Pasi pesimba re multiple systemic nekunze zvinhu, mucous membrane uye soft gum tistues inogona kupiswa. Ichi chimiro chechirwere chinowanzosvika kune vechidiki (pasi pemakore makumi matatu), kunyanya nehutano hwakanaka hwehutano uye kusava nekuongororwa kwekudzivirira kumunhu wemazino.
Zvinokonzera catarrhal gingivitis
Mamiriro anotevera anokwanisa kukanganisa maitiro ekuvhiringidza:
- kutapurirwa kwezvirwere zvinotapukira;
- zvirwere zvisingaperi zvegoutocrine, yemwoyo kana chirwere chekudya;
- hormonal fluctuations;
- autoimmune diseases;
- kusvuta;
- hypovitaminosis;
- kutora mamwe mishonga;
- marwadzo emisipiresi;
- zvinetso zve hematopoiesis.
Mharaunda uye maitiro akazara catarrhal gingivitis anowedzera pasi pesimba remukati:
- dambudziko kumeno;
- kukanganisa bite;
- zvinokanganisa, kunyanya munharaunda dzemudzidzi;
- zvikanganiso mukuiswa kwezvisimbiso, mazinyo, maveneers uye mabhesi;
- vestibule iri pasi;
- short frenum yemuromo;
- kusagadzikana kwemeno.
Chikonzero chinokonzera catarrhal gingivitis ibhakitiriya ndiro - biofilm kana microbial plaque. Inosanganisira zvikuru vanaerobic microorganisms:
- prewatel;
- fusobacteria;
- treponem;
- porphyromonads nevamwe.
Ikoko pane zvishoma zviduku zvinonzi aerobic in the plaque:
- streptococci;
- actinomycetes;
- staphylococci.
Yakanaka uye isingaperi gingivitis - zviratidzo
Chirwere chemakiriniki chechirevo chinorondedzwa chirwere chinoratidzwa nekureba kwemaitiro uye maitiro. Chirwere chemaitiro chakaoma chinoratidzirwa nekuratidza zviratidzo zvakananga, izvo zvinoita uye zvinokurumidza kuongorora. Nechirwere chisingaperi chechirwere ichi, zviratidzo zvinotadza, zvinorangarira mamwe matambudziko emumuromo, saka kusvibiswa kwecatarrhal gingivitis kunosiyaniswa nehuwandu hwehutachiona uye zvirwere zvinotevera:
- vulgar pemphigus;
- kunyoroka kwetimesontitis;
- red red flat lichen;
- stomatitis nevamwe.
Kusiyana kwecatarrhal gingivitis kubva ku hypertrophic
Muzviitiko zvisingawanzoitiki, kuputika kwemazino kunofambidzana nekupararira kwemaviri avo uye kuumbwa kwemapokisi emanyepo. Zviratidzo zvechirwere ichi zvakangofanana nemakiriniki ezvirwere zvekusingaperi catarrhal gingivitis, asi zvirwere zvinogona nyore nyore kusiyaniswa ne hyperplasia ye mucous membrane. Kana ruzivo runotanga ku "cram" paeamel, kuvhara chetatu kana kupfuura zvekorona chikamu chezino, kune hypertrophic maitiro echirwere.
Chronic gingivitis - zviratidzo
Zvakakosha kuzvimiririra pachena izvi zvirwere, nokuti zviratidzo zvaro hazvina kunyatsoratidzwa, uye kunzwa kunorwadza hakusipo. Chronic catarrhal gingivitis inozviratidza sezvizvi:
- cyanosis (inoramba ichidzokorora) yemadzimai;
- kunononoka kwemaropa mumuromo;
- kuchenesa maduku paanenge achichenesa mazino uye zvimwe zvinokuvadza zvishoma kumucheka membrane;
- manzwiro e raspiraniya mumadzimai (kazhinji).
Sucggish catarrhal gingivitis inoratidzwa nekuvapo kwehuwandu hwakawanda hwebhakitiriya mucheche wakachena kana beige. Hausi kubviswa kunyange nepamusoro-soro kuchenesa pamusha uchishandisa mabheji emagetsi, irrigator uye sarudzo yakakosha. Pamazino akasiyana, kunyanya mukati memukati we korona, rima bundu kuwanda rinonyatsooneka.
Acute gingivitis - zviratidzo
Nhanho dzokutanga dzekuwedzera kwechirwere zvinosanganisira zviratidzo zvakadaro:
- kunyorera mumadzimai;
- zvakatsvuka kwazvo;
- kuzvirumbidza kwemukasi membrane mumuromo;
- kubuda ropa;
- kunhuhwirira kwakaipa kubva mumuromo;
- kunzwa kunorwadza kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge u
- kutsva kunzwa.
Acute catarrhal gingivitis muzviremera zvakanyanya zvinogona kuwedzera kukanganisa utano hwekudhakwa kwehupenyu hwose:
- kuwedzera mukushisa;
- muscle pain;
- nausea;
- aches in joints;
- chizoro;
- kugona nokunyengera.
