Pocket Periodontal: nangokurhala, nonyango

ukunakekela Akulungile kukhokelela ukubola namatye. Ngenxa yeenkqubo zophendlo lwezifo iba kunokutshiseka. Ekuqaleni iimpawu azinabungozi ngokwaneleyo. Kukho kancinane iintsini ukopha, ukudumba, kwaye maxa wambi buhlungu. Ngokuthe ngcembe, izinyo ukuhamba siyandiswa, imbonakalo netuwa ubovu. Kweli nqanaba, siye sele sithetha periodontitis aphilileyo. Kuba unyango lwesi sifo usebenzisa epokothweni curettage periodontal. Luhlobo luni inkqubo? Ziziphi ezinye iindlela ezisetyenziswa ukuphelisa esi sifo? Iimpendulo zale mibuzo inokufumaneka kwinqaku yanamhlanje.

Inkcazelo emfutshane ingxaki

Ngokuchasene nentsukaphi inwebu inkqubo ithambo yokukrala ebegqwese zatshatyalaliswa kwaye kwafakwa granulation. Le yokugqibela iqulathe kukhethwa iiseli ngeentsholongwane kunye osteoclasts. Imihla ngemihla, zisebenza kuzo zonke iindawo ezintsha, ekhokelela yoma esingakumbi wethambo alveolar. Kukho ariya apho kungekho uncamathiselo kwi gingival izinyo root komhlaba.

Ngenxa yezi nguqu ezikhandelwa ipokotho periodontal. Esi sithuba ilingana ngobukhulu inxalenye ukutshatyalaliswa ithambo. I Imixholo thaca granulation izihlunu, yokutyiwa ukutya kunye ubovu mfihlakalo. Ngu ubungakanani umsantsa wambumba bagwebe iqondo deformation le kwithishyu. Xa umntu okunempilo ubunzulu ezipokothweni periodontal lingaphantsi kwe-3 mm, ngoko ungenza ngokukhululekileyo ukucoca lweHo- evela kwiintsalela ukutya. Ukuba eli xabiso kune ubungakanani ezicacisiweyo, kukho ubunzima obuthile kwindlela yokunyamekela kwisisu ngomlomo. Amathuba isifo seentsini kwandisa izihlandlo eziliqela, nto leyo ekhokelela ukuba imbonakalo ilitye kunye ukubola. Isiphumo esiqwini intshabalalo esebenzayo isenokuba ilahleko nezinyo.

Pathology Uxilongo lwenziwa kusetyenziswa X-ray okanye probe periodontal. Ukungabikho konyango esemgangathweni ekugqibeleni kukhokelela kukuqiniswa kwipokotho. Isiphumo sale nkqubo ukususa amazinyo kwisikhundla 'fan'.

Izinto ezibangela pocket

Isizathu esiyintloko ukuyilwa yejelo periodontal - mgangathweni kunye lococeko kwisisu ngomlomo. Engafanelekanga amazinyo wokucoca okanye ukungabikho kwalo kukhokelela beqokelela iidipozithi kwegciwane kummandla isithsaba. Kule wayesebenzisa izinyo iintsholongwane kumphezulu zenze imveliso ezingabonakaliyo umboniso ezingcakacileyo, baqale cell ukuba ubomi babo. Ngoko ke kukho kukukrala kwipokotho periodontal.

iqela ubungozi

Phakathi zinto ukukhuthaza ukukhula phinda iintsholongwane, kusenokuba maziqatshelwe:

• ukutya ayilunganga, eliquka lusa lwa imveliso ekudleni;
• ucoceko yomlomo amahlwempu;
• wazo;
• yokuphazamiseka hormone;
• immunodeficiency;
• uhlobo zamazinyo ye sifo;
• malocclusion;
• uphawu yokufaka ezingekho mgangathweni.

iimpawu ukudumba

Ukwenziwa kwipokotho periodontal ixesha elide kunokuba nazimpawu. Ekuphuhliseni inkqubo kwiintetho ezikralayo, kukho umfanekiso clinical iimpawu:

• kabi kwi ngasezintsinini;
• ungqinisiso;
• ukudumba, ukopha kunye anozizi ngasezintsinini;
• Ngokucofa kokuba akhululwe netuwa ubovu;
• ukwandiswa izithuba interdental;
• ukonakala imeko jikelele.

