Ua ntej txiav txim siab txog cov tsos mob thiab kev kho mob ntawm cov kab mob hauv cov neeg laus, nws yog ib qho tsim nyog yuav tsum nkag siab tias nws yog dab tsi thiab cov kev hloov pauv pathological tshwm sim hauv lub cev. Tus kab mob no yog txuam nrog kev ua txhaum ntawm cov pob txha cov ntaub so ntswg uas muaj nyob rau hauv lub qhov ncauj kab noj hniav. Lub pathology nce sai heev. Nws yog txuam nrog kev tsis xis nyob hauv cov pos hniav. Tus kab mob no cuam tshuam cov kev txav ntawm cov hniav, pab txhawb qhov tshwm sim ntawm ib qho tsis kaj siab tsw. Sij hawm dhau mus, cov enamel pib raug rau qhov tsis xws luag. Txhawm rau kho tus kab mob no, koj yuav tsum sab laj nrog kws kho mob tshwj xeeb hu ua periodontist. Yog tsis ua li no ces ib tug yuav poob lawv cov hniav sai heev.
Kev piav qhia tus kab mob
Periodontosis, qhov ua rau, cov tsos mob thiab kev kho mob uas peb yuav tham hauv qab no, cuam tshuam nrog cov teeb meem ntawm cov kab mob hauv lub cev uas nyob ib ncig ntawm cov hniav. Nrog rau kev loj hlob ntawm tus kab mob no, teeb meem tshwm sim ob qho tib si nrog ligamentous apparatus ntawm cov hniav thiab cov pob txha cov qauv, thiab nrog cov ntaub so ntswg mos. Atrophy ntawm tom kawg tshwm sim maj mam. Nrog sijhawmcov hniav yuav poob stability, thiab qhov xwm txheej yuav phem dua. Cov kab mob no txawv ntawm nws cov chav kawm, yog li nws tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob. Nws yog kev ceev faj uas yuav tso cai rau koj kuaj tus kab mob hauv lub sijhawm.
Nyob rau theem pib, cov tsos mob yuav luag tsis pom, tsuas yog nrog kev tshuaj xyuas qee zaus ntawm tus kws kho hniav, koj tuaj yeem pom qhov teeb meem no. Hauv qhov no, nws yuav tsum tau sau tseg cov yam ntxwv ntawm cov tsos mob: tsis muaj los ntshav thiab liab. Tsuas yog cov pob txha pob txha pib deform. Nws yog tsis yooj yim sua los txheeb xyuas qhov tseeb vim li cas qhov no tshwm sim. Tom ntej no, xav txog qhov ua rau muaj qhov tshwm sim thiab cov tsos mob ntawm tus kab mob periodontal.
Kev tshwm sim
Raws li tau hais los saum toj no, nws tsis tuaj yeem txheeb xyuas qhov ua rau muaj tus kabmob. Cov piav qhia pathology tsis nkag siab tag nrho, txawm li cas los xij, nws muaj peev xwm txheeb xyuas cov xwm txheej uas tuaj yeem ua rau tus kab mob. Qhov tseem ceeb tshaj plaws yog vim li cas yuav tsum tau muab sau tseg los ntawm hereditary predisposition. Nws yog ib qho tsim nyog kom paub meej tias cov tsos mob thiab kev kho mob ntawm cov kab mob periodontal yog nyob ntawm qhov ua tau. Cov no suav nrog cov kab mob ntawm lub paj hlwb thiab kev puas siab puas ntsws, teeb meem nrog lub plab thiab plab hnyuv, teeb meem nrog lub cev tsis muaj zog, raug mob, bruises thiab dislocations, tus cwj pwm phem, ntshav qab zib, beriberi, teeb meem hauv endocrine system, nrog rau cov kab mob hauv lub cev uas tuaj yeem ua tau. yog yug los thiab tau.
