Ola kino, Maʻi a me nā kūlana
Periodontal maʻi: ano, kumu, pathogenesis,ʻike, a me ka lapaau Kāohiʻana. Mea Maluna o periodontal mai
Ka wā pilikia ai ka haohao ana me ka moʻolelo o ka lua, e like me kaʻawaʻawa loa kāpae'ōlelo loli paʻakikī loa. Ia mea no keia kumu, ke Kāohiʻana o periodontal, a mahope lapaau ana o na maʻi, e mau loa ana e pili. Ma hope o nā mea a pau, i kēia pae o ka maʻi i loa, he pono ole, nā loko o nā mākua, a me ka poe keiki.
He aha ka ka pā o ka maʻi
E aho ike i kēia pilikia, e pono nō ia e lohe i kekahi mau kī manaÿo. Oe ke hoʻomaka me periodontitis.
Kēia manawa ua hoʻohana 'ia e hoʻohuli i ke'aʻaʻa puni i ka niho, a maluhia ka laka' ia i loko o ka iwi ā. I ka mea, ua e kamailio e pili ana i ka periodontal ligament (hoʻohuiʻia ka iwi lua, a me ka niho aa), gingiva, iwi'aʻaʻa, alveolar kaʻina a me ka lepo pipili no hoi o ka niho. E lohe i na eiiiiiaiou likeʻole o ka'aʻaʻa, ka mea i hoohalike no ka mea, i kēia maʻi ke ku kela mea keia mea o lakou a kaawale.
Like no ke kaʻina hana, ua loaa i ka kŘpuna hopena ma luna o nā kumu o ku una na pollosti, ma ka hapanui o na hihia, o ka li nui o ka holoʻokoʻa 'ole paha'aʻaʻa o ka gingival palena pau.
Ma kona ano, mai e pili ana i ka nui aʻe ana a me nā niho, i e neoplastic, degenerative paha hoʻoʻino.
Ma ka hoʻomaopopo aku i periodontal maʻi pili i ka mahele o ka loa e like me ka pilikia a me nā mea maʻi i hele mai ai i ka dentist. Ma hope o këia ka MEA aeaiiua, oe ke aʻo i nā kēia mea: i kēiaʻano o ka maʻi i loko o na keiki i loaʻa i loko o 80% o ka hihia i loko o nā mea he nui. Nā mākua nui pinepine i e hana i keia pae ana o ka maʻi.
kumu
O ka holo ana, pilikia me ka nui aʻe ana a me ka moʻolelo 'ē aʻe nā'aʻaʻa mai i ikeia e lakou iho - ka mea, he hoʻonui i ka muli o kekahi mau keʻano o ka hanaʻana.
Ma hua'ōlelo o nā ho'ākāka 'ia aʻe e pili ana i ka etiology o keia pae ana o loohia, ka mea hiki ke maheleia i mau ki waeʻano: kūloko a me ka mau. Nae ia mea i ka plaque, poino, subgingival a me supragingival tartar prosthetic mā, 'clustering' niho, anomalies IeIIeYOA o kaulawaha i ke alelo a me ka lehelehe, a no laila, ma luna o. D.
Kekahi periodontal maʻi pinepine i ka hopena o ka imbalance o ka liluwelo'ōnaehana (plaque a me ka haʻi waha wai a me ka moku'āina).
More manaʻoi ma luna o ka mau aʻe, mākou e hōʻike i ka nele o nā wikamina o nā pūʻulu B, C, E. kēia mau deficits i ka hopena maikaʻi 'ole ma o ka' ole a me ka hana ana o periodontal nā'aʻaʻa. I ka nele o ka mea e pono ai nā wikamina mea hiki ia i pilikia e like me kue o ke kumuʻiʻo, kalipuna a me ka phosphorus, carbohydrate a me lipid pūnao. Eʻaʻole e hoʻokoe 'a me ka pilikia o ke aloha a me ka ooieoeiiaeuiuo loli o ka digestive, ko mākou hopohopo, circulatory, endocrine, a me ko mākou hopohopo nenoai o ke kino.
