Pulpitis: rarrabuwa, iri, asibitin. Nau'in hanyoyin da magani daga pulpitis

M amma gaskiya - wata cuta kamar yadda pulpitis, yana da fiye da 20 rarrabuwa hanyoyin. Zahnärzte amfani da kansu a cikin shakka daga aikinsu a hanyoyi daban-daban da irin cuta da kima, amma ya bayyana cewa, bã za su iya 100% daidai bayyana duk fasalulluka na wannan insidious cuta. Zahnärzte ce cewa suna bukatar karin dace da succinct rarrabuwa na pulpitis, wanda zai ba da damar zuwa faye hali da cutar tare da dukan dama matsayi.

Me ya sa na bukatar rarraba bagade?

A gaban irin wannan sararin amfaninsa hakori cuta hade da daban-daban hanyoyin ƙoƙarin bayyana hoton da cutar. Daban-daban na sukayi fassara pulpitises bayar da su yi la'akari da su daga daban-daban ra'ayoyi: haddasawa da kuma ci gaba, na asibiti ci gaban, da yanayi na muhimmi matakai a cikin tushen canal da sauransu.

Describing daga duk kusassari bagade sukayi fassara sun tukuna aka ɓullo. Saboda haka, Zahnärzte dole kunsa data kasance asibiti hoto a cikin mutum haƙuri a cikin tsarin na data kasance hanyoyin da kimantawa. Da dama rarrabuwa makircinsu da aka ɓullo da shekarun da suka gabata da suka wuce, duk da haka, kuma yanzu yi amfani a cikin aikin bincike da kuma lura da pulpitis.

A farko yunkurin systematize wannan hakori cuta da aka dauka a cikin 20s na karshe karni da aka kira mafi cikakken bayanin da ɓangaren litattafan almara. wadannan nau'o'i kasance wajen hadaddun da tsauraran matakan. Wannan shi ne dalilin da ya sa masana gudanar da wani aiki a kan ci gaba da kyautata da cutar bayanin dabaru. A kan jinkiri na 5-10 shekaru samarwa wani sabon rarrabuwa, wanda dogara ne a kan baya makircinsu, amma yana da wasu sabon hali zuwa bayanin irin hoto pulpits.

WHO rarrabuwa

A karshen karni na 20th, wato a shekarar 1997, Dentistry aka alama da gabatarwar da International Nau'in Cututtuka, 10th Revision, wanda aka sani da raguwa ICD-10. Yana da aka amince da World Health Organization, da kuma a 1999 ya zama yadu used a cikin hakori yi ga ganewar asali da kuma lura da pulpitis. Wannan tsarin shi ne sunan da lambobin da su Mabudi na bayyana asibiti hoto da cutar. Nau'in pulpitises ICD hada da wadannan abubuwa:

• Cututtuka na ɓangaren litattafan almara da kuma periapical nama irin miƙa denoted da wani code K04.
• Kai tsaye bagade rufaffen K04.0.
• A can farko na wannan cuta, halin da hyperemia, denoted K04.00.
• M pulpitis miƙa encrypt K04.01.
• Idan wani ƙurji da aka samu, shi ne jẽfa, code K04.02.
• A kullum irin pulpitis aka kaddamarda K04.03, kuma idan wannan kamu da wani miki, shi ne samarwa zuwa encrypt da ganewar asali K04.04.
• Idan wani m aka same ɓangaren litattafan almara polyp a kullum tsari, ta kaddamarda K04.05.
• Lokacin da cututtuka na juyayi da kuma jijiyoyin bugun gini nama na wani hakori sauran kayyade yanayi hatimi K04.08.
• Idan hanyar pulpitis ba bayyanannu, ya ce code K04.09.
• Necrotic ko gangrenous sabon abu a cikin slurry aka nuna a code K04.1.
• Idan likitan hakori lura degenerative tafiyar matakai kamar dentikli, ɓangaren litattafan almara duwatsu ko calcification, shi suturta su code K04.2.
• A cikin hali na wani mahaukaci samuwar wuya nama a ɓangaren litattafan almara annotation K04.3. Kuma idan shi ne sababbu (secondary) dentin, an nuna da code K4.3X. Ya kamata a lura da cewa a cikin wannan halin da ake ciki an cire calcification da duwatsu a cikin ɓangaren litattafan almara.
• A apical periodontitis m yanayi, wanda su ne hanyar da canje-canje a cikin neuro-jijiyoyin bugun gini kyallen takarda mai hakori, sanya cipher K04.4.
• Idan likitan hakori ya gano cewa, a gaban shi ɓangaren litattafan almara cutar da kuma periapical kyallen takarda da ba su dace a cikin muka ambata a sama da maki, shi ya sa wani rubutu K04.9.