Symptomatics
Tom ntej, xav txog cov tsos mob ntawm tus kab mob periodontal. Lawv yog dab tsikiag li nyob ntawm qhov degree ntawm tus kab mob. Pathology pib nrog inconspicuous manifestations, uas intensified lub sij hawm.
me me sib txawv tshwm sim hauv qhov me me. Ib tug neeg yuav muaj khaus khaus, nrog rau kub hnyiab ntawm cov pos hniav. Thaum tus neeg mob mus rau tus kws kho mob, nws hais txog qhov muaj cov hniav nyiaj hniav kub. Tom qab lawv raug tshem tawm, tus kws kho mob tshwj xeeb yuav pom cov pos hniav, uas yog cov tsos mob tseem ceeb ntawm qhov teeb meem tau piav qhia. Nws yog me me - 2 mm. Yog tias peb tham txog x-rays, ces tsis muaj kev hloov pauv hauv cov pob txha yuav raug kuaj pom.
Qhov nruab nrab qib yog tus cwj pwm los ntawm kev lag luam poob mus txog 4 hli. Nyob rau tib lub sijhawm, tsis muaj qhov tsis txaus siab nyob rau hauv daim ntawv ntawm khaus thiab hlawv. Feem ntau, cov tsos mob xws li hypersensitivity yog vim li cas mus ntsib kws kho mob tshwj xeeb. Cov pob txha partitions pib yaj, vim qhov no, qhov kev ncua deb ntawm cov hniav nce. Ntawm x-ray, koj tuaj yeem pom qhov kev puas tsuaj twb pib lawm.
Kev mob hnyav yog qhov tshwm sim los ntawm qhov tseeb tias cov hniav protrude heev los ntawm cov pos hniav. Lawv kev txav mus los yog siab heev, txij li cov pob txha septum tau xyaum ua kom puas. Vim yog qhov khoob ntawm cov hniav, pob zeb thawj zaug, thiab tom qab ntawd cov hniav lawv tus kheej poob. Hauv daim duab, koj tuaj yeem pom tias cov pob txha septa yog smoothed.
Cov tsos mob ntawm periodontitis txawv ntawm ib tug kab mob xws li periodontitis. Qhov no yog vim qhov tseeb tias qhov mob tsis tuaj ntawm ib qho ntawm cov theem. Cov pos hniav tsis hloov lawv cov xim, lawv yog xim liab, li niaj zaus. Qee zaum pathological hnab ris tsis tshwm sim.
theem kab mob
Ntxiv nrog rau cov tsos mob thiab kev kho mob ntawm cov kab mob periodontal, cov theem ntawm tus kab mob yuav tsum tau piav qhia. Qhov no yog qhov tsim nyog txhawm rau txhawm rau paub qhov txawv ntawm qhov tshwm sim uas yuav tshwm sim. Cov theem tau muab faib ua ib qho yooj yim, nruab nrab thiab hnyav. Raws li tau hais los saum no, nyob rau theem pib, cov tsos mob xyaum tsis tshwm sim. Qhov nruab nrab yog tus cwj pwm los ntawm qhov tseeb tias cov pos hniav poob qis, thiab qhov hnyav yog tus cwj pwm los ntawm qhov tseeb tias cov hniav tuav tsuas yog vim muaj cov ntaub so ntswg.
Kev faib tawm
Tus kab mob no tau muab faib ua ntau hom raws li daim ntawv qhia, nrog rau qhov chaw. Muab daim ntawv mob hnyav thiab mob ntev. Feem ntau yog qhov thib ob. Nws loj hlob qeeb qeeb. Daim ntawv mob hnyav yog ib yam kab mob uas tsis tshua muaj tshwm sim ntawm nws tus kheej.
Raws li qhov chaw, cov ntaub ntawv hauv cheeb tsam thiab cov ntawv qhia dav dav yog qhov txawv. Qhov tom kawg yog vim qhov tseeb tias tag nrho cov hniav raug cuam tshuam rau hauv ib tus neeg, thiab thawj zaug yog tias kev lag luam tsuas yog pom nyob rau hauv ib feem lossis hauv ib tus hniav xwb. Tus so ntawm lub qhov ncauj tseem noj qab nyob zoo.
Txoj kev kuaj mob
Yog tias tus neeg mob tau kuaj pom tias muaj kev poob qis, thiab qhov kev txav ntawm cov hniav kuj tseem ua tsis taus, ces nws yuav tsum hu rau tus kws kho mob. Tom qab tus kws kho mob kuaj lub qhov ncauj kab noj hniav thiab sau cov txheej txheem kev kuaj mob, kev kuaj xyuas ntau dua yuav raug ua. Tsuas yog tom qab ntawd thiaj li tau txais kev kho mob.
