Pamarudzi ose ekuvhiya mazino, chirongwa chezino ndicho chakanyanya kufanana. Vongai nekuvandudzwa kwemaitiro matsva ekurapa, iyi nzira inoshandiswa chete mumamiriro ezvinhu akaoma. Uyezve, kunyange kubviswa nekutambudzika kwakanyanya uye mumamiriro ezvinhu akasununguka kunounza kuchinja kukuru mumuviri.
Ndeipi rinofanira kubvisa zino?
Chisarudzo chokubvisa zino chinotorwa nechiremba wezvechiremba mushure mekuongorora, uye kazhinji kunoda X-ray kuongorora. Zvichienderana nekuoma kwehutano hwehutano, basa racho rinogona kugadziriswa kana kukurumidza. Kazhinji, kushandiswa kunoitwa pasi pemamiriro ekurapa, zvisinei, mune mamiriro ekurwara kwemurwere, kubviswa kunogona kuitwa muchipatara.
Zviratidzo zvikuru zvekucheneswa kwezino ndeyenyaya yekukurumidzira zvinotevera:
- kubuda kwepure purulent inflammation, kuendesa kumapfupa emapfupa ( osteomyelitis , periostitis ) nemhaka yezino rinorwara;
- maxillary abscesses, phlegmon , purulent lymphadenitis, sinusitis inobatanidza kukundwa kwezino isiri iyo inochengetedza;
- kuputsika kwezino-kureba, mune korona chikamu nekudzivirirwa kwemaspire kana zvisingakwanisi kudzorera nenzira dzinogadzirisa.
Kuita zvirongwa zvakarongeka zvinogona kusarudzwa pane imwe nguva, iyo dzimwe nguva inotangira neyodzero yekuchengetedza chirwere (kubviswa kwemazino emazino, remishonga inorwisa mabhakitiriya, kutora mishonga inopesana neyokuputira, uye zvakadaro). Mune zvimwe zviitiko, kunonoka kubviswa kwezino rinorwara rinotarisirwa kusvikira mamiriro emurwere akasimbiswa, kuregererwa kunowanikwa mune zvimwe zvirwere (zvirwere zvakanyanya zvehutachiona, hypertension, arrhythmia, stomatitis, nezvimwewo). Mazino akachengetwa anodzingwa maererano nezviratidzo zvinotevera:
- chisingagumi radical periodontitis nekudzivirirwa kwemukova we canal, uyewo zvakaoma neuralgia, sinusitis;
- periontitis neyeshatu uye yechina digiti meno kufamba;
- iyo midzi yakaparadzwa yezino, iyo iyo isingakwanisi kusimbisa chimiro chemasopa;
- nzvimbo inypical ye meno mu dentition, kwete pasi pekugadziriswa uye kutungamirira kukuvhiringidza kwekucheka, kutaura, kushungurudzika kusingaperi kwemukati mumuromo;
- kuputsika kwemudzi wezino;
- kuputsika kwemajaya , umo dzino rinowanikwa pamutsara unoputsika;
- mhondi yomusha;
- chido cheprohethi (mazino asina kuroorwa, anoomesa kuiswa kweprosthesis);
- meno anocheka zvishoma, izvo zvinokonzera kusingaperi kuputika kwemasumbu uye kurwadziwa.
Ungagadzirira sei zino?
Mutsika, nguva inofadza yekuvhiya mambakwedza mangwanani. Izvi zvinokonzerwa nekuti mumangwanani, mhuka yakakwana ye simba iri nyore kutakura matambudziko ose kupfuura manheru. Mukuwedzera, kurwadziwa mushure mekunyora kwezino zviri nani kumira mukati mezuva, apo pane, pane kuparadzanisa, uye kwete kutambura, kwete kurara usiku. Kana pane zvipingamupinyi, zviri nyore kuonana nachiremba panguva yekushanda.
Iyo huru inokurudzirwa kune avo vanotarisira kubviswa kwezino dzinoitwa sezvizvi:
- Kana mukuru anesthesia asina kurongwa, unofanira kudya maawa mashanu nemaviri maviri kusvika maviri musati washanyira kumudzimai wemazino, nokuti mushure mechinguva mushure mekugadzirisa haungakwanisi kudya, uye izvi zvinoderedza ngozi yekubuda ropa (ropa richadziviswa nokukurumidza) uye kuderedza salivation.
