Kab mob xws li kab mob caries hauv me nyuam yaus nyuam qhuav dhau los ua teeb meem tshwm sim. Nyob rau hauv tsab xov xwm no, peb yuav saib seb dab tsi ua rau kev loj hlob ntawm cov hniav cov hniav, yuav ua li cas paub hais tias nws yog caries, txoj kev kho mob, nrog rau yuav ua li cas koj yuav pab tau koj tus me nyuam nyob rau hauv tsev thiab yam kev tiv thaiv cov kws kho hniav pom zoo.
Ntau tus neeg xav paub yog vim li cas caries thiaj li muaj nyob rau hauv tus menyuam cov hniav? Nws nyob ntawm lawv cov yam ntxwv. Dairy incisors yog me me, lub enamel yog thinner thiab softer. Cov hniav ib ntus yuav raug puas tsuaj ntau dua li cov hniav tas mus li. Nws yog cov xwm txheej no uas ua rau pom qhov tsaus nti. Tab sis ntawm no nws yog ib qho tseem ceeb kom pom lawv thaum ntxov, tom qab ntawd cov txheej txheem kho yuav muaj kev nyab xeeb thiab tsis mob.
kab mob yog dab tsi?
Tsuas yog ib feem peb ntawm cov menyuam yaus muaj cov hniav zoo nkauj. Nyob rau tib lub sijhawm, nws yog qhov nyuaj heev los kuaj xyuas cov kab mob thaum ntxov, txij li tus menyuam tseem tsis tuaj yeem paub txog qhov tsis xis nyob. Thiab feem ntau yog kab mobtau tshwm sim nyob rau hauv daim ntawv ua haujlwm.
caries yog dab tsi? Qhov no yog cov txheej txheem ntawm kev lwj ntawm cov tawv nqaij ntawm cov hniav. Ua ntej, cov enamel raug rhuav tshem, tom qab ntawd tus kab mob kis mus rau cov ntaub so ntswg tawv, uas yog ua ntej los ntawm daj thiab tom qab ntawd cov pob dub ntawm cov hniav. Feem ntau, qhov teeb meem kev kho hniav no cuam tshuam rau sab pem hauv ntej incisors, vim lawv koom nrog hauv kev zom.
Thawj cim ntawm cov hniav lwj hauv menyuam yaus
Feem ntau, tus kab mob hauv cov menyuam yaus cuam tshuam ntau dua ib tus hniav, tab sis kis mus rau ob peb zaug ib zaug. Feem ntau, caries cuam tshuam rau sab nraud ntawm lub puab tsaig thiab tsis tshua muaj sab hauv.
thawj qhov cim qhia ntawm qhov teeb meem ntawm kev kho hniav yog qhov pom ntawm cov pob dawb lossis daj ntawm cov hniav enamel. Nyob rau tib lub sijhawm, lawv loj tuaj thiab hloov xim ntawm xim av mus rau dub. Nyob rau tib lub sijhawm, tus menyuam tsis muaj kev tsis xis nyob tshwj xeeb. Tab sis thaum cov txheej txheem nkag mus tob dua, ces nws yuav mob heev rau tus menyuam zom thiab cov hniav hnov mob hloov pauv thiab cov khoom noj khoom haus.
Nws yog ib qho tsim nyog yuav tsum xyuam xim rau txoj kev loj hlob ntawm caries nyob rau hauv cov mis nyuj cov hniav nyob rau hauv cov me nyuam, yog hais tias tus me nyuam tsis kam noj zaub mov, pib zom rau ib sab thiab ua pa phem. Hauv cov menyuam yaus, tus kab mob loj hlob sai, tej zaum yuav ua rau kub taub hau. Tab sis yog hais tias tus pathology raug lees paub nyob rau hauv cov theem pib, ces txoj kev kho yuav tsis mob.
Tus yam ntxwv ntawm tus kab mob nyob ntawm lub hnub nyoog ntawm tus menyuam
Cov kab mob ntawm cov menyuam yaus muaj lawv tus kheej tshwj xeeb hauvnyob ntawm lub hnub nyoog ntawm tus menyuam. Feem ntau, cov menyuam yaus raug kev txom nyem los ntawm caries. Thaum muaj hnub nyoog 2 xyoos, tus me nyuam cov hniav tseem tsis tau muaj zog txaus, vim lawv tsuas yog nyob rau hauv cov txheej txheem ntawm kev tsim lawv, yog li lawv raug cuam tshuam los ntawm lwm yam xws li zaub mov lossis tshuaj.