Tus kws kho hniav yuav nug ntau yam uas tej zaum yuav tsis cuam tshuam rau lub qhov ncauj, feem ntau cov teeb meem no tshwm sim vim muaj lwm yam.ntsig txog. Lub cev sib txawv kiag li tej zaum yuav yog qhov ua rau muaj qhov tshwm sim.
Kev kuaj mob yuav yog txhawm rau tshem tawm cov kab mob uas tuaj yeem tsis meej pem nrog cov kab mob periodontal. Lawv cov tsos mob tsis zoo sib xws, tab sis lawv sib tshooj. Lawv tuaj yeem pom los ntawm qhov tseeb tias ib tus neeg muaj mob, o ntawm cov pos hniav, liab thiab los ntshav. Hauv qhov no, kev puas tsuaj ntawm lub puab tsaig nws tus kheej tsis tshwm sim.
Kev kho mob
Nws yuav tsum tau muab sau tseg tias txoj kev kho rau tus kab mob no nyob ntawm cov tsos mob. Tus kab mob periodontal tsim sai heev, thiab nws tsis tuaj yeem kho nws. Feem ntau, cov kws kho mob siv lub tswv yim tshwj xeeb uas tso cai rau koj kom ceev nrooj nres qhov kev loj hlob ntawm tus kab mob. Nws yuav tsum raug sau tseg tias koj yuav tsum tau siv ntau txoj kev kho mob ib zaug, vim tias tsuas yog ib qho kev sib xyaw ua ke tuaj yeem muab cov txiaj ntsig ruaj khov dua. Ua ntej koj yuav tsum txheeb xyuas qhov ua rau tshwm sim.
Yuav kom tshem tawm qhov cuam tshuam ntawm cov hniav, nws yog qhov yuav tsum tau ua kom tiav kev kuaj mob ntawm lub cev. Qhov no yuav nthuav qhia tus kab mob hauv qab. Nws yuav tsum to taub tias kab mob periodontal tsis yog tsuas yog teeb meem nrog cov hniav, tab sis kuj nrog rau lwm yam kabmob. Tom ntej no, koj yuav tsum tau ua haujlwm ntawm qhov ncauj kab noj hniav. Yog hais tias muaj tartar nyob rau hauv nws, ces lawv tsuas yog nce lub chav kawm ntawm pathology. Tsis tas li ntawd, yog tias muaj cov nyiaj tso cia, pob zeb tuaj yeem tiv thaiv cov tshuaj kom tsis txhob ncav cuag cov ntaub so ntswg.
Tom ntej no, koj yuav tsum tau xyuam xim rau kev tu cev. Koj yuav tsum nrog koj tus kws kho mob tham txog yuav ua li cas txhuam koj cov hniav kom zoo. Txwv tsis pub, koj tsuas tuaj yeem ua rau qhov xwm txheej tsis zoo. Tsis ua raws li cov lus pom zoo no tuaj yeem ua rau tus neeg cov pos hniav yuav tog ntau dua, ntau yam tsis xws luag yuav tsim, thiab cov kab mob yuav pib sib sau.
Lwm qhov kev pom zoo yog tias koj yuav tsum ua raws li txhua tus kws kho mob cov lus qhia. Txhawm rau kom tau txais kev tso cai ruaj khov, koj yuav tsum mloog tag nrho cov lus qhia, nrog rau siv cov txheej txheem phais, kho mob, thiab kho lub cev tib lub sijhawm.
kev kho mob
Thaum siv tshuaj los txo cov tsos mob ntawm cov kab mob hauv cov laus lossis menyuam yaus, koj yuav tsum ua tib zoo saib xyuas tus kws kho mob cov lus pom zoo. Cov tshuaj pab kom tsis txhob kis tus kab mob thaum ntxov, lawv ua kom qeeb qeeb, thiab tseem muaj qhov zoo ntawm cov hniav. Txhawm rau kho cov ntaub so ntswg, siv "Solcoseryl". Qhov no yog ib qho muab tshuaj txhuam uas haum rau kev siv tshuaj pleev ib ce. "Cholisal gel" kuj tseem siv tau. Nws yuav tsum tau rub ob zaug ib hnub rau hauv cov ntaub so ntswg. Ntev npaum li cas cov tshuaj no yuav tsum tau siv yog nyob ntawm cov tsos mob ntawm tus kab mob periodontal uas tshwm sim. Daim duab ntawm kev npaj tau nthuav tawm hauv qab no.
