Periodontitis apical: izimpawu, uphethwe, ukuphathwa

Amazinyo njalo kuletha eningi kabi, ngoba phuca umuntu kungenzeka ubuthongo evamile, umsebenzi, ngisho ukudla. periodontitis apical - ingenye izifo inselele futhi eyinkimbinkimbi kunazo, okumele ngaso sonke isikhathi ziphathwe.

incazelo jikelele

zokugula Kwethulwa - kuyinto ukuvuvukala, okuyinto itholakala kwezicubu periodontal ngesikhathi sokudlondlobala empandeni izinyo. Elulele kwezinye izingxenye umqhele: dentin kanye usimende. Kwezinye izimo, luthinte ngisho ithambo alveolar.

Isici nobuntu isifo umonakalo emisipheni ukuthi benzelwe ku alveolus izinyo. Ngaphezu kwalokho, ubuqotho woniwa cortical ithambo ipuleti, izicubu eziqinile ikhula, izinhlumba okukhwantabalisayo avele umqhele.

periodontitis apical sekutholakele ukuthi sine- imvamisa alinganayo in abesilisa nabesifazane abaneminyaka engu 20-60. Kulesi isifo focus ukuvuvukala isezingeni sokudlondlobala impande. Futhi indlela okumangalisa ngayo ngokwayo umqhele, kanye kwezicubu ezithambile abanizungezayo.

Izimbangela ukuthuthukiswa isifo

periodontitis apical angagcina ngenxa lezi zinto ezilandelayo:

1. Ngokweqile dentition, ukuhlukumezeka noma ukulimala imiqhele.
2. Sinusitis.
3. ukwelashwa abangenamakhono engafanele isifo kwamazinyo.
4. Osteomyelitis (isifo bone).
5. izigaba Advanced pulpitis. Kulesi ezinzwa zamazinyo uyafa futhi periodontium itheleleke.

isifo ngezigaba

periodontitis apical zingahlukaniswa zibe lezi zinhlobo ezilandelayo:

• Esibuhlungu. Kulokhu, lo okungavamile eba ngenxa yokulimala, ubunzima, futhi ukwa imiqhele, izinyo ukulimala ezingamahlalakhona.
• Medical. Isizathu kukhona isinqandakuvunda enobuthi kakhulu ukuthi isetshenziswa amazinyo. Umuthi engena izicubu periodontal, bese ucala kutfutfukisa ukuvuvukala.
• Ukutheleleka. Lolu hlobo lwe-pathology kuwumphumela ekubhujisweni Staphylococcus noma streptococcus ezizungezile izinyo kwezicubu. Futhi isizathu ukutheleleka periodontitis apical is hhayi kuqeda uginindela ikhambi.

Esigabeni lesi sifo angase ubunjalo ukugeleza:

• Acute periodontitis apical. It libhekene umfutho high izimpawu. Kutfutfukisa ngokushesha futhi kakhulu. Lolu hlobo isifo kungabuye ihlukaniswe ubovu bese serous.
• Okungalapheki periodontitis apical. Kulokhu, izimpawu kuvetwa hhayi okungaka, kodwa nesineke njalo is ziba zimbi. Ifomu okungamahlalakhona kungase futhi kube granulomatous, granulating futhi fibrous.

symptomatology lesi sifo

Ngaphambi ukwelapha lesi sifo, kudingeka ucabangele sinezimfanelo indlela uqobo. Ukuze ifomu okukhulu isifo libhekene izimpawu ezifana:

1. Ubuhlungu pulsed nemvelo. Ngaphezu kwalokho, kunganikeza namathempeli nebunzi.
2. Emkhakheni izinyo ezilimele livela edema.
3. Ukwandisa ISIZINDA submaxillary.
4. Ukuhamba kwe-umqhele. Kwezinye izimo, isiguli ungase ungaphinde umethembe.
5. Engingakusho nje ubuhlungu bekhanda.
6. Ububomvu of izinsini.
7. Ukwandisa izinga lokushisa ukuze 37-38 degrees.
8. ukuphendula kubuhlungu ashisayo nabandayo. emizweni ezingemnandi zenzeka ngisho nalapho touch ukukhanya izinyo.

Okungalapheki periodontitis apical libhekene yokuthi isithombe sokucindezeleka okuncane evelele. Phakathi ukuthethelelwa, lesi sifo ngokuvamile kwenzeka cishe asymptomatic. Ngisho noma isiguli ngezikhathi futhi uzizwa ukungakhululeki, kuba abangelutho. Ngaphezu kwalokho, ngesikhathi sakusihlwa umuntu onukayo.

