Ukuvakashelwa odokotela bamazinyo njalo kufanele kube umkhuba kusukela ebuntwaneni. Zizokusiza ukuvimbela izinkinga eziningi ngamazinyo omntwana, kuhlanganise ne- caries okuqhubekayo nokusebenza kwayo - i-pulpitis. Ukuhlolwa okuvimbelayo kuzokuqinisekisa ukubunjwa okufaneleko kwezakhiwo zomhlathi.
Izinyo lesipulpitini - kuyini ezinganeni?
Izitho zesikhashana emgodini womlomo zinesakhiwo esijwayelekile:
- i-koqweqwe lwawo;
- i-dentin;
- i-pulp.
Okokugcina okukhonjisiwe okuyizinto kuyisisindo esithambile lapho imithwalo yegazi nezintambo zomzimba zikhona. I-pulpitis ezinganeni ichazwa njengokuvuvukala okukhulu ngaphakathi kwezinyo. I-pathology ingenzeka ngesimo esibucayi nesiguli, iqhubekela phambili ngokushesha. Lokhu kungenxa ye-koqweqwe elihle le-koqweqwe lwawo kanye nesigaba esingaphansi se-dentin, zibhujiswa kalula nganoma yimiphi imiphumela emibi.
Izimbangela ze-pulpitis ezinganeni
Isici esiyinhloko esibangela lesi sifo esibucatshangwayo kubhekwa njengecars. Ama-bacterium ahlala futhi azalise emigodini emnyama ayakhulula ngokukhululekile ukukhishwa kwe-toxin. Lezi zinhlanganisela ezinobuthi zibhubhisa kancane kancane u-koqweqwe lwawo kanye ne-dentin, okwenza ukuba i-pulpitis yezinyo zobisi. Izinqubo ezingezansi zokuvuvukala ezinomonakalo emagqabeni ezinzwa ziqala ezinye izizathu. I-pulpitis yamazinyo omntwana ezinganeni ngezinye izikhathi kwenzeka ngokumelene nesimo sezinkinga ezilandelayo:
- ukulimala kwemishini;
- udlulisele ukutheleleka okunamandla, okuhambisana nokunciphisa ukuzivikela, i-bacteria;
- ukwelashwa okunzima ngesikhumba esinqunyiwe ngesikhathi sokwelashwa;
- ukuxubana ngengozi yesikhumba ngodokotela wamazinyo;
- impahla engagcini noma engalungile yokugcwalisa;
- ukushisa izicubu ezithambile zezinyo zobisi esiteji sokulungiselela;
- ukuphathwa kwendawo ethintekile nge-antiseptic enonya noma ecasulayo.
I-pulpitis enganeni - izimpawu
Ukubonakaliswa kwemitholampilo yezifo ezichazwe kuye kuxhomeke kwisilinganiso sokuqhubekela phambili kwayo kanye nesimo se-pathology. Kwezinye izimo, kunzima kakhulu ukusola i-pulpitis yezinyo lomntwana - uphawu olubonisa ukuvuvukala okungase kungabi khona, kanye nanoma yiziphi izikhalazo ezisuka kumntwana. Ngenxa yenkambo efihlekile yezinhlobo ezithile zezifo, ochwepheshe bayeluleka njalo ukuba bavakashele udokotela wamazinyo ukuze bahlole izivivinyo.
I-pulpitis enhle ezinganeni
Lolu hlobo lwesifo lubonakala lusemncane kuphela, kusukela eminyakeni engu-3 ukuya kweyisithupha, lapho izimpande sezivele zakhiwe ngokugcwele, kodwa zingakabikho ukulungiswa kwemvelo (ukulungiswa kwemvelo "). I-pulpitis yezingane ezinamazinyo ezinsana ngesimo esibucayi ibonakala ngobuhlungu obukhulu, ukubhoboza. Iqinisa ebusuku futhi kusihlwa sokulala, ukuhlunga kwemifino kanye nokuhlafuna kokudla okuqinile kungenakubekezelelwa. Lesi sibonakaliso sichazwa ngokukhethekile ekuqoqweni kwezicubu ezithambile kanye nezigxobo eziqhamukayo.
Ezinye izimpawu ezihambisana namazinyo e-milk pulpitis:
- ukuzwela kokushisa nokubandayo;
- ukwandisa ezindaweni zamakhemikhali eziseduze;
- ukuvuvukala okubonakalayo kwehlathi noma izindebe.
I-pulpitis engapheli ezinganeni
Ukuvuvukala okungenangqondo ngokuvamile kuvame ukungena emlandweni wenqubo enzima, uma ingakapheli. I-pulpitis engapheli yamazinyo okwesikhashana ezinganeni kunezinhlobo ezintathu:
- i-fibrous;
- i-gangrenous;
- hypertrophic.
