Periodontitis - iimpawu

I-Periodontitis yezinyo kuthiwa i-periodontal inflammation, ebonakaliswe yimpawu ezithile. Ngaphambi kokuba siqale ukuchaza impawu ngokuthe ngqo, kuyafaneleka ukuba sicinge ukuba yeyiphi i-periodontium. Kuqala ukukhangela kubonakala ngathi lezinyo liyilwa elula, elisezintanjeni zomhlathi. Enyanisweni, phakathi komgodi emhlanjeni, obizwa ngokuthi i-alveolus yamazinyo, kunye nezinyo ngokwawo, kukho i-complex tissue complex ehlinzeka ngemisebenzi emininzi. Kubizwa ngokuba yi-periodontium.

Ukwahlula kwe-periodontitis

Ngohlobo lwangoku lihlula:

1. I-periodontitis enobuchule. Kungaba:

• serous;
• i-purulent;

• periodontitis yefiber;
• i-periodontitis yokugaya;
• i-periodontitis yegranulomat.

Kukho ukwakhiwa kwexesha le-periodontitis ngenxa yezizathu zokubangela:

1. Sulela. Ziyakwazi ukuba ziphambili kwaye zivela kwiinkcenkcesho zecaries. Kwaye-nakweyesibili, ngenxa yezifo ezivuthayo zezicubu ezizungezile (umz. Osteomyelitis okanye sinusitis ) okanye iimpazamo zonyango ekwenzeni unyango lwe-caries kunye ne-pulpitis.
2. Ezibuhlungu. I-trauma ekhokelela kwi-periodontitis ingaba yedwa okanye ingapheliyo (umzekelo nge-bite engalunganga),
3. Utywala. Unyango lwe-pulpitis kunye ne-arsenic unamathela kungakhokelela ekuphuhliseni i-periodontitis, kunye nokusetyenziswa kwezixhobo ezicasulayo zokutywinwa iingcambu zengcambu.

I-periodontitis enobuchule - iimpawu

Ulunye uhlobo lwe-periodontitis lubonakaliswa yimpawu ezithile. Ngaloo ndlela, nge-periodontitis ephawulekayo, uphawu oluphambili lubuhlungu, beendlela ezahlukeneyo zobunzima, ezichazwe ngenye ngongoma. Xa ucinezela kwizinyo ze-causal, intlungu iqinisa. Xa uhamba kwinqanaba le-purulent, luba lukhulu kakhulu, lukhupha, lube nexesha elifutshane lokuphumla.

Intlungu iyancipha ukusuka kumgca olula kwizinyo, ihlala ibeka entlebeni, amazinyo asondeleyo, umqala. Ubushushu bomzimba bunokwanda, i-lymph node zendawo zanda. Iinambuzane ezinamaqabunga ziba zibi kakhulu, i-pus ibonakala kwi-socket yezinyo, kukho ukuhamba kwezinyo, okubonisa ukutyhafa kwemibhobho ye-collagen kunye nokwephulwa kwezinyo emgodini.

Iimpawu zexesha elihlala ixesha elide

I-periodontitis engapheliyo idlula ngokugqithiseleyo kwaye iimpawu zayo ziphazamisekile. Into yokuqala isigulane esiphawulayo nge-fibrous pulpitis yintshintsho kumbala we-eyinwe lezinyo ekukhohliseni. Kulo lizinyo lisoloko lunekhombisi, kungekho buhlungu xa kuhlolwa. Ukuxilongwa ngedokotela wamazinyo kwenziwa ngesiseko sovavanyo lwe-X-ray, ebonisa ngokucacileyo ukwandiswa kwesithuba se-periodontal kwisigxina sezinyo.

I-periodontitis ye-granulation ingadlulela njenge-asymptomatic, kunye nezikhalazo zengqondo ye-raspiraniya kwizinyo. Uthando lwangaphambili luya kugcinwa xa lugubha kunye nokuhlafuna. Kwizinsini zingabonakala i-fistula, apho iphuma khona ngezikhathi ezithile pus. I-lymph nodes ziyakwandiswa. Xa ucinezela kwi-gum kwindawo yengcambu yezinyo, kubakho ukucindezeleka okuncinci. Kwi-X-ray, ugqirha uya kubona ingqwalasela yokungaqhathaniswa komhlathi ngokungahambisani.

I-periodontitis ye-granulomate ihlala ivela ngenxa yexinzelelo okanye ngenxa yep pulpitis engaphendulwanga okanye engaphilanga. Iimvakalelo ezibuhlungu zisoloko zingabonwa, amaninzi amanqaku angagqithanga ukuvakalisa ukuvakalelwa ngexesha lokutya. Kwimimandla yesigxina seengcambu, ukugqithwa kwethambo phantsi kwegum kungabonwa. Xa uyichukumisa, uziva uhlungu. Xa uqhuba i-X-ray, icandelo lesetyhula lesithambo libonakalisiwe.

Zonke iintlobo ze-periodontitis kufuneka ziphathwe ngudokotela wamazinyo.