Izici lesi sifo

Konke kuncike uhlobo egunjini lokuhlolwa kwezifo. Uma sibi, kungase ukuzibonakalisa e amafomu alandelayo:

• Ubovu. Kukhona ehlukile Ukukhetha sici viscous ogqamile ketshezi turbid kokuba nephunga edabukisayo.
• Serous. Isiguli endaweni ethintekile livela uketshezi cishe esobala, esingeyena iphunga.

periodontitis Okungalapheki kubonakala amafomu alandelayo:

• Fibrous. It libhekene khona i nephunga ezingemnandi, ngoba umqhele has izimbotshana.
• Granulating. Isiguli sinelungelo i ubuhlungu ezingemnandi uma iluma ku izinyo ethintekile, ukuvuvukala. Ngaphakathi fistula wakhiwa ubovu okuqukethwe.
• Granulomatous. Umuntu uzizwa ukungakhululeki njalo kule umqhele nesineke. Ngaphezu kwalokho, ngezinye sokudlondlobala impande Kumiswa granuloma. Ngaphezu kwalokho, kungase kuthathe mikhulu.

Isigaba ukugeleza ifomu okukhulu isifo

Acute periodontitis apical imvelaphi pulpal noma isifo ukuthi savela nangenxa yezinye izizathu, has ezimbili kuphela izigaba yentuthuko:

1. Esigabeni Isiqalo ukuvuvukala livela ukudakwa periodontal. Kulesi sigaba, kukhona eside ubuhlungu ngiyaqaqanjelwa. Kulokhu, izinyo ethintekile siba nezinzwa ezisenza sizwele kakhulu, ukuthi wazizwa kanjani lapho iluma kuso.
2. Kulesi sigaba kukhona inqubo evelele exudative. Kulokhu, abuzwa njalo. Ubuhlungu kwenzeka ngisho nalapho touch ukukhanya izinyo, futhi kungenzeka likhipha kwezinye izingxenye ekhanda.

Serous noma ubovu exudate ngenkuthalo chithí saka, endaweni ethintekile livela ezithambile izicubu ukuvuvukala. Ngaphezu kwalokho, ukwanda lesifunda zamanzi.

ukuhlola Izici

Ukuze belaphe zokugula ethulwa, kuzomele uxhumane nodokotela wamazinyo futhi ahlolwe ngokuphelele. Ukuxilongwa periodontitis apical akunzima futhi ihlanganisa izifundo ezilandelayo:

• nenkanuko edlulele eningiliziwe izikhalazo nesineke. Lokhu inhlolovo Kwenziwa kuphela khona ifomu acute, njengoba zokugula okungalapheki kancane evelele isithombe emtholampilo.
• luhlolo sangaphandle isiguli. Udokotela angakwazi ukubona fistula esibhibhayo, elithambile izicubu ukuvuvukala nezinye izimpawu ezibonakala yenqubo sokugembula.
• Okuphoqelekile kanye main uphethwe radiographic ka-acute periodontitis apical. Izithombe izobonwa kube sezingeni lapho kubhujiswa lesi izicubu ithambo, le periapical encane ukunwetshwa slot. Imingcele endaweni ethintekile kungenzeka esilufifi noma abukhali. Ngosizo-X-ray kungathola simila periodontal (ngokucacile okuchaza ukwakheka ngesikhathi sokudlondlobala impande). X-ray futhi asize ekutholeni uhlobo lwesifo periodontal: cystic, lapho abonakala kakhulu anda crevice periodontal, kanye luyimbudumbudu (ubhujiswe ithambo alveolar).

Lezi izindlela ukuxilongwa kukhona periodontitis ezinkulu apical. Ngokuvamile, ucwaningo oluningi lutholakala.

Izici ukwelapha lesi sifo

Uma umuntu itholwa apical periodontitis, impatho kuba okuvamile, kungakhathaliseki ukuthuthukiswa ukuma. Ukwelashwa kuhilela letigaba letilandzelako:

1. Mechanical. ukulungiselela Ikhishwa ukusuka endaweni yenhlekelele ukuba okunye ukwelashwa. Okungukuthi, kwaqale kwembulwa izinyo lapho kukhona ukuvuvukala. Okulandelayo is wokuhlanza uginindela abathintekayo futhi enyameni ezungezile. Zonke manipulations udokotela kwenza usebenzisa izinzwa wendawo.
2. Antiseptic. Ukuze lokhu kuyadingeka ukwandisa pre zokukhipha igciwane impande emiseleni nokusetshenziswa ultrasound. Ngaphezu kwalokho, ukuze abhubhise microflora pathogenic esetshenziswa nokunamathisela eqeda ukuvuvukala futhi elwa namagciwane. Ukuze uthuthukise ngalo ingaphakathi ngomlomo ingaboniswa uhlambulule broths ngezindleko zemithi engamakhambi.
3. Lapho ukubekwa uphawu kwabangu isiteshi, okuyinto kuveza ne okwalandela ukulawula-X-ray. Uma izinyo is zonakala kakhulu, bese-ke lufakwa umqhele.

