Kev kho hniav kho hniav yuav tsum tau kho raws sijhawm thiab ua tau zoo, vim tias qhov kev tsis saib xyuas tus kab mob ua rau muaj ntau yam teeb meem. Cov teeb meem tshwm sim feem ntau suav nrog kev ua yuam kev los ntawm kws kho hniav thaum kho.
Alveolitis tom qab tshem cov hniav tuaj yeem tsim yog tias cov kab mob nkag mus rau tus neeg mob lub qhov ncauj los ntawm kev siv tshuaj tua kab mob tsis zoo los ntawm tus kws kho mob. Nyob rau tib lub sijhawm, cov cim qhia ntawm pathology yuav tsis tshwm sim tam sim ntawd, tab sis tom qab qee lub sijhawm. Kev mob ntawm lub qhov tshwm sim feem ntau tom qab tshem tawm ntawm cov molars qis lossis cov hniav ntse.
Kev ua txhaum cai
Alveolitis tom qab tshem tawm cov hniav - o uas tshwm sim hauv qhov txhab tom qab kev kho mob. Nws pib los ntawm kev nkag mus ntawm cov kab mob thiab kev loj hlob ntawm tus kab mob. Qee zaum, xws li kev ua txhaum caitej zaum yuav raug mob ntawm cov pos hniav.
Tom qab cov hniav rho tawm, cov txheej txheem rov qab tau qeeb. Cov qaub ncaug thiab cov khoom noj khib nyiab sib sau ua ke hauv lub qhov txhab, cov txheej txheem ntawm kev lwj tshwm sim, uas ua rau lub qhov txhab thiab ua rau kev loj hlob ntawm tus kab mob. Qhov ua rau kis tau tus kab mob no yuav yog kev tshem tawm cov hniav hniav lossis cov molars, nrog rau kev ua haujlwm nyuaj. Xws li kev tswj hwm suav tias yog qhov nyuaj yog tias:
- cov hniav yog nkig heev thiab nquag tawg;
- kub cag;
- tsuas yog cov cag hniav tseem tshuav.
Tag nrho cov xwm txheej no yuav tsum tau muaj cov pos hniav, saws nrog burr, tshem tawm cov hniav hauv qhov chaw.
Forms of txhaum
Hauv kev kho hniav, muaj ntau hom alveolitis tom qab tshem cov hniav, txhua tus muaj cov yam ntxwv tshwm sim. Ntawm cov ntau yam tseem ceeb, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:
- serous;
- purulent;
- ntsim;
- chronic;
- mob suppurative.
Yog tias kev kho mob tsis tau ua raws sijhawm raws sijhawm ntawm cov theem pib ntawm kev ua txhaum cai, muaj teeb meem loj heev tuaj yeem tshwm sim. Serous alveolitis tom qab tshem tawm cov hniav yog ib qho mob uas qhov mob ntawm qhov mob ntawm cov pos hniav tsis nres, tab sis tsuas yog nce ntxiv thaum zom zaub mov. Qhov kub thiab txias tseem zoo li qub, thiab tus neeg mob txoj kev noj qab haus huv yog qhov txaus siab heev. Koj tuaj yeem txiav txim siab qhov kev ua txhaum cai thaum kuaj xyuas ntawm tus kws kho hniav. Ib daim ntawv zoo sib xws tshwm nyob rau hauv 3 hnub tom qab rho hniav. Yog tias kev kho mob tsis ua tiav hauv ib lub lis piam, cesCov teeb meem txaus ntshai tshwm sim.
Mob alveolitis tom qab tshem tawm cov hniav ntse yog tus cwj pwm los ntawm qhov mob hnyav uas tsis txo qis txawm tias tom qab noj tshuaj loog. Muaj me ntsis o ntawm cov pos hniav thiab sab plhu los ntawm sab ntawm cov hniav rho tawm. Thaum qhib qhov ncauj thiab hais lus, ib tug neeg xav tias tsis xis nyob thiab mob. Kuj tseem yuav pom qhov nce ntawm qhov kub thiab txias. Daim foos no yuav tsum tau mus ntsib kws kho hniav sai thiab kho.
Mob alveolitis ntawm lub qhov (socket) tom qab tshem tawm cov hniav tom qab li ib hlis ntawm kev kho hniav. Hauv qhov no, purulent granuloma yog tsim. Nws zoo li lub capsule, pleev xim rau xim liab-xim av. Sij hawm dhau mus, cov kab mob alveolitis tuaj yeem loj tuaj, thiab cov kua dej sib kis tuaj yeem sib sau hauv cov pos hniav, uas ua rau muaj kev foob.