Heparin tshuaj pleev kuj yog ib qho tshuaj zoo. Nws tso cai rau koj kom nyias cov ntshav. Ua tsaug rau nws, kev ncig tuaj yeem txhim kho. "Troxevasin" yog lwm cov tshuaj zoo uas txo qhov o thiab ntxiv dag zog rau cov hlab ntsha. Ua ib qho tshuaj tua kab mob, siv cov gel uas muaj chlorhexidine.
Txawm li cas los xij, yuav tsum tau sau tseg tias cov tshuaj pleev uas yogtau piav qhia saum toj no, tsis muaj kev kho mob nyuaj yuav tsis ua rau muaj txiaj ntsig. Nws yog qhov tsis muaj txiaj ntsig los sau tshuaj tua kab mob, vim tias tus kab mob no tsis yog kab mob. Cov tshuaj pleev tau piav qhia saum toj no tso cai rau koj los tua cov kab mob hauv koj lub qhov ncauj, thiab tseem tiv thaiv kab mob kis mus rau thaj chaw noj qab haus huv. Tsis tas li ntawd, lawv tiv thaiv qhov tshwm sim ntawm cov kua paug. Nyob rau hauv Soviet lub sij hawm, ib txoj kev nrov tau siv thaum cov vitamins raug muab los ntawm kev txhaj tshuaj rau hauv cov pos hniav. Txawm li cas los xij, txoj kev no yog kev raug mob thiab mob heev, yog li nws siv tsis tau.
Surgery
Txoj kev zoo tshaj plaws ntawm kev kho cov kab mob periodontal, cov tsos mob thiab kev kho mob ntawm cov menyuam yaus thiab cov neeg laus yog qhov nyuaj, yog kev phais. Txoj kev phais yog tsim nyog txhawm rau txhawm rau txhim kho cov pob txha. Tsis tas li ntawd, cov pos hniav tuaj yeem raug tshem tawm. Cov ntaub ntawv tshwj xeeb yog siv, uas yog tsim los ntawm cov khoom siv hluavtaws, cov ntaub so ntswg ntawm tus neeg mob, nrog rau cov neeg pub dawb. Txhawm rau kom rov qab cov kab noj hniav ntawm qhov ncauj mus rau qhov zoo li qub, nws yog ib qho tsim nyog yuav tsum siv cov khoom siv hluavtaws uas yuav txhawb nqa cov ntaub so ntswg rov ua dua.
Kev ua haujlwm tshwj xeeb patchwork tseem ua, uas tso cai rau koj tshem tawm cov pos hniav. Splinting ua rau nws tuaj yeem sib sau ua ke tag nrho cov hniav thiab ua rau lawv tsis tshua muaj zog. Kaw thiab qhib curettage kuj siv. Cov txheej txheem no tso cai rau koj los ntxuav cov hniav los ntawm kev tso nyiaj. Qhov qhib hom curettage yog siv ntau dua nyob rau theem nrab thiab hnyav.
siv laser
Kom kov yeej cov tsos mob ntawm tus kab mob periodontal, cov duab uas qhia tag nrho cov complexitykab mob, nws yog heev tau nrog kev pab los ntawm physiotherapeutic txoj kev. Ib qho ntawm cov no yog kev siv lub laser. Nws tso cai rau koj los txhim kho cov ntshav khiav, nrog rau txhawb lub qhov ncauj kab noj hniav nrog oxygen. Ua tsaug rau qhov kev kho no, nws muaj peev xwm tshem tawm cov granulation ntawm cov pos hniav, du tawm tag nrho cov irregularities, thiab tseem tshem tawm cov pob zeb uas tsis yog sab nraud, tab sis sab hauv (hauv qab cov pos hniav).
