Kev mus ntsib kws kho hniav tsis tu ncua yuav tsum yog ib tug cwj pwm ntawm me nyuam yaus. Lawv yuav pab tiv thaiv kom tsis txhob muaj teeb meem ntau nrog cov hniav menyuam yaus, nrog rau cov kab mob loj hlob thiab nws cov nyom - mob ntses. Tiv thaiv kev tiv thaiv yuav ua kom lub cev tsim kom muaj qhov puab tsaig thiab cov pob txha ruaj khov.
Pulpit hniav - dab tsi hauv nws cov menyuam?
Cov kabmob ntu hauv nruab nrab ntawm lub qhov ncauj muaj qhov qauv txheem:
- enamel;
- dentin;
- pulp.
Cov ntsiab lus kawg yog ib qho nqaij mos uas cov hlab ntsha thiab cov hlab ntsha muaj nyob hauv. Kev mob ntsws hauv cov menyuam yaus yog txhais tau hais tias yog tus mob loj ntawm sab hauv. Kev noj nqaij muaj peev xwm tshwm sim nyob rau hauv daim ntawv mob thiab mob ntev, nws nce mus sai heev. Qhov no yog vim lub qhov txhab ntawm cov kua nplaum thiab qhov qis ntawm dentin, lawv yooj yim raug puas tsuaj los ntawm cov teeb meem kev phom sij.
Ua rau pulpitis hauv cov menyuam yaus
Qhov tseem ceeb tshaj plaws yog qhov ua rau tus kab mob ntsig nug tias yog menyuam yaus. Cov kab mob uas nyob thiab muaj me nyuam nyob rau hauv cov kab mob blackened khwb khuav tso tawm co toxins. Cov tshuaj lom no tuaj yeem ua kom puas tsuaj thiab kab mob dentin, ua rau lub plawv ntawm cov mis nyuj. Feem ntau cov kab mob inflammatory nrog kev puas tsuaj rau cov hlab ntsha pib rau lwm yam. Kev mob ntsws ntawm tus menyuam cov hniav hauv qee zaum kuj tshwm sim rau tom qab ntawm cov teeb meem nram qab no:
- kev raug mob mechanical;
- kis tus kab mob mob, nrog kev txo qis dua, kab mob bacteremia;
- ntxhib kev kho mob ntawm cov kab noj hniav thaum lub sij hawm kho;
- lo lus yuam kev ntawm lub paj hlwb los ntawm ib tug kws kho hniav;
- cov khoom siv tsis txhim kho lossis tsis muaj tseeb;
- overheating ntawm cov nqaij mos ntawm cov mis nyuj rau cov theem ntawm kev npaj;
- kev kho mob ntawm thaj chaw uas cuam tshuam nrog rau kev txhoj puab heev los yog khaus khaus.
Kab mob plab hauv me nyuam - cov tsos mob
Cov kev mob tshwm sim ntawm tus kab mob piav qhia nyob ntawm tus nqi ntawm nws txoj kev loj hlob thiab daim ntawv ntawm pathology. Muaj qee zaus, nws nyuaj heev rau tus neeg muaj tus kab mob plawv hniav - nws yog ib qho mob uas qhia tias mob tsis tuaj kawm ntawv, thiab lwm yam kev tsis txaus siab ntawm tus menyuam. Vim hais tias muaj tej yam kab mob ntawm cov kab mob, cov kws qhia tawm tswv yim tsis tu ncua mus ntsib tus kws kho hniav rau kev kuaj mob tiv thaiv.
