Gulu la caries mano. Mitundu ndi gulu la caries mano ana

Caries - matenda wodziwika mu ngodya zonse za dziko lapansi, ndi n'kovuta kupeza munthu amene si akumana vutoli kamodzi pa moyo. matendawa amakhudza zimakhala zovuta mano, thinned enamel ndi kudutsa mu zigawo zakuya za dentin, kulenga mwa iwo patsekeke. Nthawi zambiri kuwononga zowoneka noticeable pokhapokha kuwonongeka okha ku zigawo zakuya za minofu.

Zimayambitsa matenda

Mano zimatulutsa kwambiri mfundo zimenezi, a zotupa carious, koma pachimake akanali yemweyo:

• Amamwa kwambiri mchere kapena lokoma zakudya.
• The sangathe wa zakudya chakudya ndi mavitamini.
• The zili otsika mu fluorine zobwezeretsa enamel mano.
• The kunyalanyaza m'kamwa ukhondo.
• matenda opatsirana.
• Majini chingawapangitse kukhala zidakwa.
• Katundu dongosolo dzino, pamaso pa pamwamba pa enamel wa borozdochek zachilengedwe zimene kudziunjikira tizilombo atengeke lawola wotsatira.

Onse zinthu zakumwamba, kumlingo bwanji asidi-m'munsi bwino pakamwa, kupanga mano enamel yabwino malo chitukuko cha tizilombo toyambitsa matenda. Chifukwa cha leaching pang'onopang'ono kashiamu kwa dzino enamel minofu akuwonongedwa ndipo anapanga cavities. I pa ozikidwa gulu la caries mano, pali ambiri, ndipo ndi zoona. Anawonjezera gulu ndi magawo angapo zimathandiza kuika matenda yodalirika, kudziwa mlingo wa njira akuthamanga ndi njira matenda chithandizo.

Gawo ndi Blake

The amagwiritsidwa ntchito ndi gulu la caries mano ndi Black. Izo zimanyezimiritsa osati malo a chiwonongeko carious padziko, komanso kuya za kulephera mayeso. Mayina masika mitundu zichitike kudzera makalasi - apamwamba kalasi, ndi kunyalanyaza matenda:

1. Ine kalasi. Koyamba siteji - ndi caries ofooka kwambiri kachilombo occlusal padziko dzino enamel. Chionongeko anaikira m'madera a grooves tapered a dzino. Limodzi ndi chiwonongeko mwapang'onopang'ono enamel, dentin ndipo kenako. Ndi mankhwala pa nthawi yake kwa mano m'kati siteji 1 akhoza alimira kwathunthu anachiritsa mano, popanda thandizo la kubowola a.
2. Maphunziro II. cavities zolimbitsa anapanga padziko kulankhula chapamwamba ndipo m'munsi zapambuyo mano. Owola mu malo awa mbandakucha, nthawi zambiri zasintha mbali amafanana Triangles yaing'ono. kuvulala amenewa zibisika pakati pa mano, ndipo nthawi zambiri sangathe kuzindikiridwa ngakhale odziwa.
3. Maphunziro III. Malinga ndi udani umenewu monga caries gulu, izi kugonjetsedwa zolimbitsa, mmene M'mimbamo anapanga padziko kutsogolo kwa mano. Akadaulo a atsopano pa nthawi imeneyi silinasinthe. Nthawi zambiri, mtundu uwu wa mano amakhudza anthu amene amazunza maswiti ndi kawirikawiri ntchito mano floss.
4. Maphunziro IV. Aakulu mano, lomwe ndi sitepe mwapang'onopang'ono kugonjetsedwa kwa kalasi III. Ngati pamwamba kuwonongeka cutters Popanda kuchitapo kanthu, akuyamba kugwetsa mu dentin wa dzino zotsogola.
5. V kalasi. digiri kwambiri. caries gulu amadziwika mtundu wa kuwonongeka kwa dzino mozama pamodzi m'dera gingival. Cavities mitundu ina amatchedwa khomo lachiberekero, iye ndi owopsa monga M'mimbamo carious ili pafupi atangochimwa mizu. Pa siteji koyamba, ndi malire pakati pa chingamu ndi dzino thupi yokutidwa ndi pafupifupi munthu kuonekera m'mbali woyera. Nthawi zambiri, muzu caries amakhudza ziwalo zambiri, nthawi zina matenda zonse. Kunyalanyaza mankhwalawa "cavities woyera 'anaumbidwa mavuto mu mawonekedwe foci chiwonongeko carious. Nthawi zina, mavuto aakulu matendawa akhoza kukhala funso za kuchotsedwa kwa dzino kuonongeka.