Catarrhal gingivitis - kusiyanisa kuongorora
Kubudirira kwezvirwere zvinorondedzerwa kunotsanangurwa neanodzidza nguva, nyanzvi kana mazino. Chiremba anobva pane zvinoonekwa mumakiriniki ekuratidzwa uye manzwiro ekuzviisa pasi omurwere, kutaridzika kwemuviri. Apo catarrhal gingivitis inofambira mberi, mucous membrane mumuromo isingasunungurwi, yakaputika uye yakatsvuka, inoyerera kana yakatsvaira uye ichibhururuka. Iyo yakagadzirwa papillae yakaenzaniswa, ichibva yagara. Pakuona kuonekwa, microbial inowed on enamel, tartar uye mashizha emakamuri munzvimbo dzomumusha dzinoonekwa nokukurumidza.
Zvakanyanya kuoma kugadzirisa chirwere chisingaperi chinyorwa gingivitis - kusiyanisa kuongororwa kunosanganisira chigamba uye kuongororira:
- iyo Green-Vermilion index;
- probe probe;
- muedzo weSchiller-Pisarev;
- papillary-marginal-alveolar index;
- reoparodontography;
- Müllmann's test for gingivitis;
- kuongorora kwekuumbwa kwegingival fluid;
- Doppler flowmetry;
- kukosha microscopy inokosha;
- chinyorwa cheSilnes-Lohé;
- morphological analysis of gum tissue;
- biopsy ye mucous membrane;
- orthopantomography;
- Kulazhenko's trial;
- panoramic radiography;
- Indekisi yehutsanana Fedorova-Volodina;
- polarography.
Kubva pakurongwa rwakapiwa, chiremba anosarudza zvidzidzo zvakakosha, uye zvichienderana nemigumisiro yavo inoita kuti aongororwe. Kusimbisa kusafungirwa kwe gingivitis kune tsanangudzo dzakakwana dzekuumbwa kwebhakitiriya plaque, kuwedzera kweropa rekupararira mukati megamu uye 1-2 tsananguro yehuyu. Zvose zvinongororwa zvinoitwa nokukurumidza, mumakiriniki akachengetedzwa zvakanaka zvinotora anenge 15-25 maminitsi.
Nzira yekurapa catarrhal gingivitis?
Therapy of pathology inotora mazuva gumi nemaviri ane chidikanwi chekushanyira nguva nenguva kumahofisi emazino. Vasati vasarudzwa nevashambadziri vehutano, mushure mekuchenesa achaona maitiro ayo catarrhal gingivitis inowanikwa - kurapwa kunobva pakuoma kwezviratidzo zvechirwere, zvikonzero izvo zvakagumbura, uye nguva yekuwedzera kwechirwere chacho. Chokutanga, chiremba anonyatsochenesa mazino emagetsi uye mazino kubva kuma microbial plaques, mabhakitiriya mafirimu nematombo, uye anopa mazano chaiwo.
Kurapa kwechigarire catarrhal gingivitis
Kana zvinyoro uye zvakaoma zvigadziriswa, nguva dzose chirwere chinoshandiswa nemishonga chinogadziriswa chemuromo chinotarisirwa kuti chidzivirire kugadzirisa zvakare. Therapy ye catarrhal gingivitis inosanganisira:
- gums gums rine mhinduro yeChlorhexidine (kaviri pazuva);
- kushandiswa kwevanopisa mazino (Asepta);
- kurapwa kwezvinhu zvakakanganisika ne miramistin, furacilin;
- kushandiswa kwemabhanhire ane mafuta anopesana nokuputika (Metiluracil, Butadion nevamwe);
- kushandiswa nepropolis, Romazulon, Chlorophyllipt.
Chirwere chisingaperi chatarrhal gingivitis nematambudziko akaoma anobatwa zvakanyanyisa:
- kutora antibiotics uye multivitamines;
- electrophoresis;
- kushandiswa kwevasina-steroidal anti-inflammatory drugs;
- darsonvalization ;
- hydrotherapy;
- ultrahigh-frequency currents;
- vacuum uye vibromassage yemasuo;
- ultraphonophoresis.
Nzira yekurapa gingivitis yakajeka sei?
Nezviratidzo zvakakomba uye kukurumidza kufambira mberi kwehutachiona, chirwere chacho chinogona kuderedza mushure mekubviswa kwebhakitiriya rebibi uye tartari. Kana izvi zvisingabatsiri, uye zvakaonekwa kuti zvakaoma catarrhal gingivitis - kurapwa kwakafanana nemishonga yekurapa chimiro chisingaperi chechirwere. Mukuwedzera, vanachiremba vemazino vanokurudzira kuti vawane uye kubvisa chikonzero chechokwadi chechirwere chemaini:
- kugadzirisa utsanana hwemukati, kana zvichidikanwa - kuchinjwa kwezvisimbiso, hupfeeshe nezvimwe zvivako;
- caries treatment;
- plastic frenum;
- kudzora kwekusagadzikana muhutano hwemazino;
- kuranga kururamiswa ;
- therapy of digestive, endocrine, zvirwere zvepfungwa.