Tam sim no, txoj kev laser yog dav heev. Nrog nws cov kev pab, ib tug tshwj xeeb txheej txheem yog nqa tawm, nyob rau hauv uas lub txheej ntawm lub epithelium raug tshem tawm. Nyob rau hauv cov txheej txheem tom ntej, ib txheej kev noj qab haus huv txuas nrog. Kaw curettage thiab patchwork ua haujlwm feem ntau kuj tau ua.
Kev kho mob hauv tsev
Nws yuav tsum tau muab sau tseg tias thaum cov tsos mob ntawm tus kab mob periodontal tshwm sim, kev kho mob hauv tsev yog nrov heev. Ua tsaug rau nws, koj tuaj yeem tshem tawm ntau yam teeb meem, tab sis nws yog ib qho tseem ceeb kom nkag siab tias kev kho tus kheej yuav tsis ua rau cov txiaj ntsig xav tau. Cov kev kho mob pej xeem yuav ua tsuas yog ua ke nrog kev kho mob thiab kev kho mob ntawm lub cev. Cov zaub mov zoo tshaj plaws yuav raug txiav txim siab hauv qab no. Lawv cia cov ntaub so ntswg rov qab sai dua. Txhawm rau xaiv cov koob tshuaj kom raug, koj yuav tsum hu rau tus kws kho mob tshwj xeeb:
- Comfrey. Cov nroj tsuag no tso cai rau koj rov tsim dua thiab kho ntau yam pob txha sib txuas. Ib decoction yuav tsum tau npaj los ntawm lub hauv paus. Tom ntej no, lawv yuav yaug qhov ncauj nrog nws.
- Walnut decoction yog ib txoj hauv kev zoo uas tso cai rau koj yaug koj lub qhov ncauj. Txhawm rau ua noj nws, koj yuav tsum siv ntsuabplhaub. Nws tso cai rau koj los daws cov tsos mob ntawm tus kab mob periodontal hauv cov menyuam yaus thaum kho.
- Tshuaj ntsuab decoction yog txoj kev cai tshaj plaws. Raws li txoj cai, lawv siv cov decoction ntawm calendula, uas tso cai rau koj los tua cov kab mob thiab tua kab mob hauv qhov ncauj.
- Sesame oil yog ib txoj hauv kev zoo rau kev kho hniav. Nws kuj tseem siv tau los ua compress.
- Hydrogen peroxide yog ib txoj hauv kev nrov hauv tsev. Koj yuav tsum tau siv 6 grams dej qab zib, ntxiv 20 tee ntawm txiv qaub kua txiv, ntxiv rau 40 tee ntawm peroxide. Tom qab ntawd koj yuav tsum txhuam koj cov hniav nrog cov cuab yeej no thiab tsis kam noj 20 feeb.
massage
Cov txheej txheem no thaum muaj cov tsos mob ntawm cov kab mob hauv cov menyuam yaus thiab cov neeg laus yog qhov tseem ceeb heev. Nws pab ntau heev. Nws yog ib qho tsim nyog yuav tau siv maj mam zaws, ntiv tes thiab lub tshuab nqus tsev. Cov tom kawg yog ua tiav nrog kev pab ntawm cov cuab yeej tshaj lij, thiab thawj zaug yog ua tiav nrog txhuam hniav, uas tso cai rau koj los txhawb cov ntshav ncig. Massage yuav tsum tau ua thaum yav tsaus ntuj. Nco ntsoov tswj lub zog ntawm cov pos hniav.
Lub tshuab nqus tsev yog qhov zoo heev rau kev tiv thaiv kev loj hlob ntawm tus kab mob thaum ntxov. Cov txheej txheem no tuaj yeem ua los ntawm kws kho hniav lossis los ntawm tus kws kho mob lub cev. Qhov no yog ua tiav nrog kev pab ntawm lub tshuab nqus tsev, uas tso cai rau koj los ua kom cov ntshav txaus. Nws txhawb nqa thiab txhawb nqa cov pos hniav.
