Exacerbation na kullum pulpitis. A dalilai, bambanci ganowa, magani na kullum pulpitis

Watakila ba irin wannan mutum, wanda ya taba samun ciwon hakori. Kuma a lõkacin da, kamar yadda ya bayyana, cikin tsari ya fara, duk da majiyai cibiyar kewaye guda hakori na haƙuri. Idan ka sa a kashe a ziyarar da likitan hakora to sa'an nan, da mãsu haƙuri yana da kyau dama don koyi dukan "tsafi" na kullum pulpitis.

Mene ne tsari?

Pulpitis idan akwai magana, yana da wani kumburi tsari tasowa a cikin neurovascular daure a cikin tashoshi na da tushen da hakora da kuma kambi part. Idan haƙuri kira ga likita da gunaguni da m zafi (watau. E. The wuri ya zama m pulpitis), a wasu lokuta da kumburi tsari za a iya tsaya, da kuma hakori za a iya ceto.

A wani Jihar kullum pulpitis ɓangaren litattafan almara hankali degenerating kafa fibrous nama, ko necrosis lura hira neurovascular cuta har zuwa batu inda shi ya cika dukkanin carious nama rami wanda ya kai ga Pathology.

Mafi sau da yawa a kullum pulpitis m zafi ba ya faru, da kuma marasa lafiya zo likita domin ajiye hakori daga ana share. Duk da haka, da na kullum nau'i na pulpitis - shi ne kusan ko da yaushe komowar cuta.

Sanadin

A wani Pathology akwai preconditions da kuma yanayi da cewa ya ba Yunƙurin zuwa ga cigaban da pathogenic tsari. Shi ne ba togiya da kuma ɓangaren litattafan almara. Kullum siffofin da cutar tsokane ta pathogenic microorganisms da su na rayuwa kayayyakin. Kullum, asalin dukkan fara ne da kasancewar a cikin haƙuri na zurfin caries magani ko matalauta ingancin wannan tartsatsi cutar. By karshen lokaci da ake nufi a haƙuri noncompliance art hakori magani, kasa tsarkakewa rami, kuma Ya sanya hãtimi talauci shirya kai m. P.

Kadan na kowa Sanadin kullum pulpitis tsokani ci gaban pathologic tsari, na iya kunshi wani hakori rauni, occlusion tashoshi NVB gishiri stoppers ( "calculi"). Har ila yau, na kullum pulpitis iya bayyana a matsayin mai wahala na maxillofacial da kuma janar cuta (sinusitis, mura, periodontitis, osteomyelitis, periostitis da dai sauransu D.) The aiwatar kwarara daga cututtuka irin pathogens iya shiga ta hanyar saman hakori tushen.

Iri na kullum tsari

Zahnärzte ne 3 iri na kullum pulpitis: hypertrophy, fibrosis, gangrenous.

Tare da hypertrophic aiwatar lura a cikin jirgin sama na carious nama overgrowth ɓangaren litattafan almara kamar yadda polyp. Matsayin mai mulkin, da mãsu haƙuri Mai gani ne ga zub da jini growths cewa a lokacin da suka ji rauni taban da ake. A zafi na iya zama m, kuma a mafi yawan lokuta suna lalacewa ta hanyar waje irritants.

Fibrous form auku mafi sau da yawa halin maimaituwa aching zafi majiyai, wanda a 1-2 kwanaki dakatar a kan nasu, amma carious rami ne kusan kullum bleeds.

Gangrenosum nau'i ne halin da cikakken bazuwar hakori jijiya nama halaka da kuma babban ɓangare na kambi. Wannan nau'i na pulpitis ne ko da yaushe tare da miyagun numfashi. Pain ne yawanci matsakaici faruwa lokaci zuwa lokaci. Hankula haƙuri ta gunaguni a wannan yanayin ne kamar haka: "da hakori sosai rashin lafiya, sa'an nan kanta tsaya."

