Gangrenous pulpitis: zimayambitsa, zizindikiro, chithandizo

Aliyense ulendo wa mano chifukwa anthu ambiri mtanda weniweni. Mwatsoka, kupita kwa dokotala sali mu chizolowezi. Ambiri kulepheletsa kudzacheza kwa katswiri mpaka la mano sadzachititsa kusagona ndi mkwiyo zonse. Amodzi mwa matenda amene chikhalidwe cha ululu pakamwa, ndi aakulu gangrenous pulpitis. Chithandizo cha matenda nthawi zonse amafuna njira aluso. Chifukwa kumachitika ndi zimene zizindikiro ndi limodzi, ife kufotokoza m'nkhani ino.

Features matendawa

Gangrenous pulpitis - matenda amene pali kutupa kwa zimakhala zofewa. Kawirikawiri matenda ndi vuto la caries mano. Pamene chotupa cha dzino gangrenous amasintha mtundu wake poyamba, ndiyeno chinthu chosangalatsa fungo ku M'mimbamo m'kamwa. Odwala amadandaula kupweteka ululu uyu ayipa mutadya. Pulpitis nthawi zambiri zimakhudza molars mandibular. 20% milandu matenda limodzi ndi kusintha kwa periodontal apical.

Mitundu gangrenous pulpitis

matenda angayambe mwadzidzidzi ndipo zimachitika mawonekedwe a chiwonongeko zochepa zamkati. Nthawi zina kutupa ukapezeka pang'onopang'ono, zina kuchepa mphamvu ndi kukulitsa. Pankhaniyi, ndi mawonekedwe pulpitis aakulu.

Akuchuluka matenda kumachitika pamene kukaniza thupi kuchepetsa vuto kapena yotupa exudate outflow wa cavities mano. Mwa mawonetseredwe chachikulu matenda akhoza kutchulidwa ululu zosiyanasiyana kwambiri. phindu lake zambiri kumachitika pamene kutenga chakudya chotentha. Tsembwe angapo dulls ululu.

The chikuchititsa mavuto a matenda

Gangrenous pulpitis zambiri akufotokozera chifukwa cha moyo yogwira zomera tizilombo, amene likulowerera m'zigawo za zamkati. Kusunga matenda angayambe pa pochotsedwa mano, pamene dzino kwa caries chithandizo aipitsidwa. Wina chimake - malowedwe mabakiteriya mwa matumba periodontal. Infection akhoza zimachitika chifukwa cha kuvulala pamene dzino akuswa kutali. Matendawa akhoza kukhala kudwala palokha akuwuka ndi matenda (ichi aakulu gangrenous pulpitis), kapena kukhala chifukwa cha kutupa pachimake.

chithunzi matenda

Kudwala nthawi zambiri limodzi ndi tilinazo kuchuluka zikuchitika matenthedwe. odwala ambiri kuti pamene mukudya dzino sagwirizana ululu. Komano, zakudya ozizira kawirikawiri chifukwa maganizo. Nthawi zina pali kumverera kwa kumva kulasalasa wofatsa wakupambana msanga, ndipo wodwalayo ndipo alibe kumumvetsera. Chizindikiro chimenechi chifukwa cha kupezeka kwa mpweya okhala m'madera okhudzidwa.

matenda alionse amene amapezeka pa kamwa, akuphwanya microflora. Motero, pali khalidwe zosauma fungo. Ngati wodwalayo ndi akapezeka ndi pachimake gangrenous pulpitis, izo nthawi zonse limodzi ndi ululu nkhawa. The zinkakhala m'dera amakhala kutupa kakang'ono kamene chifukwa cha chiyambi cha ndondomeko yotupa.

Pamene wodwala apita wa mano, katswiri diagnoses zizindikiro ankaikira caries mano. Choyamba ndi lalikulu kukula patsekeke. Iwo akhoza kusunga mankhwala a zamkati azingokhala. Pamwamba pa mathero dzino mitsempha zambiri yokutidwa ndi pachimake grayish. Zizindikiro ofanana ndi pathologies zina zambiri mano. Kusiyanitsa guwa, zokwanira kugogoda pa dzino anakhudzidwa. Pankhaniyi, wodwala ayenera kumva ndi kusapeza pang'ono. Aya umasemphana kotheratu dzino pa poona. Kwakukulu kuwonongeka, ululu zochepa.

Matendawa gangrenous pulpitis

Mbali yofunika kwambiri pa matenda a matenda ndi kuphunzira madandaulo wodwalayo. Wodwala ayenera kukuuzani inu motalika bwanji zapitazo panali kusapeza mkamwa ngati mano anatani otentha / chakudya ozizira kuti ntchito kuchepetsa zizindikiro.

