Tseeb tsis muaj ib tug neeg nyob ntiaj teb yuav mus cuag kws kho hniav tsis muaj tshee. Dab tsi tsuas yog ntau tus tsis lees paub ncua sijhawm mus ntsib kws kho mob. Lawv mus rau cov kws kho mob, kho tus kheej thiab, ntawm chav kawm, tuaj nrog ntau yam uas tsis muaj qhov tshwm sim uas pom tseeb tias lawv tau ncua sijhawm mus ntsib dua. Tab sis sai los yog tom qab, koj yuav tsum mus. Yog li tej zaum koj yuav tsum ua sai dua? Nws yog txhawm rau txiav txim siab zoo - kho lossis tsis kho, koj yuav tsum paub tias nws yog hom kab mob dab tsi, thiab seb nws puas mob los kho caries. Cov ntaub ntawv xav tau yog muab hauv qab no.
Caries - kab mob dab tsi?
Caries yog cov kua qaub rau ntawm cov hniav uas tsim los ntawm cov kab mob. Cov txheej txheem no pib nrog kev puas tsuaj ntawm enamel, tom qab ntawd los ntawm kev nthuav tawm tob rau hauv cov ntaub so ntswg. Txawm li cas los xij, rau kev tsim cov kab mob caries, kev cuam tshuam ntawm cov kab mob ib leeg tsis txaus; kev hloov pauv hauv lub cev kuj tseem tsim nyog.
Yog li ntawd, thaum tag nrho cov khoom no ua ke hauv lub cev, piv txwv li, kev noj zaub mov tsis zoo, kev ntxhov siab, caj ces, kev tu cev tsis zoo.qhov ncauj, ua txhaum ntawm cov qauv ntawm cov ntaub so ntswg, thiab lwm yam, kev loj hlob ntawm caries pib.
theem ntawm tus kab mob
Muaj ntau theem (theem) ntawm tus kab mob no:
- Thawj zaug, superficial. Cov pob dawb tshwm nyob rau saum npoo ntawm cov hniav, demineralization tshwm sim. Tom qab ntawd, cov enamel, puas los ntawm cov kab mob, pib darken, tau ib tug ntxhib nto.
- Average. Muaj ib tug swb ntawm lub dentin - txheej nyob rau hauv lub enamel. Tsis ntev no ib kab noj hniav yuav tsim. Txawm hais tias nws mob los kho caries nyob rau theem no lossis tsis yog nyob ntawm qhov mob ntawm tus neeg mob. Qee zaum, nws muaj peev xwm ua tau yam tsis muaj tshuaj loog.
- Ntxub. Kev loj hlob ntawm cov teeb meem thaum caries mus dhau lub dentin.
Ntawm hauv menyuam yaus thiab cov neeg laus
Lub sijhawm ntawm kev loj hlob ntawm tus kabmob sib txawv rau txhua tus. Yog li, piv txwv li, hauv cov menyuam yaus, mob caries feem ntau tshwm sim, uas tshwm sim yuav luag tam sim ntawd thiab ua rau cov hniav puas tsuaj. Yog tias tsis kho, tus kab mob tuaj yeem kis mus rau cov hniav tshiab. Hauv cov neeg laus, cov txheej txheem kev loj hlob yog qhov ntev heev.
Kev nyuaj siab
Cov teeb meem tshwm sim los ntawm caries yog cov txheej txheem inflammatory uas dhau mus rau cov ntaub so ntswg. Cov no muaj xws li pulpitis, periodontitis, cyst thiab flux. Kev kho mob ntawm cov kab mob no twb yog ib qho nyuaj thiab mob heev, uas tuaj yeem xaus nrog kev tshem tawm cov hniav. Yog li ntawd, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thaum ntxov ntawm tus kab mob. Ces txoj kev kho yuav luag tsis mob.
Kev kho mob ntawm ntau theem
Yog li kom nkag siabPuas yog nws raug mob los kho caries, yog tias cov hniav mob, nws yog ib qho tsim nyog los txiav txim siab theem ntawm tus kab mob. Cov txheej txheem kev kho mob rau qhov tshwm sim thawj zaug ntawm stains yog kom saturate lub cev (cov hniav enamel) nrog cov khoom xws li calcium thiab fluoride. Nov yog txoj kev uas tsis mob.