Wannan rarrabuwa pulpitises WHO, bisa ga Zahnärzte, shi ne ba sosai dace. Duk da haka, shi ne har yanzu amfani da matsayin hukuma makirci da shiri na ilimin kididdiga rahotanni na masana a kan aikin yi a lokacin wani lokaci lokaci. Lambobin da ciphers wannan rarrabuwa likita zamar masa dole ya sa saukar a kan katin da kuma haƙuri katin. Mutane da yawa Zahnärzte sun gane cewa sun yi sau da yawa bi da su zuwa rubũtunsa da cutar a cikin tsarin na makirci samarwa da WHO, ko da yake su ne a gaba daya hanyoyi daban-daban m halaye na hakori Pathology.

Halaye dakali na haihuwa

Wannan rarrabuwa daukan la'akari pulpitis da periodontitis Sanadin cutar. A cewar wannan rarrabẽwa, Zahnärzte ne 4-daban na cutar:

• Kamuwa da cuta.
• Traumatic.
• Konkrementozny.
• Medical ko sunadarai.

Bari mu tattauna kowane ɓangaren litattafan almara cewa rarrabuwa bayyana ta haddasawa.

infective pulpitis

Wannan irin cuta ne ya sa ta na ayyuka na kwayoyin da cewa samar da gubobi da tsokane kumburi da kuma jijiyoyin bugun gini jijiya cuta da hakori. A 9 lokuta daga 10 na kwayoyin fada a cikin kogo na dentine canals ko shafa fallasa surface na jijiya. Kadan na kowa retrograde pulpitis, a lokacin da germs shigar da hakori ta hanyar wani rami a saman tushen. Wannan na faruwa a lokacin da cututtuka kamar m na numfashi da ciwon ya kama, rubella, osteomyelitis, sinusitis ko periodontitis. A rare lokuta, kamuwa da cuta iya sa hematogenous hali. A surest al'amari zuwa gane da bagade - etiology. A rarrabuwa na wannan manufa ne sau da yawa amfani da likitoci.

traumatic pulpitis

Ya kamata a lura da cewa rauni ne cikin hanyar wani pathological tsari wanda zai iya haifar da pulpitis. A wannan yanayin, sterility ne karye hakori cavities da su kamuwa da ya auku tare da kara ci gaba da kumburi jijiya cuta. Wani lokaci yana ba keta mutuncin hakori, kuma ta daidai wuri (luxation ko subluxation). A wannan yanayin, da bagade ne na sirri da aka ci gaba ba tare da hannu na kwayoyin.

Raunin iya sa yau da kullum yanayi, a iya samu a sakamakon wani hatsari ko rauni, amma za a iya lalacewa ta hanyar m likita shiga tsakani. Alal misali, sa'ad da nika da hakori "wani kambi" pulpitis sau da yawa yakan faru a matsayin sakamako na perforating nama. Wannan sabon abu na bukatar nan da nan gyara. Yana da muhimmanci sosai ga girmama kewaye likita: bagade - Nau'in - asibiti - magani. Ga jerin aiki gwani kusan duk wani, ko da mafi rikitarwa hali, za ka iya gyara da kuma kauce wa da yawa m rikitarwa.

Konkrementozny bagade

Wannan irin pulpitis auku saboda wasu abokai a cikin tushen canal - dentikley ko petrifikatov. Suna girma a cikin tashoshi da cavities damfara jini. A sakamakon mikrotsirkullyatsiya karya, kafa busa. A sakamako ne a ɓangaren litattafan almara.

Medical ko sunadarai ɓangaren litattafan almara

Wannan bagade rarrabuwa yawanci ba su bayyana ba, amma a gaskiya shi ne sosai na kowa da aka sa ta wani likita kuskure. Wannan ya faru a lokacin da likitan hakora ya shafi lokacin da shirya baka caries ko periodontal aljihu wakili na m halitta (alcohols ko esters) ko fasaha kuskure da aka yi a sealing.

