Tej zaum txhua tus tau mob hniav tsawg kawg ib zaug hauv lawv lub neej. Qhov no yog ib qho kev xav tsis zoo uas tuaj yeem yog cov tsos mob ntawm pathology, yog li koj yuav xav tau kev cuam tshuam los ntawm kws kho hniav. Tab sis ntau tus tsis xav mus ntsib tus kws kho mob tshwj xeeb vim ntshai tsam mob. Tab sis muaj tshuaj loog ntawm cov hniav, uas ua rau nws muaj peev xwm txo tau tus mob ntawm tus neeg mob. Qhov no yuav tau tham hauv kab lus.
Yam tshuaj loog
Tooth tshuaj loog tuaj yeem yog hauv zos, dav dav, tshuaj thiab tsis yog tshuaj. Hom tom kawg yog siv tsawg heev. Cov no yog hypnosis, suab analgesia thiab electro analgesia.
Kho hniav tshuaj loog blocks mob impulses. Vim qhov no, muaj ib ntus poob ntawm rhiab heev ntawm tus kheej cov ntaub so ntswg. Tom qab qee lub sijhawm, cov tshuaj raug tshem tawm ntawm lub cev thiab qhov rhiab ntawm qhov chaw phais tau rov qab los.
tshuaj loog dav dav tsis tshua siv. Lub ntsiab lus qhia rau tus txheej txheem yog suav hais tias yog kev zam tsis zoo ntawm cov kev kho mob hauv zos, cov npe dav dav ntawm kev kho hniav.ua haujlwm. Cov tshuaj loog hauv zos feem ntau yog xaiv thaum txhaj tshuaj loog rau hauv qhov chaw kho mob. Txoj kev kho mob no yog siv rau cov neeg laus thiab menyuam yaus.
Yam tshuaj loog hauv zos
tshuaj loog hauv zos ntawm cov hniav yog cov hauv qab no:
- Applique. Cov txheej txheem freezes saum npoo ntawm cov ntaub so ntswg. Rau lub hom phiaj no, cream yog siv rau cov pos hniav, tshuaj tsuag nrog "Lidocaine 10%". Daim ntawv thov yog ua ua ntej txhaj tshuaj. Qhov no yuav ua rau cov txheej txheem tsis tshua mob. Daim ntawv thov tshuaj loog yog siv los kho stomatitis, gingivitis thiab lwm yam kab mob ntawm lub qhov ncauj mucosa.
- Kev nkag mus. Qhov sib txawv tseem ceeb ntawm txoj kev no yog cov nyhuv sparing. Nrog kev pab ntawm infiltration anesthesia, muaj ib tug poob ntawm rhiab heev nyob rau hauv ib tug txwv cheeb tsam. Cov txheej txheem yog siv thaum kho cov hniav ntawm lub puab tsaig sab sauv, txij li cov tshuaj tau muab faib ua haujlwm zoo dua hauv cov qauv no.
- Tus coj. Tshuaj loog yog tsim los khov rau thaj chaw loj. Hom tshuaj loog no yuav tsum tau ua rau qhov tsis hnov tsw ntawm ntau lub ntsiab lus uas nyob deb ntawm ib leeg. Nws yog siv rau pulpitis, complex caries, qhib purulent capsules, periodontitis. Tom qab kev taw qhia ntawm tus neeg sawv cev, muaj kev poob siab ntawm tag nrho cov paj hlwb ntawm qhov chaw.
- Intraligamentary. Txoj kev no yog siv rau hauv kev kho hniav menyuam yaus. Cov tshuaj yog txhaj rau hauv qhov chaw nruab nrab ntawm cov alveolus thiab cov hauv paus hniav ntawm cov hniav. Mucous membranes tsis poob rhiab heev.
- Stem. Cov txheej txheem yog ua nyob rau hauv ib lub tsev kho mob. Nws yog tsim nyog rau kev raug mob ntawm lub maxillofacial apparatus, neuralgic mob. Kev txhaj tshuaj yog ua nyob rau hauv lub hauv paus ntawm cov pob txha ntawm pob txha taub hau kom ntseeg tau tias qhov poob ntawm rhiab heev ntawm ob lub puab tsaig. Kev kho mob yuav siv sij hawm ntev dua thiab zoo dua li lwm hom tshuaj loog.
