Pulpitis: soocidda, noocyada, rugta caafimaadka. Qoondaynta oo ah hababka daaweynta ee pulpitis

La yaab leh laakiin run - cudur sida pulpitis, ayaa in ka badan 20 habab kala soocidda. Ilkaha naftooda u isticmaalaan in koorsada ee ay shaqadooda siyaabo kala duwan nooca qiimaynta cudurka, laakiin xusay in hana u ah 100% si sax ah u sharrixi karaa oo dhan muuqaalada cudurkan uga hornimaadno. Ilkaha ayaa sheegaya in ay u baahan yihiin kala soocidda sahlan iyo ijiilka pulpitis, taas oo u oggolaan lahaa in sifaha cudurka oo dhan jagooyinka midig.

Maxaad u baahan tahay in aan kala saaro minbarka?

Joogitaanka sida habaynta a badan ee cudurada ilkaha la xidhiidha habab kala duwan si la isugu dayo in lagu qeexo sawirka cudurka. noocyada kala duwan ee pulpitises kala saaro bixiyaan si ay u fiirsada dhinacyo kala duwan: sababaha iyo horumarinta, horumarka clinical, duruufaha geedi socodka salka kanaalka xididka iyo kuwa kale.

Isagoo tilmaamaya ka dhan xaglo kala saaro minbar aan weli la soo saaray. Sidaa darteed, ilkaha u leeyihiin in ay ku daraan sawir caafimaad ee hada jira ee bukaanka shaqsi qaabka guud ee hababka jira qiimeynta. Dhowr qorsheyaasha soocidda Waxaa la soo saaray sano ka hor, si kastaba ha ahaatee, oo hadda loo isticmaalo in dhaqanka ee ogaanshaha iyo daaweynta pulpitis.

The isku day ugu horeeyay ee nidaaminta cudurada ilkaha waxaa ka soo qaaday 20 ka mid ah qarnigii la soo dhaafay oo loo yeedhay description ugu sax ah saxarka. kala saaro kuwanu waxay ahaayeen halkii adag iyo eheeyn. Taasi waa sababta khubaro shaqo joogto ah la sameeyay on horumar ah farsamooyinka description cudurka. Dura 5-10 sano jeediyay soocidda cusub, kaas oo ku salaysan qorsheyaasha hore, laakiin qaar ka mid ah habdhaqanka cusub in ay sharaxaad ka mid ah qudbooyin sawirka.

WHO soocidda

dhammaadkii qarnigii 20aad, kuwaas oo sanadkii 1997, ilkaha ay astaan u hordhaca ah ee Qoondaynta Caalamiga ah ee Cudurada, Dib 10aad, kaas oo lagu yaqaan soo gaabsadaa ICD-10. Waxa lagu ansixiyay Ururka Caafimaadka Adduunka, oo sanadkii 1999 noqday loo isticmaalo in dhaqanka ilkaha ee ogaanshaha iyo daaweynta pulpitis. nidaamka Tani waa magaca codes iyo decryption in lagu qeexo sawirka caafimaad ee cudurka. Qoondaynta pulpitises ICD ka mid ah waxyaabaha soo socda:

• Cudurada of saxarka iyo nooca unugyada periapical bixiyeen muujinaysaa by K04 code a.
• Si toos ah minbarka Windows XP K04.0.
• Marxaladda bilowga ah ee cudurka, lagu gartaa hyperemia, muujinaysaa K04.00.
• pulpitis Xiisad bixiyeen K04.01 sir.
• Haddii lamaro la helay, waa K04.02 code rakibo.
• Nooca joogtada ah ee pulpitis waxaa loo qoondeeyey K04.03, iyo haddii ay taasi cudurka boog ah, waxaa la soo jeediyey in ay sir cudurka of K04.04.
• Haddii bukaanka ah waxaa laga helaa burada saxarka qaab raaga, ay qoondeeyey K04.05.
• Marka cudurada unugyada neerfaha iyo vascular of ilig kale K04.08 Stamp dabeecadda ku qeexan ah.
• Haddii Jidka pulpitis ma cadda, waxa ay sheegtay in K04.09 code.
• ifafaale Necrotic ama gangrenous in slurry waxaa lagu tilmaamay in K04.1 code.
• Haddii dhakhtarka ilkaha arkay geedi socodka side sida dentikli, dhagaxyada saxarka ama kalshum, waxa ay ku tusinaysaa K04.2 code ay.
• In the case of formation aan caadi ahayn ee unugyada adag in K04.3 annotation saxarka ah. Iyo haddii ay tahay aan joogto ahayn (sare) dentin, waxaa la tilmaamay by K4.3X xeerka. Waa in la ogaadaa in xaaladda this waxaa laga saaray kalshum iyo dhagaxyo saxarka ah.
• In periodontitis nooca ba'an Boodaynin, kuwaas oo sabab u ah isbedelka unugyada neuro-vascular of ilig ah, kaalinta K04.4 cipher.
• Haddii dhakhtarka ilkaha ogaato in isaga ka soo hor cudurka saxarka iyo unugyada periapical aan geli qodobada kor ku xusan, waxa ay taasi K04.9 note ah.

kala soocidda Tani pulpitises WHO, sida ay ilkaha, ma aha mid aad u sahlan. Si kastaba ha ahaatee, waxaa weli loo isticmaalaa sida nidaamka rasmiga ah ee diyaarinta tirakoobyo ah khabiir ku ah shaqada laqabtay inta lagu guda jiro muddo waqti gaar ah. Xeerarka iyo ciphers of soocidda this dhakhtarka waxaa waajib ku ah in ay ku riday hoos on kaarka kaarka iyo bukaanka. ilkaha badan ayaa loo aqoonsan yahay in ay inta badan iyaga loola dhaqmo si matihid cudurka qaabka guud ee mashruuca la soo jeediyay by WHO, inkastoo ay yihiin siyaabo kala duwan sifooyinka haboon ee cudurada ilkaha.

Astaamaha minbarka uu ku dhashay

kala soocidda Tani waxay qaadataa galay account pulpitis iyo periodontitis sababaha cudurka. Sida laga soo xigtay shuruudan, ilkaha waa 4 nooc oo cudurka:

• Caabuqa.
• Traumatic.
• Konkrementozny.
• Medical ama kiimiko.

Aynu wada hadlaan saxarka kasta oo soocidda qeexo sababaha.

pulpitis infective

Noocan cudurka waxaa keena waxqabadka bakteeriyada in ay soo saaraan sunta iyo ka cadhaysiinina barar iyo ilig xidhmo dareemayaasha vascular. In 9 kiisaska ka mid ah 10 ka mid ah sheyga ku dhici gudahood saabka of kanaalada dentine ama saamayn dusha sare qaawan ee dareemaha. pulpitis yar caadi retrograde, marka jeermiska geli iliga dhex god sare ee xididka. Waxay tani dhacdaa marka cudurrada faafa sida caabuqyada ba'an ee neef-mareenka, rubella, osteomyelitis, hogaga ama periodontitis. Marar dhif ah, caabuq xiran karaan qof hematogenous. Qaybta surest in la aqoonsado minbarka - etiology. kala soocidda ee mabda this waxaa badanaa loo isticmaalaa by dhakhaatiirta.

pulpitis argagaxa leh

Waa in la ogaadaa in dhaawaca uu yahay mid sabab u ah geedi socodka a bahal ah taas oo keeni karta in pulpitis. Xaaladdan oo kale, ma dhalaysnimo waa godadka ilig jaban iyo infakshanka dhacdaa horumarinta dheeraad ah oo xidhmo dareemayaasha caabuq. Mararka qaarkood waxa aan ku xad daacadnimada ilig iyo meesha saxda ah (luxation ama subluxation). Xaaladdan oo kale, minbarka waa qarsoodi iyo horumar oo aan ku lug of sheyga.