Shi ne ya kamata a lura da cewa mafi (≈ 70%) likitoci kamu kullum fibrous pulpitis, da yawa kasa - gangrenous. Hypertrophic form kusan ba ya faruwa a manya. Wannan ganewar asali ne, wani lokacin sa yara Zahnärzte.

Ganewar asali na kullum pulpitis

Domin yin ganewar asali, likita, ban da sauraron koke-koken da haƙuri, bukatar da suke ciyarwa a wasu sa na ayyuka, wanda ya kunshi mai gani dubawa na haƙuri da hakori, a ma'aunin zafi da sanyio, misali e da kuma x-ray.

Bayan gani dubawa likita samun game da 50% na bayanai a kan matsayi na causal hakori. Ma'aunin zafi da sanyio nazarin game da dauki zuwa zafi da sanyi samuwar kasashe sa shi yiwuwa a fahimci yadda wata cuta da kuma yadda shi irin haƙuri kira ga likita. Alal misali, a kan wani sanyi martani da ya ce an "jijiya" da aka kashe.

Electric ɓangaren litattafan almara gwajin (EDI) yana daya daga cikin mafi m hanyoyi na diagnosing bagade. The m dogara ne a kan gaskiyar, cewa marasa lafiya da lafiya ɓangaren litattafan almara nama da daban-daban lantarki excitability. The lafiya jijiya zafi majiyai amsa qananan sakamako a kan halin yanzu a microamps 2-6, fibrous pulpitis zafi guda tsanani zai amsa 35-50 MA, gangrenous bukatar daukan hotuna zuwa 60-90 microamps.

Radiography ya shafi kimantawa da yanayin hakori ta X-haskoki.

Bambanci ganewar asali na kullum pulpitis ya shafi wani m kima na duk sama-ya bayyana hanyoyin da kamanta bincike na bayani samu a kan aiwatar da ganewar asali.

Symptomatology na kullum nau'i na pulpitis

Kullum a wannan mataki na cuta ne asymptomatic. Kamar yadda za a iya gane cewa wani mutum ne mai dagewa pulpitis? Gunaguni mafi yawa iyakance ga ciwon aching zafi tare da daban-daban tsawon jinkiri na shiru tsakanin su.

Lokacin da fibrous tsari, su ne kullum ba zafi sakamakon daukan hotuna zuwa irritating dalilai (zafi, sanyi, zaki). Pain na dogon lokaci kada ka wuce ko da bayan sakamakon samuwar kasashe shafe ta. A halayyar alama ci gaban da za a iya kira shafe tsawon zafi a lokacin da canza waje zafin jiki da sanyi wani dumi (misali, da miƙa mulki daga titi zuwa gabatarwa). Ko da yake a wasu lokuta da ya kwarara daga fibrous pulpitis yiwu kuma ba tare da bayyane bayyanar cututtuka. Wannan shi ne abin da ya faru idan mai kara kuzari ba kai tsaye dama ga rami (misali, an sarrafa karkashin danko ko ta hanyar dangane da ɓangaren litattafan almara jam'iyya). A karshen harka, babu wani kumburi, da ɓangaren litattafan almara ba "yadda nake alfaharin fa" da kuma, kamar yadda wani sakamako, to, bãbu zafi.

Lokacin da gangrenous pulpitis ko da yaushe gabatar da wani m wari daga hakora da kuma baki daga mãsu haƙuri. Halin da zafi daga kufan zafi, wanda ba a daina for dogon isa, ko da bayan kara kuzari da aka cire. ji na cikar a cikin hakori ne sau da yawa m. Bugu da kari, kusan ko da yaushe ya musanya launi na hakori: shi zama grayish.

Hypertrophic pulpitis tare da aching zafi a lokacin da taban da ake da zub da jini. Wannan shi ne saboda da germination na ɓangaren litattafan almara, a wani kogo na da irin "daji nama". Wannan factor ne mafi sau da yawa ke tsorata da mãsu haƙuri kuma samun ganin likita.

