Nyob hauv tsab xov xwm, peb yuav xav txog yuav ua li cas yog lub qhov ncauj tsis qhib tom qab tshem tawm cov hniav txhab.
Ua ntej koj yuav tsum paub seb tus hniav txhab yog dab tsi. Vim li cas thiaj mob heev?
Nws txawv ntawm lwm tus neeg cov hniav. Cov hniav ntse yog qhov thib yim nyob rau hauv kab, officially nws yog hu ua tus thib peb molar los yog daim duab yim. Cov hniav ntse tau txais nws lub npe meej meej vim tias nws tshwm sim hauv tib neeg hauv lawv lub xyoo laus.
Kev tshem tawm ntawm yim yog nyob rau hauv nws tus kheej txoj kev ntev thiab nyuaj. Qhov no yog vim muaj kev txwv ntawm kev nkag mus rau cov txheej txheem. Thaum cov hniav nyob ntawm lub kaum sab xis lossis feem ntau ntawm qhov tsis muaj qhov tawg, qhov xwm txheej nrog nws tshem tawm.nyuaj ntau zaus.
Cov neeg mob feem ntau tsis tuaj yeem txav lawv lub puab tsaig tom qab tshem cov hniav. Cov xwm txheej uas tuaj yeem ua rau tus neeg mob tsis zoo nyob rau lub sijhawm tom qab kev phais, cov kws kho mob hu cov kab mob xws li kab mob caries, kab mob hauv lub cev, ntshav siab, haus luam yeeb thiab haus cawv ntau dhau.
Yuav tsum xav txog qhov laj thawj vim li cas lub qhov ncauj tsis qhib tom qab tshem tawm cov hniav ntse, nrog rau txhua txoj hauv kev kho mob hauv qhov xwm txheej zoo li no.
Kev txawj ntse cov hniav rho tawm
Kev tshem tawm ntawm daim duab yim yog ua nyob rau hauv ntau theem thiab txiav txim siab los ntawm hom kev tso rau hauv cov pob txha. Yog hais tias tus hniav feem ntau nyob rau hauv cov pob txha, tus kws kho mob ua ntej ua tshuaj loog: conduction thiab, yog tias tsim nyog, infiltration. Tom qab ntawd, detachment ntawm cov hniav ncig ligament yog ua. Cov qauv no, nthuav tawm hauv daim ntawv ntawm cov ntaub so ntswg sib txuas, sib sau cov hniav nrog cov pos hniav, nyob hauv cov pob txha. Tom qab ntawd forceps yog siv, rocking txav ntawm me amplitude yog ua. Tom qab ua qhov tsis sib npaug, qhov kev tshem tawm (traction) maj mam ua. Tom qab ntawd, lub qhov yog kuaj nrog ib rab diav curettage, tsim cov pob txha kom rov zoo, thiab cov pob txha ntawm lub puab tsaig alveolar txheej txheem yog compressed nyob rau hauv lub vestibulo-qhov ncauj kev taw qhia kom tsis txhob tshwm sim ntawm pob txha protrusions (exostoses). Yog hais tias tus hniav ntse nyob rau hauv txoj hauj lwm ntawm kev tuav pov hwm thiab ib nrab tuav, ces cov tactics ntawm kev pab kho mob yog nqa tawm txawv.
Daim duab semi-retinated yim yog txiav txim siab pom hauv qhov ncauj raws li hauv qab noindicators:
- muab tso rau ntawm lub kaum sab xis rau cov hniav uas nyob ib sab;
- qhia ua pob 1_3;
- impenetrable ib feem thiab tubercles (ib nrab) yuav raug them nrog mucosal hood;
- yog tias lub siab ntev tau ua rau ntawm cov hniav uas nyob ib sab, tom kawg tau hloov pauv raws li qhov pom ntawm cov ntaub ntawv nyuaj ntawm caries ntawm nws qhov chaw;
- X-ray qhia angulation hauv pob txha, ib nrab ntawm qhov chaw.