Dhaawacyada xiran karaan nooca maalin kasta, waa in la helaa iyada oo sababtu tahay shil ama dhaawac, laakiin waxaa sababi kara faragelinta caafimaad karin. Tusaale ahaan, marka shiidi iliga "taaj" pulpitis inta badan waxay dhacdaa iyada oo natiijo ah oo perforating unugyada. Tani waxay ifafaale u baahan tahay hagaajin aawadeed degdeg ah. Waa arrin aad u muhiim ah in ay ixtiraamaan dhakhtarka circuit: minbarka - Qoondaynta - rugta - daaweynta. Waayo, ku takhasusay qalliinka taxanaha shiidaa kasta, xataa kiiska ugu adag, aad sixi karo oo ay ka fogaadaan wax badan oo dhibaatooyin xun.

minbarka Konkrementozny

Noocan ah pulpitis dhacdaa sababtoo ah qaar ka mid ah hay'adaha ee kanaalka xididka - dentikley ama petrifikatov. Waxay ku koraan in channels iyo godadka cadaadisaa xididdada dhiigga. Sidaas darteed mikrotsirkullyatsiya jebiyey, aasaasay barar. natiijo waa saxarka ah.

Medical ama kiimiko saxarka

kala soocidda minbarka Tani inta badan ma ku tilmaami, laakiin dhab ahaantii waa mid caadi ah iyo waxa keena baadi caafimaad. Tani waxay dhacdaa marka ilkaha khusaysaa marka loo diyaarinayo suuska afka ah ama jeebka cirridka wakiilka nooca awood (alcohols ama esters) ama qalad farsamo la sameeyay at dhagixiina way.

Qoondaynta by Platonov

In kasta oo xaqiiqda ah in noocan oo kale ah qiimaynta cudurka waxaa la soo jeediyay by Professor Platonov marka dib loogu noqdo 1968, waa ilaa maantadan la joogo by ilkaha loo isticmaalo dhaqanka. Tani dirka pulpitis iyo periodontitis leedahay ayna duleella ay, laakiin wanaagsan ee ay xog iyo sahlanaato. professor in uu farsamo isku daro saddex waji: qiimaynta oo ka mid ah geeddi-bahal ee saxarka, nooca cudurka, iyo sidoo kale deegaamaynta ah raaxo. Tani waa mid fudud a, laakiin qiimaynta cudurka nidaamka capacious ahaa kala jeclaysiga rabitaanka khubaro badan oo sharraxaya oo ay ku tacaluqa hadda. In habaynta hadleen dhinacyada ugu weyn ee this ifafaale, sida minbarka - etiology, pathogenesis. Qoondaynta oo ah cudurada of Platonov waa sida soo socota:

• nooca Xiisad pulpitis: Foomka lobular (xanuun ba'an, taas oo ah bukaan deegaamaynta cad) iyo nooca waajihi (deegaamaynta undefined, kordhin weheliyaan dareemaha trigeminal wajiga).
• Pulpitis hypertrophic chronic qof (barar saabka saxarka buuxinta suuska), gangrenous (galleeyda oo unug dareemayaasha iyo xidhmo vascular) iyo fibrotic (cusboonaysiinta nudaha ilkaha).
• Pulpitis sii daridda foomamka chronic.

kala soocidda iyo qudbooyin Clinic Tani aad bay u fududeeyo shaqada ee ilkaha, gaar ahaan xarumaha caafimaadka miisaaniyadda. Sida caadiga ah, in xaaladaha sida, dhakhtarka uusan haysan waqti si ay u baaraan sababaha cudurada ilkaha. Si uu u adkeeyo nooca cudurka, waxaa ku filan in qofka bukaanka ah ku waydiino dhawr su'aalood.