Ka mea, i hoohalike, e hoʻolohe i ka mea i periodontal maʻi i e ma muli o ka pilikia e like me aaiaoe predisposition, koko kāna hana, allergic reactions, loli ma reactivity, immunodeficiency a me ka hoʻohuikau o ka hormonal nenoaiu.
alveolysis
Ke kumu o keia mai ka atrophic a me ka dystrophic kaʻina ma periodontal nā'aʻaʻa. No ka mea, he maʻi hiki ke ho'ākāka 'ia me ke kali,ʻaʻohe ao alohilohi i na hoailona.
Ma ka hapanui o hoopii, periodontal maʻi ua hoikeia mai ma ka waiū o na aa o na niho me nā mahuahua lākou lōʻihi ma muli o ka maluhia iho la no ka nui aʻe ana. I kekahi manawa nā mea maʻi i haha aku ka eha ma ka niho a me ka maneo ma ka nui aʻe ana.
Lapaau a me ka Kāohiʻana o periodontal maʻi i loko o keia hihia ho'ēmi i kā i symptomatic 'ole ma kūikawā ana konohiki. Kēia hiki e "Flyuogel", "Ftorlak" listen'ōlelo, E like me ka hopena māhuahua pā lonoaʻili o ka niho ua wehe. Ke kauka i kekahi koi 'automassazh a me ka nui aʻe ana. He ua hana i ka mea e lawe mai i ka? Iaea o trophic kāna hana. Ma kekahi mau hihia, pili vestibuloplasticheskie hana, akā, i ko lakou hookoia hiki ole ke malama aku. He hiki, a hoailona iho la i auka loa.
Entiotropnoe lapaʻau ua ole ia, mai na kumu mai o periodontal maʻi mea nō,ʻaʻole maoli kālaʻe.
Periodontitis a gingivitis
Inā mākou e kamailio ana pela kekahi kīnā o ka pili me ka moʻolelo o nā nā'aʻaʻa na pilikia, nā periodontitis, e pono ke kūʻai 'ana i kumumanaʻo i keia mea he hoʻoʻino mai ma i loli a pau ano o nā'aʻaʻa i loko o ka iwi ā. No ka mea, he ano mea he ano helehelena o ka holumua ai ka make ana o alveolar iwi o ka iwi ā iwi, a me ka make ana o ka periodontal hui.
Like no ka gingivitis, ka mea hiki ke ho'ākāka 'ia me ka hoʻoʻino kaʻina, i komo ai wale ka'aʻaʻa o ka gingival palena pau. Kēia 'o ia hoʻi ia e loli wale ka nui aʻe ana'aʻaʻa ili honua.
He waiwai, e ike e pili ana i na kēia mea: pinepine kēia mauʻano o ka maʻi i interrelated. ʻO lalo laina mea i ka li nui, iʻikeʻia i loko o ka gingival'aʻaʻa ma manawa e loli 'ē aʻe oihana mua o ka periodontal hale. No keia kumu, oe e ole kāpae'ōlelo e like me kaʻike,, like gingivitis, no ka mea, a laila ka mea, ke alakai i nui aku tangible pilikia.
Clarifying na kumu o periodontal maʻi, ka mea, e ike pono ia laua e kanawai o ka pau luna 'o nā kumumea, nā mawaho a me na. Penei, a me ka nānā 'ole i ka gingivitis, ka hapanui pinepine hiki aku ai i ka like moku'āina malama ole ku una kou niho, e alakai ana i ka palapala moʻopane o tartar a me ka plaque hoʻomāhuahua.
