Pulpitis: kupatsanura, mifananidzo, kiriniki. Kupatsanura nzira Mabatirwo pulpitis

Strange asi zvechokwadi - nechirwere sezvo pulpitis, ane zvinopfuura 20 kupatsanura mharidzo. Vanachiremba vemazino vanoshandisa pachavo mukufamba basa ravo nenzira dzakasiyana mhando kuongororwa chirwere, asi akataura kuti kana mumwe wavo anogona 100% zvakarurama kutsanangura zvose zviri chirwere ichi achinyengera. Vanachiremba vemazino vanoti vanoda yamunenge uye succinct kupatsanura pakati pulpitis, izvo raizoita kuti munguva chirwere zvose zvakanaka nzvimbo.

Sei ini vachifanira patsanura papurupiti?

Kuvapo guru systematization pakati mazino chirwere chokuita nzira dzakasiyana zvakadaro kuedza kutsanangura mufananidzo chirwere. siyana classifications pulpitises kupa nezvacho kubva akasiyana nemaonero: zvinokonzera uye kukura, kurapwa kunoita, ezvinhu dambudziko pezvakaitwa ari mudzi Canal uye nevamwe.

Richirondedzera kubva pamakona ose pachikuva classifications kunge vasati dzakabudirira. Naizvozvo, vanachiremba vemazino vanofanira nokupinza huripo kunotoda mufananidzo panguva nomumwe murwere mukati yechinangwa aivapo nzira wayo. Several kupatsanura Zvirongwa kunge yakatanga emakore apfuura, zvisinei, uye ikozvino zvinoshandiswa muitiro nechirwere uye Mabatirwo pulpitis.

Yokutanga Kuedza systematize chirwere ichi mazino vakanga kubatwa 20s remakore rapfuura uye ndave kunzi tsananguro yakarurama zhinji pulp. classifications ava nani kunzwisisa uye yainetsa. Ndokusaka nyanzvi ichiitwa chinoramba basa iri nani chirwere kurondedzerwa nzira. At zvikamu makore 5-10 zvinganaka ane kupatsanura itsva, iyo yakavakirwa zvirongwa yapfuura, asi vaiva nemafungiro matsva kuti rondedzero mufananidzo pachikuva.

WHO kupatsanura

Mugumo remakore rechi20, dzinoti muna 1997, dentistry aizivikanwa pakatanga reInternational kupatsanura pakati Diseases, 10th Revision, izvo anozivikanwa chidimbu ICD-10. Chakazobvumwa neWorld Health Organization, uye muna 1999 akava chaizvo kushandiswa mazino tsika kuti chirwere uye dambudziko pulpitis. ino ndiyo zita Codes vavo Decryption kutsanangura kunotoda mufananidzo chirwere. Kupatsanura pulpitises ICD inosanganisira zvinotevera zvinhu:

• Zvirwere pulp uye periapical zvinyama mhando wakavigira runotaurwa nebumbiro romutemo K04.
• Zvakananga papurupiti encrypted K04.0.
• The kutanga pavaipfuura chirwere, vaine hyperemia, runotaurwa K04.00.
• Chenjera pulpitis akapa encrypt K04.01.
• Kana pute akawanikwa, zviri Zviine romutemo K04.02.
• The chirwere chimiro pulpitis akasarudzwa K04.03, uye kana iri nechirwere ane urikanwi, zvinonzi ndaizvipira encrypt nechirwere pamusoro K04.04.
• Kana murwere akawanikwa pulp polyp ari chirwere chimiro, akasarudzwa yayo K04.05.
• Kana hosha yacho huta uye vascular zvinyama ane zino vamwe yakanatsa hunhu Stamp K04.08.
• Kana mhaka pulpitis haisi pachena, rinoti bumbiro K04.09.
• Necrotic kana gangrenous chakajairika ari slurry zvinoratidzwa mubumbiro K04.1.
• Kana chiremba wemazino vakachengeta chinopedza pezvakaitwa akadai dentikli, pulp matombo kana calcification, rinoreva ravo bumbiro K04.2.
• Kana vanokara inotungamirwa zvakaoma zvinyama ari pulp Musumo K04.3. Uye kana zviri pamutemo (yechipiri) dentin, izvozvo zvinoratidzwa bumbiro K4.3X. Zvinofanira kucherechedzwa kuti mumamiriro ezvinhu aya havachafaniri calcification uye matombo ari pulp.
• In apical periodontitis rikwanise hunhu, inova mhaka zvachinja neuro-vascular nyama imwe nezino, akaisa Cipher K04.4.
• Kana chiremba wemazino anowana kuti pamberi pake pulp chirwere uye periapical munyama kuti murege huchikanganiswa ichangobva kutaurwa pfungwa, zvinoita katsamba K04.9.

