kab mob hniav yuav tsum tau kho kom tsim nyog. Thaum tus neeg mob tau kuaj pom tias muaj pulpitis thiab lwm yam pathologies ntawm cov ntaub so ntswg sab hauv ntawm cov hniav, pulp extirpation feem ntau ua. Nws yog txwv tsis pub ncua sijhawm mus ntsib lub tsev kho mob, vim tias pathology tuaj yeem ua rau muaj qhov tshwm sim loj.
Kev piav qhia
Devital extirpation yog ib txoj hauv kev kho mob ntawm cov kab mob ntsws los yog mob ntev. Raws li qhov tshwm sim ntawm kev phais, qhov kev tshem tawm ntawm lub pulp yog ua tiav. Cov txheej txheem yog suav hais tias yog ib qho ntawm feem txhim khu kev qha, vim nws tiv thaiv kev kis tus kab mob ntxiv thiab, vim li ntawd, kev tsim cov kab mob periodontitis.
Kev qhia
Devital extirpation tej zaum yuav raug sau rau ntau hom pulpitis, caries tob thiab periodontitis. Tsis tas li, qhov kev cuam tshuam ntawm kev phais no tuaj yeem qhia tau yog tias muaj kev raug mob rau tus hniav lossis lwm yam xwm txheej orthopedic.
Kev taw qhia rau devital extirpation tej zaum yuavsib txawv, txawm tias tsis muaj sij hawm rau kev kho mob tsim nyog ntawm qhov kev teem caij thawj zaug, qhov tsis muaj txiaj ntsig zoo nrog kev kho kom zoo thiab muaj kev tsis haum rau cov tshuaj loog hauv zos thaum qhov tseem ceeb extirpation tsis tuaj yeem siv. Xav txog contraindications.
YContraindications
Devital extirpation yog contraindicated nyob rau hauv:
- kev tsis txaus siab rau cov khoom ntawm cov tshuaj devitalizing muab tshuaj;
- purulent o ntawm cov tawv nqaij;
- myocardial infarction, uas tau pauv los ntawm 6 mus rau 12 lub hlis dhau los;
- exacerbation ntawm ntshav siab kuaj pom nyob rau theem thib peb;
- lub puab tsaig txo qis;
- microscopy;
- kev puas siab puas ntsws ntawm tus neeg mob.
Tag nrho cov npe contraindications yuav tsum raug coj mus rau hauv tus account. Ua ntej tus txheej txheem, lawv yuav tsum raug cais tawm. Tsuas yog hauv qhov no, qhov xwm txheej tsis tau pom dua tuaj yeem zam tau.
theem ntawm kev siv
Txoj kev ntawm devital extirpation yog raws li kev tua ntawm lub pulp thiab nws tag nrho tshem tawm. Nws raug suav hais tias yog ib txwm ua thiab ua tiav hauv txhua lub chaw kho hniav. Cov txheej txheem ntawm devital extirpation yog siv nyob rau hauv ob peb mus ntsib. Yog vim li no tus neeg mob tau mus ntsib kws kho hniav yam tsawg peb zaug.
Thawj zaug
Thaum thawj zaug mus ntsib kws kho hniav, tus neeg mob tau txais kev huv huv ntawm cov hniav thiab tshuaj loog. Tom qab ntawd cov ntaub so ntswg cuam tshuam los ntawm tus kab mob raug tshem tawm thiab cov hniav yuav ua tib zoo ua.tshuaj tshwj xeeb. Ib lub qhov yog tsim nyob rau hauv nws los ntawm kev nkag mus rau lub pulp yog muab. Yog tias tom qab qhib tus hniav, tus neeg mob hnov mob hnyav, ces yuav tsum tau txhaj tshuaj loog rau hauv kab noj hniav.
Arsenic muab tshuaj tso rau hauv qhov tsim, uas pab tua cov ntaub so ntswg. Yog hais tias cov manipulations tau ua nyob rau hauv ib tug hniav nrog ib tug hauv paus, ces cov txheej txheem kav ib hnub twg, thiab rau 2-hauv paus hniav nws yuav siv sij hawm ob zaug li ntev. Nyob rau hauv tus txheej txheem ntawm kev thov arsenic muab tshuaj txhuam, ua tib zoo mloog mus rau sealing lub carious kab noj hniav. Nco ntsoov xyuas yog tias arsenic acid tau tawm ntawm phab ntsa ntawm cov kab noj hniav thiab cov ntaub qhwv, vim qhov no yuav ua rau muaj mob papillitis.
Zoo ntawm cov hauv paus hniav thiab lub sijhawm xav tau, npaj mus ntsib zaum ob. Yog tias, vim li cas, rov nkag tsis tuaj yeem ua tsis tau tom qab lub sijhawm luv luv, tom qab ntawd cov khoom zoo sib xws raug tso, uas muaj qhov cuam tshuam qeeb. Tom qab muab tshuaj txhuam, lub qhov ntawm cov hniav raug kaw nrog ib ntus hnav khaub ncaws.
thib ob mus ntsib
Thaum lub sijhawm devital extirpation, tus neeg mob hnav cov hniav thiab cov seem ntawm cov khoom cog lus raug tshem tawm thaum rov mus ntsib. Tom qab ntawd, lub vault ntawm kab noj hniav yog liquidated thiab lub pulp yog tshem tawm. Cov theem tom ntej ntawm kev ua haujlwm yog ntsuas thiab nthuav dav mus rau qhov xav tau ntawm cov kwj dej cone raws li txhua txoj cai kho hniav. Nyob rau tib lub sijhawm nrog cov kev tswj hwm no, tag nrho cov kab mob tseem ceeb raug rhuav tshem. Kev mus ntsib zaum ob xaus nrog kev saucov kwj dej thiab kev tso cai ib ntus sau rau ntawm kab noj hniav.
