Ukukhutshwa kwezinyo kukho konke okufuneka ukwazi malunga nenkqubo

Kuzo zonke iintlobo zendlela yokuhlinzwa yamazinyo, ukukhutshwa kwezinyo kuyona eqhelekileyo. Ndiyabulela kuphuhliso lweendlela ezintsha zokwelapha, le nkqubo isetyenziswa kuphela kwiimeko ezimbi kakhulu. Ngaphezu koko, kwanokuba ususwe kunye noxinzelelo oluncinci kunye neemeko ezintle zikhokelela ekubeni utshintsho olukhulu kumzimba.

Kufuneka nini ukususa iinyo?

Isigqibo sokususa izinyo sithathwa ngumgqithisi wamazinyo emva kokubhalwa kweemviwo, kwaye kaninzi kufuna ukuxilongwa kwe-X-ray. Ngokuxhomekeke kubuqili beenkqubo zentsholongwane, umsebenzi unokucwangciswa okanye unxinzelelo. Ngokuqhelekileyo, ukuphathwa kakubi kwenziwa phantsi kweemeko zesigulane, nangona kunjalo, kwimeko yesigulane esinzima, ukususwa kungenziwa kwisibhedlele.

Izibonakaliso eziphambili zokukhutshwa kwezinyo zifana nomcimbi wokuphuthuma oku kulandelayo:

• ukuvela kwesibindi sokuvuvukala, ukutshintshela kwiethambo zamathambo (i- osteomyelitis , periostitis ) ngenxa yezinyo ezigulayo;
• i-absillary abscesses, i- phlegmon , i-lymphadenitis ye-purulent, i-sinusitis ehambelana nokutshatyalaliswa kwezinyo ezingenayo i-conservative;
• ukuqhekeka kwezinyo-ubude, kwinqanaba lesithsaba kunye nokuvezwa kwe-pulp ukuba akunakwenzeka ukubuyisela ngeendlela ezizimeleyo.

Ukuqhuba iindlela zokucwangciswa ezicwangcisiweyo kunokumiselwa ngexesha elithile, ngezinye izihlandlo ezidlulileyo zonyango olufunekayo (ukususwa kwama-dent, i-antibiotic therapy, ukuthatha izidakamizwa ezichasayo, njalo njalo). Kwezinye iimeko, ukulibazisa ukususwa kwezinyo ezigulayo kuyadingeka de ukuba imeko yesigulane igxininiswe, ukuxolelwa kwenzeka kwiimeko ezithile zentsholongwane (izifo zentsholongwane egazini, i-hypertension, i-arrhythmia, i-stomatitis, njl.). Amazinyo ahleliweyo asuswe ngokwemiqathango elandelayo:

• i- periodontitis engapheliyo kunye ne-obstruction of root root, kunye nobunzima be-neuralgia, sinusitis;
• i-periodontitis ngeesithathu zokuhamba kwamazinyo;
• ingcambu yokutshatyalaliswa kwezinyo, apho kungenakwenzeka ukuseka isakhiwo semifuyo;
• isikhundla sama-teeth esesigxina, esingaxhomekeke kulungiso kunye nokukhokelela ekuphulaphuleni imisebenzi yokuhlafuna, intetho, ukukhathazeka okungapheliyo kwimizimba emlonyeni;
• ukuphuka kwengcambu yezinyo;
• ukuphuka komhlathi , apho inyolo ikhona kumgca weqhekeza;
• izihlamba zomhlathi;
• isidingo seprothekthi (amazinyo angamaqabane, ayanzima ukufaka iprothesis);
• amazinyo anqumle kuphela, okubangela ukuvuvukala okungapheliyo kwezicubu kunye nentlungu.

Indlela yokulungisa iliso?