Qoondaynta Gofungu

Habkani waa wax ka mid ah ilkaha oo caan ah, maxaa yeelay waxa ay u tilmaamaya dhinacyada ugu muhiimsan ee cudurada sida taagnaa - kala soocidda, sawirka clinical, daaweynta. Waxaa siinayaa fikrad ah oo ku saabsan heerarka kala duwan ee cudurka u oggolaanaysa in xuduudaheedu kala duwan kiliinikada iyo isbedel fataahadda ee saxarka ah inta lagu guda jiro geeddi-bararka. Sida laga soo xigtay nidaamka this, noocyada cudurka yihiin kuwan soo socda:

• Foomka ba'an ee pulpitis: qayb ahaan (karo, waa la daaweyn karaa by xafidaada dareemayaasha noolaha), wadarta (waajihi, oo daboolaya saxarka oo dhan, oo waxaa lagu daaweeyaa by extirpation), guud ahaan carow ah (ballaaran oo kagaara saxarka dhaawac loola dhaqmo extirpation muhiim u ah ka hortaga dhacdo of periodontitis).
• Nooca joogtada ah ee pulpitis: fudud, hypertrophic (kuwaas oo laba nooc oo si fiican u la daweyn karo oo la kartida si loo badbaadiyo xididka), gangrenous (extirpation noocyada burbur daweeyey dhowr booqashada dhakhtarka).

Qoondaynta oo ah MMSI ah

xidhmada fataahadda habka neurovascular cudurka waa in la sii wado si toos ah farsamooyinka Gofunga. minbarka Qoondaynta item MMSI ka mid ah sii daridda foomamka chronic ee pulpitis oo la tixgelinayo muujinta ah ee caabuq in iliga, ka hor inta aan loola dhaqmo. Sida laga soo xigtay fataahadda this, cudurka waxa loo kala qaybiyaa:

• Foomamka Ba'an ee pulpitis: focal ama purulent waajihi, nabarrada.
• Foomamka Chronic of pulpitis: gangrenous, fibrotic ama hypertrophic.
• Daridda foomamka chronic ee pulpitis: buunshada ama gangrenous.

Sii daridda ah pulpitis nooca gangrenous waxay keeni kartaa dhibaatooyin ah cirridka, maadaama ay si firfircoon uga soo koraya waxaa microflora anaerobic. Haddii ka kaxayntu ay qayb ka mid ah dareemaha ma xal u helidda dhibaatada of gubasho, hysterectomy dhamaystiran ama channels mummification soo noqnoqda inta badan furfuraya dhibaatada.

Qoondaynta by Vinogradova

Qoondaynta oo ah qudbooyin carruurta soo saaray nidaamka Vinogradova Professor oo bixiya cudurrada si cad u gooni ah oo ilkaha kaymo ka joogto. Dhakhtarku wuxuu sharxayaa in caabuq ee caanaha iyo gowsaha dhacaan siyaabo kala duwan. Professor talinaysaa in cayimayo heshiis dushiisa ilko ku meel gaar ah iyo habka daaweynta ayaa shaaca ka on diidmada gudbinta channel dhameystiran. Tani waxay keeni kartaa in waxyeello ku buro ilkaha joogtada ah ee ilmaha.

Qoondaynta oo ah qudbooyin carruurta ka mid ah waxyaabaha soo socda:

• ilkaha Caanaha pulpitis ba'an, nabarrada (soo baxa si degdeg ah, foomka lobular noqdo waajihi), carow ah (si deg deg ah daboolayaa saxarka oo dhan iyo waxa ay noqon karaan chronic).
• Xiisad pulpitis tirada joogto ah qof ilko: total nabarrada ba'an ama qayb ahaan, guud ahaan purulent ba'an ama qayb ahaan.
• Chronic pulpitis set ku meel gaar ah oo joogto ah oo ilkaha: fudud, proliferative ama hypertrophic, gangrenous.
• Daridda foomamka chronic ee pulpitis ilkaha ku meel gaar ah oo joogto ah, waxay badanaa ka dhacdaa dhanka ah asalka ah oo pulpitis fudud chronic.

peculiarity ee geedi socodka bararka ee iliga ku meel gaar ah waa in geeddi-socodka ku faafay mezhkornevyh meel la itimaalka sare. Tani waa sababta oo dentin ee aaga this waxa uu shahaadada sare ee permeability. Tani waxay ifafaale waa khatar, sababtoo ah waxay keeni kartaa rabshooyin in formation of buro ilig gaws, bedesho taariikhda ay qarax, yaraynta ay iska caabin ah.

