Ngaphansi kwethonya lamasu amaningi asebenzayo futhi angaphandle, izinambuzane ezinamaqabunga kanye nezicubu ezinomsoco ezincane zingashiswa. Leli fomu lesi sifo livame kakhulu kubantu abasha (engaphansi kweminyaka engama-35), ikakhulukazi ngokuhlanzeka komlomo nokuntuleka kwezivivinyo zokuvimbela udokotela wamazinyo.
Izimbangela ze-catarrhal gingivitis
Izimo ezilandelayo zingabangela izinqubo zokuvuvukala:
- ukudluliselwa kwama-pathologies ezithathelwanayo;
- izifo ezingapheli ze-endocrine, isimiso senhliziyo noma sokugaya ukudla;
- ukushintshashintsha kwama-hormone;
- izifo ezizimele;
- ukubhema;
- hypovitaminosis;
- ukuthatha imithi ethile;
- ukulimala kwemisebe;
- izinkinga ze-hematopoiesis.
I-catarrhal gingivitis yendawo neyejwayelekile ivela ngaphansi kwethonya lezici zendawo:
- ukuhlukumeza kumazinyo;
- iphutha elingalungile;
- i-caries, ikakhulukazi ezindaweni zomlomo wesibeletho;
- amaphutha ekufakweni kwezimpawu, amazinyo, ama-veneers nama-braces;
- indawo engapheliyo;
- i-frenum encane yomlomo;
- ukungavamile kwamazinyo.
Isizathu esiyinhloko se-catarrhal gingivitis yi-plaque ye-bacteria - i-biofilm noma i-microbial plaque. Iqukethe ikakhulukazi ama-microorganisms anaerobic:
- i-prewatel;
- i-fusobacteria;
- i-treponem;
- porphyromonads nezinye.
Kukhona inani elincane lama-aerobic microbe ku-plaque:
- streptococci;
- actinomycetes;
- staphylococci.
I-gingivitis enempilo futhi engapheli - izimpawu
Umfanekiso wesitholampilo wezifo ezichazweyo ubonakala ngokuhamba kwesikhathi nokuma kwawo. Uhlobo olunzulu lwe-pathology lubonakaliswa ngokuveza izimpawu ezithile, okusiza futhi kuphuthumise ukuxilongwa. Njengoba ifomu elingapheli lesi sifo, i-symptomatology ibuthakathaka, ikhumbula ezinye izinkinga zomlomo womlomo, ngakho-ke i-catarrhal gingivitis elukhuni iyahlukahluka ngefomu layo le-hypertrophic nezifo ezilandelayo:
- i-vulgar pemphigus;
- izinga eliphansi le-periodontitis;
- lichen elibomvu flat;
- stomatitis nabanye.
Umehluko we-catarrhal gingivitis kusuka e-hypertrophic
Ezimweni ezingavamile, ukuvuvukala kwezinsini kuhambisana nokwanda kwezicubu zabo nokwakhiwa kwamapokethe amanga. Izimpawu zalolu hlobo lwe-pathology zifana nezibonakaliso zemitholampilo ye-catarrhal gingivitis engapheli, kodwa izifo zingakwazi ukuhlukaniswa kalula yi-hyperplasia yezinambuzane ezinamaqabunga. Uma izinsini ziqala "ukugxila" ku-koqweqwe lwawo, ukufaka ingxenye eyodwa kwezintathu noma ngaphezulu komqhele wezinyo, kunesimo se-hypertrophic lesi sifo.
Gingivitis engapheli - izimpawu
Kunzima ukuzimela ngokuzimela lesi sifo, ngoba izibonakaliso zayo azibonakali kahle, futhi izinzwa ezibuhlungu azikho. I-catarrhal gingivitis engapheli ibonakala kanje:
- i-cyanosis (i-reddening eqhubekayo) yezinsini;
- ukunambitheka kancane kwegazi emlonyeni;
- ukuphuma kwegazi encane lapho uhlanza amazinyo kanye neminye imonakalo encane emagqumeni amancane;
- umuzwa we-raspiraniya ezinsini (okungavamile).
I-catarrhal gingivitis enobuchopho ibonakala ngokuba khona kwezinga eliphakeme le-plaque elimhlophe noma le-beige. Akususiwe ngisho nokuhlanzwa okusezingeni eliphezulu ekhaya usebenzisa ibhulashi kagesi, irrigator kanye ne-floss ekhethekile. Emanzini ahlukene, ikakhulukazi engxenyeni yangaphakathi yomqhele, isibalo esibomvu esibonakalayo sibonakala ngokucacile.
I-gingivitis enembile - izimpawu
Izindlela zokuqala zokukhula kwesifo zihambisana nezibonakaliso ezinjalo:
- itching in the izinsini;
- ubomvu obukhulu;
- ukuvuvukala kwamagundane emlonyeni emlonyeni;
- ukuphuma kwegazi;
- iphunga elibi emlonyeni;
- ukuzwa okubuhlungu lapho uxubha amazinyo, ukufuna ukudla;
- ukuzwa okuvuthayo.
I-catarrhal gingivitis enamandla ngamafomu amaqanda angaphakamisa ukwedlula zonke izidakamizwa:
- ukwanda kokushisa;
- ubuhlungu besisu;
- isicasuli;
- ama-aches emajoyini;
- isiyezi;
- ukubuthwa nokuzonda.
