Mhando dzezvirwere zvePeriodontal
Zvirwere zvemazino, zvinowanzozivikanwa sezvirwere zvemazino, zvinofukidza zvirwere zvakasiyana-siyana zvinokanganisa nyama dzakakomberedza mazino uye zvinotsigira mazino. Hutano hwemazino ako hwakakosha pakuchengetedza hutano hwemazino, sezvo periodontium—inosanganisira mazino, periodontal ligament, root cementum, uye alveolar bone—inoshanda sehwaro hwemazino. Zvirwere zvemazino zvakakamurwa muzvikamu zviviri zvikuru: gingivitis neperiodontitis. Muzvikamu izvi mune marudzi akasiyana-siyana ezvirwere zvemazino, chimwe nechimwe chichikanganisa hutano hwemuromo. Chinyorwa chino chinoongorora marudzi makuru ezvirwere zvemazino, chichiratidza zvikonzero zvazvo, zviratidzo, kuongororwa, uye nzira dzekurapa.
1. Kubata tsinga dzemudumbu
Gingivitis ndiyo mhando isina kunyanya kuipa yechirwere chemazino uye inoratidzwa nekuzvimba kwematadza (gingiva) pasina kukanganisa mapfupa kana zvimwe zvivako. Gingivitis inowanzo kukonzerwa nekuungana kweplaque, ganda rinonamira remabhakitiriya rinoumbwa pamazino. Plaque inokura kana starch neshuga zviri muchikafu zvikabatana nemabhakitiriya anowanzo kuwanikwa mumuromo. Kusachena kwemuromo kunobvumira plaque kuungana, zvichikonzera kuzvimba nehutachiona hwemazino.
Zviratidzo:
– Matadza matsvuku, akazvimba
– Kubuda ropa mumatadza, kunyanya panguva yekukwesha kana kupukuta machira
- Mweya unonhuwa
- Kunzwa kurwadza kana kusagadzikana mumatadza
Kuongororwa:
- Kuongorora nemaziso
- Kuyera kudzika kwemuhomwe wakakomberedza mazino uchishandisa periodontal probe
– MaX-ray angangodiwa kuti uongororwe zvakadzama
Kurapa:
- Kucheneswa kwemuromo kwakavandudzwa, kusanganisira kukwesha mazino nguva dzose uye kupukuta netsvina yemuromo
- Kuchenesa mazino nehunyanzvi kubvisa plaque ne tartar
- Mishonga yekuchenesa muromo inorwisa utachiona
- Dzidzo pamusoro penzira dzakakodzera dzekurapa muromo
Mashoko akanaka ndeekuti gingivitis inogona kugadziriswa kana ikabatwa zvakanaka uye ichigadziriswa.
2. Chirwere chePeriodontitis Chisingaperi
Chirwere cheperiodontitis chisingaperi ndicho chinonyanya kupararira muvanhu vakuru, kunyange zvazvo vechidiki vanogonawo kubatwa nacho. Chirwere ichi chinosanganisira kuzvimba kunoramba kuchiitika uye kuparadzwa kwemapfupa emazino nemapfupa emudumbu, izvo zvinogona kukonzera kurasikirwa kwezino kana zvikarapwa. Chirwere cheperiodontitis chisingaperi chinokonzerwa nekuvapo kwenguva refu kweplaque nemabhakitiriya, izvo zvinokonzera kupararira kwekuzvimba mumatadza uye muzvimiro zvemazino.
Zviratidzo:
- Kufema kunorwadza kwenguva refu
- Kudzikira kwemazino, zvichikonzera mazino anotaridzika kunge akareba
- Kuumbwa kwehomwe dzakadzika pakati pemazino nematadza
- Mazino akasununguka kana kuti anochinja-chinja
– Matumbu kana kuti urwa pakati pemazino nemazino
Kuongororwa:
- Kuongorora nemaziso
- Kuongorora kudzika kwehomwe
- Kuongororwa kweX-ray kuti uone kurasikirwa kwemapfupa
Kurapa:
- Kucheneswa kwemidzi (kuchenesa zvakadzama kubvisa plaque ne tartar)
- Kushandisa mishonga inorwisa mabhakitiriya, ingave inoshandiswa munharaunda kana mumuviri wese
- Kuvhiyiwa, sekuvhiyiwa kweflap kana kuisirwa mapfupa nematishu, muzviitiko zvakakomba
- Kuchengetedza periodontal nguva dzose uye kutarisirwa kwekutevera
3. Kurwara kwePeriodontitis
Chirwere cheperiodontitis chinorwadza hachiwanzoitiki asi chinokurumidza kukura kupfuura chirwere cheperiodontitis chisingaperi. Chinowanzo bata vanhu vadiki uye chinoratidzwa nekurasikirwa nekukurumidza kwekubatana uye kuparadzwa kwemapfupa. Chirwere ichi chinogona kunge chiri panzvimbo imwe chete, chichibata mazino chaiwo, kana kuti muromo wese.
