Periodontal n'akpa uwe: mbufụt na ọgwụgwọ

Njọ onu elekọta na-eduga ná ncheta na nkume. Dị ka a n'ihi nke enweghị nchịkwa Filiks na-mkpali. Na mbụ mgbaàmà na-adịghị emerụ ezuru. E nwere a nta ọbara ọgbụgba goms, ozizi, na mgbe ụfọdụ na-egbu mgbu. Nke nta nke nta, eze agagharị na-ụba, ọdịdị nke purulent secretions. Mgbe a na ogbo, anyị na-ama na-ekwu okwu banyere na-agba ọsọ periodontitis. Maka ọgwụgwọ nke ọrịa a na-eji periodontal n'akpa uwe curettage. Olee ụdị usoro? Gịnị ụzọ ndị ọzọ na-eji mbuso ọrịa? The azịza ajụjụ ndị a nwere ike dị na taa isiokwu.

A nkenke nkọwa nke nsogbu

Against ndabere nke mkpali usoro ọkpụkpụ anụ ahụ na-eji nwayọọ nwayọọ ebibi ma na-anọchi granulation. Nke ikpeazụ mejupụtara ọkacha mma nke microbial sel osteoclasts. Kwa ụbọchị, ha na-etinye ndị niile n'ebe ndị ọhụrụ, na-eduga na ihe ka ukwuu atrophy nke alveolar ọkpụkpụ. E nwere a free ebe dịghị nkekọ gingival nha nha mgbọrọgwụ n'elu.

Dị ka a n'ihi mgbanwe ahụ a kpụrụ periodontal n'akpa uwe. Nke a ohere bụ hà na size òkè nke ọkpụkpụ mbibi. Nke ọdịnaya ọkọnọ granulation anụ ahụ, remnants nri na purulent nzuzo. Site na size nke ọdịiche kpụrụ ikpe ogo deformation nke anụ ahụ. Na onye ahụ gbasiri ike ịdị omimi nke periodontal akpa bụ ihe na-erughị 3 mm, otú i nwere ike kpamkpam ọcha uji eze nri residues. Ọ bụrụ na a bara uru karịa ndị kwuru kpọmkwem size, e nwere ndị ụfọdụ ihe isi ike na-elekọta na-edeghị ede oghere. The likelihood nke chịngọm ọrịa enwekwu ọtụtụ ugboro, nke na-eduga ná mpụta nke nkume na ihe e dere ede. The N'ihi nke nọ n'ọrụ anụ mbibi nwere ike ịbụ na ọnwụ nke a nha nha.

Pathology Diagnosis a rụrụ iji X-ray ma ọ bụ a periodontal nyocha. The enweghị àgwà ọgwụgwọ emecha na-eduga ná a anyịnwa ịhụkwu nke n'akpa uwe. A na-esi na nke a bụ ime ka ezé na a ọnọdụ "akwado".

Akpata n'akpa uwe

Isi ihe mere nke e guzobere periodontal ọwa - nke ogbenye mma na ịdị ọcha nke na-edeghị ede oghere. Ezighị ezi ihicha ezé ma ọ bụ ya na-anọghị na-eduga ná ìgwè nje ego na mpaghara nke okpueze. N'ime nha nha Enamel n'elu ụmụ nje na-etolite a mkpa anya film ngwaahịa na-amalite secrete ha onwe ha ndụ. Ya mere, e nwere ihe mbufụt nke periodontal n'akpa uwe.

n'ihe ize ndụ otu

N'etiti ihe ndị na-agba ume uto na multiplication nke pathogens, ọ nwere ike kwuru, sị:

• ekwesịghị ịdị na-eri, esịnede predominantly nke carbohydrate ngwaahịa;
• ogbenye onu ọcha na ịdị ọcha;
• eri ahụ;
• na-enwe nsogbu ahụ ya na;
• immunodeficiency;
• eze ọdịdị nke ọrịa;
• malocclusion;
• substandard echichi akara.

mgbaàmà nke mbufụt

Guzobe nke periodontal n'akpa uwe n'ihi na a ogologo oge nwere ike asymptomatic. Na mmepe nke mkpali usoro, e nwere ihe e ji mara adakarị picture:

• erughị ala na-agazu n'agbụ;
• halitosis;
• ọzịza, na-agba ọbara na nācha ọbara-ọbara na-agazu n'agbụ;
• palpation nwere ike tọhapụrụ purulent secretions;
• mmụba nke interdental oghere;
• arịa ọrịa izugbe ọnọdụ.

