Okuqukethwe
Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.
Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.
Ukuvuvukala kwe-pulp yamazinyo ngokuvamile kwenzeka ngenxa ye-caries engalashwa. Lesi sifo sibangela ubuhlungu, ekuqaleni bube buncane futhi budlule, bese kuba namandla amakhulu, imini nobusuku obungaguquki, bucwebezela futhi bushaye. Ukubonakala kwezimpawu kuyinkomba yokuvakashela udokotela wamazinyo, njengoba i-pulpitis engelashwa iholela ezifweni ezimbi kakhulu.
Iyini i-pulpitis?
Ukuvuvukala kwe-pulp yezinyo kuwumphumela ovamile we-caries engalashwa, amagciwane ahlasela izicubu ezijulile, okuholela ezifweni. Isifo singase futhi sidalwe ukulimala kwemishini (isb. ukuphuka) noma ukwelashwa okuningi okwenziwa ezinyo elilodwa. I-pulpitis ibonakala ngobuhlungu obuhlukahlukene.
Kulesi sifo, sinweba isigaba sokuqala: ubuhlungu buvela kuphela lapho uphuza futhi udla ukudla okubandayo noma okumnandi, futhi isigaba esithuthukisiwe: ubuhlungu buvela njalo ngenkathi udla noma ulele futhi ubuya kaningi (khona-ke i-pulpitis iyinqubo engenakuhlehliswa). Ngaphandle kobuhlungu, kunezimpawu ezijwayelekile ezifana nokushisa okuphezulu, ikhanda elibuhlungu kanye nomphimbo kanye ne-malaise evamile.
I-pulpitis - izigaba
1. Isigaba sokuqala se-pulpitis - kuyisiteji esibuyiseleka emuva futhi sithatha cishe izinsuku ezintathu. Phakathi nalesi sigaba, iziguli zithola ubuhlungu obuncane, okwenzeka ikakhulukazi lapho kudla imikhiqizo ebandayo neyomnandi. Ukubika isiguli kudokotela kulesi sigaba kune-prognosis enhle ngoba i-pulpitis ingamiswa. Udokotela wamazinyo ngokuvamile unikeza imithi yokwelapha engaguquki, ekhipha ukubola emigodini, bese esebenzisa ukwelashwa ngamalungiselelo akhethekile noma efaka ukugcwaliswa unomphela.
2. Isigaba sesibili se-pulpitis - yisigaba esingenakuhlehliswa lapho udokotela wamazinyo engakwazi ukumisa ukuthuthukiswa kokuvuvukala. Uphawu oluphawulekayo lwe-pulpitis ubuhlungu obungabekezeleleki obuhlabayo, ikakhulukazi ebusuku. Ngeshwa, ngisho nokususwa kwe-caries akulethi impumuzo. Izinyo lihlale lizwela kakhulu kukho kokubili ukuthintwa nokudla. Okuwukuphela kwendlela yokuphuma ukukhipha ngokuphelele i-pulp eyonakele.
3. Isigaba sesithathu se-pulpitis (necrosis) - ibonakala ngokwakhiwa kwe-pulp necrosis, engabonakali ekuqaleni. Ngesikhathi sokuhlolwa kwamazinyo, kutholakala ama-caries ajulile kanye ne-vault yekamelo elimele kancane. Emgodleni womlomo, ungabona inqwaba ye-necrotic kanye nokulahlekelwa umbala wayo wemvelo kanye nokucwebezela ngezinyo. Ngokuvamile izinyo liqala ukuthatha umbala oluhlaza okwesibhakabhaka. Ngokuhamba kwesikhathi, izicubu ezifile ziyabola bese kwakheka i-gangrene.
Esigabeni sokuqala sesifo, izinguquko zivame ukuguqulwa futhi kungenzeka ukuthatha okuthiwa ukwelashwa kwebhayolojingenxa yalokho i-pulp yezinyo ayilahlekelwa amandla ayo, kuyilapho esigabeni esilandelayo izinguquko zingenakuhlehliswa futhi ukwelashwa kufanele kuhlanganiswe nesidingo sokususa i-pulp yamazinyo futhi kwenziwe lokho okubizwa ngokuthi. ukwelashwa endodontic ngokugcwaliswa okuqinile komsele wempande ngokulungiselela okukhethekile.
Uma izinyo lingelashwa ngalesi sikhathi, lizothuthukisa i-pulp necrosis kanye ne-gangrene, kanye nokuvuvukala kwezicubu ze-periapical zamazinyo ngemiphumela eminingi. Izinyo liqala ukuzwela ekulumeni nasekuthinteni, futhi kungase kwakheke ithumba endaweni ye-periapical. Ukuvuvukala okuphawulekayo kukhula, izimpawu ezizimele zinkulu.