- Mukudurura kukuru, zvinogamuchirwa kutora sedative, zviri nani kudarika michero yakabva (yakabva paviderian root, motherwort), muyero yakaenzana.
- Rega kunwa doro rimwe zuva usati wambovhiyiwa.
Zvinorwadza kubvarura dzino here?
Mamiriro ezvinhu emazuva ano ekudhonza zino - zvinenge zvisinganzwisisiki, nekuda kwehupamhi anesthetics yekuita kwemukati. Kunyangwe kuwedzerwa kunzwisisika kunorwadza, iyi nzira inogona kuitwa nekusingaperi kwekunzwa kusanzwisisika kune murwere. Iyo injected analgesic substance inotanga kuita shure mushure memaminetsi mashomanana, uye zvayo zvinopfuurira kwemaawa akawanda akawanda. Izvo chete mushure meizvi kune manzwiro anorwadza munharaunda yejoko rezino rakabviswa, iro rinopera zvishoma nezvishoma uye rinogona kumiswa nemuromo painkillers.
Mubvunzo werudzi rweanesthesia unobvumirana nachiremba, uyo anosungirwa kuziva uye kutarisisa kana murwere ane chirwere chekurwisa anesthetic drug. Paunosarudza mushonga, pane hutachiona husingaperi hunotorwa. Kakawanda, nzira yekujoya inoshandiswa - nekubatsira kwejojo, kusati kwashandiswa kushandiswa kweanesthetic analgesia yenhare inonzi insertion site inogoneka. Rudzi rwezveso runogona kuitwa runoshandisa rimwe remhando dzinotevera dzejojo anesthesia:
- Mutungamiri - mujoyi unoitwa munharaunda yedzino rekupedzisira mumutsara, apo davi rejinga riripo, uye naizvozvo nerve yose yakadzivirirwa (nokuda kweaneshesia yemeno akawanda).
- Kupindira - mishonga inorohwa munzvimbo yekuratidzwa kwechikamu chemukati wezino kana kuti gum kubva kumativi emuromo kana kubva mudenga kusvikira kumagumo emudzi.
- Intra-inogadzirisa - mujoyo unoitwa nesirusi inokosha kuburikidza nehumu munguva yechirungu yezino, inotsigira zino mu alveolus.
- Intraosseous - mishonga inowanikwa mumapfupa emapfupa emapfupa, ayo anopa zvakakwana kushanda.
Nokuda kweanesthesia, kazhinji, vanoshandiswa mishonga yakadaro:
- Novocain;
- Lidocaine;
- Articaine;
- Ubistezin;
- Ultracaine.
Ungabvarura sei zino pasina kurwadziwa?
Dzimwe nguva, kubudiswa kwemazino pasi pehurumende anesthesia, kubvisa kusagadzikana kwose, asi izvi zvine uchapupu hwaro:
- guru guru uye kushungurudzika kwepindiro inouya (kubviswa kwezvikwata zvakasiyana-siyana, kubviswa kwakaoma kwe "masere", zino rine ruzivo rwemidzi yakashambadzirwa);
- kunyoresa kumishonga kune anesthesia;
- pronounced emetic reflex;
- Kutya kutya kwekuvhiyiwa;
- kukanganisika kwepfungwa;
- vamwe endocrine pathologies;
- kurapa kweosteomyelitis;
- yakaoma maxillofacial trauma, nezvimwewo.
Kubudiswa kwemazino pasi pehurumende anesthesia kunoitwa nekubatanidzwa kweaneshesiologist. Nokuda kweizvi, kugadziriswa kwekushandiswa kunoshandiswa (Sevoflurane, Halothane, etc.), vamiririri vekushandiswa kwepravenous (Propofol, sodium sibutyrate nezvimwe zvakadaro). Muchiitiko ichi, kugadzirirwa kwakakosha, kubata kwekugadzirira, kubviswa kwezvose zvinopesana zvinodiwa. Mushure memugwagwa, gara muchipatara chechipatara kwemakore.
Meno acho anobviswa sei?
Musati mavhura zino, muromo wemuromo unorapwa nean antiseptic uye anesthetics. Mumamiriro ezvinhu akaenzana, nzira yacho inowanikwa zvakafanana nenzira inotevera: kutanga inotarisirwa kuwedzera joko rezino uye kuparadzanisa zino kubva pamigumisiro sezvinoita mapfupa emapfupa akaomeswa. Izvi zvinoitwa nekudzikinura zino pamwe nekudzvinyirira kumwe shure uye mberi uye kubva kurutivi rumwe. Mushure meizvi, zino rinobviswa kubva patsime uye swab swab rinoshandiswa kurega kubuda ropa. Dzimwe nguva zvakakosha kushandisa hemostatic madhiragi, kusunungura.