Mgbe ị na-ahụ nsogbu ndị a, ị kwesịrị ịkpọ gị dọkịta eze. Nyere dọkịta gị a chọrọ ọbụna ma ọ bụrụ na mbufụt emetụta naanị otu nha nha. Na onye ọ bụla na-agafe n'ụbọchị ọnọdụ ga naanị njọ, bụ nke pụrụ iduga ndị progression nke ọrịa.

therapies

Tupu ọgwụ na-chọpụtara site nke dọkịta na-ekpebi ogo na-eleghara anya ọrịa. Ọ bụrụ na periodontal n'akpa bụ ihe na-erughị 0,15 mm, na e nweghị ihe ịrịba ama nke mbufụt, ọgwụgwọ ụzọ na-eji. Ndị na-esonụ usoro na-ejikarị:

1. Ịdị ọcha ihicha na ultrasound. N'oge mwepụ nke ihe e dere ede na Calculus goms na-adịghị mebiri emebi.
2. Ọgwụ. Na e kenyere ozugbo ultrasonic ihicha. Nwayọọ enweghị nchịkwa usoro eji aseptic njikwa (trays, mmiri, itucha). N'oge usoro eji "Chlorhexidine" ma ọ bụ "Miramistin". Na karịsịa oké njọ mgbe, onye ọrịa na-kenyere a N'ezie nke ọgwụ nje. Ihe e ji mara kasị ukwuu arụmọrụ esonụ preparations: "amoxicillin", "Lincomycin" na "azithromycin".

Ndị a na usoro na-adighi ike ma ọ bụrụ na n'akpa uwe omimi ukwuu karịa 2 mm. The dọkịta ga-enwe ike iji kpamkpam wepu akwakọba nkume. Ke adianade do, ọ enwekwu ohere nke ọzọ periodontal trauma. Dị ka a n'ihi aghụghọ mbufụt na anụ ahụ mbibi amalite ọganihu.

Na mgbagwoju anya ọrịa na-atụ aro ịwa ahụ. Nke a na usoro ọgwụgwọ na-agụnye n'ibu ihe na eze na ngwá poddesennye ebe. Ugbu a, ndị kasị dị irè usoro nke ụdị na-atụle curettage nke periodontal n'akpa uwe. Gịnị ka ọ bụ? E nwere ọtụtụ ụdị nke mkpachapụ: ime ụlọ, n'èzí na flaapu n'ịwa ahụ. The usoro onwe ya nwere ike bibie nsogbu nile mere site periodontitis. Tụlee ọ bụla n'ime ya nhọrọ na ihe zuru ezu.

Curettage oghe

Nnyonye anya na-achọ elu professionalism nke dọkịta. Ya mere, ọrụ a bụ adịghị na niile ike akụrụngwa. Duration ọgwụgwọ bụ banyere awa 2.5. Ọ mejupụtara ndị na-esonụ:

1. Brọsh ezé na ihe e dere ede si nkume.
2. The ojiji nke mgbochi mkpali ọgwụ ọjọọ.
3. Splinting mobile ezé.
4. Gingival flaapu dissection mkpa mee.
5. Mwepụ nke granulation na nkume site ultrasound.
6. Antiseptik nha nha mgbọrọgwụ.
7. Podsazhivanie na-aba n'akpa uwe nke sịntetik akwa welie uto nke eke ọkpụkpụ.
8. Suturing na mmechi nke mebiri emebi gingival òkè bandeeji.

Mgbe 1.5 izu isi agịga Ma do na-ewepụ. A ọnwa ole na ole mgbe e mesịrị na-abịa ikpeazụ mweghachi nke mebiri emebi arọ. Papilla nwere ike ikpuchi gaps n'etiti ezé. Mgbe ụfọdụ, na-emeghe curettage nke periodontal akpa na-eduga ná ekpughe ndị mgbọrọgwụ. Ya mere, mgbe ọ na-atụ aro ka ịjụ ndị ojiji nke na-ekpo ọkụ, na oyi na acidic oriri.

