Gingivitis yog ib qho mob ntawm cov pos hniav. Nws yog ib qho tsim nyog sau cia tias qhov mob cuam tshuam tsuas yog cov pos hniav, qhov chaw txuas nrog cov hniav tseem nyob hauv kev txiav txim. Ligaments ntawm cov pob txha thiab cov hniav kuj tsis them los ntawm cov txheej txheem inflammatory. Qhov no yog ib yam kab mob uas tshwm sim, nws tshwm sim ntau zaus hauv cov neeg laus thiab ntau zaus dua li cov menyuam yaus.
Kev piav qhia ntawm pathology
Qhov mob loj tshaj plaws yog kev noj qab haus huv tsis zoo lossis qhov ncauj tsis zoo. Nws yog vim li no uas feem ntau hu ua kab mob ntawm cov hniav tsis huv. Tej zaum nws yuav tsis muaj cov tsos mob tshwm sim hauv qee tus neeg, thaum lwm tus yuav muaj cov pos hniav los ntshav. Cov tsos mob ntawm gingivitis nyob rau hauv cov neeg laus yog qhov tsis kaj siab heev.
Ua ntej, papilla ntawm cov pos hniav yog koom nrog cov txheej txheem inflammatory, thiab tom qab ntawd ces nws cov seem. Gingivitis tsis tshua muaj tshwm sim, feem ntau nws yuav siv sij hawm ntev, uas yog tus cwj pwm los ntawm kev hloov pauv thiab lub sij hawm ntawm exacerbations.
qhov ncauj kab noj hniavtus cwj pwm los ntawm cov kab mob hnyav heev, txij li thawj qhov kev ua thiab tshuaj tua kab mob ntawm cov zaub mov pib ntawm no. Yog li ntawd, o ntawm lub qhov ncauj kab noj hniav yog ib qho kev pheej hmoo ntawm cov kab mob plawv. Txhua tus yuav tsum paub cov tsos mob ntawm gingivitis.
Yuav ua li cas txheeb xyuas tus mob?
Tsis muaj kev cuam tshuam los ntawm cov txheej txheem inflammatory, cov pos hniav yog xim daj ntseg liab, cov hniav yog nruj nreem kaw, tsis muaj qhov o lossis lwm yam tsis pom kev ntawm cov pos hniav, tsis muaj mob lossis los ntshav thaum txhuam hniav. Yog tias ib qho ntawm cov ntsiab lus tau ua txhaum cai, nws muaj peev xwm xav tias muaj cov kab mob gingivitis.
Kev tshwm sim
Raws li peb tau sau tseg saum toj no, qhov no yog cov txheej txheem inflammatory, uas yog cov kab mob hauv qhov ncauj, uas pom muaj ntau hauv cov quav hniav. Thaum qee qhov xwm txheej raug tsim, lawv tau qhib thiab ua rau muaj cov txheej txheem inflammatory. Cov tshuaj tau ua pov thawj tias yog cov pos hniav tsis muaj kab mob, ces txoj kev loj hlob ntawm gingivitis yog, hauv paus ntsiab lus, ua tsis tau.
Yog li, nws tau sau tseg saum toj no tias qhov tseem ceeb ntawm qhov ua rau gingivitis yog qhov sib txuam ntawm cov quav hniav. Qhov no tuaj yeem yog vim ob qho tib si hauv zos thiab cov txheej txheem thoob plaws. Lawv qhov kev sib xyaw ua ke tsis suav nrog.
Cov tsos mob ntawm gingivitis hauv cov menyuam yaus thiab cov duab ntawm cov neeg uas tau ntsib tus kab mob no tau nthuav tawm hauv kab lus no.
Cov xwm txheej hauv cheeb tsam tiv thaiv kev txhuam hniav ib txwm
Anatomical. Cov no suav nrog:
- malocclusion;
- Kaw cov hniav hauv qhov hniav;
- xam txog ntawm tus hniav, ib los yog ntau dua.
