Yuav luag txhua tus tau ua tus neeg mob hauv chaw kho hniav yam tsawg ib zaug hauv lawv lub neej. Feem ntau, peb tig mus rau kws kho mob thaum caries ncav cuag qhov kev loj hlob uas mob pib uas tsis tuaj yeem zam tau. Peb mus ntsib kws kho hniav thiab, yog tias tsim nyog, ua cov khoom siv kho hniav lossis kho qhov ncauj kom zoo nkauj. Tab sis muaj cov xwm txheej thaum cov neeg mob tuaj rau lub sijhawm teem tseg vim tias muaj cov hniav dislocation. Qhov no pathology yog dab tsi, rau dab tsi yog vim li cas nws tshwm sim thiab yuav kho tau nrog? Peb yuav sim teb cov lus nug no.
Dab tsi yog cov hniav dislocation
Yog tias tus hniav sib txawv ntawm nws qhov axis txheeb ze rau qhov chaw ntawm lwm cov hniav, ces peb tuaj yeem tham txog cov kab mob zoo li no. Thaum lub sij hawm dislocation, kev puas tsuaj rau lub ligamentous apparatus tshwm sim, uas ua rau kev hloov ntawm cov hniav.
Feem ntau, cov hniav dislocation yog pom nyob rau hauv lub puab tsaig sab sauv, qee zaum nws tuaj yeem nyob rau hauv qis dua.
Txoj kev cuam tshuam cuam tshuam
Ntau yam tuaj yeem ua raws li qhov ua rau muaj kev raug mob. Dislocations thiab pob txha ntawm cov hniav nyob rau hauv ob qho tib si menyuam yaus thiab cov neeg laus tuaj yeem tshwm sim rau cov laj thawj hauv qab no:
- Zoo heev. Nws tsis yog tsim nyog rau ib tug neeg ntaus lub puab tsaig, koj tuaj yeem tau txais kev raug mob zoo li no,ntog ntawm lub tsheb kauj vab, thaum muaj xwm txheej lossis ib qho xwm txheej. Cov kws ncaws pob kws tshaj lij, xws li cov neeg ncaws pob hockey, feem ntau raug mob los ntawm kev raug mob. Cov hniav pem hauv ntej feem ntau cuam tshuam.
- Yog cov hniav tsis txawv ntawm lawv lub zog vim yog qee qhov pathologies, xws li kab mob hauv lub cev, tom qab ntawd tsoo ib qho khoom tawv tawv ntawm tus hniav thaum zom tuaj yeem ua rau tawg.
- Tej zaum yuav muaj cov kws kho hniav tsis muaj kev tshaj lij uas ua dhau nws thaum kho thiab ua rau cov hniav tawg nrog cov cuab yeej.
- Kev muaj tus cwj pwm tsis zoo kuj tuaj yeem ua rau pathology, piv txwv li, yog tias koj siv koj tus kheej cov hniav ua lub raj mis qhib lossis tawg walnuts nrog lawv.
Ntau yam ntawm kev tsis sib haum
qhov kev raug mob no tuaj yeem muaj ntau yam:
- Tsis tiav dislocation ntawm tus hniav. Nws yog tus cwj pwm los ntawm kev ua txhaum ntawm kev ncaj ncees ntawm periodontium, kev raug mob rau lub pulp. Nrog rau kev raug mob zoo li no, tseem muaj lub sijhawm rov qab cov hniav mus rau nws qhov chaw. Nws tsis poob ntawm lub qhov, nws tsuas yog deviates ntawm nws axis.
- Ua tiav qhov kev tshem tawm ntawm cov hniav. Nws tshwm sim feem ntau nyob rau hauv lub puab tsaig sab sauv, thaum tus hniav xyaum tawm ntawm lub alveolus. Nrog lub tshuab muaj zog, ntxiv rau qhov kev raug mob no, kuj tseem tuaj yeem muaj pob txha ntawm lub puab tsaig lossis cov hniav.
- Kev cuam tshuam ntawm cov hniav. Xws li ib tug dislocation yog suav hais tias yog qhov txaus ntshai tshaj plaws, vim muaj ntau cov ntaub so ntswg puas. Raws li ib tug tshwm sim ntawm ib tug zoo kawg nkaus lub zog, cov hniav yog embedded tob rau hauv lub qhov. Yuav siv zog ua kom rov qab zoo nkauj luag ntxhi.
Dislocation tuaj yeem pom likev ywj pheej raug mob, thiab kuj tseem tuaj yeem nrog kev puas tsuaj ntawm cov yas los yog hauv paus, thiab nyob rau hauv cov xwm txheej hnyav, qhov tawg ntawm lub puab tsaig raug kuaj pom. Raws li hom kev raug mob, tus kws kho mob yuav ua thiab xaiv cov kev kho mob.
