Ngā pānga taha o te tango niho
He tikanga noa te tango niho (te tango niho) e mahia ana i roto i ngā whare niho. He mea tika tēnei tikanga ina pirau rawa te niho, kua pangia, ā, kāore e taea te rongoā, kei te tipu rerekē ngā niho whakaaro nui, kei roto rānei i tētahi mahere maimoatanga niho. Ahakoa he tikanga noa, he tikanga hauora tonu te tango ka pā mai he pānga taha. He ngawari, he rangitahi hoki te nuinga o ngā pānga taha, engari he raruraru anō hoki me whakaaro, me rongoā tonu.
Ka matapakihia e tēnei tuhinga ngā pānga taha maha i muri i te tango niho, ō rātou pūtake, me pēhea te ārai i aua pānga, me te wā me hoki atu koe ki te taote niho.
Ngā tauhohenga noa e puta pinepine ana i muri i te tangohanga
I muri i te tangohanga o te niho, ka tīmata te whakaora a te tinana. He wāhanga noa iho o tēnei tukanga te nuinga o ngā tohu e puta ake ana.
1. Mamae me te kore whakamarie
Ko te mamae te amuamu tino kitea. I muri i te memeha o ngā pānga o te rongoā whakamoe ā-rohe, ka mamae te wāhi i tangohia, inā koa i roto i ngā haora 24–48 tuatahi. Ka rerekē te nui o te mamae i runga i te momo niho, te uaua o te tango, me te āhua o te kiko e karapoti ana. I te nuinga o te wā ka tohua e ngā tākuta he rongoā mamae, ā, ka tohutohuhia ngā tūroro kia kaua e ngaungau i te wāhi i tangohia mō tētahi wā.
2. He toto iti
He mea noa te toto iti, te huware toto rānei mō ētahi haora i muri i te tikanga. Ka tono ngā tākuta ki ngā tūroro kia ngau i te kākahu mō te 30–60 meneti hei āwhina i te hanganga toto toto. He mea nui tēnei toto toto toto hei "hiri" taiao mō te patunga, hei pūtake hoki mō te hanganga kiko hou.
3. Pupuhi (pupuhi kiko)
Tērā pea ka pupuhi, inā koa mēnā he uaua te tango, he pokanga iti rānei, pērā i te tango i te niho whakaaro nui kua pakaru. Ko te tikanga ka piki te pupuhi i roto i ngā haora 48–72, kātahi ka heke haere. He maha ngā wā ka tūtohuhia kia whakamahia he kōpeke makariri mō ngā haora 24 tuatahi, ā, i muri iho ka whakamahia he kōpeke mahana hei tere ake i te ora.
4. Ngā marō i ngā paparinga, i ngā kapia rānei
Ka puta te marutanga nā te whara iti ki ngā kiko ngohengohe, ki ngā oko toto iti rānei. He mea noa ake tēnei i roto i ngā tangohanga uaua. I te nuinga o te wā ka memeha haere te marutanga i roto i te 1–2 wiki.
5. Te whakatuwheratanga iti o te waha (trismus)
Ka pāngia ētahi tāngata e te uaua ki te whakatuwhera whānui i ō rātou waha i muri i te tangohanga, inā koa mēnā he niho o muri te tikanga. Ka puta tēnei nā te mea ka mumura ngā uaua kauae me ngā kiko e karapoti ana. Ka taea e ngā mahi whakatuwhera puhoi me ngā kōpeke mahana te āwhina, engari ki te mau tonu, ki te kino rānei, he pai ake te toro atu ki te tākuta.
Ngā pānga taha/ngā raruraru hei tūpato
Haunga ngā tauhohenga noa, he maha ngā āhuatanga he uauatanga me te aro nui ki a rātou.
1. Te pūwero maroke (alveolitis)
He raruraru te pūwero maroke e puta ana ina wehea, ina kore rānei e hanga tika te toto totoka i roto i te pūwero (te kōhao i tū ai te niho). Ka kitea te wheua me ngā io i te rohe, ka puta he mamae nui, he mamae nui e pā ana ki te 2–4 rā i muri i te tangohanga. Ka horapa te mamae ki te taringa, ki te rākau rānei, ā, he maha ngā wā ka haere tahi me te manawa haunga.
Ko ngā āhuatanga mōrearea o te dry socket ko te momi hikareti, te whakamahi i te ngongo, te horoi rawa, te koretake o te akuaku o te waha, me te whakamahinga o ngā pire ārai whānau i roto i ētahi tūroro. Ko te maimoatanga mō te dry socket me whai tākuta niho, ko te tikanga me horoi te socket me te tāpiri i tētahi takai rongoā motuhake.
2. Te mate urutā i muri i te tangohanga
Ka pā te mate ina uru mai ngā huakita ki te patunga, mēnā rānei kua pāngia kētia e te mate. Ko ngā tohu ko te kaha haere o te mamae, te pupuhi haere, te kirika, te putanga mai o te pūkahukahu, me te manawa kino tonu me te reka kino. Me arotake hauora ngā mate, ā, he maha ngā wā ka hiahiatia he rongoā paturopi me te horoi.
3. Te toto roa
Ki te kore te toto e mutu i muri i ētahi haora, ki te nui rānei, ehara tēnei i te mea noa. Tērā pea nā te toto toto kore pumau, he patunga tuwhera, he toto toto tiketike, he mate toto toto rānei. Me whakamōhio atu ngā tūroro e tango ana i ngā rongoā whakangawari toto (pēnei i te warfarin, clopidogrel, aspirin rānei) ki tā rātou tākuta i mua i te mahi. Ki te mau tonu te toto, hoki atu ki te whare hauora tonu.
