Pulpitis: whakarōpū, momo, whare hauora. Whakarōpū o tikanga o te maimoatanga o te pulpitis

Ke, engari pono - te mate rite pulpitis, kua neke atu i te 20 huarahi whakarōpū. whakamahi TEETH ratou i roto i te akoranga o ratou mahi i roto i ngā huarahi rerekē te momo o te aromatawai mate, engari tuhia e kore o ratou e taea e 100% tika whakaahua i te āhuatanga katoa o tenei mate haavare. mea niho e hiahia ratou whakarōpū atu watea, me te poto o te pulpitis, e pai tukua ki tohu te mate ki nga tūranga tika katoa.

He aha e hiahia ahau ki te whakarōpū i te terono?

Ko te aroaro o te taua systematization nui o te mate niho e pā ana ki huarahi rerekē ki te ngana ki te whakaahua i te pikitia o te mate. momo rerekē o whakarōpūtanga pulpitises whakahere ki te whakaaro ratou i tirohanga rerekē: te take me te whanaketanga, haereraa haumanu, nga huru o te tukanga whakakaupapa i roto i te awa pakiaka me ētahi atu.

Whakaahua i koki katoa kua ano i whakawhanakehia whakarōpūtanga purupiti. Na reira, niho i ki whakauru ngā pikitia haumanu i te manawanui takitahi i roto i te anga o te tikanga ngā o te aromātai. Kua whakawhanakehia maha ngā kaupapa whakarōpū i tekau tau ki muri, Heoi, ka e whakamahia nei i roto i te mahi o te tātaritanga me te maimoatanga o te pulpitis.

tangohia nga whakamātau tuatahi ki te systematize tenei mate niho i roto i nga tau 20 o te rau tau whakamutunga, me kua huaina te whakaahuatanga tika te nuinga o te penupenu. i pai matatini me te cumbersome enei te whakarōpū. Ko Ko te aha tohunga he mahi tonu i runga i te whakapai ake o te tikanga whakaahuatanga mate whakahaere. I wā o 5-10 tau e whakaarohia he whakarōpū hou, e hāngai ana nei i runga i kaupapa mua, engari i etahi huru hou ki te whakaahuatanga o te mau fata pikitia.

whakarōpū WHO

Ko te mutunga o te rau tau 20, ara i roto i 1997, i tohua niho i te whakataki o te International Whakarōpū o Diseases, Whakahōunga 10, i mohiotia e te whakarāpopototanga ICD-10. I whakaaetia te reira e te Health Organization World, a i roto i 1999 ka whānui whakamahia i roto i te mahi niho mo te tātaritanga me te maimoatanga o te pulpitis. Ko te ingoa o te waehere me ratou wetemunatanga ki te whakaahua i te pikitia haumanu o te mate tenei pūnaha. pulpitises Classification ICD ngā te tūemi e whai ake nei:

• Diseases o penupenu me te momo kiko periapical tapaea denoted e te K04 waehere.
• Tika terono whakamuna K04.0.
• Ko te wāhanga tuatahi o te mate, āhuatanga e hyperemia, denoted K04.00.
• patua ana pulpitis whakapeka whakamuna K04.01.
• Ki te kitea he whēwhē te, ko reira K04.02 waehere Tireni.
• whakaritea te puka ma'i o te pulpitis ko K04.03, a ki te pāngia tenei te whewhe, kei te whakaarohia taua mea ki te whakamuna i te tātaritanga o K04.04.
• Ki te kitea he manawanui te penupenu polyp i roto i te puka ma'i, ona tohua K04.05.
• A, no te mate o te kiko manavasii me iaia o te niho atu Stamp K04.08 natura i tohua.
• Ki te kore te mea mārama te take o te pulpitis, reira ta waehere K04.09.
• E tohua tītohunga Necrotic olotou ranei i roto i te slurry i roto i te waehere K04.1.
• Ki te kite te tākuta tukanga degenerative pērā i dentikli, kohatu penupenu calcification ranei, tohu reira ratou K04.2 waehere.
• I roto i te take o te hanganga rerekē o te kiko pakeke i roto i te K04.3 penupenu Tuhipoka. A, ki te he te reira kōhikohiko (Tuarua) dentin, kua tohua i te reira e te K4.3X waehere. Me kï reira e i roto i tenei āhuatanga e waho calcification me kohatu i roto i te penupenu.
• I roto i te periodontitis āhua whakapeka apical, e ko te take o te huringa i roto i te kopa neuro-iaia o te niho, whakanohoia KarereHuna K04.4.
• Ki te kitea e te tākuta e i roto i mua o ia mate penupenu me te kopa periapical kore e e uru ki roto ki te ngā i runga ake-whakahuatia, hanga ana e ia he K04.9 tuhipoka.

