Pogwiritsa ntchito machitidwe osiyanasiyana ndi kunja, mucous nembanemba ndi zofewa chingamu zamkati zimatha kutentha. Mtundu uwu wa matendawa ndi wochuluka kwa achinyamata (osakwana zaka 35), makamaka chifukwa chokhala ndi ukhondo wosalankhula komanso kusowa koyezetsa magazi kwa madokotala.
Zifukwa za catarrhal gingivitis
Zinthu zotsatirazi zingayambitse zotupa:
- kusamutsidwa kwa matenda opatsirana;
- matenda aakulu a endocrine, mtima wamagetsi kapena kagayidwe kakang'ono;
- kupweteka kwa mahomoni;
- matenda;
- kusuta;
- hypovitaminosis;
- kutenga mankhwala ena;
- kuvulala kwa mazira;
- mavuto a hematopoiesis.
Catarrhal gingivitis ya m'deralo ndi yowonjezera imakhala ikugwedezeka ndi zochitika zapafupi:
- kupweteka kwa mano;
- kuluma kolakwika;
- amalephera, makamaka m'madera achiberekero;
- zolepheretsa mu kusindikizidwa kwa zisindikizo, mano a mano, veneers ndi braces;
- malo osasinthika;
- frenum yochepa;
- zovuta mano.
Chochititsa chachikulu cha catarrhal gingivitis ndi chipika chabakiteriya - chiboliboli kapena chipika cha microbial. Amakhala ndi tizilombo toyambitsa matenda a anaerobic:
- chithunzi;
- fusobacteria;
- choyimitsa;
- porphyromonads ndi ena.
Pali kachilombo kakang'ono ka tizilombo toyambitsa matenda m'kati mwake:
- streptococci;
- chiwonetsero;
- staphylococci.
Zovuta komanso zovuta gingivitis - zizindikiro
Chithunzi cha kachipatala cha matenda omwe akufotokozedwa chikudziwika ndi kutalika kwa kayendetsedwe kake ndi mawonekedwe ake. Matenda a mtundu wovuta amawonetsedwa mwazizindikiro, zomwe zimawathandiza ndikufulumira. Ndi matenda aakulu, matendawa ndi ofooka, amakumbukira mavuto ena a m'kamwa, choncho wosauka wa catarrhal gingivitis amasiyanitsidwa ndi mawonekedwe ake a hypertrophic ndi matenda otsatirawa:
- zolaula pemphigus;
- kupweteka kwa nthawi;
- chofiira;
- stomatitis ndi ena.
Kusiyana kwa catarrhal gingivitis kuchokera ku hypertrophic
Nthawi zambiri, kutupa kwa chingamu kumaphatikizapo kuchulukana kwa ziwalo zawo komanso kupanga mapepala onyenga. Zizindikiro za matendawa ndizofanana ndi matenda a catarrhal gingivitis, koma matendawa amatha kusiyanitsidwa ndi hyperplasia ya mucous membranes. Ngati chifuwachi chimayamba "kupopera" pa koleji, chophimba gawo limodzi mwa magawo atatu kapena kuposerapo pa dzino, pali mtundu wa hypertrophic of the disease.
Gingivitis yambiri - zizindikiro
Zimakhala zovuta kudzizindikiritsa yekha matendawa, chifukwa zizindikiro zake sizifotokozedwa bwino, komanso zowawa sizilipo. Chronic catarrhal gingivitis amadziwonetsera motere:
- cyanosis (kubwezeretsa kwambiri) kwa nsanamira;
- kukoma pang'ono kwa magazi m'kamwa;
- kutaya magazi pang'ono pakusamba mano ndi zina zowonongeka ku mazira;
- kumverera kwa raspiraniya m'magazi (kawirikawiri).
Wosaoneka bwino wa catarrhal gingivitis amadziwika ndi kukhalapo kwakukulu kwa bakiteriya woyera kapena beige. Sichichotsedwa ngakhale kumakhala koyeretsa kwambiri kunyumba pogwiritsa ntchito burashi lamagetsi, irrigator ndi makina apadera. Pa mano osiyana, makamaka mkati mwa korona, mdima wofiira wobiriwira ukuwoneka bwino.
Zovuta gingivitis - zizindikiro
Maphunziro oyambirira a matendawa akuphatikizidwa ndi zizindikiro zotere:
- kuyabwa mu chifuwa;
- chofiira;
- Kutupa kwa ntchentche m'kamwa;
- magazi;
- fungo loipa kuchokera pakamwa;
- kumverera kowawa pamene mukuphwanya mano, kufufuza chakudya;
- kuyaka kutentha.
Zovuta kwambiri za catarrhal gingivitis mu mitundu yambiri zingapangitsenso kuwononga zakumwa za thupi lonse:
- kuwonjezeka kwa kutentha;
- kupweteka kwa minofu;
- chisokonezo;
- zolemba;
- chizungulire;
- kugona ndi kukomoka.