Ntse thiab ua rau caries hauv tus menyuam 2 xyoos thiab qis dua:
- Nyob rau lub hnub nyoog no, cov txheej txheem ntawm mineralization thiab hardness ntawm cov hniav yog nquag pib, yog li lub sij hawm no lawv muaj ntau raug rau caries.
- Cov ntaub so ntswg tseem tsis tau txaus nrog calcium thiab fluoride.
- Pathology tuaj yeem loj hlob hauv tus menyuam hauv plab.
- Yuav ua rau tus kab mob no yuav noj tej yam tshuaj los yog tus me nyuam tsis kam tso tus kab mob mus ntev.
- Kev pw tsaug zog nrog lub raj mis tuaj yeem ua rau lub raj mis caries, vim hais tias nyob rau hauv cov ntaub ntawv no, mis nyuj mis, tshwj xeeb tshaj yog qab zib, los rau hauv cov hniav enamel.
- Lub hnub nyoog no, tus kab mob kis mus rau cov hniav nyob ze, nws yog ib qho tseem ceeb uas yuav tsum tau ntxuav lawv tsis tu ncua nrog cov tshuaj fluoride.
Cov yam ntxwv ntawm cov kab mob thiab kev kho kab mob hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos:
- Tus kab mob no tshwm sim nyob rau theem, tab sis tib lub sijhawm nws dhau los ntawm qhov chaw daj mus rau xim av nyob rau lub sijhawm luv luv. Nws yog ib qho tseem ceeb nyob rau theem no kom paub txog caries kom ntxov li sai tau. Nyob rau hauv ib tug me nyuam muaj 3 xyoos, nws yog yooj yim amenable rau mob tsis kho.
- Thawj zaug, enamel raug cuam tshuam, uas tsis mob rau tus menyuam.
- Tsis khoua rau qhov tseeb tias caries nkag mus tob rau hauv cov hniav, tom qab ntawd qhov mob tshwm sim thaum noj mov, feem ntau cov tshuaj tiv thaiv rau qab zib thiab qaub.
- Tau muaj cyst ntawm cov pos hniav los yog flux.
- Yog tsis muaj kev kho mob, qhov no tuaj yeem ua rau tshem tawm ntau dua ib tus hniav, thaum cov hniav tseem tsis tau tsim.
Kev kho mob thaum muaj hnub nyoog no nyob ntawm tus menyuam lub siab lub ntsws. Yog li, tus kws kho hniav tuaj yeem ua rau lub ntsej muag ntawm cov hniav kom tiv thaiv kev kis kab mob, lossis ua kom cov enamel nrog cov ntxhia, siv cov tshuaj fluoridation sib sib zog nqus los yog sau.
Stages
Hnub no, ib qho ntawm cov kab mob ntawm cov hniav feem ntau yog caries hauv cov menyuam yaus.
Caries ntawm cov hniav mis tuaj yeem muab faib ua ntau theem, uas xaiv txoj kev kho ncaj qha nyob ntawm:
- pib. Thaum cov pob daj daj tshwm, tus menyuam tsis hnov qhov tsis xis nyob. Ntawm no nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho hniav kom txog thaum tus kab mob no tau mus ntev thiab tsis kis mus rau tag nrho cov hniav. Kev pom kev hloov pauv yuav tsis pom, yog li cov kws kho hniav ua qhov ntsuas ntsuas xws li x-ray lossis lwm txoj hauv kev.
- Ntog. Cov enamel ntawm cov hniav raug cuam tshuam thiab tus menyuam pib mob thaum noj qab zib, ntsev lossis txias. Nyob rau hauv cov ntaub ntawv no, lawv sau los yog nqa tawm remineralizing kho, raws li zoo raws li silvering. Txawm hais tias txoj kev kho tom kawg yog qhov nrov tshaj plaws, cov xim ntawm cov hniav darkens ho.
- Average. Cov enamel ntawm cov hniav thiab ib feem ntawm cov hniav yog cuam tshuamkab mob. Cov me ntsis tig xim av los yog txawm dub. Ntawm no, qhov mob tshwm sim thaum noj khoom noj khoom haus, thiab caries sai sai kis mus rau tag nrho cov hniav.