Ngokwesiko, ixesha elifanelekileyo lokwenza umsebenzi ophuphayo kusasa. Oku kubangelwa kukuba ekuseni, umzimba ogcwele amandla kunzima ukuthwala nayiphi na ingcinezelo kunokuba kusihlwa. Ukongezelela, intlungu emva kokukhutshwa kwezinyo kukulungele ukunyamezela emini, xa kukho, kunokuphazamisa, nokuba ungabandezeleka, ungalali ebusuku. Ukuba kukho naziphi iingxaki, kulula ukuthetha nogqirha ngexesha lokusebenza.

Iingcebiso eziphambili kulabo abalindela ukukhutshwa kwezinyo zino zilandelayo:

1. Ukuba i-anesthesia jikelele ingacwangciswanga, kufuneka udle iiyure eziyi-1.5-2 ngaphambi kokutyelela kwidokotela wamazinyo, kuba emva kwithuba elithile emva kokuphathwa kakubi awuyi kudla, kwaye oku kuya kunciphisa umngcipheko wokuphaphaza (igazi liya kupheliswa ngokukhawuleza) kwaye unciphise umonakalo.
2. Ukuvuvukala okukhulu, kuyamkeleka ukuthabatha, kulunge ngaphezu kokusuka kwezityalo (ngokusekelwe kwisistim se-valerian, motherwort), kwisilinganiso esifanelekileyo.
3. Ukupheliswa kotywala olunye usuku ngaphambi kokuhlinzwa.

Ngaba kubuhlungu ukuphula izinyo?

Kwiimeko zanamhlanje ukukhupha iinyo - kungenabuhlungu, ngenxa ye-anesthetics ye-qualitative yezenzo zendawo. Ngona novelwano olwandisiweyo kwiintlungu, le nqubo ingenziwa ngeyona nto incinci yokuvalelwa kwesigulane. I-analgesic isistim ejoyiweyo iqala ukusebenza emva kwemizuzu embalwa, kwaye umphumo wayo uqhubeka ngeeyure eziliqela. Kuphela emva koko kukho ukuvalelwa kwintlungu kwindawo yesikhokelo senyosi ekhutshweyo, ephantsi koko iyancipha kwaye inokumiswa ngabapilisi bomlomo.

Umbuzo woluhlobo lwe-anesthesia luvunyelwene nogqirha, onyanzelekile ukuba afune kwaye ahlole ukuba isigulane sinomdla wezilwanyana ezinconywayo. Xa ukhetha iyeza, i-pathologies ekhoyo ingqalelo. Ngokuqhelekileyo, kusetyenziswa iindlela zokujova - ngoncedo lwejoza, ngaphambi kokuba isicelo se-analgesia ye-anesthetic yesayithi yokufaka inaliti sinokwenzeka. Ukukhutshwa kwezinyo kungenziwa ngokusebenzisa enye yeendlela ezilandelayo ze-anesthesia:

1. Umqhubi-injini yenziwa kwindawo yenkinzo yokugqibela emgceni, apho igatsha lentsholongwane lifumaneka khona, kwaye ke yonke imbilini ivinjiwe (i-anesthesia yamazinyo amaninzi).
2. Ukungenelela-iyeza lijojowe kwindawo yokucwangciswa kwengcambu yezinyo okanye kwi-gum ukusuka kwicala lomlomo okanye ukusuka esibhakabhakeni ukuya ekupheleni kweengcambu.
3. I-intra-connective - injection yenziwa yirinjiya ekhethekileyo ngokusebenzisa i-gum kwixesha lexesha lezinyo, exhasa izinyo kwi-alveolus.
4. Intraosseous - isicatshulwa sisetyenziselwa izicubu zethambo zesipongy, ezinika ukuphumelela okukhulu.

Ukuze i-aneshesia, ngokuqhelekileyo, isetyenziswe izidakamizwa:

• Novocain;
• Lidocaine;
• Articaine;
• Ubistezin;
• Ultracaine.

Ungaqhekeza njani izinyo ngaphandle kwentlungu?

