Rau qee qhov laj thawj, feem ntau lees paub tias cov teeb meem "kho hniav" tsis tuaj yeem saib tsis tau - lawv hais tias, sai li sai tau thaum cov enamel raug puas los yog cov hlab ntsha ua rau mob, nws tshwm sim tam sim - mob tsis txaus ntseeg. Qhov tseeb, tej yam tsis yooj yim li.
Gums, uas yog, lawv ua raws li lub hom phiaj tseem ceeb ntawm cov kab mob pathogenic microbes, tsis txhob mob tam sim ntawd - cov txheej txheem, raws li txoj cai, stretches lub sij hawm ntau lub lis piam los yog txawm lub hlis. Nrog cov tsos mob tsis tshua muaj tshwm sim, tus kab mob insidious txawj ntse siv qhov zoo ntawm qhov tseeb tias nws tsis tau txais kev saib xyuas, thiab nce mus rau qhov nrawm. Thaum los ntshav thiab nce rhiab heev ntawm cov pos hniav ua rau lub neej nyuaj, koj yuav tsum mus ntsib kws kho hniav thiab siv sijhawm ntau thiab nyiaj txiag los tshem tawm qhov tshwm sim ntawm koj tus kheej "sluggishness". Lub caij no, Cholisal-gel tuaj yeem ua rau muaj txiaj ntsig zoo rau "qhov xwm txheej" - kev tshuaj xyuas qhia tias nws siv tsis tu ncua txo qhov kev pheej hmoo ntawm kev tsim cov gingivitis - lossis lwm yam tshuaj kho mob tsom rau.kev saib xyuas ntawm qhov ncauj huv si: yog tias nws tau siv "thaum lub sijhawm", cov kab mob yuav tsum tso tseg lawv txoj kev xav kom "colonize" cov mucous membranes.
Qhov laj thawj tseem ceeb ntawm cov pos hniav
Kev tawm tsam txhua yam kab mob pib nrog kev txheeb xyuas cov kab mob tseem ceeb thiab qhov chaw ntawm qhov tsis zoo tshwm sim ntawm cov haujlwm tseem ceeb ntawm cov kab mob. Hauv particular, cov tshuaj pleev rau cov pos hniav (cov tshuaj parapharmaceutical, ntawm chav kawm, pab tiv thaiv o thiab degradation ntawm cellular qauv, tab sis ib tug kws paub txog yuav tsum tseem tswj cov dynamics ntawm rov qab) yog qhia rau siv yog:
- nrhiav tsis tau cov tshuaj txhuam hniav "yog";
- muaj kev ua txhaum cai hauv lub koom haum ntawm kev noj zaub mov kom zoo (tsis muaj microelements thiab vitamins hauv lub cev yog ib qho ntawm cov xwm txheej rau kev tswj hwm ntawm cov kab mob bacilli tshaj cov tshuaj tiv thaiv ntuj);
- muaj qhov xav tias muaj kev ua haujlwm tsis zoo hauv lub cev tiv thaiv kab mob;
- paub rau "kev tsim txom tsis zoo" (ntau yam mob hniav yog programmed ntawm qib noob thiab dhau los ntawm niam txiv mus rau menyuam);
- siv sijhawm ntev ntawm cov tshuaj tua kab mob lossis tshuaj tsim los tiv thaiv cov tsos mob ntawm kev nyuaj siab;
- Kev haus luam yeeb yog nyob rau hauv daim ntawv teev cov cwj pwm phem;
- kev cuam tshuam hormonal raug pom;
- pob zeb plaque yog tsim - ib qho "provoker" ntawm cov ntaub so ntswg softening ntawm qhov chaw ntawm kev sib cuag ntawm cov hniav thiab cov pos hniav.
Yuav kuaj tus kab mob li cas thaum ntxov?
Tshuaj pleev rau cov pos hniav (tsis yog txhua yam tshuaj pab ua kom mob,muaj cov nyhuv analgesic, thiab koj yuav tsum nco ntsoov qhov no tas li thiab tsis ua rau qhov teeb meem nrog kev noj tshuaj rau tus kheej) tsis yog siv rau cov tsos mob tshwm sim, tab sis kuj rau lub hom phiaj ntawm kev tiv thaiv kab mob, yog li tsis muaj qhov tshwj xeeb xav tau kev kuaj mob ua ntej. pib txoj kev noj qab haus huv. Txawm li cas los xij, qhov kev hem thawj ntawm kev tsim cov tshuaj tsis haum rau cov khoom xyaw nquag ntawm cov khoom siv tshuaj tseem tshuav, thiab kev sab laj nrog kws kho hniav tseem xav tau.
