Periostitis repasi rushaya: Zvinokonzera, chirwere, Zviratidzo neMarapirwo

Kuzvimba ari periosteum ane yezvokurapa chirwere pakati pute repasi shaya. ICD Bumbiro 10 sabatsira K10.22 uye K10.23. Muchiitiko chokutanga chokutsva ndiye kutanga chimiro chechipiri nhamba inoratidza chirwere chimiro chirwere.

ICD 10 periostitis repasi rushaya rakakamurwa subgroups vaviri, asi anobatsira chimiro kushoma vane zvinhu zviri nani zvikuru. Saka, govera subclasses maererano kunobva bundu, dariro kukura, mhando yematambudziko.

MARARAMIRO pute budiriro

The zvokuudzwa mhango anogara kunzwa migumisiro inokuvadza tusingaoneki. Ivo wasvikako nokuda kwezvikonzero zvinotevera:

• yakakwana kana taita kupatsanurwa zvokudya;
• achishandisa maoko, kakawanda richiwanika muvana;
• womukati gwara panguva kuzvimba kana zino pashure achibvisa pairi.

Kazhinji kuzvimba anoenda padama nzvimbo, kana zvimwe cranial tishu. Tinomiririra randinenge pute repasi shaya, Photo kunoratidza lesion guru. The zita rinotsanangura mashandiro kwezvirwere kuwanda masero utano hweHIV - nekubudisa kunoratidza vhinza.

Periostitis mandible hazvikoshi ngozi pane kumusoro. Zvisinei, usaregeredza kuchipatara kana kukura zvikuru zviratidzo. Zvinoyerera anokwanisa nokukurumidza pamusoro dzimwe nhengo dzomukati ari matadza vakapararira uye kukonzera matama edema. Uyezve, pfungwa bundu inotungamirwa periosteum ingangowedzera asymptomatic nzira.

Normal mazino kunotungamirira vakaomerwa matambudziko. Chirwere mamiriro ezvinhu diverges yose muviri, achiita kuzvimba kufema turakiti, mapapu, iyo principales. Heavy mazhinji zviitiko chirwere kukonzera Kumwe kuchinja kunotanga mumuviri. Saka asazivikanwa nzvimbo pamusoro enamel riri dambudziko chiremba.

The kutanga zvokukura zvinoyerera zvinogona kudziviswa nenguva dzirikure kushanyira kuna chiremba wemazino, asi vanhu vazhinji hanya kudzivirira periodontitis.

The chikuru nzira chiitiko

Kukura bundu periosteum sei zviviri:

• kupinda mabhakitiriya kupinda ronda akaturikidzana ose zvinyama kuburikidza icho kazhinji achiumbwa pashure zino dzokubudisa;
• purulent pezvakaitwa kana womukati zino midzi vakapararira chirwere.

Kupinda kuburikidza utano mucosa iri kashoma zvichibvira, asi kana zvirwere simba, utachiona pakarepo rakaramba riri mucosa. Kusavapo mazino utsanana anokurudzira kukura zvigare pamuromo. Apo wokutanga womukati zvinyama ronda utachiona kunoitika pakarepo.

Internal chirwere kazhinji kuonekwa nevana vaduku, kana muviri simba kurwisa utachiona zvisingazivikanwi. With zera, masoja emuviri hunosimba uye kwete utachiona ose anokwanisa kukurira kuchengeteka pachikumbaridzo. Zvisinei, mumwe munhu nemaune akapamba utano hwavo, asingazivi chii nemigumisiro zvakamumirira. Unogona sarudza ude:

• doro uye kusvuta kutyora hurumende mucosa, zvichiita kuti aiyanika muromo, izvo hwezvekukurukurirana ari kupinda akasiyana-siyana kutapukirwa;
• hapana rokuchenesa mazino pashure zvokudya, panguva yokurara, mangwanani;
• murombo muviri uye wakaiswa nzira youpenyu;
• zvemukati chisingaperi zvirwere;
• zvimwe zvirwere, zvakadai herpes simplex mhando zvinosanganisira, nguva nenguva kana mumuromo bactericidal matema kuoneka.

Uyewo, kuderera muviri matauriro inosimudzira Kuwedzera mabhakitiriya. Kuvakwa purulent pute repasi shaya, anokwanisa rokutora guru zvikamu chiso nzvimbo.

Zvinokonzera chenjera ezvinhu

Kusiyanisa chikuru chinokonzera kukura achichinja - ndiko kushaya kuparadzwa rakakodzera mabhakitiriya ruminant pamusoro mazino. Vanhu utsanana muromo, kunakidzwa conditioners uye kugara vachishanyira wemazino, haana kuwana periostitis yacho mandible. Zviratidzo achichinja nguva dzose vane nemigumisiro, zviri nani kuti kudzivirira pane kubata hombe kurwisa anokuvadza tusingaoneki.

