Tsvina yevanhu inozopedzisira yaumbwa pazera remakore 22-27. Panguva ino anofanira kunge ane mitsindo 32, 16 kumusoro uye pasi. Mitambo yechitatu kana kuti "masere" yakabuda zvikuru gare gare, kubva pa17-18. Nemhaka yeizvi, vakagamuchira zita ravo rinozivikanwa.
Chii chinonzi jino rokuchenjera?
Zvose zvinoshandiswa zvinomirira zvakafanana uye inenge yakafanana nhamba yemidzi. "Eight", zino reuchenjeri harisi. Inoumbwa nezvinhu zvinotevera:
- midzi nemidzi midzi;
- pulp chamber;
- dentin layer;
- enamel.
Kusiyana kweiwo pakati pezino "masere" uye miitiro inoshandiswa ndiyo nguva yokuputika kwayo. Inotanga kuumbwa pazera remakore 6-7 mujaya. Zvishoma nezvishoma mazino euchenjeri anokura muhukuru (kunyanya chikamu chikamu uye mukamuri yemaspire). Pakazosvika makore 15-17, midzi inotanga kuumba, semugumisiro wekukura kwakananga kunoitika.
Ndeapi hutano hwemazino munhu ane?
Muna 92% yehuwandu hwehuwandu hwepasi rose, 4 yechitatu mitemo inoumbwa, 2 pamakumbo makuru nepamusoro. Vamwe vanhu (anenge 0.1%) vane 6 kana kupfuura "vanosimudza", dzimwe nguva havakwanisi zvachose (anenge 8%). Pane huwandu hupi huchenjeri hunoita huri kukura, hunobata:
- race;
- hutano;
- hukuru hwejaya.
Iwe unoda mano ehuchenjeri here?
Vashandi vezvemazino vanofambira mberi vakagadzira kuti masangano ari pasi pekufungisisa ndiwo masangano echechi. Mune vana vemazuva ano, chirevo chekutanga chechirevo chechikamu chechitatu chinowedzera kuonekwa - mamiriro ayo maitiro ose mazino euchenjeri uye chikamu chayo chekuita asipo. Izvi zvinokonzerwa nekuchinja kwekudya kwevanhu. Pakupedzisira, vanhu vaifanira kudya zvokudya zvakaoma uye zvakasimba, izvo zvaifanira kuwedzera uswa hwejaya. Kubudirira kwehupfumi kwakatungamirirwa kune zvakakosha mune mhando yezvokudya zvakaderera uye zvakagadzirwa, izvo zvisingadizve chewing surface.
Iro demo rehuchenjeri ndiro re resialal molar, iro raive rakadikanwa kuvanhu vepakutanga, asi rave rakarasikirwa nemabasa aro kwenguva refu. Iye haachazobatsiri mukucheka, saka haisi chikamu chinokosha chemajaya ejaya. Zvinodaro, "masere" anogona kuva anobatsira mu prosthetics sechitsigiro chebhiriji , kugadzirisa anorwisa kana kuchema. Kazhinji kacho chikamu chechitatu chinodzingwa nekuda kwedambudziko rinogona kuwedzera kukura kwayo:
- caries ;
- kuvhiringidza zvirongwa (pericoronaritis);
- cysts nedzimwe nheplasms;
- kushanduka kweiyo dentition, kusuruvara;
- zvirwere zvemasangano eporomandibular;
- malocclusion ;
- pathology ye masticatory muscle;
- neurological disorders nedzimwe matambudziko.
Meno euchenjeri anokura sei?
Kugadziriswa kwe "zvitsvene" kunoitika mumwe nomumwe kune munhu mumwe nomumwe. Zvose zvina zvechitatu zvinokwidza zvinogona kukura panguva imwe chete, asi kazhinji zvinowanikwa imwe panguva imwechete. Kana zino reuchenjeri rakagurwa, zviratidzo zvakawanda zvisingafadzi zvinonzwika, vanhu vazhinji vane zvinetso nenzira yekuzvimba uye kudyidzana kwegamu. Pamusana pokuguma kwekukura kwejaya nokuda kwe "mashizha" pane nzvimbo shoma shoma, saka kuonekwa kwavo kunoenderana nehutu hunorwadza chirwere.
Meno euchenjeri anotanga kukura rini?
