Dental alveolitis ndiro dambudziko rinowanzoitika mushure mekubviswa zino. Pane mafomu matatu esoketi yakaoma: socket yakaoma, socket inosimudzira, ine pus, uye patchy osteic socket, inokanganisa bhonzo uye inoonekwa svondo rechitatu mushure mekubviswa. Zvikonzero zvavo zvinoramba zvisinganzwisisike, asi zvinobatanidzwa nekupora kwakashata, uye naizvozvo kune dambudziko rine chokuita neropa reropa rinofanirwa kuumba kana zino rabviswa. Mishonga iripo; Dry socket, zvakanyanya kunyanya, kazhinji inofambira mberi ichienda kupora mushure memazuva gumi. Analgesics ichavavarira kudzikisa marwadzo, ayo anogona kunge akanyanya. mishonga inorwisa mabhakitiriya ichashandiswa mune dzimwe nguva.

Tsanangudzo yesoketi yakaoma

Dental alveolitis idambudziko rinoitika mushure mekunge zino rabviswa. Chirwere ichi chinokanganisa socket, inova mhango yeshaya inoiswa zino.

Aya alveolitis anotevera kubviswa anokonzerwa nekuzvimba kwemadziro ealveolus. Dry socket inonyanya kuwanda mushure mekubviswa kwemazino ehuchenjeri, uye kunyanya iwo eiyo mandible, kureva yezasi shaya.

Zvikonzero zvekuoma socket

Kune marudzi matatu ealveolitis: socket yakaoma, suppurative socket, uye patchy osteitic alveolitis (yakabatana nehutachiona hwemapfupa emapfupa). Etiology yavo inoramba iri nyaya yekubvunzwa, sezvo zvidzidzo zvishoma zviripo. 

Iyo alveolitis, zvisinei, inotsanangurwa nekuumbwa kwakashata kweropa rekuvhara iro, kana zino rabviswa, rinofanira kubvumira kuporesa.

Dry socket, kana socket yakaoma, ndiyo yakajairika nzira yealveolitis, uye saka mushure mekubvisa matambudziko. Pathogenesis yaro haisati yanyatsojekeswa, dzidziso nhatu dzinoedza kutsanangura zvikonzero:

• Inogona kunge yakabatana nekusavapo kwekuumbwa kweropa rekuvhara ropa, nekuda kwekusakwana kweropa kutenderedza alveolus, uye kunyanya pamwero we mandible, pfupa rinoumba shaya yezasi. 
• Zvinogonawo kunge zvakakonzerwa nekusaumbwa kwegwamba reropa zvichitevera kukuvadzwa kunotevera kubviswa zino.
• Inogona pakupedzisira kukonzerwa ne lysis yeropa rekuvhara. Iyi ndiyo dzidziso inonyanya kugoverwa. Iyi lysis, kana fibrinolysis, inokonzerwa nema enzymes (mapuroteni anokwanisa kukonzera maitiro emakemikari), anowanikwa mumhango yemuromo wemukanwa, kunyanya. Iyo inogona zvakare kugadziridzwa neiyo bhonzo nzira inogadzirwa nekubvisa, uye zvakare nema microorganisms ari mumuromo mhango, senge. Treponema denticola. Mukuwedzera, zvinodhaka zvakadai semishonga inorwisa-kupisa uye mishonga yekudzivirira pamuviri, kana kunyange fodya, shandisa iyi fibrinolysis. 

Suppurative alveolus inokonzerwa ne superinfection ye socket, kana clot inoumbwa mushure mekubviswa. Inofarirwa ne:

• kushayikwa kweasepsis (matanho uye nzira dzekudzivirira hutachiona);
• kuvapo kwemitumbi yekune dzimwe nyika yakadai semapfupa, mazino, kana tartar tsvina;
• utachiona hwaive hwatovapo kusati kwabviswa, kana kuoneka mushure mekubviswa;
• utachiona kubva pameno ari pedyo;
• hutsanana hwemukanwa husina kunaka.

Pakupedzisira, patchy osteic alveolite (kana 21st day cellulitis) inokonzerwa ne superinfection yegranulation tissue (iyo itsva tishu inoumbwa kutevera mavanga, uye inodiridzwa zvakanyanya nemidziyo miduku yeropa). Kukoshesa kwake? Zvinoitika mukati mevhiki yechitatu mushure mekubviswa zino. Inogona kudzidziswa ne:

• kuvapo kwezvinhu zvekunze, zvakadai semarara ezvokudya.
• kushandiswa kusina kukodzera kwemishonga inorwisa-kupisa (NSAIDs) mushure mekuvhiyiwa.

Kuongororwa kwesoketi yakaoma

Ndiyo chiremba wemazino anogona kuita kuti kuongororwa kwemazino alveolitis, kunyanya nekusimbisa kusavapo kweropa rekuvhara muvharo rezino rakabviswa.