- Txoj kev sib hlub. Hom tshuaj loog ntawm cov hniav no yuav tsum tau thaum nws raug tshem tawm. Ua nws nyob rau hauv ob peb theem. Ua ntej, cov tshuaj loog yog txhaj rau hauv cov pos hniav, thiab tom qab ntawd mus rau hauv lub puab tsaig. Cov nyhuv khov tshwm sim sai dua piv rau lwm hom tshuaj loog.
Cov hniav puas kho nrog tshuaj loog? Nrog rau feem ntau cov kab mob ntawm cov hniav, cov txheej txheem no yog qhov yuav tsum tau ua txhawm rau txhawm rau txo tus neeg mob. Thiab xaiv hom tshuaj loog twg, tus kws kho mob yuav tsum txiav txim siab.
Action
tshuaj loog hauv zos suav nrog kev txhaj tshuaj loog nrog lub koob txhaj tshuaj. Cov txheej txheem tso cai rau koj los txo qhov rhiab heev ntawm qee qhov chaw uas yuav ua rau kev kho hniav.
Cov khoom xyaw nquag thaiv cov impulses uas xa mus rau lub hlwb nrog kev pab ntawm cov hlab ntsha. Tab sis tus neeg yuav tsis nco qab thiab yuav tsis hnov mob txawm tias thaum phais. Qhov no tsuas yog ua rau muaj kev ntxhov siab hauv thaj chaw uas tus neeg sawv cev txhaj tshuaj.
pros and cons
Qhov zoo ntawm cov tshuaj loog hauv zos yog qhov tsis muaj mob thaum lub sijhawm ua haujlwm. Qhov tshuaj loog no kav li 1-2 teev, uas yog tsim rau me me ntawm kev kho hniav. Ntawm qhov zoo ntawm xws li tshuaj loog, nws yog qhov txawv tias nws tsim nyog rau cov poj niam cev xeeb tub, nrog rau cov kab mob ntawm lub plawv thiab cov hlab ntsha. Rau qhov no, cov cuab yeej tshwj xeeb yog siv,Piv txwv li, Artikain. Lwm qhov zoo dua yog qhov yooj yim rau tus neeg mob thiab tus kws kho mob. Tab sis nws yog ib qho tseem ceeb uas yuav tau xav txog tias tej zaum yuav muaj kev fab tshuaj rau cov tshuaj tua kab mob. Yog li ntawd, tus neeg mob yuav tsum paub tias nws tsis haum tshuaj dab tsi.
Qhov tsis zoo suav nrog qhov muaj contraindications. Kev tshuaj loog hauv zos yog txwv tsis pub muaj ntshav qab zib mellitus thiab lub raum tsis ua haujlwm. Lub downside yog lub sij hawm luv luv, tshwj xeeb tshaj yog tias cov txheej txheem loj heev. Yog tias tus kws kho hniav tsis tuaj yeem ua txhua yam haujlwm thaum lub sijhawm ua haujlwm ntawm kev kho mob, ces nws yuav tsum tau ncua kev ua haujlwm rau lub sijhawm teem sijhawm tom ntej, vim tias kev tswj hwm tshuaj thib ob yog qhov txaus ntshai rau kev noj qab haus huv.
Kev qhia
Puas tuaj yeem kho cov hniav nrog tshuaj loog? Cov txheej txheem no yog tsim nyog thaum:
- kho cov kab mob nruab nrab thiab tob;
- kev tshem tawm;
- kev cuam tshuam kev phais;
- hniav cog hniav;
- fitting ib co orthodontic appliances.
Lawv puas muab tshuaj txhuam hniav nrog cov kab mob superficial? Hauv qhov no, tshuaj loog kuj tuaj yeem siv tau. Enamel thiab dentine yog qhov chaw rhiab heev, yog li qhov mob feem ntau hnov thaum drilling.