Yam-txim ntawm kev kho mob manipulations:
- kev puas tsuaj rau cov pos hniav thaum kho hniav;
- tsis zoo filling, vim tias qhov chaw tsis tuaj yeem nkag mus rau kev ntxuav yog tsim nyob rau hauv qhov chaw ntawm qhov txhaws (piv txwv li, kev sib tsoo tsis zoo lossis polishing yuav ua rau muaj kab mob hauv av);
- cov hniav uas tshem tau (tej zaum yuav ua rau cov pos hniav puas thiab khaws cov quav hniav);
- prostheses-bridges (nrog lawv cov txheej txheem ntawm txhuam hniav yog, hauv paus ntsiab lus, nyuaj);
- hniav rho tawm thiab lwm yam kev phais qhov ncauj;
- devices and means for bite kho.
Cat altar deposits yog ib qho chaw zoo rau cov kab mob txuas, vim qhov chaw hauv thaj tsam ntawm cov tartar deposits tsis tuaj yeem siv rau kev ntxuav nrog txhuam hniav.
Kev mob rau cov pos hniav uas tuaj yeem tshwm sim los ntawm:
- txhuam hniav nruj dhau;
- khaws khoom txawv teb chaws hauv lub qhov ncauj;
- hniav lwj, uas ua rau cov zaub mov nkag mus rau hauv cov hniav thiab ua rau cov pos hniav raug mob;
- khaws cov hniav nrog cov khoom txawv teb chaws;
- noj mov, kub dhau lossis ntsim dhau;
- tshuaj kub hnyiab, thiab lwm yam.
- Hloov hauv cov kua qaub.
Nyob hauv qab no yog ib daim duab qhia txog cov tsos mob ntawm gingivitis nyob rau hauv cov neeg laus (reddening ntawm cov pos hniav thiab o tuaj yeem pom hauv daim duab).
Txheej Txheem Tseem Ceeb
Nov yog tag nrhoKev sib xyaw ua ke ntawm cov xwm txheej sab nraud thiab sab hauv ntawm ob qho tib si lub cev thiab pathological tseem ceeb, uas ua rau txo qis hauv ob qho tib si kev tiv thaiv kab mob hauv lub qhov ncauj, uas ua rau muaj kev hloov pauv ntawm cov pos hniav reactive. Sau ob peb tug:
- hnub nyoog (tsis tas yuav laus, muaj hnub nyoog txog kev hloov pauv hormonal hauv lub cev tuaj yeem ua rau lub cev hloov pauv);
- psycho-emotional states;
- genetic yam;
- kab mob ntawm endocrine system;
- kab mob ntawm cov hlab plawv;
- kab mob ntawm plab hnyuv thiab kab mob metabolic;
- hypovitaminosis;
- noj tej yam tshuaj uas muaj kev phiv loj heev;
- kab mob sib kis;
- tus cwj pwm phem;
- mob ntshav qab zib ntawm qhov mob hnyav thiab mob ntev.
Xav txog hauv qab cov tsos mob ntawm gingivitis hauv cov neeg mob hluas.
Gingivitis hauv menyuam yaus
Nyob rau hauv cov menyuam yaus, qhov ua rau gingivitis kuj yog txuam nrog cov quav hniav. Nws yog tsim nyog sau cia cov laj thawj uas ua rau qhov no. Lawv txawv me ntsis ntawm cov neeg laus yam:
- kev rho tawm ntxov ntawm cov hniav mis;
- kev cuam tshuam kev kho hniav, kev siv kev txhoj puab heev, hnub nyoog tsis tsim nyog ntawm kev kho hniav;
- tsis zoo hauv cov qauv ntawm frenulum ntawm cov hniav;
- tsis noj zaub mov nyuaj;
- khoom qab zib ntau dhau thiab mashed;
- ua pa tsis zoo ntawm qhov ntswg thiab, vim li ntawd, qhov ncauj ua pa;
- tus cwj pwm ntawm zom cov pos hniav (raws li kev ntseeg nrov, zom cov pos hniav tsis ntxuav cov hniav kom zoo, tab sis ua phem rau lawv);
- caries;
- pulpitis;
- pathology ntawm cov qog qaub ncaug.
Cov tsos mob Gingivitis hauv menyuam yaus yuav luag zoo ib yam li cov neeg laus.
Gingivitis thaum cev xeeb tub
Nws yog dav paub tias thaum cev xeeb tub, ntau tus poj niam yuav luag poob lawv cov hniav. Gingivitis kuj tsis hla cov pab pawg neeg no. Tawm tsam keeb kwm ntawm cev xeeb tub, hormonal keeb kwm ntawm lub cev hloov pauv, uas ua rau muaj kev hloov pauv hauv cov pos hniav, uas pib los ntshav.
