Kushanyirwa nguva dzose kumudzidzisi wemazino kunofanira kuva tsika kubvira paucheche. Ichakubatsira kudzivirira matambudziko mazhinji nemeno emazino, kusanganisira caries inofambira mberi uye kubata kwayo - pulpitis. Zvidzidzo zvekudzivirira zvichaita kuti kugadzirisa kwakakwana kwejaya uye kusagadzikana mapfupa.
Pinoti yepulpit - chii muvana?
Nhengo dzenguva duku mumugwagwa wemuromo dzine chimiro chakasarudzika:
- enamel;
- dentin;
- pulp.
Ikupedzisira inoratidzirwa icho chinhu chinyoro-nyoro umo mitsipa yeropa nemagetsi ehutano zviripo. Pulpitis muvana inotsanangurwa sekurwadziwa kwakanyanya kwemukati rezino. Chirwere chinogona kuitika mumamiriro akaoma uye asingagumi, chinokurumidza kukurumidza. Izvi zvinokonzerwa nekunakisa kweeamel uye nechezasi ye dentin, zvinongororwa nyore nyore nemigumisiro yakaipa.
Zvinokonzerwa nepppitis muvana
Chikonzero chikuru chinokonzera chirwere chiri mubvunzo chinoonekwa sechivharo. Mabhakitiriya anogara uye anounza mumatanda akaoma anokonzera kusvuta. Izvi zvinokonzera zvinopisa zvishoma nezvishoma zvinoparadza enamel uye dentin, zvichiita kuti pulpitis yezino yeruchi. Pashoma kunowedzera kuvhiringidzika nekukuvadza kwehutachiona hunoita zvimwe zvikonzero. Pulpitis yemeno emwana muvana dzimwe nguva inopesana nechekuita kwezvinetso zvinotevera:
- mechanical injuries;
- kutapurira utachiona hwakanyanya, pamwe chete nekuderera kwehutachiona, bacteremia;
- kunyangarika kurapwa kwemajeri panguva yekurapwa;
- kangoerekana kusagadzikana kwehutano nechiremba wemazino;
- kusina kukodzera kana kusina kuiswa kwakazadza zvinhu;
- kuputika kwezvinyoro zvishoma zvezano remazamu pachikwata chekugadzirira;
- kurapwa kwenharaunda yakagadzikana nechisimba kana kuti chinogumbura antiseptic.
Pulpitis mumwana - zviratidzo
Makiriniki ekuratidzwa kwezvirwere zvinotsanangurwa nechirwere chekuwedzera kwayo uye maitiro ehutano. Mune zvimwe zviitiko, zvakanyanya kuoma kufungidzira huputi hwezino rezino - chiratidzo chinoratidza kurwisana kungave kusipo, pamwe chete nekunyunyuta kubva kumwana. Nemhaka yekavanzwa yakavanzika yemamwe marudzi ezvirwere, nyanzvi dzinokurudzira nguva dzose kushanyira mazino ezvidziviriro zvekudzivirira.
Acipppitis yakanyanya muvana
Urwu hutachiona hunoonekwa chete pahuduku, kubva pamakore matatu kusvika kumatanhatu, apo midzi yatotanga kuumbwa, asi haisati yambogadziriswa kwepanyama (resorption). Chirwere chepachirwere chemazino emwana mazino ari muchimiro chakakomba chinoratidzirwa nekurwadza , kupora kunorwadza . Iyo inowedzera usiku uye manheru ekuenda kunorara, nekutinhira kwemasana uye kucheka kwezvokudya zvakasimba kunenge kusingagadziriswi. Ichi chiratidzo chinonyanya kuzivikanwa mukuunganidza kwepus muzvinyoro zvishoma uye zvigadziri.
Zvimwe zviratidzo zvinotevera mazino emukaka pulpitis:
- kunzwisisika kunopisa uye kunotonhora;
- kuwedzera mune lymph nodes iri pedyo;
- kuonekwa kurira kwemasama kana miromo.
Chronic pulpitis in vana
Kuputika kusina kuchena kunowanzotarisana nemamiriro ekugadzirisa, kana isina kubatwa. Kurwara kwepaspitori yenguva pfupi mukati mevana kune marudzi matatu:
- fibrous;
- gangrenous;
- hypertrophic.