Kēia 'o ia hoʻi ia ina ke kumu o kāohi ana ke pale aku i ka helehelena o ka pilikia, aole nui.
atrophic gingivitis
Hoomau ana me nā hiʻona o periodontal maʻi, ka mea, he pono nō ia e lohe i keia ano o ka maʻi. Ua hoʻomōhala ai ma luna o ke kāʻei kua o ka maʻi hoʻoʻino kaʻina mea e loli ai ka dentition holoʻokoʻa, a me kekahi mau niho.
Ma keia hihia, ke mucosa i haikea a pink, a me ka papilla ole-existent ole o Keʻei o. Ma keia wahi, i ka hoʻomanawanui 'aʻole i manaʻo nui discomfort. Hoopii i IeAUPIIe, IAa IO me ka nawaliwali eha a me ka hōʻemi iki maneo i loko o ka nui aʻe ana pili i.
maʻi gingivitis
Mea Maluna o periodontal maʻi kikowaena io loli i ke kūlana e like me ku una nā'aʻaʻa.
Keia pilikia ua loa pinepine kākau i loko o nā mea maʻi me ka pathology o digestive a mea'ōnaehana mānowai koko kahua. Nā kumu o ka maʻi nā'ōnaehana paleʻea deficiency, e like me ka hopena o? Aneie aʻe, me manufacturing. Mākou e kamaʻilio e pili ana i maʻi alakai i kaʻapu kōheoheo, o Hereme, a me na palapala oihana mua. He nolaila, nui nō ia e lohe i ka hana ana, a mai lawe hoʻowahāwahā i ka mea e hiki ai ka pilikia o ka io ola loa.
Ke pathogenesis o periodontal maʻi o kēia 'ano ho'ēmi i kā i mea kēia waiū i adverse'aʻaʻa ololi i Konakele. Kahe ana ke koko nui aʻe ana i brushing a me ka hookipa ana i paa ai i ka pono me heʻino ka hanu, a me ka ahi ka waiʻona ma.
E hoʻopau maʻi gingivitis, e pono mua neutralize i nā kumumea e hoʻonui i ka maʻi Holomua. Noonoo E e uku ia a me ka 'oihana ku una kou niho. Pili kupono ia ia i ka pihaʻai, detoxification o ke kino, a me ka ikaika i ka wai hokii.
Necrotizing ulcerative gingivitis
'O kēia kekahi palapala i e lawe hoʻoʻino periodontal maʻi. Mua ma na mea o ka moku'āina o dysbiosis, hoemiia ia'ku o ka meaola, gipoavitaminoz, maʻi palū, hypothermia, immunological pilikia, kela stressful wahi, i hiki a me ka angina.
No ia ia ka poino, e ike i loko o ka hihia o ka gingivitis ma luna o ke kāʻei kua o ke koko kāna hana, ia mea e pono ke lawe mai i ka palena pauʻike.
Lapaʻau komo ai kokololio hoʻopau o ka kumu o ka li nui, a me ka mea ana e hiki ai ke hooki aku i kona hopena ma luna o ke koena o ku una na nā'aʻaʻa. Ua mea i ke kumukuai o uku noonoo ana i ka ho'ēmiʻana o ka intoxication. Mawaena o na ana i i ka kūloko hookoia, e hiki ke hoʻohana i ka wehe 'ana o necrotic'aʻaʻa, eha kokua a me ka hana me ka antibacterial ai' ka laulā pae ana i kela mau wahi o ka nui aʻe ana, a i ku.
Mai poina e pili ana i Kāohiʻana: e pale aku recurrence o ka maʻi Pono, e pale i ka muli o infectious maʻi, aʻaʻole e hoʻokaʻulua kahua niho lapaʻau no ahuwale pilikia.
Mea nui nā 'ōpio periodontitis
O ka poe i hoihoi i loko o ka Mea Maluna o periodontal maʻi, li nui ma keia palapala, e huki noonoo mea OAXA.