Uma isiguli ithumba watholakala, kubalulekile ukuqinisekisa outflow ka exudate. Ngemva yokuhlanza mechanical oyokwenziwa, kuyodingeka ukukhiqiza ithambo inqubo yokutakula.

Uma acute periodontitis apical uye kwatholakala, ukwelashwa kufanele kwenziwe ngokushesha. Uma kungenjalo, izoya ifomu okungamahlalakhona, okuyinto okunzima kakhulu yokwelapha.

Izici yokwelashwa kuhlinzwa lesi sifo

ukwelashwa okujwayelekile kwezinye izimo, kungase kuphumelele. Ngakho-ke, kaningi asetshenziselwa nokwelapha ngezinjongo ukuhlinzwa:

1. Apikoektomiya - resection we isihloko impande. Ezimweni eziningi, le nqubo kuvezwa iziguli isifo esingamahlalakhona kwakheka okuyinto granuloma noma isimila. Umgomo ukuhlinzwa ukususa neziqu kanti ingxenye encane izinyo. Ukwelashwa Uthatha imizuzu engu-30 kuya ihora elilodwa, usebenzisa izinzwa wendawo.
2. Ukusikwa kwamalungu impande izinyo. Sebenzisa nokugxambukela kungenzeka esimweni ngaphansi umqhele waphawula izimpande eziningana. Kungase futhi asuse izingxenye umqhele abathintekayo.
3. Coronary-radicular ngokuhlukana. Uma impande izinyo 2 likhona, ihlukaniswe yaba izingxenye ezimbili, ngasinye sazo iphathwa ngokwehlukile.

In an icala ngokwedlulele, ukususwa senziwa nje impande izinyo. Lokhu kumele kwenziwe kuphela uma ukubhujiswa kwezicubu kanzima ziqine kangangokuba umqhele akakwazi engenakuvinjwa ukuze igcwalise injongo yayo sokusebenza.

Ukubikezela sokwelashwa kungenzeka yezinkinga

Ezimweni eziningi, impatho kuphumelela, kanye isiguli silulama izinyo ngokuphelele. Kulokhu, ukuxilongwa kubaluleke kakhulu ekuqaleni kwalesi sifo, kanye umsindo asondele kudokotela. Nokho, kwezinye izimo, periodontitis angakhiqiza yezinkinga:

• Fistula noma isimila.
• Ukuvuvukala ku emhlathini ithambo izicubu.
• sinusitis Odontogenic.
• Sepsis.

Ngokwemvelo, ukuxakeka akuzona kaningi, kodwa sonke sibhekana kuzo.

ekuvimbeleni izifo

Ukuze ugweme ubuhlungu obukhulu nezinye ukungakhululeki, kanye hhayi ukulahlekelwa izinyo enempilo, kudingeka ulandele izinyathelo ezilula zokuvimbela:

1. Akumelwe sikhohlwe mayelana inhlanzeko yomlomo: kabili ngosuku udinga ukuxubha amazinyo akho, uma kunesidingo, sebenzisa Floss zamazinyo antiseptics-isimo. I unama ngaleyo ndlela akumele ziqukethe izinhlayiya kanzima enkulu.
2. Akubalulekile ukulayisha umqhele kakhulu. Elikhulu isenzo mechanical on the amazinyo kumele kugwenywe. Leyo akuyona ukwambula nati, noma ukudla okuqinile.
3. Kabili ngonyaka, kufanele kube ukuhlolwa nge wamazinyo. Nakuba uma unezimpawu yisiphi isifo yamazinyo, isidingo ukubhekana ngaphambili.
4. Kubalulekile ukugcina umsoco ofanele, okufanele kube ehlukahlukene ewusizo. Kungcono kukhawulwe ukusetshenziswa amaswidi, ikhofi, namanzi soda, okuyinto nomphumela ongemuhle koqweqwe lwawo.
5. Uma umzimba womuntu kukhona Izifo ukuvuvukala, kufanele welashwe kusenethuba ukuvimbela ukusabalala kwesifo.

Kungakhathaliseki ukuthi laliyini, zokugula temlomo kungaholela hhayi kuphela ukuphuma amazinyo, kodwa futhi ukuhlukumeza emathunjini. Ngakho-ke, yisiphi isifo kwamazinyo kufanele aphathwe ngokushesha. Hlala uphilile!