Tooth pulpitis - yog dab tsi? Pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav: ua, tsos mob thiab kev kho mob

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Tooth pulpitis - yog dab tsi? Pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav: ua, tsos mob thiab kev kho mob
Tooth pulpitis - yog dab tsi? Pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav: ua, tsos mob thiab kev kho mob

Video: Tooth pulpitis - yog dab tsi? Pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav: ua, tsos mob thiab kev kho mob

Video: Tooth pulpitis - yog dab tsi? Pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav: ua, tsos mob thiab kev kho mob
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Kaum ib hlis
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Pulpitis yog ib yam kab mob ntawm cov ntaub so ntswg ntawm cov hniav, tus cwj pwm los ntawm qhov mob. Nws feem ntau tsim tawm tsam keeb kwm ntawm kev kho tsis raug. Qhov no pathology yog ntsib tsis tau tsuas yog los ntawm cov neeg laus, tab sis kuj los ntawm cov me nyuam. Los ntawm cov ntaub ntawv ntawm kab lus no koj yuav kawm paub qhov ua rau tus kab mob, nrog rau nws cov ntaub ntawv thiab cov txheej txheem tseem ceeb ntawm kev kho mob.

Tooth pulpitis - yog dab tsi?

Lub pulp yog cov pob neurovascular ntawm cov hniav. Raws li qhov tshwm sim ntawm kev nkag mus ntawm cov kab mob hauv cheeb tsam no, cov txheej txheem inflammatory tshwm sim. Tus kab mob no feem ntau tshwm sim raws li qhov teeb meem ntawm caries los yog tshwm sim los ntawm kev kho mob tsis zoo (tsis zoo filling, periodontal phais, hniav sib tsoo).

Pulpitis yog ib qho kev tsis txaus siab feem ntau ntawm cov neeg mob hauv cov chaw kho hniav thiab tib lub sij hawm suav hais tias yog ib qho kab mob sib luag ntawm cov hniav mis. Hauv tsab xov xwm no, peb yuav nyob ntawm qhov tshwm sim ntawm tus kab mob no hauv cov neeg mob hluas kom ntxaws ntxiv, thiab tham txog cov kev kho mob zoo tshaj plaws.

dab tsi yog kev kho hniav pulpitis
dab tsi yog kev kho hniav pulpitis

Dab tsi yog qhov txawv ntawm pulpitis hauv menyuam yaus?

Pulpitis ntawm cov hniav mis hauv cov menyuam txausnquag pathology. Nws txoj kev kho mob raws sij hawm pab tiv thaiv kev txhim kho ntawm cov teeb meem txaus ntshai.

Cov menyuam yaus lub plab yog kuaj tau ntau zaus ntau dua li cov neeg laus. Cov kws tshaj lij piav qhia qhov tshwm sim no los ntawm peculiarities ntawm cov qauv ntawm cov hniav ntawm cov menyuam mos. Lawv cov ntaub so ntswg yog looser, hauv paus kwj dej yog dav, thiab lub dentin nws tus kheej yog tsawg mineralized.

Tawm nws lub cim thiab qhov tsis zoo ntawm lub cev tiv thaiv kab mob. Qhov tshwm sim ntawm tus mob khaub thuas hauv menyuam yaus yog ob peb zaug ntau dua li cov neeg laus. Xwm tau tswj kom sib npaug qhov teeb meem no nrog qhov tseeb tias tus kab mob hauv 65% ntawm cov neeg mob yuav luag asymptomatic. Qhov no yog qhov txaus ntshai ntawm tus kab mob.

Yog tias tus menyuam mos feem ntau yws qhov mob hniav, cov enamel tau dhau los ua cov zaub mov kub / txias, koj yuav tsum mus ntsib kws kho hniav. Tsis txhob ncua sijhawm mus ntsib, vim tias qhov tshwm sim ntawm tus kab mob no tsis tuaj yeem xav txog. Qee tus nco ntsoov tias tom qab pulpitis, cov hniav mob ntau dua, thaum lwm tus muaj qhov o thiab cov cysts.

pulpitis ntawm mis nyuj cov hniav nyob rau hauv cov me nyuam
pulpitis ntawm mis nyuj cov hniav nyob rau hauv cov me nyuam

Qhov laj thawj tseem ceeb ntawm pathology

Tus kab mob no feem ntau tshwm sim los ntawm cov yam tsis zoo, ob qho tib si thiab ua ke:

  1. raug rau co toxins tso tawm los ntawm cov kab mob kab mob hauv kab noj hniav.
  2. Kev puas tsuaj rau cov hniav, kev ua haujlwm tsis tu ncua ntawm qhov ncauj kab noj hniav, cov hlab ntsha puas thaum lub sijhawm phais.
  3. Ib yam mob hnyav dhau los nrog kev tiv thaiv qis dua.
  4. Kho cov hniav nrog tshuaj tua kab mob nrog cov qauv nruj.

