Atrophic gingivitis yog ib yam kab mob ntev ntawm qhov ncauj kab noj hniav, uas yog qhov txo qis ntawm cov pos hniav nyob ib puag ncig cov hniav. Dab tsi ua rau nws? Cov tsos mob dab tsi qhia tau tias nws tsim? Kev kuaj mob thiab kev kho mob li cas? Atrophic gingivitis yog ib qho mob hnyav thiab tshwm sim, yog li cov lus nug no thiab ntau lwm cov lus nug txog cov ncauj lus no yuav tsum tau teb.
Txog tus kab mob hauv luv luv
Atrophic gingivitis yog ib hom mob ntev li ib txwm. Qhov no yog ib qho kev tsis saib xyuas - vim dystrophic hloov nyob rau hauv cov ntaub so ntswg epithelial, tag nrho cov ntim ntawm cov pos hniav txo, lub caj dab thiab cov hauv paus hniav ntawm cov hniav raug nthuav tawm, thiab interdental papillae kuj ploj mus. Interestingly, cov txheej txheem feem ntau tsis nrog o.
Feem ntau, pathology tshwm sim hauv cov txiv neej hnub nyoog tshaj 60 xyoo. Cov poj niam raug kev txom nyem los ntawm nws tsawg zaus. Txawm li cas los xij, tus kab mob no kuj tuaj yeem tshwm sim hauv cov menyuam yaus, qhov ua rau yog kev kho hniav tsis raug lossis tsis zoo ntawm qhov ncauj kab noj hniav.
Nyob hauv kev kho hniav, atrophic gingivitis yog pom tias yog thawj lub cim ntawm kev tsim kab mob hauv lub cev - ib qho kab mob ntawm cov ntaub so ntswg uas nyob ib puag ncig cov hniav.
Yog tias cov kab mob loj zuj zus tuaj, tom qab ntawd cov kab mob periodontitis, tus cwj pwm los ntawm kev mob, yuav pib tsim. Nws qhov txiaj ntsig tuaj yeem yog kev puas tsuaj ntawm kev sib txuas ntawm dentogingival, thiab qhov no yog fraught nrog loosening thiab poob ntawm cov hniav ntxiv.
Yog vim li cas
Atrophic gingivitis, cov duab uas tsis zoo siab, tshwm sim vim tsis quav ntsej cov cai ntawm kev huv ntawm qhov ncauj. Feem ntau qhov ua rau tsis muaj zog tiv thaiv kab mob, uas feem ntau tshwm sim los ntawm cov kab mob hauv qab no:
- Hepatitis.
- tuberculosis.
- mob plab.
- Peptic ulcer.
Kev haus luam yeeb kuj yog qhov yuav tsum tau ua ua ntej rau kev txhim kho tus kab mob. Feem ntau qhov tshwm sim yog hloov hormonal. Lwm yam laj thawj suav nrog:
- Kev kho hniav tsis raug.
- Cov pos hniav muaj zog ligaments.
- Kev tsis sib haum xeeb ntawm qhov ncauj.
- Gum deformity.
- Txoj hlua khi tsis raug.
- Kev mob rau cov pos hniav.
- Ntxhais prosthetics tsis raug.
Atrophic gingivitis los ntawm ob hom:
- Limited. Nrog rau daim ntawv no, cov hauv paus hniav thiab caj dab hauv thaj tsam ntawm 1-2 cov hniav raug nthuav tawm. Feem ntau cuam tshuam rau premolars, canines thiab incisors.
- Nyob zoo. Hauv qhov no, gingival margin maj mam poob nws qhov ntim, uas yog nrogploj ntawm papillae. Qhov tshwm sim yog pom qhov sib txawv ntawm cov hniav.
Symptoms
Tam sim no peb tuaj yeem tham txog yam uas raug rau tus kab mob xws li atrophic gingivitis. Cov cim qhia dav dav tuaj yeem paub qhov txawv hauv cov npe hauv qab no:
- Gum mucosa tig liab qab.
- Muaj los ntshav thiab qee zaum mob.
- Muaj ib feem ntawm cov pos hniav poob ntim.
