Chii periodontitis? Kupatsanura neMarapirwo

Periodontitis ane mhando mbiri chirwere, uye marudzi akawanda, izvo zvisingapindirani kuratidzwa dzavo uye migumisiro. Zvakakosha kuti nenguva uye zvakarurama rokuongorora, nokuti zviratidzo akafanana nezvimwe zvirwere mazino, uye migumisiro kukodzera kurapwa kunogona kutungamirira mavende.

About chirwere

The connective zvinyama pakati zino uye Formação de inonzi periodontitis. Chii periodontitis? Inguva kuzvimba zvinyama rine node, tsinga, tsinga. Periodontal kutakura damper basa - kana kutsenga zvokudya, izvozvo kunoderedza mutoro pamusoro zino, zvakaenzana kuatumira kune pfupa. Periodontitis kunoitika muna maviri siyana - chakasimba uye chisingaperi. Chenjera - isingawanzowanikwi chakajairika, sezvo kazhinji kuzvimba anononoka, ane nguva refu hunhu uye kwenguva refu haana unooneka neipi zviratidzo nguva.

Zvinokonzera chirwere

The chikonzero chikuru periodontal chirwere - kupinda periodontal utachiona. The nzira kwayo kupinda kunogona zvakasiyana, uye hosha rakakamurwa mhando maererano:

• intradentalny (vnutrizubnoy), ndiye mugumisiro yematambudziko pulpitis (kuzvimba dzakawanda mazino munyama);
• ekstradentalny (vneshnezubnoy) anova nokuda yezwi periodontal hweHIV akapoteredza nyama iri sinus, osteomyelitis.

Chikonzero periodontitis anogona nechokuita chirwere. Kukura kuzvimba dzimwe nguva inotanga nokuda kunotevera kana kuona zvinodhaka. Maererano neizvi zviri zvimwe zviviri marudzi periodontitis. Kurapwa sizvo Mabatirwo pulpitis, yakarova kunovhiringidza zvinhu zviri periodontium. Chii periodontitis zvinorwadza, zita rinoreva: richiwanika nokuda zvokuimba kukuvadza mazino tishu.

Zviratidzo ane rikwanise fomu

Kuratidzwa chenjera periodontitis:

• ndichinzwa zino uye nharaunda yakapoteredza;
• soreness kana wabata kuti zino;
• kuzvimba pamatama, miromo, matadza;
• zino mufambo;
• panowanikwa fistula - buri chingamu kuburikidza inoyerera pus.

The kutanga kwekupwanyiwa maperembudzi dzinoratidzwa patainzwa marwadzo uye kwakawedzera kana achingomutambudza pamusoro zino. With pakuzadzisa kuzvimba uye kuchinja purulent fomu nezvekufadza kuva unopinza uye yakareba refu. Dzaparadzwa mazino anogona kuzununguswa nokutsikirira nomunwe wako matadza kuonekwa nekubudisa. Ndirasikirwe mukuru ezvinhu muviri, munhu anova usimbe, anonzwa simba, pangava hope vachivavhiringidza, fivhiri.

Kuratidzwa chisingaperi siyana

Chii chisingaperi periodontitis tichitarisa zviratidzo? The chirwere kunoratidza pacharo nevanhu vanyoro zviratidzo: kunzwa waziya uye distention, kusagadzikana, kurwadziwa simba sei zino apo kutsenga. Dzimwe nguva chimiro ichi periodontal chirwere ari kuona chete pashure X-ray. The chirwere fomu kazhinji kunotungamirira mavende uyewo kuratidzwa kwayo anenge nyarara uye vanhu vakawanda havagoni kuti zvakakodzera kuti chiremba. Mhedzisiro kuregeredza kwakadaro kunogona kuva chikofu mudzi, kunoda kubviswa zino. Chirwere periodontitis zvingaitika pamwe nemamwe matambudziko kuti nokuitika zviratidzo zvimwechete rikwanise chimiro.

Marudzi periodontitis

Chirwere periodontitis zvichienderana hunhu kuzvimba akakamurwa zvitatu mhando:

• Fibrotic. Unonyanya Hakuna Basa chimiro, anova nokuda mazhinji kuona periodontal zvirwere. Untreated unobuda zvinotevera chimiro.
• Granulating. It dzinoratidzwa nokuchinja periodontal zvivako, kukura granulation tishu.
• Granulomatous. Granuloma inotungamirwa.

Kana Mabatirwo periodontitis is, chirwere zvishoma nezvishoma kutamira kubva kupenya kusvikira kupfuura yakaoma chimiro.

Chirwere periodontitis zvinogona zvinorwadza. Kunoratidza pacharo pasi kugara mutoro pamusoro zino, apo pasi-unhu mumakomba, kana chokuita nemamiriro chinhu. Kazhinji ichi Chirwere ichichinja periodontitis kana kuzvimba anoenda pamusoro chingamu uye mapfupa.

