Okuqukethwe
Ukwelashwa kanye nombono kadokotela wethu we-periodontitis
Imithi yokwelashwa
Uma i-periodontitis itholakala, umgomo wokwelashwa ukumisa ukuqhubeka kwesifo ngokushesha ngangokunokwenzeka futhi, uma kungenzeka, ukubuyisela izakhiwo ezisekela amazinyo. Uhlobo lokwelashwa luncike ekuqhubekeleni phambili kwesifo kanye nesimo jikelele sempilo yomuntu othintekile.
Ukwelashwa kusekelwe ku:
- ukuhlanzwa kahle kwamazinyo, izimpande nezinsini
- uma kunesidingo, ukwelashwa ngama-antibiotic
- uma kunesidingo, ukwelashwa kokuhlinzwa
- ukunakekelwa kwansuku zonke kwekhaya nokuhlanza njalo kudokotela wamazinyo njalo ezinyangeni ezi-3.
Ukuhlanza amazinyo
Ukuhlanza okuphelele kuvame ukwanele ukumisa ukuqhubeka kwe-periodontitis. Kuyisinyathelo sokuqala esibalulekile kunoma yikuphi ukwelashwa kwe-periodontal.
Ngokuqeda amabhaktheriya kanye ne-tartar enamathiselwe emazinyweni nasezimpandeni zawo (okuvezwa ukubhujiswa kwezicubu ezisekelayo), udokotela wamazinyo uzovumela ushingamu ohlukanisiwe ukuba unamathele emazinyweni futhi ngaleyo ndlela anciphise ukuqhubeka kwebhaktheriya. Kuyadingeka ukukhuthaza ukuphulukiswa kwamaphakethe e-periodontal akha ama-reservoirs amagciwane.
Lokhu kwelashwa kubizwa ngokuthi "i-root planing": yenziwa ngesikhathi esisodwa kuya kwezimbili eziseduze, ngaphansi kwe-anesthesia yendawo, kusetshenziswa ama-curettes okwenziwa ngesandla noma amadivaysi e-ultrasound. Lokhu kuvelela phezulu kuzosebenza kuphela esikhathini eside uma kuhambisana nsuku zonke nokuxubha ngokucophelela, okulekelelwa ukudlula kwefloss yamazinyo.
Qaphela: Ngaphambi kwalokhu kwelashwa, i-disinfectant mouthwash ingase inqunywe udokotela wamazinyo. Benza ukuthi kube nokwenzeka ukunciphisa inani lamagciwane akhona emlonyeni (i-chlorhexidine ukusuka ku-0,1 kuya ku-0,2%). Nokho, ukusetshenziswa kwe-mouthwash kufanele kube okwesikhashana futhi akuthathi indawo yokuxubha amazinyo. Kungaba yingozi ngisho ngoba ibulala namagciwane “amahle”. |
Ukwelapha okuhlinzwa
Ezimweni ezingu-5 kuya kwezingu-10%, ukuhlela izimpande akwanele ukunciphisa amaphakethe e-periodontal. Ngemuva kwalokho kufanele kusetshenziswe izindlela zokuhlinza.
Ngokuhlinza izicubu zezinsini, udokotela ohlinzayo angakwazi ukuwahlanza kahle amaphakethe e-periodontal futhi akhiphe i-tartar ebingeke ifinyeleleke ngaphandle kwalokho. Ushingamu ube usushintshwa bese uphola ngokunamathela emazinyweni namathambo ahlanziwe.
Uma ithambo libhujiswa kakhulu, ukuhlinzwa kwe-periodontal okuvuselelayo kungase kuhlinzekwe. Kubandakanya ukuhlanganisa kabusha izicubu ezisekela amazinyo ukuze kutholakale ukuphulukiswa okungcono nokubambelela kahle kwamazinyo. Kukhona amasu amaningana ukugcwalisa ukubhujiswa kwamathambo:
- ukusetshenziswa kwezinto eziphilayo (amamembrane avumela ukukhula kwezicubu zamathambo ezintsha)
- ukwenza ukuxhunyelelwa kwethambo (ithambo elithathwe kwenye indawo emzimbeni wesiguli)
Okokugcina, kungenzeka ukwenza i-gingival graft ukulwa nokuhlehla kwezinsini okubangela "ukwelulwa" okungathandeki kwamazinyo, okusho ukuthi ukukhulula. Ukufakelwa kwenziwa ngokukhipha izicubu emlonyeni.
Ukwelashwa ngama-antibiotic
Ezimweni eziningi ze-periodontitis, ukwelashwa "komshini" kwenza kube nokwenzeka ukumisa lesi sifo. Kodwa-ke, esimweni se-periodontitis ethile enolaka, ukwelashwa okwengeziwe kwama-antibiotic kuyadingeka.
Lokhu kwelashwa kubuye kusetshenziswe uma kwenzeka ukuphindaphinda (ukuvuselelwa kwezikhwama) noma kubantu abathile ababuthakathaka, abanezinkinga zenhliziyo noma uhlobo lwesifo sikashukela sohlobo 2 olungalawulwa kahle.
Umbono kadokotela wethu
Njengengxenye yendlela yekhwalithi yayo, iPasseportsanté.net ikumema ukuthi uthole umbono wochwepheshe bezempilo. UDkt Jacques Allard, udokotela ojwayelekile, ukukunikeza umbono wakhe nge i-periodontitis :
I-Periodontitis yisifo esivame kakhulu okufanele singanakwa. Iqala nge-gingivitis eqala ukubonakala njengezinsini ezophayo. Ukuhlanzeka kwamazinyo kwansuku zonke kungavimbela iningi le-periodontitis. Kodwa-ke, i-periodontitis ingakhula ngobuqili futhi ukuhlolwa kwamazinyo kwaminyaka yonke kubalulekile ukuze uyibone futhi welaphe kusenesikhathi. Uma, ngakolunye uhlangothi, ubonisa izimpawu ze-gingivitis ngezinsini ezibomvu nezivuvukele, ngikweluleka ukuthi ubone udokotela wamazinyo ngokushesha. UDkt Jacques Allard MD FCMFC |