Ukutyelela rhoqo kwidokotela wamazinyo kufuneka ube ngumkhwa ukususela ebuntwaneni. Baya kunceda ukukhusela iingxaki ezininzi ngamazinyo omntwana, kubandakanywa i- caries eqhubekayo kunye nenkcaso yayo-i-pulpitis. Iimviwo ezikhuselweyo ziya kuqinisekisa ukubunjwa okusemthethweni komhlathi kunye nezakhiwo zethambo ezisisigxina.
Inyopho yepulpit - yintoni kubantwana?
Izitho zesikhashana emlonyeni womlomo zinesakhiwo esifanelekileyo:
- koqweqwe lwawo;
- dentini;
- ipulp.
Isici sokugqibela esibonakalisiweyo sisilwanyana esithambileyo apho imithwalo yegazi kunye neentambo ze-nerve zikhoyo. I-pulpitis kubantwana ichazwa njengokwaluqhaqha okukhulu ngaphakathi kwezinyo. I-Pathology inokuthi ifumaneke kwifomu enzima kwaye ingapheliyo, iqhubela phambili ngokukhawuleza. Oku kungenxa yokugqitywa kwe-koqweqwe lwawo kunye nesiseko esisezantsi se-dentin, ziyabonakaliswa ngokulula nayiphi na imiphumo emibi.
Iimbangela ze-pulpitis kubantwana
Into ephambili ebangela ukuba isifo esibuzwayo sithathwa njengezicwangciso. Iibhaktheriya ezihlala kwaye zivelise emagumbini amnyama zikhulula ngokukhawuleza i-toxins. Ezi zinto zityhefu ziza kutshabalalisa i-enamel kunye ne-dentin, okwenza i-pulpitis yezinyo zobisi. Iinkqubo ezingaphantsi kokuvuthayo ezininzi kunye nomonakalo kwiimbilini ze-nerve ziqala ezinye izizathu. I-pulpitis yamazinyo omntwana kubantwana ngamanye amaxesha kwenzeka ngokuchasene nemvelaphi yeengxaki ezilandelayo:
- nzakala;
- udlulisele usulelo olusisigxina, luhamba kunye nokunciphisa ukukhuseleka, i-bacterium;
- ukuphathwa kakubi kwegumbi lokunyanga ngexesha lotyando;
- ukuchithwa kwengozi yentsholongwane yonyango wamazinyo;
- izinto ezizaliswayo ezingafanelekanga okanye ezingalunganga;
- ukugqithisa kwezicubu ezithambileyo zezinyo zobisi kwisigaba sokulungiselela;
- unyango lwendawo echaphazelekayo kunye nefuthe okanye inomsindo.
I-Pulpitis kwimpawu zomntwana
Ukubonakaliswa kweklinikhi yesifo esichazwe ngokuxhomekeka kwinqanaba lokuqhubela phambili kunye nendlela yokugula. Kwezinye iimeko, kunzima kakhulu ukukrokra i-pulpitis yezinyo zentsana - uphawu olubonisa ukuvuvukala kungabikho, kunye nezikhalazo ezisuka kumntwana. Ngenxa yenkqubo efihliweyo yeentlobo ezithile zesifo, iingcali zicebisa rhoqo ukutyelela udokotela wamazinyo ukuze ahlole iimviwo.
I-pulpitis efanelekileyo kubantwana
Olu hlobo lwesifo lufunyanwa kuphela kwintshukumo, ukususela kwiminyaka emi-3 kuya kweyesi-6, xa iingcambu sele zakhiwe ngokugcwele, kodwa zange zenzeke ukulungelelaniswa kwezinto zokwenyama (i-resorption yemvelo)). I-pulpitis yezilwanyana ezinamazinyo ezinsana ezinomzimba oqaqambileyo zibonakaliswa ngentlungu enzima, yokubhoboza. Iqinisa ubusuku kunye neveki yokulala, kunye nokuqhaqha kwemifula kunye nokuhlafuna ukutya okuqinileyo kuyaxinwa. Lo mqondiso ukhetheke ngokukodwa ekuxubeni kweengxube ezithambileyo kunye neentambo eziqhekezayo.
Ezinye iimpawu ezihamba namazinyo obisi e-pulpitis:
- uvakalelo ekutshiseni nakubanda;
- ukwanda kwii-lymph nodes ezikufutshane;
- ukuvuvukala okubonakalayo kwisitramu okanye ngomlomo.
I-pulpitis engapheliyo kubantwana
Ukuqhaqhaqhaqhaqhaqho ngokuqhelekileyo kuqhubela phambili kwimvelaphi yenkqubo enzima, ukuba ingazange iphathwe. I-pulpitis engapheliyo yamazinyo amancinane kubantwana kukho iintlobo ezi-3:
- i-fibrous;
- ziqhenqa;
- hypertrophic.