kupatsanura ichi pulpitises WHO, maererano vanachiremba vemazino, hakusi nyore chaizvo. Zvisinei, zvinonzi zvichiri kushandiswa sezvo mukuru zano achigadzirira Statistical mishumo nyanzvi pabasa rinoitwa munguva imwe nguva. Codes uye ciphers ose kupatsanura ichi chiremba vanosungirwa kuisa pasi kadhi uye murwere kadhi. vanachiremba vemazino Vakawanda vakaona kuti havana kazhinji vakavaitira kuinyora chirwere mukati yechinangwa zano dzataurwa nokuda WHO, kunyange ivo vari akasiyana zvachose nzira yakakodzera zvechadenga mazino zvokurwara.

Zvinoitwa papurupiti aberekwa

kupatsanura ichi inorangarira pulpitis uye periodontitis zvinokonzera chirwere. Maererano chokuratidza ichi, vanachiremba vemazino vari 4 mhando chirwere:

• Chirwere.
• Zvinorwadza.
• Konkrementozny.
• Medical kana mushonga.

Ngatikurukurei chimwe nechimwe pulp kuti kupatsanura tsanangura ayo zvinokonzera.

infective pulpitis

Izvi Chirwere kunokonzerwa nemabasa utachiona kuti pave muchetura uye vakandizvidza kuzvimba uye vascular tsinga tsapo zino. Muna 9 Muzviitiko kubva 10 tusingaoneki kuwira mukati mhango pakati dentine migero kana kukanganisa pachena pechiso etsinga. Ishoma retrograde pulpitis, kana utachiona kupinda zino kuburikidza buri pamusoro mudzi. Izvi zvinoitika kana zvirwere zvakadai chakasimba zvirwere kufema, rubella, osteomyelitis, sinusitis kana periodontitis. Mune zvisingawanzoitiki Muzviitiko, chirwere anogona kupfeka hematogenous hunhu. Yakavimbika chinotaurwa kubvuma papurupiti - etiology. The kupatsanura rwemusimboti ichi rinowanzoshandiswa navanachiremba.

randakambosangana naro pulpitis

Zvinofanira kucherechedzwa kuti kukuvara chinokonzera munhu pathological mutoo izvo kungaguma pulpitis. Muchiitiko chino, kusabereka raputsika zino in uye chirwere dzavo kunoitika pamwe pakuzadzisa kuzvimba tsinga masumbu. Dzimwe nguva asina kutyora kuvimbika zino uye yayo chaiyo nzvimbo (luxation kana subluxation). Panyaya iyi, papurupiti riri zvakavanzika uye ari kufambira mberi pasina nezvokupindira zvigare.

Makuvaro anokwanisika kupfeka zuva nezuva hunhu, kuwanikwa somugumisiro petsaona kana kukuvara, asi kunogona kukonzerwa sagona zvokurapa kupindira. Somuenzaniso, apo vachigeda zino "korona" pulpitis rinowanzoberekera somunhu mugumisiro perforating tishu. Fani iyi zvinoda kukurumidza kururamiswa. Zvakakosha chaizvo kuti kuremekedza redunhu chiremba: papurupiti - kupatsanura - kiriniki - kurapwa. Nokuti akatevedzana kushanda nyanzvi chero, kunyange yakaoma nyaya, unogona kugadzirisa uye kudzivisa yakawanda zvisingafadzi yematambudziko.

Konkrementozny paripiti

Izvi mhando pulpitis kunoitika nekuti vamwe masangano ari mudzi Canal - dentikley kana petrifikatov. Ivo kurai migero uye in tsonyera nemidziyo ropa. Somugumisiro mikrotsirkullyatsiya kuputswa, akaumba kuzvimba. Mugumisiro uri pulp.

Medical kana mushonga pulp

Izvi papurupiti kupatsanura kazhinji regai kurondedzera, asi chaizvoizvo zvakajairika chaizvo uye kunokonzerwa kukanganisa kuchipatara. Izvi zvinoitika kana wemazino anoshanda kana vachigadzirira nemukanwa caries kana periodontal muhomwe mutumwa simba hunhu (alcohols kana esters) kana zvekushandisa kukanganisa kwakaitwa panguva Simbiso.

