Matenda a Periodontal ndi matenda osowa kwambiri. Koma nthawi zambiri amasokonezeka ndi periodontitis - matenda achiwiri ofala kwambiri amkamwa, mano atangowonongeka. Amadziwika ndi kutukusira kwa minofu yomwe yazungulira dzino - nthawi… Koma matenda amtundu wa periodontal ndiomwe amawononga minyewa imeneyi, ndi matenda owopsa. Zitha kuwonjezeka kapena kutsagana ndi matenda ena, monga matenda am'thupi, matenda ashuga, hypovitaminosis, kuchepa kwa chitetezo chamthupi, ndi zina zambiri.
Zimayambitsa matenda periodontal
Chiopsezo cha matenda a nthawi yayitali chimakula ndi ukalamba. Zimatengera malo okhala, zakudya, chikhalidwe, mtundu ndi jenda (amuna amatengeka ndi izi). Muthanso kuwona kulumikizana pakati pa kuopsa kwa matenda a periodontal ndi ukhondo wovuta wamkamwa.
Nthawi zambiri, kutukusira kwa chingamu ndikumangoyenda nthawi ndi nthawi kumalumikizidwa ndi chikwangwani chamano chomwe chili pamwamba pa mano, chifukwa 90% yake imakhala ndi mabakiteriya. Kutulutsa komwe kumawonekera kwambiri pamwamba pa mano, mabakiteriya amawononga kwambiri nkhama ndi zinthu zina zapakati.
Kuphatikiza apo, matenda a gingival amakhudzidwanso ndi pamlingo Ndi mbale yamano yamchere yomwe ili pamwamba pamano, pamwambapa komanso pansi pamkamwa. Mchere wonyezimira wa calculus umapangitsa kuti chipikacho chikhale pafupi kwambiri ndi ziphuphu (pamwamba pa chikwangwani cholimbikitsacho chimalimbikitsa kuchuluka kwa zolembera zamoyo) ndipo zimakhudza kwambiri mano ndi mawonekedwe ozungulira. Madera omwe atengeka kwambiri ndi ma calculus amaphatikizaponso dzino pamwamba pamitsempha yamatope, malo osagwirizana amano (zokuta zochulukirapo, ma prosthetics, ndi zina zambiri).
Zinthu zina zomwe zingayambitse mawonekedwe a matenda a periodontal ndi kuchuluka ndi malovu amate, kutsekemera kapena kutayirira, zinthu zopanda pake zopangira, kupuma pakamwa, zopindika zamatenda am'kamwa, kutsekemera koopsa, kukwiya - mankhwala, matenthedwe, matupi awo sagwirizana ndi zokhudza zonse (matenda ambiri, Mwachitsanzo, immunological, mahomoni, kagayidwe kachakudya)[1].
Zizindikiro za matenda a nthawi
Zizindikiro zofala kwambiri za matenda a periodontal ndikutuluka magazi m'kamwa, leucorrhoea, kutupa, kutsalira kwa m'kamwa kuchokera m'mano, komanso mawonekedwe a mafinya m'kamwa. Mano a munthu wodwala amatha kusunthika, kapena, mosunthika, amasuntha. Nthawi zina, kusintha kwa malo sikuwonekera kwenikweni pakuwunika, koma kumamveka mukamaluma kapena kutafuna. Mpweya woipa kapena kukoma kwachilendo komwe kumatsagana ndi munthu nthawi zonse kumatha kuganiziridwa ngati chizindikiro cha matenda a nthawi.
Ndikoyenera kudziwa kuti sizimawoneka mwachangu nthawi zonse. Nthawi zina matendawa amatha zaka zambiri, osadzipangitsa kuti amve, kapena osabweretsa mavuto kwa munthu amene ali ndi zizindikilo zake.[4].
Mitundu ya matenda a nthawi
Pali madigiri atatu owopsa a matendawa:
- zosavuta;
- pafupifupi;
- cholemera.
Ndikofunika kulabadira kuti matenda a periodontal ndi matenda a nthawi yayitali. Pakukula kwake, imadutsa magawo angapo. Gawo loyamba ndi gingivitis - kutupa m'kamwa. Nthawi imeneyi, m`kamwa kuyabwa, pali kumverera kuti iwo akhala lotayirira.
Kutaya magazi m'kamwa pambuyo pake kumawonekera. Odwala ena amamva kuwawa m'kamwa akamatsuka m'mano ndikudya zakudya zolimba.
