Gingivitis yog ib yam kab mob uas tshwm sim los ntawm cov pos hniav. Tus kab mob tuaj yeem tsim tau ntau yam. Feem ntau, tus kab mob no tuaj yeem pom hauv cov menyuam yaus, cov poj niam cev xeeb tub thiab cov tub ntxhais hluas hnub nyoog qis dua 35 xyoos. Mob gingivitis muaj cov tsos mob, thaum kuaj pom tias nws yuav tsum tau mus rau kev kho mob kom tsis txhob muaj qhov tshwm sim loj dua. Txhawm rau tiv thaiv tus kab mob no, cov kws kho mob pom zoo kom mus ntsib kws kho mob tsis tu ncua, txhuam koj cov hniav, thiab thaum thawj cov tsos mob tshwm sim (redness, los ntshav), teem caij nrog tus kws kho mob tshwj xeeb.
Dab tsi ua rau gingivitis?
Muaj ob yam ua rau tus kab mob no: dav thiab hauv zos. Cov qub suav nrog xws li kev sib txawv xws li kev txo qis hauv kev tiv thaiv kab mob, kab mob hauv plab hnyuv, ntshav qab zib mellitus, thiab ntau yam kev ua xua.
Cov kab mob hauv zos suav nrog kev tu lub qhov ncauj tsis zoo, muaj cov tartar, hluav taws xob puas, kev raug mob thiab kub hnyiab, cwj pwm tsis zoo ntawm kev haus luam yeeb. Feem ntau ntawm cov xwm txheej cuam tshuam nrog cov tsos ntawm gingivitis yog vim tsis muaj smoothness ntawm cov hniav. Uas yog, vimtsis ua raws li cov cai ntawm kev nyiam huv, cov quav hniav tshwm, uas tom qab hloov mus ua tartar. Cov teeb meem no yuav tsum tau kho sai li sai tau. Txhawm rau ntxuav cov hniav ntawm cov hniav los ntawm cov kab mob tsis zoo, nws raug nquahu kom kho nrog cov khoom siv ultrasonic.
Qhov tseem ceeb yog nco ntsoov txhuam koj cov hniav ib leeg thiab ua kom raug. Cov txheej txheem yuav tsum tsis pub tsawg tshaj peb feeb. Cov hniav yuav tsum tau txhuam ob zaug ib hnub: thaum sawv ntxov tom qab noj tshais thiab yav tsaus ntuj ua ntej pw. Nws raug nquahu kom koj hloov koj tus txhuam hniav tsawg kawg ib zaug txhua peb lub hlis. Rau cov neeg uas tsis nco qab ua qhov no, muaj cov txhuam tshwj xeeb nrog cov xim txhuam hniav uas ua rau lub sijhawm dhau mus. Kev siv cov tshuaj ntxuav hniav dawb tau txhawb nqa.
Cov tsos mob ntawm gingivitis
Tus kab mob feem ntau cuam tshuam rau cov tub ntxhais hluas. Lawv muaj cov pos hniav uas tsis muaj zog tshaj plaws thiab yog li muaj kev pheej hmoo rau o. Cov tsos mob tseem ceeb yog los ntshav cov pos hniav, qhov tsis tuaj los yog muaj lub hnab ntim khoom tsis tseeb.
Kev noj qab haus huv ntawm tus neeg xyaum tsis hloov pauv, qhov pom ntawm cov cim qhia tias tsis ua raws li kev nyiam huv ntawm qhov ncauj. Gingivitis yog tus cwj pwm los ntawm qhov o ntawm cov pos hniav, mob hnov qab thaum txhuam hniav, los ntshav, liab, ua tsis taus pa.
Acute gingivitis
Qhov ua rau tus kab mob no tuaj yeem muaj ntau haiv neeg: los ntawm qhov kub thiab txias los ntawm kev ua xua. Mob gingivitis tuaj yeem tshwm sim nrog mob khaub thuas, qhua pias, thiab lwm yamkab mob. Tsis ua raws li cov cai ntawm kev nyiam huv tsis zoo cuam tshuam rau kev tiv thaiv ntawm lub qhov ncauj kab noj hniav, uas ua rau o ntawm cov pos hniav.