Ngamanye amaxesha, ukukhutshwa kwamazinyo phantsi kwe-anesthesia jikelele, ukukhulula konke ukungathandeki, kodwa oku kubungqina balo:

• inamba enkulu kunye neengxaki zokungenelela okuzayo (ukususwa kweeyunithi eziliqela, ukususwa ngokukrakra kwe "ezisibhozo", inyoyo eneenkqubo zengcambu ye-branched);
• ukungahambi kakuhle kwamachiza kwi-anesthesia yendawo;
• i-reflex ye-reflex;
• ukoyika ukwesaba;
• ukuphazamiseka kwengqondo;
• ezinye ze-endocrine pathologies;
• unyango lwe-osteomyelitis;
• uxinzelelo olunzima lwentsebenzo, njl njl

Ukukhutshwa kwamazinyo phantsi kwe-anesthesia jikelele kwenziwa ngokubandakanyeka kwe-anesthesiologist. Ngenxa yoko, ukulungiselela ukuphuza ukusetyenziswa (Sevoflurane, Halothane, njl.), Ii-agents zokusetyenziswa kwe-intravenous (Propofol, sibutyrate sodium kunye njalo). Kule meko, ukulungiswa okukhethekileyo, ukugcinwa kokubanjwa kwangaphambili, ukupheliswa kwazo zonke iinkcenkcesho kuyadingeka. Emva kwenkqubo, hlala kwiziko lempilo ngexesha elide.

Amazinyo asusiwe njani?

Ngaphambi kokuqothula inyo, umlomo womlomo uphathwa nge-antiseptic kunye ne-anesthetics. Kwiimeko eziqhelekileyo, inkqubo iya kwenziwa malunga nolu hlobo lulandelayo: kuqala kufuneka ukuba ukwandise isothanga lezinyo kwaye uhlukanise izinyo ezivela kwiigaments njengoko iisisithambo zethambo zixinzezelwe. Oku kwenziwa ngokukhupha izinyo ngeengcinezelo ezithile emva nangaphandle kwaye ukusuka kwicala ukuya kwelinye icala. Emva koko, inyosi isuswa emthonjeni kwaye i-swab swab isetyenziselwa ukuyeka ukuphuma kwamanzi. Ngamanye amaxesha kuyimfuneko ukusebenzisa izidakamizwa ze-hemostatic, i-suturing.

Ukususwa kwezinyo

I-retina yenziwe ngokungaqhelekanga enye, eyakhiwe ngokupheleleyo, kodwa ingaphuki okanye ibheke kuphela. Kwiimeko ezininzi, amazinyo anjalo abangela ukuvuvukala, iintlungu, kwaye ngoko kufuneka zisuswe. Ukuxutywa kwezinyo ezinzima okunjalo, okubonakaliswe ukwanda komonakalo, kunika ukuxutywa kwegum, ukuyikhulula esithambo ngokusebenzisa i-boron, ukuchithwa kunye nokukhutshwa. Ngamanye amaxesha inyoyi yahlulwa ngamaqhekeza kunye neyabo ehlukeneyo. Emva koko, iisetyenziso zisetyenziswa.

Ukususa ingcambu yezinyo

Ukususwa kwezinyo, apho kuphela inxalenye yengcambu ehleliyo ngenxa yokutshatyalaliswa kwinqanaba lesithsaba ngenxa yezinto eziphathekayo okanye ezixinzelelekileyo, ezinokuzikhethela kwayo. Kufuneka ukuba uqaphele ukuba ngamanye amaxesha kusenokwenzeka ukugcina ingcambu, ukuba ayinakuchukunyiswa kakhulu, ukufumana unyango kunye nokusebenzisa indawo yokubuyisela, i-prosthetics. Ukususa ingcambu yezinyo, kudla ukuba kudambise iigums, ukutyumza izicubu zinozinyo, ukusebenzisa izixhobo ezizodwa ezifakwe phakathi kwodonga lomgodi kunye nenxalenye yengcambu (iphakethe).

