Pulpitis: nhazi ọkwa, ụdị, ọgwụ. Nhazi ọkwa nke ụzọ nke ọgwụgwọ nke pulpitis

Iju ma ezi - a ọrịa dị ka pulpitis, nwere ihe karịrị 20 nhazi ọkwa na-eru nso. Ụlọ iji onwe ha na N'ezie nke ọrụ ha dị iche iche ụdị ọrịa ntule, ma e kwuru na ma nke ha nwere ike 100% kọwaa n'ụzọ ziri ezi niile atụmatụ nke a-eji nwayọọ ọrịa. Ụlọ na-ekwu na ha mkpa ha na ihe adaba na mfe nhazi ọkwa nke pulpitis, nke ga-ekwe ka ya mara na ọrịa na niile nri ọnọdụ.

Gịnị mere m mkpa ịgụnye ikwuputa okwu Chukwu?

Ọnụnọ nke ndị dị otú ahụ a buru ibu systematization nke eze na ọrịa metụtara na dị iche iche na-eru nso ka anwa kọwaa picture nke ọrịa. Iche iche iche iche nke classifications pulpitises enye tụlee ha si dị iche iche echiche: ndị na-akpata na mmepe, na-adakarị progression, ọnọdụ nke na-apụtaghị ìhè Filiks ke mgbọrọgwụ kanaal na ndị ọzọ.

Na-akọwa site na niile akụkụ ikwuputa okwu Chukwu classifications nwere ma e mepụtara. Ya mere, ụlọ nwere na-amuma usoro ẹdude adakarị picture na onye ndidi n'ime kpuchie nke ẹdude ụzọ nke nwale. Ọtụtụ nhazi ọkwa atụmatụ e mepụtara ọtụtụ iri afọ gara aga, Otú ọ dị, na ugbu a na-eji na-eme nke na ịgwọ pulpitis.

The mgbalị mbụ ka systematize a eze ọrịa na-e ke 20s nke ikpeazụ nke narị afọ na a na-akpọ ndị kasị nkọwa ziri ezi nke pulp. ndị a classifications ndị kama mgbagwoju na cumbersome. Ọ bụ ya mere ndị ọkachamara na-eduzi a na-aga n'ihu na-arụ ọrụ na mma nke ọrịa nkọwa usoro. Na etiti oge nke 5-10 afọ chọrọ a ọhụrụ nhazi ọkwa, nke dabeere na mbụ atụmatụ, ma ụfọdụ ọhụrụ àgwà ndị nkọwa nke picture ikpo okwu.

WHO nhazi ọkwa

Ọgwụgwụ nke narị afọ nke 20, ya bụ na 1997, dentistry ji iwebata nke International nhazi ọkwa nke Diseases, 10th Idegharị, nke a maara site afo ICD-10. Ọ na-e mma site World Health Organisation, na na 1999 ghọrọ ọtụtụ ebe ada na eze na-eme maka na ịgwọ pulpitis. Nke a na usoro bụ aha nke Koodu na ha decryption kọwaa adakarị picture nke ọrịa. Nhazi ọkwa pulpitises ICD agụnye ndị na-esonụ ihe:

• Ọrịa nke pulp na periapical anụ ahụ ụdị awa denoted site a koodu K04.
• Kpọmkwem ikwuputa okwu Chukwu ezoro ezo K04.0.
• The mbụ ogbo nke ọrịa, ji hyperemia, denoted K04.00.
• Nnukwu pulpitis nyere encrypt K04.01.
• Ọ bụrụ na ihe etuto na-achọta, ọ bụ Kaakwa code K04.02.
• The-adịghị ala ala ụdị pulpitis na-ẹkedọhọde K04.03, na ọ bụrụ na a chọpụtara ihe ọnyá afọ, ọ na-chọrọ ka encrypt nchoputa nke K04.04.
• Ọ bụrụ na onye ọrịa na-hụrụ pulp polyp na-adịghị ala ala ụdị, ya ẹkedọhọde K04.05.
• Mgbe ọrịa na nke ụjọ na vaskụla anụ ahụ nke a eze ọzọ kpọmkwem ọdịdị Stamp K04.08.
• Ọ bụrụ na ihe na-akpata pulpitis bụ anya, ọ na-ekwu code K04.09.
• Necrotic ma ọ bụ gangrenous onu na slurry na-gosiri na koodu K04.1.
• Ọ bụrụ na dọkịta ezé hụrụ degenerative Filiks dị ka dentikli, pulp nkume ma ọ bụ calcification, ọ na-egosi ha na koodu K04.2.
• N'ihe banyere ọrịa ntutu ịdapụsị guzobere ike anụ ahụ na pulp annotation K04.3. Ọ bụrụ na ọ bụ oge ufodu (nke abụọ) dentin, ọ na-egosi site na koodu K4.3X. Ọ ga-kwuru na a na ọnọdụ na-ekwe calcification na nkume na pulp.
• Na apical periodontitis nnukwu uwa, nke bụ ihe na-akpata mgbanwe ndị na-neuro-vaskụla anụ ahụ nke a ezé, enịm cipher K04.4.
• Ọ bụrụ na dọkịta ezé na-achọpụta na n'ihu ya pulp ọrịa na periapical anụ ahụ na-adịghị dabara n'ime n'elu-e kwuru ihe, ọ na-eme a dee K04.9.

Nke a nhazi ọkwa pulpitises WHO, dị ka ụlọ, ọ bụghị nnọọ adaba. Otú ọ dị, ọ ka na-eji dị ka ukara na atụmatụ maka nkwadebe nke mgbakọ na mwepụ na-akọ ndị ọkachamara na-arụ ọrụ mere n'oge a na-oge. Koodu na ciphers a nhazi ọkwa dọkịta na iwu ji na-etinye ala na kaadị na-enwe ndidi kaadị. Ọtụtụ ụlọ ikweta na ha na-emeso ha wet ọrịa n'ime kpuchie nke atụmatụ chọrọ site WHO, ọ bụ ezie na ha na-kpam kpam ụzọ dị iche iche ga-adaba adaba e ji mara eze daa ọrịa.

Njirimara ikwuputa okwu Chukwu mụrụ ya

Nke a nhazi ọkwa-elebara pulpitis na periodontitis akpata ọrịa ahụ. Dị ka a criterion ụlọ 4 ụdị ọrịa:

• Ofufe Ọrịa.
• Akpasasị uche.
• Konkrementozny.
• Medical ma ọ bụ chemical.

Ka anyị tụlee ihe ọ bụla pulp na nhazi ọkwa-akọwa ya na-akpata.

infective pulpitis

Nke a na ụdị ọrịa a na-mere site ọrụ nke bacteria na-emepụta nsí na akpasu mbufụt na vaskụla akwara ùkwù ezé. Na 9 ikpe nke 10 nke microorganisms ada n'ime uji eze nke dentine ọwa mmiri ma ọ bụ emetụta gụrụ elu nke akwara. Naa nkịtị retrograde pulpitis, mgbe germs tinye eze site a oghere n'elu nke mgbọrọgwụ. Nke a pụtara mgbe na-efe efe ọrịa ndị dị ka nnukwu akụkụ okuku ume na-efe efe, Rubella, osteomyelitis, Sinusitis ma ọ bụ periodontitis. Na obere okwu, ọrịa nwere ike na-eyi hematogenous agwa. The kasị mma akụkụ ịmata ikwuputa okwu Chukwu - etiology. The nhazi ọkwa nke ụkpụrụ a na-eji site dọkịta.

traumatic pulpitis

Ọ ga-kwuru na ihe ọjọọ na-akpata a enweghị nchịkwa usoro nke nwere ike ime pulpitis. Na nke a, Vol kụrie nha nha cavities na ha ọrịa emee na n'ihu mmepe nke mbufụt akwara ùkwù. Mgbe ụfọdụ, ọ bụghị imebi ike n'ezi ihe nke eze na ya ziri ezi na ọnọdụ (luxation ma ọ bụ subluxation). Na nke a, ikwuputa okwu Chukwu bụ nzuzo na-enwe ọganihu na-enweghị aka nke microorganisms.