Akayi na kullum magani tsari

Tun a wannan cuta taushi nama a cikin hakori ba zai iya ci gaba, babban irin magani ne da kau da hakori ɓangaren litattafan almara canals. Modern hakori overwhelmingly fi son m extirpation Hanyar (rigar hakar) jijiya a lokacin da amfani kawai anesthetics ba tare da shafe a medicament kashe ɓangaren litattafan almara.

Wani lokaci, duk da haka, mutum halaye na haƙuri ta muƙamuƙi, rashin lokaci kuma rashin kyau anesthetics ba ka damar cire jijiya nan da nan a ziyararsa ta farko. Sa'an nan tambaya da magani daga kullum pulpitis, a cikin hãlãye, a lokacin da wani rami da aka aza musamman manna, da nufin shirya ɓangaren litattafan almara cire, wanda shi ne abin da ya faru a lokacin da na biyu ziyarar.

bayan lura

Popular sau da yawa, bayan da magani daga kullum pulpitis kammala, mutane koka da zafi. Wadannan majiyai ake kira postplombirovochnyh (as aka kira su Zahnärzte). Kamar yadda mai mulkin, akwai rashin jin daɗi ga dalilai da dama da aka sanya a cikin wani yanaye m kullum. Da ya faru na zafi bayan yiwu magani daga pulpitis saboda gaskiyar cewa babu iya kawai dan kadan da suka ji rauni nama a kusa da hakori na haƙuri ko da m, kaifi kadaici "jijiya" a cikin aiwatar da ta kau. Har ila yau, zafi zai iya faruwa idan a lokacin jiyya da na hakori tashoshi sarrafa ta iko antiseptic, wanda a adadi kaɗan za ta wuce tushen.

Wani dalili postplombirovochnyh zafi - da fitarwa na bakin ciki kayan aiki da Zahnärzte amfani da magani aiwatar da aiki a cikin tashoshi, bayan tushen koli rami.

Sanadin da rikitarwa bayan far

Wani lokaci bayan wani alama nasara "tattaunawa" tare da likitan hakora fara ciwo mai tsanani, kuma da farko bi da tare da exacerbation na kullum pulpitis wuya. A dalilai domin wannan zai iya zama da dama. Wannan rashin tabuka aiki a kan wani hakori ciko tashoshi, BREAKING kashe wani hakori kayan aiki a lokacin da gano shi a cikin tushen canal ko perforation (samar da ramukan) a cikin bangon daga cikin tushen.

Idan tashoshi suna talauci shãfe haske, ko aka yarda shigar azzakari cikin farji na ciko abu bayan koli na tushen, ga wasu lokaci (daga 'yan kwanaki don a shekara) zai periodontitis cututtuka a cikin m mataki. Kashe karya da kayan aiki na iya ba nan da nan bayyana kanta, amma da kamuwa da cuta a cikin nedomytom da nezaplombirovannom tashar har yanzu bayyana kanta kura idon, da na lokaci-lokaci bayyanar a cikin danko fitsari (a mafi kyau) ko da samuwar cysts tare da surkin jini abinda ke ciki.

Exacerbation na kullum tsari: ãyõyi

Idan ciwon hakori da manifestations m pulpitis ba a bi a lokacin, cutar ta shiga wani kullum form, kuma zai tunatar da na kanta tare da wani enviable haƙuri cikin rayuwa. Kamar yadda aka nuna exacerbation na kullum pulpitis? Alamun m: zafi daga daukan hotuna zuwa daban-daban samuwar kasashe (zafi, sanyi, zaki, da miƙa mulki daga sanyi don zafi) isasshe korau ji kuma feat. Irfan palpation (ba da karfi kafar tapping hakori kayan aiki ga dalilai hakori). Mafi sau da yawa, marasa lafiya bayyana zafi a matsayin paroxysmal. A mataki tsari halin da exacerbation na kullum zafi yaduwa hanyoyi na nassi daga cikin trigeminal jijiya. Yana da wannan dalili da cewa marasa lafiya ce cewa zafi ne da aka ba a cikin Haikali, ko a karkashin idanu, hanci, ko Chin.