Ib qho kev cuam tshuam cov hniav hauv feem ntau yog txiav txim siab thaum lub sij hawm kev tshawb fawb panoramic, thaum lub sij hawm cov kev taw qhia ntawm qhov chaw nyob rau hauv cov pob txha, cov kev iab liam ntawm cov hniav cov ntaub so ntswg raug kawm.
Kev rho tawm ntawm daim duab yim ntawm theem ntawm kev tuav cia thiab tuav tau ua raws li hauv qab no:
- Paj chaw.
- Incision los ntawm lub vestibular sab ntawm cov hniav ntse nrog ib tug scalpel nrog tsim ib tug trapezoid cheeb tsam pem hauv ntej, detachment ntawm lub mucosal flap.
- Los ntawm txoj kev burr, ib lub qhov yog drilled nyob rau hauv lub cortical phaj ntawm cov pob txha, uas sib haum mus rau txoj hauj lwm ntawm daim duab yim: thaum lub sij hawm tus txheej txheem, lawv raug coj los ntawm ob qho tib si pom cov ntaub ntawv ntawm lub qhov ncauj kab noj hniav thiab los ntawm qhov tshwm sim ntawm kev kuaj radiographic. Ntu drilled raug tshem tawm.
- Cov hauv paus hniav ntawm daim duab-yim yog txiav nrog lub cutter, yog tias tsim nyog, ntxiv cov yas thiab kev npaj. Txheej-los-txheej tshem tawm ntawm qhov chaw ntawm cov hniav ntse yog ua.
- Curettage, kho tshuaj tua kab mob, siv cov khoom siv nroglub hom phiaj ntawm kev tiv thaiv cov txheej txheem inflammatory.
- Npaj daim pam rov qab, stitches kho ntawm qhov txhab.
Thaum txhua yam txheej txheem tiav lawm, tus kws tshaj lij muab cov lus pom zoo rau kev saib xyuas hauv tsev.
Ntau tus neeg muaj teeb meem qhib lawv lub qhov ncauj tom qab cov hniav rho tawm.
Qhov tshwm sim ntawm kev tshem tawm daim duab yim
Kev txawj ntse hniav rho tawm yog li txheej txheem nyuaj hauv kev kho hniav. Thiab nyob rau lub sijhawm tom qab kev ua haujlwm, ntau yam kev mob tshwm sim tuaj yeem tshwm sim, piv txwv li, los ntshav, o, thiab qhov kub thiab txias. Tsis tas li ntawd, tom qab tshem tawm cov hniav ntse, qhov ncauj tsis qhib, thiab lub puab tsaig mob.
Cov teeb meem zoo li no tuaj yeem tshwm sim txawm hais tias qhov txheej txheem tau ua tiav raws li kev tshaj lij thiab raug raws li qhov ua tau, thiab tus neeg mob tau ua raws li tag nrho cov lus pom zoo ntawm tus kws kho hniav.
pob ntseg
Cov xwm txheej uas tus neeg mob nyuaj qhib nws lub qhov ncauj tom qab tshem tawm ntawm daim duab yim yog qhov tshwm sim ntau. Xws li ib qho tsis kaj siab tshwm sim vim qhov kev puas tsuaj tsawg heev rau cov ntaub so ntswg. Cov ntshav ncig nyob rau hauv cov ntaub so ntswg yog tso tawm, sau cov kab noj hniav, vim edema tsim. Tsuas yog xws li puffiness tsis pub lub puab tsaig qhib. Tsis tas li ntawd, kaw lub puab tsaig yuav cuam tshuam nrog cov tshuaj tiv thaiv ntawm tib neeg lub cev rau kev siv tshuaj loog.
Vim li cas ho mob qhib kuv lub qhov ncauj tom qab rho hniav?