Tenei whakarōpūtanga pulpitises WHO, rite ki niho, e kore te mea te reira te tino watea. Heoi, kei te whakamahia tonu reira rite te kaupapa e pā ana hoki te faaineineraa o ngā pūrongo tauanga o tohunga i runga i te mahi mahi i roto i te tetahi wā wā. Waehere me ciphers o tenei whakarōpū takoto te tākuta kei te ki te hoatu ki raro, i runga i te kāri kāri, me te manawanui. Kua mohio maha niho e kua maha ratou tukinotia ratou ki taia te mate i roto i te anga o te kaupapa e whakaarohia ana e te WHO, ahakoa he ratou i roto i ara tino rerekē ngā āhuatanga watea o te māuiuitanga niho.

Āhuatanga terono o tona whanautanga

e tenei whakarōpū ki pulpitis pūkete, me te periodontitis take o te mate. E ai ki tenei paearu, niho e 4 ngā momo o te mate:

• Mate.
• Ngaukino.
• Konkrementozny.
• Medical matū ranei.

Kia aparau i a ia penupenu e whakarōpū whakaahua ona take.

pulpitis infective

meinga tenei momo o te mate e te mahi o huakita e hua tāoke me whakapataritari mumura me iaia niho karere paihere. I te 9 take i roto o te 10 o nga microorganisms hinga i roto i te kōhao o awa matūniho ranei pā te mata kitea o te karere. Iti noa pulpitis retrograde, ina tomo iroriki te niho i roto i te poka i te tihi o te pakiaka. puta tenei ka mate hopuhopu pērā i mate whakapeka romahā, kōpukupuku, te tapû, pakohu kakā periodontitis ranei. I roto i te wā onge, Ka taea e mate kakahu pūāhua hematogenous. Ko te āhuatanga pau taha ki te ite i te terono - etiology. Kei te maha te whakarōpū o tenei parau tumu e whakamahia ana e te tākuta.

pulpitis pāmamae

Me kï reira e te whara ko te take o te tukanga pathological e kia hua i roto i te pulpitis. I roto i tenei take, sterility he kōwhao niho whati, me te puta o ratou mate ki te whanaketanga atu o te mumura karere paihere. I te tahi taime e kore reira takahi te tapatahi o te niho, me tona wāhi tika (luxation subluxation ranei). I roto i tenei take, he matatapu te terono me te ahunga whakamua i waho te whai wāhi o microorganisms.

Ka taea e wharanga kakahu āhua rā, kia whiwhi rite ki te hua o te aituā whara ranei, engari kia meinga ai e wawaotanga kuare hauora. Hei tauira, ka huri te niho "he karauna" pulpitis maha puta rite te putanga o perforating kiko. Me whiwhi tēnei āhuatanga ako tonu. He mea tino nui ki te faatura i te tākuta iahiko: tu'unga malangá - Whakarōpū - whare hauora - maimoatanga. Hoki te mātanga mahi raupapa tata tetahi, ara te take tino uaua, ka taea e koe fakatonutonu ka karo te rota o pōauautanga kino.

terono Konkrementozny

Tenei momo o te pulpitis puta no te mea te tahi mau hinonga i roto i te awa pakiaka - dentikley petrifikatov ranei. tupu ratou i roto i nga awa me kōwhao kōpeke oko toto. Ka rite ki te hua mikrotsirkullyatsiya pakaru, i hanga huamo. Ko te putanga ko te penupenu.

penupenu Medical matū ranei

Tenei whakarōpūtanga terono te tikanga e kore e whakaahua, engari i roto i te meka ko reira tino noa, me te e meinga e te hapa hauora. Tenei tupu ina pā te tākuta, ka faaineine caries waha ranei pute periodontal māngai o te natura puai (waiwaihā ranei hākawa) hapa hangarau ranei i hanga i te taatiraa.