Pambuyo kusonkhanitsa ndi mbiri zambiri amabwera siteji yotsatira diagnostics - Kupenda thupi. Chinthu choyamba inu mukhoza kupeza mano - kusiyana enamel mtundu wa dzino akhudzidwa ndi enawo. Choncho korona yake pang'ono kapena inawonongedwa. Ndiye wapezeka M'mimbamo kwambiri wodzazidwa ndi dentine kuwamasukira. Ndi chifukwa cha nthenda carious.

Mu matenda a matenda ndi inakwaniritsidwa zikuchitika matenthedwe. Muulamuliro wodwala awo akufotokozera ululu, omwe pang'onopang'ono umatsika. Pakuti chitsimikiziro chomaliza cha matenda "gangrenous pulpitis" dokotala anu angakupatseni X-ray bwino.

zoyamba za chithandizo

Kuchiza matenda ndi zotheka opaleshoni yekha, chifukwa dokotala amafunika kuchotsa matenda zamkati minofu. Asanayambe kugwira pochotsedwa mano wodwala chikuyendetsedwera othetsa ululu. Zochizira pulpitis gangrenous ndi periodontitis panopa ntchito ndondomeko amatchedwa pulpectomy. kukhazikitsa ali osavomerezeka odwala ndi kuthamanga okwera magazi, amapatsira mwana wake ndi yogwira TB.

ntchito ndi lophweka ndipo limatanthauza ndi zamkati kuchotsa. Kuchepetsa kutuluka kwa magazi kwa zinkakhala m'dera pa chithandizo ntchito swabs wapadera. Kenako, wa mano wagona mu M'mimbamo kudzazidwa zakuthupi ndi ndipamene korona wa dzino. Ngati ulendo umodzi kwa dokotala sizingatheke nthawi yomweyo pambuyo kuchotsa kuchita kudzazidwa, M'mimbamo anagona swab ankawaviika mu njira ya hydroxide calcium.

njira zochepa odziwika bwino zochepetsera

njira zochepa wamba kulamulira pulpitis monga ekstirpatsionny devital ndi njira. The choyamba ndi ntchito Arsenic phala. Komabe, kuchita izo sikawirikawiri ntchito. Choyamba, dokotala poyera zamkati. Ndiye ntchito kwa zinkakhala m'dera phala wapadera zochizira pulpitis gangrenous ndi periodontitis. Patapita masiku awiri, dokotala amachotsa zamkati, processing njira ndi kuchita kumadzazidwa. njira Devital mankhwala ntchito kokha pa nkhani cha kutsekeka kwa ngalande mizu.

Zochita za matenda ana

Odwala wamng'ono gangrenous pulpitis kungakhale asymptomatic, makamaka pamene mwana mizu. Kuzionetsetsa, mano yomweyo limatchula dzino akhudzidwa. Monga akuluakulu, ndi osiyana mtundu enawo. M'mimbamo kungakhale mankhwala ake zamkati kuwonongeka. Chithandizo kwa akatswiri zosakhalitsa mano kupereka masiku ano si zofunika amputation anatsatira kukonzera mitembo kuti isawonongeke zili resorcinol-formalin mwa njira. Njira ali zovuta zingapo. Chifukwa cha mpheto kusintha mtundu wa enamel, ndi dzino umakhala wosalimba. Komabe, zimenezi ndi mwachilungamo yosavuta kugwiritsa ntchito ndi zochepa pa chiopsezo kuvulazidwa tsogolo okhazikika dzino Mphukira.

Kafukufuku ndi kupewa matenda

Kodi n'zotheka kupewa pulpitis gangrenous? Mankhwala, anachita apamwamba ndi m'njira yake ndi chitsimikizo kwa madokotala ananena zawo nyengo kuchira. Nthawi zina chimadalira pa mtima, kudzakhala kotheka kupulumutsa dzino ndi kupewa kuchotsa ndondomeko. Kuchita zimenezi kangapo pa chaka kukaona mano ndi kukumana mayeso njira. The kale dokotala wapeza vuto, kosavuta ndi kuchiza. Komanso, malamulo aukhondo m'kamwa ziyenela kuyan'anidwa. Madokotala akulangizidwa potsuka mano awo kawiri patsiku, ntchito wofewetsa wapadera. kukhwimitsa yosavuta kupewa amene ali ofunika pa thanzi kuti mano.