Nā hopena ʻaoʻao o ka unuhi ʻana i ka niho
He hana maʻamau ka unuhi niho (wehe niho) i hana ʻia ma nā keʻena niho. Pono kēia hana i ka wā e pala loa ai ka niho, ua maʻi ʻia ma mua o ka mālama ʻia ʻana, ke ulu kūpono ʻole nei nā niho naʻauao, a i ʻole ma ke ʻano he ʻāpana o kahi hoʻolālā mālama orthodontic. ʻOiai he hana maʻamau, he hana lapaʻau nō ka unuhi ʻana e hiki ai ke hana i nā hopena ʻaoʻao . He akahai a pōkole ka hapa nui o nā hopena ʻaoʻao , akā aia kekahi mau pilikia e pono e makaʻala a pono e mālama koke ʻia.
Kūkākūkā kēia ʻatikala i nā hopena ʻaoʻao like ʻole ma hope o ka unuhi ʻana i ka niho , ko lākou mau kumu, pehea e pale aku ai iā lākou, a me ka wā e pono ai ʻoe e hoʻi i ke kauka niho.
Nā hopena maʻamau e kū pinepine ma hope o ka unuhi ʻana
Ma hope o ka unuhi ʻia ʻana o ka niho , e hoʻomaka ke kino i ke kaʻina hana ho'ōla. ʻO ka nui o nā hōʻailona e kū mai ana he ʻāpana maʻamau ia o kēia kaʻina hana.
1. ʻEha a me ka ʻoluʻolu ʻole
ʻO ka ʻeha ka hoʻopiʻi maʻamau. Ma hope o ka pau ʻana o nā hopena o ka anesthetic kūloko, ʻeha pinepine ka wahi i unuhi ʻia ai, ʻoiai i nā hola 24-48 mua. ʻOkoʻa ka nui o ka ʻeha ma muli o ke ʻano o ka niho, ka paʻakikī o ka unuhi ʻana, a me ke kūlana o nā ʻiʻo a puni. Hoʻomaʻamaʻa pinepine nā kauka i ka lāʻau ʻeha, a ua ʻōlelo ʻia nā mea maʻi e pale i ka nau ʻana i ka wahi i unuhi ʻia no kekahi manawa.
2. Ke kahe koko māmā
He mea maʻamau ke kahe ʻana o ke koko a i ʻole ka lawai koko no kekahi mau hola ma hope o ke kaʻina hana. E noi pinepine nā kauka i nā mea maʻi e nahu i ka gauze no 30-60 mau minuke e kōkua i ke kūkulu ʻana o ke koko. He mea nui kēia koko ma ke ʻano he "sila" kūlohelohe no ka ʻeha a me ke kumu no ke kūkulu ʻana o nā ʻiʻo hou.
3. Pehu (pehu ʻana o nā ʻiʻo)
Hiki ke pehu ke ʻano nui inā paʻakikī ka unuhi ʻana a i ʻole he hana ʻoki liʻiliʻi, no ka laʻana. ka wehe ʻana i nā niho naʻauao Pā. ʻO ka maʻamau, piʻi ka pehu ma kahi o 48-72 mau hola, a laila e emi mālie ana. Paipai pinepine ʻia nā ʻūlū anu no nā hola 24 mua a me nā ʻūlū mahana ma hope e wikiwiki ai ka hoʻōla ʻana.
4. Nā palapū ma nā papālina a i ʻole nā ʻāʻī
Hiki mai ka palapū ma muli o kahi ʻeha liʻiliʻi i nā ʻiʻo palupalu a i ʻole nā kīʻaha koko liʻiliʻi. ʻOi aku ka maʻamau o kēia i nā unuhi paʻakikī. ʻO ka maʻamau, hoʻopau wale ʻia ka palapū i loko o 1-2 mau pule.
5. Ka wehe ʻana o ka waha i kaupalena ʻia (trismus)
Loaʻa i kekahi poʻe ka paʻakikī i ka wehe ʻana i ko lākou waha ma hope o ka unuhi ʻana, ʻoiai inā pili ke kaʻina hana i ka niho hope. Hana ʻia kēia no ka mea e pehu nā ʻiʻo ʻāwae a me nā ʻiʻo a puni. Hiki i nā hoʻomaʻamaʻa wehe waha lohi a me nā ʻūlū mahana ke kōkua, akā inā hoʻomau a ʻoi aku ka ʻino, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka.
Nā hopena ʻaoʻao/nā pilikia e makaʻala ai
Ma waho aʻe o nā hopena maʻamau, aia kekahi mau kūlana he pilikia a pono e nānā kūikawā ʻia.