Raws li kev kho cov pos hniav, cov tshuaj ntawm pawg profile no tau siv thaum:
- txhuam hniav yog nrog los ntawm kev tso ntshav, tab sis qhov tseeb tsis muaj qhov mob;
- cov ntaub so ntswg detachment tau hnov ntawm qhov chaw ntawm kev sib cuag nrog cov enamel (qhov tseeb tsis muaj qhov sib txawv, tab sis nws zoo nkaus li qhov kev sib sib zog nqus ntawm cov furrow tseem tshwm sim);
- ntev o tshwm sim, thiab vim li ntawd, cov hniav tuaj yeem txav mus rau hauv lawv cov kwj dej (peb tab tom tham txog kev xoob qhov tsis siv tshuab ntawm lub hauv paus chiv keeb);
- periodontal hnab ris ua rau mob;
- purulent ulcers form on reddened area.
Ib yam ntawm cov cim saum toj no tuaj yeem suav tias yog lub cim rau kev ua tam sim.
Cov ntaub ntawv kho mob ntawm gingivitis
Kab mob ntawm cov pos hniav - gingivitis - raws li ntau yam kev kwv yees, cuam tshuam los ntawm 70% mus rau 90% ntawm cov neeg hauv ntiaj teb. Nws yog ib txwm ua kom paub qhov txawv ntawm tsib hom kab mob, txawm hais tias qhov tseeb tus naj npawb ntawm cov duab kho mob paub ntau dua - tsuas yog nyob rau hauv kev cuam tshuam ntawm cov kab mob "nyob ib sab", cov tsos mob ntawm tus kab mob yog qhov yooj yim rau kev hloov pauv.(vim qhov kev hloov pauv yog tshwm sim los ntawm "me" yam, lawv feem ntau raug cais raws li qhov tshwm sim ntawm kev ua haujlwm ntawm "tsis yog-core" pathogens).
Txhua hom kab mob gingivitis - catarrhal, hypertrophic, ulcerative, descaamative thiab atrophic - muaj qhov tshwj xeeb tiv thaiv qee yam ntawm cov tshuaj. Tab sis kuj tseem muaj qhov hu ua universal antiseptics, cov tshuaj tiv thaiv mechanism uas tsis khi rau ib qho tshwj xeeb subspecies ntawm cov kab mob. Ib qho ntawm cov tshuaj no yog cov tshuaj kho hniav "Metrogyl Denta" (tus nqi ntawm 150-250 rubles). Nws siv yog tsim nyog ob leeg nyob rau hauv ib tug me me daim ntawv ntawm gingivitis, thaum tsuas yog cov interdental papillae raug cuam tshuam, thiab nyob rau hauv loj heev (uas yog, nrog rau tag nrho cov pos hniav).
Kev ua haujlwm ntawm qhov kev hem thawj ntawm lub sijhawm ntxov tso cai rau koj los tiv thaiv cov kab mob "rebellious" microbes zoo dua. Tab sis nws tseem tsis tuaj yeem tshem tawm tag nrho qhov muaj peev xwm kis tau tus kab mob tag nrho: gingivitis feem ntau yog fraught nrog o ntawm cov txheej txheem alveolar ntawm cov hniav ntawm lub puab tsaig sab sauv thiab sab qis thiab muaj teeb meem heev ntawm kev tshem tawm qhov tshwm sim.
kho cov pos hniav thiab cov tshuaj tiv thaiv kab mob. Puas muaj qhov sib txawv?
Nws tsis yog ib txwm xav kom siv cov gels uas txo qhov khaus thiab tua cov kab mob ntawm cov kab mob hauv lub qhov ncauj - qee zaum koj tuaj yeem tau txais los ntawm kev hloov tshuaj txhuam hniav thiab txhuam hniav. Tab sis thaum nws los txog rau lub hom phiaj tiv thaiv los yog active tiv thaiv microbes, ces cov pos hniav kho cov tshuaj pleev yog "qhov": nws active cov khoom xyaw inhibit lub synthesis ntawm prostaglandins thiab yog li.feem ntau tiv thaiv lawv "kev tsiv teb tsaws chaw" ntawm cov hniav mus rau hniav.
Ntau cov tshuaj uas tsis yog tshuaj steroidal los tiv thaiv kab mob hauv pab pawg no tau muag hauv cov khw muag tshuaj yam tsis muaj tshuaj, thiab cov neeg siv khoom zoo ib yam feem ntau muaj lus nug txog lawv daim ntawv tso tawm zoo. Cias muab, lawv txaus siab rau qhov kawg tshwm sim: cov txiaj ntsig ntawm kev siv cov tshuaj pleev puas yuav hais tau raws li kev siv cov gel, lossis tsis?