Yog tias muaj kev ntxhov siab ntau ua ntej mus ntsib kws kho hniav, tab sis hmo ntuj nws raug nquahu kom noj cov tshuaj sedative - ib qho extract ntawm valerian lossis Afobazol. Nws yog ntshaw kom ncua kev kho hniav nyob rau hauv cov ntaub ntawv ntawm tsis muaj zog txuam nrog SARS. Nws yog qhov tsis tsim nyog los ua cov txheej txheem kho hniav thaum cev xeeb tub. Lub sijhawm no, muaj kev ntxhov siab heev. Ntxiv mus, ntawmKev phais mob rau "hnub tseem ceeb" tuaj yeem ua rau los ntshav ntev.
Kev txwv
Kev kho hniav tsis tuaj yeem ua rau ntawm:
- ua xua rau cov tshuaj, yog li ntawd, ua ntej kev kho mob, cov neeg mob yuav tsum ceeb toom rau tus kws kho mob txog cov kev mob tshwm sim ntawm kev khov;
- kev ua txhaum ntawm cov txheej txheem metabolic - hauv cov xwm txheej no, yuav tsum muaj kev suav tus kheej ntawm tus nqi ntawm cov tshuaj tswj hwm;
- me nyuam hnub nyoog - me me yog siv rau cov me nyuam.
painkillers
Nyob rau hauv tshuaj loog rau cov hniav, siv ntau yam tshuaj: Ultracain, Ubistezin, Septanest, Scandonest. Txhua lub cuab yeej muaj nws tus yam ntxwv:
- Ultracaine muaj nrog thiab tsis muaj epinephrine. Vim tias tsis muaj vasoconstrictor, lub sijhawm khov yog 15-20 feeb. Cov tshuaj yog siv rau cov menyuam yaus thiab cov poj niam cev xeeb tub. Contraindications muaj xws li lub plawv tsis ua hauj lwm, hormonal cuam tshuam.
- Ubistezin. Lawv raug tsim nyob rau hauv 2 daim ntawv, uas txawv nyob rau hauv lub concentration ntawm epinephrine. Lub sijhawm ua haujlwm ntawm cov tshuaj loog yog 40 feeb. Cov tshuaj no yog siv rau cov neeg mob uas muaj teeb meem plawv thiab ntshav siab.
- "Septanest". Cov tshuaj muaj xws li adrenaline, articaine, preservatives. Nws tsis tuaj yeem siv tshuaj loog ntawm cov hniav hauv cov neeg mob ua xua, tab sis siv thaum cev xeeb tub thiab lactation. Duration - 45 minutes.
- "Scandonest". Nws tsis muaj preservatives, yog li muaj ob peb contraindications. Cov cuab yeej siv los kho cov hniav nrog ntshav qab zib mellitus, kab mob ntawm cov thyroid caj pas, lub plawvcov nkoj. Qhov kev txiav txim yog 40 feeb.
Kev xaiv
Puas yog tsim kev puas tsuaj rau cov hniav nrog tshuaj loog? Cov lus teb rau lo lus nug no yog nyob ntawm qhov kev xaiv ntawm ib lub cuab yeej tsim nyog. Rau kev ua xua thiab mob hawb pob bronchial, nws raug nquahu kom siv cov tshuaj uas tsis suav nrog cov tshuaj tua kab mob, piv txwv li, Ultracain D, thiab tsis txhob siv tshuaj nrog sodium disulfite. Yog tias muaj ntshav qab zib mellitus thiab thyroid tsis ua haujlwm, tus kws kho hniav yuav tsum xaiv cov tshuaj loog uas tsis muaj vasoconstrictors (Ultracain D, Scandonest).
Nrog rau cov ntshav siab thiab pathologies ntawm lub plawv, cov hlab ntsha, cov hniav yuav tsum tau tshuaj loog nrog cov tshuaj muaj zog - "Ultracaine DS" lossis "Ubistezin". Yog tias muaj kab mob plawv lossis mob ntshav siab, cov tshuaj nrog adrenaline raug txwv. Hauv cov xwm txheej no, nws yog qhov zoo dua los xaiv "Ultracain D".