Gawo la WHO / ICD 10

Caries gulu ndi la WHO (World Health Organization) zachokera chizindikiritso cha malo enieni anakhudzidwa ndi likusonyeza mfundo zotsatirazi zikusonyeza zizindikiro:

• K02.0. Kuyambira chiwonongeko cha enamel, anasonyeza pakhale mawangamawanga oyera padziko.
• K02.1. Code limasonyeza chiwonongeko sitepe dentin - minofu pansi enamel lapansi.
• K02.2. Polimbikitsa carious chiwonongeko kapena muzu caries. Ndondomekozi ndi ntchito kusonyeza kuwonongeka kwa mizu dzino.
• K02.3. Chikhazikitso sitepe imene inaimitsidwa chiwonongeko carious.
• K02.4. Pamafunikanso odontoklaziyu, ana ndi melanodentiyu melanodontoklaziyu.
• K02.8. mitundu ina amene palibe m'ndime yoyamba ija.

caries gulu ICD (mayiko gulu la Matenda) imatengedwa wotchuka kwambiri mu udokotala wa mano masiku ano. Ndi yabwino chifukwa ali ndi kuukonza mu mawonekedwe a mfundo anadzipereka suspend matenda ake ndi mitundu ina.

Gulu la matenda chachikulu

caries mano Nazo alinso ndi pafupipafupi yatsoka:

• Pulayimale - kale poyera kuti matenda anapanga dzino caries, etiology, zimachitika ndi gulu ndi kusanthula zokhudzana ndi gulu makamaka.
• Secondary kapena muyambirenso - limapezeka padziko thupi, poyamba pansi wosindikiza. Kumachitika chifukwa cha zolakwikazo zisindikizo koyenera dzino, potero kupanga kusiyana, amene ali pansi pa malo abwino kwa kukula kwa tizilombo toyambitsa matenda.

Gawo Topographic

mwambowu, mitundu zimasiyanitsa zotupa caries malinga ndi mlingo wa njira. Zili wamba kudziwa matenda monga caries gulu ICD 10. Dziwani kuwonongeka zotsatirazi:

1. malo mapangidwe. Siteji koyamba, zomwe amakonda chiwonongeko cha enamel. Pa nthawi imeneyi, padziko dzino limapezeka owala kapena mdima malo. Kuwonongeka kwa kapangidwe enamel si - ndi yosalala, ululu sichikunditsutsa. Panthawi imeneyi, zovuta kuchiza mano, chifukwa izo zimabwera ndi phukusi kochepa mu zimakhala a dzino - banga atachotsedwa kuchokera pamwamba, zopangidwa enamel remineralization.
2. Pamwamba caries. Sitepe kumafuna kuwononga katundu amene si lolunjika dera chozama dzino enamel. Iwo yodziwika ndi ululu nthawi ndiponso zimachitika kuti otentha ndi ozizira. Chithandizo chimachitika monga momwe mu siteji koyamba.
3. Middle caries. ndondomeko wapita kupitirira malire a enamel ndi m'kati mwa munda wa padziko ululu dentin kuonekera kwambiri ndi pafupipafupi. ndondomeko ndi yokhudza kuyeretsedwa chithandizo M'mimbamo ndi akuwasindikiza unsembe.
4. Nato caries. Minofu kuwonongeka ndi aakulu, zamkati amateteza okha wosanjikiza zonyalazo dentin apulumuka, zokumana nazo mtima ululu. Ngati nthawi wosachita chisindikizo unsembe, matenda zingakhudze zamkati ndi dzino m'zigawo n'zosapeŵeka.