Ƙarin tsanani da kuma dalilai domin cin gaban

Exacerbation na kullum pulpitis iya ji watanni da dama. M majiyai suna bayyana ba kamar yadda tsanani kamar yadda a cikin m form. A mafi m Sanadin ƙarin tsanani iya zama irin wannan mamaki kamar yadda tabarbarewar da outflow na exudate, rauni da hakori, da ya karu aiki na pathogenic kwayoyin. Har ila yau, attenuation iya taimakawa wajen komawa janar rigakafi, kumburi Lymph nodes kuma duka maye.

Exacerbation na kullum siffofin pulpitis iya a tare da events mai da hankali periodontitis. A irin haka ne, marasa lafiya zo da likitan hakora gunaguni da ba wucewa zafi. Pathological canje-canje, an rubuta su a X-ray.

Wucin gadi hakora a cikin matasa marasa lafiya

Ba wai kawai a adult marasa lafiya bincikar lafiya tare da kullum pulpitis. The yara, da kuma ba kawai tare da m ba, amma wucin gadi hakora, da cutar ne kuma zai yiwu. Duk siffofin na kullum kumburi halin da pronounced bayyanar cututtuka.

A yaro ba zai iya tauna abinci yadda ya kamata. Causative hakori reacts zuwa da zazzabi samuwar kasashe. Lokacin da gangrenous nau'i na zafi bayyana a mayar da martani ga ruri da dumi, zafi, ko a lokacin da motsi daga wani sanyi zuwa dumi dakin. Proliferative pulpitis (da musamman hypertrophic form) ne halin da bayyanar zafi a lamba tare da abinci barbashi a cikin wani rami. Bugu da kari, polyp bleeds ɓangaren litattafan almara da inji mataki.

A peculiarity da cutar a wannan zamani - low tsanani na zafi da cewa za a iya bayyana ta tsarin canje-canje a cikin ɓangaren litattafan almara da kuma ta m links tare da periodontitis. A wannan yanayin, da mafi kyau duka yanayi na free shagala daga ruwa, kamar yadda wani sakamako, akwai ciwo mai tsanani.

Dindindin hakora a cikin yara

Dindindin hakora a cikin yara ne ma yiwuwa ga cututtuka na ɓangaren litattafan almara. Form na kullum pulpitis a yara ne guda kamar yadda a cikin manya. Kullum tsari a cikin m mataki, da matasa marasa lafiya yawanci halin da shafe tsawon lokaci na kasãla kwarara tare da m zafi. Sau da yawa girma? Unci ba zato ba tsammani ƙãrẽwa, kuma da yaron bai dame a isasshe tsawon lokaci. Amma a mafi yawan lokuta, marasa lafiya koka paroxysmal tearing ko m zafi, smack a cikin shugabanci na da rassan da trigeminal jijiya. Low electroexcitability (120-160 MA) ya gaya game da canje-canje na jijiya Kwayoyin na ɓangaren litattafan almara saka dystrophic kuma hallakaswa.

don takaita

Abin baƙin ciki ga marasa lafiya, da kansa, ba zai wuce ko dai m lokaci na cuta, kuma m exacerbation na kullum pulpitis. Dental magani zai bukatar jima ko daga baya. Kuma shi ne mafi alhẽri sa wannan ya faru kamar yadda wuri-wuri don ajiye haƙuri daga ba dole ba wahalar da m da m events, da kuma wani likita - a kan wani dogon da muhimmin aiki da bukatar mai yawa kwarewa da kuma hakuri.