Mmerụ nwere ike iyi kwa ụbọchị uwa, inweta dị ka a n'ihi ihe ọghọm ma ọ bụ ihe ọjọọ, ma e nwere ike mere site na-erughị eru ọgwụ aka. Ihe atụ, mgbe egweri nke nha nha "a okpueze" pulpitis-abụkarị dị ka a N'ihi ya nke perforating anụ ahụ. Nke a na onu na-achọ ozugbo mgbazi. Ọ dị ezigbo mkpa na-akwanyere ndị circuit dọkịta: ikwuputa okwu Chukwu - nhazi ọkwa - ọgwụ - ọgwụgwọ. Maka usoro iwu ihe ọkachamara nta ka ọ bụla, ọbụna ihe ndị kasị mgbagwoju anya, ị nwere ike idozi ma zere ọtụtụ wetara nsogbu.

Konkrementozny ikwuputa okwu Chukwu

Nke a na ụdị pulpitis emee n'ihi na ụfọdụ ụlọ ọrụ na-akpata kanaal - dentikley ma ọ bụ petrifikatov. Ha na-eto na ọwa na cavities mpikota ọbara arịa. N'ihi mikrotsirkullyatsiya tiwara, kpụrụ ọzịza. The pụta bụ a pulp.

Medical ma ọ bụ chemical pulp

Nke a ikwuputa okwu Chukwu nhazi ọkwa-emekarị adịghị akọwa, ma n'ezie na ọ bụ nnọọ nkịtị na e mere site a ọgwụ njehie. Nke a na-eme mgbe ndị dọkịta ezé na-emetụta mgbe akwadebe onu caries ma ọ bụ periodontal n'akpa uwe gị n'ụlọnga nke nwere ike ọdịdị (alcohols ma ọ bụ esters) ma ọ bụ oru njehie e mere na oru.

Nhazi ọkwa site Platonov

N'agbanyeghị eziokwu na nke a ụdị ntule nke ọrịa chọrọ Prọfesọ Platonov laa azụ na 1968, na ọ ka na-eji ụlọ na omume. Nke a nhazi ọkwa nke pulpitis na periodontitis nwere ya flaws, ma ezi ya mfe na mma. Prọfesọ na ya Usoro jikọtara atọ na-eru nso: nwale nke-enweghị nchịkwa na Filiks ke pulp, ọdịdị nke ọrịa, nakwa dị ka orunótu nke ahụ ala. Nke a bụ a dị mfe, ma capacious usoro ọrịa ntule bụ na ihe masịrị nke ọtụtụ ndị ọkachamara na-akọwa ya ugbu a mkpa. Na nke a systematization tụlere isi akụkụ nke a onu, ka ikwuputa okwu Chukwu - etiology, pathogenesis. Nhazi ọkwa nke ọrịa nke Platonov bụ dị ka ndị:

• Nnukwu pulpitis ụdị: lobular ụdị (nnukwu mgbu, nke doro anya orunótu ndidi) na asị ibe ụdị (undefined orunótu, inyịme tinyere trigeminal akwara na ihu).
• Pulpitis-adịghị ala ala agwa hypertrophic (ọzịza nke pulp oghere ejuputa caries), gangrenous (necrosis nke akwara anụ ahụ na vaskụla ùkwù) na fibrotic (eze anụ ahụ imu).
• Pulpitis exacerbation nke ala ala iche-iche.

Nke a nhazi ọkwa na ikpo okwu Clinic ukwuu mfe ọrụ ụlọ, karịsịa mkpata na mmefu clinics. A, na ndị dị otú ahụ, dọkịta adịghị nwere oge iji nyochaa ndị na-akpata nke eze ọrịa. Iji guzosie ụdị ọrịa, bụ zuru ezu na-ajụ onye ọrịa ajụjụ ụfọdụ.

nhazi ọkwa Gofungu

Nke a na usoro bụ nnọọ ewu ewu n'etiti ụlọ, n'ihi na ọ na-akọwa ihe ndị kasị mkpa akụkụ nke a daa ọrịa dị ka a ikwuputa okwu Chukwu - nhazi ọkwa, na-adakarị picture, ọgwụgwọ. Ọ na-enye otu echiche banyere nkebi nke ọrịa na-enye ohere maka dị iche iche na-adakarị parameters na morphology mgbanwe pulp n'oge aza. Dị ka nke a usoro, forms nke ọrịa na-na-esonụ:

• The nnukwu ụdị pulpitis: ele mmadụ anya n'ihu (reversible, nwere ike gwọrọ site retaining ndu akwara), ngụkọta (asị ibe, ekpuchi dum pulp, na-emeso site extirpation), ngụkọta purulent (ọtụtụ na irreversible mmebi pulp emeso extirpation oké mkpa ka mgbochi nke omume nke periodontitis).
• The-adịghị ala ala ụdị pulpitis: mfe, hypertrophic (a abụọ iche iche nke zuru okè ngwọta ikike ịzọpụta mgbọrọgwụ), gangrenous (ebibi umu extirpation emeso ke ọtụtụ-eleta ndị dọkịta).

Nhazi ọkwa nke MMSI

The usoro morphology ọrịa neurovascular ùkwù bụ kpọmkwem n'ihu Gofunga usoro. Nhazi ọkwa ikwuputa okwu Chukwu MMSI item agụnye exacerbation nke ala ala iche-iche nke pulpitis na-ewe n'ime akaụntụ atụmatụ nke mbufụt ke ezé, tupu a na-emeso. Dị ka a morphology, ọrịa na-ekewa:

• Nnukwu iche nke pulpitis: Baịbụl hiwere isi n'ebe ma ọ bụ asị ibe purulent, serous.
• -Adịghị ala ala iche-iche nke pulpitis: gangrenous, fibrotic ma ọ bụ hypertrophic.
• Exacerbation nke-adịghị ala ala iche-iche nke pulpitis: fibrous ma ọ bụ gangrenous.

Exacerbation nke gangrenous ụdị pulpitis nwere ike ime ka nsogbu nke periodontal, dị ka ọ na-arụsi ọrụ na-emepe emepe anaerobic microflora. Ọ bụrụ na ndị mmadụ anya n'ihu mwepụ nke akwara anaghị edozi nsogbu nke mbufụt, a zuru ezu hysterectomy ma ọ bụ ugboro ugboro mummification ọwa na-emekarị doziri nsogbu.

Nhazi ọkwa site Vinogradova

Nhazi ọkwa nke ikpo okwu na ụmụaka na-emepụta nke Prọfesọ Vinogradova usoro na awade a n'ụzọ doro anya iche iche ọrịa nke deciduous ezé si mgbe nile. The dọkịta na-akọwa na mbufụt na mammary na molars ime na ụzọ dị iche iche. Prọfesọ na-atụ aro na ndokwa specificity n'elu na-adịru nwa oge ezé na ọgwụgwọ usoro ekwusi na ojuju nke zuru nnyefe ọwa. Nke a pụrụ ịkpata mmebi nke nwa na-adịgide adịgide eze nwa osisi.

Nhazi ọkwa nke ikpo okwu na ụmụaka na-agụnye ndị na-esonụ ihe:

• Mmiri ara ehi ezé pulpitis nnukwu: serous (retara ngwa ngwa, lobular ụdị aghọ asị ibe), purulent (ngwa ngwa na-ekpuchi dum pulp na pụrụ ịghọ ala ala).
• Nnukwu pulpitis adịgide adịgide agwa nọmba ezé: nnukwu serous Mkpokọta ma ọ bụ ele mmadụ anya n'ihu, nnukwu purulent Mkpokọta ma ọ bụ ele mmadụ anya n'ihu.
• Adịghị ala ala pulpitis nwa oge na-adịgide adịgide set ezé: mfe, proliferative ma ọ bụ hypertrophic, gangrenous.
• Exacerbation nke-adịghị ala ala iche-iche nke pulpitis nke nwa oge na-adịgide adịgide ezé, ọtụtụ-abụkarị megide a ndabere nke-adịghị ala ala dị mfe pulpitis.

The peculiarity nke mkpali usoro ke nwa oge nha nha bụ na usoro igbasa mezhkornevyh ohere na elu puru. Nke a bụ n'ihi na dentin na nke a nkebi nwere nnukwu ogo permeability. Nke a na onu dị ize ndụ n'ihi na ọ pụrụ ime ka na-enwe nsogbu guzobe a ezengwenri eze nwa osisi, ịgbanwe ụbọchị nke ya ọkọ, mbenata ya iguzogide.