Koma chifukwa chakuti kupweteka sikukulira, odwala ambiri amazengereza kupita kwa dokotala. Makamaka ngati ululu umatha pakatha masiku awiri kapena atatu. Nthawi zambiri, odwala amapita kukasamalira mano m'munsi mwa dzino mukawululidwa komanso mawonekedwe a dzino gingival akakhazikika. Pakadali pano, kuwonjezeka kwa magazi ndikumva kuwawa nthawi zambiri kumachitika.
Zovuta zamatenda a periodontal
Ngati matenda amtundu wa periodontal sanasamalire, kuwonjezeka komanso mavuto azaumoyo kumatha kuchitika.
- Ziphuphu zotuluka (zopweteka, zotupa zotupa).
- Kuchuluka kuwonongeka kwa mitsempha ya periodontal (minofu yolumikiza dzino ndi bowo).
- Kuwonongeka ndi kutayika kwa mafupa a alveolar (fupa la nsagwada lomwe limagwira muzu wa dzino).
- Kubwezeretsa mano.
- Mano otuluka.
- Kutaya mano[3].
Kupewa matenda a nthawi
Chofunikira kwambiri popewa matenda a periodontal ndi ukhondo wapakamwa, womwe umatsuka bwino mano, kugwiritsa ntchito opopera madzi pakamwa, maburashi apadera omwe amayeretsa malo pakati pa mano, kuyezetsa mano miyezi isanu ndi umodzi kwa anthu athanzi, komanso miyezi inayi iliyonse kwa anthu omwe ali ndi matenda omwe adadziwika. matenda a periodontal, komanso kuchotsa zolengeza nthawi zonse.
Tiyenera kukumbukira kuti osadziwika komanso osachiritsidwa, ngakhale atangoyamba kumene, matendawa amatha kubweretsa mavuto akulu m'mimbamo yam'mimbamo komanso kutayika kwa mano. M'magawo amtsogolo a matendawa, chithandizo chamankhwala chitha kukhala chofunikira, chomwe chimatanthauza kusapeza bwino kwa wodwalayo[2].
Kupewanso kumafunikanso kuthana ndi zinthu zina zomwe zimawononga ukhondo wamkamwa. Mwachitsanzo, kudzazidwa molakwika kapena zinthu zopangira, ndikofunikanso kuganizira zovuta zakubedwa kapena zovuta zina zamano (mwachitsanzo, orthodontic).
Njira ina yothandiza kupewa matenda ndiyo kukhala ndi moyo wathanzi komanso kudya zakudya zoyenera. Zakudyazo ziyenera kuphatikiza masamba, zipatso, tirigu wathunthu, mapuloteni athanzi.
Chithandizo cha matenda a periodontal mumankhwala ambiri
Kawirikawiri, matenda a periodontal amachiritsidwa m'magawo atatu. Mulinso izi:
I - gawo loyambirira, momwe zimayambitsa matenda
Pakadali pano, njira zosavuta zosamalira pakamwa ziyenera kutsatidwa kuti muchepetse zolengeza ndi tartar ndikukwaniritsa ukhondo wam'kamwa.
- Yesetsani kuyeretsa mano kwa dokotala (chotsani zonse zoyikira mano).
- Chitani mapulasitiki amano m'malo omwe zolembapo mano zimapezana.
- Chotsani zinthu zokhumudwitsa.
- Phunzirani kusamalira bwino pakamwa panu.
- Sungani ukhondo wabwino pakamwa pakhomo.
Zida zotsatirazi ziyenera kugwiritsidwa ntchito:
- zida zamakina zochotsera zolengeza (ultrasound, aerosol);
- zida zamanja;
- zida zamakina zochotsera zikwangwani zofewa ndi zipsyera (chipangizochi);
- zida zopukutira (maupangiri a labala, zingwe, kupaka pastes, ndi zina zambiri)
II - Gawo lokonzekera, momwe muyenera kuchotsa zotsalira za matendawa
Pakadali pano, odwala amachitidwa opaleshoni kuti akonze kapena kupanganso mawonekedwe owonongeka a nthawi. Njirazi ndi cholinga chokhazikitsanso nyumba zomwe zawonongeka chifukwa cha matendawa komanso kusamalira mano - periodontitis.
III - Gawo lothandizira zotsatira zamankhwala
Maulendo a mano, kuyeretsa kwamano kwa akatswiri, mankhwala a laser, chithandizo chamankhwala[1].
