Zvokukura pulpitis kurapwa pamwe mishonga. endodontic kurapwa

Munhu wose munyika akatarisana ndichinzwa zino, izvozvo zvinogona kukonzera zvakasiyana-siyana. Kana nguva haatsvaki hanya unyanzvi, migumisiro isingadzorwi kunogona kukonzera matambudziko akakura, izvo kazhinji vanoguma pamwe kubviswa zino. Kazhinji vanachiremba vemazino, vachinzvera mumwe murwere, kuwana papurupiti ake. Asi chii chinonzi papurupiti? Ndezvipi huru nzira uye zvokukura Mabatirwo pulpitis ari mwana uye akura?

Papurupiti - chii zvokurwara ichi?

Papurupiti - chiri kuzvimba kunokanganisa neurovascular tsapo (pulp). Chimwe ndicho chinokonzera kuti kutsamwisa kuzvimba, ari caries, izvo zvinoita kuti kuparadzwa mazino dzakaoma munyama. Pathogenic utachiona kuti kuzadza munhu mhango, Nokumukira ane kushoma pamusoro pulp (dzakakurumbira vachinzi ayo tsinga).

The pulp anogonawo kuva nokuda havaratidzi kuitwa nzira mumakomba kana zino kukuvara. Kune mhando dzakawanda pulpitis, mumwe nomumwe wavo kunoda amburenzi kubva nyanzvi. Nzira uye zvokukura pulpitis kurapwa mumwe mhando vakasarudzwa nomumwe.

mhando pulpitis

Ari kwokutanga chimiro pulpitis kuburikidza ndikurumidze pulp kutsamwa ndiko Flushing, panguva iyo yekudyidzana kwakawedzera ropa riyerere ari arteries ari pulp. Huwandu ropa mukati mhango ichiwedzerwa uye pakudaro pave vomanikidza duku etsinga fibers, iyo zvinotisvitsa mikukutu kurwadziwa. Mushure kutsamwa yabviswa, marwadzo pakarepo anoenda kure.

The chenjera chimiro pulpitis achabatsirwa kurwadziwa. Kana pulp ichiri kwete chaizvo zvomoto, ipapo muitiro unogona kudzivirirwa pane izvi, marwadzo anoenda pakarepo. The pulp inogona kurapika pachavo, mumwe ane chete kubvisa zvinokonzera bundu.

Pakadaro, kana pulp oga asina kudzosera, kurwadziwa anoramba achinetsa uye inonyanya chakasimba, kunyanya yakakura usiku, pasina rubatsiro wamazino kuita kare. On kuongororwa dzinoratidza zino pamwe in yakadzika uye zvinorwadza pasi panguva achiona. Zvokukura Mabatirwo pulpitis iyi, vanosarudzwa zvichienderana kuti zino akarova uye kana kuzvimba aenda mberi.

Purulent fomu - ichi ndechimwe inorema uye kunoratidzwa unopinza kurwadziwa kuti anozobudisa usiku, opedzisira inonyaradza marwadzo omusoro aro haashandi.

The chirwere chimiro pulpitis kunoratidzwa nezvipusha, kana paine vanhu vakurukurirane, uye kana imi kuhupedza, marwadzo anoenda kure. Patainzwa marwadzo anogona kuitika kwenguva refu. Panguva kuongorora kwakaratidza kwakadzama mhango pamwe caries uye ropa.

Chirwere hyperplastic pulpitis - chiri kusingarapiki chimiro, kunoda kuti matanho zvakakomba rakaitwa nokurapa pulpitis. In vana uye vechidiki, chimiro ichi zvakawanda zvakajairika. Zvinoratidza hyperplastic pulp rinenge inonzi pulp polyp.

Necrosis rinoreva kusingarapiki siyana chirwere, izvozvo kunoratidzwa rufu pulp rinowanika pashure kwenguva refu kwemabhakitiriya kupindirwa kana iri migumisiro rikwanise purulent pulpitis.

