Kev rho hniav tawm yog txhua yam koj xav paub txog cov txheej txheem

Ntawm txhua hom kev phais mob hniav, tus hniav rho yog qhov ntau tshaj. Ua tsaug rau kev tsim kho cov kev kho tshiab, cov txheej txheem no tsuas yog siv rau hauv cov huab xwm. Ntxiv mus, txawm tshem tawm nrog kev raug mob tsawg heev thiab nyob rau hauv cov kev mob zoo ua rau kev hloov loj hauv lub cev.

Thaum twg thiaj li tsim nyog tshem tus hniav?

Qhov kev txiav txim siab kom tshem tus hniav tawm los ntawm tus kws kho hniav ntawm tus kws kho hniav tom qab kuaj, thiab feem ntau yuav tsum tau kuaj X-ray. Nyob ntawm seb qhov kev mob ntsws loj npaum li cas, txoj haujlwm yuav npaj los yog muaj xwm ceev. Feem ntau, manipulation yog ua nyob rau hauv tus neeg mob sab nraud, txawm li cas los xij, yog tias tus neeg mob mob hnyav, tshem tawm tau hauv tsev kho mob.

Cov cim tseem ceeb rau tus hniav raug rho tawm yog ib qho teeb meem ntawm cov lus hauv qab no:

• qhov tshwm sim ntawm mob ntshav liab, hloov mus rau cov pob txha pob txha ( osteomyelitis , periostitis ) vim muaj mob hniav;
• cov phais plab, phlegmon , purulent lymphadenitis, sinusitis txuam nrog lub swb ntawm qhov muag tsis txhag;
• tawg ntawm tus hniav - longitudinal, nyob rau hauv lub crown ib feem nrog cov raug ntawm pulp yog tias nws yog tsis yooj yim sua kom rov qab los ntawm txhag cia txoj kev.

Kev ua haujlwm rau cov neeg ua haujlwm tau npaj tseg yuav tsum tau teem rau lub sijhawm, uas yog qee zaum ua ntej los ntawm qhov kev kho kom tsim nyog (kev tshem tawm ntawm cov hniav nyiaj hniav, tshuaj tua kab mob, kev siv tshuaj tiv thaiv, thiab lwm yam). Qee zaum, ncua qhov kev tshem tawm ntawm tus hniav raug mob yuav tsum tau kom txog rau thaum tus neeg mob mob lub cev, qhov kev tiv thaiv tau tshwm sim hauv qee qhov pathologies (mob ceev ceev, mob ntshav siab, arrhythmia, stomatitis, thiab lwm yam). Teem tseg cov hniav yog raug tshem tawm raws li cov nram no:

• ntev radical periodontitis nrog obstruction ntawm hauv paus kwg deg, zoo li nyuab los ntawm neuralgia, sinusitis;
• ncig qhov chaw nrog cov hniav thib peb thiab qib plaub;
• kev rhuav tshem ntawm tus hniav, uas nws tsis tuaj yeem tsim kom muaj cov qauv orthopedic;
• atypical txoj hauj lwm ntawm cov hniav nyob rau hauv kev tawm tsam, tsis raug rau kev kho thiab ua rau ib qho kev ua txhaum ntawm zom zog, hais lus, ntev mob ntawm mucous nyob rau hauv lub qhov ncauj;
• tawg ntawm lub hauv paus ntawm tus hniav;
• tawg ntawm lub puab tsaig , nyob rau hauv uas muaj ib tug hniav nyob rau ntawm txoj kab tawg;
• qog ntawm lub puab tsaig;
• xav tau rau cov kws kho mob (cov hniav tib, uas nyuaj rau lub installation ntawm cov hluavtaws);
• cov hniav uas txiav tsuas yog ib feem, uas ua rau muaj kev mob ntawm cov nqaij thiab mob.

Yuav ua li cas npaj tus hniav?