Curettage gbara

The ọrụ bụ irè na-aba n'akpa uwe omimi nke 3-5 mm. Ọ dịghị edinam bụ mgbagwoju. Ọ mejupụtara ndị na-esonụ:

1. Nnyocha nke-agazu n'agbụ.
2. The mmeghe nke obodo Nkụnwụ.
3. Ọgwụgwọ nke periodontal eri ego nke na-agazu n'agbụ enweghị dissection.
4. Polishing ezé mgbọrọgwụ.

Aka ike n'out oge na-emetụta 2-3 ezé. Emerụ na-agwọ ọrịa na-ewe ebe otu izu, ma ọ na-ewe banyere a ọnwa nke ikpeazụ mweghachi. N'ihi ya, ọtụtụ oge dị mkpa n'ihi na e guzobere nke connective anụ ahụ na-ekekọta na chịngọm na ezé. Isi drawback nke usoro bụ na dọkịta na oge nke aghụghọ na-adịghị na-ahụ na ihe niile ndiiche guzobere ehichapụ.

Ọ bụrụ na n'akpa uwe omimi bụ karịa 5 mm, mechiri emechi curettage naanị kwụsịtụ ndị progression nke periodontitis. Ele Mmadụ Anya n'Ihu mwepụ nke sediments na granulation enye a nwa oge respite, ma fọrọ nke nta niile ikpe ọrịa malitegharịa ya mmepe.

flaapu ịwa

Nke a ịwa ahụ na-agụnye ịcha-agazu n'agbụ ịnweta periodontal akpa. Ọ na-atụ aro na ọ bụrụ na akụkụ adịghị gafere 4 mm.

First dọkịta na-eme ka nta abụọ na mbepụ na a mkpa mee na detaches muco-nadkostochny flaapu. Mgbe ahụ, a ọkọlọtọ n'ibu ihicha na polishing nke n'akpa uwe elu nke ezé. Mgbe mmezu nke ọgwụgwọ nke siri ike na-ebupụta na-agafere na adụ anụ ahụ dissection. Flaps enịm na a oche. Ná ngwụsị nke usoro a na-etinyere na-emetụta ebe osteogenic ọgwụ onwe ya na sutured-agazu n'agbụ. The dum ọrụ na-ewe ihe na-erughị minit 40, ma-agụnye iji ihe obodo Nkụnwụ.

Ụfọdụ ọrịa n'ihu ikpo emerụ na-agwọ mmadụ maka mpụga ngwa (e.g. "Furatsilinom"). Ọzọkwa nwere ike ikwu na ojiji nke ointments maka mmalite ( "Solkoseril" "Aktovegin") epithelialization usoro nke-agazu n'agbụ.

agụụ curettage

Na ọnụnọ nke purulent ahụ etuto na nke miri emi akpa (5-7 mm) itinye agụụ curettage. Nhicha a rụrụ iji ọgwụ na-akụnwụ. N'oge a usoro, dọkịta scrapes mbụ nkume ego, na mgbe ahụ na-egbu maramara nha nha anụ ahụ. Mgbe ahụ, ọkachamara retara mwepụ nke granulation na epithelial mmebi n'ime mgbidi. Periodontal n'akpa uwe e ọcha site agụụ ngwa, nke na eme nzuzu site na ala nke oghere necrotic uka ọnụ na iberibe nke nkume. Mgbe ikpeazụ nke obligatory saa antiseptik preparations.

Agụụ curettage e ji elu arụpụtaghị. Site a usoro na-agbake lymphatic anụ ahụ, omimi mbelata gingival akpa na tutu amama niile mkpali Filiks.

The postoperative oge

Ghara ikpughe periodontal akpa, n'ime 10 awa mgbe niile manipulations na-gwara ghara iri ma ọ bụ ọṅụṅụ. Iji nweta chọrọ N'ihi ga-nlezianya asa ezé gị, ị ga-mkpa na-eji a ahịhịa na adụ bristles. Nsogbu ebe mkpa iji nweta gburugburu. A izu gasịrị, ị dị njikere itucha. Iji mee nke a, na-eji a na-adịghị ike ngwọta nke hydrochloric ma ọ bụ "Chlorhexidine".