Kubvisa zino
Iyo retina inogadzirwa zvisina kukwana, iyo yakazara zvakakwana, asi haina kuputsika kana kutarisa zvishoma. Muzviitiko zvizhinji, meno akadaro anoita kuti kuve nokuputika, kurwadziwa, uye saka kunofanira kubviswa. Dhaka rakaoma rakadaro rezino, rinoratidzwa nekuwedzera kwekurwadziwa, inopa kuvhara kwegamu, kuisunungura kubva pfupa kuburikidza ne boron, dislocation uye kubviswa. Dzimwe nguva zino rinopatsanurwa kuva zvidimbu uye zvisikwa zvakasiyana. Mushure maizvozvi, zvikwata zvinoshandiswa.
Kubviswa kwemudzi wezino
Kubviswa kwezino, uko kubva chete iyo midzi yacho yakasara nokuda kwekuparadzwa kwekorona chikamu chinofanira kukonzerwa kana kushungurudzika, kune zvayo zvakasarudzwa. Zvakakosha kuziva kuti dzimwe nguva zvinoramba zvichigoneka kuchengetedza midzi, kana isingatambudziki, yave ichirapa uye inoshandiswa kudzorera, prosthetics. Kuti abvise mudzi wezino, kazhinji inoda kudzvora mazino, kupwanya mazino ezino, kushandisa zvigadzirwa zvinokosha zvinowanikwa pakati pamadziro ehuni uye mudzi wezvikwata (elevators).
Kuchenwa kwezino - zvinetso
Sezvakangoitika kune imwe nzira yekuvhiya, shure kwekubviswa kwezino, zvinetso zvakasiyana-siyana zvinogona kuonekwa. Zvimwe zvacho ndezvehutano - hutano huri pamwe chete nekukuvadza kumatumbu emasumbu, misumbu, ligaments, midziyo, nerve fibers. Vanozvimiririra kuenda kwemazuva mashoma vasina kurapwa. Zvimwe-zvechirwere, zvinoda kurapwa kwakakurumidza. Chiito chemuviri chemuviri chinogona kuonekwa sekuratidzwa kunotevera:
- kurwadziwa munharaunda yegomba uye pedo naro, kwete kukura nenguva, uye nekubviswa kwechisere, chechinomwe uye chechitanhatu mazino - kupararira pamusana, nzeve yenharaunda;
- edema mushure mekugadzirisa mazino, kugunzva gum nesarama, zvishoma nezvishoma kuderera;
- zvishoma kubuda, zvichimira kwemaawa mazhinji;
- kuwedzera mumuviri wekushisa kwete kudarika 38 ° C (kwete kupfuura zuva);
- gomba rakachena mushure mekubviswa kwezino pamazuva 3-4 - kusimbiswa kwenzvimbo apo paiva nerino, filimu mutsvuku.
Izvozvo zvinokonzerwa nematambudziko ndezvi:
- alveolitis (dry hole);
- osteomyelitis;
- kubuda kunorema kubva mucheka;
- paresthesia (kurasikirwa kwekunzwisisa kwemirimi, miromo, nzvimbo dzepamusoro).
Mukuwedzera, nekuda kwekusakwanisa kwechiremba, zviito zvake zvisina kururama, kukura kwezvinetso zvakadaro zvinogoneka:
- kusanganiswa kwezino kusina kukwana;
- kukanganisa kana kubviswa kwezino riri pedo;
- dislocation kana tsvina kuputsika;
- kukanganisa kune septum pakati pemadhora maxillary uye muromo wemuromo.
Alveolitis mushure mekudzirwa kwezino
Chimwe chinhu chinowanzobatwa mushure mekugadzirwa kwezino ndeye alveolitis, inosanganisira chirwere chinotapukira-chinopisa mukati megomba nekuda kwekupinda kwepathogenic microorganisms. Unhu hunhu huri:
- kurwadziwa kwakanyanya munharaunda yezino rakabviswa, kazhinji kechimiro chekutsvaira, kuonekwa mushure memazuva matatu;
- kuwedzera kwekushisa kwemuviri kunogara kwenguva refu;
- kuwedzera kweruzhinji lymph nodes;
- mweya wakaipa;
- kurira kwemasama;
- kuora kwehupenyu hwakanaka.