Kev lig kev cai, lub sijhawm zoo rau kev ua haujlwm phais yog sawv ntxov. Qhov no yog vim lub fact tias thaum sawv ntxov, tus kabmob puv ntoob ntawm lub zog yuav yoojyim rau txhua qhov kev ntxhov siab tshaj yav tsaus ntuj. Tsis tas li ntawd, qhov mob tom qab tus hniav rho tawm zoo dua rau thaum lub hnub, thaum muaj, tshaj qhov cuam tshuam, thiab tsis raug kev txom nyem, tsis txhob tsaug zog thaum hmo ntuj. Yog tias muaj teeb meem, nws yooj yim dua nrog koj tus kws kho mob thaum ua hauj lwm.

Lub tswv yim tseem ceeb rau cov neeg uas xav tias yuav tsum tau ua haujlwm rau tus hniav muaj raws li hauv qab no:

1. Yog tias tsis tau npaj cov tshuaj loog, koj yuav tsum noj 1.5-2 teev ua ntej mus ntsib kws kho hniav, vim hais tias tom qab koj tau noj tsis tau, thiab qhov no yuav txo qhov kev pheej hmoo ntawm los ntshav (cov ntshav yuav raug sai dua) thiab txo cov tshuaj noj.
2. Nyob rau hauv loj heev, nws yog ib qhov siv tau los noj ib sedative, zoo dua cov nroj tsuag keeb kwm (raws li valerian paus, motherwort), nyob rau hauv ib tug qauv tshuaj.
3. Tsis txhob haus dej cawv ib hnub ua ntej kev phais.

Yog nws mob siab rau tus hniav?

Nyob rau hauv lub caij nyoog niaj hnub los rub tawm ib tug hniav - nws yog mob tsis mob, vim muaj cov tshuaj loog zoo ntawm kev ua haujlwm hauv zos. Txawm tias muaj zog rau qhov mob, qhov kev ua no tuaj yeem ua tau nrog tsawg kawg ntawm kev xav tsis meej rau tus neeg mob. Txoj kev quav tshuaj yeeb quav tshuaj no pib ua tom qab ob peb feeb, thiab nws cov nyhuv ua rau ob peb teev ntxiv. Tsuas yog tom qab uas muaj kev hnov ​​mob heev hauv thaj tsam ntawm lub qhov txhab ntawm tus hniav raug muab tshem tawm, uas maj mam tso tseg thiab tuaj yeem nres los ntawm lub qhov ncauj mob.

Cov lus nug ntawm hom tshuaj loog yog pom zoo nrog tus kws kho mob, leej twg yog tus yuav tsum tau paub thiab xyuas seb tus neeg mob puas muaj qhov tsis haum rau kev siv tshuaj loog. Thaum xaiv ib yam tshuaj, cov kab mob pathology niaj hnub no raug muab suav ua ntej. Feem ntau, kev siv tshuaj yog siv - nrog kev pab los ntawm kev txhaj tshuaj, ua ntej daim ntawv thov ntawm qhov tshuaj loog ntawm qhov tshuaj txhaj tshuaj yuav tsum tau. Tus hniav rho tawm tuaj yeem siv tau ua ib qho ntawm hom kev txhaj tshuaj nram no:

1. Tus cwj pwm - qhov kev txhaj tshuaj yog ua rau thaj tsam ntawm tus hniav dhau los ua ke, qhov chaw ntawm cov hlab ntsha nyob, thiab kom tag nrho cov hlab ntsha yog thaiv (rau cov hnoos qeev ntawm ntau cov hniav).
2. Infiltration - cov tshuaj raug txhaj rau hauv thaj tsam ntawm lub raj ntawm lub hau ntawm lub qhov ncauj ntawm cov hniav lossis hauv cov pos hniav ntawm sab di ncauj lossis los ntawm lub ntuj mus rau qhov kawg ntawm lub hauv paus.
3. Intra-connective - qhov kev txhaj tshuaj yog ua los ntawm ib qho koob txhaj tshuaj tshwj xeeb los ntawm cov pos hniav hauv qhov chaw ntawm cov hniav, uas pabcuam tus hniav hauv qhov alveolus.
4. Intraosseous - cov tshuaj yog nkag tau rau hauv cov pob txha kua spongy, uas muab ntau tshaj qhov hauj lwm zoo.

