Lub laser tam sim no tau siv dav hauv tshuaj. Qhov no tuaj yeem hais txog kev lag luam kho hniav thiab. Cov kev kho mob zoo sib xws tam sim no tau ua hauv ntau lub tsev kho mob hauv tsev. Tab sis rau lub hom phiaj twg yog laser siv hauv kev kho hniav? Dab tsi yog qhov qhia txog kev kho mob zoo li no? Puas muaj rooj plaub uas nws yog contraindicated? Cov kws tshaj lij lawv tus kheej teb li cas rau cov txheej txheem zoo li no? Peb yuav teb tag nrho cov lus nug tseem ceeb no hauv kab lus.
Qhov no yog dab tsi?
Dab tsi yog hu ua laser hauv kev kho hniav? Qhov no yog ib tug tshwj xeeb ntaus ntawv tsim los hloov ib hom zog mus rau lwm yam. Tshwj xeeb, mus rau hauv lub zog ntawm cov hluav taws xob nqaim nqaim, uas muaj nuj nqis hauv cov tshuaj thiab kev lag luam rau qee yam khoom.
"Laser" yog cov ntawv luv ntawm no. Lub npe no yog lus Askiv: Light Amplification by Stimulated Emission of Radiation. Hauv kev txhais lus: "Intensification of light by forced radiation." Li no nws tau paub meej tias cov khoom siv ntawm txhua lub tshuab laser yog lub teeb. Nyob rau hauv cov ntaub ntawv no, qhov no yog electromagnetic tawg nyob rau hauv ib tug ntau yam ntawm frequencies thiab wavelengths ntawm lub teeb.
Ntau yam
Cia peb xav txog hom lasers siv hauv kev kho hniav:
- Erbium.
- Diode.
- Neodymium.
Txoj kev tshaj plaws
Diode laser hauv kev kho hniav yog cov txheej txheem ntau tshaj plaws. Nws ua haujlwm hauv qhov pom tsis pom, thiab lub zog hluav taws xob tuaj yeem hloov kho los ntawm tus kws kho hniav. Lub diode laser muaj ib tug xov tooj ntawm cov teebmeem ntawm cov ntaub so ntswg - tshem tawm, sterilization, coagulation, stimulation. Nws kuj cuam tshuam rau cov ntaub so ntswg tawv - nws yog siv rau kev ua kom tsis muaj menyuam thiab tshuaj dawb.
Yog li, lub laser hauv kev kho hniav tso cai rau koj los muab kev pabcuam kho mob thiab phais rau cov pejxeem. Xav txog lawv nyias.
Kev kho hniav kho hniav
Kev kho hniav laser feem ntau tsis mob. Lawv txawv ntawm lawv qhov ceev - qhov teeb meem uas tus neeg mob thov tuaj yeem daws tau tag nrho hauv 5-10 feeb. Kev ua tau zoo ntawm cov kev kho mob no yog qhov siab heev.
Txawm li cas los xij, tau ntev, kev kho mob laser hauv kev kho hniav tsis muaj neeg nyiam vim nws tus nqi siab. Tab sis cov cuab yeej siv niaj hnub no tso cai rau cov kws tshaj lij los muab kev saib xyuas zoo rau cov neeg mob ntawm tus nqi tsim nyog.
Nws yog ib qho tseem ceeb kom nco ntsoov tias txhua qhov kev kho mob tau ua tiav yam tsis muaj tshuaj loog. Vim lawv tsis ua mob. Vim li cas kev kho mob laser feem ntau yog qhov txaus siab rau cov neeg mob uas nyuaj rau kev zam txim rau cov tshuaj loog.
Lub laser ua rau ntawm thaj chaw tshwj xeeb ntawm cov nqaij mos ntawm qib cellular. Nws ua tauevaporate noo noo nyob rau hauv puas hlwb, txhawb lub cev tiv thaiv. Yog vim li cas tsuas yog ob peb txoj kev yuav tsum tau kho kom tag nrho cov kab mob ntawm cov hniav. Nws yuav tsum tau muab sau tseg tias qhov txhab nrog laser raug rau cov ntaub so ntswg kho thiab caws pliav sai dua li thaum tib txoj kev phais yog ua nrog scalpel. Lwm qhov tseeb tseem ceeb yog tias tom qab kho laser, cov neeg mob rov qab los ntawm tus kab mob tsawg tsawg.
Cov lus qhia rau kev kho laser
Hnub no lub laser tau siv dav hauv kev kho hniav. Cov lus qhia rau kev siv cov txheej txheem no rau kev kho mob yog raws li nram no:
- Kev tshem tawm ntawm foci ntawm qhov mob tuaj yeem tsim nrog stomatitis, gingivitis (mob ntawm cov pos hniav), herpes.
- Kev ua kom tsis muaj menyuam ntawm ob qho tib si qhib thiab kaw kab noj hniav. Qhov no siv tau rau kev kho mob ua ntej ntawm cov kwj dej hauv paus, nrog rau cov kev kho mob ntawm cov kwj dej hauv kev kuaj mob periodontitis.