Cov neeg noj qab haus huv tag nrho xav tau cov tshuaj loog epinephrine ntawm qhov siab ntawm 1: 100,000. Cov neeg laus yuav tsum tau ib txhij nkag mus rau 7 capsules yam tsis muaj teeb meem rau kev noj qab haus huv. Thaum pub niam mis, txhaj tshuaj "Ubistezin" 1: 20000 lossis "Ultracain SD" tau ua. Cov tshuaj no kuj muaj kev nyab xeeb rau cov poj niam cev xeeb tub.
Qhov concentration ntawm cov khoom xyaw nquag hauv tshuaj loog tsis muaj qhov tsis zoo rau tus menyuam hauv plab. Thaum cev xeeb tub thiab lactation, koj yuav tsum tsis txhob tsis kam them nyiaj nrog vasoconstrictor Cheebtsam. Adrenaline slows down lub nqus ntawm active tshuaj, uas txo cov concentration ntawm cov tshuaj siv nyob rau hauv lub cev ntawm tus poj niam cev xeeb tub.
Kev npaj
Ua ntej tshuaj loog thaum tshem cov hniav lossis lwm yam hniavtxheej txheem yuav tsum tau npaj. Hnub ua ntej, nws yog ib qho tsim nyog kom tsis txhob siv cawv. Hauv cov poj niam cev xeeb tub, nws yog ib qho tsim nyog los txheeb xyuas qhov contraindications rau cov tshuaj siv, yog tias tsim nyog, lawv hloov nrog analogues.
Cov neeg noj qab nyob zoo tau tso cai noj tshuaj sedative ua ntej tshuaj loog. Rau qhov no, herbal thiab pharmacological npaj yog siv. Noj cov tshuaj 15-20 feeb ua ntej txheej txheem.
Lub sijhawm tshuaj loog
Kev siv tshuaj loog ntev npaum li cas tom qab kho hniav? Cov lus teb rau lo lus nug no nyob ntawm seb hom neeg sawv cev siv. Kev npaj rau kev siv tshuaj loog ua haujlwm tsis pub dhau 2-3 feeb. Yog tias kev txhaj tshuaj yog nqa tawm hauv lub puab tsaig sab saud, qhov kev txiav txim yuav kav li 2.5 teev. Lub ncua sij hawm yuav txawv nyob ntawm lub hnub nyoog ntawm tus neeg, kev ua ntawm nws lub cev thiab qhov tob ntawm kev txhaj tshuaj.
Kev tshuaj loog yuav kav ntev npaum li cas tom qab tshem cov hniav yog tias cov tshuaj tau txhaj rau hauv lub puab tsaig sab? Yog tias txhaj tshuaj rau hauv cov ntaub so ntswg sib sib zog nqus, ces cov nyhuv analgesic tuaj yeem kav ntev txog 4 teev lossis ntau dua. Lub sijhawm ncua sij hawm nyob ntawm hom hniav uas tau ua haujlwm, nrog rau cov yam ntxwv ntawm tus kheej.
Yog qhov loog tsis ploj mus ntev dua ib hnub, koj yuav tsum mus ntsib kws kho mob. Yog tias siv tshuaj loog rau menyuam yaus, nws yog ib qho tseem ceeb rau cov niam txiv saib xyuas nws tus mob rau 1-2 hnub. Tom qab kev kho hniav nrog tshuaj loog, cov neeg laus yuav tsum tsis txhob tsav tsheb lossis koom nrog kev ua haujlwm uas yuav tsum tau ua kom muaj kev saib xyuas ntxiv. Tom qab cov txheej txheem, nws tsis pom zoo kom tawm dag zog rau 2-3 teevKev ua kis las ncaws pob thiab kev tawm dag zog lub cev.
