Exacerbation o pulpitis ma'i. Nga take, tātaritanga pārōnaki, maimoatanga o pulpitis ma'i

e kore pea te tangata taua, e kore nei e i te niho tunga. A, ka, rite kī, kua timata te tukanga, te pokapū sensations katoa a tawhio noa te niho kotahi o te manawanui. Ki te whakarerea atu e koe te haerenga ki te tākuta ki reira, te manawanui he faingamālie pai ki te ako i te "Pīhanga" katoa o pulpitis ma'i.

He aha te mea te tukanga?

Pulpitis ki te wātea korero, kei te whakawhanake i tētahi tukanga inflammatory i roto i te paihere neurovascular i roto i nga takere o nga pakiaka o nga niho , me te wahi karauna. Ki te karanga te manawanui ki te tākuta ki te amuamu o te mamae whakapeka (ie. E. Ko te wahi ki te hei pulpitis whakapeka), i roto i ētahi wā ka taea te mutu te tukanga inflammatory, a taea te ora te niho.

I roto i te āhua o te penupenu pulpitis ma'i āta degenerating i hanga kiko kaiota, necrosis kitea paihere neurovascular faafariuraa ki runga ki te wāhi i reira whakakiia ai te kōhao kiko carious katoa kua arahina e ki te māuiuitanga ranei.

Nuinga o ngā wā i roto i te pulpitis ma'i e kore e mamae whakapeka tupu, a ka haere mai nga tūroro ki te tākuta i roto i te tikanga ki te whakaora i te niho i te mukua. Heoi, ko te ahua ma'i o te pulpitis - ko reira tata tonu mate tina heke.

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I roto i tetahi māuiuitanga reira he preconditions me huru i hoatu ara ki te whanaketanga o te tukanga pathogenic. Ko reira kahore okotahi me te penupenu. momo ma'i o te mate i whakapataritari e microorganisms pathogenic me o ratou hua pūkoro. Ko te tikanga, tīmata te takenga o te katoa ko te aroaro i roto i te manawanui o caries maimoatanga hohonu te kounga rawakore o tenei mate whānui ranei. E te wā whakamutunga tikanga o te toi noncompliance maimoatanga niho manawanui, iti kōhao purenga, ka hiritia m painga fai. P.

kia ngā pūtake iti noa o te pulpitis ma'i, whakapataritari i te whanaketanga o te tukanga pathologic, o te whētuki niho, takere occlusion NVB puru tote ( "calculi"). Hoki, kia puta pulpitis ti'a'tu te rite te pōauautanga o te mate maxillofacial me whānui (pakohu kakā, rewharewha, periodontitis, te tapû, periostitis etc D.) te rere tukanga o mate ka taea e taua tukumate tomo i roto i te tihi o te pakiaka niho.

Ngā momo o tukanga ma'i

TEETH e 3 ngā momo o pulpitis ma'i: hypertrophy, kakakīrehe, olotou.

Ki te tukanga hypertrophic kitea i roto i te manureva o carious penupenu kiko ururua hoki rite polyp. Ka rite ki te tikanga, kite te manawanui nga growths toto i whara i roto i ngaungau. pea te mamae e meinga ngawari me te i roto i te nuinga o te wā e nanamu waho.

puka kaiota e tupu tino maha āhuatanga e auau maru sensations mamae, i roto i 1-2 ra mutu i runga i to ratou ake, engari kei te tata tonu toto te kōhao carious.

āhuatanga puka Gangrenosum e whāwehe niho oti whakangaromanga karere kiko, me te wahi nui o te karauna. Kei te haere tahi tonu ana tēnei puka o pulpitis i manawa kino. Ko te nuinga o āhua Pain puta ia wā. amuamu o manawanui angamaheni i roto i tenei take e whai ake nei: "te niho rawa mate, a ka mutu iho."

E tano ia tapao e pāngia te nuinga (≈ 70%) tākuta pulpitis kaiota tonu, nui iti - olotou. puka Hypertrophic whakaritea e kore e puta i roto i ngā pakeke. Kei te te tahi mau taime tenei tātaritanga hoatu niho o ngā tamariki.

Tātaritanga o te pulpitis ma'i

I roto i te tikanga ki te hanga i te tātaritanga, te tākuta, i roto i te tua ki te whakarongo ki nga amuamu o te manawanui, Me ki noho he huinga etahi o mahi, e ngā o te tirohanga ataata o te niho o te manawanui, he ine, hei tauira e me x-ray.

Ki runga ki te tirohanga ataata whiwhi te tākuta e pā ana ki te 50% o te mōhiohio i runga i te mana o te niho causal. rangahau ine pāmahana e pā ana ki te tauhohenga ki akiaki wera, me te matao hanga reira taea ki te mārama me pēhea te he mate, me pehea te reira ahua o te manawanui karanga ki te tākuta. Hei tauira, i runga i te whakautu makariri reira ta i patua "karere".

whakamātautau penupenu hiko (EDI) ko tetahi o nga ara tino pono o Tātarihia te purupiti. E hāngai ana te tikanga i runga i te meka, e tūroro me te kiko penupenu hauora i rerekē excitability hiko. Ko te sensations io mamae hauora tauhohe pānga iti i runga i te nāianei i roto i microamps 2-6, ka whakautu mamae pulpitis kaiota taua kaha ki 35-50 mA, rapu olotou te rongo ki te 60-90 microamps.