- Biostimulation qhia kom nrawm kho thiab kho cov nqaij mos.
- Immunomodulation. Qhov ntawd yog, stimulation ntawm lub cev tiv thaiv.
- Txo (lossis tshem tawm ua tiav) ntawm qhov rhiab ntawm cov hniav caj dab thaum yaig thiab cov npoo zoo li qhov tsis xws luag.
Feem ntau siv hauv kev kho hniav laser hauv kev kho mob ntawm cov kab mob hauv lub cev thiab cov kab mob periodontitis thaum ntxov, nrog kev txhim kho mob me thiab nruab nrab. Kev siv lub laser ntawm no pab kom ua tiav qhov ploj ntawm cov kwj dej hauv lub cev los ntawm kev ua kom tsis muaj menyuam. Nyob rau tib lub sijhawm, kev kho laser pab tshem tawm qhov mob. Nwsqhov cuam tshuam txhawb kev tsim dua tshiab (rov qab) ntawm cov ntaub so ntswg, uas feem ntau ua kom cov txheej txheem kho kom zoo.
Hnub no peb tuaj yeem hais tias lub laser yog ib txoj hauv kev zoo los kho cov teeb meem xws li aphthous stomatitis, herpes sores ntawm daim di ncauj, rwj, nrog rau cov kab mob kab mob hauv cov ces kaum ntawm daim di ncauj. Hais txog cov kab mob uas tsis yog kev kho hniav, lub laser tam sim no ntse siv rau cov teeb meem hauv qab no:
- Leukoplakia.
- Lichen planus.
- Fibroides.
Ntxiv rau kev kho mob laser hauv kev kho hniav, txoj kev no kuj tseem siv rau ntau yam kev phais. Tshwj xeeb, rau kev txiav, coagulation, txiav, evaporation, tshem tawm cov ntaub so ntswg ntawm qhov ncauj.
Laser yog siv dav hauv kev kho hniav menyuam yaus. Ua ntej tshaj plaws, qhov no yog vim qhov tseeb tias nws yog cov txheej txheem tsis mob. Qhov no txhais tau tias thaum lub sijhawm ua haujlwm, qhov cuam tshuam tsis zoo rau tus neeg mob me tau txo qis.
Kev siv lub laser hauv kev phais kuj tseem muaj txiaj ntsig vim nws tshem tawm los ntshav thiab muab kev ua haujlwm tsis muaj menyuam. Cov qhov txhab kho sai, tsis txhob o. Tsis tas yuav tsum tau stitching thiab tshem tawm ntxiv ntawm stitches.
Yog tias koj siv lub laser es tsis siv lub tshuab scalpel, ces kev kho hniav tsis muaj ntshav. Tsis tas li ntawd, lub sijhawm ntawm cov txheej txheem raug txo. Nws tseem yuav tsum tau muab sau tseg tias thaum lub sij hawm phais laser tsis muaj peev xwm kis tau rau hauvqhov txhab. Kev kho mob sai sai, ib yam li kev rov zoo tag nrho ntawm tus neeg mob.
Nyob rau hauv cov ntaub ntawv ntawm kev phais mob sab nraud, kev ua haujlwm laser hauv hom mem tes, tsis tas yuav tshuaj loog txawm tias lub sijhawm ua haujlwm. Thiab qhov no yog ib qho txiaj ntsig zoo heev ntawm cov txheej txheem hauv kev sib raug zoo rau cov poj niam cev xeeb tub, cov neeg mob uas muaj kab mob plawv loj, cov neeg uas muaj kev tsis haum rau cov tshuaj loog.
Nyob rau hauv cov ntaub ntawv ntawm kev sib sib zog nqus, tus neeg mob tsuas yog ib tug mob me ntsis ntawm lub qhov txhab nyob rau hauv lub postoperative lub sij hawm. Raws li edema, feem ntau nws tsis tuaj.
Kev qhia rau kev phais laser
Kev phais hniav phais nrog lub laser tuaj yeem qhia hauv cov xwm txheej hauv qab no:
- Tshem tawm cov neoplasms ntawm ntau yam xwm: papillomas, epulis, hemangiomas, fibromas, cysts.
- Gingivoplasty hauv qhov qhib qhov muag luag ntxhi. Kev ua haujlwm yog ua los tsim kom muaj qhov zoo nkauj ntawm cov pos hniav.
- Excision ua ntej sau cov pos hniav overhanging.
- Tshem tawm cov pos hniav overgrown ua ntej prosthetics.
- Kho frenulums ntawm ob tus nplaig thiab daim di ncauj.
- Kev tshem cov pos hniav hla cov hniav tsis tiav.
- -tob ntawm cov kev sib tw ntawm qhov ncauj kab noj hniav.
- Hemostasis. Txhob qhib qhov ncauj los ntshav.
Raws li cov bridles, nrog kev pab los ntawm ib tug laser nws muaj peev xwm kho lawv yam tsis muaj ntshav. Tsis tas yuav tsum tau stitches.
