Kurapa kwekurapa uye maonero echiremba wedu periodontitis
Kurapwa
Kana periodontitis ichionekwa, chinangwa chekurapa ndechekumisa kufambira mberi kwechirwere nekukurumidza uye, kana zvichibvira, kudzorera masangano anotsigira mazino. Mhando yehutano hunoenderana nekufambira mberi kwechirwere uye hutano hwehutano hwemunhu akabatwa.
Mushonga uyu unobva pa:
- kunyatsocheneswa kwemazino, midzi nemazamu
- kana zvichidiwa, kurapwa nemishonga inorwisa mabhakitiriya
- kana zvichidiwa, kurapwa kwekuvhiya
- zuva nezuva kugadzirisa pamba uye kuchenesa nguva dzose kuna chiremba wemazino mwedzi mitatu yega yega.
Meno kuchenesa
Kucheneswa kwakakwana kazhinji kunokwana kumisa kufambira mberi kweperiodontitis. Ndiyo nhanho yekutanga yakakosha mune chero kurapwa kweperiodontal.
Nekubvisa mabhakitiriya uye tartar yakanamatira mazino nemidzi yavo (yakafumurwa nekuparadzwa kwezvisungo zvinotsigira), chiremba wemazino achabvumira gum yakavharwa kuti inamate kune mazino zvakare uye nokudaro kuderedza kufambira mberi kwebhakitiriya. Izvo zvinodiwa kusimudzira kuporeswa kwehomwe dze periodontal dzinoita matura ebhakitiriya.
Kurapa uku kunonzi "root planing": inoitwa muchikamu chimwe chete kusvika zviviri zvepedyo, pasi peanesthesia yemunharaunda, uchishandisa manual curettes kana ultrasound madivayiri. Kutarisa uku kunozongoshanda kwenguva refu kana kuchiperekedzwa zuva nezuva nekunyatsokwesha, zvichiwedzerwa nekupfuura kwemeno floss.
Cherechedza: Pamberi pekurapa uku, mishonga yekuchenesa muromo inogona kurongerwa nachiremba wemazino. Vanoita kuti zvikwanisike kuderedza nhamba yebhakitiriya inowanikwa mumuromo (chlorhexidine kubva ku0,1 kusvika ku0,2%). Nekudaro, kushandiswa kwekugezesa muromo kunofanirwa kuve kwechinguva uye hakutsivi kukwesha mazino ako. Inogona kutokuvadza nekuti inourayawo mabhakitiriya "akanaka". |
Kuvhiya kurapa
Mune 5 kusvika ku10% yezviitiko, midzi kuronga haina kukwana kuderedza periodontal pockets. Nzira dzekuvhiya dzinofanira kubva dzashandiswa.
Nekuchekerera chingamu, chiremba wemazino anogona kunyatsochenesa homwe dzeperiodontal uye kubvisa tartar yaisazosvikika. Iyo chingamu inobva yatsiviwa uye inoporesa nekunamatira kumazino akacheneswa nemapfupa.
Kana pfupa rakaparadzwa zvakanyanya, regenerative periodontal operation inogona kupiwa. Inosanganisira kudzoreredza matishu anotsigira emazino kuti awane kuporeswa kuri nani uye kumira zvakanaka kwemeno. Pane nzira dzinoverengeka dzekuzadza kuparadzwa kwemapfupa:
- kushandiswa kwebiomaterials (membranes inobvumira kukura kwemapfupa matsva)
- kuita pfupa rekubatanidza (bhonzo rinotorwa kubva kune imwe nzvimbo mumuviri wemurwere)
Pakupedzisira, zvinokwanisika kuita gingival graft kupikisa kubviswa kwemazino kunokonzera "kurebesa" kusinganzwisisiki kwemazino, kureva kusunungura. Kusimwa kunoitwa nekubvisa matishu kubva mukanwa.
Mishonga inorwisa mabhakitiriya
Muzviitiko zvakawanda zve periodontitis, mishonga ye "mechanical" inoita kuti zvikwanise kumisa chirwere. Zvisinei, mune imwe nyaya ye periodontitis ine hutsinye, kuwedzerwa kwemishonga inorwisa mabhakitiriya kunodiwa.
Mushonga uyu unoshandiswawo pakaitika kudzokazve (kudzokororwa kwemasaga) kana mune vamwe vanhu vasina kusimba, vane matambudziko emoyo kana kusadzora zvakanaka Type 2 chirwere cheshuga.
Maonero echiremba wedu
Sechikamu chemabatiro ayo emhando yepamusoro, Passeportsanté.net inokukoka iwe kuti uwane maonero eanachiremba. Dr Jacques Allard, mukuru wevashandi, anokupa maonero ake pane iyo periodontitis :
Periodontitis chirwere chinowanzoitika chisingafaniri kuregererwa. Inotanga ne gingivitis iyo inotanga kuoneka semazamu ekubuda ropa. Hutsanana hwezuva nezuva hwemazino hunogona kudzivirira kuwanda kweperiodontitis. Zvakadaro, periodontitis inogona kukura zvisina tsarukano uye kuongororwa mazino gore negore kwakakosha kuti uione uye urape nekukurumidza. Kana, kune rumwe rutivi, uchiratidza zviratidzo zvegingivitis ine tsvuku tsvuku uye yakazvimba, ndinokupa zano kuti uone chiremba wemazino nokukurumidza. Dr Jacques Allard MD FCMFC |