Hauv cov menyuam yaus, kev tiv thaiv tsis muaj zog tau pom mus txog rau thaum muaj hnub nyoog 6-7, thiab tsuas yog thaum 14-15 xwb nws qhov kawg tsim pib. Yog li, qhov kev pheej hmoo ntawm gingivitis yog siab dua. Nws yog ib qho tseem ceeb heev uas yuav tsum tau qhia tus menyuam kom saib xyuas qhov ncauj kom huv thaum nws tseem yau kom nws ua tus cwj pwm thiab tsis muaj qhov xwm txheej tsis zoo rau yav tom ntej. Kev tsis xws luag nyob rau hauv txhaws, muaj caries, tsub zuj zuj ntawm microorganisms ua rau qhov tshwm sim ntawm mob gingivitis. Cov tsos mob ntawm tus kab mob no:
- mob mob hauv cov pos hniav;
- o thiab los ntshav;
- nthuav cov quav hniav, ntxiv rau tag nrho cov hniav, nws tseem npog cov pos hniav;
- lub cev kub nce;
- mob taub hau, tsis muaj zog thiab tsis txaus ntseeg ntawm lub cev.
mob gingivitis
Daim ntawv mob ntev ntawm qhov tshwm sim tsis txawv ntawm qhov mob hnyav. Ib qho tshwj xeeb yog qhov ntev thiab viscous ntawm tus kab mob. Muaj peb hom kab mob gingivitis: catarrhal, atrophic thiab hypertrophic.
Catarrhal gingivitis tshwm sim ib ntus thiab yog tus cwj pwm los ntawm qhov liab thiab o ntawm cov pos hniav. Kev puas tsuaj rau cov gingiva marginal thiab interdental papillae.
Hypertrophic gingivitis yog ib qho loj ntawm cov papillae uas tsim ib lub hnab ntim khoom cuav. Cov tsos mob tseem ceeb ntawm tus kab mob yog los ntshav thiab mob thaum noj mov. Ib qho ntawm cov ntaub ntawv no tuaj yeem nkag mus rau hauv atrophic, uas cov pos hniav txo qhov loj thiabua nyias heev.
Atrophic gingivitis yog hom kab mob txaus ntshai heev uas tuaj yeem ua rau lwm yam mob. Vim qhov nyias nyias ntawm cov pos hniav, nws yooj yim rau kev puas tsuaj thiab txawm tawg. Rau lub qhov ncauj kab noj hniav, ib qho ntawm cov kab mob txaus ntshai tshaj plaws yog mob gingivitis thiab mob ntev. Cov tsos mob ntawm yav tas los qhia raws li nram no:
- khaus thiab kub hnyiab hauv cov pos hniav, uas ua rau muaj zog hauv cov txheej txheem ntawm txhuam koj cov hniav;
- ntshav siab;
- nce hauv interdental papillae.
Catarrhal daim ntawv ntawm mob gingivitis
Mob catarrhal gingivitis yog ib qho txheej txheem inflammatory tshwm sim hauv cov pos hniav. Daim ntawv no ntawm gingivitis tsis yog qhov yuav rov qab los, tab sis yog tias kev kho tsis tau pib raws sijhawm, nws tuaj yeem tsim mus rau cov kab mob hnyav dua. Hom kab mob gingivitis no feem ntau tshwm sim hauv cov menyuam yaus thiab cov hluas.
Tus kab mob no tuaj yeem tshwm sim los ntawm malocclusion, kho hniav tsis raug, muaj pob zeb, cov quav hniav los yog caries. Mob gingivitis yog ib qho yooj yim mus kuaj los ntawm nws cov tsos mob: mob o ntawm cov pos hniav, ua tsis taus pa, los ntshav. Kev kho mob ntawm tus kab mob no suav nrog kev tshem tawm cov kab mob uas twb muaj lawm thiab ua rau ua rau lawv.
Ulcerative form
Mob ulcerative gingivitis yog ib hom kab mob uas tshwm sim los ntawm kev tsim pustules ntawm ntug ntawm cov pos hniav. Tus kab mob no tshwm sim los ntawm parasitism ntawm lub qhov ncauj kab noj hniav ntawm microbes thiab kab mob. Cov kab mob ua kom muaj zog tshwj xeeb tshaj yog thaum lub sij hawm tsis muaj zog tiv thaiv kab mob. Daim ntawv no ntawm tus kab mob tuaj yeemtxhim kho mus rau qhov hnyav dua: Vincent tus mob necrotizing ulcerative gingivitis. Nws yog xyaum tsis kho thiab qee zaus tuag.
Mob plab gingivitis muaj cov tsos mob hauv qab no:
- mob mob hauv cov pos hniav;
- los ntshav thaum txhuam hniav;
- pa phem;
- apathy, tsis txaus siab noj thiab qaug zog hauv lub cev.
