So woanya wo sẽ mu akisikuru pɛn? Momma yɛnka periapical abscess ho asɛm!

So wo sẽ ayɛ wo yaw araa ma wuntumi nnyina ano bio pɛn? Anaasɛ wote ɛyaw nka bere a wode wo nsa ka wo sẽ anaa wowe aduan no? Ɛtɔ mmere bi a eyi ba bere a ɔyare bi wɔ ɛse bi ntini mu, a ɛyɛ biribi te sɛ akisikuru no. Ɛnnɛ yɛbɛka tebea a ɛte saa ara ho asɛm, akisikuru a akisikuru ahyɛ mu ma wɔ ɛse ntini mu, a wɔfrɛ no aduruyɛ mu sɛ `` periapical abscess ''.

Dɛn ne saa Periapical Abscess yi?

Sɛ yɛbɛka no tiawa a, periapical abscess yɛ kotoku ketewaa bi a akisikuru ayɛ mu ma a ɛtwa wo sẽ ntini ho hyia. Wunim sɛnea eyi ba? Mmoawa bɔne a ɛwɔ yɛn anom fa tokuru anaa mpaapaemu bi a ɛwɔ ɛse no mu na ɛkɔ sẽ no mu. Afei wɔde ɔyare mmoawa kɔ ntini a ɛyɛ mmerɛw a ɛwɔ ɛse no mu a wɔfrɛ no pulp . Saa ɔyare mmoawa yi trɛw nkakrankakra kɔ ɛse no ntini mu na afei ɛkɔ ntini a atwa ɛse no ho ahyia no mu.

Susuw ho hwɛ, ɛte sɛ nea sɛ tokuru bi wɔ yɛn fie atifi a, nsu bɛtu akɔ mu na ayɛ afasu no mu nsu. Ɛse mu mpaapaemu ketewaa bi mpo betumi ama mmoawa akɔ mu na ɛde ɔhaw kɛse aba.

Sɛ wɔansa yare yi a, ebetumi atrɛw akɔ wo nipadua no afã afoforo, na ɛtɔ mmere bi a ɛde tebea horow a emu yɛ den a ɛde wo nkwa to asiane mu aba . Enti sɛ wususuw sɛ wowɔ akisikuru te sɛ eyi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Nsonsonoe a ɛda periodontal abscess ne periapical abscess ntam

Afei ebia wubesusuw sɛ saa abien yi yɛ ade koro, ɛnte saa? Nsonsonoe kakra wɔ mu. `(Periapical Abscess)` bi ba wɔ ɛse no mu, wɔ ɛse no ntini mu. Nanso `(Periodontal Abscess)` bi ba wɔ sẽ no mu. Wɔ saa mmienu yi mu no, nea ɛtaa ba ne `(Periapical Abscess)`, a ɛba wɔ ɛse no ntini mu.

Dɛn ne eyi ho sɛnkyerɛnne?

``Periapical Abscess`` ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho, nanso nsɛnkyerɛnne bi wɔ hɔ a ɛtaa ba:

• Ɛyaw bere a worewe aduan anaa worekyekyere wo sẽ: Ebia ɛbɛyɛ te sɛ nea obi reka wo afi wo mu.
• Nse a ɛyɛ mmerɛw anaa ɛyaw a ɛyɛ awɔw ne ɔhyew:Nsukyenee a wodi anaa tii a ɛyɛ hyew mpo betumi ama sẽ a ɛyɛ yaw no ayɛ kɛse.
• Ɛse a ɛyɛ yaw a wontumi nnyina ano, a emu yɛ den, na ɛbɔ: Eyi ne sɛnkyerɛnne titiriw a nnipa pii hu. Ɛtɔ da a, ɛyaw no tumi yɛ den araa ma wuntumi nna anadwo mpo.
• Ɛyaw a ɛtrɛw kɔ aso, kɔn, anaa anom: Ɛnyɛ ɛse no nko na ɛyɛ yaw, na mmom ɛyaw yi betumi atrɛw akɔ mmeae a atwa ho ahyia nso.
• Atiridii: Wubetumi anya atiridii efisɛ ɔyare mmoawa bi wɔ nipadua no mu.
• Ahome bɔne (Halitosis) anaa anom dɛ bɔne: Akisikuru tumi sesa ano dɛ na ɛde hua bɔne ba.
• Ntini a ɛho ahonhon wɔ kɔn mu anaa asen ase: Eyinom betumi ahonhon bere a nipadua no ko tia ɔyare mmoawa no.
• Anim a ɛho ahonhon : Sɛ ɔyare no trɛw a, anim no fã a ayɛ no betumi ahonhon.
• Ɔhome anaa mene a ɛyɛ den : Eyi yɛ sɛnkyerɛnne a emu yɛ den kɛse. Eyi betumi aba sɛ ɔyare no trɛw kɔ menewam a . Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Ɛtɔ mmere bi a, saa akisikuru yi tumi pae mpofirim. Sɛ eyi ba a, ebia mpofirim ara worente ɛyaw kakraa bi na woanya dɛ bɔne wɔ w’anom. Nanso ɛno nkyerɛ sɛ ɔyare mmoawa no afi hɔ. Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ sẽ ho oduruyɛfo nkyɛn kɔsa wo yare.