• Dry socket inoitika maawa mashoma, kana kusvika mazuva mashanu mushure mekunge zino rabviswa. Zviratidzo zvekutanga zvinogona kufarira kuongororwa kwayo, sekuneta uye zviitiko zvinorwadza.
• Suppurative alveolitis inoitika paavhareji mazuva mashanu mushure mekubviswa, uye kuongororwa kwayo kunogona kuitwa kunyanya kana fivha ye38 kusvika 38,5 ° C ichiperekedza marwadzo, akanyanya kuderera kupfuura mune yakaoma socket.
• Kuongororwa kwepatchy osteic alveolitis kuchaitwa muchiitiko chefivha, zvakare kubva 38 kusvika 38,5 ° C, uye zvakare inoperekedzwa nekurwadziwa kwakaramba kuchiitika kwemavhiki maviri.

Vanhu vane hanya

Dry socket ndiyo inonyanya kunetsa yekubvisa mazino: inobata 1 kusvika 3% yevarwere vakatorwa nyore, uye 5 kusvika 35% yevarwere vanotevera kuvhiyiwa kubviswa.

Nyaya yakajairika iri panjodzi yekugadzira iyo yakajairika soketi yakaoma, socket yakaoma, yakatsanangurwa semukadzi, ane makore makumi matatu kusvika makumi mashanu, ari pasi pekunetsekana, kutora chirongwa chekudzivirira pamuviri, uye ane hutsanana hwemukanwa huri pakati pehurombo. Ngozi yacho inotowedzera kumuwedzera kana zino rinobviswa iri molar yeshaya yepasi - kana zino rehuchenjeri.

Mamiriro asina kunaka easeptic panguva yekuvhiya ndiyo njodzi huru kune yakaoma socket, sezvakaita hutsanana hwemukanwa. Mukuwedzera, vakadzi vanowanzotarisana nazvo, kunyanya kana vachitora mishonga yekudzivirira pamuviri.

Zviratidzo zvikuru zvesokisi rakaoma

Dry socket inoitika mushure memaawa mashoma, uye kusvika mazuva mashanu mushure mekubviswa zino. Chiratidzo chayo chikuru chinoratidzwa nemarwadzo ekusimba kwakasiyana. Izvi dzimwe nguva zvidiki, zvisingaperi zvikamu zvinorwadza, izvo zvinopenya kunzeve kana kumeso. Asi kazhinji, marwadzo aya akanyanya uye anoenderera. Uye ivo vanozove kushoma uye kushomeka kune nhanho 1 kana kunyange nhanho 2 analgesics.

Pakati pezvimwe zviratidzo zvayo:

• fivha shoma (kana febrile), pakati pe37,2 ne37,8 ° C;
• kuneta zvishoma;
• kushaya hope kunoenderana nekurwadziwa kwakanyanya;
• mweya wakaipa (kana halitosis);
• greyish-white cell masvingo, anonyatsonzwa kubata;
• kuzvimba kwechigadziko chakakomberedza socket;
• kunhuhwirira kwakashata kubva pasoketi pakutsvaira.

Kazhinji, kuongororwa kwex-ray hakuratidze chero chinhu.

Zviratidzo zvikuru zve alveolitis suppurativa

Suppurative alveolitis inowanzoitika mazuva mashanu mushure mekunge zino rabviswa. Marwadzo acho haanyanyi kusimba pane socket yakaoma; matsi, uye dzinoonekwa nekufungira.

Zvimwe zviratidzo zvake:

• fivha iri pakati pe38 ne38,5 ° C;
• pathological kuwedzera lymph nodes (inonzi satellite lymphadenopathy);
• kuzvimba kwevheti (chikamu chebhoni labyrinth yenzeve yomukati), ingave kana isingabatanidzi nefistula mu mucous membrane yakakomberedza socket;
• iyo socket yakazadzwa neropa rekuvhara, rine ruvara rwebrownish kana dema. Socket yacho yakabuda ropa, kana kurega urwa huchibuda.
• madziro echitokisi anonyatsonzwa;
• pasi pechigadziko, pfupa, mazino kana tartaric tsvina inowanzowanikwa.
• Iyo budiriro haigone kugadzirisa yega, uye inogona kukonzera matambudziko, senge patchy osteic alveolitis.