Nguva yakatarwa iyo kuputika kwemashure matatu kunosvika makore 17-18. Dzimwe nguva ziso rimwe chete reuchenjeri rinokura munguva yakatarwa, uye mamwe ose anoonekwa gare gare, kusvika kumakore makumi maviri nemaviri. Gare gare G8 haina kumbopfuura. Kazhinji chechitatu molar inopesana ne pericoronitis, yakasimuka pamusana pekuvhiringidzika kune hococutaneous hood pamusoro pekorona yakagadziriswa.
Mazino mazino euchenjeri anokura - zviratidzo
Kurongeka kunoenderana nezviratidzo zvisingafadzi, zvichikurudzira munhu kuti atsvake rubatsiro kubva kunechiremba wemazino. Izvo zvinokura zviratidzo zviratidzo zvezino ndizvo zvinotevera:
- kuzvirumbidza uye kubwinya kwemukadzi;
- headache;
- kusava nenzara;
- kurwadziwa murusha, munzvimbo ye cheekbones, kupa temberi, huro, mutsi, nzeve;
- kuwedzera kwekushisa kwemuviri;
- zvinetso paunoedza kuzarura muromo wako.
Kana yechitatu demo molar (iyo "masere", uchenjeri) isingaiti zvachose kana kuti zvisina kururama, pane zvinetso zvinokuvadza:
- pericoronaritis (purulent kuvhiringidza gum);
- caries;
- kukanganisa padama;
- kumanikidzwa pamidzi yemuvakidzani molar nevamwe.
Sei uchenjeri husina mano huri kukura?
Vamwe vanhu havana kumbosangana nematambudziko ari pamusoro apa. Tsanangudzo, sei usingare mazino ekuchenjera muvanhu vakuru, maviri chete. Nzira yekutanga ndiyo adentia yechitatu molars. Munyaya iyi, G8 haina kungoita muhuduku. Kusava kwavo kwakakwana hakushamisi zvikuru, kunyanya kune vana vakazvarwa mushure me2000. Kazhinji kune mamiriyoni maviri (kumusoro kana pasi).
Chikonzero chechipiri nei zino rehuchenjeri risina kubuda ndeyekuchengetedza zvakakwana kana kusarura. Mumamiriro ezvinhu aya, G8 yakaguma yakaumbwa, asi haina kukwanisa kukura. Izvi zvinokonzerwa nenzvimbo yavo isina kukodzera mujaya rejaya kana kusarasikirwa kwemahara mune dentition. Izvi zvakasiyana-siyana zvekuitika kwezviitiko zvinoonekwa seyengozi, nokuti zvakatorwa zvechitatu zvinokonzera kukanganisa kwemidzi yakapoteredza, kuputika kwakanyanya, kuonekwa kweeoplasms mumasumbu, zvirwere zvehutano nezvimwe zvirwere.
Zino reuchenjeri rinokuvadza - chii chaunofanira kuita?
Kushushikana kusingafadzi panguva yekuputika kweG-8 kunogona kuiswa mumamiriro ezvinhu akajeka uye ane ngozi. Kana demo reuchenjeri richikuvadza, zvikonzero zvinotevera:
- kusuruvara kuduku kwegamu nekuda kwekuputswa kwekuvimbika kwayo;
- kumanikidzwa kumeno anotevera;
- acute purulent pericoronaritis.
Zino reuchenjeri rinokura uye rinorwadzisa
Chiratidzo chinorondedzerwa nguva dzose chinopfurikidza nekuputika kwechitatu chema molar nekuda kwekubuda kwemukati gingival. Apo dhi "rinomwe" rinoputika, rinokura uye rinoputika mutsvuku, panogona kuva neropa ruduku. Kana kutuka kwacho kusina simba uye pasina pus, fambidza nechinetso chakataurwa zviri nyore uye kumba:
- Deredzai mutoro paunowedzera huchenjeri hunyo, edza kuti usatsvaira zvokudya zvakasimba kubva parutivi ruchicheka.
- Mambakwedza, pakati pezuva uye manheru mashambidza muromo nemhinduro yeChlorhexidine kwemaminiti 1.
- Pakarepo mushure mekurapwa kwepiriseptic, gadzira gamu neHERISISAL gel.
- Uine chirwere chakasimba chirwere, tora non-steroidal analgesic - Nimesil, Ketanov kana chero mishonga yakafanana.