Kev xaiv txoj kev kho kom zoo ncaj qha yog nyob ntawm cov laj thawj uas ua rau cov hniav ntawm tus menyuam. Kev kho mob feem ntau cawm cov molars.

kho hniav kab mob pulpitis
kho hniav kab mob pulpitis

Qhov nyuaj ntawm txoj kev kho rau tus kab mob no los ntawm qhov tseeb tias tus kws kho mob tuaj yeem tshem tawm tsuas yog qhov seem ntawm cov tawv nqaij uas nyob ncaj qha rau hauv lub kaus mom. Nws lub hauv paus ib feem yog yuav tsum tau tshem tawm tsuas yog nyob rau hauv tag nrho cov tsim kho cov hauv paus hniav. Qhov no yog qhov nyuaj heev rau cov neeg mob me vim muaj kev pheej hmoo siab ntawm cov nqaij mos raug mob thiab cov rudiments ntawm cov incisors mus tas li.

Cov tsos mob ntawm pulpitis yog dab tsi?

Daim duab kho mob ntawm cov kab mob pathology tau tawm tsam hauv nws qhov ntau haiv. Muaj cov neeg mob uas tsis muaj kev tsis txaus siab thiab cov xwm txheej zoo li no uas cov tsos mob ntawm tus kab mob tau pom meej meej (mob tsis xis nyob, qaug zog ntawm lub cev, periostitis).

Nws yog ib qho nyuaj heev los kuaj xyuas cov kua mis ntawm cov hniav hauv cov menyuam hauv lub sijhawm, vim tias cov neeg mob me tsis tuaj yeem hais meej lawv cov lus tsis txaus siab. Yog li ntawd, cov niam txiv feem ntau nco txog qhov pib ntawm tus kab mob thiab coj tus menyuam mus rau kws kho mob twb muaj daim ntawv mob hnyav.

Ntawm cov tsos mob tseem ceeb uas tshwm sim nrog pulpitis, cov hauv qab no tuaj yeem raug sau tseg:

  • mob, paroxysmal hauv xwm;
  • lymphadenitis;
  • o ntawm cov ntaub so ntswg ncig ntawm cov hniav;
  • kev tsis zoo ntawm tus menyuam.
pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj kho hniav
pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj kho hniav

Qhov tshwm sim ntawm cov cim tshwj xeeb ntawm tus kab mob nyob ntawmnws cov ntawv. Tom ntej no, peb yuav tham txog txhua hom pulpitis kom ntxaws ntxiv.

Hypertrophic pulpitis ntawm tus hniav

Qhov no yog dab tsi? Hom kab mob no hauv cov menyuam yaus muaj tsawg heev. Nws yog tus cwj pwm los ntawm kev puas tsuaj tag nrho ntawm cov hniav ntawm cov hniav thiab kev loj hlob ntawm cov ntaub so ntswg. Thaum tshawb xyuas qhov chaw cuam tshuam, los ntshav tshwm. Tus menyuam feem ntau tsis hnov mob. Kev tsis xis nyob me me tshwm sim thaum zom zaub mov xwb.

