Apical periodontitis: zizindikiro, matenda, mankhwala

Mano nthawi zonse kumabweretsa kwambiri cha ululu, chifukwa zimaphwanya ufulu wa munthu kuthekera yachibadwa tulo, ntchito, ndipo ngakhale kudya. Apical periodontitis - ndi amodzi mwa matenda ovuta kwambiri ndi zovuta, amene ayenera ankachitira.

mafotokozedwe ambiri

Anapereka kudwala - ndi yotupa ndondomeko, amene isanafalikire mu zimakhala periodontal pa pamwamba pa muzu dzino. Zimafalikira mbali zina korona: dentin ndi simenti. Mu zina, anakhudzidwa ngakhale fupa alveolar.

Mbali khalidwe la matenda ndi kuwonongeka kwa Mitsemphayi amene anakonza dzino alveolus. Komanso, kukhulupirika anagwiriridwa yokhudza kotekisi mbale fupa, minofu olimba chikamakula, cysts kuvulazidwa kuonekera mu korona.

Apical periodontitis akapezeka ndi pafupipafupi ofanana amuna ndi akazi zaka 20-60. Mu matenda cholinga cha kutupa chimayambitsa pamwamba. Ndipo chodabwitsa ndi lokha korona, komanso zimakhala zofewa kuti ali pafupi.

Zimayambitsa chitukuko matenda

periodontitis apical ungapezeke chifukwa cha mfundo zotsatirazi:

1. Zimamuchulukira dentition, zoopsa kapena kuvulala akorona.
2. Sinusitis.
3. Chizolowezi ndi zosayenera chithandizo cha matenda mano.
4. Osteomyelitis (matenda a mafupa).
5. MwaukadauloZida magawo a pulpitis. Mu mitsempha izi mano wamwalira ndi periodontium kachilombo.

Gawo matenda

periodontitis apical akhoza kugawidwa mu mitundu zotsatirazi:

• Mantha. Mu nkhani iyi, chosayenerera akufotokozera chifukwa choipa, kupsyinjika, ndi fupa lothyoka akorona, dzino aakulu choipa.
• Medical. chifukwa pali antiseptic kwambiri poizoni kuti ntchito mano. Mankhwala akulowa minofu periodontal, kenako amayamba kukhala kutupa.
• Infection. Mtundu wa kudwala chifukwa cha chiwonongeko staphylococcus kapena streptococcus ozungulira dzino zimakhala. Komanso chifukwa cha matenda apical periodontitis ndi sanamalize mankhwala zamkati.

M'kagulu matenda komanso chikhalidwe cha otaya ndi:

• Pachimake apical periodontitis. Iwo amakhala ndi mwamphamvu mkulu zizindikiro. Akufotokozera kwambiri ndipo kwambiri. Mtundu wa matenda angathe kugawidwa purulent ndi serous.
• Matenda apical periodontitis. Pankhaniyi, zizindikiro ndi anasonyeza osati kwambiri, koma wodwala nthawi ndi akuchuluka. Mawonekedwe aakulu angakhalenso granulomatous, granulating ndi fibrous.

symptomatology matendawa

Musanayambe kuchiza matenda, muyenera kuganizira momwe kumaonekera. Pakuti mtundu pachimake cha matenda amakhala ndi zizindikiro amenewa:

1. Ululu pulsed chikhalidwe. Komanso, amatha ndi akachisi ndi mphumi.
2. M'dera la dzino kuonongeka limapezeka edema.
3. Kuwonjezeka mfundo submaxillary.
4. The sayenda korona. Nthawi zina, wodwalayo angasiye izo.
5. Wokwanira mutu kwambiri.
6. Redness a usinini.
7. Kuwonjezeka kutentha kwa madigiri 37-38.
8. Kupweteka anachita otentha ndi ozizira. zomverera zosasangalatsa zimachitika ngakhale pamene kukhudza kuwala kwa dzino.

Matenda apical periodontitis amakhala ndi chakuti chithunzi matenda sichidziwika kutchulidwa. Pa chikhululukiro, matenda zambiri amapezeka pafupifupi asymptomatic. Ngakhale ngati wodwalayo nthawi ndi nthawi amamvera ena kusapeza, ndi zonyozeka. Komanso, akamadya munthu ali mpweya woipa.