Isici salolu hlobo lwesifo yiyona engekho enkulu yezibonakaliso ezinzima. Ukuvuvukala isikhathi eside kwezinyosi zobisi kwenzeka phambi kwemigodi ejulile neyinkimbinkimbi, ngezinye izikhathi itholakala ngemuva kokufaka uphawu olungenakulinganiswa. Ezingama-50-60% zamacala we-pulpitis asakazeka ezihlotsheni eziseduze, ikakhulukazi i-periodontium. Izimo ezinjalo zidinga ukucaciswa kohlelo lokunciphisa kanye nokusebenza kokuqala kwe-X ray.
I-pulpitis enamandla ezinganeni
Leli fomu lenqubo yokwelashwa yiyona evame kakhulu phakathi kwezikhukhula ezingapheliyo. I-pulpitis enobungozi yezinyo zobisi ingahlakulela ngokuzimela, ngaphandle kwesigaba esiphezulu se-acute. Kuhambisana nezibonakaliso ezinomzimba, ngezinye izikhathi zihlolwe ngengozi, ekuhlolweni okuvamile nomama wamazinyo. I-pulpitis engapheliyo emantwaneni inezibonakaliso ezilandelayo:
- inqwaba yamatende emazinyo avela ohlangothini oluthintekile;
- ubuhlungu obuhlungu lapho udla, ukuhlafuna okusebenzayo;
- ukungakhululeki uma uphefumula emoyeni abandayo noma usebenzisa iziphuzo ezibandayo.
I-pulpitis ye-Gangrenous
Loluhlobo lwesifo luhlala lukhona ngokumelene nesizinda sokuvuvukala okunamandla okungahambi kahle noma okungapheliyo okuphefumulayo, okungazange kuphathwe. Inqubo yokwelapha isifo sokuphindaphinda kwama-microflora anaerobic. Ama-bacterium e-Pathogenic ngesikhathi sokuphila ephuma emathunjini abangela ukushona kwezicubu ezithambile zinozinyo zobisi nezinyopho eziphelile kuwo. Ngenxa yalesi sizathu, ubuhlungu be-syndrome abukho ngokuphelele, noma buyinto engavamile kakhulu futhi emva kokudla okushisayo, iziphuzo.
I-pulpitis engapheliyo-i-gangrenous - izimpawu:
- iphunga elimnandi , elifakwe emlonyeni , i-aftertaste efanayo;
- ukushintsha umbala wezinyo zobisi, ukuthola i-grey noma black hue ;
- uzizwa unesizungu, u-raspiraniya emhlathini.
I-pulpitis ene-hypertrophic ezinganeni
Ukuhluka okuchazweyo kwenqubo yokuvuvukala kubangelwa ukugqugquzela okuqhubekayo kwama-tissue evulekile angaphakathi ozinyo wobisi ngokuhlukumeza okuqinile kwengxenye yomqhele. I-pulpitis ene-hypertrophic ukusabalala kwayo, ukugcwaliswa kwemikhakha edibeneyo ne-granulation nezinhlaka ezithambile ezisebenzayo. Leli fomu lesi sifo alitholakali, ikakhulukazi ezinganeni ezingavakashelani nodokotela wamazinyo njalo.
I-pulpitis ye-hypertrophic yezinyo zobisi ibonakala ngezibonakaliso ezinjalo zemitholampilo:
- izinsini eziphuma igazi ngenkathi bedla nezinqubo zokuhlanzeka;
- ukubeka i-plaque esithambile kumazinyo ukusuka ohlangothini olonakele;
- catarrhal gingivitis ;
- ngezinye izikhathi - ubuhlungu obukhulu uma uhlafuna.
Ingane inamazinyo okwenza lokho?
Abanye abazali bayakuyekethisa ukunakekelwa kwezakhiwo zethambo zesikhashana, bebhekisela eqinisweni lokuthi maduzane bazophuma. Lokhu kuyindlela engafanele, kubalulekile ukuma ngesikhathi esifanele futhi uvimbele ama-pulpitis amazinyo emntwaneni ezinganeni - ukwelashwa kuyadingeka kakhulu ukuvimbela izinkinga zenqubo yokuvuvukala nokubuyisela ubuqotho bomugqa womhlathi. Uma kungekho ukwelashwa, isimo esiyingozi sesi sifo sizodlulela emiphumeleni engapheliyo, engathà sina ingenzeka, kuze kube yilapho kunqotshwa izitho zangaphakathi kanye ne-sepsis.
Ipulpit yezinyo zobisi - ukuphatha noma ukususa?
Ngomkhuba wamanje wamazinyo, kuyinto engavamile kakhulu ukuqeda ama-bones form okwesikhashana. Lapho ebuzwa ukuthi kuyadingeka yini ukwelapha ama-pulpitis amazinyo omntwana, noma yiluphi uchwepheshe oqeqeshiwe ozophendula kahle. Kubalulekile ekwakheni kahle umhlathi, izakhiwo ezingapheli, ukufaka izingane inzalo ekulondolozeni impilo yomlomo nokuvakashelwa okuhlelekile kudokotela ukuze kuhlolwe izivivinyo.