Ke o Mānoa, o ka pilikia ua hoemi ia i ka'ōnaehana hoʻokoho pio o ke kākoʻo nakeke o ka mua paʻa niho. Hoonaukiuki aku i kekahi maʻi koʻohune actinomycetes. Ma ka hapanui o hoopii, keia pilikia, ua iho i manao ai i loko o kēlā mau keiki nona nā mākua i nā moku halihali mokulele o ka microorganism kau aʻela ma luna.
O hoʻoʻino pane a ma keia hihia i ka palena haʻahaʻa, akā, he mea suppression o ka'ōnaehana paleʻea'ōnaehana pane. Over manawa, i ke keiki ka kino i hanaʻia ma kekahi nā mea'aʻaʻa, e leie aku ka neaao paʻa niho koe ka puali.
Lapaʻau o periodontal mai o kēia 'ano komo ai i ka hoʻohana' ana o antibiotics no 21 lā a me ka nui, e like me ke ana o ka kūloko uao ai '. Olelo ana o ka lōʻihi-makahiki antibiotics, ka mea e e kaulana i keia ana ka pono no ka mea, o ka palapala microorganisms komo ole wale i loko o ka periodontal sulcus, akā, i loko o periodontalʻekeʻeke, a hiki malalo ia i loko o ka iwi hale a me nā'aʻaʻa. Kēia hopena maikaʻi moku'āina ka loa i ka pilina paʻa, a laila, pono ka lōʻihi waiū.
Uluwehi O-hoʻopale a koke e holumua ai periodontitis
Kēia pilikia o kekahi no o kekahi microflora o kekahi mau ano. Inā ka poʻe maikaʻiʻole mau hoailona ia mea o pathogens, i ka hope o kēlā me kēia ua hoʻokāʻoi ', a hiki aku i ka'aʻaʻa ka luku a me ka suppression o ka'ōnaehana paleʻea pane.
E noonoo pono i ka pathogenesis o periodontal maʻi o keia ano, o ka loa ka hoʻokō kou akamai i ka hana mālama nui antimicrobial Inc (ma ka liʻiliʻi loa 3 pule) a me ka lawe ia'ku, machining o periodontalʻekeʻeke.
Ala pahaʻoki kino. Ma keia hihia, no ka he patchwork, e hoʻomaka ana i ka hana ma hope o ka hoʻomanawanui wale, e lawe i ka piha papa o antibiotic lapaau.
I ka iapaau ana ua like kona mana me hiki, ia mea e pono ai initially e hoʻomaka i ka microbiological Ka Ikepili o kahi o ka'aʻaʻa biopsies a me periodontalʻekeʻeke.
Neoplastic lesions o periodontal
Maʻi ia mau hiʻona i ka mea i ka mea, e paʻakikī loa e kilokilo aie i ke kūpono 'ana o ka maʻi wale nō i loko o kanaka i initially i ka predisposition i keia hoike ana.
E like me nā kumumea ma o na la i ke ana o ka hikoko, aʻeho-e like lesions, ua hiki ke hooholo hormonal hoʻololi ai. Ua hiki e, no ka mea hoike, i ka hoʻomāhuahua o ka ulu hōmona i hāpai keiki a puberty. Nā kumu no keʻano o kaʻeho lesions hiki i nā li nui, mua illnesses a me ka hopena o traumatic aʻe i nā maʻi ma ka ano.
Ma nā makahiki, ua paa kauka i kekahi kumu hoike ana mai o keia pathology like neoplastic lesions o periodontal. He heʻeleu ana o ka lāʻau anabolic steroid i ui kanaka i pinepine ia i loko o ka lumi papa ma ka bodybuilding a me nā mana haʻuki.
i hoemiia Nā Papahana O Ka lapaʻau o periodontal maʻi i loko o ka hihia o keia pathology e hoʻopau li nui a me ka eha (i loko o ke alo o ka hope), a, ina koi, ana o ka ulu'aʻaʻa surgically. ʻoki kino o ka loa he hana no na diagnoses me "hypertrophic gingivitis", "nui aʻe ana fibromatosis" a me ka "mezhkornevyh granuloma".