Gangrenous pulpitis

Daim ntawv ntawm tus kab mob no tsim tawm tsam keeb kwm ntawm diffuse pulpitis. Tus neeg mob me me xyaum tsis hnov qhov tsis xis nyob hauv qhov ncauj, tab sis thaum kuaj xyuas, pom pom qhov tsaus nti ntawm cov hniav enamel. Ib qho kev qhia meej ntawm cov txheej txheem pathological yog qhov tshwj xeeb tsis hnov tsw los ntawm lub qhov ncauj cuam tshuam nrog kev puas tsuaj ntawm cov tawv nqaij thiab nws kev cuam tshuam nrog pathogenic microflora. Lymph nodes tej zaum yuav loj, tab sis tseem tsis mob.

mob ntsws ntsws nyob rau theem mob

Teeb meem tawm ntawm exudate thiab tsis muaj zog tiv thaiv kab mob ua rau muaj tus kab mob exacerbation. Tus me nyuam yws ntawm qhov mob hniav tas li. Raws li tus kab mob tshwm sim, lymph nodes nce, cov ntaub so ntswg ntawm qhov chaw cuam tshuam o. Tus kab mob tuaj yeem kuaj tau tsuas yog nrog kev pab ntawm lub xov tooj cua, uas feem ntau pom muaj kev hloov pauv hauv lub hauv paus apex.

pulpitis ntawm tus hniav nyob rau hauv ib tug me nyuam kev kho mob
pulpitis ntawm tus hniav nyob rau hauv ib tug me nyuam kev kho mob

Thaum lub cev tiv thaiv tsis muaj zog, cov kab mob ntawm cov hniav feem ntau zuj zus. Nws yog dab tsi, hom pathology? Cov tsos mob ntawm tus kab mob yog tus me nyuam qhov kev tsis txaus siab ntawm rub qhov mob, uas thaum lub sij hawmnoj mov nce. Tsis tas li ntawd, cov ntaub so ntswg uas nyob ib puag ncig cov hniav ua rau mob thiab o, cov qog nqaij hlav loj tuaj. Qee lub sij hawm tus kab mob no tshwm sim los ntawm kub taub hau thiab ua rau tus me nyuam tsis zoo.

Acute partial pulpitis

Nyob rau hauv cov me nyuam mos cov hniav, hom kab mob no tsawg heev. Nws tsis tuaj yeem kuaj pom tus kab mob raws sijhawm.

Kev kuaj kab mob

Cov tshuaj niaj hnub muaj ntau txoj hauv kev los kuaj xyuas kab mob hniav. Pulpitis tuaj yeem kuaj pom thaum kuaj hniav. Thaum lub sij hawm ntsuam xyuas, tshwj xeeb yuav tsum tau them nyiaj mloog mus rau lub zog thiab rhiab heev ntawm cov hniav. Txhawm rau txiav txim siab qhov tseeb, x-rays raug coj mus kuaj thiab kuaj xyuas cov tshuaj tiv thaiv ntawm cov hniav kom rhiab heev rau qhov txias / kub kub. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob pom zoo tias pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav. Kev kho tus kab mob yog xaiv los ntawm tus kheej.

Yuav ua li cas kho tau?

Kev kho mob yuav tsum yog txhawm rau tshem tawm qhov mob, tiv thaiv kev txhim kho ntawm periodontitis, tsim kom muaj txiaj ntsig zoo tshaj plaws rau kev loj hlob ntawm cov hniav mus tas li. Hauv kev kho hniav menyuam yaus, nws yog ib qho tseem ceeb heev uas txhua qhov kev ua haujlwm yooj yim thiab tsis mob tib lub sijhawm.

hniav tom qab kev kho mob pulpitis
hniav tom qab kev kho mob pulpitis

Cov kab mob hniav zoo li cas? Kev kho mob tuaj yeem yog kev saib xyuas (biological method) lossis phais. Kev xaiv ntawm kev kho mob tshwj xeeb yog nyob ntawm qhov tsis saib xyuas ntawm cov kab mob thiab nws daim ntawv.

Biological method

Kev kho mob no yog siv rau mob ntevfibrous pulpitis ntawm cov mis nyuj cov hniav. Thaum pib, tus kws kho mob qhib cov kab noj hniav. Nyob rau hauv qab thiab lub pulp nws tus kheej, nws muab ib tug muab tshuaj txhuam los ntawm ib tug sib tov ntawm dag dentin thiab Shostakovsky lub balm. Tom qab ntawd qhov chaw cuam tshuam yog qhuav thiab muab phosphate cement filling.

Kev xav txawv ntawm kev siv tshuaj lom neeg. Ntawm qhov tod tes, txuag lub pulp tso cai rau saum cov hauv paus hniav kom tag nrho daim ntawv yav tom ntej. Ntawm qhov tod tes, cov hniav feem ntau mob thiab mob tom qab kho cov kab mob pulpitis.