Zviratidzo pulpitis

Papurupiti - chirwere chakakomba zvikuru kuti zvinoda kukurumidza maitiro uye kurapwa rubatsiro vanokwanisa. Kana kutanga pavaipfuura chirwere achiperekedzwa vachirwadziwa marwadzo, izvo zvinogona kuderedza marwadzo mishonga yaunodya, ipapo chakasimba uye chisingaperi chinokonzera kurwadziwa, iyo yakakura usiku uye asina simba kunyange pashure mishonga.

Panguva kugarotamba irritants zino - chafariz, zvemaziso kana makemikari - marwadzo inowedzerawo. Kana chenjera chokutambudzika chirwere kwete kutanga kurapwa, ipapo pakupedzisira vose kugumisa chirwere chimiro, iyo inozivikanwa nokuva marwadzo panguva Kumubata nezino, zvinonzi yakakura kana pachena kuti hot products, uye simba nechando. Kana musingadi kutora chero chinhu uye kutanga kuita nzendo pulpitis kurapwa, chokutsva anogona kukanganisa shaya mapfupa mamiriro.

Sei I vachifanira kubata pulpitis?

Kana isu fungidzira munhu kuramba vakabatikana nezvinetso kubasa kana mumhuri, hazvisi nguva dzose pakarepo inotiratidza zvishoma kurwadziwa zino. Chinhu chokutanga chaanoita - zvinotoda mishonga marwadzo, "Ketanov", "Nurofen", "Ketorolac", "Baralgin", "Hanayakanari" - uye kukanganwa nezvedambudziko racho. Asi nokufamba kwenguva, utachiona kuti vachiri kuramba pulp mukamuri zino, ramba ariparadze uye pakupedzisira achitungamirira chokwadi kuti pane pus ari mudzi Canal.

Mushure pus mhiri mudzi canal, pane ane zvinoyerera, uye kungazviratidza kwete chete muchimiro kadiki mumatenhere matadza, asi uyewo simba mitengo pamwe hwakasimba symmetry kukanganisa. Kwazvo marudzi chirwere inoda kutora matanho zvakakomba pulpitis kurapwa, zvimwe zvinogona kutarisana kwete chete nokurasikirwa zino, asiwo pathologies akadai pute, hweHIV ropa uye mapfupa kurasikirwa.

Milestones endodontic

The kwokutanga kworudzi pulpitis zvinogona kurapwa nokukurumidza, chete panosvikira nachiremba wemazino, asi kana yakanyanya siyana dzinoda-refu Mabatirwo pulpitis ari zino. Zvokukura kurapwa murwere zvinoda kugadzwa akawanda, uye mumwe nomumwe wavo rakagadzirirwa kuti kuderedza marwadzo, kuti disinfect zino in, uye vamwe, asi zvose nenguva yakanaka. Kana mudzi Canal kurapa kunokosha kutevera tsoka:

1. Zvinhanho Mabatirwo pulpitis, Photo inosimbisa izvozvo, kutanga yokutindivadza, chiremba oga kuti zino kubva nemate, uchishandisa nhete Pepa rabha - cofferdam, izvo superimposes vakapoteredza zino murwere.
2. Uyezve yokunatswa rinoitwa mugero nemabhakitiriya. Kuwana gwara inopiwa kwetsinga mhango, pachibviswa pulp kamuri padenga, nokusika vakasununguka mukana mugero ari chokushandisa.
3. Yokunatswa mugero kunosanganisira zvemaziso uye mushonga disinfection.
4. Next waya mufananidzo kubudiswa achitevedza yose kureba mudzi canal, asi kwete kupfuura, saka zvakakosha chaizvo kuona kureba gwara, kuita izvi, kutanga dzinoisa mafaira acho, uye ipapo kuita X-ray.
5. Chemical disinfection chiremba akabata chaiwo chenhando tsono.
6. Kamwe chiteshi rinocheneswa chose, chiremba anotanga Simbiso.

Simbiso - ndiwo okupedzisira zviito wemazino rinopedzisa zvose nzendo. Asi ichi hachisi kuguma kurapwa, chiremba vachiri rinokurudzira akabata vamwe nzira zvinobudirira kuti achabata nayo kuzvimba uye kubatsira kudzivirira wava kusvutazve.