Ma hope oʻoki kino, ia mea nui ke akahele hahai i ka rula o ku una kou niho, a me ka hoʻohana 'antibacterial, a me ka hana antiseptic holoiʻia ia.
ʻike, a Periodontal maʻi
Ma ke kaʻina hana o kaʻike, lawe i loko no o ka 'ano a me ka loa o ke kaʻina hana, e like me ka pono me ka lapaʻau kiʻi like me ka a pau.
I ka wa e hele mai i ka periodontitis, i ka palena pauʻike, i loko o keia hihia, e e hoʻomōhala ma luna o nä ka papa kuhikuhiE symptoms ekolu, ma ka i 'oe e hoʻoholo i ka degere o ka oolea o ka maʻi. Mākou e kamaʻilio e pili ana i ka resorption o ka iwi, pathological ka hoʻoneʻe o ka niho, a me ka hohonu o ka periodontal eke.
Huʻi a me ka maʻi ano o ka generality hōʻike 'ia ma ke kēia symptoms: haanou ana a me ka redness o ka mucosal alveolar iwi eha i loko o ka ua niho me ka mīkini'opihia a Kamehameha a mama, infiltration a me ka mea hōʻemi o ka hoʻomanawanui i loko o kekahi mau.
E like me ke ano hiʻona i Hōʻike ka periodontal maʻi o keia ano hiki ke nānā 'abscesses, iʻikeʻia ma kekahi mau wahi. First kekahi e hele, a ma hope 5-7 lā he mea kekahi. I ka wahi o ko lākou mau wahi e kokoke ana i ka gingival palena pau, akā, me ka memo mea i parodentalnym eke.
Hoʻoholo 'gingivitis nā' ano apau loa, ua hōʻike mai iā ia ma luna. Akā, like no me kaʻike, a traumatic aka wahi, ma keia hihia, ma ka hou ana i ka degere o periodontal ka make, ia mea pono e hookupaa nui ae i ka etiological ololi. No keia mea, kupono i ka hae nana a me ka manaʻo hana. Ma hope o ka mea e hoʻolohe i ka pathogenesis o ka maʻi e pono ai.
lapaʻau
I ka rula,ʻike, a me ka hana ana o periodontal maʻi e hoemi ia, e hōʻike kekahi symptoms, e hooholo i ke ano o ka maʻi, kona ano, a laila neutralize i ka li nui me ka eha symptoms.
Akā, ke kaumaha ma muli o ka kulana, ki ina hana like o ka lanakila i ka maʻi hiki i kekahi oko ao.
Ua mea no hoi e pono ke ike i ka ki pahuhopu o ka lapaau - o ka hoihoi hou a me ka mālama 'ana o kamaiʻilio ana hana, normalization o aesthetics a neutralize i ka hopena maikaʻi' ole o ka pathological keʻano o ka hanaʻana e like me ia ma ke kino, e like me ka a pau, a me ka pau periodontal nā'aʻaʻa.
Koho i ka hookahi iaoia e ho ololi i ka pilikia e like me ka loa ka manaʻo mea pono no ka mea, o ka makemake? Acoeueoao mea hiki ke i wale i ka hulina lapaʻau o periodontal maʻi.
He nui ka ike, a ua loaʻa nō i ka helu o ka walaʻauʻana me nā loina ma luna o ka mea a ke kaʻina hana o ka lanakila i ka maʻi i kūkulu. Kēia individuality, ka manaʻo pohihihi, pathogenetic a me causal lapaʻau. Pau i ke kaʻina hana o ka iapaau ana o ka helu o restorative ana.
Me ka pili ana i na ki Pahuhopu, i hoakaka lapaʻau periodontics, ka mea, e like penei:
1. Pathogenetic iainiiaaiey.
2. hopena ma microbial (etiological) ololi.