Tom qab khov
Yuav ua li cas thiaj kho tau tus mob sai sai tom qab tshuaj loog ntawm tus hniav? Txhawm rau tshem tawm cov tsos mob ntawm cov tshuaj loog yuav tsis ua haujlwm nrog cov tshuaj. Tom qab siv tshuaj loog ntawm cov hniav, sov compresses tuaj yeem siv. Nws yog tsis yooj yim sua kom sov thaj chaw kho nrog cov khoom kub: qhov no ua rau muaj kab mob. Nws raug tso cai kaw qhov chaw puas tsuaj nrog ib txoj phuam sov sov, ironed ntawm ob sab. Raws li cov cua sov, vasodilation tshwm sim thiab tshuaj loog kis sai.
Tom qab tshuaj loog, tsis txhob haus cawv. Cov neeg mob yuav tsum tsis txhob haus cawv rau 3-5 hnub tom qab ntawd, tshwj xeeb tshaj yog tom qab tshem cov hniav. Cov khoom hnyav ntawm cov dej cawv corrode cov khoom tiv thaiv uas tshwm sim ntawm qhov chaw mob. Tom qab nws puas tsuaj, cov kab mob pathogenic nkag mus rau hauv cov pos hniav sib sib zog nqus.
Txhais tau
Qee zaum tus hniav mob tom qab tshuaj loog. Hauv qhov no, koj tuaj yeem haus cov tshuaj uas tsis yog-steroidal anti-inflammatory - Nimesil, Nise, Nurofen. Thaum noj cov tshuaj tua kab mob, nws yuav tsum nco ntsoov tias lub sijhawm ntawm lawv siv yuav tsum tsis txhob ntau tshaj 3-4 hnub. Qhov mob ntev ntev tuaj yeem yog qhov tshwm sim ntawm qhov teeb meem uas yuav tsum tau kho mob.
Ntxiv rau qhov mob, tom qab tshuaj loog thaum lub sij hawm tshem tawm cov hniav los yog nws cov kev kho mob, tej zaum yuav muaj lwm yam teeb meem, manifested li:
- mob plab zom mov;
- tawv nqaij ua xua;
- malaise;
- mob taub hau.
Qhov tshwm sim hnyav tshwm sim thaum noj tshuaj tsis haum. Hauv qhov no, muaj kev pheej hmoo:
- paj tawg puas tsuaj;
- necrosis ntawm paj hlwb;
- anaphylactic shock;
- faus.
Txhawm rau tiv thaiv cov teeb meem no, koj yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho hniav tom qab kev kho mob: tsis txhob noj, haus cawv. Yog tias tom qab ib hnub cov tshuaj loog tsis dhau, ces yuav tsum muaj tsheb thauj neeg mob. Lub tsev kho mob muab tshuaj tua kab mob uas tshem tawm cov tshuaj loog hauv ib nrab teev.
After tooth extraction
Tom qab "tawm mus" ntawm tshuaj loog, qhov txhab uas tshwm sim los ntawm cov hniav rho tawm yuav raug mob. Nyob rau hauv cov ntaub ntawv no, noj tshuaj kho mob. Feem ntau cov kws kho mob qhia txog kev siv "Ketanov". Cov cuab yeej no tuaj yeem nres qhov mob hnyav, nrog rau kev ua haujlwm tom qab. Nws tau noj 1 ntsiav tshuaj txhua 6 teev. Tab sis koj yuav tsum tau siv cov tshuaj tsis pub dhau 7 hnub.
Tej zaum thiab cov kev mob tshwm sim nyob rau hauv daim ntawv ntawm kev qaug zog, dyspepsia, nce qhov ncauj qhuav thiab lub plawv palpitations. Yog tias tus neeg mob muaj mob xws li mob ntsws asthma, plab lossis duodenal ulcers, teeb meem raum, koj siv tsis tau cov tshuaj no. Nws tseem raug txwv tsis pub rau cov poj niam cev xeeb tub, lactating.
Nyob rau thawj hnub tom qab tshem cov hniav, koj yuav tsum tsis txhob yaug koj lub qhov ncauj nrog dab tsi. Koj tsis tuaj yeem haus cawv lossis haus dej kub. Thiab yog tias qhov o thiab mob rov tshwm sim tom qab 3 hnub, yuav tsum tau mus ntsib kws kho hniav sai.