Whakarōpū i Platonov

Ahakoa te meka e i whakaarohia tenei ahua o te aromatawai o te mate e Ahorangi Platonov tae noa hoki rite 1968, a ka kua whakamahia tonu te reira i te taha o niho i roto i te mahi. He ana tēnei whakarōpū o pulpitis me periodontitis ona kohakore, engari pai i roto i tona tapatahi, me te haratau. Te ahorangi i roto i tona technique ngā toru huarahi: aro mātai o te tukanga pathological i roto i te penupenu, te āhua o te mate, me te localization o te hūhi. Ko te kuware tenei, engari ko te aromatawai mate pūnaha te horo ki te oa o te tohunga maha e whakamārama tona hāngaitanga o nāianei. I roto i tenei systematization kōrero te āhuatanga matua o tenei āhuatanga, kia rite ki te terono - etiology, pathogenesis. Whakarōpū o mate o Platonov ko e whai ake:

• momo whakapeka pulpitis: puka lobular (mamae whakapeka, i te mea mārama manawanui localization) me te momo E ruia ana (localization kāore, whakawhānui haere te karere trigeminal i runga i te mata).
• Pulpitis hypertrophic ma'i huru (huamo o te penupenu kōhao whakakī caries), olotou (necrosis o karere kiko, me te paihere iaia) me fibrotic (niho houtanga kiko).
• Pulpitis exacerbation o puka ma'i.

Tenei whakarōpū me terono hauora nui faaohie i te mahi o niho, ina koa i roto i haumanu pūtea. Tikanga, i roto i taua mau huru, te tākuta e kore e whai wa ki te tūhura i te take o te mate niho. I roto i te tikanga ki te whakatū i te momo o te mate, he rawaka ki te ui i te manawanui etahi pātai.

Classification Gofungu

Ko te tino rongonui i roto i niho i tenei tikanga, no te mea whakaahua ana te reira i te āhuatanga tino nui o tenei māuiuitanga rite te terono - whakarōpū, pikitia haumanu, maimoatanga. E horo'a te reira i te whakaaro e pā ana ki te wāhanga o te mate e taea ai hoki ngā tawhā haumanu me huringa Morphology i roto i te penupenu i roto i te tukanga inflammatory. E ai ki tenei pūnaha, ngā momo o te mate ko te whai:

• Ko te puka whakapeka o pulpitis: te kanohi (reversible, e taea te ora e pupuri karere koiora), te tapeke (E ruia ana, uhi te penupenu katoa, a ka kua tukinotia e extirpation), purulent tapeke (whānui, me te tina heke penupenu kino tukinotia extirpation faufaa ki te ārai o te takanga o te periodontitis).
• Ko te puka ma'i o pulpitis: ohie, hypertrophic (enei momo e rua o tino treatable ki te kaha ki te whakaora i te pakiaka), olotou (extirpation momo kino tukinotia i roto i te maha o ngā haerenga ki te tākuta).

Whakarōpū o te MMSI

Ko te tikanga Morphology mate neurovascular paihere ko te hoko atu tikanga Gofunga tika. terono Classification MMSI tūemi ngā exacerbation o momo ma'i o pulpitis me e ki pūkete te āhuatanga o te mumura i roto i te niho, i mua i te tukinotia. E ai ki tenei Morphology, kua wehea te mate ki:

• momo tāhapa o te pulpitis: te ngahunga ranei purulent E ruia ana, serous.
• momo ma'i o pulpitis: olotou, fibrotic hypertrophic ranei.
• Exacerbation o momo ma'i o pulpitis: kaiota olotou ranei.

Exacerbation o momo olotou pulpitis taea meinga fifi o periodontal, kia rite ki te kaha whakawhanake i te reira microflora hāorakore. Ki te kore e te tango wāhanga o te karere whakaoti te raruraru o te mumura, he hysterectomy oti takere mummification toutou ranei te tikanga solves te raruraru.

Whakarōpū i Vinogradova

Whakarōpū o terono i roto i te tamariki whakaputaina e Ahorangi pūnaha Vinogradova e tuku he mate mārama motuhake o niho rākau i tamau. Te faataa ra te tākuta e mumura i roto i te mammary me molars puta i roto i ngā huarahi rerekē. Ahorangi taunaki ana e tihi te pū whakaritenga ki niho rangitahi, me te onoono tikanga maimoatanga i runga i te makanga o te awa tuku oti. Ka taea e hua tenei i roto i te kino ki te tupu niho tūturu o te tamaiti.