Rau tshuaj loog, feem ntau, lawv siv cov tshuaj no:

• Novocain;
• Lidocaine;
• Articaine;
• Ubistezin;
• Ultracaine.

Yuav ua li cas kom muab cov hniav tsis muaj mob?

Qee lub sij hawm, cov extraction ntawm cov hniav nyob rau hauv dav generalesthesia, relieving tag nrho tsis xis nyob, tab sis qhov no muaj nws zaj lus tim khawv:

• loj ntim thiab raug mob ntawm kev cuam tshuam (kev tshem tawm ntawm ob peb chav, kev tshem tawm ntawm yim "yim", ib qho hniav nrog lub hauv paus cag);
• kev tsis haum rau cov tshuaj rau tshuaj loog;
• qhia tau hais tias emetic reflex;
• ntshai ntshai ntawm kev phais;
• kev puas siab puas ntsws mob hlwb;
• qee qhov pathocrine pathologies;
• kev kho mob ntawm osteomyelitis;
• qhov nyuaj maxillofacial trauma, thiab lwm yam.

Lub extraction ntawm cov hniav nyob rau hauv kev tshuaj loog tag nrho yog nqa nrog kev koom tes ntawm tus kws kho mob. Rau qhov no, cov tshuaj ua pa yuav siv (Sevoflurane, Halothane, thiab lwm yam.), Cov neeg siv rau kev siv tshuaj tua (Propofol, sodium sibutyrate thiab lwm yam). Nyob rau hauv cov ntaub ntawv no, tshwj xeeb npaj, tuav ntawm premedication, tshem tawm tag nrho contraindications yog yuav tsum tau. Tom qab qhov txheej txheem, nyob twj ywm hauv tsev kho mob ib ntus.

Cov hniav puas tshem tawm li cas?

Ua ntej tearing tawm tus hniav, lub qhov ncauj kab noj hniav yog kho nrog antiseptic thiab loog loog. Hauv cov txheej txheem, tus txheej txheem yog kwv yees li ntawm cov nram qab no: ua ntej nws yuav tsum tau qhib lub qhov ntsaws hniav thiab cais cov hniav los ntawm ligaments raws li cov pob txha pob txha nias. Qhov no yog ua los ntawm loosening tus hniav nrog lub siab tawm sab nraud thiab tawm ntawm ib sab mus rau sab. Tom qab qhov no, tus hniav raug tshem tawm ntawm qhov dej thiab ib lub qhov ncauj tawm hauv qhov ncauj mus rau qhov kom tsis txhob los ntshav. Qee lub sij hawm nws yog ib qhov tsim nyog los siv hemostatic siv tshuaj, suturing.

Tshem cov hniav

Tus retina yog ib qho txawv txav uas tsim, uas yog tsim tawm, tab sis tsis tawg los yog tsuas pom ib feem xwb. Feem ntau, cov hniav no ua rau mob, mob, thiab yog li ntawd yuav tsum tau muab tshem tawm. Xws li ib txoj yas txhuam hniav, ua rau muaj kev mob kev nkeeg, muaj kev phais ntawm cov pos hniav, tso nws tawm ntawm cov pob txha los ntawm kev siv boron, dislocation thiab extraction. Qee zaum ib tug hniav raug faib ua thooj thiab lawv cov extraction cais. Tom qab ntawd, cov nqes tau siv.

Tshem tawm ntawm lub hauv paus ntawm tus hniav

Tshem tawm ntawm tus hniav, ntawm qhov tsuas yog hauv paus hauv paus tseem yog vim qhov kev puas tsuaj ntawm lub voj voog vim los ntawm cov kab mob los yog kev puas ntsoog, nws muaj nws tus kheej kheej. Nws yog tsim nyog sau cia tias qee zaus nws tseem yuav txuag lub hauv paus, yog tias nws tsis loj heev cuam tshuam, muaj kev kho mob thiab kev kho kom rov qab kho, cov kws kho mob. Tshem lub hauv paus ntawm tus hniav, nws feem ntau yuav tsum txiav cov pos hniav, muab cov ntaub so ntswg pov tseg, siv cov cuab yeej tshwj xeeb uas muab tso rau ntawm phab ntsa ntawm lub qhov thiab hauv paus hauv paus (elevators).