Tsis muaj lus teb meej, tau kawg, vim tias txhua yam tshuaj muaj lub hauv paus tseem ceeb, uas txiav txim siab tus nqi ntawm adsorption thiab qhov zoo ntawm kev kho ntawm cov pos hniav. Ua li ntawd, cov kws tshaj lij feem ntau yuav xav txog cov gels ua "cov khoom ntawm tag kis": lawv, hauv lawv txoj kev xav, nkag mus rau hauv cov mucous daim nyias nyias zoo dua thiab tsis nrawm nrawm los ntawm qaub ncaug.
Lub Hwj Chim ntawm Holisala
Raws li cov tshuaj pleev rau cov pos hniav (cov tshuaj kho mob tau pom zoo tsis yog hauv Russia nkaus xwb, tab sis kuj nyob hauv ntau lub tebchaws nyob sab Europe), Holisal tau ua pov thawj nws tus kheej los ntawm qhov zoo tshaj plaws.
Raws li qhov nrawm ntawm qhov pib ntawm cov txiaj ntsig kho, nws dhau ntau cov ntsiav tshuaj: salicylate thiab cetalkonium chloride pab txhawb qhov mob rov qab tom qab tsuas yog ob mus rau peb feeb tom qab thov. Raws li txoj kev, cov khoom xyaw txo qis puffiness thiab txo los ntshav. Tus nqi qis ntawm cov tshuaj (kwv yees li 300 rubles) ua rau nws yog ib qho kev daws teeb meem zoo tshaj plaws muaj nyob hauv khw muag tshuaj.
Vim li cas Metrogil Denta thiaj li nrov?
Lub hauv paus tseem ceeb yog chlorhexidine thiab metronidazole: thawj zaug yog tus sawv cev ntawm cov tshuaj tua kab mob, qhov thib ob yog "keeb kwm"tshuaj tua kab mob. Qhov kev txiav txim ntawm cov reagents yog qhov tshwj xeeb tshaj yog pom nyob rau hauv cov khaubncaws sab nraud povtseg ntawm gingival mucosa, uas yog, nyob rau hauv thawj theem ntawm kis tau tus mob, cov gel yog heev zoo.
Tab sis, raws li kws kho mob sau tseg, qhov feem pua ntawm cov tshuaj tua kab mob yog qhov tsis txaus ntseeg (thaum piv nrog cov tshuaj analogues), yog li "Metrogyl Denta", tus nqi yog kwv yees li 170 rubles, feem ntau tsis ua raws li kev cia siab hauv kev kho mob ntawm cov kab mob siab heev. Txawm li cas los xij, theem ntawm kev thov rau cov tshuaj ntawm cov neeg siv khoom zoo tib yam (cov reagent yog muag yam tsis muaj daim ntawv tshuaj) qhia qhov txawv - ntau tus neeg mob vam khom cov khoom "magic" ntawm cov gel txawm tias rov ua dua.
Kamistad: tiv tauj mechanism ntawm qhov mob
Cov pos hniav uas tau hais los saum toj no - "Denta" - hais txog cov tshuaj tiv thaiv kab mob yog ze rau "Kamistad" - gel muaj lidocaine hydrochloride thiab chamomile extract. Nrog rau qhov tshwm sim ntawm gingivitis, ob qho tib si ntawm cov tshuaj no sib ntaus sib tua kom zoo tshaj plaws ntawm lawv lub peev xwm thiab, kuv yuav tsum hais, ua tau zoo heev. Txawm li cas los xij, qhov kev txiav txim ntawm "Kamistad" (tus nqi kwv yees ntawm ib lub raj yog 160-200 rubles) yog qhov tsis zoo - cov chaw kho mob ntawm cov pos hniav ua loog rau 3-5 feeb. Muab qhov ntev ntawm kev kho mob - 7-10 hnub - xws li "anomaly" tuaj yeem ua rau muaj kev nyab xeeb vim qhov tsis zoo ntawm cov tshuaj.
YGel and balm "Asepta"
Non-steroidal anti-inflammatory tshuaj nyob rau hauv lub lag luam npe "Asepta" yog nthuav tawm nyob rau hauv kev ua lag luam nyob rau hauv daim ntawv ntawm ib tug gel thiab balm. Ua ib qho tshuaj raws li propolis, chlorhexine thiab metronidazole, nws muaj cov tshuaj tua kab mob. Tab sisCov txiaj ntsig tau tshaj tawm los ntawm cov chaw tsim khoom thaum lub sijhawm siv cov tshuaj feem ntau tsis lees paub. Qhia rau cov pos hniav hauv qhov xwm txheej tshwj xeeb no tsis yog npaj rau kev yaug qhov ncauj - nws, zoo li cov gel, yog siv rau hauv ib txheej nyias mus rau qhov chaw cuam tshuam, tom qab ntawd lawv tos rau lub sij hawm faib yam tsis tau ua dab tsi ntxiv.