Txoj kev mob tshwm sim
Peb tau saib cov tsos mob thiab kev kho mob ntawm cov kab mob hauv cov neeg laus. Cov duab ntawm tus kab mob tsis zoo li aesthetically pleasing, yog li peb tsis qhia lawv ntawm no.peb yuav. Nws yog ib qho tsim nyog them sai sai rau qhov tshwm sim ntawm tus kab mob. Yog tias koj pib mob periodontal, koj tuaj yeem tau txais cov teeb meem loj. Ib qho ntawm cov no yuav tsum tau muab sau tseg tias qhov poob ntawm cov hniav thaum ntxov ntxov. Raws li tus kab mob kis mus ntxiv, cov hniav yuav oscillate hnyav, cov pob txha septum yuav ploj tag, thiab cov gingival margin yuav qis heev uas cov cag cementum yuav dhau los ua tsis pom.
ntsuas kev tiv thaiv
Peb tau tshuaj xyuas cov tsos mob thiab kev kho mob ntawm cov kab mob periodontal. Daim duab nyob rau hauv qhov pib ntawm tsab xov xwm qhia txog yuav ua li cas ib tug noj qab nyob zoo cov hniav txawv ntawm ib tug mob. Txhawm rau zam cov teeb meem zoo li no, nws yog ib qho tsim nyog yuav tsum tau ua kev tiv thaiv. Nws yog qhov yooj yim dua los ntxiv dag zog rau cov pos hniav dua li kho lawv tom qab. Cov txheej txheem tiv thaiv yog yooj yim heev, yog li tsis muaj kev siv zog tshwj xeeb.
Saib qhov ncauj huv si. Qhov no yog qhov tseem ceeb tshaj plaws hauv kev kho hniav. Koj yuav tsum tau mus ntsib kws kho hniav tas li txhawm rau tshem tawm cov nyiaj tso rau ntawm cov hniav. Lub cev nws tus kheej yuav tsum tau noj thiab ntxiv dag zog. Nco ntsoov xyuam xim rau koj cov zaub mov, nws yuav tsum sib npaug. Nws yog ib qho tsim nyog yuav tau noj cov vitamins thiab minerals, tshwj xeeb tshaj yog nyob rau lub caij ntuj no. Koj yuav tsum ntxiv dag zog rau lub cev tiv thaiv kab mob thiab kho cov kab mob hauv nruab nrog cev.
Nco ntsoov tias tus kab mob no hnyav heev, yog li ua tib zoo saib xyuas koj lub qhov ncauj kom zoo dua. Pathological manifestations ua rau ib tug neeg luag ntxhi dab tuag, yog li peb yuav tsis qhia cov tsos mob tsis kaj siab nyob rau hauv daim duab. Kev kho tus kab mob periodontal hauv tsev yog qhov yuav tsum tau ua, tab sis nws yuav tsum tau txais kev txhawb nqaphysiotherapy thiab cov txheej txheem kho mob. Txhua qhov teeb meem hauv kev kho tus kab mob no yog vim tsis muaj cov ntaub ntawv raug thiab txhim khu kev qha ntawm nws qhov ua rau. Yog li ntawd nws yog qhov zoo tshaj plaws los tswj kev noj qab haus huv kom tsis txhob muaj kab mob hauv lub cev.
Results
Nws kho tsis tau tus kab mob no kiag li. Qhov no yog vim qhov tseeb tias qhov ua rau nws tshwm sim tsis paub. Txhawm rau kom tsis txhob muaj kev puas tsuaj, koj yuav tsum tau ua raws li cov kws kho mob tau sau ntawv, kho thiab ua tib zoo saib xyuas lub qhov ncauj. Yog li, qhov kev tso siab ruaj khov tuaj yeem ua tiav. Tus kab mob no tsis kis tau, nws tsis kis los ntawm kev sib cuag. Qee qhov xwm txheej, cov khoom siv prosthetics raug tso cai, tab sis qhov no tsis yog ib txwm tsim nyog. Tom qab kev soj ntsuam nruj thiab kuaj X-ray, tus kws kho mob yuav muaj peev xwm hais meej seb puas tuaj yeem ua tau prosthetics. Yog tias peb tab tom tham txog kev puas tsuaj tag nrho ntawm cov pob txha, vim tias cov hniav ntog tawm, cov hniav tshem tawm tau muab tso rau. Raws li txoj cai, txuas hniav tsis raug ntsia, vim cov hniav abutment tuaj yeem xoob lub sijhawm.