Into ebalulekileyo yolu hlobo lwesifo kukungabikho kwempawu ezinzima. Ukuvuvukala ixesha elide lezinyo zobisi livela phambi kobubanzi obunzulu kunye obubanzi, ngamanye amaxesha kufunyaniswa emva kokutywinwa okungafanelekanga. Kwi-50-60% yamatyala e-pulpitis asasazeka kwiimpawu ezizungezile, ngakumbi i-periodontium. Iimeko ezinjalo zifuna ukucaciswa kwecwangciso lokunciphisa nokusebenza kwangaphambili kwe-X-ray yophando.
I-pulpitis enobuchule kubantwana
Olu hlobo lwenkqubo yobulwelwe luyinto eqhelekileyo phakathi kwezibilini ezingapheliyo. I-pulpitis enobungozi yezinyo zobisi ingahlakulela ngokuzimeleyo, ngaphandle kwesigaba esicacile esingaphambili. Kuhamba kunye nempawu ezinobululwa, ngamanye amaxesha zifunyanwe ngengozi, kuviwo oluqhelekileyo kunye nodokotela wamazinyo. I-pulpitis engapheliyo kubantwana ineziphumo ezilandelayo:
- isixa esikhulu samatye kumazinyo ukusuka kwicala elichaphazelekayo;
- intlungu enokubethwa ngexesha lokutya, ukuhlafuna;
- ukungakhathazeki xa uphefumula emoyeni abandayo okanye usebenzisa iziphuzo eziphuzileyo.
Gangrenous pulpitis
Olu hlobo lwesifo luhlala lukhokelela kwimvelaphi yokuvuvukala komzimba ongenasiphelo okanye okungapheliyo, okungazange kuthathwe. Kwinkqubo yokukhubazeka kukuphindaphinda kwe-microerlic anaerobic. Iibhakteria ze-Pathogenic ngexesha lokuphila ziphuma ezinobuthi obubangelwa ukufa kwezicubu ezithambileyo zezinyo zobisi kunye nokuphela kwezibilini kuyo. Ngenxa yesi sizathu, isifo sesifo asikho ngokupheleleyo, okanye siqabile kakhulu kwaye emva kokutya okutshisa, iziphuzo.
Iipilpitis ezingapheliyo - izibonakaliso:
- ukungcola, ukuvumba kwamanzi emlonyeni , i-aftertaste efanayo;
- utshintshe umbala wezinyo zobisi, ufumane i-gray or black hue ;
- uvakalelo obunzima, i-raspiraniya ehlathini.
I-pulpitis ene-Hypertrophic kubantwana
Ukuchazwa okuchazwe kwenkqubo yokuvuvukala kubangelwa ukukhuthazwa kwexesha elide lamathambo avulekileyo ezinyo zobisi kunye nokuqhekeza okuqinileyo kwinqanaba lesithsaba. I-pulpitis ye-Hypertrophic ukusabalala, ukuzaliswa kweentambo ezinobumbano kunye ne-grranulation kunye nezakhiwo ezincinci. Le fomu yesifo ayinqabile, ikakhulu kubantwana abangasivakalisi rhoqo wamazinyo.
I-pulpitis ye-hypertrophic yezinyo zobisi ibonakaliswa ngolu hlobo lwezonyango:
- ukuphuma kwegazi xa udla kunye neenkqubo zokucoceka;
- ukubeka i-plaque ethambileyo kumazinyo ukusuka kwicala elonakalisiweyo;
- catarrhal gingivitis ;
- ngamanye amaxesha - ubuhlungu obubuhlungu xa uhlafuna.
Ingane inesifo sezinyo esenza ntoni?
Abanye abazali abayekanga ukunyamekela izakhiwo zethambo lesigxina, ngokubhekisela kwinto yokuba baya kuphinda bawa. Le ndlela engalunganga, kubalulekile ukuyeka ngexesha elifanelekileyo nokukhusela i-pulpitis yamazinyo ebantwaneni kubantwana - unyango luyimfuneko kakhulu ukukhusela ingxaki yenkqubo yokuvuvukala nokubuyisela ubungqina bomgca womhlathi. Ukungabikho kwonyango, ifomu elibi le sifo liya kudlulela kwimiphumo engapheliyo, embi ingenzeka, ukuya kutshatyalaliswa kwezitho zangaphakathi kunye ne-sepsis.
Ipulpit yezinyo zobisi - ukunyanga okanye ukususa?
Ngomhla wamathambo amazinyo, kunqabile kakhulu ukugqogqa iifom zethambo zesikhashana. Xa ebuzwa ukuba kuyimfuneko ukuphatha i-pulpitis yamazinyo omntwana, nayiphi na ingcali efanelekileyo iya kuphendula ngokufanelekileyo. Kubalulekile ukuba kusetyenziswe kakuhle umhlathi, izakhiwo ezisigxina, ukugxilisa inzala kubantwana ekugcineni impilo yempilo kunye nohambo oluchanekileyo kugqirha ukuze kuhlolwe iimvavanyo.