1. Kumu maloʻo (alveolitis)
ʻO ka dry socket kahi pilikia e kū mai ana i ka wā e hemo ai kahi ʻūpā koko i loko o ka socket (ka lua i waiho ʻia ai ka niho) a i ʻole ʻaʻole i hana pono ʻia. Hōʻike kēia i ka iwi a me nā aʻalolo ma ia wahi, e hoʻoulu ai i ka ʻeha nui a ʻūlū e kū pinepine ana i 2-4 mau lā ma hope o ka unuhi ʻana o ka niho. Hiki i ka ʻeha ke pālahalaha i ka pepeiao a i ʻole ka luakini a hele pū pinepine ʻia me hanu ʻino ʻaʻole ʻono.
ʻO nā mea pilikia no ka dry socket e komo pū ana me ka puhipaka, ka hoʻohana ʻana i ka ʻōpala, ka holoi nui ʻana, ka maʻemaʻe waha maikaʻi ʻole, a me ka hoʻohana ʻana i nā pila hoʻomalu hānau i kekahi mau maʻi. Pono ka mālama ʻana no ka dry socket i kahi kauka niho, ʻo ia hoʻi ka hoʻomaʻemaʻe ʻana i ka socket a me ka hoʻopili ʻana i kahi ʻaʻahu lapaʻau kūikawā.
2. Ka maʻi ma hope o ka unuhi ʻana
Hiki ke loaʻa ka maʻi ke komo ka bacteria i loko o ka ʻeha a i ʻole inā he maʻi mua. ʻO nā hōʻailona e komo pū me ka ʻeha e ʻoi aku ana, ka pehu nui ʻana, ke kuni, ka puka ʻana o ka pus, a me ka hanu ʻino mau a me ka ʻono ʻino. Pono nā maʻi i ka loiloi lapaʻau a koi pinepine i nā antibiotics a me ka hoʻomaʻemaʻe.
3. Ke kahe koko lōʻihi
Inā ʻaʻole e pau ke kahe ʻana o ke koko ma hope o kekahi mau hola a i ʻole e lilo i mea kaumaha, ʻaʻole kēia he mea maʻamau. Hiki paha kēia ma muli o kahi ʻūpā koko paʻa ʻole, kahi ʻeha hāmama, ke koko kiʻekiʻe, a i ʻole kahi maʻi ʻūpā koko. Pono nā mea maʻi e lawe ana i nā lāʻau hoʻokahe koko (e like me warfarin, clopidogrel, a i ʻole aspirin) e hoʻomaopopo i kā lākou kauka ma mua o ke kaʻina hana. Inā hoʻomau ke kahe ʻana o ke koko, e hoʻi koke i ke keʻena lapaʻau.
4. Ka hōʻino ʻana i nā ʻiʻo a puni a me nā niho kokoke
I ka wā e unuhi ai i nā niho palupalu a i ʻole ke kūlana kūpono ʻole, aia kahi pilikia liʻiliʻi o ka haki ʻana o nā niho e pili ana, ka ʻeha ʻana o ka ʻāʻī, a i ʻole ka trauma i nā ʻiʻo kākoʻo. Hiki ke hoʻokele ʻia kēia mau pilikia, akā he mea nui e loaʻa i kahi kauka niho i aʻo ʻia e hana i ka unuhi ʻana a loaʻa nā x-ray inā pono.
5. Nā maʻi aʻalolo (maneʻe)
I ka wehe ʻana i nā niho naʻauao haʻahaʻa a i ʻole nā niho kokoke i ke aʻalolo, aia kahi pilikia o ka huhū a i ʻole ka ʻeha o ke aʻalolo. ʻO nā hōʻailona e komo pū me ka mae ʻana, ka ʻūlū ʻana, a i ʻole ka ʻūlū ʻana ma nā lehelehe, ka ʻauwae, a i ʻole ke alelo. ʻO ka hapa nui o nā hihia he manawa pōkole a hoʻopau ʻia i loko o kekahi mau pule a i ʻole nā mahina, akā i kekahi mau hihia, hiki iā lākou ke hoʻomau. Hoʻoholo pinepine nā kauka i kēia pilikia ma mua o ke kaʻina hana ma o nā hoʻokolohua lapaʻau a me ka radiographic.
6. Nā pilikia sinus (no nā niho hope o luna)
Aia nā aʻa o nā molars luna ma kahi kokoke i ka lua sinus. I kekahi mau hihia, hiki i ka unuhi ʻana ke alakaʻi i kahi kamaʻilio ma waena o ka waha a me nā sinuses (kamaʻilio oroantral). Hiki i nā hōʻailona ke komo pū me ke kahe e komo ana i ka ihu i ka wā e inu ana, kahi manaʻo o ka hakahaka, a i ʻole ka ea e puka ana mai ka lua i ka wā e ʻū ana. Pono kēia i ka mālama niho, i kekahi manawa e pono ai ka uhi kūikawā a me nā ʻōlelo aʻoaʻo e pale aku i ka puhi ʻana o ka ihu ikaika.