The confluence ezvinhu aigona chirwise ane aval kukura mabhakitiriya. Masoja mhinduro rinozadzisa aibuda mvura kuti nzvimbo kuzvimba, pakusika kuzvimba guru munyama. yematambudziko kwakadaro zvinogoneka pasi pokudzora zvinotevera:

• Kuzvimba yakapoteredza zvinyama kubudikidza chiito kwemeno anotanga periodontitis.
• Provocateur anogona kuita tibhii.
• Zvirwere chikonzero kunoitika pasi simba achidzikisa muviri dzokuzvidzivirira.
• Zvakuvadza shaya, kunoteverwa misha yacho shaya mapfupa.
• Sema mumatenhere matadza.
• Muchetura makemikari.

huripo mhando

Zvinoyerera vakakamurwa mhando kuzvimba, pezvakaita bundu, nguva inotungamirwa. ruzivo urwu zvinodiwa kusarudza zvakarurama kurapwa. Heano zvingangoitika inoti chirwere:

• Periostitis mandible runogona kuumbika pus. mhando ava mapundu guru chaizvo kuti vasataura chitarisiko kumeso. Chenjera siyana kuitika vanenge zvikuru immunocompromised panguva kwokutanga nzendo kukura kwemabhakitiriya kuzvimba.
• The chirwere chimiro chirwere nezvechinhu kwenguva refu pasina zviratidzo. Asi pasi akanaka ezvinhu, pane chinoshingaira kwemabhakitiriya kukura. Kuzvimba matadza kuwedzera, kupararira kune akapoteredza munyama. Izvi mhando periodontitis anogona kutora nzvimbo zvokungokubatai pus, uye pasina izvozvo.
• Govera nyore aseptic pakukura mhando: pane kuora pakati zvinyama pasina paumbwe zviratidzo chokutsva. In kwakadai ropa kuonekwe kuzvimba, kurwadziwa zvikuru.
• The chirwere chimiro anowanzodanwa periostitis ossificans. Pasi pfungwa iyi, pane kukura bundu iri rushaya. Ziva STRUCTURAL kuchinja zvinogona kuitwa X-ray kuzviongorora. Pamufananidzo achava kuoneka yakatesvera panyanga dzacho thickening.
• A kunyanya mhando rikwanise kuzvimba chinhu serous periostitis pamusoro mandible. chirwere ichi achiumbwa pasi pokudzora periodontitis. Zviratidzo vari kupisa, kurwadziwa panguva dög zvokudya, uye kuzvimba tishu. Zino musi hosha matadza kazhinji kubviswa.
• The dzakachinjwa chingamu anogona kutora chimiro fibrous tishu. Pfungwa kuzvimba rinobatanidzwa sezvo zino pacharo uye pfupa shaya. kuchinja izvi kuitika somugumisiro akadzokorora zvokuimba kukanganisa chikamu periosteum.

zvinhu

On palpation kazhinji dzinogona kuonekwa chete rikwanise periostitis yacho mandible. Chirwere kuzvimba inotsanangurwa anotevera inoti:

• Kushatiswa pautano panguva zvakavanzika yezvakaita chirwere. Kazhinji, zvinotora nzvimbo sezvo tembiricha inokwira pamusoro madhigirii 37.
• In vana vaduku, pane rwuchiwanzwa achichema, mutizi hope. Kazhinji, vanoramba kunyange kudya, unoda kutsenga.
• Palpation anogona kuzviona thickening gingival nyama iyo sei soreness kana akabata. Uyewo, pane zvishomanana mumatenhere pamatama.
• Zviratidzo zviri kuipa panguva rutapudzo kuti kutapata. Cold kana chenjera-kufema yematambudziko pakarepo sei kurwadziwa matadza.
• Chenjera periostitis mandible anogara njodzi yose muviri. Panguva ino pane nokukurumidza mumatenhere pamatama kana mutsipa nharaunda. Tumescent zvinyama kuonekwa pamusoro matadza. Marwadzo pachikumbaridzo anova yepamusoro shiviriro.
• Purulent zvinoerera kubva matadza anoratidza chinhu akaoma chinzvimbo murwere. Izvi mhando iri chete kubatwa vavhiyiwa kungada epurasitiki chiremba. ezvinhu akadaro kunoitika apo pute kwakasimbiswa retromolar mandibular. Matambudziko kana zvakaoma erupting molars.

All chenjera pavaipfuura chirwere vari pamwe awanda node nodes.

Yaitaridza mutsauko zviri rikwanise kuzvimba

Chero chenjera purulent periostitis of mandible kunoitika nezviratidzo zvinoonekwa. Anova nemhaka yematambudziko kubva inflamed periodontal chirwere. mamiriro ichi dzinoratidzwa anotevera zviratidzo: chakakomba mumatenhere pamatama uye mazino, marwadzo panguva dög. Nemuumbi kuderera zvakanaka. Face chimiro kazhinji dzakachinja, asi Ruvara ganda inoramba zvakafanana.

Nguva dzose kuva chiratidzo kuzvimba inofambidzana thickened node nodes munzvimbo panowanikwa periodontitis. Kumhanya danho zvinorondedzerwa irreplaceable ezvinhu nokuti midzi sei zino. Zvinofanira kubviswa panguva kurapwa. Asi kazhinji, njodzi nzvimbo iri kubatwa antibacterial mhinduro.