Purulent alveolitis feem ntau yog nrog los ntawm kev mob hnyav, ua tsis taus pa, ua npaws, tsis muaj zog. Daim tawv nqaij ua daj ntseg. Kev hnov mob tib lub sijhawm ua rau nyuaj rau kev noj zaub mov. Maj mam, cov nqaij mos pib o, uas ua rau me ntsis asymmetry ntawm lub ntsej muag. Feem ntau muaj qhov nce hauv cov qog ntshav qog ntshav. Thaum kuaj xyuas, puffiness thiab tsim ntawm cov quav hniav grey tuaj yeem pom.
Mob purulent alveolitis yog qhov txaus ntshai heev vim tias thaum lub sijhawm ua haujlwm ntawm cov kab mob no, muaj kev noj qab haus huv zoo thiab txo qis hauv qhov mob. Thaum lub sij hawm soj ntsuam, nws muaj peev xwm nco ntsoov qhov kev loj hlob ntawm cov ntaub so ntswg nyob ze ntawm lub qhov. Nruab nrab ntawm pob txha thiab mosqhov khoob me me hauv cov ntaub. Pus pib sawv tawm, thiab cov mucous ua bluish.
Kev tshwm sim
Alveolitis tom qab tshem tawm cov hniav ntse tuaj yeem tshwm sim rau ntau yam. Cov laj thawj muaj xws li:
- nkag mus rau hauv lub qhov dej ntawm cov kab mob;
- ua txhaum txoj cai rau kev kho hniav;
- mob rau cov pos hniav los yog puab tsaig;
- muaj cov quav hniav mos ntawm qhov chaw ntawm cov hniav.
Alveolitis tuaj yeem tshwm sim yog tias tom qab tshem cov hniav, cov ntshav txhaws tsis tau tsim uas txhaws qhov txhab. Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg mob uas txo qis kev tiv thaiv kab mob, lub cev tsis muaj zog, ntshav txhaws tsis zoo.
Cov tsos mob tseem ceeb
Thawj cov tsos mob ntawm alveolitis tom qab tshem tawm cov hniav tshwm sim kwv yees li 3-4 hnub tom qab txheej txheem. Tshwj xeeb, lawv suav nrog:
- liab thiab o ntawm cov pos hniav hauv thaj tsam ntawm cov ntaub so ntswg cuam tshuam;
- tsim ntawm greyish plaque;
- sib cais ntawm cov ntsiab lus purulent;
- mob hnyav;
- kub nce;
- kev qaug zog thiab tsis xis nyob;
- plhis puffiness;
- cov qog nqaij hlav loj.
Qee cov tsos mob ntawm alveolitis tom qab tshem tawm cov hniav tshwm sim nyob rau hauv thawj theem, thaum lwm tus, xws li kub taub hau, mob, kua paug thiab o ntawm cov qog nqaij hlav, qhia tias mob hnyav heev. Kev noj tshuaj rau tus kheej lossis tsis muaj kev kho mob tuaj yeem ua raukev nkag mus ntawm tus kab mob mus rau hauv cov txheej txheem tob ntawm cov pob txha. Yog li ntawd, yog tias thawj cov tsos mob ntawm alveolitis tshwm sim tom qab tshem tawm cov hniav, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd.
Diagnostics
Txhawm rau pib kho, koj yuav tsum kuaj pom thawj zaug, txij li tus kws kho mob tsuas yog nkag siab raws nraim li cas alveolitis zoo li tom qab tshem cov hniav, thiab tuaj yeem ntsuas qhov tsim nyog. Tus kws kho hniav tshuaj xyuas lub qhov ncauj rau qhov mob thiab lwm yam tsos mob ntawm tus kab mob.
Tom qab kuaj pom qhov muag, tus kws kho mob xaj x-ray kom kuaj tau zaum kawg.
txoj kev kho
Yog tias tom qab tshem cov hniav muaj cov cim qhia ntawm alveolitis tsim, koj yuav tsum sab laj nrog kws kho mob. Thaum thawj theem ntawm kev mob o, tshuaj loog thiab cov tshuaj tua kab mob tau sau tseg. Tom qab ntawd, koj yuav tsum tau yaug koj lub qhov ncauj kom huv si nrog kev daws ntawm furacilin los ntxuav cov khoom seem ntawm lub qhov. Cov khoom txawv teb chaws raug muab tshem tawm nrog cov cuab yeej phais. Tom qab ntawd lub qhov txhab raug kho nrog tshuaj tua kab mob thiab ziab nrog cov ntaub qhwv ntsej.
Nyob rau hauv lub xub ntiag ntawm mob hnyav, cov ntawv thov nrog cov tshuaj tiv thaiv kab mob yog siv. Txhawm rau kho alveolitis tom qab tshem cov hniav, cov kws kho hniav siv cov kev kho ntxiv. Rau qhov no, cov tshuaj tiv thaiv kab mob yog siv, ib qho kev thaiv antistatic yog nqa tawm. Nrog rau kev loj hlob ntawm cov ntaub so ntswg necrosis, kev siv cov tshuaj proteolytic tau qhia. Lawv pab tshem tawm sab saum toj ntawm qhov txhab ntawm daim tawv nqaij tuag.fabrics.
