugadzirira njodzi yacho mamwe marapirwo. Kureva kutanga akazivisa zino umo kuzvimba. Next ari kuchenesa sei pulp uye dzakapoteredza tishu. manipulations Vose chiremba anoita kushandisa vemo yokutindivadza.
2. Andisepitiki. Nokuti ichi zvakakodzera kuwedzera pre uye disinfect mudzi migero nokushandiswa Ultrasound. Uyezve, kuti aparadze pathogenic microflora akashandisa Anti-anogumbura uye antibacterial namatidza. Kuti uvandudze waiita mhango inogona uratidzwe rinsing mishonga broths.
3. Kuiswa chisimbiso chokupedzisira kupa, iyo inogadzirwa pamwe nekutambira X-ray kuzvidzora. Kana zino kwazvo wakaremara, zvino ari kupfeka korona.

Kana murwere ane pute kuwanikwa, zvakakodzera nechokwadi water drainage kuti exudate. Pashure zvokuimba kuchenesa chichaitwa, vachafanira kubereka pfupa apore pakuvhiya.

Kana chenjera apical periodontitis kwave nechirwere, kurapwa zvinofanira kuitwa pakarepo. Zvikasadaro, ruchapinda muruoko chirwere chimiro, riri nyore kwazvo kurapa.

Zvinoumba kuvhiya pakurapa chirwere

Standard kurapa mune zvimwe zviitiko, zvingava isashande. Naizvozvo, kazhinji kushandiswa kuchirapa zvinangwa kuvhiyiwa:

1. Apikoektomiya - resection pamudzi chakaderedzwa mutengo. Kazhinji, nzira iyi unoratidzwa varwere chirwere umo inopfurwa granuloma kana chikofu. Chinangwa kuvhiyiwa kuri kubvisa growths duku chikamu zino. Treatment kunotora maminitsi 30 kusvika awa rimwe, uchishandisa yomunharaunda yokutindivadza.
2. Kudimurwa of zino mudzi. Shandisa chipingaidzo kwakadaro kunobvira panyaya pasi korona vakachengeta midzi akawanda. Inogonawo kubvisa zvikamu sei korona.
3. Coronary-radicular kuparadzana. Kana zino mudzi 2 aripo, riri muzvikamu zviviri, chimwe nechimwe ikarapwa yoga.

Mune imwe nyaya akaipisisa, kubviswa inoitwa chete chete zino mudzi. Izvi zvinofanira kuitwa chete kana kuparadzwa dzakaoma munyama vane simba kuti korona haasi kukwanisa kuzadzisa chinangwa chacho dzichipfekeka.

Kufembera pakurapwa uye inobvira yematambudziko

Kazhinji, kurapwa kuri kubudirira, uye murwere anonaya chose zino. Muchiitiko chino, rinokosha chaizvo mangwanani chirwere kwechirwere chacho, uyewo inzwi kusvika chiremba. Zvisinei, mune zvimwe zviitiko, periodontitis anogona kubereka yematambudziko:

• Fistula kana chikofu.
• Kuzvimba mu shaya mapfupa tishu.
• Odontogenic sinusitis.
• Sepsis.

Sezvingatarisirwa, nemamwe matambudziko havana kudaro kakawanda, asi hapana angati kwavari.

dziviriro chirwere

Kuti tidzivise kurwadziwa uye mamwe kusanzwa, uyewo arege kurasikirwa utano zino, unofanira kutevera nyore matanho:

1. Hatifaniri kukanganwa pamusoro nomumukanwa utsanana: kaviri pazuva unofanira kukwesha mazino enyu, kana zvichikodzera, shandisa mazino floss uye antiseptics-conditioners. The namatidza nokudaro havafaniri ane nezvimedu zvakaoma guru.
2. Hazvina zvakafanira vapinze korona zvakare. Large zvokuimba chiito pamusoro mazino anofanira kudziviswa. Izvozvo hazvisi kutsemuka nzungu, kana zvokudya zvikukutu.
3. Kaviri pagore, zvinofanira kuva uchiongororwa chiremba wemazino. Kunyange kana uine zviratidzo chero mazino chirwere, tinofanira kugadzirisa asati.
4. Zvakakosha kuchengeta kudya zvinovaka muviri, izvo zvinofanira kuva zvakasiyana-siyana uye anobatsira. Zviri nani kuti tizvidzore kudyiwa zvihwitsi, kofi, uye pasoda mvura, iyo inokanganisa pamusoro enamel.
5. Kana muviri yomunhu vari anogumbura zvirwere, vanofanira kubatwa nguva kudzivirira kupararira chirwere.

Chero zvakanga, nemumuromo zvokurwara kungaita kwete chete kukurasikirwa mazino, asiwo kutyora ura. Saka, chero chirwere mazino inofanira kubatwa nokukurumidza. Stay utano!