Chimwe chinhu chechirwere ichi ndechekusakosha kukuru kwezviratidzo zvakakomba. Kurwiswa kwenguva refu kwezino rehuchi kunoitika pamberi pezvakadzika zvakadzika uye zvakapeterera zvisungo, dzimwe nguva zvinowanikwa mushure mechisimbiso chisina kukodzera chakaiswa. Muna 50-60% yezviitiko zvinonzi pulpitis zvinopararira kune zvakapoteredza mishonga, kunyanya periodontium. Mamiriro ezvinhu akadaro anoda kujekeswa kwerongwa hwekudzivirira uye kutanga kushanda kwekuongorora X-ray.
Zvinokonzera kupirpiti muvana
Ichi chimiro chekudzivirira chirwere chinonyanyozivikanwa pakati pezvisingagumi zvekudzivirira. Huru pulpititi yezino yehuchi inogona kukura zvakasununguka, pasina yakatangira chigarire. Icho chiri pamwe chete nezviratidzo zvinyoro, dzimwe nguva zvinongororwa zvisina kuitika, pane chiitiko chekuongorora nechiremba wemazino. Chirwere chisingaperi chine firpiti muvana chine zviratidzo zvinotevera:
- chikamu chakawanda chemajoka pameno kubva kune rumwe rutivi rwakavhiringidzwa;
- kurwadziwa kunorwadza panguva yekudya, kushingaira kutsva;
- kushungurudzika kana uchifema mumhepo inotonhora kana kushandisa zvinwiwa zvinonwiwa.
Gangrenous pulpitis
Urwu urwere hwechirwere hunogara huchirwisana nechepamusoro pemvura yakachena purulent kana isingaverengeki furosiro kutuka, iyo isina kubatwa. Kumutambo wehutachiona ndiko kuwedzera kwevanaerobic microflora. Pathogenic mabhakitiriya munguva yehupenyu inokonzera mishonga inokonzera kufa kwezvinyoro zviduku zvezino nerukato zvinogumira mazviri. Nokuda kwechikonzero ichi, chirwere chinorwadza chinenge chiripo zvachose, kana chisingawanzoitiki uye pashure pokudya zvokudya zvinopisa, zvinwiwa.
Chirwere chechirwere chisingaperi - zviratidzo:
- chinhu chisingafadzi, chinonhuwira chinobva pamuromo , yakafanana nechekare;
- kuchinja ruvara rwezino ruchi, kuwana grey kana kuti mutsvuku ;
- kunzwa kusuruvara, raspiraniya mujaya.
Hypertrophic pulpitis muvana
Izvo zvakarondedzerwa zvakatsanangurwa zvekuvhiringidza kunokonzerwa nekugadzirwa kwenguva refu kwemasikirwo akazaruka mukati mazino emukaka ane kuputika kwakasimba kwekorona chikamu. Hypertrophic pulpitis ndiko kupararira kwavo, kuzadzwa kwezvivako zvisingatauriki uye granulation uye zvinogadziriswa zvivakwa zvishoma. Ichi chimiro chechirwere chisingawanzoitiki, kunyanya muvana vasingaoni chiremba wamazino nguva dzose.
Hypertrophic pulpitis yezino yehuchi inoratidzirwa nezviratidzo zvechipatara:
- kubuda ropa kana uchinge uchinge uchidya uye unhu hwakanaka;
- kuiswa kwemavara akareruka pameno kubva kune zvakakonzerwa;
- catarrhal gingivitis ;
- dzimwe nguva - kurwadziwa kwakanyoro kana kutsvaga.
Mwana ane chirino cheino dzinoita chii?
Vamwe vabereki vanorega kutarisira zvigadzirwa zvemapfupa zvenguva duku, vachitaura nezvekuti vachakurumidza kubuda. Iyi inzira isiri iyo, zvinokosha kuti zvidzivirire panguva yakakodzera uye kudzivirira kuputika kwemazino emucheche muvana - kurapwa kunonyanya kukosha kudzivirira zvinetso zvekuvhiringidza nekudzosa kuvimbika kwemutsara. Kana pasina chirapa, chimiro chakaoma chechirwere chichapinda mumigumisiro isingagumi, yakaipa inogona kuitika, kusvika pakukundwa kwemukati nhengo uye chepisi.
Purasiti yezino yehuchi - kurapa kana kubvisa?
Mumazuva ano maitiro emazino, hazvisi nyore chaizvo kubvisa mazamu emapfupa epanguva pfupi. Paakabvunzwa kana zvakakosha kurapa chirwere chemazino emwana, chero nyanzvi anoziva anokwanisa kupindura zvakanaka. Zvakakosha pakugadzirwa kwakanaka kwejaya, zvivako zvisingagumi, kudzidzisa vana kufarira kuchengetedza utano hwemuromo nekugadzirisa kushanyira chiremba kuti zviongorore zvidziviriro.