Localization govera shoma uye apical periodontitis mhando. Wokutanga kunosanganisira lesion pamusoro basal Kamudzira uye rusesi kuzvimba zvakunoita wechipiri nemarunda izvo vanobatisisa zino iri alveolus. A isingawanzowanikwi chimiro chirwere - iri retrograde, kana utachiona achipinda napakati node uye ropa midziyo.

Mhando chenjera periodontitis

Chenjera periodontitis hwapedyo nokukurumidza. Mumazuva maviri kutanga chimiro chirwere anova purulent. Pane matanho mana periodontitis rikwanise chimiro:

• Periodontal. Purulent kuzvimba haridzimi mhiri periodontal crevice.
• Endosseous. Zvakakanganisa pfupa.
• Subperiostally. Kuzvimba inokura, chobudira pasi periosteum.
• Submucous. Urwa anopinda nyoro tishu.

Diagnostics

Rokuongorora chirwere kubva kwese zvekuchipatara kuratidzwa: marwadzo, kuzvimba. On kuongororwa, chiremba anogona kuona chingamu kuzvimba, akatsvuka, zino vanodzungunyika, akamuputira nokuumbwa pus. The chikuru kutituma iri nechirwere ane bhokisi X-ray. In mufananidzo kunoratidza achiipa akasimba pamusoro zino mudzi - purulent mubhegi. Kana murwere vaifungidzirwa periodontitis, mapikicha zvakarurama kuona chirwere uye padariro kukura chirwere.

differential kuongorora chirwere

Kana chirwere zvakaoma kusiyanisa mumwe chirwere kubva mumwe, sezvo pane zvirwere zvakawanda dentistry, izvo vanoratidza zviratidzo zvimwechete. Differential chirwere kuti periodontitis ndiko kuziva mhando chirwere uye kusiyanisa kubva vamwe. Saka, papurupiti - zvakafanana chirwere, asi zvinokanganisawo zvinyoronyoro munyama - the pulp uye panguva kuparadzwa kwayo nokuda kwokushayiwa Mabatirwo kuzvimba uye kufambira mberi chirwere Chinopinda mberi, zvichiita kuti periodontitis. To kurapa periodontitis kwave zvibereko, zvakakodzera nemazvo kusarudza chimiro chayo uye chimiro.

fibrotic periodontitis

Refu kushoma achiperekedzwa dzokuchinja remissions uye exacerbations, tibvunze rokuongorora chirwere fibrotic periodontitis. Kazhinji, haina unooneka kwenguva yakareba. Rokuongorora kwakakanganisa, sezvo kunyange kutanga zviratidzo zviri nyore kunoitwa nezvimwe zvirwere mazino. Most raidudzwa zviratidzo fibrous periodontitis: zino achiipa migero marwadzo kana probed wayo kusavapo pasi zvinoitwa kupisa, uye palpation. Mhaka chirwere - utachiona pamwe tusingaoneki zino munyama. Kazhinji chenjera periodontitis makabva mugomba chirwere fibrotic panguva sizvo kurapwa kana kushaya. Ipapo munhu anonzwa azorodzwa uye kutsakatika zviratidzo, asi zviri chete anotsausa, nekuti kushoma kuramba ichishanduka kuva zvikuru chimiro. Uyewo, chikonzero inogona kurwisa caries, zvokuimba kukuvara.

Treatment anotora nzvimbo panguva inotevera zano:

• analgesia (kune rufu pulp haina kuzvireva);
• nokuchenesa zino hukawanika ari nebheji;
• nokubviswa ane zino rinenge rakabuda ruvara;
• dzichibvisa pulp;
• Root Canal ekisitenjeni, kugeza nokuripisa akambozvishandisa kuuraya utachiona dambudziko;
• mutsinga dzinofamba nemukaka chisimbiso.

Pfungwa mudzi Canal mabatiro periodontitis Zvinogonekawo nokushandiswa itsva nzira dzakadai diathermy (moxibustion uye mbereko achishandisa yakakwirira Frequency kuitika) uye Ultrasound.

granulating periodontitis

Chii periodontitis granulating? kuwanda ichi granulation rinenge chokumusoro chikamu zino mudzi, achiperekedzwa nokuparadzwa pfupa uye periosteum. Kunoitika nokuda chirwere, kazhinji munhu kuomesa kwakaita mazino, yakanyanya periodontitis, pulpitis. Kungavawo pamusana kunotevera: nokutyora, kukuvara, dislocation pamusoro zino zvakanaka akagadzawo chisimbiso muchishungurudza anokonzerwa zvinodhaka chokubata mudzi yaNire, malocclusion. Kana granulating marwadzo periodontitis kuitika pamusoro dög, akarova, tembiricha musiyano, uye pasina zvokuimba chiito.