Zviratidzo zvikuru zvepatchy osteic alveolitis

Plot of osteic alveolitis inoguma pamusoro pezvose mukurwadziwa kunoramba kuripo mukati memazuva gumi nemashanu anotevera kubviswa. Kurwadziwa uku kunoperekedzwa ne:

• fivha kubva 38 kusvika 38,5 ° C;
• dzimwe nguva kusakwanisa kuvhura muromo wako (kana trismus);
• asymmetry yechiso, nekuda kwe cellulitis yakapoteredza rushaya rwezasi, kureva, utachiona hwemafuta echiso;
• kuzadzwa kwevheti;
• kuvapo kana kwete kweganda fistula.
• I-x-ray, kazhinji, inoratidza kuputika kwepfupa (chidimbu chepfupa chakavharwa, uye chakarasikirwa nevascularization uye innervation yayo). Dzimwe nguva, zvakare, iyi x-ray hairatidze chero chinhu.

Iko kushanduka kunogona kuitwa kubviswa kweanoteedzera, pasina kurapwa. Inogonawo kutungamirira kumatambudziko makuru ehutachiona.

Kurapa kwesoketi yakaoma kunonyanya kunosanganisira kunyaradza marwadzo, by analgesics. Kuporeswa kwepanyama, kana kushanduka kwega kune kurapwa, kunowanzoitika mushure memazuva gumi. Nguva inogona kupfupikiswa kana murwere akarapwa.

Iyi socket yakaoma ndiyo inonyanya kuitika, uye inoita emergency mukurapa mazino: maprotocol akaedzwa, achibvumira kuti arapwe. Miedzo miviri, semuenzaniso, yakaitwa nechikwata kubva kuAbidjan kubvunzana uye odonto-stomatological kurapwa nzvimbo uye inosanganisira:

• Isa zvipfeko mukati me socket, zvichibva pa bacitracin-neomycin yakasanganiswa ne eugenol.
• Isa chipfeko che ciprofloxacin (munzeve yayo yekudonha fomu) kune socket inorwadza.

Mushonga wacho une chinangwa chekuporesa socket.

Muchokwadi, marapirwo esoketi yakaoma ari pamusoro pezvese zvekudzivirira (zvinosanganisira zvakanyanya kubvisa zvinokonzeresa). Ivo zvakare kurapa:

• Mushonga wekurapa we suppurative uye osteitic alveolitis unobva pa systemic antibiotic therapy, analgesics, uye kutarisirwa kwenzvimbo, sekusuka nesaline kana antiseptic solution, uye intra-alveolar dressings.
• Kune suppurative alveolitis, kana kutarisirwa kwemunharaunda kuchiitwa kare kare, uye pasina kupisa, kunyorerwa kwemishonga inorwisa mabhakitiriya haifaniri.
• Kune socket yakaoma, maantibioti akawanda, anoshandiswa ega kana musanganiswa nezvimwe zvinhu zvakasiyana-siyana, aripo, inonyanya kukurudzirwa ndeye tetracycline uye clindamycin. Zvisinei, Afssaps haitauri kushandiswa kwemishonga inorwisa mabhakitiriya, muhuwandu hwevanhu, kana muvarwere vasina kudzivirirwa, kuitira kurapwa kwechigadziko chakaoma; anoikurudzira chete mumamiriro ezvinhu ane ngozi yakawanda ye infective endocarditis, kusvikira mucosal kuporesa.

Pamusoro pezvo, mafuta akakosha evhavha akacheneswa mumafuta emuriwo, semafuta emuorivhi kana kokonati mafuta, uye akaiswa pachisokisi, sekureva kwevamwe varwere, angabvisa marwadzo, kana kurapa socket yakaoma. Zvisinei, kuchenjerera kunofanira kutorwa kuderedza mafuta aya evhavha. Iyi mafuta anokosha, naizvozvo, mushonga unorwisa mabhakitiriya chaiwo, vemishonga yemishonga vanotenda. Zvisinei, haifaniri kupiwa vakadzi vane pamuviri nevana, kana kutsiva mamwe marapirwo anorayirwa nachiremba wemazino.

Hutsanana hwemumuromo hwakakwana husati hwaitwa, pamwe chete nemamiriro ezvinhu akanaka easeptic panguva yekubvisa ndezvimwe zvezvinhu zvakakosha zvekudzivirira kubva pakaoma socket.

Kuti udzivise socket yakaoma, iyo inorwadza zvikuru, mazano anopiwa nachiremba wemazino mushure mekubvisa zino anofanira kunyatsoteverwa, zvakadai se:

• chengetedza compress pane socket uye uchinje nguva dzose, kwemaawa maviri kusvika matatu. Izvi zvichakurudzira kuumbwa kwekuvhara ropa;
• usageza muromo wako zvakanyanya;
• usapfira mate;
• chenjerera paunenge uchikwesha mazino ako, uye dzivisa kukwesha padhuze nesokisi rezino rakabviswa;
• usapfuure rurimi pakaitika kubviswa;
• kutsenga kure nenzvimbo yakabviswa zino;
• pakupedzisira, kusvuta kunofanira kudziviswa kweanenge mazuva matatu.