Symptoms of dislocations
Kev raug mob sib txawv ntawm ib leeg thiab lawv qhov tshwm sim. Kev ua tsis tiav ntawm cov hniav feem ntau qhia cov tsos mob hauv qab no:
- Muaj qhov mob hnyav, uas tuaj yeem nce thaum noj mov.
- Yog koj saib cov hniav, lub kaus mom muaj qhov chaw atypical, nws tig mus rau sab. Thaum sim co cov hniav, cov hauv paus txav tau pom.
- Zoo kaw lub puab tsaig kaw tsis tau lub qhov ncauj, muaj mob heev.
- Hematomas ntawm daim tawv nqaij tuaj yeem pom ntawm qhov chaw raug mob. Raws li cov tsos mob no, cov niam txiv tej zaum yuav xav tias ib tug dislocation ntawm ib tug mis nyuj hniav nyob rau hauv tus me nyuam. Yog tias tus menyuam poob lawm, koj yuav tsum ua tib zoo tshuaj xyuas lub qhov ncauj, tshwj xeeb tshaj yog thaum cov ntshav tawm.
- Tus hniav yuav dhau mus. Qee tus yuav sim rub tawm, tab sis koj yuav tsum tsis txhob.
- Muaj qhov o ntawm daim di ncauj, cov pos hniav, yog tias koj kov lawv, koj hnov mob.
- Yog koj thaij duab es koj pom qhov luv luv ntawm cov hauv paus hniav uas puas lawm.
Yog qhov dislocation tiav lawm, ces cov paib yuav ua raws li nram no:
- Zoo li qhov tsis sib xws ntawm cov hniav (daim duab tuaj yeem ua pov thawj ntawm qhov no) yog nrog los ntshav los ntawm cov alveoli qhov chaw tus hniav.
- Nyob hauv qhov chaw raug mob.
- Ib tug hais lus impediment tshwm.
- HappenKev hloov pauv ntawm cov pos hniav, yog li nws qhov o, hematomas pom.
Yog tias muaj kev cuam tshuam ntawm cov hniav, ces cov tsos mob yog raws li nram no:
- mob hnyav ntawm qhov chaw raug mob.
- Muaj los ntshav me ntsis ntawm lub qhov (socket) ntawm cov hniav puas.
- Tus neeg mob pom nws nyuaj rau nws cov hniav.
- Yog tsis muaj ib qho khoom siv, nws pom meej tias cov hniav tau txo qhov siab hauv qhov loj.
- Kev txav mus los tsis muaj tseeb, vim lub puab tsaig ntawm lub puab tsaig ruaj khov kho cov hniav. Yog koj sim co ces qhov mob tsis hnov.
- Gum yuav o.
Qhov kev txav deb no yog qhov txaus ntshai tshwj xeeb rau cov menyuam yaus uas muaj cov hniav mis nyuj, vim tias, nkag mus rau hauv lub puab tsaig, cov yas tuaj yeem ua rau cov hniav mus tas li. Tom qab ntawd lawv loj hlob puas lossis tej zaum yuav tsis tshwm sim.
Kev phom sij ntawm cov hniav dislocation hauv me nyuam
Cov menyuam yaus yog lub xov tooj ntawm tes, yog li kev raug mob no tsis tshua muaj rau lawv. Thiab yog tias koj xav tias qhov no tuaj yeem tshwm sim thaum menyuam yaus nrog cov hniav muaj mis, ces koj yuav tsum tsis txhob xav tsis thoob.
Yog tias muaj kev raug mob zoo li no, ntau tus niam txiv ntseeg tias nws yog qhov ceev kom muab tus hniav tso. Tab sis cov kws kho hniav uas muaj kev paub dhau los yeej tsis pom zoo nrog qhov no, tshwj xeeb tshaj yog tias cov hniav yog mis nyuj, thiab qhov kev txav tsis tuaj yeem cuam tshuam lossis ua rau tus menyuam.
Niam thiab txiv yuav tsum paub tias tsis pom zoo kom kho qhov tsis xws ntawm koj tus kheej. Koj tuaj yeem ua rau nws hnyav dua thiab ua rau mob hnyav rau tus menyuam. Thaum muab cov hniav tso rau ntawm cov mis nyuj, ces txawm ntau dua, vim cov pos hniav twb muaj cov hniav ntawm cov hniav mus tas li, uas tuaj yeem ua rau mob tsis zoo.