Txoj kev phais

Kev xaiv kev kho mob phais yuav ua kom tiav los yog tawg ntawm cov tawv nqaij uas mob. Manipulation yog ua tau nyob rau hauv ob txoj kev:

  1. Txoj kev tseem ceeb. Thaum lub sij hawm tus txheej txheem, tus kws kho mob tshem tawm lub coronal ib feem ntawm lub pulp, thaum lub hauv paus yog khaws cia. Thaum, raws li qhov tshwm sim ntawm kev kho tsis raug, cov kab mob tseem tshuav, qhov tshwm sim ntawm cov teeb meem nce ntxiv (tus hniav tom qab pulpitis tuaj yeem ua mob, thiab cov ntaub so ntswg nyob ib puag ncig nws tuaj yeem o). Lub hauv paus pulp tsis tso cai rau cov nroj tsuag pathogenic nkag mus rau hauv cov ntaub so ntswg periapical. Txhawm rau kom tsis txhob kis kab mob ntawm lub qhov txhab thaum qhib cov kab noj hniav, nws yog qhov yuav tsum tau hloov burs ntau li ntau tau. Ntawm qhov kawg, qhov chaw cuam tshuam yog ntxuav nrog tshuaj tua kab mob. Ntawm lub qhov ncauj ntawm tus kwj dej, cov ntaub so ntswg raug txiav tawm, thiab cov ntshav tau nres nrog cov tshuaj adrenaline ib txwm muaj.
  2. Txoj kev devital suav nrog kev siv cov tshuaj arsenic, uas yog siv tam sim tom qab tshem tawm cov pulp. Thaum lub sij hawm manipulations, tus kws kho mob, raws li txoj cai, siv tshuaj loog tshuaj loog. Arsenic tshuav 1-2 hnub. Kev siv lub sij hawm ntev ntawm kev muab tshuaj txhuamtuaj yeem rhuav tshem cov periodontium. Hauv kev sib tham tom ntej, lub pulp raug tshem tawm, thiab ib lub swab soaked nyob rau hauv ib tug tshwj xeeb kua yog muab tso rau hauv kab noj hniav. Thaum peb mus ntsib kws kho mob, tus kws kho mob muab qhov ntim.
mob hniav tom qab pulpitis
mob hniav tom qab pulpitis

Txoj kev kho mob niaj hnub no yog siv feem ntau hauv kev mob hnyav lossis mob ntev. Nyob rau hauv cov ntaub ntawv ntawm gangrenous pulpitis, nws yog categorically contraindicated.

Summarize

Hauv kab lus no, peb tau tham txog vim li cas cov hniav pulpitis tshwm sim, nws yog dab tsi thiab nws cov tsos mob tseem ceeb yog dab tsi. Kev kho tus kab mob no tsis yog ib txoj haujlwm yooj yim, tshwj xeeb tshaj yog rau tus kws kho mob. Tus kws kho mob tshwj xeeb xav tau tsis yog tsuas yog tshem tawm cov txheej txheem pathological, tab sis kuj tseem khaws lub sijhawm rau kev txhim kho tag nrho ntawm cov hniav mus tas li yav tom ntej. Kev kho hniav menyuam yaus muaj ntau yam nta thiab txawv ntawm kev kho hniav neeg laus.

Rau cov menyuam yaus thiab lawv niam lawv txiv uas niaj hnub tuaj ntsib kws kho hniav lub chaw ua haujlwm ua ke, nws tsis yooj yim rau kev kuaj pom cov kab mob hauv lub sijhawm thiab ntsuas qhov tsim nyog rau kev kho mob. Yog tias pom cov hniav puas los yog tsis muaj xim, yuav tsum tau mus ntsib kws kho hniav yam tsis muaj kev ncua. Txwv tsis pub, qhov tshwm sim ntawm kev tsim cov txheej txheem sib kis nyuaj ntxiv.

Raws li kev tiv thaiv, nws raug nquahu kom mus ntsib kws kho hniav ob zaug hauv ib xyoos. Caries kuaj pom nyob rau hauv lub sij hawm pab tiv thaiv pulpitis nyob rau hauv cov me nyuam ntawm cov mis nyuj cov hniav. Kev kho tus kab mob no yog qhov zoo tshaj plaws pib ntawm thawj theem ntawm kev loj hlob. Noj qab nyob zoo!

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