Qee zaum yuav tsum tau phais laser ua ntej cov txheej txheem orthodontic. Tshwj xeeb, me me vestibule plasty lossis cov pos hniav phais (kom tiv thaiv kev poob qis) yuav tsum tau. Yog hais tias nyob rau hauv cov ntaub ntawv no ib tug laser siv es tsis txhob ntawm ib tug scalpel, ces kho, kho cov ntaub so ntswg sai dua.
YDental implants
Ib qho ntawm cov lus qhia tseem ceeb rau kev kho laser yog kho cov hniav tom qab cog. Cov txheej txheem hauv qab no sawv tawm ntawm no:
- Txiav cov pos hniav rau kev tso chaw tso.
- Tshuaj tua kab mob rau yav tom ntej implant txaj.
- qhib kev cog hniav tom qab kho.
- Kev kho tus mob reimplantitis.
txhuam hniav
Laser raug tso cai rau koj hloov qhov ntxoov ntxoo ntawm cov hniav enamel los ntawm 8-10 tones. Tsis tas li ntawd, nrog kev pab los ntawm cov cuab yeej no, koj tuaj yeem tshem tawm cov quav hniav thiab tartar. Thaum kho, ib tug tshwj xeeb gel yog siv rau cov hniav. Nyob rau hauv qhov kev txiav txim ntawm lub laser, nws cov khoom nkag mus rau hauv cov enamel thiab tshem tawm cov xim pigment los ntawm nws. Raws li qhov tshwm sim, cov hniav tau ntxuav thiab ua kom tawv nqaij.
YContraindications
Hnub no, kev siv laser hauv kev kho hniav tau kawm zoo. Contraindications rau kev siv cov txheej txheem no nyob rau hauv kev kho mob ntawm tus neeg mob yog raws li nram no:
- Pathology ntawm lub plawv, vascular system nyob rau theem ntawm decompensation.
- Kab mob ntawm lub paj hlwb, uas muaj qhov ntse, muaj zog excitability ntawm tus neeg mob.
- YHyperthyroidism.
- mob hnyav, theem ntawm emphysemalub ntsws.
- Lub raum tsis ua haujlwm.
- mob ntshav qab zib hnyav.
- xov los ntshav.
- Oncological yam ntawm tus kab mob.
- Photodermatoses.
Kev tshuaj xyuas
Cia peb xav txog cov kev tshuaj xyuas txog lub laser hauv kev kho hniav los ntawm cov kws kho mob lawv tus kheej. Raws li kev tshuaj xyuas ntawm lawv cov lus teb, cov hauv qab no tuaj yeem hais tau:
- Ntau cov lus pom zoo los ntawm cov neeg mob uas tau thov kev kho mob laser ntawm herpes. Siv cov txheej txheem no, koj tuaj yeem ua rau cov pob liab liab zoo - lub laser dries lawv zoo. Koj tuaj yeem tiv thaiv tau pob liab liab ntawm daim di ncauj yog tias, thaum thawj cov tsos mob ntawm tus kab mob, lawv tau kho nrog cov kab teeb laser.
- Cov kws kho mob hu rau txoj kev kho hniav no tsis yog siv tau zoo xwb, tab sis kuj yooj yim. Hauv particular, nyob rau hauv kev kho mob ntawm complex mob caries, thaum cov pos hniav hlob mus rau hauv lub resulting kab noj hniav. Nrog kev pab ntawm lub laser, koj tuaj yeem daws qhov teeb meem hauv ib qho kev mus ntsib.
- Cov kws kho hniav ua ntej ntawm tag nrho cov cim kev kho mob ntawm laser ntawm cov pos hniav. Ua ntej lub qhov muag, edema dissolves, o txo. Tsis tas li ntawd, tsis muaj qhov tshwm sim me ntsis ntawm kev kis kab mob hauv lub qhov txhab, uas ntau tus neeg mob ntshai. Thaum ua cov txheej txheem kho hniav nrog lub laser, tus kws kho mob kuj tseem tuaj yeem txo qhov rhiab ntawm qee cov ntaub so ntswg.
- Lwm yam zoo ntawm lub laser, uas tuaj yeem nyeem txog hauv kev tshuaj xyuas ntawm kws kho hniav - cov txheej txheem tso cai rau koj kom ceev nrooj los ntshav hauv qhov ncauj kab noj hniav.
- Nyob hauv ntau lub tsev kho mob, lub laser yog siv tsis tau tsuas yog rau kev kho mob thiab phais cov txheej txheem, tab sis kuj rau aesthetic - hniav ntxuav hniav dawb. Raws li cov neeg mob, cov txheej txheem muab cov txiaj ntsig zoo.
Nws tuaj yeem hais tau tias yav tom ntej ntawm kev kho hniav nyob nrog kev kho laser thiab phais. Tom qab tag nrho, qhov no yog ib txoj kev mob uas tsis suav nrog qhov ua tau los ntshav thiab kis kab mob. Thiab ib txoj hauv kev zoo los daws cov teeb meem kho hniav, uas tam sim no tau nkag mus rau ntau tus neeg mob.
