Ke Koʻikoʻi o ka ʻIke ʻana i nā Cysts Jaw
He maʻi maʻamau ka ʻāʻī o ka waha a me ka ʻāʻī i ʻike pinepine ʻole ʻia. ʻIke wale ka poʻe he nui i ko lākou ʻike ʻana ke hoʻomaka nā hōʻailona e hoʻopilikia iā lākou, e like me ka pehu ʻana, ka ʻeha, a i ʻole ka neʻe koke ʻana o nā niho. Eia nō naʻe, hiki i nā ʻāʻī o ka ʻāʻī ke ulu mālie i ka hala ʻana o ka manawa me ka ʻole o nā hōʻailona maopopo. No laila, he mea nui ka ʻike mua ʻana i nā ʻāʻī o ka ʻāʻī no ka pale ʻana i nā pilikia koʻikoʻi a me ka hoʻomaʻalahi ʻana a me ka maikaʻi o ka mālama ʻana.
Ke hoʻomaopopo nei i ke ʻano o ka cyst jaw
Ma keʻano laulā, he ʻeke piha ka cyst i ka wai a i ʻole ka mea paʻa hapa i hoʻopuni ʻia e kahi paia o nā ʻiʻo. I loko o ka ʻāwae, hiki ke ʻike ʻia nā cysts ma ka iwi ʻāwae o luna (maxilla) a i ʻole ka iwi ʻāwae o lalo (mandible). Pili kekahi mau cysts i nā niho, no ka laʻana, e kū mai ana mai nā maʻi niho i mālama ʻole ʻia , nā niho make, a i ʻole nā niho i pā ʻia. Loaʻa kekahi mau cysts mai nā ʻiʻo hana niho (odontogenic) a hiki ke ulu me ka ʻole o nā hōʻailona koʻikoʻi.
ʻAʻole mau ka ʻino o nā cysts ʻauwae, akā ʻo ko lākou hiki ke hoʻonui a hoʻopau i ka iwi e lilo ai lākou i kumu hopohopo. Inā ʻaʻole mālama ʻia, hiki i nā cysts ke hoʻololi i ke ʻano o ka ʻauwae, hōʻino i nā aʻa niho a puni, a hoʻonui i ka pilikia o ka haki ʻana o ka ʻauwae i kekahi mau kūlana.
No ke aha i ʻike pinepine ʻole ʻia ai nā cysts jaw?
ʻO kahi pilikia nui, ʻo ia ka ulu pinepine ʻana o nā cysts ʻāwae me ka ʻole o ka ʻeha. ʻIke ʻia ka nui o nā cysts i ka wā e hana ʻia ai nā X-ray niho no nā kumu ʻē aʻe, e like me ka nānā ʻana i nā braces, ka wehe ʻana i nā niho naʻauao , a i ʻole nā loiloi ma mua o ka niho. No ka mea, ʻaʻole lākou e hoʻoulu i nā hōʻailona i nā pae mua, hoʻopaneʻe ka poʻe i nā nānā niho maʻamau a ʻimi wale i ka ʻōlelo aʻoaʻo lapaʻau ke kū mai nā hōʻailona.
Eia kekahi, hiki i nā hōʻailona o ka cyst ʻāwae ke hoʻohālike i nā pilikia niho maʻamau, e like me nā maʻi ʻāʻī a i ʻole ka ʻeha lua. Ke hoʻowahāwahā ʻia nā hōʻailona he "maʻamau" a mālama ʻia me nā mea ʻeha ʻeha me ka ʻole o ka hoʻokolokolo pono ʻana, hiki i ka cyst ke hoʻomau i ka ulu ʻana.
Nā hōʻailona a me nā ʻōuli e makaʻala ai
ʻOiai ʻaʻole ia e hōʻike mau i nā hōʻailona, aia kekahi mau hōʻailona e hiki ke lilo i mau hōʻailona koʻikoʻi. I waena o lākou:
1. Ka pehu ʻana ma nā ʻāʻī a i ʻole ka ʻāwae ʻaʻole e nalowale.
2. ʻEha ma ka ʻāwae, ʻoiai inā ua loaʻa ka maʻi i ka cyst a i ʻole ke kaomi ʻana i nā ʻiʻo a puni.