Ukukhutshwa kwezinyo - iingxaki

Njengoko kwimeko nayiphi na into eyenziwa ngokunyangwa, emva kokucinywa kwezinyo, iingxaki ezahlukeneyo zingabonakala. Ezinye zazo ziyimpilo - umsebenzi uhambelana nomonakalo kwizicubu zezinsini, imisipha, iigaments, iinqanawa, iimbilini. Zizimela ngokuzimeleyo iintsuku eziliqela ngaphandle kwonyango. Ezinye - ezinokugula, ezifuna unyango oluphuthumayo. Ukuphendula ngokuqhelekileyo komzimba kunokuqwalaselwa kwezi zilandelayo zibonakaliso:

• intlungu kwindawo yomda kunye naso, kungekhona ukwanda kunye nexesha, kunye nokususwa kweyesisibhozo, isisibhozo nesithandathu amazinyo-ukusasaza emlanjeni, kwingingqi yeendlebe;
• i-edema emva kokukhutshwa kwezinyo, ezichaphazela i-gum nesithambeka, ngokunciphisa ngokunciphisa;
• ukuphuma kwegazi, ukuyeka iiyure eziliqela;
• ukwanda kwindlubhiso yomzimba engaphezulu kwe-38 ° C (akukho ngaphezu kwelanga);
• imbobo emhlophe emva kokususwa kwezinyo kwiintsuku eziyi-3-4 - ukuqiniswa kweendawo apho kwakukhona izinyo, ifilimu emhlophe emhlophe.

Imiphumo yesifo sisifo:

• i-alveolitis (umgodi owomileyo);
• osteomyelitis;
• ukuphuma kwegazi ephuma kwisiseko;
• i-paresthesia (ukulahlekelwa kobubele beelwimi, imilomo, indawo ebusweni).

Ukongezelela, ngenxa yokungakwazi ukusebenza kogqirha, izenzo zakhe ezingalunganga, ukuphuhliswa kwezi ngxaki zinokwenzeka:

• ukukhutshwa kwezinyo ezingaphelele;
• umonakalo okanye ukususwa kwezinyo eziseduze;
• ukuchithwa okanye ukuphulwa komhlathi;
• umonakalo kwi-septum phakathi kwe-sinus maxillary kunye nesigxobo somlomo.

Alveolitis emva kokutsalwa kwezinyo

Uhlobo oluqhelekileyo lwenkathazo emva kokukhutshwa kwezinyo yi-alveolitis, eququzelelwe kwinkqubo yokutshatyalaliswa kwimiba ngenxa yokungena kwe-microorganisms ze-pathogenic. Iimpawu zobume zi:

• intlungu ebuhlungu kwindawo yokukhutshwa kwezinyo, ngokuphindaphindiweyo kwendalo, ebonakala emva kweentsuku ezingama-3-5;
• ukufudumala komzimba okwexesha elide;
• ukwandisa i-lymph nodes;
• ukuphefumula okubi;
• ukuvuvukala esihlathini;
• ukuwohloka kweentlalo-ntle.

Ukushisa emva kokutsalwa kwezinyo

Ukunyuka kwemvelo kwindalo yokushisa, ngenxa yempendulo yokuzivikela ngomzimba kwisalathiso somzimba, kubonakala ngomhla wokuqala emva kokunyanzeliswa. Ngokuthe ngcembe izinga lokushisa kufuneka liqheleke. Ukuba, emva kokutshitswa kwezinyo, udama luvuvukale, ukuvalelwa kwintlungu ebonakalayo, ukuxhaswa kwilonda, akuphilanga ixesha elide kwaye ngexesha elifanayo ukushisa komzimba kugcina kwixabiso eliphezulu ngaphezu kwemihla, oku kuyimpawu ye-symptomatology yenkqubo echaphazelayo.