Radiography tā te aromatawai i te huru o te niho i te X-hihi.

tātaritanga pārōnaki o pulpitis ma'i tā te aromatawai whānui o te tikanga i runga ake-whakaahuatia katoa me te tātari whakatairite o te kōrero whiwhi i roto i te tukanga o te tātaritanga.

Tohutanga o te puka ma'i o pulpitis

Ko te tikanga i tenei wā o te mate e asymptomatic. Ka rite ki taea te matau e te tangata ko te pulpitis ma'i? te nuinga iti amuamu ki he maru ai te mamae ki te rerekē wā roanga o te puku i waenganui ia ratou.

A, no te te puka kaiota, he tikanga mamae hakari hua i te rongo ki ngā āhuatanga irritating (wera, makariri, reka). Mamae mo te wa roa e kore e haere noa i muri i te pānga o whakaohooho whakakorea. Ka taea te huaina te whanaketanga tohumate āhuatanga mamae auroa i roto i te huri i waho pāmahana ki matao ki te mahana (hei tauira, te whakawhiti i te huarahi ki te whare). Ahakoa i roto i ētahi wā i te rere o te kaiota pulpitis taea, me kahore tohu kitea. Ko tenei te mea e tupu ki te kore e te faaitoitoraa i te uru tika ki te kōhao (hei tauira, kua paetata reira i raro i te kapia ranei he i roto i te hononga ki te ruma penupenu). I roto i te take whakamutunga, i reira he kahore puku, e kore te "pakaru" te penupenu me te, rite te putanga, i reira he kahore mamae.

A, no te pulpitis olotou tapae tonu te haunga kino i te niho, me te mangai o te manawanui. Āhuatanga e mamae i te pānga o te wera, e kore e nei mutu hoki nui roa, ara i muri i nekehia atu te faaitoitoraa te. He hakari maha mana'o o tini i roto i te niho. I tua atu, e taui tata tonu te tae o te niho: riro te reira grayish.

pulpitis tahi Hypertrophic e maru ai te mamae, ka ngaungau me toto. Ko e tika ana ki te germination o te penupenu i roto i te kōhao o te momo o "kai mohoao" tenei. Ko te nuinga o maha tenei take frightens te manawanui, me te whiwhi ki te kite i te tākuta.

Ngā wāhanga o te tukanga maimoatanga ti'a'tu te

Mai i roto i tenei mate kiko ngohengohe i roto i te niho kore e taea ki te pupuri i, te momo matua o te maimoatanga ko te tango o nga awa niho penupenu. Modern niho nuinga pai tikanga extirpation faufaa (tangohanga mākū) karere, ka whakamahia anesthetics anake kahore whai wāhi i te medicament mo te patu penupenu.

I te tahi taime, Heoi, nga āhuatanga takitahi o kauae o te manawanui, kore o te wā me te kore o anesthetics pai e kore e tukua ki a koutou te tango i te io tonu i te haerenga tuatahi. Na ka tono te maimoatanga o te pulpitis ma'i i roto i ngā wāhanga, ka whakatakotoria he kōhao te whakapiri motuhake, e whai ana ki te faaineine i te penupenu ki te tango, i te mea te mea e tupu i roto i te haerenga tuarua.

i muri i te maimoatanga

Tino maha, i muri i te maimoatanga o te pulpitis ma'i oti, amuamu iwi o mamae. E huaina ēnei sensations postplombirovochnyh (rite e huaina ratou niho). Ka rite ki te tikanga, i reira he hūhi hoki maha ngā take, me te e whakanohoia i roto i te täkupu herenga e manakohia. Ko te takanga o te mamae i muri i te maimoatanga taea o te pulpitis tika ki te meka e reira kia kia anake paku whara kikokiko huri noa te niho o te manawanui ranei ki te taratara, taratahi koi "karere" i roto i te tukanga o tona tango. Ano, Ka taea e te mamae puta ki te roto i te maimoatanga o te awa niho tukatuka e kaha rongoā horoi, e i roto i te moni iti e taea te haere ki tua atu i te pakiaka.

Ko tētahi atu take mamae postplombirovochnyh - te putanga taputapu kikokore e whakamahi niho i roto i te tukanga maimoatanga ki te mahi i roto i nga awa, i tera taha o pakiaka poka tihi.

Take o pōauautanga i muri i therapy

I te tahi taime i muri i te huru angitu "kōrero" ki te tākuta haamata mamae kino, a tuatahi tukinotia ki exacerbation o pulpitis ma'i uaua. kia maha ngā nga take mo tenei. Tenei mahi rawakore o te mahi i runga i te hongere niho whakakī, te whawhati atu o te taputapu niho i te wa o te kimi i te reira i roto i te awa pakiaka perforation ranei (te hanga rua) i roto i te taiepa o te pakiaka.