Kupatsanura ne Platonov

Pasinei chokwadi kuti tinyatsonzwisisa chirwere mhando iyi wakatangwa na Professor Platonov kare 1968, uye achiri kushandiswa vanachiremba vemazino vari tsika. kupatsanura Uyu pulpitis uye periodontitis ane zvikanganiso ayo, asi zvakanaka kwayo nyore uye nyore. The purofesa unyanzvi hwake aibatanidza nzira nhatu: kunyatsoongorora zviri pathological pezvakaitwa iri pulp, yezvakaita chirwere, uyewo localization acho. Iri nyore, asi kupima capacious hurongwa chirwere kwaiva nezvaanoda nenyanzvi dzakawanda kuti inotsanangura ayo kuenderana ano. In systematization ichi vakakurukura chikuru chokuita Fani iyi, sezvo papurupiti - etiology, pathogenesis. Kupatsanura pakati zvirwere Platonov riri sezvinotevera:

• Chenjera pulpitis mhando: lobular chimiro (kurwadziwa, riri pachena localization murwere) uye diffuse mhando (Undefined localization amutambanudzira achitevedza trigeminal etsinga kumeso).
• Pulpitis chisingaperi hunhu hypertrophic (kuzvimba pulp mhango ichizadza caries), gangrenous (necrosis tsinga rinenge uye vascular tsapo) uye fibrotic (mazino zvinyama patsva).
• Pulpitis exacerbation echirwere siyana.

Izvi kupatsanura uye pachikuva Clinic nyore zvikuru basa vanachiremba vemazino, kunyanya mune budgetary yekuongororwa. Kazhinji, mumamiriro ezvinhu akadaro, chiremba haana nguva kuongorora zvinokonzera mazino chirwere. Kuti asimbise mhando chirwere, zvakakwana kubvunza murwere mimwe mibvunzo.

kupatsanura Gofungu

Nzira iyi rakanyatsojeka akakurumbira pakati vanachiremba vemazino, nokuti anorondedzera kukosha zvinobatanidzwa zvokurwara ichi chive papurupiti - kupatsanura, chiremba mufananidzo, kurapwa. Rinopa pfungwa pamusoro nzendo chirwere achibvumira siyana zvekuchipatara parameters uye Morphology zvachinja pulp panguva kushoma. Maererano ino, marudzi hosha ndedzinotevera:

• The chenjera chimiro pulpitis: zvishomanana (reversible, zvinogona kurapwa kuburikidza ukaramba chaivo tsinga), nhamba (diffuse, kufukidza yose pulp, uye kubatwa kwaunoitwa extirpation), zvachose purulent (zvakawanda uye kusingarapiki kwazvinoita pulp kubatwa extirpation inokosha kudzivisa panowanikwa periodontitis).
• The chirwere chimiro pulpitis: nyore, hypertrophic (mhando izvi zviviri zvakakwana nomushonga kukwanisa kuponesa mudzi), gangrenous (kuparadza rudzi extirpation kurapwa akawanda kushanyira chiremba).

Kupatsanura of MMSI

Nzira Morphology chirwere neurovascular tsapo vanoshandiswa kuenderera Gofunga unyanzvi. Kupatsanura papurupiti MMSI chinhu chinosanganisira exacerbation echirwere siyana pulpitis uye anofunga chiri kuzvimba ari zino, asati aibatwa. Maererano Morphology ichi, chirwere rakakamurwa:

• Chenjera siyana pulpitis: zvatichiri kana diffuse purulent, serous.
• Chirwere siyana pulpitis: gangrenous, fibrotic kana hypertrophic.
• Exacerbation echirwere siyana pulpitis: fibrous kana gangrenous.

Exacerbation pamusoro gangrenous mhando pulpitis kunogona kukonzera matambudziko ose periodontal, sezvazvakanyorwa kushingaira kuva anaerobic microflora. Kana rushoma kubviswa etsinga haupedzi dambudziko kuzvimba, chibereko wakakwana kana akadzokorora pakuomesa zvitunha Mipata kazhinji anopedza dambudziko.

Kupatsanura ne Vinogradova

Kupatsanura pakati pachikuva muvana zvinoberekwa Professor Vinogradova ezvinhu kuti anopa zvakajeka vakaparadzana zvirwere Deciduous mazino kubva rusingaperi. Chiremba anotsanangura kuti kuzvimba muna mammary uye molars kuitika nenzira dzakasiyana. Professor rinokurudzira kuti urongwa ari specificity misoro meno pfupi uye kurapwa nzira achingoramba Kurambwa kwakakwana hutachiwana chiteshi. Izvi zvinogona kukuvadza mwana wechigarire zino maruva.