Rarrabuwa ta Platonov

Duk da cewa wannan irin kima da cutar da aka samarwa da Farfesa Platonov har da baya kamar yadda 1968, shi ne a wannan rana amfani da Zahnärzte a yi. Wannan rarrabuwa na pulpitis da periodontitis yana da flaws, amma mai kyau a cikin sauki da kuma saukaka. A farfesa a cikin dabara a hade uku fuskanci: kimantawa da pathological tafiyar matakai a cikin angaren litattafan almara, da yanayin da cutar, kazalika da sarrafawa da rashin jin daɗi. Wannan shi ne mai sauki, amma capacious tsarin cuta kima ya ga liking na kwararru da yawa da ya bayyana ta a halin yanzu dacewar. A wannan amfaninsa tattauna babban al'amurran da wannan sabon abu, a matsayin bagade - etiology, pathogenesis. Nau'in cututtuka na Platonov ne kamar haka:

• M pulpitis type: lobular form (m zafi, wanda a fili yake sarrafawa haƙuri) da kuma yaxuwa irin (maras bayyani sarrafawa, mikawa tare da trigeminal jijiya a kan fuskarsa).
• Pulpitis kullum hali hypertrophic (busa na ɓangaren litattafan almara rami cika caries), gangrenous (necrosis na jijiya nama da kuma jijiyoyin bugun gini cuta) da kuma fibrotic (hakori nama farfadowa).
• Pulpitis exacerbation na kullum siffofin.

Wannan rarrabuwa da kuma pulpits Clinic ƙwarai rage wuya da aikin Zahnärzte, musamman a cikin kasafin kudin kananan dakunan shan magani. Yawanci, a irin wannan yanayi, likita ba shi da lokaci don gudanar da Sanadin hakori cuta. Domin tabbatar da irin cuta, shi ne isa ya tambayi haƙuri wasu tambayoyi.

Nau'in Gofungu

Wannan hanya ita ce shahara tsakanin Zahnärzte, domin shi ya bayyana da ya fi muhimmanci al'amurran da wannan Pathology matsayin wani dakali - rarrabuwa, na asibiti hoto, magani. Yana bada wani ra'ayin game da matakai na cutar damar domin daban-daban na asibiti sigogi da ilimin halittar jiki canje-canje a cikin ɓangaren litattafan almara a lokacin da kumburi tsari. A cewar wannan tsarin, siffofin da cutar ne da wadannan:

• A m nau'i na pulpitis: m (reversible, za a iya warke ta rikewa nazarin halittu jijiya), jimlar (yaxuwa, rufe dukan angaren litattafan almara, kuma aka bi ta extirpation), total surkin jini (m da babu ja da lalacewar ɓangaren litattafan almara bi extirpation muhimmanci ga rigakafin faru na periodontitis).
• A kullum irin pulpitis: sauki, hypertrophic (wadannan nau'o'i guda biyu na daidai daman a tare da ikon ajiye tushen), gangrenous (hallakaswa jinsunan extirpation bi da a dama ziyara ga likita).

Nau'in na MMSI

A Hanyar ilimin halittar jiki cuta neurovascular cuta ne kai tsaye ci gaba Gofunga dabaru. Nau'in bagade MMSI abu ya hada exacerbation na kullum siffofin pulpitis da kuma daukan la'akari da alama na kumburi a cikin hakori, kafin daukarsu. A cewar wannan ilimin halittar jiki, cutar ne zuwa kashi:

• M siffofin pulpitis: mai da hankali ko yaxuwa surkin jini, serous.
• Kullum siffofin pulpitis: gangrenous, fibrotic ko hypertrophic.
• Exacerbation na kullum siffofin pulpitis: fibrous ko gangrenous.

Exacerbation na gangrenous irin pulpitis iya haifar da rikitarwa na periodontal, kamar yadda aka rayayye tasowa anaerobic microflora. Idan m kau na jijiya ba ya warware matsalar da ciwon kumburi, da cikakken hysterectomy ko maimaita mummification tashoshi yawanci solves matsalar.

Rarrabuwa ta Vinogradova

Nau'in pulpits a yara samar da Farfesa Vinogradova tsarin cewa yayi wani fili raba cututtuka na deciduous hakora daga m. Likita ya bayyana cewa kumburi a mammary da molars faruwa a hanyoyi daban-daban. Farfesa ya bada shawarar cewa tsari bayani dalla-dalla fi tare da wucin gadi hakora da kuma magani Hanyar nace a kan kin amincewa da cikakken watsa tashar. Wannan zai iya haifar da lalacewar da yaro ta dindindin hakori toho.