Cov tsos mob no zoo ib yam li cov uas pom nyob rau theem pib ntawm necrotizing ulcerative gingivitis. Txawm li cas los xij, thaum thawj cov cim tshwm sim, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb. Nyob ntawm qhov mob hnyav, txoj kev kho yuav txawv.
Ulcer-necrotic daim ntawv ntawm gingivitis
Acute necrotizing ulcerative gingivitis yog hom kab mob txaus ntshai tshaj plaws. Nws yog tus cwj pwm tsis yog los ntawm o thiab liab ntawm cov pos hniav, tab sis los ntawm nws txoj kev tuag. Ulcerative necrotic gingivitis tshwm sim thaum fusobacteria parasitize nyob rau hauv lub qhov ncauj kab noj hniav. Tsis tas li ntawd, hom kab mob no tuaj yeem yog qhov tshwm sim ntawm kev tsis saib xyuas ntawm catarrhal gingivitis. Tsis tas li ntawd, daim ntawv ulcerative necrotic ntawm tus kab mob no pab txhawb kev loj hlob ntawm lwm yam kab mob, xws li stomatitis lossis periodontitis.
Cov tsos mob:
- mob hnyav hauv cov pos hniav thaum kov me ntsis;
- o thiab liab ntawm cov pos hniav;
- los ntshav tsis tau;
- plaque ntawm cov pos hniav puas;
- ua pa tsw phem.
Mob gingivitis yog kho nrogkev siv tshuaj loog. Qhov no yuav pab txo qis lossis tshem tawm qhov mob tag nrho thaum lub sijhawm ua haujlwm.
Ua rau mob gingivitis thaum yau
Cov menyuam yaus raug tus kab mob no tshaj plaws. Nws tuaj yeem tshwm sim los ntawm ob qho tib si sab nraud thiab sab hauv. Thawj pab pawg muaj xws li kev raug mob tau txais nyob rau hauv tus txheej txheem ntawm teething. Tsis tas li, vim yog tus cwj pwm ntawm cov menyuam yaus feem ntau saj txhua yam, tus kab mob tuaj yeem nkag mus rau hauv qhov ncauj kab noj hniav, uas yuav ua rau gingivitis.
Ntxiv rau, lwm yam khoom muaj xws li cov khoom xa tawm tsis zoo uas tsis ua raws li qee qhov kev xav tau. Cov menyuam yaus feem ntau mob, thiab txhua yam kab mob sib kis tuaj yeem ua rau mob gingivitis.
Ntawm cov hauv paus hauv paus yog qhov txo qis hauv kev tiv thaiv kab mob, cov vitamins tsis txaus hauv tus menyuam lub cev, thiab cov qauv ntawm cov hniav tsis raug. Mob gingivitis hauv menyuam yaus tuaj yeem qhia tau ob qho tib si raws li tus kab mob ywj pheej thiab ua ib qho mob ntxiv.
Tim kab mob gingivitis hauv menyuam yaus
Nyob ntawm qhov mob ntawm cov pos hniav hnyav npaum li cas hauv tus menyuam, catarrhal, hypertrophic thiab ulcerative-necrotic hom kab mob sib txawv, txhua tus tau qhia ua mob hnyav lossis mob ntev.
Nws yooj yim los txheeb xyuas qhov mob gingivitis hauv tus menyuam. Lub tsev kho mob ntawm tus kab mob no yog heev pronounced. Tus me nyuam tsaug zog me ntsis thiab tsis zoo, nws qab los noj mov ploj. Los ntshav, ntau cov quav hniav, nrog rau cov pos hniav o yuav ua rau tsis muaj kev poob siab txog qhov mob ntawm tus menyuam.
Hom kab mob gingivitis feem ntau yog hypertrophic. Nws yog tus cwj pwm los ntawm qhov mob ntawm cov pos hniav thiab los ntshav. Cov tsos mob feem ntau ploj mus tom qab kev laus lawm. Catarrhal gingivitis kuj muaj ntau heev. Nws yog manifested los ntawm o ntawm cov pos hniav thiab ib tug ntse tsw los ntawm lub qhov ncauj. Hniav cov quav hniav tsim, cov me nyuam tsis xis nyob, kub taub hau.
