Chirwere uye Mabatirwo pulpitis

Papurupiti - chiri kuzvimba kunokanganisa nyoro munyama, uye pamwe neurovascular hurongwa chokuita zino mhango. chirwere ichi kunoratidzwa mberi paroxysmal marwadzo, kazhinji kupararira kune yose shaya, kuripa Nzeve, rwepanyama nzvimbo uye kunosimudzirwa usiku. Papurupiti hakuiti kupfuura pachayo, pane kukurumidza tinofanira kubvunza chiremba wemazino. Pashure Mabatirwo pulpitis nechirwere ichapiwa nyanzvi, uye ipapo kusarudza nzira kurapwa kwakanakisisa. Kana murwere yakanyorerwa munguva, kurapwa Mugumisiro zvakanaka. Kana kunonoka uye kumirira chii chichaitika inotevera, ipapo pakupedzisira zvaitika kunogona kuva dzakakomba zvikuru: periodontal kana radicular chikofu. Pulpitis kungazviratidza munzira dzakawanda, uye mumwe nomumwe ari pamwe kwayo chaicho symptomatology.

Pulpitis: kupatsanura

Amboita pulpitis chirwere, chiremba anogona mishonga kurapwa kwakakodzera iyo inoguma kuporesa zvakakwana ukama zino. Pulpitis zvichienderana pachikuva uye mukurwara unhu kunooneka pacharo munzira dzakawanda:

• Chenjera pulpitis rakakamurwa zvatichiri uye diffuse. The chenjera fomu - ichi ndicho kwokutanga pavaipfuura chirwere. Kuzvimba riri sezvo pedyo mhango. Symptomatology akaratidza muchimiro inopinza vaingoerekana marwadzo ayo agare kubva maminitsi mashoma kusvikira paawa. Kamwe iye anogona kudzikama kwete uye kuti vavhiringe maawa mashoma, asi rinooneka achiipa usiku. Zvinogona kuitika kusagadzikana mune zino, kunoitika nokuda migumisiro kuitika, uye hazvipindi refu chaizvo. Panyaya iyi, murwere anogona tsanangurai nyore izvo zino kuchirwadza, uye ipapo chirwere kuti pulpitis zvichabviswa akwanise.

• Chenjera diffuse pulpitis. Panguva ino, chokutsva runosvika kune yose pulp. Murwere anotambura tichibatwa irwadziwe, kusunungurwa anouya kashoma, uye zviri pfupi. Uye pashure nedanho serous vakabatana chinoda kugadziriswa, kurwadziwa inova kugara, uye motsungirira nechekare nyore asingagoni. Runonzwika zvenyama chikamu yatumbuka uye imwe hafu shaya idivi ndichinzwa zino. Kubva kutora zvokudya inopisa kana kunwa marwadzo kuwedzera, uye kubva kutonhora unoburukira. Izvi zvinogona kutora kusvika mazuva 14, uye kana kuti ichi nguva pulpitis nechirwere haana kuitwa, zvino anova chisingaperi.
• Chirwere pulpitis iri pakubhadhara akawanda: fibrous, hypertrophic, gangrenous uye Retrograde. Chirwere fibrous pulpitis sokuti pashure kusachengeteka kukuru chimiro anova chisingaperi. Nguva iyi pamwe kwazvo vachirwadziwa marwadzo, kazhinji chinoitika kana kudya kana kufema mhepo inotonhora. Hypertrophic chimiro apo carious mhango chokuita mhango pakati zino. Zvadaro, mukuru slurry achiumbwa uye ari kuwedzera chichiitwa iyo anonzi polyp, nezvizere nzvimbo. Murwere anonzwa kurwadziwa kana kutsenga, kune kubuda ropa. Gangrenous chimiro kunoratidzwa muna kamwe, zvokuongorora hakuna ichiitwa nenguva tsika apo papurupiti haana kuona munguva, kwakaguma chokuti iri achirwadza zino atora chinonyangadza chirwere. Murwere sokuti mweya, hwega marwadzo. Retrograde mhando - chirwere chimiro, aine paumbwe pamusoro periodontal muhomwe, zviri mavari uye kuenda utachiona. Utachiona nomunyika mudzi yaNire, yakarova nyoro zvinyama uye kuita kuti chokutsva. Pfupa rinenge riri resorbed mudzi, muchiitiko ichi, kuti munodikanwa kuitisa kurapa uye kuita zvose zvinobvira kubvisa pulp. Chirwere, kurapwa pachishandiswa ruzivo vanachiremba kuchabatsira kuchengeta mazino pedyo. Zvakakosha kutsvaka rubatsiro nenguva.

nzira ano chete kuti zvive nyore kuziva mangwanani nzendo pulp. The kiriniki, chirwere differential chinogona kuitwa, zviri muguta ripi. Pane rubatsiro ane kururama chirwere.