Tab sis thaum thawj cov kab mob ntawm cov hniav puas tsuaj tshwm sim, yuav tsum tau sau. Cov txheej txheem no yuav ua rau qee feeb ntawm qhov mob, tab sis nws kuj tsis xav tau tshuaj loog. Yog tias tus neeg mob xav tau, tus kws kho mob tuaj yeem txhaj tshuaj kom tshem tawm qhov tsis xis nyob.
theem nruab nrab thiab tob ntawm cov hniav puas yuav tsum tau kho kom zoo. Thiab nyob rau hauv cov ntaub ntawv no, tshuaj loog yog indispensable. Tab sis tsis txhob ntshai ntawm cov txheej txheem no, txij li cov tshuaj tso cai rau koj kom sai thiab txhua lub sijhawm anesthetize cov hniav uas xav tau. Cov no suav nrog:
- "Novocaine" yog ib qho tshuaj tiv thaiv qis, tsis pub dhau 15 feeb.
- "Pyromecaine" - ua hauv 2 feeb, thiab tso cai rau koj kho cov hniav rau 20 feeb.
- "Lidocaine" - qhov nruab nrab ntawm qhov raug. Kev kho mob rau 1.5 teev.
- "Bupivacaine" yog cov tshuaj muaj zog tshaj plaws siv hauv kev kho hniav. Nws qhov kev txiav txim kav ntev txog 12 teev.
Qhov ntawd yog, tus kws kho mob muaj ntau yam cuab yeej hauv nws lub arsenal los tshuaj loog cov txheej txheem. Yog li ntawd, txhua tus neeg mob, txiav txim siab rau nws tus kheej cov lus nug ntawm seb nws puas mob los kho caries thiab seb nws puas tsim nyog noj cov tshuaj, yuav tsum nco ntsoov tias txhua txoj kev kho, ntxiv rau kev pab, kuj ua rau muaj kev phom sij. Yog li ntawd, yog tias muaj lub sijhawm ua siab ntev, thiab tus kws kho mob tso cai, ces nws zoo duatsis txhob siv rau lawv.
Caries tuaj yeem sib txawv thiab qhov chaw ntawm tus kab mob, nyob ntawm seb cov hniav twg puas thiab puas. Piv txwv li, cov kab mob hauv ncauj tsev menyuam feem ntau tshwm sim hauv cov menyuam yaus thiab cov neeg laus dua 30 xyoo, nrog kev tu cev tsis zoo, nrog rau qee yam kab mob uas ua rau hom kab mob no. Piv txwv li, scurvy, osteochondrosis thiab lwm yam. Feem ntau nws tshwm sim hauv cov neeg mob ntshav qab zib. Txij li thaum nyob rau hauv cov ntaub ntawv no tus nqi ntawm pathogenic microflora nce, ua rau kom ceev demineralization ntawm cov hniav.
hom kab mob hniav no tshwm sim ntawm ciam teb uas cov hniav sib cuag nrog cov pos hniav. Muaj zog rhiab heev rau thermal thiab mechanical influences, enamel darkens, ua tsis taus pa tshwm. Hom kab mob no loj hlob sai heev thiab kis mus rau hauv paus.
Thaum pib, puas yog mob plab hnyuv kab mob, tsuas yog tus kws kho mob tshwj xeeb yuav teb. Tab sis feem ntau, ib chav kawm ntawm kev kho yog nqa tawm, uas tso cai, nrog kev pab los ntawm cov khoom noj khoom haus pastes, enrich cov hniav nrog microelements. Tab sis cov theem tom ntej tsis tuaj yeem hla yam tsis muaj tshuaj loog. Vim tsis tsuas yog yuav tsum tau sau, tab sis kuj yuav tshem tawm cov hlab ntsha.
Nyob rau hauv kev kho mob ntawm ncauj tsev menyuam kab noj hniav, lawv ua kev tu cov kab noj hniav, thawb rov qab cov pos hniav, kho hauv paus kwj dej, txhaws lossis, yog tias tsim nyog, kev teeb tsa ntawm cov yas, thiab lwm yam.