Banyere esenyịn, mbụ mmasị e kwesịrị a juu ma ọ bụ pureed nri. Ọ na-machibidoro ojiji nke oyi ma ọ bụ ókè na-ekpo ọkụ ọṅụṅụ. N'oge izu mgbe curettage nke periodontal akpa na-atụ aro na-enye elu ahụ na-eme, egwuregwu, sawụna. Na postoperative oge, ọ dị mkpa inyocha na ịchọpụtakwa ọnọdụ nke onu oghere. Ị nwere ike iji edebe ihe ọcha, e maka mwute ezé. Ọ bụrụ na ọ dị mkpa, ị na mkpa gakwuru a dọkịta eze. The ọkachamara ga-họrọ usoro iji belata nha nha uche n'olu.

Nleba na price nke ọrụ

Na-eri nke ọrụ maka ọgwụgwọ nke periodontal akpa na Russia dịtụ iche. Otu n'ime ihe ndị isi ihe na-emetụta ịnye ọnụahịa, anyị nwere ike ịhụ a na usoro nke ihe mgbu enyemaka na nkà na ụzụ ike nke ahụ ike na alụmdi. Ọ bụghị dịghị ihe ọzọ akụkụ bụ ọnọdụ nke ụlọ ọgwụ. On nkezi emechi curettage nke periodontal akpa akwụ ụgwọ n'ime 5-12 thous. Rubles. Open usoro bụ ubé ọzọ dị oké ọnụ (9-18 thous. Ruble).

Ọtụtụ n'ime ndị ọrịa na ndidi site na nke a daa ọrịa, ịwa na-họọrọ. N'echiche ha, na ime - ọ bụ naanị usoro na ike tufuo nsogbu. Ọ dị mma nwere recourse ka ihe na-emeghe usoro. Nke a na Usoro-eme ọ bụghị nanị na-ewepụ ndị mebiri emebi akụkụ, kamakwa iji weghachi furu efu ọkpụkpụ karịrị oge. The naanị drawback nke usoro - a ogologo oge nke na-agwọ ọrịa. Obere mgbu e ji mechiri emechi curettage nke periodontal akpa. Nleba na-ekwu na naanị na mbụ ogbo nke-enweghị nchịkwa na usoro a ga-eme ya ọsọ enyemaka.

Echiche banyere ọgwụgwọ ọgwụgwọ akwụ ụgwọ. Ọtụtụ ndị ọrịa adịghị ike ikwu na usoro a idozi nsogbu, dị ka ọ na-enye gị ohere nwa oge ijide mgbaàmà.

The ize ndụ mbufụt nke n'akpa uwe?

Periodontal akpa - nke a bụ a dị oké njọ daa ọrịa nke na-achọ na-adọ na eru ọgwụgwọ. Enweghị ọgwụgwọ pụrụ iduga nsogbu. Otu n'ime ihe ndị kasị dị ize ndụ bụ nnukwu etuto, nke e mechara na-aghọ ala ala. Ọ e ji na-abawanye na eze agagharị na ntoputa nke mgbu. Na steeti a, a onye na-aghọ siri ike na-ata nri. Nleghara anya daa ọrịa emecha na-eduga ná eziokwu na eze bụ kpam kpam na-anọghị na ndị alveolar anya. Mmepe nke mkpali usoro agwụ lymphadenitis na izugbe mmenaanya nke organism.

Prevention nlọghachi azụ

Ahapụla enweghị uche nanị ire ọkụ periodontal n'akpa uwe. The ọgwụgwọ rụrụ na a-adọ ha n'ụzọ, enwekwu Ohere nke a zuru mgbake. Otú ọ dị, nke a apụtaghị na ugbu a ị na-apụghị ịga na dọkịta eze. Mgbe a ọgwụgwọ a chọrọ ọzọ ileta dọkịta, na kpọmkwem oge ka ya onwe ya otu ọkachamara anya nke na-eleghara anya nke ọrịa. On nnyocha, dọkịta ezé nwere ike ikpebi ịga nke ọma nke ọgwụgwọ, na-enye ndụmọdụ na-elekọta na-edeghị ede oghere.

Quality kwa eze ọcha na-egbochi guzobe nkume, iji gbochie mbufụt na periodontal n'akpa uwe. Ọ bụ uru na-atụle a ọkachamara ihicha ọnụ otu ugboro n'afọ na eze na center.