Amaletsa chithandizo - njira zabwino kwambiri zochitira mavitamini masiku ano

M'kamwa mwaumunthu, zimakhala ndi tizilombo toyambitsa matenda, zomwe zimakhudza kwambiri mano a mano. Mabakiteriya amachititsa kuti ziwonongeke, zomwe nthawi zambiri zimayambitsa chitukuko. Popanda chithandizo choyenera komanso cha panthaŵi yake, matendawa amakula mofulumira ndikufalikira ku mano abwino.

Kodi caries ndi chiyani?

Kutembenuzidwa kwa dzina la matenda kuchokera ku Latin - kuwonongeka. Matenda omwe akugwiritsidwa ntchito ndi njira yovuta komanso yochepetsera kuwonongeka kwa tizilombo tolimba. Kuwoneka kwa caries kumatanthauzidwa ndi kukonzanso kwa enamel ndi kuwonongeka kwa kayendedwe kake mwa mphamvu ya mkati ndi kunja. Zimakhudzidwa pang'onopang'ono ndi zina zowuma za dzino, kuphatikizapo dentin. Ngati palibe mankhwala oyenera, nthawi yotchedwa periodontitis ndi zamkati zimatentha.

Zifukwa za caries:

• Zolakwika kapena zosakwanira zaukhondo;
• kusowa kwa mavitamini;
• zakudya zopanda thanzi komanso zakudya zambiri zofewa m'magazi;
• matenda osokoneza ubongo;
• matenda opatsirana m'mimba;
• rickets kapena chifuwa chachikulu mu anamnesis;
• matenda a chitetezo cha mthupi;
• kusowa phosphorous, calcium kapena fluorine;
• mipata ndi mipata pakati pa mano;
• kuluma kolakwika popanda mankhwala;
• chochepa, chokhala ndi tizilombo;
• chibadwa.

Mitundu ya caries

Pali zigawo zosiyana za matendawa, koma madokotala amatha kugwiritsa ntchito magawano pamalo ndi malo. Malinga ndi malo ovunda, mitundu yosiyanasiyana ya matenda ikusiyanitsidwa:

1. Chiberekero - chimakhala m'munsi mwa dzino, pamalire ndi chingamu.
2. Zowonongeka (kukhudzana) - kuwonongedwa m'mabwalo a zolemba.
3. Kutsekemera - kumakhala pakati pa mano.
4. Khosi - chithokomiro chotchedwa cervical lesion ndi putrefactive njira pansi pa chingamu.
5. Amayi a mano amkati - chiwonongeko cha incisors pamphepete.
6. Iatrogenic - kuwonongeka kuzungulira ma prostatees, braces ndi zina zochiritsira.

Miyeso ya caries

Malinga ndi kuchuluka kwa chiwonongeko cha mazinya olimba, matendawa amagawidwa m'magawo otsatirawa:

1. Gawo la malowo. Mazira a dzino kumadera ena amasintha mtundu, umakhala woyera. Chithandizo cha caries pa sitejiyi ndi changu komanso chopweteka. Matenda a Cretaceous amawonongeka kwambiri.
2. Zongoganizira chabe. Enamel imataya minerals yake, imapeza nyumba yovuta. Pali mphamvu yowonjezera ya mano kuwatentha, ozizira, okoma ndi owawasa.
3. Avereji yathawa. Mabwinja osati enamel chabe, komanso malire ake ndi dentin. Kuwonongeka kwa dzino kumaonekera momveka bwino, kupweteka kumamveka, makamaka pamene akupezeka ndi zakudya komanso zakumwa zowawa.
4. Zovuta kwambiri. Kuzungulira kumafikira dentin ndi wosanjikiza pafupi ndi zamkati. Matendawa ndi osatha komanso amphamvu.

Kodi ndi caries zoopsa zotani?

Popanda chithandizo cham'tsogolo, matenda amakula mofulumira ndipo amachititsa mavuto. Dary deep cary caries ingayambitse zotsatira zotsatirazi:

1. Pulpitis ndi kutupa kwa nyumba zofewa mkati, kuphatikizapo mitsempha, mitsempha ya mitsempha ndi tizilombo toyambitsa matenda.
2. Periodontitis ndi kugonjetsedwa ndi kusokonezeka kwa umphumphu wa mitsempha yomwe imagwira dzino mu chingamu ndi nsagwada.
3. Granuloma - chikwama (cyst) chodzaza ndi pus. Zikapezeka pazu wa dzino, ndilo lingaliro la matenda aakulu m'thupi.