- V-puab atrophied thaj chaw yog tsim los ntawm qhov tseeb tias thaum lub sij hawm tag nrho cov txheej txheem no interdental papillae khaws lawv cov duab yav dhau los.
- Gingival margin thickening.
- Hypertrophic cov ntaub ntawv, zoo ib yam li cov menyuam, ua rau cov pos hniav tshwm denser thiab thicker.
- Muaj kab mob rhiab rau qhov kub thiab txias hloov thiab lwm yam khaus.
- Gingival papillae ploj mus dhau sijhawm.
- Qhov chaw tshwm nyob nruab nrab ntawm cov hniav, uas cov zaub mov pib daig. Yog li ntawd, cov kab mob pathogenic microorganisms sib sau ua ke thiab tom qab sib npaug. Kev kis kab mob tuaj yeem koom nrog. Qhov no yog qhov raug rau atrophic gingivitis.
Yog ib tug neeg tseem tsis quav ntsej txog tus kab mob, ces cov cag ntawm cov hniav yuav tshwm sim. Ntau cov pos hniav yuav yooj yim tshem tawm, thiab qhov no yog fraught nrog rau qhov tshwm sim uas tau piav qhia thaum pib.
Diagnosis
Yog tias muaj cov tsos mob qhia tias mob atrophic gingivitis, ces koj yuav tsum tau hu rau tus kws kho hniav lossis kws kho hniav sai sai. Tus kws kho mob yuav kuaj mob los ntawm kev tshuaj xyuas tus neeg mob keeb kwm thiab ntsuas qhov xwm txheej ntawm nws qhov ncauj kab noj hniav,uas yuav xav tau kev kuaj pom thiab ntsuas.
Tus kws kho mob ntsuas txhua yam:
- Teeb.
- Gingival margin thiab interdental papillae.
- Kev tsis txaus ntseeg, yog tias muaj.
- Bite thiab nws cov nta.
- Nyob rau ntawm cov hniav.
- Tus mob ntawm cov hniav, yog tias muaj.
Kev tshuaj xyuas cov kab noj hniav nrog kev sojntsuam, koj tuaj yeem qhia qhov qib ntawm cov hniav txav, los ntshav, tsis muaj cov pos hniav, nrog rau qib ntawm kev ncaj ncees ntawm cov pob qij txha. Cov ntaub ntawv no tseem ceeb heev, vim hais tias nws yog nyob rau hauv lawv lub hauv paus uas ib tug periodontogram muab tso ua ke, uas tso cai rau koj to taub yuav ua li cas atrophic gingivitis nyob rau hauv cov ntaub ntawv no.
Kev kuaj mob, txawm li cas los xij, tsis xaus rau ntawd. Tom qab ntawd tus neeg mob raug xa mus rau kev kuaj hniav x-ray. Yog tias xav tau kev kuaj mob kom raug ntau dua, tom qab ntawd kev sim, kuaj, ntsuas ntsuas tau ua thiab cov kab lis kev cai raug coj los ntawm qhov ncauj kab noj hniav rau kev tshuaj xyuas microflora.
Ua tsaug rau cov dej num no, nws muaj peev xwm sib txawv ntawm cov kab mob ntawm cov kab mob uas zoo ib yam li nws cov tsos mob (piv txwv li, los ntawm cov kab mob periodontitis thiab periodontal kab mob).
Cov yam ntxwv ntawm yuav ua li cas gingivitis tshwm sim, kev faib tawm, chaw kho mob - tag nrho cov no tso cai rau peb los txiav txim qhov kev kuaj mob raws nraim. Thiab tseem - txhawm rau txheeb xyuas qhov laj thawj vim li cas nws txoj kev loj hlob pib. Qhov no yog qhov tsim nyog rau kev teem caij kho kom muaj peev xwm, uas yuav ua rau muaj txiaj ntsig.
kev kho mob tshwj xeeb
Tau kawm txog cov tsos mob ntawm atrophic gingivitis, koj tuaj yeem mus rau lub ncauj lus no. Tau kawg ntawm noYuav tsum muaj kev sib koom ua ke ntawm tus kheej.