Munguva idzi ano, apo zvemichina haisi akamira, kuziva tanga chero mhando chirwere haisi nyore. Achishandisa nzira itsva dzokubvisa uye midziyo inogona nyore chirwere pulp. Diagnostics mukurapa ano rinogona zvakawanda siyana, uye mumwe nomumwe wavo chaizvo inobudirira. Saka, apo kwacho kunotanga pashure murwere rubatsiro:

• Detailed kuongorora. Chiremba anonyora zvose zvichemo murwere, anowana mhaka kurapwa, hunhu marwadzo uye kuwanda kuonekwa. Ongororo iyi kunobatsira vazopa zvakarurama kuongorora chirwere.
• Inspection of nomumukanwa mhango. Zvinonzi kuitwa nokushandiswa dzinokosha zvishandiso, chiremba anoongorora mazino, apo kare akaisa zvisimbiso, tarisa kuti kuvapo gingival kuzvimba.

• Vakaona. Chiremba wemazino anoongorora muromo ane vachiongorora. nzira iyi kunoita kuti kunyatsotaura kuona ukuru kukura chirwere. Apo inoda kufunga zvichiita kuti pave mamiriro ose dentin pasi uye madziro mhango iyo udzamu wayo, uyewo kuti aongorore pulp kubva kunze. Asi chinhu chikuru ichi muitiro - ndiko kutanga chokuita mhango pakati pulp yomukati.
• The tembiricha dzokuenzanisira. chirwere ichi rikwanise pulpitis kana mumwe chimiro kunosanganisira kugara kumusoro uye shoma tembiricha iri zino pulp. Nzira iyi kunobatsira kupedza mufananidzo uye kudzidza pamusoro mamiriro nyoro munyama.
• Electric pulp bvunzo. Nzira iyi inobva chokwadi yokuedza kwaiita pulp kuti magetsi. The kumusoro ari akaratidza zviratidzo kuzvimba, dzakanga matsva. Nzira iyi inobvumira kuti kuona mwoyo zvikuru neurovascular tsapo, uye kuziva, ndeipi chinangwa chokutsva. The kwakadzama kwayo nzvimbo, akasimba ari kuitika, uye kana pulp zvachose anyangarika, murwere vachanzwa chaizvo.
• X-ray. Inogona kukubatsira kuwana zviri zino mamiriro, kusarudza kuti chirwere yakatanga, uye kuona migumisiro kurapwa, rakanga raitwa kare.

Asi pane imwe nzira inokosha inoita kuti kuona munhu chirwere fibrous pulpitis - differential kuongorora chirwere. Asi chii chiri?

Differential kuongorora chirwere kuti pulpitis

nzira iyi nechirwere ndiyo yakanaka idzodzo nguva kana uchida caries yakadzika kusiyaniswa nekuora pulpitis, nekuti zvose zvirwere izvi zvinoda ZVAKASIYANA kurapwa. Kana pulpitis pakurwadziwa unovapo pakuona irritants, hazvirevi kuyambuka 20 maminitsi uye dzimwe caries nayo aserera nokukurumidza akabvisa anotikurudzira.

Asi kuti kusiyanisa kubva munhaurwa yakawedzera chisingaperi periodontitis Zvaizovawo zvakakwana kugogodza pamusoro dzava zino. Kana murwere ane periodontitis, kugogodza achaita zvakanaka.

Diff. pulpitis chirwere pamusoro hypertrophic siyana acharatidza ropa zino nomuviri chiito, uye chiratidzo ichi achasimbisa nechirwere, kurwadziwa muchiitiko ichi haisi chaizvo kududzwa.

Kana murwere fibrous pulpitis, nechirwere kuchaita kuchengeta pasi paiva dentin mu mhango iri yakavhenekerwa ari pulp. Kana iwe abata vachiongorora panguva ino, murwere anonzwa kurwadziwa.