Hniav extraction - teeb meem

Raws li nyob rau hauv cov ntaub ntawv ntawm lwm yam kev phais manipulation, tom qab tus extraction ntawm tus hniav, muaj teeb meem ntau tshwm sim. Qee tus ntawm lawv yog physiological - lub lag luam yog nrog los ntawm kev puas tsuaj rau cov nqaij ntawm cov pos hniav, cov leeg, ligaments, cov hlab ntsha, paj hlwb. Lawv tuaj yeem mus ntau hnub tsis kho. Lwm tus - pathological, yuav tsum tau kho sai. Ib qho kev tshwm sim ntawm cev nqaij daim tawv tuaj yeem pom tau hais tias:

• mob hauv thaj tsam ntawm lub qhov thiab ze nws, tsis nce nrog lub sij hawm, thiab nrog tshem tawm ntawm yim, xya thiab thib ob cov hniav - kis tawm ntawm lub puab tsaig, thaj tsam pob ntseg;
• edema tom qab hniav extraction, cuam tshuam cov pos hniav thiab sab plhu, maj diminishing;
• me ntsis los ntshav, nres rau ob peb xuab moos;
• nce hauv lub cev kub tsis siab tshaj 38 ° C (tsis pub tshaj ib hnub);
• ib qho dawb tom qab tshem tawm ntawm ib tug hniav rau 3-4 hnub - zawm ntawm ib qho chaw nyob qhov twg muaj ib tug hniav, ib tug dawb nyias zaj duab xis.

Txoj kev xav tau yog:

• alveolitis (qhuav qhov);
• osteomyelitis;
• hnyav ntshav los ntawm lub qhov ntswg;
• Paresthesia (qhov tsis zoo ntawm tus nplaig, daim di ncauj, lub ntsej muag lub ntsej muag).

Tsis tas li ntawd xwb, vim tias tsis muaj peev xwm ntawm tus kws kho mob, nws txoj kev tsis yog lawm, txoj kev tsim ntawm cov teeb meem zoo li no ua tau:

• tsis muaj tshuaj yaj yeeb;
• kev puas tsuaj lossis tshem tawm ntawm ib tug hniav uas nyob ib sab;
• dislocation lossis lub puab tsaig tawg;
• kev puas tsuaj rau lub septum ntawm qhov maxillary sinus thiab lub qhov ncauj kab noj hniav.

Alveolitis tom qab txhuam hniav

Ib hom kev nyuab siab tom qab tus hniav extraction yog cov tshuaj hu ua "alveolitis", muaj ib qho kev kis mob rau hauv lub qhov vim qhov nkag ntawm cov kab mob pathogenic. Cov yam ntxwv ntawm cov yam ntxwv yog:

• mob hnyav nyob rau thaj tsam ntawm tus hniav raug muab tshem tawm, feem ntau ntawm qhov teebmeem plhaw, tshwm tom qab 3-5 hnub;
• lub caij nyoog tsis muaj zog lub cev;
• ntau ntxiv cov qog ntshav qog;
• ua pa tsw phem;
• o ntawm plhu;
• deterioration ntawm kev thaj yeeb nyab xeeb.

Kub tom qab rho hniav tawm

Lub ntuj tsim hauv qhov kub thiab txias, vim yog lub cev tsis muaj zog tiv thaiv kab mob hauv lub cev, tau pom nyob rau thawj hnub tom qab kev ua haujlwm. Maj mam ntsuas qhov kub thiab txias. Yog hais tias, tom qab tus hniav raug rho tawm, lub plhu ploj, qhov mob mob hnyav tau hnov, lub qhov txhab ntawm lub cev, tsis kho kom ntev ntev thiab tib lub sij hawm lub cev kub ntawm qhov tseem ceeb tshaj rau ib hnub, qhov no yog ib qho kev mob ntawm kev kis mob.