Unyango lwe-pulpitis yamazinyo ezincinci uncedisa:
- ukugcina i-molars yesikhashana kuze kube yinqanaba lokuqhuma kwesigxina ;
- ukuphucula i-aesthetics ye-dentition;
- ukuthintela ukuvela kwemikhwa emibi emntwaneni (ukuziva ngeelwimi lezintlu zentambo);
- ukuqhelanisa imisebenzi yokutshiza;
- ukulungisa ukubiza amagama kunye neencwadi.
Izindlela zonyango lwe-pulpitis kubantwana
Kukho iindlela ezintle zokwenza unyango lwenkqubo yokuvuvukala:
- Indlela yokugcinwa kwemvelo okanye ye-biological yokwelapha i-pulpitis kubantwana. Le ndlela isetyenziswe kuphela kwizigaba zokuqala zesifo esibi okanye kwi-fibrous inflammation engapheliyo kunye nezilonda ezingenangqondo. Le ndlela iquka ukulondolozwa kwepilp yonke. Unyango luqhelekileyo kwiiseshoni ezi-2. Ngethuba leyokuqala inkqubo, iindawo zokudibanisa zihlambulukileyo, umxube wezokwelapha kunye nesenzo sokutshatyalaliswa kwesithintelo esithintela ukuvuvukala kufakwe kwiindawo ezingenanto. Ngexesha lokusetyenziswa kweyesibini, itywina ifakwe. Ngamanye amaxesha unyango olusisigxina lwe-pulpitis yezinyo zobisi lwenziwa ngetye-ndwendwe elinye, ukuba isantya senkqubo yokuvuvukala ibuthakathaka kwaye akukho thambo elininzi kunye nezicubu ezithambileyo.
- Izindlela ezibalulekileyo zonyango. Ukuxothwa kubandakanya ukususa kuphela inxalenye ephezulu ye-pulp (phantsi kwe-anesthesia). Ukusebenza kweengcambu ezincinci zigcinwe. Xa kukhutshwa, i-pulp iyacocwa ngokupheleleyo, kwaye i-voids yenziwe izaliswe ngezinto zokuzalisa.
- Iindlela zokufumana unyango. Ezi zinto zinokucetyiswa ukuba zisebenzise ukuba i-pulpitis enzulu yezinyo zobisi ezonakele ifunyenwe. Ngaphambi kokuqhawula okanye ukukhutshwa, izicubu zakhe, kunye neentsimbi eziseduze, ziyazincwatshwa kwaye zihlanjululwe ngamalungiselelo akhethekileyo, emva koko itywina lusekwe.
Unyango lwamazinyo omntwana olusenyongweni kubantwana - amanyathelo
Iindlela eziphambili zonyango ziyimpawu ezibalulekileyo kunye nezobuchule. Olu unyango lwe-pulpitis kubantwana luqhutyelwa uhambo olu-2-3. Ngethuba nganye kwiseseshoni, udokotela wamazinyo akahlambululi kuphela iindawo ezidibeneyo, uyasusa ukuvuvukala kwaye abuyisele ubugqwetha besithsaba, kodwa kwakhona uhlola isicwangciso sonyango, uvavanya izinga lokusebenza kwalo.
Nantsi indlela i-pulpitis yamazinyo omntwana aphathwa ngayo:
- anesthesia;
- ukucocwa kunye nokunyanzeliswa kwezilwanyana ezinobungozi;
- ukumiselwa kwamalungiselelo akhethekileyo (amayeza, ama-pastes).
- ukucocwa okongeziweyo kweengxowanxi
- ukususwa okupheleleyo okanye okukhethiweyo kwe-pulp;
- ukucinywa komngcipheko;
- ukuzaliswa nokubuyiswa kwesithsaba.
Iingxaki zonyango lwe-pulpitis yamazinyo ezinsana
Udokotela wamazinyo wezilwanyana unamathuba amaninzi, ukusuka ekukhathazeni izigulane eziselula, ezikhusela ugqirha, kwaye ziphelisa ngokugqithiseleyo kwendlela yomhlathi kunye namalungu ayo. Kule nkalo, emva kweenkqubo zonyango, kuvela iingxaki ngezinye izihlandlo ezifuna ukunakekelwa ngokukhawuleza. Kubaluleke ngokukhawuleza ukuba udibane nogqirha ukuba uyagcinwa ngumkhuhlane. Ubushushu obushushu emva kokuba unyango lwe-pulpitis kubantwana lubonisa ukuvuvukala okunamandla.
Ezinye iingxaki ezinokwenzeka:
- i-gingival isisu ngenxa yokulimala kwamathambo;
- ubuhlungu obukhulu, ukutshisa ngokungenakulungelelaniswa kokufakelwa kwonyango;
- ukuvuvukala nokuvuvukala ngenxa yomonakalo kwiingcambu okanye iziqhekeza zesithenti samazinyo ngaphakathi kwinqanawa.