Kuchiza kwa caries ndi kubowola

Kukonzekera kwa malo oonongeka kumathandiza kuchotseratu ziphuphu zonse zowonongeka. Ngakhale iyi ndi njira yokhayo yothetsera odwala matendawa. Matenda omwe achotsedwa amalowetsedwanso ndi zizindikiro zobwezera mmalo mwa zisindikizo. Zipangizo zamakono zimawoneka mwachibadwa ndipo sizimasiyana ndi mtundu wa mano awo owathanzi.

Chithandizo cha magawo a caries

Thandizo lachidziwitso ndi kubowola m'madera omwe akukhudzidwawo amachitidwa molingana ndi ndondomeko yoyenera, njira zina zingasinthidwe ndi dokotala wa mano malinga ndi zizindikiro za wodwalayo. Chithandizo cha caries chimaphatikizapo magawo otsatirawa:

1. Kuyeretsa. Chikhomo ndi mwala amachotsedwa ku dzino ndi matenda omwe ali pafupi.
2. Anesthesia. M'madera ochepa, anesthesia sichifunika. Ndikofunikira pamene chimbudzi chozama ndi chowopsa chikuchotsedwa, chithandizochi chimaphatikizapo kupiritsa mankhwala opatsirana pogwiritsa ntchito chingamu.
3. Kuthetsa malo okhudzidwa. Kukonzekera kwa malo ovunda ndi zida zozungulira zikuchitika.
4. Kusungulumwa. Kuonetsetsa kuti chisindikizocho chimatha nthawi yaitali, ndikofunikira kutulutsa chinyezi chilichonse (saliva, madzi ochokera kumweya wotulutsa mpweya) kuti asalowe mu dzino. Poyamba, swabs za pulotoni ndi zokupukuta za gauze zinagwiritsidwa ntchito pa cholinga ichi, chomwe chinagwiritsidwa ntchito kumalo okonzedwa. Chithandizo cha masiku ano cha caries chimaphatikizapo kugwiritsa ntchito cofferdam. Ndilo mbale yotchedwa latex yomwe imapereka kudzipatula kwathunthu kwa dzino.
5. Kukonzekera kusindikiza. Zigawo zowonongeka zimayambitsidwa ndi mankhwala osokoneza bongo, imeneyi imayikidwa ndi phosphoric acid ndi zomatira. Maseŵera awa a chithandizo amapewa matenda ndipo amalimbikitsa kumangiriza bwino kwa zinthuzo ku minofu ya mano. Pamene osonkhana akukamba ndi makoma a mbali akuwonongedwa, dokotala amachititsanso.
6. Kusindikiza. Chitsulo chosungiramo galasi-chowoneka ndi galasi chimayikidwa pansi pa mpanda wokonzedwa. Chithunzi cha photopolymer chapamwamba pamwamba, chosankhidwa kuti chikhale chachilengedwe cha mano omwe ali ndi thanzi labwino. Chigawo chilichonse chikuunikiridwa ndi nyali yapadera, zomwe zimatsimikizira kuumitsa kwa chisindikizo.
7. Akupera. Gawo lomaliza la chithandizo ndilofunikira kutibwezeretsa luso la kutafuna la dzino ndi mawonekedwe oyambirira. Kuwaza kumapangitsa kukhala kosalala ndi kosalala, monga enamel.

Mitundu yodzaza mano

Zida zomwe zafotokozedwa zimagawidwa panthawi yochepa komanso yosatha. Poyamba, dentin yokha imagwiritsidwa ntchito. Amatseka zitsulo zomwe arsenic imayikidwa kuti zichepetse ndikuchotsa mitsempha. Pambuyo pa masiku 1-3, chisindikizochi chimachotsedwa ndipo chimodzi mwa njira zosatha za chithandizo ndizokhazikitsidwa:

1. Sungani. Zogula, zosavuta kugwiritsira ntchito, mwamsanga zimatha, zimamatira mwamphamvu mano.
2. Metal. Chokhazikika kwambiri, koma chovuta kwambiri ponena za zisindikizo zowonjezera. Zinthuzi sizikugwiritsidwa ntchito pa chithandizo chifukwa cha zosakhutiritsa thupi ndi zokongoletsa katundu.
3. Chipulasitiki kapena zopangidwa. Zida zosatha, zosankhidwa mosavuta ndi mtundu wa mthunzi wa mano. Zisindikizo zoterezi zimakhala zoopsa, mwamsanga zimakhala zosauka ndipo zimakhala zosalala, zomwe zimayambitsa kuwonongeka kwachiwiri.
4. Photopolymers. Zida zamakono zamasiku ano, zotetezeka komanso zowonjezereka, zowonjezereka ndi mphamvu ya ultraviolet. Chifukwa cha makhalidwe abwino kwambiri, zisindikizo zoterezi zingagwiritsidwe ntchito pochiza mano pamaso. Kuwonjezereka kwa kukhazikitsa kumaperekedwa ndi moyo wautali wautali.