Ntxub. Enamel thiab dentin cuam tshuam loj heev. Qhov no tuaj yeem ua rau cov hniav poob
Yog vim li cas
Thaum muaj 3 xyoos, caries hauv tus menyuam tuaj yeem loj hlob vim li cas hauv qab no:
- Kev ua txhaum ntawm cov hniav tshwm sim hauv plab. Qhov no tuaj yeem tshwm sim yog tias tus poj niam tau noj qee yam tshuaj lossis tau raug mob los ntawm nws tus kheej, tshwj xeeb tshaj yog nyob rau theem tom ntej ntawm cev xeeb tub. Hauv qhov no, caries tshwm sim ua ntej tus menyuam muaj hnub nyoog 2 lossis 3 xyoos.
- Kev sib cuag. Tus me nyuam txoj kev tiv thaiv tseem tsis tau muaj zog, yog li kev hnia niam txiv uas muaj kab mob ntawm cov hniav enamel tuaj yeem kis tus kab mob mus rau tus menyuam. Ib yam mus rau kev sib faib cutlery.
- Hereditary predisposition. Yog hais tias ib tug ntawm cov txheeb ze raug mob los ntawm kev kho hniav, ces txoj kev pheej hmoo ntawm kev loj hlob ntawm tus me nyuam yog siab.
- Tsis muaj lossis tsis huv. Thaum thawj tus hniav tshwm, nws yuav tsum tau ntxuav, thiab tus me nyuam yuav tsum tau qhia ua qhov no tsis tu ncua.
- Kev noj haus tsis raug. Kev noj ntau dhau ntawm cov khoom noj qab zib ua rau cov hniav tsis muaj zog.
- Npib lossis lub raj mis. Khaws cov khoom no rau hauv lub qhov ncauj tas li tsis yog tsuas yog ua rau kev tsim cov khoom tsis zoo, tab sis kuj mus rau kev loj hlob ntawm caries.
Diagnosis
Caries hauv menyuam yaus tuaj yeem ua tauKev kuaj pom tsis tau tsuas yog pom qhov muag thaum tus kab mob twb khiav lawm, tab sis kuj nrog kev pab ntawm qee yam kev kuaj hniav, tshwj xeeb tshaj yog nyob rau theem pib:
- x-ray lossis ziab - zoo rau kev kuaj mob ntxov;
- transillumination lossis photopolymerization - nyob rau hauv tus txheej txheem ntawm kev kuaj mob, tus menyuam cov hniav yog translucent;
- electroodontometry - siv lub zog tawm tam sim no, kuaj xyuas cov hniav;
- tseem ceeb staining - xiav yog siv rau cov hniav, cov chaw cuam tshuam yog pleev xim rau hauv cov xim tsaus;
- Ultraviolet diagnostics.
Kev kho mob
Cov tsos mob ntawm caries hauv cov menyuam yaus yuav tsum tau kho tam sim. Txawm hais tias ntau tus niam txiv ntseeg hais tias kev kho cov mis nyuj incisors tsis tsim nyog, vim tias lawv yuav poob tawm dhau sijhawm. Qhov tseeb, pathology tuaj yeem txhim kho cov hniav mus tas li, txawm tias nyob rau hauv cov txheej txheem ntawm kev tsim. Tsis tas li ntawd, yog tias koj pib tus kab mob, nws tuaj yeem ua rau tsis yog mob xwb, tab sis kuj ua rau ntau yam teeb meem.
Kev kho kom tshem tawm cov stains ntawm cov hniav yog nyob ntawm tus yam ntxwv ntawm txhua tus menyuam. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb uas thaum thawj zaug mus ntsib, tus kws kho menyuam yaus endears tus menyuam rau nws, thiab tsis txhob ntshai qhov pom ntawm qhov xyaum.
Ua ntej, tus kws kho mob tshuaj xyuas lub qhov ncauj kom txiav txim siab theem ntawm pathology. Feem ntau qhov kev kuaj pom pom tau txaus, tab sis qee zaum, thaum caries tseem tsis tau pom tag, nws tsim nyog noj x-ray.
Kev kho mob feem ntau muaj hauv kev ntxuav lub qhov ncauj ntawm cov kab mob thiabkab mob. Yog hais tias tus hniav enamel yog me ntsis raug rau caries, ces nws yuav silver cov hniav. Lub ntsiab ntawm cov txheej txheem yog tias tus kws kho hniav siv nyiaj nitrate rau thaj tsam cuam tshuam, uas muaj cov tshuaj tua kab mob. Tib qhov tsis zoo ntawm txoj kev no yog cov xim ntawm cov hniav hloov. Tej zaum nws yuav dub, dab tuag.