Caries ntawm cov hniav pem hauv ntej yog qhov tsis kaj siab tshaj plaws thiab dab tuagkab mob. Tom qab tag nrho, lawv ib txwm pom. Yog li ntawd, lawv kev puas tsuaj coj, tshwj xeeb tshaj yog rau kev sib deev ncaj ncees, ntau yam kev paub. Cov enamel ntawm cov hniav pem hauv ntej yog nyias dua li ntawm cov zom, thiab yog li xav tau kev saib xyuas ntau dua thiab kho raws sijhawm.
Cov tsos mob thawj zaug thaum koj yuav tsum mus ntsib kws kho mob
Txhawm rau kom tsis txhob xav txog seb nws puas mob rau cov kab mob ntawm cov hniav hauv ntej los yog tsis, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb ntawm thawj cov tsos mob. Cov tsos mob no suav nrog cov hauv qab no:
- cov hniav hloov xim;
- pob tshwm, dawb lossis xim av, piv txwv li decalcification tau tshwm sim;
- tawm tsam zaub mov, xws li kub, txias, qaub, thiab lwm yam.;
- ua pa tsis zoo.
Nrog kev mus ntsib kws kho mob sai, qhov txhaws tuaj yeem tsis mob. Qhov xwm txheej nkaus xwb yog qhov rov hais dua rau tus kws tshaj lij uas tuaj yeem ua kom zoo nkauj zoo nkauj sau. Vim sawv daws xav kom luag zoo nkauj. Txawm li cas los xij, yog tias cov kab mob caries nrog mob hnyav, kev siv tshuaj loog tsis tuaj yeem zam tau.
Lwm hom kab mob tau piav qhia yog nws theem lig lossis kab mob sib sib zog nqus. Nrog nws, kev puas tsuaj ntawm cov nqaij tawv tawv ntawm cov hniav tshwm sim, thiab cov txheej sib sib zog nqus ntawm cov hniav puas lawm. Qhov no muaj pov thawj los ntawm qhov mob hnyav los ntawm kev siv tshuab, tshuaj, thiab thermal stimuli.
Nrog cov kab mob zoo li no, nws yog ib qho tsim nyog yuav tsum tau thaij duab ntawm lub puab tsaig lossis ib tus hniav cuam tshuam. Puas yog nws mob rau kev kho mob caries nrog kev txhaj tshuaj ntawm cov tshuaj tua kab mob uas tus kws kho mob yuav tswj hwm thaum pib ntawm tag nrho cov txheej txheem? Nrog cov kab mob no, nws tsis mob.
Muaj ntau hom kab mob xws li:
- Spicy. Nrog rau qhov mob hnyav, ploj mus yuav luag tam sim ntawd tom qab kev tso tseg ntawm cov hniav raug mob. Cov kab noj hniav loj dua qhov nkag.
- Ntawm. Yeej tsis muaj qhov mob. Qhov nkag thiab kab noj hniav yog dav heev.
- Nyob hauv foob. Cov kab mob thib ob tuaj yeem tsim tau, piv txwv li, cov kab mob microbes tau nkag mus rau hauv micro-qhov sib txawv ntawm qhov txhaws thiab cov hniav. Raws li kev rov qab los, thaum pib kho cov kab noj hniav tsis tau ntxuav zoo txaus.
Acute tob form
Nyob rau hauv daim ntawv mob caries, tsis muaj lus nug txawm hais tias nws mob los kho cov kab mob sib sib zog nqus los yog tsis, vim nws yog ib qho tsim nyog yuav tsum tshem tawm cov ntaub so ntswg uas tau raug puas tsuaj tag, kho cov hniav kab noj hniav, txhaj tshuaj. thiab kho nws nrog kev sau ib ntus.
Cov tshuaj hauv cov hniav tiv thaiv kev txhim kho ntawm kev mob ntxiv, rov ua kom cov ntshav ncig. Nws raug tshem tawm tom qab ob peb hnub, yog tias tsis muaj kev rov tshwm sim. Tom qab ntawd muab tso rau qhov chaw ruaj khov.