Thaum cov xwm txheej tau tshwm sim los ntawm qee yam ntawm cov kab mob somatic, tom qab ntawd nws txoj kev kho yog thawj zaug, nrog rau kev ntxiv dag zog rau kev tiv thaiv.
Nws yog ib qho tseem ceeb kom tshem tawm txhua yam uas ua rau raug mob thiab khaus ntawm cov pos hniav. Tsis tas li ntawd, kev tu cev ntawm qhov ncauj thiab chav kawm kho mob txhawm rau txhim kho cov pos hniav trophism yuav tsum tau.
Yog tus kws kho mob pom zoo, nws yuav muab tshuaj kho hniav los yog lwm yam khoom siv kho hniav uas ntsia rau hauv tus neeg mob lub qhov ncauj.
Atrophic gingivitis, kev kho mob uas cuam tshuam nrog kev kho fluoride ntawm caj dab ntawm cov hniav, hydro- thiab nws pib-massage, vibrational cuam tshuam rau cov pos hniav, nrog rau kev siv tshwj xeeb siv cov roj rosehip thiab hiav txwv buckthorn roj, yuav tsum tau pib tam sim tom qab kuaj mob. Tsis txhob nruj.
Tsis tas li, tus neeg yuav tsum tau noj cov vitamins thiab minerals uas txhawb kev tiv thaiv.
tshuaj pleev kom zoo
Lub ncauj lus ntawm cov tsos mob ntawm kev kho mob atrophic gingivitis yuav tsum tau saib xyuas me ntsis ntxiv. Koj tuaj yeem tshem tawm qhov tsis txaus siab tshwm sim ntawm pathology thiab txo cov tsos mob uas nws tshwm sim nrog kev pab ntawm cov tshuaj pleev hauv qab no:
- "Hlub". Nws muaj antimicrobial, analgesic thiab anti-inflammatory kev txiav txim. Nws yog absorbed tam sim ntawd, thiab yog li ntawd tam sim ntawd ua - qhov mob ploj mus, kub taub hau mus, qhov mob yuav tsis tshua muaj mob. Cov tshuaj tua kab mob uas yog ib feem ua rau cov kab mob thiabcuam tshuam lawv txoj kev loj hlob.
- "Solcoseryl". Qhov zoo tshaj plaws tshuaj rau trophism thiab cov ntaub so ntswg regeneration. Nws ua kom cov txheej txheem no sai sai, thiab tseem txhim kho kev thauj cov piam thaj thiab oxygen rau cov hlwb.
- "Asepta-gel". Qhov no yog ib qho tshuaj sib xyaw ua ke uas tau ua pov thawj nws tus kheej hauv kev tiv thaiv thiab kho cov txheej txheem sib kis thiab mob hauv qhov ncauj.
- "Apident asset". Ib qho tshuaj tshwj xeeb ntawm nws hom, uas suav nrog kho bee venom. Nws txo qhov o thiab mob, tshem tawm qhov tsis xis nyob thiab ua pa tsis zoo, thiab tseem txhawb kev kho cov ntaub so ntswg sai.
Muaj lwm cov gels thiab tshuaj pleev uas muaj cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab soothing, tab sis cov tshuaj teev tau lees paub tias zoo tshaj plaws.
Tshuaj tua kab mob
Lawv raug muab tshuaj rau cov kab mob, thiab yog tias cov tsos mob ntawm atrophic gingivitis tsis tau ploj mus tom qab kev kho mob. Lwm qhov qhia tau tias yog theem siab ntawm tus kab mob thiab muaj qhov txhab, qhov txhab thiab qhov chaw ntawm cov kua paug hauv qhov ncauj.
Nov yog qee cov tshuaj uas koj tus kws kho mob yuav sau:
- "Erythromycin". Noj 2-3 zaug hauv ib hnub, 0.25 g ib teev ua ntej noj mov. Hoob no kav 10-12 hnub.