Mpɛn pii no, Periapical Abscess ma obi ho yɛ no yaw na ɔte yaw. Nanso, nnipa binom betumi anya saa tebea yi a ɛyaw biara nni ho. Sɛ wowɔ sɛnkyerɛnne afoforo te sɛ atiridiinini, ɔhome bɔne, anaa wo hohoro a, kɔ wo sẽ ho oduruyɛfo nkyɛn sɛ ɛyaw biara nni hɔ mpo a.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Sɛnea yɛadi kan aka no, nea ɛde eyi ba titiriw ne ɔyare mmoawa. Mmoawa a ɛwɔ yɛn anom no fa sẽ no mu ntini mu, fa tokuru, mpaapaemu, anaa nea abubu mu. Afei ɔyare mmoawa yi trɛw kɔ ɛse no ntini ne ntini a atwa ho ahyia no mu.

Hena na ɛda adi sɛ obenya saa tebea yi?

Asiane ahorow pii wɔ hɔ a ebetumi aboa ma ``Periapical Abscess`` aba:

• Ano ne sẽ ho ahotew a enye: Nneɛma te sɛ wo sẽ a worenhohoro ne wo sẽ ntam a worenhohoro betumi ama wo sẽ aporɔw na asiane a ɛwɔ hɔ sɛ wubenya nyarewa te sɛ eyi no ayɛ kɛse.
• Nnompe a enni hɔ (ano a ɛyɛ dry – `(Xerostomia)`) : Nnompe yɛ abɔde mu ahobammɔ nhyehyɛe a ɛwɔ yɛn anom. Sɛ nnompe sua a, ɛnyɛ den sɛ mmoawa benyin.
• Nnuan ne anonne a asikre wom a wɔtaa di: Asikre yɛ aduan pa ma mmoawa. Asikre pii a wodi na wɔnom no ma asiane a ɛwɔ hɔ sɛ wo sẽ bɛporɔw no yɛ kɛse.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Eyi yɛ biribi a nnipa pii mfa nyɛ hwee. Sɛ wubu w'ani gu so sɛ ɛyɛ sẽ a ɛyɛ yaw ketewaa bi a, ``Periapical Abscess'' betumi de ɔhaw ahorow a emu yɛ den aba.

• Ɔyare no betumi atrɛw akɔ anom dompe no mu.
• Afei ebetumi atrɛw akɔ ti ne kɔn no afã afoforo.
• Ɛtɔ da bi a, ɔyareɛ no tumi hyɛn mogya mu na ɛde tebea a ɛde nkwa to asiane mu a wɔfrɛ no `Sepsis` , a ɔyareɛ no trɛw kɔ nipadua no mu nyinaa.

Enti, mmu w’ani ngu ade ketewaa bi mpo so. Kae sɛ ɛnyɛ ɛse no nko na ɛse ho haw betumi aka, na mmom nipadua no nyinaa nso.

Wobɛyɛ dɛn ahu eyi?

Nsõ ho aduruyɛfo de akwan titiriw abien di dwuma de hu ``Periapical Abscess'':

1. Nsõ mu nhwehwɛmu: Oduruyɛfo no bɛhwɛ wo sẽ ne wo sẽ mu yiye. Ebia ɔbɛbɔ ɛse a ɛyɛ adwenem naayɛ no brɛoo ahwɛ sɛ ɛyɛ nea ɛyɛ mmerɛw sɛ wɔde nhyɛso ba anaa.

2. Dental X-rays: Wɔyɛ X-ray a ɛkyerɛ ɛse a ɔyare no wɔ no. Eyi betumi akyerɛ baabi pɔtee a ɔyare no atrɛw ne ɔsɛe a atwa ɛse no ntini ho ahyia.

3. Dental CT scan: Wɔ tebea horow bi mu, titiriw sɛ adwenem naayɛ bi wɔ hɔ sɛ ɔyare no atrɛw akɔ kɔn mu a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ CT (Computed Tomography) scan. Eyi betumi ama woahu w’ano wɔ afã abiɛsa (3D), na ama woate baabi a ɔyare no akodu no ase yiye.