Ukuvuvukala okunamandla kuholela ekuvuvukeni okungapheli kwezicubu ze-periapical zamazinyo kanye nokushintsha kwethambo le-alveolar. Ngezinye izikhathi, ukuvuvukala okungapheli kwezicubu ze-periapical kwenzeka ngokungabonakali, futhi izinguquko ze-periapical zamazinyo zitholwa ngokuhlolwa kwe-X-ray.
Ukwelashwa kwe-pulpitis
Ukuxilongwa kwe-pulpitis kudinga ukwelashwa ngokushesha ngangokunokwenzeka.
Ekwelapheni i-pulpitis, kubalulekile ukuqeda ama-caries futhi ugcwalise imigodi. Ukuze uvimbele ukubola kwamazinyo, kufanele ucabange nge-fluoridation yezinyo. Isimo esithuthukisiwe sesifo sidinga ukusetshenziswa kokugqoka kokwelapha okuqukethe i-zinc oxide ne-calcium hydroxide. Iziguli kufanele ziyigqoke amasonto ayisishiyagalombili kuya kwayishumi nambili. Uma ubuhlungu buyehla ngemva kwalesi sikhathi, udokotela wamazinyo ekugcineni uzogcwalisa imbobo. Ngakolunye uhlangothi, lapho izinyo lisabuhlungu - ukuqaliswa kuyadingeka umuthi we-canal ukwelashwa.
Udinga isidambisi sobuhlungu esinikezwa ngudokotela? Ngale njongo, ungasebenzisa umtholampilo we-telemedicine futhi uhlele ukubonisana nge-inthanethi nge-e-Prescription.
Ukwenza ukwelashwa kwe-endodontic kwezinyo kuhlobene nesakhiwo sezinyo (izinyo elilodwa noma elinezimpande eziningi), kuncike kubukhulu besilonda kanye nezinga lokubhujiswa kwethambo lenqubo ye-alveolar. Ngesikhathi sokwelashwa kwezimpande, udokotela wamazinyo ukhipha izicubu ezifile ngaphakathi kwezinyo. Ukwelashwa kuqedwa ngokugcwaliswa okuqinile komsele wempande.
Ngezinye izikhathi okuwukuphela kwendlela ukususa izinyo ngokuphelele.
Izinkinga ze-pulpitis
Ngeshwa, iziguli zivame ukungazinaki izinyo elibuhlungu elivela ngesikhathi se-pulpitis enzima (lapho i-necrosis ingakenzeki noma izinguquko ze-necrotic zincane). Leli iphutha elikhulu. Ukubonisana nodokotela wamazinyo kulesi sigaba kanye nokuqaliswa kokwelashwa okufanele akukwazi nje ukusindisa izinyo, kodwa futhi kuvimbele izinkinga ezinkulu. Umphumela we-pulp necrosis, noma kunalokho ukubola kwayo okubolile, kungaba:
- i-periostitis,
- ukwakheka kwamathumba,
- ukuwohloka kwamathambo aseduze nempande yezinyo,
- ukutheleleka kwezicubu ze-periodontal,
- ukwakheka kwe-fistula, thorium kanye ne-cocci,
- ukuthuthukiswa kwezifo zesistimu ngenxa yamagciwane angena egazini: i-myocarditis, i-sepsis, ithumba lobuchopho, i-glomerulonephritis nezifo ze-rheumatic.
Ngezinhlungu ze-rheumatic, ungasebenzisa ijeli yokupholisa i-hemp, enciphisa ukungakhululeki komgogodla, imisipha namalunga.
Indlela yokuvimbela i-pulpitis?
Inhlanzeko yomlomo ibaluleke kakhulu ekuvimbeleni uketshezi lwamazinyo. Kuyafaneleka ukuthenga ibhulashi lamazinyo le-sonic, elihlanza umgodi womlomo ngokuphumelelayo nangendlela efanele kune-toothbrush evamile. Gwema ukudla amaswidi noshukela. Ngaphezu kwalokho, isimo samazinyo kufanele sihlolwe njalo ngemva kwezinyanga eziyisithupha ngokuvakashela udokotela wamazinyo. Kuyafaneleka futhi ukusebenzisa i-LACTIBIANE Buccodental yezifo zomlomo womlomo kanye nama-caries, okusiza ukugcina i-bacterial flora efanele yomlomo womlomo, osekela ukuvimbela nokwelashwa kwemigodi kanye nokuvuvukala komlomo womlomo.
Abazali badlala indima ebalulekile njengoba kufanele bafundise ingane kusukela isencane indlela yokuxubha kahle amazinyo, nini futhi kangaki. Abazali okufanele babe yizibonelo, ngakho ukubonisa izingane imikhuba yenhlanzeko kuzogwema izifo zamazinyo ezingemnandi nezibuhlungu. Ngeshwa, muva nje kuye kwaba khona ukwanda kwe-caries phakathi kwezingane, okungase kubangele imiphumela eminingi ebuhlungu esikhathini esizayo.