- "Amoxicillin". Txhais tau hais tias ntawm semi-synthetic keeb kwm. Nws raug sau tseg yog tias atrophic gingivitis raug kuaj pom hauv cov menyuam yaus lossis cov neeg laus (cov koob tshuaj txhua hnub yog 250 thiab 500 mg, feem). Hoob no kav 8-10 hnub.
- Clindamycin. Semi-synthetic tshuaj tua kab mob capsules,uas koj yuav tsum tau noj 2 daim ob zaug ib hnub twg. Cov koob tshuaj me nyuam raug xam raws li hauv qab no - los ntawm 8 mus rau 25 mg / kg ib hnub, nco ntsoov muab faib ua 3-4 koob. Hoob no kav 10 hnub.
- Metronidazole Yam Ib tus neeg sawv cev nrog tshuaj tua kab mob thiab protozoal, pom zoo rau cov neeg laus. Qhov koob tshuaj txhua hnub yog 500 mg, muab faib ua ob zaug. Noj tom qab noj mov. Hoob no kav 7-10 hnub.
- "Cephalexin". Antibacterial tus neeg sawv cev. Cov neeg laus thiab menyuam yaus yuav tsum noj 250 mg ob zaug ib hnub tom qab noj mov. Hoob no kav 7-10 hnub.
- "Tarivid". Broad spectrum tshuaj. Nws yog siv tsis hais txog kev noj zaub mov, 200 mg ob zaug ib hnub, ntawm 12 teev. Yog hais tias tus mob khiav, ces tus kws kho mob yuav muab ob npaug rau koob. Cov kev kho mob yog txiav txim los ntawm tus kheej.
- Y "Ciprofloxacin". Ib qho tshuaj tua kab mob uas tau muab tshuaj los ntawm hnub nyoog 15 xyoos. Qhov koob tshuaj yog los ntawm 0.25 mus rau 0.5 grams ob zaug ib hnub twg (qhov tseeb yog nyob ntawm qhov mob hnyav). Hauv cov xwm txheej siab, nce mus rau 0.75 g. Cov chav kawm kav 14 hnub.
- "Ampicillin". Semi-synthetic tus neeg sawv cev ntawm kev ceev ceev. Ib koob tshuaj - 500 mg, noj hauv 3-4 koob. Cov menyuam yaus tuaj yeem noj tau, tab sis lub cev hnyav tau muab coj los rau hauv tus account (100 mg / kg). Hoob no kav 7-10 hnub.
Kev kho cov tshuaj tua kab mob kom zoo yuav pab tshem tawm cov tsos mob ntawm atrophic gingivitis sai sai thiab tiv thaiv kev txhim kho ntawm cov teeb meem. Txawm li cas los xij, tsis muaj teeb meem koj yuav tsum ua txhaum lub sijhawm noj tshuaj. Yeej yuav tsumua raws li cov lus qhia meej.
Rinses
Cov txheej txheem no kuj tseem siv tau rau tus kab mob hauv nqe lus nug. Rinsing muaj cov nyhuv anti-inflammatory, thiab tseem txhawb kev tsim cov ntaub so ntswg. Nov yog cov khoom xyaw uas pom zoo kom ntxiv:
- "Chlorhexidine". Nyob rau hauv ib khob, nws yog txaus rau dilute 5-10 ml ntawm cov tshuaj. Cov txheej txheem yuav tsum tau ua peb zaug hauv ib hnub, 30-60 vib nas this txaus.
- YMiramistin. Cov tshuaj no muaj zog tiv thaiv ntau cov kab mob. Nws yog ib qho tsim nyog yuav tau siv cov tshuaj 0.01%, uas yuav tsum tau muab yaug nrog lub qhov ncauj peb zaug hauv ib hnub rau 1 feeb. Yog tias tus mob tau ua haujlwm, ces nws tsim nyog ua daim ntawv thov 15 feeb nrog Miramistin.
- "Furacilin". Ua kom puas feem ntau cov kab mob. Koj yuav tsum tau siv lub tsev muag tshuaj npaj tau 0.02% tov, los yog yaj cov ntsiav tshuaj hauv 250 ml ntawm dej sov.