Kupatsanura pakati pachikuva muvana inosanganisira zvinotevera zvinhu:

• Mukaka mazino pulpitis chenjera: serous (Ndakatengesa nokukurumidza, lobular chimiro anova diffuse), purulent (nokukurumidza anofukidza yose pulp uye anogona kwaramba).
• Chenjera pulpitis zvachose unhu nhamba mazino: chenjera serous nhamba kana zvishomanana, rikwanise purulent zvachose kana kukwana.
• Chirwere pulpitis pfupi uye zvechigarire akagadzirwa meno: nyore, proliferative kana hypertrophic, gangrenous.
• Exacerbation echirwere siyana pulpitis mazino pfupi uye wechigarire, kazhinji kunoitika pamusoro mamiriro echirwere nyore pulpitis.

The peculiarity pakati kushoma iri pfupi zino ndechokuti muitiro kupararira mezhkornevyh nzvimbo dzakakwirira mukana. Izvi imhaka yokuti dentin mu mapazi ichi ane yakakwirira mwero permeability. Fani iyi ndiyo ngozi nokuti zvinogona kukonzera mhirizhonga munyika paumbwe imwe matadza nezino yatumbuka, kushandura musi ayo kuputika, nokuderedza kurwisa kwayo.

Chirwere pulpitis pfupi mazino dzinoratidzwa mukuti kungamuka sezvo chikuru siyana pavaigona kutora chikepe chaienda rikwanise kutotanga. Vangave asymptomatic, asi achinyengera chokuti nokukurumidza chaizvo kupararira kune periodontal munyama. Naizvozvo zvakafanira kuti kunyatsotevera kuongorora mamiriro nomumukanwa mhango vana uye havafaniri kuregeredza mishonga mazino zvikuru.

Zvinoumba Mabatirwo pulpitis

Kupatsanura nzira Mabatirwo pulpitis ndiyo akarondedzera chirwere zvakananga. Ndiyo unyanzvi kuona ukuru kunzwisisa kwakaita chirwere achaenderana kubudirira mishonga.

Kana chikumbiro kuna chiremba wemazino akanga akatakurwa achiburitswa kunze pakutanga kukura pulpitis, chiremba anoita nzira dzake zvipenyu kurapwa. It kunoratidzwa zvinotevera: etsinga pamusoro zino haina kubviswa, kushandisa chaiwo karusiyamu-protivogistaminnye zvinodhaka. Somugumisiro kurapa yakadaro kuzvimba pulp pemipata, aumbwa substitutive dentin. Kureva vakachenesa chisimbiso in.

Kana nenguva kurapwa kuti chiremba haana kuitika, zvino mukana munhu zvipenyu kurapwa yave kubuda. Panguva iyi, wamazino vachafanira kunzwisisa chii murwere pulp. Pfungwa, kupatsanura uye chirwere nzira kuti chakarurama napo.

Kazhinji kushandiswa nzira nokuda haasaruri kubviswa pulp. Achifuridzirwa yokutindivadza akaita kushaya pamusoro etsinga pachiyero korona, mudzi mapazi anoramba chine musoro. Zvadaro vakaisa Pfungwa pamwe calcium, uye zino rakanamwa. Kana zvichifanira kuva, akaita physiotherapy, taurira Anti-anogumbura kurapa. Nzira yakadaro inokurudzirwa vana meno misoro achiri asina kuumbwa.

Zvinoratidza mazino tsika, kazhinji, vakashandisa kwakakwana kubviswa etsinga. Izvi zvinogona kuitwa pasi yokutindivadza kana kuifukidza nzira devitaliziruyuschey namatidza chine Arsenic. Izvi zvinhu chepfu chaizvo, uye mucheka zvinofanira kubviswa panguva chaiyo iyoyo chairayirwa chiremba. Pashure paizvozvo, vakuru endodontic kurapwa, umo zvinodiwa migero zino gutta percha.

Mushure yakadaro kurapwa rinoitwa X-ray kuongorora unhu chinhu anogadzirwa kuchinja channel. Kana vari vakazadzwa kusvikira kumusoro, seari chisimbiso.

Kana kuparadza kutopedza zviri zino chiremba anoshandisa mbambo -copings, yakaitwa pakati zino chokudzorerwa. Nyanzvi ose vachakuudza kuti anosimbiswa kubatsira kuona kupatsanura pakati papurupiti. Treatment inhaurwa kuwedzera kwazvo chirwere mazino murwere.

Kwidza nyaya wemazino ari tanga pulpitis zvinobatsira kumurwere. Treatment Panguva iyi anenge nyarara uye yakachipa. Kana ukamhanya chirwere zvingamuka periodontitis, inova zvokuvapfuura kurapa uye zvakawanda.