Gulu la kukula

Ku mphamvu ya matenda a M'mimbamo m'kamwa 2 ndi mitundu akutali a matenda:

• A umodzi mano - amakhudza dzino limodzi.
• Mipikisano - matenda amakhudza mano angapo.

Pakati pa odwala caries angapo nthawi zambiri amakumana ndi anthu ndi matenda a dongosolo mtima. Ngati matendawa amakhudza mano mwana, mwina iye anali kudwala fever ndi zilonda zapakhosi. Berezhnaya kupewa cavities angapo mwana pansi zaka zitatu mano chachikulu siliva yokutidwa.

Gulu la mavuto Education

Kuchedwa mankhwala a odwala ndi mano ndi matenda mano anati nthawi zambiri. N'kosavuta kuti ingoganizani ndi zinadzala ndi kunyalanyaza vutoli. Kumene, lero pali caries gulu zosokonezeka. Malinga ndi iye, ndi:

• Zovuta. Matendawa limodzi ndi njira yotupa mu M'mimbamo m'kamwa. A kusuntha kamwazi ndi.
• Wopepuka. caries gulu kumatithandiza kuzindikira kuti mtundu uwu wa matenda, likuyenderera mu masitepe ochiritsira, kuphatikizapo kuwala, sing'anga komanso chozama.

Mlingo wa chitukuko cha ndondomeko caries

Development wa matenda limapezeka pa munthu aliyense yosiyana mwamphamvu malingana zinthu zina ndi makhalidwe munthu wa chamoyo. Magulu angapo osiyana a caries:

1. Lakuthwa. Zizindikiro za matenda kuoneka mwamsanga - mwa masabata limodzi kapena awiri.
2. Aakulu. Matendawa akufotokozera pa nthawi yaitali ndipo amakhala ndi maonekedwe a mawanga chikasu kapena zofiirira padziko akhudzidwa wa enamel lapansi.
3. Ukufalikira. Progressive mtundu, imene pali angapo enamel kuwonongeka mu nthawi yochepa.

Zochita za matenda ana

Gulu la caries ana ikuchitika malinga ndi muyezo womwewo monga akuluakulu. Mu mano Dokotala likugwiritsidwanso panopa mmene anawasiyanitsira kwambiri, matenda chachikulu, pamaso pa mavuto, ndi zina zotero. D. The yekha kusiyanitsa mbali ndi kulekana kwa mkaka ndi caries okhazikika dzino.

zotupa Carious ziwalo mammary amayambitsa zochepa kusapeza kuposa matenda mpaka kalekale. Ana, mano amapezeka kwambiri kawirikawiri kuposa akuluakulu, choncho m'pofunika posachedwapa kuphunzitsa mwana aukhondo yoyenera m'kamwa ndi kuchepetsa kugwiritsa ntchito wokoma. Popeza kuti mkaka mano ali zosakhalitsa chithandizo strategy zingasiyane pang'ono mankhwala mano okhazikika.

Silvering mano makamaka ana

makolo masiku ano pa mano njira anakumana ndi liwu monga mano siliva ana. Ndondomeko ikuchitika kuti kupewa ndi kuchiza wa magawo oyambirira caries. Ndipotu ndondomeko ndi "yozizira koopsa" matendawa.

Sabweretsa chisoni ndondomeko, pa mano ake afika ku enamel dzino ndi thonje swab zikuchokera wapadera munali siliva. Mano anapanga pa filimu kuteteza, amene kumathandiza sedimentation ndi kukula kwa tizilombo toyambitsa matenda padziko enamel.