Zoo mus ntsibtus kws tshaj lij thiab txiav txim siab nrog nws txoj kev pab yuav pab tus menyuam li cas.
pab thawj zaug tom qab tus hniav dislocation
Tom qab tau txais kev raug mob zoo li no (txawm nws yog menyuam yaus lossis tus neeg laus), nws yuav tsum tau nyob hauv tus kws kho hniav lub rooj zaum sai li sai tau, tab sis thawj kauj ruam tseem ceeb heev:
- Yog ua tau, tshem tawm los ntshav.
- Nws txwv tsis pub nias rau ntawm qhov chaw raug mob lossis ncaj qha rau ntawm tus hniav. Tsis txhob sim muab tus hniav tso rau ntawm koj tus kheej.
- Thov ib yam txias rau ob sab plhu ntawm sab ntawm cov hniav raug mob.
- Yog hais tias qhov dislocation tiav lawm, ces siv lub swab, tab sis tsis yog paj rwb.
- Thaum siv cov ntaub qhwv lub siab, nws yuav tsum tsis txhob tso tseg ntev dua 15 feeb.
Qee tus ntseeg tias txij li muaj kev raug mob tshwm sim, tus hniav yuav tsum tau muab tshem tawm. Tab sis ib tus kws tshaj lij tshwj xeeb tau ua rau qhov kev ntsuas no tsis tshua muaj, tsuas yog muaj cov cim qhia hnyav, uas yuav tau tham hauv qab no.
Kev kho cov hniav dislocation
Yog tias kuaj pom tus hniav tsis sib haum, kev kho mob yuav nyob ntawm seb hom kev raug mob, hnub nyoog ntawm tus neeg mob, thiab tseem, nyob rau hauv cov menyuam yaus, qhov kev puas tsuaj thiab tsim cov hniav mus tas li. cov pos hniav. Rau ib tus kws tshaj lij, qhov teeb meem ntawm kev khaws cov hniav yog thawj qhov chaw, tab sis qhov no yuav nyob ntawm ntau yam thiab suav nrog ntau qhov kev ntsuas yuav tsum tau ua:
- Rov qab ntawm tus hniav mus rau nws txoj haujlwm qub. Cov kev sib txawv yuav raug siv rau qhov no, nyob ntawm qhov dislocation.
- Yog tias muaj kev cuam tshuam avulsion ntawm tus hniav tshwm sim, kev kho mob yuav tsum pib rov qab mus rau qhov chaw qub, yog tias ua tau. Yog raug mob li ntawdcov hniav, feem ntau, yog tias tus menyuam muaj hnub nyoog tshaj 2 xyoos, nws raug tshem tawm.
- Kev tsis tiav ntawm cov hniav yog qhov yooj yim tshaj rov qab mus rau nws qhov chaw. Ua li no, siv ntau yam qauv, thiab kho nws.
Txhob tshem tawm qhov tsis tiav
Kev kho cov hniav tsis tiav yog txo rau cov txheej txheem hauv qab no:
- Txhob tus hniav, uas yog, rov qab los rau nws qhov chaw.
- Xauv kom tsis txhob ntog.
- Kev tu cev.
Tom qab cov hniav tau teeb tsa hauv qhov chaw raug, nws yuav tsum tau kho. Txhawm rau ua qhov no, siv ntau yam khoom siv:
- Cov hniav khi nrog nyias bronze-aluminium hlau. Qhov kev kho no tuaj yeem ua tau yog tias tus neeg raug tsim txom raug tom thiab cov hniav uas nyob ib sab ruaj khov. Txoj kev no muaj nws qhov tsis zoo: qhov nyuaj ntawm cov txheej txheem thiab tsis muaj kev kho nyuaj.
- Tswj lub log tsheb. Nws tseem yog ib qho tseem ceeb kom muaj cov hniav nyob ruaj khov thiab ruaj khov nyob ib puag ncig.
- Siv lub qhov ncauj tiv thaiv, nws yog ua los ntawm yas.
- Gingival splints tuaj yeem siv yog tias tsis muaj kev txhawb nqa cov hniav nyob ze.
- Qee zaum, cov kws kho hniav siv cov ntaub ntawv sib xyaw los kho cov hlau archwires lossis splints.
Tom qab kho, xws li kev tsim, raws li txoj cai, nyob rau hauv qhov ncauj kab noj hniav li ib hlis. Tus kws kho mob yuav piav qhia tias lub sijhawm no nws tseem ceeb heev uas yuav tsum tau saib xyuas qhov ncauj kom huv thiaj li tiv thaiv tau cov txheej txheemkab mob.