Cov tsos mob Gingivitis
Rau qhov tseeb dua ntawm cov tsos mob ntawm tus kab mob no, nws yuav tsum raug sau tseg tias muaj 3 hom kab mob gingivitis:
- catarrhal;
- mob plab;
- hypertrophic.
Lawv tuaj yeem muaj qhov mob hnyav thiab mob ntev, nrog rau kev tshwm sim hauv zos thiab dav dav.
Cia peb xav txog cov tsos mob ntawm txhua rooj plaub cais cais.
Catarrhal gingivitis. Daim ntawv catarrhal ntawm gingivitis feem ntau yog tus yam ntxwv ntawm cov neeg mob uas muaj kab mob ntawm lub plab.
- ntse zoo li. Feem ntau cov tsos mob ntawm gingivitis tshwm sim thaum lub sij hawm exacerbation ntawm cov kab mob ntev los yog tawm tsam keeb kwm ntawm SARS. Tus neeg mob txhawj xeeb txog qhov mob hnyav hauv cov pos hniav, los ntshav hnyav yam tsis tau hais txog kev txhuam hniav. Kev kuaj pom los ntawm kws kho hniav qhia pom cov quav hniav hnyav, caries, nce o thiab liab ntawm cov pos hniav, txawm tiaskov, los ntshav cov pos hniav, ua tsis taus pa.
- daim ntawv ntev. Yog vim li cas yog cov kab mob ua pa tsis tu ncua, kev puas siab puas ntsws poob siab, kev noj zaub mov tsis zoo nrog kev tsis muaj cov vitamins, tsis ua raws li cov cai ntawm kev nyiam huv ntawm qhov ncauj. Kuj txhawj xeeb txog cov pos hniav los ntshav thiab ua pa tsis zoo. Kev kuaj mob ntawm tus kws kho hniav qhia cov pos hniav los ntshav thaum kuaj nrog cov cuab yeej kho hniav, o ntawm cov pos hniav, ntau cov tartar thiab cov quav hniav.
Ulcerative gingivitis. Cov laj thawj kuj yog kev kho hniav tsis zoo, tus cwj pwm tsis zoo, SARS, kev noj zaub mov tsis zoo uas tsis muaj cov kab mob thiab cov vitamins, nrog rau cov kab mob catarrhal gingivitis. Tus neeg mob muaj kev txhawj xeeb txog qhov mob ntawm cov pos hniav, ntau tshaj li nrog rau cov kab mob catarrhal ntawm gingivitis, nrog rau ua pa tsis zoo. Kev tshuaj xyuas ntawm kws kho hniav nthuav tawm ntau caries, pulpitis, ntau ntawm cov quav hniav, tartar, grey papilla ntawm cov pos hniav, nyob rau hauv cov quav hniav ntawm necrotic hlwb npog nws, muaj yav tas los los ntshav tsom. Tus nplaig yog txheej grey-dawb.
Qhov tseeb nthuav yog qhov mob gingivitis feem ntau yog ib qho ntawm cov kab mob atypical ntawm PMS.
Hypertrophic gingivitis ntawm ob daim ntawv:
- Fibrous daim ntawv. Kev ntsuam xyuas los ntawm kws kho hniav qhia cov tsos mob hauv qab no ntawm cov kab mob gingivitis hauv cov neeg laus - qhov sib sib zog nqus tom, ntau cov quav hniav, cov hniav uas ze heev, cov pos hniav papillae raug hloov, lawv txoj kev loj hlob raug pom, thiab los ntshav thiab o ntawm cov pos hniav, raws li txoj cai., tsis pom,
- Edematous form. Raws li nyob rau hauv cov ntaub ntawv ntawm fibrous daim ntawv, ib qho kev kuaj los ntawm ib tug kws kho hniavnthuav tawm qhov sib sib zog nqus tom, nplua nuj ntawm cov quav hniav, sib ze heev ntawm cov hniav. Tsuas yog qhov no, cov pos hniav yog o thiab los ntshav.