Nyob rau hauv pediatric dentistry
Tshuaj loog ntawm cov hniav yog siv rau cov menyuam yaus, yog tias muaj cov lus qhia rau qhov no thiab tsis muaj contraindications, txawm tiasntau yam tshuaj muaj zog. Hauv cov chaw kho mob niaj hnub no, cov tshuaj amide tshuaj loog yog siv, uas muaj peev xwm ua xua tsawg (Scandonest, Ultracaine hauv koob me me). Cov tshuaj loog no muab kev kho mob rau txhua lub sijhawm, nyob ntawm lub sijhawm xav tau los ua kom tiav txoj haujlwm. Kev siv tshuaj loog rau menyuam yaus yog siv txhua lub hnub nyoog.
Yog tias tus menyuam ntshai koob, tom qab ntawd cov txheej txheem npaj tau ua, suav nrog kev txhawb nqa kev puas siab puas ntsws thiab kho mob nyem nrog gel lossis tshuaj tsuag. Tshwj xeeb tshaj yog nyob rau hauv kev thov yog ib tug tshwj xeeb gel uas muaj ib tug qab zib los yog fruity tsw, yog li nws yog feem ntau siv nyob rau hauv kev kho mob ntawm cov me nyuam thiab cov hluas. Cov gel muab cov tshuaj loog ua haujlwm. Yog li ntawd, siv nws daws ob peb yam teeb meem.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Hauv kev kho cov hniav thaum cev xeeb tub rau kev siv tshuaj loog, cov neeg ua haujlwm nrog qhov nruab nrab ntawm cov vasoconstrictor Cheebtsam uas ua rau cov tshuaj loog nkag mus rau hauv cov ntshav thiab cov placenta yuav tsum tau siv. Ntawm qhov teeb meem no, koj yuav tsum sab laj nrog koj tus kws kho hniav.
Thaum pub mis niam
Nws ntseeg tias kev siv tshuaj loog yog txwv tsis pub nyob rau lub sijhawm no. Tab sis qhov no tsis yog li ntawd, txij li cov tshuaj loog niaj hnub no tsis muaj teeb meem rau leej niam thiab tus menyuam. Yog li ntawd, cov niam tsev laus tsis txwv tsis pub kho lawv cov hniav nrog tshuaj loog. Qhov no tsis yog tso cai xwb, tab sis pom zoo.
Yog tias tsim nyog, nws yuav tsum tau koom nrog kev kho hniav thaum lub sij hawm lactation, vim qhov tsis xis nyob thiab mob tsis tu ncua ua rau muaj kev cuam tshuam zoo rau cov mis nyuj zoo dua li cov tshuaj loog ntawm cov hniav.thaum pub niam mis. Cov khoom lag luam niaj hnub muaj lub sijhawm luv luv ntawm kev ua, lawv tsis muaj tshuaj lom, lawv tsis suav tias yog ib qho ua xua, yog li lawv muaj kev nyab xeeb rau menyuam yaus.
Ua ntej kho, tus poj niam yuav tsum ceeb toom rau tus kws kho hniav txog kev pub niam mis. Hauv qhov no, tus kws kho mob tshwj xeeb tuaj yeem xaiv qhov zoo tshaj plaws ntawm cov tshuaj loog thiab lawv tus lej. Kev kho hniav thaum lub sij hawm lactation tuaj yeem tiv thaiv tus poj niam los ntawm kev ntxhov siab, mob, poob siab. Tab sis nws puas tuaj yeem pub niam mis tom qab cov txheej txheem zoo li no? Qhov no tau tso cai, txij li cov tshuaj muaj zog tawm hauv lub cev tsis pub dhau 5-6 teev.
Yog li, tshuaj loog ntawm cov hniav yog ib qho yuav tsum tau ua rau ntau txoj kev kho hniav. Nws yuav tsis hnov mob lossis tsis xis nyob. Hom tshuaj loog twg yuav tsum tau txiav txim los ntawm tus kws kho mob raws li tus neeg mob tus mob.