Pakugadza pashure padariro rokutanga kurapwa

Mushure chiremba yakatibata pulpitis, matanho ayo apera, unofanira kuita rokutarisira zvinodhaka uye kurapa vachiri pamba mazuva mashoma:

• kurapa panyama - kushandisa Laser, umo nyaya zvakanaka kuita nzira iri nehelium-neon midziyo. Zvakakwana maitirwo mashomanana hwokuchengetedza kuchirapa kushanda uye kudzivirira wava kusvutazve.
• Mishonga. Sezvo papurupiti - iri kuzvimba, ipapo chete vanofanira kutora nzira nonsteroidal Anti-anogumbura vamiririri, akadai sokuti "Ibuprofen" kuitira kubvisa zvachose kushoma.

Zvakakosha zvikuru kuti murwere kuzvidzora, akadai mwana pashure akanga muzvikamu zvose pulpitis kurapwa mazino mukaka chichaitwa, zvakakosha akuteerere mamiriro ake, uye kana kwaiva zvichemo, ipapo pakarepo bvunza chiremba wako. Mwana haagoni nguva dzose kusarudza woga chii chirikuitika naye, saka chiremba rinorayira vabereki kuti anoiona kana asvika negashiro kuzvidzora, mazuva mashomanana gare gare.

Nzira dzinokosha kudimurwa pamwe pulpitis

Kune nzira dzakawanda Mabatirwo pulpitis, mumwe wavo ari chinokosha kudimurwa, unosanganisira pakuchengetedza pulp zviri zino chete migero, asi korona chinobviswa. nzira iyi ashandiswe panyaya Multi vakashamiswa zino. Nzira iyi haisi kushandiswa pakurapa mazino chete-mudzi, uye zvose nokuda pakati in coronal uye mudzi pulp munyika dzine hapana miganhu. Nzira iyi ine zvinotevera mumatanho:

• wakaitwa zvomunharaunda yokutindivadza;
• dzadzimwa nzvimbo kukanganiswa caries;
• pulp vabviswa;
• nezino mhango kupatsanurwa zvinodhaka;
• mu chipimo chemushonga kuisa gwara iri seari;
• zvimwe seari insulating pabutiro;
• kwenguva pfupi zvekupfakira.

Pashure nzira iyi, chiremba rinokurudzira kumbotambudzika Laser kurapwa uye Anti-anogumbura zvinodhaka.

The nzira kuvhiya Mabatirwo pulpitis

Kune nzira dzakawanda Mabatirwo pulpitis, kusanganisira uye operative kusvika. Nzira iyi inosanganisira kubviswa etsinga, uye izvi zvinoitika zvose korona uye mudzi munzvimbo. Nzira iyi inonzi mudzi Canal. Rinoshandiswa yepamusoro siyana umo kudiwa kutora matanho ose kutanga kurapa pulpitis,, nzendo ine kuita manipulations dzakadaro:

• nyama yose kukanganiswa caries, akachera;
• It akabvisa tsinga iri in coronal uye mudzi zvikamu;
• vachinyatsoongorora kupatsanurwa Mipata apo tsinga iri;
• Mushure pakuparadzira chisimbiso, uye pashure korona chikamu.

Zvinofanira kurangarirwa kuti pane imwe nguva mumwe chiremba kuita zvose nzira havana pakarepo kubudirira, saka unofanira kuva vakagadzirira kuitira kuti kushanyirwa vachava mbiri, kana pamwe vatatu.

Uye funga zvino muudzame vose zvokukura kurapwa.