Yog vim li cas rau ob daim ntawv yog:
- hormonal imbalance thaum cev xeeb tub, puberty, menopause;
- bite defects;
- tsis kho catarrhal gingivitis;
- siv sijhawm ntev ntawm vasoconstrictor, tshuaj hormonal;
- orthodontic kev tsim kho cov khoom tsis zoo uas cuam tshuam rau cov pos hniav, yog li khaus thiab ua rau nws raug mob.
Yuav muaj kev sib raug zoo ntawm cov tsos mob thiab kev kho mob gingivitis hauv cov menyuam yaus. Hauv daim duab, qee cov cim qhia tau pom, tab sis, ntawm chav kawm, tsis yog tag nrho. Hauv kev kho mob ntawm daim ntawv catarrhal, tactics nyob ntawm qhov hnyav ntawm cov kab mob.
Kev kho mob ntawm daim ntawv ntev
Kho txhais tau tias:
- kev soj ntsuam thiab txhim kho ntawm kev tu tus kheej ntawm qhov ncauj;
- kev kho hniav kho hniav: tshem tawm cov tartar thiab cov quav hniav;
- siv cov tshuaj tiv thaiv kab mob hauv zos thiab tshuaj tua kab mob (cov no tuaj yeem yog tshuaj pleev, gels, yaug);
- kho hniav, kho kab mob;
- txoj kev ntxiv dag zog: piv txwv li, noj cov vitamin complexes;
- yuav tsum tau kho qhov tom hauv qee kis.
Cov tsos mob gingivitis ntev txawv ntawm ib tus neeg mus rau lwm tus.
kev kho mob hnyav
- Ua ntej tshaj plaws, nws yog ib qho tseem ceeb uas yuav tsum tau ua cov tshuaj tua kab mob thiabtshuaj tiv thaiv kab mob kom tshem tawm qhov o thiab mob.
- Tom qab cov tsos mob ntawm tus mob gingivitis tau raug tshem tawm lawm, kev kho ntxiv yuav tsum siv txoj hauv kev zoo ib yam li tau piav qhia saum toj no rau cov kab mob gingivitis ntev.
- Gum hydromassage tej zaum yuav raug pom zoo ntawm tus kws kho mob qhov kev txiav txim siab.
YKev kho mob gingivitis
Yuav ua li cas thiaj tshem tau tus kab mob no? Cov hauv qab no yuav tsum tau ua raws li:
- Tshem tawm cov quav hniav, suav nrog kev kho kab mob thiab kho mob nrog cov gels tshwj xeeb.
- Kev kho mob ntawm qhov txhab. Nws feem ntau cuam tshuam qhov mob nyem thiab tom qab ntawd ntxuav cov pos hniav ntawm qhov txhab nrog cov cuab yeej tshwj xeeb thiab kev npaj.
- Kev siv tshuaj tua kab mob hauv zos raws li metronidazole, thiab hauv theem thib ob, siv tshuaj kho qhov txhab.
- Tej zaum koj yuav tau noj tshuaj tua kab mob hauv cov ntsiav tshuaj raws li tib lub metronidazole.
- Txoj kev tiv thaiv kab mob.
- noj tshuaj tiv thaiv kab mob.
- tshuaj tiv thaiv: vitamin complexes lossis immunomodulators yog tias tsim nyog.
Kev kho mob ntawm cov hniav yog ua tom qab.
Ulcerative gingivitis yog lub hauv paus rau kev tawm kev mob nkeeg. Tus kab mob no ua rau muaj teeb meem ntau heev.
Hypertrophic gingivitis
Cov kev kho mob zoo ib yam li rau catarrhal, tsuas yog ib qho tshwj xeeb uas tom qab kev kho mob los tiv thaivphais tshem tawm cov pos hniav overgrown. Ua ntej kev phais, kev kho mob ntawm fibrous hypertrophic gingivitis yog ua tib yam li mob catarrhal, thiab daim ntawv edematous - raws li mob catarrhal.
Peb txuas ntxiv tshuaj xyuas cov tsos mob thiab kev kho mob gingivitis hauv cov neeg laus. Cov duab ntawm qee hom kab mob pathology tau nthuav tawm.