Adịghị ala ala pulpitis nwa oge ezé na-ji na ha nwere ike inwe dị ka isi forms gafere nnukwu-adọ. Ha nwere ike ịbụ asymptomatic, ma ogbu na nwayọọ site eziokwu na ezi ọsọ ọsọ na-agbasa na periodontal arọ. Ya mere, ọ dị mkpa ka anya nyochaa ọnọdụ nke onu oghere nke ụmụaka na-ekwesịghị ileghara ọgwụgwọ nke isi ezé.

Akụkụ nke ọgwụgwọ nke pulpitis

Nhazi ọkwa nke ụzọ nke ọgwụgwọ nke pulpitis bụ ozugbo kọọrọ ụmụ nchoputa. Ọ bụ nkà chọpụta ogo mgbagwoju nke ọrịa ga-adabere na ịga nke ọma nke ọgwụ.

Ọ bụrụ na oku na-aga ka dọkịta ezé e rụrụ na mmalite nke mmepe nke pulpitis, dọkịta na-eme ka ụzọ ya ndu ọgwụgwọ. Ọ mejupụtara ndị na-esonụ: akwara nke eze na-adịghị wepụrụ, na-eji a pụrụ iche calcium-protivogistaminnye ọgwụ ọjọọ. Dị ka a n'ihi nke ọgwụgwọ dị otú ahụ ihe mbufụt nke pulp gafee, na-kpụrụ substitutive dentin. Etinyere na kpochara akara cavities.

Ọ bụrụ na-adọ ọgwụgwọ na nke dọkịta mesoghị, mgbe ahụ, ohere nke a ndu ọgwụgwọ e Agbaghara. Mgbe a na ogbo, dọkịta ezé ga-aghọta ihe ọrịa pulp. The echiche, nhazi ọkwa na-achọpụta ọrịa ụzọ mee ka ọ dị ka ezi dị ka o kwere.

Ọtụtụ mgbe na-eji usoro nke na-ele mmadụ anya n'ihu mwepụ nke pulp. N'okpuru nduzi nke ná Nkụnwụ mere na ndọrọ ego nke akwara n'ogo nke okpueze, na-akpata mpaghara na-anọgide viable. Mgbe nke ahụ gasịrị tọrọ Nwa na calcium, na eze na-anọkwasị. Ma ọ dị mkpa, rụrụ physiotherapy, nye iwu mgbochi mkpali ọgwụ. Ndị dị otú ahụ a usoro a na-atụ aro ka ụmụaka ezé n'elu ka kpụrụ.

Ọ na-egosi eze omume, ọtụtụ mgbe, na-eji zuru mwepụ nke akwara. Nke a nwere ike ga-eme n'okpuru ná Nkụnwụ ma ọ bụ machie usoro devitaliziruyuschey tapawa nwere arsenic. Nke a ihe onwunwe bụ nnọọ na-egbu egbu, na ákwà a ga-ewepụ na kpọmkwem oge kenyere site dọkịta. Mgbe ahụ, endodontic ọgwụgwọ, n'oge nke ndochi ọwa nha nha gutta percha.

Mgbe dị a ọgwụgwọ a rụrụ X-ray elele àgwà na-akpata na-emepụta na mkpachapụ ọwa. Ọ bụrụ na ha na-ejupụta n'elu, karịrị akara.

N'ihe fọrọ nke nta mbibi zuru ezu nke nha nha dọkịta na-eji a pin -copings, nke ka nke ndị eze mweghachi. Ọ bụla ọkachamara ga-agwa gị na-ekwe nkwa iji nyere chọpụta nhazi ọkwa nke ikwuputa okwu Chukwu. Ọgwụgwọ bụ a ezi uche ndọtị ọma nchoputa nke ọrịa ezé.

Ịrịọ ka dọkịta ezé ná mmalite nkebi nke pulpitis bụ uru na-enwe ndidi. Ọgwụgwọ na a ogbo bụ fọrọ nke nta enweghi mgbu na ọnụ. Ọ bụrụ na ị na-agba ọsọ a na ọrịa ahụ nwere ike ịzụlite periodontitis, nke bụ nnọọ ike na-emeso ndị ọzọ.