Zvokukura pulpitis kurapwa: kushanya yokutanga chiremba

Saka kuti kunyatsonzwisisa zvose zvorwendo Mabatirwo pulpitis, zvakafanira kuziva kuti zvinoitika uye kuti wemazino inobata:

1. Kakawanda murwere anoedza kubatsira kare nguva apo ane hanya kurwadziwa kuti haagumiri kunyange pashure nokutora inonyaradza marwadzo omusoro, saka rekukwazisa chiremba zvinoita yokutindivadza.
2. Pashure jekiseni achaita, kutanga kubvisa munyama kukanganiswa caries, izvi zvinoitwa kushandisa chibooreso, izvo zvinoita kuti vanochera navo.
3. Zvino unofanira kuisa cofferdam kuti nemate utachiona akanga haana kuiswawo pakati vakachenesa chiteshi.
4. Zvadaro shandisa pulpekstraktora kubvisa pulp, chokushandisa ichi chitete zvikuru uye zviduku Indent kuti abatsire kudhonza pulp munhu mutete gwara.
5. Next unofanira zvakarurama kuyera mudzi Canal kuzadza zvachose, uye nokudaro kudzivirira pamusoro matambudziko. Kuti aite izvi, kuti ive X-ray, migero ari zino kunogona kuva vashoma, uye izvi zvinoreva kuti zvinokosha kuti kuyera nerimwe.
6. Mushure channel zvose vari kubatwa akambozvishandisa kuuraya utachiona mhinduro uye kumisa chisimbiso pfupi.

On kekutanga izvi zvichazadziswa, kunyange kazhinji havasi kekutanga tikwanise kupedza izvi zvose, nzira yokutanga kunogona yokutindivadza, reaming migero uye kuisa mishonga mavari kuuraya vasanonoka etsinga.

The hwakazotevera yokupedzisira kushanya

Uye pano ndiyo kechipiri chiremba kunopa zvinotevera zvokukura Mabatirwo pulpitis:

• Chiremba anobvisa sehofisi zvinodiwa, uye pashure zvinodhaka chiteshi.
• Uyezve Channels akashambidza antiseptics.
• Isa chisimbiso, ichi zvinoitwa kushandisa gutta percha uye sealer.
• Pashure X-ray rinoitwa kuti aone sei zvakanaka nechisimbiso makwara.
• Kana maekisirei akaratidza kuti zvose zvakanaka, zvino unogona kuisa chisimbiso.

Asi hazvisi chete vakuru achitambura papurupiti, kazhinji kunetseka vana vasina molars uye chete dheri. Mabatirwo pulpitis mune vana chikuru mazino ine matanho nyore, asi zvishoma chokuita kurapwa ravaIndia. Asi vabereki vanofanira kuyeuka kuti kungopeta maoko uye kunonoka kunokwanisa kukonzera matambudziko.

Zvokukura pulpitis kurapwa mazino chikuru muvana

Part of pulp ari mwana kunoitika kwazvo chimiro, saka pane iyi, chiremba ringavakurudzira nokubviswa zino mwana, asi zvakadaro kana paine mukana kuti kunze, kuruma asingadi kukuvara, ipapo endai kurapwa. Zvinhanho pulpitis mabatiro kwemeno chikuru:

1. Pakutanga kushanya chiremba rinofumura etsinga uye kunokonzera namatidza nesimba devitaliziruyuschee zvazviri, zvinobatsira kuuraya pulp. Kana zvinosanganisira Arsenic aripo, hachigoni kuchengeta anopfuura 2 mazuva, uye pasina nzira Arsenic akabvumira kusimudzira mazuva 7.
2. Rakatevera achashanyira zino jekiseni rinokosha fuma nokuda pakuomesa zvitunha vanayo pulp, kazhinji - a resorcinol-formalin nezvakasanganiswa.
3. Pazuva rokupedzisira kushanya kumisa chisimbiso zvachose.

Mabatirwo pulpitis - muitiro iri nyore, kana tikatarisa panguva rubatsiro kuna chiremba. Sezvo nhasi ngaavongwe yazvino uye nzira inobudirira unogona kukurumidza kuporesa ihosha nezino.

Regai kugara kusvikira yokupedzisira uye kumirira kusvikira kurwadziwa anova sokusingatsungiririki, zviri nani kuti kushanyira chiremba wemazino dzose, zvino iwe haufaniri kutsungirira marwadzo uye kubvisa zino.