Kutsigira mushure mekutswa kwezino
Kusimudzika kwechisikirwo mumashambirwo, semugumisiro wekuzvidzivirira kwemuviri kune utachiona hwemhuka, kunoonekwa pazuva rekutanga mushure mekunyengedzwa. Zvishoma nezvishoma kutonhora kunofanira kuiswa pasi. Kana, mushure mekudzirwa kwezino, dama ranyorova, kurwadziwa kwakanyanya kunonzwa kunoonekwa, maronda anouraya, haapore kwenguva yakareba uye panguva imwechete kutonhora kwemuviri kunoramba kuchikwiridza kwepamusoro kwezuva, ichi chiratidzo chetachiona chehutachiona.
Chii chaunofanira kuita mushure mekudzirwa kwezino?
Kana chirongwa chacho chiri chenguva dzose, pasina zvinetso, hapana chirwere chakakosha chinodiwa mushure mekugadzirwa kweino. Pakarepo mushure mekushanda, iwe unofanirwa kuchengeta rugare kwehafu yeawa, usataura, chengetedza tsvina muhomwe. Kuti kudzivirira kukurira zvakanyanya padama kubva kune rumwe rutivi rweino rakabviswa, cold compress inogona kushandiswa. Mukuwedzera, mushure mokubvisa zino, unofanira:
- Rega kubva pamabasa ekushingaira, mabhatiro, saunas kwemazuva mashoma.
- Imwai uye mudye kwemaawa maviri.
- Chew parutivi rwezino rakabviswa, idya zvokudya zvinopisa uye zvinwiwa usati wapora chirongo.
- Usabvambura meno ako kwemaawa makumi maviri nemaviri.
Ko gum rinoporesa sei mushure mekudzirwa kwezino?
Varwere vakawanda vanoda kuziva kuti gum aches mushure mekugadzirwa kwezino ndeyeiwo. Chero kushungurudzika kunosanganiswa nemarwadzo ekurwadziwa, uye mushure mekushanda uku, kusuruvara kusingafadzi kunowanzoitika. Kazhinji kurwadziwa kwakanyanya kunonzwika mushure mokuguma kwechiito chekushaya maitiro uye 1-2 mazuva anonzwa. Zvishoma nezvishoma zvinoderera, izvo zvinoshanda sechiratidzo chekuporesa. Kunetseka kwakanyanya kunogona kuramba kuchienderera kwemavhiki maviri, zvichienderana nehuwandu hwekuvhiringidzika kwemuviri.
Vakatora zino, gum rinorwadzisa - ndinofanira kuitei?
Muzviitiko apo gamu inorwadza zvikuru mushure mekugadzirisa mazino, mumazuva ekutanga inokurudzirwa kutora painkillers sekubvumirana nachiremba. Nzira dzakadaro dzinoshanda:
- Ketanov;
- Ibuprofen;
- Paracetamol;
- Nimesiri ;
- Solpadein;
- Analgin nevamwe.
Chii chinosuka muromo wako mushure mekutswa kwezino?
Mushure mekunge zino rakabvarurwa, kushambidza muromo, kuti ungazviita sei, uye kana pane chido chacho, mazino achaudza. Zvakakosha kuongorora kuti dzino dzinobviswa sei, ingave gum incision yakagadzirwa, zvisinei kuti zvinetso zvakaitika panguva yekushanda. Kunatswa kwakanyanya kune chero zvipi zvingabviswa - izvi zvinogona kutungamirira kushambidza kunze kwekudzivirira ropa clot uye kubudiswa kwecheki. Mvura yekushambidzika nemhinduro inotevera inogona kukurudzirwa:
- Chlorhexidine;
- Chlorophyllipt;
- tincture ye calendula;
- tincture yeuchenjeri;
- Miramistin;
- strong saline solution.
Mishonga inorwisa mabhakitiriya mushure mekudzirwa kwezino
Nekugadzwa, chiremba wemazino pane dzimwe nguva, unoda kutora mushonga mushure mekugadzirisa zino kuti ubvise zvirwere zvinotapukira. Mishonga inorwisa mabhakitiriya mune mazino maitiro ndeokuti:
- Tsifrani;
- Flemoxin;
- Amoxiclav;
- Lincomycin.