Mob ntsev mob hauv cov menyuam yaus
Hom kab mob no yog kuaj pom thaum tsuas yog thaum muaj hnub nyoog li cas, txij li 3 txog 6 xyoo, thaum lub hauv paus tuaj yeem tsim muaj, tab sis tsis tau ua rau lub cev tsis muaj zog (natural "resorption"). Kev kis kab mob hauv plab menyuam mos ntawm cov kab mob hauv lub cev yog mob qog, mob siab heev . Nws siv zog thaum hmo ntuj thiab nyob rau hnub so ntawm kev pw tsaug zog, nrog lub zuaj ntawm lub puab tsaig thiab cov zom khoom noj khoom ua tsis tau zoo. Qhov kos npe no yog qhia tshwj xeeb tshaj yog nyob rau hauv cov kua txig ntawm cov nqaij mos thiab cov kab noj hniav.
Lwm cov tsos mob nrog rau cov mis nyuj hniav pleev:
- rhiab heev rau kub thiab txias;
- nce hauv lymph nodes;
- hnov o ntawm sab plhu lossis daim di ncauj.
Mob ntsev tsis zoo hauv cov menyuam yaus
Kev zuaj zeej feem ntau tsim tawm tsam ntawm ib qho kev mob nyhav, yog tias tsis tau kho. Kev mob ntsev ntawm cov hniav ib zaug hauv cov me nyuam muaj 3 hom:
- fibrous;
- gangrenous;
- hypertrophic.
Ib hom mob ntawm hom kab mob no yog qhov tsis muaj cov tsos mob loj heev. Cov kab mob kis tau ntawm cov mis nyuj muaj tshwm sim nyob rau hauv qhov muaj qhov sib sib zog nqus thiab ntau cov kab noj hniav, qee zaus nws tau kuaj pom tom qab raug kaw tsis zoo. Hauv 50-60% ntawm cov neeg mob pulpitis kis mus rau cov ntaub so ntswg uas nyob ib puag ncig, tshwj xeeb tshaj yog kev kho mob. Cov xwm txheej zoo li no yuav tsum tau qhia meej txog txoj kev npaj kho thiab qhov ua tau zoo ntawm qhov kev tshawb fawb X-ray.
Cov tsom iav fibrous hauv cov menyuam yaus
Daim ntawv no ntawm cov txheej txheem pathological yog feem ntau ntawm cov mob mob. Fibrous pulpitis ntawm mis nyuj hniav tuaj yeem tsim tawm ntawm nws tus kheej, tsis tas muaj cov theem sab nraud. Nws yog nrog cov cim qhia tau me ntsis, qee zaus kuaj tau tias muaj teeb meem, nrog rau kev kuaj mob nrog kws kho hniav. Tus mob fibrous pulpitis hauv cov me nyuam muaj cov tsos mob nram qab no:
- ib qho loj ntawm cov quav hniav ntawm cov hniav los ntawm kev cuam tshuam sab;
- palpable mob thaum noj mov, active zom;
- tsis xis nyob thaum ua pa ntawm cua txias los yog siv cov dej qab zib txias.
Gangrenous pulpitis
Hom kab mob no yeej ib txwm tshwm sim tawm tsam tom qab ntawm tus mob purulent los yog mob fibrotic o, uas tsis tau kho. Rau cov kab mob pathological yog qhov sib npaug ntawm cov tshuaj Microflora. Cov kab mob Pathogenic thaum lub neej ua tawm cov co toxins uas ua rau tuag ntawm cov nqaij mos ntawm cov hniav thiab cov hlab ntsha hauv nws. Vim li no, qhov mob ntawm tus mob no yog tag nrho tsis tuaj, los yog tsis tshua muaj thiab tsawg tom qab noj zaub mov kub, haus dej.
Tus mob gangrenous pulpitis - cov tsos mob:
- ib qho tsis kaj siab, muab hnav los ntawm lub qhov ncauj , ib qho zoo sib xws tom qab;
- pauv cov xim ntawm cov mis nyuj hniav, kis tau ib qho grey los yog dub hawj ;
- siab ntawm heaviness, raspiraniya nyob rau hauv lub puab tsaig.