Ukwelashwa kwe-pulpitis kwamazinyo ezinsana kuyasiza nakakhulu:
- silondoloze izinkomba zesikhashana kuze kufike isiteji sokuqhuma kokuhlala njalo ;
- phuthukisa i-aesthetics ye-dentition;
- ukuvimbela ukutholakala kwemikhuba emibi enganeni (ukuzwa ngolimi lwezintambo eziqhakazile);
- ukuvamisa imisebenzi yokuhlola;
- lungisa indlela yokubiza amagama nezinhlamvu.
Izindlela zokwelapha i-pulpitis ezinganeni
Kunezinketho eziningana eziphumelelayo zokwelashwa kwenqubo yokuvuvukala:
- Indlela yokwelapha noma yemvelo yokwelashwa kwe-pulpitis ezinganeni. Le ndlela isetshenziselwa kuphela izigaba zokuqala zesifo esibi noma ukuvuvukala okungapheli okungamaphilisi angajulile. Le nqubo ihilela ukulondolozwa kwe-pulp yonke. Ukwelapha kuyinto ejwayelekile emihlanganweni emibili. Ngenkathi yenqubo yokuqala, izindawo eziyinkimbinkimbi zihlanzwa, inhlanganisela yokwelapha isenzo sokulwa nesibindi esusa ukuvuvukala kufakwe ezindaweni ezingenalutho. Ngesikhathi sokuphathwa kokubili, uphawu lufakwe. Ngezinye izikhathi ukwelashwa okulindelekile kwe-pulpitis yezinyosi zobisi kwenziwa ngokuvakashelwa okukodwa, uma izinga le-inflammatory process libuthakathaka futhi hhayi amathambo amaningi kanye nezicubu ezithambile zibhujiswa.
- Izindlela ezibalulekile zokwelapha. Ukuxoshwa kuhilela ukukhipha kuphela ingxenye engenhla ye-pulp (ngaphansi kwe-anesthesia). Ukusebenza kwezicubu ezithambile izimpande kugcinwa. Lapho kukhishwa, uginindela uhlanzwa ngokuphelele, futhi i-voids eyakhiwe igcwele izinto zokugcwalisa.
- Izindlela zokuzinikela zokwelashwa. Izinhlobonhlobo ezinjalo ziyanconywa ukusebenzisa uma i-pulpitis ejulile yezinyo zobisi ezonakele itholakele. Ngaphambi kokuqothulwa noma ukukhulelwa, izicubu zakhe, kanye nezinzwa eziseduze, zenziwa futhi zenziwe ngamalungiselelo akhethekile, ngemva kwalokho kuqinisekiswe uphawu.
Ukwelashwa kwamazinyo amazinyo emantwaneni ezinganeni - izigaba
Izindlela eziphumelela kakhulu zokwelashwa yizindlela ezibalulekile nezokuzinikela. Lokhu ukwelashwa kwe-pulpitis ezinganeni kwenziwa ngokuvakashelwa kuka-2-3. Phakathi neseshini ngayinye, udokotela wamazinyo akagcini nje ukuhlanza izigxobo eziqhamukayo, ususa ukuvuvukala futhi abuyisele ubuqotho bomqhele, kodwa futhi uphinde ahlole uhlelo lokwelapha, ahlole izinga lokusebenza kwalo.
Nansi indlela i-pulpitis yamazinyo omntwana aphathwa ngayo:
- i-anesthesia;
- ukuhlanza kanye nokwelashwa kwesifo sokulwa nesifo sofuba ezindaweni ezimele;
- ukufakwa kwamalungiselelo akhethekile (ama-antibiotics, ama-pastes acacile);
- ukuhlanza okwezinye izigxobo ezidakayo;
- ukususwa okuphelele noma okuyingxenye ye-pulp;
- ukucubungula imisele yamanzi;
- ukugcwalisa nokubuyiselwa komqhele.
Izinkinga zokwelashwa kwe-pulpitis yamazinyo ezinsana
Udokotela wamazinyo wezingane ugcwele izinhlayiya eziningi, kusukela ekuziphatheni okukhathazayo kweziguli ezincane, ezivimbela udokotela, futhi ziphelile ngezici ezithile zesakhiwo somhlathi kanye nezitho zalo. Kule ndaba, emva kwezinqubo zokwelashwa, kunenkinga ngezikhathi ezithile eziphakama ezidinga ukunakekelwa okusheshayo, okunolwazi. Kubaluleke kakhulu ukubonana nodokotela ngokushesha uma umkhuhlane ubonakala. Ukushisa okuphezulu ngemuva kokwelashwa kwe-pulpitis ezinganeni kubonisa ukuvuvukala okuqinile.
Ezinye izinkinga ezikhona:
- i-gingival yegazi ngenxa yokulimala kwama-tissue;
- ubuhlungu obukhulu, ukushisa ngokufaka okungalungile kokunamathela kwezokwelapha;
- ukuvuvukala nokuvuvukala ngenxa yomonakalo kumcibisholo noma izingcezu zensimbi yamazinyo ngaphakathi komsele.