Zino mufambo ari kuchengetwa, purulent kubuda, izvo inoenda mweya yakaipa, Hwakatsvuka pamusoro gingiva. Kusembura kungaita abscesses, granulomas inotungamirwa, kupinda mabhakitiriya muropa kuti chinokurwadzai Kurwara uye nezvirwere zvakasiyana-siyana zvomukati. Marapirwo kunosanganisira kugeza mudzi yaNire, utsanana, kwenguva zvisimbiso shasha kudzora aibuda kushoma. Kana kunoita chirwere rinomira, unocherekedza ari gutta percha uye korona zino anomutswa. Kana kuti wemazino haaoni zvakanaka mberi kurapwa, zvakafanira kushandisa zvikuru nechiyero - kubviswa.

granulomatous periodontitis

mhando iyi chirwere kunoratidzwa nokuchinja mune zvinyama nemamiriro uye kukura itsva - granulomas. Panguva kutanga kwekupwanyiwa, chisimbiso izvo kuchiita kuzvimba akazadzwa utachiona, masero masoja, fibrous uye masero granulemnymi. Pakupedzisira, pasina kurapwa, hosha hunokonzera cysts, mapfupa inoparadza.

Chirwere granulomatous periodontitis hwapedyo nokuti chete nezvikonzero sezvo vamwe mhando - chirwere nokuda matambudziko anoitika caries kana pulpitis, murombo kurapwa. Akaratidza kusanzwa apo vachidya, achiipa korona chikamu. Dzakaonekwa ne X-ray kuzviongorora. Kusembura kunoratidzwa irwadziwe, kuzvimba matadza uye kuzvimba node nodes.

Kana untreated chikofu aumbwa, kuti zino anofanira kubviswa. Treatment kungava kuchirapa nzira zvinosanganisira pakuwedzera gwara, ayo utsanana, vachiita zvinodhaka kuparadzwa uye granuloma tishu patsva. The kuvhiya nzira kunobatanidza chingamu nokuveza nokubvisa chikamu mudzi ane granuloma. Mushure zvinodiwa nevamwe uye suturing.

Non-rwarisa periodontitis

Dzechimwe periodontitis kunoitika muna maviri siyana - chakasimba uye chisingaperi. Wokutanga kunoitika kana kuzvimba Rinobatanidzwa yokukuvara nokuda kuvhunduka. It akaratidza ari misha ane zino, ayo mufambo, nyoro zvinyama atsamwira uye, sezvo zvakaguma korona ruvara shanduko, mudzi kutsemuka. Yechipiri chokuita chenguva zvokuimba chiito pamusoro zino uye hombe mutoro, zvichitungamirira kukuvara (semuenzaniso, nokuda vanokara occlusion kana murombo chisimbiso). Nzira Mabatirwo periodontitis dzechimwe vari anowanzodanwa chokuita kubviswa munhu akakanganisa nezino.

Medical periodontitis kunoitika pasi nemadhiragi, izvo anoshandiswa mumakomba uye dzimwewo nzira. Izvi Chirwere kunogona kuva nemhaka kusanganisira neutachiona zvinodhaka.

vapore

Pashure Mabatirwo periodontitis kungaita kusanzwa uye pfungwa kumanikidzwa, iro chokuita muropa kuti muviri kuti kuzadza zvinhu. Kazhinji Zviratidzo izvi inonyangarika mumazuva mashomanana kana izvi zvikasaitika, unofanira kushanyira wemazino. Mukati vaviri - matatu maawa mushure kuvhiyiwa unofanira kurega kudya nokunwa, uye mune ramangwana kupa zororo kuna zvakakanganisa zino - regai kutsenga kurutivi rwake. Zvinokoshawo kuti kungwarira kana Kukwesha mazino ako, kudzivisa fodya uye doro, sezvo irritants izvi zvinogona kukonzera ropa.

Mitanhatu pashure kurapwa inofanira kuongororwa nachiremba uye kuzodzosera kuita chinhu X-ray richiona repfupa tishu chokudzorerwa. Qualitatively vaurayiwa mashandiro rinomira kuzvimba, kunoita zvinyama patsva, haakonzeri matambudziko uye recurrences chirwere pamusoro nguva iri zvakazara akadzorera dög kushanda dentition. Kana pashure kurapwa marwadzo zvikaramba uye kunosimbiswa, pane ari kuzvimba matadza, tembiricha inokwira, saka kurapa rakanga raitwa havaratidzi uye haana yabudisa achida mugumisiro. Muchiitiko chino, unofanira kushanyira kukiriniki kuti retreatment.