Cov dej qab zib sov tsis muaj zog tau ua pov thawj nws tus kheej zoo li tshuaj tua kab mob. Qhov no yog qhov kev xaiv nyiaj txiag tshaj plaws. Koj yuav tsum tau yaj 1 tsp. (tsis muaj swb) hauv khob dej.
Herbal kho mob
Qee phytochemicals tau dav paub txog lawv cov khoom tiv thaiv kab mob. Nws yog ib qho yooj yim heev los npaj cov khoom siv tshuaj los ntawm lawv. Peb yuav saib cov nto moo tshaj plaws:
- Mix 1 tbsp. l. yarrow, calendula thiab chamomile paj. Ncuav dej kub (400 ml) thiab cia nws brew rau ib teev nyob rau hauv ib lub thermos. Tom qab ntawd lim thiab siv yaug.
- Noj 2 tbsp. l. qhuav sage thiab, ncuav dej (250 ml), xa mus rau hluav taws kom boil. Tshem tawm tom qab 10 feeb. Thaum txias, kuj siv rau yaug.
- Hauv qhov sib npaug, sib tov cov nyom celandine nrog tws ntoo qhib tawv. Noj 4 tbsp. l. lub resulting sau thiab ncuav ob khob dej kub. Tom qab 2 teev, lim thiab siv cov tshuaj ntxuav qhov ncauj txhua 6 teev.
- Txiav tawm cov nplooj tshiab thiab tuab ntawm aloe, ntxuav nws zoo thiab tev nws. Muab ib daim me me rau hauv koj lub qhov ncauj thiab zom maj mam rau ob peb feeb, ces nti tawm cov khoom siv.
Los ntawm txoj kev, yog tias peb tham txog kev kho pej xeem, koj yuav tsum siv propolis tincture. Ib txoj kev daws teeb meem yog ua los ntawm nws lub hauv paus nyob rau hauv ib qho tseem ceeb txoj kev: koj xav tau 1 tsp. ntawm kho elixir, ncuav 200 ml dej, thiab tom qab ntawd siv tag nrho cov muaj pes tsawg leeg los yaug koj lub qhov ncauj tom qab noj.
Lawv tuaj yeem muab ntxiv nrog kev kho, vim nws pab ua kom cov ntshav ntws hauv cov pos hniav. Txhawm rau ua nws, koj yuav tsum tau khaws cov roj tseem ceeb ntawm juniper, fir, tshuaj yej tsob ntoo lossis eucalyptus.
Nws yog ib qho tsim nyog yuav tsum tau siv cov khoom me me ntawm cov ntiv tes xoo thiab lub forefinger, thiab pib maj mam zaws cov pos hniav ntawm txhua sab rau 5-10 feeb. Thaum kawg ntawm txoj kev, koj tsis tas yuav yaug koj lub qhov ncauj.
Los ntawm txoj kev, koj tuaj yeem ua daim ntawv thov nrog cov roj hiav txwv buckthorn, nto moo rau nws cov khoom kho. Koj tsuas yog yuav tsum tau moisten ib daim ntaub nplaum uas tsis muaj menyuam nrog nws ntau, thiab tom qab ntawd muab nws tso rau ib teev rau cov pos hniav o. Nws raug pom zoo ua qhov no ua ntej yuav mus pw.
Txoj cai huv si
Hais txog lawv - thaum kawg. Rau gingivitis,Siv cov txhuam hniav uas muaj cov txhuam hniav zoo li ua tau kom txo qis qhov khaus ntawm cov pos hniav thiab cov hniav.
Thiab koj kuj yuav tsum tau yuav cov tshuaj pleev ib ce nrog tshwj xeeb muaj pes tsawg leeg. Nws yuav tsum suav nrog cov poov tshuaj citrate, chlorhexidine, txhuas thiab zinc compounds, aloe gel, triclosan, nrog rau cov txiv hmab txiv ntoo thiab cov tshuaj cog qoob loo.
Cov khoom zoo li no txo cov pos hniav los ntshav, tshem tawm qhov liab thiab o, txhawb cov ntaub so ntswg rov tsim dua tshiab, thiab tseem tsim cov nyhuv analgesic.