Whakarōpū o terono i roto i ngā tamariki ngā te tūemi e whai ake nei:

• niho Milk pulpitis whakapeka: serous (puta tere, riro E ruia ana puka lobular), purulent (hohoro hipokina te penupenu katoa a taea riro ma'i).
• pulpitis whakapeka maha tūturu huru o niho: whakapeka katoa serous ranei te kanohi, katoa purulent whakapeka ranei te kanohi.
• Ma'i pulpitis huinga rangitahi, me te pūmau o te niho: kuware, proliferative ranei hypertrophic, olotou.
• Exacerbation o momo ma'i o pulpitis o niho rangitahi, me te pūmau, te nuinga o maha puta ki te whakamārama o te pulpitis ohie ma'i.

Ko te taa o te tukanga inflammatory i roto i te niho poto ko e horapa te tukanga ki te mezhkornevyh wāhi ki tūponotanga tiketike. Tenei Ko te mea te dentin i roto i tenei rohe e te nui rawa o te uruhanga. Ko te mōrearea tenei āhuatanga i te mea e taea ai te raruraru i roto i te hanganga o te tupu niho titiwha, te huri i te rā o tona hūnga, whakaiti tona resistance.

E āhuatanga pulpitis ma'i niho poto i roto i taua kia whakatika ratou rite puka tuatahi bypassing wāhanga whakapeka. kia ratou asymptomatic, engari haavare i te meka e tino hohoro horapa ki nga kopa periodontal. Na reira ko te tika i te reira ki te āta aroturuki i te huru o te kōhao-waha o ngā tamariki, me te kore e whakarerea e te maimoatanga o niho tuatahi.

Āhuatanga o te maimoatanga o te pulpitis

Ko e pā ana tika ki te tātaritanga Whakarōpū o tikanga o te maimoatanga o te pulpitis. Ko te reira i te mohio whakatau te tohu o whīwhiwhi o te mate e whakawhirinaki ki runga ki te angitu o te therapy.

Ki te kawea te karanga ki te niho i roto i te timatanga o te whanaketanga o te pulpitis, hanga te tākuta tana ara ki te maimoatanga koiora. Kei a ia i roto i te whai ake: e kore e te te karere o te niho nekehia, te whakamahi i te raau taero konupūmā-protivogistaminnye motuhake. Ka rite ki te hua o taua maimoatanga he nawe o te whitinga penupenu, i hanga te dentin substitutive. Tono ki te kōwhao hiri horoia.

Ki te kore te maimoatanga wā ki te tākuta i puta, na kua ngaro te pea o te maimoatanga koiora. I tenei wā, ka whai ki te matau ki ta te penupenu manawanui te niho. Te ariā, whakarōpū me tikanga tātaritanga hanga reira rite tika rite taea.

Tino maha whakamahia tikanga mo te tango wāhanga o te penupenu. I raro i hanga te mana o rehunga te withdrawal o te karere i te taumata o te karauna, tonu taea te rohe pakiaka. Muri whakatakotoria waihanga ki te konupūmā, ka hiritia te niho te. Ki te titauhia te, kawea atu i tua, whakahau therapy anti-inflammatory. e tūtohu he tikanga pērā mō ngā tamariki nei niho tihi tonu e kore e hanga e.

E whakaatu ana te reira i mahi niho, i roto i te nuinga o te wā, e whakamahia ana te tango oti o te karere. Ka taea te mahi i tēnei i raro i rehunga aratuka whakakikorua ranei whakapiri devitaliziruyuschey kei roto te ateneke. Ko te tino paitini tēnei rauemi, a kia nekehia atu te tipare i rite te wa i whakaritea e te tākuta. I muri i taua, ko te maimoatanga endodontic, i roto i nei te takere whakakī niho gutta percha.

I muri kawea te maimoatanga taua i roto X-ray ki tirohia te take kounga hua i roto i te awa whawhe. Ki te kei ratou tonu ake ki te tihi, superimposed hiri.

I roto i te take o tata oti te whakangaromanga o te tākuta niho whakamahi te titi -copings, i hanga nei e te o te faaho'iraa mai niho. ka korero katoa tohunga a koutou e he kī taurangi ki te āwhina i te whakatau i te whakarōpū o te terono. Treatment Ko te toronga tātaritanga tino arorau o niho o te manawanui.

Pīra ki te niho i roto i te tīmatanga o te pulpitis he painga ki te manawanui. Ko tata ongonoa, me te ngāwari Treatment i tenei wā. Ki te rere koe i te mate e kia whakawhanake periodontitis, i te mea nui uaua ki te hamani me te ake.