Tag nrho Dislocation Therapy
Yog tias qhov kev raug mob coj mus rau qhov ua tiav ntawm cov hniav, ces cov kev kho mob hauv qab no yuav tsim nyog:
- Kev tshem tawm thiab tshem tawm cov kwj dej.
- Tooth replantation.
- Kev kho.
- - Tom qab kev noj zaub mov zoo.
Thaum kuaj, tus kws kho mob ua tib zoo tshuaj xyuas cov hniav thiab ntsuas nws qhov ncaj ncees. Txawm hais tias kev cog qoob loo tuaj yeem ua tau lossis tsis yog nyob ntawm ntau yam:
- Hnub nyoog ntawm tus neeg mob.
- Tooth mob.
- Tus hniav yog ib ntus lossis ruaj khov.
- Root zoo los tsis yog.
Tom qab sau cov kwj dej, kev rov cog cov hniav pib. Nws tuaj yeem ua tau ib txhij, thaum cov hniav muab tso rau hauv qhov chaw tam sim ntawd thiab splinted. Tab sis muaj ib tug ncua sij hawm replantation, ces cov hniav yog muab tso rau hauv ib tug tshwj xeeb tov thiab xa mus rau lub tub yees. Thiab tom qab ob peb hnub, lawv pib rov qab los rau nws qhov chaw.
txheej txheem ntawm kev cog qoob loo muaj cov kauj ruam hauv qab no:
- Tooth npaj.
- Kev ua lub qhov.
- Hnub replantation thiab fixation.
- Kev kho mob tom qab phais.
Tom qab cov txheej txheem kho hniav tau ua tiav lawm, tom qab li 1.5-2 lub hlis engraftment tau ua tau raws li ntau qhov xwm txheej:
- Primary nro engraftment. Hom no yog qhov zoo tshaj plaws rau cov hniav thiab tus neeg mob, tab sis nws yuav nyob ntawm qhov muaj peev xwm ntawm cov ntaub so ntswg.
- Kev sib txuas los ntawm hom pob txha fusion. Qhov no tau pom yog tias kev tuag ntawm cov ntaub so ntswg tau tshwm sim, ib txwm, qhov no tsis yog qhov txiaj ntsig zoo heev.
- Tej zaumkuj tseem muaj ib hom kev sib xyaw ua ke ntawm cov pob txha-fibrous-pob txha.
Feem ntau, yog tias kev cog cov hniav tom qab raug mob yuav luag tam sim ntawd, cov hauv paus hniav yuav raug txo kom tsawg thiab cov hniav tuaj yeem txuag tau ntev. Tab sis yog hais tias ntau lub sij hawm dhau los ntawm lub sij hawm ntawm tau txais ib tug dislocation, ces, raws li txoj cai, replantation xaus nrog ib tug maj mam resorption ntawm lub hauv paus thiab nws tag nrho kev puas tsuaj.
Thiab cuam tshuam cov hniav dislocation
Yog tias qhov tsis tiav ntawm cov hniav mus tas li, hauv cov hauv paus ntsiab lus, yooj yim amenable rau kev kho, ces nws yog qhov nyuaj heev los tiv thaiv cov hniav cuam tshuam. Qee tus kws tshaj lij nyiam tos ib pliag, cia siab tias tus hniav yuav rov qab los rau nws qhov chaw. Tab sis qhov no, yog hais tias ua tau, tsuas yog nyob rau hauv lub xub ntiag ntawm cov mis nyuj cov hniav, thaum lub extension tshwm sim vim tsis tu ncua tsim ntawm cov hauv paus hniav.
Thaum muaj hnub nyoog me me, yog tias muaj qhov ntiav ntiav-hauv, kev txhawb nqa tus kheej kuj tuaj yeem ua tau, tab sis nyob rau hauv cov xwm txheej uas qhov tsim ntawm cov hauv paus hniav tseem tsis tau tas thiab muaj ib cheeb tsam sprout. Thawj cov cim qhia ntawm qhov tshwm sim tuaj yeem pom tsis pub dhau 2-6 lub lis piam tom qab raug mob.
Yog tias muaj cov cim qhia ntawm kev txhim kho ntawm cov txheej txheem inflammatory, ces nws yuav tsum tau trepan ntawm cov hniav thiab tshem tawm cov pulp.
Yog tias muaj kev cuam tshuam cuam tshuam tau yuav luag tag nrho rau hauv cov hniav ntawm cov hniav mus rau hauv cov pos hniav, ces kev nce qib ntawm tus kheej yuav tsis zoo li, nrog rau qhov muaj mob thiab foci ntawm cov kab mob hauv cov ntaub so ntswg.