Reminalization tuaj yeem ua tau, uas yuav pab khaws cov hniav kom ruaj khov ua ntej nws ntog thiab tiv thaiv kev kis kab mob. Thaum lub sij hawm tus txheej txheem, ib tug tshwj xeeb tov yog siv rau cov hniav, uas muaj calcium, fluoride thiab phosphorus.
Yog tias nkag mus tob rau hauv lub dentin twb tshwm sim lawm, ces sau cov hniav yog qhov tseem ceeb. Nco ntsoov siv tshuaj loog hauv zos, thiab siv lub ncoo tshwj xeeb los tiv thaiv cov hlab ntsha.
Yuav pab tus menyuam hauv tsev li cas?
Qee qhov xwm txheej, thaum muaj kab mob hniav tshwm sim hauv cov menyuam yaus, koj tuaj yeem pab tus menyuam hauv tsev. Feem ntau, qhov no los nrog kev mus ntsib kws kho hniav thiab nws txoj kev kho mob.
Kev pab tsev yog dab tsi?
- Siv cov tshuaj yaug lossis tshuaj txhuam hniav uas muaj cov tshuaj tiv thaiv kab mob (cov tshuaj txhuam hniav uas tsis muaj fluoride yog xaiv rau tus menyuam hnub nyoog qis dua 4 xyoos).
- Koj tuaj yeem yaug koj lub qhov ncauj nrog cov tshuaj tsis muaj zog ntawm hiav txwv ntsev, chamomile infusion lossis sage decoction.
Muaj Teeb Meem
Caries hauv menyuam yaus (duab hauv kab lus) tuaj yeem ua rau muaj teeb meem yog tias tsis kho raws sijhawm. Tus me nyuam tuaj yeem tsim muaj kab mob, mob plab, uas nyob rau hauv lemyuav ua rau cov hniav mus tas li tuag.
Vim tias tsis muaj kev kho mob, cov txheej txheem sib kis tuaj yeem pib, cuam tshuam rau tag nrho cov hniav, uas tom qab ntawd yuav tsum tau rub tawm. Yog tias cov hniav raug tshem tawm ntxov ntxov, tom qab ntawd qhov tsis raug tom yuav tshwm sim yav tom ntej. Tsis tas li ntawd, thaum tsis muaj qee yam hauv kev kho hniav, nws yuav nyuaj rau tus menyuam zom zaub mov thiab yog li, tej zaum yuav muaj teeb meem nrog kev zom zaub mov thiab plab hnyuv.
Yuav ua li cas tiv thaiv kab mob?
Kev tiv thaiv kab mob caries hauv menyuam yaus yog raws li hauv qab no:
- Kev tu lub qhov ncauj yuav tsum tau ua tas li sai li sai tau thaum tus me nyuam thawj incisors tshwm.
- Tus txhuam hniav hloov txhua lub hlis twg raws li cov kab mob sib sau rau ntawm nws.
- Nws tsim nyog qhia txog kev txwv cov khoom noj uas muaj cov carbohydrates tsis zoo (qab zib thiab dej qab zib).
- Tsis txhob noj tam sim tom qab txhuam hniav, tsis txhob pub mis rau koj tus menyuam tsawg kawg ib teev.
- yaug koj lub qhov ncauj tom qab noj mov.
- Kev tshuaj xyuas kho hniav yam tsawg kawg ib xyoos ib zaug tom qab tus menyuam muaj hnub nyoog 2 xyoos.
- Thaum cov pob daj tshwm rau ntawm cov hniav, sab laj nrog tus kws kho mob tshwj xeeb, thawj theem cov teeb meem yuav daws tau tsis mob.
- Me nyuam yuav tsum muaj zaub mov noj txhua hnub (qej zaub txhwb qaib, kua txob), zom zom zom cov plaque ntawm cov hniav thiab tiv thaiv kev kis kab mob.
Zoo kawg
Txawm tias qhov tseebntau tus me nyuam tau ntsib ntau yam kab mob ntawm cov hniav, nws muaj peev xwm daws tau qhov teeb meem thaum ntxov, thaum ua kom yooj yim rau tus me nyuam. Qhov tseem ceeb tshaj plaws yog kev tu cev kom zoo, qhia koj tus menyuam kom txhuam hniav, txo qis cov khoom qab zib hauv cov zaub mov thiab tiv tauj tus kws kho hniav kom raws sijhawm.