Dzimwe nguva dzakanyorwa mazano hazvibatsiri kubvisa zviratidzo zvisingafadzi. Mumamiriro ezvinhu akadaro, kurwadziwa kunogona kukonzerwa kwete nekungoita gingival kuvhiringidzika, asiwo nekumanikidzwa kubva kune G-8 pane mazino ari pedyo. Kana pane kusava nechokwadi kwedambudziko iri, iwe unofanira kunge uchingosangana nemumwe nyanzvi. Kurongeka kwakashata kwekorona yechitatu molar kunotungamirira kuparadzwa kwemidzi yakapoteredza.
Iro rino uchenjeri rakapera
Apo kukura kweG-8 kuchienderera mberi kwenguva refu uye zvinorwadza, pericoronaritis inowanzotanga. Uku ndiko kuputika kwakanyanya kwemukati hococutaneous hood pane chechitatu molar, pamwe chete nekusunungurwa kwemuwandu wepus. Uchenjeri huno huno hunoita, kunyanya pakatarisana ne caries, hunogona kukuvadza zvakakomba, kusvika pane sepsis. Pericoronaritis inomiswa chete nachiremba wemazino, hazvibviri kurarama nayo chete.
Zino re "masere" rinofanira kurapwa kana kubviswa?
Mafungiro evanachiremba panyaya iri kuongororwa akaparadzaniswa. Chisarudzo chekuti kubvisa demo rehuchenjeri mune chimwe chinhu chinogamuchirwa chete nechiremba anoziva nemvumo yemurwere, zvichienderana nezviratidzo zvinotevera:
- nzvimbo ye "masere";
- kukanganisa kwekuwedzera kwezino dambudziko pamutsara wose wejaya;
- kutendeseka uye mamiriro ezvinhu akazara korona nemidzi;
- Chido chekuchengetedza chechitatu molar yekushandiswa mu prosthetics .
Vanachiremba vemazuva ano vanoita munyika dzakabudirira yeEurope uye United States vane mhinduro isina kunaka kumubvunzo kana zino reG-8 riri kurapwa. Pakati pevarume vemazino vanobudirira zvinogamuchirwa kuti vobva vabuda kunze kwechitatu mitambo mushure mokunge vaputika, kazhinji vose panguva imwechete pasi pevanhu vakawanda anesthesia. Zvinotendwa kuti G8 ine zvimwe zvinogona kutyisidzira kupfuura zvakanzwisisika zvikomborero.
Uchenjeri hunyo demo
Iyo yakatsanangurwa nzira ndeyekushandiswa kwemaitiro muitiro wemeno. Pane kushandiswa kwakajeka uye kwakaoma kwezino reG-8. Mhando yekupindira kwekupindira inobva pakuti kana yechitatu ye molar yakasvikira zvachose, kusvika pamidzi yayo yakaipa uye yakareba, korona yose. Kubudisa mazino ezasi nguva dzose kunorema kudarika kumusoro. Izvo "shungu" masere "inogara" mumasaya, kazhinji ane mazamu uye akadzika midzi.
Nzira yekubvisa dino reuchenjeri sei?
Kana nzira yacho iri nyore, inoitwa mumatanho matatu:
- Kuongorora. Chiremba anoongorora mamiriro ezvinhu echitatu chemalar, anoita annesnesis kuti aite zvinogadzirisa uye kushivirira kwemimwe mishonga.
- Anesthesia. Nekubatsira kwejojo mujamu, nyanzvi inoratidzira anesthetizes nzvimbo inoshanda. Iyi ndiyo nguva bedzi apo munhu anenge akuvara, nguva yose iyo murwere asinganzwi chinhu. Kana demo rezasi rezino richibviswa, mushonga wacho unofanirwa kubvumidzwa kuti umire kweinenge chechina cheawa. Paunenge wabvisa chikamu chechitatu chepamusoro - maminitsi 4-5.
- Kuwedzera. Nokushandisa zvipfeko kana tongu, chiremba wemazino anobudisa "masere". Chitubu chacho chinorapwa neine antiseptic uye hemostatic agent, dzimwe nguva yakavharwa neshinda isina kubatwa.
Mumamiriro ezvinhu akaoma, kunyatsogadzirira kunodiwa. Kubviswa kweizino G-8 pakuvapo kwekuchengetedza, kuvhiringidza kana zvimwe zvinetso:
- X-ray uye anamnesis. Kuongororwa kunoitwa kuti ugadzirise nzvimbo chaiyo yechitatu molar, ukuru, kupenya uye plexus yemidzi yawo.
