Mushonga wepanguva yakasungirirwa ndeyekujairika kunowanzoitwa nehosha yegum. Funga kuti izvi zvinoratidzirwa ndezvipi, zvipi zvekugadzirisa kwemahombekombe epanguva dzinovepo.
Chinangwa uye chinangwa chekugadziriswa kwepadhetiac pocket
Kuedza kuongorora kuti izvi ndezvipi, ngatitange nekutsanangura "nguva yechipfuva". A parodontal, kana dentogingival, pocket ndiyo nzvimbo inoshandiswa yakagadzirirwa semugumisiro wekuparadzwa uye kusungirirwa kweiyo dentogingival joints. Izvi zvinokonzerwa nokuvapo kwetartar , iyo, inopinda mukati, pasi pegamu inokonzera kupisa. Nekufambira mberi kwehutachiona hwehutachiona, nguva dzechikwata zvinowedzera, kuisa mazino, zvichiita kuti vasunungurwe uye vadzoke.
Kuti udzivise kusagadzikana, kuregererwa kwemapakoti eparadonal kunogadzwa - kushandiswa, kunobvumira kuchenesa nzvimbo dzakagadzirwa pakati pezino uye gum kubva pane zvinyorwa, kubvisa kupisa uye kubuda ropa , kunodzivisa kukundwa kwemasukisi akadzika. Zvichienderana nechikamu chechirwere ichi, kudzika kwechirwere, kana chakavharwa kana chirwere chinotanga kuzarurirwa chinoitwa.
Zviratidzo zvekuvhara chirwere chenguva periodontal pockets
Iyi nzira yekugadzirisa inowanikwa pamatokisi akadzika kusvika kusvika pamamita 3-5 (chiedza uye mizinga yakawanda yekuvadzwa). Yakavharwa curettage isinganzwisisiki, hairevi unyanzvi hunokosha. Iyo nzira inosanganisira zvikamu zvikuru zvinotevera:
- kuita anesthesia yemunharaunda;
- Kuchenesa mapuranga achishandisa midziyo yakagadzirwa nesimbi uye chigadzirwa chemashonga;
- kuputika kwemidzi yemeno;
- kurapwa nevariseptics;
- kushandiswa kwezvokurapa pakushandiswa kwemajamu.
Sezvo mutemo, panguva imwechete kuporesa kunoitwa munzvimbo yemeno maviri kana matatu. Kukuvara kunoporesa mukati mevhiki, uye mukati memwedzi mushure mekugadzirisa, maitiro anobatana anoumbwa, achibatanidza gamu kumudzi uye mutsipa wezino.
Zviratidzo zvekuzarura chirwere chekuvhara nguva
Kuvhura kuporesa chirwere chokuvhiya chinoda kuradzirwa kwakakosha uye unyanzvi hwepamusoro. Inoshandiswa pane zvakadzama dentogingival mashopu anodarika 5 mm. Zvikamu zvekunyengedza ndezvizvi:
- kuiswa kwepanzvimbo anesthesia;
- dissection ye gingival tissue kuti ipe rubatsiro rwekugadzikana kwezvidzidzo zvepanguvaontal;
- kuchenesa mapato;
- antiseptic treatment;
- kushandiswa kwezvinodhaka zvinowedzera kukura kwezviviri;
- suturing uye bandaging.
Sutures inobviswa mushure memazuva anenge gumi, kudzorerwa kwakakwana kwepanguvaontal chirwere kunoitika mumwedzi mishomanana.
Laser curettage periodontal pockets
Curettage ye periontal pocket ne laser ndiyo nzira yemazuva ano uye inodhura, iyo ine zvikomborero zvakawanda pamusoro pemararamiro evanhu, kureva:
- kubatikana kwakadzika kune pathological parodontium nzvimbo;
- kusavapo kweropa;
- hapana chikonzero chekuvhara mabhandi mushure mekuita;
- fast postoperative period.