Xa nibona ezi ngxaki, kufuneka udibane wamazinyo yakho. Nceda ugqirha wakho uya kubizwa nokuba komtshiso igalelo izinyo elinye kuphela. Suku ngalunye le meko ziya kugxagxiseka kuphela, nto leyo inokukhokelela ukuqhubela phambili kwesifo.

ayini

Phambi therapy abafunyaniswe ngendlela apho ugqirha imisela iqondo yesifo ukungahoywa. Ukuba pocket periodontal ingaphantsi kwe-0,15 mm, kwaye akukho zimpawu nangokurhala, kusetyenziswa iindlela zonyango. Ezi nkqubo zilandelayo zisetyenziswa ngokuqhelekileyo:

1. ukucoca ecocekileyo kunye ultrasound. Ngexesha ukususwa bathintele calculus intsini nje yonakele.
2. Imithi. Yabelwa nangoko emva ukucocwa cuke. inkqubo yezifo Mild usebenzisa Ukuphathwa aseptic (nezithetyana zaso, unkcenkceshelo, siwabeka). Ngexesha iinkqubo ezisetyenziswayo "Chlorhexidine" okanye "Miramistin". Kwiimeko kuyingozi kakhulu, isigulane emiselweyo ikhosi antibiotics. Ekwandeni kakhulu ukusebenza alandelayo amalungiselelo: "amoxicillin", "Lincomycin" yaye "azithromycin".

Ezi nkqubo olungasebenziyo ukuba ubunzulu epokothweni mkhulu kuno-2 mm. Ugqirha uya kukwazi ukususa ngokupheleleyo ilitye ukugeleza. Ukongeza, oku kwenyusa amathuba trauma ezongezelelweyo periodontal. Ngenxa komtshiso nokuqhathwa kunye intshabalalo inyama waqala inkqubela.

Xa isifo nzima kucetyiswa uqhaqho. Le ndlela unyango lubandakanya amanyathelo ngoomatshini kwimimandla poddesennye izixhobo zamazinyo. Okwangoku, le nkqubo isebenzayo olu hlobo luthathwa curettage epokothweni periodontal. Yintoni na? Kukho iintlobo ezininzi yokuntlokothiswa: ngaphakathi, utyando ngaphandle caba. Le nkqubo ngokwayo ungafumana lahlani bonke iingxaki ezibangelwa periodontitis. Cinga ngalinye iinketho zayo iinkcukacha ezingaphezulu.

Curettage open

kuphazamiseka kufuna wekhondo oogqirha. Ngoko ke, le nkonzo ayikho kuzo zonke izibonelelo zempilo. Ubude unyango imalunga 2.5 iiyure. Oku iqulathe la manyathelo alandelayo:

1. Ukuxukuxa amazinyo kunye yelitye evela ilitye.
2. Ukusetyenziswa kweziyobisi anti-ukudumba.
3. Splinting amazinyo mobile.
4. Gingival caba asike kuphungula.
5. Ukususwa granulation kunye namatye usebenzisa ultrasound.
6. iingcambu izinyo kubola.
7. Podsazhivanie kwipokotho amalaphu zokwenziwa ukuphucula ukukhula ithambo zendalo.
8. Suturing nokuvalwa ezonakele gingival inxenye bandage.

Emva malunga 1.5 kweeveki sutures ziyasuswa. Kwiinyanga ezimbalwa kamva kuza ukubuyiselwa lokugqibela izicwili ezonakeleyo. Papilla kungabonakali ngokupheleleyo izikhewu phakathi kwamazinyo. Kwezinye iimeko, curettage open source lwe ezipokothweni periodontal kukhokelela ukuveza iingcambu. Ngoko ke, lo gama kucetyiswa ukuba ukwala ukusetyenziswa ukutya eshushu, ukubanda acidic.