pulpitis Chronic ilkaha ku meelgaar ah waxaa lagu gartaa in si ay u kac sida foomamka hoose Goldogob marxaladda ba'an. Waxaa laga yaabaa in astaamo, laakiin hornimaadno by xaqiiqada ah in ilaa xad si deg deg ah ku faafi unugyada cirridka. Sidaa darteed waxaa lagama maarmaan ah in ay si dhow ula socdaan xaaladda saabka afka carruurta oo waa inaanan ka daalina daaweynta ilkaha hoose.

Features of daaweynta pulpitis

Qoondaynta oo ah hababka daaweynta ee pulpitis waa si toos ah ee la xiriira in ay cudurka. Waa caqli badan ka ogaado heerka uu kakanaanta cudurka ku xirnaan doontaa guusha therapy.

Haddii call si ay ilkaha la fuliyay bilowga ah ee horumarinta pulpitis, dhakhtarka inuu u dhaqaaqo daawaynta noolaha ka dhigaa. Waxay ka kooban tahay ee soo socda: dareemaha ee iliga aan la saaro, waxay isticmaalaan daroogada calcium-protivogistaminnye gaar ah. Natiijada daaweynta sida barar ku dhaca baas saxarka ah, waxaa la aasaasay dentin substitutive. Codsatay in ay ku godadka seal nadiifiyaa.

Haddii daaweynta waqtigii dhakhtarka ma dhicin, markaas waxaa macquul ah ee daaweynta nafleyda ayaa seegay. Marka marxaladdan, ilkaha waxay yeelan doonaan si ay u fahmaan waxa saxarka bukaanka. Ra'yiga, qoondaynta iyo hababka ogaanshaha dhigo mid sax ah intii suurtogal ah.

Waxay jeelyihiin in badan la isticmaalo habka eedda ka qayb ka mid ah saxarka. Under saameynta ay suuxdinta sameeyey bixitaanka ee dareemaha heerka of taajkii, aaga xididka weli macne. Intaas ka dhigay dejinta la calcium, iligna waxaa laga shaabadeeyey. Haddii baahan in la, fuliyay daaweynta dabiiciga ah, qori therapy anti-bararka. hab noocan oo kale ah waxaa lagu talinayaa in carruurta dushooda ilkaha weli ma la aasaasay.

Waxa ay muujinaysaa in dhaqan ilkaha, kiisaska intooda badan, isticmaalo saarista dhamaystiran oo dareemaha. Taas waxaa la samayn karaa suuxin ama habka ku dahaadhaa, Jinka devitaliziruyuschey kooban arsenic. Qoraalkan waa mid aad u sunta ah, iyo faashad waa in la saaro si sax ah waqtiga qoray dhakhtarku. Ka dib markii in, ka daaweynta endodontic, inta lagu guda jiro kaas oo ah channels buuxinta ilkaha percha gutta.

Ka dib markii daaweyn noocan oo kale ah waa la fuliyay X-ray si aad u hubiso tayada factor soo saaray in channels khalkhalgelinta ah. Haddii ay kor u buuxsantay inay hogaanka horyaalka, superimposed shaabadda.

In the case of burburinta gebi ahaanba dhakhtarka ilkaha isticmaalo a pin -copings, taas oo laga sameeyey soo celinta iliga. Khabiir walba kuu sheegi doonaa in la damaanad si loo garto soocidda ee minbarka. Daaweynta waa kordhiyo ogaanshaha macquul dhamaystiran jirriqsi bukaan-socodka.

Racfaanka ilkaha ku jira marxaladaha hore ee pulpitis faa'iido u leh qofka bukaanka ah. Daaweynta xilligan la joogo waa ku dhowaad aan xanuun lahayn oo aan qaali ahayn. Haddii aad cudur laga yaabo in ay horumariyaan periodontitis, taas oo aad uga sii adag tahay si loo daaweeyo iyo in ka badan.