thib peb
Yog tias tag nrho cov theem dhau los ntawm kev tshem tawm ntawm devital extirpation tau ua tau zoo thiab raug, tom qab ntawd los ntawm kev mus ntsib kws kho mob zaum kawg, tus neeg mob tsis muaj qhov mob lossis cov tsos mob tsis zoo. Ntseeg tias qhov no, tus kws kho hniav tshem tawm qhov ntim ib ntus, thiab tom qab ntawd tso cov tshuaj thiab pib rov tsim cov hniav.
Ua tsaug rau cov thev naus laus zis tam sim no, cov khoom ntim khoom zoo thiab cov txheej txheem kho tshiab tshiab, cov hniav zoo li qub tau rov ua dua tshiab nrog txhua txoj haujlwm. Cov theem kawg ntawm kev kho dua tshiab yog kev sib tsoo cov hniav, fluoridation nto siv cov kev npaj tshwj xeeb. Tag nrho cov haujlwm saum toj no ntawm tus kws kho hniav pab tiv thaiv cov ntaub so ntswg los ntawm cov kab mob tsis zoo thiab ntxiv dag zog rau lawv.
Muaj Teeb Meem
Nyob rau hauv feem ntau, devital extirpation daws tsis muaj teeb meem ntxiv. Tab sis qee zaum cov neeg mob tseem yws txog qhov mob tom qab sau, uas tuaj yeem muaj sijhawm sib txawv. Yog tias qhov mob ntev li ob peb hnub, qhov no tsis qhia qhov txawv txav thiab suav tias yog qhov qub. Qhov no tau piav qhia los ntawm qhov tseeb tias kev txiav tawm devital thiab extirpation yog cov txheej txheem raug mob heev.
Yog qhov mob tsis txo qis li tsib hnub lossis ntau dua, ces qhov no koj yuav tsum tau nrhiav kev pab kho mob uas tsim nyog.
Raws li kev xyaum qhia,Tom qab sau qhov mob tshwm sim los ntawm kev kho mob yuam kev hauv qab no:
- Thaum lub pulp tsis tshem tawm tag nrho. Qee zaum, tus kws kho hniav tsis tshem tawm tag nrho cov ntaub so ntswg, tawm hauv cov ntaub so ntswg ntawm cov hauv paus hniav. Nws yog qhov tshwm sim ntawm qhov no uas kis tau tus kab mob thiab mob tshwm sim.
- Raws li cov khoom ntim tau rub tawm ntawm lub hauv paus apex. Qhov kev ua yuam kev no tuaj yeem ua rau tsis yog mob xwb, tab sis kuj ua rau mob ntawm cov hlab ntsha mandibular.
- Thaum tso ib feem ntawm qhov ntsuas hauv channel. Qhov no ua rau qhov tseeb tias cov channel tsis raug kaw tag nrho, uas, dhau los, ua rau muaj kab mob thiab mob.
- Tsuas yog kev puas tsuaj rau cov hauv paus hniav ntawm cov hniav los ntawm cov cuab yeej kho hniav.
Thaum muaj qhov xwm txheej tsis zoo li no tshwm sim, nws yuav tsum kaw qhov tshwm sim sai li sai tau. Txwv tsis pub, qhov no tuaj yeem ua rau muaj kev txhim kho ntawm cov txheej txheem mob hnyav thiab mob hnyav, uas kuj yog qhov txaus ntshai vim tias nws tuaj yeem mus rau cov hniav nyob sib ze. Qee zaum kev ua yuam kev los ntawm kws kho mob tuaj yeem ua rau pom cov hlwv, kev loj hlob ntawm periodontitis, osteomyelitis thiab lwm yam teeb meem loj sib npaug.
Mob syndrome tuaj yeem tshwm sim los ntawm kev sib cais ntawm cov tawv nqaij ze ntawm lub apical foramen. Yog li ntawd, periodontal irritation tshwm sim, uas yog tshem tawm nrog kev pab los ntawm cov tshuaj tua kab mob. Hauv qhov tshwj xeeb nyuaj, fluctoorization lossis darsonvalization yuav tsim nyog.
Cov teeb meem muaj xws li mucosal hlawv, uas tuaj yeemtshwm sim los ntawm kev tsis zoo diathermocoagulation. Txhawm rau tshem tawm cov teeb meem zoo li no, nws yog ib qho tsim nyog yuav tsum tau kho qhov tsom xam nrog cov tshuaj tua kab mob thiab ua cov tshuaj tiv thaiv kab mob.
Kev tsim cov teeb meem kuj tuaj yeem tshwm sim los ntawm kev ua tsis tiav ntawm cov lus pom zoo tom qab. Lub sij hawm ntev ntawm arsenic nyob rau hauv cov hniav kab noj hniav yuav provoke kev loj hlob ntawm periodontitis. Qhov no tshwm sim los ntawm kev ncua sij hawm rov qab mus ntsib tom qab thawj theem ntawm tus devital pulpotomy. Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem, tag nrho cov lus pom zoo ntawm tus kws kho hniav yuav tsum ua raws li qhov tsis xwm yeem.
