Txhawm rau ua kom pom tseeb thiab zoo tshaj plaws thaum lub sij hawm protétics lossis kho hniav, kws kho mob ua ntau yam kev tswj ntawm qhov ncauj kab noj hniav. Qhov tseem ceeb tshaj plaws ntawm lawv yog qhov retraction ntawm cov pos hniav, nws tso cai rau tus kws kho mob kom qhib tau ib ntus nkag mus rau thaj chaw ntawm lub hauv siab nyob rau hauv lub caj dab.
Seb nws puas tsim nyog los ua tus retraction ntawm cov pos hniav los yog lub plab?
Txoj kev kho hniav no yog ib qho kev ncua ntawm lub ncauj tsev menyuam los ntawm kev txo qhov theem ntawm cov kua txaj. Vim qhov no, qee feem ntawm lub hauv paus raug pom. Kev txhawb zog ntawm kev sib tw yog feem ntau ua rau cov khoom siv los yog cov yas thiab cov khoom ua ke ntawm ob npaug. CAM-technologies scan plaster qauv, qhov tseeb ntawm nyob ntawm qhov tseeb haum ntawm tus prosthesis thiab tus neeg mob lub siab.
Qhov txheej ntawm cov txheej txheem yog tsom rau kev nthuav dav ntawm qhov kev furrow nyob rau hauv kab rov tav thiab ntsug sab. Qhov no yuav pab txo cov kua kua qaub, tiv thaiv lossis tsis txhob los ntshav, txo cov kev raug mob hauv lub qhov ncauj. Kev ua kom zoo ntawm cov pos hniav yog ua tau xws li:
- thaum sau cov kab noj hniav;
- thaum npaj cov teeb meem ntawm cov hniav;
- nrog tshuaj dawb .
Kev daws teeb meem ntawm kev lag luam
Muaj cov nram qab no ntawm cov pos hniav retraction:
- Mechanical. Nws nruab nrab yog qhib lub dentogingival hnab tshos (zawg) nrog kev pab los ntawm ntau yam twj paj nruag: knitted rings, caps or paj rwb threads.
- Medicamentous (tshuaj). Hauv qhov no, kua yog siv rau cov pos hniav retraction, uas yog adrenaline thiab bezadrenaline. Qee cov tshuaj tuaj yeem ua rau lub cev tsis haum xeeb hauv tib neeg lub cev.
- Kev phais. Nws muaj nyob rau hauv excision ntawm ib co coululating electrocurgical koob nrog ib tug dawb ntug ntawm cov pos hniav ntawm nws sab hauv nto.
- Tag nrho. Nyob rau hauv hom no, ntau txoj kev hais ua ke. Qhov feem ntau ntawm cov no yog kev ua lag luam mechanochemical. Nyob rau hauv rooj plaub no, kua impregnated threads yog siv.
Retraction ntawm cov pos hniav nrog threads thiab ib ncig
Thaum mus rau tus kws kho hniav, ntau tus neeg mob xav tias qhov kev rho tawm ntawm cov pos hniav yog (Ultrapak). Cov txheej txheem no yog siv cov khoom tshwj xeeb uas tau txhaj rau hauv daim tawv nqaij. Txoj kev no tuaj yeem ua rau mob thiab kav ntev, thiab muaj ntau cov kev txwv rau kev ntxias.
Ua ntej pib txoj kev rho tawm, tus kws kho hniav ua tiav qhov kev ntsuam xyuas ntawm lub qhov ncauj kab noj hniav, thaum lub sij hawm xyuas qhov tob ntawm qhov ntxeem tau ntawm cov pos hniav. Tus kws kho mob yuav tsum nco ntsoov tias cov hnoos qeev tuaj yeem ua tau yooj yim heev thiab ua kom zoo, yog li qhov chaw txuas ntawm cov hniav thiab cov ntaub so ntswg yog yooj yim puas. Qhov no ua rau muaj kev txom nyem thiab kab mob ntsws. Qhov no yog tsis tsim rau prosthetics ntawm tag nrho lub puab tsaig.
Tshuaj retraction tshuaj
Muaj ntau txoj hauv kev los tawm ntawm cov pos hniav, tab sis kom txiav txim siab seb leej twg yog txoj cai rau koj, tsuas yog ib tus kws kho mob tuaj yeem ua tau. Nws yuav tsum paub:
- tus neeg mob ua xua li cas;
- ua li cas nws suffers anesthesia;
- yam kab mob uas nws muaj.
Cov tshuaj (nrog rau kev siv tshuaj raws li adrenaline) feem ntau cuam tshuam rau cov kev mob tshwm sim xws li:
- nce siab hauv ntshav
- cuam tshuam ntawm rhythms nyob rau hauv lub plawv;
- nce lub plawv dhia.
Yog hais tias koj txom nyem los ntawm cov kab mob plawv (kub siab, qog nqaij hlav, lwm yam), ces ceeb toom tus kws kho mob ua ntej. Hauv qhov no, nws yuav siv cov tshuaj uas tsis suav nrog adrenaline. Npaj yog npaj raws ntawm ib tug daws ntawm zinc chloride thiab tannic acid. Niaj hnub cov tshuaj, tab sis sparing, muaj peev xwm cuam tshuam lub meej mom ntawm mucous daim nyias nyias thiab tsis tas rov qab tag nrho.
Cov kev kho rau cov pos hniav retraction
Qhov zoo tshaj plaws yog cov npaj npaj ntawm lub hauv paus ntawm kaolin thiab aluminium oxide. Lawv muaj ntau yam khoom sib txawv thiab cov polymers. Cov tshuaj no muaj nyob rau hauv daim ntawv jel thiab tshuaj ntsuab.Yuav muab tshuaj rau hauv tshwj xeeb cartridges (zoo ib yam li ib tus kabmob syringe), uas cia koj siv qhov khoom thiab txo qhov kev pheej hmoo ntawm kev puas tsuaj rau lub qhov ncauj kom tsawg.
Gel rau retraction ntawm cov pos hniav muaj analgesic thiab hemostatic zog, thiab cov nyhuv yam yuav tau txais hauv 2-3 feeb. Tom qab ntawd, tus kws kho hniav muaj li 5 feeb mus rau kev tswj cov kev tsim nyog. Cov tshuaj zoo tshaj plaws yog:
- Expasyl;
- Gingi Taug qab;
- Magic Foam Cord.
Nws puas mob siab ua cov pos hniav retraction?
Ua ntej txoj haujlwm pib, cov kws kho mob ua rau tus neeg mob siv tshuaj loog (anesthetic), uas yuav tshem tag nrho cov tsis hnov qab. Tom qab rub tawm ntawm cov pos hniav, koj yuav tsum ua raws li cov cai no:
- Tom qab tswj, koj noj tsis tau haus dej haus rau 6-8 teev.
- Tom qab txhua pluas noj, koj yuav tsum tau yaug lub qhov ncauj qhov ncauj nrog Furacilin los yog ib qho kev siv tshuaj ntawm decoction.
- Cov hniav yuav tsum muab ntxuav nrog cov mos mos.
- Siv tshuaj ntsuab rau tshuaj ntsuab.
- Tsis txhob mus koom ob peb hnub da dej da dej thiab saunas.
- Nrog rau kev hnov mob thiab kev ntxhov siab, koj yuav tsum siv cov gels xws li Hniav thiab Sokoseril .