Hypertrophic pulpitis hauv cov menyuam yaus
Qhov piav qhia txawv ntawm kev mob rau cov kab mob tshwm sim los ntawm kev siv tshuaj tua kab mob ntev heev ntawm cov ntaub so ntswg ntawm cov mis nyuj hniav nrog rau qhov muaj zog ntawm qhov khoom tawg. Cov kab mob hypertrophic pulpitis yog lawv cov kab mob loj hlob, ua kom puv cov kab noj hniav zoo nkauj nrog cov phom thiab cov txheej txheem txuam muag. Daim ntawv ntawm tus kab mob no tsawg, feem ntau ntawm cov menyuam uas tsis tuaj yeem mus ntsib kws kho hniav tsis tu ncua.
Hypertrophic pulpitis ntawm cov hniav mis nyuj yog pom los ntawm tej kev mob tshwm sim xws li:
- los ntshav cov pos hniav thaum noj mov thiab tu cov txheej txheem;
- muab cov quav hniav tso rau ntawm cov kaus hniav ntawm sab sab;
- catarrhal gingivitis ;
- qee zaus - mob me me thaum zom.
Tus me nyuam muaj ib tug hniav mob uas ua li cas?
Qee cov niam txiv tsis quav ntsej txog kev kho mob ntawm cov pob txha ib ntus, uas yog hais txog qhov tseeb tias lawv yuav poob sai sai. Qhov no yog ib qho tsis ncaj ncees lawm, nws yog qhov tseem ceeb rau kev tu ncua thiab tiv thaiv cov hlab pas ntawm cov menyuam yaus cov hniav - kev kho mob yog qhov tseem ceeb heev kom tsis txhob muaj teeb meem ntawm txoj kev mob nkeeg thiab rov qab kho kom zoo dua qub. Thaum tsis muaj kev kho, qhov mob ntawm tus kab mob yuav kis mus rau cov mob tsis zoo, loj tuaj yeem tshwm sim tau, mus txog rau qhov kev mob ntawm cov hauv nruab nrog cev thiab sepsis.
Pulpit ntawm ib tug hniav mis - los kho lossis rho tawm?
Hauv kev kho hniav niaj hnub, nws tsis tshua muaj tsawg dua rau cov kua tawm ntawm cov pob txha ib ntus. Thaum nug txog seb puas tsim nyog los kho tus mob pulpitis ntawm tus menyuam cov hniav, txhua tus kws kho mob uas tsim nyog yuav tau txais txiaj ntsim zoo. Nws yog ib qho tseem ceeb rau qhov tsim kom muaj lub puab tsaig, qhov chaw ruaj khov, ua rau cov me nyuam txaus siab tu lub cev thiab kev mus ntsib kws kho mob rau kev kuaj mob tiv thaiv.
Kev kho ntawm pulpitis ntawm cov hniav mos liab ntxiv:
- tswj cov hniav ib ntus kom txog thaum lub caij nyoog uas muaj kev puas tsuaj tas mus li ;
- txhim kho qhov zoo nkauj ntawm qhov kev sib tw;
- tiv thaiv qhov tshwm sim ntawm tus cwj pwm phem hauv tus me nyuam (hnov nrog tus nplaig ntawm cov kab noj hniav);
- normalize zom zog;
- kho cov lus ntawm cov lus thiab cov tsiaj ntawv.
Txoj kev kho ntawm pulpitis nyob rau hauv cov me nyuam
Muaj ntau ntau txoj hau kev rau txoj kev kho ntawm txoj kev mob nkeeg:
- Cov kev txuag lossis kev txheeb raws roj ntsha txoj kev kho ntawm pulpitis hauv cov menyuam yaus. Txoj kev siv tshwj xeeb tshaj plaws nyob rau hauv cov theem thaum ntxov ntawm tus kab mob mob lossis mob fibrous nrog mob ntiav. Cov txheej txheem no muaj kev txuag ntawm tag nrho cov qaib. Txoj kev kho yog tus txheej txheem hauv 2 zaug. Thaum thawj txheej txheem, cov cheeb tsam muaj qhov sib txawv, muab cov tshuaj sib tov nrog tshuaj antiseptic uas tshem tawm cov kab mob yog muab tso rau hauv tej qhov chaw tas. Lub sijhawm ua haujlwm thib ob, ib lub foob muab tso rau. Qee zaus kev txhom kho kev kho mob ntawm cov kua mis hniav ntawm cov hniav mis yog ib qho kev tuaj xyuas, yog tias qhov kev mob ntawm cov kab mob tsis muaj zog thiab tsis muaj pob txha thiab cov nqaij mos ntau dua.