Multiroot meno havasi amenable kuti mazino kurapa. Kana vasina kubviswa, ipapo lymphadenitis anogona nokuitika pakuzadzisa kuzvimba. Kuburikidza ducts ari nhengo dzinobudisa ezvinhu ari kwemabhakitiriya kwezvakatipoteredza zvichaita yokubudisa yose muviri, zvichiita kuti Kuipa utano.

Yaitaridza mutsauko zviri chisingaperi kuzvimba

Dambudziko mazino caries kazhinji vanoramba kucherechedzwa nokuda kwokushaya nguva, zvinhu kana kungoti tisina kukirinika pedyo. Kurega muviri wako kunotungamirira kwemabhakitiriya kuzvimba. Chirwere periostitis of mandible hwapedyo zviratidzo, unogona kuonekwa chete mazino muhofisi.

Relapsing chimiro kunoitika apo mamiriro kuti yave kare pute pamwe pute. Somugumisiro kurapwa kana kushayikwa kuri kuzodzosera kukura kwemabhakitiriya kwezvakatipoteredza. Saka, rezasi shaya aumbwa periostitis pashure dzokubudisa, kana mhango isina kucheneswa kwazvo.

Muitiro kuva imwe kuzvimba periosteum

The kutanga zvokukura kusimukira chirwere vari imperceptible kuvanhu. Slow kukura kuzvimba achibvumira bacteria kuwana nzvimbo iri gingival munyama. Zviratidzo periodontitis wokutanga inogona kuwanika pamusoro kusagadzikana pamuromo. Language anoona zvishomanana induration pasi mazino.

Inotevera pavaipfuura pakukura pamwe marwadzo panguva kutsenga. Zvadaro akatsvuka kuumbwa mune midzi kwemeno. Zvomoto matadza, zvinoita kuti vawedzere edema. The symmetry chiso yaputswa, unogona kuonekwa pamwe chinoabatsira.

With pakuzadzisa edema, rirwadze yakapoteredza tishu. Kuoneka akatsvuka iri pamatama. Kana akasiya untreated kwenguva refu, zvichiumba maronda. Kwapera nguva vari akazarurwa. Ropa hwakakanyiwa kwemabhakitiriya kwezvakatipoteredza, dzakunokonzera njodzi yomunyika nenhengo dzawo.

The foci pamusoro kuzvimba kunogona kuva zvinokonzera chirwere node, izvo akapfuura nemumuviri rose. Untreated periodontitis Danho kungaita kuti muhombe kurasikirwa mazino, saka, panguva chiratidzo kurwadziwa wokutanga kunofanira kushanyira chiremba wemazino.

Types kosi kurapa

Periodontal chirwere rinenge nguva dzose kunoita kuti chirwere: pute repasi shaya. Treatment rinoitwa pakarepo iri raida chiremba wemazino. Kuti aite chero mhando kurapa rinoshandiswa vemo yokutindivadza. Purulent periostitis maronda kutungamirira nokubviswa mnogokorennyh mazino uye residual mhango ari ndakashambidza pamwe mhinduro. Usava kurapwa kunotungamirira kudzokororwa kuzvimba periosteum.

Kana periostitis mazino kuroora midzi periosteum kazhinji kuita pasina kubviswa kuzvimba zvinyama akazarurwa uye nzira rokutsvaira mhinduro. Panguva Chaiyo kunokwanisa kubatsira kuchengeta kushanda canine. Munguva zvinyama kugadziriswa akagadza zvinodhaka anogumbura uye antibacterial.

Kana zvakakomba kurwadziwa bvumidzwa kushandisa dzokutindivadza omunzvimbo anorumanya. Nevakawanda kuchirapa nzira kuti kuparadzwa kwemabhakitiriya kwezvakatipoteredza anoshanda. Izvi zvinosanganisira Ultra-Violet nemwaranzi, Laser uye chiedza kurapa.

matanho

Periodic rokuongorora nachiremba wemazino haambotauri ezvinhu kwete chete anogumbura, asiwo anoponesa meno utano. Marapirwo anotora zvishoma nguva, asi kunyemwerera yakanaka inogona kuponesa kusvika akwegura. Kuti tirambe muviri tinoda kuramba zvakanaka utsanana, zvokudya, uyewo kuongorora kukura chisingaperi zvirwere.

Kuti tidzivise bacteria vanofanira kuramba muviri mavhitamini, kushandisa mvura nokuda rinsing muromo. Kana kubata zvirwere vanga pamuromo chaiyo antiseptics. On mazino kwakakanganisa zvakunoita zvihwitsi caramel, chocolate nezvimwe confectionery zvigadzirwa.

Boka pangozi zvinosanganisira vanhu vanobatanidzwa mitambo ngozi. Nokuda periodic shaya kunotevera, muviri anowana kubatwa kutanga nekubudisa. Kumhanya pavaipfuura ane anogumbura kwacho zvichiita kuti paumbwe pus vaunganidza kuti sitiroko. Status pute zvikaramba refu uye kurwadza. Zviri nani kuti kudzivirira pane kugadzirisa zvisingafadzi matambudziko.