Kurapa kweplpitis yemeno emucheche Kuwedzera kunobatsira:
- kuchengeta molars kwenguva pfupi kusvika padanho rekuputika kwekusingaperi ;
- kuvandudza aesthetics ye dentition;
- kudzivirira kuitika kwemitemo yakaipa mumwana (kunzwa nerurimi rwemashoko akaoma);
- normalize chewing mabasa;
- kururamisa matanhi emashoko uye netsamba.
Nzira dzekurapwa kwepppitis muvana
Pane huwandu hunoshandiswa hunobudirira hwehutano hwekuvhiringidza:
- Nzira yekuchengetedza kana yezvakaberekwa yekurapa kwepppitis muvana. Iyo nzira inoshandiswa chete mumatanho ekutanga ehosha yakaoma kana mu fibrous chisingagumi nekuputika nemakumbo asingadziviri. Iyi nzira inosanganisira kuchengetedzwa kwepasi rose. Therapy inowanikwa mumasangano maviri. Munguva yekutanga maitiro, nzvimbo dzinononoka dzinoshambidzwa, mushonga unoshandiswa nehutachiona hunobvisa kuvhiringidza hunoiswa munzvimbo dzisina chinhu. Munguva yekugadzirisa kwechipiri, chisimbiso chinowanikwa. Dzimwe nguva kurapa kwakachengetedza kwepinpiti yezino yehuchi inoitwa mune imwe shanyo, kana chiyero chekuvhiringidza chisina simba uye kwete kunyanya pfupa uye zvinyoro zvishoma zvinoparadzwa.
- Nzira dzinokosha dzerapi. Kutorwa kunosanganisira kubvisa chete chikamu chepamusoro chemasimbi (pasi peanesthesia). Izvo zvinobudirira zvemukati zvinyoro zvishoma zvakachengetedzwa. Pakuzorora, mapira anocheneswa zvachose, uye iyo yakagadzirwa void izere nemafuta ekuzadza.
- Nzira dzokuzvipira dzokurapa. Zvimwe zvakasiyana-siyana zvinokurudzirwa kushandisa kana chirwere chakadzika chezino rakakonzerwa chikaonekwa. Pamberi pekudzikwa kana kubudiswa, maviri ake, pamwe nemisungo iri pedyo, anobayirwa uye anogadziriswa nemagadzirirwo anokosha, mushure mekunge chisimbiso chinogadziriswa.
Kurapa kwevana vana mazino emapinpiti muvana - zvikamu
Nzira dzakanakisisa dzehutachiona ndiyo inokosha uye inogadzirisa maitiro. Iyi kurapwa kwepppitis muvana inoitwa 2-3 kutishanyira. Penguva yega yega, chiremba wemazino haasi kungochenesa zvigaro zvisingatauri, anobvisa kuvhiringidza uye kudzorera kubwinya kwekorona, asiwo anotarisa chirongwa chekurapa, anoongorora kukosha kwekubudirira kwayo.
Hezvino maitiro emapppitis emeno emazino anobatwa sei:
- anesthesia;
- Kuchenesa uye kushandiswa kwepurojekiti yezvinhu zvakakanganisika;
- kuiswa kwekugadzirira (antibiotics, devitalzing pastes);
- kuwedzera kuchenesa kwezvipfeko zvinotyisa;
- kukwana kana kusasarura kubviswa kwemaspp;
- root canal processing;
- kuzadza nokudzorera korona.
Matambudziko ekurapa kwepppitis yemana mazino
Vanachiremba mazino akazara nehuwandu hwakawanda, kubva pakushushikana kwevatano vaduku, izvo zvinodzivirira chiremba, uye kuguma nehukuru hwechimiro chejaya uye nhengo dzaro. Munyaya iyi, mushure mokurapa kwekurapa, zvinetso dzimwe nguva zvinomuka zvinodikanwa pakarepo, unyanzvi hwokuchengeta. Zvinonyanya kukosha kuti tibvunze chiremba kana fivha ichionekwa. Kushisa kwepamusoro mushure mekurapwa kwepppitis muvana kunoratidza kuputika kwakasimba.
Zvimwe zvinetso zvinogona kuitika:
- gingival hemorrhage nekuda kwekukuvadza kwemagetsi ematumbu;
- kurwadziwa kukuru, kupisa nekuisa kusina kunaka kwekurapa kwechiremba;
- kuvhuvhuta nekuputika nekuda kwekukuvadza kumidzi kana zvidimbu zvechimbo chemazino mukati memugero.