Features matendawa

Izi zidalira pa mtundu wa kudwala. Ngati ndi pachimake, chingathe kuonekera m'njira zotsatirazi:

• Purulent. Pali chosiyana Mbali kusankha viscous Kamaoneka turbid madzi ndi chinthu chosangalatsa fungo.
• Serous. Wodwala mu zinkakhala m'dera amapezeka pafupifupi mandala madzimadzi, zomwe ziribe fungo.

Matenda periodontitis akuwonetseredwa mu njira zotsatirazi:

• Fibrous. Iwo amakhala ndi pamaso pa fungo, chifukwa korona ali cavities.
• Granulating. Wodwala ali ndi ululu opweteka pamene kuluma pa dzino akhudzidwa, bloating. Mkati fistula anapanga ndi purulent okhutira.
• Granulomatous. Munthu amamva kusapeza zonse mu korona wodwalayo. Komanso, pachimake pa muzu aumbike granuloma. Komanso, zimatenga aakulu.

Gawo otaya mawonekedwe pachimake matenda

Pachimake apical periodontitis pulpal chiyambi kapena matenda chomwe chinasintha zifukwa zina, ali ndi magawo awiri okha chitukuko:

1. Mu gawo chiyambi cha ndondomeko yotupa limapezeka periodontal kuledzera. Pa nthawi imeneyi, pali ululu yaitali kupweteka. Pankhaniyi, dzino akhudzidwa amakhala tcheru kwambiri, amene anamva pamene kuluma pa izo.
2. Apa pali kutchulidwa exudative ndondomeko. Pankhaniyi, zinamupwetekera zonse. ululu kumachitika ngakhale pamene kukhudza kuwala kwa dzino, ndipo mwina limatulutsa kuti mbali zina za mutu.

Serous kapena purulent exudate mwachangu kufalikira, kotero zinkakhala m'dera limapezeka minofu zofewa kutupa. Komanso, kuchuluka kwa mfundo dera lymph.

diagnostics Features

Pofuna kuchiza kudwala anapereka, lankhulani mano anu ndi kubatizidwa bwinobwino. Matenda a periodontitis apical sikovuta ndi zikuphatikizapo maphunziro zotsatirazi:

• Mwatsatanetsatane fixation madandaulo mtima. kafukufukuyu ikuchitika yekha pamaso pa fomu pachimake, monga kudwala aakulu zochepa kutchulidwa matenda chithunzi.
• Kunja mosamala mtima. dokotala aone fistula zamafinya zinangoti minofu zofewa kutupa ndi zizindikiro zina zowoneka za ndondomeko pathological.
• Kuvomerezedwa ndi waukulu radiographic matenda a periodontitis pachimake apical. zithunzi ziwoneka mmene kuwonongedwa kwa fupa minofu, ndi periapical yaing'ono kuwonjezeka kagawo. Malire a dera lomwe linakhudzidwa mwina amaona kapena lakuthwa. Mothandizidwa ndi X-ray angazindikire periodontal chotupa (bwino limasonyeza mapangidwe pa muzu pamwamba). X-ray komanso kudziwa mtundu wa matenda periodontal: fibrosis, imene kuonekera kwambiri kuchuluka periodontal mpita, komanso granular (anawononga alveolar fupa).

Izi njira matenda ndizo apical periodontitis. Childs, kafukufuku zina zomwe zingafunike.

Features ya chithandizo cha matenda

Ngati munthu wapezeka apical periodontitis, chithandizo ndi muyezo, kaya chitukuko mawonekedwe. Chithandizo kumafuna magawo zotsatirazi:

1. Mawotchi. Yopangidwa lokonzekera zinkakhala m'dera mankhwala zina. Ndiko kuti, anaulula choyamba dzino mmene muli kutupa. Kenako yoyeretsa zamkati anakhudzidwa ndi ozungulira minofu. Onse mwai dokotala amapanga ntchito mankhwala oletsa ululu pamalopo.
2. Antiseptic. Pakuti ichi m'pofunika kuwonjezera chisanadze ndi mankhwala mizu ngalande ndi ntchito ultrasound. Komanso, kuti awononge microflora tizilombo ntchito odana ndi yotupa ndi antibacterial phala. Kusintha M'mimbamo m'kamwa akhoza kuwonetsedwa rinsing broths azitsamba.
3. Chisindikizo chomaliza cha njira, amene amapangidwa ndi wotsatira ulamuliro X-ray. Ngati dzino ndi lowonongeka, ndiye kuvala korona.