Njira zamakono za caries mankhwala

Pogwiritsa ntchito mano opititsa patsogolo opanga maopaleshoni otsatirawa amagwiritsidwa ntchito:

1. Depoforez. Pakhomo la njira yowonekera, mchere wa hydroxide wamtundu ndi calcium umayambitsidwa, electrode yosayika imayikidwa, electrode yabwino imagwiritsidwa ntchito pa tsaya. Pambuyo popereka kumwa mu 2 mA, tizilombo tonse tizilombo tawonongeka. Mothandizidwa ndi kutaya mtima, ngakhale zovuta zowonongeka zimachiritsidwa.
2. Kutentha kutta-percha. Zida zomwe zimakhala ndi kutentha kwa madigiri 100 zimadyetsedwa mumsewu. Ubweyawu umadzaza malo onse ndipo mofulumira umawumitsa.
3. Kuzaza kwa cold gutta-percha. Chophimba chimodzi kapena zingapo zopangidwa ndi zojambulazo zofanana ndi zojambulazo zimalowetsedwa mumsewu.
4. Chisindikizo chachiwiri (ndi gasket). Njira ya sandwich m'mayendedwe opanga mavitamini ndi kuphatikiza galasi ionomer samenti (mkati mwake) ndi mbali (kunja).

Kuchiza kwa caries popanda kubowola mano

Pazigawo zosavuta za kukula kwa matenda, munthu sangathe kuthamanga ndi kukonzekera ndi kuchotsa zida zolimba. Njira zogwira mtima kwambiri zochitira chingwe popanda kubowola:

• laser;
• chithandizo cha gel;
• zithunzithunzi zamakono.

Chithandizo cha kansalu ka laser

Njira yatsopano yochotsera mazira owonongeka ndi madzi. Chithandizo cha caries popanda pobowola n'choyenera kokha kuchiza matenda opatsirana. Ngati kuwonongeka kwafika pa dentin, kutuluka kwa laser sikungapangitse zotsatira. Zikatero, m'pofunika kuti muyambe kugwira ntchito yowonongeka. Pambuyo pa mankhwala a laser, kukhuta kumafunika.

Kuchiza kwa caries ndi gel

Njira yamakono yopangidwa ndi sayansiyi siinayambe yowonjezera mavitamini, mankhwalawa anayesedwa kokha mu mbewa. Mwachidziwikire, njirayi idzawathandiza kuti mankhwalawa asamalidwe panthawiyi kapena poyambirira. Chofunika kwambiri cha mankhwalawa ndilowetsedwe kumalo owonongeka a gel wapadera okhala ndi peptides. Zimasintha ma genetic a mabakiteriya omwe amachititsa kuvunda, ndipo amachititsa kugawidwa kwa maselo, omwe ma enamel ali nawo. Chotsatira chake, dera lokhudzidwa limakula.

Icon-teknoloji - mankhwala a caries

Njira iyi ya mankhwala siigwira ntchito pamapakati apakati ndi akuya a matenda. Teknoloji yamakono imathandizira mankhwala oyambirira a caries pamene ili pamatope. Pambuyo poyeretsa bwinobwino dzino, dzino lija limakhala ndi gel osakaniza limene limapha tizilombo toyambitsa matenda. Pambuyo pa mphindi ziwiri, mankhwalawa amatsukidwa ndipo pamwambapo. Pa malo okonzeka kulowa mkati Icon amagwiritsidwa ntchito ndipo polymerization ndi ultraviolet ikuchitika. Mizati yochuluka kwambiri yomwe imakhudzidwa ndi "yosindikizidwa" ndipo dzino lachitsulo libwezeretsedwa.

Prophylaxis ya caries

Pofuna kupewa njira zowonongeka m'kamwa, nkofunika kupita kukaonana ndi dokotala nthawi zonse ndikuyesa mayeso okonzekera, miyezi 4-6 iliyonse.

Kupewa kovuta kwa caries za mano:

• kuyeretsa tsiku lililonse, osachepera 2 pa tsiku;
• chakudya chabwino;
• kuchepetsa kudya zakudya zamagazi, maswiti;
• kuphatikiza nsomba ndi nsomba mu menyu;
• chakudya chofunafuna;
• kugwiritsa ntchito mkaka waukaka kapena zowonjezera ndi calcium;
• chithandizo chamakono chamakono;
• Kuyeretsa nthawi zonse kwa mano (kamodzi pa miyezi 6-12);
• Pakamwa pakutsuka kapena kugwiritsa ntchito kutafuna chingamu mutatha kudya;
• Kulepheretsa kudya zakudya zamtundu wotsika kapena kutentha.