Ki te ruarua hiri nga awa, i whakaaetia kătahi o ranei whakakī rauemi tua atu i te tihi o te pakiaka, mo etahi wā o te wā (i te torutoru nga ra ki te tau) ka periodontitis tohumate i roto i te wā whakapeka. Whakiia te taputapu e kore e whakaatu tonu iho, engari te mate i roto i te nedomytom me nezaplombirovannom hongere whakaatu tonu ngaro iho, te ahua wā i roto i te fistula kapia (i pai) te hanganga o cysts ki tirotiro purulent ranei.

Exacerbation o tukanga ma'i: tohu

Ki te te kore tukinotia te nui niho ki faaiteraa o pulpitis whakapeka i te wa, tomo te mate he puka ma'i, a ka whakamahara o iho ki te tamau te haaviraa puta noa te ora. Ka rite ki whakaaturia exacerbation o ma'i pulpitis? Tohu kino: mamae i te rongo ki ngā whakaohooho (wera, makariri, reka, te whakawhitinga i matao ki wera) mana'o makona kino, me te percussion palpation (kore waewae kaha mirimiri mea niho mo take niho). Nuinga o ngā wā, whakaahua tūroro te mamae e rite ana te paroxysmal. I roto i te tukanga taahiraa āhuatanga e exacerbation o ma'i ara mamae whakatö o irava o te karere trigeminal. Ko reira hoki tenei take e mea e homai te mamae kei roto i te temepara i raro i nga kanohi, te ihu pahau ranei ranei tūroro.

Whakahōhā me nga take mo tona whanaketanga

hakiri Exacerbation o pulpitis ma'i mō ētahi marama. E whakakitea sensations fakamamahi kore rite kaha rite i roto i te puka whakapeka. kia riro i te take whakahōhā tino auau pērā ari rite te ino o te matamua o te exudate, whētuki ki te niho, te nui haere mahi o huakita pathogenic. Hoki, kia whai wāhi attenuation ki te matahoki wātea i te mate whānui, mumura o taikiri me haurangi katoa.

Exacerbation o momo ma'i o pulpitis kia haere tahi e ngā periodontitis rahi. I roto i ngā take pēnei i, haere mai tūroro ki te niho amuamu o kore e haere te mamae. kua oti te tuhituhi huringa pathological i runga i X-ray.

niho Rangitahi i roto i tūroro taitamariki

Ehara i anake i roto i te tūroro pakeke pāngia ki pulpitis ma'i. Ko nga tamariki, a kihai anake ki tūturu, engari niho poto, he taea ano hoki te mate. puka katoa o te mumura ma'i āhuatanga e tohu korerotia.

e kore e taea e te tamaiti tararua kai tika. tauhohe niho te pīmua ki whakaohooho pāmahana. A, no te puta te puka olotou o te mamae i roto i te whakautu ki te whakaongaonga ki mahana, wera, ka ranei neke i te matao ki te ruma mahana. pulpitis Proliferative (me i roto i ngā puka hypertrophic) te āhuatanga e te ahua o te mamae i roto i te whakapā ki te matūriki kai i roto i te kōhao. I tua atu, toto polyp penupenu i te mahi hangarau e.

Ko te taa o te mate i roto i tenei tau - kaha iti o te mamae e taea te faataa e huringa hanganga i roto i te penupenu me ona hononga raru ki periodontitis. I roto i tenei take, nga tikanga tino pai mō te aukati utu o inu, rite te putanga, i reira he mamae nui.

niho Permanent i roto i ngā tamariki

E pängia ana ki mate o te penupenu hoki niho Permanent i roto i ngā tamariki. Puka o te pulpitis ma'i i roto i ngā tamariki he te taua rite i roto i ngā pakeke. tukanga ma'i i roto i te wā whakapeka, nga tūroro taitamariki e te nuinga o te āhuatanga e te wā roa o te rere puhoi ki te mamae whakapeka. ohorere haere atu pinepine tipu hūhi, a kahore e te tamaiti whakararuraru o te wā he wā feunga roa. Otiia i roto i te nuinga o te wā, amuamu tūroro o paroxysmal haehae mamae whakapeka ranei, pakia i te aronga o nga manga o te karere trigeminal. electroexcitability iti (120-160 mA) te parau e pā ana ki te huringa o te pūtau karere o te penupenu mau dystrophic me haamou.

Hei whakarāpopoto

Meapango hoki tūroro, i tahaki kore e tika i te wāhanga whakapeka ranei o te mate, e kore exacerbation muri o pulpitis ma'i. ka hiahia maoro, maimoatanga niho. A ko reira pai ki te hanga i tenei pa kia rite ki wawe tonu ki te whakaora i te manawanui i te mauiui faufaa me ngā utu nui, me te mauiui, me te tākuta - i runga i te mahi roa, me te whakaware e titau te rota o te wheako me te manawanui.