Yuav ua li cas tom qab rho hniav tawm?

Yog tias tus txheej txheem tsis zoo, tsis muaj teeb meem, tsis muaj kev kho tshwj xeeb ntxiv tom qab tus hniav rho tawm. Tam sim ntawd tom qab kev khiav hauj lwm, koj yuav tsum saib kev thaj yeeb rau ib nrab ib teev, tsis txhob tham, ua lub hma hauv lub qhov. Yuav kom tsis txhob mob loj heev rau sab plhu ntawm sab ntawm tus hniav raug muab tshem tawm, tus mob txias yuav siv tau. Ntxiv mus, tom qab tshem tus hniav, koj yuav tsum:

1. Tsis txhob siv lub cev ua si, da dej, saunas ob peb hnub.
2. Haus thiab noj rau 2-3 teev.
3. Xuav ntawm sab nraub hniav, noj zaub mov kub thiab dej haus ua ntej nws kho qhov rooj.
4. Txhob txhuam koj cov hniav rau 24 xuab moos.

Ntau npaum li cas cov pos hniav tom qab kho hniav tom qab?

Ntau tus neeg mob xav paub ntau npaum li cas cov pos hniav mob tom qab yug hniav tas yog qhov qub. Txhua yam kev mob tshwm sim los ntawm kev mob mob hnyav, thiab tom qab ua haujlwm no, tsis hnov ​​mob txaus ntshai. Feem ntau qhov mob hnyav tom qab qhov kawg ntawm qhov kev txiav txim ntawm cov tshuaj loog thiab 1-2 hnub raug pom. Maj mam nws tuaj yeem ua rau, uas yog ib qho qhia txog kev kho neeg mob. Cov mob hnyav tseem tuaj yeem mob siab ntev li 1-2 lub lis piam, nyob ntawm seb qhov puas ntawm cov nqaij mos.

Lawv rub tawm tus hniav, cov pos hniav mob - kuv yuav ua li cas?

Yog tias cov pos hniav mob nyhav heev tom qab tus hniav raug rho tawm, thawj hnub nws pom zoo kom mob mob siab raws li tau pom zoo nrog tus kws kho mob. Xws li txhais tau tias yog qhov zoo:

• Ketanov;
• Ibuprofen;
• Paracetamol;
• Nimesil ;
• Solpadein;
• Analgin thiab lwm tus.

Dab tsi yaug qhov ncauj tom qab tus hniav rho?

Tom qab tus hniav tau ripped lawm, yuav ua li cas yaug qhov ncauj, yuav ua li cas, thiab seb puas muaj kev xav tau rau nws, tus kws kho hniav yuav qhia. Nws yog ib qho tseem ceeb uas yuav tsum tau xav txog seb qhov hniav raug tshem tawm, txawm tias qhov pos hniav tau ua, qhov teeb meem tshwm sim thaum lub sijhawm ua haujlwm. Tsaus ntais yaug yog nyob rau hauv txhua rooj plaub - qhov no tuaj yeem ua rau ntxuav tawm ntawm cov ntshav khov thiab ua rau lub qhov ntswg. Lub qhov ncauj da dej nrog cov nram qab no daws tau pom zoo:

• Chlorhexidine;
• Chlorophyllipt;
• tincture ntawm calendula;
• tincture ntawm sage;
• Miramistin;
• muaj zog saline daws.

Tshuaj tua kab mob tom qab tus hniav raug rho tawm

Los ntawm kev teem caij, tus kws kho hniav qee zaus, koj yuav tsum tau noj tshuaj tom qab tus hniav rho tawm kom tshem tawm cov kev kis mob. Cov neeg siv tshuaj tua kab mob hauv cov kev kho hniav zoo yog:

• Tsifran;
• Flemoxin;
• Amoxiclav;
• Lincomycin.