Panguva nechirwere ose hypertrophic siyana anofanira kunze mamwe chirwere - kuwandisa gingival papilla. Kana ichi chiri papilla, zvinokwanisika kuti kuvaparadzanisa vachiongorora.

Differential chirwere kuti rikwanise pulpitis uye kuzvimba ari trigeminal etsinga kunobatsira kuziva marwadzo kuti usiku kunowedzerwa zvikuru. Asi kana neuralgia, mumwe usiku iye anoenda.

Kamwe nechirwere chaiitirwa echirwere pulpitis kana mumwe chimiro, uye chirwere chinoitwa, kuti akasarudza kunyanya nzira yokurapa mumwe zvikuru nyaya yacho chete nzira yokuti vabudirire igadzikane akanaka pamusana kurapwa.

How kubata pulpitis?

Features pulpitises kurapa kuvimba muchimiro zvokurwara, uyewo nzendo kukura chirwere, kana isu kutaura mashoko nyore, kuregeredza chirwere. Kwokutanga murwere kutsvaka rubatsiro rwenyanzvi, nani mikana kuti aponese zino. Mushure wawana zvimwe chimiro chirwere, semuenzaniso, chisingaperi pulpitis (differential chirwere ari yakarurama zvokuongorora unoshanda chaizvo), chiremba achasarudza nzira kurapwa, anozopa Somugumisiro yakanaka. Asi ngatitorei vanyatsoona chii nzira dzakashandiswa vanachiremba pakurapa nerimwe siyana pulpitis.

chenjera pulpitis

Ichi chimiro chirwere ikarapwa mumatanho matatu:

1. Dzadzimwa pulp sei kuzvimba, muitiro inopfuura pasi yokutindivadza, uye zvadaro murwere mushonga mazano mudzi migero.
2. Kuzadza mudzi yaNire, muchiitiko ichi, chiremba anoshandisa rinokosha sealant.
3. Kudzorerwa nezino korona, chisimbiso zvinoreva kubatsira.

serous pulpitis

Ichi chimwe chezvinhu zvakafanana siyana, zviri mhando mbiri: diffuse kana zvatichiri. Vaviri siyana izvi zvinogona kurapwa nyore kana kurapwa akatanga mangwanani. Chokutanga, chiremba Anochenesawo zino kubva dentine, carious. Zvadaro akaisa chisimbiso, asi pasi payo vanoda lining pamwe calcium, uyewo kushandisa bhandeji ane mushonga, kubatsira kuumba dentine yechipiri. Asi mishonga chete kubatsira kana murwere ane chirwere chimiro chirwere.

Uye kana izvi yave kutanga pamusoro nguva, ipapo chiremba ringavakurudzira dzichibvisa mazino pulp uye tsinga.

purulent pulpitis

chimiro ichi anonzi imwe yenzvimbo ngozi. Pamusoro pazvo, zvokurwara anogona kuva zvatichiri uye diffuse. Kana zvatichiri siyana pulp akarova zvishomanana uye diffuse zvachose. chimiro ichi chinogona kurapwa chete kuvhiyiwa. Chiremba inochenesa mudzi migero uchishandisa nzira inokosha kana devital. kurapwa Izvi chaizvo kunzwisisa, saka zviri nani kuti ape basa iri kuti anokwanisa nyanzvi.

Kurapa chimiro ichi hakushande kuti zuva rimwe, zuva kekutanga chiremba anoita manipulations dzakadaro:

• unonyaradza marwadzo, izvozvo anovhura ndokurinatsa ane mhango pakati mazino rinenge carious;
• disinfects ari mhango antiseptics;
• Muchishandisa vachiongorora che- nyanga yacho pulp;
• Inopinda mukati zino namatidza pamwe Arsenic kuti akanga abatsira kuuraya etsinga;
• Inoita duku zvekupfakira.

