Nehosha yakadaro isingadikanwi se hypertrophic gingivitis, kuwedzera kwechirwere chegingival tissues kunoonekwa nekuda kwekusagadzikana kwavo kusingaperi. Kuenderera mberi kwekuita munyaya iyi hakugoni kushandiswa, saka zvinokosha kuti udzimise nekukurumidza sezvinobvira - kuitisa kurapa kwakakwana.
Hypertrophic gingivitis - zvinokonzera
Nzira iyo inofungidzirwa ye gingivitis inogona kubuda sechirwere chakasiyana kana kuva kuratidzira kwenguvaontitis mune imwe nzvimbo isina hanya. Mukufambisa kwekukundwa, zvinhu zvinokosha zvinowedzerwa nemunharaunda kana zvinhu zvinowanzoonekwa, kazhinji kusangana kwavo kunoonekwa. Zvinokwanisika kufungidzira kuti chii chakakonzera chirwere ichi, zvichida nekuda kwekupararira kwekuchinja mumatumbu. Saka, kana hypertrophic gingivitis inowanikwa munzvimbo ino (yakanyanya kunyanya munharaunda ye canines uye incisors yemasaya maviri), zvino zvinokanganisa zvinokonzera ndezvi:
- anomalies wes occlusion (yakazaruka, yakadzika, muchinjikwa);
- kukanganisa kubva pamusana wekuiswa kwamazino mune dentition (kuunganidzwa mukati mechimwe chikamu chejaya, hyperdontia, kukanganisa);
- anomalies mukukudziridza frenum yemiromo;
- tartar;
- zvisimbiso zvisina kusimba uye mazino;
- kusina kunaka kwehutano hwemuromo kana ukapfeka magetsi orthodontic, nezvimwewo.
Rudzi rwakawanda rwehutachiona, umo marudzi anochinja kuonekwa pamusana wose kana pamasaya maviri, nyanzvi dzinoti kune zvikonzero zvinotevera:
- kuchinja muhutoni hwemuviri;
- chisingaperi endocrine zvirwere;
- zvirwere zve hematopoietic system;
- kushaya vitamini C;
- kurapwa neDiphenin.
Hypertrophic gingivitis - zviratidzo
Kune miviri miviri ye hypertrophic gingivitis, inoratidzwa neimwe kliniki yemifananidzo:
1. Fibrous form:
- kupararira uye kuwirirana kwemukatikati gentalval papillae;
- iyo gingival papillae haishanduki ruvara (ramba uripo pini);
- kuchinja kwemasumbu kunogona kuitika zvose kubva kunze uye kubva mukati memeno;
- kuumbwa kwenhema dentogingival pockets kunoonekwa;
- kubuda ropa hakuonekwi.
2. Edema:
- kuwedzera mu gingival papillae, uye kurira kwavo;
- gingival tissues kuwana purplish-cyanotic mumvuri, kubwinya kwechiedza, kusununguka;
- kuumbwa kwenhema dentogingival pockets kunoonekwa;
- Paunobata mazino, pane kubuda ropa;
- kusuruvara mukupwanya meno, kudya zvokudya.
Differential diagnosis of hypertrophic gingivitis
Kana uchitarisa hutachiona hwe hypertrophic gingivitis, nyanzvi inofanira kuisa pane zvimwe zvirwere nezviratidzo zvakafanana: fibromatosis, epulis, periodontitis . Ichi chirwere chinopesana nemamwe marudzi ehutachiona hwehutachiona hunokonzerwa nehutori hypertrophic gingivitis hunovhiringidza chete gum tissue, uye urongwa hwekupedzisira hwejaya hunoramba husina kumira. Izvi zvinogona kusimbiswa ne-X-ray kuongororwa. Apo kuongorora microscopic yemagamu, kuwedzera kwepithelial tishu pasina keratization kunoonekwa.
Kupfuura kurapa hypertrophic gingivitis?
Mushure mokutaura kunyatsoongorora uye kuziva zvikonzero zvinokonzera hypertrophic gingivitis, kurapwa kunotanga nekubviswa kwezvikonzero izvi. Hazvibvumiri kuti izvi zvinoda kubvunzurudza vanachiremba vezvimwe zviitiko. Mumamiriro ezvinhu apo hypertrophic gingivitis inobatanidza nekutora mishonga, zvinodiwa kubvumirana pamutemo wekurapa nachiremba uyo akarayira mushonga. Kusarudzwa kwenzira dzinoitwa nekufungisisa maitiro echirwere uye muzinga wekuparara. Conservative therapy uye nzira dzakasiyana-siyana dzinogona kushandiswa.
Hypertrophic gingivitis, fiber fomu - kurapa
Kana hypertrophic gingivitis, chimiro chemagetsi, ichionekwa, zvino maitiro ekuchengetedza haana kukwana, uye anowanzoratidza kuti haabatsiri munyaya iyi. Inokurudzirwa kuti iite basa rinoshandiswa rekukura kwechirwere, izvo zvinogona kuitwa mune imwe yenzira dzinotevera:
- kukorodzwa - kusvibiswa kune maitiro ane hutachiwana nemhepo yakadzika;
- diathermocoagulation - high frequency alternating current treatment;
- kushandiswa kushandiswa ne scalpel.
Mukuwedzera, kubviswa kwezvinyoro uye zvakaoma mazino mazino, kuvhara kurapa, maitiro ekurwisa anonyanya uye anopesana-kupisa, maitiro anowedzera immuno-kusimbisa anorongedzerwa. Varwere vanopa mazano pamusoro pekudzivirira kudzokorora kwechirwere ichi, kusanganisira kunyatsotarisirwa mumuromo nekushandiswa kwepadekisi dzakanaka uye rinses, dental floss.
Hypertrophic gingivitis, chimiro chakasiyana - kurapwa
Hypertrophic gingivitis, iyo yakagadziriswa yakaonekwa seisina simba, munyaya iyi inogona kurapwa kuburikidza nehutano hwehutano uye hwepiotherapy, hunosanganisira:
- kubviswa kwemazino emiti;
- kurapwa kwemasamu neanoriseptics uye anti-inflammatory agents;
- gum massage;
- electrophoresis ;
- ultrasound therapy;
- laser therapy;
- darsonvalization.
Mukusabatwa kwemigumisiro yakanaka yekurapa, sclerosing therapy inokurudzirwa - mujoyi wemishonga mu gingival tissues pasi peanesthesia yemo. Mukuwedzera, kushandiswa kwemukati kweglucocorticosteroids kunorayirwa kuti kubviswa kwehutu hunoputika, mavitamini-mineral complexes.