Tshuaj pleev rau cov pos hniav: cov lus qhia rau kev siv
Rau kom rov qab sai dua ntawm qhov chaw degraded / mob ntawm cov pos hniav, koj yuav tsum ua raws li cov cai yooj yim rau kev siv cov gels thiab tshuaj pleev:
- siv tshuaj tsuas yog tom qab txhuam koj cov hniav;
- yog tias txoj kev noj mov yog txuam nrog mob - siv cov khoom uas muaj lidocaine (lossis nws qhov sib npaug) ib nrab teev ua ntej noj mov;
- yuav tsum chaw pw kom tiv thaiv pw tsaug zog;
- Tsis txhob sim yaug cov khoom tshwj tsis yog qhia kom ua li ntawd (feem ntau cov reagents tau nqus hauv thawj 30 feeb thiab tsis tas yuav tsum yaug qhov ncauj ntxiv).
Thaum tsis muaj kev hloov pauv zoo, nws yuav tsum nrhiav kev pab kho mob uas tsim nyog.
Parallel non-drug treatment of gingivitis
Nrog rau kev siv tshuaj xws li "Cholisal"-gel (kev tshuaj xyuas txog nws feem ntau yog qhov zoo, uas qhia tau hais tias muaj kev ua haujlwm siab ntawm cov khoom xyaw tiv thaiv kab mob), qee zaum nws raug nquahu kom mus rau kev kho "parallel":
- ua kom lub teeb zaws ntawm cov pos hniav atrophied (ua raws li txhua tus qauv kev nyiam huv);
- load lub masticatory apparatus sai li sai tau (tseem ceeb ntawm txiv hmab txiv ntoo);
- siv cov tshuaj txhuam hniav thiab ua txhua yam ua tau los tiv thaiv kev tsim cov quav hniav.
kab mob ntawm cov pos hniav: lub luag haujlwm ntawm cov tshuaj parapharmaceuticals
Muaj ntau yam tshuaj tsom rau kho cov pos hniav. Qee cov tshuaj raug muab tshuaj raws li cov txiaj ntsig ntawm kev kuaj mob thiab raug tso tawm nruj me ntsis raws li kev tshuaj xyuas. Tab sis kuj tseem muaj cov uas koom nrog pawg kws tshuaj - lawv muaj nyob rau hauv yuav luag txhua lub tsev muag tshuaj. Ntxiv mus, cov pos hniav ointment (tus nqi ntawm cov gels feem ntau txawv ntawm 100-350 rubles) tsis yog tib daim ntawv nrov ntawm ntau lawm.
Piv txwv li, tib yam "Forest Balsam" yog nthuav tawm hauv daim ntawv ntawm cov kua tshwj xeeb rau yaug qhov ncauj. Muaj nyob rau hauv nws cov muaj pes tsawg leeg muab rho tawm los ntawm tsib cov nroj tsuag tshuaj, nws zoo kawg nkaus copes nrog lub zog ntawm ib tug "cov cuab yeej tiv thaiv", uas yog, nws tsis tso cai rau kev loj hlob ntawm catarrhal gingivitis los ntawm inhibiting pathogenic microbes.
Tab sis nrog kev loj hlob ntawm cov pos hniav, lwm "parapharmaceutical" - "Malavit" zoo heev. Lub ntsiab "riam phom" ntawm no yog twb formic cawv: los ntawm cauterizing lub mucous daim nyias nyias, lub active ingredient localizes qhov chaw ntawm kev puas tsuaj (txawm li cas los xij, nws yog qhov zoo dua tsis siv Malavit rau cov txheej txheem inflammatory).
Gingivitis: tiv thaiv thiab kho
Yog tias peb tab tom tham txog kev siv tshuaj tua kab mob, ces yaug cov pos hniav yog txheej txheem uasyeej muaj txiaj ntsig, thiab nws tuaj yeem suav tias yog ib feem tseem ceeb ntawm kev tiv thaiv kab mob. Raws li WHO kev taw qhia, muaj peb hom kev ntsuas "preemptive":
- thawj qhov kev coj ua cuam tshuam nrog tshem tawm cov cwj pwm phem thiab ua kom zoo rau kev noj haus;
- secondary - tshem tawm ntawm foci ntawm caries thiab lawv cov derivatives;
- tertiary yog tsom rau kev kho kom rov ua haujlwm tag nrho ntawm cov txheej txheem masticatory (prosthetics, thiab lwm yam).
Thaum tag nrho cov ntsiab lus no tiav, kev kho tus neeg mob gingivitis yog qhov teeb meem daws teeb meem.