Kev kho mob gingivitis thaum cev xeeb tub
Kev cev xeeb tub tsis yog qhov txwv tsis pub sau tshuaj kho mob gingivitis nrog tsuas yog cov tshuaj noj hauv qhov ncauj, suav nrog cov tshuaj tua kab mob, tau muab tshuaj tom qab kev pom zoo los ntawm gynecologist, thiab rau hypertrophic gingivitis, kev kho mob tsuas yog txwv rau cov tsos mob hauv zos.
Yog li, kev kho mob thaum cev xeeb tub yog maj mam li sai tau, uas tsis tas yuav lav nws cov txiaj ntsig zoo. Yog li ntawd, hauv cov tshuaj, kev tshawb fawb tseem tab tom ua rau txoj kev tshiab ntawm kev kho mob uas tsis cuam tshuam rau tus me nyuam hauv plab. Piv txwv li, ib txoj hauv kev tshiab ntawm kev kho mob gingivitis thaum cev xeeb tub yog kev siv cov compresses sov, uas suav nrog Mexidol thiab paraffin, nrog rau kev siv tshuaj txhuam hniav thiab tshuaj yaug qhov ncauj uas muaj Mexidol. Tsis tas li ntawd, kev siv cov tshuaj pleev Vulnuzan tsis ntev los no tau paub.
Tseem muaj ntau txoj hauv kev los tiv thaiv cov pos hniav: rosehip decoction, kua txiv (maple, txiv kab ntxwv, txiv qaub, txiv kab ntxwv, birch), nettle infusion, ntsev tov thiab mis nyuj.
Kev kho mob gingivitis hauv menyuam yaus
Qhov tseem ceeb tshaj plaws hauv kev tawm tsam gingivitis hauv menyuam yaus yogkev txhawb nqa kev tiv thaiv: kev qhia kom zoo ntawm qhov ncauj thiab hniav huv si. Yog tias tsim nyog, kev nyiam huv tuaj yeem ua tiav. Yog tias tus kab mob siv daim ntawv hnyav, piv txwv li, ulcerative gingivitis, ces cov tactics yog tib yam li cov neeg laus, thiab tom qab ntawd lawv twb tau kawm txog kev tu cev.
Tom qab tag nrho, nws nyob ncaj qha rau ntawm cov tsos mob thiab kev kho mob ntawm gingivitis. Peb nthuav tawm cov duab ntawm cov neeg muaj tus kab mob no hauv kab lus.
Puas muaj peev xwm tshem tau tus kab mob hauv tsev?
Yog tias koj tsis tuaj yeem tau txais kev kho hniav kho hniav, koj tuaj yeem sim tawm tsam catarrhal gingivitis tom tsev. Ua ntej tshaj plaws, koj xav tau txhuam hniav zoo. Txhawm rau tiv thaiv cov quav hniav, ROCS tshuaj txhuam hniav pab ntau heev. Muaj ntau cov tshuaj txhuam hniav tiv thaiv cov pos hniav los ntshav: Forest Balsam, Paradontax lossis Lacalut. Nws raug nquahu kom siv lawv ua ke nrog cov tshuaj ntxuav tes ntawm tib lub npe. Los ntawm pej xeem cov tshuaj, ib decoction ntawm chamomile los yog sage yog siv raws li ib tug antiseptic yaug.
Lub khw muag tshuaj muaj ntau yam tshuaj tiv thaiv kab mob thiab tshuaj pleev, xws li Asepta.
Nco ntsoov tias kev tu lub qhov ncauj txhua hnub, suav nrog kev txhuam hniav thiab yaug, yog qhov tseem ceeb.
Cov lus qhia thiab kev kho mob tau piav qhia rau txhua tus tsos mob ntawm gingivitis. Daim duab, hmoov tsis, tsis tuaj yeem qhia txhua qhov tsis xis nyob uas tus kab mob tuaj.
Recommendations
Nyob rau hauv cov ntaub ntawv tsis yooj yim ntawm daim ntawv ulcerative, muaj cov hauv qab nocov lus pom zoo:
- tshuaj raws li metronidazole;
- Miramistin lossis Chlorhexidine daws (da dej) (ntau zaus hauv ib hnub);
- Metrogyl Denta gel (thov ob peb zaug hauv ib hnub);
- kho qhov chaw rwj nrog Solcoseryl, koj tuaj yeem siv cov roj rosehip (raws li tus neeg sawv cev kho).