Dɛn ne ayaresa a wɔde sa eyi?

Ayaresa a wɔde sa `(Periapical Abscess)` no gyina baabi a ɔyare no atrɛw akodu so. Ayaresa atitiriw pii wɔ hɔ a wobetumi apaw:

• Nnuru a ekum ɔyare mmoawa : Ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa na ama ɔyare mmoawa no antrɛw na asiw ɔyare mmoawa a ɛwɔ wo nipadua mu no ano. Nanso kae sɛ nnuru a ekum ɔyare mmoawa nkutoo rentumi nsa ɔyare mmoawa no koraa. Ɛho behia nso sɛ wosa ɛse a ɛde ɔyare no bae no.
• Ntwitwiridii ne nsu a wɔde fi mu: Wɔ saa adeyɛ yi mu no, oduruyɛfo no twitwa ketewaa bi wɔ baabi a akisikuru no aboaboa ano no na ɛma nsu fi akisikuru no mu. Afei wɔde nkyene a ɛnyɛ ɔyare mmoawa tew beae no yiye. Ɛtɔ mmere bi a, wobetumi de rɔba afiri ketewaa bi (nsu a ɛkɔ mu) ahyɛ baabi a wɔatwa no mu na ama akisikuru biara a aka no atumi akɔ mu nna pii.
• Ntini mu Ayaresa: Mpɛn pii no, ɔkwan a eye sen biara a wobɛfa so agye ɛse ne sɛ wubenya ntini mu ntini. Wɔ eyi mu no, wɔyɛ tokuru ketewaa bi wɔ ɛse no atifi, na wɔde nnwinnade titiriw bi yi ɛse no mu ntini ne akisikuru a ɔyare no wom no fi hɔ koraa. Afei wɔhohoro ɛse no mu yiye na wokum mmoawa, na wɔde ade titiriw bi a ɛte sɛ rɔba a wɔfrɛ no Gutta-percha hyɛ ntini no mu ma. Eyi mma ɛse no ntumi nnya ɔyare mmoawa bio. Mpɛn pii no, ɛho hia nso sɛ wɔde nsensan abotiri, ade a wɔde kata ɛse no so a wɔde abɔ ɛse no ho ban bere a ntini no akɔ akyi.
• Ɛse a Woyi: Ɛtɔ mmere bi a, sɛ ɔyare no mu yɛ den na ɔkwan biara nni hɔ a wobɛfa so agye ɛse no a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wonyi wo sẽ. Wɔ eyi mu no, wɔde ahwɛyiye yi ɛse a asɛe no denam ntini a atwa ho ahyia no a wotwa no so. Ɛtɔ mmere bi a, wobetumi ayɛ sẽ dompe a wɔde hyɛ mu na ama dompe a ɛyera wɔ anom bere a wɔayi ɛse no awie no so atew. Ansa na wobeyi ɛse no, wo duruyɛfo no ne wo bɛkasa afa akwan horow a wobetumi afa so de ɛse no ananmu (e.g., nsensan a wɔde hyɛ mu, nsensan a wɔde hyɛ mu).

Ɔkwan bɛn so na wobetumi atew tebea yi so?

Ɛwom sɛ ɛrentumi nyɛ yiye sɛ yebesiw Periapical Abscess a ɛbɛba no ano koraa de, nanso nneɛma bi wɔ hɔ a yebetumi ayɛ de atew asiane no so:

• Di anom ahotew ho su pa akyi: Fa aduru a wɔde sew sẽ a fluoride wom hohoro wo sẽ mprenu da biara anyɛ yiye koraa no simma abien. Fa nhama a wɔde hyɛ wo sẽ ho tew wo sẽ ntam.
• Nom nsu a fluoride wom: Fluoride hyɛ sẽ den.
• To nnuan ne anonne a asikre wom ano hye: Sɛ wotew nnuan ne anonne a asikre wom so a, ebetumi aboa ma wo sẽ amporɔw .
• Kɔ wo sẽ ho oduruyɛfo nkyɛn kɔhwɛ wo sẽ na siesie wo ho: Ɛho hia yiye sɛ anyɛ yiye koraa no wobɛkɔ akɔhwɛ wo sẽ pɛnkoro afe biara, anaasɛ wɔ bere a wo duruyɛfo kamfo kyerɛ no mu. Saa kwan yi so no, wobetumi ahu ɔhaw biara na wɔadi ho dwuma bere a efi ase ara pɛ.