- Anesthesia. Mune mamiriro ezvinhu, kuwedzerwa kwehuwandu hwemhuka kunoshandiswa kunoshandiswa, nokuti basa racho rinogona kupedza maawa maviri.
- Kuwedzera. Nekusunungurwa kwakaoma kazhinji kunoda kudonhwa kwemazino, kubvongodzwa kwemapfupa emapfupa. Apo shaded mazino ehuchenjeri anoonekwa, dzimwe nguva inodiwa kubvisa imwe pedo yemhara kuti uwane rusununguko rwekuwana.
- Postoperative kurapwa. Chiremba wemazino anochera ronda racho neine antiseptic uye sutures iyo.
Zvakanaka mushure mokubviswa kwezino huchenjeri
Ronda rakagadziridzwa rinoda kutarisirwa zvakanyatsonaka, mazano akajeka anopiwa nenyanzvi. Idzo mazino mushure mekubviswa kwezino rehuchenjeri huchaporesa nekukurumidza kana iwe uchitevera zano rechiremba zvakajeka:
- Kwemaminitsi makumi maviri, chengetedza mbeu isina kuchena yegasize mubheji kuti urege kubuda ropa. Mushure menguva yakatarwa, inofanira kubviswa kuitira kuti vanga risatapukirwa.
- Kwemaawa maviri hakuna chinhu.
- Inwa chete zvinwiwa zvinotonhorera.
- Usatora mabhati ekutsva kwemazuva mashoma, usaita kuti kupisa kusimbise, kunogona kuita kuti upfige.
- Bvisa kushandiswa kwedoro kusvikira ronda rinotanga kusimbiswa.
- Rega kusvuta kwemaawa 4-5.
- Usabata chigadziko neminwe yako uye chero zvinhu, kunyange zvisina kuchena.
- Edza kusashamisa muromo wako zvakakwana.
- Usatsvaga parutivi rwemahara ari kure.
- Bhati uye rinses zvinobvumirwa chete kana zvichitemerwa nachiremba. Kana zvisina kudaro, zvinorambidzwa zvachose kuita kudaro. Nzira dzakadaro dzinogona kutungamira kugeura kunze kweropa ropa kubva pavanga, iyo inofanirwa kuporeswa kwayo kwakakodzera.
Apo gum nejaya zvakasuruvara zvakanyanya mushure mekubvisa zino rehuchenjeri, zvinokurudzirwa kushandisa ice compresses kumatama (shandura maminitsi gumi, 3-4 nguva). Kana iyo inotonhora isingabatsiri, unofanira kutora non-steroidal analgesic:
- Ketanov ;
- Pentalgin;
- Nyz;
- Ibuprofen;
- Nimesulide uye zvakafanana.
Muchiitiko che purulent gingival kuvhiringidzika, chiremba wemazino achapa imwe nguva yenguva pfupi (4-6 mazuva) ekurapa, kusanganisira:
- antibiotics;
- corticosteroid hormones;
- mhirizhonga yemunharaunda uye antimicrobial chirwere chemvura.
Mushure mokubvisa ma "meno masere" akavakidzana ane utsinye
Kazhinji kunotsanangurwa nzira inofambidzana nekunetseka kwakanyanya. Murwere anonzwa kurwadziwa mushure mekubvisa zino rehuchenjeri, kwete bedzi munharaunda yevanga rakazaruka, asiwo munharaunda dzinopoteredza, dzimwe nguva musaya wose "unochema". Ichi chiratidzo chinoitika nekuda kwezvikonzero zviviri:
- Kukuvadza kumadzimai uye kuvhara nzvimbo yakakuvadza nemidzi yevakidzani molars. Muchiitiko ichi, marwadzo achaparara oga pachawo kwemazuva mazhinji, inogona kumira neanargesics uye kutonhora kushivirira.
- Kuvhiringidza nzira. Apo tsime rinotapukirwa, kutengesa kunotanga. Izvi zvinokonzera kukurira, kuwedzerwa kwekushisa kwemuviri uye kurwadziwa kusingagumi. Mune mamiriro ezvinhu, unoda kukurumidza kunyorera chiremba wemazino.