Curettage hlwele

Olu tyando ngempumelelo epokothweni ubunzulu 3-5 mm. Akukho ntshukumo sinzima. Oku iqulathe la manyathelo alandelayo:

1. Ukuhlolwa ngasezintsinini.
2. Ukuqaliswa kwe Ukubulawa yasekuhlaleni.
3. Unyango kwipokotho periodontal ye iintsini ngaphandle asike.
4. Ipolishi iingcambu izinyo.

Ungenelelo nga ngaxeshanye kuchaphazela 2-3 izinyo. inxeba kuthatha indawo ngeveki enye, kodwa kuthatha malunga ngenyanga yokubuyiselwa lokugqibela. Ngoko ke ixesha elininzi kuyimfuneko ukuze kwakhiwe nokuqina isicwili sokuthimba kwaye gum ukuya izinyo. Eyona ethile iphambili yenkqubo kukuba ugqirha ngexesha yokuntlokothiswa ntoni ubone ukuba zonke ukusekwa engaqhelekanga isusiwe.

Ukuba ubunzulu epokothweni kuba ngaphezu kwe-5 mm, ivaliwe curettage gxotha kuphela progression of periodontitis. Ukususwa kwenxenye neetyuwa kunye granulation inika isiqabu sexeshana, kodwa phantse kuzo zonke iimeko sifo iphinde lwalo lokukhawulelana nophuhliso.

utyando caba

Olu tyando kubandakanya ukusika iintsini ukufikelela kucebisa periodontal. Kucetyiswa ukuba xa imilinganiselo musa ukudlula 4 mm.

Okokuqala ugqirha yenza ukusikwa ezimbini encinane kuphungula kwaye detaches muco-nadkostochny caba. Emva koko, a ukucoca ngoomatshini umgangatho nezokucoca kwipokotho phezu yezinyo laso. Emva kokugqiba unyango lwe imiphezulu eqinileyo batshintshelwa inwebu asike ethambileyo. Enezinto obekwe kwi isihlalo. Ekupheleni kwale nkqubo isicelo ochaphazelekayo indawo osteogenic iziyobisi ngokwayo yaye sutured ngasezintsinini. yonke Olu tyando kuthatha imizuzu engaphantsi kwe-40, kodwa ke kubandakanya ukusetyenziswa Ukubulawa yasekuhlaleni.

Ezinye izigulane ngakumbi ityumbe inxeba arhente okunyanga isicelo lwangaphandle (umz "Furatsilinom"). Kwakhona bacebisa ukusetyenziswa Amafutha ukuba yokulola ( "Solkoseril" "Aktovegin") inkqubo epithelialization le iintsini.

cleaner curettage

Phambi amathumba ubovu kunye neepokotho ezinzulu (5-7 mm) isicelo cleaner curettage. Ukucoca ikhutshwa phandle usebenzisa iintlungu. Ngexesha lale nkqubo, ugqirha zihlikihlana iidiphozithi amatye kuqala, uze emva koko khazimlisani ijwabu izinyo. Emva koko, wabe uchwepheshe ukususwa granulation kunye umonakalo epithelial kwiindonga embilwini. pocket Periodontal iye lingadlulanga isixhobo lwepolitiki, leyo yadika ukusuka ezantsi lweHo- mass necrotic kunye ngamaqhekeza ngamatye. Kwinqanaba lokugqibela ekuhlanjweni esisinyanzelo amalungiselelo kubola.

Ezincamathelayo curettage luphawulwa kwemveliso eliphezulu. Yinkqubo wayelikhoboka izihlunu emithanjeni, ubunzulu kunciphisa nepokotho gingival mazwe zonke iinkqubo arhabaxa.

Ithuba postoperative

Ukuze ukuba atyhile iipokotho periodontal, kwisithuba seeyure 10 emva kokuba zonke zazo bayacetyiswa ukuba ukutya okanye isiselo. Ukuze ufumane iziphumo ezinqwenelekayo kufuneka uxukuxe ngononophelo amazinyo akho, kuya kufuneka ukuba usebenzise brush with ezifumaneka ethambileyo. kwiindawo eziyingxaki kufuneka ufumane ngeenxa. Emva kweveki, ukulungele ukususa. Ukuze wenze oku, sebenzisa isisombululo ezibuthathaka zehydrochloric okanye "Chlorhexidine".