3. Nā niho palupalu a i ʻole nā loli mālie i ke kūlana o ka niho.
4. Paʻakikī ke nau ʻana a i ʻole ka ʻoluʻolu ʻole i ka wā e pani ai i ka waha.
5. Ka hoʻokuʻu ʻia ʻana o ke wai a i ʻole ka pus mai kekahi mau ʻāʻī, ʻoiai inā pili ia me ka maʻi mau.
6. Ka mae a ʻūlū paha ma nā lehelehe a i ʻole ka ʻauwae, hiki ke hana inā e kaomi ka cyst i kahi aʻalolo.
7. ʻAʻole ulu nā niho a paʻa paha (i hoʻopilikia ʻia) me ka pehu a puni lākou.
Inā ʻike ʻia kekahi o kēia mau hōʻailona, pono e hana i kahi nānā ʻana me ke kauka niho a kauka niho paha e ʻike i ke kumu.
Ke koʻikoʻi o ka ʻike mua ʻana: ka pale ʻana i ka pōʻino nui aʻe
ʻO ka ʻike mua ʻana i nā cysts ʻauwae e hāʻawi i nā pono he nui. ʻOi aku ka maʻalahi o ka mālama ʻana i nā cysts liʻiliʻi. Hiki ke hana ʻia ka mālama ʻana me nā kaʻina hana maʻalahi a me ka emi ʻana o ka pilikia o nā pilikia. I ka ʻaoʻao ʻē aʻe, hiki i nā cysts nui ke lahilahi i ka iwi ʻauwae, hoʻopilikia i ke kūpaʻa o ka niho, a koi aku i ke ʻoki kino nui aʻe.
Kōkua pū ka ʻike mua ʻana i ka pale ʻana i ka hōʻino mau ʻana o ka niho. Hiki i kekahi mau cysts ke kau i ke kaomi ma ke aʻa niho, e hoʻoulu ai i ka resorption aʻa (ka ʻino ʻana o ke aʻa). Inā lilo kēia i mea koʻikoʻi, hiki i ka niho ke nalowale i kona kākoʻo a lilo i mea paʻakikī ke mālama, e hiki ʻole ai ke unuhi ʻia.
E hōʻemi i ka pilikia o ka maʻi a me nā pilikia
Hiki ke loaʻa ka maʻi i nā cysts ʻauwae, ʻoiai inā pili lākou i kahi niho i loaʻa ka maʻi mau. Ke loaʻa ka maʻi, hiki i nā hōʻailona ke ʻoi aku ka wikiwiki, me ka hoʻonui ʻana o ka ʻeha, ka pehu ʻana, a me ke kuni. Hiki i nā maʻi ma ka ʻāpana ʻauwae ke laha i nā ʻiʻo a puni, me ka ʻāʻī, kahi mea weliweli inā ʻaʻole mālama ʻia.
Ma waho aʻe o ka maʻi, hiki i nā cysts nui ke hana i nā deformities o ka maka ma muli o ka hoʻonui ʻia ʻana o ka iwi a i ʻole ka pehu ʻana o nā ʻiʻo. I kekahi mau hihia, ʻoi aku ka maʻalahi o ka iwi ʻauwae lahilahi i hoʻokumu ʻia e ka cyst i ka haki ʻana i ka wā e kau ʻia ai ke kaomi, e like me ka trauma a i ʻole ka hopena.
Ke kākoʻo nei i ka hoʻolālā mālama niho palekana
He nui nā kaʻina hana niho e pono ai kahi ʻāwae olakino, e like me ke kau ʻana o ka implant, ka mālama orthodontic (braces), ka unuhi ʻana i nā niho naʻauao, a me nā dentures. Inā ʻike ʻole ʻia nā cysts, hiki i kēia mau kaʻina hana ke pilikia a i ʻole e hopena i nā hopena maikaʻi ʻole.
Eia kekahi laʻana, pono ke kau ʻana o ka implant i ka nui o ka iwi. Inā hoʻopau kahi cyst i ka iwi, hiki ʻole i ka implant ke pipili pono. I ka mālama orthodontic , pono pū ka neʻe ʻana o ka niho i ka noʻonoʻo ʻana i ke kūlana o ka iwi a puni e hōʻoia i ka palekana a pale i nā pilikia hou aʻe.
Pehea e ʻike ʻia ai nā cysts ʻāwae?
Hoʻomaka pinepine ka ʻike ʻana i nā cysts ʻāwae me kahi hoʻokolokolo lapaʻau a laila hōʻoia ʻia e ke kiʻi ʻana. ʻO nā hana maʻamau:
– Panoramic X-ray (OPG) e ʻike i ke kiʻi laulā o ka ʻāwae a me nā niho.