7. Gingivitis a me nā maʻi ho'ōla
Hiki ke ho'ōla lohi i nā poʻe maʻi me ka maʻi diabetes i kāohi ʻole ʻia, nā mea puhi paka, nā poʻe immunocompromised, a i ʻole ka poʻe me ka maʻemaʻe waha maikaʻi ʻole. Pono ka loiloi ʻana i ka ʻeha e mau ana, kahi ʻeha e hāmama ana, a i ʻole ka ʻulaʻula nui.
Pehea e hōʻemi ai i ka pilikia o nā hopena ʻaoʻao
He kōkua nui nā hana pale i mea e holo pono ai ka ho'ōla ʻana.
1. E nahu i ka gauze e like me ke kuhikuhi ʻana e kōkua i ke kūkulu ʻia ʻana o ke koko.
2. E pale i ka gargling ikaika, ka kuha nui ʻana, a me ka hoʻohana ʻana i ka ʻōpala no nā hola 24 mua, no ka mea hiki i kēia ke hoʻoneʻe i ke koko i hoʻopaʻa ʻia.
3. Mai puhipaka no ka liʻiliʻi he 48-72 mau hola, ʻoi aku ka maikaʻi no ka lōʻihi, no ka mea, hoʻonui ka puhipaka i ka pilikia o ka maloʻo ʻana o ka iwi a hoʻolohi i ka ho'ōla ʻana.
4. E ʻai i nā meaʻai palupalu (porridge, sopa mehana, yogurt) a pale i nā meaʻai wela, paʻakikī, a ʻala paha i nā wā mua.
5. E mālama i ka maʻemaʻe o ka waha: E hoʻomau i ka palaki ʻana i kou mau niho, akā e pale i ka hoʻopili pololei ʻana me ka ʻeha no ka lā mua. Hiki i kāu kauka ke ʻōlelo aku i kahi holoi waha antiseptic ma hope o 24 mau hola.
6. E lawe i ka lāʻau lapaʻau e like me ke kauoha a mai hoʻonui i ka nui me ke kuhikuhi ʻole ʻia.
7. E hoʻomaha a kaupalena i ka hana ikaika no nā hola 24 mua e pale aku ai i ka hoʻonui ʻia ʻana o ke kahe ʻana o ke koko.
Āhea ʻoe e hoʻi ai i ke kauka niho?
E kelepona koke aku i kāu kauka niho inā loaʻa iā ʻoe:
– ʻEha nui e ʻike ʻia ma hope o 2-4 mau lā ma hope o ka wehe ʻana (manaʻo ʻia he socket maloʻo)
- ʻAʻole e pau ke kahe ʻana o ke koko a i ʻole e kaumaha
- Hoʻonui ka pehu ma hope o ke kolu o ka lā, me ke kuni pū kekahi
– Ka hoʻokuʻu ʻana o ka pus a i ʻole ka hanu ʻino ikaika loa e mau ana no ka manawa lōʻihi
– Paʻakikī i ka moni ʻana, paʻakikī i ka hanu ʻana, a i ʻole nā maʻi ʻaleka lāʻau (ka maneʻo nui, nā lehelehe/nā maka pehu)
– ʻO ka maneʻo ʻaʻole i hoʻomaikaʻi a i ʻole e ʻoi aku ka ʻino
– Komo ka wai i loko o ka ihu i ka wā e inu ai (ʻoi aku hoʻi nā niho o luna)
Pani
He hana palekana ka unuhi niho ke hana pono ʻia a e nā limahana lapaʻau kūpono, akā hiki nō ke hana i nā hopena ʻaoʻao. ʻO ka hapa nui o nā hōʻailona, e like me ka ʻeha, ka pehu ʻana, a me ke kahe koko iki, he ʻāpana maʻamau ia o ke kaʻina hana ho'ōla. He mea nui e hahai i nā ʻōlelo aʻoaʻo mālama ma hope o ka unuhi ʻana, mālama i ka hoʻomaʻemaʻe waha maikaʻi, pale i nā ʻano hana e hoʻopilikia ai i ke kāpili ʻana o ke koko, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi mau hōʻailona hōʻailona, e like me ka ʻeha nui, ke kahe koko lōʻihi, a i ʻole nā hōʻailona o ka maʻi.
Inā ʻoe e hoʻolālā ana e unuhi i ka niho a i ʻole ua hana koke ʻia ke kaʻina hana, e kūkākūkā me kāu kauka niho e pili ana i kekahi mau hōʻailona ʻē. ʻAʻole wale ka lāʻau lapaʻau koke e hōʻemi i ka ʻeha akā e kōkua pū i ka ho'ōla maikaʻi ʻana o ka ʻeha a pale i nā pilikia koʻikoʻi.