Nau'in pulpits a yara hada da wadannan abubuwa:

• Milk hakora pulpitis m: serous (Saide hanzari, lobular form zama yaxuwa), surkin jini (da sauri ta rufe dukan ɓangaren litattafan almara da kuma iya zama na kullum).
• M pulpitis m hali yawan hakora: m serous duka ko m, m surkin jini duka ko m.
• Kullum pulpitis wucin gadi da kuma m sa na hakora: sauki, proliferative ko hypertrophic, gangrenous.
• Exacerbation na kullum siffofin pulpitis na wucin gadi da kuma m hakora, mafi sau da yawa yakan faru da wani bango na kullum sauki pulpitis.

A peculiarity na kumburi tsari a cikin wucin gadi hakori ne cewa aiwatar watsu mezhkornevyh sarari tare da high yiwuwa. Wannan shi ne saboda dentin a wannan yankin yana da babban digiri na permeability. Wannan sabon abu ne mai hadarin gaske saboda shi zai iya sa disturbances a cikin samuwar wani matauni hakori toho, canza ranar ta shigowa, Munã rage ta juriya.

Kullum pulpitis wucin gadi hakora ne halin a cewa su na iya tashi kamar yadda primary siffofin jingine m lokaci. Suna iya zama asymptomatic, amma insidious da cewa quite da sauri yada wa periodontal kyallen takarda. Saboda haka ya zama dole a hankali saka idanu da yanayin da na baka rami na yara da ya kamata ka shagala da magani daga primary hakora.

Features na lura da pulpitis

Nau'in hanyoyin da magani daga pulpitis ne kai tsaye related to da ganewar asali. Shi ne da kere sanin mataki na haduwar da cutar zai dogara ne a kan nasarar far.

Idan kira ga likitan hakori da aka za'ayi a farkon ci gaban pulpitis, likita sa masa hanya zuwa da nazarin halittu magani. Ya kunshi a cikin wadannan: jijiya na hakori ba a cire, yi amfani da wani musamman alli-protivogistaminnye kwayoyi. A sakamakon irin wannan magani wani kumburi da ɓangaren litattafan almara kafa, an kafa substitutive dentin. Amfani da tsabtace hatimi cavities.

Idan dace magani ga likita ba faruwa, sa'an nan da yiwuwar wani nazarin halittu magani da aka rasa. A wannan mataki, da likitan hakora za su fahimci abin da haƙuri ɓangaren litattafan almara. A ra'ayi, rarrabuwa da kuma bincike da hanyoyin tabbatar da shi a matsayin cikakken matsayin yiwu.

Popular sau da yawa amfani Hanyar ga m kau na ɓangaren litattafan almara. Ƙarƙashin rinjayar maganin sa barci sanya karbo daga cikin jijiya a matakin da kambi, tushen zone da ya rage mai yiwuwa. Sa'an nan aza halitta da alli, da kuma hakori aka shãfe haske. Idan da bukata a, da za'ayi physiotherapy, rubũta anti-kumburi far. Irin wannan hanyar bada shawarar ga yara wanda hakora fi har yanzu ba a kafa.

Yana nuna hakori yi, a mafi yawan lokuta, amfani da cikakken kau na jijiya. Wannan za a iya yi a karkashin maganin sa barci ko mai rufi Hanyar devitaliziruyuschey manna dauke da arsenic. Wannan abu ne mai guba, da kuma bandeji ya kamata a cire a daidai lokacin wajabta ta likita. Bayan haka, endodontic magani, a lokacin da cika tashoshi hakori gutta percha.

Bayan da irin wannan magani yana da za'ayi X-ray duba ingancin factor samar a cikin magudi tashoshi. Idan suna cika har zuwa saman, superimposed hatimi.

A cikin hali na kusan cikakken halakar da hakori likita yana amfani da wani fil -copings, wanda aka sanya na hakori sabuntawa. Kowane gwani zai gaya maka cewa tabbas ne don taimaka ƙayyade da rarrabuwa na bagade. Jiyya mai ma'ana tsawo sosai ganewar asali da haƙuri da hakora.

[Aukaka {ara zuwa ga likitan hakori a farkon matakai na pulpitis ne m ga mãsu haƙuri. Jiyya a wannan mataki shi ne kusan m, kuma m. Idan ka gudu wata cuta da za su iya ci gaba periodontitis, wanda shi ne da yawa wuya su bi da kuma more.