Daim ntawv mob hnyav tshaj plaws thiab qhov tsawg tshaj plaws yog necrotizing ulcerative gingivitis. Nws yog characterized los ntawm lub xub ntiag ntawm grey rwj, putrid tsw los ntawm lub qhov ncauj. Tus kws kho hniav tuaj yeem kuaj pom tus kab mob no thaum lub sij hawm kuaj xyuas niaj hnub thiab sau ntawv kho mob.
YKev kho mob gingivitis
Daim ntawv kho tus kab mob no nyob ntawm qhov ua rau thiab qhov hnyav. Txawm li cas los xij, nws yuav tsum ua kom tiav txhawm rau txhawm rau tshem tawm txhua yam ntawm tus kab mob. Yog hais tias gingivitis tshwm sim vim cov npoo ntse ntawm qhov txhaws, nws yog ib qho tsim nyog yuav tsum tau siv cov kev kho ntawm prostheses.
Kev siv tshuaj tua kab mob ntev ntev ua rau muaj kev cuam tshuam rau microflora ntawm qhov ncauj kab noj hniav, thiab yog li mob gingivitis tuaj yeem tshwm sim. Kev kho mob nyob rau hauv cov ntaub ntawv no yog sau los ntawm ib tug immunologist. Kev cuam tshuam ywj pheej hauv cov teeb meem no yam tsis tau sab laj nrog tus kws tshaj lij yog txwv nruj.
Yog tias tus neeg mob tuaj nrog qhov teeb meem ntawm tus mob catarrhal gingivitis, ces tus kws kho mob yuav tsum tau coj cov kev kho mob kom tshem tawm yam tsis zoo thiab ua kom lub cev zoo. Hauv qhov no, tus kws kho hniav yuav qhia koj yuav ua li cas txhuam koj cov hniav kom zoo, nrog rau kev kho nrog tshuaj tua kab mob thiab siv cov tshuaj pleev tshwj xeeb.
Kev kho mob gingivitis hauv cov neeg laus thiab menyuam yaus yuav luag zoo ib yam. Tsuas yog thaum yau, kev siv tshuaj tua kab mob thiab kev tu lub qhov ncauj kom zoo los ua qhov kev daws teeb meem rau txhua yam teeb meem. Yog tias muaj cov hniav tso nyiaj lossis pob zeb, tom qab ntawd tus kws kho hniav yuav tshem tawm lawv siv cov cuab yeej tshwj xeeb. Nws raug nquahu kom ua qhov tob fluoridation ntawm cov hniav. Cov menyuam yaus hauv tsev tuaj yeem yaug lawv lub qhov ncauj nrog 0.06% tshuaj Chlorhexidine.
Tiv thaiv kab mob gingivitis
Txhawm rau tiv thaiv qhov tshwm sim ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum ua kom tiav ob yam xwm txheej: ua raws li kev tu lub qhov ncauj thiab mus ntsib kws kho hniav. Txhuam koj cov hniav yuav tsum tau ua tsawg kawg ob zaug ib hnub twg, thiab kev xaiv ntawm txhuam thiab muab tshuaj txhuam yuav tsum tau ua tiag tiag. Txhawm rau kom tsis txhob yuam kev, koj yuav tsum sab laj nrog koj tus kws kho hniav.
Raws li mus ntsib kws kho mob, qhov kev pom zoo yog ob zaug hauv ib xyoos. Txhua qhov kev mus ntsib kws kho hniav yuav tsum tau rov qab los ntawm kev tu cov hniav, uas yuav pab tshem tawm cov quav hniav thiab lwm yam kev tso nyiaj.
Zoo kawg
Ib yam kab mob ntawm qhov ncauj feem ntau yog tam sim no mob gingivitis. Tus kab mob no yog dab tsi? Nws yog ib qho o ntawm cov pos hniav ntawm txawv complexity. Muaj ntau hom thiab hom mob gingivitis. Cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 35 xyoos feem ntau raug tus kab mob no.
Kev xeeb tub kuj tuaj yeem cuam tshuam qhov tshwm sim ntawm gingivitis. Cov kab mob no tuaj yeem tiv thaiv tau los ntawm kev ua raws li cov cai ntawm kev tiv thaiv.kab mob. Kev tu tus kheej yog qhov tseem ceeb tshaj plaws ntawm lawv. Txhua tus neeg, tsis hais hnub nyoog li cas thiab txoj haujlwm, yuav tsum ua nws txoj cai los txhuam lawv cov hniav ob zaug ib hnub. Cov txheej txheem no yuav pab tiv thaiv tus neeg mob los ntawm kev kis kab mob thiab cov kab mob uas tsis xav tau, nrog rau kev ua pa tshiab.