– Nā radiographs periapical e ʻike i nā kikoʻī o kekahi mau wahi o ka niho.
– CT scan a i ʻole CBCT (Cone Beam CT) no ka loiloi kikoʻī hou aku, ʻoiai inā nui ka cyst a kokoke paha i nā aʻalolo a me nā ʻano hana koʻikoʻi.
I kekahi mau hihia, hiki i ke kauka ke hana i kahi biopsy (tissue sampling) e hōʻoia i ke ʻano o ka cyst a kāpae i nā mea ʻē aʻe. He mea nui kēia hana no ka mea ua like kekahi mau ʻeha ʻāwae ma nā X-ray akā koi i nā ʻano lapaʻau like ʻole.
Nā koho lapaʻau a me ke koʻikoʻi o ka hahai ʻana
ʻO ka mālama ʻana no nā cysts ʻāwae e pili ana i ke ʻano, ka nui, ka wahi, a inā pili ka cyst me kahi niho kikoʻī. Hiki i ka mālama ʻana ke komo pū me:
1. Ka mālama ʻana i ke aʻa o ke aʻa ma ka niho e hoʻoulu ai i ka maʻi, inā pili ka cyst i kahi niho hiki ke hoʻōla ʻia.
2. Enucleation (wehe piha ʻana o ka cyst) ma o ke ʻoki kino.
3. ʻO ka Marsupialization a i ʻole ka decompression, ʻo ia hoʻi ka hana ʻana i kahi "puka" i hiki ai ke hoʻemi ʻia ke kaomi ma luna o ka cyst a hoʻemi ʻia kona nui, maʻamau no nā cysts nui.
4. Ka wehe ʻana i nā niho pili, inā ʻaʻole hiki ke mālama hou ʻia nā niho a i ʻole he kumu ia o nā pilikia.
Ma hope o ka lāʻau lapaʻau, he mea koʻikoʻi ka nānā ʻana. Hoʻonohonoho pinepine nā kauka i nā nānā maʻamau a me nā X-ray e hōʻoia ʻaʻole e hoʻi hou mai ka cyst a ke ho'ōla pono nei ka iwi ʻauwae.
Ke kuleana o nā nānā niho maʻamau
No ka mea, he nui nā cysts ʻāwae he asymptomatic, he mea nui ka nānā mau ʻana i nā niho. ʻO ke kūpono, pono kēia i kēlā me kēia ʻeono mahina, a i ʻole e like me ka ʻōlelo a kāu kauka niho. I loko o kēia mau kipa maʻamau, hiki i kāu kauka niho ke loiloi i ke kūlana o kou mau niho a me kou mau ʻāʻī a hoʻoholo inā pono nā hoʻokolohua radiological e ʻike i nā pilikia i ʻike ʻole ʻia e ka maka ʻōlohelohe.
No nā poʻe maʻi me ka mōʻaukala o nā niho i pā ʻia, nā maʻi niho e hana hou ʻia ana, a i ʻole nā cysts ma mua, lilo nā nānā maʻamau i mea nui aʻe no ka mea hiki ke kiʻekiʻe aʻe ka pilikia o ka hana hou ʻana a i ʻole ka ulu ʻana o nā cysts hou.
Ka hopena
ʻO ka ʻike mua ʻana i nā cysts ʻāwae ʻaʻole ia e pili ana i ka ʻike ʻana i nā ʻano ʻē i loko o ka ʻāwae; e pili ana hoʻi i ka pale ʻana i ka hōʻino ʻana o ka iwi, ka mālama ʻana i nā niho, ka pale ʻana i ka maʻi, a me ka hōʻoia ʻana i ka palekana o nā lāʻau lapaʻau niho ʻē aʻe. No ka mea, ulu pinepine nā cysts me ka ʻole o nā hōʻailona, ʻo nā nānā niho maʻamau a me nā loiloi radiological, inā pono, ʻo ia ke ala kūpono loa e ʻike ai iā lākou i ka wā mua. Inā ʻike ʻoe i ka pehu ʻana o ka ʻāwae, nā niho palupalu, ka ʻeha i wehewehe ʻole ʻia, a i ʻole nā hōʻailona i hoʻomaikaʻi ʻole ʻia, e nīnau koke i ke kauka niho no kahi hōʻailona a me ka lāʻau lapaʻau i ka hikiwawe loa.