Zothandiza mankhwala periodontal matenda
Choyamba, anthu omwe ali ndi matenda a periodontal ayenera kuphatikiza pazakudya zipatso ndi ndiwo zamasamba zambiri momwe angathere. Pali zifukwa zingapo zofunika. Choyamba, athandizanso kukulitsa mavitamini ndi michere m'thupi. Kachiwiri, zakudya zolimba ndizophunzitsa kwambiri mano ndi nkhama zofooka. Ndipo ulusi womwe ali nawo upindulitsa thupi ndikuthandizira m'mimba kugwira bwino ntchito. Mukamatafuna, ndikofunikira kuyesa kugawa moyenera katunduyo pakamwa kuti madera onse akhale ndi nthawi yogwira ntchito.
Samalani kwambiri zipatso za mandimu, kaloti, tsabola belu. Zakudya izi zili ndi mavitamini A ndi C ambiri, omwe amathandiza mokhulupirika polimbana ndi matenda a periodontal.
Chachiwiri chofunikira chopatsa thanzi chomwe chingathandize kulimbikitsa mkamwa ndi mano ndi mkaka. Yesetsani kulemeretsa zakudya ndi kanyumba tchizi, mkaka, kirimu wowawasa, tchizi. Ngati iwo ali achibadwa, izo ziri bwino kwambiri. Ndipo kuti calcium itengeke bwino momwe mungathere, musadzikane mukuyenda mumpweya wabwino pansi pa dzuwa.
Mankhwala achikhalidwe a matenda a nthawi
- 1 Kulimbitsa mano ndi matenda a periodontal, tikulimbikitsidwa kuti tizimwa madzi atsopano a mbatata yaiwisi. Onetsetsani kuti muzimutsuka m'kamwa mutamwa, chifukwa madzi akumwa a mbatata amawononga enamel.
- 2 Muyenera kusakaniza uchi ndi mchere wowotcha mu 3: 1 kapena 2: 1. Phatikizani zinthu ziwiri izi bwino, sakanizani mchere, pukutani mpira ndi uchi, uuike mu mpango wabwino ndikupaka mano anu ndi izo.
- Makungwa a Oak amathandiza kuthetsa kutupa. Zimathandizanso kuthetsa kutaya magazi. Kuti muchite izi, konzekerani supuni 3 za ufa wamakungwa a oak, supuni 2 ya maluwa a linden. Thirani supuni ya tiyi ya chisakanizochi ndi kapu ya madzi otentha owiritsa, kutentha pamoto kwa mphindi zitatu, kenako kuziziritsa, kupsyinjika. Muzimutsuka pakamwa panu ndi msuzi wofunda.
- 4 Njira inanso yotuluka m'kamwa: tsanulirani supuni ya timbewu tomwe timadula tokha ndi kapu yamadzi otentha, siyani kwa mphindi 30, kenako nkutenga ndikulowetsani. Ndikokwanira kumwa tambula theka la madzi awa katatu patsiku mutatha kudya.
- 5 Ngati muli ndi vuto la mafinya, muyenera kukonzekera kusakaniza pakamwa. Kuti muchite izi, sakanizani supuni ya tiyi ya therere youma ya Pochuy Knotweed, kapu yamadzi otentha. Siyani 2 hours, ndiyeno kupsyinjika. Zisamba ziyenera kuchitidwa ndi kulowetsedwa kotentha. Muthanso kumwa pakamwa - makapu 0.3 katatu patsiku musanadye [4].
Zakudya zoopsa komanso zovulaza matenda a periodontal
Pofuna kuthana ndi matenda a periodontal, muyenera kusiya zakudya zomwe zimatha kumamatira m'kamwa ndikuyambitsa kuoneka kwa zolengeza pa mano. Izi ndi tchipisi, maswiti, mitundu yonse ya confectionery ndi ufa. Ndi bwino kuchepetsa kumwa tiyi, khofi. Kusuta ndi contraindicated.
Ndipo mwachilengedwe, ndikofunikira kwambiri kukayezetsa nthawi zonse ndi dokotala wa mano, kutsuka mano anu moyenera komanso molondola kawiri patsiku kuti mupewe kupangika ndi mabakiteriya pamano.
Kugwiritsa ntchito chinthu chilichonse popanda chilolezo cholemba kale sikuletsedwa.
Oyang'anira sakhala ndiudindo pakayesedwe kalikonse kogwiritsa ntchito chinsinsi, upangiri kapena zakudya, komanso sikutsimikizira kuti zomwe zanenedwa zikuthandizani kapena kukuvulazani. Khalani anzeru ndipo nthawi zonse muzifunsira kwa dokotala woyenera!
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!