Ngokubhekiselele unikezelo, esiyithanda kufuneka banikwe ukutya ethambileyo okanye pureed. Akuvunyelwe ngokungqongqo ukusetyenziswa iziselo ezibandayo okanye ashushu ngokugqithiseleyo. Kwiveki emva curettage of ezipokothweni periodontal Kucetyiswa ukuba bayeke emzimbeni imisebenzi, ezemidlalo, yokugquma. Kweli xesha postoperative kubalulekile ukuba esweni imeko kwisisu ngomlomo. Ungasebenzisa iimveliso yococeko, eyenzelwe amazinyo ezibuthathaka. Ukuba kukho imfuneko, kufuneka ubuze ugqirha wamazinyo. Yingcali izakukhetha iinkqubo zokunciphisa iintamo zovakalelo izinyo.

Baqinisekiswa kunye nexabiso kweenkonzo

Iindleko kweenkonzo ukuze ukunyanga ezipokothweni periodontal eRashiya iyahluka kancinci. Phakathi imiba ephambili echaphazela amaxabiso, sinokubona indlela isiqabu intlungu kunye izakhono zobugcisa yeziko lezempilo. Hayi umba kuncinane ubume ekliniki. Kwi-avareji ivaliwe curettage yeendleko nepokotho periodontal ngaphakathi 5-12 thous. Engange. inkqubo Vula kancinci ngaphezulu ngexabiso (9-18 thous. engange).

Uninzi izigulane ziye batyhubela ngezifo, utyando uvelile. Ngenxa yazo, lo msebenzi - yiyo le ndlela kuphela ukuba balahle ngxaki. Kubhetele ukuba wenziwa i inkqubo evulekileyo. Le ndlela yenza kube lula hayi kuphela ukususa ezonakeleyo, kodwa ukubuyisela ithambo elahlekileyo ngokuhamba kwexesha. Ekuphela ethile le nkqubo - ixesha elide yokuphilisa. ubuhlungu ngaphantsi luphawulwa curettage okuvala ezipokothweni periodontal. Baqinisekiswa bathi kuphela lokuqala nqanaba lenkqubo zophendlo lwezifo kufuneka wabhenela aid yakhe.

Imibono malunga neendleko zonyango therapeutic. izigulane ezininzi azilukhuthazi le ndlela yokusombulula le ngxaki, njengoko ikuvumela ukuba bambambe okwethutyana ezi mpawu.

Kukukrala eyingozi kwipokotho?

iipokotho Periodontal - oku ngezifo kakhulu efuna unyango ngexesha elifanelekileyo. Yokunqongophala konyango kungakhokelela kubunzima. Phakathi kakhulu eyingozi ithumba etsolo, apho kamva uba ezingapheliyo. Lubonakala yi ukwanda izinyo ukushukumiseka kunye ukuvela intlungu. Kule meko, umntu uba nzima ukuhlafuna ukutya. Ekugqibeleni Ukutyeshela ngezifo kukhokelela kukuba le izinyo engekho ngokupheleleyo kwisokethi alveolar. Ukuphuhliswa kwenkqubo yokukrala iphela lymphadenitis kunye ukunxila ngokubanzi eziphilayo.

Prevention of kokuwela

Musa ukushiya ngaphandle ingqalelo ipokotho asha periodontal. Unyango eyenziwa ngexesha elifanelekileyo, kwandisa amathuba bachache ngokupheleleyo. Noko ke, oku akuthethi ukuba ngoku awukwazi ukutyelela wamazinyo. Emva kufuneka ikhondo unyango kwakhona ukutyelela ugqirha, uze usete ixesha elithile yena umchazi ngenxa nokungahoywa sifo. Ngosuku loviwo, wamazinyo nga kuqinisekisa impumelelo unyango, ukunika iingcebiso malunga nokunyamekelwa kwezi kwisisu ngomlomo.

Umgangatho yococeko amazinyo yonke imihla kuthintela ukuyilwa amatye, ukuthintela ukudumba epokothweni periodontal. Kuluncedo ukuba kuthathwa ukucoca professional emlonyeni kanye ngonyaka kwiziko kwamazinyo.