Tom qab raug mob, cov hniav cuam tshuam tuaj yeem rov ua haujlwm yuav luag tam sim lossis hauv 3 hnub. Trepanation ntawm lub crown thiab cleansing ntawm lub pulp yog nqa tawm tom qabYuav ua li cas cov hniav yog ruaj ntseg nyob rau hauv lub qhov (socket).
Yog tias lub kaus mom yog qhov ntiav, cov khoom siv kho hniav tuaj yeem siv los ua nws. Nrog rau cov hniav uas muaj zog heev, ib tus yuav tsum tau siv cov txheej txheem phais kom tom qab siv cov cuab yeej siv tau. Qhov kev hloov pauv no yuav tsum tau ua sai li sai tau tom qab raug mob, vim ankylosis tshwm sim nyob rau hnub 5-6.
Koj tuaj yeem mus rau lwm txoj kev: tshem cov hniav uas raug cuam tshuam, thiab rov cog dua.
Thaum tib txoj kev tawm yog tshem tawm tus hniav
Yog tus neeg mob mus ntsib kws kho hniav nrog tus hniav uas tsis muaj chaw, tus kws kho mob txiav txim siab tshem nws yog tias muaj cov hauv qab no:
- Kev kuaj mob hnyav tau kuaj pom. Kev cog qoob loo yog siv los kho qhov teeb meem, yog tias nws muaj kev txhawj xeeb rau menyuam yaus, lawv yuav yog ib ntus, thiab rau cov neeg laus, cov neeg laus raug xaiv.
- Kev puas tsuaj loj rau cov pob txha pom tom qab raug mob.
- Yog hais tias muaj ib tug dislocation ntawm ib tug mis nyuj hniav. Tab sis txawm nyob ntawm no muaj kev tsis sib haum xeeb ntawm cov kws kho mob, qee tus ntseeg tias tsis tas yuav txuag cov hniav, thaum lwm tus paub tseeb tias qhov kev tawm tsam yog qhov tsim nyog.
Txawm li cas los xij, tsuas yog tus kws kho mob yuav txiav txim siab txog kev tshem tawm cov hniav tom qab kev kawm tiav ntawm qhov xwm txheej, txiav txim siab qhov nyuaj ntawm qhov raug mob thiab qhov xwm txheej ntawm kev kho hniav.
Puas qhov kev raug mob no tiv thaiv
Tau kawg, koj tsis tuaj yeem lees paub koj tus kheej tiv thaiv cov hniav tawg, vim tias cov tub hluas uas ua pov thawj lawv qhov teeb meem hauv kev sib ntaus tsis tuaj yeem lav tias lawv yuav tsis tau txais lub zog loj hauvpuab tsaig. Tab sis muaj lwm cov kauj ruam uas koj tuaj yeem ua los txo koj txoj kev pheej hmoo ntawm kev raug mob:
- Nyob zoo rau yam koj noj.
- Mus rau tom khw thiab tau lub raj mis qhib, tsis txhob sim koj cov hniav.
- Cracking ceev kuj tsis tsim nyog nrog koj cov hniav, koj tuaj yeem siv cov cuab yeej improvised.
- Kev tu tus kheej ntawm qhov ncauj yeej tsis ua mob rau leej twg, thiab nws qhov tsis tuaj yeem ua rau cov pob txha tsis muaj zog. Plaque ua rau kev puas tsuaj zuj zus thiab ua rau cov hniav tsis muaj zog.
- noj zaub thiab txiv hmab txiv ntoo tshiab ntxiv, lawv tsis yog ntxuav cov hniav kom zoo los ntawm cov quav hniav, tab sis kuj ntxiv dag zog rau lawv.
Cov hniav zoo nkauj tsis yog kev noj qab haus huv xwb, tab sis kuj zoo nkauj. Cov hniav puas los yog nkhaus ua rau peb txaj muag rau peb luag. Txhawm rau zam qhov no, nws yog ib qho tsim nyog yuav tsum saib xyuas qhov ncauj huv thiab saib xyuas koj cov hniav. Thaum xub thawj siab ib muag, nws zoo nkaus li tias lawv muaj zog heev thiab lawv tsis ntshai dab tsi, tab sis nws hloov tawm tias ib qho qhib lub raj mis tuaj yeem xaus rau qhov tsis ua haujlwm. Nws yog ib qho tseem ceeb uas yuav tsum tau qhia cov menyuam yaus txij li thaum yau kom saib xyuas lawv cov hniav, yog li cov neeg laus, lawv yuav tsis zaum hauv kab ntawm tus kws kho hniav qhov chaw ua haujlwm ntau teev. Tiv thaiv koj cov hniav los ntawm dislocation, cia koj luag nyav ci!