Yintoni ongayenza emva kokutsalwa kwezinyo?

Ukuba inkqubo iyaqhelekileyo, ngaphandle kweengxaki, akukho unyango olukhethekileyo olufunekayo emva kokutsalwa kwezinyo. Ngokukhawuleza emva kokusebenza, kufuneka ulondoloze uxolo malunga nesiqingatha seyure, ungathethi, gcina intambo kwindawo. Ukuthintela ukuvuvukala okukhulu kwisihlathini esivela kwicala lezinyo elikhutshiwe, i-compress yokubanda ingasetyenziswa. Ukongeza, emva kokususa inyo, kufuneka:

1. Ukuthintela kumsebenzi osebenzayo, ukuhlamba, i-saunas iintsuku ezimbalwa.
2. Phuza uze udle iiyure eziyi-2-3.
3. Ukuhlamba ecaleni lezinyo ezitshiweyo, udle ukutya okuneshushu kunye neziphuzo ngaphambi kokuphilisa isiseko.
4. Musa ukugubungela amazinyo akho iiyure ezingama-24.

Ubungakanani bonyango lokuphulukisa emva kokuphuma kwezinyo?

Izigulane ezininzi zinomdla wokuba ubuninzi begum buba njani emva kokutsalwa kwezinyo. Nawuphi na umonakalo uhambelana nesifo sesifo, kwaye emva kwalolu msebenzi, iimvakalelo ezingavumelekanga ziqhelekileyo. Ngokuqhelekileyo intlungu ebuhlungu ivakalelwa emva kokuphela kwesenzo se-anesthetic kunye neentsuku ezingama-1-2 zivakalelwa. Kancinci iyancipha, ekhonza njengophawu lokuphulukisa. Ubuhlungu obukhulu bunokuqhubeka nokuqhubeka kwiiveki ezi-1-2, kuxhomekeke kwisilinganiselo semonakalo yenyama.

Baye bakhupha izinyo, i-gum iyabuhlungu -kufuneka ndiyenze ntoni?

Kwiimeko apho i-gum ibuhlungu kakhulu emva kokutsalwa kwezinyo, kwiintsuku zokuqala kucetyiswa ukuthatha i-painkillers njengoko kuvunyelwene nogqirha. Ezi ndlela zinempumelelo:

• Ketanov;
• Ibuprofen;
• Paracetamol;
• Nimesil ;
• Solpadein;
• Analgin nabanye.

Yintoni ekuhlambulule umlomo wakho emva kokuphuma kwezinyo?

Emva kokuba inyosi ikhutshwe, indlela yokuhlanza umlomo, indlela yokwenza ngayo, nokuba ingaba kuyimfuneko, udokotela wamazinyo uya kuxelela. Kubalulekile ukuqwalasela indlela inyosi isuswe ngayo, ingaba isicatshulwa segum senziwe, nokuba ingaba kwenzeka ingxaki ngexesha lo msebenzi. Ukuhlanjululwa okunamandla kungakhathaliseki ukuba kungabandakanywa - oku kungakhokelela ekuhlambuleni ngaphandle kwegazi lokukhusela nokukhutshwa kwesiseko. Ibhafu yomlomo kunye nezi zicwangciso ezilandelayo zinganconywa:

• Chlorhexidine;
• Chlorophyllipt;
• i-tincture ye calendula;
• tincture ye sage;
• Miramistin;
• isisombululo esinamandla saline.

Antibiotics emva kokutsalwa kwezinyo

Ngokuqeshwa, udokotela wamazinyo kwezinye iimeko, kufuneka uthabathe iyeza emva kwenkqubo yezinyo ukuphelisa iinkqubo ezithathelwanayo. Amagciwane amaninzi asebenzayo kumazinyo azi:

• Tsifran;
• Flemoxin;
• Amoxiclav;
• Lincomycin.