Tej zaum qhov mob hnyav tshaj plaws ntawm cov kab mob caries yog cov txheej txheem inflammatory nyob rau hauv cov pos hniav. Nws tsuas tuaj yeem kuaj pom nyob rau hauv qhov tob, qhov hnyav. Txij li thaum nws loj hlob nyob rau hauv ib qho chaw tsis pom qhov muag. Yuav luag ib txwm, cov txheej txheem inflammatory no yog nrog los ntawm pulpitis. Yog li ntawd, nws xav tau, ntxiv rau kev ntxuav cov kab noj hniav, tshem tawm cov hlab ntsha.
Kev kho mob ntawm hom kab mob no ib txwm nrog cov kev xav tsis zoo. Thiabib tus kws kho mob rau lo lus nug - puas yog nws mob los kho cov kab mob sib sib zog nqus uas tsis muaj tshuaj tua kab mob, yuav teb zoo thiab qhia koj kom txhaj tshuaj.
Kev kho mob caries hauv me nyuam
Kev kho tus kab mob zoo li no hauv cov menyuam yaus muaj feem cuam tshuam nrog qee yam teeb meem, xws li kev qaug zog sai ntawm tus menyuam, kev nqhis dej ntau, thiab lwm yam. Yog li, cov txheej txheem no tau muab faib ua theem.
Cov kab noj hniav hauv me nyuam yaus muaj qhov chaw tiaj tus thiab nkag mus tob tob. Thawj theem, tus kws kho mob npog cov hniav nrog fluorine varnish. Tom qab ntawd, ntawm kev mus ntsib tom ntej, cov hniav yuav tsum ua tib zoo kho nrog lub ntsej muag kheej kheej thiab siv tshuaj tua kab mob. Tom qab ntawd, nws puv thiab polished.
Tsua tag nrho cov txheej txheem dhau los ntawm ntau qhov kev mus ntsib tsis txhob siv tshuaj loog thiab pab tus menyuam siv mus rau chaw kho hniav.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Puas yog mob caries tsis muaj tshuaj loog hauv cov poj niam cev xeeb tub? Qhov no yog ib lo lus nug nyuaj. Qhov kev mob tshwm sim yog txawv rau txhua tus neeg, tab sis txhua qhov mob ntawm tus mob no tuaj yeem ua rau muaj kev ntxhov siab, ua rau cov tshuaj hormones uas tuaj yeem cuam tshuam rau tus menyuam. Piv txwv li, ua pa tuaj yeem cuam tshuam thiab dhau los ua kev hem thawj ntawm kev rho menyuam. Tab sis nws tseem tsis tuaj yeem kho cov kab mob caries, vim qhov mob no tuaj yeem ua rau muaj kab mob hauv lub cev, ncua kev loj hlob ntawm tus menyuam, thiab lwm yam. Hauv qhov no, cov kws kho mob pom zoo kom siv tshuaj loog. Thiab tsis txhob txhawj, cov tshuaj niaj hnub no tsis hla lub placental barrier.
Ntxhais hniav lwj
Thiab tau kawg, ib tus tsis tuaj yeem pab tab sis nco ntsoov cov kab mob ntawm cov hniav ntse. Nws txhim kho rau lawv vim kev tu cev tsis zoocov txheej txheem. Cov hniav no feem ntau yog qhov chaw tsis zoo thiab tsis yooj yim rau kev nkag mus, ua rau cov quav hniav sai sai thiab kab noj hniav. Nws tshwm sim tias kev txawj ntse cov hniav tawg nrog cov kab mob uas twb muaj lawm sib sib zog nqus. Ib tug neeg kawm txog nws txoj kev loj hlob tsuas yog thaum mob pib thab nws xwb.
In xaus
Los ntawm tag nrho cov saum toj no, nws ua raws li kev kho hniav yog ib txoj kev tsis txaus siab. Thiab txhawm rau kom tsis txhob xav txog cov lus nug - puas yog mob caries, koj yuav tsum sab laj nrog kws kho mob tsis yog thaum cov tsos mob thawj zaug tshwm sim, tab sis kuj rau kev kuaj mob.