Thaum alveolitis nce siab, kws kho hniav thaiv cov hlab ntsha nrog lidocaine. Yog tias tsim nyog, cov txheej txheem kho lub cev tau muab tshuaj ntxiv, xws li:
- microwave therapy;
- daim ntawv thov laser;
- hluav taws xob ultraviolet.
Tsis tas li ntawd, tus neeg mob tau ntxiv cov tshuaj yaug nrog cov tshuaj tshwj xeeb, cov vitamins, tshuaj tua kab mob. Cov chav kawm ntawm kev kho mob txuas ntxiv rau 7 hnub. Cov tsos mob ntawm tus txheej txheem inflammatory tag ploj tom qab 2 lub lis piam. Ces yuav tsum rov ntsuam xyuas dua.
Drug therapy
Kev kho mob alveolitis tom qab tshem cov hniav yog ua los ntawm kev siv cov txheej txheem xws li:
- tshuaj loog ntawm thaj chaw teeb meem los ntawm kev siv tshuaj loog;
- kho qhov txhab nrog tshuaj tua kab mob;
- daim ntawv thov tshuaj loog hmoov.
Thaum lub sijhawm kho, siv tshuaj tua kab mob thiab tshuaj tua kab mob, uas pab tua kab mob rau thaj tsam cuam tshuam, nrog rau kev rhuav tshem cov kab mob. Rau yaug qhov ncauj, siv:
- "Sumamed";
- Levofloxacin
- YJosamycin.
tshuaj tiv thaiv kab mob yog siv los tshem tawm qhov mob thiab tshuaj loog rau thaj tsam cuam tshuam. Nws raug nquahu kom siv lawv ua ke nrog cov tshuaj uas pab txhawb kev ua haujlwm ntawm cov hnyuv thiab tiv thaiv kev ua txhaum ntawm cov kab mob microflora. Siv tau zoo tshaj plawstxhais tau tias yog:
- "Ibuprofen";
- Ketonal;
- Voltaren;
- "Nurofen";
- "Nimesulide".
Metrogil Denta kuj tau sau rau alveolitis tom qab tshem cov hniav, vim nws pab tshem tawm cov kab mob. Yog tias qhov kev kho mob tau ua tiav, ces kev siv tshuaj loog hauv zos tau qhia: novocaine, lidocaine, Trimecaine.
kev kho neeg zoo
Tseem muaj qee yam kev kho neeg pej xeem npaj rau kev siv sab nraud thiab sab hauv. Sab nraud yog siv los tua kab mob, tshem tawm qhov mob thiab ua kom nws zoo. Cov khoom siv sab hauv pab txo qhov mob thiab nres qhov mob.
Rau qhov txhab, koj tuaj yeem siv ib daim ntaub paj rwb los yog ntaub qhwv ntub dej ntsev. Ntsev pab ua kom cov txheej txheem kho kom zoo thiab tua kab mob. Koj tuaj yeem yaug koj lub qhov ncauj nrog dej ntsev, tab sis qhov no yuav tsum tau ua kom zoo zoo. Cov txheej txheem no raug tso cai ua tsis pub dhau 24-48 teev tom qab ua haujlwm.
Kev kho dej qab zib pab tiv thaiv tus kab mob. Los ntawm cov cuab yeej no, koj tuaj yeem npaj cov tshuaj thiab yaug ob peb zaug hauv ib hnub. Nrog rau qhov mob hnyav ntawm lub qhov, koj yuav tsum tshem tawm cov kab mob ntawm sab hauv thiab ntxuav cov ntshav. Ua li no, noj txhua hnub ntawm lub plab khoob ib pinch ntawm av angelica hauv paus. Txoj kev kho yuav tsum tau ua kom txog thaum lub qhov txhab zoo lawm.
Tsua qhov tsis xis nyobyaug lub qhov ncauj nrog cov kua npaj rau lub hauv paus ntawm sage yuav pab tau. Hauv qhov xwm txheej hnyav, kev kho mob yog nqa tawm nrog kev npaj tshuaj ntsuab npaj rau lub hauv paus ntawm horsetail, chamomile thiab blackcurrant nplooj. Ua li no, koj yuav tsum tau npaj ib decoction, insist nws rau ob peb teev, thiab ces coj nws txhua hnub. Kev kho mob nrog cov tshuaj no yog nqa tawm kom txog rau thaum lub o yog tshem tawm tag nrho. Xws li cov cuab yeej pab tshem tawm qhov mob ntawm sab hauv, txo qhov mob thiab o, thiab nws kuj tiv thaiv kev txhim kho ntawm cov teeb meem.