Catarrhal gingivitis - kusiyana ndi matenda
Kupititsa patsogolo kwa matenda omwe akufotokozedwa kumatsimikiziridwa ndi aphunzitsi odziwa bwino ntchito, oyeretsa kapena madokotala. Dokotala amachokera ku mawonetseredwe am'chipatala omwe alipo komanso kumverera kwa wodwalayo, mawonekedwe a mimba. Pamene catarrhal gingivitis ikupitirira, mitsempha ya m'kamwa imasuka, yotupa ndi yofiira, imawombera pamene imamera. Mapirae omwe atchulidwawo ali ophatikizidwa, akukhala ozungulira. Powonongeka kwa maso, tizilombo toyambitsa tizilombo toyambitsa tizilombo toyambitsa tizilombo toyambitsa matenda, tizilombo tating'onoting'ono ndi tinthu tomwe timapanga timeneti tomwe timapezeka m'mimba mwa chiberekero timawonekeratu.
Ziri zovuta kutsimikizira kuti matenda a catarrhal gingivitis osaphatikizapo - kusiyanitsa kusiyana kumaphatikizapo maphunziro othandizira:
- ndondomeko ya Green-Vermilion;
- kafukufuku wa kafukufuku;
- mayeso a Schiller-Pisarev;
- chiwerengero cha mapepala;
- zojambula;
- Mayeso a Müllmann a gingivitis;
- kusanthula momwe gulu la gingival lilili;
- Doppler flowmetry;
- kachipangizo kakang'ono kakang'ono;
- chilemba cha Silnes-Lohé;
- chotsitsa cha gum;
- chiwopsezo cha mucous membrane;
- orthopantomography;
- Kulazhenko;
- chithunzi;
- ndondomeko ya ukhondo Fedorova-Volodina;
- polarography.
Kuchokera mndandanda womwe wapatsidwa, adokotala amasankha maphunziro angapo oyenera, ndipo chifukwa cha zotsatira zawo amadziwitsa. Kuonetsetsa kuti ziganizo za gingivitis zili ndi malingaliro okwanira a chigawo cha bakiteriya, kuchulukitsa kwa magazi m'magazi ndi zitsanzo za ukhondo wa 1-2. Njira yonse yowunikira imapezeka mofulumira, muzipatala zogwiritsidwa ntchito bwino zimatenga pafupifupi mphindi 15-25.
Kodi mungatani kuti mukhale ndi catarrhal gingivitis?
Mankhwala opatsirana amatha masiku khumi ndi asanu ndi awiri ndi asanu ndi awiri ndi kufunikira koti azipita ku ofesi ya mano nthaŵi ndi nthawi. Asanayambe kusankhidwa kwa opanga mankhwala, munthu wodziteteza adzazindikira momwe chiwerengero cha catarrhal gingivitis chimachitikira - mankhwalawa amachokera ku kuopsa kwa zizindikiro za matenda, zifukwa zomwe zinayambitsa, komanso nthawi yomwe matendawa amatha. Choyamba, dokotala amatsuka mosamala zitsulo zazitsulo ndi mazinthu ochokera ku ma microbial plaques, mafilimu a bakiteriya ndi miyala, ndiyeno amapereka malangizo apadera.
Chithandizo cha matenda aakulu a catarrhal gingivitis
Pamene zofewa ndi zovuta zimachotsedwa, mankhwala ochiritsira nthawi zonse amatha kuteteza kuti apangidwe. Mankhwala a catarrhal gingivitis akuphatikizapo:
- Nsanamira zokhala ndi yankho la Chlorhexidine (kawiri pa tsiku);
- kugwiritsa ntchito mankhwala opangira mankhwala osokoneza bongo (Asepta);
- chithandizo cha tizirombo towonongeka ndi miramistin, furacilin;
- kugwiritsa ntchito mabanki opaka mafuta otsutsa (Metiluracil, Butadion ndi ena);
- ntchito ndi propolis, Romazulon, Chlorophyllipt.
Catarrhal gingivitis yachilendo kaamba kawiri ndi yofunika kwambiri:
- kutenga antibiotics ndi multivitamini;
- electrophoresis;
- kugwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala oletsa kutupa;
- chithunzi ;
- hydrotherapy;
- mphepo yamakono;
- kupuma ndi vibromassage ya chingamu;
- khalidophoresis
Kodi mungatani kuti mukhale ndi vutoli?
Ndi zizindikiro zoopsa komanso kuwonjezeka kwa matenda, matendawa amatha kuthetsa kuchotsa kachidutswa ka tizilombo toyambitsa matenda ndi tartar. Ngati izi sizinawathandize, ndipo anapeza kuti ali ndi vuto lalikulu la catarrhal gingivitis - mankhwala ndi ofanana ndi njira zothandizira kuti adziwe matendawa. Kuwonjezera pamenepo, madokotala a mano amalimbikitsa kuti apeze ndi kuthetsa vuto lenileni la matenda a chingamu:
- Kutseketsa kwathunthu pakamwa pamlomo, ngati kuli kotheka - m'malo mwa zisindikizo, ma prostheses ndi zina;
- kusamala mankhwala;
- pulasitiki;
- Kuletsa zosaoneka bwino m'maonekedwe a mano;
- kulangiza kuluma ;
- mankhwala othandizira m'mimba, matenda a endocrine, matenda a mtima.