Cov cim qhia ntawm cov kab mob no thiab cov laj thawj rau lawv qhov tsos
Tsuas yog qhov nyuaj hauvqhib qhov ncauj, tus neeg mob uas nyuam qhuav tau tshem tawm cov hniav yuav hnov mob. Cov kws tshaj lij hu qhov tshwm sim no trismus, thaum muaj kev tswj tsis tau qhov mob ntawm cov leeg masticatory tom qab ncab lawv. Cov kev xav tsis zoo yuav tshwm sim vim yog vim li cas hauv qab no:
- cuam tshuam hauv kev ua haujlwm ntawm lub sijhawm sib koom ua ke;
- raug mob rau lub sijhawm sib koom ua ke tshwm sim los ntawm tus neeg mob nyob ntev nrog lub qhov ncauj qhib.
Ntau tus neeg xav tias nws ib txwm mob qhib lub qhov ncauj tom qab cov hniav rho tawm, thiab nws puas yog ib txwm.
Thaum twg trismus tshwm sim thiab thaum twg nws tsim nyog txhawj txog?
Tus mob uas tsis tuaj yeem qhib lub puab tsaig tom qab tshem tawm cov hniav yog ib txwm muaj kev cuam tshuam ntawm lub cev hauv lub sijhawm tom qab ua haujlwm. Puffiness nyob rau hauv feem ntau ploj tom qab peb mus rau plaub hnub, qhov mob yuav txo tau nyob rau hauv ob hnub tom qab tus txheej txheem. Nyob rau hauv cov ntaub ntawv ntawm mob hnyav tiv thaiv keeb kwm yav dhau ntawm lub cev kub, tsis tu ncua o thiab putrid tsw los ntawm lub qhov ncauj, koj yuav tsum nrhiav kev pab kho mob tsim nyog.
Kuv yuav ua li cas yog nws mob qhib kuv lub qhov ncauj tom qab rho hniav?
Kev kho mob tshwj xeeb ntawm qhov tsis kaj siab no
Cov txheej txheem kho mob nyob rau lub sijhawm tom qab kev ua haujlwm yog txiav txim siab los ntawm tus kheej tus yam ntxwv ntawm tus neeg thiab kav li ntawm peb mus rau kaum ob hnub. Lub sijhawm no, ntxiv rau kev ua raws li cov lus pom zoo ntawm tus kws kho hniav, tus neeg mob yuav tsum tau ua gymnastic ce rau lub puab tsaig, sim ua.txhim kho nws.
Kev kov yeej qhov mob, koj yuav tsum qhib koj lub qhov ncauj, simulating zom mov. Yog tias tus neeg mob muaj qhov o hnyav, koj yuav tsum tau siv tshuaj ntsuab compresses. Tsis tas li ntawd, nws yuav tsum tau muab sau tseg tias nyob rau hauv kev xyaum ntawm cov kws kho hniav feem ntau tshwm sim thaum lub txim tsis zoo ntawm kev tshem tawm ib tug txawj ntse hniav tsis tshwm sim, thiab ib tug neeg mob qhib nws lub qhov ncauj tsuas yog vim tshuaj loog.
Kev ntxuav qhov thib ob
Yog tias koj muaj mob thaum qhib koj lub qhov ncauj tom qab tshem cov hniav, koj yuav tsum tau rov ntxuav lub qhov.
Qee lub sij hawm muaj tej lub sij hawm thaum ib tug ntse hniav muaj nws cov hauv paus hniav khoov, los yog ib tug cyst tau tsim vim caries nyob rau hauv ib tug tsis saib xyuas. Nyob rau hauv cov xwm txheej zoo li no, nws tsis tuaj yeem tshem tawm tag nrho cov hauv paus hniav ib zaug, thiab kom rov ua tiav ntawm tus neeg mob, tus kws kho hniav yuav tsum ua ib txheej txheem ntxiv. Heev feem ntau, conduction anesthesia yog sau nyob rau hauv cov ntaub ntawv no. Tsuas yog thaum ntxuav lub qhov rov ua dua tus neeg tswj kom tsis txhob tsis xis nyob thiab mob.