- Txoj kev vam meej ntawm txoj kev kho. Amputation yuav tshem tawm tsuas yog sab qaum kev ntawm lub pulp (nyob rau hauv tshuaj loog). Lub viability ntawm lub hauv paus mos cov nqaij mos yog khaws cia. Thaum muab tso tawm, lub plawv hniav raug ntxuav tag, thiab cov voids uas ua voids muaj puv cov ntaub ntawv sau.
- Devital txoj kev kho mob. Xws li cov kab txawv no yog siv tau los siv yog tias qhov sib sib zog nqus pulpitis ntawm cov hniav mis nyuj lawm. Ua ntej pib los yog tso tawm, nws cov ntaub so ntswg, as Well as ze ze, yog sacrificed thiab mummified nrog tshwj xeeb npaj, tom qab uas ib lub foob tau tsim.
Kev kho mob ntawm tus menyuam mos cov kaus hniav hauv cov menyuam yaus - theem
Qhov zoo tshaj plaws ntawm txoj kev kho yog qhov tseem ceeb thiab kev ua haujlwm ntawm kev ua haujlwm. Qhov kev kho mob ntawm cov pob txha ua pob txha nyob rau hauv cov me nyuam yog nqa tawm mus rau 2-3 zaug. Thaum txhua qhov kev sib tham, tus kws kho hniav tsis tsuas yog ntxuav cov kab noj hniav, ua kom mob thiab ua kom rov qab muaj lub txiaj ntsim ntawm lub yas, tab sis kuj soj ntsuam kev npaj kho mob, ntsuas qhov kawm ntawm nws qhov kev ua tau zoo.
Ntawm no yog li cas txoj hlab pas ntawm cov mos ab hniav raug kho:
- tshuaj loog;
- tu thiab kho antiseptic ntawm thaj chaw puas;
- lub txim ntawm tshwj xeeb kev npaj (tshuaj tua kab mob, devitalizing pastes);
- ntxiv tu cov dej carious;
- ua tiav lossis ib feem ntawm kev rho tawm plawv;
- paus kwj deg ua haujlwm;
- txhim kho thiab kho tshiab ntawm lub crown.
Teeb meem ntawm kev kho mob ntawm pulpitis ntawm me nyuam mos cov hniav
Kev Hloov Pediatric yog fraught nrog ntau nuances, xws li kev ntxhov siab ntawm cov neeg mob hluas, uas hinders tus kws kho mob, thiab xaus nrog lub peculiarities ntawm tus qauv ntawm lub puab tsaig thiab nws cov plab hnyuv siab raum. Hauv qhov no, tom qab kho cov txheej txheem, cov teeb meem qee zaus kuj tshwm sim uas yuav tsum tau kho tam sim, kev tu mob. Nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho mob tam sim ntawd yog tias muaj kub ib ce. Kub siab tom qab kev kho mob ntawm cov leeg txuam hauv cov me nyuam qhia tau hais tias muaj zog mob.
Lwm cov teeb meem tau:
- gingival hemorrhage vim kev raug mob ntawm cov nqaij mos;
- mob siab khaus, hlawv nrog kev tsis zoo ntawm kev kho mob muab tshuaj;
- o thiab o vim muaj kev puas tsuaj rau lub hauv paus los yog tawg tsam ntawm kev kho hniav hauv cov kwj deg.