Zviratidzo:
- Kudzikira kwemazino nekukurumidza
- Kurasikirwa nemapfupa nekukurumidza
- Homwe dzakadzika dze periodontal
- Nhoroondo yemhuri yechirwere che periodontal yakawedzera
Kuongororwa:
- Nhoroondo yakadzama yezvekurapa uye yemazino
- Kuongororwa kwemajini kunogona kufungwa nezvako
- Kuongororwa kwakazara kwekiriniki uchishandisa kuferefeta uye X-rays
Kurapa:
- Zvakafanana nechirwere cheperiodontitis chisingaperi asi chingada kupindira kwakasimba
- Kuchenesa kwehunyanzvi nguva nenguva
- Kushandisa mishonga inorwisa mabhakitiriya uye mishonga inorwisa mabhakitiriya
- Kuvhiyiwa kunogona kudiwa padanho repamusoro
4. Zvirwere zvePeriodontal Zvinouraya
Zvirwere zve periodontal zvinouraya mazino zvirwere zvakakomba zvekuzvimba zvinoonekwa nekufa kwenyama, maronda, uye kutanga nekukurumidza. Zvirwere izvi zvinowanzobatanidzwa nematambudziko emuviri akadai sekushaya chikafu chakakwana, kudzvinyirirwa kwemuviri, uye kushushikana kwakanyanya. Izvi zvinosanganisira necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), uye necrotizing stomatitis.
Zviratidzo:
- Matadza anorwadza ane ropa rinobuda uye maronda
- Kufema kwakashata
– Firimu regreyish rinofukidza nzvimbo dzakakanganiswa
- Fivha uye kusagadzikana muzviitiko zvakakomba
Kuongororwa:
- Kuongororwa kwekiriniki kwezviratidzo zvinoonekwa zve necrosis
- Nhoroondo yehutano yekuziva chero mamiriro ezvinhu aripo mumuviri
Kurapa:
- Kuchenesa kwehunyanzvi kubvisa matishu ane necrotic
- Kurapa nemishonga inorwisa mabhakitiriya
- Kucheneswa kwemuromo kwakavandudzwa
- Kugadzirisa matambudziko ehutano hwemuviri
5. Periodontitis sechiratidzo chezvirwere zvemuviri
Zvimwe zvirwere zvemudumbu zvinogona kuzviratidza muchimiro chezvirwere zvemudumbu. Zvirwere zvakaita sechirwere cheshuga, chirwere chemwoyo, uye zvirwere zvekufema zvinogona kuwedzera kana kukonzera matambudziko emudumbu. Rudzi urwu rwechirwere chemudumbu runoda nzira yakakwana yekugadzirisa matambudziko emuromo pamwe nematambudziko ehutano hwemudumbu.
Zviratidzo:
- Zvakafanana nechirwere cheperiodontitis chisingaperi, asi kazhinji chakanyanya kuoma
- Zviratidzo zvechirwere chemuviri zvinogonawo kuvapo
Kuongororwa:
- Kushanda pamwe chete nenyanzvi dzezvehutano kuti vaone uye vagadzirise chirwere ichi
- Kuongororwa kwemazino zvakakwana
Kurapa:
- Kutarisirwa kwakarongeka pakati pevanachiremba vemazino nevezvekurapa
- Kurapa kwakajairika kwemazino akadai sekukwenya, kupatsanura midzi, mishonga inorwisa mabhakitiriya, uye kuvhiyiwa
- Kurapwa kwezvirwere zvemuviri kuburikidza nemishonga, shanduko dzemararamiro, uye dzimwe nzira dzekurapa dzakakodzera
Kudzivirira Matanho uye Kuchengetedza
Kudzivirira zvirwere zvemazino zvinowanzo gadziriswa pane kuzvirapa. Heano mamwe matanho ekudzivirira uye mazano ekuchengetedza:
– Kushanyira mazino nguva dzose: Kucheneswa nenyanzvi uye kuongororwa kunogona kubata matambudziko emazino nekukurumidza.
– Kuchenesa muromo zvakanaka: Kukwesha kaviri pazuva ne fluoride toothpaste uye floss zuva nezuva kunobatsira kubvisa plaque uye kuderedza njodzi yezvirwere zve periodontal.
– Kudya kwakanaka: Kudya kwakaringana kusina shuga yakawanda uye zvinwiwa zvinotsigira hutano hwemazino.
– Dzivisa fodya: Kusvuta nedzimwe nzira dzekushandisa fodya zvinowedzera njodzi yekubatwa nechirwere chemazino.
– Kudzora zvirwere zvemuviri: Kudzora kwakakodzera zvirwere zvakaita sechirwere cheshuga kunogona kubatsira kudzivirira matambudziko emazino.
mhedziso
Zvirwere zvePeriodontal zvinosanganisira zvirwere zvakasiyana-siyana kubva pakuita gingivitis kusvika kune zvakanyanya kuomarara zvakaita seperiodontitis isingaperi uye inorwisa, zvirwere zvePeriodontal zvinouraya, uye zviratidzo zvezvirwere zvemuviri. Kunzwisisa mhando, zviratidzo, kuongororwa, uye nzira dzekurapa kwakakosha mukurapa zvirwere izvi uye kuona hutano hwakanaka hwemuromo. Kuchengetwa kwemazino nguva dzose, tsika dzakanaka dzekuchenesa muromo, uye nzira yekudzivirira hutano hwese zvinogona kuderedza zvakanyanya njodzi yekubatwa nezvirwere zvePeriodontal.