3. Keia Manawa nona ma ka Kāohiʻana o ka Holomua o ka luku kaʻina.
4. ka pākōlea 'ole ma o ka pau meaola, a me ka pau periodontal'aʻaʻa. Entiotropnoy o Mānoa, Inc ma keia hihia mea, e wehe i ke kumu o na kumu o ka maʻi.
5. Hoʻihoʻi Ea o ka loiloi, a morphological ano o periodontitis.
Currently i loaʻa he nui okoa antimicrobial hoomakaukau me ka makemake degere o ka hopena, i ka mea, a hooku iho la ia ma kekahi ano (lopi, gels, elixirs, papa, me ka hinu, a me kekahi poe e ae.). Akā, ia mea nui i ka ike i ka indiscriminate ana o na Luna i exacerbate periodontal maʻi i loko o nā keiki a me nā waena-elemakule kanaka, e kauoha ana i ka hooulu ana o ke ku una candidiasis a me ka moʻolelo kue microbiocenosis.
Ia mea no keia kumu, ma hope o ka 'oihanaʻike, a me ka lapaʻau kumumanao e ia he palapala hōʻoia no kauka i mea hiki ke lawe i ka mooolelo a pau na ano kanaka o ka hoʻomanawanui ka periodontal pathology. Kēia mau hiʻona nā ka lōʻihi like 'ole o ka maʻi, i ka hoʻomanawanui i ka mau ana, lapaʻau, a i lawe mai ma mua, o ka hopena a me nā aʻe.
Me lakou i mea hoike, o ka hopena ma luna o ka catarrhal gingivitis. Mua o nā mea a pau ke hoʻomanawanui aʻo kupono ku una kou niho, hana hope ana o ka kūloko ano o keʻano ukiuki aʻe. Kēia hiki ia he kahua niho iie, e amo, a me ka hoihoi hou ana o keʻia ke kumu, e like me kēia wehe 'ana o ke kahua niho plaque.
I kekahi kahua o ka iapaau ana, a e kōkua i ka hoʻopau periodontal ia maʻi, mea e lawe mai i ka kūloko Anati-hoʻoʻino Inc, oiai i ka pili pono o ka lāʻau lapaʻau laau. Physiotherapy lapaau i loko o ka hihia o ka catarrhal gingivitis, e hoʻoikaika 'ana i microcirculation. No keia kumu, ke hoʻomanawanui hiki ke hōʻike electrophoresis, lomilomi nui aʻe ana a me nā kaʻina hana.
I ka hōʻike hiki hoʻopau o kūpono hoʻomoana o nā niho, palupalu'aʻaʻa abnormalities o? Acaeoey a me ka nahu. Ma keia hihia, ke kōkua me ka nui loa lāʻau. No ka laʻana, ka tuko pīlali ÷ eiiiiiaiou mea i kekahi i lawa ke kiekie pākōlea hopena. Nā Papahana O Ka noi ua e huikau: ma hope o antiseptic gingival palena pau ua ana, o ka hua mai niho hoʻokaʻawale hoʻohana pulupulu palapala, i ukali ia e maloʻo ana o ia mea. E hana i ka hoʻohana 'ia' ohe a tuko pīlali trowel. E like me ka palapala noi paena i koho gingival sulcus a marginal gingiva.
Ua Ua hoi pono ka hoʻohana a Keratoplasty hou hanauna 3-5 lā ma hope hoouka kaua ana o ka maʻi. I ka hopena, e ia i ka stimulation o reparative keʻano o ka hanaʻana.
hualoaʻa
Kāohiʻana a me ka hana ana o periodontal mai ka pathology mea nui i kumuhana no na kanaka, no ka mea, ku una maʻi'aʻaʻa i ko kanaka o kekahi elemakule pūʻulu pinepine.
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