Bere tenten ahe na wubetumi akɔ a wonnya ayaresa?

Bere pɔtee biara nni hɔ a wɔde bɛyɛ eyi. Wɔ nnipa binom fam no, tebea no betumi asɛe wɔ adapɛn kakraa bi mu, wɔ afoforo fam no, ebetumi agye asram pii. Nanso, ayaresa a wɔtwentwɛn so no ma asiane a ɛwɔ hɔ sɛ wobenya nsɛnnennen a emu yɛ den a ɛde nkwa to asiane mu te sɛ ``Sepsis'' no yɛ kɛse. Enti, sɛ wowɔ sɛnkyerɛnne ahorow a, ntwentwɛn wo nan ase.

Bere bɛn na ɛsɛ sɛ wokɔ sẽ ho oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ `(Periapical Abscess)` ho sɛnkyerɛnne a, kɔ nsensan ho oduruyɛfo ntɛm ara. Dodow a wunya ayaresa ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wobɛkora ɛse no so no ye na ɛnyɛ den sɛ wubenya nsɛnnennen.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Huraeɛ
• Awɔw a wɔte nka na wo ho popo (Chills) .
• Akisikuru anaa ɔfe
• Ɛyaw a emu yɛ den a ɛnbrɛ ase ɛmfa ho sɛ wɔnom nnuru no

Eyinom kyerɛ sɛ ɔyare no mu ayɛ den na afi ase reka nipadua no afã afoforo.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wowɔ `(Periapical Abscess)` a, ɛyɛ papa sɛ wobɛbisa wo duruyɛfoɔ nsɛm yi:

• Ɛhe na mewɔ `(Periapical Abscess)`?
• So ɔyare mmoawa no atrɛw? Sɛ saa a, ɛnde akodu he?
• So ɛsɛ sɛ menom nnuru a ekum ɔyare mmoawa?
• So wobetumi agye me sẽ nkwa?
• Ayaresa ahorow bɛn na mewɔ?
• Sɛ ɛsɛ sɛ woyi ɛse bi a, dɛn ne akwan horow a wobetumi afa so de asi ananmu?

Bere tenten ahe na egye ansa na saa akisikuru yi ayɛ?

Asɛmmisa yi ho mmuae gu ahorow wɔ onipa biara mu. Akuru bi betumi ayɛ kɛse wɔ da koro anaa nnanu mu. Afoforo nso betumi anya nkɔso a wunhu mpo adapɛn anaa asram pii. Sɛ wuhu biribi soronko bi wɔ w’anom anaa wote nka sɛ biribi nyɛ papa a, kɔ nsensan ho oduruyɛfo nkyɛn ntɛm.

So akisikuru te sɛ eyi betumi aba wɔ `(Root Canal)` ayaresa akyi?

Yiw, ebetumi aba. Nanso mpɛn pii no ɛnyɛ saa. Sɛ mmoawa san kɔ ɛse no mu bere a wɔreyɛ ayaresa no, anaasɛ egye bere tenten dodo ansa na wɔanya abotiri wɔ ntini a wɔde ayɛ ntini akyi a, ebetumi asan anya ɔyare no bio. Sɛ ntini mu abubu mpo a, ɛtɔ mmere bi a ebetumi asan anya ɔyare no bio. Sɛ ɛba saa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa ntini a ɛto so abien anaasɛ yi fi mu.

So ɛse a ɛyɛ mmerɛw betumi ama obi anya sinus ho sɛnkyerɛnne?

Yiw, ebetumi aba. Sɛ wo sẽ a ɔyare no wɔ no wɔ wo soro hwene akyi a, ɛbɛn mframa a ɛwɔ wo hwene no afã abien no nyinaa (`Maxillary Sinuses`). Afei ɔyare mmoawa a ɛwɔ ɛse no mu no betumi atrɛw akɔ saa `(Sinus)` abura no nso mu. Ɛno nti, sɛ wo sẽ yɛ wo yaw kakra mpo a, mmu w’ani ngu so, na kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Periapical abscess yɛ ɔyare mmoawa a ɛba wɔ ɛse ntini ho. Ɛtaa yɛ yaw, nanso ɛtɔ mmere bi a ebetumi ayɛ yaw. Sɛ wususuw sɛ wowɔ saa tebea yi a, ɛho hia sɛ wokɔ nsensan ho oduruyɛfo nkyɛn ntɛm ara. Sɛ wunya ayaresa ntɛm a, ebetumi aboa ma ɔyare no antrɛw ankɔ w’ano ne wo nipadua no afã afoforo. W’akwahosan wɔ wo nsam!