Txiv qaub feem ntau siv rau cov teeb meem ntawm qhov ncauj. Nws muaj peev xwm tshem tawm cov kab mob ntawm cov hniav. Txhawm rau ua qhov no, koj yuav tsum tau yaug lub qhov ncauj txhua hnub nrog kua txiv qaub, yav tas los diluted nrog dej hauv qhov sib piv ntawm 1: 2. Qhov no yuav tiv thaiv kev txhim kho ntawm cov txheej txheem inflammatory thiab nres los ntshav.
Aloe kua txiv yog ib qho tshuaj zoo. Txhawm rau ua qhov no, koj yuav tsum sib tov cov kua txiv tshiab ntawm cov nroj tsuag hauv qhov sib piv 1: 1 nrog cawv, cognac lossis rum. Soak ib lub paj rwb swab nrog cov txiaj ntsig sib xyaw thiab siv rau ntawm qhov txhab.
Yog cov kua paug tawm ntawm qhov txhab, nws raug nquahu kom yaug qhov ncauj nrog immortelle infusion. Ua li no, ncuav cov nyom nrog dej kub, tawm mus rau infuse kom txog thaum nws txias tag, lim thiab yaug qhov ncauj ob peb zaug hauv ib hnub. Tib lub sijhawm, koj yuav tsum sim ua kom cov kua hauv koj lub qhov ncauj kom ntev li ntev tau.
Cov lus pom zoo kws kho hniav
Txhawm rau tiv thaiv alveolitis, kws kho hniav pom zoo kom saib xyuas qhov ncauj kom zoo. Hauv 2 hnub tom qab ua haujlwmNws raug nquahu kom yaug lub qhov ncauj kom tsis txhob tawg cov ntshav txhaws uas tau tsim rau ntawm lub qhov.
Koj yuav tsum tsis txhob noj zaub mov kub ob peb hnub. Noj cov zaub mov tsuas yog nyob rau hauv chav tsev kub, haus dej txias thiab siv cov compresses txias rau sab uas cuam tshuam. Nws raug nquahu kom tsis txhob haus luam yeeb, vim cov pa luam yeeb ua rau cov ntaub so ntswg ntawm qhov ncauj. Nws tsim nyog tshem tawm kev tawm dag zog lub cev ib ntus.
Koj tsis tuaj yeem hnov qhov txhab ntawm koj tus ntiv tes thiab kov nws nrog ntau yam khoom. Thawj ob peb hnub tom qab kev phais, nws yog ib qho tseem ceeb kom tsis txhob muaj qhov ncauj qhov ntswg.
Muaj Teeb Meem
Ntau yam teeb meem ntawm alveolitis tuaj yeem txhim kho tom qab tshem cov hniav, uas yuav tsum raug ntaus nqi rau:
- abscess;
- phlegmon;
- periostitis;
- osteomyelitis;
- sepsis.
Tus kab mob kuj tuaj yeem cuam tshuam rau cov txheej txheem sib sib zog nqus ntawm cov ntaub so ntswg, ua rau kev puas tsuaj tsis yog cov pos hniav, tab sis kuj cov pob txha.
prophylaxis
Nws yog ib qho tseem ceeb los tiv thaiv alveolitis tom qab tshem cov hniav, uas txhais tau tias:
- Qhia tus kws kho hniav txog cov teeb meem ntshav txhaws;
- kev huv ntawm qhov ncauj ua ntej tshem cov hniav;
- ua raws txhua tus kws kho mob cov lus pom zoo;
- siv cov zaub mov muag xwb.
Thawj hnub tom qab kev ua haujlwm, koj yuav tsum tau siv dej khov rau lub puab tsaig. Txhua yam tshuaj yuav tsum tau muab los ntawm kws kho mob, thiab lawv txoj kev siv ywj pheej raug txwv.
Cov lus pov thawj tus neeg mob
Txog kev kho mob alveolitis tom qab tshem tawm cov hniav, kev tshuaj xyuas feem ntau yog qhov zoo, qhov tseem ceeb tshaj plaws yog ua tib zoo saib xyuas qhov teeb meem uas twb muaj lawm raws sij hawm thiab sab laj nrog kws kho mob. Ntau tus neeg mob hais tias thaum lub sij hawm kho nws yog ib qho tseem ceeb kom ua raws li cov lus pom zoo ntawm tus kws kho hniav, noj cov tshuaj thiab siv cov tshuaj kom tshem tawm cov kua qaub thiab o. Cov kab mob ntawm cov pos hniav thiab cov hniav ua rau muaj teeb meem kev noj qab haus huv. Tag nrho cov no cuam tshuam rau cov kab mob hauv nruab nrog cev, yog li nws yog qhov zoo dua los tiv thaiv txhua yam kab mob.