Ngati wodwalayo ndi abscess anapezeka, m'pofunika kuonetsetsa outflow wa exudate. Pambuyo makina kuyeretsa idzachitike, adzakhala ndi kubala fupa kuchira ndondomeko.

Ngati pachimake apical periodontitis wakhala matenda, mankhwala ziyenera kuchitika mwamsanga. Apo ayi, adzapita mu mawonekedwe aakulu, amene ali ovuta kwambiri mankhwala.

Features mankhwala opaleshoni ya matenda

Standard mankhwala zina, mwina adzakhala opanda mphamvu. Choncho, nthawi zambiri ntchito zolinga achire opaleshoni:

1. Apikoektomiya - resection wa muzu pamwamba. Nthawi zambiri, njirayi imaonekera mu odwala matenda aakulu amene aumbike granuloma kapena chotupa. Cholinga cha opaleshoni kuchotsa zophuka ndi mbali yaing'ono ya dzino. Chithandizo chimakhala cha mphindi 30 kuti ola limodzi, kugwiritsa ntchito mankhwala oletsa ululu pamalopo.
2. Amputation wa muzu dzino. Ikani kusokonezedwa zinthu zimenezi zinachitikira pansi korona anaona mizu angapo. Lusoli kuchotsa mbali ya korona bwanji.
3. Inatsekeratu-radicular kulekana. Ngati dzino muzu 2 alipo, ndi kugawidwa m'magulu awiri, omwe amaliona payokha.

Mu nkhani kwambiri, kuchotsa wapangidwa chabe ndi muzu dzino. Izi zichitike pokhapokha ngati chiwonongeko cha zimakhala mwakhama ndi wamphamvu kwambiri moti korona sangathe kukwaniritsa cholinga chake zinchito.

Ulosi wa mankhwala ndi zotheka mavuto

Nthawi zambiri, chithandizo ndi bwino, ndipo wodwalayo akuchira kwathunthu dzino. Pankhaniyi, lofunika kwambiri oyambirira matenda a matenda, komanso phokoso kufikako dokotala. Komabe, nthawi zina, periodontitis zingabweretse mavuto:

• Fistula kapena chotupa.
• Kutupa mu minofu nsagwada fupa.
• Odontogenic sinusitis.
• Sepsis.

Mwachibadwa, zosokonezeka si kawirikawiri, koma palibe amene sangayesedwe kwa iwo.

kupewa matenda

Kupewa kupweteka kwambiri komanso nkhawa zina, komanso si kutaya dzino wathanzi, muyenera kutsatira miyezo yosavuta njira:

1. Tisaiwale za kutsuka mano: kawiri pa tsiku muyenera bwezerani mano anu, ngati n'koyenera, ntchito floss mano ndi antiseptics-conditioners. Phala kotero mulibe particles molimba lalikulu.
2. Sikuti kutsegula korona kwambiri. Large makina kanthu pa mano ayenera kuzipewa. Kuti si osokoneza mtedza kapena zakudya olimba.
3. Kawiri pachaka, ayenera kukhala tizipima ndi dotolo wamano. Ngakhale ngati muli zizindikiro za matenda mano aliyense, kufunika kuthetsa patsogolo.
4. Nkofunika kusunga zakudya zoyenerera, zimene ziyenera kukhala zosiyanasiyana komanso zothandiza. Ndi bwino kuchepetsa kudya maswiti, khofi, ndi koloko madzi, amene zoyipa pa enamel lapansi.
5. Ngati thupi la munthu ndi matenda yotupa, iwo ayenera kulandira chithandizo nthawi kupewa kufalikira kwa matenda.

Chirichonse chomwe icho chinali, m'kamwa kudwala kungachititse osati kwa mano, komanso kuphwanya intestine lapansi. Choncho, matenda mano aliyense ayenera kulandira chithandizo mwamsanga. Khalani wathanzi!