4. Te kino ki ngā kiko e karapoti ana me ngā niho tata
Ina tangohia ngā niho pakarukaru, kāore rānei i te tika te tūnga, he iti noa te tūponotanga o te pakaru o ngā niho tata, te whara o te kapia, te whara rānei o ngā kiko tautoko. He ngāwari noa iho ēnei raruraru, engari he mea nui kia tangohia e te tākuta niho whai mātauranga, ā, kia tangohia hoki he hihi-X mēnā e tika ana.
5. Ngā mate io (ngoikore)
Ina tangohia ngā niho whakaaro nui o raro, ngā niho rānei e tata ana ki te io, tera pea ka pāngia te io e te riri, e te whara rānei. Ko ngā tohu ko te ngoikore, te ngau, te ngau rānei i ngā ngutu, i te kauae, i te arero rānei. He wā poto noa te nuinga o ngā take, ā, ka memeha i roto i ētahi wiki ki ētahi marama, engari i ētahi wā, ka roa pea. I te nuinga o te wā ka arotakehia e ngā tākuta tēnei mōrearea i mua i te tikanga mā roto i ngā whakamātautau haumanu me ngā whakamātautau x-ray.
6. Ngā raruraru o te sinus (mō ngā niho o runga o te tuara)
Kei te taha tata o te kōhao ihu ngā pakiaka o ngā niho molar o runga. I ētahi wā, ka taea e te tango i te niho te arahi ki te hononga i waenga i te waha me ngā ihu (te hononga oroantral). Ko ngā tohu ka uru mai he wai ki te ihu i te wā e inu ana, he ahua koretake, he hau rānei e puta mai ana i te pūwero i te wā e tihe ana. Me rongoatia tēnei e te niho, me ētahi wā me hipoki motuhake me ngā tohutohu hei ārai i te pupuhi kaha o te ihu.
7. Te mate pūkahukahu me ngā mate whakaora
Ka taea e ngā tūroro mate huka kāore i te whakahaeretia te whakaora puhoi, ngā kaipaipa, ngā tāngata ngoikore te pūnaha ārai mate, te hunga rānei kāore i te pai te akuaku o te waha. Me arotake te mamae e mau tonu ana, te patunga e āhua tuwhera ana, te whero nui rānei.
Me pēhea te whakaiti i te mōrearea o ngā pānga taha
He tino āwhina ngā mahi ārai mate kia pai ai te whakaora.
1. Ngaua te miro kia rite ki ngā tohutohu hei āwhina i te hanganga o te toto totoka.
2. Kaua e whakakōkī rawa, kaua e tuwha nui, kaua hoki e whakamahi i te ngongo mō ngā haora 24 tuatahi, nā te mea ka taea e tēnei te neke i te toto totoka.
3. Kaua e momi hikareti mō te 48–72 hāora pea, engari ko te roa atu pea, nā te mea ka nui ake te tūponotanga o te maroke o te pona e te momi hikareti, ā, ka whakaroa i te whakaora.
4. Kainga ngā kai ngohengohe (parāoa, hupa mahana, miraka kawa) ā, karohia ngā kai wera, mārō, raukikī rānei i ngā wāhanga tōmua o te mate.
5. Kia mau tonu te akuaku o te waha: Me parai tonu ō niho, engari kaua e pā tika ki te wāhi patunga mō te rā tuatahi. Tērā pea ka tūtohu tō tākuta i tētahi wai horoi waha paturopi i muri i ngā haora 24.
6. Tangohia te rongoā kia rite ki te whakahaunga, kaua hoki e whakanuia te horopeta me te kore tohutohu.
7. Kia nui te okiokinga, ā, kia iti hoki te mahi uaua mō ngā haora 24 tuatahi hei ārai i te pikinga o te toto.
Āhea koe me hoki atu ki te tākuta niho?
Whakapā atu ki tō tākuta niho tonu mēnā ka pāngia koe e ēnei āhuatanga:
– Te mamae nui e puta ana i ngā rā 2–4 i muri i te tangohanga (e whakapaetia ana he poka maroke)
– Kāore te toto e mutu, e taumaha rānei
– Ka nui haere te pupuhi i muri i te rā tuatoru, ka haere tahi me te kirika
– He putanga waikura, he manawa kino tino kaha rānei e mau ana mō te wā roa
– Te uaua ki te horomi, te uaua ki te manawa, te mate pāwera rānei ki ngā rongoā (te mākūkū nui, te pupuhi o ngā ngutu/kamo)
– Te ngoikore e kore e pai ake, e kino haere rānei
– Ka uru te wai ki roto i te ihu i te wā e inu ana (ina koa ko ngā niho o runga o muri)
Te Katinga
He tikanga haumaru te tango niho ina tika te mahi, ā, mā ngā kaimahi hauora whai tohu anō hoki, engari ka pā mai pea ngā pānga taha. Ko te nuinga o ngā tohu, pērā i te mamae, te pupuhi, me te toto ngawari, he wāhanga noa iho o te tukanga whakaora. He mea nui kia whai i ngā tohutohu tiaki i muri i te tangohanga, kia mau tonu te akuaku o te waha, kia karo i ngā tikanga e whakararuraru ana i te toto totoka, me te rapu awhina hauora tonu mēnā ka puta he tohu whakatūpato, pērā i te mamae nui, te toto roa, ngā tohu mate rānei.
Mena kei te whakaaro koe ki te tango niho, kua oti rānei te mahi i tēnei mahi i ngā wā tata nei, me kōrero ki tō tākuta niho mō ngā tohu rerekē. Ehara i te mea ka whakaiti noa i te mamae te maimoatanga tere engari ka āwhina hoki i te whakaora pai ake o te patunga, me te ārai i ngā raruraru kino atu.