Kev siv tshuaj tua kab mob hauv cov kab mob no
Yuav kom ua tiav cov txiaj ntsig zoo tshaj plaws hauv kev tawm tsam qhov tsis yooj yim rau qhib qhov ncauj tom qab tshem cov hniav, cov tshuaj tau muab tshuaj, nyob ntawm tus kheej tus yam ntxwv ntawm tus neeg mob lub cev thiab qhov xwm txheej ntawm tus kab mob:
- yog tias qhov ua rau ntawm cov leeg nqaij spasm yog ib qho neurotic yam, tus neeg mob tau muab tshuaj sedatives;
- nyob rau hauv rooj plaub ntawm trismus vim yog kev txhim kho ntawm kev ua haujlwm inflammatory hauv lub qhov ncauj, cov tshuaj tua kab mob raug muab tshuaj tua kab mob kom pom tseeb.
Feem ntau, tus kws kho hniav tau sau cov tshuaj tiv thaiv kab mob: Lincomycin, Dalacin, Ciprolet, Amoxicillin, Ciprofloxacin. Raws li analogues, tshuaj tua kab mob yog siv - "Sulfatsil", "Streptocid".
Physiotherapy - lawv ua tau zoo li cas?
Txhawm rau kom ua tiav cov txiaj ntsig kev kho mob nyuaj, cov txheej txheem kho lub cev yog siv los pab txo qhov kev siv ntawm cov txheej txheem o thiab qhov kev xav ntawm qhov mob, thiab tseem muaj cov tshuaj tua kab mob. Cov txheej txheem physiotherapy tseem ceeb yog raws li hauv qab no:
- ultraviolet irradiation;
- fluctuorization;
- UHF txoj kev kho;
- darsonvalization;
- magnetotherapy;
- phototherapy;
- laser kho;
- tshuaj electrophoresis;
- centimeter wave therapy.
Physiotherapy tsis tuaj yeem dhau los ua txoj hauv kev tseem ceeb ntawm kev kho mob, vim tias lawv tsis muaj txiaj ntsig zoo. Xws li kev kho mob tsuas yog siv ua ke, nrog rau lwm yam kev kho mob.
Lwm cov txheej txheem kho mob
Yuav kom ua tiav qhov rov qab sai, lawv yuav siv cov kev kho mob txawv txawv, xws li kev kho cua sov lossis zaws. Massage txav nrog tus txhuam hniav mos tuaj yeem txhim kho cov ntshav ncig, uas tau cuam tshuam thaum muaj kev cuam tshuam thaum tshem tawm cov duab yim. Kev kho cua sov ua kom lub cev zoo, tshwj xeeb los ntawm kev siv av nkos, ozocerite thiab paraffin daim ntaub ntawv.
Cov kws kho hniav qhia li cas rau cov neeg uas ua tsis tauqhib qhov ncauj tom qab rho hniav?
Cov lus pom zoo rau kev tiv thaiv kab mob no: cov lus qhia los ntawm kws kho hniav
Hauv thawj ob peb hnub tom qab ua haujlwm, koj yuav tsum tsis txhob noj cov khoom noj thiab ntau yam khoom ntawm lub puab tsaig. Nws kuj tseem muaj peev xwm hais tias koj yuav xav tau cov zaub mov me me uas muaj cov kissels, kua cereals thiab grated soups.
Raws li cov yam ntxwv ntawm kev rov qab los, kev hloov pauv mus rau cov khoom noj ib txwm ua tiav. Feem ntau, hnub 7-10, tus neeg mob tuaj yeem qhib nws lub qhov ncauj thiab noj zaub mov zoo tib yam.
Cov kws kho hniav hauv qee kis pom zoo kom yaug qhov ncauj nrog cov tshuaj sov ntawm Chlorhexidine, Furacilin, potassium permanganate. Tsis txhob hnov qab tias lub qhov ncauj tau yaug tsis pub dhau ib hnub tom qab kev ua haujlwm kom tshem tawm cov hniav hniav, txwv tsis pub kev kho ntawm lub qhov yuav qeeb, thiab qhov mob yuav hnyav dua.
Peb saib yuav ua li cas thaum lub qhov ncauj tsis qhib tom qab tshem cov hniav txhab.