Catarrhal gingivitis - ukuxilongwa okuhlukile
Ukuthuthukiswa kwezifo ezichazweyo kunqunywe yi-periodontist oqeqeshiwe, uhlanzekile noma udokotela wamazinyo. Udokotela usekelwe ekubonisweni kwemitholampilo etholakalayo kanye nemizwa yokuziphendulela yesiguli, ukubukeka kwezinsini. Uma i-catarrhal gingivitis iqhubekela phambili, izibungu ezinomlomo emlonyeni zivulekile, ziyavuvukala futhi zibomvu, ziphuphuma uma zihluma futhi zitholwa. I-papillae ekhonjiwe ihlanganiswe, ibuyiselwa. Ekuhloleni okubukwayo, ama-microbial deposit on koqweqwe lwawo, ama-tartar and carious ezindaweni ezinomlomo wesibeletho abonakala ngokushesha.
Kunzima kakhulu ukuqinisekisa ukuthi i-catarrhal gingivitis engavamile - ukuxilongwa okuhlukileko kuhlanganisa izifundo ze-instrument and laboratory:
- Inkomba ye-Green-Vermilion;
- probe probe;
- uhlolo lwe-Schiller-Pisarev;
- Inkomba ye-papillary-marginal-alveolar;
- i-reoparodontography;
- Uhlolo lukaMüllmann lwe-gingivitis;
- ukuhlaziywa kokubunjwa kwe-gingival fluid;
- I-Doppler flowmetry;
- i-microscopy ebalulekile;
- inkomba yeSilnes-Lohé;
- Ukuhlaziywa kokuziphatha kwamathambo;
- i-biopsy ye-membrane yamangcwaba;
- i-orthopantomography;
- Icala laseKuzzhenko;
- i-radiography yama-panoramic;
- inkomba yokuhlanzeka iFurorova-Volodina;
- i-polarography.
Kusukela ohlwini olunikeziwe, udokotela ukhetha izifundo ezimbalwa ezidingekayo, futhi ngesisekelo semiphumela yabo yenza ukuxilongwa. Ukuqinisekisa izinsolo ze-gingivitis kunezincazelo ezanele zokwakheka kwe-bacterial plaque, ukujula kokujikeleza kwegazi ezinsini kanye nama-sampuli e-hygienic. Inqubo yonke yokuxilongwa yenziwa ngokushesha, emitholampilo ehlomele kahle ithatha cishe imizuzu engu-15-25.
Indlela yokuphatha i-catarrhal gingivitis?
Ukwelashwa kwe-pathology kuthatha izinsuku eziyi-10-14 nesidingo sokuvakashela ngezikhathi ezithile ehhovisi lamazinyo. Ngaphambi kokuqokwa kwamakhemikhali ezemithi, umhlinzeki wezokuhlanzeka uzothola indlela i-catarrhal gingivitis eyenzeka ngayo - ukwelashwa kusekelwe ebucayi bezimpawu zalesi sifo, izimbangela ezibangele, kanye nokuqhubeka kwesifo. Okokuqala, udokotela uhlambulula ngokucophelela izinyosi zamazinyo kanye nezinsini ezivela emaceleni ezincane, amabhayisikobho nama-bacterium, bese unikeza izincomo ezithile.
Ukwelashwa kwe-catarrhal gingivitis engapheli
Lapho kususwe imali elula futhi enzima, ukwelashwa okuvamile kwesifo somlomo kuyadingeka ukuvimbela ukubunjwa kabusha. Ukwelashwa kwe-catarrhal gingivitis kuhlanganisa:
- izinsini ezigcoba ngesisombululo se-Chlorhexidine (izikhathi ezimbili ngosuku);
- ukusetshenziswa kwamazinyo wokugcoba ama-antiseptic (Asepta);
- ukwelashwa kwezicubu ezilimele nge-miramistin, i-furacilin;
- ukusetshenziswa kwama-bandage ane-ointments aphikisayo (Metiluracil, Butadion nabanye);
- izicelo nge propolis, i-Romazulon, i-Chlorophyllipt.
I-catarrhal gingivitis engapheliyo ejwayelekile engenayo iphathwa ngokujulile:
- ukuthatha ama-antibiotics kanye nama-multivitamini;
- i-electrophoresis;
- ukusetshenziswa kwezidakamizwa ezingekho-steroidal anti-inflammatory;
- ukuhlelwa kwemininingwane ;
- i-hydrotherapy;
- ama-ultrahigh-frequency currents;
- i-vacuum ne-vibromassage yezinsini;
- i-ultraphonophoresis.
Indlela yokuphatha gingivitis acute?
Ngezimpawu ezinzima nokuthuthukiswa okusheshayo kwe-pathology, lesi sifo singakwazi ukunqanda ngemva kokususwa kwe-plaque microbial kanye ne-tartar. Uma lokhu kungakusizi, futhi kutholakala ukuthi i-catarrhal gingivitis ephuthumayo - ukwelashwa kufana nezinyathelo zokwelapha zokubopha uhlobo oluhlala njalo lwesifo. Ngaphezu kwalokho, odokotela bamazinyo batusa ukuba bathole futhi baqede imbangela yangempela yesifo sezinsini:
- ukugcwalisa izindlu zangasese zomlomo ngomlomo, uma kunesidingo - ukuguqulwa kwezimpawu, izidakamizwa nezinye izakhiwo;
- ukukhipha ukwelashwa;
- i-plastic frenum;
- ukulawula ukungajwayelekile esimweni samazinyo;
- ukulungiswa kokuluma ;
- ukwelashwa kokugaya ukudla, i-endocrine, izifo zenhliziyo.