The kechipiri kuti chiremba inopa nokuti nzira dzakadaro:

• kubviswa kwenguva zvisimbiso;
• yamunobvisira pulp kubva pamudzi Canal;
• akambozvishandisa kuuraya utachiona kurapwa channel;
• zino zvekupfakira ;
• kudzorerwa nezino korona.

randakambosangana naro pulpitis

chimiro ichi chinogona kubatwa sezvo conservatively uye surgically, zvose zvinoenderana ukuru kuparadzwa pulp. Kana pachena pana pamitsipa zino uye chikamu chiduku chete kwayo, uye zino haisi sei caries, iri kuchinja mabatiro anopa nemigumisiro yakanaka. Uye kana Makakamura chimedu zino pulp uye akarova zvakaoma, chiremba ichahubvisira kuti arege kutsamwisa kukura kushoma.

chisingaperi pulpitis

In chimiro ichi chirwere kuchinja kurapa hakusi inobudirira. The chete kusarudza zvakanaka - ndiko kushandisa kuvhiya nzira. Kuoma kunzwisisa chimiro ichi ndechokuti nemurwere may kwenguva refu uye havana zvokufungidzira kuti zino rake airwara. Wanikidza abnormalities chete kana x-ray.

Zvichienderana chimiro chirwere chiremba achashandisa rimwe inonyatsobudirira nzira. Zvinonzi vaiona nzira akanakisisa zvabatanidzwa apo chiremba anoshandisa akawanda marapirwo kuti pakupedzisira kuti kunaya zvakakwana.

fibrous pulpitis

Kana murwere chirwere chisingaperi fibrous pulpitis, mishonga iri kubvisa pulp kuti sei fibrosis. The nzira ine matanho akawanda uye rinoitwa pasi zvomunharaunda yokutindivadza:

• carious mhango inovhurwa ndokuchenesa kubva caries;
• inorwisa utachiona kurapwa rinoitwa;
• resection of septum;
• kubvisa chikamu in coronal pulp, rikarova fibrosis;
• ekisitenjeni hova nokubvisa pulp pamwe fibrosis;
• antiseptics kugadzira;
• nekuisa pfupi zvekupfakira.

Mazuva mashoma gare gare kwekanguva zvekupfakira kuchatsiviwa kugara.

hypertrophic pulpitis

chimiro ichi kunoratidzwa nezvokukura granulation rinenge pulp, zvichiguma ropa riyerere kwakakanganiswa. Zvichienderana rwakadini kukuvadzwa chiremba anogona kushandisa mumwe kurapwa maviri:

• rushoma nokubviswa pulp, chete njodzi nzvimbo;
• kwakakwana nokubviswa pulp, kana zviri vakashamiswa chose.

Kana pulp yabviswa zvachose, umo nyaya zvakakosha kwazvo kuchenesa mudzi yaNire, uye pashure pavo chisimbiso. Kana nzira zvose zvinoitwa zvakanaka, chokutsva hariwaniki.

gangrenous pulpitis

Uyu ndiwo mumwe zvakakura siyana, kana yose zino rinowisirwa, uye pulp wakafukidzwa maronda. Mabatirwo chimiro ichi anonzi kunorwadza. Nzira inonyanya Zvakanyanya Kunaka Panguva Yepamuviri anonzi kuti kubviswa zvachose pulp, kana pulpectomy. The nzira ine zvinotevera mumatanho:

• yokutindivadza;
• kuvhura mhango chacho wandei;
• achibvisa in coronal chikamu pulp;
• ekisitenjeni hova nokubvisa pulp kukanganiswa kuzvimba;
• moxibustion tsinga electrocoagulation Saka kunogona svota;
• nokuomesa;
• kushandiswa akambozvishandisa kuuraya utachiona dressings;
• mugero zvekupfakira.

Chirwere kuti chenjera zvatichiri pulpitis kana zvako. rubatsiro yakarurama nechirwere uye kuziva njodzi yacho. Chete iyi, chiremba anogona zvakarurama tora kurapwa uye kuiita sezvo nokungwarira sezvinobvira.

Kunyange zvishomanana ndichinzwa zino nderokuziva kushanyira wemazino kuti kwete kumhanya chirwere uye achaponesa zino. Chero zvokurwara, uye izvi zvinoshanda mazino, zviri nyore isingarapiki kana kuona ari nenguva netsika iri kutanga kwekupwanyiwa kukura. The ano pamwero kukura mushonga wakadaro kuti mazino hofisi kushanya haisi nguva dzose achiperekedzwa marwadzo, pulpitis chirwere uye kurapwa zvinogona kuitwa zvachose nyarara.